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HomeMy WebLinkAbout95-00777 PETITION FOR PRODA TE and GRANT OF LE'ITERS ;J.1-Q.5-777 Eslalll of .JAMES H. IIERENlllmN also known as No. To: Rqlster of WWS for Ihll JHtyaslld CounlY of Cumberland In the Social Sllcurity No. I DB-I B-217:r. m. Commonwealth of Pennsylvania The pctltion of the unders(lIIed respcctfuUy represents lbal: Your pctltioner(s), wbo Islare 18 yean of aae or older an the execuror named IIIlbelaslwilloCtheabovedecedenl,daled Mav 27 119~ and codIciI(s) daled James H. Herendeen, Jr. died ~cp~cmDcr 19. 1~94 (lWe rdevaot drc'Um.n.aoces, '.,. rcaundadoD, death of executor, etc.) Decendenl was domiciled al death In Cumberland County, PennsylVania, with his lasl Camily or princlpal residence alSO Circle Ilrive East Pennsboro Township (1lJI m.... OWllber aad lDuadpalJ17) Decendenl, then BO yean oC aae, died 'October I 11_ Holv'SDirit lIosDUal, . Call1P Hill, PA Excepl as CoUows, decedent did Dol many, was nOI divorced and did nOI bave a cbDd bom or adopted al!er execulion oC Ibe wlU offered Cor probale: was nOI the v1c:tim oC aldlllna and was never adjudicated mcompcteut: no excl'Dtion Decendenl at death oWlied properly with eslimated values as CoUows: (It domiciled In Pa.) All personal properly (If nol domiciled lit PL) Personal property III Pennsylvania (It nC/t domlcl!::<lln Pl.) Personal property III County Value of real estate In Pennsylvania sllualed as CoUows: ~o Circle Drive. East Pennsboro Cumberland Countv ,1995 s s s S Township 500,000. -0- -0- 100.000. . WHEREFORE. petiUoner(s) respectCuDy rcqiJ'dt(s) .the"probate'or' the.1Ut'will"luid"CodiClJ(sj-' presented berewith and the &rant of lettCt' Testamentarv (taUmc:n.u.m &tf",fftf~ntJOQ Cot,L; M....r,,!iltradoa d.b.D.CoLL) theron. I 11 j~ Dauph~osit Ilank and Trust Company IlY: .- J / ~ /4 4-1/ J" ~ T-""' Robert L. Keck Assistant Vice President and 'T'rllRt Offfrer P. O. Box 2961 Hnrri RhurC!. FA 17105 OATH OF PERSONAL REPRESENTATIVE COMMONWEALm OF PENNSYLVANIA } ss COUNTY OF Cumberland The pctllioner(s) above.named swear(s) or affirm(s) thl1 the statements III the foreaolna pctllion are lnle and correct 10 the best of the knowledae and beUeC of petilioner(s) and that as personal represen. taUve(s) of the above decedelll petitioner(s) will weD and truly adminlster the estate accordlna 10 law. Dauphi posit Il nk and Trust Company "- 't-7? ~ ert L. Keck _ A"slstant Vice President ! 11nrl TrllRt Officer 1 ~ Swom 10 or atrlrmed before me lhIs II t h 1.2- ,L IPI-/.;2.- MARY c. L W1S -..,.., . "I . . . No. 21~95~777 Estate of Jomes II. lIerendecn ,Deceased . DECREE OF PROBATE AND GRANT OF LEu.t;.RS AND NOW OCTORF.R 1 A 19 q~ I In COlLllderatloD of the petitlOD OD the reverse .Ide bereof, satlsfadory proof bavlaa been presented before me, rr IS DECREED that the InstrumCllt(.) cia!"" M ^ Y n. 1 q 9 4 described th~dn be admitted to probate IUd filed of record u the last will or JAMES H. HRRF.NOF.F.N IUd Lettm TESTAMENTARY arebercbYlJ'I.Dtedto DAtJPJ..HN n~pnq,lrr ~1\MU' r TDHc::rr f"'n FEES M '375.00 II ~A-ettm, Etc. ......... ~ Shon. cates(2) .......... S . RcuunclatiOD ................ S MARY Wion, Zulli & Scibert Victor A. Dihl 607149 JCP S 5.00 TOTAL _ J,qR nn OCTOBER 18 1995 . If .... II ...... .1. 1,.,1 fl.. ......... ATroRMn' (Sap. Q. LD. No.) 109 Locust St r""t ....... p n Rnv 11" Hn-r....iAhllrR_ PA ADOIU!SS . (717) 236-9301 17108-1121 fDed PHONE tUidd:;.()?t.tiJ 'jJ'r-oL1o.:b- F pu-d 7. 0l-5-- 91., .8 / c:AS:" (Jl) 00 r: r...~ :;- ,r, \.oj ::JJ "n"", ~. " -, -" -~ :,~ :J" , hI ell -J '. MAI~ED LETTERS AND ORDER TO xzzmRNX DAUPHIN DEPOSIT BANK & TRUST CO'I OCTOBER 1995. I 1Enst lIIill cutb ur~stnm~nt OF JAMES H. HERENDBEN I, JAMES H. HBRBNDEEN, of Bast Pennsboro Township, Cumberland County, Pennsylvania do make, publish and declare this to be my Last Will and Testament and hereby revoke all Wills and Codicils previously made by me. 1. I direct that my legal debts, funeral expenses and the cost of the administration of my estate be paid as soon as practicable after my death. 2.' Much of the household furnishings in my residence at 50 Circle Drive, Bast Pennsboro Township, Cumberland County, Pennsylvania is the property of my wife, BLBANOR F. HBRENDEBN. My wife shall have the right to retain possession of and use my household furnishings so long as they remain in the above premises, without liability for waste and without bond. If my wife shall move or permanently cease using the above premises as her home, then my household furnishings shall be distributed among my residuary heirs set forth in Paragraph 4B hereof. All of the household furnishings which are the property of my wife shall remain her property for such disposition as she shall direct. 3. All estate, inheritance, legacy, succession, or transfer taxes of whatsoever nature and whatever jurisdiction imposed, including interest and penalties, assessed against my estate or payable by reason of my death, with respect to any property forming a part of my gross estate for said taxes purposes, whether or not passing under this Will, shall be paid out of my residuary estate without apportionment or right of reimbursement and without postponement. 4. I give, devise and bequeath all the rest, residue and remainder of my property and estate of every kind and nature and wheresoever situate, including all lapsed legacies, bequests, and devises, and including any property over which I may have any power of appointment, after the payment of all estate, succession, legacy, or inheritance taxes therefrom, to my Trustee hereinafter named, IN TRUST, for the uses and purposes hereinafter set forth: A. The Trustee shall hold, invest and reinvest the principal of this Trust and shall collect and payout all of the net income thereform in quarter-annual installments, or oftener, in its sole and absolute discretion, to my wife, ELEANOR F. HERENDEEN, during the term of her natural life. In addition to the net income, the Trustee may, in its absolute and uncontrolled discretion, pay to or apply for the benefit of my said wife so much of the principal of this Trust as it shall deem needful or desirable, from time to time, for her reasonable health, support and maintenance, taking into consideration the standard of living to which she was accustomed at the time of my death, and any income available to her for such purposes from all sources known to the Trustee; provided, however, that under no circumstances may my said wife compel or force my Trustee to make payment or application of the principal of this Trust. My wife, ELEANOR F. HERENDEEN, shall have the right to live in my house at SO Circle Drive, East Pennsboro Township, Cumberland County, Pennsylvania, which shall be an asset of the Trust estate, for and during the term of her natural life or so long as she desires to use such premises as a home for herself. The Trustee shall pay from income prior to distribution to my wife all costs of epair and maintenance thereof, including taxes, assessments, 'nsurance and ordinary repairs, and the cost of insurance. Said roperty shall be insured in a reasonable amoUnt ~nsuring the 'nterest of the remaindermen as well as my said wife. Upon the eath of my said wife or at such prior time as she no longer uses aid premises as a home for herself, I direct my Trustee to sell aid real estate and add the net proceeds thereof to my Trust estate o that my wife shall have the benefit of this additional income for hatever living arrangements she may make. B. Upon the death of my said wife, or upon my death in 2 the event that my said wife predeceases me, the remaining principal and undistributed income shall be distributed as follows: (1) The sum of Five Thousand ($5,000.00) Dollars to MT. CALVARY EPISCOPAL CHURCH of Camp Hill, Pennsylvania, to be used for the general religious, educational and charitable purposes thereof. (2) Two-fifths (2/5) of the remainder thereof to my beloved son, JAMES H. HERENDEEN, JR., or if he is not then living, to his wife, NANCY HERENDEEN, her heirs and assigns. (3) Two-fifths (2/5) of the remainder thereof to my beloved daughter, CHARI H. KRENIS, or if she is not then living, to her issue, per stirpes, and not per capita. (4) One-fifth (1/5) of the remainder thereof shall remain IN TRUST for my granddaughter, SOLANGE REOCH, until she reaches the age of twenty-five (25). The undistributed income may be used for her education or medical expenses in the event of the death of her father, John J. Reoch. When she reaches the age of twenty-five (25), the Trust shall terminate and the principal and any undistributed income shall be paid over to her, or in the event of her prior death, to her issue. 5. In addition to the powers conferred by the common law, by statute, or by other provisions hereof, my Executor, with respect to my estate and my Trustee, with respect to any trust or trusts created herein, hereinafter sometimes called my "fiduciaries", as the case may be, shall have the following powers: A. To sell at public or private sale, to exchange, to lease, to pledge, to mortgage, to transfer, to convert or otherwise dispose of, or grant options with respect to any and all property, real, personal or mixed, at any time forming a part of my probate or trust estates, in such manner at such time or times, for such purposes, for such price or prices, and upon such terms, credits and conditions as shall be deemed advisable or necessary under the 3 circumstances. B. To retain any or all the assets of my estate, real or personal, without regard to any principal of diversity, risk, or productivity. C. To make distribution in division of the probate estate in cash, in kind, or partly in both. 6. I nominate and appoint my beloved son, JAMBS H. HBRBNDBEN, JR., but if he predeceases me, fails to qualify, or ceases to act for any reason, I nominate and appoint DAUPHIN DBPOSIT BANK AND TRUST COMPANY as the sole Executor of this, my Last Will and Testament to serve without bond for the faithful performance of duties in any jurisdiciton. 7. I nominate and appoint said DAUPHIN DEPOSIT BANK AND TRUST COMPANY as the sole Trustee of all Trusts created by this, my Last Will and Testament. IN WITNBSS WHBRBOF, I have hereunto set my hand this Z7 day of Jv7.a v " , 1994. c!f,~,~.JJ J~~d..u-v mes . Herendeen (SBAL) The preceding instrument, consisting of this and three other typewritten pages, was on the date thereof signed, published and declared by JAMES H. HERENDEEN, the Testator herein named, 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, have subscribed our names as witnesses. 5",_-\ ~ Po.. I ~s _/~ Addf!s- 1J~o.~ Name 4 COMMONWBALTH OF PBNNSYLVANIA COUNTY OF DAUPHIN We, James H. Herendeen ,);::~r.4. - X,'A / and ~,. L. .-nVd. k-6 ,the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing SS instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were present and saw the Testator sign and execute the instrument as his Last Will and Testament and that he signed willingly (or willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his or her knowledge the Testator was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence, and I, the said Testator, 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. .ffia........ ./-/ .J~~ 'fe ator 1J.;t~ Q.~ Witness r Subscribed, sworn to and acknowledged before me by James H. Herendeen , t e tor, an su scribed an ore e by and , witnesses, , A.D. 19 94. ~. ~/.w';;; z': ss M . .. . _..-- - .-- -....--..-.. 1E~6t 31mUl ~t1tb QrtStttllttlU Oil JI\MBS II. IIBRBNUBnN I, JAMBS II. IIERENUBBN, of Bast Pennsboro Township, Cumberland publish and declare this to be my Lost , . I revoke 011 Wills'and Codicils County, Pennsylvania do make, Will and Testament and hereby previously mode by me. 1. I direct that my legal debts, funeral expenses and the cost of the administration of my estate be paid as soon os practicable after my death. Z. Much of the household furnish'ings in my residence at SO Circle Drive, Bast Pennsboro Township, Cumberland County, Pennsylvania is the property of my wife, ELEANOR F. IIERENDBEN. My wife sholl hove the right to retain possession of Rnd use my household furnishings so long as they remain in the above premises, without liability for waste and without bond. If my wife sholl move or permanently cease using the above premises as her home, then my' ~ousehold furnishings shall be distributed among my residuary heirs set forth in Paragraph 4B hereof. All of the household furnishings which are the property of my wife sholl remain her property for such disposition os she sholl direct. 3. All estate, inheritance, legacy, succession, or transfer taxes of whatsoever nature and whatever jurisdiction imposed, , including interest and penalties, assessed against my estate or payable by reason of my death, with respect to any property forming a part of my gross estate for said taxes purposes, whether or not pass ing t without I under this Will, shall be paid out of my residuary estate , apportionment or right of reimbursement and without postponement. 4. I give, devise and bequeath 011 the rest, residue Rnd remainder of my property and estate of every kind and nature and wheresoever situate, including 011 lapsed legacies, bequests, and devises, and including any property over which I may have any power I . . ...-....--.-.--.-.-.-.--. .........'. . '. of appointment, after the payment of all estate, succession, legacy, or inheritance taxes therefrom, to my Trustee hereinafter named, IN TRUST, for the uses and purposes hereinafter set forth: A. The Trustee shall hold, invest and reinvest the principal of this Trust and shall collect and payout all of. the net , '," .' III" . "" ; \1' income thereform in quarter-annual installments, or oftener, in its sole and absolute discretion, to my wife, ELEANOR F. HERENDEBN, during the term of her natural life. In addition to the net income, the Trustee may, in its absolute and uncontrolled discretion, pay to or apply for the benefit of my said w'fe so much of the principal of this Trust as it shall deem needful or desirable, from time to time, for her reasonable health, support and maintenance, taking into consideration the standard of living to which she was accustomed at the time of my death, and any income available to her for such purposeS from all sources known to the Trustee; provided, however, that under no circumstances may my said wife compel or force my ,,' . ~ Trustee to make payment or application of the principal of this ..r '. ,'I .' , " , : Trust. My wife, BLBANOR F. HBRBNDBBN, shall hove the right to live in my house at SO Circle Drive, Bast Pennsboro Township, Cumberland County, Pennsylvania, which shall be an asset of the Trust estate, for and during the term of her natural life or so long as she esires to use such premises as a home for herself. The Trustee hall pay from income prior to distribution to my wife all costs of epair and maintenance thereof, including taxes, assessments, nsurance and ordinary repairs, and the cost of insurance. Said roperty shall be insured in a reasonable amount insuring the \ nterest of the remaindermen as well as my said wife. Upon,the , . ,.n I ,~ I' I' I ,,~ ,.. ,i" I '0' .' : I eath of my said wife or at such prior time as she no longer uses aid premises as a home for herself, I direct my Trustee to sell aid real estate and add the net proceeds thereof to my Trust estate o that my wife shall have the benefit of this additional income for hatever living arrangements she may make. B. Upon the death of my said wife, or upon my death in z . . -........ -~... .. ..0 ..... ................. ,.- .--- _..~. - . .... r--' I . .... the event that my said wife predeceases me, the remaining principal and undistributed income sholl be distributed as follows: (1) The sum of Five Thousand ($5,000.00) Dollars to MT.' CALVARY BPISCOPAL CIIURCII of Camp l\ill, Pennsylvania, to be used for the general religious, educatl.onal' and charl table'" ; purposes thereof. (2) Two-fifths (2/5) of the remainder thereof to my beloved son, JAMIlS II. IIIlRIlNDIlIlN, JR., or if he is not then living, to his wife, NANCY IIIlRIlNDIlIlN, her heirs and assigns. (3) Two-fifths (2/5) of the remainder thereof to my beloved daughter, CIIARI II. KRIlNIS, or if she is not then living, to her issue, per stirpes, and not per capita. (4) One-fifth (1/5) of the remainder thereof sholl remain IN TRUST for my granddaughter, SOLANGIl RIlOCII, until she reaches the age of twenty-five (25). The undistributed income may be used for her education or medical expenses in the event' of the 'death of her father, John J. Reoch. When she reaches , , the age of twenty-five (25), the Trust shall terminate and the principal and any undistributed income sholl be paid over to her, or in the event of her prior death, to her issue. 5. In addition to the powers conCerred by the common law, by statute, or by other provisions hereof, my Executor, with respect to my estate and my Trustee, with respect to any trust or trusts created herein, hereinafter sometimes called my "fiduciaries", os the case may be, shall hove the following powers: A. To sell at public or private sale, to exchange, to I ~ease, to pledge, to mortgage, to transfer, to convert or otherwise dispose of, or grant options with respect to any and all property, real, personal or mixed, at any time forming a part of my probate or trust estates, in such manner at such time or times, for such purposes, for such price or prices, and upon such terms, credits and conditions as shall be deemed advisable or necessary under the 3 '.t.'\I 'II. ".,l!.. I ,. ,. ~ ; . ~.' i 't . I \ " . . . ...... - ~ ,,' -.. .-..-......- _.........,.-4 - - I_~. .__ . '. -. - .---... I' ';,.' tit' circumstances. B. To retoin ony or all the assets of my estate. real or personal. without regard to any principal of diversity. risk. or produc~1vi~y., .'".,' r;' C. To 'I', . . I, make distribution in division ,of ,the probate estate . .' .\ ',' \ '0' I :.1' "I'" in cash. in kind. or partly in both. 6. I nominate and appoint my beloved son. JAMBS II. IIBRBNDBBN. JR.. but if he predeceases me. fails to qualify. or ceases to act for any reason. I nominate ond appoint DAUPIIIN DBPOSIT BANK AND TRUST COMPANY as the sole Bxecutor o~ this. my Last Will and Testament to serve without bond for the faithful performance of duties in any jurisdiciton. 7. I nominate and appoint said DAUPlIlN DBPOSIT BANK AND TRUST COMPANY as the sole Trustee of all Trusts created by this. my Last Will and Testament. IN WITNBSS WIIBRBOF. I have hereunto set my hand this t1 'day of,,-1tJ.::IY ~ . 1994. " . , .: ' (SBAL) a.....1JJ .;Jv.......~~ mes I. Herendeen The preceding instrument, consisting of this ond three other typewritten pORes. wos on the dote thereof siRned. published ond declared by JAMBS II. HBRENDBEN, the Testotor herein nomed. 05 ond for his Last Will ond Testoment. in the presence of us, who, ot his request. in his presence, ond in the presence of each other, hove subscribed our names as witnesses. 1J~o.~ Name 5 ~_; ~,Po... ~ r s --m ,. . 4 . . ,... - -.,---- , "',' ~+i'I:;~."I~."'I''':t) Irl~l' '~ff$Jlttl!o)~~~J:::., 'Ii" ~:"'.' ;'1' ;"-4.1 "" It., ",,\t' ~,.I.',,(.~?'1' .. ~ f:k 'f'i 01' ., ,::. '1,' ff 1'- .' ' , .' '~. . ,',,' .. ~. ' , . '~,; .. ~. r '. ' . ; I'. I. " ';',II'f .l'. '":.';' ','J',.' I '.' ... ... .. I" ... . .):; t.l ". .' ", ~. ':.' ,. '. , . J'r.lh' . . I '!'" . ' ,~ 'i: c:i9~ON~~L\}''! {OF PBNNSYL VAN IA SS COUNTY OF DAUPllIN We, James II. lIerendeen ,:::J::~,..,I/. - X,-A / and ~~ L,. .72~Ja k~ ,the TOItator and the witnelle., ':re.pect! Velr,\' who.e name. are signed to the attached or foregoing in.trument, being first duly sworn and qualified according to law, ..-............ .j do hereby declare to the undersigned authority that we were present and saw the Testator sign and execute the instrument as his Last Will and Testament and that he signed willingly (or willingly directed another to sign for him), and )hat he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his or her knowledge the Testator was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence, and I, the said Testator, 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. T~a~ J/ .J~... e ator . 