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Home My WebLink About95-00757 ft~; ;11"1'" ~ ,,' '.. '.' " lt1rt ;,"""'".. /, ~..' ~.: ;,-. --.'.' .. --. G~t....,w';-'~> '-~~:,.~ ;~~ ", ;~~~j ii'''' ,:~" "',' 0" x~ij?:;';,' ,," "';, ,':lr-"'T:, ....J ~:}-':'!:< - ~~ '\,'<'1'''''' " t~t~i)-: r~};;~:: ..,1,..'.," -,\? f _~~ 1c: :;~ ~~~t - t,. 1/"'" ,~~,:,; > -':A/;:,\'~-L ',f:,"-- Q .". . . ' '::::J .;\~\. .i":V,-:::_<".",' ,. ': 1.~,;.--:~ .",', .,' _ " .~_.., ... -:~r,;-)~}\:.- i'~~...h "-'-~ ;~!$~<~:t:~..,;,?{.'.; " l~ :!::';:>~',,:./~'Yr:",:" '" .. .,.,.."...~ ,,:.,', "''''''''0 . ~:~ ~., .; , .:. : ~ ,,' . r : ~ I", [, ;.~, '. . ~'--;',:',i::'_:--. .',,' "_,. ;':' ",., ,._,',';<, ,. '" '-";i '-. ".CD. " ",;... .... 0,..... .... · ,VI LLI *" t>.:\': ;-,:_i;, --,<~.-, e, '0' "2"'; . - . . -<-, . .' ':' ~ PETITION FOH PROnATE lint! GRANT OF LETTEHS ()./-Q5-7!Y7 No. To: "Hale of JOliN LLOYD SMIT1L-_ also klloll'lI as Itegll1er of Wills for Ihe Duean'eI. County of Cumborlnnd In the Sorlal SemrilY No. ~7-05-3166 Commonll'eahh of l'enns)'ll'anla The pellllon of Ihe undersigned respeclfully represellls Ihat: YOUT pelllloner(5), II'ho Is/arc 18 )'eMS of age or oldeT all the eseeut rix IlIlhe lasl 11'111 of Ihe abo"e decedenl, dilled July_1.2 and codlcll(~) daled named ,19..22- ('laiC feltHm' dr~llmuanC(s. C.I. rl'nUnc1allnn. dClIlh of (\teulor, etc,) Decendem lI'as domiciled al dealh In .-Cumllerlw1d his laSI family t prillcipal residellce a(.Ji9D5 Tri nd1.e....Road. ~ennsylvsnia Ilampden Township} (liu \Irerl. nUIIll'ltf nnd Illllnclralil)') COIlI1lY, l'ellns)'lvanla, lI'ith liochanicsburg. Decclldenl,lhell 'to )'earS afllgc, died Sop.tcmber Z 2. ,19 95 al...HtUy._SpldLHQluu.lalJamILliiU. ~cnnsyJ,yj.JJ}ia . Escept as folloll'5, decedem did not mllrry, 11'1151101 <)I\'Orccd alld did 1I0t have a child born or adopted after eseclllion of Ihe lI'ill offered for prObalC; lI'as nOI the victim of a killing IInd 11'115 nel'er adjudicated incompetcm: Nono . Decendent al dealh oll'ncd propert). wllh cstimated I'alues as folloll'~: (I f domiciled In I'a.) ,\11 personal property (If not domiciled in I'a.) Personal pToperty in l'enn~)'I\'ania (I f nOI domiciled in I'a.) Per~onal property in CounlY Value of real eslale in penns)'lvanla ~ituatcd as folloll's: S 25,000,00 S S S WHeREFORE, petilioner(~) re~pectfllll)' reqllesl(s) Ihe probate of the la~t lI'iII and codlcil(s) presented herell'ith and the grant of lellers testamcntary I tl(,~lO"nt'nltlr)': ndmlnhuatlon c.I.a.; adl11lnlmUllon d.b.n.e.l.a.) Ilwr,,". i 7 .... J 1~ ]J:.lJJ..4,'L U~'rl.>~ ],g .'- ,E 'E,,: :: - rl '" :.n MarRarllt S, Hassenplug ~~st Trindln Road Mechanicsburg, ~A 17055 OATH OF PEHSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } 88 COUNTY OF Cumberland S\\orn 10 or IIffinncd 'l\ldhSllbscribed~ 7J?tJ-t. <Y'-'<</- bef",e Ille Ihis 1 t dlj'l:i, of a~ oc 0 E' (19 ~'v fi .....,1 . .... "/,'/~ /, . ."1 Lo '" t (~ 'J RY C. LEW S R,'~isl,'r' I Th~ pelltioner(s) above.named ~wear(5) or afriTm(s) Ihalthe Slalements in Ihe foregoing petition aTe IrU~ and correct to the b~sl of Ihe knoll'l~dge and belief of pelitioner(s) and that as per~onal Tepresen' IntiVL'(s) of the above deeedenl pelitioner(~) will well and \rilly administer the c~tate according to law, jl '1,) tYzA""'1~- ~ to ~ ~ :E: /.5-~O-fr; No. 21-95-757 Estate of JOHN LLOYO SMITH . Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OCTOBER 12 19-2.5-, In consideration or the petlllon on Ihe reverse side heTeOr, satlsraclory proor having been presenled berOTe me, IT IS DECREED Ihat the Instrumcnt(s) daled JULY 12, 1995 descTlbed therein be admllled 10 probate and riled or record as the In~t will or JOHN LLOYD SMITH and Lellers TESTAMENTARY aTe hereby granted to MARGARF.'I' ~ HA!';!';F.NPT.nr. MARY C. l/;'h' FEES PTobate. Lellers, Etc, ... ...... S 60.00 ,~!l~b~~Ulncates( );.,.,..,.. S~ Renunciation .............". S .1CP S 'i _ 00 TOTAL _ S 77 .00 Filed ..... .OC.'IOBER ,1.2,. .1.9 95 . ., . . . . PHONE t2ddJz.0~ ...pt-t;/JilL. r fl:Ud1 'f - ~6 - 9c. 3' /7 t;-; a::3 David H. Radcliff (#25483) ATIORNEY tSup. CI, 1.0. No.) 2216 Walnut st,. Harriaburg. PA 17103 ADDRESS (717) 236-9318 LETTERS AND ORDER WERE MAILED TO ATTORNEY OCTOBER , 1995. ~-" ri/~ CJ6-751 , '.,.." . : ,'i..; " ,..:: ' .. .. .' ,;~'::, ",' ',? ',' /.:".' ,,',,',. 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'. ~ LAST WILL AND TESTAMENT OF JOHN LLOYD SMITH I, JOHN LLOYD SMITH, of Hampden Township, Cumberland County, Pennsylvania, being of sound and disposing mind, hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all prior Wills and other testamentary writings at any time heretofore made by me. FIRSTI I direct my personal representative, hereinafter named, to pay all of my just debts, funeral and testamentary expenses as soon as conveniently can be done after my demise. SECONDI I give, devise and bequeath my household goods and furnishings, automobiles, and other tangible personal property, including any insurance thereon to my sister, MARGARET S. HASSENPLUG, provided she survives me by thirty (30) days. If MARAGRET S. HASSENPLUG is not living on the thirtieth day after my death, then I give, devise and bequeath my household goods and furnishings, automobiles, and other tangible personal property, including any insurance thereon to my niece, NANCY H. BAYLISS. Any of the above items not so disposed of shall be sold by my personal representative and the proceeds added to my residuary estate. THIRD I All the rest, residue and remainder of my estate of whatsoever kind and wheresoever situate I give, devise and bequeath unto my sister, MARGARET S. HASSENPLUG, provided that she shall survive me as set forth in Paragraph Fourth below. 