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HomeMy WebLinkAbout95-00503 '. ::.~ ~, "1" , .'.( ~ "- '..,- '~ .. PETITION FOR PROBATE and GRANT OF LE1TEI{S // EMClIl! (if Mary E. Keon Kurtz ClI.\'o /a101\'1I CI.I' IJl!L'c!a.l'c!d. Social Sl!L'ur/ty No, 081-24-0567 No. .1?/ - 95- !J-O '3 To; Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania TIle petition of Ihe undersigned respectfully represents that: Your petilioner(s), who is(are) 18 years of age or older Wld Ihe Executrix named in Ihe last will oflhe above decedenl, dated September 27, 1984 Wld codicil(s) dated JWlUary 5, 1995. (Klah~ rele\'ant circumstances, c,~'. renunciatiun, death UfCxL'Culur. elc.) Decedent was domiciled al death in CumberlWld Counly, PennsylvWlia, wilh her last family or principal residence at I IlIlO West Soulh Street, Carlisle Borough . (list slreel. numher nnd munieipnlity) Decedenl, then 97 years of age, died June 19, 1995, at Sarah Todd Memorinl Home, 1001l West South Street, Carlisle, Cumberland County, Pennsylvwlia. Except as follows, decr.dent did not marry, was nol divorced Wld did not have a child born or adopted afier execution of Ihe will olTered for probate; was notlhe \'ictim of a killing Wld was never adjudicated incompetent: Not applicable. Decedent at death owned property wilh estimated values as follows: (If domiciled in Pa.) All personnl property (If not domiciled in Pa.) Personal properly in PennsylvWlia (If not domiciled in Pa.) PerS<lnnl properly in County Vnlue ofrenl estate in PennsylvWlia situated as follows: None I I I :uneotimntcd lnS',oco.oo I $ I $ none , ! WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will Wld codicil(s) presented herewith Wld the granl of lellers testamenlary thereon. (Iestnmentrny; ndministraliun c.l.n.; ndministrntiun d.h.n.c.l.n.) (~;, *~ (~~"" Lois K. McCommon 143 Soulh West Slreet Carlisle, PA 17013 (717) 243.2073 ===================================================================== OATH OF PERSONAL REPRESENTATIVE COMMONWEALTIIOFPENNSYLVANIA ) :SS. COUNTY OF CUMBERLAND ) The pelilioner(s) above-named swear(s) or amrm(s) that the statemenls in the foregoing petilion arc Irue Wld correcl lu the best of the knowledge Wld belief of petitioner(s) and that as personal representatil'cls) of lhe abol'lJ decedenl, petitioner(s) will well Wld truly administer Ihe estate according 10 law. Sworn to or affinned nnd subscribed before me lis l~ 3 day (If . ,192..,::;- , ~.t:~I.1;J. ew B Register q ~.;, -I(~ &~ LOIS K. McCommon . . No. 21-95-503 Estate of MAil V E. KEON KURTZ, Deceased DECREE OF PROBATE AND GRANT OF LETTEllS AND NOW, July 7, , 11)95 . in consideralion of the petition on the reverse side hereof, satisfaclory proof having been presented before me, IT IS DECREED that the iastrument(s) dated September 27. 1984 Wld JlUluary 5, (91)5. des~ribed therein be admitted to probate Wld liIed of record as the last will of Mill')' E. Keon Kurtz lUld Letters Testnmentary are hereby grWlted to Lois K. McCommon. Will Book tJ Poge ~ a,~ ~-1J..Jt'/fAP0~~ Register o(Wil!s Mary c. [.~~S FEES Probate. Letters, Etc. Short Certilicates( 4) Renunciation Codicil - (X-Pages) (1) X-Pages ( 2) lOO/AAt. JCP Filed July 7,1995 $ 235.00 $ 12.00 $ $ $ 10.50 9.00 5.00 $ 271.50 Total Stephen L, Bloom MARTSON, DEARDORFF. WILLIAMS & OTTO 10 Enst High Street Carlisle, PA 17013 (717) 243.3341 ~~ :~ :0 :Oll> r;, < > c'" ':2 ~J, ~ '-- "- ~ ,. *- N , ....... r... .'c'. .. it! ~~ '. o'J '. ';:.' C> (If Z. ~~ i.it ".~ N Called Attorney on 7-10-95. F,\F1I.I!5'n^T^.'I.I~Elrr^TI!S\I)..t.4l.1rr This j, In fl'l'li1r Ih,lI till' illlllllll.lIitlll ht'll' ,..:hC'11 j, (IJlltt 1I~ llll'It'.I11111l1 .111 uri,&.:lIl.d U'llilililll' lit dC'illl., .dlll)' fill.d With I.llcd Hq~i\ill.ll Th(, 01 i}-;in,d tl'lIiJit ,lit' \\ dill(' tnrw.Hdl'" III i1lt' ....1.11(. Vil,11 HHlllll, (Hlitl' lur 1'('1111,1111'1\1 tllll1~. WARNING: ilia IIlogol to dupllcoto this copy by photostat or photograph, Fl'l' (or lhi!t. U'I'lific.t1c, $1.00 2997380 - -------~_..-..~~.__._--- -~--- No. "tOll~""", IIll' JS ~~!_f'PH('~t:...\......_~n. . I.onll Rt'J.:i!ltrar .._~ .__u__.~_Uti. 2 , (),IlC 1995 --- ... ... (;10'" If...--.~... Hary E. teon Kurtz CO....ONWIALTH 0' PENNSYLVANIA. DEPARTMENT D' H.!!ALlH' VITAL RECORDS CERTIFICATE OF DEATH MAIll ........_ -:~~~ ~_.....-- u Widowed 0ItI H..O...._..... - MO. Cumberland --., ndJ ::..-:-.::'.. Di1lsbur WiQf"U,.rrw.ocl".""-'_Lo_ Anna H. Lutz: ""0N0IAIrt"", jIlJOIV~ ~ ... .. ... .. Female 'N . 0 '-0.,-. "'., ... _0 .- .....,......c-,. Lancaster, PA ... 97 .. "'"" , . , r~ ~~ .. ~\ \;. " Cumberland Carlhle "...=...;o:.'::~::r Dents Asi a ce Dent ge"llt"""~-.oIoOOllll"""_~.... c.c.. II A North Che.tnut St. .. Dlllsburg, PA 17019 OJIl".II..,......,h.""oMU.. Henr Williom RiotBch ~ ~ IU I,,*~ .~ At Off ice o.C.llt",-, t.C'UAt, IIlt10lHCI - -- n..... ! " . -.-(] c-O __..........0 0.."-'''''' '.....IUl.U UC" 1."UIllNIItIII IKlCIool....CUflIrr""""KIII L 081 - 24 -0567 White .. 1995 . 01 iOtf'''-.~c.-.., ~ eoOlOltol'\ttt Dickinson Prosbytoris , ".. """'UlDfl."Df' f'f 0 mdn- at -... ...."""'.111 013144 L . " I, ........_._._.._..___..-.......... 0....._......__ ,...............-...-- ?.s..JJ 0 ,..,. .s DVlfO/Ol'I"'AC{M.f,Ovt""(1) f..tv. 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" - ~1Ct............" t...E. o ']..2., "'"...~ ..." WHO lIDCAl/MOl 1_111 ,""1'Mt Stoven Hotlobors o Belvedere M~d. Center II. Cnrllsle .. - , " . "/,'t'-- w; :.1"' , . j. f} 21-95-503 '; , , ~(') :.. . g: ~ 'i- . :0 o. ,. '1r?!ll \!: '., '-, b ft S; ~'~3. .>) .il ' t_~_ .. .) t:l " t) C !.) rl'.l ..,.. : ~ .t.:.: ~ r 0 ;":...;1. ~S Ut (ifg. - '\," -, .... o~ .' B?: <,-/;,:-'" <51) '6... . '(ZJ,C",.r", . . < 'CS.l:i . OP Cl.I 120: <:::J "~ ~, f:.'q '. c. :;:.,'~ j~ s< N' I-< fj ~ 2: ~ 0 .J:; i ~ 1+-+ [:l ,,\ (S) ~ .,r-==f ~ . "G ~ f>l >< . ~ ~ l6 -.. .;,- .'..". .. ,. CODICIL TO LAST WILL AND TESTAMENT I, Mary E. Koon Kurtz, of Carlisle, county of Cumberland and commonwealth of Pennsylvania, do hereby make, publish and deolare this to be a Codicil to my Last Will and Testament which Last Will and Testament is dated the 27th day of September, 1984, in manner and form following. FIRST: I ratify and affirm each and every provision of my prior Will as aforementioned, excepting as set forth herein. SECOND: I hereby delete Item XII of my Last will and Testament dated the 27th day of september, 1984. IN WITNESS WHEREOF, I hereunto set my hand and seal on this, the first and last page of my Codicil to my Last will and Testament, on this the ,>,Ii day of ..J'I/llullt./ , 199.i:. , 7)1 W:j e /lift-I _ Mary E. K~on Kurtz ?ti-tl'~' / SIGNED, SEALED, PUBLISHED and DECLARED by the above named Testatrix, Mary E. Keon Kurtz, as and for her Codicil to her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other have hereunto subscribed our names as witnesses. J~;? i(>l!c ~71t/1?'l/>) I mD.(} .J. J/MJ,--<A.j;V Address: /7f'3, rfJcJd, odh. ~KLfA_ PII, /13/5 J Address: I t.f-:?, s: C/ Layg c:.OAJ),_ ~ , ~ 170/:J (>Ji~Q.:d, c;,c!u.::t&.;;?-.. 1- S -9.1 No\BIIaI5el'.l .).dfIGIa-.ah. Ncl8lY P\tIIC Cl!ltM 1iiiO: CUlibf,,16rd C>>.1f'IlY My(;rvmulonE>crJtOt,fopIIZ: 1006 Commonwealth of Pennsylvania ) County of Cumberland ) SSI We, Mary E. Keon Kurtz, and L.o,'~ K: 1I1C'(Jtnn~71r1Yl and fY/~~y F S!,r-" belP? .-,. , the Testatrix and the witnesses, respectively, whose names are signed to the foregoing Codicil to her Last Will and Testament, being first duly sworn according to law, do depose and say that the Testatrix signed and executed the foregoing instrument as her Codicil, that she signed Willingly, that she executed as her free and voluntary act for the purposes therein expressed, that each of the witnesses, in the presence and hearing of the Testatrix, signed the Codicil to her Last Will and Testament as witnesses and that to the best of the knowledge of each of them the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ") 7 (;) /L/ t./ {WI Cfl ? "'. . Mary ~ Keon Kurtz" f.r4. ~. . I ~ vfY/'?C~-'''' . Witness l2J::l J:~ ~<-t1 d)2/V Witnes SUbscribed, sworn to and acknowledged before me by Mary E. Keon Kurtz, the Testatrix, and subscribed and sworn to before me by l.rv~ 1<'. /Jf,(o....."",,'" and /J11l1'!..j F. SA""bcfl'iU_ . , witnesses, this ,~y/\ day of J'hll,14....., . 