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Home My WebLink About95-00647 "","",-;' ',', No. 21-95-647 Estate of TlIELI1A B. SIHHONS , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW August 29 J9.2L.ln consideration or the petition on the reverse side hereor. satlsractory proor having been presented berore me, IT IS DECREED that the Instrument(s) dated Feb. 21, 1905 and June 5, 1991 described therein be admllled to probate and n1ed or record as the last will or Thelma B. Simmons Testamentarv June S. Sims and Lellers are hereby granted to. MARY C. 71/4 At! (d. J(d I~ cU A. am ()Ln Alct:u . LEWIS Real.terorWIII. . 7/ (J FEES Probate, Lellers. Etc. ......... S 200.00 Short .Certlncates( )"..".". S 1 7 n n Renunciation """"."."" S 5 . 00 CODICIL S 10.50 X.PAGES b.UU JCP ~- S 5.60 Flied AUaUst"2'g; "1 !l'95" "$ ";/311; !i'0 J. Robert Stau1'1'er (06356) A1TORNBY tSup. CI. 1.0. No.) Market Square Bldg. . }4eohaR1c&'b'W3.. pA 17n~s ADDRESS 717-766-9673 PHONE C'lC'l u:l ;offil c '!, =1 VI r;} (1 f'" .. n " ;". I'; . Z'1. ffi ,p N J:> . :J 't~ ~-~ j';~ ; . t.... C' 0 W ~ -oc .. )>:4 - C'\ MAILED ORDER AND LETTERS TO ATT:':<NlAUGUST 21..95..647 2~ ::l -, -,-'-- C1 ~J1 :5l ~ N J:> ;II :T.Jcu ".0 -((,:~Q w,l n~ d: i:.: '. f:~. ':"~~~-' -.r(-~) :!3 o ~}{~~-~\~ "'. '!a: .. -' C'\ .; ,\0 t::~ ~ r: w '< ~~:!, .<,._ '.... .s!l' '\"~ <:::I, ",~ ~ '.....)~ -G:, <~'~.- '~~'~~:~ ':1 ,.. "0 olj ., l;i!. ,.~ t;.;.'Ol'h'- . ;;:_ .'g&' '~..!!!8 "'~.f:". 'cr."'.U '. ~ j '~ -.' t-.' L -' _T, __ , I i ~ f! - - " . "t.'j:;~':" , ;, '- . "0 $-' , ;i:d.~ , , ~.. \0 , ;-:, ,'0 g r:'j. t:~ ::>0.: k, " <) \" , :,) ";;, , ,"'I -:I -'I "t: J - _'~ , l~ __~; :.__ '" ,,- " [:j:TI.h \'u'(1) . a>c: c: ",:\ ~r;1- 'i .. f ~) .,.g :'"""E 'Ul::l ..00 ~ ~ . " " " r I .'~ ",- .0 LAST WILL AND TESTAMENT OF THELMA B. SIMMONS I, THELMA B. SIMMONS, of the Township of Monroe, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conv7niently be done. 2. .1 give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, what- soever and wheresoever the same may be situate, to my husband, WILLIAM H. SIMMONS, his heirs and assigns, absolutely and unconditionally. 3, In the event that my husband, WILLIAM H. SIMMONS, should predecease me, or should he die at about the same time as I do, such as in an accident common to both of us, then in such event, I give, devise and bequeath my entire estate, real, personal and mixed, whatsoever and wheresoever the same may be situated. to my two children and four grandchildren, to wit: My daughters, JUNE S. SIMS and DORIS M. WEAVER: my grandson, STEPHEN L. WEAVER, my granddaughter, KATHY L, SNYDER, my granddaughter, KELLY S. SIMS, and my grandson, JEFFREY E. SIMS, -1- . , CODICIL 'ro LAST ~IILJ, AND TESTAMENT THELMA 8. SIMl10NS I, THELMA B. SIM!10NS, of tho Borough of Shiremanstown, County of Cumberland and State of Pennsylvania, being 01' sound and disposing mind, momory nnd understanding, do make, publish and declare this a Codioil to my Last Will and Testament. 1. I give, deviee and bequeath all those certain three (3) adjacent parcels of land, situate in Centre Township, Perry County, Pennsylvania, located on the North side of Clouser Hollow Road, whioh wae convoyed to me by the following three (3) Deeds, to wit, (1) Deed of Emma M. Clouser, dated May 29, 1954 and recol'ded in the Perry County Reoorder's Office in Deed Book Volume 149, Page 36; (2) Deed of Emma M. Clouser dated Ootober I, 1957 and reoorded in the Perry County Reoorder's Offioe in Deed Book Volume 154, Page 577; and (3) Deed of William J. Good and wife, datod February 1, 1958 and reoorded in the Perry County Reoorder's Office in Doed Book Volume 156, Page 247, to my four (l~) Brllndohildren, to wit, my grandson, STEPHEN L. WEAVER, my granddaughter, KATHY LEE SlITDER, my granddaughter, KELLY S. SIMS, and my grandson, JEFF~EY E. SIMS, as Joint Tenants with the Right of Survivorship, and not as tenants in common. 2. I hereby ratify and confirm my Last Will and Tostament in -1- .. '. all other respoots and to all intents and purposos not inoonsistent herewith. INWITNE5S WHEREOF, I hove hereunto set my hand and seal this 5th day of June, A. D., 1991. :J~ p.. )..v~-- Thelma B. Simmons (SEAL) Signed, sealed, published and deolared by the above named, TRELMAB. SIMMONS, as end for a Codioil to her Last Will and - - -- - - Testament,tn the prosenoe of us, who have subsoribed our names hereto as witnesses, at the requost of said testatrix. in her presenoe And in the presenoe of each other. ~m ~-, -2- . "'~>~c'^. ~'<";':;C";_ "i'd,"~l"~-.~::.X;'~~~~~Ji'-~~~:~lIJ~'~: '~ 21 - 95 - 647 RENUNCIATION In Re Estate or Thelma B. Simmons deceased. To the Register or Wills or Oumberland County. Pennsylvania. The undersigned Doris M. Heave:!'. an Exeoutrix named in the Will or the above decedent. hereby renounce(s) the right to administer the estate and respectrully ask(s) that Lellers Testamentary be Issued to June S. Sims WITNESS my hand this ..(3 dayor August .19.J2.... 0"',) .) )(, ~/ Jy,. J.lfr......./'}J...vJ (Slsnature) , ;;.~;{' .1. 23,,,/ 8j8 AJetJ r2flHn.~/--JJ (}?A- 17 (J(g.~ '0 ddr...) , \0 ,: ;~7 " t::' .;( '(1. " (Slsnlture) c."':1 ~': . . .", " ~ N ~3 .-- (Addres.) (', l ij Ie..} wu: c: If, p, ..-J wE _::I UU (Slsnlture) (Add,...) .' ) 10 ' 'j) - /0 (i REV-1547 EX AFP 112-95* CDtttOtM:ALTH Of PENNSYLVANIA OE:PARTHEHT Of' REVfHUE IUAfAU OF INDIVIDUAL TAMEI DEP'. 21"01 HARRIIIURG, PA 111zl.0601 NOTICE Of INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLDWANCE Of DEDUCTIONS AND ASSESSHENT Of TAX ACN 101 DATE 04-08-96 FILE NO. DATE OF DIlATH 07-20-95 COUNTY CUMBERLAND HOTEl TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUIHIT THE UPPER PORTION Of THIS fORN WITH YOUR TAX PAYHENT TO THE REGISTER Of WILLS. HAXE CHECK PAYABLE TO "REGISTER Of WILLS, AGENT" REMIT PAYMENT TO: J ROBERT STAUFFER ATTY MARKET SQUARE BLDG MECHANICS BURG PA 17055 REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 Mount R..Uted CUT ALONG THIS LINE . RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEii=isW-ix"itFii-mi=9SY"iioi"ici--ciF-i-NHiifii'ANCi"i"AX"A-pjiRA'iiiiifEii'r;-ALi.-ciwANCi-oli'----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SIMMONS THElMA B FILE MO. 21 95-0647 ACN 101 DATE 04-08-96 TAX ~ETURH WAS I (X I ACCePTED AS fILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l E.t.t. tSchodul. AI III 2. Stock. _ Bond. ISchedul. BI (21 S. Clo..ly Hold Stock/P.rtnorohlp Int.r..t (Schodul. CI (51 4. KartgagealNot.. Receivable (Schedula OJ (4) 5. Cash/Bank o.poaUa'Hlao. P.r.onal Property (Schedula E) CS) 6. Jointly Owned Prop.rty (Schodul. fl (61 7. fran.fa,.a (Schedule QJ (7) e. Total A...t. I CHANGED 18,000.00 .00 ,00 .00 85 ,124 ,43 14,276,63 .00 (81 117 .401. 