1 FOURTH I Should my said sister predecease me, or should she r r ~ survive me by a period of less than three (3) months, or should she die simultaneously with me or in a common disaster, it being my direction and intent that in the event of such simultaneous death or common disaster no Uniform Act regarding such event shall apply and only the above stated provision of this Will shall apply, then I give, devise and bequeath the rest, residue and remainder of my estate of whatsoever nature and wheresoever situate-unto my niece, NANCY H. BAYLISS. -~ FIFTHI Should there be any property of whatsoever kind and wheresoever situate which I have the right to dispose of at the time of my death, including but not limited to any special or general power of appointment or both, I hereby appoint the same to my beneficiaries set forth in Paragraphs Third and Fourth above. SIXTHI It is my Will and I so direct that David H. Radcliff, Esquire, of Harrisburg, Pennsylvania, shall act as attorney for my Executor in the settlement of my estate, he being acquainted with my affairs. SEVENTH I I nominate, constitute and appoint my sister, MARGARET S. HASSENPLUG, Executrix of this my Last Will and Testament and further direct that she shall serve without bond. In the event that she is unable or unwilling to serve as Executrix, I nominate, constitute and appoint NANCY H. BAYLISS, as Alternate Executrix of this my Last Will and Testament and further direct that she shall serve without bond. Said personal representative shall have the power to discharge all the debts, liens and 2 " encumbrances upon my estate, as well as any taxes thereon, to pay for the cost of the final disposition of my remains and final illness, if any, to receive any and all commissions and other compensation for services rendered by me during my lifetime and to perform any and all fiduciary duties authorized by statute. Further, I direct my personal representative to preserve my estate and any instructions pertaining to the distribution of the same from any attachment or anticipation while in the hands of my said personal representative, it being my express intent that all legacies shall be free from any attachment or anticipation while in the hands of the personal representative for my estate. IN WITNESS WHEREOF, I have to this my Last Will and Testament, typewritten on three the end thereof this (3) pages of ( <' 14 day of paper, set my hand and e? ~4 , 1995. ~) ~ ( ?...,~- 7d:"':'-0- ,-f'-" ' JOHN LLOYD SMITH seal at :J ,!-.?l SIGNED, SEALED, PUBLISHED and DECLARED by the above-named Testator, JOHN LLOYD SMITH, as and for his Last Will and Testament in the presence of us who, at his request, in his presence and in the presence of each other, all being present at the same time, have hereunto set our hands as witnesses. (SEAL) Name ~.. .J;/ ~,~.vC.-- Name Od~/ ~//k2/c/~ r 3 . '. COMMONWEALTH OF PENNSYLVANIA I ISS COUNTY O.F DAUPHIN I I, JOHN LLOYD SMITH, Testator 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 and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn and Testator, this ( ~Q h ~HN LLOYD SMITH \ J ~ ~ ~ p~~ subscribe t~ before &e~yHJOHJ LLOYD SMITH, /.2'1i.. day of ry.h,Y , 1~95. /) :t. Y ;lad Ii KtLAn", ~.a ~tf; . Notary ublic / My Commission the (SEAL) COMMONWEALTH OF PENNSYLVANIA NoWIal Seal FlobeI1a L f\AdC/jft, ~N*: ~~~~7 III I :SS ar. ec.~l....llft COUNTY OF DAUPHIN S' ./ .... "/)Ij.oc,LIFr We, JlII~II;r. LeIJa .,. .t.>1'll./lb n. 1\.. , the 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 JOHN LLOYD SMITH, Testator sign and execute the instrument as his Last will and Testament; that JOHN LLOYD SMITH signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses, and that to the best of our knowledge the Testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me :Jj-a.,~-<-<~.- j:(} ;t;j,A;- (2)cu../!J. /~;{*L . ;Y. .' / " , 1995. No ary Public My Commission Expires: (SEAL) NoWIal Seal RcbOItaL_.~N*: 4 ~ T\'!P.. Oau:>tinCounli MyCCmrnllllonEicPrDJIt1,20,11lIl7 ~.. -. ..... -........ .... ..... , ~~~.j---------------------------------------------- .'..'-'.'. -'. D~o.AA082387,. ' COMMO~~~~~~T~: ~~:~:YLVANIA . "OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX :'~~11'Jflf".'.J ~~, RfCEIVED FROM: i ACN ASSESSMENT r:t CONTROL ... NUMBER AMOUNT RADCLIFF DAVID H ee16 WALNUT ST. lul .;:JU,UUU.UU HARRISBURG, PA 17103 'OIDHII' ESTATE INfORMATION, r:t filE NUMBER 1iI e 1-199:5-07:57 r:t NAME Of DECEDENT ILAST) ~ SMITH OH LLOVD II DATE Of PAYMENT m POSTMAR E COUNTY SSN 077-0:5-3166 (fiRST) (Mil C DATE Of DEAltl REMARKS m TOTAL AMOUNT PAID _30.000.00 CW MARGARET S HASSEN PLUG REGISTER OF WILLS / I '. RECEIVED BY I,iA. L.. '),.(11,./0' :I/-V I I NM RE. _ . " YF/I";'/'lr..j MARV C. LEWIS ,~, ," (/ : REGISTER OF WILLS SEAL CHECK" 19 . , .,.--- ----.--.----- -- - -- -~ -- __ - __ - - - - --'- - - - - ----r- -__ -- -__ .~ ~ ,. J .... I . . ~ . - .; ..__A -~ ~-~~ -"(:~ .. \, .- -:::J-." I ,I ---._---;--:.........-......i_ J r .. DAVID H. RADCLIFF, P.C. 2216 WALNUT STREET HARRISBURG, PA 17103 DAVID U. RADCLIFP 'l'lLlPlIOHI. 1717) 2J6-UlB December 7, 1995 File I 178.0 REI ESTATE OF JOHN LLOYD SMITH, #21-95-0757 Mary C. Lewis, Register of Wills Cumberland County Courthouse 1 Court House Square Carlisle, PA 17013 Dear Ms. Lewis I I enclose a check in the amount of $30,000 as an advanced payment on the inheritance taxes for the estate of John L. Smith. Please return the receipt for this payment in the enclosed envelope. Very truly yours, co~/j7p:~ David H. Radcli~ DHR/kh e.\letter.\aa1thjl...t Enclosure CCI Mrs. Margaret S. Hassenplug (w/out enclosure) #36 Country Meadows 4905 East Trindle Road Mechanicsburg, PA 17055 Mrs. Nancy H. Bayliss (w/out enclosure) 11736 Caravel Circle SW Cinnamon Cove Fort Myers, FL 33908 00 ~ ;.;;' .,-l '"'.)1 "n~ __,j, , , C.-: ,,1 C.1 I C"D ~::1 -.. ~~. - :-D( -,.' ~'" j~' J:. '_;,-~b'" , ,.,.._....~.I~---...-"~.....-t..;.._.. ..'____,,~../."'...,.. \ :;;\1,:::;~1fJ~t<:.:-:~~ . ~ , , .. ,. .. ). I. I' t'! i I \ \ I 't. I ; t . , 'OAviD H. RADCLIFF, P.C. AnORNEY AT LAW 2216 WALNUT STREET '. HARRISBURG. PENNSYLVANIA 17103 '-'f F{': . ;lU~li ")"11 r ~(,i""'" ;,r , \t:.J""""'- l ~ - - -;,., - - -'- .,--< - ~ 1 '2,;fl,7"'t'%..:q:;.:- -" --..:....::. .. '95 iiI" r'/\ MaryC. Lewis, Register of Wills . ,Cumberland County Courthouse .1 Court House Square Carlisle, PA 17013 .',.. L' 17913-3322 23 1'1,111'1111111'11,11111111,11",/1",1,111"/11'11",'''",11 . . t2 \lII!'; "" \. ., \0.' \ ' .~ ~ . .( ~~ .. I '. } Ii . I. . \ ,.' \. t- I .----I:._.>...:.~, ~ ,'; t '. :~L.' ~" . : if ' t . ;1.. '_., ,-I. ' .. '>- ~ _ -r.-"'7':=-,..-.,."":----..,..,'~-~...~..,.~-_. _.'4 ~..~ :-:. ...:.-.-~~~~..,c --::_~-------':...,.;.~...,__~....-.--_4____- .