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0l/-Q5- (,.33
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of VIRGINIA A. CHAPMAN
No.
~ 1 - 95 - 633
also known as VIRGINIA A. CHAPMAN, Deceased
Social Security No. 163-12.7010
Donn L Snyder, Petillon"" who Is IS yee... olege or older, eppll,,'or:
(COMPLETE .A. OR "II. BELOW:)
lU A. Probate and Grant of Let1ers and )lvers that Petitioner Is the Executrlrramed In the las1 Will of the
Decedent, dated September 29, ;~~. c..ad ic i I dCc. t f d ~(..:lob~... Ol, It;9/).
Stale relevant circumstances. e.g., renunciation, death or executor, ele.
ElCC8pt aa lollows, Decedent did not merry, wes not divorced, end did not have a child born or ado pled a"er execution 01 the documents ollered for
probate; was not the victim 01 e killing and was never adjudicated Incompetent:
1JI B. Grant of Let1ers of Administration
(d.b.n.c,t.a.: pendente lIIe; durante absentia; duranta mlnorlta'e)
Petllloner(s) after a proper search hasl have ascertained that Decedent left no Will and was survived by the following spouse
(If any) and heirs:
Name
Relationship
Residence
Decedent was domiciled at death In Cumberland County, Pennsylvania, with her last family or principal residence at Bethany
Village, 325 Wasley Drive, Mechanlcaburg, Lower Allen Township, Pennsylvania.
(1~ls'r88t, number and munlclpallly)
Decedent, then B3 years of age, died July 30, 1995 at Bethany Village Nursing Home, Mechanlcsburg, Pennsylvania.
Decedent at deeth owned properly with astlmaled valuas es lollows:
(II domiciled In PAl All personal properly "".....",...,....,.,......""",,,. $ SO.OOO.OO
(II not domiciled In PAl Personat properly In Pennsylvania . . , , . . . . . . . . , , , , . . . , . , .. $
(II not domiciled In PAl Personat properly In Counly ......,..,........,.,....,.. $
Value o!real aslale In Pennsylvania, . . . . , .. , . " . . , .. .. . " . . . .. , . , . . . , . . . . . . , . . , , . . . . . , . . $ .().
Total .",,,.,............,..,..... ,....."............................. $ 60.000.00
Real Estale sltualed 8& followa:
Wherelore, Pelltioner(s) ,aspecllully requesl(s) the probale 01 the 1.01 Will end Codlcllls) presented with thlo Petition and the grant of lelters In the
approprlele form 10 Ihe undersigned:
Typed or printed neme and rasldence
DONN L. SNYDER, Esquire P.O. Box 741, Harrisburg, PA 17101
/2 -,1/ - It)
Oath of Personal Representative
Commonweallh of Pennsylvania
County of Cumberland
The Pet~loner above-named 8wears and affirms that the stalement8 In the foregoing Petition are true and correct
to the best of the knowledge and belief of Petitioner and that, as personal r resenlatlve of the D nl, Petitioner will well
and truly administer the estate according to law.
SWorn to and affirmed and subscribed
before me this & day of
, ( ij) '~'II (i
t.I(,"l/ ;,1/(((/..._11'1"
I
No,
21 - 95 - 633
Estate of VIRGINIA A. CHAPMAN Deceased
Social Security No: 163-12-7010 Date of Death: Julv 30. 1995
..:?'f
AND NOW, Auaust. 1995, In consideration ofthe Petition on the reverse side hereon, satisfactory
proof having been presented before me,
IT IS DECREED that Letters X Testamentary _of Administration
d.b.n.c.t.: pendente lite; durante absentia: durante mlnorltate
are hereby granted to DONN L SNYDER
in the above estate and that the Instrument(s) dated Seotember 29, 1993
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters........................... $ 115.00
(1'( i ') ,( ),1
..' (t. /"/f n;'
Register 01 Wills
MARY C. LEWIS
Affidavit ( ).................
Extra Pages ( )....,.......
Short Certificate(s).......... $
$
$
$
$
$
$
$
12.00
Renunciation.... ... ..... 00 ....
Codicil..........................
12.00
10.50
5.00
Attorney: DONN L SNYDER
1.0. No: 06858
Address: P. O. Box 741. 315 N, Front St,
Harrlsbura. PA 17108-0741
Telephone: (717) 236-9377
JCP Fee........................
Inventory........ .... ..110'0 ....
Other...,....II..................
TOTAL............... $
154.50
Mailed letters and order to attorney on 8-24-95.
Form AW,1 Page 2 012 (Cumberland County)
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W I I. L
I, VIRGINIA A. CIIAPHJ\N, of the Township of Lower
1.11en, County of Cumberland and Commonwealth of
Pennsylvania, declare this to be my I.ast ~Iill and
Testament and revoke any and all ~lills or codicils
previously made by me.
ITEH I:
I give and bequeath the jewelry and
clothing which I possess at the time of my death to
Ruby \~ilson (Urs. Edmond C. Wilson) and Debra Sue
~Iilson, both of "ornell, New York.
ITEM II:
I give and bequeath the painting of my
former employers at the Pennsylvania Department of
Forest and Waters and me which was presented to me upon
my retirement to my most recent boss, Mr. E. F.
McNamara, of Uechanicsburg, Pennsylvania.
ITEU III:
To 'l'he \~est Shore Baptist Church, Camp
Hill, Pennsylvania the sum of T~IO Thousand ($2,000)
Dollars.
ITEU IV:
All the rest, residue and remainder of
my estate of whatever nature and wherever situate at
the time of my death, I give, devise and bequeath in
)
~k
~
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n'EH VI
No intereat of any beneficiary of my estate,
either in income or principal,
Ahall be oubject to
anticipation or to pledge, assignment, sale or transfer in
any manner, nor shall my beneficiary have any power in any
manner to charge or encumber his or her interest, either in
income or principal, nor shall the interest of any
beneficiary bo liable or subject in any manner while in the
possession of the Executor for the liability of such
beneficiary, whether such liability arises from his or her
debts, contracts, torts or other engagements of any type.
ITEH VI I
All death taxes (not income taxes) that may
be assessed in consequence of my death, of whatever nature
and by whatever jurisdiction imposed, shall be considered a
part of the expense of the administration of my estate, and
my Executor shall have the absolute power in its discretion
to pay the same at once whether or not the law under which
they are imposed permits the postponement of payment of all
or part of them to a later date.
ITEH VII:
I authorize and empower my Executor, in
its sole discretion, to sell any and all real estate of
which I die sei?ed, at such time and upon such terms as it
may deem best, and to deliver good and sufficient deeds
therefor to the purchaser or purchasers thereof.
I'l't:N VIII I
1 appoint Commonwealth National Bank, of
the City of Harr.isburg, Dauphin County, Pennsylvania,
Executor of this my [,ast Hill and 'r~stament.
IN WITNESS WHEREOF, I have hereunto Dct my hand and
[leal this c1'l7'}.day Of~tvJ , 1983.
?lia-
I GINIA
,~ (SEAL)
NAil
The preceding inst ment, consisting of this and
three other typewr i t ten page, iden tif ied by the
signature of the Testatrix, was on the day and date
thereof signed, sealed, published and declared by
Virginia A. Chapman, the Testatrix therein named, as
and for 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
name as witnes
11-~~~w-._(f~
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rIIlU'l' t:ODlt:IL TO
LnST WILL AND TBSThMBNT or
VIHGINIn n. cnnpMJ\N
I, VIRGINln A. CIIAP~lJ\ll, of the 'fOlmship of LOI~er nllen,
County of Cumberland and Commonwealth of Pennsylvania,
declare this to be the First Codicil to my Last Will and
Testament dated the 29th day of September, 1983.
The following revisions are made to my Last Will and
Testament as referenced above:
ITEM II: I give and bequeath the painting of my former
employers at the pennsylvania Department of Forest and
Waters and me which was presented to me upon my retirement
to Mrs.
E.
F.
(Marge)
McNamara,
of Mechanicsburg,
pennsylvania.
ITEH IV - 1. is deleted.
ITEH VIII is amended to read as follows:
I nominate, constitute and appoint DONN L. SNYDER, of
Harrisburg, Dauphin County, Pennsylvania, Executor of this
my Last will and Testament.
In all other respects, my said Last Will and Testament
shall remain in full force anu effect.
IN WI'l'NESS WHEREOF, I have hereunto set my hand and
seal this 2nd day of October, 1990.
I 1/'" (), ('.J'",
NIA A. CHAP
"..?CJ
(SEAL)
WITNESSES:
A'J, /; " u if ./ft~/J/I"rrI;l,u
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COMMOlllmAL'l'lI 01" l'BNNSYLVANIA:
5S:
COUNTY
01"
DAUPIIIN I
and
We! VIHGINIA A. CIIAPHAN, the 'festatirx
David M. Dunmire and Diane E. Grissinger
the witnennes, whose names are signed to the attached
foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testatrix
signed, sealed, published, acknowledged, and declared the
instrument as the ~'irst Codicil to her Last Will and
Testamentl and that she signed willingly and that she
executed it as her free and voluntary act for the purposes
therein expressedl and that each of the witnesses in the
joint presence of each other and in the presence and hearing
of the Testatrix, signed the instrument as witness to the
First Codicil to her Last \~il1 and Testament; and that to
the best of their knowledge the Testatrix was at the time
eighteen years of age or older, was of sound and disposing
mind, memory and understanding, and was under no constraint
or undue influence.
?I
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VIRG HA A. CHAPMAN Testratrix
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DavJ. . DunmJ.re \~itness
11.