'U~D..~ Witness ~.d/H</gr 94. NO ARIAL SEAL ~H J. LONG. IfIIlr, ""',. HIit'..... DnpNn OIWllII. PI. M 0_111 .. Ocl. 30. 199& Register of Wills of CUMBERLAND county, pennsylvania certificate of Grant of Letters Testamentary No. 1995-00777 PA No. 2195-0777 ESTATE OF HERENDEEN JAMES H \UA~~I t~K~~, MLUU~~J Late of EAST PENNSBORO TOWNSHIP ~UM~~KLAnU LUUN~I, WHEREAS, dated May was admitted on the 18th 27th 1994 to probate as the last will of HERENDEEN JAMES H (J...I\~'1', t .11<::;'1', l"l.1UUJ...t.} Deceased Social Security No. 108-10-2173 day of October 19~ an instrument late of EAST PENNSBORO TOWNSHIP 1st day of October 1995 and, WHEREAS, a true copy of ~he will as probated is annexed hereto. , THEREFORE, I, MARY C. LEWIS , Register of the county of CUMBERLAND in the Commonwealth of pennsylvania, that I have this day granted Letters TESTAMENTARY to DAUPHIN DEPOSIT BANK & TRUST who has duly qualified as Executor(rixl and ~ agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the ~ day of October 1995. CUMBERLAND County, who died on the Wills in and for hereby certify '-ntA'I~/C~) **NC~~"" A~L N/I_~~S ]I!'OVE APPEAR (!./I.ST, FIRST, MIDDLE) \ _ ......:~. '-'...'~"'''''':': ."'.~.::~ ~,~"",...", ...~..; ~-'~~-~;~J~~. '.... '~1.1..~.,~,' :~.~'.r.{c.\:~(:~~ . ......,......,.-.'.~..,. ". .,-....~......,--';;i~_._~~~::,;;,. . ____'. _ _" ~""'_-" '-""-"f>. .. ~ ._' ~ 1lIlI!.'J'IFlCATIOH OF NOTICK lINDKIl RULB 5.6 ea) Nome of Decedent: James H. Herendeen Date of Death: October 1, 1995 Admin. No. 1995 - 00777 To the Register: 1 certify thst the notice of beneficial interest required by Rule 5.6 (a) of the Orphans I Court Rules wae served on or mailed to tha following beneficiaries of the above-captioned Estate on October 31, 1995: NMle Address Eleanor F. Herendeen Mt. Calvary Episcopal Church Nancy Herendeen Chari II. Krenie Solange Reoch, c/o John J. Reoch 50 Circle Drive, Camp lIill, PA 17011-2610 101 N. 25th St., Camp Hill, PA 17011-3609 309 Black1atch Lane, Camp Hill, PA 17011-8413 210 Vassar Street, Rochester, NY 14607 5344 Nakama Street, Dallas, TX 75209 Notice bas been given to all persons entitled thereto under Rule 5.6 (a) Cllcept: no exceptions. Date: October 31, 1995 and Trust Compsny "\. . Robert L. Keck, Assistant Vice President and Trust Officar ,.- ~~ ~'1 " '<;' -1: .. '-.:;:- .-. ,--:<1... r::: , 'i' .. , "'" I::> ~ '.' " I:, 15l (U E . , -- => UU Addrass: P.O. Box 2961, Harrisburg, PA 17105-2961 Telephone: (717) 255-2148 ~:; q';' CJ tl: a: Capacity:---'__ Personal Representative Counsel for personal Representative ---,.,,- ....-'-. -.... "'- , , '. ~ n " DETACH AND RETAIN THIS PORTION FOR YOUR RECORDS MC NO. MC NAME ESTATE OF JAMES n HERENDEEN 1300434009 FOR ," '. ( . No. M-040359 DATE 12/28/95 REMITTANCE AMOUNT INCOME I PRINCIPAL $25,000.00 . -,J 1 PA INHERITANCE TAX PAID TO REGISTER OF WILLS AGENT - PAYMENT ON ACCOUNT 121-95-0777 TO RECEIVE DISCOUNT , '~i l_~l_ CUI' ;~~~~~~;,1.'~tJ"riC_''',_""*'''''''''-'~,",''''''''''''-'-''''-_:''_-'''''~'j'-'''~_<;*'''',,,,,,:,,,-,_~'~~~"-f'"'-' 'lb'" -~.-.~ ".--' .. ..._....~._. ..-.~....""'~'-~-'___h ..0..,,:,,".;..- ~"-",..~,-,--,,,,,,,---,,,,-,, .____.,..- 'f . ; !,., ;,. I , . ' " \ . \ i' , '. ...; .j . I I'~ " -. .... I' t, " '1 ~---" ~._-' r~' ~- r ~. .. :.,~.J ';1 '"'i .. ,~---'~--""'-'-- ""'~- , . " . .t..'C , 'r _~,"_;;..1\:PM: ,",,,' ,~~~~~.l'j~..,,~~;,:~:t.~~,:i'~I~~_2~t:Lttl ~~~ - D Dauphin Deposit Bank ondTrusl~ , P_O bOX 2061 HARRISBURG, PENNSVLVANIA 17105-2'961 HBG fA '~;". (...... .-~ ,....,. I, .. . .,., .', I.. " ~1 -, (,.., :'>.I , . 1...111...11111....11..11.1..1.1 ,,,.11,,11,,,11,,,11,',',,,,',11,',,' ~.. I:. .,_'" ,\,. ,H',', I'"' " ...j. .... . , ".\ - { ~, . "',1 ' . " 'lS. r ~'I,.'J :",.'" ~.,. ) , " . ~.,'.. ,'. '.'. .. ..*.... W\ -.'. r.> ~ .,L . ,'\. 'I." f ,...' ' . -, ." .,,'.1 ..". t . .. t.' 'I ,.;, , i [l11P .....,<..__h-,. I I , I . ! I . .j I f' , .,} ~. \, -, ., ' r lo' , .f ,..~---~..i~ ....-.--..--......... "'--".~ .. . *' --- -.-- ---..,.,..,...- ~- . ~'1r-_h_' . "'-'; --. '--, ..-'" --,--"'r""""',' _d '. ....._.. __",-.0., ___.. . :t;;L.__ _ _~.___ - - -------- -- ---.------..:..------.-- -- ----------- a~o.;~A 082458 COMMOND~~~~~T~: ~~:~:YLVANIA [II~II.. i. OPPICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATETAX" .. RECEIVED fROMI i ACN ASSESSMENT r:w CONTROL Ii:,I NUMBER AMOUNT DAUPHIN DEPOSIT BANK & TRUST 101 .co,ooo.oo PO BOX 2961 HARRISBURG, PA 1 71 O~-2961 ..,OtO"", 'OtD HUI UlA!! INfORMATION I m M EI MO II AYMENl EI PO TMAR~OQ-tq OUNTY CUMBERLAND DAlE Of DEATH SBN 108-18-2173 (fiRST) (MI) el-199~-0777 EDENT IIASl' 1 0 l(>1.pj1lS REMARKS DAUPHIN DEPOSIT BK & TR CO m TOTAL AMOUNT PAID .25,000.00 SEAL CHECKIt M-01t0359 CW RECEIVED BY 911/)7 (i J~~. . PM./ $IGN"'WR~/ I' . .4/:""1<./I.(i;i;:'~. MARV C. LEWIS I I REGISTER OF WILLS REGISTER OF WILLS - -- .-----_--------,-~.~.___------.-------------.----__:-~"7":"""i'" ~-~-'-.! . , ." ' . . ,. " ..;' ,.~ .1 / i" \. -. ~. . ". r .' , . ..... _. ,'. ._.-0 _~...~.. u__o -~- " -- :. ~..._, '--.I..~' -.. __=-:---;-;-.-.oIIio.~_1I r -__o.:.~:. \. .-;- CAB H P L E P 0 eRe KOK P S AIY.1IOOU'I'-'.1 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPUCATE WITH REGISTER OF WILLS ./ j FOA DATE5 OF DEATH AFTER 1211"" CHECK HERE IF A SPOUSAL TV TI AtM FILE NUMBER 15 -01 ~ / J.- CO"~F~:t.~~IJ,\'T"o':.rt'VNE~bl'NIA anT..."" HARRISBURG, f'A IFUI-QtOI 21.95.0777 VEAR HUMBER COUNTVCOOE OECEDENrs COMPLETE ADDRESS 50 Circle Drive EasC Pennsboro, PA D E e E D E N T DICEDENrs NAUEILAST, FIRST, AND MIDDLE INITIALI Herendeen. James H. SOCIAL 5ECURITYNUMBER OATEOF DEATH 100.10.2173 10/01/1995 06/07/1907 DATE OF BIRTH County Cumberland socrAL SECURITY HUMBER .AMOUNT RECEIVED ISEE INSTRUCTIONS I 0.00 IIII' APPLICABLE) SURVlVINO SPOUSE'S NAME ILAST,FIRGT AND MIDDl.E INIn.,L) Herendeen, Eleanor F. X 1. Onglnal R.turn 4. Urntad Estale lKJ 5. ....!......8. Remalnd'" R.Mn (lor d.'.. 01 d.aIl1 prior 10 lZ'13'B2) F.d",al Est.18 Tax R.turn Requlr.d Total Numbet 01 Sale Depoalt Bo... 2. Supplemental R.turn X 4.. Future Inlorest Comprorme (lor d.l.. 01 death alI8t 12'12-82) [ID 8. Dec.d.nl DI.d T..,alo 0 7. Decedent Malnlaln.d . Uvtng Trust Anoch co 01 WiIO (An.ch . cop 01 TruS1) e p AU. CORRESPONDENCE AND CONFIDENTIAL TAX INFORMAll0N SHOULD BE DIRECTED TO: ~ ~ NAME COMPlETE MAILINO ADDRESS ~ ~ Roberc L. Keck Dauphin Deposic Bank and TrusC Company S N TELEPHONE NU"OER 213 Markec ScreeC - T 717 255.2148 Harrisbur PA 17101 1. R.a1 EsI.'O (Schodulo A) (1) 109,000.0 2. Slack. .nd Bond. (Schedule B) (2) 7 3 9 , 13 0 . 13 3. Closely Held SIOck/POJ1norshlp Inler... (Sch.dule C) (3) 8,720.00 4. Mong.gesand Nolos Recolvoblo (Schodule OJ (4) 25,321.12 5. Cesh, Bank D.po.its & MlsceU.noou. Parsonal Property (Sch. E) (5) 51 , 651 . 21 e. JolnUy Own.d Propeny (Sch.dul. F) (8) None 7. Tr.nslers (SChodul. G) (SChedulo L) (7) 10 , 495.00 8. Tolal Gross Assots (10101 Unes 1-7) 8. Funeral Expenses, Administrative Costs, MIscellanoou8 Expense. (SCh.dule H) 10. Dobts, Mong.ge UoblllUos. Uons (Sch.dul. I) 11. Tolal Doductlons (Iotal Uno. 0 & 10) 12. Not Value 01 Estate (Une 8 minus Uno 11) 13. Chonlable and Governmenlal Boquests (Sch.dul. J) 14. Net Value Sub oct to Tax Uno 12 minus Uno 1:] 15. Spou.al Tr.nslors (for d.I.. 01 da.lh anor 0-30-94) See Instructlona lor Applicable percontago on pago 2, (Include valuos nom SChodulo K or SChodul. M.) 18, Amounl of Une 141....bl. ollr~ r.lo (Include volu.s from SChodul. K or Schodul. M.) 11. Amount of Une 14 IDable at 15~~ rate (Includ. volu.. from SCh.dule K or SChodul. M.) 10. Principal lax due (Add lax Irom Une 15, 10 .nd 17.) 19.Crodlts/Sp poveny Prior P.yments Dlscounl 0.00- 25,000.00 - 1,315.79 20. If Uno 191s groator than Una 18, enter Iho difference on Uno 20. This Is Iho OVERPAYMENT. ~ D IChlck hlr.lf you ar. requ.stfng a refund of your oVlrpayment.1 21. II Un. '0 Is gro.ler Ihan Un. 19, onlor Ih. dlnar.nce on Une 21. This Is Ihe TAX DUE. A. Enler the Inlorest on the balance duo on Uno 21A. B. Enlor Ihe lolal 01 Uno 21 .nd 21A on Un. 21B. This "1h8 BALANCE DUE. Mak. Chick Pa able to: R Ist.r of Will A t ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECIIECK MATH .. .. Undlrpln,lllu at plrlvry.' IIIClln Inat I"..... 11lI.II'Ilnlll Inll r.t\j,n,lnClulllnD ,cCGll'lp'"'flnD Icnlall'" and ,Llllmlntl, Ind to 1'" alii 01 Illy IIno.....lIg.anll blul,,'" w., conIC1'"'' call1pls'.. I d.,II,.'h11III 'ulllt"1 hu bU" ,.por,.d 11'nI' 11'I1,11.1'111""1. C.clltaaonof p'lpI'.' ath" 'h," U'I p.raanlltlIH'Ul'IlIttvl.' b,..d an 1.1 1,,'o,mltlGn a' .hlch prap.,1t hu any kno.....dgl. R E e A P I T U L A T I o N (8) 944,325.46 (9) 63 ,461. 13 (10) 10,188.74 (11) (12) (13) 14 7J. 649.87 070.675.59 5.000.00 865,675.59 (15) 241,780.50 X Q..!.... 0.00 (18) 623,087.09 X .08' 37.433.23 T A X C o M P U T A T I o N (17) O.OOX.l~' 0.00 (18) 37.433.23 Interest (18) (20) 26.315.79 0.00 (21) (21A) (21B) 11,117.44 0.00 11,117.44 Dauphin Deposic Bank and Trusc Company 213 Markec Screet H,irr i.bur.... PA.' i Yi6 r.......................... THER THAN REPRESENTATIVE Dauphin Deposic Bank and Trusc Company 213 Markec Screet Hiirri.burR': 'PA"iW6r" .................. ...... DATE c.-1.~-ll. DATE: Fa,,,, 1500 IA.v. ,..,., CoPynD"tlcl "0. 10'''' sal1...'" only CP5yI1''''II,lnCo Reco'o ,'I \ "L,',. 01 ' 1.,-., "',.., n- "I' '\"""0 Uti"" *;' io. ',' IIi' '96 JJN 28 All :18 Clall' ':' '~"-:ilurt Curnbci'~:I\j \.0.. PA --,,-., ./ ., . Act 1#48 of 11194 provlde. for the reduction 01 the tax r.tee Impo.ed on the net value 01 lran.fer. to or for the u.e of the epou.e. The rate. a. pre.crlbed by the .tatute will be: 83% (.03) will be eppllcable for e.tate. 01 decedenta dying on or afler 7/1/94 and belore 1/1/98 82% (.02) will be applicable for e.tate. of decedenta dytng on or afler 1/1/98 and before 1/1/97 81% (.01) will be applicable for e.tate. of decedenta dying on or afler 1/1/97 and belore 1/1/98 8Spouaaltran.fer. occurrlng on or afler 1/1/98 will be exempt from Inheritance tax. PLEASE ANSWER THE FOllOWING QUES110NS BY PLACING A MARK (Xl IN THE APPROPRIATE BLOCKS. YES NO 1. Old dllC4ldent make e tranoler and: L retalntheuaeorlncorneofthepropenytranaferred..... .... ......................... . .. b. retain the ~ght III deolgnal8 who Ihall Ule the property transferred or U.lncome, . . . . . . . . . . . . . . . . . . . . . 0. retain a reversionary Interest; Dr . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. .-.etheprormelorUleol_plymento,benell1sorcare?.......................... ... :L II deeth occurred on or belore December 12, 1982. did decedent within two years preceding death transfer property wI1hout receiving adequate consideration? II delth occurred alter December 12, 1982, did decedent tranJler property within one year 01 death without receiving adequal8 consldBfltlon? . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . 3. DlddllC4ldentownan1ntruotlofblnkaccountathlaorhBfdelth?............................ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. J "~:i .".1 ,j . r\ 'j ~~1 ':~;~ :'f: ,"'-i" .'.- o'J :'""-' ~..; (: '" ~1'~ 1 '" I ~ -~ COPY'1ghtCc1 "'4 'or", IOU.", OfllyCPSyI',,,,.,I"C. '0'''' 1100 (Rtv. 7-"" x x x x x x . ... . . . . - - 1Eust ~tIIill ttttb (!ft61Ut1Ultf OF JAMBS II. IIBRBNDBBN I, JAMBS II. IIBRBNDBBN, of Bast Pennsboro Township, Cumberland County, Pennsylvania do make, ,Will and Testament and hereby publish and declare this to be revoke 'all 'WiliBI'and'C~dicih,r I" my Last " p~eviouBly made by me. 1. 1 direct that my legal debts, funeral expenses and the cost of the administration of my estate be paid as soon as practicable after my death. Z. Much of the household furnish'ings in my residence at 50 Circle Drive, Bast Pennsboro Township, Cumberland County, Pennsylvania is the property of my wife, BLBANOR F. IIBRBNDBBN. My wife shall have the right to retain possession of and use my household furnishings so long as they remain in the above premises, without liability for waste and without bond. If my wife shall move ~r permanently cease using the above premises as her home, then my. ~ousehold furn'ishings shall be distributed among my residuar'yheirs set forth in Paragraph 48 hereof. All of the household furnishings which are the property of my wife shall remain her property for such disposition as she sholl direct. 3. All estate, inheritance, legacy, succession, or transfer taxes of whatsoever nature and whatever jurisdiction imposed, , including interest and penalties, assessed against my estate or payable by reason of my death, with respect to any property forming o part of my gross estate for said taxes purposes, whether or not passlna under thIs Will, shall be paid out of my residuary estate '. ,.' , I . \ "rithout apportionment or right'of reimbursement and without , ,. . ,. ,i .' '!,. . ,.\,' ", ; 'II,. T ,. .. postponement. , ' 4. 1 give, devise and bequeath all the rest, residue and remainder of my property and estate of every kind and nature and wheresoever situate, inclu~ing all lapsed legacies, bequests, and devises, and including any property over which I may' have any power .. . . . of appointment, after the payment of all estate, succession, legacy, or inheritance taxes therefrom, to my Trustee hereinafter named, iN 1RUST, for the uses and purposes hereinafter set forth: ~. The Trustee shall hold, inyest and ~!,~.nves~.,the pr1nc~~~~ ~~. thls Trust and. ~hal1 ~oll~~~ .,a~~ ,.P'~y ..~:~t. ~H fYf(",~e net income thereform in quarter-annual installments, or oftener, in its sole and absolute discretion, to my wife, ELEANOR F. HBRENDEEN, during the term of her natural life. In addition to the net income, the Trustee may, in its absolute and uncontrolled discretion, pay to or apply for the benefit of my said w\fe so much of the principal of this Trust as it shall deem needful or desirable, from time to time, for her reasonable health, support and maintenance, taking into consideration the standard of living to which she was accustomed at the time of my death, and any income available to her for such purposes from all sources known to the Trustee; provided, however, that under no circumstances may my said wife compel or force my I Trust~;' ~?':D1~~~ .'pay~ent o~ ~~l'l~~~tfon .of,.t~e..pri~~~f.a~:.o,f. ~~~~ Trust~ My wif~, ELEANOR F. HERBNDEEN, shall have the right to live in my house at SO Circle Drive, East Pennsboro Township, Cumberland County, Pennsylvania, which shall be an asset of the Trust estate, for and during the term of her natural lifo or so long as she esires to use such premises as a home for herself. The Trustee hall pay from income prior to distribution to my wife all costs of epair and maintenance thereof, including taxes, assessments, nsurance and ordinary repairs, and the cost of insurance. Said roperty shall be insured in a reasonable amount insuring the I ,~~~~~s~ f\O~ I ~.~~, .re~~in~.~~m~~.. as ,w.el~ ,,~,~ ,~~ . s~~.d I ~~.~~:: ~~on ~ ~h~,,: ,., eath of my said wife or at such prior time as she no longer uses . '. . '1' .1\ I .1. I' ,'; aid premises as a home for herself, I direct my Trustee to sell aid real estate and add the net proceedS thereof to my Trust estate o that my wife shall have the benefit of this additional income for hatever living arrangements she may make. B. Upon the death of my said wife, or upon my death in z :. " . . . . . ---......-..... .... "--r .' to. ...........,"".. .. 'I . .!I .!' '.1 " ... If" ._., . _.. ...",,,,...,_.__. ~-....~...-..... ... _.... ~ the event that my said wife predec~ases me, the remaining principal and undistributed income shall be distributed as follows: (I) The sum of Five Thousand ($S,OOO.OO) Dollars to MT,I CALVARY BPISCOPAL CHURCH of Camp IJill, Pennsylvania, to be . ,I . ulled for the general religious, educational' and"chatltable"";o I " purposes thereof. (Z) Two-fifths (Z/S) of the remainder thereof to my beloved son, JAMBS II. IIBRBNDBBN, JR., or if he is not then living, to his wife, NANCY HBRBNDBBN, her heirs and assigns. (3) Two-fifths (2/5) of the remainder thereof to my beloved daughter, CIIARI II. KRBNIS, or if she is not then living, to her issue, per stirpes, and not per capita. (4) One-fifth (l/S) of the remainder thereof shall remain IN TRUST for my granddaughter, SOLANGB RBOCH, until she reaches the age of twenty-five (ZS). The undistributed income may be'used for her education or medical expenses in the event' of the 'death of her father, John J. Reoch. When she reaches the age of twenty-five (ZS), the Trust sholl terminate and the , \ I' , , principal and any undistributed income sholl be paid over to her, or in the event of her prior death, to her issue. S. In addition to the powers conferred by the common law, by statute, or by other provisions hereof, my Bxecutor, with respect to my estate and my Trustee, with respect to any trust or trusts created herein, hereinafter sometimes called my "fiduciaries", as the case may be, shall have the following powers: . A. To sell at public or private sal~, to exchange, to ~e~;e, to pledge, to mortgage, to transfer, to convert or otherwise dispose of, or grant options with respect to any and all property, real, personal or mixed, at any time forming a part of my probate or trust estates, in such manner at such time or times, for such purposes, for such price or prices, and upon such terms, credits and conditions as shall be deemed advisable or necessary under the 3 . . . . . ...----- ...............'... .....-.......w,.............--- -~ 4 _ .. ~ _.~ I. .. ~~.; ~ '~~!II' !ltJ:.A~F': ~ ~ " . !~ ~ (1:"'!N,:~r ! 'b' . .. ,\. ,.( , ." . !.,f Illf' :to , .1... ' .,' . '. . ;''0 t. ," " '. . I' ' '!' 'j j-:. 1'.:-\II4.:HNit.\' , I circumstances . B. To retain any or all the assets of my estate, real or personal, without regard to any principal of diversity, risk, or producH,!i~Y,. ,.... ..,.. ,.... , ,,,C. To make distribution in . ' , '" '\' 1_' I II 'a., .\ ,~ I d~ v,isi~" 10~. ~~.~r lr.ro~.M:l~~\~~~ to in cash, in kind, or partly in both. 6. I nominate and appoint my beloved son, JAMBS II. HBRBNDBBN, JR., but if he predeceases me, fails to qualify, or ceases to act for any reason, I nominate and appoint DAUPHIN DBPOSIT DANK AND TRUST COMPANY as the sole Bxecutor o~ this, my Last Will and Testament to serve without bond for the faithful performance of duties in any jurisdiciton. 7. I nominate and appoint said DAUPHIN DBPOSIT BANK AND TRUST COMPANY as the sole Trustee of all Trusts created by this, my Last Will and Testament. IN WITNBSS WHBRBOF, I have hereunto set my hand this 27 a'J~~.JJ ~~~~ mes . Herendeen The preceding instrument, consisting of this and three other typewritten pages, was on the dote thereof signed, published and declared by JAMBS II. IHJRBNDBBN, the Testator herein named, 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, hove subscribed our names as witnesses. (SBAL) 'dayof"~.:JY " , 1994. I': ,,',. _',' 1". I;':" 1J~o.~ Name S 4-1 ~IPo... ..I, t,I.: '\ II'" , i' .. " ~ I. f1-" ,. 111\ f) I'" " '''''~'','t ," ... . ;' ," ,'I' '. ~~ r s -?/J 4 .' '. . . . .. -.......- . ; ~ .~.'~q\.~;h:,:1 j:~'!.' :,1 :;;~I:ti.: ,(!1~\.' '~Il~n~~~l'i.,~:;, td~i:t p:i;i'h I . '''\lIt';l ,.1 ~ ~ ",;.;..Il.f.~~t .'D.' l4;,~(r" ..,1, '1"," . I" I . 'I" I .....,... . " . Ii" ~ )'" I _ . \ . . ~ I' -, . '. . l' ,r! ,f. l~ 'I' , , , - .. '". . ~, I '. . .. ". 1, ,,~ 't" .' t.,..,,' ': . ll-:-t,- ,,'" . I t._ fr i 'j I ..'. ":, .' "!'i ,.I\iC:OMMOHIfDA~TIf}~FI'PBNNSYLVANIA;' ',.,.... . "., . ~~.t~l !I}!r;I\'I. '?";i~~'~"'" . SS' "!' "'COUNTY' OF'DAUPHIN . HI 1I':',;"f : \ " -~ -......,,....t.. "" , I. . ~I , We, James If. Herendeen . and, ~ f. ~UdJ'Lk..-6. ,the Testator ; I ",'r,lIIpecU Ve1)',\' whose names are signed to the . ' instrument, being first duly sworn and qualified according to law, , )C-.,6r /1.