199.,L' , NotanaI Seal .bfnG~Nc5Wt C<lIsIeIl:to, Curmorla/ld My Corr1n;!ion E><jJI! "" April 22 . t )~d G~~Jq~i, otary Pu lic j-S~~- . ~:---~.,...-.......__n...... ...n-""l\"-"-'-'h~" -_'~~_hh'_'___'__,:,___::; ",". . , , . LaKay china clock white with green trim and roses and also give unto her her grandmother Anna M. Morgan I s cameo breast pi.n. ITEM VI I. I give and bequea t.h to my niece, Jean M. Brumbaugh my gold cross and chain, my antique sterling silver bracelet and sterling silver ring with dark blue setting. ITEM VI I I. I 9i ve and bequea th my b] ack onyx rosery beads with gold crucifix and decorations which was brought from Spain to Patricia Miller. ITEM IX. I give and bequeath to Sharon McCommon my two perfume bottles with silver decorations. ITEM X. An of the rest, residue and remainder of my estate of every nature and wheresoever situate I devise and bequeath as follows: 1. One-third thereof to my husband Jesse E. Kurtz. Should my husband, Jesse E. Kurtz, predecease me I give, devise and bequeath the one-third provided for him to his three daughters, Lois K. McCommon, Nan K. Baker and Mary K. Shenberger, share and share alike. 2. Two-ninths thereof to John S. Morgan of Lancaster, Pennsylvania provided that if he predeceases me this share shall be given to his children share and share alike. 3. Two-ninths to my sister Muriel Morgan Parmer of Lancaster, Pennsylvania provided, however, that if she predeceases me then such share shall go to her daughter, Mary Ann Shep]ar. 4. Two-ninths to Robel't J. Burns, my nephew by marriage, provided, however, that if he shall predecease me then his share shall go to his two daughters, Kathleen and Margaret Ann Burns, share and share alike. M"tfRk", '{-&? !f.~~~.~t;.D}:':~~;'},,~:.~-;';~:;' ,,, 21-95-503 REGISTER 01<' WILLS OF CIlMIlERl,/lNn COUNTY OATH OF SUBSCRIBING WITNESS Bonnie L. Coyle and Dale F. Shughart ll<l'dldlIX (each) a subscribing whness 10 Ihe will presentcd hercwlth. (each) being duly Qunllfled according 10 law, deposc(s) and say(s) thaI they were present and snw Mary E. Keon Kurtz Ihe testa' r ix . sign the same and thaI they signed as a witness at Ihe request of testn' r ix In II e r presence and (In Ihe presence of each olhcr) (In Ihe presence orthe olher subscribing wllness(es)), ,.., /.1. Id/ / Sworn to or affirmed and subscrlbcd before ~~ me this 26 day of l~ . June 1995 28 s. pitt St., Carlisle, PA 17013 ~jl'-.4'WJYUA Jf;Y;;~AuiJ /2 Mal/C. LeWis Register /..:..) 'l..-1/v<.-€..... (Name) 28 s. pitt St., Carl~ (Address) PA 17013 REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS --- leach)?su testal_ ber hercto, (cach) being duly qualified according to law. famlllnr wllh the slgnnlure of codicil will to the besl of _ k~1 ilge and belief. Sworn to or affirmed and..sObscrlbcd before mc Ihls day of 19_ lbJng wlmesses -..-.......... ...... bell presenled herewith and codicil slgnalure on the will is In the handwrlllng of that (Name) (A ddress) Reglsler (Name) (Address) -,' ,I--"{i"""" Y t'>'"" ',/' ,'/-',': ~ (. CERTIFICATION OF NOTICElJNDER RIlI.1': 5 610\ Namc of Decedcnt: MARY E. KEON KURTZ Datc of Death: Junc 19, 1995 FileNo. 21-95-503 To thc Rcgister: I certify that notice of beneficial interest required by Rule 5,6(a) of the OrphWls' Court Rules was served on or mailed to the following beneficiaries of Ihe above-captioned estalc on or about July 20, 1995: ~ Addrc.. Lois K. McCommon, 143 South West Stn:ct, Carlisle, PA 17013 Margaret MorgWl Brooks, 1805 Haunstein Rood, Eli1.obethtown, P A 17022 Mary Ann Sheplar, 863 Fountain Avenue, LWleaster, PA 17601 Fronces MorgWl, 162 Oak Knoll Circle, Millersville, PA 17551 JcWl M, Brumbaugh, 92 LWldis Drive, Loncaster, P A 17602 Patricia Miller, 820 Enst Hutchinson Avenuc, Pittsburgh, PA 15218 Sharon McCommon Surfield, 9 Crystal LWlC. Carlisle, P A 170 J 3 Non K. Baker, 323 Donna LWlc, York, PA 17403 Mary K. Shenberger, 1783 Oakley Drivc, Dover, P A J 7315 John S. MorgWl, 600 East Main Stn:ct, #317, Lititz, PA 17543 Muriel Morgnn Parmer, c/o Mary A, Shepler, 863 Fountain Avenue, Lancaster, P A 17601 Robert J. Bums, Box 72, Rockwood, ME 04478 Notice has now been given to all persons entitled thercto under Rulc 5.6(a) except: N/A Date: July If, 1995 Signature Name ~J~ --slcphen L, Bloom MARTSON, DEARDORFF, WILLIAMS & OTTO Ten East High Street Carlisle, PA 17013 (717) 243-3341 Counsel for personal representative ~ lI'I t::!( .- :-. G .~ ::.0: '" 'f ~-,~ ~t Co: r ,'-5 ~ .' r ;~ . , L'1 ~1 f ~. l.' = '. <:: U .' ., '10-,; n o C} ~ ,-- c wa: wI- a: u8 .'_ 'OlD HUf --...-_.~-"_. "- .~, ! '. .~ . ~-------------------------------- I.,,"" . n. '. ._pl . ':.a,~,_ ' , . ~~~AA082129,..~~.tt\r.\ONWEALTHOF PENNSYLVANIA 1.'i~ii.i;t:;i'X:,>; .O~Flc:i~L ~CE;l'T.,p:~::~f: rJ:~~~NCE AND ESTATE TAX ACN ~ ASSESSMENT I!I II CONTROL ... NUMBER *....~.. . ; .'.. " . RECEIVED FROM, AMOUNT I I I I I I , I I I 'OlDHf"~ I I I I I I I i I I I I , I I I I BLOOM STEPHEN L 10 E HIGH STREET l01 .l1,eeb.74 CARLISLE, PA 17013 ESTATE INFORMATION, !:I FilE N MSER ~' e1-199~-0~03 I!:!t NAME OF DECEDENT (LAST) ~ KURTZ MARY E KEON II OATE OF PAYMENT EJ POSTMARK DATE COUNTY SSN OB1-e4-0~67 (FIRST) (Mil I CUMBERLAND DATE OF OEATH m TOTAL AMOUNT PAID .17,ee6.74 SK REMARKS FARMERS TRUST C/O LOIS J MCCOMMON CHECK" 6 SEAL REGISTER OF WILLS ~-- -'- --------- -----........-:-~..---:--.'":':""'.---- ---,----- - ;--- ~,--..,-~-::~.. ,\~ . I .. '. . ~ . . .{ , .. .~ - ..-. . . ..---' -.........--- .. .. .---......JI... -- .....- i ' --:.:7'" \. REv.noo Eh 17.qAI w .... ..:s.. ldlfl:l :cog u~.. /6. 'l.J. _/0 * fOR OATIS 0' DUTH AnlR 12/31191 CHICK HIRI If A SPOUSAL POVUTT CIIDIT IS CLAIMID 0 PILI HUM.U C/v ~Jl.dER " . 21. If lIn. 181. g,eol., Ihan line 19, enler Ih. difference on line 21. This I. the TAX DUE. A. Enler Ihe Inlerllt on Ihe balonce due on line 21A. B. Enter Ihe tolol of line 21 and 21A on line 21B. Thl. it Ihe BALANCE DUE. Make Check Payable tal Regltter a. Wlllt, Agent ~ >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH 4l(..c; Under penalti.s of perjury. I declare Ihat I have .xamined Ihi. relurn, including accompanying tth..dul.. ond Ilat.menls. ond to Ihe bell of my Icnowledge and belief. it Is Irue, correct and comple'I, I declare Ihat all rial 1.1011 hal beln repartea 01 true markel value. Oeclora'ion of pr.porer olher Ihon Ih. penanal r.pr...nlali.... it balld on all information of which preporer hOI any knowledge. SIGNAlU 0' ,USON IUI'~N:'~1 fO fHING IUUIl:N "POilU S. \'le s t St. DAI! I I . . /7/c. Carlisle PA 17013 q I<-:J.. tis "ONAlU'r"AII}OI~'N~ ....."NTAl"1 .00.... 10 E. High St. oAl! ) / _ ~.~ :>7b~ Car];",1'4-l'1I 17011 q_J.l- 4,5 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 15 fi:l ... w o COMMONWEAlTH OF PENNSYlVANIA DEPAlTMfNT OF IUVt:NUE DE,T '10601 HAII.II.IUUII.O.'A 171'1-0601 DfCfDIN' HAMlllA . 'Iln. AND MIODU INI IAlI KURTZ, Mary E. Keon !lOC'AL ueUllTY NUMIU DAn Of IIITH 1000 West South Street Carlisle, PA 17013 c.." Cumber land AMOUNT llCllYfD Int: IN$lIUeTIONSI 21 COUNTY CODE OM" .401U Y(A~ DleIOIN' l'f """OIIIlIU.V1'fINQ lPOUII'I ...""'IIl.'It. ..." .....1) "01000.1,,,,'111'11 Remainder Relur" (for dOl" of doalh prla, 10 12.1 J.821 Federal Ellole To. Return R.quired DATI 0' DIAIH 081-24-0567 6/19/95 2/26/1898 OJ. OS. [iJ I. Original Relurn o A. lImUed Ellole o 2. Supplem.nlal R.lurn :1115 "'<> "'z 8~ o Ao. Fulure Inl.r..t Compromite Ifor dol" of doalh ofto, 12.12.82) (i] 6. D.cedenl Died T..tote 0 7. Dec.dent Malnloinld a living TrUll (A"ach copy of Will) (Allach copy 01 T,uIII DINCIAHDCONflDINT1AL TAX INPOIlMATlON IItOULDII DtUCTID~\r', { eOMI'Un MAIUNO ....oolln L. Bloom, Esquire MARTSON, DEARDORFF, IHLLIAMS Ten East High Street Car lis 1 o o o o 135,659.97 & OTTO _8. Tolol Number of Safe Depolll BoalS ,1:.,.', ' z o 3 E l:! ... w '" I. Root E.lalo (Schodulo A) 2. Slock. and Bond. (S,hodulo B) 3. Clo..ly Held Slock/Portn.nhlp Inllres' (Schedul. C) A. Mortgoges and Noles Receivable ISchedul1 D) 5. Ca.h, Bank Depollll & MI.cellan,ouI Penonol Prop.rty (Schodulo El 6. Jolnlly Ownod PrapollY (S(hodulo FI 7. Tran"o.. (Schodulo 01 (Schodulo LJ 8. Totol Grall An'll (Iolollln.. 1.71 9. Fun.,al Expen..s, Admlnhlratl.... COlli, Mhcellaneoul E.pen..s (Schedul. HI 10. D.bll, Mortgage lIabllilles, UenllSchedule I) 11. T 0101 Oeductions (Iolollln.. 