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G) }; -- ':~;:~, ;;;;'~ "' c ~ a ~ ' ',' ';', "; c,,;'!},';; o .li ~ , ",:i~~,,':~1 z. ,"';, ':;')';1' i . .. '... ,- '-"-:\>~";-fE~ i." , - .--'-"~ t~ ~ ~-_~_~,i,:,: ~J l.},j,~-~~: f' <~:"~/::~~~~~~ '. "<, , '-'1' .;~ ",'!;.; , ',c) ;:: --., l, ~J:. _' J; , ~~ ;,:'t/.,: . ~~- .; ., ::1 --, ,~ '~4 .. "\" , ,;:;; ~.: f;-\i:5"::-" ''', .- '<' , .-::~. rt~' ~~~ .., ," i~ .~.:l ;r:'.;;; I)ETITION FOIl PHOIIATE IInd GIlANT 0... LETTEllS No, ..~J_:_!L~::l '7 f 'I'll: 1~\'lal~ IIJ .l>1a'c)fln-R-N,,!:Jn.kuv----'--.---.. also kllow" tiS ~_~__ Rc~i'lcr of Will, f,n Ihc , /J"C"lI,\(.t/, CounlY of Cllml"'l'luncl in Ihc SIIclal S~Cl/rll)' Nil, 201-1 B-20o') COllllllonwcnllh of I'clIl"ylvnnla The pelltlon of Ihc undcrsl~ncd rC'l'cclfully rClllc,cn" Ihul: Your pelilloner(s), who I,/urc IH )'cnrs of ll~C ur oldcr nn Ihc e,ecul-LiJ< Inlhe Inslwlll of Ihc nbovc deccdenl, daled t1uy-3L._L!17.3 nnd eodlcll(s) nted l~'-n Cln( ,C&. ~\I_C I.t:CLJJ-=1Ct:ICfI> " 7 nnmed ,19_ (!\IUIC rclC\'l1ll1 dr~'lIrn\lilll~'l". \',11, Ifllundatlul1, dt'alll Ilf (,,,'cUlm, ele,) Decendenlwas domlcilcd Ul denlh in Cumbol'loncl County, I'ennsylvnnin, wilh h 01' Insl fumlly or pri.JU.:ipal rc,id':!)ce 1\1 1,?B4 Slmnson "nl'I'Y Rood. Nnw Cumbnrlond P~nn~yb.a.ni n 17.070 ~~~e c. ~ }.....J'J.U..:. C.........,......... ~l'\~t~ (Ii,! \lfl'ct, Ilulllher ill1l1 mundrmlil)') Dee:ndenl, then 79 years of age, dled..Qctohnl' 20 ,19 <)'; al I "au "I' ..N.u:sJ.lll-&-RDh"b~tcj.{)n-Gent-er- . Excepl us follows. decedenl did nOlmarry, wns nol divorced und did not have II child born or adopled afler (xecullon of the will offered for probate; wus not Ihe vlellm of u killing and wns never udjudlealed Incompelent: Deeendenl 1II dealh own(dpruperlY with eSllmUled vulues as follows: (If domiciled In I'u.l All personul properly (If nol domiciled in I'a.) Personal properlY In Pennsylvania (If nol dnmlelled in I'u.) Personal properlY 10 Counly Value of reul e&lUIC In Pc ""sylvania sltualed us follows: $ 1,000,00 $ $ $ WHEREFORE, I'elltloner(s) respeclfully request(s) Ihe prohllle of lite IlIst will und eodleil(s) presellled here\\'lIh IIndlhe grnlll of lellers testomnntal'V theron. t1C\ll1111Clllar)'i mlmllll\lnlliulI c.I.I\,; Lllhnlnblrallnn d,h,f1,c.l.n.) i B '0_ 'c€ 0:0 -g,g .'- ~~ 1;'~ so 2 w Vi ~(~ . ~:~--.- c.....:;, 4~\H,'~ i::oITfSc!c. Ilol'stick 150B Chnthnm Rond ..camp IIi 11, P^ 17011 OATH OI~ PEHSONAL ItEPHESENTATIVE COMMONWEAI,TH OI'I'ENNSYI,VANIA }' ~s COUNTY Of C,!-!:1bnr1.!}!'G The pelilloner(s) ubove-numed "',curls) or ufrinn(s) IlulI the sllltements in the foregoing petilion ure Irue nnd e\,rrecl to Ihe hest of the knowledge IInd helief of pelilioner(s) undlhal as personlll represen- tallve(s) of Ihe nbove deceden' pelilil1ne,(s) wlllwellllndlruly lIdminister Ihe eSlule uecordillg to IIIII'. Sworn 10 or ufflrmed ulld subscribed '.~., ~ - <:2::', 0",.",,,,,;,~ '" beforemethl"_21Bt____d,I~'of f -=~ 'S' O\1~MRI: ,,\ 1'1 'i_ , !; ~((l\J..fJ.:.;~"q IF-I f'T'II1~~l{l , ~ MARY 't:. Lr;W lR t, II''II/slcr ~ . I'.. /.5-{pK'-% Il't-'l,TiJ~ No...dJ - ,qqj - 8~*- E. Estate of NAill AN NcCLOSKEY . Ileceased DECREE 0..' I)ROnATE ANI) GRANT OF LETTERS AND NOW NOVEMBER 21 19-2.i... in consideration or the petlllon on the reverse side hcreor, salisraetory prollr hllvlng becn presenled bdore me, IT IS DECREED that the Instrumenl(s) dated Nay 31. 1973 I!;. described therein be admllted to probale and filed or record as the last will or No rl all NeCI o~k"y and Lelters Testomentarv ore hereby gronted to 1 "IIi ~n r IInr<:t' I rlo \- ni..lt llf (j ';-1;( (I L.) , /.LC 0- l/; J;/)LU uU MARl! C. LEWlS ll<a1ucrorwlII. /j,.,q2LLLtj- FEES Probate. Lelters, Etc. ..,...... S 25.00 ~~~~ ~~~ncates( )..,....... S ~ : ~ ~ RenunClslton ".......,...,.. S JCP S 5.00 TOTAL _ S 39.00 Flied .., ..t'!'?~~M~~.~. n.... ,l.~~,~..,.. . John R. Znnarlch - 19632 ATTonNH (Sup. CI, I,D. No.) 204 State Street. IIorriflh"rg. PA 17101 ADDIlESS (717) 233-1000 1'1I0NH ~. -' ., . .' t'::-J , - , . [C' , " ::l do LETTERS AND ORDER WERE Mill LED TO 'fHE II'I'TORNEl! ON NOVEMBER 22. 1995. '- " r.M1T \'IIr.L /\Nn TPoflTI\Hr.llT 01" l\1\.nII\Il E. HcCI,OSRBY I, I\1\.RI1\N E. 11c~T,OSl:PoY, C'f. New cumberlanc1. cumberland county, Pennsylvania, rleclare this to be my T.ast \'lill, hereby revoking any and all prior \'Iills ann Codicils. ITEI1 I. I give and bequeath all of my shares of AT&T stock which I own at the time of my death, and any and all antique furniture which I have received from the Crawford family unto my sister. r.ouise C. lIorstick, if she survives me, and if she should predecease me, I give and bequeath all of sain items of personal property unto her daughter, my niece. Janine lIershkovitz. ITEM II. I qive, be~ueath and devise all of the rest, residue and remainder of my estate unto my husband, Donald D. McCloskey. lIowever. if the said nonald Po. McCloskey should predecense me, or die within 90 days following the date of my death, then I give, bequeath and devise the residential property situate at 1384 Simpson Ferry noad, New cumberlann, Pennsylvania, providinq I own same at the time of my death, or the proceeds realized from the sale thereof, if I am still in possession of said proceeds, unto my husband's son, Don Richard McCloskey, or his issue, per stirpes. ann the residue of my estate I give to my said sister, Louise C. 1I0rstick. or her issue, per stirpes. ITEr1 III. No interest of any beneficinn' under this \'/ill, or any Codicil hereto, shall be subject to anticipation, or voluntary or involuntary alienation. ITEM IV. In addition to the powers given him by law, my executor, ann his succeSsors, and nny gunrdinn acting hereunder, -~~ -,'#, .,::;/ - ~/f~... ' ~,d//,- ~7 , P A. - )~?4 -~h . ],-'~I /1 E L~"'I ~ c; 7?1C(a~/tJ'J_ ~C~ . . ; '. "-' . , '. shall have the following powers, applicable to all property held by him, effective without court order and until actual distribution: (a) To retain any property received by himl (b) To sell, lease, encumber or mortgage any personalty or realty for any purpose, publicly or privately, for such prices and on such terms as he shall see fit, without liability on third persons dealing with same to see to application of the moneys so paidl (c) To compromise controversies I (d) To distribute in cash, or kind, or both, at such valuation as he may fixl (e) To hold investments in the name of a nominee. ITEM V. I appoint my said husband, Donald E. McCloskey, the executor of this Will. If he should be unable to act, or to continue to act, in such capacity for any reason, then, I appoint in his stead, with the same powers and duties, my said sister, Louise C. Horstick. I specifically direct that no fiduciary acting hereunder shall be required to enter bond or post security in any jurisdiction for the faithful performance of his duties. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 71 day of May, 1973. 7J1C1/l.ta-'.--e. afrl-' '-J'- MARIAN E. Mc S (SEAL) SIGNED, SEALED, PUBLISHED and DECLARED by the above named testatrix, Marian E. McCloskey, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses: ~.<-& 4xL:~ /..i',I'~ ..d'~J~;:?~ ~ ":?~ a'~J.--t ~-/ Address ~ /3,Fc- ~~~~Ab! ~,.... ~___6d'L-.-~ n,.. Address ~Z_ff~~ - 2 - ImGISTEI{ OF WILLS ()I<' _C l.(IfI3t7/tt..,(/I-P COUNTY OATH OF SUIlSCIUlUNG WITNESS ,lJt-U/J (3. __.:5",,1t.J:___.~--J?Il~~-~-----.-~, 5",.,r,-r ~udidl (ea~h) a subscrlhlng wilu~" lu Ihe will 1>r~5~IlI~d h~rewilh, (en~h) helug dul)' <Inulll"led uccordlug 10 law, depose(s) und SlIY(S) Ihul ~ ,.. . . . premll and saw /hAIZ.,AIJ /:, /11,C/(I$ff'.f:Y- Ihe leSlal.tZL.f::.-. ,Ignlhe M'lIIe und Ihnl (./)L. sfgned 115 a wllness allhe request of leslal 12/)C: III h~ presence 1I1ll1 (Inlhe presence uf each olher) (inlhe presence of Ihe olher subseriblug Wllrles,,"5)), ./ ,~'./ / l /,,/ ./ Y ./ Sworn to or urlirmcd und suhscrlb~d hcrorc~ V;~:t.':n~A''''',r' ../~ f_ ,--::;-;J-,., A 4.--r. ..., rne Ihls 21 r. t dllv of '/ - (Nallle)";;z'/v"- ().</mt<'-t&I'..I~ (fi-// I " ,'" F c;';'" - -0) / ./ NnV"~t.BlITt___ 19~ /,j.j (, .<N.]" {.. .....,h'../'P~t/)# .(//,f., 1'llll1l1/(' '-~IlI'Fi \~UJI/'j(/ll.( L ,7 SAddress)./; ,.--/. MARY C. LE:WlS l\.(~efit'r~ _ ,..4%",u, /.~'1. ---</"'~/;d/,. / " Ie" (Namr) rq'~(.I L..",_.,#,?~.."L~-.~ If( /. ~c'/ ,F '~"'. ' . 17(;. '7C .";1 f' c.. .t;l-(.,,,, 1-,...1 o,J .." ,,,~, ,.L f. \/ /f ~ . / / (II r/r/ress) REGISTER 01. WILLS 01' COUNTY OATH OF NON-SUIlSCRI8ING WITNESS "---. " . (each) a subscriber herelO; (eueh) helng duly qllulified uecording 10 law. depose(s) and say(s) hlit '-" fllll1llillr wllh Ihc slgnlllure of '-" codicil lesllll_ of (one of Ihe subs~dblt,lg wllnesses 10) Ihe will 1!,':C>enled herewilh IInd , /~odlcll b~lIel'Cs Ihe slgnalure ojl-Ihc' will 15 In Ihe hllndwrillng of "', .......- " " ~,:><:'"' ...- " '-... ....,-.... " , '''-~- that 10 Ihe best of knowledge IInd hell~f...'" /" Sl'."lrn 10 or affirmed 1I11d subscribed b.rOi~ / me this / dllY of /'" /' 19_ (Nullw).................. " " ", '-, '-, ...-/ (,Iclelms) /- Rt'}:lj'(t!r ,"" "~. / " (NUll/e) (AcldTl',l.\) , Ch " " " :".... ,';1 '- '.'~ \ , ., - ,- , '''J ;-.... ~:;1 I", - I: , F' ;'l ~i (.) U i , If line 18 ii grltol", than lIn. 19, enter the diff.rence on Line 21. 1hls i, ,he TAX DUE. A, Enle, th. InllH.,sl on the balance due on Une 21A, B. Enlllr lh.lalal of line 21 and 21A on line 218, 1hls is the BALANCE DUE, Male. Ch.dt Poyabl. 101 Reght., af Willi, Agent_ >- >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -e(-e( Under penalti.s 01 pllrjury. I dedole Ihal I have uomined this return, Including accompanying schedule, cnd .talemenh, nnd 10 the be,' 01 my knowledge and beli:,l, it i. true, (orrecl and complele, I declare Ihul 011 real tutala hm bllen lepolted 01 true mar~61 ~olu". Declaration of prepare' alher thnn the pllr'onnl rllproumlllli..." il baled on 011 information af which preparlH ho' ony knowledge, '~;'~:~~~N '~~"'~~_~:,~~~o;~----'or;ii"-~~~Bmlha~~R~~g~~---~---~- ---- iiA'~~-;~.: L. "G".~o,-p'i"'r,'O'"ii-';~,i ,1~Nt~ltdAI~I~~--,-----" .[lL)IlI!>~ ,Cl/Skarl ~tos, & ZOn,ari"cfI~', !lAII I ,{ I --(.tt'\C&/1(f{'-'J8(>-~J _ " ,204 State Street, Harr i sburg, PA 171 01_ ~~.~~, /'1\- IUY.UOO fll. l'q.l ~ "'.... ua:W ...~u ,",09 u.... ~ :iJffi "0 "z 8~ ~@~ ( 5 - (", c: - SO INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) COUNTY CODE 'OA OATIS Of OIATHAnlA 12/31191 CHICK HIAl II A SPOUSAL POYIATY.,CA.IDIT IS CL~IMIOJ ) IILl NUMBIA 2195-0B74 YEAR COMMONWfAlTH Of pnm!lYl'.,l....w.... oEP,ARtMwt Of RIYINU( OfPT 280t.Q1 __ _.~ ._HARR~!lI,~R~~, p~. ~lnB ~t.Ql_ DICIOlu ':. tU./ol1 IlA~I, 'IR~ . "Nil M111[)1 IHI'lllq NUMBER 11lCIOII1l.\lOMI'IIIl AUOII\\ 13B4 Simpson Ferry Road New Cumberland. PA 17070 ffi ffi ... ... o McCLOSKEY. MARIAN E. 'oc'~~~7;'~:~~~~u-,-___ r~lO~;~~~95 r;';);~'~';15_ ,., """"" "h''''':::"' ~"\1 :~\1 ."," 'M :'_~':' __ r~'~1 :fCU"," "uu,,, [Xl l. Original Relurn 1..-1 2 Supplemltnlul Return o 4, L1mit.d htot. {J 4a. fulule Intefl"t Compromiut ('or dOl" 01 dealh alter 12.12.B2) ~ 6. Deced.nt Died T.llol. LJ 7. Oeced.nt Maintained 0 L1...inO Trusl (Allach copy of Willi IAllach copy af T,ultl ALL CORRESPONDENCE AND CONFIDENnAL TAX INFORMATION SHOULD BE DIRECTED TO. NAM! (OMPUI( MAIUNG AOOIH~!1 Anna Marie Sossong c/o Skarlatos & Zonarlch '''''HON' NUMIII 204 State(StJreet. .Harr i sb~rg. 717 233-1000 _'~' ir: "n.., 1. Real ElIa'e (Schedule AI III __,___ Unknown ---~ 2, Slack. and Bo,d. (Schedule BI 121 ____~,.?_Q6. 90__ 3. Closely Held Stoc~JPartnenhip 1nteres' (Sch.dule q ( J) ---- 4, MortgoB" and Nol.. R.cei...obl. (Sch.dule OJ 14 ) 5, Cosh, Bonk Oepolill & Miscellan.ous p.nonol Prop.rty ( S ) (Schedule EI 6, Jointly Own.d P,operfy (Sch.dule F) '1. T,onsf.n (Sch.dule G) (5th.dule II B, Tolol Gron Aue" (Iololllnll 1.7) 9. Fun.rol E.aP'"S". Administ'ati.... COlli. Ml.cellon.ous hp."s.. (Sch.dule HI 10, Debh, Martgoge Llobililill. liens (Sc.hedule I) It. Total Deductions (10101 Unes q & 10) 12, Net Value a' Estal' (line 8 mlnul Lin. 1 ') '3, Choritoble ond Go....rnm.ntol B.qu"tl (Sc.h.dule J) 14, Nllt Valu. Sublecllo Tax (lin. 12 minulUn. 13) IS. Spoulol lron,'." (lor dalll 0' death aft.r 6.30.94) See Inl'rUc.tlonllor Ar,pllcobl. Pe,cenlage on Re....,.. (15) -...~--~-,' Sid.. (Includ. valulI ram Sc.hedul. K or Sch.dule M.I 16. Amount of L1n. 14 IOlilobl. 01 6% ral. (Includ. volulI from Schedule K or Sc.hedule M.) 17, Amount allln. 