~~;d~~~~i1~..:{2, ":;,~~}~X:~~~~~~;:g]1;SJS?!" ;'.. t "" ,~. IS. 1)0- It) INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) .("".!JOO IS.. 1~.O'1 ... ~ ....W UCac ...~U ",aa u~~ ~. ~ .. z a ;: .. ~ => ~ :& a u M .. ~ ~ '" ... a ... u ... a 'I Y. O.~' ":":,-,\(\ -..... ;.b- CC""MONWUlIH Of IfNNUlVANIA CtrAUM(N' ot ..\I.NUI Df" UO&OI H.....'SlU.O,'... 11121.0601 DICIOINI' HAMll\"". .... . AND "'.OOIlINII....11 SMITH, JOHN LLOYD 10C'''', nCU"1T H\lMU' ICAIt C' ClAIM 077-05-3166 9/22/95 ,;/ I 'OR DATU OF DlATH "nfA 12131191 CHICK HIA/ If A SPOUSAL 0 POVIIlY ellDIT IS CLAIMID fill NUMBII COUNTY CODf 21 0757 VEAR 95 NUM!E' (III 1121 IIJ) (!AI 1181 1191 1201 DIUDI'" ., co",m I ADD'IU 4905 Trindle Road, Mechanicsburg, PA (.....,., Cumberland I..,.ou~r '1(1"'110 III I 1",,,.uet'C""1 (21) 121A) 12181 -100. #48 17055 R.moind., A,lu'" lIar dal,. of death prlat to 12.13.87 Fed,rol Ella'. To. R,tu," Requit.d Tolal Numb., 0' Safe D'pa,il 8011. ~ ::0::0 ~ tra ;;;- CV -. u. .b 0 <) .. ;.:1:; -0 ;~ci' =-: ,.... "'" 0; e sa. ~ 230.660.55 9.296.61 221,375.94 221.363.94 33.204.59 31,578,95 1.625.64 21. If lin, 18 i. 9rla'I' than lin. 19. ,nl.r Ih, diH."nu on lint 21. Thh il,h. TAX DUE. A. En'., Ih. in',r,.. on Ih. bolanu due on Lin' 21 A. B. hl,r Ih.lo,ol 0' L1n. 21 and 21A on lint 218. Thh 1.ltl, BALANCE DUE. Ma~. Ch,c~ Payable tal RIghi., 0' Willi. Ag,,,t > >- BE SURf TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH 00( 00( ~d,r p,nolti.. 01 perjury, I d,c1a" ,hol I ho.... ..omin.d 'hi I r,'u,n. including Clccamconying ,ch.dul.. and IIOI.m,n'S, end 10 '''. be" 01 my kno""".dg' and belief 'lid"'" eOI'I'!'cfl Clnd ~omplel.,.1 declar, 'hot 011 real euoII hOI b"n reperted ellrue ma,hl ...olue. Oeclerotion of p,epo,er e,he' ,tlcn Ih, p'floFlol repr"en'o'iu i; ate an a .n o''''ollan 01 ...hlch precor.r hot any .no"",l.age. . GN.foIUII 0' 'USON II$'ON)"II 01 IIIINO 'IIUIN 'CCll)) - , r..''t'''"IlIt,/.'''''...Gl'cn.tU'....... '''II "111'''O'''CCII''.''''U 1/27/05 Original R,'urn o 2. S"pplem.nlol R"vrn o 40. FUlur. 'nl",,1 Compromh, l'ar dOl" 0' d,olh ok" 12.12.821 (!I 6. D.ud'nl Di.d TUIOI. 0 7. D.cede'" Moin,oined 0 L1wln9 TrVl1 fAlIoeh copy 0' WiIIJ (AlIaeh (Opy af TIVIII ALL CORRESPONDENCE AND CONFIDENTIAL .TAX INFORMATION SHOULD BE DIRECTED TO. N.fo"'1 COMIUII ,...fo'UNG .foOOI.U David H. Radcliff. Esquire 2216 Walnut Street IIIII"ONI HUMI" Harrisburg t PA 1ft10' 717 236-9318 @,".:J []!ll, D., Limited E Ilole ,~ wz ...... "'a "'= aa u~ z a ;: :5 => ~ 0: ;j ... '" 1. Real Ellol. (Sch.dvl, AI 2. Sloch and Bondi (Schedul. 81 J. Clollly H.ld Sloc.,Portn,,.hip Inl.r'll ISch.dul, CJ ". Mortgag.. o"d No',. Recei...abl. ISch.dul. OJ 5. Cosh. Bank D.polill & Mi."J!an,ou, P'flanol PrOp.,l)' (S,h.d.l. fl 6. Joinlly Own.d Prap'r1Y (Sch.dul, F) 7. Tronl'.fI (Sch.dul. OIISch,d"l. l) 8. TOlol Gran Alii" (10101 Lin,. 1.7) . 9. Fu".ral bpultI. Adminill'ali~, COIU, Mil"lIon,ous bp.nl'l (5ch.dul, HI 10. D,blt, Mon90g' Llobilill... U,,,. 15ch.dul. II 11. TOlol D.duction, (lolaIU".. 9 & 10) 12. Nel Valu. of EllOlt Ill", 8 minuI li". 11) 13. Chorilabl. and Go....,"m.nlol hqu.", ISth,dul. JI 14. N't Valu, Svbiect 10 Tall ILln. 12 minUllin, 131 15. Spoulal Trontl.,. lfor dOl.. 0' d.olh oh., 6.JO.Q4) 5.. 'nllructionl for Acplicoble Perunlage on R.....n. Sid,. (Includ. __olu.. Irom Schedvl, K or Sched"l. M.) lb. Amolln' of Un. 14 IOllobl. 01 blAt ral. I'n""de ~oJVtl 'rom Sch,dul, I( or Sch.dlll, M,) 17. Amount 0' Un. I.. 'oxobl, 01 15~ '01' llnclud. __olutl 'rom Sehedul. I( or Schedult M.J 18. Prlndpaltoa du, (Add lOll 'rom lIntl 15. 16 and 17.' 19. Crtdlll Spoulol Ponrty Cr.dil Prior Poym.n" + 30.000 OJ, 05, .Q.. 8, III r,< " ) (21 115.225.22 [ " " PI " :, , I" P .. 15 I 51,428.95 " () " 64.006.38 :or.: (b I :P~ 17) 7,308.20 181 19) (101 1.988.41 (151 (16) (17) 221 .363.94 x.__ )( ,06 . )C .15 . D.'~/ j,& / 'It; 0,1,1. ' 11%(,/~b Dilcoun' + 1578.95 Inl"", 20. If lin, Iq II grealer Ihon lIn. 18. tnler .h, diKe"nc. on line 20. Thil il ,h, OVERPAYMENT. aD Checlc here i~ you are rrqu~ting a refund of your ovrrpaymrnt. Act #48 011994 provides lor Ihe reducllan 01 Ihe lax ralu Impand an Ihe not value 01 tranlle.. 10 or ror Ihe Ule 01 the spoule. The ratu as prelcrlbed by the stalule will bel . 3'10 (.03) will be applicable rar ulales 01 decedenls dying an or a/1er 7/1/94 and belare 1/1196 e 2'10 (.02) will be applicable ror 8110101 or decedenll dying an or after 111/96 and balare 1/1197 e 1'10 (.01) will be applicable lor ulatu or decedenll dying an or allor 111/97 and belore 1/1/98 eSpousal transre.. occurring an or a/1er 1/1/98 will be exempl rram Inheritance tax. .PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS. YES NO 1. Old decedent make a Iran.ler and: x a. relain Ihe use or Income of the proper1y translerred, ....................................................... b, relaln the rlghl 10 dOllgnate who Iholl u.e Ihe praparly Iran.lerred or It. Income, ............... x ; ~-: .~. . x .~ "1_ .~,,, c. relaln 0 reversionary Interest; or ................................................................................... d. re..lve Ihe pramlse lor me al .ilh.r paym.nts, ben.fll. or cere' ....................................... 2, II decth accurred on or belol e Decamber 12, 1982, did dec.denl wilhln twa yaars preceding d.alh Iran.ler properly wllhout rec.ivlng adequate con.lderolion' II dealh occurred alter O.cember 12, 1982, did decedenl Iran.ler properly wllhin one year al death wllhoul receiving adequate considerolion' 10' ....... .......... ,...... II o...... to It ....... to to. ...... ...... ........... ..... II' ..... ...... ..... x i:r. .. ','. , . 1'-.., .:,::,, x 3. Did d.cedent own an 'In Iru.1 lor' bonk cccaunl al hi. or her d.ath;................,,,..,................ x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. , :1 ! -101- 'J,l:~'~- ,;:~-~,~!;~r'~'f';i....,:,!,\,;,:tf'1.~"''''''-''''-<'''''-' R(V.UO:l IX+ 1'-'61 -!;ig. COMMONWIALfH O' PINNIYLYANIA INHUIfANCI fAX _nURN RI61DINt OICIOINf ISTAU Of SCHEDULE B STOCKS AND BONDS FlU NUMBER JOHH LLOYD SMITH 21-95-0757 (All proporly lolnlly-ownod with RighI 01 Survlvonhlp mUll bo dllclolod on Sch,dul, F.I ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, U.S. Series H Sevings Bond #X3066224H $10,000.00 $105,225.22 2. U.S. Series E Savings Bonds (See attaohed listing for Denomination, Serial Humber and Date of Death Value) TOTAL Aho ,nt" on IIn, 2, Roco lIulollon) (II mort spoc. i. n..d.d, ins.rl additional.h..,. 