06 APPROVED DEDUCTIONS AND EXEMPTIONS: t 8,570.64 9. Funeral EMpan.../AdIl. Co. a'"hc. b:pan... eSchedul. HJ (9) 10. D.bh/Hortg.g. LlobllIU../Ll.... (Sch.dul. II \lal 3.750.31 11. Tot.l Doductlon. (Ill 12. Net Value of rax R.turn C 12) 13. Char-liebl./OGv.,.""."t.1 Bequa.t. (Schedule J) (15) 14, Hot V.lue of Eot.t. Sub.l..t to T.. 1141 NOTE I If an a.....mant was 1..ued praviou.1Y, line. 14, 15 and/or 16, 17 end 18 will raflect f1gura. that 1nclud. tha total of abb ra~urn. a..a..ad to date. ASSESSMENT OF TAXI 15. AHunt of Line 14 .t Spou..l rat. (15) 1'. AHunt of Lin. 14 t.xable .t Lin..l/Cl... A rat. (16) 17. Aaount of Line 14 t.xabl. .t Coll.t.ral/Cl... I r.t. (17) 18. Principal Tax Due 1?3,n QIji 105.080,11 ,00 105.080,11 .00 X,OO. 105.080.11 X,06. ,00 X.15. 1111 ,00 6.304.81 .00 6.304.81 TAX CREDITS I PAVHENT DATE 10-10-95 12-08-95 RECEIPT NUHlER AA082211 AA082385 DISCIllMT 1+1 INTEREST (-I 263.16 .00 A1tOUNT PAID 5.000.00 1.054.81 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 6,317.97 13.16CR .00 13.16CR . If PAID AfTER DATE INDIeATED. SEE REVERSE fDR CALCULATION Df ADDITIONAL INTEREST. If TDTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED. If TOTAL DUE IS REfLECTED AS A "CREDIT" ICRl, YOU HAY BE DUE A REfUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIONS,I tn 1:lCf: - r:1 OE! N 8: (')~ c.. 0 w ....C..) \'':~ (:i 'c "<I' L-o I 'I' .. ~ ~ ~ vP ( , Q) o "t~ s'li1' ~.o ~ 'i::E Q)a: GO a: RtURYATJOHI f..at.. of Idee""" dying on .r be'or. DecaIIber U. 1... .- " MY future Inhn.t In the ....t. .. t,....,..,ed In po.....lon or enJo~t to el... . (collat.,al' -.n.'..larl.. 0' ~ decedent .ft.,. the .xplratlon ., ~ I...t. 'or 11'. or for v..rs, the C~.lth heruv ..pr..,.. .....,.".. the right to ......h. Ilnd ...... tn"aI... 1,.,.,.1t~. T.... .t the l.wful el... a (coll,t.ral' rat. on env .uch future lnt~.t. _OF NOnCE. fa fulfill the ,...,Irlunt. of Section 114D of U. Inherlt8nce .. E.t.t. Tax Act, Act U ., 1"1. 7Z P.I. SMUon nUt PAYJtDf1'1 o.tllCh the top portion of thl. HoUe. Ilnd ,lbi.t ..IU. ,.". ...,...t to the Reghhr of Wills prlntMl on U. reven. l1de. -."IIk. check or HMV orcle;,. PIVN.' tal REOII'I'ER OF MILLS, AG'EMT AU PIYI*ItI rec:.lvH ....U flrst bII .,l1ed to MV 1"I.r..t which ..,. bII dull ..lth ..... ,....lneN,. .,.11. to the tax. RU\HJ ICR)I A ,..,uncI of . tl. credit, which .... not ,.equelt... on the Tax "turn, ... be r..,e.teel bv cCMlPI.tlna M "WUClltlon for Aefund of P~.vlv~l. I~rlt~. ~ E.t.t. ,.." (AtV-I)I)). ApplIcatIon. er. ev.II~I. .t tha O"lc. of tha A..llt.r of Will., envof the Z) Aevenue DI.trlct Offlca.. or bV calling the apacl.1 Z4-hour an.warlng ..rvlc.-nu-bar. for for.. ord.rlngl In Penn'Vlvanla 1-'II-56Z-Z050. out.lda Penn.ylvenl. ~ within local Harrtabur. ar.. (717) 717.1094, TDDI (717) 77z-tzSZ (~rlng l.,elred Onlv). DUCTlONSI Any p.rly In Int.r..t not ..thfled with tha ..relsMant, .UOtfenc. Dr dl..UOdnC. of HduClUDft., ar ......__t of ta. (Including dllC~t or Int.rut) .. shaIln on thll Notlc. .,1\ abJHt within ...tv (60) dlV' af ,...1I't of this Notlc. bYI .....rltten prota.t to tha PA D.,.rt.."t of A........, Ioard of ......11, o.ttt. 2IlOU, Harrlsbur., PA 17UI-tlll, OR ....Ieotlon to have tt. ..Uar dlt.r.lned at audit .t \hi KCOUnt 0' tha personal rllPr...,..taUv., OR --~I to tha Orphan.' Court. ADMIN IITAATJVE CORM:CTJOHII INTEREST I faotual .rror. dl.cov.rad on thl. ......eent ~Id be addr...ed In writing tal PA o.,.rteent 0' A.venue. lur.., of Indlvlduel T...., A"NI Po.t A.....Hf'lt ...1... &.hIt. o.ttt. ZID6Di, It.rrllbur" PA 171"-0611 Phone (111) 117-6505. S.. paga ) of tt. bookl.t "In.truollon. far Inherlt~. T.. R.turn for. A..ldant Decadent" (REV-ISOI) for an ..planatlon of ~lnl.tr.tlv.IV correctabl. .rror.. If any t.. du. I. p.ld within thr.. IS) calendar ~th. aftar the ~t.. de.th. . 'Iv. p.rc.,..t (5X) dlacount 0' ~ tax p.ld ,. .llowed. Int.r..t I. c~rpd Mglnnlna ..lth flr.t d8y 0' dlIlInquMCl)', or "I,. (9) ..,th. .-MS ana II) dlV 'r,. tI'M dIIt. of death. to the data a' p'veant. ,.... which bee-. .11"..,t be,or. .....ry I, I9IZ her Int.,lIt at U. r.t. a' .1. (6X) percent par ...-.-,c.lcul.tad .t a dalh rat. a' .atl'64. All t.... which bee.. delJnquent an and .ft.r Januarv I, .91Z wll' baar Int.r..t at . rat. which will vary 'roe cal~r y..r to c.landar v..r with ~t r.t. announcad by the PA Gap.rtsent 0' Aevenue. The appllcabla Intere.t rat.. for 191Z through I'" .r'l OISCCUfll ~ Int.r..t A.t. D.lly Int.r..t 'Htor !!!! Inter..t A.t. D.lly Int.r..t 'ector 1911 lOX .000541 1917 OJ .001147 1915 lOX .000411 I'U-I"I llX .0ODSOI ".. IIX .00nOl I"' OJ .aOlZ47 I9IS ISX .aODSM 1"'.1.... 7X .0OGltz ".. lOX .000114 1"'-1'" 'X .000Z47 --Inter..t I. c.lcul.ted .. 'ollowlI IIlTEIlEST . IALAHCE OF TAX UNPAID X IfVIIIlER OF DAYI DELINQUENT X DAILY IIlTEIIEST FACTOR --Anv NoUc. ll1uad aft.r tM t.. HCOM' dall".,.,t ..Ill nll"t __ Int.r..t calculeUon to flft.en (5) dIIy. bevond t~ d.t. 0' the ......-.nt. If P'W88nt I_ -.da .'tar the Int.r..t coaput.tlon d.t. ahown on ~ NoUc., edeUtlon.. lnt.r..t .u.t be calculated. ~ III TilE counT Ol~ COlllION PLEAS OF CUlIDERLAIID COUNTY, PEIIlISYLVANIA. 199!)-00647 ORPHANS' COURT. FIRST AND FIlIAL ACCOUIlT OF JUNE S. sum, EXECUTRIX 01~ TIlE r.AST HILL AIID TES'l'AHEIl'l' Ol~ 'l'IlELHA D. S IHIIO liS , LA'l'm OF TIlE TOVlIISllIP OF 1l0llTlI HIDDLETOll. COUll'rY OF CU1,umnLAllD AIID S'l'ATE OF PENIlSYLVAIlIA, DECEASED. Date 01' Death: July 20, 1995. Dates 01' Advertisement 01' Letters Testamentary: In the Cumberlnnd Law Journal: Ootober 6, 13 and 20, 1995. In The Sentinel: Ootober 3, 10 and 17, 1995. PllINCIPAL ACCOUNT Debits Aooountant oharges hersel1' with the 1'ollowing prinoipal assets and reoeipts of deoedent's eotate, oonoisting 01' real estate and pel'80nalty as follolfS, to wit: 1995 7/20 7/20 7/20 7/20 7/20 7/20 ALL THOSE CEllTAIN three (3) paroels 01' land situate in Centre Township, Perry County Pennsylvania as desoribed in Deed of conveyanoe dated Hay 29, 1954 and reoorded in the Perry County neoorder's 01'fioe in Deed Book VolUlne No. 1~9, Page 36; Deed of oonveyanoe dated Oetober 1, 1957 and reoorded in the Perry County Reoovder's 01'fioe in Deod Book Volume No. 1$4, Page 5771 and Deed 01' conveyanoe dated February 1, 1958 and reoorded in the Perry County neoorder's Office in Deed Book Volume 1/0. 156, Page 247. $ First Federal 01' Harrisburg, Passbook Savings Aooount No. 0001146124. First Federal 01' HarriBburg, Certifioate 01' Deposit No. 0815154634. First Federal 01' Harrisburg, Certi1'ioate 01' Deposit No. 0866152593. Dauphin Deposit Bank and Trust Compan:l, Cert11'ioate 01' Depooit No. 8100220581, registered in the names 01' Thelma D. Simmons and June S. Sims. PNC Bank, ll. A., Cheoking Aooount No. 51- 40050557, registered in the names 01' Thelma B. Si~nons and June S. Sims. -1- 18,000.00 13,175.23 n,172.57 56,500.92 20,850.00 7,1.47.96 !222 0/15 9/13 10/10 11/28 PRINOIPAL ACOOUNT Dobits Ohuroh 01' God Home, Oarlisle, Pennsylvania, re1'und of oharges for oare and maintenanoe. $ Pennsylvania Blue Oross!Bluo Shield, refund 1'or medioal expense oharges. Prudential Insuranoe Oompany 01' Amerioa, pro- oeeds 01' Life Insuranoe Policies Nos. 503204954 and !f.9l305349. Stephan L. \~eaver, prooeeds 01' Aooount 110. 