9 & 101 12. N.t Value of Eltale (lIn. 8 mlnul lIn. 11) 13. Charllobl. and Governmenlal Oequ..tIISchedul. J) lA. N.t Valu. Sub ed 10 Taa (lIn. 12 mlnul Line 13) 1 S. Spoulal Tronlf.n lfor dol.. 0' d.alh olt., 6.30.9AI 5.. Inllructlons for Appllcabl. Percentage on Reve,.. Side. (Indude valu.. 'rom Schedule K or Schedul. M.I 16. Amount of line 14 laxoble at 6% rote (Indud. valu" fram Schedule K or Schedule M,I 17. Amount of line 14 ta..oble 01 15% role llnclud. valu" from Schedule K or Schldule M,) lB. Principal tax due (Add to.. from lIn" IS, 16 and 17.) 19. Cr.ditl Spousal Po....rty Credil PrIor Poymenll II) ( 2) ( 3) I A) (51 (6) 70,261.94 (7) 0 (81 205,921. 91 (9) 19,215.70 (101 <1'ir; n:> (11) (12) (IJI (14 19,671. 72 166,250.19 o 186,250.19 o 6,536,08 11,597.33 ]8,133.41 o 108,934.69 77,315.50 (15) (161 (17) )t._1I x .06. x .15. z o ;:: .. .... j<! ,. o ... (18) Inl.r,,' Oi"aunt + + 906.67 20. If lIn. 19 Is 9r.aler Ihon line 18. enl.r Ihe diHerence on line 20. Thll" Ih. OVERPAYMENT. aD 906.67 (19) (20) ~ .... Check hew H you ore requcnling 0 refund of your overpaymcnl. 17,226.74 121) 121A) (2IB) 17,226.74 U\l.II01I" 11'1) ESTATE Of ~ SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PI.o.I Print or r I fiLE NUMBER COMMONWfALfH Of pfNN,nVANIA INHI.ItANCI 'AlC llTUIN 1.1I01Nl OletOINl KURTZ, Mary E. Keon IAtI property lo'ntly..ownod with Ihl Right .f Survlvonhlp mu.' bo d,.eI...d on Sch.dulo '1 21-95-503 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. 2. Mellon Bank, Checking acct. No. 222-106-9376 Farmers Trust Company, C.D. H109731 accrued interest Harris Savings Bank, C.D. H265152 accrued interest Peoples State Bank, C.D. H30046416 accrued interest Sarah Todd Memorial Home: Credit balance Blue Cross: premium refund Jewelry (see appraisal attached) Collectibles (see appraisal attached) 15,127.75 16,000.00 60.27 20,000.00 60.85 82,000.00 163.55 1,133.95 63.60 350.00 700.00 3. 4. 5. 6. 7. 8. [Clock mentioned in paragraph VI of Will was disposed of by decedent prior to death and was not part of her estate.] S 135,659.97 (Ahach additional oVa" )C 11" shll's if more space Is needed.) I1l~C'tii (1<::,.. ... . .....u. ~ f .- _ ' -,{Ii,' Ii' 1995 IOHARRIS' 1M SAVINGS BANK Ilarris Snvin~s Operatiuns Cenler 635 North 12th Street Lemuyne. I'cnnsylvania t 7043 717173I.t440 7t71731-0859 Fax July 17, 1995 Martson, Deardorff, Williame & otto Ten East High street Carlisle, PA 17103 The inrorr.lo.tion \lhich you %'eqllected on the Kurtz Estate (Zodnl S!lcurity Humber IIccount(D) ot 081-24-0567 Mary E. Keon- ) is as toll own. Account llumber(ll) 17-53-265152 ClaSR or Account 7 Mths. Cert. Dllte Openo!! 4-4-95 Principal Dolancc $20,000.00 Accrued !nterellt 60.85 Dall1nc e n t Do te or Dca tit 20,060.85 Aceount O\lnerllltip Individual Ilame or Joint Owner, it ony Dnte Ownnrship WIlS Estnblinhcd 4-4-94 Additionol Infor- mation Re'l"nnted please have the Executrix Of this Estate sign the encloeed W-9 from and return it to me in the provided envelope. Thank you. Sincerely, .,._...:u,<: -cz..,.....q".C~ 6- Gretchen L. Cale Sr. Retail Administartion Services Rep. S'CH-E?:>",{ J-E .c. ~ 3 Estate Appraisal of Hary E, Keon Kurtz Page Two Item sixl One 14K yellow gold Lady'S diamond fashion ring. This ring contains three round full cut diamonds and two round single cut diamonds. The center round full cut diamond is set in a navette shaped plate with a round single cut on each stde and a round full cut bezel set on each end. There is open gold work betwesn the diamonds. The center diamond measuces 2mm in diameter and weighs approximately .03 carat. The single cut diamonds measure 1.7mm in diameter and have an approximnte total weight of .04 carat. The end round full cut diamonds measure 2.4mm in diameter and have an approximate total weight of .10 carat. The diamonds are S-I in clari ty and "G" in color. The ring measures 6.SSmm wide in the front and 2mm wide in the back, $9S.00 Item sevenl One 14K yellow gold lady's diamond engagement ring. This ring contains a center round brilliant cut diamond which measures 4.65mm - 4.72mm in diameter, 2.S5mm deep and Weighs approximately .34 carat. This diamond is I-I with a chip on the pavilion, "I" in color and is four prong set in a round illusion style head. There are also two round single cut diamonds, one set on each side of the center diamond in a navetta shaped plate. These diamonds men sure I,Smm in diameter and have an approximate total weight of .04 carat. The shank is plain with a elight twist snd measures .Smm - I.Smm wide. $ISO.OO This eetate appraisal is for each value of items listed above. This is not a solicitation to purchase but merely an evaluation for liquidation purposes. Sincerely, '--~ ~~l~ ~YJ Registored Jeweler MOUNTZ JEWELERS TLUlcm Finder's Keepers Antiques Joan Shaw 185 E, Hillcrest Drive CBrllsle, PA 17013 (717) 249-1439 11 July 1995 Mrs. lois McCommon 143 South West Street CarIlsle, PA 17013 Appraisal for Items In the estate of Mary E. Keon Kurts, 30 June 1995 1. One pair of matching scent bottles, 3 1/2;" glass with applied sliver resist decoration. $125 each. 2. Lady's vanity set In original presentation case. Case In poor condition. The set contains 15 pieces, sterling sliver and enamel. The enamel Is sky blue In color with a hand painted pastoral scene In a small oval medalllon on each piece. Ca 1900. For the set: $450. The price Is based on replacement value In today's market, The set contains: - hair brush, longhandled - comb, some teeth missing - mirror, longhand led - 2 each scent bottles, 51/2;" crystal stoppers damaged - large powder jar - 2 each pomade jars, crystal; lid of one jar badly damaged - manicure sclssors - cuticle knife - nail file, broken - shoe horn - botton hook - clothes brush - hat brush. ^ oct n q-; :sit ~ uJ Jan F. Shaw SCHc])t.(1. E E., IY-e-nl 8 Household Inuentory & Appraisal Service 11'#IJ01tlh 111.'1) ~;~ COMMONWrAUH 0' 'ENNSYLVANIA INHrlnAHCIE TAlllrYUIN IUIOrNT OrCrOIENT SCHEDULE F JOINTLY.OWNED PROPERTY ] ESTATE 0' KURTZ, Mary E. Keon Joint tonont(.l' FILE NUMBER 21-95-503 ------_.,._._-~-------_.._. ....-....--.- ......,_.....~-,_.__.. ......>-.. .-.---.----.- ,- ~----~-_.._-_._._----_.. RELATIONSHIP TO DECEDENT Stepdaughter A. NAME Lois K. McCommon ADDRESS 143 South West Street Carlisle, PA 17013 B. c, Jolntly.ownod proporty. ITEM LETTER DATE FOR TOTAL VALUE DECO'S DOLLAR VALUE OF NUMBU JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. A 5/12/95 Members 1st, share saving acct. No. 151431-0 25.05 100% 25.05 accrued interest .04 .04 2. A 5/12/95 Members 1st, C.D. #151431 70,000.00 00% 70,000.00 accrued interest 236.85 236.85 . TOTAL (AI.o enle' on line 6. Recapltulollan) S 70,261.94 (I' mar. Ipace il n..d.d inler' additional Ih..tl 01 10m. size' SI\ARE SAVINGS ACCOUNT: Account Number/Suffix Date Opened Principal Balance at Date of Death Accrued Interest to Date of Death Name of Joint Owner, if any CHECKING ACCOUNT: Account Number/Suffix Date Opened Principnl Balance at Date of Death Accrued Intereet to Date of Death Name of Joint Owner, if any INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix Date Opened Principal Balance at Date of Death Accrued Interest to Date of Death Name of Joint Owner, if any CERTIFICATES OF DEPOSIT: Account Number/Suffix Certificate Number Date Purchaaed Rollover Dates, if applicable Value, including intereat at Date of Death Nnme of Co-Owner, if any Maturity Date Intereet Rate Accrued Interest to Date of Death Estate of MARY E. KEON KURTZ Date of Death 6-t9-9~ Social Security No. 08t-24-0~67 Membersl. FEDERAL CREDIT UNION 1 151431 -00 5-12-95 $25,05 $.04 Lois K. McCommon 2 N/A N/A N/A N/A N/A 151431 -40 N/A ~-1?-9~ N/A N/A $70. ?16. R~ T.ni R K. Ml!Cnmmnn 5-11-96 6.~0% $216.8~ a-t8-9~ Date Ins. ClAims Administrator Title 5275 East Trindlc Road. P,O, Box 40 . Mechanlcsburg, Pennsylvania 17055 . (717) 697-1161 '1'11111 lit 1'"' . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONWUUH Of PfNN'VLVANIA INHUI,^NCI fAlC ItUUItN ItUIDINJ DICIDINf KURTZ, Mary E. Keon ITEM NUMBER A, DESCRIPTION 1. 2. Fun.ral Exp.n.'.1 Hoffman-Roth Funeral Home, Carlisle, PA Carlisle Memorial Service, Carlisle, PAl marker B, Admlnl.trallv. Coot.: 4, C, 1. 2. 3. 4. 5. 6. 7. 8. 