Loading...
HomeMy WebLinkAbout95-00851 PETITION I'OI~ PRODA TE nnd GRANT OF LETTERS ~/-lqq5-gol E.,(a(t" 01 -1iildred S~mm:r a/,{O known as No. To: Reglsler of Wills for the ~ D,-ceascd. County of Clmlbcrland In lhe Sac/al Security No, 100-32-533" Commonwealth of Pennsylvania The pelltlon of lhe uuderslgned Te,peclfully repTcsenlS thai: YOUT pelltloneTls), who Is/arc 18 )'ears of age or oldeT an the execulom In lhe lasl will oflhe above decedent, dated _-.March 15. 1995 and codlcllls) daled N/A named .19_ (Italt rtle,'.nt clrcumSlances. t.,. rtRuncllllon. dtalh or urculor. tiC.) Decendenl was domiciled at death In CI.IIlberland COUjlly, Pennsylvania... with 011 er last family or p. Inelpal Tesldence al 258 E. Main Street, Shlremanstovn, ..A 17 . - . I' ..., ..roo.... t"~ \ i\ (lilt Iln'tl, number and munclplllity) Decendem, lhen 92 years of age, died October 27' ,19 95 at-Benava RehiWilit.ation Center . Excepl lIS follows, deccdent did not marry, was not divorced and did nol have a child born or adopted afler exccullnn of Ihe will ofiered faT pTDbalc; was nollhe victim of a killing and was never adjudlcaled Incompetent: Dccendenl al death owned propcrty with eSllmaled values as follows: (If domiciled in Pa.) All personal properly S 50,000.00 (If not domiciled In Pa.) Personal property In Pennsylvania S (If not domiciled in Pa.) Personal properly In Counly S Value of real cslale In Pennsylvania S 95.000.00 situated as follows: 250 E. Main Street, Shirananstovn, PA WHEREFORE, petltlonerls) Tespeetfull)' Teque'l(s) the probate of Ihe laSI will and codicil Is) presented herewith and Ihe grant of lellers testalllentary Iheron, (IntllmCnllUYi admlnlur:ulon c.t.a.; administration d.b.n.c.l...) i ,,- '6~ ~g c'::; .'- 7tE ,,~ ~o i Vi ~- -1T.< DAVID -l Y"l. -=>.-...1 - L .L (' , c''-C tt...-:- ( ,\';, "LL (}.:;- ~~[f-4'~ OATH OF PERSONAL REPUESENTATIVE COMMONWEALTH OF )'ENNSYLVANIA } sa COUNTY OF. ClJMD~ The petilioner(s) uboye'IlOmed .weaTls) or aflinn(s) Ihat the slalemenlS In lhe foregoing pelltlon are lrue nnd currc~ltu the best of Ihe knowledge nnd belief of petilioner(s) and thnt ns personal represen. tallye(s) Df I'~r nboye decedent pefilie.ner(s) will well and truly ndrnlnlstcr Ihe eslale according to law, Sworn 10 ur IIffirll1ed nml SllhS, cr, ib cd { 1;:; before me this, 31 _ d',." ~ D VI~ GAR ~:R , r.:-Pr'f'-lI1r-~__,--~\_ l~ '!- \ 7~ _ '1-)-I~L~/.,.L.:J ..l.-1:.J..,'U)JL:-i-J..Ii/ ' ~_ . MAIl0--C. LEW 1 g,- ,II,-ghlt., " l,\, \1J {, 1,./ ; I - '" 0;;' " " - ~ ;s: Estatc of Mildred s. Gardner I I>cccascd No. .;>./ -Iqqj- 851 DECREE OF PROBATE ANI> GRANT OF LETTERS AND NOW NnvFMnFTI 11 19~, In consideration of Ihe petlllon on the Teyerse side hereof, satlsfacloTY proof haying been pTesented befoTe me, IT IS DECREED Ihallhe Instrumenl(s) daled March 15, 1995 described therein be admllled to probate and filed of recoTd as the lasl will of MildredS. Gardner and Lellers ,. Testamentary are heTeby granted 10 J. David Gardner and William ~ BlackWell '-_I HUU/(ltA_tUt,)\ /-u-0'.} I 1 , ()jUlCU MARY C. LEWis" N.alslcrorWills 'R}-l'PLlUt FEES 235.00 Probate, Lellers, Etc. .,....,.. 5 Short CeTtlficates( B), .. . .. .. ... 524. 00 it;n\l~d!.li'3n ................ 5 12 . 00 JCP 5 5.00 TOTAL _ 5 :176 00 Filed '.. !'I.QY,~f:I.~~.~. Pt.. ~~~ 2,......., DIANE G. RADCLIFf, ESqUIRE (32112) A TIORNEY (Sup. Ct. I,D. 1'10.) 344B TRINDLE ROAD, CA~W HILL. PA 17011 ADDRESS (717) 737-0100 PHONE <<-:.;" f. , l.~: .::': ..J OU PHONES ATTORNEY NOVEMBER 14, 1995 " \ 0l1-lqq5-~51 Ii.: c-"; 1:,:'1 .. ,~ ,', t/ ~ -" ,~': ~,h ,:'t~;t~:!j~~j~1~}'t'.1{ ,;~ ,<i"~:~\;:5!t,, '.' ."".'" ,,/c,:,":, ,<t'>: ~~;-C';, ;;::.. '..' ' ' · ;;~'J{,~:f[~'~ . .., . .. . .. g. "..,... >" ". ,":r,~fJi:~..' . - '. . ,. .... . , '; ;--.:. -,,,'oc; .' - :.-,.;,~~\ cL.' .' .,.,., .... ' .' :" ,;(.\,<,; .,.~". . '. . - . ... -, ; '.' ':", :.',' ,"", ' ' , .' ,;', ,." '.. ' '; .,.... " :.-', ' :- '. ~. ,"" ..," - . '. . . --'je" _," .C' '.-'. . ...., . , ,'_ ::, ;, ,"_'__, i,: .:"... ': .- ",il. . ._ ,,;;,,\.,. , . . /i .... · .. ,', " _',)'; i _: " ," ....'~.:: '.j ';;".,'{,. ' .,.'..';:. .":< "~i.".'.':. '-':':\~<~ .' -';;'., ,,' . ..' :.,,~}~ "',,.-'" .,," . . ';-. '. ., ; .. .,,,,. ., , '.,g d. .:'. ,...,..: ":, ',' . !~.... . "J> . :.",:2;,':;:"" "n>:::i~~'s:}:t':;i:)"':' ",:>;, ",::~,;;-.;-, :,;.-1.""'';''''." ,..,'<,-"'; '-' ~'<i;"". ,- ' ", ;:'-,), --,,'" ,";' .. ,~:,c'J"-';' ",; _:,,-;, '-" -. " " ,,' _','-: .;" ,-, . ,,'-'.... "c'-"; , ',': ,..' ",--' -:,:: " " , . , ' ';, ,Yo 'I' :elf;'. t-l<w :'.: : ~JC ilj<i:f . .;, .,~' "" ,~!,,,,.~'i!i '" _K2i!::il~. ;, '_ -- {:t;L~~:"~,.':'r" ,FJ."', ~;..' !>"" '. ,., c.- ""' .Il:',", .~., i;N ,,-i . '_ ii_, ____.. __" ,....' :',~'-" f~.',-- 'W', ,.. .:...:_--::'~' .:' ".." . '" . . ;,"' ,;; . . ",. ".'- ' " ~. ~J ' ' .., :i ,-" . -" ~c~ ,_C' ," . .- ',Ci" , ;;~, :', ~ ..::; ~ :'_'f:':., ~{ ..'.- , ,-. ::, -- '- '- , ': ,.u:": . '.<c: ,," :;;s.{;,;C: :...'..~ <, . ., " ;:::,:,:;"\,;,;;,~;;;:'.'::;:"'- :. '.., , .'. ',;' .,'.,,:, ;:-- ~:" ,...'.,\:.:~,.- '/:'" ,;,"':~ :' '=.' "":'_""", :,::;,:,_~__':::"_" :'_ ,,-'__.: ::''',:''''; ':'..'c,-.:.- "-,,.,-:,~'--" -..,..}'..,.-' "" .\,-.'~ "r';:', ,i'e..:> . ~ ~ ~~ ~ ~ '~";;Jl~~~ ,~~;;~~3j~, _ " e ,"<'-:: '. . "..WX, ~ \ ; ~td ~ ~ th(~t S ~ ;~;;::. " , :",:- '- ' \ ' .'