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"N.f~,.J.,.,(I...J.!,,;:; {"P},l.'j.!. ~ '~~".. ~",,,,1 "", .....' ~f;_ .\i1~" _' --""'l "1'.'1. " I"/~.I"r """" ~,,'..~h<l'~ _'.~. Lj'l'J ....~.Q-'i'J ,.,..,.. fl!> _ '':.11'' ,".~.l;.. ,_,~ "'~ ;;:.:"V,:.IJ:/f{""~ ~-'Il-"'t'~/r~: '-,'-)tri...; ..;'t_.,-....:tRt~~.i;.;- \ ,/t;l.I.,;!::t:.;;. .~Ar.F~~....-..h;'...!(l .:., ,1,),,:"")- ;r;:'"ti;.,"J.'o.a.--~,n-~"'-1. .',' "-'.' ',' _I' '1, .., -. -;-,' ,;- d-.-'..;'. _.~~.~'~,~:~:~ " '-:"~\,.\.;, :";':'J~J-.t"::_ ..... :"- :.,.~-:(" . '. _.~:,':._-L.(:..,' .':~')~{3~t:1/~~~ " .:'.,-. , "'.'f., ~'. " Estate of No. 21 - 94 - 1087 Daniel H. (leitzel, l1/k/o D..1ni.el \~. lJcitzel ....Sr. d , uecease DECREE 01<' PROBATE AND GRANT OF LETTERS AND NOW DECEMBER 29. 19~, In consideration or the petition on the reverse sIde hereor, satlsractory proor having been presented berore me, IT IS DECREED that the Instrument(X) dated M..'ly 16, 1991 described tl!ereln be adl1t111cd to probate and nted or record as the last will or Daniel \~. lJcitzel, a/k/n Daniel W. Deitzel, Sr. and Lellers Testamentary are hereby granted to Daniel \~. Doitzel, Jr. ~. FEES Probate, Letters, Ete. ......... S 270. DO Short Certlficates( 5) .. , .. .. ... S 15. DO Renunciation ..',......",..' S X-Pages b.UU JCP S 5.00 ADDRESS TOTAL _ S 296 00 Hl.ll1Qver~ PA 17331 DECEMBER 29, 1994 (Ill) 6J2-958D Filed...... .... .......... ..... .... .0.... ;.. . PHONIl d1 ~ ~b~ r fl~ t?-/.5=-9.Y" {/'.,.,"$ -- 116678 ATTORNIlY (Sup. CI, I,D. No,) 141 Broadway, Suite 230 ~R 'is! :Dffil roo a',' lf10 ... , J Q ....- " ~1.n. il~ .' M iU ~ -.' ~ " c: N Q.. ~-~ . 0> (, " ;.~~' o 'J a " " 0 iifa :or;: ,. ,,";:\. - ...., Called attorney on 12-29-94. _h_....~....~_.,.... ~ Es/ate of Daniel \~. Deitze1 also kllllll'lI as Daniel H. Deitzel, Sr. PETITION "'OR PROIIA TE Ilnd GRANT m' LETTERS 0)/- t:)tf- - IOt'? / No. To: Rcglstcr of W8.\fufmii'd d D,'ceased. County of n In thc Sodal Sec/lrlty No. 188=I"2=1iI05' Couullonwcllhh of I'cnusylvllnlll Thc pclltlon of thc undcrslgucd rcspcctfnlly rcprcscnts IInll: Your pClhloncr(ll), who Is/Mli 18 YCllrs of IIgc or oldcr IInlhc cXCCUI or In thc IlIst will of thc IIhovc dcccdcnt. dlllcd M<'\y 16, 1991 IInd codlcll(s) dlltcd NONE nllmcd , 19_ (lHlle fclevul1l clrt'IIlI1\ll1l1CCS. C.II. renunclatloll, denlh of e~ccutort t'lt'.) Dcccndcnt WIIS domicil cd lit dClllh In Cumberland County. P~!)!)syl'WJ1la, with I' is last family or principal rcsldcncc al 3019 './mrJ~ Avenue , C~ Hlll ht-I:'/\ .,. .... Iu.. , il,\::> (e. 0\.0\" Ot- C~..- n 'J (lhl ~trc('11 l1umber uniJ munr.:lpnlilY) Dcccndcnt, thefl 82 ycars of agc dl.cd December 17 ,19 94 at Ho1v Spirit Hospital. Camp 11tll, PA . Exccpt as follows, dcccdcnt did notmllrry. WIIS not dlvorccd and did nothavc a child born or adopt cd after execution of Ihe will offered for problllc: WIIS not the victim of a killing and was never adjudicated Incompetellt: No exceptions Decendent at dcath owned property wllh eSllmated values 115 follows: (If domiciled In Pa.) All personal propcrlY (If not domiciled in Pa.) Pcrsonal propcrlY In Pellnsylvanla (If not domlcllcd in Pa.) Personal property In Coumy Value of real eslate In PSJ.lr:;ylvanla slluated as follows: jU ':J ~,:s~ue, Camp Hill, PA S 150,000.00 S S S 9u,uOu.UO WHEREFORE, pctltloner!') respectfully presented herewith aud the gralll of Icllcrs theron. rcquest(s) the probate of the last wiII~) f"(l~":'It1'IPnt-:lry (IcMllmcntnry; admlnl\trnllllll c.l.lI.; administration d.b.n,c.t.a.) t .<!)~~~~fi. ~'ff Daniel H. Deitze1, Jr. "',~ R. D. U30-B0lL3341 ;~ -8p~inB r.~ovP, P^ 1736? I'(7'~--l - ~p..s. ~ Ii. Vi OATH OF PERSONAL REPRESENTATIVE COMMONWEA~~ENNSYLVANIA } 1:18 COUNTY 01" The petllloncr~) IIbove-uamed swcur(s) or urrirm(s) thatthc statemcllts In the foregoing petition are true IInd correCI 10 the best of thc kllowlcdgc IIl1d bellcf of petlllollcr!') IIl1d thutlls personlll represen. tllllvc~) of the IIbove decedenl pctltloner(l() will well..:lJllltruly lI~mln~~tlll~ IIccordlng to IlIw. Sworn to or lIff1rmcd IIl1d subscribcd <Y~' ~c..4 ~ hefore mc this 28TH duy of ~ lJan1CJ. Iv. lJe~tzel, r. ~' ~' {YJJ& !i . r5hNn t1Q...I...-- '. ~ M RY . LEWIS f Relllsler ~ E: LOCAL REGISTRAR'S CERTIFICATION OF DEATH ",OUII REV..... (fit ,Oft THIS tlf\T1r1CAU 12001 WARNING: IT IS IllEGAL TO Al TEfl TIllS COpy OR TO DUPLICATE DY PIlOTOSTAT OR PIlOTOGRAPIl. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF= HEALTtt VITAL RECORDS CERT. NO. 2438934 /1- ./'7- ~~ !: O.I,nlluu.01 Th"Cttlll_'kIn Date of Birth II ft-I...-J _ , ~ 1111 J1 -;1 ~ ~ L_YI1,. ~ 1- DaeofDeath~ /1/ IffY- " Name of Decedent /1; , I Sex. Informant Name and A dress of Funeral Establishment Part I: Immedlat~tse !,) ,/ (a) L!!t~~ (/.M~~TL~ (b) (,!-t-~/}~~l-4;fj'<-J /.,. -I (c) (d) Part II: Other Significant Conditions Manner 01 Dea~ Natural ~ Homicide 0 Accident 0 Pending Investigation 0 Suicide 0 Could not be Determined 0 Describe how Injury occurred: (M.D., 0,0.. Coroner, M.E,) Add ress This Is to certify that the Information here given Is correctly copied from an original certificate of death duly lIIed with me as Local Registrar. The orlglnel certlllcate will be forwerded to the Stete Vital Records Office for permanentllllng, ..., 0.1. 1\..1.,.0 tJy lual f1~,,*,,' loc.lfl"'il"I"'O'\r'".,n":;OII!' . i 1.1.-:.'/ L:no ,.~ (,In.I<,....'". Ilfll1 .> 2.Z.::2~ (),.IrI~tN() II-. _/~ -r'l C.'1, 1i<)lllIl~h. lown.hlP """,>,d .._ ,-.........'..:li 21 - 94 - 1087 , L' ~! ":-' ~i ~ :0:0 ~8 Q' b ..-- :! ~~ ::\.] ~J Ii". n ". ~" ;~ e.,., ~ , . . 