1, Perlonal Repre.ontativo Cammlnlons Social Securlly Number of Pe"anal Represenlallve: 1995 Voar Cammlnlons paid '4 ,nA 2, Allarney Fees: MARTSON, DEARDORFF, InLLIAMS & OTTO 3. Family Exempllan Claim anI Addre.. of Claimant at decodont's doath Stroot Addro.. Clly Zip Cado Rolatianshlp Stato Probato Foos MI.e.llan.au. Expon..., Register of Wills: short certificates Cumberland Law Journal: Advertising Letters The Sentinel: Advertising Letters Register of Wills: Filing fee Mountz Jewelers: Jewelry appraisal Finders Keepers: Collectibles appraisal Reserved for additional probate fee, filing of account and releases, and miscellaneous expenses TOTAL (Aho entur an IIno 9, Roeapilulallon) (II mare .pac. I. n..d.d, In..rt additional .h.... of lam. II..,) PI.a.. Prlnt or Tvp.. 21-95-503 AMOUNT 4,731.40 460.00 6,750.00 117A 6,000.00 271.50 3.00 40.00 75.00 15.00 84.80 I 35.00 , I I I 750.00 I I Is 19,215.70 , IIVUlll..UI1I o_'~.o. l ~ . COMMONWUIIH O. ,rNN"I~.NIA INHunANCI IAI .nUI,. "IIDfNIDICIO,N, ESTATE OF KURTZ, Mary E. Keon SCHEDULE J BENEFICIARIES ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY A. Taxabl. aequlltll 1. Lois K. McComnon 143 South West Street, Carlisle, PA 17013 2, Nan K. Baker 323 Donna Lane, York, PA 17403 3. Mary K. Shenberger 1783 Oakley dr., Dover, PA 17315 4. patricia Miller 820 E. Hutchinson Ave., Pittsburgh, PA 15218 5. Sharon McCoomon Sur field 9 Crystal Lane, Carlisle, PA 17013 6. John S. Morgan 600 E. Main st., #317, Lititz, PA 17543 7. Muriel Morgan parrrer c/o 863 Fountain Ave., Lancaster, PA 17601 8. Robert J. Burns Box 72, Rockwood, ME 04478 9. Margaret Morgan Brooks 1805 Haunstein Rd., Elizabethtown, PA 17022 10. Mary Ann Shep1ar 863 Fountain Ave., Lancaster, PA 17601 11. Frances Morgan 162 Oak Knoll Circle, Millersvi11e, PA 17551 12. Jean M.. Brumbaugh ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY 8. CharUoble and Governmental Dequesh: 1. None FILE NUMBER 21-95-503 RELATIONSHIP tepdaughter Stepdaughter Stepdaughter AMOUNT OR SHARE OF ESTATE $95 + 1/9 estate residue 1/9 estate residue 1/9 estate residue Stepgrandchild $15 Stepgrandchild $250 Brother 2/9 estate residue Sister 2/9 estate residue Nephew 2/9 estate residue Niece $150 Niece $450 Niece $65 Niece $25 AMOUNT OR SHARE OF ESTATE None TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Alia onto, on line 13. Recapitulation) (If mo,. 'pace I, n..ded, In..rt additional ,h..ts of lame .In) S None ____~..-..............:,.<._'. '.>i;j :~: ~.".'~' .l.., '." ""'.'..,.",, " . (i(o)(~),? CODICIL TO LAST WILL AND TESTAMENT I, Mary E. Keon Kurtz, of Carlisle, County of Cumberland and Commonwealth of Pennsylvania, do hereby make, publish and declare this to be a Codicil to my Last Will and Testament which Last Will and Testament is dated the 27th day of September, 1984, in manner and form following. FIRST: my prior Will as I ratify and affirm each and aforementioned, excepting as every provision of set forth herein. SECOND: Testament dated I hereby delete Item III of my Last will and the 27th day of September, 1984. IN WITNESS WHEREOF, I hereunto set my hand and seal on this, the first and last page of my Codicil to my Last Will and Testament, on this the .-,', day of ._"/""."'...., , 199~. 7) ,..~./ ,~ L. '-'l,oo_ .~. 'J-, I Mary E. Keon Kurtz 7 ; 11.1.,.." , ../- SIGNED, SEALED, PUBLISHED and DECLARED by the above named Testatrix, Mary E. Keon Kurtz, as and for her Codicil to her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other have hereunto subscribed our names as witnesses. . ;('-< _ 1i) Il (<-'n )I"" , "71. 1. J' J. . I ,,_ .r: ,(t '-',') _' ,.,.:J-J..",I,~,~~ --t.l.l' ..-- I ! Address: I 1.J-':, ;.\..-LP....l ~l, x:l.l, ! Address: f <-+--: S. (.;,".] <;f t~t_~.f. '_ 1.: ) (, / 7(.1_'.; " J " ,- j- ", " '/ ..) I ~') , ." . ,:J ~''"1-,~'; -"~~-;t:;l."~'L. (.. ,V{L-c,.~)tr:......~.l, '- ~-'~;f- NcllInaI5eaI .lu1t1 G l.iI.JlSll<Wllh. NoIaIY NiIlc Ca/lalSi<rt>. Cl,m>'..iIord Ccl!"CV MyCc",""","",E:q:lt..:~rrJ~~ \'!l'l . Commonwealth of Pennsylvania County of Cumberland ss: 'I (, We, Mary E. Keon Kurtz, and J..,~l'" I, 1I1e /71'~"O'Y1 and /j/"':~I/ I' \/"-"/"""" ,-,c' , the Testatrix and the I witnesses, respectively, whose names are signed to the foregoing Codicil to her Last Will and Testament, being first duly sworn according to law, do depose and say that the Testatrix signed and executed the foregoing instrument as her COdicil, that she signed willingly, that she executed as her free and voluntary act for the purposes therein expressed, that each of the witnesses, in the presence and hearing of the Testatrix, signed the Codicil to her Last will and Testament as witnesses and that to the best of the knowledge of each of them the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. '7'" j ..- I i :,1 ,', (. '- i . , , l-... I ~/" . , '-" Mary E~ Keon Kurtz I Ac'y:"" .;f -YJ )cC~'-7~tt.r1~.,,,,, . Witness h1MLJ Witness .J ~'1 ,dt-G....I.- l ~'; V\/ J SUbscribed, sworn to and acknowledged before me by Mary E. Keon Kurtz, the Testatrix, and subscribed and sworn to before me by J. I /r' i..~ Ii/,f( il.d,""') and 111.,..:./ . ./ witnesses, this .,'-r'l day - I . 1/1-.1'.1,,'.,1",1.- of _J ,"11(,,1,.', / , 1 99...i:'. Notan.l!Se.lI .Jucft1G~J'1,NctatyP\Jblic c""'~1uo.Ct.<r.;x,llalllCc!'.'!:t MICcm....:r.W'":.'j).~::2 ,.36 .- . ", ,... (. '. I, ( "....\U.l~ l.l...... \.-.' ,l'4.00-\'l__tl.'\' '"' Nn....RT" Dnhli,.. I. "i .ti~. , . . , Llll:uy china clock white wit.h arl~en trim lInd rosrm unci a1s!) (Jive unl;o her hel' uremdr.lother I,nnil r.t. "Ioruon' 5 Cilmen breast pin. ITEl.' VII. I {Jive and bequeul.h Ll) trI~' niece, Jean M. hrumlJuugh m~' gold cross ilnd chain, my ilntique sterling silver bracelet and sLerling silver ring with durk blue seeting. I TEl.! VItI. I give ilnd Ile(lueath my blacll onyx rosery beads with yold crucifix and decoraeions which was brought: from Spain to ?atricia Miller. ITEr.: IX. I (Jive and bequeath Lo 1iharon r,7cCommon toy ';wo perfume bottles with silver decorations. ITBM X. All of the rest, residue and remainder of my estate of every natUt'e unci \'Iheresoever 51 tUil te I devi se and bequca th as follows: 1. One-thircl thereof to my hUsband Jesse E, Kurtz. ~houJd my husbilnd, Jesse E. l\urtz, predCCei\5e me I give, deVise and bequeath the one-third provlded for him to his Lhree daughters, Lois J<. ;'lcCommon, llan )(. halter Clnd lldry r:. ~henheruer, share and share dillIe, :2. T~lo-ninths Lhereof co John !~. ,r,oqJan of LeltlCdS ter, Pennsylvania prOVided Ulill. if l1e pNlcJeccases lliP. this "hare shaH be viven to his children shal'e ilnd share clUIle. 3. Two-n intl1s Lo my si s tcH' r.:u/'ic i !-,organ Parmer of Lancaster, Fcnnsylvania prOVided, however, that if sl1e predeceases me l.hen sucll share Shall 91) (,0 her dauqhter, f,:a/'y Ann EhopJar, 4. T~lo-nj tlths to flober'L J. !,urns. lI,y neplte\'1 by marriage, provl cled, hOl'lever, tl1a t if hl! :illUIl pl',~decease me l;hen his share shall \/0 1:0 l1is 'MO (jaunh~el's. J:atl11een and ;.Iarqarer Ann nurns, ;;ha/'e ilnd share ill lIte . '- ,"?-'7.) 1~1 , " -( ./ :; /L, ( '-./ ) - /1-;' I ,~/~~ - , i I. , I' I i I"~ I ! ,... II [; ;f F:f ,(,'" I ~" - " , v /.5 -1/2- 10 t,v' REV-1547 EX AFP (12-95* COtmONWEALtllOF PENNSYLYAHIA DEPAAlHEHl Of REVENUE IURUU Of' tHDIVIDUAL TAMES DEPl. lIUOI tlARRISlURO, PA 17UI.06DI ACN 101 NOTICE OF INNERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 01-02-96 CUMBERLAND o DATE OF DEATM 06-19-95 FILE NO. COUNTY NOTE. TO INSURE PROPER CREDIT TO VOUR ACCOUNT. SUBMIT THE UPPER PORTION Of THIS fORM WITH VDUR TAR PAVMENT TO THE REOISTER OF WILLS. MAKE CHECR PAVABLE TO "REOISTER OF WILLS, AGENT" REMIT PAYMENT TO: STEPHEN L BLOOM ESQ MARTSON ETAL 10 E HIGH ST CARLISLE PA 17013 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AMount R..ltt.d CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE'v:isijj-ix-iiFP-iiz:9i;"j-iiiificE--OF-YriHEiiii'ANCn'-A'X-iiPPRiiisEH€Ni'-;-iii.i:owANci-iilimmm_mm- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KURTZ MARY E FILE NO. 21 95-0503 ACN 101 DATE 01-02-96 TAX RETURN WAS I (X I ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Rod Eototo (Schodule AI III 2. stock I ~ Bond. (Schedul. I) (2) 5. Clo..l~ Held stock/Partnership Int.r..t .Schedule C) (3) 4. Hartg.ga./Hot.. Recelvabl. .Schedule DJ (4. s. C..h/Bank Oapolita'HIIDo 'arlon.l Property (Schedule E) es) 6. Jointly Owned Property .Schedule F) (6. 7. Tr..,.h.... (Sch.dul. OJ (7) a. Tob1 A...t. I CHANDEO ,DO ,DO .00 ,DO 135,659.97 70.261,94 ,DO (81 205,921.91 APPROVED DEDUCTIONS AND EXEMPTIONS: 19,215,70 9. Funar.l E~p.n.a./Ad.. Co.t./Hi.o. Expan.a. (Schedula H. 19. 