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Home My WebLink About95-00681 CU~lBERLAND Register of Wills of County. Pennsylvania PETITION FOR GRANT OF LETTERS ESlate 01 Ruth E. Goss No. dl- 9 6'"- ~,q I also known as . Deceased SocIal Security No, j,f9. tJ9- 0418 . ,.~.,...,..,... ............. ,....................--.-."... ICOMPLETE "A" OR "B" BELOW:I ~ A. PrObate and Gram of Lerrers and .WfH Ih.lt Pehtlonertsl Is/tHe thl! e"~cut~ l1amutJ Ifl the Last Will of the Decedenl. daled Ma r c h 13. 1992 and COd'C'lIsl daleo ..... .-...., ,,"......._". . ,I.. .--......, ....to ..,.."",.., fl. Excepl oa 'ollow.. Decedent did noc merty. wu not divorced, and did noc have II child born or .dopled alte, execution of Ihe dacum,nlt offered lor probe.a: w.. nol the victim 0' . killing end was nav"r ed/udlclted i!lcompotonl: a B. Grant of Letters of A<Jmlfllsrrallon "'~..II"L" 1_.......... ........,..._.... .............._.... Petltlonerfs) after a proper search has/have aSCertained that Decedent leh no Will and was survived by the follOWing sPouse "' any) and heirs: Name Relalionshlp ReSIdence :I tiDe. dlllonll sheat. I nllc.ua,y, OeC8C18nt was domiciled reSidence at "I death in Cumbe r land a Road. Ap t. H 2 County. Pennsylvania. with nls/ht!r lase famllv: or PjlnCIPal Enola PA (Borou h of West Fairview ~.. ,,,_, I......... ..~I"..-......tI D"r.e~"nl. then ---!lL vears of "oe, died All g 2R , 19l1, al 51 0 S. Enola Road. "...-." Enola, Apt. H 2 PA 17025 45.000.00 OttCljd'Jnl III dOdth owned ptOporly \'wllh lhllnll.1lad values 1.111 lalluw.: lU domlcllad In PAl All plHS0l1111 p'CJpatly S 1If nOI domiciled In PAl Petlonnl ptoperty In p,.nnsylvanuJ . , S III nOI domIciled in PAl P'tlonal ptOplttly 1M COUnty. . , . , , , . . . , , . . , . , , , . . . , . , , S Velue 0' taal '1lala In P"nnlylvanilJ ,.,",.".,"',.",.."."...",.,...".,.. S Real e~llIta Silu'ledT:;'/Oli~~~:" , , "NI A"'.'. ..".,."" " . , . ,.,...., ., '" ,', " ., , ",.., S N/A de; nnn nn Where lot.. Pellrionerlsl respectfully reQuIIUI' Ihe ptalJale 0' tho lOll Will and COdiciUI' preunfed wilh fhiM Petlllon and the granl 01 lonot. in Iho upprorJtuna 'atm fO lhe underSigned: Tvped Ot printed nanlO dnd tltSldence Leonard Portzline Oath of Personal Representative Commonwealth of Pennsylvania County of CUMBERLAND The Pe:ilionerfsl above.named swearlsl and afflrmlsl that the statoments in the foregoing Petition are true and correct to the bost of :he knowledge and belief of Petitionerls) and that. as personal representatlvels) of the Decedent. Petiflonerls) will well and truly adminis:er the estate according ~aw,~ Sworn to and affirmed and subscribed tS7:&:; ---~~ ::I> before me this 7TH day of 2;' ~c, 7J , " ~Iln' . , '-J . '.. , . No. '\.)1. . Co , ,. - .. , , 21 95 - 681 - . m.& 111;. DECREE OF REGISTER. Es:ate of Ruth E. Goss Deceased also known as Social Security No: -L6'9 - tJ Y-061,f? Date 01 Death: August 28 , 1995 AND NOW. SEPTEMBER 12, . 19.J!L. In consideration 01 the Petition on the rBverse side hereon. satisfactory proof having been presented before me. IT IS DECREED that letters W Testamentary 0 of Administration are hereby granted to ~".. ....... ,_...~....,.. ,......,...~_..... ,...,......"..~-,~.. in the above estate and that the instrument!s). if any, dated MARCH 13, 1992 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters........................... $ 80.00 71l! ~l!::.~{'< ~ k f#s ~. MARY C. LEWIS Short Certlficatels).......... $ 3.00 Renunciation.................. $ Affidavit I )................. $ Extra PagBS ( I............ $ 15.00 Codicil.......................... $ JCP FBe........................ $ 5.00 Inventory & Tax Forms... $ Other............................ $ Jean D. Seibert, Esq. 41713 A [torney: I.D. No: Address: 109 Locust Street Harrisburg, PA 17101 717-236-9301 SEPTEMBER 12, 1995 TOTAL................ $ 103.00 Telephone: DATE FilED: R11-7. Mailed letters and order to Executor on 9-12-95. , . LAST WILL AND TESTAMENT OF RUTH E. GOSS I, RUTH E. GOBB, of West Fairview Borough, Cumberland County, Pennsylvania, being of sound mind, memory, and understanding, make, publish, and declare this to be my Last Will, and hereby revoke all wills and codicils previously mads by me. ITEM I. I direct my executor hereinafter named to pay all of my legal debts and funeral expenses, including the cost of my gravemarker, and administration expenses of my estate, as soon as practicable after my death. ITEM II. I give and bequeath my fur coat to my daughter, LUCILLE SHUMAKER, of Glendale Heights, Illinois, absolutely and forever. ITEM III. I give and bequeath all of my automobiles, jewelry, wearing apparel, books, pictures, household furniture and furnishings, and all other articles of household and personal use or adornment, except as set forth in Item II hereof and not including cash or securities, to my daughter, LUCILLE SHUMAKER, my son, PAUL PORTZLINE, my son, LEONARD PORTZLINE, my step-son, GLENN R. GOSS, my daughter-in-law, ELSIE PORTZLINE, my step-daughter-in-law, LUCILLE GOSS, and my son-in-law, EUGENE RICHARDSON, to be divided among them by my executor with due regard for their personal preferences in as nearly equal shares as practical. My executor shall have complete discretion to chopse the method of division of said property among these named beneficiaries. ITEM IV~ All the rest, residue, and remainder of my property and estate of every kind and nature, and wheresoever \ , , situate, including all lapsed legacies and bequests, and including any property over which I may have a power of appointment at the time of my death, I give, devise, and bequeath as follows: A. One-eighth (1/8th) thereof to be divided equally between CATHY A. RICHARDSON and SUSAN R. KIRKLAND, children of Catherine M. Richardson; B. One-eighth (1/8th) thereof to my daughter, LUCILLE SHUMAKER, or if she is not then living, to her issue per stirpes; C. One-eighth (1/8th) thereof to my son, PAUL PORTZLINE, or if he is not then living, to his issue per stirpes; D. One-eighth (1/8th) thereof to my son, LEONARD PORTZLINE, or if he is not then living, to his issue per stirpes; E. One-eighth (1/8th) thereof to be divided equally between KATHY MOSSO, or if she is not then living, to her issue per stirpes, and EDWARD PORTZLINE, or, if he is not then living, to his issue per stirpss; " F. One-eighth (1/8th) thereof to my step-daughter-in-law, LUCILLE GOSS; G. One-eighth (1/8th) thereof to my step-son, GLENN R. GOSS, or if he is not then living, to his issue per stirpes; H. The remaining one-eighth (1/8th) thereof to be divided equally among the EVANGELICAL CONGREGATIONAL RETIREMENT VILLAGE of Myerstown, Pennsylvania; WYNDAMERE EVANGELICAL CONGREGATIONAL CHURCH of LeWisberry, Pennsylvania; and the EVANGELICAL CONGREGATIONAL SCHOOL OF THEOLOGY of Myerstown, Pennsylvania. - 2 - , ITEM V. All estate, inheritance, legacy, succession, or transfer taxes, including any interest and penalties thereon, imposed by any domestic or foreign law with respect to all property taxable under such laws by reason of my death, whether or not such property passes under this Will, by operation of law, by contract, or otherwise, shall be paid without any right of reimbursement from any recipient of any such property, without any right of apportionment, and without postponement. ITEM VI. Should any person entitled to a share of my estate be a minor, at the time of distribution to him or hsr, and should the value of such property be more than the amount which may be paid or delivered to him or her or in his or her behalf without the appointment of a guardian or other fiduciary or the delivery of security, such share shall be paid and distributed to my Trustee hereinafter named to be held IN TRUST and managed, invested, and reinvested, together with the accumulation of income thereon, if any, and the Trustee shall use and apply from time to time such portion of the income and principal thereof as it deems necessary or desirable for the minor's ressonable maintenance, support, and complete education, including preparatory, college, post-graduate, or professional training, or to make such payment for such purposes to the guardian or person with whom such minor resides or directly to or for the benefit of the minor without further responsibility to such minor or any person taking care of such minor, and when such minor attains the age of twenty-one (21) years, any principal or income not so paid or applied shall be distributed to such minor, or if he or she dies prior thereto, to his or her personal representative. ITEM VII. In addition to the powers granted by law, my personal representative shall have the following powers. - 3 - Commonwealth of Pennsylvania ss: County of Dauphin I, the Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will, that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. . " ~f.' i1"", Testatrix .' I..'. ). " .1 ,)_4-'~.", SWORN to or affirmed to and acknowledged before me by the above named Testatrix this /.Jtit- day of ~ , 1992. ~ ~ cUb---...___ Nota Public My commission expires: (SEAL) oj,., Jd,\L ~,f:"L JO AlIII AU.f~MI. NOla,'y Public nauph I n County "'1 Conmlsslcn [.piros lI~rch 8, \993 Commonwealth of Pennsylvania County of Dauphin ) ) ) ss: We, the undersigned witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses and that to the best of our knowledge the Testatrix was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. /: j/ /J '- . .' ',.. . ,:;>::-rr-.-. ~1\D OQo ffl \ r. ~A .Il+a!f1 ~ SWORN or affirmed to and acknowledged before me by the above named witnesses this /.;J1:# day of ~ ,1992. G)a~~ Not~ Public My commission expires, (SEAL) NOTARIAL SEAL JO ANN ALLE"^N. Notary Public Dauphin County 141 Co","lsslon [,plros Harch B. 1993 - 6 - I I , :.,,:.,.,;.r",.(~..~ i1 i :.J. "'~: .' ~~:.: .~ .~ :~ .:". , . ,. ,- CERTIFICATION' OF NOTICE' UNDER 'RULE: 5 :6 (a') ,', .:"'n;"; Name of Decedent: Ruth E. Goss August 28, 1995 Date of Death: Wil.l No. 1995-00681 Admin. No. To the RegisLer: I certity.that notice of beneficial interest required by Ruie 5.6(a) of the Orphans: Court Rules was served on or mailed to the (ollowing beneficiaries of the above-captioned estate on 9-20-95 : Name Address Leonard Portzline, 510 S. Enola Road, Enola, PA 17025 Lucille Shumaker. 747 Easv St.. GlendRle Heignt~, TI ~nl,7 Paul Portzline, 510 Third St., Enola, PA 17025 ' Elsie Portzline. 1 Market St.. GrRtz, PA 170,0 Glenn R. Goss, 292 Cinnabar Lane, Yardley, PA 19067 Lucille Goss. 502 Elizabeth 'Drive, Apt. ,1,. l~nrR~ter. Ph 17~nl Eugene Richardson, 7231 Jefferson St., Harrisburg, PA 17111 Cathy AI), Richardson. 168 E. ,Green Valley r:;rrle, NewRrk, OF. 10711 (rnnHnllPd h.,lnw) Susan Kirkland, 11 Dishley Drive, Mechanicsburg, PA 17055 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except ( 4 / Date: tt:' ,~)/M;';;uJr-2.~ /'lI~ Kathy MOSSO,~331 E. Market St., York, PA 17403 Nam Edward Portzline, 3884 Baird Road, Stow, OH 44224 Evangelical Congo Retirement Village, 215 S. RailA~~~B Myerstown, PA 17067 Evangelical Congo School of Theology, 121 S. College St. Myerstown, PA 17067 Wyndamere Heights Evan. Congo Church 736 Wyndamere Road, Lewisberry, ura Jean D. Seibert, Esq. 109 Locust St., Harrisburg, PA 17101 PA 17339 Telephone ( 71Y Capacity: Personal 236-9301 Representative C() IF) I I L "r:l': x Counsel for personal representative [r. \'J r"\.. ;.".1 ,"'J , .,- ,,- t;.'\ p' t: ~.~ ::> OU RW-35 u: 'I ..:,." .,; ~' itr . \' , , -" . , .' - '~'.. /.~"."~ ;':'~"~.\\~,;.'i< Name(s) , address (es )a!ld,tel!'lphone . !1umbe~ (S) ,,0 f. ~p counsel ;__ .,..::..._.:'......;~~:!.:~:.. f,' .~, .\; . ~ ..'..' Address ' Telephone Name Jean D. Seibert, Esq". 109.LoCU5t-St.." Harrisburg, PA 1710i. '.' "236-9301 -.. .-" - ~ ...--. -0 ~. _.. .... _". -'. ., .... .:" Addltional information maybe~btained from the undersigned. Date , :....t..:...:r,.. Signature Name Jean D. Seibert, Esq. . .. AddresstOO"Locust Bt. I" ,'.. _";' r! "'. I. :' ~ . . .' " ..': ~ Harrisburg, PA..17101 Telephone 717-236-9301 '-;'.','; '. .',"-:. ,'.' ':.~...'; ~: ' "I.' _.. 0' r:),h~i:;Hh !'!.''''l''::::t.:~:'''''''':'..'''J:.j , Capacity: Personal, Representative Counsel". for. personal representative ,.' ........