9~1. i!3 ~(D : ~ c::> lifo .. - ~;:!. - .... , " LAST WILL AND TESTAMENT OF DANIEL W. DEITZEL I, DANIEL W. DEITZEL, of the Borough of Camp Hill, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make and publish this my Last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. ITEM I. I direct that all my just debts and funeral expenses be fully paid and satisfied as soon as conveniently may be after my decease. ITEM II. I give all the rest, residue and remainder of my estate equally among my three children, Daniel W. Deitzel, Jr., Mary C. Steever and Sara J. Hemperly, in equal shares, share and share alike or their issue per stirpes. ITEM III. It is hereby directed that my Executor, hereinafter named, shall pay all inheritance, state, succession and legacy taxes to which my estate or the transfer of any property hereunder may be subject and to charge such tax as part of the administration, payable out of my residuary estate. ITEM IV. I nominate, constitute and appoint my son, Daniel W. Deitzel, Jr., to be and act as my sole . . . Executor of this my Last will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of my son, I nominate, constitute and appoint my daughter, Sara J. Hemperly as Executrix of this my Last will and Testament. As a final alternative, I appoint my daughter, Mary C. Steever, to be and act as my sole Executrix of this my Last will and Testament. My Executor/Executrix shall not be required to post bond or give any security. this IN WITNESS WHEREOF, I II 'f.!' _ " day of f1.'I ~ have hereunto set my hand and seal , 1991. i) cc- DANIEL W. (SEAL) The preceding instrument, consisting of this, and one other typewritten page, was on the date thereof signed, published and declared by DANIEL W. DEITZEL, the Testator therein named, as and for his Last Will, in the presence of us, who at his request, in " '. his presence and in the presence of each other, have subscribed our names as witnesses hereto. Ce.- f) ~..i ,c:. Residing at / 13 ;:: ,fl-t,..,,,, .]'-I- Jlk....---tm'-".-J ~ /7"%, r1hLl/-' II ~~.Jt Residing at V tI,,~ b~ #1e-.....r., LID ~H ~'" ~ 17 7/ (". .'.. ..0 .. ... '~~. .QQ' CO .-6... . N CIl!1j Jl CJ . .13: .~ Ci ~.'........ .. t '. ~ t ,.~.~... . ,. !::. '~:!.C . . . n:: (. ~ . . 0118 I" \l''g ~...,;! ~l O~ r.:l 0'1 E-t H r.:l Q r... j?; . . Ulz Z D 0: S ~ E ~ n dln .. ~ 2 ~ . ~ ~ ~ gr r.. o . ~ ..:l r.:l H ~ ~, . . " , .. ..~ ~ d ~ !~ !i~ ~ ~ ~ Z D ffi z 0- - l!i go: .. :J m Ul it 0: ~ 21 - 94 - 1087 REGISTER 01<' WILLS 01<' CUKBIlRJ.AHD COUNTY OATH 01<' SUBSCRIBING WITNESS Charles J. DeUart, Esquire and Eunice J. Burkett I\Odltlil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, deposell) and say(l) that rh~y w"r~ present and saw Daniel W. Deit?el the leslpl or , sign Ihe same and that they signed as a witness althe requesl or tesla' or In h is presence and (In the presence or each other) (in the presence or Ihe olher subscribing witness(es)). Sworn 10 or aWrmed and subscribed berore ~e I t/1W day or J '.~. 19-2L ~tu) ~ Register r l~ ..1.- "(1..;/' ,~--. eHar(MlIlMquLiil 3631 N. Front Street, Harriaburg, PA 17110 . (Address) , 'iu1/~ . . d &Jcfr Eunice ";j; .!!lltkettName) 456 Lake Meade Dr., East Berlin, PA 17316 (Address) .:I uL;r /,f9fs' REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being duly qualified according 10 law;~ depose(s) and say(s) Ihal .__.. .. . familiar with Ihe slgnaturcy>f~ , . . --c. / codicil leslat or (one' or ..Ihe~~bscriblng wiln~....-lo) the will presenled herewith and ______ /' codicil Ihal 7.....".elle.y~~on the will Is In the handwriting or / 10 Ihe besl or kliowledge and beller. Sworn 10 or awrme94ubscrlbed before me this /' day or ~ 19 / - ./ Regtster ---- -~-------- -- ~ ....... (Name) (Address) (Name) (Address) r-, ..~~.' 13i r.: 0;;' 0 l. ~ Cl . El ..0B ~"O ~ [;;'0 ~t\ ~ J{~JJi -0. Ei s! I'fi ~ . 0:'.' ,. ';'",;" ,-'; :Pl]' ') ::;,p:'- .' e.. CERTIFICATION OF NOTICE UNDER RULE 5.6(0) Name of Decedent: Daniel w. Deitze1. a/k/a Daniel W. Deitze1. Sr. Date of Death: December 17. 1994 Estate No. 1994-01087 To the Register: I certify that notice of beneficial interest required by R'J1e 5.6(a) of the orphans' Court Rules was served on or mailed to the following benefioiaries of the above-captioned estate on Januarv 4. 1995. Cumberland Countv lislM Address Daniel W. Deitze1, Jr. R. D. #3, Box 3341 Spring Grove, PA 17362 Mary C. steever 538 Bosler Avenue Lemoyne, PA 17043 Sara J. Hemper1y Box 15 Bainbridge, PA 17502 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: NO EXCEPTI~" ~ ~ ~ /7 Date: January 4. 1995 ~~ .~ Signature Name Alan M. Cashman. Esauire Address 141 Broadwav. suite 230 Hanover. PA 17331 "" 5tf 'l5 - (Jl .' N 0 .!>t:; 0- C' 0 u.> h~,.... \0 .!I'I.) , C/o I " " "t"1 .- ~ .; ~ ~'J u-:'.~ <'.oJ ,-.; '" C) '0) '.a :rllU ~ ~E a: a: ~8 Telephone (717) 632-9580 Capacity: Personal Representative Counsel for Personal Representative x ....."'~._-~-,-.. ----. ;}'~/,V~-\'_,;,;\ )/1>:..:'-'__ - , - . ,- ., ~ Register of Wills of CUMBERLAND County, Pennsylvania INVENTORY Estaleol Daniel W. Deitzel, 9r. No. 1994-01087 elso known as Dala 01 Dealh 12 /17/94 Social SocurllY No. 188-12-4 105 , Docoased Daniel W. Deitzel Jr. PeraOnal ReprBSBntallvB\1l) 01 Ihe above Estale, deceased, verily thai the lIems appearlng In Ihe lollowlng InvsnlDfY Includa ell 01 Ihe personel aaaets wherever slluale and all of Ihe real eslala In Ihe Commonweallh 01 Pennsylvania of said Decedent. thai the valuallon placed opposlle each lIem 01 said InvenlDfY represenls lis fair value as of the dale 01 the Decedent's deeth, end that Decedont owned no real estote outalde 01 Ihe Commonwealth of Pennsylvania except that which appeBfS In a memorandum at the end of this Inventory. IRI/fJ verily that the statemenls mada In Ihls InvenlDfY are lrue and correct I/We understand that false statamants herein are made subject 10 the penellles 01 1 B Pa. C.S. Secllon 4904 relallng to unsworn falstncallon 10 authorllles. Allomey Alan M. Caahman, Eaquire to. No.: 16678 Address: 14 I Broadway, Suite 230 Hanover, PA 17331 Telephone: (717) 632-9580 Deted 'J - f 3- 75 NOTE: The Mem()l1llldum 01 reel estate oulslde the Commonweelth 01 Pennsylvania may. altha election of personal rep' reeentallV8, Include tha velue 01 each lIem, but such figures should not be extended Inlo tha total 01 the InvenlDfY. Description I. Residence situate at 3019 Harvard Avenue, in the Boroug of Camp Hill, Cumberland County, Pennsylvania, (SOLD) 2. Unimproved tract of land situate in Susquehanna Twp., Dauphin County (assessed value) 3. 1988 Taurus Wagon 4. Sale of miscellaneous household effects, furniture and furnishings 5. Zemba Temple, death benefits & refund of 1995 membership dues 6. Zembo Temple Fund - premium refund 7. Fulton Bank, Checking Acct. 01068-34254 8. Fulton Bank, Savings Acct. 09900-65193 9. Fulton Bank, C.D. 0101-004657 10. Fulton Bank, C.D. 0101-004710 (Attach addlllonal sheats If neoesllBlY) Value $ 77 ,335.25 4,760.00 6,000.00 3,253.50 1,050.00 19.25 746.53 25,977.19 10,066.27 10,180.57 Total: CONTINUED . , I' ... ...... ... .... . .. .... , , 1 __. _. .!::.. ! ~ i;-I-- . ~~ i.