10, Dobh/MortgogoLloblllUoo/llono (Schodule II 1101 456,02 11, Tolol Ooduotlono 1111 12. Net Value of raN R.turn 112. 15. Ch.ritable/Govern..ntal aeque.t. ISchedule J) 115. 14. Net Valu. of E.tat. Subjeot to TaK 114J NOTE: I~ an a.......nt w.. ie.u.d pr.viou.ly, lin.8 14, 15 and/or 16, 17 and 18 will reflect ~igur.. that includ. the total of ALL return. a......d to dat.. ASSESSMENT OF TAXI 15. A.ount of Line 14 16. A.ount of Line 14 17. Aaount of Lina 14 18. Prlnolpal Tax Due TAX CREDITS: PAYMENT DATE 09-12-95 1Q.~71 7~ 186.250,19 ,DO 186.250,19 at Spou..l taxable at t.xable at ,DO 108.934,69 77.315.50 ,00 6.536,08 11,597,33 18.133,41 rat.. Lin..l/Cla.. A rat. Coll.tar.l/Cl... 8 rata ll51 (161 ll71 R ,DO. X,06. X .15. ll81 RECEIPT NUHBER AA082129 DISCOUNT (+1 INTEREST (-I 906,67 AMOUNT PAID 17.226,74 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 18,133,41 ,DO ,DO ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FDR CALCULATION OF ADDITIGNAL INTEREST. If TOTAL aUE IS LESS THAN fl. NO PAVHENT IS REQUIRED. If TOTAL DUE IS REflECTED AS A "CREan" ICRI. YOU MAV BE DUE A REFUND, SEE c , II"> . ~ ~ s , i.- 'J ue!, RESERVATION a Elt.t.. of d.c~t. dVlnt on or before o.c~ 12, 19.2 .. If ~v future lnt.r..t In the I.tata 1. tr~.f.rred In po.....lon or .nJa~t to el... . (collat,r,l) beneflcl.,'" 0' the d.c~t a't,r t~ I.plrallon 0' ~v I,'ata for II'. or for ~..r., the Co.-onwealth her.bv axpr...ly r...rvI. the rlDht to BPPr'." .nd ...... tr~.,.r tnherlt~. T,MI' at t~ lawful el,.. . (call,',r,l) r.t. on ~v such future Int.r..t. PlIIPOU Of HOTlCEI To fulfill the nqulr..entl of Sactlon 2....0 of the InhlirltMlCa WId Eat,t, Tax Act, Act 22 of .991. 7Z P.I. s.ctlon 2140. Dtltach the top portion of thh NoUe. Met ,ubIIlt .,ith your PIYIIen' to the Alaht." 0' Willi prInted on tM nVlr" .Idl. ufWca check or HIleY ord.r pay...i. tal REGISTER OF MILLS, AGENT All ,Iv-ent. r.calvld .hell flr.t ba ."lJad to ~y Int.r..t which "Y bt due ~lth any r...lnder ~lled to the taxo RUUHD (CAli A r.'und 0' a t... credit, which .... not req"..t.d on tha h.. Raturn, .,y ba r.~.tttd by cDllplaUnQI .., "AppllcaUon for Aa'und 0' P.,..".ylv..,l, InherltMC' Met E.t,ta T..- (REY~1SU). Application. an .vallaRIla at tM Offlca a' tM A.glattr of WIUI, tlnV a' the 23 A.vanut Dhtrlct Offlc.., 0,. by c.Ulnt the ,pacl.1 Z4-hou,. tn.w.rlng ,.,.vlc. nuabar. for for.. o,.d.rlngt In penn.vlvenl. 1-100-362-2050, out,ld. Penn,ylvtnl. and ..Ithln loc.1 H.,.rl.burg ar.. (7171 717-1094. lnn, (717) 772-2252 (H..,.lng 1~.lred Only). PAMNTt DBJECTlONSI Any p.rty In Inhr..t not ,.thfl.d ..lth the appra.....nt. .Uowenc. or dltaUow.w:a of d.ductlon., a,. .......ent a' t.. (Including dhcount 0,. Int.,...U .. shown on thl, Hotlca MU.t obJ.ct ..lthln .bty (60) days of rec.lpt 0' thh Hotle. bYI ulilrltttn P,.ot..t to tha PA aep.rtaent 0' Aevtr'IUI, lo.rd of Apptth, D.pt. 211021. Har,.hburg, PA 171Z1-lnl, DR ....I.otlon to h..... the ..tt.,. d.t.r.ln.d .t Mldlt of the .ccount of the p.,.son,1 ,..pr...nt.U..... DR --tppaal to th. Drphln.' Cou,.t. ADMIN IITAATlYf CORRECTJONS. INfF.RESTI 'tatutl .,.,.ors dl.coy.r'd on this ........nt .hould b. .ddr....d In ..,.Itlng tal PA DIP.,.t..nt of AIYtnUI, lu",.u 0' Jndlyldu.1 T...., ATTHI po.t A.......nt A.yl... unit. D.pt. 210601, H.r,.l.burg. PA 17121-0601 Phona (7171 711~650S, Sea p... S 0' tha bookl.t "In.tructlon. for Inhar1tlNK;a fl. A.tu,.n '0,. . A..ldant D.cadant" (REY-ISOI) '0,. In ...pl~tlon 0' ~lnlstratlv.lY corrlCtabla .,.,.or.. If WlV h.. dua It p.ld ..lthln thrae (S) ulend.,. tonth. aft.,. tha dlcad."t". dtlth. . flva pare..,t (5%1 dlscCU1t of thl ta.. p.ld I. allowtd. Inhra.t h ch.rgad bag Inning with flrat dav of ~ll~ancY. 0,. nl". (9) IIOI'Ith. IInd on. (1) d.V ,,.01 the data of ftath, to the d.t. of p.y,ant. ".... which bac... dallnquent bafo"a ..I1l1'1U.rv I, 19'2 ba.,. Int.,.a.t .t thl rata of .he (6%) parclnt pa,. ..".. calcul.t.d at . d.lly rlt. of .DDDl64. All t.... which bae... d.llnqutnt on and .Ua,. Janu.,.y I, 1912 will ba.r Int.r..t at . rat. which will v.ry ,,.0. c.land.,. lta.r to cal.nd.,. va.,. with thllt r.t. announctd bv the PA Dep.rt.ant a' A....enue. The tppllcabl. Inta,...t ,..t.. for 1.82 through 1996 .r'l OJSCDUHT I ~ lntar..t R.ta D.llv Int,ra.t facto,. ~ Int.,.a.t Rate 0.11., Intera" hator nu nx .ODDM' 1987 .X .000247 1915 16X .aDDUI 1'''-1991 11% .ODOS01 1914 \IX .000301 1992 OX .0002'l7 1915 m .000556 1995-1994 'X .000192 1916 lOX .00027" 1995-1996 'X .0002"7 uJnt.r..t I. c.lcul.tad ., fallOffI. INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR -~Any Notlc. I..ued .ft.,. the t.. bacottl d.llnquent IiIIl1 ra'lect In Int.r..t c.lcul.tlon to fl,t..n (151 day. beyond the d.ta 0' tha ...........t. If p'V.."t II ..da .fta,. tha Inter..t COllfl\ltaUon deta shown on the Hottea, adcUUon.1 Intar..t MI.t bel ulcul.t'd. ES'l'ATE OF MARY E. KEON KURTZ FILE NO. 21-95-503 REI.EASE KNOW ALL MEN BY TIIESE PRESENTS tlmt I, LOIS K, MeCOMMON, onc of the residuary legutces under the Last Will and Tcstulllcnt of MARY E. KEON KURTZ, lutc of the Borough of Carlisle, Cumberland County, Pcnnsylvania, dcceased, do herch)' acknowlcdgc Ihutl have rcceived of and from LOIS K. McCOMMON, Exccutrix undcr the Last Will and TcstUIllCIII of thc said MARY E, KEON KURTZ, lilY one-ninth (1/9) shure of cstatc rcsidue in cush in the amount ofElevcn Thousnnd Three Hundred Two and 98/100 Dollars ($11,302,98) and my spccilie bequest ofhcr gold wedding ring with live diamonds valucd at Ninety-live Dollnrs ($95,00), in full satisluetion nnd payment of my Icgaey under the terms of Items II and X of said Last Will nnd Testnmcnt. AND, THEREFORE, I, the said LOIS K. McCOMMON, do by thcse prescnts remise, release, quit-claim, nnd forever discharge the suid LOIS K. McCOMMON, Executrix aforesaid, hcr heirs, executors nnd administrators, ofnnd from the aforcsaid legacy, and of and from all aetions, suits, payments, accounts, reckonings, clnims and demands whntcvcr, from the beginning of thc world to the day of the dnte of these presents, AND, THEREFORE, I, the said LOIS K, McCOMMON, agrce to refund to LOIS K, McCOMMON, Executrix aforesaid, any portion of thc distribution to which I nm not properly entitled, Wld to the cxtcnt of said distribution, to indemnify said Exccutrix for claims made against hcr as Executrix, and to reimburse to snid Executrix nil cxpenses nnd costs incurred in connection with any such claims. AND I hereby consent and agrec that the Orphans' Court of Cumbcrlnnd County may discharge thc said LOIS K. MeCOMMON upon npplication, without further notice to me, IN WITNESS WHEREOF, I have hcreunto sel my hand and seal this It:,.u, day of ~brL(t""7 ' 199c:. Witncss: ~*7P~~ Lois K, McCommon C~kU1A.;'-u:.cX '>>k, .au__ o COMMONWEALTH OF PENNSYLVANIA ) : SS, COUNTY OF CUMBERLAND ) On this, the J Io-Uaay of F-cbaul.,-,/, 199~ before me, a Notnry Publie, personally appcared Lois K, McCommon, known to me to be (hc person whose nnme is subscribed to the within instrument nnd ncknowledged that she executed snme for the purposes thcrein ellntnincd, IN WITNESS WHEREOF, I have hereunto sct my hand and official senl. (l-P-i'~,U" -0 ~nul ) Notary Public Notarial Seal Corrlne L. Myers. Notnry Publlo Carlisle Bora. Cumborland County My Commission E'plres Mny 27.1999 t' ItIlH\IMTAHU".UiT <-. ... RELEASE KNOW ALL MEN BY THESE PRESENTS that I, MARY K, SHENBERGER, one of the residuury Icgatees under the Lnst Will nnd Testument of MARY E, KEON KURTZ, Inte of thc Borough of Carlisle, Cumbcrland County, Pcnnsylvnniu, dceeused, do hercby acknowledge thut I have receivcd of und from LOIS K, McCOMMON, Exeeutrix under the Lnst Will und Testument of the said MARY E. KEON KURTZ, my one-ninth (1/9) shnre of estute residue in cnsh in the nmount of Eleven Thousand Three Hundred Two und 98/100 Dollurs ($11,302,98), in full satisfaction and payment of my legaey under the terms of Item X of said Lnst Will und Testnmenl. AND, THEREFORE,I, the suid MARY K, SHENBERGER, do by these presents remisc, release, quit-claim, and forevcr dischurge the suid LOIS K, McCOMMON, Exeeutrix uforesaid, her heirs, executors nnd administrators, of and from thc uforesnid legacy, and of and from nil nctions, suits, pnyments, nccounts, rcckonings, c1uims und demands whatever, from the beginning of the world to the day of the date