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Home My WebLink About95-00514 No. 21-95-514 Estate of Mlner.va Gr.ace Goshor.n I Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW July 10, 19-2.L, In consideration or the petition on the reverse side hereor, satlsractory proor having been presented berore me, IT IS DECREED thatlhe Instrumenl(s) dRied Feb. 19. 1993 described therein be admitted to pro bale and filed or record as the IRst will or Miner.va Gr.ace Goshor.n Testamentar.y DennlR R.Goehor.n and Janet L. Hoopla and Lelters are hereby granted to ')nCVLl;J Q.. ~LLL;. f'L (J.8~r:\ Kealner or W II FEES Probate, Letters, Etc. ......... $ 60. 00 Short Cerllncates( 4) ...... . . .. $ 12. 00 Renunciation ................ $ extr.a pages $ 6.00 JCP TOTAL _ $ B~: 88 Flied ....... .J.qly,. 3.Q,. .J.~9.!l........ Huber.t X.Gllr.oy, Esq. A1TORNEY (Sup. Co. 1.0. No.) 4 N. Hanover. st. Car.llsle.Pa. 17013 ADDRESS 243-4574 PHONE '.! 2Q ~~ '0:0 3 . m '" ,-, O. 'n ,-, ~: L: , L' .. : l::l ,P . : ~- "U : '-~ ,. c .1:0 ill "TlL ..... 0 )-.~. t_, ._, \Cl .- .. .. W ILL I, MINERVA GRACE GOSHORN, of 34 East street, Mt. Holly Springs, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM ONEt I direct that all my debts and funeral expenses, including my gravemarker shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM 'rwOI I direct that my estate be distributed as followsl A. I hereby devise a life estate in real estate which I own at 34 East Street, Mt. Holly Springs, Cumberland County, Pennsylvania, consisting of a lot 75 feet by 116 feet to my granddaughter, Theresa K. Nelson. During the time Theresa K. Nelson shall occupy the premises and make claim to this life estate, she shall maintain the property in good repair and shall be responsible for all taxes, assessments, insurance, and other bills pertaining the maintaince and upkeep of the said real estate. I hereby devise the remainder interest in said life estate for the mentioned real estate to my grandson Randy Lee Goshorn. B. I hereby give my secretary desk to my daughter Lovetta F. Hopple. C. I hereby devise the two cementary lots which I own at the Mechanicsburg Cemetary Association to Max W. Goshorn and Francis R. Goshorn. D. I direct that the rest, residue, and remainder of my estate be distributed as follows: 1. County. 10% to the Cross Keys Methodist Church in Juniata 2. Goshorn, Hopple. ITEM THREEI I appoint Dennis R. Goshorn and Janet L. Hopple as Co-executors of this my last will. 90% distributed equally between my children Harry E. Dennis R. Goshorn, Janet L. Hopple, and Lovetta F. ITEM FOURI All estate, inheritance, succession and other taxes, imposed or payable by reason of my death, and interest and penalties thereon, with respect to all property comprising my gross estate for tax purposes, whether or not such property m~ $A~J'~ Page One of Three - "r---:"--- ". ,. -"':~~~.'O-~'~~'-:T'V''''''\''':_~,1":;~;,.,,:,,,,:. I ....~ .. -- , passes under this will, shall be paid out of the principal of my residuary estate, without apportionment or right of reimbursement. ITEM FIVE: I direct that my personal representative or guardian shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM SIX: In addition to the rights and powers given to the fiduciaries by law or elsewhere in this will, I give to my Executor during the full time necessary and for the administration of my estate the fOllowing rights and powers to be exercised in his sole discretion. A. To retain any real or personal property which may at any time form a part of my estate so long as he or she deems it advisable. B. To invest in any real or personal property without restrictions as to legal investments. C. To repair, alter, improve or lease for any period of time any real or personal property and to give options for leases. D. To sell at public or private sale, for cash or credit, with or without security, to exchange or to partition real or personal property, and to give options for leases. E. To make distribution in kind. F. To compromise claims. IN WITNESS WHEREOF, I -::re.brlA.-o...rr 1993. have hereunto set my hand this I r day of SIGNED If~~~ ~/~P 'Jot CE SHO N The preceding instrument, consisting of this and two other typewritten pages each identified by the signature of the Testatrix was on the day and date thereof signed, published and declared by the Testatrix therein named as and for her last will, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names. Page Two of Three - '. COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND We OX, v\,. lW"' ~ ad UtOo.{ witnesses whose names are signed to the attached or foregoing instrument being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her last will; that she signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undpe influence. and ',B (" 'DC; C T (.\!'-ljo.) (oIUoll""~ U'<'^-- Sworn and subscribed to or!' before me this II day of fibrv..A "j I 1993. ~L-d --A ~ Notary publ c HOT ARIAL SEAL I<ARfN F. BYERS. NOTARY PURtlC BORO OF CARLISLE. CUMBERLANO CO~TY MY CU"''''IS910~ EXPIRES MARCH 18. 1m COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I I SS . . I, MINERVA GRACE GORHORN, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. swor1* llnd affirmed to and of l~brIil4"r I 1993. ~'~~~L) -::7. -4</Cc.a ~ry Public # ~ ~~t:?i~{,?It.A~ f.J.h acknowledged before me this / day NOrARIAL SEAL I<ARfN F. BYERS, NOTARY PURLlC ~RO OF CARLISLE, CUMBERlAND CO~TY Y CO"''''IS9IO~ EXPlRfS MARCH 18. 1995 Page Three of Three I:J~ ,-/3., ? c" COMMONWEAl "HNSYLVANIA DEPARtMENt OF REVENUE BUREAU Of INDIVIDUAL 'AXES DEPI. leOnl IlAARlSBURG, PA 11121.0601 - FILE NO.21 95-0514 ACN 95144408 DATE 09-07-95 TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST !Xl CERTXF. INFORMATION NOTICE AND TAXPAYER RESPONSE tn.IU'1I II. H.'" EST. OF MINERVA G GOSHORN S.S, NO. 172-24-7668 DATE OF DEATH 04-25-95 COUNTY CUMBERLAND RANDY L GOSHORN 34 EAST ST MT HOLLY SPRINGS PA 17065 REHIT PAVHENT AND FORHS TO. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 PNC BANK hn provided the Dlpa,t..nt with thl Inforlatlon lhtad balow which hn bun uud In ulculaUnll thl potantla. t.~ due. Thllr ,Icord. Indlcat. that at thl d..th of thl aboy, dlcadant, you ..ar. I Joint own,r/banaflcl.ry of thl, account. If yeh.! f.el this tnfor..Ua" is Incorr.ct, pl.... obt,ln wdtten carr.cUon fro. thl financial In.tltutlon. attach' copy to this for. ..,rt ,.,t,,"n It t" thl .ho,'. "cltl,."... Thh accnunt Is tlll"ble In accordance wllh thl Inheritance In l.... of thl CO.HnWeelth of PeMs~lvenle. Duestlons ..y be anlw.r.d by c.lllng e7171 187p81Z1. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 410055293 Doh 06-11-85 E.tablhh.d Account aalance Parc.nt TaMable AMount Subjact to Tax Rata Potential Tax Du. To Inlur. prop.r cr.dit to ~our account, two III copl.. of thll notic. .,.t acco.pen~ your Plly..nt to th. RllaSshr of Willi. "Ilk. check p'Yllbl. tal "R.gI.t.r of Wills, Aallnt". PART IT] 3.091.13 50.000 1.545.57 .15 231. 84 TAXPAYER RESPONSE FAILURI! TO RESPOND WILL RI!SULTIN AN OFFICIAL TAX ASSESSHEHT BASI!D ON THIS HOTICE K HOlE I If tax pII.,..nts ar. .lIde within thre. III .onths of the d.cedent'. det. of death, you .ay deduct a 5X discount of tha talC due, Any Inh.rltanc. t.1C du. will beco.e delinquent nine 191 .onths .fhr the dah of duth. To. K [CHECK ] ONE BLOCK ONLY A, ~ Th. above Infor.atlon end tlllC due I. correct. 1. Vou .a~ choose to reelt pIIV.*"t to the Realster of Will. with two cop I.. of thl. notice to obtain a discount or avoid Int.r.st, or vou .av ch.ck box "A" and return thl. notice to the Real.ter of Will. and an offlcllll ..s.....nt will be Issued by the PA D.part..nt of R.venull, a, c:J The above a.set has be.n or will bll r.ported and talC paid with the Pennsylvanle Inherlt.nce TIIIC return to be filed by the declldent'. tepre..ntllltlve, ( ,_ C. 0 The above Infor..Uon IJ--,l,ncorrect Md/o~eb" and deduction. wllre Pllld b~ you. You eu.t coeplata PART L!J and/or PARI ~ below, PART ~ If you Indlcata a diffarent tax rata, pl.... ,tat. your relationship to decadantl OFFICIAL. USE ONLY 0 AAF PA DEPARTM~NJ OF REVENUE Tf'V "~ ,u)1NT/TIlI)'lT l\CCOII~'T!I PART [!] DATE PAID DEBTS AND DEDUCTIONS PM' 1 2 3 4 5 6 1 8 CLAIMED ,.--.........-.., ,--...-........---- ....v "~"'IUU.1 MPUTJt._T:tO~ LINE 1, O.ta e.t.bli.had 2, Account Oal.nca 5. Parc.nt T.Mabla 4, Aaount Subjact to Tax S. Oabt. and Oaduction, 6, A.ount Taxabla 7. Tax Rata 8, Tax Dua 0" 1 2 3 K 4 5 b 7 K I DESCRIPTION AMOUNT PAID PAYEE \ . \ TOTAL (Entar on Lin. 5 of Tax Conputatlor.) Undar panaltlas of p.rju~~, I declara that the conplat. to the ba.t of .y knowl.dga and ballaf. ~~XP~IG~AT~E~ f.ct, I hava raport.d abova ara tru., corract HOME <7 J7 ) ? 7 6 - If 0 J tJ WORK (717) 7- ~ $' - 3tJ t.f CJ TELEPHONE NUMBER ond I .,I , GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHEHT with appllubla Intat"1 b...d on Infur....on IUballttad by the 'Inancla' Institution. Z. Inherlt~c. tlx bleD'" delinquent nine aonthl .'t,r thl dlcad.nt', dlt, of d..th, J. , Joint aCCOW'It h 'aMIabI, ."'." though the dlcldant', n,.. If" ~ '1 . ..tt.r of convenl..,c.. 4, Accountl (InclUding tho.. held b.tveen husband and wl'.J which the dlcad."t put In Joint n.... within O~ .....r prior to d..th .r. ful1v ta.abla .1 Iran".". 5. Account. ..t,blt.hld Jalntlv b.t....n hu.b~ and wi'. lor. than no. weer prior to d.ath .r. not tlMabla, 6. Account. held bv . dlcld'nt "In trUlt 'or" another or ather. .r. t...... full.... REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK' ~ I' the Infor.atlon end co~t.tlon In the notle. .r. corrlet ~ deduction, .r. not bllng cllt"d, pl.c. ~ "M" In block "A" of P.rt 1 0' the "T'lIp,~,,, Rllponu" "cUon. Sign two coplll INNI .~Jt th.. with you,. ch.ck '0,. the INIOWlt 0' t.. to the RI,I.t.,. 0' Willi of the county Indlc.t.d. Th. PA Depe,.t-.nt 0' R.~.nu. will I.,ue en o"lcl.1 .......ent CFor. REY-IS4I EX) upon nulpt 0' the ntu"n f,.ol the R.,hte,. 0' WUh. Z. BLOCK I - I' the ....t ,p.cl'l.d on thl. notlc. h.. b.en or will be ,..port.d end t.. P.ld with the P.nn'Yl~enl. Inherltlncl T.. R.tu,.n '11.d b~ the d.c.dent', r.p,....nt.tl~., pllc, en "X" In block "I" 0' Plrt I 0' the "Tlllp.y.,. R..pon.." ..ctlon. SJgn on. copy and ,..turn to the PA Dlp.,.t..nt of RI~'nu., .ur.