-.- .. - .', .~,. '. v '-', -.....,,,. " -. ,~ '.!, , ' " ....-...,.-............-.....;... .......' .'. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 1995-00681 FIRST AND FINAL ACCOUNT Leonard Portzline, Executor for ESTATE OF RUTH E. GOSS, Deceased D8te of Death: Date of Executor' a Appointment: Date of First Advertisement of Letters: The Sentinel August 28, 1995 September 12,1995 Cumberland Law Journal September 20, 27 & October 4,1995 September 22, 29 & October 6,1995 May 12,1996 Accounting for the Period of: -' Purpose of Account: Leonard Portzline, offers this account to acquaint interested parties with the transactions that have occurred during his administration. The 8ccount also indicates the proposed distribution of the estate. It is important that the account be carefully examined, Requests for 8dditional infonnatlon or questions or objections C8n be discussed with: Leonard A. Portzline 510 South Enola Road Apartment I Enola, PA 17025 or Jean D. Seibert, Esquire WION, ZULLI & SEIBERT 109 Locust Street Harrisburg, PA 17101 (717) 236-9301 . SUMMARY OF ACCOUNT P8ge Current Value Fiduciary Acquisition V81ue Principal Receipts 3 $66,868. I 2 Less Disbursements: Debts of Decedent Funeral Expenses Administrative Expenses Federal & State Taxes Fees & Commission Family Exemption 4 4 5 6 6 6 999.69 3,670.37 2,027.25 1,951.99 2,090.00 12,73930 Principal Balance on Hand before Distribution Less Advance Distribution of Tangible Personal Property Principal Balance on Hand 54,128.82 . 1,55000 52,578.82 Incnme Receipts Less Disbursements Income Balance on Hand 7 9 2,265.58 575 60 1,689.98 Combined Balance on Hand 54,268.80 2 RECEIPTS OF PRINCIPAL Assets Listed in Inventory (Valued as ofDate ofDeath) Cash and Personal Property: Fulton Fund account #9901-36655 at Fulton Bank Interest accrued to date of death Certificate of Deposit #060-0076212 ot Fulton Bonk Interest occrued to date of death Certificate of Deposit #061-0005605 at Fulton Bank Interest accrued to date of death Fiduciary Acquasition Volue $3,951.47 4.88 10,000.00 165.79 17.753.30 385.44 Blue Cross - refund Dr. Grossman. overpayment Patriot News - refund Tangible personal property of decedent oppraised by Chuck Bricker 08-28-95 08-28-95 08-58-95 09-14-95 09-28-95 09-29-95 03-08-96 Total Inventory Receipts Subsequent to Inventory (Value When Received) Checking occount number #0600-19812 at Fulton Bank · Certificate of Deposit #222-0061035 at Fulton Bank · Interest accrued to date of death Account #3619746, John Hancock Sovereign Bond Fund Class A · Burial Certificote of Deposit Prudential Metropolitan Life Refund from telephone company Total Receipts Subsequent to Inventory 63.60 5.29 4.80 1,55000 $33,884.57 $ 2,661.01 14,230.40 19.49 8,117.32 3,569.96 1,021.65 3,354.03 969 532,983.55 566,868.12 Total Receipts of Principal · Joint asset, held with Leonard Portzline, gifted bock to estate. 3 '(A~~i})}J{ " :il;l~,::,'i;;{i~q:.. ,- DISBURSEMENT OF PRINCIPAL DebtR of Decedent 08-28-95 Pennsylvania Power & Light Co, $ 60.48 09-04-95 Hamsburg Dairies 15.50 09-05-95 Leonard Portzline - rent 200.00 09-06-95 Sammons Communications 19.98 09-26-95 Bell Atlantic 45.60 09-27-95 Bonite Portzline 200.00 09-29-95 Kathy Mosso 100.00 10-10-95 Barbaro Portzline 200.00 11-12-95 Barbara Portzline 100.00 03-25-96 Holy Spirit Hospital S813 $999.69 FUMrRI Rl(pen!les 09-01-95 Reeds Zion Lutheron Church - $ 280.37 Funeral luncheon 09-02-95 Gratz Simeon Evangelical Congregational 40.00 Church 09-25-95 Richardson Funeral Home 3,300.00 09-27-95 Thomas Hepler - Headstone so 00 4 $3,670.37 " Adminigtrative Expenseg 09-08-95 10-02-95 10-04-95 10-06-95 11-05-95 11-05-95 11-05-95 11-09-95 12-01-95 12-04-95 12-04-95 12-13-95 12-15-95 01-02-96 01-02-96 01-17-96 02-03-96 02-03-96 02-09-96 03-04-96 04-03-96 04-10-96 04-19-96 Chuck Bricker Appraiser Leonard Portzline - rent Pennsylvonia Power & Light Co. Checkbook Fees Leonard Portzline Bell Atlantic Pennsylvania Power & Light Bell Atlantic Wion, Zulli & Seibert reimbursement for expenses: Register of Wills Cumberland County Law Journal The Sentinel Leonard Portzline Pennsylvania Power & Light Barbara Portzline Bell Atlantic Pennsylvanio Power & light Leonard Portzline Bell Atlantic Leonard Portzline Pennsylvania Power & Light Bell Atlontic Pennsylvania Power & Light Pennsylvanio Power & Light Lena Hoffinan Leonard Portzline $ 50.00 200.00 29.25 14.84 200.00 71.28 21.63 16.62 109.00 40.00 6889 217.89 200.00 11.58 200.00 16.62 11.67 200,00 16.62 200.00 8.75 16.62 8,40 9.02 50.00 136.46 Reserve to Pay: Wion, Zulli & Seibert Copies, postage & filing fees for inheritance tax from family settlement ogreement S 120 00 Total Administrative Expenses 5 $2,027.25 Federal and State Taxes 11-22-95 PA Dept. of Revenue Inheritonce Tax 04-18-96 P A Dept. of Revenue Inheritance Tax Reserve to pay additional PA Dept. of Rev. Inheritance Tax Reserve to pay fiduciary income tax $1,686.89 15.10 185.00 6500 $1,951.99 Fees and Commission' 12-01-95 Wion, Zulli & Seibert, partial attorney fees Reserve to Pay: Wion, Zulli & Seibert remaining, ottorney's fees $ 1,045.00 $ 1,04500 $2,090.00 . Family Exemption: Reserved to PBY Leonard Portz1ine $ 2,000.00 Total Disbursements of Principal Total Principal Balance on Hand Less: Advance Distribution of Tangible Personal Property Remaining Principal Balance on Hand $12,739.30 1,550.00 $52,578.82 6 RECEIPTS OF INCOME Income from Personal Property Interest: 09-08-95 Interest on Fulton Fund S 8.43 Account #9901-3655 at Fulton Bank 09-08.95 Interest on NOW Checking Account 4.53 Account #060079812 ot Fulton Bank 09-18-95 Interest of Certificate of Deposit 60.55 Account #222-0061035 at Fulton Bank 10-10-95 Interest on Fulton Fund 8.30 Account #9901-36655 at Fulton Bank 10.10-95 Interest on Fulton NOW Checking Account 3.14 Account#0600-198 12 at Fulton Bank 10-18.95 Interest on Certificate of Deposit 58.60 Account #222-0061035 at Fulton Bank 10-27-95 Interest on Certificate of Deposit 246.30 Account # 060-0076212 at Fulton Bank 11-10-95 Interest on Fulton Fund Account 9.28 Account #9901-36655 at Fulton Bank 11-10-95 Interest on NOW Checking Account 2.66 Account #0600-19812 at Fulton Bank 11.20.95 Interest on Certificate of Deposit 60.55 Account #222-0061035 ot Fulton Bank 12-08-95 Interest on Fulton Fund Account 8.01 Account #990-36655 at Fulton Bank 12.08.95 Interest on NOW Checking Account 1.59 #0600-19812 as Fulton Bank 12-18-95 Interest on Certificate of Deposit 58.60 Account #222-0061035 ot Fulton Bank 7 01-10-96 Interest on Fulton Fund Account 8.39 #990-36655 at Fulton Bank 01-10-96 Interest on NOW Checking Account 1.43 #0600-19812 at Fulton Bank 01-18-96 Interest on Certificate of Deposit 60.46 #2220061035 at Fulton Bank 02-09-96 Interest on Fulton Fund Account 8.46 #990.36655 at Fulton Bonk 02-09-96 Interest on NOW Checking Account .77 #0600-19812 at Fulton Bank 02-20-96 Interest on Certificate of Deposit 6D.42 #222.0066035 at Fulton Bank 03 -08-96 Interest on Fulton Fund Account 7.25 #990-36655 03-08-96 Interest on NOW Checking Account .22 #066-19812 at Fulton Bank 03-20-96 Interest on Certificate of Deposit 51.96 -' #222-0061035 al FultonJ~ank 04-08-96 Interest on F\.!\ton Fund AccOIlnt 8.14. #9901-36655 at Fulton Bank '. '. , 04-10.96 Interest on NOW Checking Account .25 #0600-19812 at Fullon Bank 04-19-96 Interest on Certificate of Deposit 229.14 #60-0076212 ot Fulton Bank 04-19-96 Interest on Certificate of Deposit 1,087.46 #61-0005605 at Fulton Bonk 04.19-96 Interest on Certificate of Deposit 1.79 #222-0061035 ot Fulton Bank 04-19-96 Interest on Fulton Fund Account 2.11 #9901-36655 at Fulton Bank 8 04-19-96 Interest on Certificate of Deposit 55.55 #222-0061035 at Fulton Bank 04-22-96 Interest on Account #3619746. John Hancock 151.18 Sovereign Bond Fund. Closs A 05-12-96 Interest on NOW Checking Account 06 #060019182 ot Fulton Bank TOTAL S2,265.58 DISBURSEMENT OF INCOME 08-28-95 Credit for accrued interest shown on S 4.88 inventory 88 principal as of date of death on Fulton Bank, Fulton Fund Account #9901-36655 08-28-95 Credit for accrued interest shown on 165.79 inventory as principal as of date of death on Fulton Bank Certificote of Deposit #060-0076212 08-28-95 Credit for accrued interest shown on 385.44 inventory 88 principal as of date of death on Fulton Bank Certificote of Deposit #061-0005605 08-28-95 Credit for accrued interest shown on 19.49 inventory as principal as of date of death on Fulton Bank Certificate of Deposit #222-0061035 TOTAL S575.60 9 SCHEDULE OF PROPOSED DISTRIBUTION Current Fiduciwy Value Acquisition Value . 1. Leonard PoI1zline 6,783.60 6,783.60 2. Lucille Shumaker 6,783.60 6,783.60 . 3. Paul PoI1zlinc 6,783.60 6,783.60 . 4. Glenn R. Goss 6,783.60 6,783.60 ,5. Lucil1e Goss 6,783.60 6,783.60 . 6. C8thy Richardson 3,391.80 3,391.80 .7. Susan Kirkland 3,391.80 3,391.80 . 8. Kathy Mosso 3,391.80 3,391.80 . 9. Edward PoI1zline 3,391.80 3,391.80 . 10. Evangelical Congregational 2,261.20 2,261.20 Retirement VilIoge . 11. Evangelical Congregational 2,261.20 2,261.20 School of Theology 12. Wyndamere Heights 2,261.20 2,261.20 Congregotional Church TOTAL $54,268.80 $54,268.80 10 RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that the undersigned, a legatee in the ESTATE OF RUTH E. GOSS,late of West Fairview Borough, Cumberland County, Pennsylvania, deceased, does hereby acknowledge that he has received of and from LEONARD PORTZLINE, Executor of the ESTATE OF RUTH E. GOSS, deceased, the sum of$ 6,783.60 , os shown on the First and Final Accounting doted May 12, 1996, representing a 1/8 share in the said estate. This is in full satisfaction and payment of such sum or SunlS of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. AND THEREFORE, the undersigned does by these presents, remise, release, quitclaim and forever discharge the said LEONARD PORTZLINE, Executor, his successors and assigns of and from the said legacies and bequests, and of and from all actions, suits, payments and accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or from any other accounts, matters, couse or thing whatsoever, from the beginning of the world to the day of the date of these presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any further amount detennined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that he or she will contribute pro-rata, his or her share of the estate to satisfy any and all claims, demands, suits or causes of action which may be successfully prosecuted against the said estate or the aforesaid Executor after the signing, sealing and delivel)' of this Receipt and Release. day of IN WITNESS, I have caused this Receipt and Release to be executed this c;~~ 17 - .1996. WIL)2, -J (rJr~ (Seal) ,-' ." PETER P SgTARIAL SEAL Ponn'dol ~.~~S:J~kll~.ry I'ltbl.. I Mv Cammlulon Explr.. NOY?J'5~VI999 , N,mh", ',nnIVlv.nf. Alloelltlon 01 Not.rl.,' Commonwealth of Pennsylvania County of \6l"J~~ : SS On this, the ~ of ~ ~E:.. . 1996, before me, a Notaly Public in and for said Commonwealth and County, the undersigned officer, personally appeared GLENN R. GOSS, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Receipt and Release and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I here PETER P. S~b~~~'kl ~F."l ..-. M)c~m~;a,~;rl'j>ilc ( r oL} ~ M p raa N'uv. J S. J\h)~ (, 1mb.,. P,nnlylvlnll Allodlflon .,.. '" nOI\.. .. ~ RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that the undersigned, a legatee in the ESTATE OF RUTH E. GOSS,late of West Fairview Borough, Cumberland County, Pennsylvania, deceased, does hereby acknowledge that she has received of and from LEONARD PORTZLINE, Executor of the ESTATE OF RUTH E. GOSS, deceased, the sum of $ 3,391.80 , as shown on the First and Final Accounting dated May 12, 1996, representing a 1/16 share in the said estate. This is in full satisfaction and payment of such sum or sums of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. -' AND THEREFORE, the undersigned does by these presents, remise, release, quitclaim and forever discharge the said LEONARD PORTZLINE, Executor, his successors and assigns of and from the said legacies and bequests, and of and from all actions, suits, payments and accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or from any other accounts, matters, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any further amount determined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that he or she will contribute pro-rata, his or her share of the estate to satistY any and .. '. all claims, demands, suits or causes of action which may be successfully prosecuted sgainst the said estate or the aforesaid Executor after the signing, sealing and delivery of this Receipt and Release. IN WITNESS, I have caused this Receipt and Release to be executed this //+tL daYOf-I}lf'fIJJ .1996. WITNESS: r ./YJ ~nA-L . (l.l1r}~tY1MdiLlJ'1lU Csthy A chardson .. . .. (Seal) . ,~- . il 4 " " State of Delaware : SS County of On this, the 1/-fA day of ~.u...v . 