0' sam. .iz..J S 115 225.22 . ",'J"1.~~._-..._ UNITED STATES SAVINGS BONDS OF JOHN LLOYD SMITH SERIES E BONDS rACI YALUI ISSUE DATE SERIAL NUMBER DOD VALUE $50 Nov. 1945 L155394064E 22B.B6 $100 Apr. 1950 C159413BBBE 5BB.24 May 1950 C1595971BBE 593.92 June 1950 C160774970E 602.12 July 1950 C161456499E 602.12 Aug. 1950 C162313369E 602.12 Sept.1950 C162970663E 602.12 Oct. 1950 C163211710E 602.12 Nov. 1950 C16457B312E 607.96 Dec. 1950 C165142111E 617.04 $100 Jan. 1951 C165747396E 650.40 Feb. 1951 C1662591B4E 650.40 Mar. 1951 C167050477E 650.40 Apr. 1951 C16705074BE 650.40 May 1951 C16B376023E 656.64 June 1951 C16B984293E 666.44 July 1951 C1694 77 302E 666.40 Aug. 1951 C170070B71E 666.40 Sept. 1951 Cl71396111E 666.40 Oct. 1951 Cl7213BB66E 666.40 Nov. 1951 Cl72796190E 672.92 Dec. 1951 C17402B953E 6B2.60 $100 Jan. 1952 C17417022BE 6B2.64 Feb. 1952 C175130014E 6B2.64 Mar. 1952 C175130241E 6B2.64 Apr. 1952 C176Bll135E 6B2.64 May 1952 C176B69455E 693.52 June 1952 C17BIBOO12E 695.12 July 1952 C17B5410BOE 695.12 Aug. 1952 C17B933421E 695.12 Sept.1952 C200497307E 701. B4 Oct. 1952 C202772623E 710.76 Nov. 1952 C204690547E 710.64 Dec. 1952 C20567B634E 712.56 $100 Mar. 1953 C20B014104E 653.52 I Apr. 1953 C2094B231BE 661.64 I May 1953 C203603625E 661.64 i June 1953 C210214B65E 663.24 I , July 1953 C210670430E 663.24 I Aug. 1953 C211B93BB4E 663.24 ! Sept.1953 C214077113E 665.32 i , Oct. 1953 C21414332BE 673.72 Dec. 1953 E C214195B55E 675.44 $100 Jan. 1954 E C217292410E 675.44 Feb. 1954 E C21763B146E 675.44 Mar. 1954 E C2177B9544E 6B2.04 Apr. 1954 E C2177B9942E 690.76 May 1954 E C219521943E 690.76 June 1954 E C2205065B5E 692.4B July 1954 E C220595722E 692.4B Aug. 1954 E C224221673E 692.4B Sept. 1954 E C224534066E 699.24 Oct. 1954 E C225625809E 70B.64 Nov. 1954 E C225919713E 70B.6B Dec. 1954 E C226556624E 710.12 $100 Jan. 1955 E C22B114379E 710.12 Feb. 1955 E C22B2404B3E 710.12 Mar. 1955 E C22B51002BE 717.04 Apr. 1955 E C22B5104B4E 726.2B May 1955 E C229960505E 726.28 June 1955 E C230975629E 72B.20 July 1955 E C231079534E 72B.20 Aug. 1955 E C231093056E 72B.20 Sept.1955 E C2317B7613E 735.2B Oct. 1955 E C233999629E 735.40 Nov. 1955 E C23403262BE 735.40 Dec. 1955 E C23555B2BIE 737.36 $100 Jan. 1956 E C235573302E 737.36 Feb. 1956 E C237203B71E 710.72 Mar. 1956 E C239662466E 717.56 Apr. 1956 E C240054597E 737.48 May 1956 E C24007B299E 737.52 June 1956 E C24035B999E 739.24 Aug. 1956 E C2403B0215E 712.52 Sept. 1956 E C2421137BIE 719.52 Oct. 1956- E C242439430E 727. BB Nov. 1956 E C24284406BE 727.BB Dec. 1956 E C242981772E 731.B4 $100 Jan. 1957 E C2430l7551E 731. 84 Feb. 1957 E C24B421950E 73B.32 Mar. 1957 E C24B4B2237E 73B.32 Apr. 1957 E C250340359E 73B.32 May 1957 E C2503Bl779E 711. 60 June 1957 E C250423232E 721.72 July 1957 E C22663BB39E 730.0B Aug. 1957 E C2508303B1E 730.04 Sept. 1957 E C302426B16E 730.04 Oct. 1957 E C35320709BE 730.04 Nov. 1957 E C353272BllE 703.6B Dec. 1957 E C353273435E 631. 92 $100 Jan. 195B E C353276900E 639.40 Feb. 1958 E C353345B61E 639.40 Mar. 1958 E C35334B555E 639.40 Apr. 1958 E C35B0043B6E 639.40 May 1958 E C35B195429E 619.72 June 195B E C35B20057BE 62B.2B Aug. 195B E C35B204045E 635.6B Sept.1958 E C35B242213E 635.6B Oct. 1958 E C362365520E 635.6B Nov. 1958 E C36237133BE 617.16 Dec. 1958 E C363856400E 625.BB $100 Jan. 1959 E C363891066E 633.12 Feb. 1959 E C363B91640E 633.12 Mar. 1959 E C363B99206E 633.12 Apr. 1959 E C363899B59E 633.12 May 1959 E C365307410E 614.6B June 1959 E C365307977E 617.4B Aug. 1959 E C365322625E 604.16 Sept. 1959 E C367576246E 610.92 Oct. 1959 E C367576796E 610.96 Nov. 1959 E C36759133BE 610.96 Dec. 1959 E C367591946E 612.36 $100 Jan. 1960 E C3707B146BE 594.52 Feb. 1960 E C3707B1990E 600.24 Mar. 1960 E C371696616E 607.12 Apr. 1960 E C372726129E 607.12 May 1960 E C372726636E 607.12 June 1960 E C402472224E 60B.20 June 1960 E C40247247BE 60B.20 Aug. 1960 E C40247924BE 596.0B Sept.1960 E C402479B07E 603.00 Oct. 1960 E C405877316E 603.00 Nov. 1960 E C405B77B54E 603.00 Dec. 1960 E C405BB6210E 604.20 $100 Jan. 1961 E C4058B6759E 5B6.60 Feb. 1961 E C40B347526E 592.24 Mar. 1961 E C408355152E 599.0B Apr. 1961 E C40B355666E 599.04 May 1961 E C40B369200E 599.04 June 1961 E C408369B03E 600.B4 Aug. 1961 E C409707425E 5BB.8B Sept.196l E C409707936E 595.48 Oct. 1961 E C410721437E 595.44 Nov. 1961 E C414454003E 595.44 Dec. 1961 E C414454495E 597.16 $100 Jan. 1962 E C414454967E 579.76 Feb. 1962 E C414467555E 5B5.40 Mar. 1962 E C416973023E 5B9.64 Apr. 1962 E C416973503E 5B9.60 May 1962 E C4169B4052E 5B9.60 June 1962 E C4169B4533E 591.12 July 1962 E C4169970l6E 573.BB Aug. 1962 E C416997590E 579.44 Sept .1962 E C41B3B9099E 5B3.52 Oct. 1962 E C41B3B9670E 5B3.56 Nov. 1962 E C423033179E 5B3.56 Dec. 1962 E C423033597E 5B5.96 $100 Jan. 1963 E C42444B246E 56B.BB Feb. 1963 E C42444B739E 574.40 Apr. 1963 E C4274B4752E 577.04 June 1963 E C427566934E 5B1. 40 Sept.1963 E C42BBOO129E 572.72 Nov. 1963 E C4395B934BE 572.72 $100 Jan. 1964 E C441390617E 559.48 Mar. 1964 E C442B54762E 567.56 May 1964 E C4445409BBE 567.52 July 1964 E C4474B1219E 554.6B Sept.l964 E C4475734B9E 562.6B Nov. 1964 E C450392715E 562.6B $100 Jan. 1965 E C452015990E 549.B4 Mar. 1965 E C4561B0254E 506.80 May 1965 E C457129476E 506.76 TOTAL VALUE $105,225.22 ,- 11'l/.1101Ih(1-'7) . SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Plla.. Prlnl ar l' I FilE NUMBER 21-95-0757 COMMONWUlTH 0' 'fNNSVlVANIA INHIIITANCI TAX lnulN IIIlOINT OletOINT ESTATE OF JOHN LLOYD SMITH (All property lolntfy..own.d with the RI,ht of Survlvonhlp mUlt b. dllcl..td on Schtdult '1 N~~~ER DESCRIPTION VALUE AT DATE OF DEATH 1. PNC Bank, Savings Aooount #5130066086 $51,281.02 8.00 2. Sammona Communioations Rafund 3. Ball Atlantio Refund 10.78 114.15 15.00 4. IBM Medioal Raimbu~sements 5. Refund on 1995 State Tex Retu~n aa of Date of Death (Alloch oddlllonol 8W' )C II" ,hilt. If mort 'pact I, "..dtd,) .,;.,..."..