- /),-.4/ and the witnesses, , . , attached or' foregoing: do hereby declare to the undersigned authority that we were present and saw the Testator sign and execute the instrument as his Last Will and Testament and that he signed willingly (or Willingly directed another to sign for him), andYhat he executed it as his free and voluntary act for the purposes therein expressed, and that each of the Witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his or her knowledge the Testator was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence, and I, the said Testator, do hereby acknowledge that I signed and executed.the i~strument 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.' Subscribed, sworn to and acknowledged before me by James H, Herendeen' , 'e or, an su scribed an . ore e by and , witnesses, , A.D. 19 ~arc;" J.I .J~\, e a or . 'U~a.~ Witness ~.rX/H/4r \ " ", 94, N ARIAL SEAL """ J. LONo. tmar, NI,. Hlltl""t. Dllp/l/n elml,. Pa. M CItIIIIIIII' ~.. Del. 30. 1995 Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters Testamentary No. 1995-00777 PA No. 2195-0777 ESTATE OF HERENDEEN JAMES H (~~~I ~~KO~, M~UU~e} Late of EAST PENNSBORO TOWNSHIP \,;urlJ::I~~U l..,;UUn'l'x, , WHEREAS, dated Mav was admitted on the 18th 27th 1994 to probate as the last will of HERENDEEN JAMES H (~Q~, ~~H~~, M~UUu~) Deceased Social Security No. 108-18-2173 day of October 1921 an instrument late of EAST PENNSBORO TOWNSHIP 1st day of October 1995 and, WHEREAS, a true copy of ~he will as probated is annexed hereto. . THEREFORE, I, MARY C. LEWIS , Register of the County of CUMBERLAND in the Commonwealth of Pennsylvania, that I have this day granted Letters TESTAMENTARY to DAUPHIN DEPOSIT BANK & TRUST who ~ duly qualified as Executor(rixl and ~ agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, of my Office the ~ day , CUMBERLAND County, who died on the Wills in and for hereby certify , .. I have hereunto set my hand and affixed the seal of October 1995. \-ttAr~~' **NC':'!;;.... ALL NAlol!;;'3 I\l:!O'lE APPEAR (LAST, FIRST, MIDDLE) '. . , . Mark E. Hilbert & Associates IIERJ!NDEI!Il FII. No. 95160KH 'p'OPlrtv O..crlpllon UNIFORM RESIDENTIAL APPRAISAL REPORT llG Cedi 17011 II U \I J I C T "'--II' Add,," 50 01"18 Drive ..L._..n~ '....1 At' ...Afe-.,', 'lft" N,. en, C8lIllLlI1l1 1111. PA ,.."-,,, "(.f'I'" a-d~ C:~I'",O"!."!LIlAmO OCCl.Det1lJ ~ 00,_.......... n"M.....w I PtDlU1..lr1" O~CondllmlfNnltlUONo\.t!bl IIDA' 1M, H.....OfkoodOfrl~ecIN..,,~y~b Park MNl1!t!.I!Jns.1 C~1f.ct 102 ..... Plle.. 109. OO~I\JJU!t D'U!..!I1!f't .nd , .....lM!!!...lllu!1..1!!l!'a!lltJ!'!lS:!lfl..rw I. bllltId b'l' ,.n., ~). .1""'''IC'''' Dl\YPh.l.~P2J!lt Bank M~nL-l'. O. 8gx 296l HatrlBburR.-1'A-JJl05 --_. Mark IL ....;L_. ......M. 4 NMth U.T, ,. PA L7055 hellion UrblPt 0... 71" , Suburb., F A~" ~ 28.."'" t= Urwt" 2... ......-rr p= 110" ,..""",1, ntlM' Inc,...,no SlabI. F D,dwq Dtmlnd1l'-"Plr 'hotlIQI In b"lnCt F OU'IUPP, I IIn/flb",-- ..J,~ I n'I!..I..mM. H.-: n-..... r.... _.~.......... ,~.Il-'-4..,.. .......1.._. N",hb..hood bot..........,.., Ch".ct.."lItt: Property 18 laca ted at in the devolopment of Country Club Placo,Eaat 11oIt1~ O.."lhllll "- SIIIl.oI. 0",.., ,', " N e I OJ ,H ,8 ;0' 'u' ! , i. ; '0 ,0, , , ,....... VKlfltfQl'IIU . .~, .... r..-.y -.... .......... ~ ,. l..-........ PRlC! , 10001 Aor 1,111 0,.. '1fftIt, D..6.- [i] N.I hkel, 0 Uhl, 100 law 10 '.4,,,,,11, ~Ol"f"'('" ''in ..... lO~, MIAII.IIINl, ~ h: ,';:'., I III; :"'.-,: CommtlC''' 0;;- I H 40 I U T .~.. 0' the comer of Circlo Drive and CoWltry Club Place Ponnaboro Tovuahip,Cumbarland C~Ulty.Pennaylvania hclOf. thlt .1I.tl the ",,,h''''., If Ih. "'CI9"I... '" 11M nelghbOlhood tpr..ImlI, I. ~p1or_nl end 8fMI"i,IM, -.npI.,menc 1I1b1N1" ........ "'....... 'lc.ll Property haa good access to emp10ymont and aervicea. ~/; U.hl cordillone an IN '~tl nelgtobtMhood 1~1ng ''''''Ofl 'Of Ihllb... undUllont ,""lid t"hI tl~ of pt.-I, v......, cf_tnd~" end "'....lInO Urn.. .. .ueh.. "It, M c~lltl". ",ope,U.. 'Of .... '" the nelCIhbOlhood, dH~lpllon If the Pf.,,-,-, of .......... 'In_!no Cone_ON, Itc.1l With the improving markets seller. are not required to offer aalaa or financing conseaaiona. Financing is readily available from a variety of aourcea. '", !~~[ .,t, j:,fl )'1< C.,,...Lot V.. UN' Topog,.phy TA... T SIlO n. I QQ A~~.. Shape O'lIlnage VI.w lend'Gaplng D,Iw....", "'tee ,t,pp.enI(lHment. 'I'vnl".1 n~flf..v lAnd .hould havo no eff"". on ,. n~ IUtv ;,P.\ "'......".......-,.. ruo. PI ""'ubl.H. the d......'/buSdtf tn cone," or IhI HorM Ow,...,' AMoriM'on !HO"," U v.. U Ne >g~ "",,e.Irn'"I'Itlnumbet"U"IIllntM~Clpr.c1 N/A . App..Im'I'I.ttlnurnbel"'lnllr_.t!.lntht~c1pr~1 N/A _, ..~. N/A '';1: 0_...75.23 x IH..' ,~~.. II~ " ..,...... 0.674.45 Sa. Ft. } ;f( "'cl'lc ''""' d..fiflul'''' end dUetlpll... I .1 rg Z... cernplllnC' Iill"tI 0 hall nonconl_mlng IQrtrdlMNfM UNI U 11Ieo" 0 N..~ :r{;i H....'. bltl ... .. tmpfovM 00 PleMnl: UN 0 Dlhef UN luplelnl '!\: Ulllld.. Publlo Olhor 011.011. Typ. Publlo Prlv.t. q. Eloclrlclly ~ ,no Amn ~::",'monl~cadam IX] 11< Gel Cu,b/Gutle, Concrete B e;-~ Weter Sidewalk None FEMA Speclel Flood Haze,d A,ee 0 Yet IX] No 'i:,',; S.nll.ry Sow.r iXi Str.olllght. Yoa >= FEMA Zone C ~. M.p 0.,.4-15-77 ;.: RIO Fx1 AII.v None I I FEMA ".n ". ~-B U~} Cernmenl.llPPlI.nf ad..". ...emtnt.. 1tnCf0Khm.n,.. .petlt! """ment.. .lld. 1I....lIIegt! or ltall nonconlormloQ .onlng. ..... .,c.l: None apparent. Subj eat T however to reservations, eaaomants. conditions and right of way of record. D GENERAL DESCRIPTION EXTERIOR DESCRIPTION FOUNDATION E No. 01 Unl.o One Foundation Block Slob No .. No. of 810rllll One ht.rlor Well. Brck/Alm C,ewl Speoe PJn ,R:- Typ.COel./AtI.J Root Su,f.oe Conmoait a...menl 1l'ut 1 : .. Design (Slyt,,) Ranch OUlI'" II O",,...pl. Sump Pump FloorDra i P.. hl.II"';I7',09"" ExistinlZ. Window Type Dhl Dampn... :1 Aoa IV,.., 35 BtormfSc,eenl Seul.menl o. I fI'.dl......... f'l1'. 6 -8 Mw,uhcll..d H....NO Ilnllllta'I" ',~I B.~~;:~ Fovor Ilulnn nlnlnn: ."nh.n '". ,OJ I.v." II II II I"A~-rn :F,ll.v." I ,T I M , P I Flnloho. .,.. ....... n.... n. nln., 6 Room.' It. INTERIOR MtlllltI.lCondlllon HEATING e Floo.. .. Typo E W.II. , lOun Fu.1 n U M T,lm/Flnloh !ll!2Jl/Av" In_II '~ Bolh Floor Ulnv'I/A;'" COOLING T ft,lhWtl,.COf Ceramlc/t\YA Central Yea a 000" Hollow Wood Olhe, NonA 10_"_ UdlllllMl I........ .....cltI __,,, .,ndent "__. elc.I:Book caee R~~ BASEMENT Alan Sq. Fl. % Flnl.hed Ceiling Wall. Floo, Oulold. Entry No INSULATION Roof C.lllng Well. Floor None u,.,.."'" l,~44 An Tlln - ~ ted Ferrolv Rm. b. boo II Air ~ ".d.on~'." KITCHEN EQUIP. Aefflgarelo, Rang./Oven ol.poul Olshwathe, Fan"iood Mlorowave c o M M Ie ,If' T 8 Ix in Den/3rd Bed IPlRm 12 ,...-'.. I 1.344 1.344 Olho, lilt" I~ 2 B.,hl I ,~44 Sm.... .... nf Q,o.. Uvlno Atno AMENITIES CAR STORAGE FIr.pl.colol , 1 Ii1 Non.O Patio Concrete . Fi1 Ga,aOIl , 01 c.. o.ck ",UKhM 1- Poroh DeIKhect Fence Ih"Hn Pool Carpofl I ATTIC Nonll Sial,. Drop Slel, Scullle Floo, Healed l=- In Room.Storage Shed. CondlUort 0' 1M Im",.....m."". d"".dlll." ",,",pu'. ".,.:tl."lI. tnd ..'..nlll. "p.. nHded. ,,"'I,.t CONllucllon, '1m~/tddltl"".IIC.1 No major repairs noted. No evidence of functional or external obsoloacence. .....,," "",11,"",,",11 CondIU.". ltueh... bu' net Nrnlled I', halld_ ....,... fo.I, Mbtt_...llc.1 pi",", In 1M IrnpfC.nmtnll. Dr! tN .11'. 01' In fNlmmtcrltt. ~dn", ellht Mlbttt1 ~....", There aro no ~ia ~ble or apparent advorBe environmental conditions that would negatively ImnAC. the vall." nf tit. sub I""i: S Ann~aiaal R"nort ,,1llHIt MH h,m JO . U Me., fVchtrdton, TX '2141....J713 ,....... M.. ,.,'" 1004 '-12 '..1.1 . Murk E. Hilbert & A88oclutu8 UNIFORM RESIDENTIAL APPRAISAL REPORT Fllo No. 95160HlI , YoIuotlon Soa~on Cornmlnll on Co., ApP,olloh I.uoh '1 lourOI 01 DOlt .,lIml'I, ,It I ...alu., .qulI" loot a.loulltlon and tOf HUe, VA, end FmHA. the ..Umlted remelnlng 10 anomia 11ft of the propenyl! In reproduction coat of improvement, Harehall 6. Svift Handbook end local contractora are referenced. ESTIMATED SITE VALUE. . . . . . . . . . . . . . . . . . . . . . .. - · ESTIMATED REPRODUCTION COST.NEW OF IMPROVEMENTS, Dwolllng 1.344 Sq. Fl..' 51.J~ . . 69.6U Basement 1.344 Sq. Ft..' 14.50. 19.m 22.000 aorogolEo,pall !&L Sq. Ft. . . 10. Oll . Tol.! hUm.led co.t New ... , . . . . . . . . . . . . . - · . Phyelolll Funotlon.1 E.lelna! lo.. 11 It Dlprecl,tlon JJL . · O.pflol.,.d V.lul 0' Improvemln'. . . . . . . . . . . . . . . . . . - "AI,I," Value of Site Improvement I ................ - 4.060 93.234 8 Gale Road ~ 50 C lrcle Drlve 25 Clrcle Drlve ~0lILlI1l1. PA \.QPlllJl.Ilt 117 RWlIon Road .l1Im ,".'C" .-. . : ~~~ igoo C.P.K.L. C.P.H.L. ....-".;{.. " ..,:.!.".;~:; OIUIlWJ/OII rn . '" C.P.K.L. , , ~;'(: i. H;~ .~~' ~::.:.~ ':~:; 'x.- \>.'; ?> ~~~ci ".t: DOK 3 DOK 21 DOK 11 .;,....... :'V:~ .;~-::; '~" ;~~~- ,..). .~f:' ~~i" .\~:- 'j' AbeY.o,ede """' COU"t ."Mlef'lI.,."...... Full Full Full ".."......... arid. . 0 '...ch. Petl., D.c\. Patlo Porch/Patlo -1,500 Patlo Patio ;.c',:' nl:,',' 8 't ':e:{ ~~~~ 'C'. 0' M p A .11' I: .8 o N A N. " ~. 8 I ~ +;",; + + ~U;:;:::;;;P'.', , 109.20 ;~iX;d}'~;'!'1 c""",.nt. CM'1 ,.... Cemp......, ll"eI~1nCI the ~cl pl'epetlY" comp.lIbill'Y to thl "'letGOIhoodt .lc.1l Comparable. ea1es evellable vlthln a re8lonable dlatance of the aubject cloaed The leck of etorm aewera, curba, gutters, eldewelks, end/or etreet llghta la typlcal of the nelghborhood and doea not adveraely impact marketeblllty. The aubject la over 30 yeara old, but haa been modernlzed aa neceasary end la marketable in lta preaent condltion. The effective age la aignlflcently leaa than 30 years. functloning properly to The property' a heating, plumblng, and electrlcal eyatema appear to be r:::l the beat of the appralaer'e knowledge end expertlae. f comparsble No (a). 2_ The compareblea choaen are ., It la noted that the prlce per aqUAre foot of gro81 Hvlng erea for u. variea by more than $10.00 per aqUAre foot compared to the aubject. ','V the beat avellable. ::;' 'T' It is noted that comperable No(a). 3_ occurred over aix montha prior to the appraisal date ,.: and ls/are considered to be the beat available, .';: I em uneb1e to verlfy the inauletion 'R' factor. The preaence of UREA-FORMALDEHYDE FOAK INSULATION could not be determlned. If UFFI la preeent, the eppraiael market velue may be adveraely affected or volded. Any lnformatlon about lnau1atlon stated on the appralaal vea provlded by In.pectlon, owner, or agent, end ia aaaumed to be eccurate. The eppralaer la not evere of the exlatence of Radon Gaa and/or Radon Daughtera, and doea not heve the neceaaery equlpment to teat for the preaence of aame. If a future teat ahova unacceptable levels of Radon present, the appralsed market value may be adversely effected or volded. Pleaae be adviaed that In the market data sna1yala grld, bathrooms ere edjuated for on the flrat llne end groaa llvlng eree/room count ere edjuated together aa e aingle adjuatment on ode MCI, Rlch_dlon., TX 11011 I2I41111t-UU ,,,.3.' ,...... M. 'I'm '004 1," ,'~~ ~:< ': . f" I Mark E. Hilbert lit Associates UNIFORM RESIDENTIAL APPRAISAL REPORT FlI. No. 881eoMH . VIIIaedon 8eodon . camperabla .alea are .ettled to the be.t of the apprai.er'a knowledge. Verification of None N/A None N/A None N/A None N/A AnI',-. III '"' Nt.... ............ of....,aM, _lilting .1 'hi ~eI plf*1J'" ~ III eny' pt.t ....... ~... c........... w...... _ ". III thI d... 11I"""."1 N/A ~ INDICATED VALUE BY BAlES COMPARISON APPROACH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . ,..,. ............ m'" IUbtHt I. thI ,,,..... ........1... ~I.. _ ceNltl.. ht... NIIW ~I ,. ..........."",. 11I-..... ........... c..........._....Th. appraiaer a..umeo e marketable title and that all of the equipment allociated with the improvamant ia in work1og order. "".""............The market approach reinforced by the COlt approach 1& a good indicator of Fair IIarket Value. The ract that the seller 11 or 11 not payi1l8 any portion of the clo.1og co.e. ha. no effact on thia appraiaal or ralala. 'hi "",... III lhlI..........." ..""'It. the "'...... 'I"" ",he ,... """" IhIe"lhe Nlfet' If..... I..'....... ~...-..,. c.....,,_...... "''''....Ien,........ .....1ImIt.,. ......u...... m....' ....dtflnltlonthll.........ltlthl..IKhed "......... 'Ol'm4J1If..-M.. '"m 'OO4.1I\h..... 6/93 I. I lWEI ESTIMATE THE MARKET VALUE, AS IlfF1NED, OF THE REAL PROPERTY THAT IS THE SUBJECT OF THIS REPORT, All OF NOVBID;:r ~5~.1995~lWHlCH . ~E 0 OF INSPECTION AND THE EFFECTIVE DATE OF nus REPOIlTl TO lIE . 109.000 . ~ .- .. ll.PIJI'W8CJftY~toH\.VI'''lallMDI _. ~. _. Dow DOWN.. H.....Ha E lrtr HIIM I,..,... "......, ....__ NovBlDber 20.1995 .".__ .,,,.C.""'Idon,RL 000388-L ItM.PA 11M. ClftlfJutl"" , IIttl. Oftllll.lJMnM' RB.029755-A I....PA Of "",''''''' 1It"1 MCI, NchlfllHn, TX 11011 ~i2141....nll '''' 2.2 ,..... U.. ,.". 1004 ..11 t.. . Mark E. Hilbert & Associates FlI.N.. I ~t."'''';:',j:::: ~.::::::::... L.nd.. Dauphin Depoait Bank Btala PA Zl. Cod. 17011 ADDENDUM B APPRAISAL CERTIFICATION I certify that, to the beat of my knowledge and belief: - the atatementa of fact contained in thia report are true and correct. - the reported analyaea. opiniona, and concluaiona are limited only by the reported aaaumptiona and limiting conditiona, and are my peraonal, unbLaaed profeaaional analyaea, and concluaiona. - I have no (or the apecified) preaent or proapective intereat in the property that ia the aubject of thia report, and I have no (or the apecified) peraonal intereat or blaa vith reapect to the partiea involved. - my compenaation ia not contingent upon the reporting of e predetermined value or direction in value that favora the caUle of the client, the amount of the value eatimete, the attainment of a atipulated reault, or the occurronce of a aubaequent event. - the appra1aal aaaignment vaa not baaed on a requeated minimum valuation, a apecific valuation, or the approval of a loan. - my analyaea, opiniona, and concluaiona vere developed, and thia report haa been prepared in conformity vith the Uniform Standarda of Profeaaional Appraiaal Practice and alao requirementa of the Code of Profeaaional Ethica and the Standarda of Profeaaional Practice of the Appraiaal Inatitute. - the uae of thia report ia aubject to the requirementa of the Appraiaal Inatitute to reviev by ita duly authoriaed repreaentativea. - I have (or have not) made a personal inapection of the property that 1e the aubject of thla report. - no one provided aignificant profeaaional aaaiatance to the peraon aigning thia report. (If there are exceptiona, the neea of each individual providing aignificant llaiatance muat be II atatad.) - aa of the date of thia report, I, _Hark E. Hilbert have completed the requirementa under the continuing education programa of the Appraiaal Inatitute. A reviev of thia agreement of aalea hea been determined that peraonal property items, and/or intangible items, that are not real property, HAVE NOT been included in the agreement of aale. Peraonal property itema, and/or intangible items IIAVE NOT been conaidered in determining the aubjecta utimeted market value. .............".............,..,.......,..,..,.....,.,.,....,."......".......,.,................ NO YEO 1. _X_ 2. _X_ 3. _X_ The aubject aold during the laat year. Sale price $ Date The aubject vaa liated for aale at the time of inapection. Lilting price $ The aubject vaa under egreement at the time of inapection. Agreement price $ November 15,1995 Date - APpraiaer~~~ (X) did () did not ~ct property ,.'" PHI Me., NchIrdt.." nc 11011 1214'....nn . . Bdrrow',/CII.nl , P'Ol>lrtv Add.... ClIv Linder FII. . County 8111. Zip COd. BUILDING SKETCH PA 11 ~ %J \71:::> B41h J3t:.="P U ~ 0 E 800/11 %~~ -( h I a/l"R ~ J-.IJ /1'1 ~ > '1-9 (i iRAti; ROOM .i. pi/hili&. D~'IY f( /If) fJ1 C) ,~ I I /1I!"P iNP ,I. . Ir ()6 HI R ~(}JII 1... fDYtR I'l' '1& ' I".,. r \..~I' ".' ;.1\ -/ ' :,~ .,j'f FRONT REAR STREET SCENE " " .' , ' .1';. ; . ,,\, '., , " COMPARABLE 1 25 Circlo Drlvo Camp 11111, PA COMPARABLE 2 117 Runson Road Camp Hill, PA COMPARABLE 3 o Gala Road Camp 11111, PA '. , " " t,~..,..t"'1...I,t, ,.,i,l,' ."..'.... '~Ii'l' ,. ('f' 'li~t'il " ,'. ,'. ,", "l;~' .g,:'~i"\"k'14... "':1',..., ~~l'iIJ"",":'.[r"'ll:j,.'~~tJ.\', o' ,', ;',"01'" .'~, ., 'lt~j1\ill j :' t.:,. 1.,1 · ;"k~'~I'l ,~.il-'..~t .'i\'~,'~'ii!'''I~'''''~)' ,,' ",: ':~~~'\~,ii~; . ' I' . Mark E. Hilbert & Associates Fllo No. 951601lll DEFINITION OF MARKET VALUE: Tho mo" ploboblo prlco which 0 proporly .hould bring In 0 oompolltlvo ond op.n milko' Undll all oondlllon. r.qul.lta to a fair ..Ie. the buye, and .elle,. e.ch acUng p,udenlly, knowledg.ably ond anumlng th. price II not .1I.atld by undu. .,lmulul. Implicit In thl. dellnltlon II the cuntummatlon or II ..I. .. 01 III ,plolfled d.te .00 the pI..lng 01 thle hDm 111111 to buyer under oondlllDnl wher.bv: 111 buyer and seller .ua typloally mollvaledi (2) both partl.. are weUlnlormed or wen advilld. end .aoh acllng In whet he cDn,lders hll Dwn belllnle'ell; (3) a realonable lime I, allowed IDr ,.pD,ureln 'ha Dpen merkl" 14. pay. mint I. "lI.dl In larm' 01 ellSh 'n U. S. dDlIers or lnle'ml of IInanclnl ammgernenl' oompeleble IherlID: and 15. the prloa reprllente thl nDrmal DDnllderatlon 10' Ihe prDpef1Y .old unetlecled by .paolel or ereetlv. Unenclng Dr tel.1 conoe..lonl' grented by .nyone a.. ,ocllted with the tele. , . Adlullmentl to the compernblll mUlt be meda fD' .p.elel 0' cfletlve Ilnenolng or 11I1.1 oDnoe..IDnl. No adlu,tmenl' aro neo....ry 10' tho.. 00111 whloh afl normllly paid by "lie" el . relull 01 tradlllon or Ilw In a merk.t a".i tha.. 00.1. ale readily IdenUfllbla Ilno. Ihe tiller P.Y' Ihll. 00111 In v1rluelly ell 11111 tllmllotlon.. Speclel 0' o,e.llve flnanolng adJultmenl1 o_n be m_de tD the oDmper_bla propa"y by compnrllonl to financing terml Dffered by n Ihlrd pefly In.tllutlonellender that I. not already Involved In the prDp.fly or trentactlon. Anv adlullmenl .hould not be oaloulated Dn III meohenlcel dDller for dolle, oo.t 01 th. flnenolng 0' oono...lon. but the dDUa' emDunt 01 eny edJu.tment .hould ftpprDxlmete the merket.' r8l0tlon tD the financing or conoe..IDn. buod Dn tho IIpp. rei.,,', ludgment. STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION CONTINGENT AND LIMITING CONDITIONS: Tho .pplOi..'.. oorlllloollon .hol OppO.1O In Iho opprol.nlropoll I. oub/oollo th, lollowlng oDndltlonl: 1. The apprnltl' will not be reepon.lbll lor metter. 01 a legel nelure thet anacl either the property baing eppra',ed 0' the title to II. The appral..r a..um.. thetlhe tllle II gDod and marketeble end. there lore, will nDt render any opinion. about the Utle. The propeflY I. app- ,al..d on the ball, DIIt being unde, ,elponllbla owna"hlp. 2. The epprelllr hal provided a ,kelch In Ihe app,al..1 roport to .how aPP'Dxlmate dlmenllDn, at the Imp,ovem.ntl. and the ,keloh I. Inoludld only tD 0..11' the reede, Dt the ,eport In viluallzlng the property end underelendlng the epprol..r'. dete,mlnotlon Df It. .111. 3. The epprelur h.. a.emlned the evanable flood mep. thet ere p,ovided by the Faderel Em.rgenoy Management Agenoy (0' other dete louroll) end hel notad In the epp,ellel 'eport whelhe' the ,ubJ.ot ,Ite I,looated In .n Identified Speolal RDod Hlle,d Ar... aloeul. thl apprel.., I. not" lurv.yor, he or Ihe mek.. no gu...nt.... .xpre.. or Impll.d, regarding thl. dete,mlnatlon. 4. Th. .pp,elur will not glv. tllltlmony or appeer In court baoeul. he 0' ,h. made en epprelllll 01 the p,operty In qUIIIIDn. UnlOIl Ipeolflc e"engementl to dD 10 heve boen made belorehand. 6. The appraller hel IItlmeted the velulI DI the land In the OOlt .pprDaoh et III hlgheet end beet UII and the Imp,ovement. at their con- tributory velue. Thela lepe'ate veluetlonl 01 the lend and Imp,ovemente mUI' not be u.ad In conlunatlon with eny otho' .pprllll.1 .nd er. Inv.lld If thlY lire 10 ulld. 8. The eppralllr he, notad In the epp'lIllIIl ,eport eny edve'.. condltlDn. I.uoh .', needed repel". dapreolatlon, the pre.enoe 01 haza,- doul WII.t... toxlo .ub.lonoel. eto.~ obllrvod during the In,pocllon 01 tho .ubJeot properlY 0' thai he D' Ihe beoame eware of during Ihe normal ,olle,eh InvDlved In perlD,mlng the oppralllll. Unla.. other wile Iteled In the eppralllll repDfI, the appraltl' he. nD knDw' ledge of eny hidden 0' unepparent oondltlon. 