1996, before me, a Notary Public in and for said Commonwealth and County, the undersigned officer, personally appeared CATHY A. RICHARDSON,lmown to me (or satisfactorily proven) to be the person whose name is subscribed to the within Receipt and Release and aclmowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. -;!iu .if ~ Notary Public My Commission Expires: /-/3-:7 ? RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that the undersigned, a legatee in the ESTATE OF RUTH E. GOSS, late of West Fairview Borough, Cumberland County, Pennsylvania, deceased, does hereby acknowledge that she has received of and from LEONARD PORTZLINE, Executor of the ESTATE OF RUTH E. GOSS, deceased, the sum oU 3.391.80 , as shown on the First and Final Accounting dated May 12, 1996, representing a 1/16 share in the said estate. This is in full satisfaction and payment of such sum or sums of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. AND THEREFORE, the undersigned does by these presents. remise, release, quitclaim and forever discharge the said LEONARD PORTZLINE. Executor, his successors and assigns of and from the said legacies and bequests, and of and from all actions, suits, payments and accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or from any other accounts, matters, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any further amount detennined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that he or she will contribute pro-rata, his or her share of the estate to satisfy any and all claims, demands, suits or causes of action which may be successfully prosecuted against the said estate or the aforesaid Executor after the signing, sealing and delivel)' of this Receipt and Release. ..J::b, IN WITNESS, I have caused this Receipt and Release to be executed this ID day of __ T \J h e...- .1996. WITNESS: :&if 7f~ (Seal) L Kathy Mosso , , , ~ RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that the undersigned, a legatee in the ESTATE OF RUTH E. GOSS,late of West Fairview Borough, Cumberland County, Pennsylvania. deceased, does hereby acknowledge that she has received of and from LEONARD PORTZLINE, Executor of the ESTATE OF RUTH E. GOSS, deceased, the sum oU 6,783.60 ,as shown on the First and Final Accounting dated May 12, 1996, representing a 1/8 share in the said estate. This is in full satisfaction and payment of such sum or sums of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. - AND THEREFORE, the undersigned does by these presents, remise, release, quitclaim and forever discharge the said LEONARD PORTZLINE, Executor, his successors and assigns of and from the said legacies and bequests, and of and from all actions, suits, payments and accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or from any other accounts, matters, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any further amount detennined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that he or she will contribute pro-rata, his or her share of the estate to satisfy any and ,'?> ' :',;; '.t " , ""~~~~' ',.... '.' .' 'i.i" ". : .". ~",,~ "'" ''''' ;:;'\. ;', "::'; ",;:;,; ';','.~:i' ,;.;'~ct}';"A~/::i"'l'~~"~ ....,:: '. ':,,: :.;; . "", "'" ", , , , , '; " " '", '" ''', ','I' ;f'~ ,> " ," '~" '/, ik; ',J'> ,<{"';:' 'c_ " ~ ,", s. '" ,', ;, ' ,ffi ,; ",', .', <\. '. '''''1~ ''''" x , " ,', ' 'w'~'>"';'" >, ,,>:, " ,'" i'!~ , ,",,' , ' '... ' .: " _'f~ ',_ .. " \":" ..,.", "0-.:),' , ',,' . ". ;:.': . '::. ";; : ;..'" '.-' .,".:,' ";> ;,..' '-", . - - - .' ~ '. " '-"" . -,"' .., , , '; .- '\-'" '. : :.,:'. , '.', , ii.!'~{':~":'\!':"';j:' ','::, _ 'it\", ,,,, ,"",'1 , " ( " ", '; , '" ,'",; , ,'c' ", . I""",," ,<>" ",t ;, .',"'l "' " j~: ,'i,: , .. ' , " - ;. r:~' ~t;fJ;i!;:ii1:"';'Z 'l'':' ~"": ., !;i'Jf~' ' ..i",,::, ' , ' "''''" ;",'" rf';':~*'~~: '" ' Ac :;,1;)~.;",. ::",1>: ,', " '~, }~~";:~; ';,: "," ,yr, ' " ,,!~;l,':t';,::'t~ ',' ",: \~;CT';er"\,, , .. : , , "i;: ,''', ' . ,'" ' " ',L;,' ;;'j ~ ' ' '~ .., ,,' '<'" ;;:~ ' 1l'Ji'U ~ , " ' ; '", ~' ,/ ;~lg ~ '-'",..:i, ',> '" "~:~ ,", '" ~ ",' ,'.' ' ' '~;::fl :f" ., , "';", " "');' ~fJ; , ;,', ";>T;, ''i , ,:~i~~", '~ ',,';;i::{?W:;L;., .' " " " '. -, ,. . . . . .. . . . ..' . . '. all claims, demands, suits or causes of action which may be successfully prosecuted against the said estate or the aforesaid Executor after the signing, sealing and delivery of this Receipt and Release. IN WITNESS, I have caused this Receipt and Release to be executed this 10-+11 day of .:::rUn L .1996. 'Ii' t k t. ~ WITNESS: ~t (1. ~1/~ oYutd,4 ~ Lucille Goss (Seal) .. RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that the undersigned, a legatee in the ESTATE OF RUTH E. GOSS,late of West Fairview Borough, Cumberland County, Pennsylvania, deceased, does hereby acknowledge that he has received of and from LEONARD PORTZLINE, Executor of the ESTATE OF RUTH E. GOSS, deceased, the sum oU 6,783.60 , as shown on the First and Final Accounting dated May 12, 1996, representing a 1/8 share in the said estate. This is in full satisfaction and payment of such sum or sums of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. AND THEREFORE, the undersigned does by these presents, remise, release, quitclaim and forever discharge the said LEONARD PORTZLINE, Executor, his successors and assigns of and from the said legacies and bequests, and of and from all actions, suits, payments and accounts, reckonings, claims and demands whatsoever, for or by reason thcreof, or from any other accounts, matters, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any furthrr amount determined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that he or she will contribute pro-rata, his or her share of the estate to satisfy any and all claims, demands, suits or causes of action which may be successfully prosecuted against the said estate or the aforesaid Executor after the signing, sealing and delivery of this Receipt and Release. IN WITNESS, I have caused this Receipt and Release to be executed this l-'t) Tt\- day of ~ CJN.E-. .1996. WITNESS: ':bbvrl A-~ .~- ~~~ ~ (Seal) Leonard Portzline . , Commonwealth of Pennsylvania :SS County of On this, the /0 cl day of \. Jon.._ . 1996, before me, a Notary Public in and for said Commonwealth and County, the undersigned officer, personally appeared LEONARD PORTZLINE, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Receipt and Release and acknowledged that he executed the same for the purposes therein contained. , , IN WITNESS WHEREOF, 1 hereunto set my hand and official seal. ~Il~~ N Public NoIorlal SaaI Patrlcla A. Whlsle, No!8tJ l"ullIo Lomoyn. 8oro, Cumberland CouriIlt .. . My Commission Expl,.. Nov. 15, 1!lOt My Conumsslon Exptrestdsmber, Pennsylvania AssocI,j,lon olllotams //- 15-"9 ~ I ... , '.'1;;iiW!Lil~'{ ,:";I . . ,- , '. . , - ~~I~~j~~~;h~J;-~~- " " : " ., . 'r_' ic",',.'< ,'.'" .-....'<.It:!I_'l<.1 ,i:-::.-:",;,!";,<,,- .-; ._-~ -, '3'; ..!.. .Ii-: .'. '". ", '.,- ,. .., '<', '.,,-: '.' ,}}~; ~'i .'~ ;.-, " ',"1- .' ,,- .J'> y;' .' RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that the undersigned, a legatee in the ESTATE OF RUTH E. GOSS,late of West Fairview Borough, Cumberland County, Pennsylvania, deceased, does hereby acknowledge that he has received of and from LEONARD PORTZLINE, Executor of the ESTATE OF RUTH E. GOSS, deceased, the sum ofS 3,391.80 ,as shown on the First and Final Accounting dated May 12, 1996, representing a 1/16 share in the said estate. This is in full satisfaction and payment of such sum or sums of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. AND THEREFORE, the undersigned does by these presents, remise, release, quitclaim and forever discharge the said LEONARD PORTZLINE, Executor, his successors and assigns of and from the said legacies and bequests, and of and from all actions, suits, payments and accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or from any other accounts, matters, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any further amount determined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that he or she will contribute pro-rata, his or her share of the estate to satisfy any and .. , . all claims, demands, suits or causes of action which may be successfully prosecuted against the said estate or the aforesaid Executor after the signing, sealing and delivery of this Receipt and Release. IN WITNESS, I have caused this Receipt and Release to be executed this / b% day of ~ .1996. WITNESS: ~/ft-11Wt- ~~~ Edward Portzline ' , (Seal) l;' ' ... , . State of Ohio County of ~ On this, the / ~ day of r . 1996, before me, a Notary Public in and for said Commonwealth and County, the undersigned officer, personally appeared : SS EDWARD PORTZLINE, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Receipt and Release and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official eal. My Commission EX~ 7 I; d1JOO ,- , RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that the undersigned, a legatee in the ESTATE OF RUTH E. GOSS, late of West Fairview Borough, Cumberland County, Pennsylvania, deceased, does hereby acknowledge that she has received of and from LEONARD PORTZLINE, Executor of the ESTATE OF RUTH E. GOSS, deceased, the sum of S 3,391.80 , as shown on the First and Final Accounting dated May 12, 1996, representing a 1/16 share in the said estate. This is in full satisfaction and payment of such sum or sums of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. AND THEREFORE, the undersigned does by these presents, remise, release, quitclaim and forever discharge the said LEONARD PORTZLINE, Executor, his successors and assigns of and from the said legacies and bequests, and of and from all actions, suits, payments and accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or from any other accounts, matters, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any further amount determined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that he or she will contribute pro-rata, his or her share of the estate to satisfy any and . .~, L .;~~,,~- -.-.,..-_.. --,...--",~_..,...-.,-~.,.,;.-.it":XiM'~,,*\;;i;>""'.k!.'j3t!:-!~~"iV\:'Ii"W$oI:"'"'"-""''''~--_'-i'' Commonwealth of Pennsylvania County of CU~ ~ \N.llII J!) : SS On this, the I , day of ~ . 1996, before me, a Notary Public in and for said Commonwealth and County, the undersigned officer, personally appeared SUSAN KIRKLAND, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Receipt and Release and acknowledged that she executed the same for the purposes therein contained. IN WITNESS ,WHEREOF, 1 hereunto set my hand and official seal. CO. .:.Ji:.:.v ~ Notary Public . .,'r-" .~ My Commission Expires: Nol:tflal S~ol Ch:i'j~ini1 Cc~l" Notnry Public LOWN 11I1,:);1 TWI'" Cllrnbcrle.nd Counlj t.