~ ><': ... -- -. "'--c'. ... -..., "", '-O-;';...._~=', "._-.~.- );f;,;;.3!i"~~.......~~.~~~,*"", ". ',~ :..' ;,) - ','~. ' ~): ~;i,. (..J ~'.t mtr: 0: ., I... -t , '. :'" -' ';, !; ~-'... , -,1 -~:~ .'.' . l,' ~ .;,' . ~.; '" ~~ -.". ,\ -, ,--'-.',_.",.-. ',. : h:;-': \"'_j~:; _00,"';'''' " . ~ .' ., . , , ,'t;' ~~. . , d'~ I . ., -- . ~ --.-'; " : l, ~ ~ " , ," ,'. . .. _u ," _~r "::J ';.'-'. -;::. "~~:.~f-t,_.'~;- ." ~ .. .J ! , - . co'" ".,_u.. _ :.,~__', c.. f!':-. .;' "' -', _. '_:"/ 0' ~ - '", . .' ", .. ,.... IHVBNTORY - COHTllfUKD Eatate of Daniel W. Doitzo1, Sr. Description II. Fulton Bsnk, C.D. #222-051196 12. Fulton Bsnk, C.D. #222-070328 13. IRS, 1994 Tax Refund (Individual) 14. PA 1994 Tax Refund (Individual) 15. Genere1 Accident Insuranca, return premium on vehicle 16. General Accident Insurance, return premium on homeowners 17. First Federe1, C.D. #0266145216 18. Dauphin Depoait Bank, C.D. #8100394296 19. Balance due on corporate obligation of Deitze1 Brothers, Inc. to decedent 20. Proceeds from sale of 3800 shares of common stock of Deitze1 Brothers, Inc. at $11.45 per share in accordance with the stock redemption agreement of August 17, 1994 Value $ 10,194.33 10,025.38 276.00 60.00 81.00 4.43 11,168.51 14,802.67 135,363.00 43,510.00 TOTAL $ 364,873.88 "'-.,'-r' ' -,":-,:,',,-,:"f, j~"'-- , -tI. . , , "\ J.AW OPI'ICHS I ALAN M. CASHMAN I , 14111ROAI>WAY ALAN M. CASHMAN IIANIlVF.R,I'F.NN5YI.VANIA 11111 pr, 'l TBI.l111.611.9IHU ~ :0::0 : " SCOTI' A. RUTH 3..,t. <II 8 , PAX1111.61Uo446 l1". \!' ) t~J ~ ill' a j !\; It)ClI L ,; -'~4 , cb i l -..J. ~1. .-:) .~ -' ;::0 <" ~~j .: l) ;;:: 'Ie :ofi: \0 Wo Maroh 7, 1995 )>~ h:. ~ -..J CUMBERLAND COUNTY COURTHOUSE Register of Wills 1 Courthouse square carlisle, PA 17013 RE: Estate of Daniel W. Deitzel, a/k/a Daniel W. Deitzel, Sr. No. 1994-01087 our File Number 4713/01 Dear Register: Enolosed please find a oheok in the amount of $14,500.00 on payment of the Inheritanoe Tax due in the above oaptioned estate. Very truly yours, ~,^^.ClL-- Alan M. Cashman AMC/jmd Enolosure -\ Q ~ . . ; . , f ~ Al '. " : Nl 1 ji'I.\'/,ii '; L.':;"'(' ,: ,-Ie 1,.,,1 , I '. i>~~ ; ~ ii' I 1,,1/' '.'.'.' ,r;,}' ,'' 1'",,! ,"~ 1'.' \ ) {'j I,' .' ".' '.."'J"~ I. I' "",' "" """ ~, No ,.'. '.' . ,,' I"" \l rJ(f\ ; . ;5JK~. 5?\/ ,., '''. "'!.. > ... ,,' """".,..-.-' oJ I ....~. 'oJ' '., I"~ !I._.... ~ / .- ,YO.. I, .~, ...... . UJ~n 1\,. '..V ~.;" ~ '\ 'lq .'}:.::!":r; ~ , 1, _"_._. ___"~.... ....-,'-~-~- -"'" , . r-- ':'T fA m I ~8",~~ ~01'- g",- 18~~a'l ~~~ ~8~ ::l-c:3 t~n: 5C ::J t: C' CI , -....~. " . ::: 1 1 '":: :: '":: - '":: - ': 1 - - ":,: -= - ': ..:: co I nE :.:: ., ,. \ , } I I , II J ') I I "- O.!!. \.\"l~ 0' .;-: ~ '100'., '-,) ~.', .~} "J lr;,;, CIS 0; a: i5,: '~, ~ Gu 1 iii" ~,.., , f "'..... "t", .1 ' - '-'..', . ", ' ..., , I. ... . ".,','" . l {. ".,. ~~. \ '-, " :); I . , I ~ . i ! r. ' '..J :", . "'~: " )> , ,~ 1 "" ~ ... .," \ '.i. -.r " ...1 'It J -,.\. . .. ''''''.",. . , '-" ,- '. .~ ' ! ',- -. .." "r ,. "',', t- _', ~-~; -,'" ~ ",'. ' , I ,j ;' , I - .... .... ~hj 1ll::S1Il... ;Sr~ e ~ \ fl'" ~ . I. ~', ",,' t. ... , ., \. , -, . . .f ---.- -~.-_. ......;....'~.';..~... --,,=,..;. :::~=':"'::T-"" -"~~:;:::-' "'.,' " -~.. . .....-- -.-, ~- .. II , ",' ,,~ . -- -. - - .. .... .- .. . - .._------~~--------------------_._-------------------~ / ~-. 0'L\u?-\ . "/; gO-, ':; ':A"A'O'22'911 COMMONWEALTH OF PENNSYLVANIA ~O;,_ '" " DIPARTMINT 0' RIVINUI ~",,:i. ;:,'.. ~'''",>:; O,.iCIALRICIIPr. PINNSYLVANIAINHIRITANCIANDISTATITAX \1rv.llaJPtu., ~ -""', 1;:~Wf" t:,~~,;I. t 'y RECEIVED FROM, D ACN ASSESSMENT I!I CONTROL ... NUMBER AMOUNT f",'-;'''-., .. , , r ..c ......: ;- ~ i ~;,-, tr~ CASHMAN ALAN " ESQ 141 BROADWAY SUITE 230 101 .l.1t,1500.00 HANOYER PA 17331 _ 'otD HUI 'OCD Hflf ESTATE INfORMATION, ell fIL N M8ER U 21-1994-10S7 !II NAME Of DECEDENT (lAST) ~ DEITZEL DANIEL W II DATE Of IIIYMENT m POSTMARK DATE COUNTY SSN 199-12-410:5 (fiRST) (Mil CUMBERLAND DATE Of DEATH m TOTAL AMOUNT PAID .14,:500.00 CW REMARKS DANIEL W. DEITZEL,SR. REGISTER OF WILLS . , , , RECEIVED BY. ' ~ C, ..< 1,1...... .,..J SIGNATURe _~ _ ~ MARY c. LEWIS'/' :-:.._~ 1,;I{'(' REGISTER OF WILLS. (j SEAL CHECK" 19 _:.~,-:- "'7-::-'T -:-:--':'"'7- ~--~~_--: ~-_\- - - ---- - ~---'-- -- - -'-"""":"~-:--""~.-'I--':,-~-,,-_:--,~~=,,-::;,::::: , '. .. . . .... .~,..- - ..... , ...~.._~_. ----_. , ....- ...~ . . . - -- -.--- .! I ~' " , ~ \ \. -. '. t ~. . .f -~ -..-. ~ -y,. -'.0- f -- .~; _d r , -.-..-.............-.-... ,"'... ----- ...;;.--- ---~..,..-------"'- - - - - - - ----- - - - -- - - --- -'-- - - --"-; &.~:Q(?l~~~"'~~0~~~~~~~~~~~~T~:R~~~:yLVAN'A; . . !lll;;D~flwi~~i~:;:::.;'Q..ic'A\; RECEIPT..' PENNSYLVANiA INHERITANCE AND ESTATI TAX ACN ~ ASSESSMENT I!I II CONTROL ... NUMBER . ....,,- , .'.....,.-..,"'. '--' ',..'...... .'. ,. :.'\:, '; . ,. -:-..c '. ,,"~ "', ., t . ," , RECEIVED FROM. AMOUNT '. \ CASHMAN ALAN M ESQ 141 BROADWAY BUITE e30 101 '15,396.24 l'~ HANOVER, PA 17331 . , !STATE INfORMATION. !t fIL MIER U el-1994-1087 E1 NAME Of DECEDENT (lASTI DEITZEL DANIEL W ~ DATE Of PAYMENT iii 09/ HI/915 iii POSTMARK DATE COUNTY SSN lB8-1e-41015 (fiRST) (Mil 'O(OHU'1 I I :.:. rotD Hflt {. "f , , -I CUMBERLAND DATE Of DEATH . , . .~ ., " REGISTER OF WILLS m TOTAL AMOUNT PAID .15.386. e4 .-.. . VZ I ?fn. /() /~: . I RECEIVED BY / / ~1J.x~ 7./~ ! R~~lBYERL5~IWILLS i '... 1 1 REMARKS 17 DANIEL W DEITZEL JR C/O ALAN M CASHMAN ESQ. CHECK* le7 SEAL , ' _'7.~ --: - - ~~-=-,-::,--,,7,,-;:'-:-_~,- J-:"" -:"~-.--~- -.-- - -- -- -- -~ -.- -- -- -:--':r~-r;-r*:\'" -..-,- . . " : , . " ., -t' 0.'" . ,j I ~, " \. '" -, r .' , ~ . .......-..--... ." ...--.,----. '--.-.--. J -.~ f- ..--' r~ ... ....--~..JJ'T C. - ~ 1'" . ! 1 ,... .~.. --. ... ~.;! .~ ".11';\"1\ '" ~}(11~ CQMMONWfAlllt or ,rNNSYlVAUIA OfrARIMIHI or R(VINUr Dfn 210601 IIAJIIlIUUItO. rA 11121.0601 ME IlAIl. JlUI. AND MIDelr INIU... Deitzel, Sr., Daniel W. 1ll~~nmllllVllU1.1m ~liAlronm.lII-lliAlron,,", 188-12-4105 . I lALlU.2.L~ 28 12 l[JlI 1. Orlglnnl Relurn [] 2. Supplemon'al Relurn [J 4. limited E'fole [] Aa. Fulure Inler.,t Compromhe (lor da'e. of doalh after 12.12.021 o 6. Deeed.nl Died Tellole 0 7. Decedent Maintained 0 living Trull (Allach co 0' Will (Anoch co 0' TrUll) ALL CORRISPONDINCI AND CONPIDINTIALTAXINPORMATlON SHOULDBI DIRlcrlD TOI.,'.i ;.l;!J''''c..:t\'i';:''',,!.