14 tax obI. 01 15% rol. (Include ...alues from Schedule K or Schedule M.) lB. P'incipoltoll due (Add tall. 'rom Unes IS, 16 and 17,) 19. C,.dits Spousal Poverty Cr.dit Plior Payments -- + ----_._-~ + -_._-_.--~-- - --_.._~---^. ("""'f - .:OU'" :::''':~~~~ "il~'Ui'~",I----- --- 113, [] S, LB Remainder Return I'or datel of deoth prior to 12.13.B11 f.deral fllOI. Tall R.lurn Required TOIOI Number 01 Safe Deposit Bo..s PA 17101 ~::~ r-- I l.... . ','j "j " z '" ;:: :5 E ~ .. ... ... .. 30.246.97 21.,529_.B2--_, B, 717 .15 ._M, a (161 _" ,06 a (I71_______8,.!_11~_____," ,IS = 1,307.57 ------ _._~- z '" ~ 0- " ~ :E '" ... >< .. 0- (181 Discount Inler.s' (Iq) (201 20. If L1n. 191s gllater thon lln. lB. entllr the diff.renclI on lIn. 20. This il the OVERPAYMENT. aD Chock h 10 If,you ara requutln 0 rofund of your ovorpoymont. . 1!30?~~L_ (211 121AI {21BI 21. \' j I , ~.....--,.- ,_.~~...._- _.._--"..~ 1.lInT 111M. /Ill" Tr.nrlllU:llT or IlAllIlIll I:. IlcCI.OflKl':V I, H1\PI"-?l I~. ncr.f,Or.l:t:V, ('I': !leu r.\IMhf\rlnnf1, cunhnrlnnct county, [1onnGylvania, ,'rclnrn thin to hn IllY 1..'"t Hill, hnruhy rovnltlncJ nny nn<\ nll prior I'll 11n nnr' C:n,liclln. tTI~U 1. I '.llvn nOf' IJrHluonth nll of fl'\' nh.,rnn of ^TLT "toe): which I own nt tho tino or MY ,l,..,th, nTHt nnv nnf' nl1 nntlnuo furniturn which I hnvr rocni"m\ from thr. cr.1wfnr" !"nnily unto my niotcr, t,onloo C. lIorntlcl:, if nh,. 11\lr./1\'0" 1'10, notl if 9ho should prouoconno mo, I CJiV(l nOI' hnnlll'!l,th .,11 or anl11 ItcrlO oC parnonnl property untn hnr 11nUllht.nr, 'flY ninco, .'nnJ nn lIcrnhr.ovl tz. ITm" II. I f1i\'n~ hC'f'lUnilth nml clovinn nll nr tho ront, rcolr\uQ nod T'cl'l'Inln1lor of my t'n tnt,. Hnto MY hunhnnfl f nonnl1l l~. McCloskoy. lIoWQvar, if tho nnitl nonn},l I:. !,!r.~l"nl-',rv nhonl11 prnclnconf1ro "('. or din within 90 <Inyn (ol.l(>wlnq thn c1ntn nf t'Y llonth. thon I givo, hOClunnt:h nnrl d(lvinn thn rnniclnnt.inl prnpf"rt:\' n 1 t.untn nt 1304 Simpnon Perry lto0(1, ~Io\'" CUMhnrlnnf\, I'annnylvnnin,rr('lvidinct I own nnmc nt tho tiMo of rlY c1!'nth, or tho prncoc1ln ronli:ml from tho nnln thoroof, if I nJT1 nt!ll in ronnnnnlon of onitl proccr.cln, unto rTlY hunhnncl'B non, Ilon nlchnrd HeClnnl':ro\', or hio ioouoI por ntirpoG, Ilnt1 tho rnnirhlC' of my (.ntot." 1 ,Ii,v" t:n my nnill Rinter, ("ouino c. lIorot:ick, or hf'lr innun, l)nr ntirpon. ITnH lIt. Uo intnrf"nt of imy IH'noficinry undur this Uil1, or nny Collicil horeto, "hull hn nuh;nct to nntlc!potinn, or voluntary or invnluntnry nlionntian. ITr.n IV. In ndrli tinn to l:h~ flp\.1f)rn q1.vnn hit" hV Inw, MY executor, I\ntl hi" nucconf1orn, ,,1111 nny 'Iultrd1i1n nr.tinl'J heroundor, . . ~>- -,.4" ~~,., ~ ,:;"/~---.A-. ,~. 7)/ eJL. (~;_ .--r)j..'" d~ ....::{', ..L.>L -, . --1'2),.1-..1 u. ' ! I ~. ~~ t',- ~ i.~ ~ .....-..........----- ---.-. , --.-..-...... -- .... ,_...~ nhnll hnve the [ollowln'J poworn, appllcahle te "ll properly held by him, o[[octive withoul cou.'l ordnr and untll actual dlntributionl (n) To relnin nny property receivod hy him, (b) To noll, loona, encumber or morlqnC)o any pornonnlty or renlly [or nny purpone, puhl1cly or privately, for ouch priceD nnd on nuch tormB nn he nhnll noo !it, without l1nbillly on third pernon. denling with nnme to nee to npplicntion o[ tho moneyn DO poid, (c) To compromioc conlrovcroionl (d) To eliotributo in cnnh, or kinel, or both, nt ouch valuation nD ho mny fix; (0) TO hold lnvan tmon to in tho nnma oC 11 nominoe. ITEH V. 1 nppoint my oaid hunband, llonald I:. ~lcClonkey, tho exocutor o[ thin Wlll. If 110 ohould bo unable to act, or to continua to net, in ouch carne! ty (or noy roonan, thon, I appoint in hiD atomI, with the DM10 powern ilnd (Iutlon, my nnid nintor, Louine C. lIorlltick. 1 IIpecifically ,HI'OCt thnt 110 [iduclnry acting horeundor nhnll 130 roquirotl to antor hond or PO:1t nocurilY in nny jurindiction [or the [aiU,[ul por[ormanco of hill dution. III WITNESS WIICllEOr, I hnvo hereunto not lilY hand nnel nonl thin 7/ dny o[ Hay. 197 J. Z<'/(IILl":-~ ~t&,1 .1w_ HI^N I~. McC. .J ~(/ (SC/IL) :aGUI~O, :mhI.I':D, PUUI.lfilll:n iHHI m.:c.:r,MU':U hy the .1hoVll named tODtatri)c, "'111'1011 g. HcClonkuy, a:1 ilnd (or ho.' I.olnt \H 11 aml 'rcot:i\munt:, 1n tho prcuonc:c of un, WIIO, nt: hor rcqunllt, in hur prouonco ,lnd in tho prCDonco or COlch othur, hnvu hOTlJunto nulmcl"lhcu our namen nR witnonnofls ~ L ~_ /1< ';....:;7/ / ".... /~:,_"', J..--J ::1'~,,,,,/ tflM- ..,0"., 1"/ .:.-;~~..__ (::\~A~~.-.I!._I ~/ ^tlllruulI ".3.r-~ -4Z.:,:yc.!<",,-, J.C""~~ AU t<'~<':r: c."., ~L~-L"{.~-t; fCk.. /\t drouu ~' , __:d4.~"..~ ..0-:', ,,',4 i I I I -, - ,--' . , '. CIlf'M0IMElIL'l11 CF PENl5YLVlINIA ) ( 55.1 ccum CF C\J'1IIEJ\UIND ) 01 this, tho 161h day of (\ ,,~; I ' , 1987, bdoro 1M, a tbtary I\1blic, tho~i9Md Off1ccr,~llOn,'IIY appo>arod MNUNI I:. H:CLOSKt:Y, kna.m to 1M lor satisfactorily PraJcn) to be tho p.1rson(s) whOBC n"\,-'I,~I:".~[I' subscribed to tho within inst.nmmt, and acknowledged that said ~r.~JI'.!; ':'.,,'. oxscutod tho satM for tho purposes therein containod. ,( ',:,:'~~~~".\?'t:'.., '. ."" ~1\J".r . \' . IN Wl'l'NES5 h'llEJlECF, I hereunto sot l11'J hand and official ~:r:/~"':~~;;,~~;'~9.'~' I';': '; :10 ~:-= ~.J'~ A.. . ~"-:'" ~: i )1 .... .... . ".()."'^i"''' .~ ....... ~o.." ' ,/10 rH~~ ",....... .....""..',' \ NJtary I\1b c l'lU "'IN GRISSINC[R. ol.ry Pul.lie tllloyn:. Cumb"l.nd Co,. Pt. "" Cornml"lon "pit.. Acl,U 7. IWO CIlf'MOOWEALTlI,CF PEW5YLVlINIA ) .... ,\' : :~'. I~'..:;" , I 55.1 Ccxm"('CF'.~o.' ) ,,1 '.: .' ....\.: \ .:..;" ~\.: T' RttORilm" );~';QffiC~o.5fleo:mllr<J o~_ in aM for O.lITbcr, land Q)unty i^~ ~boo~ '., :, V:Ql\J1\O ':, . at P"'le. lie ,:;' ::;Wx'lllE$" 'iind s 0 Office this day of r < (V AIln9',~J ' ".:/' ~ ~ ~ I". ....... '.., "'.,. ".," ,;,..f"": -;~:..'..~' I - '-... . . , -., ....,;."o}.~~~."'I...~II'.J......t. ~L".~ . ~ . '" ,...i:T1t.:.,~...'. ~oorder ................. , POOKC\'32 rACE 753 3 ......... '...., ........ ............'~.....'.- --....-.'...,..-..-.....,.--.. __..___.,...._....'..A.. __.._.....___.__. , I'IO~ ,\~Il FISC,\I, ,H'F.\IIIS :" AIlIlJtn'I'1lI1'llt hl'l\\I'I'1l 1111' rlllllJl'I' l'tlllllllll,tllliull ur II Il'lilllllll~hllll'1l1 "1' hlJl, lJ:llilp.ll4'fhUIllIII'l'tJllt,.