~:' GOnl,llhh~ll1n f;:,;p!iliS, Uov. ~I lose w~;;j~~~~~ii\~~~'CII'k~S " RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, t11at the undersigned, a legatee in the ESTATE OF RUTH E. GOSS, late of West Fairview Borough, Cumberland County, Pennsylvania, deceased, does hereby acknowledge that he has received of and from LEONARD PORTZ LINE, Executor of the ESTATE OF RUTH E. GOSS, deceased, the sum ofS 6,783.60 , as shown on the First and Final Accounting dated May 12, 1996, representing a 1/8 share in the said estate. This is in full satisfaction and payment of such sum or sums of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. AND THEREFORE, the undersigned does by these presents, remise, release, quitclaint and forever discharge the said LEONARD PORTZLINE, Executor, his successors and assigns of and from the said legacies and bequests, and of and from all actions, suits, payments and accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or from any other accounts, matters, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any further amount determined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that he or she will contribute pro-rata, his or her share of the estate to satisfy any and .t_ '. all claims, demands, suits or causes of action which may be successfully prosecuted against the said estate or the aforesaid Executor after the signing, sealing and delivery of this Receipt and Release. IN WITNESS, I have caused this Receipt and Release to be executed this /d tIr day of .JLl^, e.. , 1996. WITNESS: J;r_1" ~4-'#j ,t9tUd~~~ Paul Portzline (Seal) , .,: " .':', .,.,.' -; f '- . .X-''-' ^. ",..:.,,' " .'.!,; ': ',' " Vt.;,:.{'"'" ,~::: "ii" ..: '.. . .>:;.:',,'<}:?'/'~,'~:)~;~f; :",',.'",2' ',,' . JUK""'" ,. 'cc"" ".c '" " ., ,,';;".';"; ,,""" " " .' ".", ;c, ' "".', "",,', ,,,," d' ", " .illi' "~. ".,,~,,";, "~"ji'~~;?:;';:~:'''1~:;j"t'~!~",~~'''' " .";,,.' 1'''~'' . ;, ,", ,',C"",~?!'" ',' ~ 'J';:,' . ',' ' ."",''if;j~,,: .,t,,'; = l~IT ,.. ," ,'":,'>r:',,,::: ',.; ,;'j: \,:, : ..,,, ;,.{C'.'.." :.::' ,',,: ,,;c. ' J,;"it~ ' ",;;,C';.; ., ',,,' ,::' f';' "'c", ~/..,;p ::~,/.:""Y:' ]",;,:;,'. ,: '~~";<;::'" ' ''',~. " 'c" ,. , ,:;i':" ..., ",' ." ':.' ' >.,,, ," :~" "" v" .'. ,. .. :',',,:.', ,:' ,;,"', "";,;,, ,j;":"'; .;,A'/i ,,~,'i ,," ,". ; ". .;," . ...;, . ' ' ' ".,'" .. :' ,> :~': :;,' ':. ' /""\',:;;; .: >.>,," -::;, L ' ,,' ,., ' , :,,. . ' , , ' "It ",,,' . " ," '. ... ' ' . ' ~"" ,',>0 ::{'i' ~~"':"':,j;b;.,l;, ': ' '. ., " , ",' ",'~l< ~iii " W~ ,," ' ' .. '1,;Y:'l"t"";"; , ~l j\~"ll:" : ;11, ',:' ,~,,;,.,';;;'{ ,'" ",';; ~~; ',^ . ^". ",::,,' . . ,,,w. ,~ "r.. ' : ::',;~" ';...::;...."':_: ,,'" <, w;' " ' "i' .' .; ': ',' .;.': ,~, " ", : ., . , ' ' ' " ", ,c, ,. '''" ',' ,~' 1" .,", ii, ," '." .". ,;.:.,,~7?.."~':'\;,;.l:"ii'i ',', ' i~ ," "''' ," v , _:",,,,,,, """C'i~.i ^,,' ~.'" ' " :, . , " ','" , . ", "/:' "7"'''''::'' c, ~~ti, ," ~ , , ',. ' ,J ~:,' : f,~:'- . _ ' J.,~5 , 'A.,.. .;::<2 - .",-" ,/;'; , ,,< '.. ';;";;' ~ ~}j ;{~:..-~ ii' ",,' " .':~ ;..'; ;,'. . ," .', ': ,',,' :, " " ;}, .: ' "J':'.. " : , ... " " ", r.-i : . . . , " , .... ; RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that the undersigned, a legatee in the ESTATE OF RUTH E. GOSS, late of West Fairview Borough, Cumberland County, Pennsylvania, deceased, does hereby acknowledge that it has received of and from LEONARD PORTZLINE, Executor of the ESTATE OF RUTH E, GOSS, deceased, the sum ofS 2,261. 20 , as shown on the First and Final Accounting dated May 12, 1996, representing a 1/24 share in the said estate. This is in full satisfaction and payment of such sum or sums of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. AND THEREFORE, the undersigned does by these presents, remise, release, quitclaim and forever discharge the said LEONARD PORTZLINE. Executor, his successors and assigns of and from the said legacies and bequests, and of and from all actions, suits, payments and accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or from any other accounts, matters, cause or thing whatsoever, from the beginning of the world to the day of the date oftltese presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any further amount detennined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that it will contribute pro-rata, its share of the estate to satisfy any and all claims, demands, suits or causes of action which may be successfully prosecuted against the said estate or the aforesaid Executor after the signing, sealing and delivery of this Receipt and Release. IN WITNESS, I have caused this Receipt and Release to be executed this \ 0 'i!:: day of ~\)<<E .1996. Evangelical Congregational Retirement Village By: '"l<-. ~ f (Seal) WITNESS: f2t~hl#1~ :I. Jd.:."A~'<'A/ , . . .' '. Commonwealth of Pennsylvania County of Le.bA-No,J : SS On this, the J 0 tl1 day of . _Tune. , 1996, before me, a Notary Public in and for said State and County, the undersigned officer, personally appeared 'R.('v. Bruce D. 1-1 iLL , who acknowledges himself to be the LA't"cvflliG"' D/i<:-e~ ' of Evangelical Congregational Retirement Village, a non-profit corporation, and that as such E x<. vuh VE D, R (c.f.otr.., being authorized to do so, executed the foregoing instrument for the purposes therein contained by signing the name of the non-profit corporation by himselCas ~)(.ec.u t1vi: D, Roe ~.f.ore... IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~~f.IO, /kkt':Y' No Public {/ My Commission Expires: , NOlarlal Soal Randall D. Holwlg, Notary Pub/to Myerstown Bora, Lebanon County My Commission Explras Oct. 16, 1999 em or, oonsy van. soc a on 0 0 r os , \' \\I~}il jftjil, .'1/1 .\,\ "'\1'" '.. \.,,,- ..... '\.'.- .f_~i" ,,'j. ". ". *' ,-,. .,.ll"~t '_.,tt '... ('~'(' ,;",::,."i'l:I ~':;~',;'f >\ :'- ,',' . , , ~ -.". : ~_. i ~, ~t9 '(.) ~i " ".,'" ~ '. . ':\ .--~'~).} - ",-" ", \'~.'.:' '#t",c', 1'-':"'/ f",;, ,:,\'...., !";'I!;l' . RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that the undersigned, a legatee in the ESTATE OF RUTH E. GOSS, late of West Fairview Borough, Cumberland County, Pennsylvania, deceased, does hereby acknowledge that it has received of and from LEONARD PORTZLINE, Executor of the ESTATE OF RUTH E. GOSS, deceased, the sum ofS 2,261.20 ,as shown on the First and Final Accounting dated May 12, 1996, representing a 1/24 share in the said estate. This is in full satisfaction and payment of such sum or sums of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. AND THEREFORE, the undersigned does by these presents, remise, release, quitclaim and forever discharge the said LEONARD PORTZLINE, Executor, his successors and assigns of and from the said legacies and bequests, and of and from all actions, suits, payments lI11d accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or from any other accounts, matters, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any further amount determined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that it will contribute pro-rata, its share of the estate to satisfy any and all claims, demands, suits or causes of action whlch may be successfully prosecuted against the said estate or the aforesaid Executor after the signing, sealing and delivery of this Receipt and Release, IN WlTNESS,I have caused this Receipt and Release to be executed this /.:< z:t!.. day of -c9 IM...l2- . 1996. EVangel~egatiOnal SchooIj'fTheology By: ~ ' ~ ~,./7 (Seal) , . .. RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that the undersigned, a legatee in the ESTATE OF RUTH E. GOSS,late of West Fairview Borough, Cumberland County, Pennsylvania, deceased, does hereby acknowledge that she has received of and from LEONARD PORTZLINE, Executor of the ESTATE OF RUTH E. GOSS, deceased, the sum on 6,783.60 , as shown on the First and Final Accounting dated May 12, 1996, representing a 1/8 share in the said estate. This is in full satisfaction and payment of such sum or sums of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. AND THEREFORE, the undersigned does by these presents, remise, release, quitclaim and forever discharge the said LEONARD PORTZLINE, Executor, his successors and assigns of and from the said legacies and bequests, and of and from aU actions, suits, payments and accounts, reckonings, claims and demands whatsoever, for or by reason thereot; or from any other accounts, matters, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any further amount determined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that he or she will contribute pro-rata, his or her share of the estate to satisfy any and '. " State of Illinois --rL, ~ : SS County of Du ~Q..... : 1h.- ~ On this, the dtL.: day of J,no , 1996, before me, a Notary Public in and for said Commonwealth and County, the undersigned officer, personally appeared LUCILLE SHUMAKER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Receipt and Release and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunt My Commission Expires: OFFICIAL SEAL MICHELLE YORK NOTARY PUBliC. aTAU OF ILUNOII MY CO_ISSIOH EXPlI\Ea,.O/ll1aa loI'tI''''''''' RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that the undersigned, a legatee in the ESTATE OF RUTH E. GOSS, late of West Fairview Borough, Cumberland County, Pennsylvania, deceased, does hereby acknowledge that it has received of and from LEONARD PORTZLINE, Executor of the ESTATE OF RUTH E. GOSS, deceased, the sum of S 2,261.20 , as shown on the First and Final Accounting dated May 12, 1996, representing a 1/24 share in the said estate, This is in full satisfaction and payment of such sum or sums of money, legacies and bequests as are given and bequeathed to the undersigned as an heir of the Estate aforesaid. AND THEREFORE, the undersigned does by these presents, remise, release, quitclaim and forever discharge the said LEONARD PORTZLINE, Executor, his successors and assigns of and from the said legacies and bequests, and of and from all actions, suits, payments and accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or from any other accounts, matters, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents; and the undersigned does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Receipt and Release, including any further amount determined as due and owing because of Pennsylvania Inheritance Tax, the undersigned does hereby covenant and agree that it will contribute pro-rata, its share of the estate to satisfy any and all claims, Commonwealth of Pennsylvania Countyof CumberlQ.y\ot : ss On this, the ~ /Y' day of JU T)(:~_ .... , 1996, before me, a Notary :,r,:' ~': T,' ....,; , Public in and for said State and County, the undersigned officer, personally appeared tf)fehq e.1 G: kn<ill' who acknowledges himselfto be the ~~,-/e.n./~ ~&a'/ ofWyndamere Heights Congregational Church, a non-profit corporation, and that as such ftt<!5; -:1-1 Dfl ~roI. being authorized to do so, executed the foregoing instrument for the purposes therein contained by signing the name of the non-profit corpomtion by himself as f('t!>s7Je;/ of &orcl ;:s' '. i. iJ:' '. " " u." ~'- IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~ ~~.~.- No Pub . Notarial Saal Jay M. Zimmerman, Notary Public UPPM Allen TwIl.. Cumbo,lend County My Commlsalo~ Explr.s M.,eh 16, 1996 McrrblI.I'8MS)1vOniaAaoocl"""" of NolOo1oo My Commission Expires: I ',.j l+;!'H'- 'l~i'1;,~r" '-';..~).! H" ,:., ,---:---: ' ">;\<:t:;.:.'., ,~ t"'o;",~"" !o ".~>; t~ ~"-i"\" ~ 4 ~....,:,.~~~/\,~ \?~~;~,~:;. _ ~ ~~'_ ~.~':~f;~~~A:~l;;;~~;~i)~,y:,~!~;;~!t!~~;: ~o~i:':'~: ~::l': :,::, jilli(fP~~~2J:{};~i~'11i,z{:iA,'\?f~k'!,\ II '" '" :i. , . '11:' ';~V-~':H( ""'-~ . '" . . ~t~':f;I;"~:>'-t..t'11c)_:;tj{V/ ; \ ~ .; ,)< l'I:.tt) i'; I,':'') , ,.. r. ..' '/. '.'; "'..l.' ". }. ',-;': "'. _,i , ,-~ . , <:"\'~:]'i n~-:~i.~~:~k;~~~,~,~"I:Jil\~-"'.:,l,:~t,\\:W~-:-l':;,) . ',- :-"':~;Pl'~ :~;'-~?'-"':<~'~4)~;;"";;':I~;-~:~;~~f3;..~~~,~::~.,,~'~!~-;; . JUN 19 199&- COMMONWEALTH OF PENNSYLVANIA OFFICE OF ATTORNEY GENERAL June 17, 1996 THOMAS W, CORBETT, Jr, ATTORNEY GENERAL Reply To: Charitable Trusts and Organizations Section 21 S. 12th Street, 3rd Floor Philadelphia, PA 19107-3603 Telephone: (215) 560-2402 Fax: (215) 560-2202 Jean D, Seibert, Esquire Wi on Zulli & seibert 109 Locust Street P. O. Box 1121 Harrisburg, PA' 17108-1121 Rei Estate of Ruth E, Goss, Deceased Dear Ms. Seibert: Receipt is acknowledged of your recent letter regarding the receipt and release settlement in the above matter. Please be advised chat I have reviewed that letter as well as the Account and other documents supplied and, on behalf of this office as oarens oatriae for charities, would advise you that we are without objection to the informal settlement of this matter in accordance with those documents. -~, . yours, ,," Lawrence Barth Deputy Attorney General ';'j LB :jak UIN ""FleES ~g~ ti l@/a/uI 101 LOCUIT BTRIIT P.0._1121 HAAlIJ88UAO, PlHHSYLYAHIA '''01-''21 Recorded Oit1ca of Rl~',""" ...f Wills HBG.PA 170 18'27 1SS*2 06/03/96 .' "95 JUlI -4 ?, :18 CIeri. ~ r' c ~ ."", C-j'.1I1 CumbUi.