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Home My WebLink About94-00996 ,.'-'(' -; --~-, i~..lf4',*,~....*... ','" ,- ""'-#1 ... .oi' .',., - '" ",,"-'-/ .r ''-: ',',-" .. ~, , ,'if '.-.=~.q;'i~'.4j~ ,-'. .._ 'C'" .~ __~_ _.~ ,..". -"-- .._', - ~-~.-', , -,';;:-~~,~: No. To: Register of Wills for the Deceased. Counlyof Cumberland In the SoC'laISeC'urit)'No. .lIHI-3b-Bl~3 Commonwealth of Pennsylvania The pelitlon of Ihe undersigned respeclfully represenls that: Your petitloner(s), who is/arc 18 years of age or older an the execul "i x in Ihe last will of the above decedenl, daled ,Till y '7 and codlcil(s) dated -----...-.--- .. ......- PETITION FOR PRODA TE and GRANT OF LETTERS ~/- q4- - qq~ Estate of also known as DOROTHY F. CONLEY named . 19..9.0..- Decendenl was domiciled al dealh In Cumberland COUnly, Pennsylvania, with er la&1 family or principal residence at 325 Wesl~v J?ri ve. RAtohRny V11.lage, Lower Allen Township. Mgcnen~g~Qy~q~ E~ (llsl Slrctl, number and munclpalllY) Decendenl,lhen 88 .Years of age died November 10, ,19 94 al Holy Spirit Hospital, Cam Hill, PA . Excepl as follows, decedent did nOI marry, wus not divorced and did nOI have a child born or adopled aftet execution of Ihe will offered for probale; was nOlthe vlcllm of a killing and was never adjudicated incompelent: Deeendenl at dealh owned property with eSllmated values as follows: (If domiciled in Pa.) All personal property $ 70 , 000 . 00 (If not domiciled In Pa.) Personal property In Pennsylvania $ (If not domiciled in Pa.) Personal property In Counly $ Value of real cst ale in Pennsylvania $ situaled as follows: Iheron. j ,,- 'il" "'I "'" ;;E 'E~ ,,0 i In .V;?a'f1 t'v~ 1'. /5,-u.",-,dL" ary B ssler 204 Harrisburq Pike Dillsburq, PA 17019 1'7/7) If.7., ;:..-\-;r7(. (stale relevant t1rcllmsum~'csl C.R. renunciation, dt'alh or C'4C't'ulor. CIC.) h WHEREFORE, petitioner(s) respeclfully reques~~ tQe .Rrobate of the last will and codlcil(s) presenled herewith and Ihe grant of lellers s a entary (le~tQmenIDr)': admlnlstrotion c.l.n.i administration d.b.not.l.n.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } l>S COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or afflrm(s) thai the stalements In the foregoing petition ure true and correcl 10 the besl of Ihe knowledge and belief of pelitioner(s) and Ihat as personal represen- tatlve(s) of Ihe ubove decedent petitioner(s) will well and Iruly administer thy eSlate according to law. Sworn to n. r affirmed and SUbscribed~t/ '7 h 0.1'1 c, 1 :1u~G.~ '" before me lhls 22ND duy of. ~. 7f~~r~~/'~ ~c,@~^ 71' ~ MAR C. LEWIS' Rell/ster ~ . .' ~' L-- .... .,~ ~_....- -. No 21 - 94 - 996 . Estate of DOROTHY F. CONLEY , Deceased DECREE OF PRODA TE AND GRANT OF LETTERS AND NOW November 25. 19~. in conslderallon of the pethlon on the reverse side hereof, satisfactory proof having been presenled before me, IT IS DECREED that Ihe Instrument(s) daled Jul v 27. 19 9 0 described therein be admhted to probate and filed of record as the last will of Dorothy F. Conley Testamentarv Mary Bressler and lellers are heteby granted to FEES P b l E $ 115.00 ro ate, ellers, Ie.. . . . . . . . . ShortCertlneales(4) .......... $ 12.00 Renunelallon ................ $ ____ Box 737, Camp Hill, PA 17001-0737 X-Pages $ b.UU JCP 5. 60 ADDRESS Novl~BT~LZS:-l~941JB .00 737-3405 Flied ................ I....... " I .,....... ~ fU-tJ6A * !?"J S-..:1.!)-tJr td'/.;j;~<;;1J 00 ~(i ::;J L,) -~ h) t" " ~j I.) ,'" . . w. '~ Mailed letters and order to attorney on 11-25-94. 1I1C1\Joim IIIV""', This is In n..'rfil}' Ih.\I IIll' infurlll.llilll1 hCIl' gin'lI i~ (OIu.tll}' ttll'u'llllulI1 .111 uti,!!in;.! ll'l"lifk.lll' III dL'juh Lilli}' rill'll willi me il~ l.oc;lIlll'~is(rilr. Thl' migin.t1 t"l'rriJkau' williX' fllrw.ndl.d 1tl thl' SLIll' Vil,11 It<< llllll, (Hfill' IlIr pl'rUlilllulI filill,!!.. WARNING: Ills 1II0golto duplicoto this copy by photostnt or photograph. Fl'c (or (hi... (.'l'UHir;IIl', $2.(}() ,. 2683449 Nu. "/ ~~ ll::r///v ~ ~(!'.:1.r.:.~\"'~ H'_" - . i,,~,;ili~~i;;;;;- 7--- NOV t 2 11194 ...---.--.--------..-.-..---- D.lle COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT Of HEALTH' YITAL RECOROS CERTIFICATE OF DEATH ... - ..... -O.Itilerland .......".., ".0 ~--==::: ...olttftUHAMI.(f." ~.~...,.... Ma L. Lan ith .~ """. ... 204 Harrisburg P ke Dlllsburg. IOH. -* Cf---, I 0.0. MlH ""'"..['IIr......' IlAl...u.clPr.-d &w....fgr..,.,eu...'1 .". OICIDlNl..MM.JJfOMlOM...... c.~. ......lipcw.1 325 Wesley Drive Mechlmicsburg. Po 17055 Dl"CloeHl.. .,,,..... A"""NCI --- ~-- ... "........ Pa .... ......... Ha Bress ler ...~il c.~D "-'1.._.....0 ou.-~' .. IUooW>.o.~ ....1 o ."""'.... be 12 1994 IIKHHNIJtotMA 01l654-L - 36 8133 0.0. or DlRH,....." ['II~ 'IWJ t. l ,..-_...-..:_..~..... t""'- 0 01.... ::::eO _0 :="0 _0 1'-oU' ., ~':t.~ --- Widowed --- -" White ........... lfl_..,..--.n1WMl ... "..Im ............,~ r~r1\11I1n .. Pa 17019 ... New Texas pa I 1903 Market Hane nc .... 0 ~I~JI.""'I Plun Creek CErnete NAMI AHDAOON." MCIln., era-Uarner FUneral UClHSl tNUI(.. l~ ,_ 0 ~III 0 '..............~ 0 ... 0 tfo~ '" 0 ... 0 .... 0 CNdIlDlt.e........... 0 Pl.ACliOflKA.lA...."'''-.'''..............,..-c. ... ~tIC(5j;_',1 ..... ...". .... ~-:".;::;~~/I'I.,....__"',.ogea...rc".....""-.._...I'.."...,..,..t...P...QAAdct.ll..,.j~....,:Q Q' ..... .......,........... ....-...............MwI(.,.... _.. I&.IH...........,........,...,...... ...._............,.... . (?" )d. ~'\j.."""':'" PUlIOPIAlACOII5lOUlHCt Utt I: OUIlDIOR"'AtC>>~OUfHCt I OUllOfOflA$ACOt4L UClOfI AUlOf'lIy,ftOlNQa _ILlIlI PnIOA 10 CClUr!.1l1QN Of CAUM: Of"DtAtH' MAN....... DlAI'll OAIIOfWJUflY ,........0.'..1 ..~. '.-.oo-""GAHOCI.r"'lMQ '"'lOAN"",...,...... ..._o;a'lo,I_...'."..luIllC.....U....... ............,................."""'et.......................""..............c.,__..."'-'.. ..,....,....... .....' ... .MlDlCAl.II......IUCOfIlOHIft O"..........._InItIen..-l...."...tleM_....,..,..,w-n...lMtloccwred..,hetllnt.,....__p1_......IkI.,.lhIc......,.I_ al.~-."................................................,..................................................... N. uNNIJl,lNA ~ 12, "..ll /,'1 Stree "'. MID I XA ...0 ...0 -- w__ -...- """1 cw..........~............aIfI, ,...1...-..uM..~....~..""'lTl 'IUIOf 1I1.1UR1' I'f.IUfIl'RWOAIl.' OC' A1NtlOW~'CIC1ClJMlP ... 0 ..0 .. .... 'A 1\ \ (>... co..... .. LAST KILL AND TESTAMENT OF DOROTHY P. CONLEY I, DOROTHY P. CONLEY of the Borough of Camp Hill, Cumberland county, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I direct that all my tangible personal property, not including cash and securities, be divided among my children as they may agree, or, in the absence of agreement, as my executor hereinafter named may think appropriate. Should any of my children predecease me, his or her bequest in this paragraph only shall lapse. III - I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate as follows: A. 10% of said residue shall be paid to the Camp Hill Presbyterian Church, Camp Hill, PA. B. The remaining 90% of said residue unto my children, John Conley, Mary Bressler, Dorothy Slavcoff and Sarah SUllivan, in equal shares, the share of a deceased child to be paid to his or her issue per stirpes. ,t 0 t) FTlt-:3 . (1-,""'r"Q (J ~ ~ ARN01.D & SI.IKE, A/'ORNf_"!-.'I.I.AW, 'l11l9 MARKU STRln. (;AMr 1111.1.. rA Ifllll .~., .~......___,o-__""'.___~"d'''''''''''~'_ Page 1 ..1 . -',,' :~. ?~..:;, '.~ -, '. IV - I appoint my daughter, Mary Bressler, Executrix of this, my Last Will and Testament. Should my said daughter fail to qualify or cease to act as such, then I appoint my daughter, Dorothy Slavcoff, to act in this capacity. Neither of my personal representatives shall be required to post bond in this or any jurisdiction. IN WITNESS WHEREOP, I have hereunto set my hand and seal on this the .;J '1 """- day of ~o- ' 1990. ,ilrY/ frW ' tX'rT\.tr t f-(SEAL) Dorothy F. Conley signed, sealed, published and declared by DOROTHY P. CONLEY, Testatrix therein named, on this and one (1) other sheet of paper as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ..~ cO v/A/t( 1 "'-. Name ~;u t~e ~t7~ {t~ /(J/ . a Address U"')o d:t/J d ~d ress ARNOLD" SLIKE. AlllUlNI.U.Al.I.AW. aln MAUll !il"fll. (:,,,,"" 1I1L1..'A 1'1111 / ,~:;~,i?; ",,;.v-;';-j"~;,;,it.~3,?~tft:,;.~-:'rl~~~;;tf~~~:tt~~!';~1~"-~ ""5~'.'. , .c, "~I . . COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) WE, the undersigned, the testatrix and the witnesses, reepectively, whoa. nam.a are Bi9ned ~o ~h. foregoing ina~rum.nt, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix signed the will as witnesses and that to the best of their knowledge the testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. Jr;rr~ -=7 ' CVA:51'~ estatrix , q(~~' ~ ~t?~~ wit ss subscribed, sworn to and acknowledged before me by the testa- trix,tfnd subscribed a sworn to before me by both witnesses, this ~1 day of , 1990. )-LJJh<cJlL ci' cf/;~,~ It. ' Notary PUblic NOTARIAL6EAI. THELMA S. McCAUSLIN. NOlary Pub/lo Camp Hm. PA Cumb",..nd County My Comml..lon Explra. July 3, 11192 I \11'0'0111,11;, ".IJ;I. 1""11'''''. \f r", 'l"'I''''Il'' '11"" . I'11""t. 1'\ I'''ll ~.t:{!.K,''-'': ~~,~~~~,>;~ !IJu;. . ~)f. ~"- -, ~~~it" :I>~-'!<' ;~,; '. .<'1. <.' -t.:, ~."...' - - . -:~ ;',' -' .. ",-,~, ' .}rsx.: ~~,' ~~\W< " ':". . ~~)~:t :-; .fn\ --,~:;:A~;~'~~:/-:~-;;-;::. .~; . ,~:. C"";::~:~:t/ .... ,=.... .~ ~ :-:: '< f, ".. ;.<F "'.- -~. . .,>"'- ,,-, '-.f ~ E'; J ~' ~ IS y 'Ii! Ii ~ o u a U cl p; . I&. ~ ....,,,'...... . ..:....;', ~']'I "~'-'," ~ . ~ -,,'" "", ~. lil 8 l '1 "tj -"1- " , --, . . . 