~ 0' Indl~ldu.1 Till", D.pt 2'0601, H.rrl.bu,." PA 17121.0601 In the .n".lop. p"ovlded. 5. ILOCK C - I' the notlc. In'o,.,.tlon I, Incorr.ct and/o,. d.dUctlonl '1'1 b.ln, cl.I..d, ch.ck block "C" Ind cOIpI... P.rt. 2 end 5 .ccordln, to the In,,,.uctJon. b.loN. Sign two cop II, end .ub.lt t~ with "nul" chick for t~ I.~t 0' t.. p'~ebll to tn. AIII.tl,. of NIIls a' the count~ Indlclt.d. Thl PA DIP.rtlent of Rlv.nue will I.rue en o'flcl.1 .......ent CFo,.. REY-1541 EX) upon ,..CIJpt of .hl nturn ',.Oft the Alllht.,. 0' Wllh. TAX RETURN - PART 2 - TAX COMPUTATION L1". I. Ent.,. the d.l. the ICCount orJgln.lly w.. ..Ilbll.hld or tltl.d In Ihe lenn.,. ..I.tln, .t date 0' d..th. HOTEl Fo,.. d'cadant d~ln, ,'t.,. 12/12/'21 Accounts which the dac.dent put In Joint ".... within ani (I) y..,. 0' d..th .,.. t'II~I. fully.. trln.',,,,, How.v.,., th.,.. I, In IlIclu.lon not to 'lIc..d 'S,OOO p.,. tren.',,,,, ,..,.,.dl... 0' the "llue 0' the 'CCDUf'lt 0" the nu.b.,. of .eeounta hlld. If I double I.t.,.l.k CM.) 'PP'I,., b.fo,.. your fl,..t n... In the .dd,.... po,.tlon of thl. not Ie., the 'S,OOO 'lIclu.lon .1,..1d~ h.. bien dlduct.d '1'01 the .ceount b.lenc. .. "Ipo,.t.d by the flnlnclal In.tltutlon. 2. Ent.,. the tate I b.lenc. of the 'CCOU1t Induetlna Inte,...t ,cc,.u.d to the d.t. of dnth. 5. ThI p.rcent 0' the .ccount th.t I. tl.lbl. fa,. .Ich ,u""I~or I, d.t''''ln.d .. 'allow', A. ThI p.rclnt t...bl. fa,. Joint ....ta ..tlblhhed IOn th." OM y..,. p,.lo,. to the d.cld."t', duthl . I DIYlDED IV TOTAL NUttIER OF JOINT OWNERS E.llplll A JoInt ....t ,..,llt'''ld DIYIDED IV TOTAL HUtfIE:R OF' X 100 . PERCENT TAXAlLE SURVIYING .JOINT OWNERS In the n... 0' tha d.e.c.nt end two oth.,. p.r.on.. 1 DIVIDED IV S CJOINT OWNERS) DIYIDED IV 2 (SURVIVORS) . .167 X 100 . 16.7X CTAMAILE FOR EACH SURVIYDq) I. The p."cant t...bl. '0,. ....t. c"l.tad within on. y..,. of the d.c.dent', de.th ar .ecounts own.d by the d.c.dent but hald In trust for InGth.,. lndlvldu.l(.1 (tru.t ben'flel.rl..11 I DIYIDED IV TOTAL NUMIER OF SURVIYING JOINT OWNERS OR TRUST BENEFICIARIES EIII.pl'l Joint .eeount reDI.t.r.d In the n... of the dlc.d.nt end two oth.,. p.r.on. and .stlbll'h.d within one y..,. 0' d..lh by Ih. d.cld.nt. 1 DIVIDED IV 2 (SURVIVORS) . .50 X 1D0 . SOX (TAMAILE FOR EACH SURVIVOR) X 100 . PERCENT TAMAILE ~. The .eount lubJlot to t.. (1In. 4) I. det'''.ln.d b~ IUltlply'n, the account bltene. Clln. 2) b~ the p.rc.nt t.webl. (lJn. 5). S. Ent.,. the tatll of thl d.bt, end d.ductlon. ll.t.d In Pert 5. 6. T". ..ount t.lI.bl. (lIn. 6) h d,,,,..ln.d by "lbt,..ctlrq the d_hh pnd ".rtl'~IIl)"" (tl.,. ", I,.". tht ,pony"t luDj.M.1 . f1h~ 7. Ent.,. the epprop,.lat. te. 1'.1. Clln. 1) .. d.tl,..lned b.low. A. Fa,. det.. of d..th occurring e't.,. 6/50/'4, the tlX ,.et.. fa,. t,.an.fer. to 'POU'I. '1" .. follow'l 1. Dlt.. of d..th on 0,. .ft.,. 7/1/'~ end b.fo,.. 1/1/95 the r.t. I. 5X. Z. D.t'l of d.ath on 0,. .ft.,. 1/1/9S tren.f.r. to 'POU'I. will b. t.lled .t O~ t.. ret.. Hot.1 Fa,. d.t.. of dl.th p,.lo,. to 7/1/94 t,.an.f.,.. to 'pou.e, e,.. t'lIabl. .t 6X. I. T,.en.f.r. to lIn..1 dUClndentl Indueling fuh.,., .ath.r, .on, daughter, IIrendc.hlldren, .on-In-l..., deught.,.-Jn.l.w, .t.pchlld end th.lr I..u. .,.. tlxabl. .t ,I. p'''cant C6XI. C. Tren.f.,., to .11 oth.,.. Ineludlnll b,.oth.,., .I.t.,., unci., aunt, n.ph.w end nl.e. '1', t'IIBbI. .t flft.." p,,,cent (15X). D. If YOU Chang. the ts. r.te, pl.... .p'olf~ your r.l.tlon.hlp to the d.c.d.nt In the .re. p,.ovld.d. .. The ..ount a' tlX due Cline .) II d.ter.lned b~ aultlplyl", thl eaount tlxlbl. (line 6) b~ the t.x ,..t, (lln. 7). CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowlbl. d.bt, end deductIon. Ira d.tlrelned .. follow., \0 c" "- ~~"Icl.nt A. You l,g.ll~ .,.. r"pon.lbl. far Ply..nt, 0,. the ..t.t. .ubJ.ct to .delnl.tr.tlon b1 . p.,.,on.1 r'p,...ant.tlv. J. to PI~ the d.duotlbl. It.... I. Vou .ctu.llY peld the debt. .ft.r d..th 0' the decedent end cen 'urnl.h p,.oof of ply,,"t. C. D.bt. b.lng clel..d lU.t b. It..I..d 'ully In Plrt S. I' 'ddltlonel .pee. I. ne.ded, u.. pl. In pepa,. . 1/2" II II~ Proof of p,y'ant ..y ba r.que.t.d b~ the PA D.p.,.t.."t 0' Rlv,nue. TAXPAYER ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE ~ OR CALL THE BUREAU OF INDIVIOUAL'TAXES. TAXPAYER INQUIRY UNIT IN ~ HARRISBURG AT (717).787-8327. TOO' (717) 772-2252 (HEARING IMPAIRED ON~ ....~...... -.'_n~"~.r_.,~_.._..___^, -~-"'" '" -~~ , I j ., r ':J 1 I j C, 'it 8 Co. t :i! JI.-'- ~ f I Iii i m p- I :i! '" - 0; . O~!1 0' (i ~ " Ii. r.l'i"f f. 6 ... nil if m ;; ~... g S'ii c ri"l ~o )> z .. ~ ~E<" m I< ~ ~fi ~ 1 "" z ~ t~ Gl ~ )> c )l: Do. ~ ~ 11* """" - -.- ~.. -...--" .. .. _....- ~-.~. ..- ._~..._~--, ~ ...... '.' ~- -"- ",'-- \, I ! j . . . I . , i I I . j -"-" ,,-. . ,t' ... " .\". . ,,' ,. . , ~ I i ", ..~.\ -, .~,. \' '\. j:.~.,(~ ' I' \ '.,.. .. ~, ". I ; I .r t 1,',.'1 :", .... (':' > . " t. t,f . ,.. ", 'Ill '. -.r " ~ '.. '\1" .; . .\, .-- "'..y:. '-II , I ';r ,o.' ", ;1 . ; ,..; . .,' , , I .) .. .... \. ~.' ",' r ,. , .f ~.-_. r~ .. L _._ . t... - rr ,~~ :' I \ -,-.. -----. -----~-~~~-------------- ------- -- ----------------- I \ ,I I) \ \ \ lfil1_;i$J=r~:f"'~'^ ACN 1:'1 ASSESSMENT I'l' RECEIVED fROM' II CONTROL ~ NUMBER Cs..~R.. ....~ AMOUNT 101 .1,"be.b~ GILROY HUBERT )( 4 N HANOVER STREET CARLISLE, PA 17013 ES1"lE INfOR/M110N' B fiLE NUMBER el_199~-0~14 eI N"ME Of OECEDENl lLASTI 5a GOSHORN MINERVA ~ O"lE Of p"YMENl Iii 01/ee/9b 9 POS1M"RK OATE COUNTY SSN IflRSTI GRACE 17e-e4-7bbB IMII m TOTAL AMOUNT PAID .l,4be.b3 DO CUMBERLAND OAlE Of OE"TH 04/e~/9~ REMARKS DENNIS R GOSHORN ETAL CIO HUBERT )( GILROY ESQ SEAL REGISTER OF WILLS .- -------------------------- - --- -------- --,--~-"'. ,.- "..- . ..,- "-",'-,-,,,,'--.. .. ,.- '.. . - ': \' ,'... J ." I .' . -i' .'" , . . " I ~- . I \' ... ~, r .{ . '.' . ~ --. ... ...--,. -~ c.. - .~. ~,. ! .l Y;' -,.~"_. ,-- r~' - - 7.......---...,M. REV,Il00 EX. (1.9'1 '* 1.5-Lj3-Co INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) f- '01 DAm 0' DI...1H AfT.. 12/31191 CHICKHIRI .. A sPOUI." 0 POVIITT CIIDn IS CLAIMSD JILl HUMIII 21 COMMONwrALrM 0' 'I!:NNIonVANIA OIPAUMINT 'is A,VINUI HAARlliJ(b. ~A 19121.0601 H AN- l.A . I I,AN ...1 ~ ..... IAL1 MINERVA GRACE GOSHORN I U l'tUU . PAll O. DEA1H .. 172-24-7668 4/25/95 jIIA,lUCoUlIl 'UIVMHO "ou,n kUo' ....Il,I,U''''''''IIO'CIOl.I '''II~U 95 0514 NUMBER COUNIY CODE HAR No . 34 East Street Mt. Holly Springs, eo... AMOUNT UClIVID Ii N PA 17065 DATI! or 11" H 9/5/11 l"'~ t ulun HUM'I'JI 03, 05, Remalnd., R"urn (f., deto..' d..lh prl.r I. 12,13.B21 f.d.role,fata TOIII R"""n R.qulred C 2, 5uppl.....tol R.t"n ~ !U 1. Original R.turn ~!5" o 4. lImh.d Eltet. ol! 1::1 6. Doc.d.nt DI.d T ..t.t. (A".ch ..py .1 WillI R ~. t:1J I ~t! NAM :i~ HUBERT X. GlI.ROY, ESQUIRE 82 UNo 243 4574 I ! j '" i ~ 'I E 'I ld I '" I :1 Ii I .' 11 ji " ,I l' , i!i e ie .. IS ~ >- o .ca. 'utur. Inll,tal CompromIse (lar d.t.. .f doo.h .h.. 12.12.021 o 7. Ou.dan' Maintained a Uvlng TN,' IA".ch c.py .f TMI) AJ: INFORMAnOIUlfCl UllloII, OM'~ MAILING AOQIlIU BROUJOS, GILROY & HOUSTON 4 NORTH HANOVER, STREET CARLISLE PA 17013 18,000.00 1. Rool ell." (5thodul. AI 2, 5,.tln .nd Oo.d.(5chod,lo 81 3. O..oIy H.ld S,.ddP.rt..nhip I.",,"t (Sched,t. q 4. MortO.O" and N.1I1 R...Iv.bl. (5ch.dul. DI ~. Caah, Bon~ O.poII'. & Mllc.lIan,oul P.rsonol Propeny ISch.dul. E) 6. J.lntly Owned Pr.perty (Schedul. F) 7. Tr.n.I." (5ch.dul. G) (Sched,l. l) 8. TOlal Oro" A....ta (totol L1n.. 1.n 9. Fun.ral bp.n..., AdmlnlJtratlv. Co,ts, Mlsc.llan.oua !ap.n... ISchodul. H) 10. D,bu, Mongog. Liabiliti.., U.n. (5th.dul. I) 11. T.t.' Oed,dla.. (1.1.1 Un.. 9 & 10) 12, Nor Volu. of ell.t. (Lin. 8 m;nulll.. 111 13, Cll.rltobl. .nd G.........,.I e.qu.IIl(Sch.dul. J) 14. N.t Volue Sub.et to To. line 12 mlnu. line 13) 15. Sp.u..1 lr...Io" (lar d.t.. .f d..,h ah.. 6.30.941 S.. Int1ruC1ion. for Ar.pllcabl. Percentage on R.v.,., Sid.. (Indude volu.. rom 5th.dul. K or Schedul. M.) 10. Amounl of lIn. I" to.abl. 01 6% rol. (Indud. ..Iu.. f,.m Sch.dul. K or 5ched,l. M.) 17. Amount of Lint 14 laxabl. at 15% ,or. (Includ. ..".. "'.m Sch.dul. K .r 5ch.dul. M,I 18. Prindpallalil. due (Add tOlil. from Un.. 15, 16 and 17.) 19. C,.dlu Sp;)ulol Pover'y Credit Prior Paym.ntl _ 8. Tolol Number 0' sore O'pollt aons 'TOi.~I..l'" 'I;~.:" ..' ..'..' TI\"".' (I) 12 ) (3 ) 14 ) 15) --Z.Z2J..l.O 1,500.00 161 (7) (01 .J.6.7~'l 70 + + 20 If L1.. 191. gtR.'" Ih.n lIn. 10. .nllr lho dlff...n.. an lIn. 20, ThI.11 .h. OVERPAYMINT. 1'10 21. If Une 18" great.r than lIn. 10, .n'" th. diff.r.n'. on Une 21. This Is Ih. TAX DUI. A. Enter th.lnt.rut on th. balanc. due on Un. 21A. 8, en", rh. l.r.I.1 Lin. 21 .nd 21A en line 218, Thh I. th.IALANCE DUI. M.b Ch.ck Pa obI. tOI 1..I.t" of Will" A .m '''.!. .' ,.'.....~.'I:' , 8IlSURU~.ANS\\Wl.'AUiQUlmON. ON REVERSI!5IDl-A D'TO tCHliC!K MA1:lt'\'.: "..t ,.;...~~ Under p.noltle. of p.rlury. I declar. that low, uomlnad thlt return. Indudlng actCImpon.,ing u:h.dul.. and nat.m."... and to th. bell af my Mnowl.dg. ond b.li.f ., ir I, rru.. co'r.d and comple,e. I dtdar. that all r~1 ellal. hot b..n "pon.d ar "". morket valu.. DKlararlcn of prtpor.r other Ihan ,h, p.nonol rapr."nlotlv. j. battd on olll"'ormollon of which rt or.r hal any know led t. " "~H N I 'llING aew A.DQllli 0"'11 I J.J...:L.. / tf G.- '.0"" :" i/~2./_~ 19) (to) 1,126.00 800.04 111) (12) (131 (14 1,926.04 24,827.16 . . . 450.00 24.377.16 (151 (16) (171 X._- )( ,06. 1,462.63 lC ,15 . (18) 1,462.63 Dhcount Intere" (19) (20) Ch"'ll'll he-H" If you un. 'equ~shnt'J CI rrluntl nf your overrnym~nl. , 1,462.63._.. (21) (21A) (2101 ,. lfV.UOIlh IJ.t7l *' SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PI.DI. Print Dr l' . FILE MBER 21 95 0514 COMMONWIAlf" JtjINNIYlYANIA INHIIftAHCI " lnulH "_ DINT o MINERVA GRACE GOSHORN CA. -'" ....'Ii ...... _ .... ",hl eI s..v....... mus' ... ........... ... SchH.... PI ITEM NUMBER DESCRIPTION VAWE AT DATE OF DEATH 1. PNG Account - Account 0 5140184959 $ 7,103.20 2. Secretory's Desk .. $ 50.00 100.00 3. Two cementary lots $ S 7,253.20 IAttoch addltlonallHi" JC 11- ,heet..,"'On .pocel. need.d.) .._-""~_.:~_. ", '.._'_~.".._-,~._._-...,.