A '.IA-"!.' ,
Di!ane E.
(1 II" /
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acknowledged before me, the undersigned
Chapman, the Testatrix, and subscribed
me by David M. Dunmire and
wi tnesses, in the
October , 1990.
Subscribed, sworn to and
officer, by Virginia '1'1.
and sworn to befor~
Diane E. Grissin er
presence 0 each other, th's
, (VL
NOTARIAL S"AL
Maroneun F, Miller, Notory Public
HarMsburO, PA Onul'll:11 Cou"lY
My Commission Explros Nov. 21. 109,
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DNO.AA
082231 COMMONWEALTH~F PENNSYLVANIA
DIPARTMINT . RIYINUI
OFFICIAL RECEIPT. PENNSYLVA , IA INHERITANCE AND ESTATE TAX
~,~
.,Vllt,...".,
RECEIVED fROM, E3
ACN
ASSESSMENT Pi'
CONTROL ~
NUMBER
AMOUNT
SNYDER DONN L
3Hl N FRONT ST
POBOX 741
HARRISBURG, PA 17108-0741
'.a,::lOCl.QO
101
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'OlO"III ~
ESTATE INfORMATION,
~ fiLE NUMBER
~ el-199~-Ob33
~ NAME Of DECEDENT (LASTI
~ CHAPMAN VIRGINIA A
II DATE OF PAYMENT
EI POSTMARK DATE
COUNTY
SSN lb3-1e-7010
(fIRSTI (Mil
CUMBERLAND
DATE Of DEATH
REMARKS
m TOTAL AMOUNT PAID
.3,~OO.OO
CW
DONN L. SNYDER
SEAL
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RECEIVED BY ,! (r, i(l/. L ,; (" , ';, / " ...-
</ SIGNATURf I / ,. _ "..
MARY C. LE~IS /./,.1,/' t
REGISTER OF WILLS
CHECK" 109
REGISTER OF WILLS
.------ ----- -- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - --- - - --
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IN RE: I!STATB or
VIRGINIA A. CHAPMAN
IN TIIB COURT or COMMON PLI!AS 011
CUMBI!RLAND COUNTY,PENNSYLVANIA
ORPHANS' COURT DIVISION
No. 1995.()633
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: VIRGINIA A. CHAPMAN
Date of Death:
JULY 31, 1995
AdmIn No.
1995-00633
To the RegIster:
I certify that notice of beneficial Interest required by Rule 5.6(a) of the Orphans'
Court Rules was served on or mailed to the following beneficiaries of the above-
captioned estate on October 13, 1995:
Ruby Wilson
P. O. Box 229
Canaseraga NY 14822
Mrs. E. F. (Marge) McNamara
1003 Chase
Mechanlcsburg PA 17055
Debra Sue Hawke
P. O. Box 229
Canaseraga NY 14822
Pauline Stephens
449 Canlsteo Street
Harnell NY 14843
Randy Paul Gera
325 Front Street
New Cumberland PA 17070
Ronald Chapman
R.D.#3
West Clnrksville NY 147e6
Frances Goodwin
c/o Ella Mae Gera
9 North 31st Street
Harrisburg PA 17111
Norma Seeley
Glle Hollow Road, Box 121
Hinsdale NY 14743
, :n
.q.."
Ella Mae Gera
9 N. 31st Street
Harrisburg PA 17111
The West Shore Baptist Church
21st and Market Streets
Camp Hill PA 17011
, ,
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--'--.---....---.....-...,...".-...-.....,,-,..,
Notlcc has now been given 10 all persons entllled~he 10 under "hc ''''>
~ p). 7/11. ~
Datc October 13. 199' Slgnatur - ~
Name DONN L. SNYDER
Address Post Office BOlt 741
Harrisburg, PA 17108
Telephone (717) 236-9377
Personal Representative
Invontory 01 tho ronl nnd pornonnl ootnto 01
.J/. '/.~' &33
VI IlGINI 11 ,{I_~~,~I\J~~!I\N_.___..,
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JU~AI. ES'I'^,J'I~
NONI~
PERSONAl. ES'l'A'l'E I
Komper United States Government Security Fund A
lIccount No. 8951000 8/9
PNC Bank, N.lI., Account No. 5080032549
PNC Bank, N.A., Account No. 5080034026
19,940.53
3,243.50
16,371.!i8
lImerican Travellers Life Insurance Co. - Refund
90.19
lImerican Travellers Life Insurance Co. - Reimbusement
1,95 .Oll
United Nethodist lIome - Refund
Pennsylvania Employees Benefit Trust Fund - Refund
Kemper - Redemption
Brickers Auction - sale of household contents
32 .78
10 .00
31 .00
'l'O'l'AL
42,3 2.44
(~~
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COMMONWEALTH Of PENNSYLVANIA
COUNTY Of CUMBERLAND
"I
\Jonn J.. Bnytlc'r
boln\l duly, uwnrn . eccordlng to lew, .lopo,o, end uy' 11,.1 h. m.'" '- - ,.., ill '
gXCJculor 01 tho [,Ielo 01 VU''.JlJllj!_~!__<';!l~l'~I!ln"_,._...,_,,,
1.1. 01 I,own!" Allen 'l'oWl1l1hl,p _, Cumb.rl.nd Counly, P.., d.c..,.d .nd th.1 th.
wllhln Is en Invontory med. by __Uol1n ,l.._snyLlw:..__..., u_" ..'u__,_, the uld--l::xc.:cuL01:-__
01 the onlir. olt.lo 01 'eld docod.nl, con,lstlng 01 .11 tho p."onel prop.rly .nd r..1 ..t.I., excopl r..1 ..t.l. ouhldo
tho Commonwe.llh 01 Penn.ylvonl., and th.t the IIgurol oppo.llo e.ch lI.m 01 tho Invontory ..pro.ont II'. 1.lr ..Iuo
.. 01 the dele 01 decedent'. de.th,
Sworn to
.nd .ub.crlbed belore me,
March
19
96
Post office flax 741, lIarrisburg, P1\
NOTARIAL S
---Maronclla F. Miller, Notary Public
Harrisburg. PA Dauphin County
My CommiEslon Expiren .)an, 10,2000
D.to 01 Oe.th ~,-'.Ju1~~JO
Day
Add,."
Moftlh
v..,
INSTRUCTIONS
I. An Inventory mull be IlIed wllhln three month. alter appointment 01 perlon.1 r.pre.entallve.
I 2. A .upplement Invontory mull bo filed within thirty d.y. 01 dl.covery 01 .ddltlon.1 ....h.
i 3. Addltlon.1 .h.eh m.y be .tt.ched .. to perlon.lty or re.lty
( 4. See Article IV, Flducl.ries Act of 1949.
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DECEDENT NAME:
D,4,TE Or: DEATH:
SOCIAL SECURITY NO.:
__ Virginia A, Chop_1lJ!!!l
___ 7/30/05
_~__1!t3-12-7010
TYPE OF ACCOUNT:
ACCOUNT NUMBER:
NAME(S) ON ACCOUNT:
,_Shocking.
5080032549
VlrglnlaA-:-ChoEman
DATE OPENED:
DATE OF DEATH BALANCE:
ACCRUED INTEREST:
INTEREST PAID YEAR TO DATE:
OTHER INFORMATION:
05/31/94
$3.243,50
$0.33
TYPE OF ACCOUNT:
ACCOUNT NUMBER:
NAME(S) ON ACCOUNT:
Savings
5080034026
Virginia A. Chapman
DATE OPENED:
DATE OF DEATH BALANCE:
ACCRUED INTEREST:
INTEREST PAID YEAR TO DATE:
OTHER INFORMATION:
05/31/94
$16.371.68
$31.62
TYPE OF ACCOUNT:
ACCOUNT NUMBER:
NAME(S) ON ACCOUNT:
DATE OPENED:
DATE OF DEATH BALANCE:
ACCRUED INTEREST:
INTEREST PAID YEAR TO DATE:
OTHER INFORMATION:
STOCK INFORMATION CAN BE OBTAINED FROM CHEMICAL BANK
AT 1-800-982-7652
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Kemper Service Company ~
P.O. Box 419151 ~
Kansas City, MO 64141-6151, ~
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January 15, 1996
AnN nONN I. SNYDER
UOSWEU. SNYDEll11NTNEll & l'ICCOI.A
1'0 1l0X HI
IiARRISUURG I'A 17108
/' JAN 8 i; 11'.""
u,..t.,. ,...ll
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Inquiry:
ReCerence:
Fund:
Account:
Reg, Une 1:
Reg. Une 2:
1 884-05SEP9 S
4163047800
Kemper U.S. Gov't, See, Fund.A
8951000819
VIRGINIA A CHAPMAN
325 WESlEY DR ROOM 323
Dear Mr. Snyder:
Thank you Cor your Inquiry on the above reCerenced account,
Muhlplying the Iiumber of shares by the Fund's net asset value price (NAV)
gives you the account value for a given day. As oC July 30, 1995 there was a
total oC 2,278,918 shares In this account, The Fund's NAVon that date was
$8.75. 'Therefore, the value was $19,940.53.