'f ,;. CERTIFICATION OF NOTICE UNDER RULE 5.6(8) '\ illL: ,./ ;' 1 '\ '1 Name oC Decedent: Truman L Heishman November 13, 1994 2194-0998 C~. " ell! - 'It Date oC Death: Will Number: .', ;i"\ To the Register: I certify that notice oC beneCicial interest required by Rule 5.6(0) oC the Orphans' Court Rules was served on or moiled to the Collowing beneficiaries oC the above captioned estate on November 30, 1994: Dona M. Heishman 623 Alexander Spring Road Carlisle, PA 17013 Linda J. Cheskey 256 McAllister Church Road Carlisle, PA 17013 Randy L Heishman 802 North College Street Carlisle, PA 17013 Terry L Tidd 244 McAllister Church Road Carlisle, PA 17013 Michael L Heishman 901 Dunbar Road Carlisle, PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(0). Date: November 30, 1994 Signature: Ja e F. Burke, Senior Vice President and Trust Officer Farmers Trust Company P.O. Box 220 Carlisle, PA 17013 (717) 243-3212 Capacity: Personal Representative cc: Ivo V. Otto, III, Esquire e. . . . . . CBRTXPICATION OP NOTICE UNDBR RULB 5.6(a\ Date of Death: Dorothy F. Conley November 10, 1994 1994 - 00996 Name of Decedent: will No. To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on December 1, 1994. Per attached notices Notice has now been given to all persone entitled thereto under Rule 5.6(a) except: None Date: December 1, 1994 Slike, POBOX 737 HILL, PA 17001-0737 elephone: 717//737-3405 Counsel for Personal Representative SAIDIS, GUIDO, SHUFF &. MASLAND 2109 Martel SlIocl Camp Hill, PA or, r.: . _": I I'-j o. ;:0 .' ~ \'. co, ~..J I -', ; 1,_'1 ";.,'.__,j ._v,'.:rci-"i--. ,"li,"'?";' L"', ":~_ ,.~_'i"':.'!-.':_~r:n~__~iw 'd._~,_'--:."N.... NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA: IN RE: Estate of Dorothy F. Conley, deceased, No. 1994 - 00996 TO: Mr. John Conley 5223 Archer Street Roanoke, VA 24014 Please take notice of the death of the decedent and the grant of letters to the personal representative named below. You have a beneficial interest in the estate as follows: 22.5% of the residuary estate. Name of decedent: Dorothy F. Conley 325 Wesley Drive, Mechanicsburg November 10, 1994 Last known address: Date of death: Place of death: Holy Spirit Hospital SAID IS, GUIDO, SHUFF & MASLAND 2109 Marl<e1 5lree. Camp Hili. PA County of grant of original letters: Cumberland Decedent died testate and a copy of the will is attached. Name, address and telephone number of the personal representative appointed: Mary Bressler - 717/432-5576 204 Harrisburg pike Dillsburg, PA 17019 Name, address and telephone number of all counsel: John E. Slike, Esquire, Saidis, Guido, Shuff & Masland POBOX 737 CAMP HILL, PA 17001-0737 Telephone number: 717-737-3405 : I SAW IS, GUIDO, SHUFF III MASLAND 2109 Mubl Slnlel Camp Hili. PA Additional information may be obtained from the undersigned. Datel December 1, 1994 John E. Slike POBOX 737 CAMP HILL, PA 17001-0737 Phone I 717/737-3405 Counsel for personal representative SAIDIS, GUIDO, SHUFF & MASLAND 2109 Marlcel 5U<<1 Camp Hili, PA a~.~.-:!'~i,,~"!t'!._-<r~~!4~'fI."'!~~'4~f: ,~.t.., 1io"","'.".':r-"- -~~~,~,,,,,,,':'~1'<S1t"!"->,":""""'-''<;>''?~':;-''''; - ,:> ;:.. , -- :"~-'?\',:~,"';';'-" 'if~~"";' NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA: IN RE: Estate of Dorothy F, Conley, deceased, No. 1994 - 00996 TO: Mrs. Dorothy Slavcoff 14024 Cricket Lane Silver Spring, MD 20904 please take notice of the death of the decedent and the grant of letters to the personal representative named below. You have a beneficial interest in the estate as follows: 22.5% of the residuary estate. Name of decedent: Dorothy F. Conley 325 Wesley Drive, Mechanicsburg November 10, 1994 Holy Spirit Hospital Last known address: Date of death: Place of death: County of grant of original letters: Cumberland Decedent died testate and a copy of the will is attached. Name, address and telephone number of the personal representative appointed: Mary Bressler - 717/432-5576 204 Harrisburg Pike Dillsburg, PA 17019 Name, address and telephone number of all counsel: John E, Slike, Esquire, Saidis, Guido, Shuff & Masland POBOX 737 CAMP HILL, PA 17001-0737 Telephone number: 717-737-3405 . ...... .. ',.', "'-' V' ""'r'" '0' - "",.. - .t,!., ,.,^..",,~,-.<,)~,. 'i."",.-~"..h.,j.. '~-r,<::;::, .',Ul<1~...~.1"!:J..iooi:~,,,,,-:,j:t'~rry~'Z'_: '; .,{ ':; "'__"'~\":"""":'I"'l ,":;""S , "":!~"nr-1 ~'';;;'li...>~}'T;_,I''''''~~<''ii::rx_"\);<~ C'... - -~ " -,--- "j Additional information may be obtained from the undersigned. Date: December 1, 1994 John E. Slike POBOX 737 CAMP HILL, PA 17001-0737 Phone: 717/737-3405 Counsel for personal representative SAIDIS, GUIDO, SHUFF '" MASLAND 2109 MubC Slmt Camp Hili, PA ~. ' ""', .~~,. . ." \.. . ,. ,.... <-.o~i"'"'- ,.-.;;:....!~,~_,~_it~rl<,"t"1~tt._ ~ t~ I. . . ~ ~ NOTICB OF BBNBFICIAL INTBRBST IN BSTATB BEFORE THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA: IN RE: Estate of Dorothy F, Conley, deceased, No. 1994 - 00996 TO: Mrs. Sarah Sullivan 15 Farm Road Wayne, PA 19087 Please take notice of the death of the decedent and the grant of letters to the personal representative named below. You have a beneficial interest in the estate as follows: Name of decedent: Dorothy F. Conley 325 Wesley Drive, Mechanicsburg November 10, 1994 Holy Spirit Hospital 22.5% of the residuary estate. Last known address: Date of death: Place of death: SAIDIS, GUIDO, SHUFF &. MASLAND 2109 Milke' SIIeC. Comp Hili. PA County of grant of original letters: Cumberland Decedent died testate and a copy of the will is attached. Name, address and telephone number of the personal representative appointed: Mary Bressler - 717/432-5576 204 Harrisburg Pike Dillsburg, PA 17019 Name, address' and telephone number of all counsel: John E. Slike, Esquire, Saidis, Guido, Shuff & Masland POBOX 737 CAMP HILL, PA 17001-0737 Telephone number: 717-737-3405 , ;... I~ ~~,~:~;~~~~.~:.:i~~i~:~~~~~~2I~~~tL~1!~~11};,~~~~~~~~~~w. Additional information may be obtained from the. undersigned, Date: December 1, .1994 ,. John E. Slike POBOX 737 CAMP HILL, PA 17001-0737 Phone: 717/737-3405 .' . . Counsel for personal representative . _ 'I BAWlS, GUIDO, . SHUFF & MASLAND 2109 MIIket s_ . c.mp Hili, PA ,.""'" :':"1.,> NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA: IN RE: Estate of Dorothy F. Conley, deceased, No. 1994 - 00996 TO: Camp Hill Presbyterian Church 23rd and Walnut Streets Camp Hill, PA 17011 Please take notice of the death of the decedent and the grant of letters to the personal representative named below. You have a beneficial interest in the estate as follows: 10% of the residuary estate. Name of decedent: Last known address: Dorothy F. Conley 325 Wesley Drive, Mechanicsburg November 10, 1994 Holy Spirit Hospital Date of death: Place of death: SAIDIS, GUIDO, SHUFF & MASLAND 2109 MIIi'1 SlIeel Camp Hili. fA County of grant of original letters: Cumberland Decedent died testate and a copy of the will is not attached. Name, address and telephone number of the personal representative appointed: Mary Bressler - 717/432-5576 204 Harrisburg Pike Dillsburg, PA 17019 Name, address and telephone number of all counsel: John E. Slike, Esquire, Saidis, Guido, Shuff & Masland POBOX 737 CAMP HILL, PA 17001-0737 Telephone number: 717-737-3405 .. .. ' . . Additional information maybe obtained from the undersigned. Date: December 1, 1994 John E. Slike POBOX 737 CAMP HILL, PA 17001-0737 Phone: 717/737-3405 Counsel for personal representative p SAWIS, GUIDO, SHUFF II< MASLAND 2109 Markel 51ree. Camp Hili, PA ~.',:-i\-:;:~4}~'tt'rk{~{:;1::~_. _"~O::.~J:~-?-"L'1~';t;>;. " t,ii..,W&c-;'t,--,;-,'''s~':-3>~ < ..,.....".."..........,..,. F COMMONWIALTH OF PINNSYLVANIA COUNTY OF CUMIIRLAND } III Mnry Dreaaler b.ln9 duly sworn ;, .ccotdln9 10 I.w, d.posel .nd I'YI Ih.t sh. la Exeeutrix of Ih. E...I. of Dora thv F. Conlcv 'II. of ______.I..'!"!.!U:..!lHp!LT.!llill@1J!1L- , Cumb.rl.nd County, P.., d.ce...d end Ih.I Ih. within II .n Inv.nlory m.d. by her , the uld Executrix of Ih. .nllr. 11111. of uld dec.d.nl, conllllln9 of .11 Ih. p.rson.1 prop'rly .nd rill ..t.I., .xcept rill ....1. ouhld. th. Commonwullh of P.nnlylv.nl., end Ih.I Ih. f19urll OppOIIt. IIch II.m of Ih. Inv.nlory r.pr...nl lt'l f.lr v.lu. '.. of Ih. d.I. of dec.d.nl'l dulh. . Sworn to .nd lublcrlb.d before me, i ~MnY /0 JJ ~<oat,.JI. ~ ( NOTARIAL SfAL THELMA S. McCAUSLIN, Nolary Public camp ifill. Cumberland Counly O M(~CD.~~~.s~n~f~.o~.C~~!\=b 1996 .1. 0 elln Doy 1995 ') (J ./J " I I CLt'l/ I ;J1l.1.A.~_C)...v v Eucut.r . Aclmlnhl,.t., 204 Harrisburg Pike Dillsburg, PA 17019 Addu.. i: November M.nth 1994 Y.., INSTRUCTIONS I. An Invenlory mUlt be flied wllhln Ihree monlhl .fter .ppolnlmenl of p.uon.1 r.presenl.llv.. 2, A luppl.menl Inv.nlory mud be flied wllhln Ihlrly d.YI of dllcov,ry of .ddlllon.1 ....h, . ], Addltlonellh.." m.y b. .".ch.d .. 10 perlon.IIy or re.lly 4. Su Arllcl. IV, Flducl.rl.. Acl of 1949. l1< .... :0 ~ III ...; ~ l!! ~ .... D ~ g ~ 0' ~ ~ .. en ~ ffi u l>l u ~ U D ~ W C '" . t' ~ 0 ~~ 0. ... LL U , E 0 .. 0 ... ~ 0. W LL . ....l ~ ~ 0 ~ ~ ~ ~ t- en o C ~ c . " l>l - VI Z .... II 0 fli < ... ~ Z 0. .... 8 c .. ., ... "C 0 u .D ... ... u E . . 0 ~ (l it 0 CD 1 2 3 4 5 6 7 8 9 INVENTORY OF THE REAL AND PERSONAL ESTATE OF DOROTHY F. CONLEY, DECEASED 252.363 aha, Pine St. Fund (now ~inthrop Growth Fund) 50 aha. Duqueane Light Company 170 aha. Exxon Corp. 400 aha, PP&L 426 aha, AMP, Incorporated 387 aha. Philadelphia Electric (now PECO Energy) 64 aha. Bell Atlantic Corporation 50 aha. AT&T 100 aha. Ameritech The above aha rea are all common stock 10 PNC Bank account No. 5070075406 11 PNC Bank account No. 5140261037 12 AARP Investment Fund, account No. 307499206-0 13 T. Rowe Price Tax Free High Yield Fund No. 200g09339-2 TOTAL 12.61 29.50 59.937 19.25 74.562 24.875 50,937 54.50 39.375 3,182.29 1,475.00 10,189.29 7,700.00 31,763.41 9,626.63 3,260,00 2,725.00 3,937.50 25,213.21 18,886.63 9,128.89 12,028.02 $139,115.87 00 :I1 c ~ t5l 3 :Oct' cc rr, r, " <0') n $; " :""!, , -< .. , '.. . ~ - , 6' ;;, -:" I", ..: " . ~!~.... n \0 en" ~<:: 0 0 )>;;; ~. \0 --_......^"._,-_.~.. ._~.-._.... . . FIRST AND FINAL ACCOUNT OF MARY BRESSLBR, BXBCUTRIX FOR THB BSTATB OF DOROTHY F. COHLBY, DBCEASBD NO. 21 - 94 - 0996 Date of Death: November 10, 1994 Date of Executor's Appointment: November 25, 1994 First Complete Advertisement of Grant of Letters December 9, 16, 23, 1994 Accounting for the Period: November 25, 1994 to october 7, 1995 Purpose of Account: Mary Bressler, Executrix, offers this account to acquaint interested parties with the transactions that have occurred during her administration. The account also indicates the proposed distribution of the estate. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: SAIDIS, GUIDO, SHUFF IlL MASLAND 2109 Martd Stroel Camp Hili, PA John E. Slike, Esquire Saidis, Guido, Shuff & Masland 2109 Market Street P. O. Box 737 Camp Hill, PA 17001-0737 [717] 737-3405 SAlOIS, GUIDO, SHUFF ... MASLAND 2109 Market 5.... Camp Hill. PA SUMMARY proposed Distribution to Beneficiaries $58,4U.31 Page lis!...- PRINCIPAL ACCOUNT Receipts 3 $139,674.28 Net Gain or Loss on Dispositions 3-4 1.760.30 $141,434.58 Less Disbursements: Debts of Decedent 4-5 $ 1,634.96 Funeral Expenses 5 7,537.79 Administrative Expenees 5 787.80 Federal and state Taxes 5 6,637.40 Fees and Commissions 6 12,244.00 28,841.95 Balance Before Distributions $112,592.63 Distribution to Beneficiaries 6 58.000.00 $ 54,592.63 INCOME ACCOUH'1' Receipts S 3.851.68 6-7 Balance for Distribution Said balance consists of: $ 58,4U.31 PNC Bank Certificate of Deposit Estate checking account $45,000.00 13,444.31 2 SAIDlS, GUIDO, SHUFF 8< MASLAND 2109 Martel SlReI Camp Hili. PA ";i["~^,j~_,p:~-",~:.A":-!'t"i,','i~~~':;:tt,,?'~;j'~~_';.i(,,,- '!' PRINCIPAL ACCOUNT RECEIPTS Assets per attached inventory: Assets received subsequent to inventory: Covenant Life Insurance Co. - annuity payment CIGNA Insurance Co. - annuity payment The Travelers Insurance Co. - annuity payment New York Insurance Co. - annuity payment Covenant Life Insurance Co. - annuity payment Patriot-News Co. - refund Blair Co. - refund Spiegel - refund Comm. of PA - refund of overpayment of inheritance tax TOTAL GAIN OR LOSS ON CONVERSION OF ASSETS PNC Bank account #5140261037 Inventoried at Withdrawal - 11/30/94 Liquidated at PNC Bank account #5070075406 Liquidated at Inventoried at $18,886.63 18.000.00 886.63 $ 1.295.71 $ 139,115.87 $25,454.73 25.213.21 AARP Investment account #307499206-0 Liquidated at Inventoried at $ 9,506.40 9.128.89 12.66 29.56 20.70 16.88 12.66 26.40 72.30 5.50 361. 75 $139,674.28 $ 409.08 T. Rowe Price High Yield Fund Liquidated at Inventoried at $12,999.05 12.028,02 241.52 377.51 971.03 _ ( 10.09) i_n i. f? ; Winthrop Growth Fund Liquidated at Inventoried at $ 3,172.20 3.182.29 3 r,;,.::,'}'!.'~.';-'<' f- .~ . . Duquesne Light Company Stock Liquidated at Inventoried at $ 1,568.69 1.475,00 93.69 Exxon Corp, Stock Liquidated at Inventoried at $10,389,64 10,189.29 200.35 PP&L stock Liquidated at Inventoried at $ 8,109.72 7.700.00 409.72 AMP, Inc. Stock Liquidated at Inventoried at $29,890.74 31.763.41 - ( 1,872.67) PECO Energy stock Liquidated at Inventoried at $10,298.65 9,626.63 672.02 Bell Atlantic Corp. Stock Liquidated at Inventoried at $ 3,395.88 3,260.00 135,88 AT&T Stock Liquidated at Inventoried at $ 2,537.41 2,725.00 - (187.59) Ameritech stock Liquidated at Inventoried at $ 4,257.35 3,937.50 319.85 $ 1,760.30 TOTAL GAIN DISBURSBMBNTS OF PRINCIPAL Debts of Decedent: SAWIS, GUIDO, SHUFF &< MASLAND 2109 Markel 5..... Camp Hili, PA william A, Sullivan, M.D. Conner, Rich, Kearney & Torchia Assocs. A. Z. Ritzman Assocs. Holy Spirit Hospital Conner, Rich, Kearney & Torchia Assocs. Robert E. Bell The Bon-Ton Discover Card Board of Pensions - refund of December check $ 10,94 21.98 3.62 71.25 5.96 60.82 15.90 20.00 433.92 4 . . Bethany Village - final bill Bell Atlantic Greenwood Trust Co. - final payment for Discover Card Covenant Life Ins. Co. - refund of annuity check CIGNA - refund of annuity check The Travelers - refund of annuity check New York Life Ins. Co. - refund of annuity check Spiegel's, Inc. - final payment H & R Block - tax return preparation Pulmonary & Critical Care Medicine Assocs. Holy Spirit Hospital TOTAL DEBTS Funeral EXDenseSI Myers-Harner Funeral Home Edgewood Country Club - funeral luncheon Mary E. Bressler - reimbursement for grave opening Copeland Granite & Marble Works - headstone TOTAL FUNERAL EXPENSES Adm1n1s~rat1ve BXDenses: Register of wills - Letters Testamentary $ Cumberland Law Journal - legal ads Patriot-News Co. - legal ads PNC Bank - estate checks Register of wills - short certificates PNC Bank - drilling safe deposit box Register of Wills - filing fees Register of Wills - additional probate fee Register of wills - filing fees for supplemental return Register of Wills - short certificates Register of Wills - estimated filing fee for Account TOTAL ADMINISTRATIVE EXPENSES SAlOIS, GUIDO, SHUFF " MASLAND 2109 Mutet Slrc<t c.mp Hili. PA Federal and sta~e Taxes: 441.00 45.58 25.81 12.66 29.56 20.70 16.88 6.00 72.00 24.23 296.15 $ 1,634.96 $ 5,791.00 606.79 550.00 590.00 $ 7,537.79 138.00 40.00 55.80 20.00 27.00 91.00 25.00 120.00 15.00 6.00 250.00 $ 787.80 Register of Wills, Agent - inheritance tax payment $ 4,500.00 Internal Revenue Service - '94 individual tax due 217.00 Register of Wills, Agent - balance of inheritance tax due 1.920.40 TOTAL FEDERAL AND STATE TAXES 5 $ 6,637.40 . . \ . . ~/: ~'. .., }"," ,:- ',;. .~..., ,:,~...'. '~., '~'}1~"'-~'<' T_,:~;)"~{"iiT;rt.:: '-:\;:'ii ~.{~-;'~'.. ""'~'l-,ft:i ,- . ._ . . . Fees and Commissions, Mary E. Bressler, Executrix's commission John E. Slike, Esquire - Attorney's fees TOTAL FEES AND COMMISSIONS TOTAL PRINCIPAL DISBURSEMENTS $ 6,564.00 5,680.00 $12,244.00 $28,841.95 ADVANCE DISTRIBUTIONS Camp Hill presbyterian Church John C. Conley Mary E. Bressler Dorothy Slavcoff Sarah Sullivan $ 6,000.00 13,000.00 13,000.00 13,000.00 13.000.00 TOTAL ADVANCE DISTRIBUTIONS $58,000.00 INCOME ACCOUNT RECEIPTS SAlOIS. GUIDO, SHUFF " MASLAND 2109MubtS_ Camp Hili, PA Dividends unless noted: Bell Atlantic T. Rowe Price Winthrop Growth & Income Fund AARP Investment Fund Ameritech AMP, Inc. T. Rowe Price AARP Winthrop Growth & Income Fund Duquesne Electric Exxon PECO Energy PP&L T. Rowe Price $ 44.16 61. 22 142.72 53.13 48.00 178.92 65.61 53.34 19.86 22.00 127.50 156.74 167.00 70.60 6 , . .' ~ f,' '0;_ 01:" :h~. ". : Jl~~ J _..: ",0 +~: +i....' "\+~F.. '. (~~'.~ < .' ~~i~~:$: -"',,i~;; ,~.;"<::t~~~i~;~ SAWIS, GUIDO, SHUFF ... MASLAND 2109MubtSIlOOl ConIp Hili, PA . . AARP Bell Atlantic Ameritech Bell Atlantic T. Rowe Price AARP AT&T AT&T T. Rowe Price AARP AMP, Inc Exxon AARP T, Rowe Price Butcher-Singer T. Rowe Price AARP T. Rowe Price AARP T. Rowe Price AARP T. Rowe Price AARP T. Rowe Price AARP PNC Bank - interest earned on estate checking account for December 1994 PNC Bank - interest earned on estate checking account to October 6, 1995 PNC Bank - C.D. interest to 9/14/95 TOTAL INCOME 50.19 41.97 50.00 44.16 62.07 50.72 16.50 16.50 66.64 49.09 195.96 127.50 50.68 71.11 6.50 61. 86 53.93 66.72 53.94 71. 73 53.19 61. 65 54,25 65.77 53,96 9.07 597.28 537.94 $ 3,851.68 7 " . _ ...._"'_ ...,. -t. '"r"q~ ." ,">!. .! -..;~:-' ';.' .r,.,.~" .~. ... :~',\I<),"~ I"',.' "P 1:--'':1,/''1;-' ":&J :-:.~.. -,. ;~lt~! .,~,,:, :" ,~ . . . . . PROPOSBD SCHBDULB O~ DISTRIBUTIOR Balance for Di.~ribu~ion $58,U~.31 Per Article III of decedent's Last Will and Testament: Camp Hill Presbyterian Church - 10% of residue $ 6,286.47 John Conley - 22.5% of residue 13,039,46 Dorothy Slavcoff - 22.5% of residue 13,039.46 i,l sarah Sullivan - 22.5% of residue 13,039.46 Mary Bressler - 22.5% of residue 13.039.46 TOTAL $58,444.31 SAIDIS, GUIDO, SHUFF'" MASLAND 2109__ ClmpHlU, PA 8 COMMONWEALTH OF PENNSYLVANIA) :SS CUMBERLAND) COUNTY OF Mary Bressler, Executrix under the Last Will and Testament of Dorothy F, Conley, deceased, hereby declares under oath that she has fully and faithfully discharged the duties of her office; that the foregoing First and Final Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that, to her knowledge, there are no claims now outstanding against the estate; and that all taxes presently due from the estate have been paid. '-17/ (}V1i. ,1.'u./AiJ...) Mary Bessler Sworn to and subscribed before me SAlDIS, GUIDO, SHUFF &: MASLAND 2109 MtItcl S_ Clmp HUI, PA this day of , 1995 Notary Public 9 1 2 3 4 5 6 7 8 9 INVENTORY OF THE REAL AND PERSONAL ESTATE OF DOROTHY F. CONLEY, DECEASED 252.363 ahs, Pine St. Fund (now Winthrop Growth Fund) 50 shs. Duquesne Light Company 170 shs. Exxon Corp, 400 shs. PP&L 426 shs. AMP, Incorporated 387 shs. Philadelphia Electric (now PEeO Energy) 64 shs. Bell Atlantic Corporation 50 shs. AT&T 100 shs. Ameritech The above shares are all common stock 10 PNC Bank account No. 5070075406 11 PNC Bank account No. 51402610~7 12 AARP Investment Fund, account No. 307499206-0 13 T. Rowe Price Tax Free High Yield Fund No. 200809339-2 TOTAL 12.61 29.50 59.937 19.25 74.562 24,875 50.937 54.50 39.375 3,182,29 1,475.00 10,189.29 7,700.00 31,763.41 9,626.63 3,260.00 2,725.00 3,937.50 25,213.21 18,886.63 9,128.89 12,028.02 $139,115.87 . \.'~':~l~:-'-~:::'-~:"-":-C"':o-~.'~l.,:nih.-IM.t~' '-> . .. d ----"'- LAST WILL AND TESTAMENT OF DOROTHY F. CONLEY I, DOROTHY F. CONLEY of the Borough of Camp Hill, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I direct that all my tangible personal property, not including cash and securities, be divided among my children as they may agree, or, in the absence of agreement, as my executor hereinafter named may think appropriate. Should any of my children predecease me, his or her bequest in this paragraph only shall lapse. III - I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate as follows: A. 10% of said residue shall be paid to the camp Hill Presbyterian Church, Camp Hill, PA. B. The remaining 90% of said residue unto my children, John Conley, Mary Bressler, Dorothy Slavcoff and Sarah SUllivan, in equal shares, the share of a deceased child to be paid to his or her issue per stirpes. 'I' Page 1 ARNOl.n &- SLU':E. A IOIlNI_H-A"I.