---'~ a.v.uot... 112.11I .. COMMONWEAUH Of PENNSYLVANIA INHEIITAHCE 'fAX InUIN UIIDEN'f DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE Of MINERVA GRACE GOSHORN Joln",nan'(.). FILE NUMBER 21 95 0514 NAME ADDRESS RELATIONSHIP TO DECEDENT A. 58 Subdivision Rosd Newville, PA 17241 Grandson Rondy Goshorn B. C. Jolntly-awn,d ptOporty. ITEM LmER DATE NUMB!I fOR MADE DESCRIPTION Of PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE Of JOINT Of ASSET '"'INT. DECEDENT'S INTEREST TENANT JOINT 1. A 1990 CD - PNC Bonk $3,000.00 50% $1,500.00 TOTAL (Aho 'nl.. on IIn, 6, R"opllulollonl 5 1 .nn. nn (I' more 'pace ;, n..clecl inlert additional Ihe," of .am, I;ze) , I, l.. Illv.UU ll+ 111'1 ,. 'l!.ti~ If'. , -> COMIoIONW(AlHt Ot "NI~nIVAN.A IHHIIIIANCI 'AX IlnUIlN illS/DIN' DICI,!)IHr SCHEDULE J BENEFICIARIES ESTATE OF MINERVA GRACE GOSHORN ITEM NUMBER 2. 4. 5. 6. 7. ITEM NUMBER 1. FILE NUMBER 21 95 0514 NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxable Oeque.h: 1. Theresa K. Nelson 34 East Street Mt. Holly Springs, PA 17065 Granddsughte $1 8,000.00 Lovetta F. Hopple 12 E. Locust Streot Mechanicsburg, PA 17055 Daughter Secretary Desk 3. Max and Francis Goshorn 32 East Street Mt. Holly Springs, PA 17065 2 Cemetary Lota Harry E. Goshorn 36 East Street Mt. Holly Springs, PA 17065 Dennis T. Goshorn R.D. 2, Box 100-28 NeWVille, PA 17241 Janet L. Hopple 30 East Street Mt. Holly Springs, PA 17065 Lovetta F. Hopple 12 E. Locuat Street Mechanicsburg. PA 17055 Son 22.5% of remainder Son 22.5% of remaindor Daughter 22.5% of remainder Doughter 22.5% of remainder NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charllable and Governmental Beque.h: Cross Keys Methodist Church Box 145 East Woterford, PA 17021 10% of remainder TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAllo enle, on line 13, Recopllulollon) S (II more 'pac. I, ne.ded, In,.rt addltlonol .heet. of lam. tll.) --- . 'HILL I, MINERVA GRACE GOSHORN, of 34 East street, Mt. Holly Springs, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM ONE: I direct that all my debts and funeral expenses, including my gravemarker shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM TWO: I direct that my estate be distributed as follows: A. I hereby devise a life estate in real estate which I own at 34 East Street, Mt. Holly Springs, Cumberland County, Pennsylvania, consisting of a lot 75 feet by 116 feet to my granddaughter, Theresa K. Nelson. During the time Theresa K. Nelson shall occupy the premises and make claim to this life estate, she shall maintain the property in good repair and shall be responsible for all taxes, assessments, insurance, and other bills pertaining the maintaince and upkeep of the said real estate. I hereby devise the remainder interest in said life estate for the mentioned real estate to my grandson Randy Lee Goshorn. B. I hereby give my secretary desk to my daughter Lovetta F. Hopple. C. I hereby devise the two cementary lots which I own at the Mechanicsburg Cemetary Association to Max W. Goshorn and Francis R. Goshorn. D. I direct that the rest, residue, and remainder of my estate be distributed as follows: 1. County. 10% to the Cross Keys Methodist Church in Juniata 2. Goshorn, Hopple. 90% distributed equally between my children Harry E. Dennis R. Goshorn, Janet L. Hopple, and Lovetta F. ITEM THREE: I appoint Dennis R. Goshorn and Janet L. Hopple as Co-executors of this my last will. ITEM FOUR: All estate, inheritance, succession and other taxes, imposed or payable by reason of my death, and interest and penalties thereon, with respect to all property comprising my gross estate for tax purposes, whether or not such property m ~~ $A~ J' ~I/ht. Page One of Three . passes under this will, eha11 be paid out of the principal of my residuary estate, without apportionment or right of reimbursement. ITEM FIVEI I direct that my psrsonal representative or guardian shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM SIXI In addition to the rights and powers given to the fiduciaries by law or elsewhere in this will, I give to my Executor during the full time necessary and for the administration of my estate the following rights and powers to be exercised in his sole discretion. A. To retain any real or personal property which may at any time form a part of my estate so long as he or she deems it advisable. B. To invest in any real or personal property without restrictions as to legal investments. c. To repair, alter, improve or lease for any period of time any real or personal property and to give options for leases. D. To sell at public or private sale, for cash or credit, with or without security, to. exchange or to partition real or personal property, and to give options for leases. E. To make distribution in kind. F. To compromise claims. IN WITNESS WHEREOF, I have "Te-br,^-()...('y 1993. hereunto set my hand this I r day of SIGNED 4/1 r~ 14.m 91 ./~.P .f~ ~~NERVA~RhCE ~ORN The preceding instrument, consisting of this and two other typewritten pages each identified by the signature of the Testatrix was on the day and date thereof signed, published and declared by the Testatrix therein named as and for her last will, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names. Page Two of Three ,".~:-,n'_,_," '':"'.'" '~______,_'___.~_*"'" -- -. .- -.........- .. ' - I-~I~'~'~ ~~~~-.~~.-~-----,-------~----------------~ D'" , . "AA '082569. COMMONWEALTH OF PENNSYLVANIA '* NO: . " " : I DIPARTMENT OP .IVENUI i t'~'I~11l ~~., '. ,,"OPPICIAL RECEln. PENNSYLVANIA INHERITANCE AND ESTATE TAX ", ", . ' RECEIVED FROM, & ACN ASSESSMENT r:w CONTROL ... NUMBER AMOUNT GILROY HUBERT )( It N HANOVER STREET .,0144409 .e~I.1!l4 CARLISLE, PA 17013 ESTATE INfORMATION, !II IlE NUMBER ~ el-199:5-0:514 !II NAME Of DECEDENT (lAST) ~ GOSHORN MINERVA II DATE OF PAYMENT EJ POSTMARK DATE COUNTY SSN IflRST) GRACE 17e-e4-7669 (Mil CUMBERLAND OATE OF OEATH REMARKS m TOTAL AMOUNT PAID se31.94 SK SEAL DENNIS R GOSHORN C/O HUBERT )( GILROY CHECK" NONE REGISTER OF WILLS , .G::-_-.-':--:-_'-r-:'~ --- -,~.-------,-:"7 -:"':' - -~ ~~~-~-- - - - - - -- -- - ----:--r~;:--- -i'7;""" "': .') , ; I " " ' . , " ' .: ......., '-- .-. . ... ~ --.-' --- ..._-.. -:~- ,.......---....t::..1 -..,.,..- -- ,. --.:-- , , . . ... .' ~ .... + ~.. / j . 1//).- &~, ) \ REV-1547 EX AFP (12.951* CO~AlTH Of PENNSYLVANIA DEPARTHENT Of REVENUE aUAEAU Of INDIYIDUAl TAXES Dt:PT. 210601 tlAR1USlURG, Pi 11UI-0601 ACN 101 NOTICE Of INIIERITANCE TAX APPRAISEMENT. ALLOWANCE OR OISALLOWANCE Of DEDUCTIONS AND ASSESSMENT Of TAX DATE 04-22-96 FILE NO. 04-25-95 COUNTY CUMBERLAND HOTE. TO INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBMIT TNE UPPER PORTION Of TNIS fORM WITN YOUR TAX PAYMENT TD THE REOISTER Df WILLS. MAKE CHECK PAYABLE TO "REOISTER Of WILLS. AOENT" REMIT PAVMENT TOI HUBERT X GILROY BROUJOS ETAL 4 N HANOVER ST CARLISLE PA 17013 REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 A.aunt R..ltt.d CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiiv:iiif;7-iif-AiiP-nz:9sT"iiiifiCE--oj:-YH'Hiiiifiiiici-YAx-iiPiiiiiiisiiiiiir;.ALt'OWA'NCi.oJi.....--------.--- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF GOSHORN MINERVA G FILE NO. 21 95-0514 ACN 101 DAT! 04-22-96 TAX RETURN WAS. I X) ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. Root E.toto ISchodulo A) II) 2. stock. IInd BondI (Schedule I) (2) S. CIDa.ly Held stock/Partner.hip Inter..t (Schedule C) (51 it. Hortg.ga./Not.. Receivable cschedul. 01 (It) S. C..h/Bank Oapollta'Hllc. Parlon.l Property (Schedull E) (5) 6. Jointly Ownod P.opo.ty ISchoduto fl 161 7. Tran.fara (Schedule 0) (7) 8. Total A...t, I CHAHOED 18.000,00 .00 ,DO ,DO 7.253.20 1.500.00 .00 III 26.753.20 APPROVED DEDUCTIONS AND EXEHPTIONSI 1.126.00 9. Funaral E.p.n.../A~. COlta/HiIC. EMpan..' (Schedull HI ('I 10. Dobh/Martgogo L1obIlIUn/Llon. ISchodulo I) 1101 800,04 11. Tatd DoduaUan. 1111 12. H.t Valu. of raM Raturn 112) 15. Charltabla/Oov.rnMantal B.qu..t. ISchadul. J) 115) 14. Hot Votuo of btoto Subjoat to To. U4) NOTEI If an allessment was iSlued previouslY, lines 14, 15 and/or 16, 17 and 18 will reflect figural that include the total of ALL re~urns allesled to data. ASSESSHENT OF TAXI 15. Aoaunt of L1no 14 ot Spaunl .oto USI . DO K' DO. 16. Aoaunt of L1no 14 to.obh ot L1nool/Ch.. A .oto 1161 24.377 .16 x' 06. 17. Aoaunt of Llno 14 to.obh ot Canoto.ol/Chn B .oto U7l . DO X ,15. la. Prlnolpal raM Du. 118) 1 .q,il 04 24.827.16 450.00 24,377.16 ,DO 1.462.63 .00 1,462.63 TAX CREDITS I PAYMENT DATE 01-22-96 RECEIPT HIJI1BER AA082537 DISCDUNT I +l INTEREST I-I .00 AMOUNT PAID 1,462.63 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 1.462.63 .00 .00 .00 . If PAID AfTER DATE INDICATED, SEE REVERSE fOR CALCULATION Of AODITIONAL INTEREST. If TOTAL DUE IS LESS THAH .1. HO PAYMENT 15 REQUIRED. If TOTAL DUE IS REfLECTED AS A "CREDIT" ICRI. YOU MAY BE OUE A REfUND. SEE REVERSE SIDE Of THIS fORM fOR INSTRUCTIONS,) c gg :0 ~ :D~ :.I .. l~q Cf .~.~ ;_.~ ~ '.t, (,l (V. , {or ~p \ ., '.J. ~ t.; . , t .' _t (i.' ~,:-. :>:> ~'llJ p (J \Cl i1t 9- Ll (11 ~s. ~ RlItRVATJDHI Elt,t.. af decedent. dvlng on Dr befar. D.c.~r It, .9.1 -- l' ~v lutur. lnt.r..t In the I...t. 1. tren,'.rr.d In pa.....Jon or enJD~t to el... I (coll_t.r,l' ben.flcl.rl.. of the dlcedent .,t.r the Ixplretlon of env I.l.t. for 11'. or far v..r., the C~.lth her.bv ._prl..lv r...rvI' the right to appr.I.. 8nd ...... tren,'.r J~rlt~. Tlx" .t the l~ful Cl... . (colla',r.l' r.t. on en)' .uch future lnt.r..t. P\JllPOSE OF NOlICEI To fulfill thl! ,.""Irl..,.t. 0' "ctlon ZJ4D of thl IntI.rlt-.,c1 Iltld E.t,t, 'I. Act, Act U of 1991. n P.S. SICtlon ZlU. PlYtlEHTI Dtihdl the top portion of thh Katie. IInd ,unit ",lth your p.y...... to the A.allt.,. of M!lla prJnt.d on ttM nv."" .Ide. --Helle cheek Dr .oMy order p'Wabls tOI REGISTER OF MILLS.. AGENT All P'YI*\tI nc.lved .hall Ur.' tM appll.d to .....y Inhr..t which ..y be dI.M' with any r...lncMr 1lPP1I~ to the t.lC. RfFUHO (CA)I A nfWMI of . t.1C cr~lt, which w.. not raque.tad on the hlC Aaturn, ..y b. r~.tlMt by cOIlPl.tlna ..... '"Application for A.fund of Pann.ylv.....l. Inn.rltenca ~ [stat. TaM'" tREV-1SIS). Appllc.tlons .ra .v.lllbla .t tha Office of the A'DI.ter of Will., .....y of the IS A.venue DI.trlct Office., or by c.lllnD the .peelal Z'-hour an.warlna ..rvlce nuaber. for for.. ord.rlnDI In Penn.ylv.....l. l-100-S62-2050, out.lde P~.ylv.....la and within loc.1 HarrlsburD .re. (717) 717-1094, TOO' (717) 772-ZZ52 (He.rlnD lapelred Only). OIJECTIDHSI Any p.rty In Int.re.t not ..tl.fl.d with the appral..aent, allowance or dl..llowance of deductions, or ......eent of t.1C (InclUdlnD dl.count or Intere.t) a. .hown on thl. Notice .ust obJ.ct within .llCty (60) d.y. 0' receipt of thh Hotlce bYI --writt." prot.st to the PA Dap.rtatNtt of A.....nu., Bo.rd of App..", D~t. Zl1021, Harrhburg, PA 171Z1-1021, OR --alectlon to heve the aattar d.t.ralnad .t audit of the .ccount of the p'r.