.. "(\,: .' , . IDust Ifill nub m.eghtm~ttt of MILDRED s. GARDNER BE IT REMEMBERED, that I, MILDRED S. GARDNER, of Shiremanstown, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments and writings in the nature thereof by me, at anytime heretofore made. ITEM 1: I direct that all my just debts and funeral expenses be paid as soon after my demise as may be convenient. ITEM 2: I give all tangible personal property owned by me at my death and all insurance policies on such property as follows: a. To those individuals who survive me by thirty (30) days who are designated on a list or memorandum signed by me which refers to this Will or is found with a copy thereof, I give and bequeath the items listed beside their names. b. '1'he (including items under balance any nubperagraph (a) above the bequest of which has lapsed), I give and bequeath to my residuary beneficiaries set forth in Item 3 herein, to be divided between said beneficiaries pursuant to a selection (preferable rotating procell!! a oeJ,ection) to be eilr.abllshed by my hereinafter name 11 <:o-executors, wherein each said beneficiary .. ~\2 :~I 1,~..u/U-). i .2.".1_../ (SEAL) MILDRED S. GARDNER \ G 1 shall be given an equal opportunity to select any items of personalty desired by said beneficiary without regard to value of the items selected. In the event any items remain after completion of the selection, or in the event a dispute arises as to tha fairness of the selection process established, I then authorize my Co-Executors to sell my remaining personalty, not selected or disputed, at public sale and to add the proceede derived from said sale to my residuary estate set forth in Item 3, distributable to the beneficiaries therein provided. ITEM 3: All the rest, residue and remainder of my Estate of whatsoever nature and wheresoever situate, whether it be real, personal or mixed, including any insurance policies therefor, property over which I have power of appointment, and proceeds from any insurance policies payable to my estate, I give, devise and bequeath to my son, DAVID GARDNER, my granddaughter, JENNIFER GARDNER CARDANI, and my niece, ELIZABETH BLACKWELL, in equal shares provided they survive me by thirty (30) days. In the event any beneficiary above named should fail to survive me by a period of thirty (30) days, said beneficiary's share shall lapse and shall be divided . equally between the remaining living residuary beneficiaries, per capita. ITEM 4: I appoint DAVID GARDNER and WILLIAM BLACKWELL as Co-Executors of this my Last Will and Testament. I f'\ ',~~ ~')~.. ~).. ",,!. }-~J..t ".~.....'- MILOREO S. GARDNER (SEAL) 2 ITEM 5: I direct my Co-Executors to pay all inheritance, estate, succession and legacy taxes of whatsoever nature and kind, to which my Estate or the transfer of any property passing hereunder or otherwise passing by reason of my demise, may be subject and to charge such taxes against my residuary estate, it being my intention that none of the aforesaid taxes, either federal or state, or any property required to be included in my gross estate, under the provisions of any state or federal law now in force or hereafter enacted, shall be prorated among the persons interested in my Estate to whom such property is or may be transferred to whom any benefit accrues. ITEM 6: In addition to the powers conferred by law, I authorize my Co-Executors in their absolute discretion: a. To retain in the form receive, and to sell either at public or private sale any real or personal property, except as otherwise set forth herein; b. To manage real estate; c. To invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principle of diversification; d. To exercise any option or rights arising from ownership of investments; e. To compromise claims without court approval and without the consent of any beneficiary; f. To disclaim any interest in property; ~ , )') /..d. i J,"J ~',,,": '" .~~(.,./ MILORED S. GARDNER (SEAL) 3 5- CERTIFICATE OF NOTICE UNDER RULE 5.6(a) Name of Decedent: MILDRED S. GARDNER Date of Death: October 27, 1995 Will No. 1995-00851 Admin, No. 2195.0851 To the Register: I certify that notice of the beneficial Interest required by Rule 5,6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on November 20, 1995. NAME G. DAVID GARDNER ADDRESS ELIZABETH BLACKWELL 1482 Herdon Circle, N.E. Palm Bay, FL 32905 1106 Hammel Road Greensboro, NC 27402 JENNIFER GARDNER CARDANI 9 N. Main Street, Apartment C Waterbury, VT 05676 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: NIA -.,..-~- \ DATE: 12/18/95 ,j , ; . ~. .,. ~" ,_. --., - .-- - --- -- -- ~ --- --. -~ ,-. - .,,--, ",". ~" -.. "". -.- ".. ',--- .-- -- . '.,.. .'~- . - -. '-- --~' -,- --~ -~. ) I, -- '.- .._~. -- --~ -'--- D AA 082532 COMMONWEALTH OF PENNSYLVANIA NO. DEPARTMENT OF REVENUE OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX Ily,".,nt....1 ~' ."" ~.~ RECEIVED FROM, i ACN ASSESSMENT r:t CONTROL Ii:II NUMBER AMOUNT RADCLIFF DIANE GILBERT 3446-3448 TRINDLE ROAD lul 5JU,.UW'_UU CAMP HILL, PA 17011 - '010"", fSTATE1NFORMATlON, r:'I FILE NUMBER "" 21-1 99~-OS:51 !II NAME OF DECEDENT IIAST) ~ GARDNER MILDRED S II DATE OF PAYMENT EJ POSTMARK E COUNTY 001'00 CUMBERLAND DATE OF DEATH SSN ISS-32-~332 IFIRST) (MI) -!.o.le7-l_9~ REMARKS WILLIAM BLACKWELL CIO DIANE G RADCLIFF SEAL CHECK" 108 fa TOTAL AMOUNT PAID .10,000.00 PB RECEIVED BY I :J /, , , ( . - "'fl ; . ,~, J, SIGNATURE ~- REGISTER OF WILLS MARY C. LEWIS '- REGISTER OF WILLS ~------------------------~--_. - ----'~---------,---.