-\\'t', 2ltl9 MAUlT "JUU. CAMI' IUtl,I'.", IJilII . . " IV - I appoint my daughter, Mary Bressler, Executrix of this, Last Will and Testament. Should my said daughter fail to qualify or cease to act as such, then I appoint my daughter, Dorothy Slavcoff, t act in this capacity. Neither of my personal representatives shall b required to post bond in this or any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal on this the ..;J "7 ~ day of ~o- ' 1990. Jj (SE Signed, sealed, published and deolared by DOROTHY F. CONLEY, Testatri therein named, on this and one (1) other sheet of paper as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed 0 names as attesting witnesses. -~~ P V'/4 j "-. Name 4;u N~~e ~f~ ARNOLD &- SLlleE. AnOIllNtVS'Al,LAW. 210' MARkU STRUT. tAMr ItlLl. rA 11011 ," . COMMONWEALTH OF PENNSYLVANIA) COUNTY 55. OF CUMBERLAND) WE, the undersigned, the testatrix and the witnesses, respsctively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix signed the will; as witnesses and that to the best of their knowledge the testatrix was i at that time eighteen years of age or older, of sound mind, and under nl constraint or undue influence. I j)rn~4 1, COl\~;y estatrix f? ~t1~ Wit as SUbscribed, sworn to and acknowledged before me by the testa- trix,~nd subscribed a sworn to before me by both witnesses, this <><1' day of , 1990. ~~~ Q( c&~~~a>~ Notary PUblic NOTARIAL &EAI. THELMA S. McCAUSLIN, Notary Publlo Camp Hili, PA Cumb... olInd County My CommllBlon Explr.. July 3, lP92 ~:~~-- { :,: ~ 't':~:t" t: <;Hi.; ...... c' r?! \ -. " jr~"6 jj~ If lrf i ~fjli" J ' li!,))1 I ~ II.II! J ! .I a JII) i'a'a f"6l;li:!! ~ J~U ;j .Il~~~ ~ ~~!:E' t:t: ~ ~!j!i~ i~ OCl.l ~o ~ J~n .. !::~r\ f!3 .. ~ !:' i:' E3 r i?,E :< :!l j!l~ CI.l H" ~- 'j . t- : J ;C. 1'1 1- r_"1 "" i.j, ';0 ;-_: -":~ - : ~ t\ ','I ri.: &If .15; ea Slz II: 0 r..r.. 0 III 0 ~~r.: PfH \D Z III en o 'E en 0 o~~ ~~Q uu uBfil uOfjl "l' .0: 8fil r..u en o t:> ~~r..~ &!~8 I .-l ~fjo t:> . N 1II~1<l o III ~1II Q Ul<l~ . [:l ~ ' 0 ~~~ Z lQlII:>l C.. fil ~ zr..O gJ;fil H l:tl0 HO r.. E-tU U!ill I.lal . flllj. 'a,II'aI(1 . 11 I ~ 1111.11 h.I!I, ~ fljnl~ f.!I15':iJ'i _.$11'0$", 'J:" ~-F fI . '3 -.t..'7~ 1#11(Y,) .111 As 'IIII1\1e'ell uOllnqlllllP ID eln .pel/OV pBIOdo'd I/"^, oouup,oooe UI pUIOOp UOllnQlllllP puu ~Iolnlolq. Pew'IIUo:llunoo,v S bbl' Z e . (lll ~ . ~. . *' . .. . COMlm:xt.~W\\'lf,..mrwa~'NI' HARn'SR~~t.m\za.06O' /II ';1.'/0, -7 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS oj( f ~ FOR OATES OF DEATH AFTER 12/)1101 CHECK HERE IF A SPOUSAL !IEV. 1600 EX t (7-94) C P o 0 NAME R N R D John E. Sliko Es. ~ ~ TELEPHONE NUMaEA - T 717 737.3405 1. Real Estale (Schedule A) 1 2. Slocks and Bonds (Schedule B) (2) 3. Clooaly Held SlocklPertnershlp Inlere.1 (Schedule C) (3) 4. Mortgages and Notes Rocelvable (Schedule D) (4) 5, Cash, Bank Deposh. & Mlscellaneou. Personal Property (Sch, E) (5) 5. Joinlly Owned Property (Schedule F) (6) 7. Translers (Schedule G)(Schedule L) (7) 8. Total Gross Ass.ts hotal Lines 1-7) 9. Funeral Expense" Administrative Costs, Miscellaneous E'pen.es (Schedule H) 10. Debt., Mortgage llabilhle., lien' (Schedule Il 11. Total Deduction. (Iotal line. 9 & 10) 12. Nel Velue 01 Estale (line 8 mlnu. line 11) 13. Cherhable end Governmanlal Bequests (Schedule J) 14. Nel Value Sub ct to T.. (Line 12 mlnu. Line 13) 15. Spou.al Trenslers (for date. 01 death el1er 6.30.94) Se. Instructions for Applicable Percentage on page 2. (Include values from Schedule K or Schedule M,) 16. Amount of Line 14 taMabl, at 6". rate (lncludo value. from Schedule K or Schedule M,) 17. Amount of Line 14 takable at 15"1. rate (Include value. from Schedule K or Schedule M.) 18. Prlnclpalt.. due (Add la, Irom line 15, 16 and 17,) 19.Crodl1./Sp Poverty Prior Payman.. DI.count + 6,420.40 + 236.84 20. If Line 191. groaler Ihan line 18, enler Ihe difference on line 20. Thi.I.,he DVERPAYMENT. [!J ~ ICheck he,." you .,. reque.tlng. refund of your overpayment.1 21. II Line 181s groaler than line 19. enlor Ihe difference on Line 21. This Is Ihe TAX DUE. A, Enler the Interest on the balance due on Line 21A. B. Enler Ihelolal 01 line 21 and 21A on Line 21B. Thi.,. th. BALANCE DUE. Make Check Pe ebleto. R I.tor 01 Wille, A ent . . BE SURE TO ANSWER All QUESTIDNS DN PAGE 2 AND TO RECHECK MATH .. .. ndClrpen.t.SD perury, If.. .v....m sreurn, nc ngaccompenyngac un. ..telMns,' 0 a to my now g.. ..1. rue, correct and complala. deeUlralh.t.1l ,..la,lll. has been 'aported at trUl markat Vllue. Deel".Uon or pr.parar olher than th. parsonal '.pr...nt.tI...... blsad on .1IIn'orrnat!onor which pr.~r.r h.,.ny know'-dga. CAr ~ ~ 0 C R C K 0 K P S FilE NUMBER 21.94.0996 COUNTY CODE YEAR NUMBER D E C E o E N T OECEDENT'S NAME (LAST, FIRST, AND MIDDLE INlTIAl) CONLEY DOROTHY F. DECEDENT'S COMPLET E ADDRESS 325 Wosloy Drivo Mochanicsburg, PA 17011 SOCIAL SECURITY NUMBER 188.36.8133 DATE OF DEATH 11/10/91, DATE OF BIRTH 07/11/06 Coun Cumborlond (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST .FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER AMOUNT RECEIVED(SEE INSTRUCTIONS) 2. Supplemental Return 4.. Future Inlerest Comprorrise lIor dales 01 deelh al1er 12-12-82) ~ S. oecedlnt Died Tlstale 07. Oecedent Maintalnld a living Trust (Allach co 01 Will) (Allach a co 01 Trusl) ALL CORRESPONDENCE AND CDNFIDENTIAL TAX INFORMATIDN SHOULD BE DIRECTED TO. 1. Original Return 4. limited Eslale Remainder Return lIor dale. of deelh prior to 12.13.82) Feder.1 Estate TIX Return Required Total Number of S.'e Olpostt Bo)!1S 05. 1 8. COMPLETE MA!L1NQ ADDRESS Saidis, Guido, Shuff 2109 Morkot Stroot Carn Hill PA 17011 & Masland 73,859.12 R E C A P t T U l A T I o N 65,256.75 (8) 139,115.87 (9) 20,692.59 (10) 1,840.07 (11) (12) (13) (14) 22,532.66 116,583.21 0.10 116 583.11 (15) 0.00 X : 0.00 (18) 104,924.89X .06: 6,295.49 ~ (17) 0.00 X .15: 0.00 C o M p U T A T I o N (18) 6,295.49 Intorest (19) (20) 6,657.24 361.75 0.00 0.00 0.00 0.00 (21) (21A) (21B) Mary Bressler ?P.'UI!,.~~~!,~~~!\, .~~!<.~.............."....".. um.. Dillsbur PA 17019 Saidls, Guido, Shuff & Maslond 2109 Market Stroot Carn" fjiii"' . Pi." "i jiiii............ .... ........ .... DATE t../s/rl.! DATE ~/;~/rjs ,- Form 1500 (R..... 7.'4) ", .. :J\ ,. " , " ,.':; " .' :i ." <l: "... . :!" ., ., . <'.'" -',"c', __..., c," '"> '-- , , ~ - .. . } .__ n,." ", ""- ,-, , .. -' ..',..'....~.:..','. '. ';i: . ,. i," N .' l?r '2:; t ~jj !1' l~r'~ I ~~' 't>: ;;.. ht ~. ",,: Sf ;...' ii' ~. e\l: ~ I' P. ~~ :jj ( lj \~ [, ,1 ~ ~ . > i\< '- i. P f~ ~r ft ~ ..~ h ~ . ~~ 1; ~' \ 't' :t 1 , ~ .1 , ,.....-.,''":''''".-- .,'t:f'~'~'#"l':~:l~ 'REV.llt1EX. (7.111 SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Pi.... Prlnl or fiLl NUMIIR 21-94-0996 COt.ll1.'!mltW&\,g,w.rANIA ESTATE Of DOROTHY F. CONLEY 55 ITEM NUMBER A. Funeral Exp.n.n, 188-36-8133 11 10 94 DESCRIPTION AMOUNT 1 Myers-Harner Funeral Home 2 Edgewood Country Club - funeral luncheon 3 Mary C. Bressler - reimbursement for cemetery chsrges 4 Copsland Granite & Marble Works - grave marker 5,791.00 606.79 550. 00 590. 00 II. AdmlnIotraU.. Coola' 1. P...onal R.pro..ntotiva Convrisslons 6,564.00 Soclol S.eurily Numbor 01 P...ona1 R.pros.n..Uvo: 171-28-2884 V.or Cormisslons paid 1995 Z. Attorney Foos Saidia, Guido, Shuff & Maaland 5,680.00 3. Family EX'l1l'llon Clolmant Ralotlonshlp Addross 01 Clolmontal d.e.d.nt's d.alh 5tr..t Address City Stat. Zip Cod. 4. Probate Fles Register of Wills 138.00 C. MI.e.nanlOu. Exp.n.n, 1 Cumberland Law Journal . logal ada 40.00 2 Patriot-Naws Co. - legal ads 55.80 3 Register of Willa - filing feas 25.00 4 Register of Wills . short certificstes 36.00 5 Reserved for account filing fees and future expenses 350. 00 6 PNC Bank - drilling of safe deposit box 91. 00 7 PNC Bank - estate check charges 40.00 8 Register of Wills additional probate feo 120.00 9 Ragister of Wills - supplemental filing fee 15.00 TOTAL (Also .nlor on Uno 9. Roca kulollonl (II mora apae. I. noaded, InlOr! eddRlonal.haata 01 11m. .....) Copyrlghllc) ,.... form to'twlt. ontt CPS)'tttml, Inc. . 20 692.59 Form 1100 Schedule H(Rev. 7-aa) Y.ISOO U. 1'.9'1 z <> ;= :5 E :i u ... '" z <> ;= <C ~ => ... '" <> u >< <C ~ IF ,. J Ili' 10- - cJ.3 7 - / '/ ~ FOR DAns OF DIATH AFTIR 12/31/9\ CHICK HIRI INHERITANCE TAX RETURN ~o'Y:::'-,U~:tDITI5CLAIMID 0 RESIDENT DECEDENT Fill NUMUR (TO BE FILED IN DUPLICATE 2/ 9 ~ '63 Y WITH REGISTER OF WILLS) COUNTY COOE YEAR NUMBER - OICIOIH .. (OMPI I AOOlln 53 F..ast Norlh Strcct COMMONWfAltH 01 'INN!.Y1VANIA DIPARTMENT or IEVINU( DfPlllObOl HAIIIIUU_O.'A 11121,0601 OICIOWT" NAMI I\A' .IIU . AND MIOOII INITIAq ~ is fil u ... <> Maklbbln Robert '<XIAl Slcuel" NUMIU 181.09.9205 II. OA11 0' 091}'7194-- bAi"foTiiilH9~lOffl Curllsle, renll5ylvanla 170t3 '" ,"'hoC"',,, lUh....lHQ UOUU . H""" lUll. ....1 ""0 ""0Cll.1 IHlII"lI 'O.j' 6;--.......... - AMOUN'IICIIVI 1M"W'tO'fG'f:'I'ON'1 ___ Entire Estate (Scc Will Altached) 03. o 5. Maklbbln Martha I.. 202.20-4957 o 2, Supplem.nlal Relurn R.malnder Relurn (for dote. 0' deolh prior 10 12.)J.82) Federal E.tote Toll. Relurn Required o Aa. fulure Inter.'I Compromi.. ('or dol.. of d.ath aft.r 12.12.821 o 7. Deud.nt Maintained 0 li...ing Tru'l (Allach copy of Tru.t) FIDE TI~,TAX IAIUi.,.(if,II;'ii!1 (j'iiiiiti'itiitE-r-if~I-'.ii":iiv, . . r, r ~;t~~t..r~~: J'~ Original Relurn limited E.lat. 1. R..I E.,.,. (S,h.dul. AI 2. Slack. .nd B.nd. IS,h.dul. BJ 3. Clo..I)' H.ld SlodJParfnenhlp lnter..t (Schedule q A. Mortgagtl and Nal.. Receivable (Schedule OJ 5. Ca.h, Bank Depollh & MI.cellan.ou. P.rlonal Property IS,h.dul. EJ 6. Jalnlly Own.d Property (Schedul. f) 7. T,.nol...IS,h.dul. GIIS,h.dul. l) 8. Total Gro.. Anell (Iotallln.. 1.7t 9. Funerol Expen..., Admlnh'ralive Calh, MllCellan.ou. hpon... ISth.dul. HI 10. aebts. Mortgage lIobIliU.., U.ns (Schedul. I) 11. TOlol Oedudlon. ('olallln.. 9 & 10) 12. Ne. Value of E'lol. (line 8 minus lIn. 111 13. Charilabl. and Governmental aeque." (Schedule JI U. Net Value Subfed to Toll. (line 12 mlnu. line 131 15. Spou.al Trande,. (for dot.. of death after 6.30.941 See In.tructlon. for Ar,plicable Percentage on Rflverut Sid.. (Indud. value, rom Schedule K or Schodul. M.J I b. Amount of line 1A taxable 01 6% role (In dude value. from Schedule K or Sch.dule M.) 17. Amounl of line IA laxable 01 15% role (Include value. from Schedul. K or Schedule M.J 18. Prlnclpollall due (Add 10J( from Line. 15, 16 and 17_1 19. Cr.dih Spou.al Po....r'y Cr.dit Prior Parmen" + ------ +- _ 8. Total Number o' Safe aepo.lt BauI 5 South Hanover Street Carlisle, Pennsylvania 17013 III ( 2) 131 (41 ____.... 