-t>" 1111 Hr \\llll'h ('IlL tll lIw 1'),It'nt tilt' hllll'''I..lhll'", i .'tIIlItII.AIl):.,I, ".I.,tli. Nil, ~.!, \ ,;1;, ," ~1tt, Nil. ,1M." :17. l'rr''i.'Il\l' ,1111.\ I 1If)' Null'H 'un II' idlu Jul) I,lli'll, olllll,.,inlt., \1.'" :n llI.ule: "l lku'tkllh IltlllJ: 1111 HI .,11< I ~ I'N-I. '",::al<Ur\\ 1.llh" .1.Ite: lit Ih,. 1...11' I l11C' Irlllailhk..,llIlf"'"tll,lmC'IlI"1 .,., II' ^"idf .\XI u' lilt' .Id ,11.111 ;11'1'" I.' II" ,ufJnrllC'lIh II,illJ: 1111 II' all"" J.lllu.1l\ I. ,'lnJ lu illl'" \iUI\ 11;111,1('1\ 1Il.llk ") II",' ;J)in~ IIn III :\llr. J.lll1i;'ll) I, 1'''''Ii, ICj:ll,1 lrlllC'lblt'lit Iht Ilall\lc"" r. ~~1I1111' 1I1lhlllU,:.h 14, hllm Srllill!l\ ,..01 'lIl1uJlar","" ,cll"'IIiH:I)',ul lh(' luhrlll.u", IlIJ 1:..lalc: Tat ^l:1 "' 1%1 17: I" t :"It~..U,1 hi ~.sK",h'.41 1, IJrr 1',1',1, Ill....." Nil .'H, , I ," .aC.S.\. I 11.1111 I,Juli(, 1~,I',I.,'7.',,\ll \'1, U 1'01011""'" Z II.S, It :.sK\_''',1 hi :01""-'''111 Inull lllluullrrl) c', lilt Inll:It"1 ill UlIl:.II,I!f ul \1l:~1'.,,,,d ml', ulale 11111\(' ill WIl\ltlc',llj"ll ..I e', .clinIIUi\hlllt'nl ullu:. IU.llllll.I):llh ,1\ in, _POUlt IIIJ \IoU 11111 JeJu\'llhle delll 01, under Inhe.i1an\'t' 1I1lJ l!.slalc TIU .\d n v, Cum., Utl'l, uf ItC\ellut', 5901 ^.~ll M", ,.ClI1wlll1, C,SI.IWI. n if \Iolfe', lire hllrfc~1 III tlllc.hallul .Ir- J hwb.nJ'. c'lalc \10'''''' fuundcd 111"'11I 1"11111' etl.blbll life inlclt'l lur hcudil HI d~. d hUllJand if he "'cle ,"_unhe, hllcl,,1 \'..~ educlihlc debl "I eslale undt'l Inhclil.llI\(' ~lllc Tu ^CI, "'Iltlt' Iile inlclCllll1 111I" in \Iollc', (\lalc "'iI\ inul'ahlr III \ahult"ll oullJ nol, III lime III rrenurlial 'J't'elll~lil. Appondlx fallowinG thl, Tlllo ~tarl''''' ,. , ^.....M.lt....J.;::;iHrlllIlQ&.,,~~A:.i.i~.....U\ti'N.~~ T,\X,\T1I1:-; ,\~II FISI"\!, .\FF.\IIlS i:! P.~. * BlaH I 1.'n'htli"-luU '''Il'i.klillh'll III Ill. 'II" \ . ,',,11111"1 Olll II "I~ln'mrlll H,II\.1 II " I ""l, I 1"1'1 ..I Ill.' 1'11111', ~'II .\ .'01 N I.', 1111 I', I 'u,,1111 ','L 1" 'I 1'~1I1 \'11 1'\,'U',1 "I '1',\\ I III an. Ilclllrn' III) TIll' rllllH\\'Ullt Itt'l";lflll'l flhaUlILahl' n n'llllll; (I) 'rlll' Ill'J'lilllllll r"llrl'I'I'nllltlw Ilr till' ""I:,h' 4lf till' .Il.(,..,h'lll a.-1 III IIfUPl'l"I,\' or IIII' ,I"l'l'lll'fll lulllllnHI!II'11 It)' him lUlll :llldilltln:tl 1l1111H'l"ly \\ Ilk!. 11'0 III' 11m}' I", t<uhJt'd III inlwrillllln' Ill\ 41f \\ hii'll Ill' ,,11:.11 11:1\1' I,r Ill'qUlll' 1,1\11\\ ll'dl:'" 1~1 'rI... '1"1I1111(1'11'.' II( 1'1111'1'11)' 111'1I111l1l' 11"1I1l'fl'l' I.f \\Ilkll Illlll'lillHll'" t.., 1'1 "I' lItay I.., 1111110''''',1 II)' lhltl 1I1'Ildl', illt'IUllill.: il 11111111'1' Ill' 1"")"'11)' 1I,1l1..r"III'd ill IIIl..t. :-:" "'1'1';"'''11' "1'1111'11 111'1'11111' Inad..I.)' Ih.. 11';111"(1'11'" lOr 1'1'111"'11)' inl'ltIlll'll ill 1111' ,dill'll "l' 1I 1"'I"'"lIall'I'lll'l'IlI'lllllll\I'. 1111 '1'111' Illduslullllf 111'''111'11)' ill II... ..'1111"1I dlilllllUl 1'1I11,~litllh' 1lI1 adllli.....i../1 111:.1 i1/'1 trnllilrl'r 1'1 tn\:lhll'. {('J ,\n.r )11'1'1"111 1",'quiII'IIIH nil' a 1"1'1111'1I 1I1111..!' 111111:11'1"111111 1111 ..hall 1111I11I1,11)' iii,' II 1I11PIIII'lIwlItill !'I'turn with n'''I"'t't tll flllilitlflllal uliIwl.1 !llld t!'1l1l..rl"11 \\takh l'nlllt' tit hi" J.l111\\'h'll~I' nn.'I' till' llIiJ:hilllnllll'lI 11ll)! 114'1'11 fill'l!. \,11 TIll' n'tllnl" 1'1"111111'11 It)' """~I'I'liHlIll1) ,.halll,,' 1'11,.,1 \\i1lllllldlll' 11I"lll"~ Ufll'!" IIII' 111'i1th uf tilt! Ill"'I'1h'I1L Al,lIi.\' Ihlll' Ilrillt III till' 1'~llll ati""llf 1111' '11111'.11I"111 II I~"'hlll, IIII' Ilt'JlilI11111'lIt, In lllllli"",tl'tlnll. 111:1)' ~I'llllt :1Il ~\h'lI~iHII IIf till' lillll' fill' fili1ll: a H'lllIlI (01' nil lulditlulIUllH'riHl1 ur ,.i,\ llluuth!l, h') '1'111' l'\'turllM 1'I'ljuln'll br 1'1111."1'1'111'1110 Iltl lIlIll 11'1 )illall I", 1Il1llh' in Ihl' fllnn Ilft'lIcrihl'll h~' till' 11t'llartllll'llt. cO \\'111'11 lilt' dt'\'I'II"1I1 WlIK II 1"1':,1111'111, till' n'llIl"II:i :>hilll III~ !ill'd wilh till' n'~i.~h'r. Whell tilt' all~('t'lh'1I1 \\"11I4 n I1I1IU'I'"hh'lll, Illl! n~turn!ol Ilhllllllt' lill'll willa IIII' 1'I'~ll'h'I' \\lall i"!llll'll Jt.tll'l1l. if 111I)', in thbt CllllIlIll"lwl'alth; uthl'.'\\I!oI', 11\1' 1"1'1111'11" ,.hulll", iiiI'll wilh thl'lh'llilI1111I"II, W71, M:an'h .1, P.I..Ii, NIl,~, '\11. XXI, 'i ~~l:ili, ,,,1.11,-1 IlI:II, 1\111:. 1, 1'.1,. !Ii. Nu. :!;!, ~. :111, drl'I'II\'I'lulillll:I,\'tI, IllHlurll'lIll1ll1l HIIIIIII..r." :\'IIIl':; l'J'J1 l.('~hIAIIIlI1 SCI'lluIl4)lll ul ,\1'1 IIt-H, t\Ut:II\1 4, 1'-1_ '17, Nil. 22,1"lI\llle\: "nle ;tl!diliult III Allidt' XXI ~ll;IlIlIp"l)' llllhe ('\1;\lt III dCl'rdenl, d)lllllllO III ;llIerlht' tllt'..ll\'\' !!.alc I,f Alllde XXI all~ ht hilt'. \j\11\ lIo\ll\h'f\ llI,\de 17 !!t'{('llt'lll' \111llt: IIlIur Ilflcllhe rllr~Hn~ J,\le II "ltldt' xx ICt:_Utllr\\ IIf Ihl' tl,lIt' III lIi1I1\lcl," SIlIIIUI Suh\c~li.lll\ 1;1' ,'llllllll "I'm Snlll'" 1nl ,11111 ~uh\C'\lillll\ (I.:) Ih...lIl:h II) IIIIIlI S\'~ti,lll\ 111~ IhlllUrh tit\, 1\'''I'\.'~li\l'I). 1,1 Ihc Illlu~Il' lall\'1! ,11111 hlalc '1.1\ ,\d 1111%1 p: II.S U ~.lll,,~tlll ht Zoltl;\-711~I, I'rlur I.UII\: I'Hi], Dc.;. IJ, 1'.1.. IIIMI, ~u. Z~~, ~ 1 (7~ ",I,C,S,\. , 17,1"1 1'J7l, huh' 17, 1',1.. 11:, Nil. I~,' I. 1'Ih", Ik~'. n, I'.t. I~II,~,' I- 1%1, Jlln\' I~, I',I~ -".1. ,\11 \'11, U illl hi 711\ 11.' 1"'1 U ~11'i~,--1111 III ~.IK~-7f1~) LllJrnl'" Ih'fCl'l'lIl'l'!i T"\;llillll~KljI),I'II.' WI:..",'I,,\\\, T1lllk N" .111, l'.J.S. T;IUlillll U 1~:f1, I~:J. Untll'd SIIII," <:'nlo ,\nllnlnll'd 1:~lnlt' l;l.\ f1'hll n~, I:unlltll' ;l11l11....l1rlili.lli~'\, ur:1o Il,S,-" tWl/l. for Tlllo 72, COlllolldalod 1'1;11.1.' Ill' Ilhll)!, \t'C 'llIIle Inr Ilhllf, \,'C ~h \lS,('.,\ 'W"L :,. Irs (',,\ "~11.s Stalulos, 800 ^JlPondlll. fallowlnu till, Tlllo Ir,!1 -" ,- I',S. ~ !III:: T,\\,ITllI'" ,I'il' n,,<',11. .11-'1'.1111" 11I..llll'il'ulltllll :-;llIllIluf~ ~1I11'" I'r" I f~l'l.lI"" "'.,t,.,,, 1111", \.1 "I '",'I,ll" 'j' ".,.:: 1",.\;.1" .111' , "" \.\1 ."....!I.., " " "I" " 't".I'1 I'll" I..... \"k: ,., " I" ,,, " .. \ , . .. 1',1 " "III 1'''.1. I..," ,,' ., \" \11 .. , II, ,11,1,,'11 ..1 \11.. '\1 >1.,:0 'n" 1'1', ,.r ,I' d .1(" " ',,1\ 01,.1:,. ,,,,, I ,t~, I It. ". I,. .',,< ..I 'I"'!' \ \1 '''.11, ", I '''''' I','. !, ,. "1"!' 