of these presents. AND, THEREFORE,I, the snid MARY K, SIIENBERGER, agree to refund to LOIS K, McCOMMON, Executrix nforesaid, any portion of thc distribution to which I am not properly entitled, Wld to the extent of said distribution, to indemnify said Executrix for claims made nguinst her ns Executrix, and to reimburse to said Exccutrix all expenses and costs incurred in connection with any such c1nims, AND I hereby consent and agrce thut the Orphans' Court of Cumberland County may dischnrge the said LOIS K, McCOMMON upon application, without fUrl her notice to me, IN WITNESS WHEREOF, I have hercunto set my hand and scal this ~J$t dny of d~,19~ Witness: ~ (l~~~A-4) "au~Sh~berger ~/1' COMMONWEALTH OF PENNSYLVANIA ) : SS. CO UNTY OF C!.t<...m ,61= f./o..AN'J> ) On this, the c))J ST day of 'Fe-bruAf''j ,19!i, before mc, a Notury Public, personnlly appeared Mary K, Shenberger, known to me to be the person whosc nume is subscribed to the within instrument nnd ncknowlcdged thut she executed same for the purposcs thercin contnined. IN WITNESS WHEREOF, I have hereunto set my hand nnd official seal. N~~~r F \fIU,S'J)ATAFILE\EnAll~S\lJU.RU RfL NolarliJl Goal Carrino L. Myers, Nolnry Public Carllslo Bora, Cumborland Counfy My Commission e'plrns May 27,1999 RELEASE KNOW ALL MEN BY TIIESE PRESENTS thnt I, NAN K, BAKER, one ofthc rcsidunry legntees under the Last Will nnd Tcstnment of MAR Y E. KEON KURTZ, latc of the Borough of Carlisle, CumberlWld County, Pennsylvnnin, dccenscd, do hereby acknowledge thntl have rcccived of nnd from LOIS K, McCOMMON, Exceutrix under the Last Will nnd Testament of the sllid MARY E, KEON KURTZ, my one-ninth (1/9) share of estate rcsidue in cnsh in thc mllount of Elevcn Thousnnd Three Hundrcd Two und 98/100 Dollurs ($11,302.98), in fullsutisfuction und puyment of my legllcy under the temlS of Itcm X of said Lust Will nnd Testnmcnt, AND, THEREFORE, I, the snid NAN K. BAKER, do by thesc presents remise, relcnse, quit- claim, nnd forever dischargc the snid LOIS K. McCOMMON, Executrix aforesnid, her hcirs, exccutorsllnd administrators, of and frolll the aforesaid legacy,und of and from nil actions, suits. paymcnts, accounts, reckonings, claims and demands whatevcr, from thc bcglnning of the world to thc duy of the dnte ofthcse presents, AND, THEREFORE, I, the said NAN K, BAKER, agree to refund to LOIS K. McCOMMON, Executrix nforesaid, nny portion of the distribution to which I nm not properly entitled, Wld to the extent of said distribution, to indemnify said Exeeutrix for claims mnde against her as Executrix, nnd to reimbursc to said Executrix all expenscs nnd costs incurrcd in connection with any such c1nims. AND I hereby consent and agree that the Orphnns' Court of Cumberlnnd County IIIny dischnrgc the snid LOIS K. McCOMMON upon applicntion, without further notice to mc. IN WITNESS WHEREOF, I have hcreunto set my hnnd nnd seal this :21..r day of j..le.W/L()..d 1 99 ~ Witness: t tJ/t./r.lAd~'n11.f"/A' , '1 (t"L.M./ k /..-J!. ):,7/1 ~ Nnn K. Boker COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF Cu.-1Y)e.~/4..rJNj) ) On this, theOl,~t dnyof NruiJ-l'Y ,19~, before mc, a Notary Public, personally nppenred Nnn K, Bnker, known to mc to be the person whose nnme is subscribcd to the within instrument nnd acknowlcdgcd that she exccuted same for the pUrposes therein contained, IN WITNESS WHEREOF, I hnve hereunto set my hand nnd official seal. ~d~ Notnr Publie NOla,lal Senl Corrlne L. Mye,s, Nolnry Publlo Carljsle Bora, Cumberland County My Commission E'pl,es Mny 27. 1999 . 'HlU\IM T AFIUi\[;$ r" lEUJ......U:s kliL RELEASE KNOW ALL MEN BY THESE PRESENTS that I, JOliN S, MORGAN, one llfthe residuury legntees under thc Last Will nnd Testlllllent of MARY E, KEON KURTZ, lute of the Borough of Carlisle, Cumberlnnd County, Pennsylvaniu, dccenscd, do hereby acknowledgc that I huve received of nnd from LOIS K, McCOMMON, Executrix under the Lust Will and Testument of the suid MAR Y E. KEON KURTZ, my two-ninths (2/9) shurc of estate residue in cush in the umount of Twenty-two Thousand Six Hudred Five und 96/100 Dollnrs ($22,605,96), in full sntisfaction nnd payment of my legacy under the terms of Item X of suid Lnst Will und Testament, AND, THEREFORE, I, the said JOHN S. MORGAN, do by these prescnts remise, relense, quit-cluim, and forever dischurge the said LOIS K. McCOMMON, Exeeutrix aforesaid, her heirs, executors nnd administrators, of and from the aforesaid legacy, und ofnnd from ull actions, suits, payments, nccounts, reckonings, clmms nnd demands whatever, from the beginning of the world to thc dny of the datc of these presents, AND, THEREFORE, I, the said JOHN S, MORGAN, agrce to rcfund to LOIS K, . McCOMMON, Executrix aforesaid, any portion of the distribution to which I am not properly entitled, Wld to the extent of said distribution, to indemnify said Executrix for claims mude ngainst her as Executrix, and to reimburse to said Executrix nil expenses and costs incurred in eonnection with any such elaims, AND I hereby consent and ngrce that the Orphans' Court of Cumberland County may discharge the snid LOIS K, McCOMMON upon npplication, without further notice to me. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ,;l,q-l" g'.lJltl..lIH (j ,I9%., Witncss: '7(acrX' d~4-" J day of #121 ~, \n'Q~d~ J ~n'S, Morgun v COMMONWEALTH OF PENNSYLVANIA COUNTY OF .:Iftl.ll (<(t~.t,JLJ ) : SS, ) On this, the ~q.I./I duy of c;}iJili LI(l1ll1 ,19~, before me, n Notary Public, personully nppeured John S, Morgan, known to me to bc t'he person whose nnme is subscribed to the within instrumcnt and neknowledgcd that hc executed same for the purposes therein eontnined, IN WITNESS WHEREOF, I have hereunto set my hnnd and officiul seal. \V'(, II, A , (' Vi . I fi..Jt Notary Public . FIfIl,r:SIJ)A T AfII.r:u~ST An:SIIJU.RI!S rut Not"'.lISc.1J ~n^.tb~I~~k'llyNJlic U';" l\.ln.LM..-etcr Co<<1ly M/C<;"":~'on e,p~Joma to. 1996 REI.EASE KNOW ALL MEN BY TIIESE PRESENTS that I, ROBERT J, BURNS, one of the residuary Icgatees under the Last Will and Testnmcnt of MARY E. KEON KURTZ, Inte of the Borough ofCnrllslc, Cumberlnnd County,Pcnnsylvania, dcccascd, do hcrcby ucknowlcdgc that I have reccived ofnnd from LOIS K, McCOMMON, Exeeutrix under thc Lust Will and Testument of the said MARY E. KEON KURTZ, my two-ninths (2/9) share of cst ate residue in cash in the amount of Twenty-two Thousand Six Hundred Fivc nnd 95/100 Dollnrs ($22,605,95), in full satisfaction and paymcnt of my leguey undcr the terms ofltcm X of said Lnst Will and Testument. . - AND, THEREFORE, I, thc snid ROBERT J, BURNS, do by these prescnts rcmise, rclcase, quit-claim, nnd forever dischnrge the said LOIS K. MeCOMMON, Exeeutrix aforesnid, her heirs, executors and administrutors, of and fWlIl the ufurcsuid Icguc), und ufund trum nil actions, suits, payments, uccounts, reckonings, c1uims nnd demands whatcver, from thc beginning of the world to the day of the dute of these prcsents, AND, THEREFORE, I, the suid ROBERT J, BURNS, agrce to refund to LOIS K. McCOMMON, Executrix nforesuid, nny portion of the distribution to which I nm not properly cntitled, und to the extent ofsnid distribution, to indcmnify suid Executrix for c1uims mude ugainst her as Executrix, und to reimbursc to snid Executrix nil expenses und costs incurrcd in connection with any such claims, . . AND I hereby consent and agrce that the Orphans' Court of Cumberland County mny discharge the said LOIS K. MeCOMMON upon npplication, without further notice to me. IN WITNESS WHEREOF, I havc hereunto set my hund nnd seal this ..EO ~ ,199~ Witncss: day of Re~c1,8~~ ~ ~'71(~ COMMONWEALTH OF PENNSYL VANIA ) COUNTYOF~~ ;SS, On this, the .3H.-L day of ~~, 199 ,beforc me, a Notnry Publie, personally appeared Robert J. Burns, known to me to be tf?c person whose namc is subscribed to the within instrument and acknowledged that he executed sume for the purposes therein contained. f \fllrs'J>A,,uILI;1.[STATUIIU"IU;SRII. IN WITNESS WHEREOF, I hnve hereunto set my hnnd and officinl senl. ~~a~w Notary Public '. ~ ~~ , .,-,.._'_'_____~"r"'."...'.-.=..,..."...