Please remember, the value of the account changes dally with the Fund's NA V,
The dally NA V can be found under the mutual fund listings In the business
section of your newspaper,
If we may be of any funher assistance, please contact a Service
Representative In the Kemper Service Company Transaction Processing Depanment
at 1-800-575.2160, extension 3082,
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Sincerely,
[fL1t.W1 (v\o~~
Elizabeth Mosbauer
Representative, Transaction Processing
,
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, MI:TR-CUE:29
w::tl-,;{~\,~,n,," ~~'~ :'-;'~" ~ - ~
D'.."'.':'. A~A''- 11,2631;- ~OMMONWIALTH OF PINNSYLVANIA
~'~, " ~" ,. ,l11",lllMINfOnIVINUI '
':",,~'~ C', '~, ,', !: O~P1CIAL Raell" .' PINNIYLVANIA INHIIlITANCI AND ISTATI TAX'
'*
&
ACN
ASSESSMENT P:I
CONTROL ~
NUMBER
AMOUNT
RECEIVED FROM,
101
$917.10
SNYDER DONN l.
315 N FRONT ST
POBOX 741
HARRISBURG, PA 1710e-0741
'010 HE"-,
ESTATE INFORMATION,
~ FILE NUMBER
Ii 21-1995-0b33 SSN lb3-12-7010
& NAME OF DECEDENT (lAST! (FIRST! (Mil
II DATE OF PAYMENT
B POSTMARK
COUNTY
CUMBERLAND
DATE OF DEATH
m TOTAL AMOUNT PAID
$917.10
SK
REMARKS
CONN l. SNYDER
REGISTER OF WILLS
(j /' ( i ;
RECEIVED BY I) "1/1._1,1 .., IJI'J...j ,'.)1 ;.~I
: j 51GNA1~RE >{ l.I ,; /
MARY C. l.EWIS ,/1
REGISTER OF WIl.l.S IYl"',!'
SEAL
CHECK" 111
__. __,__ _," ~_ ,._ ,__ __,_ ,_ ",_' ____ .._.. ,__ ... .._, _ _..... ,_ _ ..._ _ .__ -;::- -;- -:-'''- ''7',
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.01 DATlS O' DEATH Ann 12/31191 CHECK HEll
" A SPOUSAL
povEln CUDIT IS CLAIMED I
.IU NUMUI
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WillS)
COMMl)U.....'...11Il 01 ,.,fIt"".,.,,,,,
III rAl'''''1 HI 0' .. \"1 "Ul
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U"u.Ullm,,.... 11'"OMI
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COUNIY COUl VI AR tWMfll R
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lIX'AI,It,llJ,"I' 'lU"'''' "" ,Ifl"" Il' 1l1A1..
)(.:1-12-7010 7/]0/')'.
I" .",-'; ,..i. ,~...;..... .h.~U 'hU'1 "ft." "'" ."" ...c".., ....t'.,1
1"';/'1' t/,I")OH
"'" '" ",",," /,,,.,,.
~u"f1I..mf'nlnl Alllu'n
Remaind.r AIMn
(fo, dut., 01 d.oth I"io, 10 11.13.82)
federal fllUlt Tn. Pelu'" Required
]2~ WOI,luy IJrJvl'
Hllt'hilllll'lIhllq~. PA 17n5~J
''''''f Cumber-lllud
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115
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IXl1. Ofiolnnl Relur" I I '1
I] A. lImit.d E,lalt [I.co fuhu.. Inlerlllt Complomilll
II0f dole I of death niter 11.17.871
(~ 6. otced.nl Died TeUolt rOJ ,. Olteed"nl Maintained n li.inO hUll
IAuoch copy a. Will) (Attach copy 01 r,uI'1
ALL CORRESPONDENCE AND CONFIDENflAL TAX INFORMAflON SHOULD BE DIRECTED TO.,
NAMI COM'" II /rIl,t,'\ItH# ADOll!oS
!Jonn I.. Snyder. ~:Rq. BORwell. Snyder. Tintner E. I'iceoln
'''''"ON' NU.... 115 II tl~' t St t POBox 741
717 1236-9377 IInrrlgbuPI1/PR lIf66-tJ7lol .
(II NOt-!!;________
(2119,941.00
(3)NONE
(~INONE
( 5 I 22,.4 42.D0
(6)NONE
(n NONE
-0.8. Tolol Numbel 01 Sol. O",IOlil &0..,
..
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5
g
III
'"
1. Real E,'alt (Schedul, AI
2. Sloc~1 and Bond. (Schedul, BJ
3. Clo..ly Held SlockJPortnl"hlp Intert"ISch.dul. q
.c. Mortgag" and Noll. Recljyobl'ISchedul, OJ
5. Cosh, Bonk Depolits & Miscellaneous Perlonal Property
(5ch.d.l. EI
6. Jointly Owned Property tSch.dul. FJ
7. T,on,f... (5ch.dul. 0) (5ch.d.l. LI
8. T 0101 Gran An.1s (totallln.s 1.7)
9. Fun.ral bp,ns,._ Admlnlstrali.... Calls, Miscellaneous
bp.ns.. (Sch.dul. H)
10. O.bts, Mortgagellabllili.., 1I.ns(Sch.dul. I)
11. T 0101 O.ductions (Iorollln.. 9 & 10)
12. N.I Valu. of Eslol. (lIn. 8 minus lIn. 11)
13. Charllabl. and Go....rnm.ntal B.qu..ts (Sch.dul. J)
U. N.I Volu. Sub.ct 10 Tall (lIn. 12 minus lIn. 13)
15. Spousal Tronsf." (for dot.. of d.olh of'.r 6.30.94)
5.. Instrucllons for Appllcabl. P.rc.ntag. on R.....n. (15)
Sid.. (Indud. valu.. from Sch.dule K or Sch.dule M.)
16. Amounl of lIn. 141 rOllabl. at 6% ral.
(Includ. values horn Schedule Ie or Schedule M.I
11. Amount of Line 14 1011 able at 15% role
(Include ...alues from Schedule Ie or Schetfule M.)
18. Principal tall due (Add 1011 from lines IS, 16 and 17.)
19. Cr,dits Spousal Po...erty Credil Prior Paymenu
+ _3,.5_0,0.00 +,
(191
(20)
n3,675. 00 _, _,,_n
(9)
9.390.00
379.00
IBI 42.383.00
(101
(II) Q. 7~9..Dn
(12) 32,614.00
1131 ~ooo..on
I~I 30,614.00
NONE
NONE
K.__
(161
~K .06 .
(17) 30 ,61l,,_00
",_ _..__. .15 a m~,~9.2..10______
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(lBI _4,592.10".____,,_
OilCounl
17~.00
'nl"esl
20. If Line 191. 9reoler Ihan Line IB, enter the difference on line 20, This i,the OVERPAYMENT.
Ii!D
Chock hero if you a,e roqucutlng a refund of your overpayment.
If Line 18 Is greohtr than line 19, enler the difference on line 21. This i'lhe TAX DUE. (21) _ ~n--917-. I O-~_u_
A. Enler the inleresl on Ihe bolance duo on L1no 21A. 121A) ___9J].J..Q___-.__
8. Enler the total of Line 21 and 21A on lIno 218. Thi. illh. BALANCE DUE. (218) _~._..____ _ ,,__~_____.____
Make Ch.ck Payabl. to: Regla'er of Y.!'!Ils~ Ag_~n' _. _._..___.__.__'_u___~_.______~____.__
>- >- BE SURE TO ANSWER ALL QUmIO~"s ON REV'ERSE-SlllE AND TO RECHECK MATHn'~ -.;c:___n_-_~,-
Under penoltiel of perjury, I dt'clore thai I hOllo luamined thil relurn, indudll'lg occompnn)'ing "~"d,,,11'1 and slotements, and to the bOlt 0' my ~no'wl(ldgft ond b"li",.
it illrul'. (0 I and (Ompll'l. I d. ore Ihal 011 rral ellolr ho, hern ,,'portl.d u' """ mu,L,.1 Yll!~r Dl'(Iorolion of fllt'POFrH oth.., Ihon Ih. f1l.'uonol ''''H~Wnlul,.... ''I
baled on i ormlllion I i(h po, r hal any ~nD.....I.dgl'
S1Gtuiuii ~~ON jjj!;j."( -10 ILt;Tc'; -'u;.ti----;;bilIU!. '
1'.0. Box 741, IlnrriHhurg. I'A 17108-0741
21.
- ---.
(IAII
Hnrch /8. 1996
----.-A(Jliil!.~
[JAil
Act '48 of 1994 provides for the reduction of the tall ratas Imposed on the nat value of transfers to or for
the us. of the spous.. Th. rates as prescribed bv the statute will bat
. 3% (.031 will be applicable for estatas of decedenll dvlng on or after 7/1194 and before 1/1/96
. 2% (.021 will be appllcabla for astatas of decedents dvlng on or of tar 111196 and bafore 1/1/97
. 1% (.011 will b. applicable for .states of decedents dvlng on or after 1/1197 and before 1/1/98
. Spousal transfers occurring on or aftar 1/1198 will be exempt from Inherltanca tall.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (,,) IN THE APPROPRIATE BLOCKS.
YES NO
1. Old decedent make a transler and:
x
a. retain the use or Income 01 the properly transferred, ,....................................,..,..,........,..
b. retain the right to designate who shall use the properly translerred or its income, ...............
x
x
c. retain a reversionary interest; or ..,....,.................,....,...........................,....,......,.......,....
d. receive the promise for ilIe 01 either payments, benelits or careV ..,..,.................................