10-, ,'r,r,1 11".,1;"'1" "\.1 "1"11"., "~,I '" ::.' 't'l I.III,al' )tt'f,'n'lu','" 1"1.111"11 ot*'''lI WI '11.\\\' ),,1''' ~.;" \11 ,. J' I :11.\11,111 I I:H~ ,I '1'1 ~ HilI. :-\Ulltl'I' IIf 11a, Illl'nl lal III 11..- .lh"I'lu'" IIf ,I ('''I:lr.lr;.' il:!I."t i11'1.';,\nq' III 111" \\lil. Itll' 1II11l'nl;II'I"I' 1.1\. lIiflll,hrll~ itlll,.!.,.t. "111111' 'r-.lll~r,'r "(1'11"""1:" ut'lrll 1'..,'.0,. ":0 ..nil """'lllh'ly i1ll.llIl ("", allll nllidl h 11011 I'atl ,,( IIi" I','dolll<lr:, I""'~I', ~klU 1"'1,..1.1 "'II ..r II... 1....j.JIl:lr,\. "_1..1" alul rh;II.',~11lI11U'~,IIII" Ill.II;I,,'r .\.. ,II'It,'" ,II a,IIUl',!.,I, ,\Ii' 'II "\I"'IJ~" "r II.,' ,.,1..1,. 'J"ll" Iq~llll"lit,~ J'halll'''III,ld,'I.~ 111"1" r,""\.ll '"'I,r, "'1,1,,11\1' ,.L,I. If ".., .~" 1,.11.1. .,11,1111", 111.,.1,. ":0 It". fra'I.'("""" "r Ill,' r,..:tILU;. "',,1,. till III III" .d, "II.... ..I " ",1,11.11':, If,I.I.l .11'1"'.1111,,' II, Ih. 11111 I' \1\'" 1111.1, tb. 1I;llI'llI,III,-o' 1;1'. lI,dlll!iLI' ll.t", .1. 1.1; 11.,. tl'.,"'f,-. .,II""I~ II'. \\"1' h 1'.\"'" ,II. ..III"!', ;\1:,1111 r..,. h\ 1111"1 \1\'" "~I,I, ;,,01 \\hld. I. ,:..1 l'l,t "11/,,, 1"'1.\'1" H( II". 11;11'1 \1'.... 11".I,.l:;llI I.., 1".101...11 ..II!." 1"'1,1'1""r tt.,. 11'1,1 ",,0\ d'"I'.,lu; Ih.. '.IIIW 1":111111"1".' .1 1"'Ill'r.11 ;1,!lllllll"lr,III"h 1"1"'11 ,'pr 11,,' 11'1 I "1"1 1'1' ,'.11"'.1 ,1".:1." 1,,\.10 I,., III" II"'j '., 011:01, I( 11,,1 .." 1',.101, .1..111 10.. 1l1.1'\.' to.., I!w 11.111 I. r. ,. ,.1 II... I' :,\lll' "f II..' 11'1 I ,,'1 III 11... ,.1""111'" "I ,I 1"I.lr,lr~ 11.1.1' 'Ii'I" 11';1'.' 11; I!..' ,\lll, II,,' UiI,"nl.lI.' ,. I,,,. indlldllll' 1Il1l'!"1',.1, 11111111' Ir"",f, I' "I I n"."",~ \1 t,ll'h 1'1 "', It:, II 11l..lb,', Ih.lll ,\1''''''1'' I ;.1.,1111 f,.,'. .11;,\ Id.i..I. I. II"l 1..,11 .f "". "10"';11:, .t.I"', !...!! 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I.n 110111. 11"'111... 1,,11"',11'1' .." 1\ 111\..1,1,' '''1' "I "'I ,lit' .1\ 1'1,,11,1"11 1.\ ":,' I" ~ ,. 1..,,1,..1. "', ..'", , II", ",10'''11 1'1,"'. I' It .\ I .',1 I"", '.J I' I 1,1,,, I ". ." I, 1"10 ~ rill 11110 71, COlI'wlhl , R[V,1.503 U. IU61 j ~"~:~l\ -'MJIu.- COMMONW(AlTH 0' PfNN5.nVANIA INH(AlTANCr T.U RfTURN RUIDENT OfC(DfNl .__ _. ESTATE OF SCHEDULE B STOCKS AND BONDS Marian E. McCloskey H - o'''o'~''=~==~:~o''-"'FiLENliMitR--- 2195-0874 (All prop.rty lalntly.awnod with Righi of SoIrvlvanhlp mu,t bo dllCla..d on SCh....... F.I ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH I, Amerltech Corporation - 122 Shares Common Stock - P.~ference No. 012470499BB 6,557.50 2. Amerltech Corporation - 32 Shares Common Stock - Reference No. 01247051567 - Joint Tenant with Oonald E, McCloskey, Jr. who died on April 10, 19B7 Bell Atlantic Corporation - 82 Shares Common Stock - Certificate No. ZQ SS 2642 5556 Bell Atlantic Corporation - 22 Shares Common Stock - Certificate No. ZQ SS 26682936 - Joint Tenant with Donald E. McCloskey who died on April 10, 19B7 Southwestern Bell Corporation - 82 Shares Common Stock - Account No. 88BB-49 36126 4,530.50 1,720.00 3. 5,237.75 4. 1,405.25 5. 6. Southwestern Bell Corporation - 22 Shares Common Stock - Account No. 8888-4956 702 - Joint Tenant with Donald E. McCloskey who died on April 10, 19B7 AT&T Corporation - DRP Shares 144.3330 1,215.50 B,840.40 7. .' ' TOTAL (AI,a linter on line 2, Recapitulation) _ (II mot. space ;1 needed, inse,' addjliono/sh.ets of lame sin.) , s 29,506.90 ~ Trln.'.. Aoenl: Flrsl ChlcaO' Tru.1 C.mplny .1 HI. YOI~ P,O, 0012558 Jelley City, HJ OT303-2558 CIII ToIHt..1-800,233.1342 ~it~ December 12, 1995 SkarlatoS & zonarich, Attornoys Anna Marie sossong 204 state st. Harris~urg, PA 17101 RE: AMERITECII CORPORATION COMMON A/C: Marian E. Mccloskey REF: 01247049988 CERTIFICATE SHARES: 122 Dear Ms. sossong: We have received your inquiry regarding the re_registration of shares from the above referenced account. The market on the date of death, 10/20/95, was $53.750 making the value of the account $6,557.50. To assist us in processing your request, please send us the following: The 122 outstanding certificate shares currentlY registered in the deceased shareholder's name. If you arc unable to locate these certificate shares, please contact us so that we may begin replacement procedures. A certified copy of the court appointment of the Botate Representative dated within 60 dayS of the request for transfer. The enclosed stock power signed by the Bstate Representative with a medallion signature guarantee. The enclosed Affidavit of Residence properly executed and notarized. This document will confirm the state of residence for tax purposes. The complete name, address and Taxpayer Identification Number (social security Number) of the person(s) to whom the shares will be transferred. To assist you in obtaining these documents, we have enclosed a glossary of terms. We suggest you use Registered or certified Mail, Return Receipt Requested, when sending stock certificates to us for transfer. If . leV'll'" ...' .-:- TflnlllI Agenl: flrtt Chl"go Trull Company aI HI. York P,O, 001 155B JIIIIY City, HJ OT303-ZBBB C.II TotHltl HOO,233.13U ~ite~ December 12, 1995 Skarlatos & zonarich, Attorneys Anna Marie 50S song 204 state st. Harrisburg, PA 17101 RE: AMERITECIl CORPORATION COMMON A/C: Marian E. McCloskey & Donal~ E. McCloskey Jt Ten REF: 01247051567 CERTIFICATE SHARES: 32 Dear Ms. Sossong: We have received your inquiry regarding the re-registration of shares from the above referenced account. The market price on the date of death, 10/20/95, was $53.750 making the value of the account $1,720.00. To assist us in processing your request, please send us the following: The outstanding certificate shares currently registered in the joint names. If you are unable to locate these certificate shares, please contact us so that we may begin replacement procedures. A certified copy of the death certificate for all decedents (tenants) except for the last decedent. ^ photocopy is not acceptable unless it has a Medallion Signature Guarantee affixed to it. (Please note that a certified copy usually has a raised seal or an official stamp) . The enclosed Affidavit