100- 0196058011136 with York Federal Savings and Loan Assooiation, registered in the name 01' Stephen L. Weaver. TOTAL PRIUOIPAL ASSETS AIID RECEIPl'S $ PRINOIPAL ACOOUNT Credits Aooountant aslts oredi t for the 1'ollowing amounts paid out 01' prinoipal in the administration and settlenent 01' deoedent's estate, to wit: 12.22 7/20 7/20 7/22 7/25 7/25 7/28 6/9 8/16 6/29 9/26 9/26 9/29 10/14 11/14- 11/29 Churoh 01' God Home, Oarlisle, PIl., oheok issued 7/17/95 1'or room, board and oare and outstand- against oheoking acoount No. 51l~0050557 on 7/20/95, deoedent's date of death. Pease Pharmaoy, Ilooount due for medioations. Stephenson's Flowers, funeral spray. Rol1inB Green Memorial Cemetery, opening and olosing grave. Reverend Floyd Carlen, oonduoting 1'uneral servioe. Mary J. Clouser, Tax Oolleotor, 1995 Sohool real estate tax on Perry Oounty property. Belvedere Modioal Oorporation, mediolll servioes. Oarlisle Hospital, Hospital bill. Register 01' Wills 01' Cumberland Oounty, Letters Testamentary. Cumberland Law Journal, Estate Notioe. Musselman Funeral Home, 1'uneral expenses. Register 01' Wills, Agent, payment on aooount 01' P6nnsylvania Inheritanoe Tax. Carlisle Hospital, due on misoel1aneous oharges. The Sentinel, Estate Uotioe. Fred E. Morrow, New Bloomfield, appraising Perry Oounty real estate. $ -2- 3,944.00 16.44 1,725.60 1,411.64 134,032.56 3,226.6~ 166:Z5 670.00 50.00 ~4.37 1 .5.51 2.10 2,36.50 40.00 4,870.00 5,000.00 6.11 62.12 175.00 i I. .1222 12/5 12/5 1996 1/9 2/3 3/18 4/17 4/17 4/17 PflIlIOIPAL ACCUUll'r Cl'edits ReGister 01' \'11.11s, fil1.n~ Inventory and Pennsylvania Inheritanoe 'rax Return. * Re/!,istor 01' v1111s, Agent, payment 01' balanoe due on Pennsylvwlia lnheritanoe Tax. RvlC Emergenoy Physioians, medioal servioes. Therapy Oare, Ino., medioal therapy servioe. Hary J. 010user, Tax Oolleotor, 1996 Oounty and Township Taxes on Perry Oounty real estate. Oumberland Oounty Register 01' Wills, Oertified oopy 01' payment 01' Inheritanoe Tax on Perry Oounty real estate. Perry Oounty Register 01' Wills, 1'iling Certified oopy 01' Last Will and Testament and Oerti1'ioa- tion 01' payment 01' Inheritanoe Tax on Perry Oounty real estate. Perry Oounty Reoorder 01' Deeds, reoording Deed from June S. Sims, Exeoutrix, grantor, to Stephen L. Weaver, Kathy Lee Snyder, Kelly S. Sims and Jef1'rey E. Sims, grantees, per devise in Last \iil1 and 'resta1llent. ATS Hedioal Servioe, mobile X-ray servioes. J. Robert Stau1'1'er, Esq., attorney's fee. Oash, reserved to 1'inal settlement, inoluding preparation of Final Fiduoiary Inoome Tax Returns and oontingenoies. Oumberland County Register of Wills, filing Aooount. TOTAL PflINOIPATJ EXPENDITUHES...........................$ INCOJ1E ACCOUNT Debits Aooountant oharges hersel1' with the 1'o110wing items 01' Inoome reoeived, to wit: .1222 8/8 9/6 PNO Bank, N. A., interest on Oheok1ng Aooount No. 51 400505$7. PUO Bank, ll. A., interest on Oheolcing Aooount No. 51 40050557. -3- 25.00 l,051~.81 10.00 210.00 20.85 6.00 36.00 14.00 293.00 2,900.00 400.00 110.00 19,078.61 $ 10.73 '4.15 INOOHE MOOUIIT Oredito Aooountant asks Oredit 1'or the 1'o11owing items oharged against Inoome, to wit: ll22 None $ 0.00 1996 None 0.00 - $ ~ - SUHMARY ------- Prinoipal Aooount Debi ts Oredits $ 134,032.$6 19,878.61 114,153.95 Inoome Aooount Debits Oredits 2,925.01 0.00 2,925.01 $ 117,078.96 -5- In TIlE COURT OF COl1HON PLRA8 OF CmD3EnT"Alill COU N'l'Y , PEIINSYLVAtlIA. 1995-00647. ORPHANS' COURT. III RE: ESTATE OF THELI1A B. SIHl-IOIIS, LATE OF TIlE TO~INSHIP OF nORTH HIDDLETON. COUJITY OF CUJ.lDI~nrJAIID AIID STATE Ol~ PElIIlSYLVAIIIA. DECEASED. SOHEDULE OF PROPOSED DISTRIDUTIOll Suggestion is made, that the balanoe in hands of Aooountant 1'or Distribution, to Hit, the SUlII of $117,078.96, be made partly in KIND and pal.tly in CASH to deeedent's two (2) ehildren and 1'our (4) grandohildren, per itenl "3." of deoedent's Last Will and Testament and item "1." of deoedent'o Codioil to said Will, it is noted that WILLIAM H. SnmONS, decedent's husband predeceased her, having died on August 20, 1909, and therefore Distribution is proposed as 1'o110ws: In KIlill, to deoedent's four (4) grandohildren, to ldt, STEPHEN L. \'IEAVER, KATHY LEE SNYDER, KELLY S. SHIS and JEFffiEY E. SIBS, ALL THOSE ,CERTAIN three (3) paroelo 01' land situate in Centre Township, pel'ry Oounty, Pennsylvania, title to whloh lms vested in deoedent by Deed dated May 29, 1954 and reoorded in the Perry County Reoorder' s Of1'ioe in Deed Dook llo. 149, Page 36; Deed dated Ootober 1, 1957 and re- oorded in the Perry County Reoorder's 01'1'ioe in Deed Book 110. 154, Page 577; and Deed dated February 1, 1950 nnd reoorded in the Perry County Reoorder' s Offioe in Deed Boolt 110. 156, Page 247, per item "1." of the Oodioil. In CASH, to JUNE S. SIHS, advanoe payment 01' Deoember 15, 1995. In CASH, to JUNE S. STI1S, balance of her net Distributive share 01' Estate. .. In CASH, to DORIS M. HEAVIID, advanoe payment 01' Deoember 15, 1995. In CASH, to DORIS H. \-lEAVER, balanoe 01' her net Distributive share 01' Estate. In CASH, to STE~IEN L. WEAVER, advanoe payment 01' Deoember 15, 1995. In CASH, to STEPllEN L. WEAVER, balanoe 01' his net Distributive share of Estate. In CASH, to KATHY L. SI/YDER, advanoe payment of Deoember 15, 1995. In CASH, to KATHY L. SNYDER, balanoe 01' her net Distributive share of Estate. -6- $ 10,000.00 12,000.00 4,513.00 12,000.00 4,513.00 12,000.00 4,512.99 12,000.00 4,512.99 80llEDULE OF PROPOSED DISTRIBUTION In OASH, to KELLY S. SIMS, advanoe payment 01' . Deoember 1" 1995. In OASH, to KELLY S. PIMS, balanoe 01' her net Distributive share of Estate. In OASH, to JEFFREY E. SIMS, advanoe payment 01' .. Deoember 15, 1995. InOA8H,to JEFFREY E. SIMS, balanoe 01' his net Distributive share of Estate. $ 12,000.00 4,512.99 12,000.00 4.512.99 $ 117,076.96 " ~ CERTIFICATION OF NOTICE UNDER RULE 5.6Ia) Name of Decedent: TIELI1A B. smr:OHS Date of Death: July 20. 1995 Will No. 1995-00647 Admin. No. To the Registers 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 : ~ Address J 0 S Sims 10 E. Green St. Shiremanstown, PA 17011 Doris ~I. \'leaver, RR2 Box 030, Ilew Bloomfield, PA 170 Stephen r.. HenveI'. 1i2t; Greens rin s Road n. D. 5 York, 17402 Xathy L. Snyder, 360 North Hiddleton Road, Carlisle, PA Kelly S. Sims Heaver. Box 19h. lln1ifllX. PA 17032 Jeffrey E. Sims, 151~ Cool Creole HanoI' Drive, \olrightsvil1o, PA 1736tl Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Nono Datel 9/;' 1/9.1) Lv J J;'~) ~gnature Name June S. Sims , . /- ~ +i:i'.: c. o ~ Address '310 E. Green St. Shiremanstown, PA 17000 0- ~3 (,) r,' a: ~. In p' Telephone 171 " 7'37-4266 ; ~ t-: .'l::J uu Capacity: x Personal Representative Counsel for personal representative e..