~l repr...ntatlve, OR --app..l to the Orph..,.' Court. ADHIH ISTAAlIVE CORRECTIONS I INTEREST I Factuel .rror. dllcover.d on thl. .....s.ant should be addr....d In writing tal PA Depart..nt of A.v~, Bur.eu of Indlvldu.l TelC", ATTNI po.t A.......nt Aavl.w unit, Olpt. ZI0601, HarriSbUrg, PA 17121-0601 Phone (717) 787-6505. S.e page S of the bookl.t "In.tructlon. for Inharltanc. T.IC Raturn for a R..ldant O.cedant" (REV-IS01) for..... aMPI..,etlon of ~lnl.tratlvelY corr.ctable error.. If .....y t'M due I. p.ld within thr.e (3) calend.r lonth. .ft.r the decedent., daath, e flv' p.rcent (5~) dl.count of the tllC p.ld I. ellow.d. Int.r..t I. chargad bealnnlna with flr.t d.y of d.llnquency, or nine (,) aonth. and ana (I) d.y 'r~ tha data of death, to the d.t. of pay.ent. T.xe. which bee... delinquent be for. Janu.ry I, 198Z bear Intare.t at the rata of .Ix (6~) parcent per ~ calcul.ted at a dally rata of .00016~. All t.x.. which bec... dallnquent on and aft.r Janu.ry I, 1912 will ba.r Intar..t et a r.t. which will very fro. c.l.ndar y..r to c.lendar ya.r with thlt r.t. annooncad by the PA Dapart.ant of A.v.nue. The .ppllcabl. Intare.t r.t.. for 191Z through 1996 .r" DISC~TI ~ Inter..t Aet. Deily Intar..t Fector ~ Inter..t Rete D.lly Intare.t FltCtor 1912 ..~ .000548 1'17 OX .0002U 1'15 lOX . ODun 1911-1991 11:( .000301 I... 1I~ .000301 1"2 .~ .0002U 1915 U~ .000356 1993-191)4 7~ .000192 19" lD~ .oOD27' 1995-1996 .~ .0002U --Int.re.t I. c.lcul.ted .. followlI INTEREST . BALANCE OF TAX UNPAID X NUnBER OF OAYB DELINQUENT X DAILY INTEREST FACTDR --Any Notlca luuad aftar the tax blO"" dal1nqu~t ..111 r.flact en Intarut c.lcul.tlon to flft.", (5) days beyond the d.t. of the .......ent. If papent II .Mle .fter the Intar..t cOllflut.tlon data ahown on the Hotlc., additional Intere.t .u.t b. c.lculeted. ../. ~ BROU.JOS. OIL.ROY Be HOUSTON. P. C. j ATTORNIEV. o\T LAw . " NORTH HANOVM eTftllC1' CARUSL.E. PENN8VLVANIA '701:1 ""7. .......7. .,......0 .. ... . ., ESTATE OF MINERVA GRACE GOSHORN ESTATE SETTLEMENT AGREEMENT .... /\ THIS AGREEMENT made this IlL day of v c- or- Theresa K. Nelson, Randy Lee Goshorn, Lovetta F. Goshorn, Francis Goshorn, Harry E. Goshorn, Dennis Janet L. Hopple and Cross Keys Methodist Church. , 1996 between Hopple, Max T. Goshorn, WITNESSETH WHEREAS, Minerva Grace Goshorn died April 25, 1995; and WHEREAS, pursuant to the will of Minerva Grace Goshorn dated February 19, 1993, a copy of which is attached hereto and marked Exhibit "A", Dennis R. Goshorn and Janet L. Hopple were appointed as co-executors of the Estate of Minerva Grace Goshorn; and WHEREAS, Letters Testamentary were issued to Dennis R. Goshorn and Janet L. Hopple in the Estate of Minerva Grace Goshorn by the Cumberland County Register of wills at Docket No. 21-95-0514; and WHEREAS, Janet L. Hopple and Dennis R. Goshorn have truly and appropriately administered the Estate of Minerva Grace Goshorn; and WHEREAS, the mentioned Executors have filed an Inheritance Tax Return with the Pennsylvania Department of Revenue in the Estate of Minerva Grace Goshorn, said Return being attached hereto and marked Exhibit "B", and said Return being accepted as filed by the Pennsylvania Department of Revenue; and WHEREAS, pursuant to Item 2A of the Will of Minerva Grace Goshorn, the Executors of the Estate have conveyed real estate at 34 East Street, Mt. Holly Springs, Pennsylvania to Theresa K. Nelson and Randy Lee Goshorn by deed dated June 6, 1996 which deed has been appropriately recorded in the Cumberland County Recorder of Deeds Office; and WHEREAS, pursuant to Item 2A of the mentioned Will, the Executors have transferred the secretaries desk to Lovetta F. Hopple; and WHEREAS, pursuant to Item 2C of mentioned Will, the Executors have made arrangements for the transfer of the two cemetery lots at Mechanicsburg Cemetery Association to Max W. Goshorn and Francis R. Goshorn; and WHEREAS, other than the mentioned real estate, cemetery lots and secretaries desk, the only other assets of the Estate of Minerva Grace Goshorn, which Executors collected, include cash in the amount of $7,103.20; and WHEREAS, the Executors have paid the following bills to date for the Estate of Minerva Grace Goshorn: Graham Medical Clinic Carlisle Cardiopulmonary Carlisle Image Association Carlisle Hospital Register of Wills-Inheritance Tax Register of Wills-Final Inheritance Tax $ 24.55 $ 40.77 $ 19.22 $ 716.00 $1,462.63 $ 231.84; and WHEREAS, there is approximately $4,600.00 in cash remaining in the Estate of Minerva Grace Goshorn for distribution; and WHEREAS, there remains a possible obligation of the Estate owing to Yellow Breeches EMS in the amount of $267.00 and the Executors are attempting to negotiate or compromise that bill with the Yellow Breeches EMS; and WHEREAS, there still remains an obligation owing to the law firm of Broujos, Gilroy & Houston, P.C. for purposes of attorney's fees and reimbursement for costs advanced in connection with the estate administration; and WHEREAS, all parties to this Agreement desire that the administration of the Estate of Minerva Grace Goshorn be terminated without the expense and delay of a court accounting and the parties are wil~ing to enter into this Estate Settlement Agreement in order to expedite the conclusion of the Estate. NOW THEREFORE, the parties in consideration of their mutual covenants herein expressed and intending to be legally bound hereby agree as follows: 1. All parties to this Agreement hereby waive the filing of a formal accounting and schedule of distribution in the Estate of Minerva Grace Goshorn. 2. Theresa K. Nelson and Randy Lee Goshorn acknowledge receipt of the real estate at 34 East Street, Mt. Holly Springs, PA. 3. Max Goshorn and Francis Goshorn acknowledge receipt of the cemetery lots as described above. 4. Lovetta F. Hopple acknowledges receipt of the secretaries desk as referenced above. 5. All parties acknowledge that there is approximately $4,600.00 remaining in the estate account for distribution. The parties agree that the Executors shall withhold $1,600.00 from said monies for purposes of payment of attorney' B feeB, court filing feeB, the mentioned bill to Yellow BreecheB EMS and any other contingency. All partieB agree that the remaining $3,000.00 may be diBtributed purBuant to the Will of Minerva Grace GOBhorn aB follows: CroBs Keys Methodist Church 10% $ 300.00 Harry E. GOBhorn 22.5% $ 675.00 Dennis T. GOB horn 22.5% $ 675.00 Janet L. Hopple 22.5% $ 675.00 Lovetta F. Hopple 22.5% $ 675.00 6. The partieB agree that, upon distribution of the monies to beneficiarieB aB Bet forth in Paragraph 5 above and after payment of attorney's feeB and any other bills owing of the Estate and upon the Executors being satisfied that all obligations of the EBtate are concluded, the ExecutorB may distribute any remaining monies of the Estate to the beneficiaries mentioned in Paragraph 5 above in the percentage allocation aB Bet forth in said paragraph. 7. All parties to this Agreement agree to refund to the EBtate of Minerva Grace Goshorn any portion of any distribution to which said beneficiary is not properly entitled, and to the extent to said distribution, to indemnify the Executors of the EBtate from any claims and to reimburse them from any expenses and costs in connection with such claims. 8. All parties to this Agreement hereby release DenniB R. Goshorn and Janet L. Hopple, ExecutorB of the EBtate of Minerva Grace Goshorn, from all liabilities, whether due to their negligence or otherwise, by which they may have by reason of their administration of the said Estate. 9. The parties acknowledge that they have been provided an opportunity by the ExecutorB, if any party would request, to examine all the paperwork and accounting for the Estate of Minerva Grace Goshorn. 10. The parties hereby forever fully releaBe, compromiBe, settle and discharge any and all claimB, demandB, actions or cause of action, legal or equitable, abBolute or contingent, vested or hereafter to accrue, which any of them may have against any other party hereto or againBt --- W X L L I, MINERVA GRACE GOSHORN, of 34 East Street, Mt. Holly Springs, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM ONB: I direct that all my debts and funeral expenses, including my gravemarker shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM TWO: I direct that my estate be distributed as follows: A. I hereby devise a life estate in real estate which I own at 34 Bast Street, Mt. Holly Springs, cumberland County, Pennsylvania, consisting of a lot 75 feet by 116 feet to my granddaughter, Theresa K. Nelson. During the time Theresa K. Nelson shall occupy the premises and make claim to this life estate, she shall maintain the property in good repair and shall be responsible for all taxes, assessments, insurance, and other bills pertaining the maintaince and upkeep of the said real estate. I hereby devise the remainder interest in said life estate for the mentioned real estate to my grandson Randy Lee Goshorn. B. I hereby give my secretary desk to my daughter Lovetta F. Hopple. C. I hereby devise the two cementary lots which I own at the Mechanicsburg Cemetary Association to Max W. Goshorn and Francis R. Goshorn. D. I direct that the rest, residue, and remainder of my estate be distributed as follows: 1. County. 