15)__._.. 158.1l00JllL '-liZ;11lt.7S- (61 171 (B I 220,H8,7S- (91 "-'z;.I30;:W (10) __.__....... (II) (121 (131 (141 n,430 34- .--207,68841 (151 fl6) 20Uitltl.~L. ,.__.a -201.688.41 ___.__..__" 6,230,65 0.00 .------. ---rom- .1( .06 a (171 *-.- )( 15 . (101 6,230.65 Di"ounl InhuI"t 20. Utin. 19 II Dr.aler than line 18, .nlor the diU.r.nce on line 20. Thi. i. Ih. OVERPAYMENT. mlO (191 (20) _______.m. _.....--0.00_ Check hL'fe If you aro roquo,ting a rofund of your overpayment: 21. If Line 18 I. gr.oter than line 19, enl., the diff.r.nce on line 21. Thi. i. 'he TAX DUE. A. Enl.r th. inler..1 on Ih. balance du. on Line 21A. 8. Enle, the total of line 21 and 21A on line 218. Thil hlhe BALANCE DUE. Make Ch.ele Pavable tOI Reglller 01 Willi, Agent _ ___ . . . . >- >-.BE SURE TO ANSWER'ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH'i',<::;.(:'~;' ,.: : ,'". . f.r p.naltie. 0' perjury. I declar. thai I ha.... ....amin.d .hh relurn, inducting Q[companring IChedul.. and ,ta'em'nl., and 10 the bill a' my .nowledge Dnd b..li"~. Iru., correct and complele. I declar.. Ihol 011 'eal .,'ale ha. been ,eport.d 01 true malkel value_ Declarotion of prepare' other Ihon the perianal r.pre..ntahvlI " .d an all information of 'w'hlch prepare, hat any .nowl.doe. IAIUI( 01 '11\;0" '(\,mn,llf '0" '111"0 .flll'" AOO'IS!. ----------.. (21) (21A) (21BI ilifr-----------. ---'-vb'-I S-~- ~~. I~D!it Nurth Strcct _5 S!lulh lIunfJ\'l'r Slrl~l'1 Cnrll.le; I'ennsylr.ll"ln 17013 ('urllslc.I)~~lIlsyl~unlu_ 17UIJ ~. ~ .~ t .~w'~~E;t.i;,'1;1~lli~~'t~~ :-f'- -~-~~ i"t~~'~ RCC.?id. , RO'II,!-,.' ,\ . '. -I; e,f ,u of Wills 1; '95 JUN15 P2 :119 .",..>~ ,,,:"'1~t,:.. <<f.~~'1>_ ~_ ,'.",,'CIOh'" :, ~;, Cumbo ...<......'. .j~1Dd_ ij "':;uurt :_.- Co.; PA 'i' f"'.~_:, /~;i_~;:: lIV.UDJ 11+ 1'.161 *' cO~~Nwlt;.~IOlttl!j~I~\r'NI' 1\'IDIN) Dl'C1oM P Robert H. Maklbbln SCHEDULE B STOCKS AND BONDS P E R 21-94.834 (All property 10lnllYoOwnod with RighI 01 Survlvonhlp mull bo dlldolod on Schodul. P.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. 4000 shares Sptlnt @ 39 1/2 158,000.00 ',. - --" TOTAL Aho ent.r on line 2, ReeD Ilulatlon ill more space is n..d.d, insert ac/elilioRal .h.." 0' lame II,..} S 158 000.00 I. ~ 11"'150111.(1-'1) .. SCHEDULE E CASH, BANK DEPOSITS AND MISCEllANEOUS PERSONAL PROPERTY PI.a.. Prlnl or l' . FILE NUMBER COMMONWfAUH 0' peNNSYLVANIA INHIIITANCI TAX lnulN IIIIDlNT DlelDlm ESTATE OF Robert H. Maklbbln 21.94.834 (AIf preperty lel"tly.ew..,cI with tho light .f lurvlvot.hlp Muat be IIIICI...d I" Sch.dul. '1 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 C.D., account No. 700002016 accrued Interest to date of death 36,982.56 61.40 2 C.D., account No. 700002377 accrued Interest to date of death 25,000,00 74.79 TOTAL Allo .nto, on IIno 5, Roea s fA"och additional BK" M 11" ,h"'t If mot. 'POCI II ft..dld,' 62,118.75 H. r. _._-~~ , , . '1\1.11111" 1'-11, . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONWUltH 0' PfHNnlVANIA INHrJIIANC( 'AX UTUIN IfIID[N' DfCfDfNf Robert H. Makklbln ITEM NUMBER A. B. 2. 3. 4. C. 1. 2. 3. 4. 5. 6. 7. 8. DESCRIPTION 1. Fun..al Exp.n..., Hoffman.Roth Funeral Home PI. a.. Prln' or T . 1. Admlnl.tratlv. Ca.'., ""..anal Ropre.ontative Cammlnlan. Social Socurlty Numb.. af """anal Ropr..onlativo: Yoar Cammlnlan. paid 21-94.834 AMOUNT 870.00 200.00 Wife 2,000.00 Attorney Fo.. to Frey and Tiley 299.00 97.12 8,964.22 TOTAL (AI.o onlor on lino 9. Rocapltulation) '" moro 'pae. I. n..d.d, In...' additional .h.... of .am. .1...) S 12,430.34 family Exomption Claimant M. Louise Maklbbin Rolation.hlp Addren af Claimant at docodont'. doalh Streot Addren -53.1="", North Stree' City Carlisle, PA 17013 Slalo Zip Cado Probalo Fo.. MI.eollan.ou. Exp.n..., Advertising Medical Expenses ......un I.. p..,. . (QMMONwIAUH Of 'fNNUI......NI... IHHII".HCI 'AX .nUIN '1SIDlH' OICIOIN' SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Robert H. Maklbbln ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP A. TOJ(abl. BeqU.stSl I. Daughter Patricia A. Schmaus R.D.l Landlsburg, PA 17040 Robert H. Maklbbln, Jr. 1839 WyclUT Road Baltimore, Maryland 21234 Son 2 3 M. Louise Maklbbln 53 East North Street Carlisle, PA 17013 Spouse ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY 8. Charitable and Governmental BequII's: I. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAha on'" on IIn. 13. Rocopltulo'lon) S (If more 'pac. I, n,.d.d, In'." additional ,hll" of ,am. ,Iael 21-94-834 AMOUNT OR SHARE OF ESTATE 1/2 interest of Remainder in Testamentary Trost 1/2 interest of Remainder in Testamentary Trost Life interest in Testamentary Trost AMOUNT OR SHARE OF ESTATE '.p'lI_hl II 1'111 1\,\IUI" S . , ~I.-\ II ~ Ie \\' Ie Ie" ~I\\'!'J NEW YORK STUCK EXCHt\NGE COMPUSITE LIST olVlur...nl ,..... '.....1'.._.. 'oO - ... ............... {-"l'" ',. ''',A". .._ ',. 1100 ","ll1l'" """'1 _ .... ".. 1III1.""......I...'...r... '1". ~..,....l.._.. I... ~,.......... ,:,"'I'~( , II ...~...I. '. I -'.W'1 ','.__.u 10 1 ..1......1. ,. .....-.........1 ...11........,..,., I' __.....~ ."11,\.._""" 1...'.".-...... il. ,h""""'......' .. II....._MC'.....I ::.~O..~ ...., i. 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II; 1111111 PI 'II III t.' illll ,I\t! .. t,11 1'1'. '" .. .1' "H, l"" .:1 HI ,. '" .11 .:1 ,", .n ." -" . . , . , . . . lUll " III III '. III 'I III '" 1'.11111 It '" "I 111 ,,/ III 'II lilt ',I . ~ H. .. " .. " '" . . . .11 .11 '" " I~ PI\ 1'111/ II II 'II 'It Ilttl ,It. ,,,,, ~.. , " ., III '" I" , I Ill. 1-1'" '"11\1111 11111 'II 'M ,,1-1 'II ... ,II-. '1\ 'H "~ll 'U"I t 1111 H' ,. 'III-. '1 'II II 1,llItIIU," JIIIIII'"'' . ".., II' 'II 11110 III 'I 411 '1 III . tll" It.. 11111 In" ,,'1 .11 " 1 It 'I 11,. . HII '.n". "I... .1,'1.,..... 1/ '1.11 ,... "'1'" "11 '" ,,1111 "'" .11 ., ,/I ,.1\ '. HI '/I ',.1\ II lit' II 111 .11 '1\ II: 11/1 I. . n I." I' '" " 1,/1 " " II \1.... '1'" 111". "Il.IIt.,n'l , " II 1/ V ", ,. ,. /I .. \111 '" "'. 01" " " '" ." " II lilt Ii" \IIU. '/1 III , 'I'" .11 .,. ... .1. .111 ", 1111 It II tl'" IIi III III I'll "'11 II I" 1111, II 'II "'1'11 '" .11 /IIIMIlIIIM ~II. I I 11\ 'III '" 1116 1111 j\"lIltN 111,1 'II 'I 'II', IiI :" III II' 1,\ .. "Ill ~, ./ II; 'Ii '" '" H' 'II " 1"1'\1" I.'ltl'll/llI " . .t.' " '" 1'1, II" H' ., "... .;:-;' " " ,;,.>,......").'-"..... ~ ,. ", ,-".;-_.",,-~, ..,..,.,.",. , lhe 8an~of Landisbur~ ESTABLISHED 1903 P.O. BOX 179 . LANDISBURG. PA 17040 JANUARY 18,1995 ACCOUNT NUMBER BALANCE, ACCD INT 700002015 10,000.00 16.60 MAKIBBIN LOUISE 700002148 20,000.00 20.71 MAKIBBIN LOUISE OR MAKIBBIN ROBERT 700002325 15,000.00 27.78 MAKIBBIN LOUISE OR MAKIBBIN ROBERT 700002687 10,000,00 15.07 MAKIBBIN LOUISE OR MAKKIBIN ROBERT 700003228 12,318.82 19.64 MAKIBBIN LOUISE OR MAKIBBIN ROBERT 700002149 5,000.00 5.18 MAKIBBIN ROBERT OR MAKIBBIN LOUISE 700003186 10,000.00 6.74 MAKIBBIN ROBERT OR ~fAKIBB1N LOUISE .--------.... -'- 700002016 36,982.56 61.40 MAKIBBIN ROBERT ~ 700002377 25,000.00 74.79 MAKIBBIN ROBERT ALL BALANCES AND ACCR"D AS OF 9/17/94. ~a14 LANDISBURG . m.789.J213 . BLAIN . 536.3118 . SHERMANS DALE - 582.8511 ,< 0". CAB H P L E PO C R C K 0 K P 5 ~ C E D E N T /4-.;(41- '7 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS COUNJrCOOE DECEDENT'S NAME ILAST. FIRST, AND MIDDLE INITIALI DECEDENT'S COMPLETE ADDRESS CONLEY DOROTHY F. 325 Wos1oy Orivo SOCIAL SECURITVNUMBER DATEOF DEATH DATEOF BIRTH Mechan lcsburg, PA 188.36.8133 11/10/94 07/11/06 i CO"MFf.'1.~~~C/llMIWJ~'NIA HARRISR8~t.~'2~-.0601 FILE NUMBER FOR DATES OF DEATH AFTER 12/31,., CHECK HERE IF /It SPOUSAL . Ph'. l!iOOEX .(7.9~, Cumbor1and Caunl AMOUNT RECEIVED (SEE INSTRUCTIONS) (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INI1'IAL) SOCIAL SECURITY NUMBER X 1. Original Aeturn 4. Li",ted Estate 2. Supplemental Relurn 4.. Future Inla'8st Compromise (for dat.. of death aher 12-12-82) [ID 6. olcedent Died r,slale D 7. Decedent Malnlalned a Living Trust IAnach co 01 Will) (Anach a co 01 Trust) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: o 5, 1 8. COMPLETE MAILING ADDRESS Saidis, Cuido, Shuff 2109 Markot Stroot Carn Hill PA non :i :' 73 ,859.12 R E C A P I T U L A T o N 65,256.75 21.94.0996 17011 YEAR NUMBER Remalndef Return (for det.. 01 deeth prior to 12.13.82) F.d.ral Eslale Tlx Return Required Tolal Numb.r 01 Sa', Deposit BoxlS & Mas1and (9) '-0 't1: (8)" 13,993.~;:' 8 (10) 1,840.07 C P o 0 NAME R N R D .John E. Sl1ko, Es . E E 5 N TelEPHONE NUMBER - T 717 737.3405 1, R.al Estate (Schedule A) 1 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held SlockIPannershlp Inlere" (Schedula C) (3) 4, Mongag.. end Not.. Receivable (Schedula D) (4) 5, C..h. Bank Deposits & Miscellaneous Pe"onal Property (Sch, E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Trans!e" (Schedule G) (Schedule L) (7) 8, Total Gross Assets hotal Lln.. 1.7) 9. Fun"al Ellp.nses. Administrative Costs. Miscellaneous Ellpens.s (Schedule H) 10. Debts, Mongage Liabilities, Liens (Schedule II 11. Tolal Deductions hotal Lines 9 & 10) 12. Net Value 01 Estate (Line 8 ",nus Line 11) 13. Charitable and Governmental Bequests (Schedule J) 14. Net Value Sub'ect to Tax (Line 12 ",nus Line 13) 15, Spousal Transle" lIor dates 01 death aher 6.30-94) See Instructions lor Applicable Percentage on page 2. lInclude values from Schedule K or Schedule M.) 16. Amount of line 14 taxable at 6.1. rate (Include values from Schedulo K or Schedule M.) 17. Amount of line 14 taxable at 15./. fate (Include values 'rom Schedule K or Schedule M.) 18. Principal tax due (Add tax Irom Line 15, 16 and 17.) 19.Credit5/Sp Poverty Prior Payments Discount . 4,500.00 . 236.84 20. II Une 1915 grealer Ihan Line 18. enler the difference on Une 20. This is the OVERPAYMENT. ~ 0 ICheck her. If you ar. reque.tlng . r.fund of your overpayment. I 21. If line 18/5 greater than Line 19. 