- J rOR OAI., or DJA1tt AnlR 12/31/" CItICK HIAI INHERITANCE TAX RETURN ~O~mn:~DIIISCLAIMID LJ RESIDENT DECEDENT iiiiliui.iiiiii ;~l-'J!.i:O('li'7-:;tuto- (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) . COUNIY COUEY}')!} YEAR006Lh'[ NUMBER urClUfUI" lOMPI.II AvoUU 011111'oh UI' Gou HOlllo. 001 II Ill' I; 11 I[unovor tlt., Uarli/Jlo, PA 17013 c,,", Uumherlund AMOUNT JlClIVIDjUlltUIIlUCll0H51 ..; . I -) v .),~ jD II(V.UOO IX + l' Q1." -- l!! ..:58 !lli9 u~.. t'll5 "'co "z Bli' o AD. future Inl."t! Comploml.e (for dol.. of death alt., 12.12.82) Oecedent Died Te,'all 0 7. DIU dent Maintained allying TruI' (Allach copy 01 Will) (Alhlth copy of Trulll ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOt' ' t4 M (OM'UI( MAlliN APDIlE' A I; I;y. Jim' Ire I; Squaro BldG. IlochanicoburG, PA 170!)5 '~ ~j\ l5 fil bl co COMMOt~W[AlI" or ,ftHUYlVANIA OIPARIM[Nt or IUVUWI om ,"0601 IlARRIUURO, PI. 11 2'8.0601 DIUPlHI'S NAMIIIAli. 'IUI. AND M'DOlf lIilli..ii SIlD.IOllS, 'l'1101111U 13. SOCIAL uculun "UMIU ]OiiiOTllfA1tt JOAU Of Inii.. 102-22-7222 7/20/95 6/)0/00 III ,..."IC..t".UI11Y..ro "ou... H4t,t, ".'1, Ilii! .IlD~.\1 iOCIAfii(URllf "UMlf. 03. 05, CLo, R.malnd.r Rlturn (lor doll' 01 d.a'h prior 10 12.13,02) Fed.ral Eliot. Taa R.lu,n R.qulred Total Numb.r of Safe Depolll BOUI I1/A ~ I. Original R.IUln o A. lImllld E.tot. j,'g 6. LJ 2. SupplDmonlol R.lurn ',-'I . ~ , " . z co ~ ! .. ........ll1,.QOO, 00 n,nn 0.00 0.00 05,124.43 1I~, 276 .6) 0...0.0_ 0.570.64 ),750.)1 (01 117,401.06 (11) 12,320.95 (121 105,000.11 (131 0.00 14 105,080.11 x,_- 0.00 K ,06 - 6. 301~.01 M ,15 . 0.00 (IB) 6,301~.01 (19) 5,250.00 (201 0.00 (211 1,051~.01 (2IA) 0.00 (2IB) 1.0'54.01 .;,'l1:~...'.,." :';BlSURI'TOANSWIR ALl; QUISTIONS ON'RIVIRSI SIDI AND,TORICHICK ATH.~, 'I ~ il"lr),l; Un Ir p.nahl.. 0 plllury, I declar. Ihat I 0.... .xamln.d Ihll relurn, Including accompanying .ch.dul'l and 'Iallmenll, and 10 the b.,. of my .nowledg. and blll.f, It II tru., (orflcl and compllle. I d.c1are Ihal nil real '1lole hal bun r.porlla at hue marltlt valu.. Declaration of prepor., ather Ihan Ih. perlonal repre..ntatl.... It balld on alllnformollon of whIch rl orer hal an knowlldgl. I ,UUO"USO'Uf ON 1m, UtLl~~OIUlURN AODRUl310 Eunt Urean St. DAII ~.... / Y>1A) Shil'ol1luno t0l111. PA 17011 /;J..? <1 S- · ""NIAlIV' ADOI"'llurlrot Squuro BldG' DAII' " , , FA 1705~ /.2/-;;19;;- I. R.al E'lo,.(Sch.d.l. A) ( I 1 2, S'oc" and Bond. (Sch.d.l. BI (21 3, Clo..ly H.ld Slock/Porln.nhlp Inl.",,(Schod.l. q (3) ~, Morlgao.. ond No'" R."I.obl. (Sch.d.l. DI (~ ) 5. Calh, Bonk Oepollll & Mltcellanloul Penonal Prop'lly IS) (Sch.d.l. E) 6, Jolnlly Own.d Prop.rly (Sch.d.l. FI 7, 1ran".n(Sch.dul. GI (Sch.d.I.l) 8. Tolal Gron An," Ilolollln.. 1.71 9. Funeral hpln..., AdmlnlltroU.... COlli, Mlleelloneoul Expenlll (Schedule HI 10. O.b". Morloog. Uoblllll... lI.n. (Sch.d.l. I) 11, 10'01 D.duc,lon.('.loIUn.. 9 & 10) 12. N.t Volul of E.tate (lIn. 8 mlnu. Une 11) 13. Charltabll and Go...ernmenlal Sequllh ISchedul1 J) lA, Nit Valul Sub ectlo TaK Une 12 mlnulUne 13 15. Spoulal Tronlfen (for datil of d.alh ofler 6.30.9A1 Se. Inllfucllanl fa, Ar,pllcoblt Perunlog. on R....er.. PSI Sid., (Incl.d. vol... rom Sch.d.l. K or Sch.d.l. M.) 16, Amounl of lIn. lA taKobl1 01 6% roll (In dude ...olu.. from Schedul. K or Sch.dule M,I 17. Amaunl of lIn. IAloKable 01 15% role l'ndud. vDI... from Sth.dul. K or Sch.d.l. M,I 19, Prlnclpoll.. du.(Add 10' from lIn.. 15. 16 ond 17,) 19. Credit 1 Spoulol Poverty Credit Prior Palmenll Ollcounl Inllrl.1 0.00 + ~. 000. 00+ 2~0. 00 _ 0.00 20, If lIn. 19 II gr.o,..lhon lIn. 10, .nl..,h. dlll...n" on lIn. 20, Thl. I. ,h. OVERPAYMINT, t:ilD 21. If lIn. 181t grealer than line 19, .nler Ihe dlff"enc. on line 21. Thlt I. the TAX DUI. A. Enl.r the Inl.r... on the bolanc. due on line 21A. B, En,..lho 10'01 of Un. 21 and 21A on lIn. 218, 1101. II II.. BALANCE DUE. Moh Check Payabl. '01 R.gllt" of Will., Agln' (61 (71. (91 (10) 0.00 (161 105,080.11 0,00 (171 ~ ~ B a CllI.."dt IWI" If you litO wIlU/.\lhHI n 'tlfuntl uf your OYI'IIIUyItlCIII. '. Act '48 of 1994 provIdes for the reduction of the tax rates Imposed on the net value of transfers to or for the use of the spouse, The rat.. as preserlbed by the statute will be. e 3% (,03) will be applleable for estates of deeedents dying on or after 7/1/94 and before 1/1/96 e 2% (.02) will be applleable for estates of docedents dying on or alter 1/1/96 and before 1/1/97 e 1% (.01) will be applicable far estates of deeedents dying on or after 1/1/97 and before 1/1/98 e Spousal transfers oecurrlng on or after 1/1/98 will be exempt from Inherltanee tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK kIlN THE APPROPRIATE BLOCKS. YES NO 1. Old deced.nt make a transl.r and: o. retain the Ule or Income of the property transferred, ....................................................... b, r.laln thO) right to d.slgnol. who shall uso th. proporty tronslerrod or Its Incom., ............... c. relaln a reversionary Interost; or ................................................................................... d. r.c.lv. tho promls. lor III. 01 .Ithor paym.nts, b.n.llts or cor.' ..........,..,...........,............, 2. II d.ath occurred an or belore D.cember 12. 1982, did d.c.dent wllhln two y.ars preceding dealh tronsler property wllhout receiving adequale consideration' II death occurr.d alt.r D.c.mber 12, 1982, did decedent transler proparty wllhln an. yoar 01 dealh wllhout r.c.lvlng adequate consideration' ...oo to... ..................... II................. ... to................ .................... ....,.,. 3. Old decedent own an 'In trust lor' bonk occounl at his or her d.ath'...............,............,......... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. .-;r :.(, [ ) " c.: ,.:, uu I . ~ 1 ;J. ., I "it .W f' , ~., ~~ .v 'f;: iff, . {t; '\'; t~ "t S"- 1. .~~: ---" -_.- -- - - LAST WILL AlIll nSl'i\M1:NT ot' 1'm:UIA 8. SlHMONS 1, 1'IIELMA 8, SlMHONS, of tho Townlhip of t1onroe, County of cumborlenll anll Stnto of Fonnlylvnnia, baing of sounll anll lIiBl'osinll minll. memory onll unllentnndtng, do meko, publiBh anll doclnto thil my Lnlt Will nnd TeltRlllont, hereby rovoking end making voill all former Willo by me at any tima heretoforo malle. 1. 1 direct the payment of all my jUlt debts and funeral expenses 88 soon after my decease a8 the same can conveniently bo dono. 2. 