--_._-- .' ..-," -...".,.,..- . -'.'~ -- ~-- . ".---.~.d"""_ J'-f~ ,., w ~ ...... ua:lIl: w...u .",0 U",,,, ...'" ... .. ,.!-- " ') {: I. '. I INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) ~ '" w ffi u w o g 1. O,IDlnol R"J,n FOR DATES OF DEATH AnER 12/31/91 CHECK HERE If ~ SPOUSAL POVER". CREDIT IS CLAIMED 0 FlU NUMBER 21 - <)5 - 0051 COUNI'" CODE YEAR NUMBER orClDWl'S COM'Ulf ..DOlin 250 E. MAIN STREET S"IRE~lANSTOWN, PA Co... Cumb(!L'land "MOUtH II((IVID ISlI lNU'UCTIONSI 17011 IlEV.1500 [x. rM~l ~' " , ~ 0......, ,,., lC\ COMMONWr.AUH OF P(NNSYlV,,~.'I" DfPAUMENT OF IltVfNUE Of". 710601 H.....RI5IURG. P... 11121.:,,,:.,01 L . DletoIN'" NAMIIV..:-;.IUT. 'j',~o MICOII INti" GARDNER, MILDRED S. S~~A~'~C;';~;j;'~i; ~~;(;f;95 DA~t;~.;~3 I" "'uOhlllu...."".I'.I'ou.n """' Il.ln, '"I1...:0~.,CllI "'III'U SOCIAL !,leu'lf.., NUMII' o 2, Supplemental Return o 3. Remainder R.lurn Ifor dolll cf d.ath prior to 12.13.021 05. hd.ral Ellal. Tax Return R.qulred o ... limited Ello'. 0 Ao. Fulur. Inlerlll Comptomil' . (for dol. I of d.oth oft.r 12.12.82) o t. O.e.d.nt Di(rfj Tlllote 0 7. Dec.denl Maintained 0 living TrUll (Attach cC:P)' of Will) (Attach cop)' of Trull) ALL CORRESP'(;NOENCE ANO CONf'DENTlAL TAX INFORMATION SHOULD BE DIREClED TO, ..:-".,'><'.." ,,:j{!''f:-;,.'J:'!:~''',' ...... wQ "'c "'z 00 u... NAMI DIANE G, RADCLIFF, KJQUIRE 'UH~C)NI HUMIII 717) 737-0~00 Oi,counl + 500.00 20 I' Line 19 II ure.,ler Ihon lIne-J.O, enler 'he difference on line 20. Thh It the OVERPAYMENT. D Oa:tLn'~jlJt.'j'JI'~tLT!T'71'''I(!.'"l'1rtr.r..-:1&'j'JlJII'1I,II~'JII[IIIJ '~'" 21. II L'ne 18 I, oreal.r Ihnn line 1tjl, ':"1' the dilierencI on line 21. Thil it the TAX DUE. J\. Enler Ihe Inl.r." 1'''1 the balance due on Une 21A. R, Enler Ihe tolol or Une 21 and 21A on Line 216. Thillllhe DAlAUCE DUE. Ma~e Ch.c!( Pnvable to: Re.!lhter of Will., Aoen' _ >- >- DE SU~~!O 'ANSWER ALL QUESTIONS 011 REVERSE SIDE AND TO RECHECK MATH -<-< "...der penchl.. of perjur)'. I declor. Ihal I h"... uomine,,: Ihi. r.lurn, Including occompanying lChedulu ond Itol,",unll and 10 Ihe bul of my ~na....ledge and belief. 'tru.. co,recl .,nd ~om lele.,l declar., 1~f},I..I~ rllol '110111 hOI been reported ollru" markel value. Oeclaration of preparer olher Ihon Ihe perlonol repr.,Ienlallye h . dlo C1l1lnlormoll f which pre I r '10" any ~nowled9o, " I. UI , 'f.~O" H' '~Ie '0 IlL ~t'I;~11 ...co.h~ IH)(l.lIl11nrnt!1 Hnild. C:rL'enHhoro, NC 27!.OH a ;= :s '" t: ... ,"" u w '" .. r....,l Eliot. (ScheduleJ'l 2. Stocks and Bondi ISc:"dule "I 3. Clol.l)' H.ld SlockJrorfnersh'p Inlet. It (Sch.dule CJ ... Morlgag.. and Nolel 't,:,.,:,'obl. (5"h.dule 01 5. COlh, Bank Depolil. & !.'it,.,;raneon f.uonal Pro pert)' IS,h.d,l. EI 6. Jolnlly Owned Property i!.ehedule f) 7. TronlFers (5ch,dul. C: t~chedule l) e. Tolol Grall Au," !'~I~t1111",,, 1.71 9, funeral hpe""I, Adr::r.I'rolive COlli. Mitu!lon,ouI Expenle! (Schedule r, 10. O.bll, Morlgage Uo".ilitiel. Uenl ISehedule I) 11. Tolel Oeduetionl Ito'o! lIn.. q & 101 12. N.I Volue of f:'.~'e (Ure B minuI Une 111 13. Charilabl. and GO/ernmenlol Bequellll~:hedule J) lA. Net Value S"'~i'Cllo Tu. (line 12 IT'l"uI line 13) 15. Spoulol TrCnl'e,. (I.)r dolll of death C'he, 6;30.9AI s.. Inllrue"onl f(lf Af'lplieohl. p.,unloge 0" Rlvene Side. (Include VO~U"I hWI 5(h.dull! r ", Schedul. M.) 16. .'~moU"1 cF line 14 la)ltlhlll at 6% role (Include volulI horn 5c~'edule K or Scher:ul. M.) 17. Amount of Un. 14 1"'Jble 01 15% role (Include value I fr~", .:ir.hedule K or Sch.uule M.) 10. Principollolt 0'..., (Add 10. from lIr" 15, 16 and 17.1 19. C"diU S.loulol Povf!tly Credit Prlo, Paymenll + 10,000 c; ;= .. ~ '" e, c; u " .. ~ _e. Tolal Number of Sofa De po Iii Bani COM-,un ",AIUNG ACO_IU 3~~0 Trindlo Road Cam" Hill, PA 17011 II ) .JJ:l.1..-5 0 0 . 00 (2) 0 (3) 0 IA) 0 (5) 76.592.00 o o (6) 17 ) (9) 20,671.01 (101-1.L 131.22 (B) 101,on.oo 1151 (161 (171 (11) 31,003.03 (121 1~9,289.77 (13) 0 (1A) 149,28<).77 Y.._II .: .06 tt 5,<)71.60 )( .15 a 7,46~.49 (16; 13,~36.09 (191 10,500.00 (201 <)<),526.52 ~9,763.26 Inlerltlt 2,<)36.09 (211 121A) 1218) -..2J 936.0<) Camp Hill, OAIl 7/23/% c1~23/96 A(,r,~tH 3~~8 Trindle Road, PA 17011 IrV,Uo, fh f1USI .Q..Jt.O_ ' , W COMMONWUUH Of PINN,.,,',ANIA INHlRIT ANeE U,. IUURN RUIDIN'DECfD',..' SCHEDULE A REAL ESTATE ESTATE"O-'- MILDREO S. GARDNER '--Fli'iiNUMiiiR~~ , c.__ ~= ~,~.-..-C~.-,=__=c=, 21-95-0851 d_~__,_.._. _"~__'~"________.-__ .__ IP,op.,tv lolntlv.own,d with Right of Survivorship mUlt b, dllClolld on Schedule FI All ,.al,,'ot. should b. '.po,t,d at '01, marlce. valu. which I. dlflned a. the pr'c, at which prop.rty would b. ..chanDed b.tw..n a willing buV" and a willing ..II,r, ntlth., b.lng comp,lI,d t<<!_.~,uY.!lr. ..U, _ b.o~_~ J!_a~lnu.r..a.~nabl. y"owltdO'.o' _th,."levon'_ lad.. _ '^__...._.,_,__.__~, _.~____~ _________~_ ____ ITEM NUMBER '_'_______H.._,,_,_.'."'_~~________._ DESCRIPTION VALUE AT DATE OF DEATH l. "_'_~_m'_._..__.-,_,__..__.. .._,_'.,. _.___."_"____,,_'. 