~I(..,;U., PA Register of Wills Office Cumberland County Courthouse Carlisle, PA 17013 ""11I",'"",,,,",,11,1,,',' 1",11,,11",11,"11,1.1,,"1,11.1,,1 -.J,):!:;: <-~j~ 5'_;.", <'",,'.,.:~"~..ii""~'~W\.f';Jf'> "".'''~<!'''''),t.... ~. ~;.-J. >". : )~.,y~,~ jf,:'i-; :;';J~1'~!;}~~~h~:-;.~"~\~~:'''~;~ -u" .~ '~_\-~:::F ,,' --, ;,,~. . -'. "110'&::." ~.""~ 'j". , ~~ ci:',; i;_~_'" "_' ,~:~:.' ;, T~i~J\. ~t~:_!:~'. ::,;t.L~: "y,'"_ :~~ ";"::~,~;;;3J;j~t~~~t~~~~;1 ""-',' .."".,,~.; "'I~~"f''tf,\o'"'' .. ~ "')~~m;~/1f~ '?-<_;r-~">) .:-. "'. t. ! . .:' . ., \' . ~ ;,,,,:_':~;~:;_~:~~?~~\):~~:.~~~~~:~,:~,(~~__, ~'~ '>_. ;!~_l~_! ".' -,.0." "_ -". ."'- .,., ,.,..Jti J.; .-h' .i"l"f"\ . .,''!;} :;:':n,~:~::'~' .':_l~J~ ". r~" -~'<r.:<n_. ',j',':.'" "c ;~.- -,~ ,"_'.- '.ic. ,_'".' .-., >.:':'1';\' //:~~:~_~~;., ,.;;f )';:: ':,::~t~:;~,i~.~!:?:C;_':_'~ ", ~.--~-f,: ;, " " ,'.'" ,-V,~_{ ~_' ;T, - -'" I ~ !/,L ,~ .. c I LAW OFFICES ~gttlb; ~ <@~ 1011 LOCUST STREET RO, BOX 1121 HARRISBURD, PENNSYLVANIA 171os.1121 (717) 236-8301 1717) 232,1488 FAX (717) 2:J8.ll100 VICTOR to.. BIHL ROBERT J. TAACE OF COUNSEL DAVID to.. WION FAANCIS to.. ZULLI JEAN D, SEIBERT January 30, 1997 20 WEST MAIN BTREET HUMMEL8TOWN, FA 17030 (717)_1 Register of Wills Cumberland County Courthouse Carlisle, PA 17013 RE: Estate of Ruth E. Goss Dear Register of Wills: Enclosed please find for filing by you an original and one copy of the Rule 6.12 Status Report, First and Final Account and 12 original Receipt and Releases and copies and the original letter from Lawrence Barth, Deputy Attorney General regarding the above- referenced estate. I have also included a check in the amount OfS1S6.0A~, cover the co~f filing the First and Final Account and 12 Receipts and Releases and La~ce ~'s Wier. Kindly date stamp all my copies and return to me in the enclosed envelqpe: ~ ~ ~. b, - ..,~ If you should have any questions, please do not hesitate to contao6me. ~ q g (-) I .~ ~y 0." -0 ~,'O .: ~\I N <<:no "OL.: \.,.j - :P;:+ \Cl Je Iy yours, ~ D, Seibert JDS/kd Enclosures . '-:! . DAVID A. WION FRANCIS A, ZULU JEAN 0, SEISERT LAW OFFICES ~gulJ; ~ <(?/~ log LOCUST STREET P.O. BOK 1121 HARRISSURG, PENNSYLVANIA 17I1J8.1121 (71T) 23o.g301 (TIT) 232.1.as FAX (71T) 23UIOO VICTOR A. SIHL ROBERT J, TRACE 0.. COUNIIL May 31, 1996 20 WEST MAIN STREET HUMMELSTOWN, PI. 1703l1 (71T) IleI-2&01 Register of Wills Office Cumberland County Courthouse Carlisle, PA 17013 RE: Estate of Ruth E. Goss Cumberland County No. 1995-00681 Dear Register of Wills: Enclosed please find a payment for the above-referenced account. This payment is being made because the Executor of the estate has decided to decline the Executor's fees which were originally indicated on the inheritance tax return on Schedule H, in the amount of$2,94S.00. JDS/kd Enclosure Vd "0:) PU~'w)qwno IJnCYJ 1;"::1.,,,J'I\1910 B l: ~ d ~- till' 96, GIIIt.'\ III liJ\S!F.i9l:j )0 ilJ)\() pHPJO:l9l:j IS -5",)- c, ItfY.1.S00 ex + (7.9" I!! 14:5= llllE.... :co9 ....~.. '* fOR DATIS Of DIATHAPTIR 12/31/91 CHICKHIRI If A SPOUSAL POVIRTY CRlDIY IS CLAIMID 0 fill HUMIIR INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) lii Ii! III co COMMONWEALTH Of PfNNSYLVANtA OE''''.'MEN' 0' IEY(NUE om. '"0601 HAU1SIUIlO,'''' 17 2'.0601 DceEDIN' NAM ItA'. ,... . AND MIDOll INI .All GOSS RUTH E. lOCIAl SleUlny NUMIU OAf! 01 III'" .10 South Enolo Rood \0010, PA 17025 Coo" Cumberlond County AMOUNt _reIIVID (In INUIUCTlONSI 1/01 NUMBER COUNTY CODE OleeOEN' COMPt f ADDU DAn: O' DEAl" 189-09-0618 8/28/95 II' AH\I(A'UI IUIVlYIHQ 'POUlt" ""'11011\"". ,..., I.No M100lllNIflAII CXI I. O"glnal A,'urn o 2. Supplemental R,'urn 03, 05, Remalnd.r R,tur" (for dol.. of death prior to 12.1J.821 Fed.rol ellalt Tax R,turn Required Ill.... =!!l co'"' ....~ o 4. L1mll.d Eatalt 0 40. Fulure Int.'I.' Comproml.. ('0' do'.. 0' doo,h oho, 12.12.821 00 6. DtCld,nl DI.d re.lal. 0 7. Oec.d.nt Malnlalned a Living Trull (Alloch copy 0' WillI (Allach copy 0' T,uIII ALL.CORRESPONDENCE AND CONFIDENTIALTAX.lNFORMATION SHOULD aE DIRECTEO TO.: ..:.'~'4 ,~, fi,,;:'''''/'''f ~",,: HAMI COM'Ull MAIllNG ADD.US Es uire ion, Zulli & Seibert 09 Locust StreeL _ 8. Talal Numb" of Safe D.poslt Bo... '"' co S => g III a: 1. R.al Estat. (Sch.dul. AI 2. Slocle. and Band. (Sch.dul. BI 3. Clos.ly H.ld Stocle/Partn.nhlp Inltr.s' (Sch.dul. Cl 4. Mortgag.. and Not~. R.ulvabl. (Sch.dul. 0) 5. Ca,h, Bonk D.pollll & Mllcellaneou. P.nonol Property (5chodulo E) 6, Joln,ly Ownod P'opolly (5chodulo FI 7. T,on.'o" (5chodulo 0) (5chodulo LI 8. Tolal Gran An," (10101 L1n., 1.7) 9. Funlral Exp.n.... Admlnlslrallv. Ca,". MI,c.lloneou, Expon,o. (5thodulo HI 10, Oobl'. Mallg080 L1obillllo,. Lion, (5chodulo I) 11. TOlal D.ductlon, (Iotallln.. 9 & 10) 12: N., Valu. of Eslat. (lIn. 8 mlnu, lIn. 111 13. Charltabl. and Governm.nlal B.qu,sll ISch.dul. JI 14. N.t Valu. Sub.ct to Talt (lIn. 12 mlnuslln. 131 15. Spou.al Trand.,. (For dol.. of d.oth aFt.r 6.30.94) S.. Instructions For Ar,pllcabl. p.tuntag. on R.v.r.. Sid.. (Includ. valu.. rom Sch.dul. K or Sch.dul. M.) 16. Amount of lIn. 14 taxabl. at 6% rot. (Includ. valu.. From Sch.dul. K or Sch.dul. M,) 17. Amounl of lIn. 14 tax obi. at 15% ral. (Includ. valu.. from Sch.dul. K or Sch.dul. M.I 18. Principal lox due (Add lax from lIn.. 15. 16 and 17.1 19. C"dlll Spousal Pov.rty C"dlt Prior Payment' Inl",1I x.__ X .06_ $ x .15 . (18) $ (19) $ (20) (21) $ (2IA) (2181 l,6Rn.RQ (15) (161 $ 29,594.45 (171 1,775.67 z co S => .. '" co .... E 1.775.67 DI,count 88.78 88.78 + + 20. If Un. 1911 greol.r Iht,ln lIn. 18. .nl.r Ih. dIKIr.nc. on lIn. 20. Thla Is Ih. OVIRPAYMENT. aD 21. If lIn. 181. greater Ihan L1n. 19, .nler Ih. dIK.r.net on L1n. 21. Thl.l.th. TAX DUE. A. Enter th.lnler.1I on Ih. balanc. due on Un. 21A. B, Enlo' Iho '0101 o'lIno 21 and 21A on lIno 21B, Thl.1t Ih. BALANCE DUE. Malee ChuSc Payable tal Regl,'.r a. Will., Ag.nt Cheock.lwfU If you oteo rcqul."lotin9 0 re'und 0' you, ov('rpuvn1l'nt. '1::"';;::. ' , '" , BE SURUO ANSWER ALL,QUEST10N5.0N'REVERSUIDE ANDI O'RICH Und.r p.nahl.. of perjury. I d.clore tholl have ."amln.d Ihl, "'urn. Including accompanying ach.dule, and ,tatem.nll. and 10 Ihe bllt of my knawl.dg. and belJtf, It I. lru., correct and complele. I d.clare Ihat all real "'01. hat b..n ,eporlea 01 true mark.t valu.. D.c1arallon of pr.par., alher Ihan the personal repr..entallv. I. baaed on alllnformallon of which pit arer ha. on bowled.. ilONA 10' 'USON '~lI III an aN ADD.IU DAn s-- 10' ,al'A a OlHI AN U, ADDU .~.~~~""J'. I I , I Act .48 of 1994 provide. for the reduction of the tax rate. Impolld on the net value of transfers to or for the u.e of the .pou.e. The rate. a. pre.crlbed by the .tatute will bel e 3% (.03) will be applicable for e.tate. of decedent. dying on or after 7/1/94 and before 1/1/96 e 2% (,02) will be applicable for e.tate. of decedent. dying on or after 1/1/96 and before 1/1/97 e 1% (.01) will be applicable for estate. of decedonts dying on or after 1/1/97 and before 1/1/98 o Spouaol transfers occurring on or after 1/1/98 will bo exempt from Inheritance tax, PLEASE ANSWER THE FOLLOWING QUESTIONS IY PLACING A CHECK MARK (.....)IN THE APPROPRIATE BLOCKS, YES NO 1. Old docodonl make a transfer and: o. retain the use or income of the property transferred, ....................................................... X b. retain the right to daslgnate who shall use the properly Iransferred or It. Incoma, ............... X c. retelin a reversionary Interest; or ................................................................................... X d. receive Ihe promise lor ilIa of alther payments, banellts or cora9 ......,..,............................. X 2. If de.th occurred on or before Decembar 12, 1982, did dacedant within two year. preceding death transfer properly without receiving adaquate conslderatlon9 If death occurred afrer December 12, 1982, did decedent transfar property within one yaar of dealh without racelvlng adequot. consideration'.......... .,11.... 0.0.........0.0....................................... 0.0.... II.................. X 3. Old docedent own an 'In trust lor', bank accounl at his or har daath9...................................... X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr YOU MU~T COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. '-'.' ('j :--: ,. \,i',' eel.,.. :J'; ,'J ..: -..::1 '-.lU .~1JOtIhIlJ"'1 . COMMONWI!AUH 01' PENNSYlVANIA INHUITANCE TAX UTUlN lfllDI!Nr OfCfDfNr SCHEDULE F JOINTLY~OWNED PROPERTY ESTATE OF RUTII E. GOSS I FILE NUMaER Joln"onon'!.). NAME A. Leonard A. Portzline ADORESS 510 South Enola Road Apartment 1 Enola, PA 17025 RELATIONSHIP TO DECEDENT son B. C. , Jolntly.ownod proporty. ITEM LmER DATE NUMB!:I FOR MAOE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF JOINT JOINT OF ASSET % INT. DECEDENT'S INTEREST TENANT 1. . 6/30/8 Ii Checking account number $2,661.01 50% $ 1,330.50 .. #0600-19812 at Fulton Bank 2. A 8/18/9 ~ Certificate of Deposit $14,230.40 50% $ 7,115.20 #222-0061035 at Fulton Bank Interest accrued to date $ 19.49 50% $ 9.74 6/30/a of death 3. A ~ccount #3619746, John $ 8,117.32 50% $ 4,058.66 Hancock Sovereign Bond Fund Class A . TOTAL (AI,o onlor on IIno 6, Rocapllulatlan) S 12,514.10 (II more 'pace /, ne.d.d inl." additional Ih.." allam. sill} U\lUlIth t"'l, PI.a.. Print or T . '*' COMMOHWfALJH 0' PfNNSYIVANIA INHllnANC! TAX UTUIN UIIDI!NT DI!C1D!NT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES RUTH E. GOSS ITEM NUMBER A. 1, 2. 3. 4. DESCRIPTION Fun.ral Exp.n.... Richardson Funeral Home Thomas Hepler - headstone Funeral Luncheon Gratz Simeon Evangelical Congregational Church - minister 1. B. Admlnl.trallv. Ca.'., Leonard Portzline 2. 3. 4, Penanol Rapra.antotlve Commllllan. Saclol Sacurlty Number 01 Pa"anal Rapra.antotlvlI Vear Cammllllon. paid 1 996 177 24 - 6962 Allornay Foes Wion, Zulli & Seibert Family Exemption Claimant Leonard Portz1 i np Ralotlan.hlp Addran 01 Clolmont 01 dacadent's death Straet Addrall 510 S, Enoln Rond City Enola Stata PA Qnn Zip Coda 17025 Probate Feas and addi t iona 1 short certi fica tes - Register $ of Wills C. Mlsc.llan.aus Expensu. 2. 1. Cumberland County Law Journal - advertise Estate The Sentinel - advertise Estate 3. Chuck Bricker - appraiser (9/8/95) Leonard Portzline - rent (10/2/95) 4, 5. 6. P.P.&L. - (10/4/95) Checkbook fee - (10/6/95) Leonard Portzline - rent (11/5/95) Bell Atlantic (11/5/95) 7, 0, continued on ad TOTAL (Alia enter on line 9, Recapitulation) (If more spac. I. ne.ded. Ins.rt additional she.t. of sam. .,...) AMOUNT $ 3,300.00 $ 50.00 $ 280.37 $ 40.00 $ 2,945.00 $ 2,090.00 $ 2,000.00 109.00 $ $ $ $ $ $ 40.00 68.89 50.00 200.00 29.25 14.84 200.00 71.28 S 11,586.88 SCHEDULE H . CONTINUED, 9. P.P.&L, - (11/5/95) $ 21.63 10. Bell Atlantic ( 11/9/95) $ 16.62 11. Reserve for postage, copies, etc. $ 60.00 \~, 11\l.1112lhI7.l" ~< ~ SCHEDULE I DEBTS OF DECEDENT, MORTGAGE L1ABLITIES AND LIENS PI.a.. Print or T . I FILE NUMaER COMMOHWIAUH o. PlNNlnVANIA INHllllANCllAllnUIN IUIDINT DeelDINT ESTATE OF RUTH E. GOSS ITEM NUMBER I. 9. 10. DESCRIPTION AMOUNT $ 68.48 $ 40.00 $ 15.50 $ 200.00 $ 19.98 $ 45.60 $ 200.00 $ 100.00 $ 200.00 $ 100.00 2. 3. 4 . P.P,&L. - 8/28/95 Glen Compton - 9/2/95 Harrisburg Dairies - 9/4/95 Leonard Portz1ine - rent for 9/5/95 Sammons Communication - 9/6/95 5. 6. Bell Atlantic - 9/26/95 Bonita Portz1ine - 9/27/95 Kathy Mosso - 9/29/95 Barbara Portz1ine - 10/10/95 Barbara Portz1ine - 11/12/95 7. 8. " TOTAL (AI.o ente' on line 10. Recapitulation) $ {If mo,.. .poce i, ""ded, in,.rt additional .,,",. 01 ,om. .lz..} l(v.lIn (h 11171 -!~ COMMONWUllH 0' UHNinvAHIA INNllnANellAX U'UIN IUIOINI0ICIDIN' SCHEDULE J BENEFICIARIES ESTATE OF RUTH E. GOSS FILE NUMBER ITEM NUMBER I. 2. 3. 4. 5. 6. 7. 