of Residence (also known as an Affidavit of Domicile) for each deceased shareholder properly executed and notarized. This document will confirm the state of residence at the time of death for tax purposes. A certified copy of the court appointment naming the Estate Representative for the last decedent, dated within sixty (60) days of the request to transfer (6 months for a New York decedent holding shares of a New York cot'()oriltion or a Montana Decedent holding shares of a Montana corporation). A certified copy usually has an official seal or stamp of the court. Iei'll" -' , TI-IE BANK OF NE\V YORK NEW YORK'S FIRST BANK. FOUNDED 1764 BY ALEXANDER HAMILTON l.EGAl. TIlAN~;F1 n DEPARTMENT P,O, BOX \ 1:'11:1 CHURCH SIIlU' r STATION NEW YORK, NY 10266-1283 December 12, 1995 SKARLATOS & ZONARICH ATTORNEYS AT LAW 204 STATE ST HARRISBURG, PA 17101 RE: MARIAN E. MCCLOSKEY & DONALD E. MCCLOSKEY JT TEN BELL ATLANTIC CORPORATION Dear Shareowner, In response to your inquiry regarding a change in registration of the above referenced account, please furnish the requirements indicated below: o Endorsement of stock (bond) certificates by the Executors, Administrators, Trustees, Survivor or by other transferors in their representative capacities, or a properly executed stock (bond) power. o Endorsement must be properly guaranteed in the following form: SIGNATURE GUARANTEED MEDALLION GUARANTEED XYZ BANK OF USA AD123456 Authorized Signature (Signature Guarantee Program Name) o Full name and address of transferee(s), (include given name, zip code and identifying or Social security number). o Court ccrtifind copy of certificate of Appointment of Executor, Administrator, Trustee, Guardian, etc., DATED Wn'HIN (,0 DAYS. o Certified copy of DEATH certificate. o Affidavit of survivor, Executor or Administrator as to domicile - debts of decedent. o Forward Stock Certificates in addition to documents returned or indicated. The certificate(s) and requirements should be forwarded via registered mail to the above stated address. ";'lI(ltil1",lWIIII' . ' certificate(s) should be insured for a value equal to 2\ of the current market value of the securities, this is to cover cost of insurance to replace the certificate(s) if lost in transit. Should further assistance be needed, please feel free to contact us at the following toll free telephone number 1 (800) 631-2355. NOTE: THE DATE OF DEATH BALl\NCE AS OF 10/20/95 WAS 63.8750 PER SHARE. PL:F:l\SE FURNISH nEATH CF.:RTUTCJI.'l'E FOR [10TH lJECEASr.D, AFFIDAVIT OF DOIUCILE AND COURT APPOINTMENT FOR Ll\ST DECEASED. .1. II'} -r I (.:, J f "I,,.,., " tp I (Ol ,) II (I'{ 'U'II ..- II~" SI'ill'l'()\\,lll"r St!r\'kl"S 1'.0. lIox ~11l1'J 111I1I,llIn. TX 77~~~-~1111'J I (li(l(lI,\~I-n~1 D,'celllhcr II, I')I)~ ANNA MARIE S( ISSONO SKAI{LATUS .'\: i'.ONARICH 211.\ STATE S'I'I{EET IIAI{RISlIlm(i 1''' 171111 Ill': ~1I('I'()MM(lNI(,^TI()N~ INC. Til'kcl " 411J:\7~. Ell a'" " HHHH,4'J:lCII 2C1 Il/N/O M^llIAN E M('(,L()~KE\' ale "HHHH-4'J~Cl7112 Il/N/Cl M^llIAN E M(TLO~KE\' .'\: DONALD E MC(,LO~KE\' JTTEN Dear Ms, SosSlIlIg: Your reccul inqlliry rcgllnlillg lhc rcfcrcllccd SHe COllllllllnications IlIc conU110n slock lIccounlS hlls heclI rcferrcd 111111,' 1'111' rcply, Our rl'CIll'lls indkal,' IhlllllCCOllnllllllllher .\')3h I ~h ( 1'\'lari:m r~ McCloskcy) hlld lIn account hllhmcc of li2,(I(1l1 ccnifk;III'd ,harl's 1111 (kwher 211, I')l)~. Thc dosing pricc pCI' shllrc was $~~,2~1l un J(I/~(II'1~, TIll'rl'l'ore, Ih,' vailI\' 111' IlIis aCCIlllllt WllS $.\.53(1.~1l Oil J(I/2111'l~, (Jill' records illdkall' \hal accollllllllllllher .\')~h7112 had all accllullllmlallcc 111' ~2.111l11 cenificalcd shares Oil (kloher 211, Il)l)~, Thc dosing pricc pCI' sharc \VlIS $~~,~~ll on Ill/211/'lS, Thcrcflll'e, Ihe ,,"IIIC of this lIl'l'OIlI11 WlIS $1.21 ~.stllln 10/211f')S, Wc ha\'\' endll,,'dlrao,fcr instructiolls hI assiSl you wilh lhc chllngc 111' rcgistrulion fur thc referellccd W':l.:l1\1nts, Wc mc plcased111 11l' 111' ,crvic,' 111 YOllllnd hopc lhis illfornmliun has heen helpflll. If YOIl necd funho.'l' assistancc, plcllse cunlaclllS al the aho\'\' lllll-frce nlllllher. Sincercly, ~e#.f Lurlellll E HUllt Ellclosure ~ .-=. I\'j ';,' _. "",....." 11.1" ' fir" I"~ ,! Cillllll;ln. nl ft.."" 'loll, PO I ,,", .I.'!',', ','j, 1J:':l>l1;'!J,'~1 C;l:i: I to'" \ !inll :UlIlI:'1I1J December 20, 1995 Anna Marie sossong, Esq 204 state street Harrisburg, PA 17101 RE: AT&T CORP. COMMON A/C: Marian E. McCloskey ~ Donald E. Mccloskey REF: 01246409710 DRP SHAREB:144.3330 1:>11 I) \i,JI,.... '; --/ I . 'pl /. ~ -r...O-( Jt Ten / j; c '6L(l.I' ',/f.:,}-'" I, Dear Ms. sossong: We have received your inquiry regarding the re-registration of Dividend Reinvestment Plan shares from the above referenced account. To assist us in processing your request, please send us the following: 1. A certified copy of the death certificate for all decedents (tenants) except for the last decedent. A photocoPY is not acceptable unless it has a Medallion signature Guarantee affixed to it. The Medallion imprint can be identified by the word medallion followed by a serial number. (Please note that a certified copy usually has a raised seal or an official stamp) . 2. A certified copy of the court appointment naming the Estate Representative for the estate of the last decedent dated within 60 days. J. The enclosed Affidavits of Residence for each deceased shareholder properly executed and notarized. This document will confirm their state of residence for tax purposes. 4. The enclosed stock power signed by the Estate Representative with a Medallion Signature Guarantee. 5. The complete name, address and Taxpayer Identification Number (social Security Number) of the person(s) to whom the shares will be transferred. To assist you in obtaining these documents, we have enclosed a glossary of terms. ".IV-ISQ9II.IIUII j . COMMONWEAltH Of P(NNSYlVAN1A. INHUnANCf TAlC RnURN lUSID(NT DEC(DENT ~_.. __ SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Marian E. McCloskey 2195-0874 Joint t.nant(,). A. NAME Louise C. Horstlck ADDRESS 1508 Chatham Road Camp Hill, PA 17011 RELATIONSHIP TO DECEDENT Sister B. C. Jolntlv..owned p,opertyz ITEM LmER DATE FOR TOTAL VALUE DECO'S DOLLAR VALUE OF NUMBE JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. A PNC Bank Checking Account No. 5140104875 1,480.13 50% 740.07 TOTAL IAI,o enler on line 6, Recapitulation) S 740.07 (If more space is needed inser' additional ,heels a( ,orne size' I'VI\lI'.."UI Marian E. McCloskey SCHEDULE H I ADJ;~~~~~~,~~Pi~~::'AND ! ,... ..MISCELL~r-.JEo.