1 give, devilo and bequoath ell tho relt, residuo and romoindor 0; my oltatO. roal. porlonal and mixed, whet- .oovor and whore.oover the lamo may bo .ituato, to my hu.band. WILLli\M II. SUIHOllS, hi. hoin and oo.ign., ab.olutoly and unconditionally, 3. In tho ovont that my hu.band, WILLIi\M II. SItlHONS. .hould predocea.o 100, or should ha dio at about tho .RIIIO timo a. 1 110, .uch as in an occident cOllllllon to both of u.. thon in .uch ovont, 1 givo, dovi.e and baqueath my entire estato, roal, I.ur.onol snll mboll, whotsoevor and whore.oevor tho aamo may bo situatell, to my two ehildron and four grandehildron, to wit. My daughtors. JUNE S. SIMS and DORIS M. WEAVER. my grandson. ST&PII1:N L. WI;AVIiR, my grandllaughtor, KATHY L, SNYDER, my gnndllaughtur, KIiLLY S. SIMS, and my grandson, JEFFREY E. SIMS, -1- -- .............--...-- , ,p.' t::7;,) 1/~',,,:/,,',;'7~~.,'t,,~.,ftlJ':?~~trft' , .. ,.".. .. ,,;>_~:_.;-..:,':.1;..,' ",,' ~.. . . ' F:'~, Hi> ~, P '~';' ;F, i~,: 1-',: I,' ~ ~~~".'{. .' f' :~\ 'II' i\I . sharo an~ share aUke, per stlrpes, I,. LASTLY, 1 nomina to . constitute an~ appolnt my husband, W1LL1MIII, SUU'IOHS, l:.xocutor of this, my Last Wlll and Tastamont, an~ 111 the ovont thnt my sa1~ husb.nd should predeceaao ms, or shoul~ ho bo unablo to sorve In such c.paclty for any reasen, thon 1n Buch avent:. I nominate, constituto nnu appoint my daughtors, tho aforesnl~ JUNE S. SUtS and DORIS H. WEAVER, to be the Co- I;xocutr1cea of this my Lnst Will on~ Testament In hls placo and stea~. IN WlTNESS WIIEREOF. 1 havo hereunto set my hand and senl thls 2/.sr ~ay of I'ebruary, A. D.. 1985. .:1),t1,1~ n. ~~ (SEAL) \~elma B. Simmons Slgne~. seale~, publiahed and declared by ths ebove named TIIELMA 8. SlHNONS, as and for hor Last Wlll and Testament, In the presence of us, who, at her request and ln her prea.nce, and in the prosence of us. who, at her request and in her presence I and in tho presence of each othar. have hereunto subscribed our namea OB witnesses. Od"'h~" ~" , ~.../ .r "t:J/..'9ri'/7 / -2- ---.-.._._~~~....-...---..,..,.. . ,/;",~:":_?,,.?~~Y:.l',:~'t,~:" :: q'" -}, .'-'-'~ - ,.. CODICIL 'ro LAST VIlLI, AND TES'PAMgNT 'PIIE:LMA B. SIMHONS I, TlmLMA R. SUlloIONS I of till:' ROl'ollgh of Shiremanstown, County of Cumberlnnrl nnd State of Ponnsylvanl.n, being 01' sound nnd dlspostng mind, memory fino undorstanding, do make, publish and declare this n Codictl to my Last Will and Testament. 1. I Rivo, devise and bequeath all those certain three (3) adjacent parcols of land, situato in Contro Townahip, Perry County, Pennsylvania, locatod on the North side of Clouser Hollow Hoed, which was convoyod to me by the following three (3) Deeds, to wit, (1) Deed of I~nuna M. Clouser, dll ted May 29, 1954 and recol'ded in the Perry County Rocorder' 9 Offioe in Doed Book Volume 149, Page 36; (2) Deed of Emma M. Clousor dated October 1, 1957 and recorded in the Forry County Reoorder' 9 Offioe in Deed Book Volume 151~, PaBo 577; and (3) Dsod of Willinm J. Good and wifa, dated Februnry 1, 195U and reoorded in tho Perry County !looordorlo Offioo in Doed Book Volumc 15(" Par.;e 21~7, to my fOllr (II.) r.;rnndchildren, to wit, my r.;rnndson, S'rF:PIl8l1 I" ~mAVER, my granddaughter, KA'l'HY LEE SNYDER, my granddauRhter, lmLT,y S. SINS, and my grondson, JEI<'li'REY E. SIHS, as Joint Tenants with the Right of Survivorship, and not as tenants in 0 onlmon . 2. I horeby ratify nnd confirm my Last \oflll and Tostnmont in -1- ~ nll othor respoots Dnd to nll Intonte nnd purpoDos not Inoonsistont hnrowith. III ~IITNr~SS ~1II(mEOF', I hnvo hot'eunto so t my hund nnd seal th1n 5th day of Juno, A. n., 1991. " I VY"I...e- :;:J/....t""'.-- /..., ,a-.-o-t 'rhell1la 13. Simmons ( SEAr.) Signed, senled, published nnd declnred by the nbove nnmed, TlmT.MA B. SIl1MONS, as and for n Codioil to her Last Will and Tontnmont, in tho pT'osenoe of \18, who havo subsoribed our numos hereto ao witnessos, nt tho roquont of said teotDtrix, in her presenoe And In tho preBenoo of oooh other. r . '-(r!.... rn -2- APPRAISAL OF PROPERTY CIlNTRE TOWNSHIP, PERRY COUNTY, PENNSYLVANIA OWNER . THELMA B. SIMMONS ESTATE EFFECTIVE OATE OF APPRAISAL JULY 20, 1995 PURPOSE .ESTATE TAX APPRAISEO BY: FREO E. MORROW REAL ESTATE BROKER PENNA. LICENSE #28420 S. CARLISLE STREET NEW BLOOMFIELO, PA. 17068 I hereby certify that I have parsonally axnminad the properties appraIsed/ that tha statements contained in those appraisals and upon which the conclusIons are expressed herein are true and correct to the bost of my knowledge and belief, subject to the limiting conditions herein set forth/ these appraisals are contingent upon fully responsIble ownership and competent management and upon the princIpals having adequate capital and reserve funds avaIlable to properly conclude any transaotion. Unless noted otherwise, the fea simple interest in the properties is appraIsed, the legal descriptions provided for the appraisals are assumed to be correct. Any drawings, etc. submitted with the reports are provided to assist the reader in visualizing the property. 'l'he data provided by others is considered to be rel.i.able, but of course no warranty may be made. The appraiser is not required to appear or testify in court by reasons of these appraisalS, unless arrangements are made otherwise. 'l'he appraised values are the conclusIon of the appraiser and involves en interpretation of data and beliefs based on the cbserved situation at the tIme. Locotion: Subject ie locotod opproximotoly 3 miloe eouthwest of Now Bloomfield on Townohip Rood T-371, Clouoor Hollow Rood. Tax Dstol Subjoct ie listod os Perry County TeX Porcol N050- 099.00-023.000 ond is currontly osoeosed 760.00. Flood Plein Deto: Subjoct dooo not lio within ony flood ploin of Trout Run. Reforonce: FIRM mep N42249B-0010-A. Sito Dote: Subjoct io 0 troct of eloping woodland contoining 6.44 ocroo. Hard rood frontogo of 265 feet on T-371. No morketoble timber ot prooent. A small etroom, Trout Run, flowe through tho property. Property hoe occoee to public electricity end phone linee. There ie e small ono story freme cebin on property in very poor condition ond in thie eppreieers opinion hes no value. Highest ond beat uso: Possiblo dwelling sito if teeted end found suiteble for 0 privote soptic system, os no public ~ewer is oveiloblo, This oPprll~stll wO!l modo 1:0 asl:imnl:o I:he marK!]1: vriluo of I:he subject properl:y., /fllrket Value !'a definad ills "^t " 91von time, I:he highest ..l:imat8d.velu8 111 t.rms of monoy a buyer would bn Worrllnted In paylng and a seller jUlltlfled In accoptlng, provlded both partlas were tully Infor~od, actin9 Inl:olllgently and volunl:arl1y'" and further that 1111 I:he r19hta Wore Included In I:he transfer." The subjecl: property, In my ostimlll:o, has a markol: voluo os of July 20, 1995 of Eighteen Thousond' ($16,000.00) Dollars. . Employmenl: In and compensation for making this appraislll are 1/1 no way or mah/1er cO/1l:i/1gont upon the value reporl:ed, and I oarl:lly thaI: I hav.. no finanoial interesl: in the subjeol: properl:y appraised, present or conl:emplal:ed, or in any morl:gage socured I:hereby. I am a 11censed Real Esl:al:e Broker, Llcense Iro. 20420,' wll:h o(flce In lIew Bloomfield, Po. ^ll of I:he appralsed real esl:al:o Is located In a rural area, whlch Is I:he I:ype of properl:y I know besl:. I have practlced as a real esl:al:o broker for a period of over to years, and, havln9 11vod in I:he aroa all of my 11fe, have knowledge of comparable sales of 11ke properl:y. ..