01 the property 0' edvarlll envirDnmental oondlllDn. (lnoludlng the prelllno. of hazardoul we.tll, 10)ela lubllenoe.. elo.) thlll would mnke the p,operty mo,. 0' Ie.. valuebl., end hili allumed thel tharo are no .uoh aondlllon. .nd meke. no gUII,entael 0' weuantln. e.prall or Implied. regerdlng Iha oDndlllon 01 the p,ope,tv. The appralllr will not b. rllpon' Ilbla lor any luoh oondltlone thet do exlll 0' for any engineering a, te.tlng Ihll mlghl be ,equlred 10 dlloove, whelher luoh oondltlon. IICllt. BeaoulI the IIpprallll' I. not en experlln Ihe field of environmental huerdl. Ihe appral..1 repDrt mu.t not be oanlldered a. en envlronmant8t alleumenl of the property. 7. The apprelllr oblalned Iha Informlllon. IIllmel.', and oplnlonl Ih.1 wera ..pr....d In the eppr.l,al ,.pon ham eClurall thlll h. or .h. oDn.lde" 10 be "Uable IInd bellev.. them tD b. true and correct. The appraltlr dOli nDt a..ume rllpDn.lblllly for tho aaauraay 01 .uah hem. thet war. furnl.hed by Dther pertlll. 8. Th. apprelll' will not dleclD.a the oontenll ollh. epprallol report no.pl al p,ovlded fo, In the Unllorm Stend.rd, of Prole..lonal Appral.el Preotloe. 9. The appralllr hel bellld hi. or her epprell8l 'eport end veluetlon oonolullon for en apprallel 'hat II .ublecl to lelllfacto,y camp. letlon, repah., or alter.Uon. on the e..unlptlon that oompletlon 01 the Improvement. will be perform.d In II workmanlike manner. 10. Tha app,el.., mu.t provide hll or her prior w,ltten oonllnt b.fore thelande,/ollent Ipeclfled In the .ppralllll report oen dlltrlbute the appr,,11II1 'aport Clncludlng oanolullon. aboul the p,operly velue. Ihe epp,el",". Identity end prof,"lonal dlllgnatlDnl. and "'e,,no.1 '0 any prol...lon.1 apprallll Drglnll.llon. D' 'ho fI,m with whloh Ihe appralllr I. a..oolaled) to anyone olher than th. borrower; Ihe mortgagee or hi luooe..or. and aulgn.; Ihe marlglge Inlurer: oonlullent.; prote..lonal epprelllll o,geniletlon,: IIny Ilela D' federally app,oved f1nanolallnllllullon; Dr eny dlparlment. agenoy. or InltrumenleUly 01 the Unlt.d Statlll or any .tate 0' th. Ollulol 01 Columbl.; exoept thel Ihll.nder/oUent m.y dlltrlbule the property dllorlptlon 1II0tlon DI the repDrt only to deta oDlleotlDn or ,epD,tlng lI,vioal.1 without having tD oblaln Ihe appralllr'. p,lor wrltt.n oonllnl. The apprallllr'l wrlllen oonlent .nd approval mUlt elao be oblelned befDre the appral,al aan be cDnvey.d by anyone to the publlo thrDugh adv.nlllng. publla "leUon.. naw.. lalll. D' other media. 'f~M",,,",4" .'U MC', "'tfl.d.~ TX 110" 12141 '".1113 Me. ,..m LCI 'II. , ., J ,..... M.. ,..m loon "., , .'. Mark E. Hilbert & Associates APPRAISER'S CERTIFICATION: Tho Applol.., 00111I1.. ond ogro.. tholl 1. I h.v. '....rch.d the .ubJlcl mlfklt I.ea Ind hlVI ..leoled I minimum 0' UUIlt recent IIIle. Df prop.nle. mo.t Ilmlla. end proldmetl ID Ihe IUbJICI properlY for coneld.rltlon In Ihl .al.. comperllon analytll Ind hIve midi I dollar Idju.tmlnl when approp,late to ,,'llct Ihl merket rllollon to tho.. hlml of .lgnUlcant varllllon. If I Ilgnlllel"t Him In I complrebll properly II luper- lor to, or marl flvo,ebll Ihln, Ihl lubJeol properlY. I hlvl midi' nlglllvl Idju.tmlnl to reduce Ihl IdJu'lld ..III prlol ollhl oomp- er.bll. end II . .Ignlflelnllllm In . comparable p,operty II In'erlo, 10. 0' 1111 '.vo,abll thin Ihl .ubJecl p,op.ny, t hlVI mid. I pD'- Illvl ~Ju.tmenIIO Iner.... Ihl adJolled "III prlel of Ihe oomparlbll. 2. I hlVI teken Into oonlldl"llon Ihl faoloft the' hive en Implol on v.lul In my development 0' Ihl IIUmll1 of markel velu. In Ih. .pp,~..l r.porl. 1 hlVI nOI knowingly wllhhlld Iny Ilunllloanlln'o,mlllon from Ihl Ipp,,111I report, end I belllvl, 10 Ihl bill 0' my knowlldgl, Ihl' all Ile'ementl and In'o,mellon In thl app,al,al repoll .re trUI and OO"IOt. 3. I Illtld In thl Ipprell'" repo,t only my own per.onll. unblelld. end prol...lonal anllvel., opinion.. end oonolu.lon., whloh ere .ub. 1.01 only 10 Ih, oonllng.nl end 1Im111ng oondltlon. Ip.olfled In 1111. fo,m. 4. I hIve no pre..nt 0' p,o,p.oUve Inl"a.t In the propa"y thell. Ihe .ubJlol to Ihl. ,epOrl, end I heve no prllent 0' plo.peoUve pa,. eonel Inlerlll 0' ble. wllh 'lIpeol to Ihe pafllolpent. In Ihe u.n.eotlon. I did nol ba.e, lither perUally 0' oomplltety, my anllYII. andlo, thl IIllmeta of marklt valualn Iha app,.I",1 report on Iha flCI, 0010', ,allglon. .a.. handloap. flmlllel .llluI. 0' naUonl1 o,lgln of ,lIher Iha p,o.plallvl own',. 0' oooupanl' Df thl .ubJlot p,op,"y 0' of Ihe pre.lnl owner. 0' oooupanl' 0' th. p,opelllll In Ihl vI.lnlty 01 tho .ublo.t Plopolty. 6. I heva no p,etent 0' oonlemplet.d fulurl Inl"I.lln Iha .ubJlot P'OPlrlY, end n,llh" my current 0' 'ulure Imploymenl no, my oompenullon '0' p,,'ormlng IhI, appral..ll, conlingenl on Ihe IIpprellld vllue cf thl properly. e. I Wit nol required 10 report I p,edlte,mlned v.lul or dl,aollon In vllue Ihet rlvo" Ihe o.u.. of Ihe oUent 0' any relalld parly. thl amount a. Ih' Vllul ..Um'll, Ihe l"llnmenl 01 . .peolflo 'lIult. 0' Ihl ooourrencl of . .ubllqulnl IVlnt In order 10 reollvl my oomplnllllon India, .mploymlnl for pe,fo,mlng Ihl app,el.,I. I did '.01 be.. Ihl epp,e1111 repo,t on I requI.I,d minimum valultlon, a .p.olflo vlluatlon. 0' Ih. nled 10 epp,ova I .peclflo marl gage loan. 7. I perfo,med thl. eppr.,..lln oonformltv with Ihe Uniform Slandard. 0' P,o,...lonel App,al.a1 P,lIollae Ihel we,. adopted end pro. mulgelld by tha Apprellftl Standa,d. Boa,d 01 The App,el..1 Foundation end Ihet werl In pllOI It 0' the aUaotlvl date of thl. app,ellal, wllh thl 1IC0epllon of th. depeflu,o p,ovl,lon 0' thola Stonderd.. whloh dOli nol apply. t IIcknowledgo Ihet an IItlmeta of .. relton. able tlml '0' I)IPO.U" In thl opan markat I. III ooOOlllon In Ih. d,flnlllon 0' markel value end the a.Umatl I developed I, oon.I.I.nt with Ihl merkellng limo nOlod In Ihl nalghborhood lIotlon of IhI. repo,'. unle.. I hav' olherwl" Italed In Ihe 'Ioonollllllon lIotlon. 8. I hive pellonally In.pealed Iha Interior end a.terlor .,aa' of Ih. .ubJeol p,ope,ly end Ihl 1.llflo, of an properUe. lI'ted III' oompa,- Iblll In the apprallll repo,t. I furlhl' olrtlfy Ih.t I hev. noted eny epperent 0' known adve". oondltlon. In the .ubJeot Improvement., on Ih. lubJlat .U..o, on any .110 wllhln Iha Immadlale vlclnlly 0' Ihl lubJeot propa,ly or whloh I om IIIwa" 11I00 hIve modi adJu'lment. fo, Ihl.. adv.'" Dondlllon. In my Inlly.l. of Iho properly valua to thl Ixt'.nl that I had merkll .vldenoe to .upport them. I have a1ao oommanled eboul thl aUeol of Ihe adva"a oondltlon. on the ma,kelablllly of the eubJeol p,operty. 8. I pe"onally prepered ell oonolullon. and opinion. aboullh, "II a.tatl Ihat ware III forth In Iha Ipprll,,1 "port. If I relied on .Ig- nUlolnt p,of,..lone! 1..I.tanol ham any Indlvlduut 0' Individual. In thl perfo,manol of Ihe Ipprel.at 0' Ihe preplratlon o. Iho .pp'....1 ,.port, 1 have namld .uoh IndlvlduaU.) end dl.ololld the eplclna tllke pe,'ormad by Ihem In Ihe IIoonc1ll1110n lIollon of thl. app,.lell report. I oertlly thll any Indlvldull .0 nlmld I. qualified 10 perfo,m Ihe IlIk.. I heve nal .uthorllld anyonl 10 mlkl , ohlnge 10 any Item In the r.port; thl"fo'I, If en uneulhorlud ohange II made 10 Ihe epprel,,1 ,epOrl. I will take no ra.pon,lbllllY fa, It. SUPERVISORY APPRAISER'S CERTIFICATION: 110 IUpOl1ll10lY opplollO' .Ignod tho opplol.o, 10po,t, ho lI, .ho 00111110. end Igrell that: I dlreollv '"pervl" Ihe Ipp,el.e, who prepared Ih. epprel..1 report, hlVI revllwed the eppre',,1 report, .gr.. with the .talamlnl' and oonclu.lon. of Ihe Ippre'",. agrea to bl bound by Iho Apprel..,'. eerllflaetJon. numbereef 4 Ihrough 7 abovl, end em teklng full '"ponllbllllV fo, the epprel,,'end Ihl epP'II,,1 report. ADDRESS OF PROPERTY APPRAISED: APPRAISER: ~/. d. Slgnotulo: A 'i;0 / 't#' Nome: Ma~__ _ Doto Slgnod: November 20.1995 Stolo COlllllootlon N..: RL 000388 - L 0' Stoto Uoon.. No.: RB-029755-A Stoto: Pennsvlvania bplraUon Oete of eertlllolUon or Uoen..: 6/30/97 50 Circle Drive. Camo Hill PA 17011 SUPERVISORY APPRAISER lonly IllIqullod): Slgnalure: N.me: Oil' Signed: S'I'I Ce,llIloallon No.: 0' Slate Uoen.. No.: SI.ta: E!E.1r1110n Dalla' CertlfloelJon 0' Uoen..: U Old D Old Not In.poot Ih. Plop.lly ".....M..'."'43. I." MCI, ftkhIrd..n.1X 715011 .2'..I....J7I1 MCI'.mLCI '.2012 ,.... M.. '.m 100..1 I.U lr, . ...... . . . = :'<'i:!' ',' ('" (.'" /" (I \,', "g I ;"-, ::II: .", .. '" ~ ",~ ,. 'J 1-/ "I .\1'" ,., " ..... .n .., . ... r" ..... ., , -. '. ~I' 0 ). <:>::1 : ~: . . -r.! i= ~ ,,,- c: ill~ '. '" ("0 r7 ." ::. - ;;! .' .""'! - 11\ No. 536 P'E&oSIlIPLt: Df)I!:O-Typewrlttt '''~bt~' '"3Jnbeuturef ..tWlube. mht t1. a".f.. claV at m~ tAoll,olld HInt 81111,",d and Elllhty-Thue (1:983). il'twLtl'n ALBERT J, LaBORE, Wldower, of the Town.hlp of Eut Penn.boro, County of Cumberland and Commonwealth of Pennsylvania (hereinafter referred to as 1l0RAN'l'ORIl), party of the fiut part In Ih. V,O, a/ all' Lo,,/ n... I , , , I I I I I I i , \ I I A N D JAMES H. HERENDEEN, Slngl. Man, of the Township of Eaet Pennsboro, County of Cumberland and Commonwealth of Penn.ylvllnla (hereinafter referred to as "ORANTEE\I), party of the lIIeond part :IItr"".Y_II~ IItt11..0.61'11) 7'hft' 'h. ,n'd/Hw y lit 'h. t',.,p"", /0' a"d /11 oOIl,/".rollon . .1 fhd ,"m 01 EIOHTY-FOUR THOUSAND and NO/100 ($84,000.00) p" '.. , Dalla", 10 Ill/III mOlllV 0/ Ihe U"",,I 8'at,. .1 A,~.r,/ca, .r,1I anll I.,u'V ,.ald bll tAt .a/d pa,' y 0/ t~ ..oonll pa,"o Ih, .old porI Y 0/ Iho /1,11 part, at allol br/Il" Ih. "ollng nnd "e/loll'V e/ tA,,, p'eI,n/., ,h, ,.orlpl ",Il,r,o/ I. h,r,b/l aolulolC/,dg,d, ALBERT J. LaBORE (/I'an"d, ba,'gnln,", .old, o"fII,d, .n/ool/'d, ,.'/....Gd, ,,,,,!l"I/.II anll oon/'rlll,d alld by lhe" prermt. . does granl, bargaIn, ..II, all.n, '"/Iol/,'''',a'",oono'/I, and oon//rm un/o 'A. .a/n pariY 01 ,lie "oond pul hla A~I,. I1nd anlgn., ^ll THAT CERTAIN piece or p!l.rcel of land, situate In the Township of Eut Penn.boro, County at Cumberland and State of Pennsylvania, mpre Rartlcularly bounded and described a. [onowa, to wit! BEGINNING at a point on the northern line of Country Club Place, which point 11 at the dlvldlnll Une betWalIn Lote 108 and 109 on Plan of Lob herelnafter mentioned; thence South .eventy-uven degreea tlHy minutes Weat (B 77' 50' W), and along the northern Une of Country Club Place, a distance of seventy-five and twenty~three hundredth. (75.23') teet to a point on the eastern Une of Circle Drive; thence North twelve degreu twenty-two minutes Weat (N U" ZZ' W), and along the ea.tern line of Circle Drive, a dletanee of one hundred fifteen (115') feet to a point at other land. of or lat. ot Country Club Park, Inc, I thence North I8venty-eeven degree. tlfty minutes Ea.t (N 77" 50' E), and along other lands of Country Club Park, Inc.. a dletanee of I8venty.tlve and .Ixty-thl'lle hundredth. (75.63') feet to a point at the dividing llne between Lot. Noe. 108 and 109 on Plan ot Lot. hsrelnafter mentloned; thence South twelve degl'eea ten mlnutu East (S 12" 10' E), and along the dividing line between Lot. No., 108 and 109 on Plan of Lots hereinafter mentioned, a dl.t.nee of one hundred fifteen (l1~') teet to a point, the point and place of BEGINNING 8uo~bO im 826 . ~'., .... '. BEING Lot No. 109 on Plan of Lot. of Country Club Park, whlch plan I. recorded In the O((lce of the Recol'du of Deede In and for Cumberland County In Plan Book 8, Pale 40. HAVING thenon 4ncted. one"etory brick dwelling houle known and numbered a. 50 Circle Drive, Camp Hill, Penn.ylvanla. i I' \ II I \ ' I' I BEING the .ame prem\e811 which Marsaret 1. Wolle, Bingle Woman, by her D..ed dated June 5, 1973, and recorded In the Office of the Recorder of Oiled. In and for Cumberland County, Penneylv.nla, In D.lld Book E, Volume 25, page 701, Iranted and convayad unto Albel't~, L!"Bore and Rlba M. LaBore, hi. wife. . AND THE SAW Reba M. LaBore rem.lnlng thereof ulnd died Decmeber 8, 1979, thereby vuUng fee atmple title In the ..ld Albert:S. LaBore, the.urvlvor. \:::;~ .u.....~..i:l..... 011I \It. Cumb. GO., v... . 1 ftJi'" btat8 t~ ,. '. ~"j , " .' ..... " ~ :: OCEo"ttRMTMO,tlWEAlTH OF PENN$YLVANIA = r", .NT OF REVENUe '::: II' P,^UY . t.9:M\ [G'--~ =: ... I~NSFlAM.\m'u ~ 840.00 g ~ . RI.lltU .,-'" = ..... . . , 'f' " . BOOK Lao FIIGE 82'7 . ..~ . ,-, '. . .M'..i ... -. IJUAUIU.\'WIIAI-TII 1)1' 1.1t.\:t.'/JI'",'A.V/.A I OOU1lT1 01' ......!iiY.M.l\lP.~.Jrl!>.t.I.~...................... III: Oil lAlI, IA. .,;?.~r.rr&....., dOli 01 .............W~................,........................, IUJt, "'"r. III' .......................................,........................................................................................................" ," I ""dar"llll.d .If/o.r, ,,"'01101111 app.ar.d ......f.I.~!;\!P.~.?;...;r.,...h.~.~QS.~.,...Y!..~.~!?':Y.~!:'..................... ............................... .......................,....'.....11....................................................................1.1..............1............"."11111..'......."......,,........... "~,,fj;: . .:~.::.;:.~~..i:~.;:.;;~/;~.;;~.;~.;~~.~~~).~~..~~..;~~.;~;;.;~..::::::::::::::::..;~.;.~~...;.~.~.~..::::I;;:::::::..~.~.j;.;~;~~:~;:~.(.~:.. ,." ""'.lJ.eK:. ,h, w/lMII '""nu"."1, lI11d aok/lllwl.dg.d ,hn' ............ lie ............ .".oul.d ,h, ,d... I"r 'IJ.....~~"" .( 1/ .~ ~. l) ..,~, ,..... .h....I" oalllol".d, l c.u :.~~""~t..~~yro \" IN WITNE88 IVUNRIWF, I hertonlo 111"11 hUlld U d 0/110101"01. ~~! I ~~i..,,:. i~ri;. . ....................... ..... ....l.1;;lm~~A'l1J'/ fGllUO.'.") .: c:) I : JI,l oommlulon ."'plrfll .............l\~I:t'r.!{.Wl>>l,WJ/l~ f(~~~\.." ~ I ..r I h.r,&,I o..,II/lIAu, 'hi Preolll Ruld.llo. 01 Ih. Grall If', III IhI UlI~I~~~~~~~':I~~~/~JI" ~'~Kc:...~./ '. .. .~.9...9J.!.!;!!?..p..!:,y.!!.,...9.~m.p...~~.~!I...Ef:!...........~.I9..~.~........... ..................................................~:::.l:i::: ...:.... . ~ . . ......................................................................................................... .. .. .. .. .........................................A..... \' ~\ .. Cl ~ ~ ~ S ~ ~ 'Cilot Fa cl lIIl ,.; i ~ ., ,...........01'...................... ............1... o! .e II) ... d III I . i I ! oil I Iii IJ d j 01 d e~ \ 9 ]1 ~u.B I~ Cl III ~ g ~ ql~ !~ll.li I ~ j ~I J 1 . :xl ~~ .1 .- ! ] i~ I! i a t I OOIlIlONWIIA.LTB 0'" PSNNflYLVANIA } .........!:i.UM.liliiJ!,.I.t.M~I.g....................... COUNTY, SS:. ll.tllrllrll In the Office for Recording of Deeds, Mortgages, etc., in and tor the 2-~~~ty of ...9Y.m~.~r,~''''),l1."''''".,,.. in Deed Book .....,.."L....... V 01. ..~""".. . Page .OK.14.......... I Ll..~:: .t':"l&n~il~ My H!lnd and Seal of Office, this .....d!.1.:........,.............................. day of ~''''''' ". ..-vl'1~ A D i 8 : . . ~.. ;...J'I.."~,.r..~~...,,....~....L,t..t.:.... . ........................ nno om nl19 3. ( '~l ".'-' . 0:'(", :;..-,....... '. . .. . I' \' ..~. ~.~.., ,,1 '. ~Sl ~..- . ~. ,~\, t.. . --::--) . I . . " ..,t.'v.... ...~....,,,.N.., "Nl~ I"~'~"'I, "1~ ...... '/ . 'I ," ..~."~,......r: ,"'.' ~iooo ,. ',." I I .~" .,' ~..'....,. .s I ~ 'II "'I ,i'CCl = 61i~O rm BrS ~~d~~--') ..~ .corder . AEV.. 1I0UX + 1".1" ~STATl! OF COM::R,l\lft,\~~'V~W,WhYANI. SCHEDULE B STOCKS AND BONDS James H. Herendeen SS" 100-18-2173 10/01/1995 All ITEM NUMBER I 2 10 oln -owned with RI hi 01 Survlvorahl mUll bo elllcloold on Schldulo F. DESCRIPTION . 200 shares Amoco Corp 200 shares AT&T Corporation Accrued Dividend 3 4 5 109.7512 sharss Americen Water Works Inc 6 750 shares Be11South Corporation 500 shares Citicorp 733 shares CoreStates Finl Corp 300 shares Columbia/HCA Healthcare Corp 4,005.244 shares Dean Witter Multi St Mun Series Trust PA Series 7 o 9 10,679.083 shares Dean Witter U.S. Government Sec Trust 200 shares Duke Power Co 11 12 13 500 shares Deen Witter Coldwell Banker Tax Exempt 300 shares IntI Business Machines Corp 400 shares Johnson And Johnson 14 300 shares Merck & Co Inc Accrued Dividend 15 3,328.066 sheres Municipal Income Opportunities Shares of Beneficial Interest 16 17 6,577.445 sheres Nuveen Municipal Bond Fund Inc 641 shares Nuveen Tax Exempt Unit Trust Insured PA Series 143 Accrued Dividend 18 105.374 shares Nuveen Municipal Bond Fund Inc Class A 19 800 shares NYNEX Corporation Total of Continuation Schedule s TOTAL Also enter on line 2. Rees ltulaUon (II mare spaco Is n..ded.lnsort oddIUonalsh..18 .1 same size.) Copyrlgllllc) """ form .oUw.r. only CPSy.lama,lne, FlU! NUMBER 21- 95-0777 VALUE AT DATE OF DEATH 12,025.00 13,060.75 66.00 5,050.57 54,937.50 35,671.00 27,006.47 14,653.13 51,539.32 96,432.12 0,706.25 1.00 20,340.63 29,475.00 16,996.00 102.00 27,040.54 60,052.07 60,266.50 347.74 962.06 30,000.00 140 700.72 S 739 130.13 Form 1500 Sch.dllla BIAay, .~181 Estate of: James H. Herendeen Soc Sec #: 100-10-2173 Date of Death: 10/01/1995 Continuation of Schedule B (Stocks and Bonds) 20 $10,000 Temple University Commonwealth System High Fund Commonwealth system of Higher Education PA Hospital Revenue Series A Bond 7.25% due 08/01/2016 Accrued Interest Unit Value at Date Value of Death 23,201. 25 5,425.00 57,625.00 10,275.40 26.11 10,111. 73 250.00 9,906.40 133.33 10,079.40 200.00 10,299.95 190.33 10,775.03 120.03 .......................... 140,700.72 Item Description # 20 1,000 shares PP&L Resources Inc 21 200 shares Sunrise Medical Inc 22 800 shares Exxon Corp 23 $10,000 Allegheny County PA Bonds HBIA DTD 07/15/94 5.075% due 09/15/2011-04 Accrued Interest 24 $10,000 Delaware County PA Indl Dev Authority Pollutn Contol Revenue Bonds Scott Paper Company Project DTD 11/01/76 6% due 11/01/2006-95 Accrued Interest 25 $10,000 Mechanicsburg PA Mun Authority Sewer Revenue Bonds 4% due 06/01/96 Accrued Interest 26 $10,000 Pennsylvania St. Turnpike Commission Turnpike Revenue Bonds Series L M8IA DTD 06/01/91 6% due 06/01/2015-01 Accrued Interest 27 $10,000 Philadelphia PA RFDG Series A 5.25% due 05/15/2004 Accrued Interest AIV - U04 IX . l~.n) SCHEDULE C CLOSELY HELD STOCK, PARTNERSHIP AND PROPRIETORSHIP PSeue Prlnl or 8 FILl! NUMBER 21.95.0777 cO"'\1.'ll\lrt.\"l~'WrW~JbY.'''. I!STATI! OF James H. Herendeen 5511 100.18.2173 10/01/1995 __I. Cot or c-a mua11M _-.I for uclI bwlIn...l_ cleM '***' ITI!M NUMBER 1 011I..._ . lito DI!SCRIPTlON . VAl.UI! AT DATI! OF OEATH 0,720.00 20 unite Dean Wittar Realty Income Partnarship I LP TOTAl. Also onler an IIno 3. Roc ItulaUon (If moro apocela noedod.lnoart addl1lonaJ ahoelll olaama Blzo.) Capytlllht(cl tl14 farm .aftw.... anI" CPSyatlml, Ineo S 8 720.00 Farm 1500 Schedull C CAI.... '''121 .. CO"::'\1ilffi\~{\'%W~fiY'N" SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Pleue Print or 8 FIle NUMBI!II 21-95-0777 AlV - "01 Ell + (2-") eSTATE OF James H. Harendeen SSH 100-10-2173 oln -owned wtth RI I a' Survlvo..hl mUll be dllcloled on Schedule All ITEM NUMBER 1 10/01/1995 PP&L Rasources Inc DESCRIPTION Dividend VALUE AT OATE OF DEATH 417.50 2 3 Capital Blue Cross Security 65 - Premium Refund 106.40 Corestates Finl Corp - Dividend 249.22 4 ~25,000 Dauphin Deposit Bank Certificate of Deposit #0100914622 7.02\ due 10/20/97 Accrued Interest 936.24 25,000.00 5 Desn Witter Coldwell Benker - Dividend 125.00 6 Dean Witter Money Market Fund 22,733.05 7 Ohio Northern University - Check for final quarterly gift annuit dated September 20, 1995 145.00 o Household Furnishings - Value per appraisal by George Haar 1,050.00 S 51 651. 21 TOTAL Also onter on line e, Reee ltulatlon (Anlch IddldonalO 1/'r . 