>""",~>,.,. , 1IY-11Of1l.llJ-lI, . COMMONWrAlfH 01 ,rNNlnVANIA INHUItANC! lAX UIUIN arllOrNI OrCrOfNI SCHEDULE F JOINTLY.OWNED PROPERTY JOHH LLOYD SMITH FILE NUMBER 21-95-0757 ESTATE OF Jolnl '"nanll.). NAME A. Margaret S. Hassenplug "--. ADDRESS 4905 E. Trindle Road, #36 Meohanlosburg, PA 17055 RELATIONSHIP TO DECEDENT Sistar B. C. Jolnlly-ownld proplrty. ITEM LmER DATE fOR TOTAL VALUE DECO'S DOLLAR VALUE OF NUMBER JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. A 12/11/85 Dauphin Daposit Bank and 96319.92 50% 48159.96 Trust Company Savings Aooount #493510l108 2. A 8/4/85 PNC Bank Premium Interest 31692.84 50% 15846.42 Cheoking Account #5140121245 TOTAL (AI.o Inlor on IInl 6. Rocopllulollon) S 64,006.38 (If more .poc. ;s n..d.d in..rt oddilional sh..ts o( .ame sjn) 1IV.1S11lhl'.llj SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Pltase P,lnl 0' T e -!:~ COMMONWEAltH Of ,INNSYlYANIA INHUItAHCE 'AIC IIIfWIN .EIIDENT DICIDIN' 21-95-0757 E JOHN LLOYD SMITH ITEM NUMBER DESCRIPTION AMOUNT A. Funeral IMpensesl I, Montoursville Cemetery Co. 200.00 B. Admlnlslrollve Cosll. Personal Repre.enlallye Camml..lans Social Security Number of Personal Repre.enlallYO, Yea, Camml..lan. paid 1, 2, Allarnay Fees 6666.00 David H. Radoliff, P.C. 3, Family Exempllan Claimant Addre.. of Claimant at decedenl'. dealh Slreet Addre.. City Slate Zip Code Relallanshlp 4, Probale Fee. 77.00 5. Additional Probate 175.00 C. Miscellaneous IMpense.. 1. Legal Advertising - Cumberland La~ Journal & The Sentinel 112.20 2, Additional Short Certificates 14.00 3, Death Certificates 27.00 4, Inheritance Return Filing Fee 15.00 5. Inventory Filing Fee 22.00 6, 7, 8, TOTAL (AI.a ente, on line 9, Recapltulallan) S 7306.20 (If more space II needed, Inlert addlllonal Iheell of lame 1118.) H'...:.__.C "";__,.~_,,,,,,,,,,,'''''''';~'''',.fi'';''. ,., ,j...,'."*.,"...."',,,, A'..:..' "';'.' ",--' .- .,\tlll! 'U (7.11' iIA!-' ~' .~ .... COMMOHW'AUH Of PfNNInV4NIA INHflltANCllAllnUIN InIOIN'DfClD'Nl ESlATl Of ITEM NUMBER 1, 2. 3. 4. 5. 6. 7. 8. 9. 10. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE L1ABLlTIES AND LIENS PI.a.. P,lnl or T . fiLE NUMBER 21-95-0757 JOHN LLOYD SMITH DESCRIPTION AMOUNT Retina & Oouloplastio Conaultanta Bell Atlantio $ 47.90 20.95 5.58 287.50 117.16 87.00 40.81 Susquehanna Surgaons Ltd. Kelly Assisted Living Connor Rioh Kearney Torohia Assooiates Byers/Basoiano P.T. Rehab AT&T A.Z. Ritzman Assooiates 22.51 300.00 4th Quarter Estimated Tax Payment on 1995 Federal Personal Return Final Payment on 1995 Personal Federal Tax Return 244.00 11. Cheoks oleared after 9/22/95 from PNC Bank, Aooount #51-402-124 Cremation Sooiety of PA PNC Bank Cremation Sooiety of PA 25.00 775.00 15.00 TOTAL IAllo enler on IInl 10, Rlcopltulollon) (If mo,.. spa" is nud.d, 1m." additional shutt 01 som. sin.) $ 1!l8B.41 UV'.ltUU.IU'1 *' COMMONWU.ll" 01 "NN"lV'ANIA INK'lnaHe, 'AI I"UIH IUIDIH' DlClDIH' SCHEDULE J BENEFICIARIES ESTATI OF JOHN LLOYD SMITH FlU NUMBER 21-95-0757 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATI A. Toxabl. 81qu..tu I. Margaret s. Hassenplug 4905 E. Trindle Road, #36 Meoheniosburg, PA 17055 Sister 100% ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Governmental e,eque.tll 1, TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Ar,o onlor on IIno 13, Rocopllulotlon) S (If mare Ipace I. n..ded, In..rt additional .h.... of lam. Ilze) LAST WILL AND TESTAMENT OF JOHN LLOYD SMI'l'lI I, JOHN LLOYD SMITH, of Hampden Township, Cumberland County, Pennsylvania, being of sound and disposing mind, hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all prior Wills and other testamentary writings at any time heretofore made by me. FIRST: I direct my personal representative, hereinafter named, to pay all of my just debts, funeral and testamentary expenses as.soon as conveniently can be done after my demise. SECOND I I give, devise and bequeath my household goods and furnishings, automobiles, and other tangible personal property, including any insurance thereon to my sister, I~GARET S. HASSENPLUG, provided she survives me by thirty (30) days. If MARAGRET S. HASSENPLUG is not living on the thirtieth day after my death, then I give, devise and bequeath my household goods and furnishings, automobiles, and other tangible personal property, including any insurance thereon to my niece, NANCY H. BAYLISS. Any of the above items not. so disposed of shall be sold by my personal representative and the proceeds added to my residuary estate. THIRD: All the rest, residue and remainder of my estate of whatsoever kind and wheresoever situate I give, devise and bequeath unto my sister, MARGARET S. HASSENPLUG, provided that she shall survive me as set forth in Paragraph Fourth below. 1 " FOURTH I Should my said sister predecease me, or should she survive me by a period of less than three (3) months, or should she die simultaneously with me or in a common disaster, it being my direction and intent that in the event of such simultaneous death or common disaster no Uniform Act regarding such event shall apply and only the above stated provision of this Will shall apply, then I give, devise and bequeath the rest, residue and remainder of my estate of whatsoever nature and wheresoever situate unto my niece, NANCY H. BAYLISS. FIFTH: Should there be any property of whatsoever kind and wheresoever situate which I have the right to dispose of at the time of mY death, including but not limited to any special or .- general power of appointment or both, I hereby appoint the same to my beneficiaries set forth in Paragraphs Third and Fourth above. SIXTH: It is my Will and I so direct that David H. Radcliff, Esquire, of Harrisburg, Pennsylvania, shall act as attorney for my Executor in the settlement of my estate, he being acquainted with my affairs. SEVENTH: I nominate, constitute and appoint my sister, MARGARET S. HASSENPLUG, Executrix of this my Last Will and Testament and further direct that she shall serve without bond. In the event that she is unable or unwilling to serve as Executrix, I nominate, constitute and appoint NANCY H. BAYLISS, as Alternate Executrix of this my Last Will and Testament and further direct that she shall serve without bond. Said personal representative shall have the power to discharge all the debts, liens and 2 :> ow, encumbrances upon my estate, as well as any taxes thereon, to pay for the cost of the final disposition of my remains and final illness, if any, to receive any and all commissions and other compensation for services rendered by me during my lifetime and to perform any and all fiduciary duties authorized by statute. Further, I direct my personal representative to preserve my estate and any instructions pertaining to the distribution of the same from any attachment or anticipation while in the hands of my said personal representative, it being my express intent that all legacies shall be free from any attachment or anticipation while in the hands of the personal representative for my estate. IN WITNESS WHEREOF, I have to this my Last Will and Testament, typewritten on three the end thereof this (3) pages of ( <' i 4 day of paper, set my hand and e? ~4 , 1995. W 4~.