-..e::,t ['l 7)u'VJ,~ ^ppralser ////y'h.J- , I ) ......,-._,..."'}:_~..I;,:;,."-".$L'5:,.h;:'~~~;'...J.....,;,;;,.~.;;...,#::~J,:-w..~_.;.:.........'I'p..,,,...-_.",..,., AEY.1502Utl"UI ,,'1>'J~'9j\ -'ffJIu; COMMONWEAl1H O. 'ENNSnVAUIA INIHRITANCE TAX REtURN ___ ___u. _~~~.~1P'~!!1.~~~' ~[~, ____~ ,... ESTAi'tlOj:-H' -.----.... .. ... FILE NUMBER?'1-95':'0r,/j.Fstnto _~'~!~l_I1\_E..::lI1n:O!lS .. . . 1 'J')$-0061,.7-Connty (Prop.rty lolntly.awn.d with Right 01 Survlvonhlp mu.1 b. dhclo..d on Sch.dul. FI All r.ol..lol. .hould b. r.poII.d. 01 lot; mOlic'~i vol~. which I, dlflned 01 the prlc. at which prop.rty would b, .xchang,d b,'we.n a willing buy., and a willing ..1I.r, n.lth.r b,lng comp.lI,d to b~~!.!!I,!,__~!!~_h.~!~~g_r~_a.~o'.!~~I.. Itr~a.w.l~dg~ of ,hi r.I~_v_anl_ fad~. ITEM NUMBER SCHEDULE A REAL ESTATE DESCRIPlION VALUE AT DATE OF DEATIi -----.. -~-.-_.__._.._--_.,.__.__. - _" . - o. _q.' , .. ... ,,~ ALL THOSE CJ,nTAnr 'rhl'OO (3) parcolo of 1l10untain or '100cllund, nitunto in Contl'o 'rol/nuhip, porry County, ponnoylvania, boundorl llnd dOflcribod uo follol/o: p^nCm, !lO. 1. BrWIll1lIlIU ut a b1.acle oulc tl'oO; thonco in n \lontol'l~' l111'octlon alonr; 11 tOHnshJ.p l'Olld, 0 l'od to n \lhite olll~ tl'OO; thonco in u northorly dit'ection alonG land of \Hllimn Good, lToI,th 17 dO[5rooo \'/oot, 60 rodo to stonos; thonce in lln onotorly t1ll.oction lllone; thc lino of land of Christinnu Clousor, H01'th 71 dogroos Eust, 0 rods to otonos; thonce in a south orly diroction lllong othol' llJJ1d of Emmio II. Clouoor, South 17 do[;rooo Bnst, 60 rodn to 11 black oak tree, tho plllCO of DEOnIIIIllG. CONTAIlIIHG 3 llcres, striot lnonsuro. BEIlIG tho SilVIO pro1niooo Hhich Emmio II. Clouser, oinc;lo Hor'lnn. by hOl' Dood dated tlllY 29, 1951~ nnd recorded in tho porl'Y Count:' HOcol'dorlo Offico in Deed BooIe Boole VolUllle 11,,9, 1'11/30 36, grantod and conveyed to \Hllilllll II. Sl1:l1llono and 'l'holmll 13. Silmnono his Hife. 'rho Ollid \-1illilllll Il. Simmons died on the uay of " Hhel'eupon 0010 title in oaid prolaises veotod in hio Hifo, tho ollid Tholmn D. Simmons by rIght of sUl'vivorohip, Hho is the Hithin decodont. TRACT IIO. 2. J'\EGUllHlTG at 11 point in the Public Road nt cornor of land of Silmnons; thonce lllong Illnd of: Simmons in 11 nOl'thorly direction, a distnnco of 990 foet to land of Ghriotillnn Clousor; thonce by land of Clouser in lln oastorly direction, a diotance 01' 0212 foot, more or looo, to lllnd 01' Bunnio li'oooe; thenco b;r land of J;:lnlllio I"oooe in n Southorly dirooti n, 11 d:l.stance of 9')0 feat to tho Publio Hoad; thonce along ouid Public Houd in 11 l'lootorly diroction 11 dio tunco of 02);j foot, mOl'e or leoo, to tho place of 13EGIlIIUlm. BEIlIG the sat1\O prOl1\tsos l/h1ch I~nl'lio n. Clouser Foooe llnd John J[. }>'oooo, hor huoband, by thoir Dood duted Octobor 1, 1<)57 and recordod in the Perry County Recordor's Offico in Deed Doole V01UlllO 15'l" Pago 577, grantod and convoyod unto Hilliam iI. Slnhnono and Thelma B. SiUlnlOnO, his Hife. Tho onid Hil1illlll it. Simmono died on the day of " I.,heroupon 0010 titlc in oll1d Pl'Ollliooo vootod in his '1i1'o, tho oaiu Thelula D. Si1ll1ll0ns, by rie;ht of nurvivorohip, Hho is tho docodont hcroin. 1. -----_._._~.. ,> .-----,--, -------.-- -- -,'-------_._---~---~-- _.______ .______ _ ~_.__. _,!.t:)I~~, (~!~o on~~r_~rI_!~~~__l_,_~capllulatlonJ 'If ",0(. .pace ;, nudecJ, ;11I0" additional .IlIfoh -o-,-~~~;~-;j~~-.J - .__. 1.. IUV.l$O, U+ 112 UI ,,9"J~'~l\ -1.'1WJ,lo.:. COMMOHW[AL1H OF 'ltlUSYLVANIA _____.4~~_~,1~~I~~1~~~~~'~'r~___"__ _ ESTAffai" ..." ... muM' _'.l'J~E~It.l\.ll!_ I3:nXlOi~S......u .. ._ ... . 19')5~.90()lk7~C_Qu.rlj;y (Proporty lolnlly.own.d wllh Right 01 Survlvonhlp mUlt b. dl"lo..d on Sch.dul. FI All ..01..101. ,hould b. ..port.d 01 101. morkot volu. which I. d.nn.d o. th. prIce 01 which prop.rty would b. ..chonp.d b.lw..n a willing buy.. ond a willing ..11.., n."h.. b.lng comp.lI.d '0 ~~~~.!!!I,JI~J!t_+~~.~___!!8_!!~~!1~!!.I~ _~~~_~~~_d8'! of,~I~. rel.vantJoels. .---- - ----.------- -- '-'--'--'-.'- SCHEDULE A REAL ESTATE c J c,,,, iiif....c,i=.;,;:06i,7:;;" t, ITEM NUMBER DESCRIPlION VALUE AT DAlE OF DEATH ___,___ ____~._.___._,_ _. _~___.__.._.. ..._,., 0.....- , I. 'l'nJ\crf !l0. i' B1o:l1IWIIIIG at a point 011 the 1I01'th Dido 01' tho pub 10 road 10o.<.1in[; through ClouDor ][011011 to JleH 1310Olnfiel<.1, at the intoraootion of lunds 01' Thollluo \'T. nOOdOl'; thonoo by lnndD of tho suid 'fhotnas H. noeuor, 1101.th 161;1 dOe;l'OOS lIest, 910 l'oot, Inoro or less, to DtonoD at lund of Chriotinu Clouaer; thonoe by lunl1a of Clll'iot5.nn Clouoer, 1I0l,th 72-3/1k dOBroes Bnot, 75 feot to atonoo; l:hcnce by lunds 01' \'lilliuIJI II. Uimlllons, Uouth 16'~ dOBt'oOD BUDt, 910 fcet, more or 1000, to tho ul'oronaid puhlio l'oud; thenoe by oaid }lublio l'ol1d :Jouth 72-3/Lk dOGrooa \'Test, 75 feot to un iron pin, the plnoo of BEGIllllING. OOll'fJ\IHIllG 1 0.01'0, 90 porches, acoording to a DUl'VOY theroof mndo by Barl D. Palm on Januul'Y lk, 19!>0. mnllG bho salno prolnisos whioh 1:1illimn J. Good nnd Gortrul1e II. Good, his l1ife, by theil' Deed dnted February 1, 1950 und rocordod 'l.n tho porry County Rooorderls Offioo in Dood Book Volume 156, Pnge 247, grnnted and oonveyed unto "'lllimn II. Dimmona ond ~holllla D. 31nllllona, hla l1ifo. 'l'ho Duid llillill1n II. S1.mmons died 011 the duy of " ,~horoupon Dolo tll;le 1\1 Duld pl'ell1:tseo vested in his ,rifo. l;ho onid ~rhol1l1n n. Si1l11110nn, by right of survivorship, Hho 1s tho decedent herein. THE ADOVE desoribod thl'oe (3) tl'oots of lnnd lIore npprnised by Jll'od E. I:Ol'l'OW, nool gstute Broker, of South CU1'lislo 3troet, lle1~ Bloonlfield, Ponnsylvania, ns huvinB n totul value of :~10,000.00. II oopy 01' the appraisal is aubmi tted hOl'ewl. tho 10,000.00 'I' " .._.._...._--'!51TA~.(~c'..!.~!~ ~-'ln._.!(..