11' Iheollll mora .plc.ls neod.d.) Copyng"tIC) 1114 '0'"' .ott..... onlyCPSy.l.m.,lnc:. For", 1500 Scll.dul. E (R,v, 2-'7) D Dauphin Deposit Bank and Trust Company "'AIN OFFICE: 2'3 "'ARKET STREET, HARRISBURG, PENNSYLVANIA 17101 n7 25&-2121 Decedent Confirmation Name: J. H. Herendeen Social Security No.: 108-18-2173 Date of Death (000): 10/01/95 AcCOU"lt No. Type Date Opened or Issued 8100714622 0042397278 01400337 Certificate of Deposit Checking Safe Deposit Box -------------- 03/28/95 08/28/64 07/17/89 -------- --------------- --------------- Date Closed or Matured 10/25/95 (Closed) 10/16/95 (Closed) ------------------------ ------------------------ ------------------------ Date of Death Balance $25,000.00 $7,996.00 Not Applicable ----------- --------------- ----------- PLUS Date of Death Accrued Int. $936.24 Location: $6.80 Camp Hill Office -------- ---- Joint OWners (if any) None Eleanor F. Herendeen Eleanor F. Herendeen ---- ------------ - Date of Joint OWnership 04/11/83 07/17/89 ------------------------ ----------------------- ------------------------ -------- ----- Special Camlents: N/A Addition.l 1nfonlat1on availabl. at '20.00 per hour. One hour MiniMum. Date Prepared: December 1, 1995 Prepared by: Carolyn A. Berkebile CUstomer Management Information Dept. (aMI) Page 1 of 1 Telephone No. (717) 255-2054 Fa.. 00-020-218 (REV 7/S3) !'reM LET'TER DATE TOTAL VAlUE DECO'S DOUAR VAlUE OF FOR MADE DESCRIPTlOH OF PROPERlY HUMBER JOINT OF ASSET "'INT, ECEDEHTIKTEREST TEHANT JOINT .. TOTAl (Also entor on IIno e, RocepltulaUonl 0.00 AEY"'IIOIU.IU.II' cO"'\:'\11f'C~~~~!rW.whl"NIA ESTATeOP Jamee H. Herendeen SCHEDULE F JOiNTlY-OWNED PROPERTY SSII 108-18-2173 10/01/1995 Jolnllo..nl(o): HAME ADDRESS A. B, C, JolnUy-ownod properly: (II moro apaco I. n..ded, Insen addlllonelaheetD o'.ame alzo.) Copyrlght(c) '114 'aIm '011'11'II"" only CPSYlltml, I"c. FILE HUMBER 21-95-0777 RELATlDHSHIP TO DECEDENT Farm 1600 Scll.dull F tA.v.12-1I1 REV-UIO EX + (1""1 cO"~H'<<\lrc~'i{\,"t&W,WhY'HI' ESTATE OF SCHEDULE G mANSFERS Pl..... P~nl or l' 0 FILE NUMBER 21.95.0777 James H. Herendeen SS# 108.10.2173 10/01/1995 THIS SCHEDULE MUST BE COMPU!Tl!D AND FILED IF THE ANSWER TO ANY OF THE QUESTlQNS ON PAGE 21S YES. ITEM OESCRIPTlON OF PROPERTY EXCLUSION TOTAL VALUE DECO'S DOLlAR VALUE OF NUMBER '"ctud. .~~~...~~ Ih'lrln~~:f.I'.lhllr OF ASSET % INT. DECEDENT INTEREST ,... i n hI to Ice dint dl oft'ln Ilf, 1 Allee H. Clark . Cash Clft 200.00 200.00 0.00 on 12/15/94 2 Cholce ln Dylng, Inc . Cash 15.00 15.00 0.00 Glft on 11/16/94 3 Charl and Jeol Krenls - 1,000.00 1,000.00 0.00 Cash Glft eo Daughter and Son-ln-1aw on 12/15/94 4 Charl Brlggs-Krenls - Cash 3,000.00 5,125.00 2,125.00 Glft to Daughter on 03/04/95 5 Charl Brlggs-Krenls - Cash 4,070.00 4,070.00 Glft eo Daughter on 06/12/95 6 Deborah Shaplro - Cash Glft 50.00 50.00 0.00 on 12/15/94 7 Handgun Control - Cash Gift 20.00 20.00 0.00 on 12/03/94 0 Holy Splrlt Hosplta1 - Cash 100.00 100.00 0.00 Glft on 12/03/94 9 James H. Herendeen, Jr. - 1,000.00 1,000.00 0.00 Cash Glft to Son on 10/04/94 10 James H. Herendeen, Jr. . 1,000.00 1,000.00 0.00 Cash Glfe to Son on 11/01/94 11 James H. Herendeen, Jr. - 1,000.00 1,000.00 0.00 Cash Glfe to Son on 11/30/94 12 James H. Herendeen, Jr. - 1,000.00 1,000.00 Cash Glfe to Son on 12/30/94 Total of Contlnuatlon Schedu1el: ;) 2 500.00 TOTAL (Also .nt.r on IIn. 7. Rocanltulatlonl 10.495.00 (II more space Is noodod, Ins.rt oddlUonalshoo.. 01 same slzo.) Copyrigh'lcll"" form .oltw,,,. onty CPSYlt.m.. 'n" Form 1500 Sch.dul. G (R'v, 2...11 Estate of: James H. Herendeen Soc Sec _: 100.18-2173 Date of Dseth: 10/01/1995 Continuation of Schedule G (Transfers) Item Description of Property - Total Value of Asset . Decds Dollar Val of 'Int Decds Interest 26 Vania Briggs . Cssh Gift on 50.00 50.00 0.00 12/15/94 27 WITF TV 33 - Cash Gift on 75.00 75.00 0.00 12/17/94 20 WITF TV 33 - Cash Gift on 100.00 100.00 0.00 01/10/95 ..----..------ 2,500.00 .. ""'""1 I SCHEDULE H FUNERAL EXPENSES. ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES REV" tilt EX. (1.11' cO"::'~l~~4\,~lrW~ANIA ESTATe OF James H. ITeM NUMBER A. B. c. Pi.... Prln' 0' FILE NUMBER 21-95-0777 Herendeen SS# 108-18-2173 10 01 1995 DESCRIPTION AMOUNT I Fun.,... EJpen...: Eleanor F. Herendeen 500.00 Reimbursement 'for Internment License Fee 2 Eleanor F. Herendeen Reimbursement for Wake Expenses 296.82 3 Myers-Harner Funeral Home Inc - Funeral Expense 1,132.00 1. Admlnl....Uv. Co...: PenlOnlll Repreoentallve Commllllonl Bacilli Security Number 01 Pe,aenlll Reprelentativ.: YearCornnltllonlpllld 1996 20,000.00 2. AUarney Feel Dauphin Deposit Bank and Trust Company 20,000.00 3. FlUTlily Exempllon Claimant Eleanor F. Herendeen Add""", 01 Claimant at doc.d.nrl daalh StreelAdd""", 50 Circle Drive City Camp H111 3,500.00 Relallonlhlp Wife Stlte PA Zip Coda 17011-2610 4. Probate Fees Register of Wills 390.00 I MI...naneou. Expon...: Credit Bureau of Greater Harrisburg Property So arch 32.00 15.00 40.00 96.53 121.90 62.50 25.00 60.90 1 172.48 S 63461.13 2 Cumberland County Register of Wills Five Short Certificates 3 Cumberland Luw Journal - Cost of Advertising and Proof of Publication 4 East Pennsboro Township - Utility Expense 5 Eleanor F. Herendeen Reimbursement of Lawn Maintenance 6 Eleanor F. Herondeen Reimbursement for Storage and Handling of Canopy @ OT Watts Inc 7 George Hasr, Auctioneer Appraisal Fee of Personal Property o Jerry's Sweeter's Sweet'n Grow Snow - Lawn Maintenance Total of Continuation Schedule s TOTAL (A110 enl., on Une O. Rocapllutallon) (lima,. opac. la n..dld. InllrladdlUanal .h.... 01 ..m. .1...) CopyriGht lei tI'" 'arm .oft....... O"I~ C?SYI1"""lne. Fa'," 1500 5cll.dull HtAlv, 7-"1 REV. 1112 EX . 12-171 COM::'\{\lrL\~4\WrW~'NI' ESTATE OF SCHEDULE J BENEFICIARIES James H. ITEM NUMBER ITEM NUMBER Herendeen FIll! NUMBER 21-95-0777 SS~ 100-10-2173 10 01 1995 NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE RELATIONSHIP I A. TIll.ble Bequ....: Dauphin Deposit Bank and Trust Compa~y, Trustee under Will for Benefit of Eleanor F. Herendeen 50 Circle Drive Camp Hill, PA 17011-2610 Net income and needful! principal Wife 2 Nancy Herendeen (James H. Herendeen, Jr. Predeceased) 309 Blacklatch Lane Camp Hill, PA 17011-0413 Daughter-in-Law 2/5 Residue upon death of widow 3 Clari H. Kremis 210 Vassar Street Rochester, NY 14607 Daughter 2/5 Residue upon death of widow 4 Solange Reoch 5344 Nakoma Street Dallas, TX 75209 Granddaughter 1/5 Residue upon death of widow NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE 1 B. Chllrit.ble .nd Go.emmonlll Bequ....: Dauphin Deposit Bank and Trust Company, Trustee under Will for Benefit of Ht. Calvary Episcopal Church 101 N. 25th Street Camp Hill, PA 17011-3609 5,000.00 upon death of widow .\ TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS Also enlor on line 13. Roc hul.tion (If mare .p.ce's nooded, In8Bf1.ddl1lonll.hoo.. of.ame size.) Copyright(c) tll. fa,In .altw.... on1v CPSv.l.ml, InCo s 5 000.00 Fotln 1500 Sctl.dul. J (A.v. 2.17) '. REV... Ie.. EXII-UI SCHEDULE N SPOUSAL POVERTY CREDIT COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAlC DIVISION ESTATE OF James H. (AVAIlABLE FOR DECEDENTS DYING AFTER 12/311111) FILE NUMBER Herendeen SS# 100-18-2173 10/01/1995 21-95-0777 This schodulo must be complotod and filed It you chockod tho spousal povorty cradil box on tho cover shoot LA N G E A T - A 1. Tax.bl. A..olO lolal Irom IIno 8 (covor .hool) . . . . . . ............ 1. 944 325.46 2. Insuranco Proceeds on Ufo of Oocodonl. ................. . 2. 0.00 3. Retlroment Bonoflts . . . . ................. . 3. 0.00 4. Jolnl As.olO Wllh Spou.o . 4. 0.00 ...............,......... . 5. PA Lonory Winning.. . . . 5. 0.00 ......................... . &.I. Olho, Nonlax.blo AssolO: U.t (Anoch achodulo " nocoooory) , . . . . . , , . , . .. B.. 0.00 Ob. Bc. Bd. B. SUBTOTA~ (Uno. 80, b, c, d), , . . . . . . , . . . . . . . , . . . . . . . , . . . , . . , , , , . . . . . . . ., B. 0.00 7. Tolal Gro.. AssOI. (Add IIno. llhru 8) , . ......,.............. . . . . . . . . .. 7. 944 325.46 8. Tolal Actual U.b111l1o. , . . . . . . . , . . , , . . . . , . . . . . , . , , , . . . . . . . . . . , . .. 8. 9. Nol VoIuo 01 E.I.lo (Subtroct IIno 8 Irom IIn. 7) . . . . . . . . . . . , . . . . . . , , . . , . , , , , , . . . . . . II IIno 91. gro.l.r Ih.n $200,000 - STOP. Tho 0.10101. nol ollglblo 10 c1alm Iho crodll. II nOI, conllnuo 10 Port II. 9. 944.325.46 PART II - CALCULATION OF JOINT EXEMPTION INCOME - (Attach cDples of Federal IndivIdual Income Tax Returns for decedent and s use. . Incomo: 1. TAX YEAR: 1992 2. TAX YEAR: 1993 3. TAX YEAR: 1994 .. Spou.o,. , . , . .. I.. O. 00 2.. 0 . 00 3.. 0 . 00 b. Decodonl. lb. 0 . 00 2b. 0 . 00 3b. 0 . 00 o. Joint,.,. , , , , .. 10. 0 . 00 20. 0 . 00 30. 0 . 00 d. Tax Exompllncomo, . , , , . .. ld. O. 00 2d. 0 . 00 3d. 0 . 00 .. Olhor Incomo not II.lod .bovo. , , , . , , ., 1.. 0 . 00 2.. 0 . 00 3.. 0 . 00 I. TOlal".,....,............".,. 11. O. 00 21. O. 00 31. O. 00 4. Averago Joint Exomptlon Incomo CoJculatlon 4a. Add Jolnl exemption Incomo tram abovo: (11) 0.00 0.00 + (21) 0.00 +(31) 0.00 . 0.00 ( : 3 I 0.00 4b. Avorage Joint Exemption Incomo. . . . . . . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . . . If IIno 4(b) I. gro.lor Ih.n $40.000 - STOP. Tho 001.'.'. nol ollglblo 10 claim Iho crodll. II not. conllnuo 10 Port III. PART III - CALCULATION OF SPOUSAL POVERTY CREDIT FOR RESIDENT AND NONRESIDENT ESTATES . 1. Insort amounl of taxablo transfers to spouso or $100,000, whlchover la los9. . .",.... I. 2. Mulllply by crodll porconl.go (... In.truellon.) . . . . . . , . . . , . . . . , . . . , . . . 3. Thl.I. Ih. amounl ollho Ro.ldonlSpou,al Povony Crodll. Ineludo Ihl. "guI. In tho calculation 01 10tal Cfedll8 on IIno 19 01 tho cover shOOI . . . . . . . . . . . . . . 4. For Nonrosldonls, entor tho ratio 01 Iho docodont's gross eslato In PA to tho valuo of the docodonfa gross oatato, . . . . . . . . . . . , . . , . . .' . . . . . . . . . . , . . . 5. Multiply I/no 3 bV IIno 4 and entor tho total hero. This Is tho amount or tho Nonresident SpousaJ Povorty Crodlt. Includo this ngure In tho calculation of totaJ credll8 on IIno 10 of tho cover shoot. COP)'l'Ight(CI 1114 form lolt.....arl anly CPSYI!lml, Inc. ........2. 3. 4. 5. SChldul1 (Rlv. '.921 REV-IICI E)1t 111l~1 SCHEDULE 0 TRANSFERS TO SURVIVING SPOUSE CO......ONWEALTH 01: PENNSYLVANIA INHERITANCE TA)! RETURN RUIOENT OECEDENT ESTATE OF FII. Number James H. Herendeen SS# 100-10-2173 10/01/1995 21-95-0777 PART A: Enlar Iha da.CflpllOn and volue 01 oIllnla.a.I.. bolh I..abla .nd non-I..abla, .oglldl... olloe.tion and nal 01 deduction.. which ass to the decedenrs Burvlvln B OUBO b wlll.lntos1a . 0 eration 01 law, or otherwise, Dasc~ lion 01 IIams Item' Amount 240,656.44 Part A TOlol: Enler Iha totol hBfa and In tha .pouse'. 'Amount Rocalvacr block on Pagal 240 . 656 . 44 Election To Subject Property To Tax Under Section 2113(A) As A Taxable Transfer By This Decedent. II a bust or .Imllor arrangament meels Iha raqul",,",,", 01 5llCtJon 2113IA), .nd: a. Tha bu.t or .Imllor arrangament 1.1I.led on Schadula 0, and b. The value 01 the trust or similar 8rrBngemontls ontered In whole or part as an 88set on SChedulo 0. than thatran.faro~a pa.sonol rapra.anl.lIva m.y .pocllleolly Idanllly tho bu.t (011 or a "actionol portion or parcentaga) 10 be Ineludad In Iha aloct1on to h.va .uch bu.t or .Imllor propany tro.tad IS a t..abla tran.far In Ihl. ..Iata. ilia.. th.n Iha .ntira volus ollha bu.t or .Imllor propany I. Includad as a 1axable transfer on Schedulo 0, the personal representative shall bo consldored to have mado tho election only as to a traction at tho trust or .Imllor arrangament. Th. numeralor ollhl. Iraction I. aquallo Iha amounl 01 IhaIN.I or .Imilor arrangomenllnclud.d .. a I..abla ....1 on Schadula 0, Tha d.nominalor la aqual to Ihalolol volua ot Iha bu.1 or .lmil81l1rangomen!. ELECTtON,Do you .I.ct und.r Socllon 2113(A) to tr.at a. a taxabl.lranal.r tn thla ..lal. all or a portlon or a inial or almllar a/l'llng.m.nl created tor the lole ule ot thll decedent's surviving apoua. durfng the aurvlvlng apOUHt. tnUr.llt.Um.? YES 0 NO 0 Slgnalur. Data Note: If the erection IPpUe. to more than on. trult or Ilmllar arrangement, then _ separate copy of Schedule 0 mUll be Iloned ..."d tiled. Part B: Enlor tha do.Cflpllon .nd volu. 01 oIllnlolost., bolh I...blo and non-I..oblo. rogordlo.. olloe.tion and nol 01 d.ducllon.. which ass to tho docodonrslurvlvln S ouoo for whIch a Section 2113 A oloctlon Is bel mado. l1.m * Dascrl lion olll.ms Amount Part B Tolol (B'" In'!NellonB) COPV'lGllIlc) tin lor," lo"w.r. only CPSYIII,"I,lnc. For," 1600 Sch.dull 0 I'hv. .-'S) 0.00 > - -. '- - ........._-~ "- RE.V-,," UtI10-". cO"::'\l\l~4\,~W.wor'NI' SCHEDULE M FUTURE INTEREST COMPROMISE ESTATI! OF James H. Herendeen SS# 100-10-2173 10 01 1995 Thla achadul.la approprtata only for Ealatu 01 dec_nla dytng an.r Dec.mber 12, 1812. Thll ach.dul.11 10 be used 10' a1IIulU'o Inlorol" whoro the ralo 01 t.. which will be Ippllcablo whon Iho futurolnto,oll .os.. In o.....lon Ind on nt cannot be osllblllhod with cOl1a1n . Tho Inatrumont crOIUng tho futura In!Brost II: X WIll FILE NUMBER 21.95-0777 Trult (Pi.... .\lach copy ollnatnlmlnl) Olhar I. IIBneftelart.. NAME OF DATE OF AGE TO BENEFICIARV RElATIONSHIP BIRTH NEAREST BIRTHDAY I. Nanc Herandeen Dau hter- in-Law 07 25 43 52 2. C1ari H. Kremis Dau hter II 29 39 56 ~ Sola e Roach Granddau hter 09 04 02 13 4. 5. II. Fo, decedon.. dylng on or allor July I. 1884. II a IUrvlvlng IpOUIO o.orclsed or Intondl to o.orcIae ono ollho following within 8 monlhl 01 tho decedonrl d.llh. check tho opproprtalo box and lupply a copy of tho dacumonlln which tho lurvlvlng .pouse ..oreIl.. luch wllhd,awal rlghl. o Unllmltad rtght 01 withdrawal 0 Umltad rtghl 01 withdrawal III. Explan.Uon 01 Compromlla Ollar: (II moro Ipacoll nood.d, anach additional 8.8 X 11" Ihoo,,) IV. Summary 01 Compromls. OIl.r: I. Amount of Future Intorast . . . . . . . . . . . . . . . . . . '. . . . . . . . . S 610,307.09 2. Value 01 Uno 1B.empt from till as amounl pllll8lng to charttl.., ote.. . . . . . . . . . . . . . . . . . . (also Includ. as part 01 tOlallhown on Un. 13 01 cov., Sheel) 3. Value 01 Un01 pllll8lng to IPOUse It opproprtalo I.. rll. .. . . . . . . . . . . . . . . . . . . . . . . Chock 1 Block lKJI%, 0 3%, 0 0% (0/10 Ineludo as part 01 totallhown on Uno 18 of cov.r Sheel) 4. Valuo of Uno 1 T..ablo al Uneal Rale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (also Include as part of tolalehown on Uno 18 of covor Sheel) 5. Valuo of Uno H..able al Collltoral RIte . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (also Includo as part of 10lalehown on Una 17 of cover Sheel) 8. Tolal Value 01 Futuro Inla,..t (Ium of Un.. 2thru 8 rooS1 equal Uno 1) . . . . . . . . . . . . . . . . . S 5,000.00 S 0.00 S 613,307.09 S 0.00 S 610,307.09 Copyrtgh'lcl'''S torm .oftw.,. onl'1' epsy.t.m" Inc. Fa,,,, 1500 Sch.dlll. M (R.v.to....1 . _--,..._r"......_... - ~ Register of Wills of County, Pennsylvania CUMBERLAND INVENTORY Eslalo 01 James H. lie rendeen No. 21-95-0777 also known as Dalo 01 Doalh 10/01/1995 ,Docoaaod Social Socurlly No. 100-10-2173 Dauphin Deposit Bank and Trust Company, Po,sonal RopresonlaUvo(s) ollho abovo Eslal., docoasod, vorlly Ihsllho Ilorns appoarlng In Iho 101l0w1ng InvonloJ)'lncludo all ollho porsonal ....IB whor.vor sllualo and all ollho roal oslalo In Iho eommonw.allh 01 Ponnsylvanls 01 sald Docodonl, thst tho valuatJon placod opposllo oach 110m olaold Invonlory rop,.sonlslis lalr voluo a, ollho dalo 01 tho Docadonl'a doath, and Ihal Docodanl ownod no r.al ..Ialo oUlBldo 01 tho eommonwoallh 01 Ponnsylvanla a.copllhal which app.srsln . momorandum al Iho ond 01 Ihla Invontory. I fWD Yorlty thai tho statomontD modo In this Invontory 810 lrUo Bnd conoe1. IfWo undorstand that falso slstoma"l! horoln sra mado aubJocllo lho ponalUo, 0118 Pa. C.S. Soctlon 4904 rolallng 10 unsworn lal,lllcallon 10 aUlho,llIos. Nnmo of Anornoy: Victor A. Bihl Wion, Zulli & Seibert Poroonm Roprosontativo Slgnalur.: ~ 2. ~~ A<lI'Yl0. D uphin Deposit Bank and rust C 1.0. No.: 07149 Slgnaturo: Addross: 109 Locust Street Add,oss: 213 Market Street Harrisbur~, PA 17101 Tolophono: 717/236-9301 lIarrisbur~, PA 17101 Tolophono: 717 /255 - 211,8 Dolod: ~~~ '2..!r 1'141 ( Doscrlpllon Valuo (See continuation pagels) attached) (Anach addlllonol .hools If noc..ssry) Total: 933,830.1,6 NOTE: Tho Momorandum of roal oslalo outsldo tho Convnonwonllh of Ponnsylvanla may. oltha aloetion 01 tho porsonal roprooonlallvo, Includo tho valuo of oach Itom, bu18uch flguros should not bo oxtendod Into tho total of tho Invontory. Pr.p.rld by tha Pannlylvlnll BI' Anoel.llcn Copyright leI tue fOlm ICItW". only CP5Ylt.m.,lnc, Fcrm 'RW-7 (liU) INVENTORY Estate of: Date of Death: County: James II. Herendeen 10/01/1995 Cumberland CASII: $25,000 Deuphin Deposit Bank Certificate of Depoeit #8100914622 7.02\ due 10/20/97 Accrued Interest 25,000.00 Capital Blue Cross Security 65 - Premium Refund 936.24 106.40 Corestates Finl Corp - Dividend 249.22 125.00 Dean Witter Coldwell Banker , TaK EKempt ~ Dividend Dean Witter Money Market Fund 22,733.05 Ohio Northern University - Check for final quarterly gift annuity dated September 20, 1995 145.00 PP&L Resources Inc - Dividend 417.50 49,793.21 PERSONAL PROPERTY: Houeehold Furnishings - Value 1,050.00 per appraisal by George Hoar .....--------- 1,050.00 STOCKS/LISTED: 109.7512 shares American Water Works Inc 5,058.57 200 shares Amoco Corp 12,025.00 13,060.75 66.00 200 shares AT&T Corporation Accrued Dividend 750 shares BellSouth Corporation 54,937.50 35,671.00 500 shares Citicorp -1- INVENTORY Estate of: Date of Death: County: 'r I James H. Ilerandaen 10/01/1995 Cumberland 300 shares Columbia/HCA Healthcare Corp 14,653.13 733 sharea CoreStates Finl Corp 27,006.47 1.00 500 shares Dean Witter Coldwell Banker Tex Exempt 4,085,244 shsres Dean Witter Multi St Mun Series Trust PA Series 51,539.32 10,679.083 shares Dean Witter U.S. Government Sec Trust 96,432.12 200 shares Duke Power Co 0,706.25 57,625.00 20,340.63 800 shares Exxon Corp 300 shares lntl Business Mschines Corp 400 shares Johnson And Johnson 29;475.00 300 shares Merck & Co lnc Accrued Dividend 16,996.00 102.00 3,320;066 shares Municipal Income Opportunities Shares of Beneficial Interest 27,040,54 6,577,445 shsres Nuveen Municipal Bond Fund Inc 60,052,07 I i I f I I I I I 105.374 shares Nuveen Municipal Bond Fund Inc Class A 962.06 641 shares Nuveen Tax Exempt Unit Trust Insured PA Series 143 Accrued Dividend 60,266.50 347.74 L 000 shares NYNEX Corporation 30,000.00 23,201. 25 5,425.00 j.. 1,000 shares PP&L Resources lnc 200 shares Sunrise Medical Inc 676,600.66 .2. INVENTORY Estate of: Dote of Death: County: J ames II. Ilerendeen 10/01/1995 Cumberland BONDS: $10,000 Allegheny County PA Bonds HBIA DTD 07/15/94 5.075\ due 09/15/2011-04 Accrued Interest $10,000 Delaware County PA Ind1 Dev Authority Pollution Control Revenue Bonds Scott Paper Company Project DTD 11/01/76 6\ due 11/01/2006-95 Accrued Interest $10,000 Hechanicsburg PA Hun Authority Sewer Revenue Bonds 4\ due 06/01/96 Accrued Interest $10,000 Pennsylvania St. Turnpike Commission Turnpike Revenue Bonds Series L HOIA DTD 06/01/91 6\ due 06/01/2015-01 Accrued Interest $10,000 Philadelphia PA RFDG Series A 5.25\ due 05/15/2001, Accrued Interest $10,000 Temple University Commonwealth System Iligh Fund Commonwealth system of Ilighar Education PA llospita1 Revenue Series A Bond 7.25\ due 08/01/2016 Accrued Interest PARTNERSHIP INTEREST: 20 units Dean Witter Realty Income Partnership I LP -3- , 10,275.40 26.11 10,111.73 250.00 9,906.40 133.33 10,079.40 200.00 10,299.95 190.33 10,775.03 120.03 62,457.47 0,720.00 0,720.00 . INVENTORY Estnte of: Dnte of Denth: County: Jnmes II. lIerendeen 10/01/1995 Cumberlnnd MORTGAGE/NOTE REGEIVABLE: --.......--.............. Bond nnd Mortgnge for $25,321.12, originally dated July 23, 1906, James H. Herendeen, Jr. & Nnncy Herendeen; premises nt 309 Blacklatch Lane, Camp Hill, Cumberlnnd County, PA 17011 due July 23, 2003: Current interest pnyable at 7.5\ per year on the first day of each calendar month recorded in Mortgege book volume 825, page 896 unpaid principal balance on date of death. , REAL ESTATE/PA: House and Lot, 50 Circle Drive, Cemp Hill, Cumberland County, PA, Ranch style house with brick and aluminum exterior. 35 years old. Value based upon appraisal copy of which is attached 25,321.12 --..--.---...... ,321.12 109,000.00 ................----... 