256 E. MAIN STREET SHIREMANSTOWN, PA 17011 104,500.00 (see attached ~ett1ement sheet) TP~! ~~J~_!'~ _e~~l!~~nJl,~!J!_.~~,~~pl!_~~~~on)__ (If mnro 'poce ;s neor/ed, inlDr' additiono' sheets o( lome s;z..) S 104,500.00 - -, . us (lll....lU.I(1lI orflOU5I'm.'"ltlflIUIlII("'o'rlm'l,Il'" Uf.llll~ ,f.fJ,lllU _-2.:III.l.MI'" filAr!"'I.rll 1tI1I I'lfl ""'1"'" S~:CURED LAND TRANSFERS, INC. II 1 Yf'f ort OAI/ " 3000 Mnrkol Slrool '11111" '1IU"'4 J 111:o"y '.jl'" Go,"p IJIII, PA 17011 4 IIVA ~J.!COl^, .", II fl\UIlIMliI,n I ' lO",,"ftWIlIfI Pllano: 701.7744 15952G OG0010042G . Mulll .us uS( uo . G. "01[: thl, 101m ,- urr.l,hlld tnu;,,' VOU I .11l'flIfl.,,1 ollelt.., "tlllllf"","' Uti" Amnunl. ".kllo "MII,V' II'. utllelnwll IIlIW1I I" ,hollo11 Il~. ml'hd 'ff! no)' ''''.1' ',lIld OI"'lfllllh, cI',lng "lilt II'. .hn'Ml ".'.'0' 1f110Ilnllllnn.llli"f~'.' .,.d .'11"01 Illdtd." 111 Ih. 101.1, (J "we 0\140 AI": "~'oo"ir"""0Y;Ul . l,fjAl,.l[ AMlAl.lfI(S!lur 1,(UIIl r """.r AUn "IJUUr!S Of lUIOl" Thoman Ii, :hlhrey nnvid Gnrdnor rhoonlx Mortgnge Compeny Loreloi .1, ^uhrey I Wi1linm nlnekwnll. Rxscutorn of the Rntntn 1075 Vlrglnin Drive . of Mildrnd Il, Gnrdner Fort Wnnhington PA 19034 o I'1l0M"" LOt:Allntl II fiUllflJUH "Of'" I, IiUrUMWI P"TE 258 Rnnt 11dll Streot Secured Lnnd Trnnorero IlIe, 04/22/9G ~hiremnnnlown Borough F't.u:Eor!i(T1l[1JrrH. CUNBERLIIND C.-unty ~050 LllIglentowlI Rd IInrrlnlmrg PII 17112 - J, IUlU''''"y 0' IORROWtA'. TAAljUCflOHI K. 'UMMARY 0' 'llU"" T"...H....cnaHI IlID DROll ...ueu,,, DUI 'nou'aRnow,,, ,~oAOII ",uou'" DUI TO lUll A llll Conll.tl nil' JUIeI , .UU "IConllacl.all'fllle, . IClI rallOnll PloP"'Y ,nl"llInnal plllp..l~ 101 SIW""IIII ell.I08&lo hOllov.-l/lhnl 1"110) :n6!i.~~ '"' ... .ot '" ... AdJUllmlnt.IUlllllllt pllllt bW- ..1111 III Idya"c. AdJU'tmlntt 101 II.,n. paid br ""I' In ad...an,. 1;)6 City""""'" .. 'IMICII,nO*,,11I " 11l'.Coun",l.. ~o~ .U~ U'Counltlu lol~ H'.U' 100........lftefll. I" I ,nl""I..",-"I. " lot Ichoat 04/2;'~~ UU,5' 'lK 'choat f~6001 88,::19 IID.Ji_OWOr: q ~~,~"- 410 newerr4i24/a endo06/JO 18.10 ... ... on '" <0. u, Ira OROII AUOU'lT DUll "r('~ IORROWIA 1104%.29 'JIG onOIl .....OUtIl DUI TO 'ULI" 104730,74 toO ...uaUllu P...ID nal' ''1lEtlAL' 01' BORROW!n ~ "U:UU WIlt RIDUct,OIlI III AMoU'IT DUI To SILLER 1Il1, OlpoSlI 011.10111 ,,;';i.v "'I [lun dI1101111... .'IIIuetin"" 101 rllnCIJ'lftl amoulIl ot nolN kll'r.I'1 ~I S.lII.m.nl cllelUetlo IIdhll IIIfl8 1".'01 J5UU,UU IIlJ [all ling lolnll) I"~.n ':.!hel to '/11 EIIIllflU toenfl)llIh" ,ubl.cllo n, "" reru" 01 nlll MOllgltueloell 1I0llE ,,, 1.0. f'lIyull 01 Second MOIllJltUO lUlIn '" .. ... ." '" -, .- - ... '"' . "ill'l' ... f.d;l;IIITIIIIlI,'olllaIllIUI1P'!lllJYllllll1 Ad/Ullrllllllllof IllInlullpaid bV .8n.f tlO CU,1fo""nll~ t. 1l0CII,"C1...nlll I. IlICOlll"lltll. " III Counltlll " III "'''111"*,,, .. "'''''''''''Inll .. -- '" Ithool .. IU'chool ,. -- "' ... '" ... ,.. ... ". -- ." ,.. . ... ,.. ... 'IG TOtAL PAID BY/,on 1I0nFloWIA %050.00 Uti TOtAL REDUCtiO'. AIoIOUllf oUllELLEn 05nO,OO ,)M CAlli AT II"TLEIoIUn ,nau OR 10 BOAROYIE" r.oo C...III"'T IE"LEMUn TO on FAOU'ELLER lU'~~ 1111 (hall Imounl dll. hUIIl hU/fow., (h"8 ,.,01 L1~ 101 Uw" Imounl dUIIIlleUel 11'11 AXIl 101 lllllllnounl JUlIII hrllot l'ul/uwel lI~ul ;"201 " . 11IIleUfltlluChOIlIUIIIMllllu.,.n.'lhlllfi2{J) 'lIIl CADit (00 FRaU, II I Tal nannOWEn 1444G.29 r.IllCABIt 100 lOt III rnOM) SEllEn 9G142,74 1J,.,tIIII UOIlo....n&igI\llIUl. ron'I,,'.&ltp'."HII tfuo.. nllv. 1111 JUtl Zi') "~G II: 15 rroOf1 .IP (l)f'H-1UtIICnT l(d'S PRGE 00,1 CasMler's Check '", @ Mellon Ban M.llon DIRk. N-A. flanubu.y, r^ D.le . Amount n~c. "),19'J5 00189805 GO-82I313 p.'.1. THE SUM Of26.0~"7 AND 77 as . ~.;..', - To_lheonJrrof F.statu DC MJldre11 S Ctar,lnnr $ 26,047.77 ~" AutlwrUtd / 8hmal"... t/./ L"'-'4.a-.-./ ......~~< , ,Mf'lDG' '.' ' ': II~OO ~8 CJ80 SII' ':0 :l t- 3008 i! I.': 00 I, i!8I,OOO que , , ." , . """',' ~', ' , - . . l(c(' ,:':",:'-.,,~,..,.,.L;,,"~:'" . , ' . . ..,..~... ..'?:....~~'"':.v.~~, . ,.' '::':',;~l./~~~,~'''':,:, :,/', ':~:/::;;-"~"::" .'-;':,' -, . '.':" ;,-:: ',', ';";:'<""<~~Jft)V:;,;::(,';,~~: ,: ,':,1;';):.",:: I~. " .:..~::..:..........., '.~' '. H ......\.;.:..,...... .:.. .....00l ' tt . ...J....:.. :.. '.' "'.: ........ ......'......1.. .' .,"". '2Z~ .,..1 . ~"._I" ~ . ...:...~..f.,1 ' ...............:...... ....!..........::\ ......#..1' ....' .~ '. \'f'.:'''';~'''.. . .. ,., ..j'h- "', .i..:.....\...l.r..::.. .'.":'. 'I~..; ~..,':"""~' '.... 'j ~ . ......,;.. ....1.':r.. ';"'''::;t' '1.' cunnl!'NCV ....,'i'..~:..~'."t:,: .-:l....:-.l.,~ ~ ':":'~""1':"'i' '~i:.;:.t~'~(~~'~:_;':'",:,:,;:?;U':":":'; :;,:r:: ,::'.,:~'vI\,;i:j ':. ."1..;: 'c 11/ ,.: "::'.:,:.': ;;::,:. ;',,":':',' " " : ;'::i:1';~'~'~~':::;::':;"~~~-:d%eo/J~../$4;<i;[ ..li(.;:t/'~L"ECKS ....'", " .'~~~~,: ~ .;:':::.,:::::}.-::;,.....:'...,...:...;;:!/:.::.~';.:..~..~:.:....::..:.'~:.o'.... \...-". . ~. .~~=-.\: " :~,: .'.'.. . '.''''- ....-.-.-, .....:. .-. ..-...-.' ,"G::~"'o"=~ ; ":." ,1IIIOt'I1Il'tDlUOMfO.. '. :l:..~::.:<:,"d ._...~........,~,_....;..:...:.._h:......:..'.;,.~:,. ..;..........., ,,,,,,_ ~... ...... , "', '... t.. ',. " '._ _ " T. , . ") 'Ncdioilsi..iinK"-'-''':''',;'''_'''_~,.-''' ,...."...,. .." . ::<".-,..,'." ",.,.,,~':::, , N.llonIDanll. N.A'-IC'lIJVlIn_' ..' . . . - , " ',: " . .