2, II death occurred on or belore December 12, 1982, did decedent within Iwo years preceding
death transler properly without receiving adequate conslderatlonV II death occurred alter
December 12, 1982, did decedenltransler properly within one year 01 death without receiving
adequate conslderotionV ......,..........,..,.,..................,....,..".,..........,.,..........................,.,....
x
x
x
x
3, Old decedent own an 'in trust lor' bank account at his or her death?.......,.............................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
.1(.,..150:1 rx. 14.161
J'~'9C\
~~u.:
COMMONWfALHt or .tNt4'YlYAUIA
INHUIIAU(f IA. .JlU.'4
_('lOIN! DfCfDI~1,_ -,.;;-;:=:.c;-,;:....:-=::-___.-:;:..:.,::'.:::-'.-":,,::.-.,-"..',;"'.;.__,,_-:.:c;:
SCHEDULE B
STOCKS AND BONDS
ISTATI 0'
Virllinln A. Chnpmnll
,n "~'FitE"NUMBER'====','~..~'====~'
21-95-0633
------_.._-_.-~ .~---_.._---_._..~---~-
(All pr.porty '.Inlly..wnod wllh Right .f Su'.I....hlp mu.t b. _dl"I..o<!.~ S,h~dul~:l
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
Of DEATH
Kemper United StnteD Government Security FIIIllI-A
Account Number 8951000 8/9
19,940.53
TOTAL (Allo enter on line 2. Recapitulation)
{II more spoce is nfled.d, jnsert addilional sheels 01 some size.'
S 19.940.53
"wl~t"IU'1
~~
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
.., 1'1001. ,~~I~~_or Typ.
filE NUMBER
21-1)!;-O(,33
COMMOt.WfAlllt Of 'fHH"""Af~IA
INHllnANCI WAX InUtN
InIDIN' DIClDINI
ESTATE OF
Vlrl\lnlll A. Chlll'mlln
(All pr;p."Y-'I!~~~~V:i"~~7~~~~~~~~~~~~!~ ~f~ ~.~_!!~Y,O'~~:IP__~_U~I_.b;-dj..lol~d on S.h~dul._!I___-
ITEM
NUMBER
10.
DESCRIPTION
VALUE AT
DATE OF DEATH
I.
I'NC Illlnk. N.A., Accouut Numhcl' 50HOll325/,9
3.2/,3.50
2.
I'NC Ilank, N.A., AccIHlI1t Numhcr 50BIl1l3/,02(,
16,371.68
3.
American Travcllers 1.1f" InHurance Cllml'nny
Re fund - 'unused prem! um
90.19
4.
American Travellers LU" Insurance Company - reimbursement
1,950.00
5.
United Methodist Ilome - Refund
53.76
147.69
137.07
38.02
6.
Pennsylvania Employees Benefit Trust Fund - Refund
Pennsylvania Employees Benefi t Trust Fund - Refund
Pennsylvania Employees Benefit Trus t Fund - Refund
Kemper - redemption
Brickers Auction - sole of household contents
100.00
310.00
7.
8.
9.
TOTAL (AI.o enl~r on line 5, Reeo itulotion S 22.441.91
IAUoch oddilionol Oy," )( 11" ,hnl, if mot.. 'PUUt i, needed.)
,..,"lllt""l
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
COMM()HWI"IW 01 ',lm\'i'lAtll"
IIUlUlIIAH(( ,,,) .("'."
JlUIOItH UI((!J1tH
ESTATEOf
v i2:!!_ill_~11.
ITEM
NUMBER
A.
10-12-95 1.
_ ' , " ,,~_I.a'._Pllnt, or TV!'!.
~ NUMBER
21-95-0f,33
,. ---+..... ,... - -.--~- -~-^
^,~_c.l!a J~~'!",_,,_
DESCRIPTION
AMOUNT
__.._..____..._<.O_~ .____..__._..~___
Funeral EKp.n....
W. orville Kimmel t'ulleral 1I0",e, lNG
3.185.00
1,
B. Admlnl.tratlv. Ca.II,
18
3634
2,
3.
Pe..onal Representative Commissions Donll L. Snyder
Social Secu,lly Number of Pe..onal Represenlalive:
Vear Commissions paid 1996
2.120.00
Allorney Fe.s Boswell, Snyder, Tintner & Piccola
2,120..00
Family Exempllan
Clalmanl
Address of Claimant 01 decodent', dealh
Streel Address
Relationship
City
Stale
Zip Code
4.
Probate Fees Register of Wills
154.50
11-21-95 1.
C. MI.cellaneoul Exp.n.e"
10-12-95 2.
10-12-95 3.
10-12-95 4.
10-13-95 5.
3- -96 6,
State Employees Retirement Board reimbursement of funds
recorded after death
Cumberland Law Journal - Advertise Grant of Letters
1,278.00
40.00
Patriot News - Advertise Grant of Letters
184.96
2.64
Boswell. Snyder, Tintner & Piccola - Fax Postage
PNC Bank - Check printing
5.00
Boswell, Snyder, Tintner, & Piccola - Prepare and File
Fiduciary
300.00
7.
8.
TOTAL (Also enler on line 9, Recopllulollon)
(If more .pac. I. n..d.d, In..,t additional .h..II of lam. .Iz.,)
5
9,390.10
_IVII" lit IltJI
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
PI.a..~lnl ar Ty.E!-_
fiLE U BER
21-95-0633
(OUIlllONW'.tlM 01 'INN"IWA'''.
UIIIIIII...(I tA.'fl\.l'"
"'IDIf.IOI(lnt",
ESTATE Of
Virginia A. Chapman
ITEM
NUMBER
DESCRIPTION
AMOUNT
Bell Atlantic - Final bill
6.37
25.00
36.00
6.91
4.65
10-12-951.
HcHillen [, Hargarg1e - Last Illness Expense
10-12-95 2.
10-12-95 3.
10-12-95 4.
Ronald Bulter, Esquire
Susan Car - Beauty Shop
10-12-95 5.
Alert Pharmacy - Final bill
6.
Boswell, Snyder, Tintner [, Piccolo - Prepare [, File Final
Income Tax Returns
300.00
'\
TOTAL (Aba enler on line 10, Recapltulallan)
IIf more spoce is needed, inser' adcJilionol sh.e's of some sin,'
$ 378.93
"V "u... ""I
ESTATE OF
.
(0""""0".....1"111.0' '''.''\11'1''''''''
INMI,"lHU 'AI .nu....
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SCHEDULE J
BENEFICIARIES
--,
FILE NUMBER
21-95-11633
Virginln A. Ghlll'mlln
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
ITEM
NUMBER
1.
2.
3.
4.
ITEM
NUMBER
-~-~
A. Takabl, Sequel":
Ruby Willson
1'.0. Box 229, Gnnnserngn, NY 14822
sister
onc-Rcvcnth
Debra Sue Hnwke
1'.0. Box 229, Cnnnsernga, NY 14822
niece
one-seventh
Pauline Stephens - decensed
449 Canis tea Street, Hornell, NY 14843
sister-in-lnw
N/h
Frances Goodwin
c/o Etta Nae Gern, 9 North 31st Street
Harrisburg, PA 17111
sister
one-seventh
5.
Etta Nae Gera
9 North 31st Street, Harrisburg, Ph 17111
niece
one-seventh
6.
Mrs. E.F. (Narge) McNamara
1003 Chase, Mechanicsburg, Ph 17055
NONE
painting
7.
Randy Paul Cera
325 Front Street, New Cumberland, Ph 17070
grand nephew
one-seventh
* see below for additional beneficiary names
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
1.
B. Charitable and Governmental Bequeltl:
West Shore Baptist Church
21st and Narket Streets, Camp Hill, Ph 17011
2,000.00
8.
Ronald Chapman
R.D. #3, West Clarksville, NY 14786
son
one-seventh
9.
Norma Seeley
Gile Hollow Road, Box 121
Hinsdale, NY 14743
daughter
one-seventh
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI. 0 enter on line 13, Recapitulation) S
(If more .pace I. n..d.d, In..rt addltlanal .h.... of lome .11.)
DECEDENT NAME:
DATE Of' DEATH:
SOCIAL SECURITY NO.:
Virginia A. Chap.f!!!!1l
7/30/95
163":12-7010
TYPE OF ACCOUNT:
ACCOUNT NUMBER:
NAME(S) ON ACCOUNT:
Checklng_
5080032549
Virginia A. Chapman
DATE OPENED:
DATE OF DEATH BALANCE:
ACCRUED INTEREST:
INTEREST PAID YEAR TO DATE:
OTHER INFORMATION:
05/31/94
$3,243.50
$0.33
TYPE OF ACCOUNT:
ACCOUNT NUMBER:
NAME(S) ON ACCOUNT:
Savings
5080034026
Virginia A. Chapman
DATE OPENED:
DATE OF DEATH BALANCE:
ACCRUED INTEREST:
INTEREST PAID YEAR TO DATE:
OTHER INFORMATION:
05/31/94
$16,371.68
$31.62
TYPE OF ACCOUNT:
ACCOUNT NUMBER:
NAME(S) ON ACCOUNT:
DATE OPENED:
DATE OF DEATH BALANCE:
ACCRUED INTEREST:
INTEREST PAID YEAR TO DATE:
OTHER INFORMATION:
STOCK INFORMATION CAN BE OBTAINED FROM CHEMICAL BANK
AT 1-800-982-7652
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P.O, Box419151 ~
Kunsas Cily, MO 64141.6151 ~
1.800.621.1048 ~
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January 15, 1996
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A11N DONNLSNYDlJlt
BOSWELL SNYDER 11 N1'NER & I'ICCOLA
I' 0 BOX 741
HARRISBURG PA 17108
Inquiry:
Reference:
Fund:
Accoun\:
Reg. Une 1:
Reg. Une 2:
1884-05SEP95
4163647800
Kemper U.S, GOyt. Sec. Fund-A
8951000819
VIRGINIA A CHAPMAN
325 WESLEY DR ROOM 323
7
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!!