109,000.00 .............................. .. TOTAL RECEIPTS OF PRINCIPAL.... .... ... .... -4- 933,830.46 -- A ^\ t::H I) E lJ, INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPUCATE WITH REGISTER OF WILLS AEV.taoou t(7."41 CAB H P L E P 0 CRC KOK P 5 cOM~~m~~.:'r'lf",fl1,'i''j)'brANIA , T,...." HARRIS U 0, PA 11\21-0101 o E C E o E N T DECECENT'SNAME (LAST, FIRST, AND MIDDLE lNlTlAll Herendeen, Jamea H, SOCIAL SECURITY NUMBER DATE OF O[ATH 108-10-2173 10/01/1995 DATE OF OIRTH 06/07/1907 FOR QAT[SOF orATH AFTER U131111 CH[CKHEAE IF A SPOUSAL P AT'VC TI AIM FILE NUMBER 21-95-0777 COUNTY CODE DECEDENTS COMPLETE ADDRESS 50 Circle Drive East Pennsboro, PA Calmly Cumberland (IF APPllCABLEISURVlVlNG SPOUSE'S NAME (lAST,FIRST AND UIDDLE INITIAL) Herendeen Eleanor F. I, Original RoMn 4, Umllod ESlalo R E C A P I T U L A T I o N T A X C o M P U T A T I o N SOCIAL SECUFUTVNUMBER 165.30-2059 YEAR NUMOER AMOUNT RECEIVED(SEE INSTRUCTlONSI 0.00 !Kl5. ...!- 8, Romalndor Roturn (for dalos 01 doalh prior 10 12-13-B2) Fodoral Eslalo Tax RoMn Roqulrod Total Numbor 0' Saro Doposit 80lCDS '1.) , - , 'J "J (8) (B) 63,461.13 2. Supplomonlal RoMn X... FuMO Inloros, Compromlso (lor dalos of doalh anor 12-12-B2) [ID 8. Oocod.nl Diad Toslal. 0 7. Docodonl Malnlalnod a Uvlng Trus, Anech co 01 Will Anach a co of Trust C P ALL CORRESPONDENCE AND CONFIDEtmAL TAX INFORMATION SHOULD BE OIREC'TED TO: R 2 NAME COMPl.ETE MAIl.ING ADDAESS 0 () R 0 Robert L. Keck A. V. P. & T .0. Dauphin Deposit"' B'iink ani! Trus,t,='Company Ii ~ T'LEPHONENUMBER 213 Market Street ,'. - T 717 255-2140 Harrisbur PA 17101 ., 1. Roal Eslal. (sChOdulo A) (1) 09. 00.00 2. Slocksand Bonds (Schodule B) (2) 739 .138.13 3. Closoly Held Slock/Portnorshlp Inl.rosl (Schodulo C) (3) 0 , 720.00 4. Mongogoo and Nolos Aocelvoblo (Schodulo D) (4) 25,321.12 < 5. C..h, Bsnk Doposl1o & Mlscellanoous POlSonal Proporty (Sch, E) (5) 51 , 651. Zl 6, JOlnUy Ownod Proporty (Sch.dulo F) (6) Nona" 7. Tlsns!.IS (Schodulo G)(Schodulo L) (7) 0 ,495 . 00 B, TOlal Grosa Assots (Iolal Unool-7) 9. Funeral Expenses, Administrative Costs, MlscoDaneous Expanses (Schodulo H) 10. DobIS, Mongog. UablllU.s, Uons (Schodulo I) 11. Tolal Doductlons (Iolal Unoo 9 & 10) 12. NOI Valuo 01 ESIOIO (Uno 6 minus Uno 11) 13, Chnrl1ablo ond Govornrnonlal Boqu09ts (Schodulo J) 14. Nol Valuo Sub ocllo Tax Uno 12 minus Uno 13) 15. Spousal Trons!olS (lor dslos 01 doolh anal 6-30-B4) Soo Instructions for Applicable Percentage on pago 2. (Include vaJues from Schedule K or SChodule M.) 18. Amount of Une 141oxoble e16% rato (Include values from Schedulo K or Schedule M.) 17. Amounl or Uno 14 Inxoble e118% ralo (Includo voluos Irom Schodulo K or Schodulo M,) lB. Prlnclpallox duo (Add lax Irom Uno 15, lB and 17,) lB.Crodlls/Sp povorty Prlol Poyrnonls Dlscounl 0.00+..36,117.44 + 1,315.79 20. "Uno 1910 groalor Ihon Uno 16, onlor Iho dllloronco on Uno 20, This Is Iho OVERPAYMENT. ~ ~ ICheck here If you are requesUng a refund of your overpavmentl 21. II Une 1819 gr08tor thon Uno 19, ontor tho dlfforence on Uno 21. ThIs Is the TAX DUE. A. Enler Ihe Intorost on the balance duo on Uno 21A. B. Enlor Iho 10lal 01 Uno 21 .nd 21A on Uno 21B, This Is Iho BALANCE DUE. Make Check pa ble to: Re later of Wills, A ent ~ ~ BE SURE TO ANSWER AlL OUESTlONS ON PAGE 2 AND TO RECHECK MATH ~ ~ Unaerp.naltl" of p"Jury,1 a.el"" thai I hall" ..am.n.a Ih', r.lurn, ,"clUdtngaceompanYlng len,dulu "nd 1I.lIm,n". .nd 10 Ih. tllIl of my II;nowl.d;. and tI,II", nl' trul, cor'let and compl,t... d,ell.r. lh.t all ,..Iutlt. 1'1.. bun ,.portll!' It Iru. marhl ",.Iu.. O.claratlon of prtpa,., other thlln th. perlonll,.p,..,ntltlll'.l. baud on .lIln'o,matlon of whlehPr.pa'.'h....nyknowl.dg.. (10) 10,180.74 (11) (12) (13) 14 (15) 241 , 788,50 X Q!.._ (16) 621,887.09x ,OB- (17) 0.00 X .15- (18) Intorost (lB) (20) (21) (21A) (21B) SIGNATUAE OF PEASON AESPONS1BLE FOR FIl.INQ AETUAN Dauph in Depos i t Bank and Trus t Company 213 Market Street '.I~ ii;;rri~.bur- -"PA. Tiior --... - -.. ...... ..--------- Dauphin Deposit Bank and Trust Company 213 Market Street il;'''rri~.bur~.'- - PA.. i "fioi - - - - -. - - -... - - - - -. - - -. - - - _. Copyrlllhtlel111S4 farm .oftwa,. onl)' CPS)'llem., Inc. oR \ 942,325.46 73,649.87 068.675.59 5,000,00 063 675.59 0.00 37 , 313.23 0.00 37,313.23 37,433,23 120.00 0.00 0.00 0.00 OATE 'I/'v( 9 L DATE Fo,m 1500 (A,,,,. 1-11"'1 ~ .,;. "IV - taOI EX + IU....) eO"!I.'1ll)!CMIJN:t1.qr.C'IM':G.YAN'A SCHEDULE A 'illlilb1'N't'bm'b'k'N'f" REAL ESTATE UTAT1! OF FILl! NUMBER James H. Herendesn 55. 108.10.2173 10/01/1995 21.95-0777 (fIruperty ,olnUy_ee1 WlIh Rlgh' of Burvlvoralllp mu.'''' doc/OMd on 8choclul. F) All ,..1 ...... Ihould ... ,."..n.d ., "'Ir _, v.lu. whlclll. delIneel .. th. prl.. ., which property would... ..<h.nged "'lwMn . wllllng buy.r .nd . wllllng Mll.r, n.lth.r ""ng COlIlpIlleello or MIl both hevln _nabl. knowl of th. "'lVon' "'ell. ITEM NUMBER 1 DESCRIFTlON VALUE AT DATE OF DEATH 109,000.00 House Ranch old. end Lot, 50 Circle Drive, Camp Hill, Cumberland County, PA, styla house with brick and aluminum extarior. 35 years Value based upon appraiaal copy of which ia attached TOTAL Also onlor on IIno 1, Reel ltullllon (II moro Ip",is n..dod, In.." Iddl1lonaJ ah..ta 0' lame mo.) COPyrtghl (c. 11114 'a,m IOflwa,. only CPSYlt,ml, Inc. . 109 000.00 Fo,," 1500 Schedul. A (A..... n..nl -~--~_""'J.o;l"-~~,,,,~,,-,~'.;..,,, :"~"'-'-''''-<,-N--'Tt~''_'''"'';tJ::-,<,g>.,.,rn1,.-;::;H_\1t'i<'l_''''"",~;'<~,~",..'-,~,. REV- 1101 EX + I....' COM::'\l\lrt't~~'ltc\W~jhY.Nl. ESTATE OF SCHEDULE B STOCKS AND BONDS James H. Herendeen SS~ 100-10-2173 All ITI!M NUMBER 1 9 10 11 12 13 14 15 16 17 10 19 10/01/1995 oln -owned wtth RI ht 01 Survtvo..h must b. disclosed on Schedulo F. DESCRIPTION 200 share a Amoco Corp 2 200 ahares AT&T Corporation Accruad Dividend 3 4 109.7512 shares American Water Works Inc 750 shares Be11South Corporation 500 shares Citicorp 733 shares CoreStates Finl Corp 300 shares Co1umbia/HCA Healthcere Corp 4,005.244 shsres Dean Witter Multi St Mun Series Trust PA Series 5 6 7 o 10,679.003 shares Desn Witter U.S. Government Sec Trust 200 shares Duke Power Co 500 shares Deen Witter Coldwell Benker Tax Exempt 300 sheres IntI Business Machines Corp 400 shares Johnson And Johnson 300 shares Merck & Co Inc Accrued Dividend 3,320.066 shares Municipal Income Opportunities Shares of Beneficisl Interest 6,577.445 shares Nuveen Municipal Bond Fund Inc 641 shares Nuveen Tax Exempt Unit Trust Insured PA Series 143 Accrued Dividend 105.374 shares Nuveen Municipal Bond Fund Inc Class A 000 shares NYNEX Corporation Total of Continustion Schedule s TOTAL Also ontor on IIno 2. Roc Il1JIa~on (II moro .pace ,. noedod. In.on addition'" .hoets 01 .ome slzo.) Copyrlght(Cl1l14 rotm 10ttW.t. only CP5Yltlm., tnc. FILE NUMBER 21-95-0777 VALUE AT DATE OF DEATH 12,825.00 13 ,068.75 66.00 5,050.57 54,937.50 35,671. 88 27,006.47 14,653.13 51,539.32 96,432.12 0,706.25 1.00 20,340.63 29,475.00 16,996.88 102.00 27,040.54 60,052.07 60,266.50 347.74 962.06 30,000.00 140 700.72 S 739 130.13 Fotm 1600 Sch.dul. B IA.v, ._111 Estate of: James H. Herendeen Soc Sec~: 100-10-2173 Date of Death: 10/01/1995 Continuation of Schedule B (Stocks and Bonds) Item Description ~ 20 1,000 shares PP&L Resources Inc 21 200 shares Sunrise Hedical Inc 22 000 shares Exxon Corp 23 $10,000 Allegheny County PA Bonds HBIA DTD 07/15/94 5.075% due 09/15/2011-04 Accrued Interest 24 $10,000 Delaware County PA Ind1 Dev Authority Po11utn Conto1 Revenue Bonds Scott Paper Company Project DTD 11/01/76 6% due 11/01/2006-95 Accrued Interest 25 $10,000 Hechanicsburg PA Hun Authority Sewer Revenue Bonds 4% due 06/01/96 Accrued Interest 26 $10,000 Pennsylvania St. Turnpike Commission Turnpike Revenue Bonds Series L HBIA DTD 06/01/91 6% due 06/01/2015-01 Accrued Interest 27 $10,000 Phi1sde1phia PA RFDG Series A 5.25% due 05/15/2004 Accrued Interest 20 $10,000 Temple University Commonwealth System High Fund Commonwealth system of Higher Education PA Hospital Revenue Series A Bond 7.25' due 08/01/2016 Accrued Interest --'~~~,I'~",~?'.._,....t\\o<t~~r~~;"~";F!..-.:~-:-'.f',"i"-"""""~''''''''I'.....J'f'~':''-''>f,",'",",-i''''~_'''',''''''VI''''~';W'",,,,.....,,,,!...._:'."..,".._,,~,.".;;< Unit Value at Date Value of Death 23,201.25 5,425.00 57,625.00 10,275.40 26.11 10,111.73 250.00 9,906.40 133.33 10,079.40 200.00 10,299.95 190.33 10,775.03 120.03 ......-................... 140,700.72 REY-1Ior lEX . cr...) cO"~\{\l~~~"r.FtW~'N" ESTATE OF SCHEDULE D MORTGAGES AND NOTES RECEIVABLE PIIHI Print or 8 FILl! NUMBER 21.95-0777 James H. Herendeen SS" 108-10-2173 10/01/1995 All ITI!M NUMBI!R 1 oln -ownlel wlth tho RI '01 8urvlvorah mUI' be cloolo_ on 8ohodulo F. DESCRIPTION Bond and Hortgage for $25,321.12, originally dated July 23, 1986, Jamea H. Herendeen, Jr. & Nancy Herendeen; premiaea at 309 Blacklatch Lane, Camp Hill, Cumberland County, PA 17011 due July 23, 2003; Current interest payabla at 7.5\ per year on the firat day of each calendar month recorded in Hortgage book volume B25, paga 896 unpaid principal balance on date of death. VALUE AT DATI! OF DI!ATll 25,321.12 - TOTAL Also .nl., on IIn. 4. Reel IMlIlon (If morl .p"ce Is n..dld, In..rt .ddlUonaJ Ih..ta 01 lame Ilz..) Cop)'flgtlt(c) 11184 form IDftwlllanly CPSYlt''''I, I"c. S 25 321.12 Farm 1&00 Sch,dule 0 (Ae. 7-111 '_-&.",.,_^~,._{i_,...._...._,. '~."J.,.'''-' SCHEDULE E CAS I'!, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY REV- "01 EX. 11.111 CO":!.Il\;rb\~?\'~t.W~.NI. eSTATI! OF Piease Print or . FIll! NUMBI!R 21.95-0777 James H. Herendeen SS# 100-10-2173 10/01/1995 oln -ownld with RI hI 01 Survlv.rohl mUll b. dllel.lld on Schodulo DESCRIPTION PP&L Resources Inc - Dividend VALUE AT DATE OF DEATH 417.50 All ITEM NUMBER I 2 3 Cepitel Blue Cross Security 65 Premium Refund 106.40 Corestates Finl Corp . Dividend 249.22 4 $25,000 Dauphin Deposit Bank Certificate of Deposit #8100914622 7.02\ due 10/20/97 Accrued Interest 25,000.00 936.24 125.00 5 Dean Witter Coldwell Bsnker - Dividend 6 Dean Witter Money Market Fund 22,733.05 7 Ohio Northern University - Check for final quarterly gift annuit dated September 20, 1995 145.00 o Household Furnishings . Value per appraisal by George Haar 1,850.00 TOTAL Also .nler on nna s, Roc hulsdon (An.ch oddlllonal81/'J!' . 11' .h.... d more .plcal. n..d.d.) Copyrlght(c) 11114 for," .altwatt only CPSy.t,ml,lnc. S 51 651.21 For," 1500 Schldul. E (Alv. 2-1') 7" '-'~~~'- -, -."- ..-----...,."'.>-"'''',.~,,. -..,~,. ....'....._i:>!A(.co--r REV.. tlOI EX + 112.11. cO":I.\l\lffi\"l~~W,WhY'NI' ESTATI! OF James H. Herendeen SCHEDULE F JOiNTlY-OWNED PROPERTY SS# 108-10-2173 10/01/1995 FlU! NUMBER 21-95-0777 Jolnttonlnl{I): NAME ADDRESS RELATIONSHIP TO DECEDENT A. B. c. Jolnlly-ownod property: ITEM LETTER DATI! TOTAL VALUE DECO'S DOUAR VALUE OF FOR MADE DESCRIPTION OF PROPERlY NUMBER JOINT OF ASSET "INT. DECEDENT INTEREST TENANT JOINT TOTAL IAlso .nlor on line 8, ROC.DIMllIonl 0.00 (II more opo.. 10 neodod, Inoart .ddlllonol oheela of ooms 112.,) Copyrtghtlcl11D4 form laftwat. anlyCPSYltll'lll,lnc. Farm 1500 Sch.dur. F (R.v. 12.") REV- 1110 EX + (2-111 cO"If.\{\lfC'E~~~W,Whl"NI. ESTATl! OF SCHEDULE G mANSFERS PktUG Prtnt or 8 FILE NUMBER 21-95-0777 James H. Herendaen SS# 108-10-2173 10/01/1995 llllS SCHEDULE MUST BE COMPLETED AND FILED IF lllE ANSWER TO ANY OF lllE QUESTIONS ON PAGE 2 IS YES. ITEM DESCRIP1l0N OF PROPERTY EXCLUSION TOTAL VALUE DECO'S DOLlAR VALUE OF Inckldl na",. at th. tran,I.,.., th,l' OF ASSET ""NT. DECEDENT INTEREST NUMBER relatlan,hlatad.c.d.n' ci;i;a'"an,t.r, I Alice H. Clark - Cash Cift 200.00 200.00 0.00 on 12/15/94 2 Choice in Dying, Inc - Cash 15.00 15.00 0.00 Gift on 11/16/94 3 Chari and Jeol Krenis . 1,000.00 1,000.00 0.00 Cash Gift to Daughter snd Son-in-law on 12/15/94 4 Chari Briggs-Krenis - Cash 3,000.00 5,125.00 2,125.00 Gift to Daughter on 03/04/95 5 Chari Briggs-Krenis - Cash 4,070.00 4,070.00 Gift to Daughter on 06/12/95 6 Deborah Shapiro - Cash Gift 50.00 50.00 0.00 on 12/15/94 7 Handgun Control - Cash Gift 20.00 20.00 0.00 on 12/03/94 0 Holy Spirit Hospital - Cash 100.00 100.00 0.00 Gift on 12/03/94 9 Marissa K. Briggs - Cash 50.00 50.00 0.00 Gift on 12/15/94 10 Nancy E. Herendeen - Cash 1,000.00 1,000.00 0.00 Gift to Daughter-in-Law on 12/15/94 11 Pamela A. & Gerry Kaskas - 1,000.00 1,000.00 0.00 Cash Gift to Daughter and Son-in-Law on 11/00/94 12 Project Hope - Cash Gift on 15.00 15.00 0.00 11/16/94 13 Rachael Herendeen - Cash 50.00 50.00 0.00 Gift on 12/15/94 14 Rebecca Herendeen - Cash Gift on 12/15/94 50.00 50.00 0.00 Total of Continuation Schedule ( ~ \ 1 500.00 TOTAL (Also entor on IIno 7. Rocaollllllllonl IS 8 495.00 (If moro Iplca II noodod, In...n oddldonai ahoots 01 aarno alzo,) CaPV,lghtlClll11l14 'a,", .otlw", only CPSy.t'"", Inc. Fa'," 1500 Sch'dul. Q (R.v. 2-111 ~-';'- "'.,.... Estate of: Jemes H. Herendeen Soc Sec~: 100-10-2173 Dete of Desth: 10/01/1995 Continuation of Schedule G (Trensfers) Item Description of Property ~ Exclusion Total Value of Asset Decds Dollar Val of 'Int Decds Interest 15 Solange Reoch - Cash Gift to Granddaughter on 03/10/95 2,000.00 2,000.00 0.00 16 Solange Reoch - Cash Gift to Granddaughter on 09/05/95 1,000.00 2,000.00 1,000,00 17 Solange Reoch - Cesh Gift to Granddeughter on 12/10/94 500.00 500,00 10 The Salvation Army - Cash Gift on 11/14/94 50.00 50.00 0.00 19 Tom O'Donnell - Cash Gift on 12/17/94 10.00 0.00 10.00 20 United Way of The Capital Region . Cash Gift on 10/13/94 300.00 0.00 300.00 21 Vania Briggs - Cash Gift on 12/15/94 50.00 50.00 0.00 22 WITF TV 33 Cash Gift on 12/17/94 0,00 75.00 75.00 23 WITF TV 33 . Cash Gift on 01/10/95 100.00 0.00 100.00 1,500.00 .) SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES REV -'It' EX . ('.11) COM\1.'ll\lf1;\~4\~~WJVhl"NI' ESTATI! OF James H. ITEM NUMBER A. B. 1. :z. 3. 4. c. Pi..... Print or FILE NUMBER 21-95-0777 Herendeen SS# 100-18-2173 10 01 1995 DESCRIPTION I Fun...ll!llpen...: Eleanor F. Herendeen Reimbursement for Internment License Fee 2 Eleanor F. Herendeen Reimbursement for Wake Expenses 3 Myers-Harner Funeral Home Inc - Funeral Expense Admlnl.lrIIUv. eo...: PllI1lOnal R.presen,.Uve Conmlsalona Social Socurfty Number 01 Pel1lOnal Represen,.Uve: Ve.. ConmlsaJon. pald 1996 -23-1930033 Attorney Foeo Wion, Zulli & Seibert Family exempllon Clalmanl Eleanor F. Herendeen Addr... 01 Clalm.nt el decedent. de.'h Str.., Addr... 50 Circle Drive C11y Camp Hill Rel.Uon.hlp Wife S'al.~ Z1pCod. 17011-2610 Frob.'. Foeo Register of Wills I Mlao.Ulneoul expen...: Credit Bureau of Greater Harrisburg Property Search 2 Cumberland County Register of Wills - Five Short Certificates 3 Cumberland Law Journal - Cost of Advertising and Proof of Pub 11ca tion 4 East Pennsboro Township - Utility Expense 5 Eleanor F. Herendeen Reimbursement of Lawn Maintenance 6 Eleanor F. Herendeen Reimbursement for Storage end Handling of Canopy @ GT Watts Inc 7 George Haar, Auctioneer - Appraisal Fee of Personal Property o Jerry's Sweeter's Sweet'n Grow Snow - Lawn Maintenance Totel of Continuation Schedule s TOTAL Also ontor an IIno 9. Reea ltulsdon (II more aplce I. needed, In.erllddlttonll .he." 01 ...m. .Iz..) COPVr1li1ht(cl "D"'or," .altw.,. only CPSy.tlml,ln" AMOUNT 500.00 296.02 1,132.00 20,000.00 20,000.00 3,500.00 390.00 32.00 15.00 40.00 96.53 121.90 62.50 25.00 68.90 1 172.48 s 63 461. 13 'or," 1500 Sell. dull HIA'v, 7....' "IV - 111:1 EX + 12-.,. COM::'\ftlrt'E~{\<l,fW,Whl"NI' ESTATe OF SCHEDULE J BENEFICIARIES James H. ITEM NUMBER ITEM NUMBER Herendeen FiLe NUMBER 21-95-0777 SS# 108-18-2173 10 01 1995 NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE RELATIONSHIP 1 A. T..lble SeqUI.": Dauphin Deposit Bank and Trust Company, Trustee under Will for Benefit of Eleanor F. Herendeen 50 Circle Drive Camp Hill, PA 17011-2610 Net income and needfull principal Wife 2 Nancy Herendeen (James H. Herendeen, Jr. Predeceased) 309 Blacklatch Lane Camp Hill, PA 17011-8413 Daughter-in-Law 2/5 Residue upon death of widow 3 Chari H. Krenis 210 Vassar Street Rochester, NY 14607 Daughter 2/5 Residue upon death of widow 4 Solange Reach 5344 Nakoma Street Dallas, TX 75209 Granddaughter 1/5 Residue upon death of widow NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE 1 B. Chlllftlble end Governmental Bequests: Dauphin Deposit Bank and Trust Company, Trustee under Will for Benefit of Mt. Calvary Episcopal Church 101 N. 25th Street Camp Hill, PA 17011.3609 5,000.00 upon death of widow TOTAL CHARITABLE AND GOVERNMENTAL BEOUESTS AJoo enlot on line 13. Rae Illlllllon (II more apace I. needld, Inll8f1lddltlonalahee.. oraome 1l.1.) Capyrlght(clll1l4 far," .aflw'" a"ly CP5y.tlm.,I"Co S 5 000.00 Fa,," 1500 SChldul. J (Alv. 2-'71 AEV.l....U(l-ll21 SCHEDULE N SPOUSAL POVERTY CREDIT COMMONWEALTH OF PENNSYLVANIA INttERITANCE TAX DIVISION ESTATE OF James H. FiLe NUMBER Herendeen SS# 108-18-2173 10/01/1995 21-95.0777 This schedule mJst bo cOr1lJleled and nkJd It you checked the spousal povorty Cfodll box on the COySf' sheat. LA (AVAILABLe FOR DECEDENTS DYING AFTER 12131/11) I. Taxable As.Ol0lola1lrom line 0 (cover .h..l) . . . . . . . . . . . . . ............... . ....... I. 942 325.46 2. Inauranco Proceeds an Ufe ot Oecedonl. . . . . . . . . . . . . . . . . . . . , . . . . . . , . . . . . . . . . .. 2. 0.00 3. ROllremenlBenonll................................."..,........... 3. 0.00 4. JolnlAaaallwtlhSpou.o.....................,................ ....... 4. 0.00 5. PALon8IYWlnnlng....,............,........................ . . . . .. 5. 0.00 e.. 01hor Nonlaxoble Asaoll: U'1 (Anoch schedule II -aryl. . . . . . . . . . . ., e.. 0.00 lb. Be. ed. e. SUBTOTAL (Unoo 00, b, c, d). . . , . . . . . . . . . . . . . , , . . . , . . . . ,....... . .......8. 0.00 7. TOla1 Gro.. Aaaell (Add IIn.. l1h'" o~ . . . . . . . . . . . . , . . . . . . . . . . . . . . . . .. ....... 7. 942 325.46 e. Tolal Ac1ual Uobl1llleo . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ....... 8. D. NOl Valuo 01 Eato'e (Subtroc1l1no 0 from line 7) , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IIl1no Dlo groolor lhon $200,000 _ STOP. The 001010 Is notollglblo 10 claim Iho crodll.1I nol. conUnue 10 Part II. D. 942,325.46 PART II - CALCULATION OF JOINT EXEMPTION INCOME - (Attach copies of Federallndlvlduallncome . . Tax Relurne for decedent and li ouse. '. . Income: 1. TAX YEAR: ID 92 2. TAX YEAR: lD 93 3. TAX YEAR: lD 94 I. Spouoo..............,......... I.. 0 . 00 21. 0 . 00 31. 0 . 00 b. Docodonl................,...... lb. 0 . 00 2b. 0 . 00 3b. 0 . 00 o. Jolnl..,.........,..........." Ie. 0.00 2e. 0.00 3e. 0.00 d. Tax Exompllncomo, . . . . . . . . . . . . . . . " Id. 0 . 00 2d. 0 . 00 3d. 0 . 00 .. Olhor Income nOlllOlod obovo. . . . . . , . . . . .. 1.. 0 . 00 2.. 0 . 00 31. 0 . 00 I. TOlo1.......................... n. 0 . 00 21. 0 . 00 31. 0 . 00 4. Average Joint Exomptlon Incomo Calculation 41. Add JoInt Exemption Income from above: (II) 0.00 0.00 +(21) 0.00 +(31) 0.00 . 0.00 : 3 ) 0.00 4b. Avorogo Joint ExompUon Income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II line 4(b) 10 groolor lhon $40,000 - STOP. The os1010 10 nol ollglblo 10 clolm lho crodll. II nOI, conllnuo 10 Part III. PART III - CALCULATION OF SPOUSAL POVERTY CREDIT FOR RESIDENT AND NONRESIDENT ESTATES . 1. Insort amount at taxable tranatorslo spausD or $100,000, whlchevor Is loss. . . . . . . . , , . , . . . , . . . .. 1. 2. MulUplybycrodllporconloge(ooolnotruCUono)................................... 2- 3. Thlo 101he omounl ollho Rooldonl Spousal Povorty Crodll. Includo lhlo flguro In tho calculation 01 total crodlts an Ilno 19 at tho cover shoot. . . . . . . . , . . . . . . , . . . . . . . . .. 3. 4. For Nonrosldents, ontor tho ratio at tho docodonfs grass ostalo In PA to tho valuo 01 tho docodonfsgroaseslalo, . . . . . . , . . . . , . . . . . . . . . . . , . . , . . . . . . , , . . . , . . . .. 4. 5. Mulllply IIno 3 by IIno 4 and onlor Iho 10101 hore. ThloIs lho omounl ollho Nonrooldonl Spousol Povorty Crodlt. Includo thlo figuro In tho calculation olIOIa! credits an IIno 19 or tho cavar shoot. 5. COPYflghf(tlllO. 'arm .oft..,. onl)' CP5)'.t.m..lnc. 5th.dull IR.v.l-i21 REV-114I1EX.tIlUI COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATe OF FlI. Numb.r James H. Herendeen SS# 108-18-2173 10/01/1995 21-95-0777 PART A: Enlor lh. descripllon and valuo ollillnloro'lI. bolh taxlblo and non-Iaxoblo, rogardl... 