~t:r JOHN LLOYD SMITH seal at :Jrk SIGNED, SEALED, PUBLISHED and DECLARED by the above-named Testator, JOHN LLOYD SMITH, as and for his Last Will and Testament in the presence of us who, at his request, in his presence and in the presence of each other, all being present at the same time, have hereunto set our hands as witnesses. (SEAL) Name;l.h,-. : -tr ;;/ ~,-I~- N_Q~'(/r:?~ 3 ~ . . COMMONWEALTH OF PENNSYLVANIA I ISS COUNTY ()F DAUPHIN I I, JOHN LLOYD SMITH, Testator 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 l'iill and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. c Sworn and anbaCr!b.~~~f Testator, this 1.)'/1... day of yHN LLOYD SI1ITH \;Lh, e &e~~JOH~ ~~OYD SMITH, , 1995. the (SEAL) l1y NO'.allalSeal RobeI1a L RIldd~;!"ctarr Nfc Susquehanna T"1', Dau:tin Counl'I' My CO:tvris<bn e,pres Jan. 20, 1997 *-ErIPE'\1I6,t.81~ tenmN91ft ~ COMMONWEALTH OF PENNSYLVANIA . . :SS COUNTY OF DAUPHIN We, JlII~/Er- s: GaB .,. .D1I'J1b II. RfI.'Dc,LIFr , the 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 JOHN LLOYD SMITH, Testator sign and execute the instrument as his Last Will and Testament; that JOHN LLOYD SMITH signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses, and that to the best of our knowledge the Testator was at the time lB or more years of age, of sound mind and under no constraint or undue influence. (?)c:~-,~ Sworn to and subscribed before me , 1995. No ary Public My Commission Expires: (SEAL) ... _.. .- .... .,' .... _ ._ _ _ ~_ _ ___ _.... .__ _.. __ ___ _~o-.__ _.. .____ _l._. , .-.~. .....- .-..-- .-- -..- -- --- --,. --- -- - - - " .. RECEIVED FROM, i ACN ASSESSMENT r:t CONTROL 1;1 NUMBER AMOUNT ; ." RADCLIFF DAVID H 2216 WALNUT ST. 101 .1,Ot!O.O't I I ,,', i ... HARRISBURG, PA 17103 ESTATE INFORMATION, m FilE MIER li1 21-19911-0757 m NAME OF DECEDENT ~ S TH 0 II DATE OF PAYMENT II POSTMARK T COUNTY SSN 077-011-3166 (FIRST) (Mil toiOHflf-, I I I I I I I I CUMBERLAND DATE OF DEATH REMARKS m TOTAL AMOUNT PAID 11.625.64 DO DAVID H RADCLIFF PC REGISTER OF WILLS '41,1 RECEIVED BY i;','" (. '. ". ~ .J.- /", siONA , J' (/ . :..... III, MARY C. LEWIS REGISTER OF WILLS J"i/ . ( ,7' : ..~ ;','1' r' , I " {I I .f SEAL CHECK" 1542 .~..-::-.-.--~.-"'--------,-----'--'----~' --- '-.-~---.-- -- ...---- ~~_.- ------,:--:- , . ." l : " "': ., , I \ \ . 1',' r . ' .' , ..--.-- . \ --._--:--..--.....N. ~ _ --. f .-' ....:. , ... RW-B Register of Wills of Cumbe1'l"nd Countl I Pennsylvania INVENTORY Estate of JOHN LLOYD SMITH No, 21-95-0757 09/22/95 also known as Dale of Death . Dllceased Social Securllv No, 077-05-3166 P.rlon.1 RopI.untaUvel.' of tho above Eltala. daceaaad, vOllly thol tho Item. appearing In Iho following inv.nlalY include all of tho por.on.I....'. whereve, lilua.o and all 0' the fOlllullllfl in the CCJUul1onwoallh of Ponnsylvan.a 01 laid Docode"l. (hat the valuation pl.ced OppOIUO each lIem ot laid Inventory 'uprolOnlN it. 'air value 88 0' tho dale of Iho Docodent'. death, lIud the' Dlced,nt owned 110 ,..1 el'olo oullido oltha Commonwllollh (II Pannsylvonia IUIcopl thot which appear. In a momorandum 81 the end 01 .hie invenlofY. I/We vo,ify thai the otuhllnanl. modo in Hila I"yonlo,,,, or. Hue and cOffoel. I/Wo underslond (ho, r.l.. It,lomenl' horein .,. modo .ubject tu Ihe ,Iunllllle, 01 18 Po. C.S. Sectiun 4904 rollltinu tu unnwurn tahilllCBlion to aulhor!li8l. P,1f5(.11ldl RO'lltlliUlllltIIVu; Nome 0' AllalnllV: DAVID H. RADC.~JXfL.Il~(t\J...IJ!.L__ 25483 .MARGAR~T S '__I:IA~~ENPLUG L EXEC. 1f)1lL1~'~f;jff*vJ O.,.d ~U(, J /r'lt 1.0, No,: Add,e..: 2216 WALNUT HARRISBURG, STREET PA 1Z,!,Q3 Telephone: (717) 236-9318 Descfiption Value 1 . U.S. Series H Savings Bond U.S. Series E Savings Bonds (See Attaohed Listing) PNC BANK, Savings Aoot #5130066086 Sammons Communioations Refund BellAtlantio Refund IBM Medioal Reimubrsements Refund of 1995 PA Tax as of Date of Death $ 10,000.00 105,225.22 2. 3. 51,281.02 8.00 10.78 114.15 15.00 4. 5. 6. 7. o 0$ Po -gzt 8'" ~ ()' ~~.~~ ~ .1', (.'3 o '.. '{' l: 'J n __ .1 I~ ~J u.' ~ I.,. 2Ji :a: .. ' :ij o tJ'J . '.~O. IA Addlll\!llQl ShciJ~ 'I necessalvl 00 NOTE: lhe Memol.ndum ul'ft,l nll.ln oullidn nIt! ConUllOlh\orl1t1h oll'lIl1115yl\nllllnlllilY, atlhl! tllcetUlII ollhn 1InIIOllall~llIllllllltllll""". hn:ltulll Ihe v,luD 01 D.eh ilem, bill IUf.1I I'UUIIII Ihout.l not he ,,_llUult,.1 into tlit! hllal olllln 111...1111101.,. Totol:$ 166,654.17 ; .~. :.~ ,"_J: _'(5 I ,.,.....,."...l'''-.'.A.....;.. , ~\ff. ...~~.~~_ ~p"':' ~rg' .. jr. ~lWll'\..~ j,~.fj.Ivo...".;;... UNITED STATES SAVINGS BONDS OF JOHN LLOYD SMITH SERIES E BONDS FACI Y.u.UI ISSUE DATE SERIAL NUMBER DOD VALUE $50 Nov. 1945 L155394064E 22B.B6 $100 Apr. 1950 C159413BBBE 5BB.24 May 1950 C1595971BBE 593.92 June 1950 C160774970E 602.12 July 1950 C161456499E 602.12 Aug. 1950 C162313369E 602.12 Sept. 1950 C162970663E 602.12 Oct. 1950 C163211710E 602.12 Nov. 1950 C16457B312E 607.96 Dec. 1950 C165142111E 617.04 $100 Jan. 1951 C165747396E 650.40 Feb. 1951 C1662591B4E 650.40 Mar. 1951 C167050477E 650.40 Apr. 1951 C16705074BE 650.40 May 1951 C16B376023E 656.64 June 1951 C1689B4293E 666.44 July 1951 C169477302E 666.40 Aug. 1951 C170070B71E 666.40 Sept.1951 Cl71396111E 666.40 Oct. 1951 C17213BB66E 666.40 Nov. 1951 C172796l90E 672.92 Dec. 1951 C17402B953E 6B2.60 $100 Jan. 1952 C17417022BE 6B2.64 Feb. 1952 - C175130014E 6B2.64 Mar. 1952 C175130241E 6B2.64 Apr. 1952 C176Bll135E 6B2.64 May 1952 C176B69455E 693.52 i June 1952 C17B1BOO12E 695.12 July 1952 C17B5410BOE 695.12 Aug. 1952 C17B933421E 695.12 , Sept. 1952 C200497307E 701. B4 t Oct. 1952 C202772623E 710.76 Nov. 1952 C204690547E 710.64 Dec. 1952 C20567B634E 712.56 $100 Mar. 1953 C20B014104E 653.52 Apr. 1953 C2094B231BE 661.64 May 1953 C203603625E 661.64 June 1953 C210214B65E 663.24 July 1953 C210670430E 663.24 Aug. 1953 C211B93BB4E 663.24 Sept.1953 C214077113E 665.32 Oct. 1953 C21414332BE 673.72 i~'''':"",-,;,-'''''''''''''''''''',''''.