~~..EX~ENS~S__J ,__ .. ~I.a.. ~rlnl or TVp. FILE NUMBER -tq~;~ COMMONW[Alltt 0' P[NNSnVANIA INHERITANC[ fAl R[TUIIN IIHlDfN' OfcrofHI ESTAli OF -- - - ITEM NUMBER 2195-0874 DESCRIPTION AMOUNT ~.._-_._- A, Fun.ral Exp.n.... I. 2. 3. 4. 5. 6, 7, 8. I, Parthemore Funeral Home, Inc. 2,652.84 B. Admlnl.trallv. Call.. I. Personal RepresentativG Commissions Social Security Numb.r of Penonol Rop,esentotlve, Yea, Commission. paid 1996 1,512.35 2. Alla'ney Fees Skarlatos & Zonarich 3,400.00 3. Family Exemption Clolmonl Relationship Add,ess of Claimant at dacodant's deolh Sl,oel Add,ass City State Zip Code 4, Probate Foo. C, Mllcellaneaul Expenl.., 33.00 Register of Wills - Short Certificates (11) PA Bureau of Vital Records - Death Certificates (5) Commonwealth of Pennsylvania - Dept. of Public Welfare _ Medical Assistance Claim Register of Wills - File Inheritance Tax Return Register of Wills - File Receipt, Release & Indemnification Agreement 33.00 15.00 6,456.84 25.00 10.00 TOTAL (Also enla, on line 9. Recapitulation) (If mo,e Ipace II needed, Inl.,1 addltlonallh.ell of .amo ",zo.) s 14,138.03 i.\, N\<.c.Lc~I<E.1 .c't'\~l~ ~L",=?oA';;,o;; 1J\E..tJTS --t-'@:>N\ LOt.:lI~"" -B.o~Tf(.J:.'c;. A~ T* ':~1' to. , c.t 1;. '-I<. i:- ':\CfqS , , I' Ll..!"~ 'j '" ,iJU. 1 1 i Lf~O . . '. '1 ~O .. SIR · .5' f1. ' 'J 10 11 :. 1.:.5" "':5 , 11 I 13' I 14:. . 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" 1:' II I ,:\..~ l i: : i I , I : ' " !. I Iii:: ' !~~~ II fi I " I: : Ii: ! , i :, I I\!. ., ,~~~ I I: I Ii, ,i !: I' i :' II ! I, I I' I' i I', . I ; i 1 I: i t i I " 13>< I, I I , . ! . I ! . I, I" I' I I R 1 I i ~ 1 I; , 1 i I Ii' I ' , il'l i> I:: I;' I:' I ' I 'I' I' I I I , 'II, \' ; !: ! .. II , :; II: .. I ' , ' I " " , ' I ! ! " , i 11 ! J !: i I I I j' :, 'I j 1 ! I I ;i Ii ,I :I ;1 , :1 II I t i i: ;, , , , , , :1 , , , I i I! Ii " d , I, ' t' j I I f I ,\ I II II' i' I' ; I' , . II ., i: . , I ,I , ! , I , " " I I ii, 1'''''1 "'j '.'I"f., .- L~~"~~,,, . _ -- , , :: 01\11\'1 :1 " f 'I il I I ;; :! , 2.2.: I 0') I Ii i 1 ,I II " Ii ,I 4,~ 10,: ) I; ! I . 4 II :: i~r:!!;: II I~ :~~ DOl 1 :: ~: ~~Iq~i ~ :1 ,053'00: III :, .: I ,:111 r I': i&~ll> Ii: rSO'!1J ; 11 :' :' I~ 'I I " 'I :'1 ,511l.'11:' l' il i I .11" II I: ~~ B!:III II I :: :11,. ;! :loq€:,I', ,I ." I "::11 ! ~ ' , .. I: 'JllCl~ll \1 i I,' I, I: i"~I~IJ I! . :\' I ,: ~q,"'()l" :: l~ls~I!I~I; I I: I! 1. ! 4,joo:i~'" I I ", ; I~ I UI ,I :'1 , 50',,1 i I II I I ~: i I..' ! t 1\ '::11 I '1 It): ;:1,1\ i :!'I, , :'1 ~ I h. , , , , i' I, Ih 'PlIl. lJ,tj '!~:t~ {(ll,l",()tIWllltlll 0' '''d~'nY''I'' IHHflnAHClI,U'"UI,. .nlb'HIOI(lOI,., SCHEDULE J BENEFICIARIES ESTATE OF Marian E. McCloskey FILE NUMBER 2195-0874 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE I. A, TOJl.able Beque".: Louise C. Horstlck 1508 Ch~tham Road Camp Hill, PA 17011 Sister 100% ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Governmental Baquosh: 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI. 0 enter on line 13, Recapilula'lan) S IIf mo,. .poce Is n..d.d, In..,. additional .he.', af .om. sin) ."f' . JOHN n, ZONAnlCIl Al/flA MMIC BOGBONQ O^YIO II, JUOY SKARlA'TDS & ZONARICH ATTORNEYS AT LAW 204 STAT~ STRE~T HARRISUURO, PENNSYLVANIA 17101 (717)233.1000 FAX (717)233'0740 ITEIlI.TOtl Ot'rJCC MECHANICS It .. L UUILOIIlQ II loum "nOUT 01nCtT BfEEL10N, PENNIYLYA"'A 1711:' (717) ":tll'Q:JLIt ALUCIIT O. BTUAnT, P,C, Of Counsel July 1, 1996 ^UOl!LO DK^RLATOS C1QOO,tQ6t) UIDDLETOWN Orrll:h 273 Nonm UtIION :.IIHh"l MIDULErOWN. PCNNGYLYANl^ 11'JI.' (III. Q4,e,r.Il.lv Mary C. Lewis, Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Marian E. McCloskey No. 2195-0874 Dear Mrs. Lewis: Enclosed please find the Inheritance Tax Return and Inventory (in duplicate and two copies) for the Estate of Marian E. MCCloskey, together with a check in the sum of $25.00 for the filing fee and a check in the sum of $1,307.57 in payment of the inheritance tax due. I would appreciate it if you would clock the two copies in on their face and return the same to me in the enclosed pre-addressed stamped envelope. If you have any questions, please do not hesitate to give me a call. Thank you. Sincerely, nsl ~a-~~ Anna Marie SO~ ~ Enclosures 00 err:- =] .:. , '0 0. :Il ::1;!'1) \"f II ,':, c._ r;;; I J. .,~.. ); ;\ 'I) w Cl f-v , ", L,,'g. ~ 'J (: ) 17101\ (:'irs lass Mail I !BW SSBIO ISJ!:I SKARLATOS & ZONARICH AlIorneys at Law 204 Stale Street Harrisburg, PA 17101 TO: Mary C. Lewis, Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 / "I ,,~ ,[,- /" n_ , "... I ,I ~ .. I , ;. '.J ri: u; ,,) }J' .:2 ::; 00 -..- ' A...'. .. -:-~--*-~'~'-..............~.~-*. f? InvonlolY 01 Iho r01l1 and pOlsonll1 08101001 fill. 21%-0074 - MARIAN E. McCLOS~EY docoasod REAL ESTATE - ---'--'~---'--"--'-"----'-~..,""--'."~----' -.-.-- "," ----,,--- _._..~ ---- .._-_._---~---_.---.__... ...- .-----,-.-..--.-.... 1384 Simpson Ferry Iload, Borough of New Cumberland, Cumberland County. PA 17070 - Tax Parcel No, 26-24-0809-135 - Assessed Value 4,150.00 PERSONAL PROPERTY Ameri tech Corporati on - 122 Shill'es Common Stock - Referelce No. 01247049988 Ameritech Corporation - 32 Shares Common Stock - Reference No. 01247051567 Bell Atlantic Corporation - 82 Shares Common Stock - Cert. No. ZQ SS 2642 5556 Bell Atlantic Corporation - 22 Shares Common Stock - Cert. No. ZQ SS 2668 2936 Southwestern Bell Corporatlon- B2 Shares Common Stock - Account No. 8888-49-36126 Southwestern 8ell Corporation - 22 Shares Common Stock - Account No. 8888-4956 702 AT&T Corporation - ORP Shares 144.3330 PNC Bank - Checking Account No. 5140104875 TOTAL AMOUNT ~ ~~;c - 'I) 'J '11 ..'-..... ;c_~ N ". C\... ',} .' .~l ,., I d , ~, , u , .1 ,; "" ,= fiJO- Qj 0::- p' ", 00 Unknown 6,557 50 1,720 00 5,237 75 1,405 25 4,530 50 1,215 50 8,840 40 740 07 30,246 97 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND II: _ ~OUISE C. 1l0RSTICK, b.lng duly. _ swtrr.n. . occardlng 10 I"w, d.pa.a. ond .oy. 