Dear Mr, Snyder:
Thank you for your Inquiry on the above referenced account,
Multiplying the number of shares by the Fund's net asset value plice (NA V)
gives you the account value for a given day. As of July 30, 1995 there was a
total of2,278,918 shares In this account. The Fund's NAY on that date was
$8.75. Therefore, the value was $19,940.53.
Please remember, the value of the account changes dally with the Fund's NAY.
The dally NAY can be found under the mutual fund Ilstlngs in the business
section of your newspaper.
If we may be of any funher assistance, please contact a Service
Representative In the Kemper Service Company Tmnsactlon Processing Depanment
otl-800-575-2160, extension 3082,
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[fl-jc..W1 f\^.o~~
Elizabeth Mosbauer
Representative, Tmnsactlon Processing
MF1R-CUE:29
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W 1 J. J.
I, VIRGINII\ 1\. CIIAPMAN, of the Township of Lower
Allen, County of Cumberland and Commonwealth of
Pennsylvania, declare this to be my Last Will and
Testament and revoke any and all wills or codicils
previously made by me.
ITEM I :
I give and bequeath the jewelry and
clothing which I possess at the time of my death to
Ruby Wilson (Mrs. Edmond C. Wilson) and Debra Sue
~lilson, both of Hornell, New York.
ITEM II:
I give and bequeath the painting of my
former employers at the Pennsylvania DepaDtment of
Forest and Waters and me which was presented to me upon
my retirement to my most recent boss, Mr. E. F.
McNamara, of Mechanicsburg, Pennsylvania.
ITEM III:
To The West Shore Baptist Church, Camp
lIill, Pennsylvania the sum of T~IO Thousand ($2,000)
Dollars.
ITEM IV:
All the rest, residue and remainder of
my estate of whatever nature and wherever situate at
the time of my death, I give, devise and bequeath in
equal shares to tho following named persons, provided
he/ahe shall Burvive me by sixty dayal
A. To my sister, Ruby Wilson, of
Ilornell, New Yorlq
B. To my niece, Debra Sue Wilson, of
Hornell, New York,
C. To my husband I s sister, Pauline
Stephens
(Mrs.
Harold
Stephens) ,
of
)
*
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Canisteo, New York,
D. To my sister, Frances Goodwin
(Mrs. Arthur
Goodwin) ,
of Harrisburg,
.
Pennsylvania,
E. To my niece, Etta Mae Gera (Mrs.
Robert Gera), of paxtang, Pennsylvania,
F. To my grandnephew, Randy Paul
Gera, of Harrisburg, Pennsylvania;
G. To my son, Ronald Chapman, of West
Clarksville, New York;
H. To my daughter, Norma Seeley (Mrs.
Duayne Seeley), of Hinsdale, New York,
I. To my brother, Russell Miller, of
Meadville, Pennsylvania.
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I'fEM V I
No interent of any beneficiary of my eutate,
either in income or principal, oholl be Bubject to
anticipation or to pledge, aBsignment, sale or transfer in
any manner, nor shall my beneficiary have any power in any
manner to charge or encumber his or her interest, either in
income or principal, nor shall the interest of any
beneficiary be liable or subject in any manner while in the
possession of the Executor for the liability of such
beneficiary, whether such liability arises from his or her
debts, contracts, torts or other engagements of any type.
ITEM VII
All death taxes (not income taxes) that may
be assessed in consequence of my death, of whatever nature
and by whatever jurisdiction imposed, shall b~ considered a
part of the expense of the administration of my estate, and
my Executor shall have the absolute power in its discretion
to pay the same at once whether or not the law under which
they are imposed permits the postponement of payment of all
or part of them to a later date.
ITEM VII:
I authorize and empower my Executor, in
its sole discretion, to sell any and all real estate of
which I die seized, at such time and upon such terms as it
may deem best, and to deliver good and sufficient deeds
therefor to the purchaser or purchasers thereof.
"
.........-----...
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ITEM VIII I
I appoint Commonwealth National Dank, of
the City of Harrisburg, Dauphin County, Pennsylvania,
Executor of this my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto sot my hand and
seal this c?1.,Jday 0~1wJ , 1983.
7ii. . ~ . d ~ (SEAL)
GINIA A. C MAN
The preceding inst ment, consisting of this and
three other typewritten page, identified by the
signature of the Testatrix, was on the day and date
thereof signed, sealed, published and declared by
Virginia A. Chapman, the Testatrix therein named, as
and for her Last Will and Testament in the presenc~ of
us, who, at her request, in her presence and in the
presence of each other, have hereunto subscribed our
name as witnes .
L
I~~:o~~_(f~
G <\
. !rH~'c7 P4
[.'UUl'1' COIHClI, TO
I,IIST WILL IIND 'l'[';S'I'IIM[';N1' m'
VIHGlNIII 11. CIIIII'MAN
I, VIHGINIII 11. CIIIIPMAN, of tho Township of Lower lI11en,
County of Cumberland and Commonwealth of Pennsylvania,
declare this to be the First Codicil to my Last Will and
Testament dated the 29th day of September, 1983.
The following revisions are made to my Last will and
Testament as referenced above:
ITEM II: I give and bequeath the painting of my former
employers at the Pennsylvania Department of Forest and
Waters and me which was presented to me upon my retirement
to Mrs.
E.
F.
(Marge)
McNamara,
of Mechanj.csburg,
Pennsylvania.
ITEM IV - I. is deleted.
ITEM VIII is amended to read as follows:
I nominate, constitute and appoint DONN L. SNYDER, of
Harrisburg, Dauphin County, Pennsylvania, Executor of this
my Last will and Testament.
In all other respects, my said Last Will and Testament
shall remain in full force and effect,
IN WI'l'NESS WIIEREOF, I have hereunto set my hand and
seal this 2nd day of October, 1990.
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~&jV;UO IJ, CA-rhn..?CJ
VI~G NIII A. CIIAPM,fN
(SEAL)
WITNESSES:
A<}.u~~w r/ Ik~/I~~?AJ
d-/ M. ,dw-~~'
Y/ahU4htUf. Iii
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COMMONWEAL'rt1 01-' PENNSYLVANIA:
ss:
COUNTY
DAUPIIIN:
01>
We, VIRGINIA A. CIIAPMAN, tho Tostatirx and
David M. Dunmiro and Oiano E. Grissingor
the witnesses, whose names arc signed to the attached
foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testatrix
signed, sealed, published, acknowledged, and declared the
instrument as the First Codicil to her Last Will and
Testament1 and that she signed willingly and that she
executed it as her free and voluntary act for the purposes
therein expressed; and that each of the witnesses in the
joint presence of each other and in the presence and hearing
of the Testatrix, signed the instrument as witness to the
First Codicil to her Last Will and Testament 1 and that to
the best of their knowledge the Testatrix was at the time
eighteen years of age or older, was of sound and disposing
mind, memory and understanding, and was under no constraint
or undue influence.
.u ?~
VIr IA A. ,CHAPMAN Testratrix
~ 4'-'
;JW. ~ ~'K..;
Dav1 ~Dunm1re witness
4l-~MlIl tt .4~r
Diane E. Grissinger\ tness
acknowledged before me, the undersigned
Chapman, the Testatrix, and subscribed
me by David M. Dunmire and
wi tnesses, in the
Dc ober , 1990.
NOTARIAl. SEAL
Marenena F. Mil/cr, Netary Public
Harrlsburg, PA D.uphin County
tAy Commission Expires Nov, 21, 1091
/
REV-1547 EX AFP 112-95*] ,
tDMONWIAlII. or PINHS'fIVl"IA ACH 101
Olr'lU1HIHI0I IIIYINUI HOIlCE Of IHttERITAHCE TAX
IUMUU or INDiviDUAl lAIlIS . APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
~::iS:~~~'p, 11ue.oMI.1 Of DEDUCYJOHS AND A55[55"[NT or TAM DATE 06.24-96
!STAn OF cIlAP"'RAN -'--Vfllb1lfA-1i'""~'---"--~--"' FILE No. -fl'9'r-b7i33
DATE OF DEATH 07-30-95 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO VDUR ACCOUNT. SUBHIT TilE UPPER PORTION OF TIllS FORH WITII YOUR TAX
PAVHENT TO THE REGISTER OF WILLS, HAXE CIIECX PAVABLE TO "REDISTER OF WILLS, AGENT"
REMIT PAVMENT TO:
DONN L SNVDER ESQ
315 N FRONT ST
PO BOX 741
HBG PA 17108
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AMount ReMitt.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
if{Y:is4'i-EX-iiiijo--rrZ-:9!fj-NOT'icE--OF-YtiiiEiiiTANCE-T'Ain-pjiiiiiisEHEN'T-'--"Ll-oiiANcE-iili-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CHAPMAN VIRGINIA A FILE NO. 21 95-0633 ACN 101 DATE 06-24-96
TAX RETURN WAS, I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..l Eat.t. (Schedule A) 111
2. stock. and Bonda (Schedule 8) (2)
3. Clos.ly H.ld stock/Partnership Int.r..t (Schedule C) (3)
4. Horta_g../Not.. Receivable (Schedule DJ (4)
5. C.sh/S.nk D.posita/Hisc. Personal Property ISch.dule E) IS)
6. Jointly Own.d Prop.rty (Schedul. F) (6)
7. Tr~.f.r. (Sch.dule 0) (7)
8. Tot.l A.ad.
APPROVED DEDUCTIONS AND EXEMP,IONS:
9. Fun.r.l E)(Plns../Ad... Co.h/Hhc. Expans.. ISch.dule H) (9)
10. Debh/Hortgag. L1abUitl.s/Li.n. ISch.dule 1) ClO)
11. Total O.ductlons
12. Het Valu. of TaM Return
13. Charitable/Gov.rnnant.l Blqu..t. ISchldule J)
14. Net Value of E.t.t. SUbject to TalC
11 an assessment was iosued previOUSlY, lines
re1lec~ 1igures that include the total 01 ~
ASSESSMENT OF TAX:
15. A..ount of Line 14
16. A..ount of Lin. 14
17. Anount of Line 14
18. Principal TeN Du.
TAX CREDITS:
PAVHENT
DATE
10-13-95
03-19-96
NOTEI
at Spousal r.t.
tlxabla .t Lin..l/CI... A r.t.
t.Nlbl. It Collat.rll/CI... B r.t.
llSI
1161
1171
RECEIPT
NUHBER
AA082231
AA1l2634
DISCOUNT I +l
INTEREST I-I
184,21
.00
I CHANGED
.00
19,941.00
,00
.00
22.442.00
.00
.00
IBI
42,383.00
9,390,00
379.00
1111
1121
IUI
1141
Q.7;:'Q nn
32,614.00
2,000.00
30,614,00
14, 15 and~or 16, 17 and 18 will
returns assessed ~o date.