10% to the Cross Keys Methodist Church in Juniata 90% distributed equally between my children Harry E. Dennie R. Goshorn, Janet L. Hopple, and Lovetta F. 2. Goshorn, Hopple. ITEM THREE: I appoint Dennis R. Goshorn and Janet L. Hopple as Co-executors of this my last will. ITBM FOUR: All estate, inheritance, succession and other taxes, imposed or payable by reason of my death, and interest and penalties thereon, with respect to all property comprising my gross estate for tax purposes, whether or not such property m~~$~J~ I EXHIBIT A Page One of Three passes under thio will, shall bo paid out of the principal of my residuary estate, without apportionment or right of reimbursement. ITEM FlVEI I direct that my personal representative or guardian shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM SIXI In addition to ths rights and powers given to the fiduciaries by law or elsewhere in this will, I give to my Executor during the full time necessary and for the administration of my estate the following rights and powers to be exercised in hiB sole discretion. A. To retain any real or personal property which may at any time form a part of my estate so long as he or she deems it advisable. B. To invest in any real or personal property without restrictions as to legal investments. c. To repair, alter, improve or lease for any period of time any real or personal property and to give options for leases. D. To sell at public or private sale, for cash or credit, with or without security, to, exchange or to partition real or personal property, and to give options for leases. E. To make distribution in kind. F. To compromise claims. IN WITNESS WHEREOF, I have "'Turu.-()...,y 1993. hereunto set my hand this 17 day of SIGNED ~4-+A4 /4~ 9! ~p ...Y~ 'TUNERVA-GItACE ~ORN The preceding instrument, consisting of this and two other typswritten pages each identified by the signature of the Testatrix was on the day and date thereof signed, published and declared by the Testatrix therein named as and for her last will, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names. Page Two of Three - .'. COMMONWEALTH OF PENNSYLVANIA : ss COUNTY OF CUMBERLAND We~"~ttAr ~ (1(-[l7l..P--I and :&(., i:>C:;C: T At--lN C.oIZ.ColLl'I,.,) witnesses whose names ~re signed to the attached or foregoing instrument being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her last willi that she signed willingly and executed it as her free and voluntary act for ths purposes therein expressedi that each of us in the hearing and sight of the Testatrix signed the will as witnessesi and that to the best of our knowledge, the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue . influence, ~ Sworn and subscribed to aI-I, before me this I, day of /ib'l-u.6..r>j., 1993. ~il~ NOTARIAL SEAL IW1DI F. BYERS. NOTARY PIIgue BOlIO OF CARlISLE. CUMllElIlAHD COlli/TV MY COMlIIS9IOH EXPIRES MARCH .1. 1m COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . . : SS . . I, MINERVA GRACE GORBORN, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last willI that I signed it'willinglYI and that I signed it as my free and voluntary act for the purposes thereln expressed. ~ -HTh~~~?i~(,~It~ ~ a.J.1) acknowledged before me this /1 day sworE:- llnd affirmed to and of Il:.brli\olt-r ' 1993. "./ ~ ' 'J. ,c.pa. Notary publ c NOTARIAL SEAL BOlIO ~ F, BYtRS. NOTARY PIIgue MY COMM~SHLE. CUMBERlAND COlli/TV ......, EXPIRES MARCH .1, 1m Page Three of Three ~^'i"'".'" ... llV.UoG IX. V,") I roaDATaO'OIA'HAfT1a 12Jall9l CHICKHIRI . A lpOU....L POVIl" CalD1l1S ClAIMID 0 nu NUMa.a 21 '*' INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 95 YIM 051~ COMMONweAlTH 0' PfNNlnYANIA OIPAll!jI'" 'is .,VIHUI H...IIIl'lIlb ~A ~ 214601 . I'. AN fill \ It4l''''U MINERVA GRACE GOSIIORN Al,.UI'MAI 0"''' Of OlAl" ~/25/95 172-2~-766B "UfU(.AllII ",.'fT't"HO IP(MlU" toWool ...". "UI "","0 lOoCJOl. ....11""" COUNTY CODE '" . NUMBfI DAn Of 1111 H 31, ERst Stroot Mt. 1I0lly Springs, PA 17065 .,..... ~MOUH' UOlvlD I' H 9/5/11 ,,~ I ualn HUM'U c ~, o Aa. Suppl.rnentol R.t"," o 3. R.malndtr R,lurn (fa' da'" 01 d,a,h prl.r 1012,13.81 o 5. f.d.rol Eltott TOK R.hlrl"l R.q"lt.d ~ I(] 1. Orlglnol R'Nln 13~! OA. lImh.d Eslal' ~I ~6, :!l6 :i~ Bli: 2~3 ~57~ .. '" 5 ~ g .. !i 1= c Ii! .. 8 = .... 'U".." Inre'ta' CompromIse (fa, dot...f doa.h ak.. 12.1~.a21 o 7. D.c.d.n, Malnlaln.d a Uyll'Ig Tru" (Anath copy af T,u,,) Ar" INFO~l'lOK'. BE, ,~ MAI\ING ADORn, BROUJOS, GILROY & 1I0USTON ~ NORTII IIANOVER STREET CARLISLE, PA 17013 18,000.00 1. R..I E.ra" (SclI.dul. AI 2, S,O<I<. alld 8o.d. (Sch,dul. B) 3. CO'MY H.ld Slodc/Part".nhip l"I.....t (Slhedul, q A. MortgoU" and NOlt' Rtc.e;vobl. (Schtd"l. 0) 5. Co.h, Bo,," D.pe"t. & Mllt.lla".ou. ',rwnol Prcperry (Schodul. E) 6. Jam,l, O.....d Praporty (Schodul. '1 7, f,...I.n (Schtdul. 0) (Schodul. 1I 8. Talal Grou Au'" (10101 U".. 1.n 9. Pu"ttol bp.nuI. Adminhltaltv. eelts. MTleellon,aul E.p...., (Sch.dult HI '0. D.bu. Mortgag. liabili~... U.n. (Sthedul. I) 11. Totol Dodudlon. (10'.1 Un.. 9 & to) 12, 1'1" V.lu. 01 Ellal. (L1.. 8 mlnu. lIn. 1'1 13. Oaritabl. o.d Ga........lat aequ.'" (Sch.dul. J) lA. Ntl Value Sub ed to Tal. lint 12 ml"ualint 13) t~, Spou.ol T,o."", (r." dal" ., doath .h., 6,30.9AI $I. In&tr\lctionlfo, ^f,pllcable PetUnlog, an R.v".. Sid.. (lndud. vol",.. rom St.hedul. K or Sc.h,dul. M.) 10. All'KKtn' of Un. ,.. la.abl. o.6'Kt ral. (Indud. .alu.. 'ram Schodul. K 0' Schodul. M.) 17. AMOUnt of Un. '''' laxobl. at 15% rail II.dud. .alu.. lram Schedul. K 0' ScMdul. M,) 1 B. Principal 'a. duo (Add la. f,o.. Un.. 15. 16 a.d 17.) 19. c..dll. SpoulGl Pa..rty Crodh P,lo' Poymonl. _8. Tatol Numb.r of Safe D.pawl ao.., 1 ~.. ;1.. .. \~'71 ......; .....,. +. + 20. If line 19 II grta'orlhan e.. 18. ...., lhe dill...... a. line 20. rbl. IIlh, OVERPAYMINT. 110 ..~...I"'''I.'J.'I'.nIL''IIII.I,,,,....nii;...lolmmn'''HIH-'rJ'lJlllIo'.uhl._ 21, If Un. 18 II great.r than Un, 10, Of'lter the dlfferenu on L1n. 21. Thl, lithe TAX DUI. 1\. Enter rhtlnle',n 0" ,he balance du. an Un. 211\. I, E...' rho ,a.al of lIn. ~I and 21A an lI.. ~1D, Thll 1.lhe BALANCE DUI. Mab eMu Pa ablo 'a. ...bl.. o. Wilt.. A on! .. I. .,.', X'~l!': _ .1; Bt!lSUR1~1.'~$WEJljAU!QUEmONS.OH 'REVERU;SIDl!l pqo, CHliCIf-M ~,~. , \ ?~'. !Jndtr p.nohl., 01 pe,jury. I d.clo,. thor' aye nomln.d thil ,..,,,,,".lndudln9 oct.Dl'I'lpanying ...h.dulll and lIo'.",.nl1, and to the beat al my "no.....l.dg. and b.hot, .. 'bll"dru.. coU,red ond tampl.,.. I dedare 'hot 011 r.-ol .1'01. hos betn "pan,d a,nu. market walu.. D.clara'lon of preparer other ,han th. p.rlonol uprll.nlotru a,. on G In'onnallon of which tor.' has on knawltd.. ..."'" N ",,"Genu ....... EXHIBIT 0'" 1 /.J..~ /cr (, N." .... . J J :" ;/~2-/_~ ....~J (I) 12) (31 I~ I (5) --L121..2.0 1,500.00 (61 (71 (9) 1,126.00 (101_800.0~ (81 "26. 7~1 ?O 1111 1,926.0~ 112) 24,827.16 , .- (13) ~50.00 lU 2~.371.16 (151 X._- 116) K .06. 1,~62.63 (17) )( .15 . lIB) 1,462.63 DIKCu,,' Inttre" (19) (10) (11) .-!ill2~2.3_.. (21A) (~18)_ l,y,1102 ,1+ 1120151 .. COMMONWIAlT~OI 'fHNlYlYAHIA INHUIfAN I 'AX UfU1N aUIDIN DICIDIHT ESTATI Of MINERVA GRACE GOSHORN (Properly lolnlly-ownod wl.h Righi 0' Survlyonhlp mu.1 be dl.clo.od on Schodulo fl All rool..lolo .hould be roportod ol'olr morkol voluo which II donned ollh. prlc. al which properly would be ..chongod b.tw..n a willing buyo, ond a w\lIInglOllo" nolthor being compellod to bu 0' ..n. both havl" reasonabl. knowledge 0' the r.levant 'adl. SCHEDULE A REAL ESTATE fill NUMBER 21 95 0514 ITEM NUMBER 1. VALUE AT DATE OF DEATH DESCRIPTION 34 Eaat Stroet Mt. Holly Springs, PA 17065 $18,000.00 I " s TOTAL Aho ent., on line 1, Reeo ltulollon tit mot. '00('. is n..d.d, In..rl additional .h.." 01 .ome ti,..1 '. uv.UII at p"", SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PI.o.. Print or T . FILE MBER 21 95 0514 '*' ~AlJIt~IHHSnVAHIA IHHIIUWlCI .nulH .......... OINT ES F MINERVA GRACE GOSHORN IAII--'Y 1oIw.1. _ ..oJ...... lito Rleh. ol s..m-.hIp ..... ... dlK-" .. ScIoedulo P1 N:J::ER DESCRIPTION VAWE AT DATE OF DEATH 1. PNC Account - Account , 5140184959 $ 7,103.20 ; $ 50.00 $ 100.00 2. Secretary' a DOBk 3. Two comentary lota S 7,253.20 \AJlodo oddltloftoll"" x 11' "'"" w..... ......1. .-Iod,) ~UOfh. (1'.... . COMMONWIAl1H or 'INNSYlVANIA INHflltANCI TAX lnUIN llllDINf DfClDINf SCHEDULE F JOINTLY-OWNED PROPERTY I ESTATE OF MINERVA GRACE GOSIIORN Jolnttonont(.). NAME A. Randy GOB horn B. C. Jolntly-ownod proporty. FILE NUMBER 21 95 0514 ADDRESS RELATIONSHIP TO DECEDENT 58 Subdivision Rood Newville, PA 17241 Grandson - . ITEM LmER DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBEI JOINT MADE DESCRIPTION OF PROPERTY OF ASSET "'INT. DECEDENT'S INTEREST TENANT JOINT I. A 1990 CD - PNC Bonk $3,000.00 50% $1,500.00 TOTAL IAllo onlo, on lino 6. Rocopllulotlon) SI.Snn.nn --..--..--.,... __..___~_._.__u. -"f-;-~~--"":. ...u'". (II mor. spoc. is n..cI.J ;nl." additiana/.h..1s 01 10m. siu) ny-unIX."..., ~i& COMMONWfALTH 0' 'I:NNSVLVANIA INHUITANCf lAX UIUIN .UIDENI DI:CI:OfNI SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Plea Ie Print or TV e FILE NUMBER 21 95 0514 ESTATE OF MINERVA GRACE GOSHORN ITEM NUMBER DESCRIPTION 1, A. Funeral Expenlel' B. 1. 2. 3. 4. C. 1. 2. 3, 4. S. 6, 7. 8. Administrative COlli. Personal Rlpnlllnlollve Comml..lonl Social Slcurlty Number 01 Plrsonol Rlp..llnlallve, Vlar Comml..lonl paid Atlornoy FIll B j rou OB, Gilroy & Houston, P.C. Family E,"mpllan Claimant Add.... 01 Claimant 01 dlcldlnt'l dlalh StreIt Add.... City Rllallonlhlp 51011 Zip CadI Probatl FIll AMOUNT $1,000.00 Mlleellaneoul Expenlel' Register Of Wills - Filing Fee $ 83.00 Register of Wills - Inheritonce Tax Return $ 15.00 Register of Wills - Family Settlement Agreement $ 15.00 Recorder of Doeds - Fee to record Life EBtato Deed $ 13.00 TOTAL (AlIa Inler an IInl 9, Rlcapllulallan) (II mare Ipaee II needld, Ins.rt addltlanallhe.1I 01 lame II...) 51,126.00 . '" ~-'-"- -""'-,-._~.. ..'- , "\;'.- . ~t,'!,':"f_JY""_"'1'''-~'!!'__',,;,''-'.o'''''_'''''_, .... '-.. _,".""_,-"""_,_,'~""~'r,,,,h_"'-1 "..flH""~."!,,,,,,....-,,,,::.,......,,",,,,,,.. ~"":--",~,-,.',r,?;=':'.-~r::~l~~~~......____...-,...........",.._""~_....""",,,,...._..-."