0' Iocollon Ind not 01 deductlonl, whk:h us to Iho decedent's aurvM sousa will, Inlests . a oration a'law, or otherwise. Doscrt lion olllema SCHEDULE 0 TRANSFERS TO SURVIVING SPOUSE 110m' Amount 240,656.44 Pili A To1el: Enlor lhelo1a1 here and In the opou...o "Amounl Recolved" block on Plgo 1 240 , 656.44 Election To SubJect Property To Tex Under Section 2113(A) As A Taxable Transfer By This Decedent. 1I.1nI1t or aImIlor llITangoment moelllhe requlromenl 01 SocUon 2113(A), Ind: a. Tho fruit or llnilor lITangotnOnt Is lIotod on Schodulo 0, and b. Tho value 0' lhe fruit or llnilor 1IT0ngemonll0 onlored In wholo or pili .. an ....1 on Schedule O. lhen lhelrlnoloro~1 poraonal ropro..nllUvo may opoclncally Idonll!y Ihe frual (all or a tracllonal por1lon or porconlogo) 10 be Includod In lho olocUon 10 hovo luch inial or llnilor proporly trootod .. a taxable lronolor In lhlo os1110. If 108S1hon lho onUro valuo 0' the fruit or oImllor proporly Islncludod as a taxable transfer on Schedule 0, the porsonaJ roprosenlatlvo shall be considered to have mado the election anJy as to a fractlon of the trust or llnilor llITangomenl. Tho numerolor 01 Ihlo1ractlon 10 oquallo lho amounl ollho truol or slmllor 1IT0ngomonllncludod as a t..oblo 88801 on Schodulo O. The donomlnolor 10 oquallo lho 101a1 voluo ollho trual or almllor orrongomonl. ELeCTION:Do you .11" und.r SecUon 21 13(A) 10 trill.. a taxabl.lrlln.'"r In \hll .Ilal. all or I porUon oIl \rual or Ilrnllor Irronglmlnl cr..ted for the 80le u.e of thl8 decedent's surviving .pOUI. during the surviving lIpOu.e'a enUre IIfeUme? YES 0 NO 0 Slgnaturl Oall Note: If the alscUo" applle. to more than on. trust or similar amngemant. then. leparate copy ot Schedule 0 muat be Iluned and nled. Part B: Entor \ho doscr1pUon and valuo 01 a11lnlorOSlll. bolh laxoblo and non-laxoblo. regordloss a' IocaUon and nel 0' deducllono, which ...10 lhe decodonrl aurvlvl . ou.. 'or which a Socllon 2113 A olecllon Is bel mado. lIem . DosctI lion a' llama Amounl Pili B Total (108 Inolrucllono) 0.00 Capyrlghtlcl till form .aftwarl a"l,. CPS,.111",.,IIlC. Farm 1600 Schldull 0 (Rlv. 1-1151 AEY..,..7U.(tO-I'" COM::.\ftlrrril4\~,lYhl"NI' ESTATl! OF James H. Herendeen SS# 108-18-2173 10 01 1995 Tl111 achedulall opproprlate only lor I!olllu 01 _II dying liter December 12, IH2. This schadule I. to be usod lor sIIMure Inlot8811 whore lhe rile 01 tax Which wtll be appllclble when lhe Mure Inloroal V"lIln OI8IIlon and on nt clnnal be OO1abllshod with cer1s1n . Tho Inl1rUment aGIUng lhe 1lJlUre InlotOO1lo: X WIll SCHEDULE M FUTURE INTEREST COMPROMISE FiLe NUMBER 21-95-0777 TNOI (PI.... Ittach copy 01 InllNmlnl) Other I. IIenoftcll~" NAM!! OF DATe OF AGE TO BENEFICIARY RELATIONSHIP BIRTH NEAREST BIRTHDAY I. Nanc Herendeen Deu hter-in-Law 07 25 43 52 2. Chari H. Krenis Dau hter 11 29 38 57 2. Solan e Reoch Granddau hter 09 02 81 14 4. e. II. For decedenl8 dytng on or _ July 1, 1994, " a IUrvtvlng .pouse exercised or Inlends to exon:l.. ono 01 lhe lollowlng wt1hln 9 months 01 the decodonrs doo1h, check the appropU.IO box and oupply a copy 01 the docUmenlln w1tlch the surviving spouse OlCorcl... such wlthdrllWaI rtght Unllmltad ~ 01 wt1hdrawll Umttad ~ 1 of wtthdmwl III. EJplanlUon 01 COmpromlaa Olllr: (If moro opsce 10 noodod, enoch Iddlllonal e.s X II" .heelS) IV. Summery of COmpromlaa Ollar: 1. Amount Dr Future Interest. . . . . . . . . . . , . . . . . . . . . . . . . . . S 621,887.09 2. Value 01 Uno 1 OlCompt from !IX as amount paaslng to charlUes, ole.. . . . . . . . . . . . . . , . . . . (a1oo Includa as part 01 tola1.hown on Uno 13 01 covor ShOOI) 2. Value 01 Uno 1 paaalng to .pou.. at appropUololax rolo . . . . . . . . . . . . . . . . . . . . . . . . Chock 1 Block [KJ 8%, 0 3%, 0 0% (a1oo Include as part 01 tola1.hown on Uno 10 of COvor Sh..l) 4. Value 01 Uno 1 T,,"bIe 11 Uneal Role. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (a1oo Include as part 01 101al.hown on Uno 19 of COvor Sh..l) e. Valuo 01 Unel T..oble 01 COllllotal Rllo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (a1oo Include as part 01 tolal.hown on Uno 17 01 COvor Sh..l) e. Tola1 Value 01 Futuro Inlotost (sum 01 Un.. 21h", 0 mull equal Uno 1) . . . . . . . . . . . . . . . , . s 5,000.00 s 0.00 S 616,887.09 S 0.00 s 621,887.09 Capyrlghl(c) 111II11 'arm taltw.r. ani)' CPSy.llm..lnCo Fa,m 1&00 Sch.dutl M IAlv. to-1I4' Internal Revenue Service Center Mid-Atlantic Region DO-23/PMU '.ll1 .;t 1- qlJ- 77 7 :1""'1 Dill: NO~ ,j G 1996 Ettatl 0': JAMI:S H. HERENDEEN'. o-dInl'. Social Security Nqll'!'Or. 106-16-2173V _.. D.lo 01 De.",: OCTOBER 01, 1995 peBOn to Contact,: _ BARBARA F1JNK Conll., Ttltp/lonl Number. 215-516-3946 ... DAUPHIN DEPOSIT BANK & TRUST COMPANY % LARRY A. HARTMAN, SENIOR VICE PRESIDENT 213 MARKET STREET HARRISBURG, PA 17101 0', bllll TII Clooln9 Llnlf (TIllI I. noli bUl lor 'II dUO) Our computaticn at the Federal tax liability tor the above estate is shown.below. It dces not include any interest or late payment penalties that may be charged. but other penalties have been considered in the computation. You should keep a copy ot this letter as a permanent record because ycur attorney may need it to close the probate prcceedinas tor the estate. Thi$ letter is evidence that the Federal tax return tor tbe estate has either been accepted as tiled, or has been accepted atter an adjustment that ycu aareed to. This is not a tormal cloRina aareement under section 7121 ot the Internal Revenue Code. We will not reopen this case, however, unless Revenue prccedure 94-68, reproduced on the back at this letter, applies. It you have any questions abcut this" letter, please write or call the person wbose name and telephone number are shown at the top at this letter. It you write to us with questions about this letter, please provide ycur telephone number and the .ost convenient ti.e tor us to. call it we need additional intormation. Please attach thia letter to any correspondence to belp us identity your case. Keep the copy tcr your records. Thank you tor your cooperation. Sinc rely yours, ,::R.: ::!!'/P h..J' bclosure 1 Copy at this letter Tentative tax ..................................................... S 295,060.68 Less: AQgregala gift taxes payable (lor gifts made alter 12-31-76) ............ S -0- UnlIled credit ....................................... ,192, /JOO. 00 CredI1lor Slala death taxes ............................... S 26,155.16 Credrt lor Federal gift taxes (on gifts prior 101-1-77) . . . . . . . . . . . . . . . . . S -0- Credit for foreign death taxes .............................. S -0- Credit lor lax on prior transfers S -0- Tolal subtractions ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216,955.16 Nel estale lax . . . . , . , . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . 5S 76,105. 52 . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - -. Penslties, if any .........................."........................ S -0- Ion') P.O. Box 331, Benealam, PA 19020 Lelter S27(SCI (Rev. 5-1411 ".-f,"- -..-- - - "1'. - <' 1.5:(;/ - /4 *' CDMMONWEALTH DF PENNSYLVANIA DEPARTMENT OF REVENUE c/ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. ZUUI HARRISIURG, PA 11121.0601 NOTICE OF INHERITANCE TAX APPRAISENENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAX .".Ih, II." III.HI ROBERT L KECK DAUPHIN DEPOSIT 213 MARKET ST HBG DATE ESTATE DF DATE.DF DEATH FILE NUMBER COUNTY ACN H BK 8 TR 12-23-96 HERENDEEN 10-01-95 21 95-0777 CUMBERLAND 101 A.aunt R..! t tad JAMES PA 17101 MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALDNO THIS LINE ... RETAIN LDWER PORTION FDR YDUR RECORDS ~ iiEii=i54TEif-AFii-m-:96riio,:YcniF-J;-riiiEifiTAifcE-"Ax-j(ppiiAYsEiriiiT~--.m;ciwANcE-oiiu--u----------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT DF TAX JAMES H FILE ND. 21 95-D777 ACN 101 DATE TAX RETURN WAS' I I ACCEPTED AS FILED ( XI CHANOED SEE ATTACHED ESTATE OF HERENDEEN 12-23-96 NDTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE DF RETURN BASED DN: ORIGINAL AND SUPPLEMENTAL RETURN ND. 01 1. R..I E.t.t. (Schedul. A) II) 109.000.00 NOTEr To inaure prop.,.. 2. Stocke ~ Bond. (Schedule 8) (2) 739.138 .13 cradlt to your account, 3. Clo..I)' Hald Stock/Partn.r.hlp Int.r.d (Schedule C) (5) 8 1720.00 sub.it the upper portion 4. "artg.g../Not.. RRahabl. (Schedule D) (It) 25.321.12 of this for. with you,.. 5. Cam/Bank DapoaUa/Hhc. Par.onal Prop."ty (Schedule EJ (5) 51.651.21 tax payaent. 6. Jointly Owned Property (Schedule FI (61 .00 7. Tr,,"ofe.. (Schedule 01 171 ID .495. DO e. Totel Auete leI 944.325.46 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Fun.,..l EKPan.../AdII. COltl/HiIC. Expen... (Schedul. H) (9) 10. Debts/nortg.g. Liabiliti../liana (Schedul. II (10) 11. Total Daduction. 12. Hat Value of Tax Return 13. Charitable/Gov.rn..ntel Dlqua,t. (Schedule J) 14. Net V.lu. of Elt.t. Subject to Tax 63.461.13 10.18B.74 1111 (121 IUI 1141 7~.it4q A7 870.675.59 .DD B70.675.59 NDTI!: I~ an a.....m.nt wa. is.u.d pr.viously, lin.. r.~l.ct figuros that includa the total of 6bb ASSESSMENT OF TAX: 15. A.aunt of Line 14 at Spou..l rat. (15) 16. Aaount of Lin. 14 taxable at Lin.al/CI... A rat. (16) 17. A.ount of Line 14 taxable .t Collataral/CI... 8 rat. (17) 18. Prinoipal Tax Du. 14. IS and/or 16, 17 and 18 will r.turn. a......d to dat.. .00 X .00. 10.495.00 X .06. .00 X .15. lie I .00 629.70 . DO 629.70 TAX CREDITS: PAYNENT DATE 12-29-95 06-28-96 RECEIPT NUNBER AAOB245B AA1129B9 DISCOUNT (+' INTEREST I-I 31.49 .OD ANOUNT PAID 25.000.0D 11.117.44 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 36.148.93 35.519.23CR .00 35.519.23CR · 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" ICRI. YOU HAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I \. 15-&1- I:J.. COMMDNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT c.-~ '~" BUREAU OF INOIVIOUAL TAMES IHtlERI1AHCE TAX DIVISION DEP'. nOIlO) HARRISBURC, PA 11121-0601 11"""1111' 11'."1 ROBERT L KECK DAUPHIN DEPOSIT Z13 MARKET ST HBG DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-06-97 HERENDEEN 10-DI-95 21 95-0777 CUMBERLAND 201 AMount R....1tt.d JAMES BK & TR PA 17101 MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 HOTEl To In aura proper cradit to your account, sub.it tha uppar portion of thl. for. with your t.k pay",.nt. CUT ALDNG THIS LINE ... RETAIN LOWER PDRTION FDR YDUR RECDRDS ~ iiEv:il,iij-i!x-jiFji-nz:91.-i------Mitii-iNH€iiii'ANc'E-filif-sTA'TiH'ENf-o"-ilcfciii.iiiT--iiiit-------------------- ESTATE OF HERENDEEN JAMES H FILE ND. Zl 95-0777 ACN ZDl DATE 01-06-97 THIS STATEHEHT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN 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 DR RECORD ADJUSTMENT, 1Z-Z3-96 PRINCIPAL TAX DUE, Z5.556.95 PAYMENTS (TAX CREDITS), PAYMENT DATE 12-29-95 06-Z8-96 01'DZ-97 RECEIPT NUMBER AA08Z458 AA1129B9 REFUND DISCOUNT (+) INTEREST (-) .00 .00 .00 AMOUNT PAID Z4,401.79 11,117.44 9.96Z.28- TDTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 25.556.95 .DO .00 .00 . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I H ~ 0: i [;~C,/ - /.:i (!....- 1* CDMMDNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT BUREAU OF INDIVIDUAL TARES INHERITANCE faX DIVISIO"l DEPJ. 1I0UI UARRISBURG, PA 1712'.0601 II,.IU'I.'" III.'" ROBERT L KECK DAUPHIN OEPDSIT 213 MARKET ST HBG DATE ESTATE DF DATE DF DEATH FILE NUMBER CDUNTY ACN 01-06-97 HERENDEEN 10-01-95 21 95-0777 CUMBERLAND 101 H JAMES OK & TR Allount R..t tt.d PA 17101 MAKE CHECK PAYABLE AND REMIT PAYMENT TDc REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTEI To In Iura proper credit to your account, lub..lt the upper portion of thl. form with your tax pay...nt. CUT ALONG THIS LINE ~ RETAIN LOWER PDRTIDN FDR YOUR RECDRDS .... iiE'v=iioii'i-Ex-jijij.--n2'=9r.-rm---iiiiii-iNifiiiiYliNi:if-fAlCSTATEHENf-ijF-ACcciiiiif--io-oiiim---mmn------- ESTATE OF HERENDEEN JAMES H FILE ND. 21 95-0777 ACN IDl DATE 01-D6-97 THIS STATEHENT IS PRDVIDED TD ADVISE DF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHDWN BELDW IS A SUHHARY OF THE PRINCIPAL TAR DUE, APPLICATIDN OF ALL PAVHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PR~JECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 12-16-96 PRINCIPAL TAX DUE, . 629.70 PAYMENTS (TAX CREDITS), PAYMENT DATE 12-29-95 RECEIPT NUMBER AAOB2458 DISCOUNT (+) INTEREST (-) 31.48 AMDUNT PAID 598.21 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TDTAL DUE 629.69 .01 .00 . D1 . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FDR CALCULATION DF ADDITIONAL INTEREST. C IF TDTAL DUE IS LESS THAN fl, NO PAYHENT IS REQUIRED. IF TDTAL DUE IS REflECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FDR INSTRUCTIONS. ) STATUS REPORT UNDER RULE 6.12 Na11Ie of Decedent: Jllmes II. lIerendeen Date of Death: October I. I ClCl~ will 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 No x 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: Februsrv 2. 19C1g 1995-00777 Admin. NO. 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 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. In . . Dauph~Il?Il1t.:)lnnk and Tr st Company Date:: 9-16-Cl7 BY: Y" Co . ~ 'Ill Si nature Ro ert L. Keck Assistant Vice President/Trust Officer Robert L. Keck Name (Please type or print) ~':J r:L l,l.! iL: Ln i"'- fj\ 'J) :J 00 Hail Code - 001-02-05 P. o. 80K 2961 Address Harrisburg. PA 17105 (717 I 255-2148 Tel. No. Capacity: x personal Representative counsel for personal representative cc: Victor A. Bihl, Esquire (MAli: rmf/J\M3) PRINCIPAL Receipts: Per Inventory Filed or Balance of Prior Account This Account Net Gain (or Loss) on Sales or Other DispositionlPrincipal Less Disbursements: Debts of Decedent Funeral Expenses Administration Expenses FederallState Taxes Fees & Commissions Family Exemption 10,589.63 1,928.82 2,663.56 112,222.96 56,000.00 3,500.00 Page 933,830.46 546.27 3 3 4-7 6,601.22 ....-....-....- 940,977 .95 ......-...--........-........... 186,904,97 8 8.9 9.11 11 11 11 Balance before Distributions Distributions to Beneficiaries Principal Balance on Hsnd For Information: Investments Made Changes in Investment Holdings INCOME Receipts: Per Prior Account Filed This Account Net Gain (or Loss) on Sales or Other DispositionlIncome Less Disbursements Balance Before Distribution Distributions to Beneficiarios Income Balance on Hend For Information: Investmente Made Changes in Investment Holdings Combined Balance on Hand -2- 754,072,9B 619,792.45 12.13 ...-........... 134,280.53 11. 1~ 0,00 56,163,28 16.22 7,82 23 -............ 56,171,10 4,565,91 21,.25 .............. 51,605,19 49,702,01, 26.27 .................. 1,903.1~ 28 29 136,183,6B 1996-02-21 3,328.066 shares Hunicipal Income Opportunities Shares of Beneficial Interest Net Proceeds 27,745.04 Fid. Acq. Value 27,040.54 704,50 0.00 1996-02-21 641 eharDs Nuveen Tax Exempt Unit Trust Ineured Pa Series 143 Net Proceeds 69,086.98 Fid. Acq. Value 68,266.50 820.48 0.00 ., 1996-06-03 $10,000 Mechanicsburg PA Municipal Authority Sewer Revenue Bonds 4\ due 6/1/96 Net Proclleds 10,000.00 Fid. Acq. Value 9,986.48 13.52 0.00 1996-12.16 $10,000 Allegheny County PA Bonds MBIA DTD 7/15/94 5.875\ due 9/15/2011-04 Net Proceeds 10,150.00 Fid. Acq. Value 10,275.48 0.00 125.48 1996-12-16 $10,000 Pennsylvania State Turnpike Commission Turnpike Revenue Bonds Series L MBIA DTD 6/1/91 6\ due 6/1/2015-01 Net Proceeds 10,100.00 Fid. Acq. Value 10,079.40 20.60 0.00 1996-12-16 $10,000 Temple University Commonwealth system of Higher Education PA Hospital Revenue Series A Bond 7.25\ due 8/1/2016 Net Proceeds 10,383.50 Fid. Acq. Value 10,775.83 0,00 392.33 -6- o. DISBURSEMENTS OF PRINCIPAL Debts of Decedent: 1995.11-01 Lawns Unlimited, Inc. - Lawn Maintenance 212.00 1995-11.06 Sammons Communication _ Utility Expense 19.98 1995-11-27 Eleanor F Herendeen Reimbursement of Restoration Repair to Real Estate 233.00 1995-12.26 Internal Revenue Service 1995 4th Quarter Estimated Personal Income Tax 2,390.00 1995-12-26 PA Department of Revenue 1995 4th Quarter Estimated Personal Income Tax 375.00 1996-01-18 Dauphin Deposit Bank and Trust Co. . Visa Payment 54.04 1996-01-18 So lunge L. Reoch - Dean Witter Money Market Fund 2,000.00 1996-03-13 Holy Spirit Hospital Hospital Care Expense 25.44 1996-04-09 Internal Revenue Service 1995 Personal Income Tax 2,275.00 1996-04-09 PA Department of Revenue 1995 Personal Income Tax 9.00 1996-06-24 Internal Revenue Service 1995 Additional Assessment Personal Income Tax 2,579.08 1996-10-04 PA Department of Revenue 1995 Personal Income Tax Additional Assessment 82.10 1997-01-17 PA Department of Revenue 1995 Personal Income Tax Additional Assessmsnt 334.99 --.......-.....- 10,589.63 Funeral Expenses: 1995-11-06 Eleanor F Herendeen _ Reimbursement for Internment License Fee 500.00 -8- 1995-11-06 Eleanor F Herendeen - Reimbursement for Wake Expenses 296.82 1995.11-06 Myers-Harner Funeral Ilome Inc. - Funeral Expense 1,132.00 1,928.82 Administration Expenses: 1995-10-11 Cumberland County Register of Wills - Probate Fees 386.00 1995-10-12 Cumberland County Register of Wills - Probate Fees 12.00 1995-10-25 Cumberland Law Journal - Cost of Advertising and Proof of publication 40.00 1995-11-01 American Water Company - Utility Expense 36.25 1995-11-01 Cumberland County Register of Wills . Five Short Certificates 15.00 1995-11-06 Eleanor F Ilerendeen - Reimbursement for Storage and Handling of Canopy @ GT Watts Inc. 62.50 1995-11-06 Keystone Oil Products Corp - Heating Oil 108.98 1995-11-10 Eleanor F Herendeen Reimbursement of Lawn Maintenance 121.90 1995-11-16 George Ilaar, Auctioneer - Appraisal Fee of Personal Property 25.00 1995-11-20 Patriot News Company - Cost of Advertisement and Proof of Publication 158.68 1995-11-29 East Pennsboro Township Utility Expense 96.53 1995-11-30 Mark E Hilbert & Associates Appraisal of Real Estate at 50 Circle Dr. 250.00 -9- 1995.12-01 Keystone Oil Products Corporation - Heating Oil 140.13 1995-12-21 Recorder of Deeds - Cumberland County Recording Fee for 309 Blacklatch Lane. Camp lIill Pa, 12.00 1995-12-21 Recorder of Deeds - Cumberland County Recording Fee for 50 Circle Drive, Cemp lUll Pa. 13,00 1995-12.27 Orendore Ground Maintenance Snow Removal 25,00 1995.12-27 Orendore Ground Maintenance _ Snow Removal 25.00 1996-01.02 Jerry's Sweeter's Sweot'n Grow. Snow Removal & Lawn Maintenance 68.90 1996-01-02 Keystona Oil Product~ Corporation . Heating Oil 157.34 1996-01-02 Keystone Oil Products Corporation - Repairs to Burn Motor 74.35 1996-01-02 Keystone Oil Products Corporation - Repairs to Burn Motor 73.00 1996-01-19 Orendorf Ground Maintenance Snow Removal 135.00 1996-01-22 Credit Bureau of Greater Harrisburg - Property Search 32.00 1996-06-27 Cumberland County Register of Wills - Cost of Filing Pa Inheritance Tox 37.00 1996.07-19 Cumberland County Register of Wills . Additional Probate Fee 105.00 1996-09-18 Cumberland County Register of Wills - Amended Pa Inheritance Tax Fee 15,00 1996-11-13 Internal Revenue Service _ 1996 Fiduciary Income Tax 82.00 1996-11-13 PA Department of Revenuo _ 1996 Fiduciary Income Tax 9.00 -10- ~'Ili..,.:.<~\.,CJill;l,".!""-jj,'~'~i'''''_''.J",.'i<lolli '" ;~~~,-,--_:::_ _L''7't,-n~'"--._''N.~,- ~":,, '~~'__:-' ii _":'_-_'__:_,~-~~~.:'_-:.s./ ,,,,;'N.:' 1997-12.04 AON Risk Services . Banks Blanket Insurance Annual Premium on 50 Circle Dr. 45.00 Reserves: Cumberland County Register of Wills . Account Filing Fees 300.00 Dauphin Depoeit Bank and Trust Co. . Notary Fee 2.00 2,663.56 Federal and State Taxes: 1995-12.29 Cumberland County Register of Wills . Pa Inheritance Tax 25,000.00 1996.06.27 Cumberland County Register of Wills . Pa Inheritance Tax Balance Due 11,117.44 1996-07-02 Internal Revenua Service . Federal Estate Tax 76,105.52 ...........-. 