.00 X .00.
,00 X .06.
30.614.00 X ,15.
llBI
,00
.00
4,592,10
4.592.10
AHDUNT PAID
3,500.00
917,10
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
4,601.31
9.21CR
,00
9.21CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAVHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. VDU HAV BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIDNS,l
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RESERyaTION, E.t.t.. of d.e.d.nt. dying on or bafor. D.c.abar 12, 1912 -. If any fulura Int.r..t In tha a.lala I. Iran.f.rr.d
In po.....lon or 'nJoy.ant 10 CI... I (collal.ral) b.n.flcl.rl.. of the d.ud.nt .ft.r Ih. IIIPlratlon ." any ..1.1. for
Ilf. or for y..r., the Co..onw..lth h.r.by .lIpr...ly r...rv.. Ih. rlghl to appr.I.. and ...... tran.fa. Inh.rltanc. 'e...
et the Ilwful CI... I (coll.l.rel) r.la on Iny .uch fulure Int.r..t.
PURPDSE Of'
HOTIC[I To fulfill the r.qulr...nt. of S.ctlon 21~D 0' the Inh.rll.ne. and E.lltl r.x Act, Ael 22 of 1991. 72 P.S.
Section 21ljO.
PAYHEHT I
D.tach Ih. tap portion of thl. Hotlc. and .ub.lt with your p.y..nt to Ih. R.gI.I.r of Will. prlnt.d on thl rav.r.. .Ida.
uHak. chick or .on.y order p.y.bla tal REGISTER OF MILLS, AGENT
All pay..nt. r.e.lv.d .hall flr.t b. appllld to .ny Inl.r..t which ..y b. due with any r..olnd.r .ppll.d to the t...
REFUND (CR), A r.'und of . t.. cr.dlt, Which w.. not r.qu..t.d on the Tax R.turn, ..y b. r.qu..tad by co.platlng an ~Appllc.tlon
'or R.fund of P.nn.ylvanla Inh.rll.nc. and E.tat. T.x~ IREV.1SIS). AppllCltlon. .ra Iv.ll.bl. .1 the Of'lc.
of the R.gl.t.r of Will., any of the 25 R.v.nu. DI.trlct Off Ie.., Dr by calling the .p.cl_1 2~-hour
an'warlng ..rvlc. nu-b.r. for for.. ord.rlngl In p.nn.ylv.nla 1-100.S62-2D50, out.ld. P.nn.ylvanl. and
within local H.rrl.bUrg .r.. (717) 717.109~, TOOl 1717l 772-2252 (H..rlng lap.lrad Only).
OBJECTIONS, Any p.rty In Int.r..t not ..II.fl.d with the .ppr.I....nt, allowanc. or dl"llowanc. of d.ductlon., or ........nt
of tax Ilncludlng dl.count or Int.r..tl .. .hown on Ihl. Notlc. .u.t obJ.ct wllhln .I.ty (60) d.y. of r.c.lpl of
thlt Notice by,
"wrltbn prol..t to the PA D.p.rt..nt 0' R.v.nu., BOllrd 0' App..I., D.pt. ZSIDZI. Ilerrl.burg. PA 11IZS.IDZI, OR
...I.cllon to h.v. th. ..tt.r d.t.r.ln.d .t .udlt of tha .ccounl of the p.r.on.1 r.pr...nt.tlv., OR
.-app..1 to Ih. Orphlln.' Court.
ADHIN
ISTRAflVE
CORRECTIONSI
F.ctu.1 .rror. di.cov.r.d on Ihl. Il.......nt .hould b. addra...d In writing tal PA D.parl..nt 0' R.v.nu.,
Buraau of Indlvldu.1 Tau., AnHI Po.t A.......nl R.vl.", Unit, D.pt. 2'0601, lI.rrhburlh PA 171Z'-0601
Phon. e7(7) 7.7-6505. Saa paga S of Ih. bookl.t "In.trucllon. for Inharltanc. T.. R.lurn 'or. Ra.ld.nt
D.c.d.nt" (REY-ISOI) for an I.plllnatlon of ad.lnl.tratlv.ly corr.et.bl. .rror..
DISCOUNT,
If any I.x du. II p.ld within thr.. (5) cal.nd.r lonth. .ftar the d.c.d.nt', d..th, . ,lvI p.rc.nt (S~) dl.count 0'
the t.w paid I. allow.d.
PENAL TV I
Th. ISX t.x aan..ty non.p.rtlclpltlon p.n.lty I. co.put.d on the tot.1 of the t.x and lnt.r..t I......d. .nd not
p.ld b.for. January II, 1996. the flr.t day .ft.r the .nd of tha t.. .an..ty p.rlod. Thl. non-p.rtlclpatlon
p.n.lty I. .pp..labl. In the .... .Ilnn.r and In the tha .... tie. p.rlod .. you would app..1 the t.. .nd Int.r..t
th.t h.. b..n .......d .. Indlclt.d on thl. notlca.
INTEREST I
Int.r..t I. charg.d b.glnnlng with 'Ir.t day 0' d.llnqu.ncy, or nln. (9J eonth. .nd on. elJ d.y fro. the date of
d.ath, to the date of p.y..nt. T'II" which b.c... d.llnqu.nt b.fora Janu.ry I, 19.Z b..r Int.r..t at the r.t. of
,Ix (6X) p.rc.nt p.r annul calcul.t.d .t a d.lly r.t. 0' .DDDI6~. All t.II.' which b.ca.. d.llnqu.nt an and a't.r
Janu.ry I, 19.2 will b..r Int.r..t .t . rat. which will v.ry fro. c.l.ndar y..r to c.l.ndar y..r with th.t r.t.
announc.d by the Pi D.part..nt of R.v.nu.. The appllcabl' Int.r..t r.t.. for 19.Z through 1996 .r'l
'!!!! Inter..t R.I. Dally Inter..t Fllelor !!!r Inler..1 R.t. Oally Inhr..t Fllctor
1912 20:< .OO05~1 1917 .~ .00DZ~7
1981 16:< .ODOUI 191.-1991 11:< .000501
198ft IIi! .000501 1992 .. .DODZU
1915 IlX .000556 1995-I99~ 7~ .000192
1986 IDiC .DOOZ74 1995-1996 .~ .OOOZ~7
.-Inhr..t I. calculated a. followlJ
INTEREST . BAL~MCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.-Any Notlca I..u.d .ft.r the ta. b.co... dellnqu.nt will r.flact an Int.r..t calcul.tlon to flft..n (15) day.
b.yond the data of the ........nt. If p.y..nt I. .ad. .ft.r the Inl.r..t co.put.tlon d.t. .hown on the
Holle.. .ddltlonal Int.r..t .u.t b. c.lcul.t.d.
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F,sTATE SETIU~MENT AGRI<:EMENT
This Agreement made this ~ day of July, 1996, by and between Donn L. Snyder,
Eltecutor of the Estate of Virginia A. Chapman and Norma Seeley Hubbard, Randy Paul
Gera, Ruby Wilson, Debra Sue Hawke, Ronald Chapman, Ella Mae Gera, and Frances
Goodwin, all heirs of the Estate of Virginia A. Chapman.
In accordance with the desire that the selllement and distribution of the Estate of
Virginia A. Chapman be resolved as eltpeditiously as possible and without the delay of a
formal Court accounting, the undersigned, in consideration of the mutual covenants herein
eltpressed, and of the sums received, and intending to be legally bound hereby, agree that:
1. The said Virginia A. Chapman died July 3D, 1995, testate.
2. The undersigned hereby agree that the entire estate be distributed as set forth in
the Schedule of Distribution allached as Elthibit "A" and hereof made a part. Without
intending to limit the rights of remedies of the personal representative, the undersigned
further agrees to indemnify the personal representative and save him harmless against all
liability, loss and eltpense (including, but not limited to, costs and counsel fee) which the
personal representative may incur, whether due to the personal representative's negligence
or otherwise, as a result of making the above distributions without formal court audit or
other formal estate administration,
3. The undersigned hereby forever fuliy release, compromise, sellles and discharges
any and all claims, demands, actions or causes of action, legal or equitable, absolute or
contingent. vested or hereafter to accrue. which they may have against any other party
hereto or against the Estate of Virginia A. Chapman, deceased or the personal
representative thereof, by reason of any moller, cause or thing growing out of or relating to
any property or assets of the said Estate of Virginia A. Chapman, or growing out of or
relating to any act of the personal representative in his Individual handling of said Estate,
even If allrlbutable to negligence, and agrees that any period for the limitation of actions
for the collection or any erroneous distribution or distributions shall commence only at such
time os the personal representative shall have obtained actual knowledge of such erroneous
distribution and that in no event shall the period of collection of any erroneous distribution
be less than two years after the actual discovery thereof by the personal representatives.