~""_"",,,;.-<..,,,",,,,,,_,,,,,,;';'_,,,,',,,,,-: v Dec. 1953 E C214l95B55E 675.44 $lOO Jan. 1954 E C217292410E 675.44 Feb. 1954 E C21763B146E 675.44 Mar. 1954 E C2177B9544E 6B2.04 Apr. 1954 E C2177B9942E 690.76 May 1954 E C219521943E 690.76 June 1954 E C2205065B5E 692.4B July 1954 E C220595722E 692.4B Aug. 1954 E C224221673E 692.4B Sept. 1954 E C224534066E 699.24 Oct. 1954 E C225625B09E 70B.64 Nov. 1954 E C225919713E 70B.6B Dec. 1954 E C226556624E 710.12 " $lOO Jan. 1955 E C22B1l4379E 710.12 , ~, Feb. 1955 E C22B2404B3E 710.12 , Mar. 1955 E C22B51002BE 717.04 i Apr. 1955 E C22B5104B4E 726.2B , , May 1955 E C229960505E 726.2B , June 1955 E C230975629E 72B.20 '! i., July 1955 E C231079534E 72B.20 " Aug. 1955 E C231093056E 72B.20 . } Sept. 1955 E C2317B7613E 735.2B r. Oct. 1955 E C233999629E 735.40 Nov. 1955 E C23403262BE 735.40 Dec. 1955 E C23555B2B1E 737.36 , $100 Jan. 1956 E C235573302E 737.36 Feb. 1956 E C237203B71E 710.72 i . Mar. 1956 E C239662466E 717.56 :j Apr. 1956 E C240054597E 737.48 , May 1956 E C24007B299E 737.52 June 1956 E C24035B999E 739.24 r Aug. 1956 E C2403B0215E 712.52 , Sept.1956 E C2421137BIE 719.52 Oct. 1956 E C242439430E 727.BB Nov. 1956 E C242B4406BE 727.BB Dec. 1956 E C2429Bl772E 731.B4 , $100 Jan. 1957 E C243017551E 731.B4 , Feb. 1957 E C24B421950E 73B.32 , Mar. 1957 E C24B4B2237E 73B.32 Apr. 1957 E C250340359E 73B.32 May 1957 E C2503Bl779E 711. 60 l June 1957 E C250423232E 721.72 July 1957 E C22663BB39E 730.0B Aug. 1957 E C250B303BIE 730.04 Sept. 1957 E C302426B16E 730.04 '. Oct. 1957 E C35320709BE 730.04 -~ 1 Nov. 1957 E C353272BllE 703.6B , Dec. 1957 E C353273435E 631.92 , jJ , 2: $100 Jan. 195B E C353276900E 639.40 Feb. 195B E C353345B61E 639.40 Mar. 195B E C35334B555E 639.40 Apr. 195B E C35B0043B6E 639.40 May 195B E C35B195429E 619.72 June 195B E C35B20057BE 62B.28 Aug. 195B E C35B204045E 635.6B Sept. 195B E C35B242213E 635.6B Oct. 195B E C362365520E 635.6B Nov. 195B E C36237133BE 617.16 Dec. 195B E C363B56400E 625.BB $100 Jan. 1959 E C363B91066E 633.12 Feb. 1959 E C363B91640E 633.12 Mar. 1959 E C363B99206E 633.12 Apr. 1959 E C363B99B59E 633.12 May 1959 E C365307410E 614.6B June 1959 E C365307977E 617.4B Aug. 1959 E C365322625E 604.16 Sept.1959 E C367576246E 610.92 Oct. 1959 E C367576796E 610.96 Nov. 1959 E C36759133BE 610.96 Dec. 1959 E C367591946E 612.36 $100 Jan. 1960 E C37078146BE 594.52 Feb. 1960 E C37078l990E 600.24 Mar. 1960 E C371696616E 607.12 Apr. 1960 E C372726129E 607.12 May 1960 E C372726636E 607.12 June 1960 E C402472224E 60B.20 June 1960 E C40247247BE 60B.20 Aug. 1960 E C402479248E 596.0B Sept.1960 E C402479B07E 603.00 Oct. 1960 E C405B77316E 603.00 Nov. 1960 E C405B77B54E 603.00 Dec. 1960 E C405BB6210E 604.20 $100 Jan. 1961 E C405BB6759E 5B6.60 Feb. 1961 E C40B347526E 592.24 Mar. 1961 E C40B35515'-E 599.0B Apr. 1961 E C40B355666E 599.04 May 1961 E C40B369200E 599.04 June 1961 E C40B369B03E 600.B4 Aug. 1961 E C409707425E 5BB.BB Sept.1961 E C409707936E 595.4B Oct. 1961 E C41072l437E 595.44 Nov. 1961 E C414454003E 595.44 Dec. 1961 E C414454495E 597.16 $100 Jan. 1962 E C414454967E 579.76 Feb. 1962 E C414467555E 5B5.40 Mar. 1962 E C416973023E 5B9.64 Apr. 1962 E C4l6973503E 5B9.60 ~-,--",-,-"'''''''''''''''"'''-''''"''._......, I ,...,-.,....-...,...-...-.~_...... -...-.......--. ... May 1962 E C4169B4052E 5B9.60 June 1962 E C4169B4533E 591.l2 July 1962 E C416997016E 573.BB Aug. 1962 E C416997590E 579.44 Sept.1962 E C41B3B9099E 5B3.52 Oct. 1962 E C41B3B9670E 5B3.56 Nov. 1962 E C423033179E 583.56 Dec. 1962 E C423033597E 5B5.96 $100 Jan. 1963 E C42444B246E 568.BB Feb. 1963 E C42444B739E 574.40 Apr. 1963 E C4274B4752E 577.04 June 1963 E C427566934E 581.40 Sept. 1963 E C428BOO129E 572.72 Nov. 1963 E C4395B934BE 572.72 $100 Jan. 1964 E C441390617E 559.4B Mar. 1964 E C442B54762E 567.56 May 1964 E C4445409BBE 567.52 July 1964 E C4474B12l9E 554.68 Sept.1964 E C447573489E 562.6B Nov. 1964 E C450392715E 562.68 $100 Jan. 1965 .E 'C452015990E 549.B4 Mar. 1965 E C4561B0254E 506.BO May 1965 E C457129476E 506.76 TOTAL VALUE $105,225.22 STATUS REPORT UNDER RULE 6.12 Name of Decedent I JOHN LLOYD SMITH Date of Deathl 09/22/95 Will No. 21-95-0757 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court RUles, I report the follow.lng with respect to completion of the atlminlBtration of the above-captioned estatel 1. State whether administration of the estate is complete I Yes X No . 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete I 3. If the answer to No. I is Yes, state the following I a. Did the personal representative file a final account with the Court? Yes No X. b. The separate Orphans' Court No. (if any) for the personal representative's account iSI c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' C.OUt't and may be attached to this report. P~;f6 sf?2t~~<dY(~/~ I David H. Radoliff, Esquire Name (Please type or print) 2216 Walnut Street Address Datel '5cn (\);;: \~~ TT b'o "t,"- Q)~ o'tl ~.- o Ul &leu a: a: ,.., ~ "'" a.. !5i1: o U - '0 {'-,:J ',. t'; IJ .' .: , ~ (, 5 ..:. ..0 -.:: E ..!!!