8. ITEM NUMBER NAME AND AODRESS OF BENEFICIARY RELATIONSHIP A. Taxabl. B'qullh: Leonard PorLzline 510 South Enola Road Enolo, PA 17025 Lucille Shumaker 747 Easy Street Glendale Heights, IL 60137 Paul Portzline 510 Third Street Enola, PA 17025 Elsie Portzline 1 Market Street Gratz, PA 17030 Glenn R. Goss 292 Cinnabar Lane Yardley, PA 19067 Lucille Goss 502 Elizabeth Drive, Apt. 313 Lancaster, PA 17601 Eugene Richardson 7231 Jefferson Street Harrisburg, PA 17111 Cathy A. Richardson 68 E st re V lley Circle son daughter son step-daughter in-l'aw stepson step-daughter in law son-in-law grandchild NAME AND ADDRESS OF BENEFICIARY 8. Charltabl. and Gavlrnmenla) alqulltll I. Evangelical COllgregationnl Retirement Village 215 South Railroad Street Myerstown, PA 17067 2. Evangelical Congregational School of Theology 121 South College Street Myerstown, PA 17067 3. Wyndamere Heights Congregational Church 736 Wyndamere Road Lewisberry, PA 17339 TOTAL CHARITABLE AND GOVERNMENTAL BEaUESTSIAbo Inll' on IInl 13, Rlcapllulollon) S III mar. 'pac. I, n,.ded, Insert additional ,h..t. 01 ,am. ,'nl AMOUNT OR SHARE OF ESTATE 1/7Lh of household goods & 1/8th share of residue fur coat, l/7th house hold goods & 1/8th of residue 1/7th household goods and 1/8th of residue 1/7th household goods 1/7th household goods & 1/8th of residue 1/7th of household goods & 1/8th of residue 1/7th share of household goods 1/!6th share of residue AMOUNT OR SHARE OF ESTATE 1/24th share of residue 1/24th share of residue 1/24th share of residue Schedule J. Beneficiaries continued. A. Taxable Bequests: 9, Susan Kirkland grandchild 1/16th shsre of 11 Dishley Drive residue Mechanicsburg, PA 17055 10. Kathy Mosso grandchild 1/16th share of 1331 East Market Street residue York, PA 17403 11. Edward Portzline grandchild 1/16th share of 3884 Baird Road residue Stow, . 0" 44224 r..^s'l' WILL ^ND 'l'ES'l'^MEN'l' OF RUTII I~. GOSS I, RU'l'II'E. GOSS, .of Woet Fnlrview Baraugh, CUllIbo..-lnnd Caunty, PonnBylvAnin, boln9 of Bound mind, memal'y, nnd understnndlng, molle, publish, and declare this 1:.0 be illY Lost Will, and hereby revalle all wille And cadicile prev.lausly mado by llIe. ,IT,E:M-L, I dlrecl: my executal' hel'elnnfl:ol' nnlllod ta PAY 011 .of my legal debts and funeral expenses, includin9 the cast of my gravemarller, and administratian expenses of illY entnte, as soon as pracl:icable afl:er my denth, l'l'Er1-lL.. I give nnd bequeath my fur coal: to my daughter, LUCILLE SHUM^KER, of Glendale lIeights, Illinois, absalutely And forever. l'l'.!1;r:t.-!.ll. I give And bequeAth all .of my automobJ.les, jewelry, wearing apparel, boolls, pictures, hausehold furniture and fU1'nishings, and all ather arl:icles of household nnd personal use or adornment, except as set farth in Item II hereof nnd nat including cash or securil:iee, 1:.0 illY daughl:er, LUCILLE SIIUM^KER, my son, P^UL PORTZLINE, my san, LEON^RD POR'j'ZLINE, my step-san, GLENN R. GOSS, my daughter-in-lnw, ELSIE PORTZLINE, my step-daughl:er-in-1Aw, LUCILLE GOSS, and my son-in-law, EUGENE RICII^RDSON, ta be divided amang them by my execul:or wil:h due regard far their personal preferences in oS nearly eqUAl sha1'es os practical. My executar sholl have camplel:e discrel:ion to chopse I;he method of di visian of said praperl:y amon9 I:hese named benefi cin1'ies. l'l'E_M IV_~ ^ll the rest, l'esidue, nnd relllainder .of my prope/:\:y and esl:al:e of every llind and nnl:u1'e, and wheresoever - .."~-'--;-~ situats, includinl/ all lnpesd lel/nciell nnd bequests, and includIng ony prOpel"ty OVel" which I may have a powel' of Appointment at the time oC my denth, I give, deviee. nnd hO'lueath ae follows I A. Ono-eighth (l/Oth) thel"eof to be divided equally between CATHY A. RICHARDSON nnd SUSAN R, KIRI<I,AND, chlldl"en of Catherino M. Richal"dsonl 8, One-eighth (l/Oth) thereof to my doughter, LUCILLE: SIIUMAKER, Ol' if she is not then living, to hOl" issue pel" sth'pes; C. Ono-oighth (l/Oth) thol'eof to my eon, PAUL PORTZLINE, Ol' if he ia not then living, 1:0 his iaaue pel' sl:irpesl D. One-eighth (1/0th) thereof: 1:0 my son, r.EONARD PORTZLINE, or if he ie not I:hen living, 1:0 hie issue pel' sl:irpee; E. One-eighth (l/Rth) thereof 1:0 be divided eqUAlly between KATHY MOSSO, or if ehe is not then living, 1:0 her issue per sl:irpes, and EDWARD POR'XZLINI!:, or if he is nol: I:hon living, 1:0 his iseue per sl:irpelll 11'. Ons-eighl:h (1/8I:h) I:hereof 1:0 my sl:ep-daughl:er-in-law, LUCILLE GOSSI G. One-eighl:h (l/Bl:h) thereof 1:0 my sl:ep-son, GLENN R. GOSS, or if he is nol: I:hen living, \;0 his iElsue per sl:irpesl II. 'l'he remAining one-eighl:h (1/0I:h) I:hereof \;0 be divided squally among I:he EVANGELICAL CONGREGATIONAL RI!:TIREMEN'l' VILLAGE of Myers\;own, Pennsylvanial WYNDAME:RE EVANGELICAL CONGREGATIONAL CIIURCH of Lewi aberry, Pennsylvnnia; and the E:VANGEI..ICAL CONGREGA'l'IONAL SCHOOf. OF 'XIIEOLOGY oC Myersl:own. PennsylvaniA. ", '....,.~- ........ . .tl'.f.!'!.,'l.,. Ill! nn\;n\;o. Inllol:il;nnco. loyncy, ,,,,,:,,osaion, or tl'nno(or tnltOS, includlny nny intoroot nnd pnnnl\.lnn thereon, imposod by nny domeotic 01: (oroign lnw wi th rospect In nil propol'ty tnltnble under such lnwn by l'onoon of my donLh, whethor or not ouch PI'opoI'ty pnason undor tllio Will, by opo...":Jon of law, by c:olI\:I'nct, or othorwiBo, ohAll he pnld without Any I:ight of l'oilllblll'oemont from any l'oclpient of any Buch pl'operty, wi thout any r,lght of apportionment, and without postponemenl:, .~:~'gM V!-,- Should any peroon entitled to a shal:o of my eatate be a minor, at the time of diatribul:ion 1:0 him ai' hal', and ahould the value of ouch propel:l:y be more than the nmount which may be paid or delivel'od to him 01' hor 01' in hla 01: hel' behalf without the appoinl:menl: of n gunrdian 01' ol:her fiduc.lal'y or the delivery of security, ouch ohare Bhnll be pnid and dJstributed to my Truotee hereinAfl:er named 1:0 be held IN 'l'RUS'l' and managed, inveoted, And reinvested, togel:her wil:h I:he Accumulation of incomo thereon, if any, and the 'l'ruBl:ee ahalI. use and apply from I:ime 1:0 I:ime such portion of the income and principal I:hel'eof ao it deemo neceooary or deoirAble for I:he minor's rOAsonAble mAintenance, oupporl:, and complel:e education, includ.lng prepara tory, collego, pool:-grnduate, or profsElsionaI. I:l'aining, or 1:0 malte ouch paymenl: (or Buch purposes 1:0 I:he gual'd.lnn or person wJ.l:h whom such minor reBideB or dJ.recl:1y to 01' fOl' I:ho benefit of the minor wil:houl: furl:her rellponoibiiity to ouch minor or any peroon tailing care o( such minor, and when such minor attains the ags of twenty-one (21) years, any principal or income not so paid or applied ohall be disl:ributed to ouch minor, or i( he or shs dies pr.ior therel:o, 1:0 hio or her peroonal repreoentAl:ive, J:l'E:M Vl.L. In addil:ion to tile powers gl'anted by low, my peroonn1 representntlve Bha11 hove the following poworo. lI, To 0011 nl: public 01' IH'ivnl:e sale, to I1l1cl"""Jo, 1:0 leese, 1:0 pled\le, 1:0 mOl'I:9nllo, 1:0 I:rallsCoI', 01' conv",'I; 01' ol:herwioe diepose oC, or IIralll: opl:ione wil:h respecl: 1:0 any Ilnd all properl:y, relll 01' personal, al: I:he Ume [ormin\l n pa.:1: of my . probnl:e or I:ruel: eel:al:o, in ouch mallller, al: such time or timos, for such pUl'poooe, for RlICh price 01' prices, and UpOIl Buch I:erme, credil:a, end condil:iona ee ahall be deemed advieable or neceeeary fh~ ",- :~} ~1 fii: ,t." 'J ,)! {f. ,,# 'l: ~ ~ 'f;.; )' ~t:- <!. f .-:: ,it ~ ~ f < ~ lInde1' I:he circumel:allcee. II, 'Xo compromi oe nllY claim 01' conl:l'oversy, C. 'Xo inveol: in nIl [orms of p1'ope1'I:y wi I:houl; beinll limil:ed 1:0 legal inveol:menl:, J 'rEM V!..lL. I nominal:e nnd appoinl: r.EONMm POIl'l'ZLINE, or if he predeceaee~ me, [ailo 1:0 quali[y, or ceases 1:0 ncl:, I nominnl:e and appoinl: BONI'I'lI lI. POR'l'ZLINE, or i[ she p1'edeceaees me, [oilS to quslify, 01' cesses 1:0 oct, I nominate nnd appoinl: -~ ';i t . , FULTON BliNK oe I:he Bole Execul:01' o[ I:his my Lost Will, 1:0 serve without bond f01' I:he foil:hful performance of dul:iee j n any jurisdiction. . , ~ , l'l'EM-Dh I nominata nnd appoint LEONlIRD POR'j'ZLINE, but if ha precedacoaoen me, faile 1:0 qualify, or censen to act, I nominate and appoinl: FULTON BliNK ae the eole Trustee of any trusl:s created by this my Lasl: Will, to serve withoul: bond [or I:he fail:hful performance of dul:ies in eny jurisclict.lon. IN Wl'XNESS WHEREOF, I hnvA hel'eunto nel: my hand I:hio 1,3 day of March, 1992. 1 0:...' ".r. \ r,.'. 1_ ,-~,_... l.CJ...L..L\W.::.J:_:! Ruth E. Gosn The precedinq inetrument, conoistinq of this nnd (nUL' (4) other typewritten poqes, wos on the dote thereof siqnod, published, and declared by RUTH E. OOss, \:he 'l'es\:atrlx nomed therein, as nnd for her Las\: Will, in the preeence of 110, who, at her requee\:, in her pl'esence, nnd in \:he pl-eeence of ench other, hnve Bllbacd.becl oUl' nnmlln ne wi \:neeeeo hore\:o. Wi\:neeeeRI .' I ,I .' ( ~I.,.t ._.....-:__.. .r-:~' Nome ti) tU!.~;;;~111 I 1 . ~'J:~ (I.J.1U1.l3&'~ Name ( , , . ....... , L/.., kJ~..i:.J!l..i..Jf..:.:1IJ.1.tJ...c..~.....~ ^ddreoe ' ~)A ^ddrees', ' , '. CommonweAlth of PennRylvAniA ) ) ) nn. County oC DAuphin I, the 'l'entAt'~ix, whone nAma in nigned to the etl:n<:hed or foregolllg innl:1'umollt, hAving beoll duly qunlifiod nccol'dillll to lnw, do hel'eby Acltllowledge that I aiglled nnd executed the inntrumellt An my r.nnt WIll, thnt I nigned it wllUnllly Alld that J nigned It an my free And VolulltAry Act for the purpoo..n U.erein exprenned, . ~ ~.,_l:d...,. 'l'entatrix (c;!, Al/~_:.j.~... SWORN to or afflL'med to And Rclll10wledged befol'e Ill" by the above nnmed Testatl"ilt this /.3rf1. day of ~77c......<,A- ,1992. G A 'I .. 'tJ t.i!Ac...\..>' '.~( '-, .....,tJ:-::::::...._ Nota,1;'Y Public My commission expi,'os: (SE^L) :. : I.ol ~;I/'.l \10 Ami All II"':', IM,'I'Y rubllc ('111'1,:,111 t:e:U!1Ly Ily Co,,""'." (,,,Iral IItreh 8. 1993 Commonwenlth of Pennnylvania ) ) ) ns. County oC Dauphin We. t:he undernigned witnennes whose names nre nignod to the attached or foregoing inntrument, being duly qualified lIccording to law, do depone and nay that we were present and saw Testatrix s;::gn and execute the instrumeht as her Last Will, that she signed willingly and that she executed it as her free and voluntary act for the purposes therein elcpressed, that each of us in the hearing and sight of the Testatrix signed the will as wl tnesses and that to the best of our Imowledge the Testatrix was at the time eighteen (18) or more yeal"S of age, of sound mind and under no constraint or undue influence. /i..,P' ~;. 7-"'::~' Q lr~ Wtpll: ADOQoJI'n .' d"A.'1{(l--a-- SWORN or affirmed 1:0 and acltllowledged before me named wi I:neeses this /.$1:11- day of ~ by the above . 1992. ~a.~ &ee,,~ Not y Public My commission expil'eal (SE^L) 1I01AWL SEAL \10 ANII AllE~^". lIolMY PublIc Oluohlll Counly tly Co...lss'Dn bpi rD. f1areh D. 1993 - 6 - , '.\. "~ \~ F If}, J,"' :::ir' f" l~ ~\' ,,1 P~" ;;', W; f0 I L Fulton~&1LQ1m SEP 1 ~ 19S5 P. 0, BOX 4BB7, LANCASTER, PENNSYLVANIA 17604 CREDIT DIVISION WRJTI"" DIRIOT DIAL NUMB.A (717)2!l1-258!1 September 15, 19!15 Jean D. Seibert Wion, Zulli & Seibert 109 Locust St. PO 80x 1121 Hsbg, PA 17108 Dear Ms. Seibert: RE: Ruth E. Goss, Oeceased August 28, 19!15 In response to your recent inquiry concerning the accounts maintained in the name of the decedent, please be advised that the following accounts were open at the date of death: Checking #060U-1!1812, open 5/2/62, balance $2,6b1.01, became joint with Leonard A. Portzline on 6/30/86. Fulton Fund #!l901-3b655, open 9/26/84, balance $3,9~1.47 and accrued interest $4.~8; paying 2.52%, in her name only. CD #060-0U76212, open 10/30/91, rollover 4/26/!l5, balance $10,000 and accrued interest $165.79; paying 4.ij8%, matures 1U/2~/95, in her name only. CD #061-0U05b05, open 4/15/90, rollover 4/15/95, balance $17,753.30 and accrued interest $385.44; paying 5.87%, matures 10/15/97, in her name only. Burial Reserve CD #222-0U51124, open 1/20/94, balance $3,458,44 and accrued interest $lU2.21; paying 4.6!l%, matures 1/10/!l9, in her name only. CD #222-006103~, open 8/1~/94, balance $14,230.40 and accrued interest $19.4!l; payin9 5%, matures 2/18/96, joint with , Leonard A. Portzline. ' If you should have any further questions, please do not hesitate to contact me. '.., "~: " ( I 1-. .:; " ; . r', i.. ":'3 :1",- ":"i ;;; '~rr::r.b;r. ,': , :11,.,'..., ,." !"'