~-,_.... RELEASE KNOW ALL MEN BY THESE PRESENTS that I, MURIEL MORGAN PARMER, one of the residunry legatees under the Lnst Will and Testamcnt of MARY E, KEON KURTZ, Inte of the Borough of Carli sic, Cumbcrlnnd County, Pennsylvunia, deecascd, do hereby ncknowledge tllUtl huve received of and from LOIS K, MeCOMMON, Exccutrix under the LUsl Willllnd Testnmcnt of the snid MARY E. KEON KURTZ, my two-ninths (2/9) shure ofcstlltc rcsiduc in cnsh in the nmount of Twenty-two Thousand Six Hundrcd Five IInd 95/100 Dollars ($22.605,95), in full salisfaetion nnd pnyment of my legacy under the tcrms of Ilcm X of slIid Lnst Will and Testllment. AND, THEREFORE, I, thc said MURIEL MORGAN PARMER, do by thcsc prcscnts remise, release, quit-claim, IInd forever discharge thc sllid LOIS K. MeCOMMON, Exeeutrix aforesaid, her heirs, execntors and administrators, of and from the uforesaid legacy, and of und from all nctions, suits, payments, aecounts, reckonings, elaims IInd demands whatcver, from thc bcginning of the world to the day ofthc dllte ofthesc presents, AND, THEREFORE,I, the said MURIEL MORGAN PARMER, agree to refund to LOIS K, McCOMMON, Executrix nforesuid, IIny porlion oflhe distribution to which I am not properly entitled, Wld to the extent of said distribution, to indcmnify said Executrix for c1nims made ngninst her ns Executrix, and to reimburse to said Executrix all expcnses and costs incurred in connection with IIny such claims. AND I hereby consent and IIgree that the Orphans' Court of Cumbcrland County may discharge the snid LOIS K. McCOMMON upon npplication, without further notiee to me, IN WITNESS WHEREOF, I have hcrcunto set my hnnd nnd scal this January' 199 6 29 dny of Witncss: (.o;);UMa yYf1,)~~ COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF Lancaater ) On this, thc 29day of January , 1996, bcfore me, a Notnry Publie, personally appeared Muriel Morgnn Pllrmer, known to me to be thc person whose name is subscribed to the within instrument and IIcknowledged thnt she cxecuted same for the purposes thcrein contnined, IN WITNESS WHEREOF, I havc hereunto set my hand IInd officinl senl. fllul' Ja 17 '/{d/a NOlnry Public f .\fll.fIi'U.\T AfllEIJi51 ATU\lHUES Rl,l ~. ~.,_,~.". ~ --0'-" _"'_a_a...,,_.,' '~"'__'~___&_.._"",~_ _ . . I Notarinl Seal Melissn A. HU'ln, Notary Public Lancaster. Lnncaster County My Commission Expires Sep!. 1. 1997 MtJmber. Pennsylvania AssOClaUon 01 Notaries <-I . ~ i :-, -- -! -, COP~ P(lIfER fir I'tTl'OAHIY I, HUnte:.. H. r,III'."", ,........-...--.....--...........-.............._....4................,...... ,of \l4S tl.,bn ~V"I'lU" ('~.n!IPtl,l ~':)\'M~l"'), '.e.r.C'antltr .. ......._n......... l-_a- l7Got . p~ Q.IUo.a, , harebv oonatltut. 101/ .i1ll'r1tr,-. .,., '...' ~I,'I.11 Ie. "I,,) T"ollnt'aln \yn., lanc.pt"r. p~ T;("jrJ, I't\ "ra'hl.l.\\."t.tlr,J.I,y G. " toW'; Cot 34.l... "'.'1t "ntJ two., "Anca,trr, r:,I'1(,(l) IInd \:Ok:""'.ATP' W,'U!.r':";l. ~11 Uncor,)Qrattlld au "l'Cr"f:'tltUI1 ''-nle, '1.0\. '). ot ~\r.nqH , :u'"'''n ~u., r....nCllItor, ":'., or anv CRI' ot the.,. .10ne. actin? 11n11y ("'hut, t hOPI, tn l\ccordancr ~'lth my dnirt"l tor "rlorltv .".onq th(l.ta a. itxnr...,.,. In ~.ra"r.llil CUI---) , " ., attomoy/.-in-f.ct, fcr .... and in 111'/ I\UlI and cn 111'/ b.half, t.c do, cr to jcin with othan in doing. .vory act and thing which .aid attornoy/.-in-fact ...y d._ n.caoouy or proptlr 1n adm1nlltl'at1on and ID&Mg_ent of my property, .ttaJ.n and ptll'.onal c&l'1, or proporty or affain in which I ...y h.y. an intoraat, ......pt .uch acto. if lillY, h.ro- inafter .p.cific.lly ..clud.d. Hithout 11a.Lting the g.ner.lity of tho tor_lng, tho _.n hereby grant.d .hall inClude, by woy of ._la and DOt ot 11l1lit.tion, tha _.r te- (1) Draw chlCkl on, and makl wlthdraw.ll from, any bank or 1.v1np lnltit\&- Uon ICCO\lll,t now or hereaftlr exJ.IUnlll .ndon. check., drattl, clrtUlaatl. of de- polit and .Wlu In.trwaenb I and renew nO,t.. whlch J: may haY, awadl or adora.el, t21 Ila". ........ to IIIIY uf. dopotlit box, (3) KIk. lnvl.tMnul buy, '111, Ixchangl, rldl., .ub.cribl for" eDdon. and oth.."i.. d..l with .tock. (including.to<:k warranta or r1ghta), bond8 or other ..curitl.., IXlrcb. .tock optioMI and vote prone. I (4) Soti.fy, ..h..., pootpon. and talc. any oth.r .cticn. with ..apoet to IDOrtglgl', jUdpanta, .ecurlty a9rlCllent. or othlr lien. which J: may now Ol' hlC'.- .ftlr awn or in whlch J: NY now or hlre.fter havI an interllt and at whlch thUI mAY be a r.oord ill any otfici.l rocorllJ.ng offic. in Lancaot.r CO\Inty or ol....h..., .(51 Incur and pay obligaticn. for 111'/ OOlItortabh ..inUnano. and .uppert ...d IDIllntenancI of any dependent ot min, whose own lncoml or ....ta -v be tn.lufflcie.nt th.refol'l borrow <<DOney tor .aid purpo.ea or for the malnta.nanco of my 1'..1 Dr per- .onal propertYI and eXlcuto and dellver mrtgllgll, jUc!9mant or other not.. or otbu liana, Dr' pled;, .ecurltll', 1n COMlcUon thuewith, t61 Lo..... ......g., npair and inaura raal and par.anal proparty and _l.ta IIDd carry 011 any buainaa. activity or contr.cta in which I may now or h.naftu b. _g.g.d, (7) Demand, collect, l'eceivl and receipt fOl:, and sue or levy tor. any IDDney or property now o~ herlatter d\M Dr belonging to m., ane! GUll' on, dlfaad, oampro- mi... 0&' lettle any luit to "hlGh J: may be or b'OCXDI a party, (8) Soll, ...19ft, tn.nsfu and convey real ..tatl, household tUmilhlnlJl, paroOlllll .ffocta lIIId .11 othor typ.. of property tor which I ...y no long.r have .... or which illY b. IInd..irabla t.c ratain folt prodUCUOIl of ill...., (91 Ex.C\It. and fll. t... nturn.. and any oth'r l.gal doC\Oll.nt., (10) cr.at. . tru.t. cr 1llIk. .dditiano to an .xi.ting tru.t, tcr my baIl.fit, 01.111I an elecUVI Ihue of the .state of . &tce..ed 81'0\11", diBc1.1nI any intere.t in proporty, roncunc. fiduci.ry podUano, and withdr.w and ncdv. ill~ or oorpus of · trllat--ao .11 of .aid POW'" ..... IIlCr. fully dotin.d in S.otion 5603 of tho P....... Probate, Eatataa and riduci..i.. COd., (11) Slgu .W..ion or cUlcha1'ge avraomenta for my entry into or dJ.lcb.arge frosn . nurllng home, hoapltal or other health clre facUity, Ixecute coneut. foC' &Dedical, sW'glcal or Ilrn.Llar treatmont.8, operat.1on. or procedural, 109191 and/or d1l1cha~e phYllalll1., ,uf'geona and Othll' health earl pmvldlr" and con:lllllt to or ordlr cUlcontlnuancl of oxt.r&Or:dlnuy 11f. lupport 1D'''ure., and .xeoute rI1..... of llability tor D1911gonco or malpr.ctic. in oonn.cticn th.rawith, in cu. I .hould b. .fflicted tin tho opinion of any ral'lltabl. phyolcianl with hopol... and incurabl. l1ln... or injuzy. and bo unconacicUl or oth.rwi.. unabl. to giva or withhold my po&'lon.l oon.ont t.c artiticial prolcnglng ot a IIlOdbund 11f.--.ll in .coordan... with the good folth dbcrotion of 111'/ attornoy/.-ic-t.ct. whc.. I hay. .cquaint.a with lIlY wbho. with r..poct t.c 111'/ car. cluring 111'/ cognitivo llfetima, and my d..ira th.t whan I may h.v. loot awuon... or ba in hop.l... tonoin.l pain, I ..y ba .Uowad t.c db with di9llity and in tho no....l oouro. of natur., without prolOll9.tion of lit. by artifici.l ........ Cl~) Endor.. for radaaption or rat"uG U. S. Savln9' Bonde or other U.S. Tr...ury ob119at1one. [Continued on reVer.e lide) [. )( 1-1/.(31 T 1\1'1" . '. " '" . , I' .;, '. ',\., . , , I." . ",' .'; r. I, ..... I. .. :.: . .' , '. .,' I' (13) tt h: IftV "hh thftt rowora'hpr"Un",.r hi fUllIrcls(ld hy l1\V d.ul'J~t"r. to th., I'll tftat' thAt .~ 1.. ftyft,!lahl. an~ IIl,t" to do .!IO, or that othfllr-'lqf' t."U'ly "" ,,)C.,rcb(t~ hY mv 'r,~l,,_ld.u.,~ tltr if ay.U.h1.., an'" t"'at n...rc1wn !.'1 t"'o f'ank "~,1l11 t.1l onlY in eftSo nt thtll ur, . 1'",11n, 1111",' or InllhUltv of 'u:,th tf'," rtl\uqhtnr sr.-' '1ra.nrJAjl\u""'t,,,r. f4ut t'iln ....1.nh "~Ill r.t.t L" '1.,1 !.'~Al" an,! acHon Vi .-,'/ l,ranJ.huJ,q:\t'r' or t"c ['tank wh1ch ccntaLnn "c1IrtUlcnt!.nr. 'Of t'". ur .v.~l&"IUt:l or lr.~:ul!tY or f '!rlor-I\",,~d Mtorn"YJ ar,d no furth"r "r2Q~.q:",'1l "Lr_~Julr,.,I,. 'me "'1'018. 01 &1 POWUI neraWWSu .nall haV. the .... 'v'aulOUlQ' .. UllNljR pufOl'M4 by IlI'Ia1f, pe_lly. '1'1\11 _u of Ittonll)' alIall IlOt bl Iff...14 by rry lubloqUallt .u..b1Uty Olt . iftcapac1ty, but 11 111..-4 ~ b. I "4unb1. _.It of It_n.y. ,,1th1n tho prov1l1oM of S.oUOD 5604, aD<I a1aD to bI lubj.ot to tho provh1D1l1 of uoct10Dl 5605, 5606 aD<I 5607 tnlat.l.D9 to IlDUOO of 40lth, afficlavlu ..ta!lUabiftg conw\W\Ca of pclWUI, aD<I _1It1I of ooq>ol'lt. It~mIYa-iD-flo1:l-....f tho Ponna. proba.., ....t.. aD<I r14l>olad.. 0>4a DIt aA'/ al..I.1.u 11911latJ.oG It any tilla bIIt..ftu 111 focca. I .. h....by It.ufy IIl4 CIOIlf1.nl aU that 1\1' .... aa14 at...IIlOY/I-1II-flct - do by vlltt:\la bUlOf. lit 1l1T1tES8 II\IZI\IQP I . -- blve l"OWte4 th1a _Olt of At...IIlOY thil ~ '1'" ~ or . Ct.o1.l.r .......