~~ltulollo'!L_____.. (II more SpOCtI i. n..d.d, in,.,' additional ,h..1s 01 10m. size.' s 10,000.00 ------i'J\G~-..:-2- '. LiOp] @Q~ STb-.:-ovav ,;:...i, t;EDEB~1!. , i;)t~,;i'.:: fry., ';"':i:<'''.i, of HARRISBURG September 22, 1995 J Robert Stauffer Market Square Bldg Mechanicsburg, PA 17055 RBI ESTATB 01' THELMA B SIMMONS SOCIAL SECURITY NUMBERI 182-22-7222 DATE 01' DEATHI July 20, 1995 ACCOUNT NUMBER: 0801146124 0815154634 0866152593 TYPE OF ACCOUNT: Passbook certificate certificate OPENING DATE: 5/22/92 3/30/95 12/29/94 ACCOUNT TITLE: Individual Individual Individual PRINCIPAL BALANCE AT DATE OF DEATH: $13,175.23 $11,172.57 $56,588.92 ACCRUED INTEREST TO DATE OF DEATH: $14.36 $37.46 $175.45 TOTAL BALANCE AT DATE OF DEATH: $13,189.59 $11,210.03 $56,764.37 INTEREST 1/1/95 TO DATE OF DEATH: $114.59 $172.57 $1,588.92 COMMENTS: I have enclosed a' change notice for your convienence in changing the address on the above listed accounts. This would forward any future correspoqdence to your attention. If this is your intention please sign and return the notice. If not please discard of the notice properly. If you should have any further questions or need additional information please do not hesitate to contact me. Sincerely, >;Zll~ '-snerri Houck Assistant Manager Operations Center ---,-. r-. lil~H 234 Nonnl SECOND SIIlEEr, ".0. OOX 1111 ,H^nnlSOUno,"^ 17100. (717) 232.GGOl n~ ~~!l D Dauphin Deposit Bank and Trust Company MAIN OFFICE: 2.3 MAnKer STnEEr. IWlnlsuuna, PENNSYlVANIA HID. 717.2&&.2121 Decedent Confirmation Name: Thelma B. Simmons L Social Security No.: 182-22-7222 Date of Death (DOD): 07/20/95 Account No. 8100220581 ------------------------ ------------------------ ------------------------ Type Dllte Opened or Issued Certificate of Deposit ------------------------ ------------------------ ------------------------ .12/06/93 ------------------------ ------------------------ ------------------------ Date Closed or Matured 03/06/96 (Maturity) ------------------------ ------------------------ ------------------------ Dllte of Death Balance $20,850.00 ------------------------ ------------------------ ------------------------ PWS Date of Death Accrued Int. $548.67 ------------------------ ------------------------ ------------------------ Joint o.mers (if any) June S. Sims ------------------------ ------------------------ ------------------------ Date of Joint OWnership 12/06/93 ------------------------ ------------------------ ------------------------ ------------- .Rollover - Original open date 06/05/91 ------------- ------------------------ ------------------------ ------------------------ Special CoIm1ents: N/A Addttional iflrormation available at 120.00 por hour. One hour minimum. Date Prepared: September 28, 1995 Prepared by: Carolyn A. Berkebile Customer Management Information Dept. (em) Telephone No. (717) 255-2054 for. 00-020-210 (REV 7/93) Page 1 of 1 ..".-,..--~.~-,.,-- --...~,-...""""_'""""""~. ';.',.~.-'-A. , DECEDENT NAME: DATE OF DEATH: SOCIAL SECURITY NO.: Thelma B. Simmons 7/20795 182-22-7222 TYPE OF ACCOUNT: ACCOUNT NUMBER: NAME(S) ON ACCOUNT: Interest Checkln9.. 5140058557 Thelma B. Simmons June S. Sims DATE OPENED: DATE OF DEATH BALANCE: ACCRUED INTEREST: INTEREST PAID YEAR TO DATE: OTHER INFORMATION: 12/01/64 $7,147.96 $6.62 $34,95 TYPE OF ACCOUNT: ACCOUNT NUMBER: NAME(S) ON ACCOUNT: DATE OPENED: DATE OF DEATH BALANCE: ACCRUED INTEREST: INTEREST PAID YEAR TO DATE: OTHER INFORMATION: 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 .('fltofUtll,.." SCHEDULE F J JOINTLY-OWNED PROPERTY _ FILE NUMBER21-<J!>-0(,lj,7-IJtllto 1 ')')!>-OO(Jl~ 7-Count \\'J~,(J 'l.~ COMMONW!AlfH OF PENNSYlVANIA INllflnANCf TAX anUIN USlDENT DECfDfNT ESTATE OF '.rm~U1A D. :Jlllll0J:3 Joint 'onon'(.I. ------,--...,._--,--~---- ---~._--, NAME ADDRESS RELATIONSHIP TO DECEDENT A. JUliE S. sum )10 Euut 01'eOll St. ShirOlllanotoHn, 1'A 17011 Dlluc;htor B. C. " Jo'nlly-ownod proporty. ITEM LEnIR DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBEI JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % tNT. DECEDENT'S INTEREST TENANT JOINT. 1. A. 6/5/ Duuphin Depoul t Dunk und 1991. '.rruot Oompuny, Cllrti1'icu e 01' Deposit 110. 0100- 220!>01. 20,850.00 r.o" ,'. 10,1~25.00 ;; 'fJ ,.p Intorest accruod to 12/1/ 7/20/95. 51~8.67 50;; 271~.34 2. A. rHO Dunl" N. A., Intoros 1961~ Oheoldl1~ Acoount Ho. 7,147.96 r.Q" 3,573.98 5111,0058;;57. ;J "J Intorost Dooruorl to 7/20/95. 6.62 50;; 3.31 TOTAL {Also tinIer on line 6, Recapllulallon} S 14,276.63 (II mortl spac. i. n..d.d ini.rl additional ,h..1s of sam. siz.) . . . . ".A. .,. SCHEDULE H ~l 'Qie1 FUNERAL EXPENSES, COMMO"W[A'''' o. "',,,"',.,,.. ADMINISTRATIVE COSTS AND 'N';~~ll>11,\1ID\~'tW.~'~~. MI~:E~LANEOUS ~XP~~.S~S PI.ea.e Prln' or Tvpe ntATE OF ~rri'lUMliER 21-'J5-06l~7-:Jtuto T!lELIlA D. :Jlill:OIW 1'J'J5-00611.7-Gount;y ____,____ __.______.____ ___u___________ "VIIIII.. j1'UI ITEM NUMBER A. 1. 2. 3. 4,. B. 1. 4. C. 1. 2. 3, 4, S. 6, 7. 0, DESCRIPTION AMOUNT Funeral Expen.e'l HUDDOlmnn F\U101'ul ::01110, Ino., L011l0yno, I'ennsyl vania, funoral expensoo. :j; Stophenson' 0 1"lOI-/Ol'S, fUn01'l\1 upl'ny. Rolling Ol'oon IlO1tl01'iul Comotol'Y' opening and olosing grave. Revorend Floyd Carlen, conduotinB funoral oorviooo. 4,070.00 100.65 670.00 50.00 Admlnl.'ratlve Ca'"t Porsonal Reprelonlallv8 Commissions Soclol Security Numbor of POllonot Repre.enlolivol V.or Comml..lan. paid 0.00 2, Allorn.y Fe.. J. Robert Stau1'1'er, eoq., a ttornoy' 0 1'00. 2,900.00 3. Family E..mplion Cloimonl Addr... of Clolmont al doc.donl'. dealh Slro.1 Addro.. R.lolion.hlp City Slate Zip Code Probolo Fee. Cumborland County Rogisl;el' of I-lil1a, Lottoro Tootamontary. MI.celloneou. Expon.ell I1ary J. Clauocl', 'l'ax Colloctor, 1995 School real eotate taxoo on porl'y County proporty. Cumborland Lm./ ,Toul'nal, Es tatc Notice. Tho Sentinel, Eotate Hotice. Frod r~. llorrol-/, HeH Bloomfiold, I'a.. appraising Perry County rcal ostato. Regioter 01' Hillo, 1'ilil1/3 Invontory and Pennsylvania Inhoritanoo 'ra;; Iloturn. Regiotor 01' I-lil10, filing Aocount. 230.50 51~.37 1~0. 00 62.12 175.00 25.00 97.00 TOTAL (Aho enler on IIno 9, Recupltutollon) (II mare .pac. I. need.d, In.er' additional .h.... af .am. .1...) $ 0,570.64 """'''',-,___'..-."''"',........".~,-.t...~".'-''..Tj'..~-'-U~:....''''','''''.W;...."""'''/;!~I.ii.,"l!c...i-'......'''''.'-."".~."._.-'..-, ~._-.,.,."..""_:,.. II~ IUJ I~ t 111'1 I I'. . ,,~@~ SCHEDULE J 'n..m,wl:'~';O' ,,,,,..,,,.,,.. BENEFICIARIES INHunANCllAIl IIIUIN __.___~,!,~IN' __._~ __________._____________ _____.__ ESTATE OF FILE NUMBER 21-')5-0(,~,7-::;tote T!:Er,l!h B. SIi~: roH:J 19'J'5-006L~7-Cuunt~' --------- ITEM NAME AND ADDRESS OF BENEFtCIARY RELATIONSHIP AMOUNT OR NUMBER SIlARE OF ESTATE - . . A. TOkobl. aeque".: I. ,TUllE S. SIll:) Daughtor Ono-oixth oha :no Eunt Gl'oon Ut. of 1'00 iduUl'Y ShivOl1ln no t 01111, Pl\ 17011 eotute. 2. DOnIS H. H~A V li.'11 Duu/jhtOl' Ono-Gb~th sha 1lI12, Box 0)0 of residuury !lell 13100Illfiold, 1'/\ 170(,0 estute. 3. STB"Imll TJ. ImAVEH Grnnduon One-fourth sll 1125 Gvoen:lI11'trl/jD !lond, n. D. 5 of roul ootut Xorl:, Pl\ 17~,02 und u one-six shuvo of 1'0- siduEU'Y eotut 4. lJ\TJIY TJ. SJrmEH Grnmlduught- Ono-fouvth sh 360 NOl'th lllcldloton !loud 01'1 . of 1'oul os tut Cavliolo, Ph 17013 and a ono-six shure of re- 5. siduary oatat )~rJLY S. SIllS Gl'onddaught- Ono-fourth oh Do;: 19l1. 