8nler th8 differenco on Line 21. ThIs is the TAX DUE. A. Enter thelnleresl on the balance due on line 21A. B, Enter thelotel of Line 21 end 21A on Line 21B. This Is the BALANCE DUE. Meke Chock Pe eble to: R liter 01 Willi, A enl · . BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH .. .. .tptlnlt.loperury. lIC.r..1 .v..xam III.urn.nc ng,c;c;ompanyngsc; uua st.l.menll,_ 01. slomynow g.. ..lllnJlt. co"ectand complel., dec:I.,. Ih.tall ,e".II.I. has been r.porled al IruelNlket v.lu., DIICI.rltlon of pr.par.' olh.r Ihan In. peflonal r.pr...nl.lIv.'1 b....ct on .lIlnformallon of which prepare' hll any knowledg.. (15) 0.00 X (16) 110,953.99 X ,06 = T A X (17) 0.00 X .15 = C o M P U T A T t o N Interesl SIONATURE OF PERSON RESPONSIBLE FOR FILING RETURN (11) (12) (13) (14) = (18) (19) (20) (21) (21A) (21B) 'JI1 "-'If c2.. ;Q.,u.r_.du../ SIQNATURE OF PRE PARER OTHER THAN REPRESENTATIVE ~ fJ . Mary Bross1or ?P.~.t1!'.':"~~_~~~ll. .~~!<.'! ......_. m.. m... ....... .._ Di11sburg, PA 17019 Saidis, Guido, Shuff & Mas1and 2109 Markot Stroot Can;- - iiiii': 'pi.:' 'i7Ciii"'. - - -... -.- -..... - -......- Cl1PI",tf ,', 199~ 101m sollwlr. antI" CPSyslems.lnc. '" ,;. '. ~ "" -< ~ r39~1115.87 15,833.66 123,282.21 12,328.22 110,953.9Y 0.00 6,657.24 0.00 6,657.24 4,736.84 0.00 0.00 1,920.40 0.00 1,920.40 DATE .:5/.195 DATE Form 02% (.02) will be applicable for estates of decedents dying on or alter 1/1/96 and before 1/1/97 Act 1148'01 1994 provides for the reduction of the tax rales Imposed on the net value of lranslers to or for the use of the spouse. The rates as prescribed by the statute will be: 03% (.03) will be applicable for es1ates of decedents dying on or alter 7/1/94 and belore 1/1/96 01% (.01) will be applicable for estates of decedents dying on or alter 1/1/97 and before 1/1/96 oSpousaltransfers occurring on or alter 1/1/98 will be exempt from Inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A MARK (Xl IN THE APPROPRIATE BLOCKS. YES NO 1. Old decedent mike. transf,r and: b. rotaln tho right to dlSlgnato who sholl USI tho proplrty transflrrod or lis Incoml, . . . . . . . . . . . . . . . . , , . . . x X .. retalnthl USI Dr Incoml of the propertytransf.".d,. . .............,.... ................ c. retalnar,vlnklnarylnterest:or. . . . .. . . . .. . . . . .. .. .. . ... . ... . . .. . ... . .... .... X d. r,cllvl the promlsl for lifl 01 ,ithtr payments, b,nefits or car.? . . . . . , . . . . . . . . . . . . . . . . . . . . . . . X z. "doalh oceurrld on or bllore Dlelmber 12, 1982, did dleodlnl w~hln two y"ars preeodlng dlalh Iransl., property without rlcllvlng adequate consideration? II death occurred after Oecember 12. 1982, did dlcedent transl.r property within one y,.r of death without rec.lvlng adequate consideration? . . . . . . " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . , . , , . . . , 3. Old d.c.d.nt own an 'in trust for' bank account at his or her death? . . . . . . . . . . . . . . . . . . . . . . . , . . . . , X 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. Copyr'Qhllc) "'4 form lottwa,a on'1 CPSYltems, Inc. Form 1500 (R..... 7.14) ,""'t-,.,.._."'......"",""",.....__~ . . ,. --.- LAST WILL AND TESTAMENT OP DOROTHY P. CONLEY I, DOROTHY P. CONLEY of the Borough of Camp Hill, Cumberland County, pennsylvania, declare this to be my Last will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I direct that all my tangible personal property, not including cash and securities, be divided among my children as they may agree, or, in the absence of agreement, as my executor hereinafter named may think appropriate. Should any of my children predecease me, his or her bequest in this paragraph only shall lapse. III - I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate as follows: A. 10% of said residue shall be paid to the Camp Hill Presbyterian church, Camp Hill, PA. B. The remaining 90% of said residue unto my children, John Conley, Mary Bressler, Dorothy Slavcoff and Sarah Sullivan, in equal shares, the share of a deceased child to be paid to his or her issue per stirpes. '\!t?Ftt.rJ. CI""Q~.\- ARNOLD &: SLIKE. AhoRNnS.AT.LAW. 2109 t.tAUtT SUUT. CAMP ttlLL. PA 11011 Page 1 ~'J: ~~ t;;; . , J'( ~J:,. I I " i if, ~1 r~ -&. -'11" ~ Ii } \; '; t . , ~ \ IV - I appoint my daughter, Mary Bressler, Executrix of this Last will and Testament, Should my said daughter fail to qualify or cease to act as such, then I appoint my daughter, Dorothy Slavcoff, act in this capacity. Neither of my personal representatives shall required to post bond in this or any jurisdiction. the IN WITNESS WHEREOF, I have hereunto ~/~daYOf~ (J set my hand and seal on this , 1990. (51 Signed, sealed, published and declared by DOROTHY F. CONLEY, Testatri therein named, on this and one (1) other sheet of paper as and for he Last Will and Testament, in our presence, who, in her presence, at he request, and in the presence of each other, have hereunto subscribed names as attesting witnesses. _~IAAA. P V/~( J "-. Name 4;u t~e ~(J~ ~/(J/ ,~ Address a~ d/~ ~ Kd ress ARNOLD It SLlKE. AnOJlNI.U.AT.LAW, 110. "'MUll IUEll. CA"" lULL. 'A nOli ",._ ._._.._....-~_v._,..._ __~.___. . . ".....-. .-...--..--...... . .' COMMONWEALTH OF PENNSYLVANIA) 55. COUNTY OF CUMBERLAND) WE, the undersigned, the testatrix and the witnesses, respectively, whose names are siqned to the foreqoinq instrument, bein first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last will and Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix signed the wil as witnesses and that to the best of their knowledge the testatrix waa at that time eighteen years of age or older, of sound mind, and under constraint or undue influence. -lrn~ i, ~~~W estatrix " ~. -f? ~ wit r:~ Subscribed, sworn to and acknowledged before me by the testa- trix,~nd subscribed a sworn to before me by both witnesses, this "<1' day of , 1990. /~4ccic(?;<J~>~ Notary PUblic NOTARIAL !lEAl. THELMA S. McCAUSLIN, Notary Public Camp Hili, PA Cumbo< ",nd Counl)l !ly Commls.lon Expire. July 3, 1992 (o......uNwIAllH 01 "fUa""A'lIA OIPAIl"'I,d Of II"fNUI IHHUIIAHCIIAI. OIYIIION 01" 110001 .__.__~__~~~ PA I1IU0601 ._~_ ____+._._ .~~ Plea.e Print or T p. MUSI BE COMPlfTEO BY REPRESENIAIIVE Of f1NANClAIINllITUIION WHERE IME OEPOSll BOX IS lOCATED AND RETURNED TO ABOVE ADDRESS COUNTY COOE fiLE NUMBER SOCIAL SECURITY OR DEATH CJ,RTlfICATE NUMaER g - .) (, -f/13 OATE Of DE - .~' 11\ .-\1'.1"" ~:ij. SAFE DEPOSIT BOX INVENTORY DECEDENT'S NA E IlA$T.IIUT. MIDDlE I C~"II' AOORElS Of DECEOEflT,lsm" 1""1\ .., " lA}(>~ t' -cAr,,,,CSb-1 NAME ANO ADORESS Of PERS REQUESTING THE OPENING Of IHE SAfE OF-POSIT BOX IHAM'I ~I ) lhelr'lh ~ Jl1c {~...\ ;" lUAUT ADDRUS} ., k t c::' ICITYI '2./07 Mil,.. e S: aM;/I NAME. ADDRESS ANO RELATIONSHIP Ilf ANY I TO DECEOENT. Of PERSONISI PRElENT AT THE BOX OPENING a. INAMII ^". f) I (RElATIONSHIPI L!...:."r~ })(y'SS t>r ISTIllfT AODItUS) /.1 J co,! JOIn. )",(" j' ), he. f . /0 - '1 Y fA tSTATEI I'" COO'I J7"r-\ ISTATEI A _ ___r_......~..<... IIIPCODII 170111 ,) ke "'fA tEl IIIP CODII O'r 17-'1 i c. (NAMII R'VI I fj,/hf)><..' jltllAflONSH1PI A tic '11ft . ICITYI I (a."l' 14,'1( (RllATlONSH1PI I..i' )1 II. tNAMl1 .jo"" IIIATEI ISTItUT ADDRfSS) "7 I v') MGrk t l- ~-t- ISTItUT ADDRUSI ICllVI IIIATEI NAME ANO AOORESS Of fiNANCIAL INSTITUTION WHERE IHE SAfE OEPOSIT BOX IS LOCATED (NAMII P _Nl. ISTRUT ADDRE.SS) CIi "'" H ,/ \ { .' ,d I I NAME Of PERS N MAKING LAST ENT DATE Of CONIRACT TO RENT BOX NUMaER Of BOX tf -1I-7f '1x A- NAME AND ADDRESS Of PERSONISI HAVING ACCESS TO BOX a. INAME.1 II.INAME.I NClfI/(=. (STUU ADDUSSI ISTRUT ADDRESS) ICtlTI ISTAlll II1P CODfllCITYI ISTAllt NAME AN~~TLE Of EMPLOYE TAKING IHE INVENIORY~ Y"),' I'n" /"'v 61'(,..... !i...1'- (!'\ WAS A WILL IN THE BOX? aYES ~ If yel, a. Date of willi b. Name and add,... of peuonal "pr..en'allv., If named In Ih. will jNAMlI (StRUT AODIUSSI ICITYI ISTAn) 1:. Name and add,... of alla,n_v, If any INAM(J (STAltT ADDRUS) ICIlYI ISTAnl IIIP CODE.I ~r_' i I IIIP CODfl (lIPCODE.1 701' lllP CODE.I IIII' CODfl Ill' CODfl ~ .. Pogo ... I ., 01 ,_"> " SAFE DEPOSIT BOX INVENTORY INSTRUCTIONS (1) Co.h. R.porl 10101 only. (2) Slack.. lillln deloll e.ery common or proforrod cortifieolo, worronl or olhor righll lound In box. 510ck. ora 10 be designated by name of company, certificale number, dolo of certilicato, namo In which slock is rogblered, and numbor ol.haro. and cia.. 01 ,'ock, (31 Obligations 01 U. S. Governmenll Numbor 01 110m.. dolo of Issu., lac. yolu., nom.. In which rogl".r.d and Iype 01 ownership. I.... lalnlly held. payabl. an d.alh. .Ie. 14) Bands. Oo.lgnale by name, amounl, .erlal number. or alher de.ignatlon. (B.ar.r Bond.) (51 Bank and SavIngs and Loan Panbaak.. 5101. name of d.polllar, numb.r 01 book, 10., dol. appearing In book, name of bank and branch. and balanc.. (6) J.w.lry, CoIn., SIamps, Manuscrlpll, el" li., and d.mib. a. fully a. passibl.. (7) D..ds, Marlgage., Current In.urance PollclOl or olher evld.nces ollndeblednOlsl li.t and d.",ibe a. fully a. possible. 181 All alher canl.nts. ITEM NO. J ---1J1J.;Ll.--flt~ ",~ ITEM DESCRIPTION (.}.r.sl'l1r.1 LdJ.k" o.ll~ I I CERTIFY UNOERPENALTY OF PERJ!:,.R.Y THAT THE AaOVE RECORO IS PERSON RECEIVING COPY OF CORRECT ANIl..I::OMPLETE TO THE au.!. OF MV KNOWLEDGE AND aELlEF. SAFE OEPOSIT BOX INVENTORY. .lvNAIU~_ 'f./' ~lu~~IUllt I u-'r Y-vt...... l1), ~r..O-^"- 'n I(/.< \l l:" t:} L< '- .. ( L., rlllf'll I AML..~ - IN' NAMt "WNLJ l;.H[CIl; ~PPIlO'RrAT[ eox aElOW, 8rt:,t1. tV I3t?On1 tv\'L';i C ,:3t"J's((" ,"N' III" C~"'O''''"'OX, RE c 11- ~E"culo'llri.) DAdminhtrotorluia' [J hi ale Reprtnenloliv8 0 loi,,' owner of ,of, depolil boa -----.---.--....--------.-.-------.--- -- - .-------.-.. ..-.. 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III 0 "" ~ ''<l .;) .J> .. ;>; r~ Vi Q)- ill ~ Za: 5 ~ ~ ~ ~ ~ ~ 00 '" r\\ all- 5 -Z w U Ill... , lll:> Uz 0_ lii .. z ~w ~ ~~ q Zw .. z~_~ _G IUcc2!:: ""'~ ~ 0 ~"""""O":f _ t. 0 N 6<'1 5zt:g ~ LI.IW:J ~.!CIl1 ~ot ~ zf : ow .. ~o :I; o U ; : . : I w ~ .. z .. z f ~ o U " .......: ~ .-S. '..... <:I::. - - - - -" .~ ~ I.. .. ~ = , - .