--. 19 1)4 . 1A thr.... -- ........... orlg1Aa1 cap!.., or "h1ob thl8 18 COpy Mo.. - . I ., .~; ,. ,I ,-~~~. ..,.. .~ ,.., .. 1'7' '. YJ .f){ _. ./ ~~II';"'J' ,7'/, ""'fl...""-?1..~ Burl..l .\. Par....r (oW) i,,' .' .'. ,- \.' ..' COIttOl&IIAI4'8 ~ ..III1SYLVNIIA ) '. . CXlIlII'n' lJ' LNICNI'l'III, I .1' 011 th1a ,;. 7^ day of notnhrr ,19.,2i, bot""'. .., ~ CtA.j!~&u"..___ the un4en.t.9IWd oUicer, pe.xaonal1y app.....ed 'luri.,l ':. l'ftr:'\nr, . ,......~_............- ....-.... 4 -.. to .., Olt uUaflctodly PI'OVID, to bI tho pon<m dOlcdhlcl in, 0114 _". _ 1& ....... lubocdh414 t.D, tha to_1IIg _aIt Df lIttalnll)', ..,4 "'-114914 that -. hi ....cuU4 tba _ fDlt tho pupo". thlre1ll DOrltalnl4. IllllnHISIIllllDZOl' I balta\lllto..t Ill' Iwl4 ....4 official leal. . 4{~tJ';:~ UAlC.J.J/rt,f. . LuoUtl% County, 'a. "y CCDD11110a DIlP1roll .-SeaI . ,.,-_.......,""'" .i.iv~=~,9'l8 '., .' ~. .' RELEASE KNOW ALL MEN BY TI-IESE PRESENTS that I, MARGARET MORGAN BROOKS, one of the legatees under the Last Will Wld Testament of MARY E. KEON KURTZ. late of the Borough of Cnrlisle, Cumberland County, Pennsylvania, deceased, do hereby ncknowledge that I have this day hnd and received of nnd from LOIS K. McCOMMON, Executrix under the Last Will and Testament of the said MARY E. KEON KURTZ, her diamond solitnire engagement ring, apprnised at n vnlue of $150.00, in full sntisfaction and pnyment of my legacy under the terms of Item IV of said Lnst Will and Testament. AND, THEREFORE, I, the said MARGARET MORGAN BROOKS, do by these presents remise, release, quit-c1nim, and forever discharge the said LOIS K, McCOMMON, Executrix aforesaid, her heirs, executors nnd ndministrators, ofnnd from the nforesaid legacy, nnd of and from all nctions, suits, payments, accounts, reckonings. claims nnd demands whatever, from the beginning of the world to the day of the date of these presents. AND I hereby consent nnd agree thnt the Orphans' Court of Cumbcrlnnd County mny discharge the said LOIS K. McCOMMON upon application, without further notice to me, IN WITNESS WHEREOF, 1 have hereunto set my hand nnd seal this ,199 . day of .' / 'L ;/ '-1''\.7 '-.JI/afc}l ,1. / , LU-t-.J , , , ~fd/~~~ argo Morgan 00 s Witness: COMMONWEALTH OF PENNSYLVANIA ) : SS. ) COUNTY OF I] II, ., I I On this, the () dny of () (I lJ -), " , 1996; before me, a Notary Public, personally nppeRred Margaret Morgnn Brooks, known to me to be the person whose nnme is subscribed to the within instrument and ncknowledged thnt she exeeuted same for the purposes therein contnined. IN WITNESS WHEREOF, 1 have hereunto set my hand nnd officinl seal. \.j/rU(])\..// '...nlll).......iJ N'otary Public I ,.., ..._.....~..-,: ~. --....... .- r'.". "r.t'N.:!",,! '~E"L j _ ", ;:<'; ;. t:'-~..-::; ~i;~~:~Z.~,\'hUr. ! 1 ". 'i:~!?,__ RELEASE KNOW ALL MEN BY THESE PRESENTS that I, FRANCES MORGAN, one of the legatees under the Last Will nnd Testnment of MARY E. KEON KURTZ. tnte of the Borough of Cnrlisle, Cumberland County, Pennsylvnnin, deceased. do hereby ncknowledge Ihat 1 have this day had and received ofnnd from LOIS K. McCOMMON, Executrix under the Lnst Will and Testament of thc said MARY E. KEON KURTZ, her grnndmother, Annn M. Morgnn's, cameo brenst pin, appraised nt a value of $65.00, and 1 also aeknowledge that prior to the denth of Mory E. Keon Kurtz, I receivcd the LaKny chinn clock, in full satisfnction nnd payment of my legacy under the terms of Item VI of said Lnst Will and Testament. AND, THEREFORE, I, the said FRANCES MORGAN, do by these presents remise, release, quit-claim, ond forever discharge the said LOIS K. McCOMMON, Executrix aforesaid, her heirs, executors and administrntors, of und from the nforesaid legacy, nnd of nnd from all actions, suits, paymcnts, accounts, reckonings, claims nnd demands whatever, from the beginning of the world to the day of the date of these presents. AND I hereby consent nnd agree that the Orphans' Court of Cumberlnnd County may discharge the said LOIS K. McCOMMON upon npplication, without further notice to me. IN WITNESS WHEREOF, I have hereunto set my hand and sent this ,199 , day of , / !.' ,. l' ';t.J//{<. InL l(. '--/.ll/CL') .' I COMMONWEALTH OF PENNSYLVANIA COUNTY OF iAClAL~ Frances Morgan Witness: ) : SS, ) On this. the dny of , 199 ,before me, n Notnry Public, personally nppearcd Frnnccs Morgnn, known to me to be the person whose name is subscribed to the within instrumcnt and acknowledged thnt she executed snme for the purposes therein contnined. IN WITNESS WHEREOF, I have hereunto set my hand nnd official seal. /! I / .1-' ./;I'J'MCX' LI/uu (/1 .Notary Public i ["'<;~~:;;~I/IPll"'/1f~L Il~~. (' .' . .1\ I:'ns N' " t~.~~'l;,.t.'~lb~;'nnda~~ PulybITO eXDlflJ!J1\ m nn~, 19!1n REI.EASE KNOW ALL MEN BY THESE PRESENTS that I, PATRICIA MILLER, one of the legatees under the Last Will nnd Testament of MARY E. KEON KURTZ, late of the Borough of Carlisle, Cumberland County, Pennsylvania, decensed, do hereby acknowledge that I have this day had and received of and from LOIS K. McCOMMON, Executrix under the Last Will and Testnment of the said MARY E. KEON KURTZ, her rosary beeds with gold crucifix, nppraiscd at a vnlue of$15.00. in full satisfnction nnd pnyment of my legacy under the terms of ltemVIII of said Lnst Will nnd Testament. AND, THEREFORE, I, the said PATRICIA MILLER, do by these presents remise. release, quit-claim, nnd forever discbarge the said LOIS K. McCOMMON, Execlltrix aforesnid, her heirs. executors nnd ndministrators, of and from the aforesaid legacy, nnd of nnd from all actions, suits. payments, nccounts. reckonings, c1nims and demands whntever, from the beginning of the world to the day of the date of these presents. AND I hereby consent and agree that the Orphans' Court of Cumberlnnd County may discharge the soid LOIS K, McCOMMON upon npplicntion, without further notice to me, 1'1-111 dnyof .4u. <!.~~ ;YITNESS WHEREOF, I hnve hereunto set my hand and seal this . '-7J~-- ,19!l5. . Witness: c./,~ r=: ~ ~~ JSntricia Miller COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF ) On this, the/Y day of hcu~ ,199~:before mc, II Nutllry Public, persollally appeared Patricin Miller, known to mt'to be the person whose name is subscribed to the within instrument nnd ncknowledged that she executed snme for the purposcs therein contnined. IN WITNESS WHEREOF, I have hereunto set my hand anJl official seal. . ~ (? ~r Notary Publie _. Nolallol Soal V.lli. C. Hiscox, "olory Public P'"'bu'llh. Allenhony County My COrYlmlsslon Explrc!i Ocl. :?7, 1907 riJor, msyl","",~oINo<ar . 4, Harris Savings, C.D, 11265 I 52 5. Accrued interest on No, 4 6, Peoples State Bank, C.D, 1130046416 7, Accrued interest on No.6 8. Sarah Todd Memorial Home, refund 9. Blue Cross, premium refund 10, Jewelry (appraised value) II. Collectibles (appraised value) 20,000,00 60.85 82,000.00 163.55 1,133,95 63.60 350.00 700.00 TOTAL RECEIPTS OF PRINCIPAL: 06/15/95 07/13/95 07/17/95 07/21/95 07/21/95 07/31/95 09/12/95 11/30/95 12/18/95 Reserved: Lois McCommon, balance, Executor's commission MARTSON, DEARDORFF, WILLIAMS & orro, Disbursements: Probate fee 259,50 Additional probate 12.00 Advertise Letters 118,92 Short Certificnte 3,00 Filing Fee 15.00 MARTS ON, DEARDORFF, WILLIAMS & OITO, attorney's fee Reserved for miscellWleous costs Wld expenses 135,659.97 PRINCIPAL DISBURSEMENTS Mellon Bank, checking, outs\W1ding check Care Apothecary, nccount bnlWlce Hoffinan-Roth Funeral Home Mountz Jewelers, oppmisal Finders Keepers, appmisal Care Apothecary, final balance Register ofWi1Is, Pennsylvania Inheritance Tax Carlisle Memorial Service Lois McCommon, V. Exeeutor's commission 100.00 184,16 4,731.40 84,80 35.00 171.86 17,226.74 460.00 3,375,00 3,375.00 408.42 6,000.00 500.00 TOTAL DISBURSEMENTS: 36,652,38 PRINCIPAL DISTRIBUTIONS TO BENEFICIARIES Specific Bequests (all values per npprnisals): Margaret Morgan Brooks: Diamond engngement ring Mary Ann Sheplar: Sterling silver eut-glass toilet set Frances MorgWl: Cameo breast pin Jean Brumbaugh: Gold cross and chain, sterling silver bmcelet and ring Patrie in Miller: Rosary beads with cross 150.00 450,00 65.00 25,00 15.00