~ . ..., ,t ."\'. .",,1': ':..'" .... . -... . " ;, ~ . '. . ,': : ''':'. ..... . ,,' ",:::~:,:,:,::"":',"',":',,:,:-::':";:d~:'l~0~S'5q,:" .rr"l~CJ'1?i!~II' ',', . ...........-.....-..."'~.r.". ,,-'.,.' ..,.' ~ - '. ' . "\:...;:}~.,'.,......,.-.'v..,...'.':. .'.&.,!-,...."',.....~,..I.....~...' ..., ,-', ' " ...... '" ........... .' .'.....'" ," .....,.. '.... '---" " '.. . !H'I1f1~""',',..~.,'. .'~ - ..~':~lIult~.,.~~ 9....~""'<WI~~t'IIbt.__..,......,~....., ., . " . "'I"'~ .\~"'m.t.r, lh) ',' ...., . ,:~ "'-i( . .'1. , . .....'lfs. Cashier's 'Chec.k '. @ Mellon Bank . '1/' . . ...\'... '. .. ,,~. . M.U"" /lank. N A ., .. Ilurlabu.y. p^ ' o.le . , , ' Amount Dee: 19 1995 00189806 ~V313 --... ... Po'; THE SUM OF 2 aI!!) I.J AN!) a aCTS To th.. anfat' or Eotat/\ of Mildrr.d S Gar:lnor - - - - - - .. - - .. - - - - $ 25.l9f..50 !!omllln' 101..".. " Aot!loril:ed ./ m~II.!1'! r..-V ..-:.....~_____ /,J~/'~_<"'~ lI'OOLBIH10r,,,' t:0=1~=100[l~LI: 001. ~8l,OOa qu" @ Mellon Bank PERSONAL D.-.NKING STATEMENT DIRECT I1IQUIRIES TO. MELLOfl BAtIK flA 1 COMMOflWEALTH REOIOfl SIUREMAflSTO~1I1 2 ~l MAlIl ST SHIREMAflSTOfIll PA 17011-6326 717-731-4853 1"1,11",1,1"111,,,1,,1,1,.,1,,11,,,,11,11,,1,1.,1,1",1,,11 MILDRED S OARDflER Yo ELIZABETH L BLACKWELL 1106 liMIMEL RD ORF.F.rISBORD IIC 27408-7316 04769 CLS 0416 884-017-6633 PAOE 1 OF 1 STATEMEflT FROM 12~16~95 THRU 01~17~96 FIND OUT HOW TO CONSOLIDATE YOUR BILLS WITH A HOME EQUITY PERSONAL CREDIT LINE. TO APPLY VISIT A MELLON OFFICE OR CALL HELLONDIRECT 24 AT 1 800 MELLON - 24. RELATIONSHIP SUMMAr~Y DEPOSIT Acc~rr~_ PREHItn1 CIIECKIr{":L..fITU IUTEREST TOTAL nAlANCE 0.00 0.00 LDAN ACCOUNTS OUTS rANDttlG PREMIUM CHECKING WITH INTEREST ACCOUNT 884-017-6633 IACCOUflT SUMMARY OPENItlO BALANCE AS DF lZ116t95 TOTAL lJEPOSITS AIID OTIIER AOOITIOIIS IIICLUOItIO ItITEREST CREDITED TillS PERIOD TOTAL CIlECKS AND OTllrR HITllOAAHAlO INCLUDING FEES Arm C!fAROES TilTS PERIOD CLDSINO BALANCE AS OF 01~17~96 " , 25.194,50 H~I1.no ..25.Z19.bIL ' .u. AVERAGE ACCOUlIT BALANCE AVERAGE CDLLECTED BALAIICE rOR AIR/LJAL PERCEIITAGE YIELD EARIIED YOUR ArR/LJAL PERCENTAOE YIELD EARIIEO FOR TIllS STATEHErIT PERIDO IS 2,02% IACCOUflT ACTIVITY 10.790,50 ,00 DATE wrEn Ot~ .. 0 12l16~95 OPENItIO BALAller DEPOSITS AIIO aTlIER An otl~ CIIECKS AIIO OTIIER A A 5 DAILY 'A 25.194,50, l:::/l?I?G f1ICCE:LLAm:ctr.3 DI:DIT nEF' :00000007l\DZ:::O!.7 INSUFFICIENT FUtlOS FEE . . . . 25_l94.SD 25.00 25,00- t~/?1/q5 tt~UFFlCIEtlT rurln!; rF.F. REflnlO 01~IU96 CLOSII:O BALANCE PLEASE USE TIlE ACCOUlIT RECOIICILEHEIIT FDnH LOCATED 011 TIlE BACK OF TIllS STATEHErrr TO BALAIICE YOUR ACCOUlIT. 25.00 .nn ,00 IF YOU HAVE' QUESTIONS ABOUT THE ItlFORMATION CONTAINED IN THIS STATE- MENT, PLEASE' CALL THE 11ELLotlDIRECT 24 CEtlTER FOR CUSTOIIER SERVICE. THE NUMBERS TO CALL ARE 1 BOO 222-9034 OR 222-9034. @ ,Mellon Bank PERSONAL BANKING STATEMENT DIRECT IHQUIRIES TO, MELLOH BAHK HA 0 COMMOHWEALTH REOIOI/ SHIREMAI/STOHtI 2 l~ MAIIl ST SHIREMAI/STOWH PA 17011-6326 717-731-4853 1..1.11...1.1..11"..1..1.1...1..11....11.11..1.1..1.1...1..11 MILDRED S O^RDI/ER 03063 ~ ELIZAOET~ L OLACKWELL CLS 0416 1106 HAMI1f.. RD OREEI/SOORO I/C 27408-7316 885-000-5383 PAOE 1 OF 1 STATEMEI/T FROM 12~14~95 THRU 01~12~96 FIND OUT HOW TO CONSOLIDATE YOUR BILLS WITH A HOME EQUITY PERSONAL CREDIT LItlE. TO APPLY VISIT A MELLON OFFICE OR CALL HELLONDIRECT 24 AT 1 800 HELLON - 24. RELATIONSHIP SUMMARY Dtf2SIT ACCOUNTS GUARANTEED HOUEY HARKET TDTAl OAlAtlCE 0.00 0,00 LOAlI ACCOUtlTS OUTSTAUDttlG GUARANTEED MONEY MARKET ACCOUNT 885-000-5383 IACCOUI/T SUMMARY DPENItlG OAlAt/CE AS DF 12114~95 TOTAL DEPOSITS At/D DTlIER ADDIrIONS INCLUDItlG INTEREST CREDITED TlfIS PERIOD TOTAL CUECKS Atm Qrmm HITIlORAHAlS InCLUDInG FEES AUO enARCES TiltS PERIOD CLOSING OAlANCE AS DF 01~12~9~ ,WER,'GE ACCOUNT OALAt/CE AVERAGE COLLECTED OALAt/CE FOR At~lUAL PERCEtlTAGE YIELD EARt/ED YOUR AllIlUAl PERCENTAGE YIELD EARNED FOR TillS STATENEtIT PERIOD IS 5,36:1 IACCOUI/T ACTIV ITY 26,029,10 +18,59 -261047.77 ,00 14.456.52 .00 DATE POSTED 12/14/95 DESCRIP'nou OPEUIUG ~.I\t.AUCE DEPDSITS AlID OTIIER AoonIons CflECK5 AtlD OTHER HtTflORAHAlS ~6'047.70 DAILY OAUtlCE 26,029.18 12119~95 NISCElLAlIE~US DEDIT REF 1000000074032060 . . . 10,59- 12/21/11)!) SERVICE C:1ll\Rr.E REFuun 01~12~96 CLOSING &ALANCE PLEASE USE TilE ACCOUlIT RECOIICllENEtlT FORM LOCATED 011 TIlE OACII OF TlfIS STATEt/ENT TO OALANCE YOUR ACCOUlIT. 18.51) ,DO .00 IF YOU HAVE QUESTIONS ABOUT THE INFORMATION CONTAIIIED IN THIS STATE- MENT, PLEASE CALL THE MELLOtlDIRECT 24 CEtlTER FOR CUSTOMER SERVICE. THE NUtlBERS TO CALL ARE 1 800 222-9034 OR 222-9034. COMMONWEALTH OF PENNSYLVANIA PUIlLlC SCIIOOI. EMPI.OYES' RETIREMENT SYSTEM Telephone (717) 787.8540 Mallillg Address 1'0 Box 125 Hnrrlsburg PA 17108.0125 /Jllildlllg LOCllIIOII 5 North 51h Street Ilnrrlshurg I'A 17101.1905 Hareh 26, 1996 1".111",111"""11",1111,,,1 DAVID E GARDNER WILLIAM BLACKWELL EX C/O D G RADCLIFF ESQ 3448 TRINDL~ ROAD CAMP HILL PA 17011 RE: HILDRED S GARDNER SSNO 188325332 VTNO 57211186 Dear David E. Gardner: In seven to ten dnys, a prorated payment, outlined helow, will he sent to you as the executor. This payment represents the period of 10/01195 to 10/27/95. $45.80 0.00 $45.80 Gross Check Tax Deduction Net Checlt We suggest you contact the Internal Revenue Service or a professional tax consultant If you have any tax questions. Please contact one of our Customer Service Representatives at (717)787-8540 If you have any henefit questions. Sincerely, .f~ 1ft. IJ~' I Deceascd PrfJcesshlg Center ESTATE OF ' . ESTATE OF MILDRED S. GARDNER ITEM NUMBER " .t~ COMMONWU.LtH Of ,(NNnh',,' 'I". IHHUlfANC! 