\:;:,;o,,',.( 11m Alan M. Cashman, Esquire mffilllRrllU1.1'" IUV.UOOn:. tll.'~11 ffi ~ a ~ ~ii!S 02... ...a1 ... <C ~ffi DCa 0% uo ... z o 3 E ... i:5 ... DC z o ~ ::> ... ::e o u ~ / 5 - it - 1;2/ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) Counl a. ,OA DATIl 0' DIAfH AnU 12/311Vl CHICK HUI t, A IPOUIAL POVIAn CAIDIT II CLAIMID 0 PiLI NUMBIA 1994-01087 COUNTY CODE Plfll AOOUlS 3019 lIarvard Avenue ClImp IIi Lt, I'A YEAR NUMBER Cumberlllnd o 3. R.malnd.r R.lurn (lor da'el a' dealh prior 10 12.13.021 o 5. Fed.ral Ellote Tax Retur" Required L 8. Total Number 0' Sa'e O.po'" BOK" )i~~ 141 Broadway, Suite 230 lIanover, PA 17331 1. Real EllalelSchedule Al ( 11 2. S'ock. ond Oandl (SeI.edule B) ( 2) 3. elololy Hold Slack/Parlnonhlp InlerOlI (Schedulo q (31 4. Mor'gagOl and Nale. Recelvoble (Schodule D) ( 4) 5. Cashi Bank oepo.11t & MI.eelloneou. Penonal Prop.rt)'( 5) (Schedulo E) 6. Jalnlly Ownod Properly (Schedule FI ( 6) 7. Tron.'e" (Schedule G) (Schodulo l) ( 71 O. Talol Gro.. A..o" ('0101 line. 1.7) 9. Funeral bpen.e., Admlnl.trallve Co..., Miscellaneous ( 9) E.pen... (Schedule HI 10. Oob", Marlgage lIablllllo., lien. (Schedule I) (10) II. Tolal Oeducllon. (Iololllno. 9 & 10) 12. Nel Volu. 0' Ellalo (line 8 mlnu. line 11) 13. Charitable and Governmenlal Beques.. (Schedule J) 14. Ne! Volue Subjoctla Tox(lIne 12 mlnu. IIno 13) 15. Amounl 0' line 14 taxable at 6% role (Include values from Schedule K or Schedule M.) 16. Amount of line 14 taKable at 15% rate (Ineludo value. from Schedule K or Schedule M.I 17. Prlnclpol!ax due (Add 'ox from line 15 and 'rom line 16.) 1 B. Credill Spousal Pav.rt)' Credit Prior Pa)'ments + 14 ,500.00 + 82,095.25 19. " IIno 10 I. grealor !han line 17, onlor ,he difforenc. on IIno 19. Thl.II Ihe OVERPAYMENT. gO 20. If line 171s grealer than line 18, enter the dlUer=nee on line 20. Thlt It the TAX DUE. A. Enter the Interest on the balance due on line 20A. O. En'er ,ho 10101 a'lIne 20 ond 20A on line 20B. Thl. I. ,he BALANCE DUE. Moke Check Payabl. 101 Regl.l.. 01 Will., Agent .... BE SURE TO ANSWER ALL QUESnONS ON REVIRSE SIDI AND TO RECHECK MATH...... .. ..:,",:1' ""':'1 Und.r penahles of p.rjury, I d.c1ar. Ihal I hav. examined Ihl, return, Including oc:compan).'lng .c:he'dule. and .lalem.nl., and 10 Ihe bell of m)' knowledge and belief, 1111 Irue, catrect and complele. I d.c1are thaf all real e.fate hat been reported at true mark'l volue. Declaration 0' preparer other than Ihe penonal r.pr...ntatl.... I. based on alllnformallon of which preporer halon)' knowledge. 1m uuon.!l!WJi!!fOIllt. '~N AliliUss R.D. 1/3, Box 3341 DA" . .7///, . SpringGrove,PA 17362 9-/3-rS .F ~T, alim, 141 Broadway, Suite 230 ~ 3 C .ii\AA '. Ha!lover. PA 1733 J '1 -) - 7_'A~ B m~ri-~B 282.778.63 18,735.62 1,981.67 (15) 344,156.59 (161 -0- olscounl 763.16 Chock horo If you afe roquosting a refund of YOUf Dvorpoymonl. ( 8) 364,873.88 (111 (121 (13) (141 lC .06 a 20,717.29 344.156.59 34/..156.59 ?O,li4Q.40 lC .15 a -0- (171 ?n)Ftt..Q !to Interest (10) (191 15,263.16 (201 (20A) (20BI 5,386.24 5.386.24 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (",) IN THE APPROPRIATE BLOCKS. x 1. Old decedent make a transfer and: a. retain the use or Income of the property transferred, ....................................... b. retain the right to designate who sholl use the property transferred or Its income, x x c. retain 0 reversionary interest or .................................................................... -l!- d. receive the promise for life of either payments, benellts or care' ....................... 2. II death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................. 3. Old decedent 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. If) ~ :\ c_ ld {,J , , . j ":1 ., ->1 . i ,I 'I ':t t- --, ,\ ;~'~ . , '1;(;,.: u: l!"\ p. ~5 00 ,. \ :,,". >to r< '[:r. !-v ~.-"-' .7,:~ 'Y; ill i'i' ~~ io-}- 1..i ~' ~i ",;- it: .~V.I502lXt 1'.'11 COMMONW!ALtH or peNNSYLVANIA INHeRITANCe TAX I!TUlN UIID!Nt DfcrDfNT SCHEDULE "A" REAL ESTATE ESTATE 0' FILE NUMBER Daniel W. Deitzel. Sr. 1994-01087 (Proporty folntly-ownod with RighI 0' Survlvouhlp mull bo dllClolOd on Schodulo ",", All rool ,,1010 Ihould be roportod 01 'air mar"'t valuo which II doflnod 01 Iho prlco at which proporty would bo ..changod botwoon a willing buy.. and a willing lOll.., nolth.. being com 1I0d to bu or lOll, bath having roalonablo .nowlodgo a' Iho rolovant 'acll. . NUITMEMSER DESCRIPTION VALUE AT DATE OF DEATH 1. Rasidence situate et 3019 lIarvard Avenue. in the Borough of Camp Hill. Cumberland County, Pennsylvania, (SOLD) (See Settlement Statement attached) $77 ,335.25 2. Unimproved tract of land situate in Susquehanna Township. Dauphin County (Assessed value) 4.760.00 "'-_._h,.~...",.~.___~_ TOTAL AI.o onlor on IIno I. Roco lIulollon (II more 'poc. i. n..d.d in..rt additional .11.,'1 0' lam. sin.) S 82 095.25 .. ..ri-o-<._---.,. \ .--="'.......--._....._....~-_.,~~.+~".,.~.".. ."'.~. :-:-:>.-!!f:'~ "~.IIt1I1' I' lit ""'"?' . SCHEDULE "E" CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY 1t@~ COMMOHWIMII, or mmmy."" 'HIII"'lANC' '" U1U'N .UIOIHt DlelDIHI \!SiAl! or Daniel W. Deit~el, Sr. rloolo r,lnl or Type f Ii II 1994-01087 All 10 ,.1 olnll .own.d _II" Ih. AI hi Df Su'VI"DUM ,"u" be dlnlo..d on Stl.llM. "'''t ;, ... , \ ., ,~ ITIM NUMBER I. 2. 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. 15. 16. 17. 18. DESCRIPTION 1988 Taurus Wagon (SOLD) Sale of miscellaneous household effects, furniture and furnishings Zembo Temple, death benefits & refund of 1995 membership dues Zembo Temple Fund - premium refund Fulton Bank, Checking Accto 01068-34254 (See statement attach d) Fulton Bank, Savings Acct. 09900-65193 Fulton Bank, C.D. 0101-004657 Fulton Bank, C.D. 0101-004710 Fulton Bank, C.D. 0222-051196 Fulton Bank, C.D. 0222-070328 IRS, 1994 Tax Refund (Individual) PA 1994 Tax Refund (Individual) General Accident Insurance, return premium on vehicle II II II VALUE AT DATE OF DEATH $ 6,000.00 3,253.50 1,050.00 19.25 746.53 25,977.19 10,066.27 10,180.57 10,194.33 10,025.38 276.00 60.00 81.00 4.43 11,168.51 14,802.67 135,363.00 43,510.00 II II II II II II II II II II II II General Accident Insurance, return premium on homeowners First Federal, C.D. 00266145216 (See statement sttached) Dauphin Deposit Bank, C.D. 08100394296 (See statement attache) Balance due on corporate obligation of Deitzel Brothers, Inc. to decedent Proceeds from sale of 3800 shares of cottonon stock of Deitzel Brothers, Inc. at $11.45 per share in accordance with the stock redemption agreement of August 17, 1994 TOT~~_ (^~IO enlor..onlln.