........, ou.u 1'1.931 '* COMMONWEALTH Of PENNSYLVANIA BUREAU Of INDIVIDUAL TAXES DEPARTMENT Of REVENUE Deor Register of Wills: Enelosed you will find: Dcheckll) Ddocumenll(l) which were receIved by the Department of Revenue In error. Thele may be procelled according 10 normal procedures. REMINDER: The POST MARK DATE on envelope ollached to ony checkl encloled mUlt appeor on your Official Receipt. Thank you. I .! Sincerely, John Murphy, Chief Inheritance Tax Dlvlllon (717) 787.6201 '. i . I ' ,."".;-- \ ~' ~ , , ~ " ':'" ' <J \ "',\' ~. 1. ' . f~~ , I~: '; H," . , . { , " " ~ " ,-' r I I . . ";,' - . ."',. I' '1' , ,'. ..., . ~, : '. ~~ ~',. ;>, . . ~~ I . ...., '. , ! "8;. :. r. ~ " i "'. "1" :. -.\' . III 4,', '" .. :tl ",. " .~ " 1 . ...;.i......, 'f ;...." ." . , .j t' ., I . , . '" \' 1 ~. ' ~ . .' . -'-- r ,-' _..J -~ ~- >, ..':- , I I '11'" "'--.. ...... '.. ..- ,",.' -_..-.'.. ~'''I'''''~-~' ..-.~.-:-_..- .,---~ . , "!. l' - ,!" 4;..\ .':~) ~(.~ ~ {. ". ',' 'i.\ :". 'Y.L . ,:. j : ' . , " ,'io,"'" ~l) . , I -..~ ,', ..: ., \, '. r . 'f ,~ ''''_0_'''''_, '""~..._ __~'(' "3."__"'''''''. .._."'r -'I~-' r~ r...- ..-----. -I "f-~ _Aa , , i , , ~ t . >, I I )> I , ",. , .. , .. ~ " r.t '\ STATUS REPORT UNDER RULE 6.12 Name of Decedent: MINERVA G, GOSHORN Pursuant to Rule 6,12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No Date of Death: APRIL 25, 1995 Will No. Admin. No. 21-1995-514 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court7 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, j approvals of formal or informal accounts may be f Cerk of the Orphans' Court and may be attache nders and d with the is report. Date: JUNE 6, 1997 Vel 1JI' , ,", ,. , H.un~) "fJl:l HUBERT X. GI OY, ESQUIRE Name (Plea e type or print) 4 NORTH H OVER STREET, CARLISLE, PA Address lS: l d 6- Nrtf L6. ( 717) 243-4574 Tel. No, ~IL' . 10 j-'U lJ'JC] Capacity: Personal Representative Counsel for personal representative ( MAH: rmf/ AM3 ) 17013 " . ESTATE OF MINERVA GRACE GOSHORN ESTATE SETTLEMENT AGREEMENT THIS AGREEMENT made this It,....\ day of () r:I- Theresa K. Nelson, Randy Lee Goshorn, Lovetta F. Goshorn, Francis Goshorn, Harry E. Goshorn, Dennis Janet L. Hopple and Cross Keys Methodist Church. , 1996 between Hopple, Max T. Goshorn, WITNESSETH WHEREAS, Minerva Grace Goshorn died April 25, 1995; and WHEREAS, pursuant to the Will of Minerva Grace Goshorn dated February 19, 1993, a copy of which is attached hereto and marked Exhibit "A", Dennis R. Goshorn and Janet L. Hopple were appointed as co-executors of the Estate of Minerva Grace Goshorn; and WHEREAS, Letters Testamentary were issued to Dennis R. Goshorn and Janet L. Hopple in the Estate of Minerva Grace Goshorn by the Cumberland County Register of Wills at Docket No. 21-95-0514; and WHEREAS, Janet L. Hopple and Dennis R. Goshorn have truly and appropriately administered the Estate of Minerva Grace Goshorn; and WHEREAS, the mentioned Executors have filed an Inheritance Tax Return with the Pennsylvania Department of Revenue in the Estate of Minerva Grace Goshorn, said Return being attached hereto and marked Exhibit "S", and said Return being accepted as filed by the Pennsylvania Department of Revenue; and WHEREAS, pursuant to Item 2A of the Will of Minerva Grace Goshorn, the Executors of the Estate have conveyed real estate at 34 East Street, Mt. Holly Springs, Pennsylvania to Theresa K. Nelson and Randy Lee Goshorn by deed dated June 6, 1996 which deed has been appropriately recorded in the Cumberland County Recorder of Deeds Office; and WHEREAS, pursuant to Item 2A of the mentioned Will, the Executors have transferred the secretaries desk to Lovetta F. Hopple; and WHEREAS, pursuant to Item 2C of mentioned Will, the Executors have made arrangements for the transfer of the two cemetery lots at Mechanicsburg Cemetery Association to Max W. Goshorn and Francis R. Goshorn; and WHEREAS, other than the mentioned real estate, cemetery lots and secretaries desk, the only other assets of the Estate of Minerva Grace Goshorn, which Executors collected, include cash in the amount of $7,103.20; and .~ . WHEREAS, the Executors have paid the following bills to date for the Estate of Minerva Grace Goshorn: Graham Medical Clinic Carlisle Cardiopulmonary Carlisle Image Association Carlisle Hospital Register of Wills-Inheritance Tax Register of Wills-Final Inheritance Tax $ 24.55 $ 40.77 $ 19.22 $ 716.00 $1,462.63 $ 231.84; and WHEREAS, there is approximately $4,600.00 in cash remaining in the Estate of Minerva Grace Goshorn for distribution; and WHEREAS, there remains a possible obligation of the Estate owing to Yellow Breeches EMS in the amount of $267.00 and the Executors are attempting to negotiate or compromise that bill with the Yellow Breeches EMS; and WHEREAS, there still remains an obligation owing to the law firm of Broujos, Gilroy & Houstpn, P.C. for purposes of attorney's fees and reimbursement for costs advanced in connection with the estate administration; and WHEREAS, all parties to this Agreement desire that the administration of the Estate of Minerva Grace Goshorn be terminated without the expense and delay of a court accounting and the parties are willing to enter into this Estate Settlement Agreement in order to expedite the conclusion of the Estate. NOW THEREFORE, the parties in consideration of their mutual covenants herein expressed and intending to be legally bound hereby agree as follows: 1. All parties to this Agreement hereby waive the filing of a formal accounting and schedule of distribution in the Estate of Minerva Grace Goshorn. 2. Theresa K. Nelson and Randy Lee Goshorn acknowledge receipt of the real estate at 34 East Street, Mt. Holly Springs, FA. 3. Max Goshorn and Francis Goshorn acknowledge receipt of the cemetery lots as described above. 4. Lovetta F. Hopple acknowledges receipt of the secretaries desk as referenced above. 5. All parties acknowledge that there is approximately $4,600.00 remaining in the estate account Eor distribution. The parties agree that the Executors shall withhold $1,600.00 from said monies for purposes of . payment of attorney's fees, court filing fees, the mentioned bill to Yellow Breeches EMS and any other contingency. All parties agree that the remaining $3,000.00 may be distributed pursuant to the Will of Minerva Grace Goshorn as follows: Cross Keys Methodist Church 10% $ 300.00 Harry E. Goshorn 22.5% $ 675.00 Dennis T. Goshorn 22.5% $ 675.00 Janet L. Hopple 22.5% $ 675.00 Lovetta F. Hopple 22.5% $ 675.00 6. The parties agree that, upon distribution of the monies to beneficiaries as set forth in Paragraph 5 above and after payment of attorney's fees and any other bills owing of the Estate and upon the Executors being satisfied that all obligations of the Estate are concluded, the Executors may distribute any remaining monies of the Estate to the beneficiaries mentioned in Paragraph 5 above in the percentage allocation as set forth in said paragraph. 7. All parties to this Agreement agree to refund to the Estate of Minerva Grace Goshorn any portion of any distribution to which said beneficiary is not properly entitled, and to the extent to said distribution, to indemnify the Executors of the Estate from any claims and to reimburse them from any expenses and costs in connection with such claims. 8. All parties to this Agreement hereby release Dennis R. Goshorn and Janet L. Hopple, Executors of the Estate of Minerva Grace Goshorn, from all liabilities, whether due to their negligence or otherwise, by which they may have by reason of their administration of the said Estate. 9. The parties acknowledge that they have been provided an opportunity by the Executors, if any party would request, to examine all the paperwork and accounting for the Estate of Minerva Grace Goshorn. 10. The parties hereby forever fully release, compromise, settle and discharge any and all claims, demands, actions or cause of action, legal or equitable, absolute or contingent, vested or hereafter to accrue, which any of them may have against any other party hereto or against the Estate of Minerva Grace Goshorn or against the Executors thereof, by reason of any matter, cause or thing growing out of or relating to any property or assets of the said Estate, or growing out of or relating to any act of the Executors in their administration of said Estate. 11. The parties acknowledge that they have had the opportunity to present this Agreement to their own legal counsel for advice if such party desires such advise. 12. The parties agree upon themselves, representatives. that this instrument shall be binding successors, assigns, and personal IN WITNESS WHEREOF, we have hereunto set our hands and seals the day and year first above written. ~oo /~ . ; c h . / ('L,.....""", ~ .r,1r:~' ,"t.....'\..J , ., t1.. l'" \~ , -r~ Jl ~ IH~RESA K. NELSON JND'y'~ tos-!lom; a,..N! , ./ -~~ ~ q~ETTA F. HO~E - - 6?1; J JJ!?~ cR~/J.~ _ fi\rp-~ 1'/.] J 1-'J .) ,&4-CAA~'" ,". r-,.(~~.... 6?~ J~ ~~R~~()- J ~\\N'N7WJ 9.f)~ FRANCIS GOSHORN l~,'''~Ht6f1.D,.\t~, li,l.:t.. 'Je,,,, ~'Hf1l DENNIS T. GOSHORN ~ '01, ~ ~ET L. HOPPLE CROSS KEYS METHODIST CHURCH BY: i;f~l.('" (\ l{lLl~\' /"ll(\.V. fj / --. W ILL I, MINERVA GRACE GOSIIORN, of 34 East street, Mt. 1I011y Springs, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM ONE: I direct that all my debts and funeral expenses, including my gravemarker shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM TWO: I direct that my estate be distributed as follows: A. I hereby devise a life estate in real estate which I own at 34 East Street, Mt. Holly Springs, cumberland County, Pennsylvania, consisting of a lot 75 feet by 116 feet to my granddaughter, Theresa K. Nelson. During the time Theresa K. Nelson shall occupy the premises and make claim to this life estate, she shall maintain the property in good repair and shall be responsible for all taxes, assessments, insurance, and other bills pertaining the maintaince and upkeep of the said real estate. I hereby devise the remainder interest in said life estate for the mentioned real estate to my grandson Randy Lee Goshorn. B. I hereby give my secretary desk to my daughter Lovetta F. Hopple. C. I hereby devise the two cementary lots which I own at the Mechanicsburg Cemetary Association to Max W. Goshorn and Francis R. Goshorn. D. I direct that the rest, residue, and remainder of my estate be distributed as follows: 1. County. 10% to the Cross Keys Methodist Church in Juniata 2. Goshorn, Hopple. 