01', 01' l'oul ootut llllli1'nx , FA 17032 and a ono-six ahllro of ro- 6. siduury 00 ta.t JEPFIIE'! E. SIIiS Gl'undoon One-fourth sh 15):1: Cool Cl'ool~ iIul10V EEi ve ~~,/'~Il~,,~~~~~, \'11' [rrhtsvi11o I'll 1736 "hAl'O of' l'O- ITEM NAME AND ADDRESS OF BENEFICIARY AMOUNT OR NUMBER SHARE OF ESTATE S. CharUable Dnd Gavernmenlal Sequellll s1dtta.ry osta.t I. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Aho .nl., on Iin. 13, R.,opllulollon) 5 r' VI III o tl e, al e tl e. III o tl o. m o tl o. (If mar. .pan I. n.ed.d, In,..t additional .h..,. of ,am. size) .., _. ,.. '... "e .~, -------------------------------------------------- tit'i!~l~..,:'~:vt.\i!,")~~-"':,:i,'" '-:tf,::)?;:;':::~";::-<~; .,/;;:~ t.ci"".", '."':; ',< ", ,,'c,' ,""'" ",- ill~il;;~:oJi!.a5k': C:O~~OND~::~~T~: R~~:~:YLVANIA,., . ;it~~1{~1~"'f;~t],,~i~CIALRiCII~' ~ PENNSYLVANIA INHERITANCE AND ESTATE TAX . ACN ASSESSMENT r:w CONTROL ~ NUMBER .. ' , ' '. . '. ,... RECEIVED FROMI I AMOUNT STAUFFER J ROBERT MARKET SQUARE BUILDING 101 .1,0:3'+.l!51 MECHANICSBURG, PA 170!5!5 I I 'C10tt'" ~ I I I I I , , ESTATE INFORMATlONI !II FILE NUMBER U . el-199!5-0647 I!:I NAME OF DECEOENT lLAST) ~ SIMMONS THELMA B 1:1 DATE OF PAYMENT III POSTMARK DATE COUNTY SSN ISe-ee-7eee IFIRS11 IMI) CUMBERLAND DATE OF DEATH 07/ROIQ!5 REMARKS fa TOTAL AMOUNT PAID .1 ,0!54.B_l VZ JUNE S SIMS SEAL CHECK" 7 ,- REGISTER OF WILLS i I _~.....:..-~;...._,~,~.""':"'::"~......._~"-,,___._-_......,__~~,'"":':)=_"""'::',=.~:~,,__~----- - -- - - - ---....,.- """"':'r,-~,--'-'''''''''''''''' , 'I '. ~ '.\ ' '; " If ..,..' .... I ," .j' ,..., .i I t' . ". ~, .., ~. . ", t . . .f -'<<'. ','-_.. r-~ ",.............A.. w~ .'. ~ -:~! l:i' . .....' -. .,.. -~. ... \. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I J SSI ..._.., .____.JUJ2.l';. n._:glJLl..__..._ b.lng dulV .__.oh'..Q~~1._ '''___'_ .ccordlng to I.w, do 1'010 I and '.V' th.tO h. _.__J!L.t.l!.9 J~~09.\!~1~~~.. . .__.__ _ ._.... 01 tho E.t.t. 01 'l'hoblll ll. ::Jllnlllono 1.1. 01 .. I!ol.th lli<1tlloton 'fOll\1llh:\.}l ,,_ __ .., Cumb.rl.nd County. 1'.., de.,,"d .nd th.t the within Is .n Inv.ntory m.do bV ,_. ,TWIO...:J. :Jllllo___...... ..__ __.__, the ..Id_ Exeoutrix 01 tho .ntlr. ..t.to 01 ..Id d.c.d.nl, con.htlng 01 .lIlh. p."on.1 prop.rly .nd r..1 ..t.te, ..c.pt re.l ....1. ouhld. Ih. Commonw..lth 01 Penn.vlvonl., .nd th.1 Ihe nguro. oppolit. o.ch lI.m 01 the Invenlory repr..ent It'. 1.lr velu. .. 01 tho d.to 01 d...d.nt'. d..lh. SHorn ~J~ e..,.I.r . !I!Ialn1lltJt9t .nd .ub.crlbod bolor. mo, Decombor .,,; 199.5 ...11 0..EllllL...1l1!O olLllt.. ,nhJl~n1nnBto\1.!!.J. Ph 17011 Addr... O.le 01 O..th 20th D.y July' Month 1995 Y." INSTRUCTIONS I, An Inventory must b. flied within threo monlh. anor appolnlm.nt 01 p."on.1 r.pre..nt.tlve, 2. A .upplement Invonlory must b. fIIod within Ihlrlv d.VI 01 dl.covory 01 .ddltlon.l a..oh. 3. Additional .h.el.. m.y b. .ttached .. to pe"onalty or ro.lty 4. Se. Artlcl. IV, Flducl.rl.. A.t 01 1949. p, 'M .d 11l 8 " 0 E.' \ ?:: 1'1 ..; . "'::)- ~ 0 ~ ~ ffi ~, " ~ '-' U D. OJ U 0> I () UJ :(! u . r,~ 0 w ,- C D\ !I ~ '-1"1 J: "" ,.~. " l- n. u. 0 '0 ooi n. E Z t- ... ,-. .,-t oj 0 CJ u. ... ;l'i 0 1:1 ~tf n. ~, :I: w 0 <( , "'i i: \ > Z "" UJ <( <ii ~ 0 ,['J c C .p " ,13 III Z ~, U ~, 0 "" Z w <( rn 0 .... 0> n. "," ." ,0 ,., ..,' c 0 ~I - .. P-: '':\ 0 -.: u r~1 .n ." -" . , I U E u 0 '" lei, - " .. it 0 ... U 00 I"? .. .. Invonlory of Iho roal and porsonal ostalo 01 'i"ll~r,ll^ U. GIIU~Olln docoasod (2) (3) (4) (5) (6) Th1'OO (;I) 1a'l1o tll of 11l01.\tllaLin land 11 i tun to in Contro 'fO\muhip, PCW1'Y County, Ponllnylvunln, no (]oOOI'I1>ml In 1)ood <1ul;od lIuy 29, 19~1~ Ilm] rooordod tll 1;\10 1'01'1''1 County 1\0001'1101,111 01'fioo In Dood 1300lt VolUlno Ho. 111,'7, l'u('.o 361 Dol'U dullOd ootobor 1, 1957 UUU roool'ded in tho P01'l'Y County Heool'dor 10 01'1'100 in Doou Dook VolUlno 110. 1,1~,. I'ugo 577: nnll Dood dutod Fobrunry 1, 19,0 und l'OOOl'dod 1n 1:110 POJ'I'Y C01lnt;.' Hoool'dorlll Offioo in Dood Doolt Volumo 110. 156, I'n60 ?1,.7: nIl to \!il1il\ln 1I. Simmol1n I1ml '1'\10111111 ~ Fit'ot POdOl'l\l of I!nl'l'iohurc;, I'l1011boolt ~Iuvinrlo Aooount 110. 0001- 1!~61(?1~ . Fit'st 110dorul of lIU1'l'iobul'g, COl'tl.fiouto of Dopooit 110. 00151- 51~631~. First Pedol'ul or IInl'l'illbUl'S, (.;ol'\;U'iouto 01' DUpOllit 110. 00661- 52,93. ChU1'oh of God 1I00on, Cl1rlislo, l'o1'ul1d of ini tiul doposi t money puid for OU1'O unll I11n1n\;onI1I100. Bluo Croaa/Dluo Shiold, l'oful1u of uuournod )ll'Oloium. 10,000 00 13,175 23 11,172 57 56,500 92 3,91~J. 00 16.l 'rotul....... . .......* 02 09 16 . ~ i ,r". I.lnQ 11:) 1 . V', I.... p- ,~" dh 'j JJ. ., , .'8 .' . -" JRD/June 30, 1992/17858 REGISTER OF WILLS Cumberland County Courthouse One Courthouse Squnre Carlisle, PA 17013 i , I, NOTICE PURSUANI' TO RULE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Personal Representative Counsel: J. ROBER'l' S'l'AUFFER, ESQ., RE: Estate or THF.T.MA B. SIMMONS . Deceased, Late or NORTH MIDDLETON TWP Estate No.: 21 a 199 5 a 64 7 Date or Decedent's Death: JULY 20, 1995 Pursuant 10 Rule 6.12. the above named personal representative or the above napled attorney. If applicable. within two (2) years of the decedent's death, and annually thereafter until administration is completed. is required to file with the Register of Wills a Status 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 administration will be completed. The purpose of this Notice is 10 advise you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Orphans' Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register ofWl1Is Is required to DOllfy the Orphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to detennlne whether sanctions should be imposed upon the delinquent personal representative and the delinquent personal representative's counsel, if any. Accordingly, If the requisite Status Report Is not filed by SEP'l'. 10 , 199J you are hereby advised that a request will be submitted to the Court In accordllllce ~ith Rule 6.12. l\ . Date: AUGUS'l' 26, 1997 ~":iD.'A~~~~ Deputy eglster of Will Distribution to Estate File , I "'J " t STATUS REPORT UNDER RULE 6.12 Name of Decedent: THEL;.!A B. Snn,jONS Date of Death: July 20, 19915 Will No. 199t5-006~7 Admin. No. 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 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: J. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes x No 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 No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: July 31, 1997 LJLJ sfgnature June S. Sims Name (Please type or print) 310 East Green St. Shiremanstown, PA 17011 Address Obi N If! ~~;! ~- " ;.-~ ~c , . '., "" I fr1 (..') (717 ) 737-1~266 Tel. No. (I "... ;~; ':JO; cr r- F" . , cijl-: _::l Uc..; Capacity: x Personal Representative Counsel for personal representative (MAH: rmf/ AM3) I I I I