~no~~p'lIulollon S I^"",h ,,,"'illnt...l n',," !If ".. ~l"..h il"t. I,. .""... I, .......1..041 282,778.63 .r ~' """"1'11'''' . ,-"--'.. ,....'. Daniel W. Deitzel. Sr. J ""0' Pol"' ., I !P' '/r1UlIDMRlft 1994-01087 .......-...-.----....-....------- "-."-' .- ..c, " \,. ",i! iJ 'CN~,:r crUMAI,fIWP,""11 nr rr'lIlUIVAllIA IlUUIUlAtll;f 'AXlllllfll!4 IUIIUUII Vlcrlll"l U1li1fij,- - ... ....._.n=. .. SCIIEUULE II I'UNE"^L F.XrENSES, AUMINISTRATIVE COSTS AND MISCELLANEOUS EXrENSES iF '" ...:~ 1:~ . " 1:/ .. ~ ):- ~- ";~; . ., t._ HEM NUMBER A. 'J;.! 'I' ~~: ~ If B. A. C. I. 2. 3. A. S. 6. 7. B. -..-...--- IJESCRlrrlON AMOU'U I. Funaral EMit.'''.'' W. Orville Kimmel Funeral lIome 5.722.50 $ I. Adlll'''',lrnll.. Co,I" rellonnl Rnplftlellfullva C0ll1111111101l1 Saclnl S.cu,"y Numb., a' rOlla"ol n.p..,."loII,ol .___. Ynu, COllllllllllo", 1'01,'.. __ . ...._._... _.~_.. ...._ 2. Alla,,,.y r.., Alan M. Cashman. Esquire 12.600.00 3. Family E.."'plla" Clalr"onl ._._ ..__ ..........__.___... no'olla",Io'p .. Ad,"a.. of Clahnont 01 dacu.lolIl', ,1"011, Sh..1 ^dd,... .__._... ._..... .... .._._.. .....__ ......___.....___. CUy __......... .................. ......_..... .._...5101. ...........__ ZIp Cad..__.....__.___ rrchnln rool 296.00 Mlu.llun.oul Expe..I.I. The Sentinel. advertising 62.12 40.00 15.00 Cumberland County Legal Journal, advertising Debts & Deductions lOr^L IAho nnl.' on IIno 9. R,,"plll/lntlon) S 18,735.62 1111111)1.. .I"t~" h ....ntll'll. Inll,,,1 tultllll"unl .1.1''''' ". "III'" d",.! ~V"""-""~'P::\'-':'f-~i'- REV.IOII EX' \7.031 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Daniel W. Deitzel, Sr. SCHEDULE "I" DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS FILE NUMBER 1994-01087 ITEM NUMBER DESCRIPTION AMOUNT 1. PA Amedcan Water Co. 2. PA Power and Light Co. 3. Beane and Associates, medical bill 4. Waste Manegement of Central PA, refuse service 5. PA Dept. of Ravenue, 1994 estimated personal income tax 6. Bell Atlantic - PA 7. Doltzel Brothers, Inc., fuel oil 8. Ann Markley, Tax Collector, County & 80rough tax 9. Internists of Central PA, medical bill 10. A. Z. Ritzman Associates, medical bill II. Holy Spirit Hospital, medical bill 12. Karl Stine, removal of misc. refuse 13. Borough of Camp Hill, sewer 14. Real estate taxes $ 7 1.74 87.70 4.44 66.90 80.00 93.04 291.82 374.82 22.66 11.69 708.27 30.00 55.00 83.59 ..'__' _,!OTAL IAI.~.enler ,oll.lI!'.e 1p~ RecepltuleUonl $ 1,981.67 'lVltlll_,,'I'I ,,~:i~ fo......nuwl.llll (II "NII"tvaUlA INHIIII.NCI ,,u "'UIN I"IDINI DtCl~IHI j .~. SCHEDULE J BENEFICIARIES ~.__..._-_. --- ESTATE OF Daniel W. Deitzel. Sr. FILE NUMBER 1994-01087 -.-..--.-- ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE ----.----.- -- 1. A. Ta.abl. Blqu..h: Daniel W. Deitzel. Jr. R. D. 03, Box 3341. Spring Grove. Ph 17362 Son 1/3 ahare 2. Mary C. Steever 538 Boaler Avenue, Lemoyne, PA Daughter 1/3 ahare 17043 3. Sara J. Hemperly Box 15, Bainbridge, PA Daughter 1/3 ahare 17502 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OP ESTATE B. Cha,llabl. and Go...e,nmenlal Beque,ts: I. TOTAL CHARITA8lE AND GOVERNMENTAL BEQUESTS (Allo onlor on IIno 13, Rocopltulollonl 5 (If more Ipac. Is n..d.d, In..,t addlllonal ,h"'1 of lam' Ilu) A," SE'l"fLBMEN'l' S'l'A'l'EMEN'l' u.a. bll'A"Ttullrr ur IlOualllO 10110 UJUl.'J1 bEVEl.oPHJurr Olto HO. 250:1.0215 a. nPl or LOAN I. ( 1 '"" 2. I 1 ,,aliA 1. II' ConY, Unl,.h. riLl HUHnlR \1. LONI HUHUIA I" HORTtlMJR JIll CUI "UKlIft Co I I VA ~. I I Conv. In.. -I ".4UO 111024205 c. HOnlThh fo.. h turnl,h.d to 91'11 you. .ht...nt of latud ..t.th..nt ooda. AIlIOtlnh paid to and by UII ..ttl_ant ',Int IU .hawn. It_I ....kid -(POCle w.... paid Duhld. the 010.1n9' thly.... .how" hUI for infonut!onal purpo'" and .... not inoluded 1n th lahh. '.1 12." CS/mITT.nUb/1I IS? 10.. D. twCI AJfD ,UI01tI1I1 or BORROWIk I. "AHI AND AUORIBe or .ILLlR r. "AHIt AHD "DORalD or UtmlR "AKlI 10 "UTI' and R..IeCA I. ntTT JOII IlAlVARD AYIHUI CNt, HJU" ,It. 17011 IITAT' or DAHIlL H. DIITIIL CHAC HORTGAOI conpORATIOH or PA SOD OlD YORK nOAn, BUIT. 202 JIHKINTOWH, PI. "0" a. 'ROPIRTY LOCATIO" :lOlt HARVARD AVENUI CAH, NILL, '^ SlOSS H. 11Tl'1.lHlHT AOIHt' J511l1UJ 1'1 B.ttl...nt s.rvia.., Ino. I. IIfTL~HE"T DATI HlY n, un PU,CI or 1IRTJ'Lr.HlHT .- 100 n. lI.ao,MJ at....t IlluhburlJ, 'A 17101 11n. UDO "",..3 11:. IUHMARY 0' IILLIR'I TRAHIACTlotf .00. OROIII 1JtQUNT DUB TO BILLER .01. Contraot .al.. .ria. .OJ. 'Ir.onll ,rop.rty .0]. .04. 405. ".000.00 100. 10'. '02. '0:1. '0.. 'oS. oJ. IUHHM.Y 0' BOltRotIlft.'. TMHIo\CTION mtOIl AHOUH'I' DUI: PRON BORROWER Contraot ,.1.. 'rlc. '....onal Property ..tt....nt Chara'l to Borrow.r IS,OOO.OO 2U.S' SU.]} .01. .01. .01. .0'. UO. US. U2. Adju.t...nh for city/town t.... county h... school t.... it... p.1d bv ..1..1' in to 12-11-15 OS-25-'S to 12-31-'S OS-2S-'S to Ol_]O.'S adv.nc. Miu.t..nt. tor 101. cltv/town t.... 161. county t.... '0'. Ichool t.... '0'. UO. 111. 112. It... bald by ..11.1' In advano. to U-U..tS OS-25.'S to 12-:ll..'S OS-2S-" ta OI.:lO-'S 2U.II 102.n 120. QROIS MOUtrl' DUB rROH eoRAOWIR ",02'.71 .20. OROSS AHaUHT pUl TO SILLlR ."n1." 200. MOUNTS 'AID IY OR 1M IlKALl' 0' IIOMOWER 201. D.pa.lt or .arn..t .on.v 202. 'rJnolpal ANount of H.W Loanl., 20]. I.l.tlng Loanl.' Takan subj.ct to 20.. 2OS. 201. 201. 201. 20'. 4,000.00 ",000.00 SOD. RBDUCTJOIIB 10 AHOUHT DUB TO SELLlR SOl. Ixc... D.pu.lt I'.. Inltruationl' 502. S.ttla..ent charg.e to 8.11ar l1n. 1400 50:1. axietlng Loene Tlkan subj.ct to 504. 'Iyoff of firat .ort919' loan 50S. 'Iyoft at ..cand ~rt9a9' lOin SOl. '01. 100pe.it di.bur..d .. proa.ed.. S08. 50'. 1,118.10 Adi~.t.ent. for It... unpaid by Se11.r 210. city/town t.... to 2)1. county ta... ta 212. School t.... to 2U. 2U. an. 211. Ul. 211. JII. Ad'uet...nt.a for SID. City/town t.... ,u. county hx.. 512. School ta... SU. ,U. '15. 5U. Sll. 518. ~1'. ita.. unpaid by sell... ta ta ta no. 'I'01'AL 'AID BY/rOR DORAOWER !I,OOO.OO 520. TOTAL REDUCTION AHOUHT DUB DELI.1m 1,,,..10 101. Oral. ~t Du. traN Borrawar ]02. La.. Ant 'aid b~/for Borrow.r BORROMZR CUn. Ulna 1301 "0 ",on.7I " 000.00 100. 