90% distributed equally between my children Harry E. Dennio R. Goshorn, Janet L. lIopple, and Lovetta F. ITEM THREE: I appoint Dennis R. Goshorn and Janet L. Hopple as Co-executors of this my last will. ITEM FOUR: All estate, inheritance, successio~ and other taxes, imposed or payable by reason of my death, and interest and penalties thereon, with respect to all property comprising my gross estate for tax purposes, whether or not such property m ~ $~ ~ txJj( t/ht I EXHIBIT A Page One of Three passes under this will, shall be paid out of the principal of my residuary estate, without apportionment or right of reimbursement. ITBM FIVBt I direct that my personal roprescntative or guardian shall not be required to givc bond for the faithful performancc of their duties in any jurisdiction. ITBM SIX' In addition to the rights and powers given to the fiduciaries by law or elsewhere in this will, I give to my Bxecutor during the full time necessary and for the administration of my estate the following rights and powers to be exerciscd in his sole discretion. A. To retain any real or personal property which may at any time form a part of my estate so long as he or she deems it advisable. B. To inveet in any real or personal property without restrictions as to legal inveatments. c. To repair, alter, improve or lease for any period of time any real or personal property and to give options for leases. D. To sell at public or privatc sale, for each or credit, with or without security, to. exchange or to partition rcal or personal property, and to give options for lcases. B. To make distribution in kind. F. To compromise claims. IN WITNESS WHEREOF, I havc 1'e-br.....o... rr 1993. hereunto set my hand this 11 day of SIGNBD 4'1--.....44 14.0 9! LJ!P y~ 'M1NE1tVA-GRACB ~ORN The preceding instrument, consisting of this and two other typewritten pages each identified by the signature of the Testatrix was on the day and date thereof signed, published and declared by the Testatrix therein named as and for her last will, in the presence of us, who at her request, in her presence and in the prescnce of each other have subscribed our names. Page Two of Three UV,I500 IX.. (7-9'1 ~ lj"s.. wtE:1 .,09 "'I::... =< ,. INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 'ORDAmOFOEATHAFrtR 12131191 CHECK HIRI I' A SPOUSAL POVERTY CIUDIT IS ClAIMED 0 flU HUM". 21 ~ ili " bl " COMMONWII!AlrM o. ,eNNSYlVANIA O"AUMJHl?S .IVIHUI HARR,sfJ.b. ~A nl2l"&O' ate 0 HI' NMIollLA". h.n. AND "IPO~( INIIIAU MINERVA GRACE GOSHORN Al S CUlln UUMlII PAil Of DIA1H 172-24-7668 4/25/95 ,., uf'\.ICAaUl iUI'tlVlNO vauu.,......... ILA". f.UI "","o..oou ....11..1,1 fi(] 1. Original Roturn o A. limited Ellal. i!J 6. O*<~dcnt Died retia Ie (".och .opy 01 wall R rQ ~. 95 0514 C;OUNIY CODE OHIDIH' O""llll AD . YfAR NUMBfl DAn: Of IUIT" 34 Eo111t Street Mt. Holly Springs, PA 17065 Co AMOUNT I!CIIVIOIUIINIo U I c ~,Supplo......1 Rot"," o 3. R.mol"d., R.lurn (fo, dotes of death plio' 10 12013.8; 05. fad.rol fuo,. Tall: R.t"',, R.qui,...J o Aa. 'IItur. Inler.at Compromls. (lor dol.. ef doo,h ek.. 12.12-821 o 7. Oecedant MaIntaIned 0 Uvl"9 Trulf (A.edo copy ef Trulll Ar" IHfOIlMATlOIUIJdOl.D lI.UllR1,"I~l> lo;J. .1 .- . CO,I.\'UIl MAl\INO Moun BROUJOS. GII.ROY & HOUSTON 4 NORTH HANOVER STREET CARLISLE. PA 17013 18,000.00 ltr;:o I ESQUIRE + + 20. Ill... 19 I. greete, than Uno 18. o..or.ho diH...... en lln. 20, lbl, "'he OVERPAYMENT. 1il0 21. If lIn. 18 r. great.r than Un. 19, cnl.r Ih. diff.renc. on Une 21. Thl, II the TAX DUE. A. Ent.r ,h. Inr.r'It on ,he balanc. due on Un, 2tA. e. Ente, rh.,oral of line 21 and 21A on Une 218. Thh Illhe BALANCE DUI. Mab Check Po able tal legbler of Will" Agent ",:.. . "'\'\:;~l! ,~..Bl!lSURUQ,lIN:>wEJ!jAtI!.QUEsnON5.ON'REVERSE;SfDE:A.~1l~ RECHECI(-MAiQl~';;C: . L ""._ ' ~ftd'f p.nohies of perjury. I dlKlar. tho' I han uamln.d this return, j"dl.ldlng accompanying Ichedl.lles and lIal.m,nts. ond 10 Ih. ball al my Irno.l,dg. ond h.I,~ 'b' " !~ue, cOI',r~c1f and compl.,.. I dKlaf' thof aU 't'Ol lito'. hos bun r.poned ot lrue mariel .011.11. Oadara,ian of prtpanr othlr than tto:. p.r.onal '.p'.lInllllt.... alftJ on Q 'I' annallon 0' ....hlch preparer hat any knawltd e. N "IUoON U N I , 'lllNG AtlUlN ADD"IU :!lffi ::i!'i 00 u... N HUBERT X, GILROY, 243 4574 '" o '" .. :: I: .. .. u w = ,. Rool Ellole (ScI>.dulo AI ~. 5.0<1<. end 80nd. (Sch.d,lo 81 3. Ootet)' H.ld S'ockJPart",nhip Inl.,." {Schedule q A. Mortgage. and NaIll R.ceivabl. (5ch.dlll. OJ 5. Cash, Bon"- Otpoaits & Mhullanaoul Pel'1Onol P,operty (Schod,lo EI 6, Jol",ly O....d Preperty ISchod,Io F) 7. T,o",f... (Schodolo 01 (ScI>odolo II 8. Tofal Grau Aua.. (IOIOlliuI 1.7) 9. Funeral bpln..., Admlnld,ali.,.. CoSh, MtscfUaneoul E.p...., (Schedul. H) 10. D.btJ, Mongag. liabilities, Ulm (Sch.dule I) 11. Tolal Oedudion. (Iotal Ullts 9 & lO) 12. N., Value of Estat. {line 8 minul lIn. 11} 13. Cha,itabl. ond Go..,ntMn'al hqu"tJ (Schedul. J) U. N't Volue Subject to Toa (lIn. 12 minus line 13) U. Spoulal Trondt,. (fo, dot.. of dtofh oft., 6.30.94) S.. Intlructions fo, Appllcabla Percentage on R.ve". Sid.. {Indud. 'toluc. Irom Sch.dul. K 0' Sc.h.dult M.J 16. Amount of Un. 1.. tOllabl. o16~ tat. (I "dud. volues ',om Schedule K or Sm.dul. M.I 17. Amount of LInt ,. taxobl, at I S% rOf' Ilnd"do 'tolu.. from Schedule K or Schedule M.I 18. P,indpollox due (Add lOll: from Un.. lS, 16 and 11.) 19. c..diu Spol.l1G1 POVtrty C,edit' Prio, Pormen'l a '" .. ~ ~ :s B S _ 8. Tolol Number 0' So,. O'POIIt eon, .. ..:~.;=! ....; ...._-}lJ~. . .1 (t) ( 21 (3 ) (A 1 ( 5 ) --..z.. I.'i.l, 2.0 1,500.00 (6) (71 191 (to) 1,126.00 800.04 (B I "26. 7~1 70 III) (12) 113) !lA) 1,926.04 24,827.16 . . ~ 450.00 24.:171.] 6 1151 x.__ (16) (17} 1./.62.63 K ,06. lC ,IS. (18) 1,/.62.63 OiKcunt Inl."st 119) 120) Ch.,~1c here if you elle reques.tinq 0 ,dund of your overpaYMent. .AOO' .. 1,/.62.63 -.-...--~ .-. --"-- (21) (~IA) (218) EXHIBIT 'J :-J~;L 73.~{, .", j / I --1~ .j,' "".. D. p~ .. SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PI.a.. Print or T . F E UMBER 21 95 0514 CQMMONWtAU'H 01 ,INHSnVAHLA INHnnAHCI lAX lnulH IUlDINT DlaDIHT ESTATE OF MINERVA CRACE COSnORN (AI "'-" .........-..... ...... .... lleh' 01 ~ ..... ... dI........ ... Sc........ " ITEM NUMBER DESCRIPJION VAWE AT DATE OF DEATH I. PNC Account - Account , 5140184959 $ 7,103.20 2. Secretary'B Dook , $ $ 50.00 100.00 3. Two cementary loto ., S 7.253.20 IAAo<Il oddi....... Il't. x 11"....... ~ __ ",oc.1o ....dod.1 ,~ .."'"....~'.I""I. .. COMMOHWIAlJH 0' rtHHSYLY4HI4 lHHUItA.HCf tAX _nUIN USIOt:Nt DECEDENt SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF MINERVA GRACE GOSHORN FILE NUMBER 21 95 0514 Joint tenanlll)' NAME ADDRESS RELATIONSHIP TO DECEDENT- A. Randy GOBhorn 58 SubdiviBion Road Newvi110, PA 17241 GrondBon B. C. Jolnlly.ownld property, LmER . ITEM FOR DATE TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBEI MADE DESCRIPTION OF PROPERTY JOINT JOINT OF ASSET % INT. DECEDENT'S INTEREST TENANT I. ^ 1990 CD - PNC Bank $3,000.00 50% $1,500.00 TOTAL IAho enlll' on line 6, Recopirulolion) Sl~'nn nn (II mar. .pac. i. ne,ded ;nlerl additional Ih"h of lame liu) ..\lUlIl.. P-lll. SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES PI.a.. P,lnl or Tvp. fiLE NUMBER 21 95 0514 ~~ COMMONWfAlfH Of PfNNSYLYANIA IHHfll....NC( IAll IUUlN 'UIDIHT DIClDIHI ESTATE Of MINERVA GRACE GOSIIORN ITEM NUMBER A. Fun.ral Exp.n.... DESCRIPTION AMOUNT I. B. . Admlnlalratlv. Ca.'.. Persanol R.p....ntolivo Comml..lon. Saclol Security Number of Personol Repre.enlati..: Year Comml..lon. paid I. 2. Allornoy Fee. B j rou OB, Gilroy & Houston, P.C. $1,000.00 3, Family Exemption Clalmanl Addre.. of Clalmonl 01 decedent'. dealh S'..el Add.... CIly State Zip Code Relatlan,hlp 4, Probalo Fo.. C. MI.c.llanoou. Exp.n.o.. 1. Register Of Wills - FiUng Fee $ 83.00 2. Register of Wills - Inheritonce Tax Return $ 15.00 3. Register of Wills - Family Settlement Agreement $ 15.00 4. Recorder of Doeds - Fee to record Life Estate Deed $ 13.00 5, 6. 7, 8, TOTAL (AI.a onler on line 9. Recapilulallon) (If mar. .pac. I. n.odod, In..rt addlllonal .h..l. of .omo .....) 51,126.00 .. ~~",..,.._,.~.....__.,-,...--.,..~ I'V,IIU.., 1141) q.~.D ' '. COMMONWIAl'" 01 ""H"""'4HI" IHMunoUtC. ... .nuI" ""oeN' OfCIDlIN' SCHEDULE J BENEFICIARIES ESTATE OF HINERVA GRACE GOSIIORN nEM NUMBER 2. 4. 5. 6. 7. ITEM NUMBER FILE NUMBER 21 95 0514 NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Takobl. Seque,.s: I. Theresa K. Nelson 34 East Street Ht. Holly Springs, PA 17065 $18,000.00 Gronddaughte Lovetta F. Hopple 12 E. Locust Street Heehanicsburg, PA 17055 Daughter Secretary DeBk 3. Hax and ~'rancis Goshorn 32 East Street Ht. 1I0lly SpringB, PA 17065 2 Cemetary LOtB Harry E. Goshorn 36 EaBt Street Ht. 1I0lly SprlngB, PA 17065 Dennis T. Goshorn R.D. 2, Box 100-28 NeWVille, PA 17241 Janet L. Hopple 30 EOBt Street Ht. Holly SpringB, PA'17065 Lovetta F. Hopple 12 E. Locust Stroot Hechanicsburg, PA 17055 Son 22.5% of remainder Son 22.5% of remainder Daughter 22.5% of remainder Daughter 22.5% of remainder NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE 8. Charitable and Governmental aeque,": I. CrosB Keya Methodist Church Box 145 EOBt Watcrford, PA 17021 10% of remoinder TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAho 0.'0' on lino 13. Rocapl'ulatlan) S (If mOil .pac. I, n..d.d, In..,, additional ,h..t. of lam. 111:.) /5--.1/3-4(,. COMMONWEALTM OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIOUAL TAXES INHERITANCE TAX DIVISION DEPr. za0601 ttAHAISIURa, PA 171Z'~06Dl *& NOTICE OF INNERITANCE TAX APPRAIBEMENT, ALLOXANCE OR OIBALLONANCE OF DEDUCTION" t. AND ABBESBHENT OF TAX ON JOINTLY uELD OR TRUBT ASBETS '''''''''''''"''''1 RANDY L GOSHORN 34 EAST ST MT HOLLY SPRINGS PA 17065 .:', DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN,tDC ACN 02-09-98 GOSHORN 04-25-95 21 95-0514 CUMBERLAND 172-24-766B 95144408 A.aunt R..Ut.d MINERVA G CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V:is4-i-Ejf-AFP--ioi-:97j------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD DR TRUST ASSETS DATE 02-09-98 ESTATE OF GO~~~RN MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 ", MINERVA ,,::::~.G DATE OF DEATH 04-25-95 COUNTY CUMBERLAND 21 95-0514'" "",., S.S/D.C', 'NO. 172-24-7668 TAX RETURN WAS. ," (X) ACCEPTED AS FILED ( ) CHANGED ,I' JOINT OR TRUST ASSET INFORMATION . I "It.,:," 'II '" !l FILE NO. '.'fl",,,,' FINANCIAL INSTITUTION. PNC BANK .,-,-, ' ACN 95144408 ACCOUNT NO. 410055293 TYPE OF ACCOUNT. () SAVINGS ( j'CHECKING ( ) TRUST (Xl TIME CERTIFICATE DATE ESTABLISHED 06-11-85 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . IF TOTAL DUE IS LESS THAN .1, NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YOU KAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I Account Balance Pereent Taxable . " X Amount Subjact to Talc", Dabts and Deduetions"'" Taxable Amount Tax Rate , ." "X Tax Due ' II>" ""~ ,"It j.. \ 11'1. ,.