_;~"'<~_I truly yours, .-...,.u......"... ~~ .'lil...',.'~rr,~\:ouri~qujry "Jr....,.!;,. -..-/.....,t:....\;,..I'U.( _" ..' . ' loJ I.. .' '. '.. ....,Illl..,l.. LI ~, ___. ,'~, re:;ft',~r.lbilit\: 15 mumr.1t',' t:.:. :,:,:::,.,::r ;;nl' of il. ,i.. !~ ~ ,I opmlO~ I:~reln oxoressed I: :ulijrct fa GI:"nr.c withn~~li'J.s~ine Putt Smi th . Credit Confirmation Processor ~ /cps --'--"""-'-'---....-... r, "I .. - . 'j Cumbcrland Register of Wills of :OaKLphin County, Pennsylvania INVENTORY estale of Ruth E. GOAA No, I C)lJ,-Oor,R I ~.. NOTE: Th. M.mor.ndum 0' ,..Iut.l. oul,ldeth. Commoll~ullh 01 Penn,yh,.ni. m.'f, '1lhe electIon 01 the PI'lon.III,pr.unuti..,., include the ",.Iue 0' each Itlm. but luch flgu,.. .hould nol b, u..nd.d inlo the 10111 of th. In....ntOfV. also known as Date of Death ^11!"~I' ?R, 1 QQ~ , Decoased Social Security No. 189-09-0618 , Pellons' R,pre..nt.IIl/.f., ol1he above fllOh" dOCIIOUd, ..,.,.IV thet the itom, appearing in lhe '0110 wing Invllnlory include .11 0' 'he pellona' ....1. whe,.ve, .nUllo and ell of lho real OIlole in the Comn1onwoallh 01 Ponn'Vlvanlo 01 lIIid Cacedent. thai th, v,Jullicn placed oppo,lI. ..ch item 01 said Invenlorv ropr.tenl, il. 'air value II 0' the d.te ollhe Ceced,nl', dUlh. end Ihet O.c.dent owned no ''''UIIIO ouUido 01 the Commonweallh 01 Penn.ylvania oxc.ptlhal which app..r. in a memor.ndum at tho end 0' Ihie lovenlory. l(We verily Ihat the Ilatemenll made in Ihi. Invonlary .ro truo and co"ecl. l/Wo under.land Ihal 1.1.. 1llllmlnt. hoteln .r. mad, lubject 10 Iho pinelli.. 01 18 Pe. C.S. Saellon 4904 relallng to unlworn la/tillcellon 10 luthorlll... Nama of AHornoy: P~r.onal Raprollunlilll..."; #-v L~ Fry_ f.ponnrrf Port"71inl3 O.,e. ~.;1~ 1'195' 1,0, No,: Add,...: Strect Harrisburg, PA 17101 Telephona: (717) 236-9301 1. Description Fulton Fund account #9901-36655 at Fulton $ Bank Interest accrued to date of death $ Certificate of Deposit #060-0076212 at $ Fulton Bank Interest accrued to dote of death $ Certificate of Deposit #061-0005605 at Fulton $ Bank Interest accrued to date of death $ Blue Cross - refund $ Dr. Grossman - overpayment $ Patriot News - refund $ Tangible personal property of decedcnt appraised by Chuck Bricker $ 1,550.00 V.lue 3,951.47 2. 4.88 10,000.00 3. 165.79 17,753.30 4. 5. 6. 7. 385.44 63.60 5.29 4.80 (Attach Addilionol Sheots if nacossaryl TOIDI: $33,884.57 !,~- ,,-... ':" ;y' --'~........ ...,PO I ~ *' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT BUREAU OF INDIVIDUAL TAXES JhlDlTMC! TAX DIVIIIDN DOT. ,.16n HAARJIIURGI, PA 17121-.111 tn-In' h II' n'-H' JEAN 0 SEIBERT ESQ WI ON ETAL 109 LOCUST ST HBG PA 17101 DATI! ESTATE OF DATI! OF DEATH FILl! NUMBER COUNTY ACN 10-21-96 GOSS 08-28-95 21 95-0681 CUMBERLAND 101 Aoount R..lttod RUTH E KAKI! CHECK PAYABLE AND REMIT PAYMENT Tal REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTEt To lnlUr. proper or.cut to your ecoOW\t, .ub.1t the up"r portion of thl. fONl with your tax p.~t. CUT ALOND THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iii'li=iioiij-iif-Aiijo--lo3':9iif------Jiiiii-iNifIiRii"ANCE"fAic-iTATEiiENf-OF-iicciiiiN'f--iiiJi--------------------- ESTATE OF GOSS RUTH E FILE NO, 21 95-06Bl ACN 101 DATE 10-21-96 THIS STATEHENT IS PROVIOEO TO ADVISE OF THE CURRENT STATUS OF THE STATED ACH IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT. 09-17-96 PRINCIPAL TAX DUE.. 1,945.3B PAYMENTS (TAX CREDITS). PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST (-) 11-22-95 AAOB2343 BB.78 1,6B6.a9 04-19-96 AA112757 .00 15.10 06-03-96 AA1l2897 .23- 177,01 10-07-96 REFUND .00 22.17- TDTAL TAX CREDIT BALANCI! DF TAX DUE INTERI!ST AND PEN, TOTAL DUE 1,945.3B .00 .00 .00 . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN .1, HO PAYMENT 11 REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YDU HAY BE DUE A REFUIlD. SEE REVERSE SIDE OF THIS FDRI1 FOR IHSTRUCTIOIlS. I (")0 c . ~c ,r, ( ) ~ -, :.,;'" LJ - I .co. -u "oJ ... PA\1EHT, '".1 ., '""-,' ,..... Deteoh U. top porUon of thl, NaUCII ... .....U ..Jth ,our PIYNnt .-cM p._I. to U. ~ n .Q~... printed on thre r.v.r.. ,.de. If RESIDENT OE:CDJOIT .... cMck or ___v aNle,. papRIla tal REGISTER OF WILLS, AGENT. If HCIH"R!IIDOfT DECEDDfT .... check or IIOMY 0'-''' p"le tal Cotl1ONWEALTH OF PENNSYLVANIA. All ,.,..,t. ..-ceIYed "'11 be ..".Ued firlt to any Int.ralt whIch -V be due MJth eny ,._I"r ...,.11... to thII tax. RUUND (au. . r.f\nI 0' . tax Gredlt, WhiCh VIII not r..-attld on the To Altum, -v be requested by cOIlIPIIUna WI -AppIICltlon for Rlf\ni of Penn~lv.nl. Inherlt~ ~ [Itat, Tax- (REV-ISIS). application. .r. ev811~1. at the Df,lce of U. R..tlt,,. of WI118, .,y of thre IS A~ D11trlot a'flc.. or f,.~ thII u.,.rt..nt'l 24-hour ...~rl"' ..rvlCII ~r. for for.. Orderlngl In Pennlvlv.nla 1-laD-saz-!OSO, out. Ide Penn.,lv.nl. ~ wIthin 10081 Herrtabur. .,... (717) 717-ID94, TDOI (717) 77Z-ZZ5Z ("--ring J~.lred only). REPLV Ta. Que.tlon. rev-rdlng .rror. cont.lned on thh noUn Ihould be addn.Md tal PA Dep.rbent of Rft.,.,., Bur... of tndlvl~1 T...., ATTNI Po.t A....~t Rlvl.. unit, Dept. 210601, "-rrl~rl, PA 17121-0'01, phone (717) 717-'505. DllCOUHTl If M)' tax dull h paid within thr.. (3) calMdtir IIOnth. aftlr U. cMcedwlt'l dMth, a fivI fNre.nt (nJ dlaGOW'lt of the tax PIIld h .11........ PENAL TVI ThtI 15% tax ....ty non-p.rUclp.Uon ,.,.1 tv I, COIIpUted on ttMI tabla' U. tax Met Intu..t ......ed, Met not p.ld "'ore .....~ II, 1996, the flnt dev .ftlr tM ~ 0' tM tu ......ty fNrlDd. INTERI!:ITI Inbr..t It cMrlMl ~Imlng with flr.t lHV 0' deUrKfUMClV, or nine ('J eonth. -.d OM (lJ d8v 'rOIl the lHta 0' deeth, to U. dlta 0' pev-ent. r.MI. which bee... delinquent bl'ore Januerv I, 1'.2 be.r Intlrl.t .t the r.t. of liN ('~J percent per ~ c.lcul.ted .t . dtillv r.t. 0' .000164. All t.... which bec_ delinquent on -.d .ft.r J~rv 1, 1912 will bear Int.rl.t .t . rlt. which will v.rv 'rOIl c.IMdtir vear to c.lander vear with that rlt. ~ed bv the PA Depart....t 0' Alv.,.,.. ThII eppllnbll In..r..t r.... 'or 1912 through I'" Irl' Vear Int.rl.t Rltl Dlllv Intlr..t Faator Vttr Intlnlt Rlt. Dllh Int.r..t Faator 1911 20X .OI054a 1'.7 9X .000147 1.13 16% .OID4S1 nll""'1 IIX .0ODSOl 1_ IIX .0DOSOl 1"2 9X .010147 1... 112 .nOSH 1"5"1994 7Z .DODltz 19M lOX .DODZn 1"5-1'" 9X .00OZ47 --tnter..t I. calcullted .. follow.1 llITEIIElIT . IIALANCB OF TAX UIlPAID X HUKlER DF DAYS DBLIHQUEKT X DAILY llITERBIIT FAC'nlII --Any NoUce I.... .ft.r the tax btoCMIe, dlllnquent will reflect., Int.r.1t caloul.Uon to flft.... (II) .. btvond the ct.tl of the .....--.t. If PIVMrlt I, ... Iftlr the Int.re.t Coeputltlon date......, on the Hotlcl, additional Int.r..t lU.t be calcul.ttd. /S-5S-tj COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT (,I~ 09-1a-96 GOSS 08-28-95 21 95-0681 CUMBERLAND 101 AMount R..ltt.d *' 'U.Ilt1U"'ltI.tu RUTH E 4 BUREAU OF INDIVIDUAL TAXES INttERlTANeE TAX DIVISION OEPT. 280601 ttAARlSIURO, PA 1112I-D601 JEAN D SEIBERT WIDN ETAL 109 LOCUST ST HBG ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN MAKE CMECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 ESTATE OF GOSS RUTH E FILE NO. 21 95-0681 PA 17101 HOTEl To lnlur. proper cradit to ~our account, lub.lt the uppar portion of thl. form with your taK pay..nt. CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ..... R-Efv:isiii-Ejf-AFfi-roi-:9E;j-----.-.-iiiHERI-YANCiE-TA-i-RE-coRii-ADj-USTHiENT--..----------------------------- 1.686,89 15.10 177.01 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ADJUSTltENT BASED ON. ADMINISTRATIVE CORRECTION VALUE OF ESTATE: 1. Ra.l eat.t. (Schedule AJ III 2. stock. and Bond. (Schedule B) (2) 5. C1oa.ly Hald stock/Partnership Int.r..t (Schedule C) (3) 4. Mortgag../Not.. Receivable (Schedule OJ (4) S. C..h/Sank Dapoalta'HJac. Paraonal Property (Schedule E) '(5) 6. Jointly Owned Propar\y (Schedule fJ (6) 7. Tran.fara (Schedule OJ (1) 8. Total A...t. DEDUCTIONS AND EXEMPTIONS I 9. Funaral EMP.n.../Ad.ini.t~.tiYa Co.t.1 Hi.callan.ou. EMpani.. ISchadule H) (9) 10. D.bt.l"o~tg.ga Liabilitia./Lian. ISch.dul. I) (10) 11. Total Daduotion. 12. N.t Value of TaM Retu~n 15. Cha~it.bl./GoY.rn~.nt.l aaqu..t. CSchadul. J) 14. N.t Valua of e.t.ta Subjaot to TaM TAX: l5. A~ount of Lina 14 .t Spou..l rat. (15) 16. A.ount of Lina 14 taMabl. at Lin.al/Cla.. A rat. (16) 17. A.ount of Lina 14 taMable .t Collataral/Cl... B r.ta (17) 18. Prinoipal TaM Dua TAX CREDITS I PAYNENT RECEIPT DISCOUNT (tl DATE NUNBER INTEREST 1-) 11-22-95 04-19-96 06-03-96 AA082343 AA112757 AA112897 8a.78 .00 ',23- ACN 101 .00 ,00 .00 ,00 33.a84.57 12.514,10 .00 (B) 10.141.88 989.56 (11) (2) US) (4) ,OOX.OO. 32 ,423,08 x. 06 . .ODX.15. UBI ANOUNT PAID DATE 09-18-96 46.398.67 11.131.44 35.267.23 2.844.15 32,423,08 .00 1.945,38 .00 1.945.38 1 967,55 22.17CR .00 22.17CR . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS TNAN .1. NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR). YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRN. FOR INSTRUCTIONS.) Itv.uPO........ . INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH Of PENNSYlVANIA DEPARTMENT Of REVENUE IUIU.U OP INDIVIDUAL TAXIS DEPT, 21060 I HARRISBURG. PA 17121.0601 DECEDENT'S NAME fiLE NUMBER ......... ,~'.,/' ." /. " / ~- ACN ./ / SCHEDULE ITIM NO. EXPLANATION OF CHANGES ,/' H~U. ..._.,,_::':::!..~:~_.__h ,. ~ -""...__...:- ._..::~..-_. ,"-J ...../ ......-......- --_.~~.- 11"'- , ~ "",_,.+",::_.~', L~ ,.L.,.- ._..', _ ..-. ..~-:. .'_ /'. _,' ,"' /"/ ""......-r _..____.,~..;,~ ~... ..,........,_... ._~ ...:___,.;.._,.,,_.!.~ 'H___.''':''_'''_ .___...__._._..:.....::..:....~__-.:::,L_.~_.~".~ .--.-._._~ .... ./"/ ~.:..-._... .....-----...-,...-.. -.,., .._" -. - -.-:....__..----.._-~--_.~-~~-..--"-----_..-~..~._---,_._- ,^._../~': J . --- ..~--_._-_..._-'. .-.-..-.- ~ ----. -- -~ ...?_.- u.L___..L. .'/' ,,// --- ,-_._~ -.. .' - - -_.~ _.~.__._._._-~._-_.._----...--_.......~..._---~.-..-'- -----_.- ._ _~.__ ~_~ _____......., ,._. ~~ .._..... ,__...~.___D.~' ... ..~.. _ __ __.___ ~.._..__ ~ ~,'.' ~.._ T" ..---~--,.---.--....-_. -"' _.-....-...._~. - .~--._._---,.-~-_._-_. -- .---. _..__,_..",. ,_ ~.. _.".._..~~.__. ~,,_-_~. _ __ ~_,",,_ ~ '_~.__._._ '~.4 "_'.r .....__ '~_4"_~~.____ ?............, .~_.._-~-_..--,_._----_..--....-.-._-- ... ...-- ~"H ~ ..._".-.- ____...~___"_~__ ~-~---."_.~' ....._..,....-~.. _......~~._.-- .... _._.-~---.._-------...~ +~~.._- -~_._.._---_..~-------'---_.~-- ... - ."-~- ._..__ .__._~_ _~. .__..~~_~.* ",,_..'__. ~____.___~."._._.. =__ ..... ~ _.....,._..._._._....._.__...__~._ri__.....4 _..____._.~__.w_.___.,.. -----...-- ....-.. ---- . .... . _ .__.______.._..w._ _~.._~_.__...._.,.-...:..--~......-.,..-...-.,-~-T-~~ ~<.UT__.'-'__......._~.~__~.~.......~........,.__"~.__._____~R~...........____'_-~~---._~..- ....----~ ___._~.,..__.~....._.~....___._~__+__~_T____.__~..........__~.".. --'-"~.- ---.._----,,- ~--~- --...;.--....,.~--'---...-_.----- ....-----.--..-----.--... -~ -- .- ~.-- ~.~- _.. . .~,..,. ~._~ _._._._-_.~_.,...~._~~..+'._. -..;---------------.---.-- .,.. ..~.._..."~.,. ._-~-_...- .~_..._--_.. .-...-- f._.. .._.~._ ..._ >_M_ .~____.M_'-.~. _.._~ ___....._.~T_'..~.. ~., .... .__~_ _... ~._ ____~_...., a_z ~....~.*__.__.___._ -~---"--"","",'.~-"""---_.- --_...*.~ -..- __,,_...__~___~__.__.~.^~_ ~._ ,.. .~.~ ..._....__._ _.,._ ._,__.~.._,__~._,_.,'_ n .~______.___ .._~.__~~__~.___.___~~_._~._--___~_.__.._~__'___._ . -, _ _._.~_._.,u.,. _ ~...__. _~. ~.__.~~ -.-'--". ~...-----~ ~~._.'-' ... ~~___-. _~._ _ _>..~,.~__~__ *_ ,_., ._.__..~___~,_._____..__'_..~~_..T _. _.._... _.. ~..__ - -.. - ,. ,. -,.. .,..--'. .-~"~...... ~,_....., "_._.",-, .- > _~, ~..-._ _.~ _ ~ _ ~~+.'..~U..'."._T , . ,,_ ..._.. '" .. _. "_'._'.'_ .__._...__,.,__ ..,. '.,' __.>_.... _~_ _...+._~_____.___~~__ __.-. ~",_,_...".,_~_,..__.___..______'.M'''_._ ._______ ,._ . _,..._....._.~._.___.___ _.'__',"'u___~_' _ __ ... ..' -, .... ,.-. _n n.,._ ._._,__,_,...._____.n_~______ _,~._" ... 4_.___._"_ -------,--~-...-.- .-~._-- __._._._._._+.__.-.~w _ ".M___._C'_.'_'.~ . ,_...<".~_~_..~." .,~.._._._...... _ .~~. _.._..___'__._.~ "_'. _.__-.,___~ ~_.__...~.+_..~~~__.___~...........;.._.U____,__.~._..~ -. -.. <_->. ~.