S. The undersigned agree to execute such additional releases as the personal
representative may submit to them in order to confirm his dlschorge from ony further
lIablllty to the parties in connection with said Estate.
6. This Agreement, shall be binding upon the undersigned, their heirs, next of kin,
personal representative and assigns.
7. It is agreed that this Agreement may be signed in Counterparts.
,'" ~.". ."., .,- -'
IN WITNESS WHEREOF the undersigned has hereunto set their hands and seal the day
and year nrst above written.
WITNESS:
Q~o,f\1sh-
;e:;:.. ~~ - ..<-
RUBY W~ON
Soc. Sec. No. / jcJ. 07. .s 7 7/0
Sworn to and subscribed
before me this ,-;]1
day of 9ztL,
~!/dtl~~)
Notary Pu c
.1996.
IlJUB[lllYA Hlll~'N'N2ryMlc
IlUatlolr.; >."'.';1', C:'cu~nCOUl:lt>>
OfflcIll r~::J ,~ ., _ ..j
....~-I...."lLitlU.
IN WITNESS WHEREOF the undersigned has hereunto set their hands and seal the
day and year first above wrlllen.
WITNBSS:
~!~~
'-I2'))/i ,4~,,/t/ 02! lta./}.'
NORMA SEELBy/HU!3BARD
I
Soc See No ,~ ,7, I' - 'J II " '17(,/:3
. . .' ,I....:.C '
Sworn to and subscribed
before me this 13"1J?
day of ~.J ilr . 1996.
~::"I~
NOT ARlAL SEAL
JoANN BISHOP. Notary Public
New York. cattarauguI
M Comm' 1.-
'.-1
IN WITNESS WHEREOF the undersigned has hereunto set their hands and seal the day
and )'Car fint above written.
WITNESS:
~~/~
i.:i'DtiAUl GBRA
Soc. Sec. No. ~ 09 - 4"'~ - 6c t,!3
-f~ hI- f~
Sworn to and subscribed
before me this / s/
day of -J. /./(j
,1996.
L)!V1daA. =. Seal PlbIo
,.,~,pa~.,t~
.." ~Oct.'7.'Woo
I
I
I
t2 ffi~ tztr'
otary Public ~0 ~
,
IN WITNESS WHEREOF the undersigned has hereunto set their hands and seal the day
and year first above written.
WITNESS:
4
' #"'~A' ' __
RONAL A '
Soc. Sec. No. 0 (; 9 -.1 " - 00 I 7
{drt'Uti~}' ft1fbn
./
Sworn to and subscribed
before me this ) & 'tL
day of ::r: 1\/
,
.1996.
~tv^-~rdZk
Notary Public
I(ATllERUlE L MillER
1I00.rvPublIC c.u",ugusC.lIIIIy
lI.wYcrkSI01'/qfj(,.,
r"v !:MlmluioR bpiro5 Oclcbtr 31
IN WITNESS WHEREOF the undersigned has hereunto setlhelr hands and seallhe day
and year first above written.
WITNESS:
JC~LA7 ,j(l~
&tV tnv ;.JJ~IJJ
ETTA MAE OERA
Soc. Sec. No.,~~8' ";Z t/ - '/ j37
Sworn to and subscribed
before me this
1I0mM\ StAl
COLW11,\ (;,\IlCUL floUIY Public
t!,'if1iliUil). {j,l\lphln Cmll\iy
My CO""I1\\lIo" bp'le> 1.\.\,,1. 25. 1999
.-, "" --_.
IN WITNESS WHEREOF the undersigned hils hereunto set their hands and seal the day
and year first above wriUen.
WITNESS:
.~(~ I(~-<-<--
H:b )1'111 ~~~LlW ~CC-,
FRANCES GOODWIN .
Soc. Sec. No..;;tO l! -~ ~-7 %.37
~a.lvu.d ,~..b4J"H
.:5 tJt" ,Sru, J'lt? / &J . :J tI- ..5- fI to,:.
Sworn to and subscribed
before me this II
day of . 1996.
.LU,ci....'
Notary Public
,-- 1l0".IW,L :',:^L
COLWI 1,1 GI\HCi.D. ::0\11'1 Public
tlarrl';IJIJl\J, D:\Jf,ltifl Ctluntx
My COlOm'llIon [,pI"; Maltll2a, 1999
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
ORPHANS' COURT DIVISION
COMMONWEALTH OF PENNSYLVANIA
ESTATE OF VIRGINIA A. CHAPMAN
LATE OF LOWER ALLEN TOWNSHIP
CUMBERLAND COUNTY, PENNSYLVANIA
PROPOSED SCHEDULE OF DISTRIBUTION TO BENEFICIARIES
It Is recommended that the pre-dlstrlbutlon total1lng $21,000.00 be approved:
Norma Seeley Hubbard $3,000.00
Randy Paul Gera 3,000.00
Ruby Wilson 3,000,00
Debra Sue Hawke 3,000.00
Ronald Chapman 3,000.00
Etta Mae Gera 3,000.00
Frances Goodwin 3,000.00
PRE-DISTRIBUTION
$21,000.00
Proposed distribution 10lalllng $9,679.00 be approved as ronows:
Norma Seeley Hubbard 1,097.00
Randy Paul Gera 1,097.00
Ruby Wilson 1,097.00
Debra Sue Hawke 1,097.00
Ronald Chapman 1,097.00
Etta Mae Gera 1,097.00
Frances Goodwin 1,097.00
West Shore Baptist Church 2,000.00
PRE-DISTRIBUTION
$ 9,679.00
I
IN RE: THE ESTATE OF
VIRGINIA A. CHAPMAN,
DECEASED
: IN TIlE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
: FILE NO. 21-95'()633
SATISFACI10N AND AWARD
The undersigned, hereby acknowledge that DODD L. Snyder, Executor of the Estate
of Virginia A. Chapman, deceased, has distributed to the undersigned the following:
Randy Paul Gera
Cash
$4.097.00
as full payment of all sums due pursuant to the Last Will and Testament of Virginia A.
Chapman, and directs and authorizes the Clerk of the Orphan's Court Division to mark
satisfied of record the award which may be made in his individual favor.
IN WITNESS WHEREOF, the undersigned has caused these presents to be executed
this I ~ day of July, 1996.
Witness:
c ~~/:fiL
~;;;~JrL GERA ,L<L)
Soc. Sec. No. .;!, '1- 1"? - d~ ~.3
/!)k
(t
IN RE: THE ESTATE or
VIRGINIA A. CHAPMAN,
DECEASED
: IN THE COURT or COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
: FILE NO. 21-95.()633
SATISFACTION AND AWARD
The undersigned, hereby acknowledge that Donn L. Snyder, Executor of the Estate
of Virginia A. Chapman, deceased, has distributed to the undersigned the following:
Ronald Chapman
Cash
$4,097.00
as full payment of all sums due pursuant to the Last Will and Testament of Virginia A.
Chapman, and directs and authorizes the Clerk of the Orphan's Court Division to mark
satisfied of record the award which may be made In his individual favor.
., ,~ WITNESS WHEREOF, the undersigned has caused these presents to be executed
thls~ day of July, 1996.
Witness:
~'i1:X7)Td!&~
R NALD~~
Soc. Sec. No. () Cf-.1.:l -~5d / '7:
IN RE: THE ESTATE OF
VIRGINIA A. CHAPMAN,
DECEASED
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
: FILE NO. 21-95'()633
SATISFACTION AND AWARD
The undersigned, hereby acknowledge that Donn L. Snyder, Executor of the Estate
of Virginia A. Chapman, deceased, has distributed to the undersigned the following:
Frances Goodwin Cash
$4,097.00
as full payment of all sums due pursuant to the Last Will and Testament of Virginia A.
Chapman, and directs and authorizes the Clerk of the Orphan's Court Division to mark
satisfied of record the award which may be made in his individual favor.
IN WITNESS WHEREOF,the undersigned has caused these presents to be executed
this day of July, 1996.
Witness:
e>(~\~ '\ ~~<-
i- , oJJ
RANCES GOODWIN
Soc. Sec. No.~61- ;l.. '1-'}9.3'l
o,;;j'r.a,"<.",~ 1Je'-('-dCCH~"""
<2)~'u ~t.. 7L.< . 16->.:< - 3 tj ~-~ t.
Ella Mae Gera
Cash
$4,097.00
IN RE: THE ESTATE OF
VIRGINIA A. CHAPMAN,
DECEASED
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
: FILE NO. 21-9S.{)633
SATISFACTION AND AWARD
The undersigned, hereby acknowledge that Donn L. Snyder, Executor of the Estate
of Virginia A. Chapman, deceased, has distributed to the undersigned the following:
as full payment of all sums due pursuant to the Last WlIl and Testament of Virginia A.
Chapman, and directs and authorizes the Clerk of the Orphan's Court Division to mark
satisfied of record the award which may be made in his individual favor.
IN WITNESS WHEREOF, the undersigned has caused these presents to be executed
this day of July, 1996,
Witness:
(0 f,-li1 )J It! (? J;LI: ,t "
ETTA MAE GERA
Soc. Sec. No",2/ig-.'.')I/-/jf.31
r- \. L /~:t\n
r-~, '<.Sr.j., \ ~=:~
IN RE: THE ESTATE OF
VIRGINIA A. CHAPMAN.