101. '02. CMIl AT 8ln"I"LEHEHT TO/rROH 81LLER Ora.. ~unt ou. to S.ll.r (line I.... Reduction. Due Sdler , Un. no) >20> I. 1S"n.n 1 ....101 :100. CAlli AT IETl'L!HZHT rnOH/l'O ]0]. CA'. I XI 'RON I 1'1'0 BORROWER The und.rI19n.d he,. DOMOWER 100000WER 2: r'ttift-' RnICC", I. TRITt' :10,021.71 lOl. CMU III '1'0 I ) 'ROH BBIJ.r.R '11,]]5.25 thb .tat..nt , Iny .tt.chNant. rat.r,red to h.raln. I&TAT8 or DAHilL W. PEITIIL 8ELUR "JUR.y,A9~~~~ nUD-1 (1_'" RUPA, HD UDS.J . -----.-....... ~!!JtH!lrr CllARU!S laD. TalAI Bll../Drok.r. (u.nh.lulll 1I....d UII I'rlal I I!tf~.l~~!'!l')__~~ VAlli ,HOH 'Alii 'IlON --....---..-. olvlllon of COllll.t..ID~~I~!O. .. .!~llDW!1 noRROW""' . .ILLaR'1 101. I I,'SO.OD to COLUWILL nAPkin ,UNOS AT 'UNDI AT 102. I tD IIlM'rl.lHIUrr alTft.r.KlH1' 70), c~hdon 'ald at ..Ul.allt. 5,no.oO lat. 100. ITEKI ""ABLI IN COHHftCf10N tUTII LOA" 101. Loin arltln.tlon ... 1.0000 I tn GHAt' HOkTOAdl CQRPORATIOH "0,00 10J. Lo." Dhoount. .2S0D t to OMP.C HORTGAOI CORPORATION Ul.IO 'OJ. Appnhal r.. tD .Hou"aR IAADLlY , Al80CATlI 1225.00 ,OC: SD.OO 104. credit "anorl to CRlOCO 11.00 IOS. TAl IlftVIC. CONTRACT to CHAt' HORTOAdl CORPORATION .'.00 10'. LlHOEI\" DOC 'UP FBI tD CHAt' HORTGAUI CORPORATION "'.00 101. "'1"'IIptlon ,.. tD 101. lat. 110. Ill. '00. 'TIKS UOUJIUD I' UHDIR TO .1 PAlO IN ADYAHCI 101. J"t.r..' 'r~ 0'-11." to 0'-01-" ., n..IQDOO/duel day. I' It.n 'DI. Hart,.,. In.uranc. .r..!ua lor .onth. to 'OJ. ....~ In.ur.nc. .r..Jua for 1 "'..,. t. to.. tD 'OS. 1000. U_BV.. DlrollnD WITH LlHDl1t 1001. ....rd In.ur.ne. .cnth. II par IIlOnth 100J. Horta.a. In.ur.nc. ..onth. II (MIl' IIIDnth 100J. Cih/town tu.. .onth. II per .-onth lOot. county t.... .onth. II twoI' aonth 1005. Ichool h... .ontha t I oar &lDnth 1001. .antha II P" IllOnth 1001. .antha II P" I'Dnth 100.. ~oaUQAn IIr1"I'LEKEtn' RElY .onth. I t -. lIlO"th ,It." 1100. TITU CtIAJUIU 1101. ..tth..nt or Clo.ina ,.. to II" ..ttl_."t I.rvh"', Ino. n.oo 1102. Ab.tr.ot or Titl. ...rch to IIOt. Titl. lawn.Uon tD Hot. Titl. Inaur.nce Bind.r t. liDS. DDO~lnt pr.p.r.tion tDlad. tD ..... It. CA!lIIKAH, tSQUIRIo 0"" 1101. Hotarv r... to Cuh 10.00 1.00 1101. "ttorn,v" r.., to C inolud.. .bon it.. nuMber.. I 1101. Tith In.unnc. t.o .,. II-"th.,"t .Irvlc." Inc. 111.50 linolud., ,bo"" it.. nuMb.ra. I JlO,. Land.r" coy.r.g. I ",000,00 1110. OWn.r" cov.r.,. I .5,000.00 1111. Structural R.~lr Isorow to IUB D.ttl'~lnt s.rvlc.., Inc. 500,00 un. red.r,l I.pr." '.ck.,. to US SETTLEMENT SERVICES 22.50 IIIJ. noo. COVllUUWlT BCOMINO AltO TlW18F1R CIt1\nUEO 1201. R.cardlnC) ,.... Daed , 12.00 , Hortq'ga I '1.00 'n.h.... I 30.00 1202. City/Count, Ta./8t.-pl. p.d I no.oo , Hor~~!2' I 050.00 1203. It.ta T../llt'~I' Daed I 150,00 . HnrtC)lqa I ISO.OO no.. . nos. 1200. ADDITIOH.-.L IErrLl!H&NT CnARGrs 1101. lun., to IIOJ. 'aat In'p.ctlon tD DOWInIl PIIT CONTROL JO.OO lIot. Ta~t. Traat..nt tD DOWERS 'EST CONTROL 5n.lo 1104. ITRUC1\I'RAL INS.ECTION tD I!:IIVIR!JU!IT '0,00 1J0S. 1400. TOTAL IRTTLBHEHT CHARGEI Ilnt.r On Mn., 10:1, lactlon J and 502, SaatJon ~I J,,,,.IJ 1,....10 .~ tlK'l'lumt:r,r IITAnHltfr .AUI 2 Iy alljlnlnll pall' I af thh _hl.,u"t, tha aJlJlI.torha ,cknowladg_ r.e.lrt or . cl'JIOlpl.l.d cnp)' or pI,a 2 CS/TRITT.wuo/H ISl 10.. cartified to be . tn. ca('1 _~~ If. In aattla.ant lIuvlclI, Jno. Sattl,.."t Ag.nt FultonI83~D5\fu P 0 !lOX 411117. I.^Nr.ASl en. PENNSYI.VANIA 17no4 .JAN ? ry ,QQ5 cnroll DIVISION WRlunn "IfttCIIIIA!. fluunrn (717)291-2589 January 26, 1995 Alan H. Cashman 141 Broadway Ilanover, PA 17331 Dear Mr. Cashman: RE: Daniel W. Deltzel, Sr., Deceased December 17, 1994 In response to your recent Inquiry concerning the accounts maintained In the name of the decedent, please be advised that the following accounts were open at the date of death: Checking #1068-34254, open 3/8/68, balance $746.53, closed 1/20/95, joint with Caroline Deitzel. Savings #9900-65193, open 12/16/82, balance $25,977.19 and no ac- crued interest; paying 3%, closed 1/20/95, joint with Caroline Deitzel. CD #101-004657, open 10/19/87, rollover 10/19/92, balance $10,000 and accrued interest $66.27; paying 4.1%, matures 4/19/95, joint with Caroline Oeitzel. CD #101-004710, open 12/30/87, rollover 1/1/93, balance $10,000 and accrued interest $180.57, paying 3.9%, matures 7/1/95, joint with Caroline Deltzel. CD #222-051196, open 6/27/94, balance $10,000 and accrued Interest $194.33; paying 4.1%, matures 6/27/95, In his name only. CD #222-070328, open 11/30/94, balance $10,000 and accrued interest $25.38; paying 5.45%, matures 5/30/96, In his name only. If you should have any further questions, please do not hesitate to contact me. CO 1\11:; i l..J !:-J\j t I h L Very truly youl'l' C/nt.'s/J.U f/ SJJLt../- Christine Putt Smith Credit Confi I'mation Processor lis IlIfnrm~ti')I1 is lurni~h~d ." I nailer r! "l!~:n~~' f." . I answer 10 your inql!ir\'. ~r':1 is {0r ':,~'.1~ r''''; : 'IL ,II" , Ill' rCSllOllsihillly is 3r.$l~:r:rr) ::'',' thi~ h~lI:' ('r :'q~' ('II!~ r- Anv oQlejllP herein cxprpsr,pc1 i~ slIhjf'r.Iln r.hanp.(! VII!"OIlI '.,,', I (]I .,....... .<t,'" ."'/'o~,;""':":L;~~<""" FFR 1 ~ 1M!; .' ,N!t"tt '=-= ,lEi - g.:r~ ~~W:l.;~'\ EEDEB~~ [:r:'~.':.;',~,r, of HARRISBURG February 13, 1995 Alan ~I. Cashman 141 Broadway Hanover, PA 17331 RBI ESTATB O~ DANIBL W. DEIT2BL, SR. SOCIAL SBCURITY NUKBBRI 188-12-4105 DATB O~ DBATHI December 17, 1994 ACCOUNT NUMBER: 0266145216 TYPE OF ACCOUNT: Certificate OPENING DATE: 03/21/92 ACCOUNT TITLE: Daniel W Deitzel or Caroline I Deitzel PRINCIPAL BALANCE AT DATE OF DEATH: $10,820.82 ACCRUED INTEREST TO DATE OF DEATH: $15.89 TOTAL BALANCE AT DATE OF DEATH: $10,836.71 INTEREST 1/1/94 TO DATE OF DEATH: $331.80 COMMENTS: Mr. Daniel Deitzel Jr. has already supplied us with a Short certificate for Daniel Sr. and a Death Certificate for caroline. Our guidelines on redeeming the above listed account are enclosed. If you should have any further questions or need additional information please do not hesitate to contact me. Sincerely, ~ c&------ Sherri Houck Assistant Manager Operations Center . l' I I ll!1I1 ':11 I" 'I I r~ll111 , . p, I ,'/ \'0' 1111 ' "^"nl~~IIII1Ir~, ,,", ld"n ,;"r', ~1'J r,tr,t ~r~rJ~I~~1 ~---....