112,222.96 Fees and Commissions: Dauphin Deposit Bank and Trust Co. . Executor's Fee 28,000.00 Wion, Zulli & Seibert . Attorney's Fee 28,000.00 56,000.00 Family Exemption: 1997.02.27 Eleanor F. Herendeon . Cash 3,500.00 3,500.00 Total Disbursements of Principal 186,904.97 -11. DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES 1995-11-20 James H Herendeen Trust Under 1,858.00 Will - Principal Distribution of Household Furnishings 1995-12.21 James H Herendeen Trust Under 2,000.00 Will - Principal Distribution 1996-01-22 James H Herendeen Trust Under 109,000.00 Will - 50 Circle Drive, Camp Hill Pa 17011 1996.01-22 James H Herendeen Trust Under 24,712.56 Will - Mortgage on 309 Blacklatch Lane, Camp Hill Pa 17011 1996-02-07 James H Herendeen Trust Under 13,068.75 Will -200 shares AT&T Corporation 1996-02-07 James H Herendeen Truet Under 12,825.00 Will - 200 shares Amoco Corporation 1996-02-07 James H Herendeen Trust Under 54,937.50 Will - 1,500 shares Bel1South Corporation 1996-02-07 James H Herendeen Trust Under 35,671.88 Will - 500 shares Citicorp 1996-02-07 James H Herendeen Trust Under 57,625.00 Will - 800 shares Exxon Corporation 1996-02-07 Jamos H Herendeen Trust Under 28,340,63 Will - 300 shares International Buainess I Machines Corporation l 1996-02-07 James H Herendeen Trust Under 29,475.00 Will - 400 shares Johneon & "1 Johnson 1996-02-07 James H Herendeen Trust Under , 16,996.88 Will - 300 shares Merck & -I Company Inc, I t I 1996-02-07 James H Herendeen Truet Under 23,281.25 Will - 1,000 shares P P & L Resources Inc. -12- -13- "r',' ,'" . -15- RECEIPTS OF INCOME Dividends: 1995.11.14 Neveen Municipal Bond Fund Inc. Common 282.83 1995.11-14 Neveen Municipal Bond Fund Inc. Class A 4.32 1995.12-04 Nuveen Municipal Bond Fund Inc. 282.83 1995-12-15 Neveen Municipal Bond Fund Inc. 4.32 1995-12-18 American Water Works Inc. 60.72 1995-12-28 Dean Witter Multi St Mun Series Trust Pa Series 221.25 1995-12-28 Dean Witter Multi St Mun Series Trust Pa Series 237.65 '1995-12-29 Municipal Income Opportunities Share of Beneficial Interest 174.72 1995-12-29 Municipal Income Opportunities Share of Beneficial Interest 184.20 1996-01-19 BellSouth Corporation 1996.01.19 Citicorp Corporation 1996-01-19 Citicorp Corporation 540.00 60.00 90.00 1996-01-19 Nuveen Tax Exempt Unit Trust Insured Pa Series 143 347,29 1996.01.19 NYNEX Corporation 1996-01-29 Amoco Corporation 472 .00 120.00 9.00 1996-01-29 Columbia/HCA Healthcare Corporation 1996-01-29 Duke Power Company 102.00 1996-01-29 Exxon Corporation 600,00 1996-01-29 International Business Machines Corp. 75.00 1996-01-29 Johnson & Johnson Co. 132.00 -16- 1996-01-29 Neveen Tx Exempt Unit Trust Ineured Pa Series 143 347.68 1996-02-01 AT&T Corp 66.00 1996-02-01 BellSouth Corporation 468,00 225.00 1996-02-20 Citicorp 1996-02-21 Dean Witter U S Government Sec Trust 459,39 1996-02-21 Dean Witter Multi St Mun Series Trust Pa Series 211.33 1996-02.21 Merck & Company Inc. 1996-02-21 Municipal Income Opportunities shares of Beneficial Interest 102.00 185.39 1996-02-21 Nuveen Tax Exempt Unit Trust Insured Pa Series 143 Accrued Dividends 942.27 1996-03-11 Amoco Corporation 417,50 130.00 1996-02-21 PP & L Resources Inc. 1996-12-19 Dean Witter U S Government Secured Trust 490.63 1996-12-19 Dean Witter U S Government Secured Trust 537.83 8,583.15 Interes t: 1995-10-25 Dauphin Deposit Bank and Trust Co. Certificate of Deposit #8100714622 7.02' due 10/28/97 96.10 1995-11-01 Capital Reserve Account 22.03 1995-12-01 Capital Reserve Account 216.11 1995-12-14 James H & Nancy Herendeen, Jr. 309 Blacklatch Lane Camp Hill, Po 17011 7.5' mortgage due 7/1/2003 158.26 1995-12-14 James H & Nancy Herendeen, Jr. 309 Blacklatch Lane Camp Hill, Pa 17011 7.5' mortgage due 7/1/2003 157.00 -17- 1996-06-20 $10,000 Temple University 241,67 Commonwealth system of Higher Education pa Hospital Revenue Series A Bond 7.25% due 8/1/2016 1996-06-24 $10,000 Hechan1caburg PA 66.67 Municipal Authority Sewer Revenue Bonds 4% due 6/1/96 1996-07-01 Capital Reserve Account 1,579.07 1996-08-01 Capital Reserve Account 1,536.70 1996-08-01 $10,000 Temple University 362.50 Commonwealth system of Higher Education Pa Hospital Revenue Series A Bond 7.25% due 8/1/2016 1996-09-03 Capital Reserve Account 1,368.31 1996-09-16 $10,000 Allegheny County PA 293.75 Bonds MBIA DTD 7/15/94 5.875% due 9/15/2044-04 1996-10-02 Capital Reserve Account 1,412.01 1996-11-01 $10,000 Delaware County Pa 300.00 Individual Authority Pollution Control Revenue Bonds Scott Paper Company project DTD 11/1/76 6% due 11/1/2006-95 1996-11-05 Capital Reserve Account 1,413.72 1996-11~15 $10.000 philadelphia PA RFDG 262.50 Series A 5.25% due 5/15/2004 1996-12-02 $10,000 Pennsylvania State 300.00 Turnpike Commission Turnpike Revenue Bonds Series L MBIA DTD 6/1/91 6% due 6/1/2015-01 1996-12-04 Capital Reserve Account 1,322.55 1996-12-16 $10,000 Allegheny County PA 148.51 Bonds MBIA DTD 7/15/94 5.875% due 9/15/2011-04 1996-12-16 $10,000 Pennsylvania State 25.00 Turnpike Commies ion Turnpike Revenue Bonds Series L M8IA DTD 6/1/91 6% due 6/1/2015-01 -19- 1996-01-19 Dean Witter Realty Income 100.00 Partnership I LP 1996-01.19 Dean Witter Money Market Fund 103.40 1996.01-24 Dean Witter Money Market Fund 1,019,29 1996.01.30 Dean Witter Money Market Fund 0.14 1996-01-26 .001 shares Municipal Income 0,01 Opportunities Sharee of Beneficial Interest 1996-01.29 Dean Witter Money Market Fund 133,70 1996-02-12 Dean Witter Coldwell Tax 150.00 Exempt Quarterly Distribution for Period ending 12/31/95 1996.02-28 Dean Witter Realty Income 100,00 Partnership I LP Distribution for Quarter Ending 1/31/96 1996-02-28 Dean Witter Reynolds . Cash 445.29 1996-02-28 Dean Witter Money Market Fund 6.22 1996-03.28 Dean Witter Money Market Fund 7.03 1996.04-29 Dean Witter Money Market Fund 3.13 1996-05-30 Dean Witter Money Msrket Fund 0.70 1996-12-24 Dean Witter Realty Income 179.00 Partnership I LP 1997-03.03 Internal Revenue Service - 1,527.00 Income Portion of Refund on 1995 Fiduciary Income Tax 1997-04-08 Dean Witter Realty Income 179.00 Partnership I LP 1997-04-08 Dean Witter Coldwell Tax 150.00 Exempt Quarterly Distribution for Period ending 6/30/96 1997-04-08 Dean Witter Realty Income 200.00 Partnership I LP - Distribution for Quarter Ending 7/31/96 -21. 1997-04.08 Dean Witter Realty Income Partnership . Special Distribution for Quarter Ending 8/30/96 245.60 1997-04-08 Dean Witter Coldwell Tax Exempt Quarterly Dietribution for Period ending 9/30/96 1997-04-08 Dean Witter Coldwell Tax Exempt Quarterly Distribution for Period ending 12/31/96 162.60 162,60 1997.04-08 Dean Witter Reynolds - Closing Balance of Active Asset Money Trust 1,22 1997-04-16 Pa Department of Revenue 1995 Pa Fiduciary Refund 1997-05-19 Dean Witter Coldwell Tax Exempt Quarterly Distribution Payable 3/31/97 163.00 162.60 1997-06-03 Dean Witter Realty Income Partnership I LP Special Distribution 1997-06-03 Dean Witter Realty Income Partnership I LP 1997-09.11 Dean Witter Coldwell Tax Exempt Quarterly Distribution 2,201.00 179.00 162.50 1997-10-01 Dean Witter Realty Income Partnership I LP 154.40 -........-... 8,108.21 .........-.-.. Total Receipts of Income 56,163.28 -22- GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS/INCOHE Gain Loss 1996-01-29 113.38 shares Dean Witter U S Government Sec Trust Net Proceeds 1,039.70 Fid. Acq. Value 1,028.46 11.24 0.00 1996-01-29 42.822 shares Dean Witter Multi St Mun Ser Tr Pa Ser Net procaeds 465.90 Fid. Acq. Value 458.90 7.00 0.00 1996-01-30 2.058 shares American Water Works Inc. Net Proceeds 76.62 Fid. Acq. Value 60.72 '15.90 0.00 1996-02-21 42.193 shares Municipal Income Opportunities shares of Beneficial Interest Net Proceeds 349.59 Fid. Acq. Value 357.78 0.00 8.19 1996-02-21 22 shares Municipal Income Opportunities Shares of Beneficial Interest Net Proceeds 168.41 Fid. Acq. Value 186.54 0.00 18.13 Total Gains and LosseslIncome Less Loss 34.14 26.32 26.32 .--..--.--...... Net Gain 7.82 - -23- DISBURSEMENTS OF INCOME 1995.11-07 Dauphin Deposit Bank and Trust 52,72 Co. - Commission 1995-12.06 Dauphin Deposit Bank and Trust 39,30 Co. - Commission 1996-01.08 Dauphin Deposit Bank and Trust 155.02 Co. . Commission 1996.02-07 Dauphin Deposit Bank and Trust 259,74 Co. - Commission 1996.03-06 Dauphin Deposit Bank and Trust 164.71 Co. - Commission 1996-04-08 Dauphin Deposit Bank and Trust 102.44 Co. - Commission 1996.05-07 Dauphin Deposit Bank and Trust 188.75 Co. - Commission 1996-06.06 Dauphin Deposit Bank and Trust 123.49 Co. - Commission 1996-07-08 Dauphin Deposit Bank and Trust 107.75 Co. . Commission 1996-08.06 Dauphin Deposit Bank and Trust 121.35 Co. - Commission 1996-09-06 Dauphin Deposit Bank and Trust 6B.42 Co, . Commission 1996.10-07 Dauphin Deposit Bank and Trust 85.29 Co. . Commission 1996-11-06 Dauphin Deposit Bank and Trust 85.69 Co. - Commission 1996-11-13 Internal Revenue Service . 1,527.00 1995 Fiduciary Income Tax 1996-11-13 PA Department of Revenue - 209,00 1995 Fiduciary Income Tax 1996-12-06 Dauphin Deposit Bank and Trust 94.25 Co. - Commission 1997-01-07 Dauphin Deposit Bank and Trust 31. 22 Co. - Commission 1997-02-06 Dauphin Deposit Bank and Trust 151.04 Co. - Commission -24- 1997-03-06 Dauphin Deposit 8enk and Trust 69.39 Co, - Commission 1997-04-08 Dauphin Deposit Bank and Trust 76.13 Co. - Commiss ion 1997-05-06 Dauphin Deposit Bank and Trust 153.65 Co, - Commiss ion 1997-05-16 Alexander & Alexander - 13.00 Blanket Insurance Coverage 1997-06-06 Dauphin Deposit Bank and Trust 216.43 Co. - Commission 1997-07-08 Dauphin Deposit Bank and Trust 79.61 Co. - Commiss ion 1997-08-06 Dauphin Deposit Bank and Trust 79.91 Co. - Commission 1997-09-08 Dauphin Deposit Bank and Trust 75.02 Co. - Commission 1997-10-07 Dauphin Deposit Bank and Trust 96.90 Co. - Commission 1997-U-06 Dauphin Deposit Bank and Trust 138.69 Co. - Commission -.........-..- 4,565.91 ---...----..... Total Disbursements of Income 4,565.91 -25- DISTRIBUTIONS OF INCOME TO BENEFICIARIES 1995 -11.10 James H Ilerendeen Trust Under 1,001.65 Will - Principal Distribution 1996-01-12 James H Herendeen Trust under 848.98 Will - Principal Distribution 1996-02-09 James H Ilerendeen Trust Under 964.38 Will - Income Distribution 1996-03.01 James H Herendeen Trust Under 220.46 Will - Income Distribution 1996.03-08 James H Herendeen Trust Under 8,717.91 Will - Income Distribution 1996-04-09 James H Herendeen Trust Under 1,946.27 Will - Income Distribution 1996-05-08 James H Herendeen Trust Under 3,586.17 Will - Income Distribution 1996.06.12 James H Herendeen Trust Under 1,019.00 Will - Income Distribution 1996-07-09 James H Herendeen Trust Under 1,367.41 Will - Income Distribution 1996-08-07 James H Herendeen Trust Under 2, 307 . 84 Will - Income Distribution 1996-09-10 James H Herendeen Trust Under 1,297.70 Will - Income Distribution 1996-10-08 James H Herendeen Trust Under 1,620.47 Will - Income Distribution 1996-11-07 James H Herendeen Trust Under 1,628.03 Will - Income Distribution 1996-12.06 James H Herendeen Trust Under 1,528.30 Will - Income Distribution 1997-01-07 James H Herendeen Trust Under 2,068.51 Will - Income Dietribution 1997-02-07 James H Herendeen Trust Under 1,394.33 Will - Income Distribution 1997.03-06 James H Herendeen Trust Under 1,318.42 Will - Income Distribution 1997-04-08 James H Herendeen Trust Under 1,446.56 Will - Income Dietribution -26- . ,. , . , 'j' , -27- . INCOME BALANCE ON HAND Current Valuo 12/05/97 Fiduciary Acquisition Value ......... .............. COBh: Capital Reperve Account 1,903.15 1,903.15 .....-...... .-..-.....--- 1,903.15 1,903.15 -- -,-In cl. -28. . INFORMATION SCHEDULES. -INCOHE Investments Made: 1995.12.18 2.058 shares American Water Works Inc. from Income Reinvestment 60.72 1996.01.29 Dean Witter Multi St Hun Series Trust PA Series 221,25 1996.01-29 Dean Witter U S Government Secured Trust 490.63 1996.01.29 Dean Witter Multi St Mun Ser Tr Pa Series 237.65 1996.01.29 Dean Witter U S Government Sec Trust 537.83 1996.01.29 Municipal Income opportunities Shares of Beneficial Interest 174.72 . 1996-01.29 Municipal Income opportunities Shares of Beneficial Interest ,20. 1996.02.21 21.445 shares Municipal Income Opportunities shares of Beneficial Interest ;.,"' , -29- " f. . PROPOSED DISTRIBUTIONS TO BENEFICIARIES Current Value 12/05/97 ........ To: Dauphin Deposit Bonk and Trust Company, Trustee under Will of James H. Herendeen . Entire Balance principal ...---...- 105,148.85 Capital Reserve Account Securities: .-.-..--..- $10,000 Delaware County PA Individual 10,047.80 Dev Authority Pollution Control Revenue Bonds Scott Paper Company Project DTD 11/1/76 6% due 11/1/2006-95 $10,000 philadelphia PA RFDG Series A 10,444.90 5.25% due 5/15/2004 20 units Dean Witter Realty Income 6,680.00 Partnership I' LP Income Capital Reserve Account 1,903.15 --....--.....-.- ...-......-... 1,903.15 Fiduciary Acqu1eition Value .-.......-....... 105,148,85 10,111. 73 10,299.95 8,720.00 134,224.70 136,183.68 -30- . . . AFFIDAVIT Oeuphin Deposit Bank and Trust Company, Executor under the Last Will end Testament of James H. Ilerendeen, deceased, hereby declares under oath that it has fully and faithfully discharged the duties of its office; that the foregoing Account is true and correct and fully discloses all significent transactions occurring during the accounting period: that all known claims against the Estate have been paid in full: that, to its knowledge, there are no claims now outstanding against the Estate; that all taxes presently due from the Estate have been paid: and that more than four months have slapsed since the first complete advertisement of.the granting of letters in this Estate. ----;;:;t-- ~ -?V'r y-p Dauphin Deposit Bank and Trust Company Subscribed and sworn to by . Robert L. Keck before me this ~ day day ?fJl,...o....J)l-C'V, 199.2- ltIJA_U, O/,11.~~ - . Notary Public Nolorlal Seol Grace A. Gordon, Notary Public H.rrlBburg, Dauphin County MV CommloBlon Explreo Sept. 25, 2DDD Member "',nowlv.ol. Assocl.lIon 01 Nol.rles " -31- /5= "t- II * COMMDNWEALTH DF PENNSYLVANIA DEPARTMENT DF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT c/ alJREAU OF IHDIVIOUAL TAMES .""IUTlHCl taX DIVISION Dt:Pf. II'''' HARMlllURG, PA "1'....01 ...."n.. ,,,,n.'" LARRY A HARTMAN DAUPHIN DEPOSIT BK 213 MARKET ST HBG DATE E8TATE DF DATE DF DEATH FILE NUMBER CDUNTY ACN 05-10-1999 HERENDEEN 10-01-1995 21 95-0777 CUMBERLAND IDl A.ount R..ut.d JAMES H B TR l..i PA 17lO~:L: MAHE CHECK PAYABLE AND REMIT PAYMENT TDI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE I To In.ur. proper cr.dlt to your aocount, .ubMlt the upper portion of thl. for. with your tax payaent. CUT ALONG THIS LINE ~ RETAIN LDWER PORnDN FDR YDUR RECDRDS ~ iik"'Y:n.ii'i-ix-"FP"roY:97y------iiiiii"iiliiiRiTAiicrfi.x-s;'lifEiifrif-or=-iiccoi.iHf--iiiii-------------m---n ESTATE DF HERENDEEN JAMES H FILE NO.21 95-D777 ACN 101 DATE 05-10-1999 THIS STATEHENT IS PROVIOED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAM DUE, APPLICATION OF ALL PAY"ENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT. 04-21-1999 PRINCIPAL TAX DUE.. 37 ,393.34 PAYMENTS (TAX CREDITS). PAYMENT DATE 12-29-1995 06-28-1996 D4-21-1999 RECEIPT NUMBER AA08245B AA112989 REFUND DISCOUNT (+) INTEREST/PEN PAID (-) 1,315.79 .00 .00 25,ODO.00 11 ,11 7 . 44 39.89- AMOUNT PAID TDTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 37,393.34 .OD .00 .00 . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN U, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. I .... ._ '"'" r 4_. .. . /6--6/-/~ BUREAU OF INDIVIDUAL TAMES INHERITANCE TAM DIYISION I)[PT. 280601 HARRISaURa, PA 171r8-0601 CDHHDNWEALTH OF PENNSYLVANIA DEPARTHENT DF REVENUE INHERITANCE TAX RECDRD ADJUSTHENT DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN LARRY A HARTMAN DAUPHIN DEPOSIT 213 MARKET ST HBG BK a TR \,' ", 'PA 17101 04-22-1999 HERENDEEN 10-01-1995 21 95-D777 CUMBERLAND 101 A.aunt Ra.Htad >. {/ * 'It-I"..."" 11"'" JAMES H MAKE CHECK PAYABLE AND REHIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17D13 NOTE I To Insura proper cradlt to your account, sub_It tha uppar portion of this for. with your taK pay.ant. CUT ALDNG THIS LINE ~ RETAIN LDWER PDRTION FOR YOUR RECDRDS ~ Rifv:i5!ij-Ejf-AFji-io9~97j------.-.-iN-HERi-fANc-i-TA-i-REl:ORD--ADj-usrifiNT--..----------------------------- ESTATE DF HERENDEEN JAMES H FILE ND. 21 95-0777 ADJUSTMENT BASED ON. VALUE OF ESTATE: PROTEST BOARD DECISION 1. Raal E.t.te (Schedule A) 2. Stock. and Bonds (Schadule 8) 3. Closaly Held stock/Partnarship Intare.t (Schadula C) 4. Hortg.ge./Notas Receivable (Schedule D) S. Ce.h/Bank Deposit./HI.c. Personal Property (Schedule E) 6. Jointly Owned Property (Schadule F) 7. Transfers (Schedule G) 8. Total A..at. DEDUCTIDNS AND EXEMPTIDNS: 9. Funeral Expense./AdMinistrative Cost./ HIscellanaou. Expen.e. (Schedule H) 10. Debta/Hortgaga Liabilitie./Llens (Schadul. Il 11. Total Deduotions 12. Net Value of Tax Return Charitabla/Governaent.l Baquests; Non-alect.d 9113 Trusts Hat Valua of eatat. SUbject to Tax 13. 14. TAX: IS. ..aunt of Line 14 at Spousal rat. 16. "aunt of Lina 14 taxable at Linaal/Clan. A rata 17. A_aunt of Lina 14 taxable at Collateral/Cl... Drat. 18. Principal Tax Du. TAX CREDITS: PAYNENT DATE RECEIPT NUNOER DISCOUNT 1+) INTEREST/PEN PAID (-) 12-29-1995 06-28-1996 04-21-1999 AA08245B AA1l29B9 REFUND 1.315.79 .00 .00 (9) lID) (15) (16) (17) ACN 101 (1) (2) (3) (4) (5) (6) (7) 109,000.00 739 ,138.13 8.720.00 25.321.12 51. 651. 21 .00 8.495.00 (8) 63.461.13 10.188.74 Ill! (12) 1131 (14) (Schedule 4) 240 .454 .88 M. 00 = 623 ,220. 71 M. D6 = .00M.15= lIe) ANOUNT PAID 25,000.00 11,117.44 39.89- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE DATE 04-22-1999 942.325.46 73.649.87 86B.675.59 5.00D.00 863.675.59 .00 37.393.24 .00 37.393.34 37 393.34 .00 .DO .00 · IF PAID AFTER DATE INDICATED. SEE REVERSE (IF TOTAL DUE IS lESS THAN fI, NO PAYNENT IS R"-QUIRED. FOR CAlCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.) /.5/..6/-- 1/1 BUREAU OF INDIVIDUAL TARES U.tERITAHC[ TAX DIVISION DEPT. I8I'U IlARRlSIURG, PA 11ua-0601 CDHHDNWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE PENNSYLVANIA ESTATE TAX RECORD ADJUSTMENT c::.... - "--I'" ..~, ...."1 '\ DATE ESTATE DF DATE DF DEATH FILE NUMBER COUNTY ACN 04-22-1999 HERENDEEN 10-01-1995 21 95-0777 CUMBERLAND 2Dl A.aunt R..ltt.d JAHES .},d ...i LARRY A HARTMAN DAUPHIN DEPDS1J BK B TR 213 MARKET STCl.;" HBG PA 17101 MAKE CHECK PAYABLE AND REHIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO CDURT HOUSE CARLISLE. PA 17013 HOTEl To insure proper credit to your eccount, sub.it the upper portion of this fora with your tax p.y..nt. CUT ALONG THIS LINE ~ RETAIN LOWER PDRTIDN FDR YDUR FILES ~ iiE'y:ii;z'.nX-AFP-rii3':97r----iii-piNNSVLVANiii-isTATi-YAX-iiiciiifJi-AiijuSYHiNT"iiii------------------- ESTATE OF HERENDEEN JAMES H FILE ND.21 95-0777 ACN 2Dl CODE DATE 04-22-1999 706 ADJUSTMENT BASED ON: ADMINISTRATIVE CDRRECTION 1. Credit For Stete Death Taxes as Verified 26,155.16 2. Pennsylvanie Inheritance Tax Assessed (Excluding Discount and/or Interest) 36,077.55 3. Inheritenca Tax Assassed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Totel Inheritence Tax Assessed 5. Pennsylvanie Estate Tex Due 6. Amount of Pennsylvania Estete Tax Previously Assessed Based on Federal Estate Tax Return 7. Additional Pennsylvania Estate Tax Due TAX CREDITS: PAYMENT DATE DISCOUNT (+) INTEREST/PEN PAID (-) RECEIPT NUMBER AMOUNT PAID . IF PAID AFTER THIS DATE. SEE REVERSE SIDE ( FDR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF TOTAL DUE IS LESS THAN '1. NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE DF THIS FORH FOR INSTRUCTIONS. I H .00 .00 C/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Jamcs II. IIcrcndccn Date of Deathl Octobcr I, 1995 Will No. Admin. No. 1995-0777 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 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. 1 is Yes, state the followingl 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 x 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. Allfirst Bank, Succcssor to Dauphin Dcposit BankJUld,-'l' ust Co ~ /~ e-__ Sign ture Assistant Robcrt L. Kcck and Trust Officer Da te: 11-8-99 :.:\ Name (Please type or print) P. O. Box 2961, Harrisburg, PA 17105-2961 Address ~.,,. j~? I 717) 255-2148 Tel. No. ,".-- ,,, .00 J ,."," ";,-.," Capacity: X Personal Representative Counsel for personal representative (KAH I rmf! AMJ )