DECEASED
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
: FILE NO. 21-9S.Q633
'" \n..<
SATISFACTION AND AWARD
The undersigned, hereby acknowledge that Donn L. Snyder, Executor of the Estate
of Virginia A. Chapman, deceased, has distributed to the undersigned the following:
Debra Sue Hawke
$4,097.00
Cash
as full payment of all sums due pursuant to the Last Will and Testament of Virginia A.
Chapman, and directs and authorizes the Clerk of the Orphan's Court Division to mark
satisfied of record the award which may be made in his individual favor.
IN WITNESS WHEREOF ,the undersigned has caused these presents to be executed
this 3/ day of July, 1996.
Witness:
4}l~4t~~XlL;~
JL~ ~ 91a~~
DEBRA SUE HAWKE
Soc. Sec. No. / IS -'-/8'. '-/tfJ7
i'--
IN RE: THE ESTATE OP
: IN THE COURT OP COMMON PLEAS
VIROINIA A. CHAPMAN,
DECEASED
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
: FILE NO. 21-95'()633
SATISFACTION AND AWARD
The undersigned, hereby acknowledge that Donn L. Snyder, Executor of the Estate
of Virginia A. Chapman, deceased, has distributed to the undersigned the following:
Ruby Wilson
Cash
$4,097,()()
as full payment of all sums due pursuant to the Last WiII and Testament of Virginia A.
Chapman, and directs and authorizes the Clerk of the Orphan's Court Division to mark
satisfied of record the award which may be made in his Individual favor.
_It'! WITNESS WHEREOF,the undersigned has caused these presents to be executed
this liL day of July, 1996. . '
Witness:
~ ~ a\~ -.\q
, \ Cl~. J \..\.)...~~\~'
t
~~/_.....
RUBY WILSON
Soc. Sec. No. / <:>.) ~ 0 1- ft 7 7t,
COURT OF COMMON PLEAS OF CUMBERLAND
ORPHANS' COURT DIVISION
COMMONWEALTH OF PENNSYLVANIA
. .
ESTATE OF VIRGINIA A. CHAPMAN
LATE OF LOWER ALLEN TOWNSHIP
CUMBERLAND COUNTY, PENNSYLVANIA
FIRST AND FINAL ACCOUNT OF
DONN L. SNYDER EXECUTOR
Date of Death: July 30, 1995
Letters Granted: August 24, 1995
Advertisements:
Cumberland County Reporter: September 15,22,29, 1995
Patriot News: September 7,14,21,1995
Account Stated to: June 30, 1996
Estate No. 21-95'{)633
Donn L. Snyder, Esquire
Post Office Box 741
Harrisburg, Pennsylvania 17108
717-236-9377
Attorney for Estate of Virginia A. Chapman
COURT OF COMMON PLEAS OF CUMBERLAND
ORPHANS' COURT DIVISION
COMMONWEALTH OF PENNSYLVANIA
ESTATE OF VIRGINIA A. CHAPMAN
LATE OF LOWER ALLEN TOWNSHIP
CUMBERLAND COUNTY, PENNSYLVANIA
FIRST AND FINAL ACCOUNT OF
DONN L. SNYDER EXECUTOR
SUMMARY AND INDEX
PRINCIPAL
Receipts
Net Loss on Conversions
$42,392.00
2.219,00
Adjusted Balance
Less Disbursements
$44,611.00
$14,567.00
$30,044.00
$2J.OOO,OO
$9,044.00
Balance Before Distribution
Distribution to Beneficiaries
TOTAL PRINCIPAL BALANCE REMAINING
INCOME
Receipts
Disbursements
$635,00
Q.QQ.
TOTAL INCOME BALANCE REMAINING $ 635.00
COMBINED BALANCE REMAINING FOR DISTRIBUTION $9,679.00
COMPOSmON OF BALANCE
Casb
, $9,679.00
"
PRINCIPAL DISBURSEMENTS
DATI! DESCRIPTION AMOUNT
10/12/95 McMlIIen & Margargle - Last Illness 6.37
Expense
10/12/95 Ronald Buller, Esquire 25.00
10/12/95 Suslln Car - Beauty Shop 36,00
10/12/95 Bell Atlantic. Final blll 6.91
10/12/95 Alert Pharmacy - Final bill 4.65
10/12/95 W. Orville Kimmel Funeral Home, Inc. 3,185.00
Boswell, Snyder, Tintner & Piccola 2,120,00
11/21/95 State Employees Retirement Board - 1,278,00
reimbursement of funds recorded after
death
10/12/95 Cumberland Law Journal - Advertise 40,00
Grant of Lellers
10/12/95 Patriot News - Advertise Grant of 184.96
Lellers
10/12/95 Boswell, Snyder, Tintner & Piccola - 2.64
Fax Postage
10/13/95 PNC Bank - Check printing 5.00
3/96 Boswell, Snyder, Tintner & Piccola. 300.00
Prepare and File Fiduclary
3/96 Boswell, Snyder, Tlntner & Piccola - 300.00
Prepare and File Final Income Tax
Returns
Register of Wills - Inheritance Tax 4,601.31
Register of Wills - File Inheritance Tax 25.00
Report
Boswell, Snyder, Tintner & Piccola - 100.34
Costs Advanced and Anticipated Costs
IRS - Fiduciary Tax 5.25
PA - Flduclary Tax 7.00
,
t)
I
I TOTAL
$14,566.90 I
't
~.
{
,
DISTRIBUTION TO BENEFICIARIES
Cash:
Norma Seeley Hubbard $3,000.00
Randy Paul Gera 3,000.00
Ruby Wilson 3,000.00
Debra Sue Hawke 3,000.00
Ronald Chapman 3,000.00
Eua Mae Gera 3,000.00
Frances Goodwin 3,000.00
TOTAL DISTRIBUTION TO BENEFICIARIES
$21,00000
~-~ _.'l!. ;'T..3']
'..:.::;>.,..:;-
PROPOSED SCHEDULE OF DlSTRlBlITION TO BENEFICIARIES
It Is recommended that the pre-<llstrlbutlon totalllng $21,000.00 be approved:
Norma Seeley Hubbard $3,000.00
Randy Paul Oera 3,000.00
Ruby Wilson 3,000,00
Debra Sue Hawke 3,000.00
Ronald Chapman 3,000.00
Etla Mae Gera 3,000.00
Frances Goodwin 3,000.00
PRE-DISTRIBUTION $21,000.00
Pro Dosed distribution totallln!! $9.679 be aooroved as follows:
Norma Seeley Hubbard 1,097.00
Randy Paul Oera 1,097.00
Ruby Wilson 1,097.00
Debra Sue Hawke 1,097,00
Ronald Chapman 1,097,00
Ella Mae Gera 1,097.00
Frances Goodwin 1,097.00
West Shore Baptist Church 2,000,00
DISTRIBUTION $ 9,679.00
TOT AL DISTRIBUTION $30,679,00
,
.
,
COMMONWEALTH
COUNTY
OF PENNSYLVANIA
OF DAUPHIN
SS:
Donn L. Snyder, Executor of the Estate of Virginia A. Chapman deceased, being duly
sworn according to law, deposes and says that the foregoing account Is true and correct to
the best of his knowledge, Information and belief, and that no persons claiming to be
Interested In said Estate as creditors, legatee, next of kin or otherwIse, have given notice of
their claim to the deponent,ln writing or to Boswell, Snyder, Tlntner & Piccola, his attorney,
rnwriU.~ 1/ ~ ~ ~
DONN L. SNYDER
Sworn to and subscribed
before me this -3 J
day of July, 1996
NOTARIAL SEAL
Maronelta F. Miller, Notary Public
Harrisburg, PA Dauphin County
My Commission Expires Jan, 10,2000
JRI)lJulI~ 3D, 1992117858
REGISTER OF WII,I~"
Cumberland Counly COllrlhollse
One Courthouse Square
Cnrlisle, PA 17013
NOTICE PURSUANT TO RULE 6.12
PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES
To: Personal Representative
Counsel: DONN I.. SNYDER. ESO..
RE: Estale of VI RGINIA A. CHAPMAN I Deceased, Lole of
I,OWER ALl, EN TWP
Estate No.: 21-1995-0633
Date of Decedent's Dealh: JUI,Y 3D, 1995
Pursuant to Rule 6.12, the above named personal representative or the above named attorney, If
applicable, within two (2) years of the decedent's death, and annually thereafter until adminlstrallon is
compleled, is required to file with the Reglsler of Wills a Slalus Report as required by Rule 6.12, in
substantially the prescribed form, showing the date by which the personal representative, or attorney, as
applicable, reasonably believes administralion will be compleled. The purpose of this Notice is 10 advise
you that uoless the requisile Status Report is filed with the Register of Wills or Clerk of the Orphans'
Court, as appropriate, within ten (10) calendar days after the dale of this Notice thai the Register of Wills
is required 10 notify the Orphans' Court Division, Court of Common Pleas of such delinquency and to
request that said Coun conduct a hearing to determine whelher sanclions should be imposed upon the
delinquent personal representative and the delinquent personal representalive's counsel, if any.
Accordingly, if the requisite Status Report is not filed by SEPT. 10 , 1997, you are~ hreb
advised that a request wUl be submitted to the Court in accordance wilh Rule 6.12,
Date: AUGUS'J' 26, 1997 ~/CI'.i-i'_U~;f)..U~..iff)~U 7r
Depuly Register of Wills '
Distribution to Eslate File
.
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