- ~ ::l ;; w l:l ~ U " ~ ( ( ~ - = z BlQ ..:c "z x- "'~ '0 Oz Zw o 00 I'- -..!)-..b '- - ,,) ~'\ \A '" I .- I I .W.'_"'"._~. '-'~--"'---"~._-'~;-_I<;;:.O<',,"~"'" '"''''+'-;''--''' REV. 'SOJ'EX + (4.ee) cO~~N\l\1~c\\,WJiKI>>JhYANIA ESTATE OF SCHEDULE B STOCKS AND BONOS :~ DOROTHY F. CONLEY SSfl 188.36.8133 11/10/94 (All 10. ITEM NUMBER oint -owned with RI ht 01 SUIVlvorahl mUlt be dllcloled on Schedul. F.) OESCRIPTION 1 2 3 4 5 6 7 8 9 252.363 shs. Pine St. Fund (now Winthrop Growth Fund) 50 she. Duqueene Light Company 170 ehs. Exxon Corp. 400 shs. PP&L 426 shs. AMP, Incorporated 387 shs. Phi1edelphia Electric (now PECO Energy) 64 she. Bell Atlantic Corporation 50 sha. AT&T 100 ehs, Ameritech ,::,,'l'J~;'f'.-';<;:;'_'!":lltW"~;','i'ft;il't;r~~,:;.,:...i,;i.."'~~... 12,61 29,50 59.937 19.25 74.562 24.875 50.937 54.50 39.375 FILE NUMBER 21-94-0996 VALUE AT DATE OF DEATH 3,182,29 1,475.00 10,189.29 7,700.00 31,763.41 9,626.63 3,260.00 2,725.00 3,937.50 The above ahares are all common stock TOTAL (AI,o Inlll on line 2, Rica kulltlon) (II marl.pac. is need.d, insert additional shilts of same size.) Copyrloht (e) 1914 to,mtoftw.,. ont)' CPSytt.mI,lnc. Fo,m 1&00 Sctl~u" B (R...., 4.8ri) . 73 859.12 ~.9>t,~\;(~~j~ Wheat First Butcher Singer S"vlng InvIIIO" Slnco 1934 December 19, 1994 1017 MU"'l11a R,,,J 1'.0. 1\.. 7S8 CUI11!, 11111, "A 17001.0758 (717) 7]J.8ZII I'll. (717) 7]1.8671 (800) 9J2.4618 Ms. Thelma McCnusUn Saldis, Ouldo, Shuff & Maslnnd P.O. Box 737 Camp HIli PA 17001.0737 RE: Estate of Dorothy F. Conley Dear Ms. McCausll11l Below arc the values you requested for the above referenced estate. HIGH !:illY Pine Street Fund 12.61 12.61 /:2.6,/ (now Wlthrop Orowth Fund) - Duquesne light Co 29.625 29.375 .2'7. ~ '" Exxon Corp 60.50 59.375 .57, q';1 j PP&I. 19.375 19,125 19,2. !.r _ AMP, Inc. 74.875 74.25 70/. ::" 2. ~ Philadelphia Electric 25.00 24.75 .i!iI, '1:7 S (now PECO Energy) . .- Bell Atlantic Corp 51.50 50.375 ,50. '?,1 ~ AT&T 54.75 54.25 .5-1, .5 0 Amerllech 39.625 39,125 .3? :J 7.5 I have Included some back.up documental Ion for your convenience. Should you require additional assistance, please feel frce to contact me, Happy Holldaysl CAP/kjf Enclosures Wheat Flllt Uut,her Sln).rer II n crmlt'lTll1rk n( Whcnt, Fiur Securitie.. Inc" MClTlher New Vflrk Sln,k Exdllm~e .u.~ . ,_ . HEY. 1I0flEX. (2.87) SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PI.IS. Print or T . FILE NUMBER 21-94.0996 cO"'lI.m_g,fYhYANIA ESTATE OF DOROTHY F. CONLEY ssg 188-36-8133 11/10/94 (All '0. ITEM NUMBER oint -.wned whh RI hI.' Survlv...hl mu.t be dl.cl.led on Schedulo F) DESCRIPTION VALUE AT DATE OF DEATH 1 2 PNC BANK, N.A. Account No. 5070075406 Account No. 5140261037 25,213.21 18,886.63 3 AARP Investmsnt Fund, sccount No. 307499206-0 9,128,89 12,028.02 4 T, Rows Price Tax Free High Yield Fund, No. 200809339-2 TOTAL (Also onl., on lin. 5, R.cI hulalion) (AUlch oddhlonal8 112' . II" shtllsll molt spac.ls ntld.d.) CopYliQhl ,clI99. lor," aOltw.r.onlt CPS)lI"rnI, Inc. . 65 256.75 ~_.,....,. '"-' ... ."."---- FOfm 1500 Sch~u1. E (R,v,l-a7) "t' ....................._._......."".....,...,..~..-...,,~-~.oQil'.~~"'~.';.."",~_. q .......",...."!" '-'~l 1\ ii , JOHN E. SLlKE "'OnkT C. SAlOIS EDWAkP I. CUI DO ctOF,JUY ~ SHUFf ALUJ\T H. MA'LANO JOUNNA J DEILY TIMOTHY M. ANSTINE WI LLlAM C. VOHS ~w Offlct5 SAIDJS. GUIDO. SliUl'I' & MASJ..AND A r"OrUS10HAL CO"POIlATlON :flOP MARKE.T STREET r. o. BOX 731 CAMP 1111.1.. PIlNN8YLVANJA 17001.0737 17111 137'340f) fAX 17111131.3407 CARLlSLI! OFFICE: 20 WEST HICH STREET CA"'L1Ue, PA 17013 1717' 243,022a fAX 17171 243.&48ft Itl!flLV TO CAMP HILL December 1, 1994 PNC Bank, N.A. Special Services POBOX 8874 CAMP HILL, PA 17001-8874 RE: Estate of Dorothy F. Conley Social Security Number: 188-36-8133 The following is a complete record of the above decedent's accounts as of November 10, 1994. If decedent had a safe deposit box, indicate number Iq'ilA Of.9I(<'. 5h~'PP''''j mAIl Balance on Date of Death Account No. Type of Account Principal Accrued Interest Names on Account (All Own- ers) Date Opened "O~1l '" I Y 'XI'{. p. aaL kill G< '0 Signature of Official Date: /;;.-/- 'I If In /:> c S'p{l\/ / (~ Title .s lJ /JrJt" 1/ is't1I?:. , . T.RIlWPIlice- 1111\;' W;,j;Gl'~/;.tI'"I';'. t. noV.o Prlcn s'o;~i~~~:i'nc':'f'_(ioox 8oooo:-hilI1,-'-~oro. MO'2t280.0250 April 12, 1995 JOHN B SLIKB 2109 MARKET ST PO BOX 737 CAMP ffiLL PA 17001-0737 Dear Mr. Sllke: I am writing in response to a request from Mary C. Lewis that we provide balance infonnatlon on the T. Rowe Price account of the late Dorothy Conley. As of November 10, 1994, account #200809339-2 held 1,088.509 shares. The closing net asset value (NA V) of the Tax-Free High Yield Fund on that date was $11,05 per share, and .the total value of the account was therefore $12,028.02. If you require additional infonnation, please call a representative of our Shareholder Service Center at 1-800-225-5132. Sincerely I ~'~ Lisa~ ~i~r-~ Account Services Representative ""'e--/',~:''''-lk"""''_._,'''''L->i~',,,,, LilW OFFICES SAlOIS. GUIDO. SHUFF & MASLAND .... '."OHSSIOH....l CO"rO"AlION JOHN f."LIKf. I\OIU.T C MIDI" IDWA.I\D l. CUIDO CtOffUY S SHUFF A.Uf."T H MASLAND JOHNN^ J DllLY TIMOTHY M. A.NSTlNl 2100 MA.kkET nRHT ro BOX 737 CA~IP HII.L. PIlNNSYLVANI^ 17001.07:17 C^"LlSLlOFl'ICl' 20 WUT HICH STI\UT CAI\LISLf.. rA 17013 .7171 2..3.0222 fAX 171712..3.0<480 17111 137-3"O~ fAX 1111) 737-3407 REPLY TO CAMP HILL March 15, 1995 AARP Investment Program P. O. Box 2540 Boston, MA 02208-2540 RE: Estate of Dorothy F. Conley Social Security Number: 188-36-8133 The following is a complete record of the above decedent's accounts as of November 10, 1994. If decedent had a safe deposit box, indicate number Balance on Date of Death ACCOU~ No. .. ~,.",. \.0 wJ %: . c~ Type of Account Principal Date Opened Accrued Interest Names on Account (All Own- ers) J)twrth,\ C.Yllh 3@49!JQ- o 6::D - :& a'I Ilhti\.I.'( -HI '1/.,;1113 dl: I 7. 00 ((int. p.., , -;)11).;:,~ Signature of Official Date: "1/((1(f(j , f . '-' . n,1..(.Q.......- 1%~ ri P'.(lj,,,,- {r,re;0o", T'itle REV. tSll EX' (7.B81 i SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES co"'~"mfim4\,w.wor'"" ESTATE OF Pl.... Print Dr T . FILE NUMBER 21-94-099& DOROTHY F. CONLEY SS ITEM NUMBER A. Fun.r.1 Exp.n.n, 188-3&-8133 11 10 94 DESCRIPTION AMOUNT B, 1 2 3 4 Myers.Harner Funeral Home Edgewood Country Club - funeral luncheon Mary C. Bressler reimburaement for cemetery charges Copeland Cranite & Marble Worke . grave marker 5,791.00 &0&.79 550.00 590.00 1. Admlnl.trltlvl Co.t.. Personal Representative Convnlsslons Soclll So.urlty Numb.. 01 Po"onal Rop,...ntaUvo: Vo.. Corrrnlsslon. paid Waived 2. Auornoy Fils Saidis, Cuido, Shuff & Maeland 5.&80,00 3. Flmlly Exempllon Claimant Addll.. 01 Clalmanl It do.odonl's death SUllt Addll" City State Zip Cod. RolaUonshlp 4. Probal. Fees Register of Wills 138.00 C. Mlscllllnooul Exp"n.... 1 2 3 4 5 6 7 Cumberland Law Journal . legel ads Patriot-News Co. - legal ads Register of Willa - filing feoe Register of Wills - short certificates Reserved for account filing fees and future expenaes PNC Bank - drilling of safe deposit box PNC Bank - estate check charges 40,00 55.80 25.00 36.00 350.00 91. 00 40.00 . 13 993.59 TOTAL (Also onl.r on line 9, Roca ~ulallon) (II more OP"C' Is nlod.d. Inll" Iddlllonlllhllto 01 10m' 1111.) Copyright leI 199" form SOftwlI. onty CPSytlt.mt, Inc:. FOlm 1500 Sthtdul. H IA.v, 7.118) REV. 1512 EX. 11.'J) cO"HRJll~~~~~~/hY.NI. ESTATE OF SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS ~ i ; i DOROTHY F. CONLEY SS# 188.36.8133 11/10/94 ITEM NUMBER 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DESCRIPTION Robert E. Bell . U.Haul rental The Bon.Ton . debt of decedent Discover Card . debt of decedent Board of Pans ions of the Presbyterian Church. return of December check . Bethany Village . final payment Bell Atlantic Internal Revenue Service . 1994 individual tax due H & R Block . income tax preparation Greenwood Trust Co. . Diecover Credit Card . balance due Connecticut General Life Ins. Co. . return of annuity check William A, Sullivan, M.D. A. Z, Ritzman Associates Holy Spirit Hospital Holy Spirit Hospital Covenant Life Insurance Co. - return of annuity check Travelers Insurance Co. - return of annuity check New York Life Insurance Co. - return of annuity check Pulmonary and Critical Care Medicine Assocs. Connor, Rich, Kearney & Torchia, M.D.'s TOTAL (Also Inll' on linl 10. Rlcl ~ulollon) or more spece is ne.ded, Inser1eddltlonal sheets cf .eme .ize.) Capyrlghllc) 1"4 farm .aftw.r. only CPSYII.m..lnc. PI.... Print 0' T . FILE NUMBER 21-94-0996 AMOUNT 60.82 15.90 20.00 433.92 441. 00 45.58 217.00 72.00 25.81 29.56 10.94 3.62 296.15 71.25 12.66 20.77 16,88 24.23 21. 98 . 1 840.07 Farm 1SOOSchedul.IIRev, 1.11) '.Y~f1i:~.~},,,,,,MH';,,-.n<,,<<,,"":;t'~'~-""""-i"',.',,,,,~ ". .:"."l!',',,'<'>."', -,; '0:<-': ,,>-',-,-.t ." <', /y', '~M,"'!~. c';'f":.,'''';--';'''''.."""))_",,,,_",,,,.,,,,,,,,,;,;,, . . REV. 1511 EX. Iz.an SCHEDULE J BENEFICIARIES CO...t1.\I\g~W.NhYA"'A ESTATI OF FILE NUMBER 21-94-0996 SS 188.36-8133 11 10 94 DOROTHY F. CONLEY ITEM NUMBER ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE 1 A. Taxable BoqUIst.: John Conley 5223 Aroher Street Roanoke, VA 24014 Son 22.5" 2 Dorothy Slavooff 14024 Cricket Lane Silvar Spring, MD 20904 Daughter 22,5" 3 Sarah Sullivan 15 Farm Road Wayne, PA 19087 Daughter 22.5" 4 Mary Bressler 204 Harrisburg Pike Dillsburg, PA 17019 Daughtar 22.5" NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charhablo and Govornmonlal BoqulSts: 1 Camp Hill Presbyterian Churoh North 23rd Street Camp Hill, PA 17011 0.10 . 0.10 TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also onlor on IIno 13. Rteo kulallon) (If more spice Is netded.lnsert Iddltlonll shlltl 01 SIfT'll size,) Coryriqhllcl1994 rormto'twlr. onl)' cPSytt.mtI.lnc. Form 1100 Schldlh J (R..... 2.87) -, ,.. -.. ~ .... -.~.. , "-------- --- - -~_.- ..-.--'- ~--~ - -. -'- ,- -. --.- -'-'- -- -~. ---. ._-- -.. --- -- -- - - --.