'AX ntu'f~ .UIDfH'DfCfDfHf SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES __ PI.a.. Print or Typ. LUMBER ~i-95-0051 DESCRIPTION AMOUNT A. Fun.ral bp.n,oll ,. 2. MUSSELMP,N FUNEIlIII. IIOME 4,799.00 60.00 MUSSELMAN FUNERII1. IIOME - tent and grave servlcin;J B. Admlnl.hallv. Ca.h. " 2, 3. 4. C. 1. 2. 3, 4, 5. 6. 7, B. P...anal R.p....nlatlv. C~mml..lan. Social S.cu,II)' Numb.r 01 P...anal R'p'8I.nlallv., Y.a, Camml,'ian. paid -ta96 William Blackwell 230 - 44 - 0654 4,527.32 G. David Gardner 192 30 - 1096 4,527.32 Attarn.y Feel 6,338.25 Family Exemptlol, Clolmanl ...._, Acid,e.. af ,;'J'""nl at d.cedenl/. d.olh St,ee' Add,." Clly _._ Relatlon.hlp 5101. ZIp Code___.. P,obale Fe.. !ltGJSTER Ql:, lULLS - CUMBERLAND COUNTY 276.00 MI...lla"eau. Expen..., Cumberland Law JoUrnal-advertising 40.00 The Sentinel - adv~rtising 78.92 15.00 10.00 Filing f.~e- Inheritance Tax Return 'Filing Fee- Inventory TOTAL (AI.a enle, on line 9, Rec~pllulalianl (1/ ,nara .pa.. I. needed, Inse,t ad,lltlanal sheets 01 .ame size,) S 20,671.81 ' JUlj 26 . 96 II' Il' d- " "~I ~. I, '~. ... l\1I11ll!iSe~m.1I111l , IFm"Jerra~ lI'JIom~,lIl1Bc. Established 1895 , Oane C: Musselman, F,O: SupfiviSfJ( , iliian C, Musselman, F.O, Prt1idMI' ' , 00naId C. Musselman, F,O, 'WiIlIain'G. Pe03n, F,O, P,O: B~~137' " ',',: , .324 'Hummel Avenue .' lemOYlle.'PA 17043~137 , , (71n 763-7440 " .' , . .. " " . .....,.. " FROM :" CO~1I1Utn CnT I 0115 PAGE.005 octobor 2~, 1~~5 Eli-habeth I\leekvoll llD6, UllIl1IIlol IUII,,1 r.~AAD.boro, H.C 27400 ""r \o'Jnernl of Hildred II. <lardner, who died on october 27, 1995. pJ\on;GGYOHIU. SIlRVICEII IISND&ItED, P'Acrr.lTYES, AUTOHOTIVll EllUIPKEHT 111'1' tlERcIWlDIIIF. GIlLECTEO I $2450.00 cukt!t ' . ll<tlld 1'1nA 'Burl,!l VAult " I\AIlJUlar concroto . 1700.00 " '.'Pt.'.,.: 575.00 cAsu ADVl\lf,hi:ll;' c.r~lf.18d Copies of DOAth cortifiQate 'YAult vorvico chsrgo,T8~t and LoWorlng KinlDtor 24.00 .vDc,$60.00 , 50.00, " - ..' TOTAl. . TOTAL CRIlDITII ': ~C'!l: DUB,: ',-- 47~~.00 " 'i, , , .B.ldu.S485~. 00 '. : ,:' :'.' , "~ . /~ ',t(.~Fi ,4.~.;~ . ~/': . :: ~..: ~.. ::~.. ~:.:..~\:. I..} .1.., f '." ,'~ ' /' -:~ <pf!).:",~ j:j,. ..'~ ~.L. con!; _ ".', .' ~ "\ J' " " . L' (",c,.:-) jfff1, ,'/;;4: t;,~_~'J,_ : ESTATE OF MILDREV S. GARDt.\ER P,O.. 80X 338-C ' OREENSBono, NC 27402 1005 ~_lkt>'~e ",.~L~w , Naito Bank NallmuDank... . Nwth C&t1JU"a . . j . PAYT OR ( I FOR It-SI/Sll D2 1-- - 5' 19f2k- 1$ &902-: DOLLARS file.':: .. _ ":530 ~~iJ 511' ':0 5(~mO 5 ~~~ r,!?_~~9q? ~911' ,:.,~. .l~l ';'" " .. .'" MtJlsse~m(u1rD IFml1leJr&~ lHIome, Hoc. Established 1895 Dane C, Mmelman, F.D. SUPfMw Brian C, Musse:man, F.D. Pmfdenl DonaI~ C, MusStlinan, F,O Wimam G, Pegan, F,D, P,O, Box 131 ,324 Hummel A'lenue Lemoyne. PA 17043.0137 (71n 763,7440 11'17 FRO" JP COI-II'lUIIIC,HIOIIS PRGE.006 ootohnr 211. 111115 P.l1zabnth Plaokwvll 110G Hall1lMlL lIoad r',..nDbor"" N.C 2740B "or runer..;L of Hl.1drnd 0. Gl1rdllnr, who died ..n OCtober 27, 111115. PIIOFESII:lOl'I\.L Dt;RVTCr:B RENDERED, FACILITIES, AUTOMOTIVE EOUIPMENT AND Hr.nCI~DI9E OBLBCTF.D. $2450.00 C.al<jll~ * r-lOlid P ino BurJ,al Vault ~9ular Copornt. 1100.00 575.00 ('AUo AJ>VA~F.G I Cer~tf1Dd COpiOD of Doath cart1f1cnte vault Servic.. charge,Tont and Lovoring KiniGtor 24.00 .VIlG $60.00 50.00 'l'O'INL 'l'O'I','/L CRED:l'l'9 IIAl'./'IIfCE DUB 47l1l1.00 *BaldueS48511.00 t"ft.4fNmrt)'~tlWr'mh"4'-<<~_'r.~) ....:..... \ -:q,:v.. .."u.vu'Y7~.. I Eotato of Mildred S. G~rdner P. O. Box 338/, Groenoboro, North Carolina 27402 r -J'~"..r->'ft~~""'ft't",,,,~,., ',' .........~lcr_..r .'r.~.'~,H - .....-. ~ _..~- - - - .. '- \~ 105 "-U'UI ~ 'Ll -l~5'_Il'-Cll;/_5 t ...:P-'O 0 - _.-1 $4-(~q~ - "0 SO 100SS',: OS> ";,.;.,,,~~ For,____, _h, .~ ~rY.Ullr_'lla"l 'J~' ~~~ CO"/oIONWrA'ht 01 """'f'VAk'A I"HIIII""(f tA. "1I,,1t' 'UIDfN'DHfllltll SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABLITIES AND LIENS -. ESM\~8~ED S. GARDNER ITEM NUMBER 5. 6. 7. 8. 9. 10. I FILE NUMBER 21-95-0851 DESCRIPTION AMOUNT 1. 2. PennsYlvania American Water 62.65 107.73 48.00 590.76 590.00 11. 87 216.35 175.86 740.00 PP&L 3. Lower Allen Township - sewer 4. Bethany Village - ~ursing home Shirl"y Moyer - snow removal/caretaking Nations Fan~ - Estate checks J.J. Skeltv~ - fuel oil Shiremanstown Tax Collector - 1996 real estate tax William kcwe - appraisal of personalty Costs of sale of real estate 8,588.00 " TOTAL (Aha onl" on IIno 10, Ro,apllulallan) (I'mor. spaco i, noeded insorl additional slUIOIs o( somo sin) $11,131.22 11"'111111.11"1 W COIolIolO~WfAIIHOf "NN"IYJltIA INHIIIIANCfIU"'I"" IIIIDIN' DI~!Pj~'.. SCHEDULE J BENEFICIARIES ESTATE OF MILDHED S. GARDNER FILE NUMBER 21-95-0851 ITEM J NUMDER 1_ N^ME AND ADDRESS OF DENEFICIARY I A. TOlobl. Bequel": 1. G. DAVID GARDNER 1482 Hordon Cr. N.E. Palm Dn~, FL 32905 RELATIONSHIP AMOUNT OR SHARE OF ESTATE Son 1/3 2. JENNIFER r^~DNER CARDANI 12202 Woodside Apt. 3 Grand >>lane, HI 40409 Granddaughte 1/3 3. ELIZADE'~ BLACKWELL 1106 "~mmel Road Greensboro, NC 27402 Nine,) 1/3 ITEM NUMDER NAME AND ADDRESS OF DENEFICIARY AMOUNT OR SHARE OF ESTATE b. Chorllobl" and Go...ernmenlal Boqullhl 1. NONF TOTAL CHARITAtLE AND GOVERNMENTAL BEOUESTS (AI.o enle, 00 lin. lJ. R.copllulotloo) S (If more 'paco Is n",dod, In.o,t addlllonol.hOOh of lam. slzo) " . Inventory of the real and personal estale of (l MILDRED S. GARDNER deceased 1. Real Eetate - 258 E. Main Street Shiremanstown, PA 104,500. 