-, ,DO 0.500 .00 .00 ,DO .15 .00 ," TAX CREDITS I PAYMENT DATE 01-24-96 ,1"0 RECEIPT NUMBER AA082569 DISCOUNT (+) INTEREST/PEN PAID (-) .00 '-," "'''' .l..\:a;c ur ._ . .0 :< :" , II' 0",,'.1 .",,, '" 'f'dl" '''1 hI ,,' 'h. " .,.,-",''' ."., .,', .,;".1 . NOTEI TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO. "REGISTER OF WILLS, AGENT. It AMOUNT PAID 231.84 231.84 231. 84CR .00 231.84CR . '. ~ c: ,- P\lIlPOSE OF NOTICE. To fulfill the requlr...." of 'MUon Zl~O af the InhlirltMCI McI E,t,t, Tax Act, Act 21 of 1"5. en P.I. Section '140). PAYl'tEHTI DtItech the top portion of thh Notice ~ ,ubIIlt with VOU" PIYHnt to the R......,. a. Will, prlntad on the rlVI.... lIa. n "_. check or ...,.y order Plyllbll tal REallTER Of MILLI, ,latHT. REF\.Im CCRh A refund of . t.. cr.dlt, whIch .... not requestld on the talC return, ..y ba requ.,tld by CDllpl,Ung en "AppUCltlon for bfWMI 0' P~.wlvanl. Inh.rHIneI Ilnd hte., T.... CREV-UU). Appl1ntlonl .r. Iv,lhbl. It the OfficI of the _..lit.,. of Willi, any of t~ IS R.v~ DI,trlct Offlc.. Of" by cIlllng the ,peela. 20ft-hour ~....,.lna ..rvlcl ~r. 'or far.. orderlngl In PannlvlvenSs 1.100-562-2050, out.lde Pennlvlvlnl, ~ within lOCI. H,rrl,bur. .r.. (717) 7.7-1.94, TDDI (717) 771-2152 (H..rlna r.,.lrld Only). CBJECTIONS, Any p.rty In lnt.r..t not ..tl"lad with ~ -.,r.....ent, .llov~. or dl'allow~. of ~ctlon. or ......aent 0' tax Clncludlnt dllcount or Int.r..t) .. shown on thll Hotlc. .av ObJ.ct within .I.ty C6a) dlY' 0' r.c.lpt of thll NoUe. byi .u..rIUen protut to tt. Pi Dep.rt....t 0' R.venutl, loard of Appa..., Dept. 211G11, Harrisburg, Pi 1712."10,21, OR ....IHUng to hw. tM .att.r d.hr.lned It tM 8Ud1t 0' tt. acCCM.W'lt of tM PlnONI r.pruant.Uv., OR ."appall to tt. Orphan.' Court AllHIN" ISTAATlYE CORRECTIONS. Factualarron dheov.nd en thh ........"t lhould b. addrauld In "rlUna tOI PA Dep.rtNnt of RIVIrIUI, tur..u 0' Individual T...., ATTNI Po.t A......ant R.vl... unit, DEPT. Z.a'Dl, Harrl.burg, PA 17128-0601 ~ (717) 7.7-6SD5. I.. page 5 0' tt. bookl.t "In.tructlon. for Inhlrltanc. T.. Rlturn 'or. A..ldlnt Decadent- CREV-llal) for In 'kPI~tlon of ~lnl.tr.tl".lv correetlbl. .rror.. DISCOUHT I If any tlM due I. p.ld within thr.. (S) c.l~r ~th. .,t.r tt. dacadent'. d..th, a fl". p.rcant CI_) discount 0' thI t'M paid II .Uowed. PENAL TV. Th. 15_ tIM .-MI.ty non-p.rtJclpaUon PMlltv II co.puttd on t~ total of t~ t.M and Intar..t .......d, Md not p.ld tM'or. JlnUlry II, 1'96, tM flnt dIIy .ftar tM and of tM taM IIWlIlty parlad. Thl. non-participation ptfWl h .. lIPPI.labla In tt. .... ...,.r and In tt. thI .... u.. ~r lad .. ~ou would IIPPI.I tha talC and Int.rllt tMt h.. MIn ......IMS a. Indica tact on thl. notlc.. INTERfIT I Int.n.t h chlrgad bellmlnt "Ith first day 0' del1nquancy, or nlM C') Mnth. Md OM (lJ day 'r. the dlit. of ....th, to t~ data of P'YHf'tt. TaM.. Nhlch bee... dlUnquant bailor. January I, I'll blar I"t.r..t at the rat. of IIx' C6X) plreant p.r ....... c.lcul.t~ at . dalb rat. 0' .IDU.... All ..... which bee... "'l1nquant on or .ft.r JWlUlry I, 191Z "Ul baiar Intarllt at . rat. which ..UI v.rv 'r. calendar y..r to cal....r y.ar ..lth that r.t. MnOUnCad by the PA Gapart..,t 0' A........ Thai appl1ubl. Int.r..t r.t.. 'or 1'.1 through 1". .r.. Yllr Int.rllt A.t. D.lh Int.r..t FMtor Y..r Int.r..t Aat. O.llv Int.r..t Feotor ItU ZaX .aDDSU .9.7 'X .001147 uas UX .DOD4" 19u"I"1 IIX .oann It" IIX .ooasal I'" OX .000147 Ins ISX .DOOSS6 1995"19t4 n ,Da0191 It.. lOX .ODon4 1995".". ox .000147 ..Inhr..t I. c.lcul.tld .. 'ollowlI JICTEREST . BALANCE OF TAX UNPAID X IfU"BER OF DAya DELJHQUEIf1' x CAILY JtfTEIlEST FACTOR nAny Notice llsued .ftlt thl tax bK.... daUnquant ..Ill rallaot In Intera.t c.lculatlon to flft..... (15) dliy. tMo:rond \hi Nt. of the ........,t, If p.lttMInt .. ..... .ft.r tha Inte,..t cOllpUteUon Nt. Ihow'I on tha Notle., ~ltlonal Int.r..t .u.t be c.lcul.tld. /5"-'13 -?, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT - G BUREAU OF INDIVIDUAL TAXES IHHlAITAHCE TAX DIVISION DtPT. 110601 HARRISIURa, Pi 17.'..0'01 "'.IU''',,, III.t1l RANDY L GOSHORN 34 EAST ST MT HOLLY SPRINGS PA DAT! ESTATE OF DAT! OF DEATH FILE NUMBER COUNTY ACN MINERVA I 17065 03-16-98 GOSHORN 04-25-95 21 95-0514 CUMBERLAND 95144408 Mount R_Ittod MAKE CHECK PAYABLE AND REMIT PAYMENT TOl REGISTER OF WILLS CUMBERLAND CO COURT HOUSE C"RLISLE, PA 17013 NOTE I To tn8ur. proper credit to your account, .~lt the upper port ton of thl. fD~ with your t.M p.y-.nt. CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..... iiiWUiiij-iii-AFP-ioy:m-------ii..--iNHilliTANci--TAx--s'i'AfiHifNT-ii"-Aifcoi.iN'f--ii.ii----------------m-- ESTATE OF GOSHORN MINERVA G FILE NO. 21 95-0514 ACN 95144408 DATE 03-16-98 THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACH IN THE NANEO ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAY"ENTB, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE, DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT. 02-02-98 PRINCIPAL TAX DUE ._........__..._______.....__.__ PAYMENTS CTAX CREDITS). PAYMENT DATE 01-24-96 02-25-98 RECEIPT NUMBER AA082569 REFUND DISCOUNT C+) INTEREST/PEN PAID C-) .00 .00 AMOUNT PAID 231.84 231. 84- o ... >i LJ l::'l , ) ..; " ' " :i ,jo .00 ,00 ,00 .00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER THIS OATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN .1, NO PAY"EHT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIOHS. I G .00 " PAYtEHY. Dehch thli top portion of thb NoUc. Md IUblllt with your PIWHnt ..de p'vllbl. to tM n-. Md Mdr... prlntN on the rl"I"e dde. If REIIMHT DECEDENT ... cheek or lIOMy order plvllbl, tal REGISTER OF WILLS, AGENT. If NOH-REllDENT DECEDE:HT aek, eheck or MHMV ord.,. JI.y8bl. tal CotIttOtNEAL TH OF PENNSYLVANIA. REflIID (CAll A refund of I tl. credit, NhSch ".. not r.~.t'd on the T.. Alturn, "11' tJ. r-.uelted by coapteUna ." "App1JCIUon for R.fund of P""',I".,I, InhlrJtencl end Eltet, 'I)COO UtEV-1U5J. AppUnUon. Ira .".11_1. It the Dfflcl of the A".lt.r of Willi, any of the IJ Aavenue Dlltrlct D"lc.. or fro. the o.plrt-.nt'. 24-hour an.werlna ..rvlel nuaber. lor for.. ordarlng. In Penn'Ylv~l. .-'00-362-2050, out, Ida PennsVlvant. ~ within 10cIl Hlrrlaburg ..... (717) 7'7~.094, TOOl (717) 772-2252 (Halrlng l~.lred only). RfPLY TOt Question. ....-,dlnt '",-or. cont'IMd on this noUc. should k Mdr...ed tal Pi o.p,,.,..,.., of R.v.".,.., au,..., of Individual T...., ATTNI Paat A.....-.nt R.vl~ unit, Dept. ZIO'Ol, Harrl.burg, PA 17121-0601, phone (717) 717"6505. DISCOUNT. If wty tex due h p.ld within th,... (5) c.1end.r .onth. .ft.,. the dec:ecMnt'. d..th, . fin ~rCMt Uln dhcDWlt of the tex paid h aUowed, PENALTY. Th. 15% te. hM.ty non-p.rtlclp.Uon PM.lty Ia COllput.d on tM total of tM b. and Int.rau .......d, end not paId b.fo,.. January II, 1996, the flr.t d.y .ft.r the ..,., of the ta. .....ty p.rlod. INTEAfST. Int.r..t 1. ch.rged bealnnlng with fl,..t d.y of d.1Inquency, or nine (9) MOnth. ~ an. (1) d.y fr~ the data of d.ath, to the data of p.y'ant. la... which b.e... delinquent b.for. Janu.ry 1, 1912 b..r lnt.rut .t the rat. of .IN ('~) p.rcent p.r ~ c'lculat'd .t a d.lly r.t. of .000164, All t.... Which bee... delinquent on end "t.,. Janu.ry 1, 1912 wUI b..,. Int.r..t .t . nt. Which will "'.ry froe c.lend.,. y..,. to c.lltld.,. YI.,. with thlt rata ~Id by thl PA Dep.rt-.nt of R.",~. The applICable Intar..t ,..te. 'or 19" thrOUGh 1991 .r.. y..,. Int.,...t Altl DIlly Int.r..t Factor V.ar Intar..t R.t. aally Int.r..t Feetor 1912 10~ ,000541 1917 9X .000247 .913 IU ,000431 1"1-1991 IIX .OODSOI 1"4 IIX ,000501 1"2 'X .000147 191. IU ,000556 1 "J-l'94 r.c .00019' 1.16 IU ,000274 1995-1'" 9X .000147 .-Inter..t I, calculat~ .. folll*'1 IHTERElT . BALAHCE OF TAX UHPAID X HUHIER DF DAVS DELIHQUENT X DAILV INTEREST FACTOR uAny NoUce Ia.u.d .ft.r the tn beeo... delinquent will r.flect ., Int.r..t cllcul.tlon to 'ift..., Ill) day. b.yond the date of the ........nt. If PIPlnt II .Id. afta,. the Int.rut CHpUt.Uon d.t. .hown an the Notle., .dcUtlonll Int...... ....t tM calcul.tld. - , ., JOHN H, BROUJOS HUBERT X, ctLROY CHRISTOpHER C, HOUSTON BROUJOS, GILROY B HOUSTON. P. c. ^lTORNIlYS ^T I-^W .. NOknt tl^NOVtR ~ntJ;I:T ~RLISLE, I'ENNSYLV^NI^ 17013 "17.2"3.4~74 NON. TOLL fOR I.fARI\I~nUflC ^flEN 717.180.1600 rAXI;!4J.0221 November 17, 1995 Mary C. Lewis Register of Wills Cumberland County Courthouse Carlisle, PA 17013 ()Il .:-) RE: Esta te of Minerva Grace Goshorn File No. 1995 - 00514 Date of Death: April 25, 1995 f"..' '. Dear Mary: I certify that notice of beneficial interest required by Rule 5.6 of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above captioned estate on the 14th day of November, 1995: Janet L. Hopple 30 East street Mt. Holly Springs, PA 17065 12 E. Locust Street Mechanicsburg, PA 17055 36 East Street Mt. Holly Springs, 17065 R.D. 2, Box 100-28 Newville, PA 17241 Louetta F. Hopple Harry E. Goshorn Dennis T. Goshorn Theresa K.Nelson 34 East Street Mt. Holly Sp~ings, PA 17065 32 East Street Mt. Holly Springs, PA 17065 32 East Street Mt. Holly Springs, PA 17065 Max W. Goshorn Francis R. Goshorn Cross Keys Methodist Church c/o Lucy Vawn, Treasurer Box 145 East Waterford, PA 17021 .. . ... Mary C. Lewis November 17, 1995 Page 2 All persons entitled to receive notice have received this notice. I file this certification pursuant to Rule 5.6 and in my capacity as attorney for the Estate of Minerva Grace Goshorn. Yours Sincerely, ~ Hubert x. Gilroy bc aal Janet L. Hopple. " . ~