- -..... D ~().~A~2278,e COMMON'::~~~T ~~ :,~:~:YLVANIA ". . .'. .. OffiCIAL RICEIPT . PENNSYLVANIA INHERITANCE AND ESTATE TAX :'~11'2UI""I' I *' RECEIVED FROM, & AeN ASSESSMENT P:' CON1ROL .-I NUMBER AMOUNT MARY BRESSLER e04 HARRISBURG PIKE lul .'t,tJUU.uO ~.",~ #.::~~:., . DILLSBURG PA 17019 'CXDNU' ...,OIDH'1I ESTATE INfORMATION, ~ filE UMBER Ia el-1994-0996 saN lSS-36-8133 ~ NAME Of OECEOENT (lASII (FIRSII (Mil ~ CONLEY DOROTHY F II DAlE Of PAYMENT EJ POSTMARK E COUNTY 'I' .\ I I , , ; I 'I \ I I \ I i I. CUMBERLAND DAlE Of DEATH m TOTAL AMOUNT PAID '4,1500.00 K REMARKS MARY C. SRESSLER SEAL CHECK" 117 REGISTER OF WILLS MARY C. LE S REGISTER OF ~ILLS ~~----------------~~-----------------------~,---,~ >c' . ,~ft. : r,' , '.1",.. ',- y .. . ~ . ',' -; ~. ., " I , ". t . . .r ___A --...--- . . .. "-:-~~'_.:,"'._____..1_ . ......:1--: _ _ l~ .....:.. ! . ....- -.. ,-.....,' ..,.- . , _. __,..______..,_ _,. .,_,. __. _._ _ _~__"_4 .__ _...__. _. _.'___ _'__'_'_ - .. --.--- -- - ----.--. - _.- ..--.-- ..~- I D . A.A. 047751 COMMONWEALTH OF PENN.SYLVANIA NC?,. DIPARTMINT OP RI'IINUI ''''"';''~''I .. OFFICIAL RECEIPT . PENNSYLVANIA INHERITANCE AND EsTATETAX .k RECEIVED FROM: fJ ACN ASSESSMENT I!' CONTROL WiI NUMBER AMOUNT BLIKE JOHN E 2109 MARKET STREET Hll Sl.'II:!O.<tO I 1 I I I I I '010."'1 I CAMP HILL PA 17011 - 'OCD "fI' ESTATE INFORMATION, f:'I FILE NUMBER U el-199'1-099b f:'I NAME OF OECEDENT (LASTI ~ CONLEY DOROTHY F II DATE OF PAYMENT m POSTMARK E COUNTY SSN 18B-3b-BI33 (FIRSTI IMI) REMARKS m TOTAL AMOUNT PAID .1 ,920.40 SG I I I I I I ! i :'/,,','l,.,! , I, ,/ ~) -, - 1\ CUMBERLAND OATE OF OEATH MARY C BRESSLER SEAL CHECK" 1007 RECEIVED BY . .' /f .~ t.. .,' ii". jION""URE " " MARY c. LEWIS .../ (: Ij REGISTER OF WILLS REGISTER OF WILLS ~-----------~_._-----------------------------~----~~ /lll.. , - - '. . , . . . "- ; r,' \ I 'l.,. . '1.' t ..'~' ~ . .' <l!' ." , " I ", . . . . . . f. .: .---. . -~ .. - ... -...-. , ---_-.:-___~AII ~I~:. ,. - -:- I It./-~</ q - 7 o J RI!V-l!l47 EX AFP 02.94* C~ALIH OF PENNSYLVANIA DEPARTHl"T OF REVEtI.I( BUREAU OF INDIVIDUAL TAXEI DEPT. 11060 I HARAnIURG, Pi 17Ula0601 NOTICE OF INNERITANCE TAX APPRAISEHENT. ALLOWANCE OR OISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ACN 101 DATE 08-28-95 FILE NO. DATE IlF DI!ATH 11-10-94 COUNTY CUMBERLAND HOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX PAYHENT TO TNE REGISTER OF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS. ADENT" REMIT PAYMENT TOI JOHN E SLIKE ESQ SAIDIS ETAL 2109 MARKET ST CAMP HILL PA 17011 REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 'Mount R..ltt~ CUT ALONG THIS LINE ~ RETAIN LOllER PORTION FOR YOUR RECORDS ~ iiiV':iSc,-j-ix.KFP""(iZ:94Y"iloT'icinciF."ftiiiiiiiTANCi.TAX.APPRAisiHEil:r;.,U.LciiiANci.oli-._nm....m.. DISALLOllANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DOROTHY F FILE NO. 21 94-0996 ACN 101 TAX RETURN WAS, I I ACCEPTED AS FILED I XI CHANGED SEE I!STATI! OF CONLEY DATE 08-28-95 ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL AND SUPPLEMENTAL RETURN NO. 01 1. R..l Eltot. ISchldul. AI (11 .00 Z. Stockl end Bondi ISchldul. BI 121 73 .859 .12 5. Clo..ly Held stock/P.rtnerahip Int.r..t (Schedule C) IS) .00 4. Hortg.g../Hot.. Receivable (Schedule DJ (4) .00 . 5. C.oh/eonk DlpoIUI/Hlle. Porlen.l Proporty ISchldul. EI 151 65.256.75 6. Jointly Ownod Prep.rty (Schodul. FI (61.00 7. Tran.fe,.a (Sch.dul_ 0) (7).00 a. Totol AliOto IBI 139.115.87 APPROVED DEDUCTIONS AND EXEMPTIONS I 20,692.59 9. Funa,..l Expen.../Ad.. Co.t.I"18o. bpan... (Schedule H) (9) 10. Debt./Hortgag. Liablliti../Uana CSch.duh I) nO) 1.840.07 11. Total Deduction. 111) 12. Hat Valu. of Tax Raturn 112) 15. Charitabla/Gov.rn..nt.l Oaqu..t. ISchedul. J) 11!) 1~. H.t V.lu. of E.t.ta Subjeot to Tax Il~J NOTE I If an aeBe.em.nt W.. 1.eued pr.v1oU.1Y, 11n.. 14, 15 and/or 16, 17 and 18 will refl.ct figur.. that include the total of ALL rsturns a......d to dat.. ASSESSMENT OF TAXI IS. A.aunt of Lin. 14 .t Spou..l rata 11S) 16. AlIOUnt of Lin. 14 taMabl. .t Lina.lIC1... A rata C16) 17. Aaount of Lina 14 tax.bl. at Coll.t.ral/CI... D r.t. 117) 18. PrIncIpal TaM Due ??Ii~? "" 116,583.21 11.658.42 104.924.89 .00 X .03. 104.924.89 X .06. .00 X .15. 1181 .00 6,295.49 .00 6.295.49 TAX CREDITS I PAYHEHT DATE 02-03-95 05-11-95 RECEIPT HUHBER AA022788 AA047751 DISCOUNT t+, INTEREST I-I 236.84 .00 AHOUHT PAID 4.500.00 1.920.40 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 6,657.24 361.75CR .00 361.75CR . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS THAN 11. NO PAYHEHT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIOHS.I ..'1.1'7'0........ * INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH 0' PENNSYlVANIA DEPARTMENT 0' REVENUE IURIAU OP INDIVIDUAL TAXIS DEPT. 210601 HARRISBURG, PA 17121.06QI DECEDENT'S NAME filE NUMBER Dorothy f. Conley 2194-0996 A 101 5CHIDULI ITIM NO, IXPLANATlON OF CHANOIS Zeroed out Iupplomental return. Accepted additional debta frOM ---iitipple....iit.l. 'return-onto . arliti ilal...retiirn;...... --... -...--..---------------.-.-. ..-. .~... H___..... "._ ... ...~~ .._'''...... ."__-' __ ....,~__.~_.._._.___ . ----~.. ~~-- ." ---..--.-...-~--~.~~~.----~.-.-..-.--.....--~..'-~.,.....---.--....--_.--- ~~_ .__~.. _.._____._____..."___.n____~.~.'"_ _ ___ ~ ..~ _._._.~._.~__ __, 4.."_'_'_~'~ . _. . ..~ _ ~.~..~ .~.__.,..~~.._~.,........___...__....____._____~___.__ ______ ._____________._~_____c__-..-...---~.~.~---.- -~~,,-- ''''-.'.--'--* ._._."""".-......".--.._.~ ___________._~~_._.___.__._......_~__.._~.____ ~_A.~_...__......._.......__._......___.. -.-..-.-.,..' .. . ..... . . 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R!Y-1607 !X AFP (12-941* COMHONWEAL nt Of' PE~Vl VANta DE:PARl'HfHT Of' REVENUE IUR!AU OF INDIVIDUAL T'.E' DEPT. ,.06a 1 HARAISIURG, Pi 171Z.~0601 INHERITANCE TAX STATEMENT OF ACCOUNT DATE 09-18-95 I I: OAT! OF DEATH ~~~~~~94 DOROTHY F ~~h~~O. ~bM~aR~m HOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAK PAYMENT TO THE ADDRESS SHOWN. HAKE CHECK PAYABLE AND REHIT PAYHENT TO. , JOHN E SLIKE ESQ SAlOIS ETAL 2109 MARKET ST CAMP HILL PA 17011 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AlIO<rlt RHUted CUT ALONG THIS LIN! ~ R!TAIN LOWI!R PORTION FOR YOUR FlLI!S ~ Rlv:i60i-iX-Aj:"p"'-riz:94y------iiilii-iNiiirliTAiicE-Tiix-STAfiilEHT-O"-A'C-COUNf--.-Jiii----------------- ---- !STAT! OF CONLEY DOROTHY F FILl! NO.21 94-0996 ACN 101 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NANED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAK DUE, APPLICATION OF ALL PAYHENTS. THE CURRENT BALANCE. AND. IF APPLICABLE. A PROJECTED INTEREST FIGURE. DATI! 09-18-95 DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT. 08-21-95 PAYMENT RECEIPT DISCOUNT (+1 AMOUNT PAID DATE NUMBER INTEREST (-I 02-03-95 AA022788 236.84 4.500.00 05-11-95 AA047751 .00 1.920.40 08-31-95 REFUND .00 361.75- TOTAL TAX CRI!DIT BALANCI! OF TAX DUI! INTI!RI!ST TOTAL DUI! 6,295.49 .00 .00 .00 . IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION Of ADDITIONAL INTEREST. t IF TOTAL DUE IS LESS THAN .1, HO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE OUE A REFUHD. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I I OJMI,.,nOll11 ~ ,.". "...t,Ut ,Iua,,,..- '1IIUDH ~, UO UMMII .,... UO""..-o=- ~"J"ul ~. "'U- .... '. ,,,"Aid II .,wen..... M{\ '0 .,.p Mfl puoA~ tAap csn ...UU al uon'IM," ,....t,Ut u. \"U... HI" l'**'nfP lMOMq .., ~. ...". J*1'" IlInDH AUf.... ( I I~'~ I83131NI A'I,a X IManINI,aa lAVa ~o I3IKRN x aIYdNR xu ~D a:lNY'lVl . 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II 11Hn031D . iOn-lit U U) ~ 'IO'O-llltl Yd '.~nq"""1H '10'011 "dea "lun "'1Aa~ ,u......., ,'Od 1"11' '....1 1~1A1PUI 'A .....ntI '.....A.. 'A lUlqoladIQ 'd 10' p4t.....~ aq Pl~' .0nDU 'IIoU uo J*l1aluoo ...0..... DUJP.....~ .uon'MII 101 ",d3It '(<<luo ",..,.dll eul~~) 1S11~ILl (tIt) tadJ '''Ol-tlt (Lit) ..~. ...nq'lo1"'H lloot vlLAt" pus ItUlA1A.uusd ~,.,no f050Z-Z'r-OOI~1 'IUlA,<<.uusd UI IDu1"'P"0 ....0' "0' I"~ '~I^"I' IUlo1....ua 01""-\11 ..1.....'~.dIG elfl IIDJ' "0 "oIHD 10'011110 WIUIA'. n MIl '0 <<ua "111" '0 ""'Ih. ..., '0 10U'D MIl ,. "ClltlaA' .~. .uoU"Uddy 'U.Ul-MIII ....1 '11113 pus I~U""""J ""'I\,A'Wld 'A IJU\,I. "0' uonaonddw.. UI IkIU.,dIIo:t <<q pI,'InbI" .q <<_ 'UJ"1'1f "1 114' uo pll.....J 'OU .... \PI"" ''1'''''11 "1 I '0 JU"'0I , IUD) DtIlJ]II '01 MIl 0' pllldell ....1_.1 <<.... '"1" .rIP ... <<.. 'PI~ ,1'oI"UI <<ua 0' ,..." plltddl .q It"" plAtlHJ I1UHA.d 11' 'YINY^'ACfrlrtid .;10 Hl'ViMNOWWO~ 101 l,qaA.d ,,'pJO AMK* 010 1IIa4.10 ... ~]Q 1NlDJS;RI-HOH II . J.HiDY .. S"I" .:iO HilSIeaH 101 'lq1A.d ~apJO AMICII 0IC1 lpe"P .... ItmIDJO 1N3DJliH It '~1' .....A.J "" UO pllU,oId ........ pus "'U ...., 01 IlqeAld epe. lUIIAld oIno~ "'I" lll1qn' pus IOUDN ""1 '0 &IOU..od do, "" tp111-o 11HlMA'd '..-. \'.J ,.-,' - '" ,-," C'.. D. r-l 1-- C, t.::J '.> " ., C)(C ~~ <. rc w9:J OU . ~. -.._.~"......,._~""-.,"-___,__~..._~_..;...;~...,_ii';:j."~-'''~-'''-''-- "':-'''''''',- .. (v v' STATUS REPORT UNDER RULE 6.12 Date of Deathl Decedent I :JJo Ro 7 H ,J /f It" Itf.f ( I I /f91 - 00 if 9" 1=. c:,,uI..€..Y I Name of Will No, Admin. No, Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the auministration of the above-captioned estatel 1. State wjrtlther administration ot the estate is compiete I Yes V No . 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete I 3. If the answer to No, 1 is Yes, state the followingl a. Did the pers~al representative file a final account with the Court? Yes V No . b. The separate Orphans' Court No, (if any) for the personal representative's account iSI c. Did I;he personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' C.ourt and may be attached to this report. Dllte. /"klfr, { ( -F 4-~~~ nature '"l II. N ':"i ~{~ John E. s] i k... p,"q"i ,... Name (Please type or print) Box 737, Camp Hill, PA 17001-0737 Address ..~-' " - l"') ( 7171 737-340'i Tel. No. t; 1:=1 Capacity: Personal Representa~ive ~ __.Counsel for personal representative '..' , ." L~. ~}~ '_" ~ c.c 00 (MAH.rmt/AMJ) RW-27