-_ _ " l ~'T T, .1 Ii' ... GUIDELINES FOR DECEDENT ACCOUNTS HELD AT FIRST FEDERAL Federal regulations allow a penalty free withdrawal on certificates of deposit held in a financial institution notified of the decease of an account holder. First Federal requires that this option be exercised immediately or within a timely manner. WB ADVISE THE FOLLOWING I Contact a customer service Representative at the branch office most convenient to you. The "CSR" will be able to answer any questions you may have. We have numerous offices convenient to the Harrisburg area. First Federal offers various accounts which are appropriate for sstate dealings. Please consult with one of our Customer Service Personnel to obtain an account best serving the needs of the estate. GENERAL INFORMATION I Individual accounts held by the decedent may be redeemed with a short Certificate and the signature/s of the executor/trix only. The closure or transfer closure of the account/s qualify for the penalty waiver. Once an account is transfer closed to a new account, the new account does not qualify for the penalty waiver since the new account is titled in the name of the estate and not the individual. Joint accounts may only be redeemed by the surviving joint owner, without penalty, when a death certificate is presented. A change of title does not qualify for a future waiver of penalty. NOTE I According to IRS Regulations financial institutions are re- quired to get a Tax Identification Number verified when a new account is opened. Any change of title that requires a change of "TIN" also requires verification of the new number. Under these regulations First Federal is required to "withhold" 31% of interest earnings on any account whose owner neglects to verify their "TIN". It is benefi- cial to have, or have "applied" for, the Estate Identification Number when opening a new Estate account or changing the title/s of existing accounts at any financial institution. ADDITIONAL INFORMATION I Many of our account holders are also stockholders. For information regarding stock holdings please contact: Registrar & Transfer Company ATTN: Investor Relations 10 Commerce Drive Cranford, NJ 07016 1-800-368-5948 Please feel free to contact any of our customer Service Personnel for additional information or questions. II) FEB 0 R 1995 Dauphin Deposit Bank and Trust Company MAIN OFFICE: 213 MAnKE' BtnEI!f, ItAI1n1SUuno. rENNSYLVANIA '7101 711.'55.2121 Decedent Confirmation Name: Daniel W. Deitzel Social Security No.: 188-12-4105 Dote of Death (000): 12/17/94 Account No. Type Dote Opened or Issued 8100394296 01400168 Certificate of Deposit Safe Deposit Box 10/07/94 09/11/78 Dote Closed or Matured 01/07/96 (Maturity) 01/20/95 (Closed) Date of Death Balance $14,643.79 Not Appl icable PlUS Location: Date of Death Accrued Int. $158.88 Camp Hill Office Joint Owners (if any) None None Date of Joint Ownership Special Conrnents: N/A Additional infor..tion availabl. at '20.00 per hour. One hour _iniMUM. Date Prepared: February 2, 1995 Prepared by: Cheryl A. Bowers CUstomer Management Information Dept. (CHI) Page 1 of 1 Telephone No. (717) 255-2054 For. 00-020-218 (REV 7/93) , ,. { T' ~ (~ :: :\, ~~ \' f,i 1 t f:. l:' t,': J << ~. ~ j ,] , ~ LnST WILL nND TBSTnMENT OF DnNlI~L W. DEI'l'ZEL ;~ I, DnNI Er. W. IJ III 'I'Z Er" of the 130l"Ough of Camp IIi 11 , Cumberland County, Pennsylvania, being of sound mind, memory and unuerstnnding, do make nnd publish thls my l,ast will and '!'eatament, hereby revoking and mnking void all Cormer Wills by me at nny time heretofore made. I'!'BM I. I direct that all my just debts and funeral expensea be fully paid and satisfied as soon as conveniently may be aCter my decease. I'!'EM I I. I give all the rest, residue nnd remainder of: my estate equally among my three children, Daniel W. Deitzel, Jr., ~Iary C. steever and Sara J. lIemperly, in equal shnres, slmre and share alike or their issue per stirpes. I'1'I~~1 II I. It is hereby directed that my r;xecutor, hereil1arter named, shall pay all inheritance, stnte, succession and legacy taxes to which my estate or the transfer of any property hereunder may be subject and to charge such tax as part of: the auministration, payable out of my residuary estate. I'I'g~1 IV. I nominate, constitute and nppoJnt my AOII, nnnl<,,1 \~. nf'lI:zel, ,11:., to be nnd act as my sole II - ... .-",!";;,: ~;~~"'... n:~ . ~ ,. '~-~ f. ~~. ii d ; Bxocutor of thio my Last will and 'l'ostament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of my son, I nominate, constitute and appoint my daughter, Sara J. lIemperlyas Executrix of this my Last I~ill and 1'cstament. I\s a final alternative, I appoint my daughter, Mary C. steever, to be and act as my sole Executrix of this my Last will and 'j'estamcnt. Ny Executor/Executrix shall not be required to post bond or give any security. have hereunto set my hnnd and seal IN Wl'l'NF:SS WIIEIlEOl", I I' r1..' _lo day of 11-1 01'':[ , 1991. this I .to..,.,'-.....1..) CLl. 1.1 DANIEL W. DEITZEL (SEI\LI 'rhe preceding instrument, consisting of this, and one other typewritten page, was on the date thereof signed, published and declared by DANIEL W. DEI'1'ZEL, the Testator therein named, as and for his Last Will, in the presence of us, who at his request, in :t il I' I I, '. i ~~ ;'..i-." ;'.:1"'., "f ,,,..,...,,,;,:' ,,' .~' ,. ..~':;"L,'.'.,. .. his presence Ilnd in the presence of ellch other, hllve suuocrJ.ued our nomos as witneeees hereto. CC'..o f) \..l?,-((~",..;I.~ Rooiding Ilt / /'i ,.::. .1101""" J'/- 1/t....,,....:..(J'l'l'l.hJ i?. / '7"'~l. t'1A'1'u..._ II ~~JJ' llea.l.c1ing at t.7 tr,,:~ lP-h 41r!',,_v fJJ> <jPH .d'c:.J1.. A (')?/ (., I. I ;. ; j ~ /5'.'0 -' /;;{ REV-1547 EX AFP (12-95* COtItDfMALTH Dr' P!NCIYLVAHrA DEPARTttDfT Of' RfVDU: IURfAU DP' IHDIVUIUAL TAXlI DrPT. raD6D1 HARRIIIUtG, PA 17U'-1601 ACN 101 NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATI! 12-25-95 FILE NO. DATE OF DEATH 12-17-94 COUNTY CUMBERLAND NOTE' TO INSURE PROPER CREDIT TO YOUR ACCOUHT, SUBHIT THE UPPER PORTION OF THIS FORH WITN YOUR TAX PAYHENT TO THE REGISTER OF WILLS. KAME CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TO: ALAN M CASHMAN ESQ STE 230 141 BROADWAY HANOVER PA 17331 REGISTER OF WILLS CUMBERLAND CO COURT HDUSE CARLISLE, PA 17013 AIoount R_I H.d CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiifli:is4'j-iif-AFP--ii'2=9ST"tiiiYici--oji--iNHiiiifAiici-YA'i("jipjiRjiiiiiiiitiT~--Ai:rOjjAiici-ilii------------- ---- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DEITZEL DANIEL W FILE NO. 21 94-1087 ACN 101 DATI! 12-25-95 TAX RETURN WAS, I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l E.t.t. ISch.dul. AI III 2. Stock. ..... Bond. ISchedul. BI 121 S. Clo..1~ Held Stock/Pertnerlhlp Int.r..t (Schedul. C) (S) 4. Hortg_./Not.. R.c.lvabl. ISchedul. DJ 14J 5. C.ah/lank a.pollta/Hila. Per.on.! Property (Schedul. EJ Ii) 6. Jointly lhmod Prop.dy ISchedul. FI 161 7. Tron.f.r. ISchedul. GI 171 8. Tot.l A...t. I CHANGED 82,095.25 .00 .00 .00 ~821778.6:; .00 .00 IBJ 364,873.88 APPROVED DEDUCTIONS AND EXEMPTIONS: 18,735.62 9. Funer.l Expen.../A~. COlta/Hlla. Expen... (Schedule HJ (,) 10. Debt-lHodg.g. LlablllU../Ll.... ISch.clul. II nOI 1.981.67 11. Tot.l Deduction. 