00 25,194. 50 26,047. 77 45. 80 24,980. 99 93. 00 230. 74 2. Mellon Bank - checking account no. 884-017-6633 3. Mellon Bank - money market account no. 885-000-5383 4. Pa. State Retirement Fund - final disbursement 5. Metro & chenoweth - Auction Proceeds - personalty 6. Standard Fire Insurance Company - premium refund 7. Real estate taxes and sewer credit - sale of real estate gQ 'rI :rJ '11" 1m (h ; ,', il I) r,., o- F Dl !.;' , , ~~: " C> -(JI. g ~j )>:.:1 -.I STA'rE OF' NORTI1 CAROLINA ~JIIfONWMmIlGJOIIEmIIInVJ(IW( COU NTY OF JdQJftIllKl(NO( I I III -----,----,- ,-------,-----+.--- ~ William Blackwell bolng duly _E!worn__ ___ __ .ccording to I.w. dopol" .nd "YI th.t h. Js the Co-l::Xecutor --- _____________ __ __ __ __ _____ 01 tho Elt.t. 01 Mildred S. Gardner l.t. 01 __Sh.h-emanstown _..__ ____, ___. Cumb.rl.nd County, P... d.c....d .nd th.t tho within I. .n Inv.ntory m.do by ___Wi,niaITlJ3111.~k-W'll1-_u _ ___ _ ____. tho ..ldCo-Executor 01 th. .ntlro .It.tO 01 ..Id d.codont, con silting 01 .11 tho p...on.1 prop.rty .nd r..1 .11.... ..copt r..1 .II.t. ouhld. tho Commonwoolth 01 Pennlylv.nl., .nd th.t tho IIguro. oppollto each Itom 01 tho Invontory ropr...nt It'. 1.lr v.lu. .. 01 tho d.to 01 docodont'l doath. July 23 19 % Wj~~~tfu\JJJ Eucuf.r . Admlnh",'or Sworn to .nd .ub.crlbod boloro mo, .l..,-,=>~ \< '~CLv."...",-- Notary I'Ubl1~T-"" fSos'Ar'l K, BAKW My cOITIl1ission Ex}liresl: 2-J.l~rJoYJTARY PUDLlC .,.r DUILFORD cOUrHY. lie :Ii OBlIIsllon uplr" 1. H ' "'I 0"0 01 Oo.th __,27th --'''-'''OCtober O'Y Month 1106 lIamme I Iload Greenshoro, NC 2740!l Adelr... 1995 v.., INSTRUCTIONS I. An Invontory mull bo /llod within throo month. .rtor .ppolntmont 01 porson.1 ropro.ont.tlv.. 2. A .upplomont Invontory mull bo filod within thirty d.y. 01 dl.covory 01 .ddltlon.1 ....h. 3. Addltlon.l .hoo" m.y bo .tt.chod .. to porson.lty or ro.lty 4. Soo Artlclo IV. Flducl.rl.. Act 011949. ~ I rf .,; w .. ~ ~ < . .. u .... Iii ~ u .. ... 0 u In e w Q '" Po " .. .. <Xl i!: .... . ... .... E 'i' z ... u. VI I ,; 0 ... jj 0 .... In W U. ~ ~ en 0 < to I > Z '" ... Z 0 c Q " N II> Z .... II 0 " ~ ~ Z w < ... .... "0 c - .. -;: 0 u A "0 ... u E - . 0 .. " it 0 ... 0 III .- " "J I,j . t.~. I. , BUREAU OF INDIVIDUAL TAXES INULRIUHC[ fAIl DIYISION D[Pf. lIOnl HARRISBURG, PA 11118-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMEtlT OF REVENUE .,/ NOTICE OF INHERITANCE TAX APPRAISENENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAX DIANE G RADCLIFF 3448 TRINDLE RD CAMP HILL DATE ESTATE OF DATE OF DEATH FILE NUM8ER COUNTY ACN 10-28-96 GARDNER 10-27-95 21 95-0851 CUMBERLAND 101 ESQ r Anount RallH hd PA 11011 * ",.lit'II'U lll.tu MILDRED s MAKE CHECK PAYABLE AND REMIT PAYMENT TDI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV:is4-j-Ex-"j:ji-ro'i:ijl.-r-ijoTicniF-YtiHEiiifAN-cE-TAx-iippiiiiisEHEij'r-;-,U.i:ciiiAiicE-iflim-------mm- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GARDNER MILDRED S FILE NO. 21 95-0851 ACN 101 DATE 10-28-96 TAX RETURN WAS, I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Ra.l E.t.t. (Schedul. A>> (U 2. stock. and Bond. (Schedul. B) 12) 3. Clos.ly H.ld stock/partn.rshlp Intara.t ISch.dul. C>> 13) 4. Horta.a.s/Not.. R.c.lvabl. ISch.dul. D>> (4' 5. C.sh/Bank Dapo.lt./Hlsc. P.rsonal Proparty (Schadula E) 15) 6. Jointly Ownad Proparty CSch.dul. F) Cb' 7. Transfar. (Schadul. G) C7J I. Total Au.t. I CHANGED 104.500.00 .00 .00 ,00 16,592,80 ,00 .00 181 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funaral b:pans.s/Adll. Co.h/Hhc. Expansa. (Sch.dul. tU IIn 10. Dabt./Horta.aa Liabilitias/Liana (Sch.dul. I) cia' 11. Total D.duction. 12. Nat Valua of Ta~ R.turn 13. Charit.bl./Goy.rn...ntal B.quast. CSch.dul. J) 14. N.t Valu. of Estat. Subj.ct to Ta~ 20.611.81 11.131,22 1111 1121 1151 1141 NOTEI To insure prop.r cradit to your account, lubeit the upper portion of this farn with your ta~ p.ynant. 181. 092,80 31,Rn3 n3 149.289,11 ,DO 149.289,71 NoTEI 14. 15 and/Dr 16, 17 and 18 will returns assessed to date. If an assesBment was issued previDusly. lines reflect figures that include the total of ~ ASSESSMENT OF TAX: 15. Allount of Lina 14 at Spous.l 16. A..ount of Lin. 14 taxabl. .t 17. Anaunt of Lin. 14 taxabl. .t II. Principal Tax Du. TAX CREDITS I PAYNENT DATE 01-22-96 01-25-96 rat. Lin..l/Clas. A rat. Call.t.ral/Cla.. Brat. 1151 11&1 1171 .00 X .00, 99.526.52 X ,06. 49.763,26 X ,15. 1181 RECEIPT NUNBER AA082532 AA146555 DISCOUNT Ct) INTEREST I-I 526,32 ,DO ANOUNT PAID 10.000.00 2.936,09 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 5.971.60 7.464.49 13.436.09 13.462,41 26.32CR ,DO 26.32CR . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS TIlAN n. NO PAYNE NT IS REqUIRED, IF TOTAL DUE IS REflECTED AS A "CREDIT" leA), YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS,I uu RESERVAIION. Elt.... af d.uden.. dwlng on or bdor. Dlc.." Il, ItJll u If MY tutur. In,.,..t In thl ....t. II 'ten.f.tted In pa.....lon or enJo.,..." to el... I (colh""'U benafleA.,I.. of the dlc.dent ."., the ..plt,tlon 0' ..., ..t.t. 'or lit. or for .,..t., the Co_onw..lth harM., ..pr...ly ,...tv.. the tight to appr.... and ...... Ir....,"" Ir~.rlt.,..u r.... .t thl ....'ul el... . Icalllt.,...t tat. on any .uch future Int.,.... PURPOS[ Of NOTlCEI To fulfill thl 'Iqulr..,n" of Sactlon '.ltD of thl Inh.rltanu land Elt," r.. Act. Act It of 1"1. 11 P.I. Section '.IID. PAyltENTI Uetlch the top portion of thl. Hotlc_ Ilnd Iubtllt ..Uh your p..,.enl 10 thl A.,lst.,. 0' wllh prlnhd on thl rav.,.. ,Idl. "Nlk. chIck or aon.., order plyabl. tal REGISTER OF HILLS, AGENT All p..,.enl. r.calved ,hill fir.' ba IPPII,d to ."y Int.,.., which ..., b, due with any r...lnd.r appll~ to the t... . REfUND leA)1 A r.fund of . t.. credit. which w.. not r.qu..t.d on the ,.. R.turn. ..y b. r.qu..t.d by eanplltlng en ".ppllc.tlan far A.fund of Penn"'l....nl. Inherltancl and E.htl ,.." IR[Y-UIS>>. Appllc.Uan. .r. .v.U.b" .t the Office of the RIglthr of WUh. an., of the ZS R.v.nue Dlttrlct Olllce.. or by c.lIlng the .p.eI.. Z"'hour an.werlng ..rvle. ~r' far far.. orderlngl In P.nn.ylv.nl. l.aOO'J6z-zaSa, out.ld. Plnn,ylv,"l. and within loul Hlrthbutll ar.. (117) 781'10"'. 'DO' 1117) nz-usz HI..rlng l.p.and Dnh). OBJEC'IOHS, Any p.tty In Int.r..t not ,.tl.fled with thl .ppr.I....nt. .llowane. or dl..llowence of d.ductlon.. or .......ent of t.. I Including dltcDlM'lt or Inter..U .. shown on thlt Hotlce .u.t Object within ,lIty e6a. d..... of tlulpt of thh Notice b...1 "wrlthn prot..t to th. PA a.pert.ent of A.venue, Bo.rd of App..h. a.pt. zalaZl, t1errhburg, PA una-UZI, OR --el.ctlan to h.v. the ..tt.r d.t.r.lned .t audit of the account of the p.r.on.1 r.pr..ent.tlv.. OR "app..1 to the Orph,",' Court. AO"IH ISTRATlVE CORRECTIOHS, Faetu.1 .tror. dl.cov.r.d on thl. ........nt should b. ftddr....d In writing tal PA D.part..nt of Ravenu.. lur.", of Indlvldu.l Tan" ATtHI Po.t A.......nt R.vl.w Unit. n.pt. 2106al, tterrltbutlh f1A una-oul Phone ell7. 711~6505. S.. peg. ~ of tha bookl.t "In.tructlon. for Inh.rltance T.. Return for. R..ld.nt O.c.d.nt" IREY'ISOII for an e.plan.tlon of ed.lnl.tratlv.l., corr.ctebl. .tror.. DISCOUNT I If eny t.. due I. p.ld within thr.. CJ) t.l.nd., lonth. .ft.r th. d'c.dent'. d..th, e flv. p.rclnt (\~J dl.count of the t.. paid I. .Ilow.d. P[folAlfYI Th. IS~ te. .IM..t., non'pertlelp.tlon p.n.lt., I. co.put.d on the total of the te. and Int.t..t .......d, end not paid b.fore Jenuery II, 1.96. the flr.t d.... .fhr the .nd of the t.. ..neetv p.rlod. Thl. non'pllrtlelpetlon p.nelty I. .ppe.lable In the .... .enn.r end In the the .... tl., period .. you would .pp..1 the tu end Inter..t th.t h.. b.en .......d a. Indlc.t.d on thl. notle.. INTEREST I Inter..t I. charged b.elMlnu with flr.t d.., of d.llnqu.ncy. or nln. I.J Month. end on. (II d.W 'roe the d.t. of d..th, to Ih. d.te of p.y..nt. T.... which b.ee.. d.llnquent b,'or. Janue'r I, 1.8Z b..r Int.r..t .t the r.t. of .IM C6~J p.rc.nt p.r 'MUM c.lcul.t'd at e d.lly r.t. of .OOOI6~. All t.... which b.e.ee d.llnqu.nl on end .ft.t January I, I.IZ will ba.r Int.re.t et e rat. which will very fro. eel.ndar y.ar to eel'nd.r year with Ihat rale Announced by the PA n.p.rt..nt 0' A.vlf'IUI. Th. appllubl. Inhr..t r.t.. 'at l'll through I'" .rll ~ Int.r..t A.t. 0.11'1 Inl.r.st raelor !!!!! Inler..t Ral. Dallw rnt.r..t Factor I9IZ lOX .000~4a 1917 'X .000Z~1 1.15 16:< .000~5I 1911S~1'J'1 IIi( .000101 I'" 1IX .000501 19.2 'X .000Z~1 19a~ UX .OOOn6 19'JS'I99lt IX .nU9Z 1.86 IU .000Z7lt 19'5'I'" OX ,OOO:~' "Int.r..t It ulcula'ad .. followlI INTEREST . BALANCE or TAX UNPAID X NunBER or DAYS DELINQUENT X DAILY INTEREST rACTDR '.An., Notlc. I..u.d .ft.r the t.. b.co... dellnquant will r.fl.ct an Int.r..t c.leulatlon to flft..n (ISI da.,. beyond Ih. date of the ........nt. If p......nt I. ..d. aft.' Ih. Inl.r..t co.putatlon date .hown on the Hotlc., .ddltlon.1 Int.r..t IN.t b. c.lcul.,.d. C,. Name of Decedent: STATUS REPORT UNDER RULE 6,12 MILDRED S, GARDNER Date of Death: OCTOBER 27. 1995 Will No: 21.95.0851 Admin, No,: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the admlnlstralion of the above-caplioned estate: 1, State whether admlnlstralion of the estate Is complete: Y~ [Xl No [ 1 2, If the answer Is No. state when the personal representative reasonably believes that the admlnlstralion will be complete: 3, If the answer to No. 1 Is Yes. state the following: a, Did the personal representalive file a final account with the Court? Yes [l No [ X 1 b. The separate Orphans' Court No, (if any) for the personal repr~entatlve's account Is: c. Did the personal representalive state an account Informally to the parties In Interest? Yes [ X 1 No [ 1 d, Copies of receipts. releas6s, joinders and approvals of formal or Informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: ~ U. I ~ , DIANE , DCLlFF. ESQ, 3448 Trlndle Road Camp Hili. PA 17011 (717) 737-0100 (Y) r-.j n_ '-,J ,') Capacity: [ [ 1 Personal Representative , 'lY' e:..: " ,,; F' ~-'.~ 5 UU x 1 Counsel for personal representalive