~ UU Personal Representative _]I _.Counsel for personal representative 'f' ~ ~ (717) 236-9318 Te 1. No. Cdpac ity: (MAH I rmt.' AM3) RW-27 ,/ /S~ (,,/1 - t, REV-1547 EX AFP 112-95* COHHONWEAlTH OF PENNSYlYANIA O[PART"ENJ OF REVENUE BUREAU OF INDIVIDUAl TAXES . . OEPr. Zl0601 tlARAISIURO, PI. 11lla.0601 .. (!. /-. ACN 101 NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIDNS AND ASSESSHENT OF TAX DATE 07-22-96 DAVID H RADCLIFF ESQ 2216 WALNUT ST HBG PA 17103 TAX RETURN WAS I I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Ra.l eat.t. (Schedule AI (1) 2. stock. and Bond. (Schedule BJ (2) 3. Clo..1~ Hald stock/Partnership Int.r.lt (Schedule CJ (3) 4. Hartg.u../Hot.. Racltvabl. (Sch.dule OJ (4) S. C..h/8.n~ Deposita/Hlle. Parlonal Property (Schedule EJ IS) 6. Joln"Uy Owned Property I Sch.dule F) (6 J 7. Transfars (Schedule 0) (7) 8. Total A...t. . APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funaral EMPan.../Adn. COlts/HIIC. Expans.. (Schedule HI (9) 10. Debt./Hortgage Liabiliti../Llana (Schedule II liD) 11. Total Deductions 12. Nat Value of Tax Return 15. Charitable/GovarnMantal aaqua.t. (Sch.dule J) 14. Hat Value of E.tate Subject to Tax If an assessment was issued preViously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. AMount of Line 14 at Spou..l rata (15) 16. Anount of Lina 14 t.xabla .t Lina.l/Cl... A r.t. (16) 17. AMount of Line 14 t.xabla .t Collat.raI/Cl... a rat. (17) 18. Princip.l Tax Due NOTE: TAX CREDITS: PAVHENT DATE 12-07-95 04-09-96 RECEIPT NUHBER AA0823S7 AA112714 DISCOUNT 1+) INTEREST 1-) 1,578,95 ,00 FILE NO. 09-22-95 COUNTY CUMBERLAND NOTE I TD INSURE PRDPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF TltIS FDRH WITIt YOUR TAX PAVHENT TO TItE REGISTER OF WILLS. HAXE CItECK PAVABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AMount R...i Uad CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... iiEV: is'4"i"EX-,,j:p--nZ:9ifj-tiiificE--IiF"i"riHEiiii'ANCE-i'A'iC" APP RAisEHEti'r-;-iii:.LDwiiN'cE-'(ili----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SMITH JOHN L FILE NO. 21 95-0757 ACN 101 DATE 07-22-96 ) CItANGED ,00 115 ,225.22 .00 .00 51.428.95 64.006,38 ,00 (8) 230,660.55 7,308,20 1,988,41 1111 112) (13) 114) 0,:>06 61 221.363.94 .00 221.363.94 14, 15 and/or 16, 17 and 18 will returns assessed to date. .00 X ,00= .00 X .06= 221,363.94 X,IS= 118) ,00 ,00 33,204,59 33.204,95 AHOUNT PAID 30,OOO,UO 1.625,64 INTEREST IS CHARGED FROM 06-23-96 TO 07-30-96 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 33,204,59 ,36 ,00 ,36 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS TitAN '1. NO PAVHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), VOU HAV BE DUE A REFUND, SEE REVERSE SIDE OF TItIS FORH FOR INSTRUCTIONS,) . 0\ ;:<( 11 ro') .~t .. . '(.1. c::.:J " ). . ~: (' .j 0\ .' ~ ,. . ~ ." ( I' i:, U; I i) ,j, ~ '. ~ III ex; '" . ex; 08 RESERvaTION. [It.... 0' dlCldlnt. awlna on ar blfar. D'c'~.r II, 19a2 .. If _ny lutur. Int.r..t In thl ..tet. I, tran,flrr.d In PD.....lon or enJoy..nt to C1... . (cal1,',r.1' beneflel.rl.. of th, dlcldent .,t.r thl ,.plr.llon 0' any ....t. far 11'. or 'or y..t., thl Co..onw..lth hereby ..pr.,.ly r...rvI. thl right to Ippr.I.. and ...... tranl'.r Inh.rltancl TI.I' It the llwful CI... . {coll,',r..' t.t. on any 'uch lutur. Int.r..t. PURPOSE OF HOTICEI To 'ulflll thl requlr...nt. of S.ctlon Zl~D 0' thl Inh.rlt.nel and Elt,t, '1M Act, Act II 0' 199.. 72 P.S. Section 2lItD. PAYHEHT I Dttach thl top portion 0' thl, Notlel and tob.lt with your ply.ent to thl Rlgl,',r of Will. prInted on the r.y.r.. _Id,. u"eke ch.ck Dr .on.y ord.r p.yabl. tal REGISTER OF MILLS, AGENT All p.y..nt. r.c.lv.d .h.ll flr.t b. appll.d to any Int.r..t ~hlch "V b. due with any r...lnd.r appll.d to the ta.. REFUND (CA), A rafund of . t.. cr.dlt, which w.. not r.qua.t.d on the 'a. R.turn, "V b. raqu..t.d by co.pl.tlng 'n "Appllc.tlon for R.fund of P.nn.ylvanla Inh.rltanc. and E.t.t. 'IX" (REY-I!13). Appllc.tlon. .r. ,vlllebl. .t the O"lc. of the R.gI.t.r of Will., any of the 25 R.v.nu. DI.trlct Offlc.., or bv c.lllng the .p.clal 2~.hour &n.w.rlng ..rvlcl nuab.r. for for.. ord.rlngl In Plnn.vlv.nl. 1-800-362-2050, out.ld. Pann.vlvanl. and within loc.l Harrl.burg er.. (717) 787-8094, TOO' (717) 772-2252 CH..rlng I.p.lrad Only). OBJECTIONSI Any p.rty In Int.t..t not ..tl.flad with the .ppr.I....nt, .llow.nc. or dl"llowance of d'ductlon., or ........nt of t.x (Including dl.count or Int.r..tl .. .hown on thJ. Notlc. .u.t obJ.ct within .Ixtv C60) dlY' 0' r.c.lpt of thl. Notice bVI AD"IH ISTAA TlVE CORRECTIONSI --wrltt.n prot..t to thl PA Dlpart..nt 0' R,vlnu., Board of App.al., D.pt. 281021, Harrl.burg, PI. 17128-1021, OR --.I.ctlon to have the ..tt.r d.t.r_In.d It ludlt 0' the account 0' the p.t.onal r.pr...ntatlv., OR --,ppa.l to the Orphan.' Court. Factual .ttor. dl.cov.r.d on thll ........nt .hould b. .ddr....d In writing tal PI. Depart..nt 0' R.v.nuI, Bur..u of IndivIdual Tall", ATTNI Po.t A".....nt R.vl.w Unit, D.pt. 280601, Uarrl.burg, PI. 17lza-0601 Phon. (717) 787-6505. 51. page 3 0' thl bookl,t "In.tructlon. 'Dr Inhlrlt.nc. TI. R.turn 'or. RI.ld.nt Dlcldlnt" (REY-ISOI) 'or an ..plan.tJon of .dalnl.tratlv.lY corr.ctabl. Itror.. DISCOUNT I I' any tlx due I. p.ld within tht.. (5) caJandar lonth. .ft.r the d.c.dlnt', d.ath, . 'Iv. p.rc.nt (5%) dl.count of the tax paid I. alJowld. PEIIAL TVI Th. 15% tax aan.,ty non-p.rtlclpatlon p.naltv I. coaput.d on the total of the tax and Int.r..t .......d, and not P.ld b.for. January 18, 1996, tha 'Ir.t dlv a't.r the .nd of the tIll a.n..ty p.rJod. Thl. non-partlclp.tlon panalty I. .pp~.I.bl. In the .... .ann.r and In the the .... tl.. p.rlod .. you would appaal the tax and Int.r..t th.t h.. b..n .......d ., Indlc.t.d on thl. notlc.. INTERESTI Intar..t I. chlrQ.d baglnnlng with flr.t dly of dallnquancy, or nln. (9) .onth. .nd on. (I) day fro. tha d.te of d..th, to the d.t. of ply.'nt. TIll" which b.c... d.llnqulnt before Jlnulry I, 1982 b..r Int.rl.t It the r.t. of .1x (6%) p.rcent plr Innu. calculatld .t . dilly rota of .00016~. All till.. which b.ca.. d.llnquant on Ind .ft.r Janulry 1, 1981 will b..r Int.r..t at . rlt. which will v.ry frol c.l.nd.r y.ar to cal.ndlr y.ar with that rat. announc.d by thl PA D.part.ent of R.vlnu.. Th. Ippllc.bl. Int.r..t rat.. for 1982 through 1996 ar" !!!! [ntera.t R.t. Dally [nt.rest Factor ~ [nt.rast Aatl Dally [ntar..t Factor 1982 2DX .000541 1917 'X .0002~7 1985 16;( .000431 1988-1991 It:< .OOUDI 198.. 11% .Doonl 1992 'X .000247 1985 13% . oaOS56 1995-1994 7X .000192 1916 In .00027" 1995-199' 'X .0002107 ulntar." 1. c.lculated .. folloWII INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYB DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. I..u.d .ftar the tlx b.cDla, d.llnqu.nt will r.flact an Int.r..t c.lculltJon to flftaan liS) d.y. bayond the d.t. 0' tha ........nt. I' p.y.ant I. ..d. .ftar the Int.r..t co.putatJon dl'l .hown on the Natlca, addltlonll Intarllt .u.t b. calcula'ad.