1111 12. Net V.lue of Tex R.turn (12) lS. Cherltabl./Oo..rn-ont.l aoquo.t. ISchedul. JI 11SI 14. Not V.luo of E.t.t. Subj.ct to T.x 114J NOTE: If en e..e..ment WB. i..uBd pr.viau.ly, lin.. 14, 15 .nd/or 16, 17 Bnd 18 will reflect figure. thBt include the tatBl of ~ return. B.....ed to dBte. ASSESSMENT OF TAX: IS. Aoount of Line 14 .t Spoo..l r.t. 1151 16. Aoount of Line 14 t.xabl. .t Llne.l/Cl... A r.t. 1161 17. Aaount of Line 14 taMable at Coll.taral/Cl... 8 rat. e17l 11. Principal Tax Du. 'n.717 ?q 344,156.59 .00 344,156.59 .00 344,156.59 .00 X .03. X .06. X .1S. nBI .00 20.649.40 .00 20,649.40 TAX CREDITS: PAY"ENT DATE 03-07-95 09-15-95 RECEIPT NUIUIER AA022911 AA082141 DISCOUNT (01 INTEREST I-J 763.16 .00 AIIOUHT PAID 14,500.00 5,386.24 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 20,649.40 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FUR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN '1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.I OC c: :-'1 ~.. \ ., REIDtYATlD'h E.tatn of decedent, d>>lng on or bIIfor. he....,. Jr, 1"2 .- If In. future lnt.,...t In the ..tat. .. ',tren"I,.nd . In po.....lan Dr ."JOYMnt to Cl... . (calhhnU beneficla,.I.. 0' the decedent .fb,. the ..,I,.ltJon of ... ..tat. for 11'. or for w..,.., the C~.lth h.rebw Ixp,...,ly ,....rve. t~ right to .",.a... ~ ...... t,.In"I,. Inherltenol ,.... at the 1",'ul el... . (co11_t,,..n nt. on MY IUCh future lnt.,...t. PIIll'OSE Ill' NOTlCEI To fulfIll U. r.....,.....,h of Section 2140 0' U. IntMr1tMCI .,., Eltat. ,.. Aat, Aot IZ 0' 1"1. 71 P.I. IMtlon 1140. PAYHEHTI htltCh the top portion of thl. NoUe. Ilf'Id lubII!t wlth your PlY"'" to tM Regl,tl" 0' willi printed on the rIVI,." aide. u.... chltCk or IIOMV oreM,. p.y.tlla tal REGISTER OF MILLS, AOEH1' AU p.,..,.. recllved 1M11 first be ...U.d to MY Int.,...t which ..y bII dI.M with InY ,.Hllnder ...UIId to the tax. REFUGJ (ClUI .. ,.1,lRI of . tn credit, whIch .... not ,.Iqullted on U. t.. Rlturn, NY be ,.......tMt by cOIIplaUng ., -application fo,. R.,,,", of PIIM.vh,...I. IntMr'ltWIC. 8nd E.t.t. Tax. (REV-UU). Appllc.tlon. .,.. ...,.Uabl. .t thl; Dfflu 0' thl R..lIt.,. 0' WUII, ....y 0' the U R.......... Dht,.lct Dille.., Dr by ctI111na tM 11*l1.1 24-hour .......rl,. ..,...,1" nusDlr. fo,. 'or.. orderlngt In PMnnlvMl1 1-100-362-2050, out. Ide Pam.vh,.,11 8nd within locel Harrl.bura .,... (717) 111-1094, TDDI (111) 772-2252 (Helrlna l"llr~ OnIV). OBJECTIONS I Anv plrtv In Int.r..t not ..tl.,led wIth thl; apprll.eaent, .II~. or dl..llowance 0' deduction., 0,. .....-.ent 0' taM (Including dl.count 0,. Int.,...t) .. shown on thl. Hotlc. ault obJeot wIthIn .I.tv ('0) dlv. 0' ,.ecelpt of thll NoUc. bVI --wdtt... prot." to the! PA DepI,.taent 0' RI..,IN'IUII, Board 0' Appe..., Dlpt. 211021, ",,.rhbura, P. 17121-1021, OR --.lacUon to haY. the ..tt.,. det.nlned .t ...1\ of the ICCount of thl perlOn81 np,......t.UYII, OR .-app.11 to the O,.phan.- tou,.t. AllItIN IITRATlYE. CORJt[CTlOHS I FlGtual .rro,.. dl.cov.r~ on thl. ......sent ~ld b. addr...ed In writing tOI PA Dap'rt-.nt of R...,~, lurl., 0' IncUvlduel TIll", ATTNI Put .....lHnt R.vl... Unit, Dept. 210601, .JII,.,.hbu,.a, PA l11n-0601 Phone (717) 7.7-'505. See Pili S 0' the bookl.t .In.t~tlonl 'or Inhe,.ltsnc. Tax A.turn '0,. a A..ldent Decedent- lREV-15Dl) '0,. .... ..pl~tlon of 8dllnl.t,..tlv.lv co,.,.eotlbl. .,.,.or.. I' anv taM due I. Plld within thr.. (5) c.ltndlr ~th. 1ft.,. thl decedent.. de.th, . fl"'l parc...t (IX) dl.count of the t.. plld I. .llowed. DIICIUfTI I NTfREIT I Inta,,"t 11 charged Malnnlng with flr.t deV 0' dellnquencv, or nl", (9J ItOI\thl .... one ()) dev frOll U. d.t. of ~th, to the dlt. 0' pl~t. Till.. which ~ delinquent baforl Janusry I, 1912 bel,. Int.,.a.t It the r.t. 0' .Ill (6Xl pI,.C.,t par .,...,. calculltMl .t . dllh ntl of .000IM. .11 t.... which bee... dl1J~t on and .ft.,. Jll\Ullrv I, 1912 wUI b..r Int.r..t It . r.t. which will v.rv f,.OII cllendar y..r to C4lIMdlr y..r with u.t r.t. announcMl bv the PA D~.,.t~t of AIYInUI. The epplIClbI. Int.,...t r.t.. for 1"2 through 1996 at., !!!! Int.r..t A.t. D.lly Intl,...t Facto,. ~ Int.,..., Rlt. O.Uy Int.n.t FlGtor 1911: .n .00D541 ."7 OX .000247 1915 16X .00006 19aa-Inl IIX .oonol "" IU .00UOl I'" OX .000247 1915 UX .00n56 1"5"1994 n .00Dln 1916 lOX .000214 1"5-1996 9X .000247 --Intl,..t 1t c.lculltM .. follow'l IICTEIlElIT . BALAHCIl OF TAX UNPAID l( HVIIBER OF DAYS DF.LIHQUEKT l( DAILY INTEREST FACTOR --Anv Motlc. tllUld .ft.,. the tIX tteco.I. deUnquent wUI ".Uect If'! Int.,...t c.lculaUon to flft.., US) dIIv. blyond ttM data of thl ........"t. If P')'Mnt h .... .ft.~ thII Int.r." COllPUt.Uon etat. shown on the Hotlc., .dcUUDl\llI Jnt.~..t ...., M ulculltMl. .; C; STATUS REPORT UNDER RULE 6.12 Name of Decedent I Daniel W. Deitzel, Sr. Date of Deathl December 17, 1994 Will No. 1994-01087 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, 1 report the following with respect to completion of the administration of the above-captioned estatel 1. State whether administration of the estate is completel Yes X 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 personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. o ~'AA, G.L.~ Signat:.ure Datel 12/10/96 co 1i5~ OU) ~ .. wE c:> I} 0:;: G! 11 0 1;';';- ati N 1(.) :'.1 __ .... n It) !!~ E: L ,. Oil) Q , .... . .~. ,~I ;0 gg> . .c UlO: ~ S~ 0: (MAHlrmf/AM3) Alan M. Cashman, Esquire Name (Please type or print) 141 Broadway, Suite 230, Hanover, PA 17331 Address ( 717 I 632-9580 Te 1. No. Capacity: Personal Representative X Counsel for personal representative