~.~...__,.__ ~__..__.~,,~........._...~ ,..,_~ _O.,,_.__._~ ____. ....-~ -., "...~,-,. ~.. --_..--..". ..".-, ~.+ _._-_._-~...~----~-_._-.;.-,....---"'"~....~..-~-- ...._._---~ ----- . ~__" _."<".~____.,,.,_.J"..' _.__,.... .~., ~.__.__~.... ~._._~,__._.~_..,.._.~_,_ ..._..~---~- - -.---.----.-~. - -- .... . ______~ _.." _.._~_.~~.~W,_~.~___~_...__W___.~._.._., _. ,. . r:-----....") TAX EXAMINEU-"::;;~>! -, '<~-"--' ~' ..... / ---~~:>~~:..) ", / v _:~.--- PAGE '/ I ,,'t~ I 1 ': :] ;:'11 " 1 /1 ~'j~ l!'j ,'ilf~ t~~~{~ .~t~;j ~';1 ~. ~t.~: ~"~I ~~.~'ll! :,'1' ';'.("i ~$:~~! C.'<-"I 1JI ~,Ai! '~i] , I {:J '~:'I' "j ';-.;";:4 Recore( (I Rooinf" ''', :r~ of 'iliJls '96 MAY 17 1'12:3 J CIeri.,'" Cumb...I, . . ..', ("UII ,IfJ l'u,. PA PAVHEHTI OIItltCh tM top partlon of thl. MoUe. end lubIIlt with )lour pI)I'..nt .act. pswabl. to thl n... IInd add,.... prlnt~ on the rever.. .1~. If RESIDENT DECEDENT ..... chIck or NMV order pavabl. tal REGISTER OF WILLS, AGENT. If NON-RESIDENT DECEMHT ... check 0,. HMV ord... plvabl1 tal COHHONWEALTH OF PENNSYLVANIA. All PIYWWltl nCll".d "'_11 H -..Uad flnt to ."y lnta..nt ....Ich ..y be due '11th any r...lnder IlPpllM1 to tM talC. REFlICD (CAJI A ,.afund of . talll crMtit, which ..a. not raque.hd on ttM TI. Return, "V be r..,..tad by cOIlPlaUng an -Applloatlon for R.fund of P~.vlv."l. Inh.,.lt~. end E,t,t. TIlC- (REV-ISIS). ApplicatIon. .r. Ivallabl. at the D'flcl of th. Aeg.at.,. 0' Wllls, anv of t~ ZJ R.venue Dl.trlct Dfflcs. or 'ru. the Dep.rtaent's 24-hoUr ~twlr.ng s.rvlcl hUeber. for for.s ordarlngl In Pennsvlvanl. 1-800-J62-20S0, out.Sd. Penn.ylvanla ~ within loc.l H.rr..burg araa (717) 7.7-.094, TOO' (717) 772-Z2S2 (~.rln, lapalr.d only). REPLY TO. ou..tlon. r.,ardlng arror. cont.lnad on thl_ notlca .hould ba addr...ed tal Pi Dlpartaent 0' R.v~a, Buraau of Individual Tax.., ATTN. Po.t A.......nt Aavlew unit, Dapt. 2.0601, Hlrrllburl, PA 17121-0601, ~ nl7) 717-650S. DISCOUNT. If any tlX due I. paid within thr.. (J) c.landar aonth. .ft.r thl dlc.dent', d..th, . flva p.rcent (SX) discount of thl t.x p.ld Is allowed. PENAL TV I The IS~ tax aan..ty non-partlclPltlon pen.ltv II coaput.d on thl totll 0' thl t.. and Int.r..t ......Id, and not P.ld bafora Janu.ry I., 1996, the flr.t day .ft.r thl and of the t.. ~.ty parlod. INTERtlTI Int.r..t I. charged baolnnln, with ,Ir.t day of delinquency, or nln. (,) .onth. ~ ona (1) dey 'roe thl d~t, of death, to thl d.t, of pay-.nt. Taxe. which blc..e dallnqulnt be'ore Janu.ry 1, 198Z b.ar Int.ra.t at thl rata of .1. (6~) p.rcent per .nnu. c.lculat.d at I dally rate of .000164. All t.... which ble..a dallnquent on and a,tar Janu.r~ 1, 19.2 will bear Intara.t .t a rata which will v.ry 'rol calandar yaar to calandar ya.r with that rata announc.d by the PA DepartMent of Ravlnua. Thl appliCable Intere.t rete. for 1'12 thfough 1996 er" Va.r Interllt Rata Deily Int.rast Factor Vlar Inter..t Rata OaUy Intlr..t Fector 1911 ZOX .000541 1917 OX .011247 1915 lOX .ooon. l,aa-I991 IlX .000101 1... IlX .000S01 1"' OX .000247 1'15 UX .000556 I"S-I"~ n .000192 1... l'X .000Z74 1995-19'16 'X .011247 ulnt"..t I. calculatad a. follOM" IHTEREST . IALAHCE OF TAX UNPAID X HUHIER OF DAYS DELIHQUENT X DAILY INTEREST FACTOR --Any Notlcl 1..UId aftlr thl taM beeGle. dallnquent will r.fl.ct an Int.re.t calculation to flftaan Cll) day. bayDMd thl dlt. 0' thl .......ant. If plyeent la alda af'.r the Inter..' coaputatlon d.t. .hoMn on thl Netic., additional Inter..t .u.t be calculatad. ..,. .... ,.- ~ ~ ~'" - . , f-- - - - - ----- --~-I---- - - ----- - -- --- - -- - - -- - - ----- --- . ' I"'! ",_4<0'1' A"j' 't.' "~_ . ~' 'io ' i 'D;J'j'~~~'A: ~lQ\18'2' 3'j3' . ~COMMONWEALTH OF PENNSYLVANIA ~' NO;", , ' !It~, ~",",' 'DtpARTMENT OP REVENUE '~y J,:';._"","'.' ", ~,~-, .~' t..i\iiit' iiW1",JF.O...,...",".(....NsYLV.NIA'NH....NCI AN. ""'" TAX '. · RECEIVED fROM: D ACN ASSESSMENT I!' CONTROL ... NUMBER AMOUNT SEIBERT JEAN D ESQUIRE P 0 BOll 1le1 109 LOCUST STREET HARRISBURG, PA 1710S-11e1 101 '1,686.89 '0&0 HI" _ 'OtD HUI ESTATE INFORMATION, ~ FI E NUMBER Y el-19915-0681 ~ NAME OF DECEDENT ILAST) ;,I GOSS RUTH E II DATE OF PAYMENT EJ POSTMARK DAlE COUN1Y SSN 189-09-0618 IFIRSTI IMII CUMBERLAND DATE OF DEATH fa TOTAL AMOUNT PAID .1,6S6.S9 PB REMARKS LEONARD PORTZLINE C/O JEAN D SEIBERT ESQUIRE CHECK" 100e RECEIVED BY ?; SEAL' REGISTER OF WILLS MARV C. LEWIS REGISTER OF WILLS ,---,-------------------- --- -- -- - ------ -------.-- --- .; , ,.., '. I r' \. ~, ' ".' r " . ,,__1 -- , . Y' - -;: -1...... . ~ 1 "1....--. 7-::--.;-.....--........ ,....>..~: _. -. ._ '<0,.' '''' n.. .. . ...' - - - - - .-- -- .-. '--.- ._-. ~-~- -_. -'-- .~. ..._- . I I I . t.:. J' I I I 1 I J J I I I , I ~ fOlD HI" I I I I, I I I I I I I I I I I I I -----. -_. ._.._'--,....~-~._._. .-~_.__.._--_..._"'--~ ..... RECEIVED FROM, & ACN ASSESSMENT P:' CONTROL I:iI NUMBER AMOUNT LEONARD PORTZLJNE 510 SOUTH ENOLA RD APT 1 101 .1:3.10 WEST FAIRVIEW, PA 17025 'OtOH'" ESTAT! INFORMATION. r:I II MIE III el-1995-0681 !'I NAME Of DECEDENT lAST) ~ G066 RUTH E II TE Of PAYMENT EI POSTMARK DfoTE COUNTY 66N 189-09-0618 IfIRST) IMI) CUMBERLAND DATE Of DEATH REMARKS m TOTAL AMOUNT PAID *15, 10 PB RECEIVED BY 9nt;~ t ~n~ ,P..a ~~~r6~ERLa~S:::~f.(~A9p1~ LEONARD A PORTZLJNE SEAL CHECK" 1006 REGISTER OF WILLS -'-----'--,-.---,.~.~~~~.- . -----.-------...-.-:-- - '"'T"'-"_. . ' , I '.~ .. , .,' .... ,~ , " I i' ". \. t I, .: ... .-.. --. .-. ..---' -~ ~.A.lI ~ _ "'... 1.'.:.... : ' --.' ."'..'-" , -""'- \. ... ; ! I i5-.55~ f C/ REV-1547 EX AFP (12-95* CDHHOHWEA lfH OF PEHHlYl VAN IA D[PARTHfH' or At YOu: BUREAU OF INDIVIDUAL TAXES DE:PT. 11060. HARRISBURG, PA 17UI-0601 L-/ ACN 101 NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATI! 04-01-96 FILE NO, DATI! OF DEATH 08-28-95 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX PAYHENT TO THE REGISTER OF WILLS. HAXE CHECK PAYABLE TO "REOISTER OF WILLS. AGENT" REMIT PAYMENT TO: JEAN D SEIBERT ESQ WI ON ETAL 109 LOCUST ST HBG PA 17101 REGISTER DF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 A.......t He.ltlod CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ii'iy:i5W-ix-AFP--n'2:95riiiifici--ciF-i-riHiiiii'ANci-YAx-iiP'piiiiisiHiiii'-.--AL.'i."ciwANci-iili---------------n DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX RUTH E FILE NO, 21 95-0681 ACN 101 DATI! TAX RETURN WAS' ( ) ACCEPTED AS FILED ( Xl CHANGED SEE ATTACHED ESTATE OF GOSS 04-01-96 NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I E.t.t. (Schedul. A) 11) 2. Stock. and Bond. (Schedul. DJ (2) 3. Clo..ly Held stock/Partner.hlp Int.r.at (Schedule C) IS) 4. KortgagellHot.. Receivabl. (Schedul. DJ (4) 5. C..tt/Bank Depodh/Hllo. Pe,.lon.l Prope,.ty (Schedule E) (5) 6. Jointly Owned Prope,.,ty (Schedul. FJ (6) 7. Tran.fe,.a (Schedul. OJ (7) 8. Tot.l A...t. ,DO .00 .00 ,DO 33.884.57 12.514.10 .00 (0) 46.398.67 APPROVED DEDUCTIONS AND EXEMPTIONS: t 13.086.88 9. Fun.,..l bpen.../AdII. COI I'HII0. Expen... (Sch.dul. H) (9) 10. D.bta/Hartgeg. UabiliU../U.n. (Sch.dule I) ClO) 989.5& 11. Total D.duotian. 111) 12. Nat Valu. of TaK Return (12) IS. Charitabl./Gavarn..ntal a.qu..t. ISch.du1. J) Cl3) 14. N.t V.lu. of htat. Subj.ct to TaK Cl4) NOTE: If an a....Bm.n~ was is.u.d previoul1y, 1inBI 14, 15 and/or 16, 17 and 18 will reflect figure. that include the ~ata1 of ~ re~urn. a..e..ed to data, ASSESSMENT OF TAX: 15. A.ount of Lin. 14 .t Spou..l r.t. (15) 1'. A.aunt of Lina 14 taxabla at Lina.l/Cla.. A r.t. (16) 17. Aaount of Lina 14 taxabla at Collat.r.l/Cla.. 8 rat. (17) 18. Prinoipal Tax Du. 14.076 44 32.322.23 2.475.99 29.846.24 .00 29.a46.24 .00 X . DO. X .06. X .15. lIB) .00 \'790,77 .00 1.790,77 TAX CREDITS: PAYHENT DATE 11-22-95 RECEIPT HUI1BER AA082343 DISCOUNT I+J INTEREST 1-) 88.78 AHDUNT PAID 1.686,89 PAYMENT MUST BE HADE BY 05-29-96M. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 1.775.67 15.10 .00 15,10 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN n. NO PAYHENT IS REIlUIRED. IF TOTAL DUE 15 REFLECTED AS A "CREDIT" (CRI. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I - ,< , t.' .. -" .... - -.,... .... --"~ ."- .~. ~ ,. "''''~~/;''''.,,"'''''''''~' ",'.. . - REV-1547 EX AFP (12095*, c~ALTH or PENNSYLYANIA DEPARTHVff OF RfYEHUE IUREAU 01 INDIVIDUAL TAXES DEPT. ZIDIU ~ISlURa, Pi 171ZI-'601 APn :J ACN 101 NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE 04-01-96 S T OF FILE NO. DATE OF DEATH oa-2B-95 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX PAYHENT TO THE REGISTER OF WILLS. HAXE CHECX PAYABLE TO "REGISTER OF WILLS, AGENT" REMXT PAYMENT TO: JEAN D SEIBERT ESQ WION ETAL 109 LOCUST ST HBG PA 17101 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AltOunt R..l tt.d IS.10 , CUT ALONG THIS ~IN: ~ P.!TAIM LO~E". rOp.TION FOR YOUP. P.ECORDS ~ ;~i~5~-'~~';~;"~;~~-~=-~~~~~~;----;'~~==:=~;"=""""~~---~-------------------~---------"------~~~i~~~;~~:-------f ,~. - . . ....,., f . , { . I ..\ , , ':"'V .r ~ "''] :", .... t.. ) .. , ...,' : .. :. ~.',. '; .. '.,., '. ~ ,! . " -'. . 'I." ~,.\, . , , ~ l' .' ... .,~. .. t. , r."I,.. '" '.J', ' .~. , '; . .! I ~, ': . I.'" '"' -, \, .: ~ .f '.._ Hi' ..-... -..~.- ..-.. , r~....-...~ ~- ,-. 1~ . , ...........-..---..... ", -'" ..,--.-,--.-- r" ....";.1 , . HEt~' I 1 I , \ t. ~ -.--------.-.'-...... -'- 1 " '. .,:, \. '. Racoraad ornco 01 Raglstor, 01 Wills ,c,' '96 APR22 AlO :06 Clerl<-(\opl,:,,,'S Court Cumberland Co., PA ,.' '. '-~~,7T',"~:.-':~J--.--t, ~~ . ~~ :t:-; ,_' , .' ~"j i', ","";0'. , ,I, <,_:_, ;,," l-., '.~ " "'<':\.,._ ~ -'~ ~_.', 1"':,'\' :'","'''." - ~.\ .-, -'_J -:t I -, -.... , . ',' '-,'. .. f,' " I l' ., . :-~;' ,l t ,.I, t , .. .OJ ,- ., > ! { , I \ . L \- '. J j I ; \, . , \' .... , -.--~~. ..---.-~- _T -~,-. ._- '-",f-~- , .-~--~._. "'," -~'.'.-'J-__~-~~~~~r~? ,"; ...--" i -_.J, 'I .. . , 510 S. Enola Road Weat Fairview, PA 17025-3011 April 18, 1996 Register or Wills, Agent Cumberland County Court House 1 Court lIouse Square Carlisle, PA 17013 Madam, Enclosed, please find remittal check of $15,10 payable to Register of Wills, Agent dated April 18, 1996, Also find a notice of Inheritance Tax Appraisment dated April 1, 96, Payment was originally msdell-22-95 in the amount of 1,686.89. The Inheritance Tax explanstion reads.... Schedule F Item 1, 2 Jointly owned property from Schedule F must be deducted from net value of estate before charitable amounts can be deducted. Sincerely yours, ~a.~~ Leonard A. Portzline ~ - \Q 'Scf 15.!a ~ 0 '3 N~ . . E " . ~~> ,8 ~ "'- 0'0 '1'0 ~ro ~ '. ffi .~. . oUi . ~ '- ..- _) 0 ~lif ~ ';:.0 ClJE a: a: 00 ...- ----.,.- -...-.--- r --.- -' .-' --.. - , . " " '1. , ",' ( . I " . '-, . '-.?' , ,'- ;,. - "'--~~;';"'-"/>, "~,~;;.."" " ...... :.," " """~.'''r ...__:..,....1,;.. LEONARD & DARBARII PORTZUNE 610 F.NQf.A no WEST FAlliVlEW, PA.' 17025 ~. 04....19/96 18136' . Roou.. Reglsls, . :, tof ;lllls Hl3G.PA '96 ,~PR 22 AlO :06 Clor'., t>, " ,..ir/a Court Cum::'drland Co :,\ ~E-~ '" F" W( 1... LS <:- ~ M-B e..~ C<o'URT H ~-u-s~ ~ . I C~t:1Vi:--r ~'\J':1 e- 5~ c.. ~ (,? 1- L :S' 1-'€.. PA. S"1 ~ 1 "?>> 1",111,"1/1,"",11,.11,"11,"11,',1,",',1,.,11I - ..if\ ' .'-'" - ~ . , .. .. ,."~.; ~ ~' ", ... '.:, ,! (;'.-1 . "':,' ....';"., < .. .... ,. ~ > . ' -lI .,..,'" ", .... -,. ,- ~) 'J.. .~.'.,'/ ~ ,? .~. \' '.,' ..'1....; /'" . :a", II. ',,-,-;. .'" '. t":, .......-.!.. , ,~ ~...>;-~., .,. '; , ' . . , .~ " t,. . . ...:-. ~. ...' ~. . . ,., -"""'4 .- . ,0--'-0--:-..--'----'-:0'.. '~""~.L'__'~' .~.._"- .. ~~~:';,:,;)~~,<'?:'~X~~:!:;ti,' -~--.,_._-;-:-._. ,,; :,.,,-;~}:,,:,:),:. . I I.. i , j , , , ! j l'\' '" i Y t". STATUS REPORT UNDER RULE 6.12 Name of Decedent: Ruth E. Goss Date of Death: August 28, 1995 Will No. 1995-00681 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: 3. 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. ~- Si ture" an D. Seibert, Esquire Name (Please type or print) 109 Locust St., Harrisburg, PA 17101 Address oateJ?#f.';:).4 l/y16.. _ 1"'\ t::~1 OU) .. :'10.: r1 E N (~:' ,.~ :;- a.. . 0 :e; - -,() r.....:. 0 ....J.) I""l , :} I] ..~: ;:.: C1 c ~ w e.q} ...., :u 00 (110) .'....tJ '='E 8!a: P; Ua ( 717) Tel. No, 236-9301 Capacity: Personal Representative x Counsel for personal representative (MAH:rmf/AM3 )