'hol sho , 1.:;__t!l\1 EI\\1c!Jtr..i.JL.. _._ 01 Iho E.lalo 01 . .-"tar l!!!:!...I~'2!;'Losk.QY_______ 1.1. 01 ,.., New Cumber I ,lnd Ilorough ... _ .._, Cumb.rl.nd Caunly, P.., dac....d .nd Ih.llh. within I..n Inv.nlary m"d" by Louise C. Horglf:k__. Iha ..Id~,e.cutri~__ 01 Iha .ntirn 0.1.1. 01 .oid docodont, can.lsting 01 "II tho porsanol prop"rly .nd rael ..1.10. oxcapl ra.1 ..1.'. au hid. tho Commonwealth of Prnnlylvllniil. "nd that tho figural oppolito ulI1ch itom of tho Invontory roproso"' it', rair valuo .. 01 th. d.la 01 decodnnl'. do,,'h. Sworn _ :::t ..~-,' - ~.2, {-\- "'n";! "~ t- " E..tutar . Admtnhlutor __ .nd .ub.crlbod bolor. mo, 6~~'l!.;~df 19 CJ(.. ~2' '/1)" ,J ,O/.JJJ1</ "'/: ,,,;'f;lH.-"j ~;t;.., riOTARIAL ~m '.JAor.~I.:; lI~'r';:i(;TL'\ r~t.t;I" PlJ~'i" 11.:',1'" ,., ,-I t. '.. .'V - ' ~ ~ . ~" - . '. . " My ComIlH"';'J:i f'r..rr.'~J.t-: .~~ 19-.1/ 0.1. 01 D..lh ____. .oj:!i~.___,._______Qctober_ j 1501l Chatham Road ......f.~.!!!p Hill, PA 17011 Add,... 1995 Yea, O.Y Month INSTRUCTIONS I. An Invonlory mu.1 ba /ilod wilhln Ihro. month. .11.r .ppolnlm.nt 01 p.rson.1 r.pr...nl.lI... 2. A .uppl.menl Inv.ntory mu.1 ba /lIed within thlrly day. 01 dl.cov.ry 01 .ddlllan.1 ....h, 3. Addltlon.1 .h..h m"y bo "tI.chad a. 10 p.rsanolty or r.alty 4, S.. Arllcla IV, Flduci...i.. Acl 01 1949, ..c: ::> 0 .... ..; >- 0 en " ... w ~ '" ~ .. S iii' .. .... W '0 " en ... "" c u " 0 0 Ul VI "' " '" 0 0 C ... 01 , w .. w - .. " In I- J: ... - .... ... c C 01 ... -' u. u OJ ~ 0 ~ - Z jj 0 U\ .0 ... VI 0 -' :s: N W u. -< :1:, E VI > 0 .. ::> ,.:. 0 -< z wi u - Vl Z 0 c C :J; ~ OJ Ul Z 0 0 .. ~I OJ U .~ Z w < 2: - .... ... ,~I "tl "' ....' c :I: "" - ~ :1:1 "' 0 " c , -" "tl ... C ~ E ~ 0 ..: ~ 0 .. U u: CD -' , ,Y ,~--~"y, ) CDHHDNWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE c.._ ,*' BUREAU OF INDIVIDUAL TAXES INII[RI rAHce tAll DIVISION D[Pt. 180601 tIARRISBUAG, PA 11ILa-060' NOTICE OF INItERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX '1"1"'''''' III.'" ANNA MARIE SOSSONG C/O SKARLATOS 8 ZONARIC 204 STATE ST HBG PA 17101 DATE ESTATE OF DATE OF DEATH FILE NUHBER CDUNTV ACN E 10-2B-96 MCCLOSKEV 10-20-95 21 95-0874 CUMBERLAUO 101 MARIAN AMount R..itted MAKE CHECK PAVABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLANO CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... iiEV:m-'f"EiC-Ai:j'--iil'-:9i.rNClficE--OF-YNHEifii'Aiici-YAin-ppiiiiisEifENT-,--ALi"ciiiANCnfli----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF MCCLOSKEV MARIAN E FILE NO. 21 95-0B74 ACN 101 DATE 10-2B-96 TAX RETURN WAS, I X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..I Eat.t. ISchedula AI 2. Stock. and Band. (Schadula 8) 5. Clo..ly Hald stock/Partnarship lnt.r..t (Schedul. CJ 4. Hortg.gas/Not.. Receivabl. CSchedula DJ 5. C..h/Sank Oepollt./H1lc, Parsonal Property CSchedule EJ 6. Jointly Ohnad Property ISch.dul. FJ 7. Transfera (Schedule C) 8. Total A..et. I CHANGED .00 29,506,90 .00 ,00 .00 740,07 ,DO IB) 11) (2) U) 141 IS) (6) 17) NOTEI To in sur. proper credit to your account, sub.it tha upper portion of this for.. with your b)( p.y...nt. 30.246,97 APPROVED DEDUCTIONS AND EXEHPTIDNS: 14,138.03 9. FUn.~.l EKPan.../AdM. Co.tl/HiIC. EKp.n... ISchadul. HI I') la, Oabt./Hodgag. UablliU../Lhn. ISch.dul. II ClO) 7.391.79 11. lob! OaducUon. ell) 12. Hat Valua of TaM R.tu~n (12) 15, Ch.~lt.bl./GoYa~n..nt.l aaqu..t. CSchadul. J) 1131 14. Hat Valu. of E.t.t. Subjact ta TaM 1141 NDTEI I~ sn assessment wss issued previously, lines 14, IS and/or 16, 17 and 18 re~lect ~igures that include the total o~ ALL returns assessed to dste. ASSESSMENT OF TAX: 15. AMount of Line 1~ at Spou.al ~ata (15) 16. AIIQunt af Line 1~ taKabla .t Lin..I/Cla.. A ~ate (16) 17. AMount of Lina l~ taxable .t Collat.ral/CI... 8 ~.t. (17) 18. Princip.l Taw Oua ?1 ,~?q R? B,717,15 .00 8.717,15 will ,00 .00 B.717.15 X .00. M .06. X .15. 1181 ,DO ,00 1.307,57 1.307,57 TAX CREDITS I PAYHENT DATE 07-02-96 RECEIPT NUHBER AAI46503 DISCOUNT C+ 1 INTEREST 1-) AHOUNT PAID 1,307.57 .00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 1,307.57 .00 .00 .00 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN II. NO PAYHENT IS REQUIRED. IF TOTAL OUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I " , , ,.-.J ,.- _l OU RESERVATION. [_t"I. 0' dle.dant. dying on or bafar. Olc..ber Il. "" .. If any future Int.,I.t In thl ..,.,. I, tran,f"'ld In po.....lon or ,nJoy.ent to el... . leall".'ll) ben.flcl.rl.. of the dlcld.nt ."" thl ..plr.llon of any ..'at. for 11'. or far Y"'" thl Co..~.lth hlteby Ixpr...ly t...tVI. thl right to APpral.. ~ ...... 'ran,f., I~rltanc. ,.... at thl llwful Cl... . leol11",.11 t.t. on any lueh future Int.,..t. PURPOSE OF NOI1Ctl To fulfill thl r.qulrlun" of s.cUon '.40 of IhtI rntlarl'lance and ht,t, T.. Act, Act lZ of 1991. 11. P.I. S.ction U4D, PAYKENT I Detach thl top portion of thl. Hotlel and lub.lt with your ply..nt to thl RIDSI'.' of Will. prlntad on thl r.v.,.. lid., .'HI" chick or .onlY ord... payable 101 REaISTER OF MILLS, ADENT All ply.ent. r.c.IY.d ah.ll flrat b. appll.d to any In'.ra.t which .ay ba dua wl'h any ra.alnd.r appllad to tn. ta.. REfUND CCRII A rafund of at.. cr.dlt, which waa not raquaatad on tha Ta. R.turn, .ay b. r.qu.at.d by cDapl.tlng an ~Appllc.tlon for R.fund of P.nnlylvanl. Inharltann and Eatat. la." (REY.UUI. Appllntlonl .r. ....lIIl1l11bl. at th.Offlu of the Raglat.r of Will., any of the IS R.....nu. Olatrlct afflc.l, or by C.lllng the IP.clal l~~hour In.w.rlng ..rvlc. ~b.r. for for.. ord.rlngl In P.nn.ylvanl. 1.800-S6Z~Z050, out.ld. P.nnlylvanla and within lonl Harrhburg ar.. 1711) 187-809., lOOt 17111 nz-un Ut.arlng I.p.lr.d Onh). OIJECTIONSI Any p.rty In Int.r..t not ..tl.fl.d with the .ppr.I....nt, .llow.nc. or dl.allow.nc. of d.ductlan., or .I......nt of ta. ClnchHtlng dhcDU'\t or Int.r..U a. .hawn on this NoUn INIt obJact within .bty (60) dillY' of ranlpt of this NoUn bYI "wrltt.n prat..t to tha PA D.p.rt..nt of R.v.nu., Board of App..h, D.pt. Z81DlI. Ilarrhburg, PA un8-IOZI, OR --.I.cUon to hlllv. the ..tt.r d.t.r.ln.d .t audit of the account of tha p.r.an.1 r.pruant.Uv., OR --app..1 to the Orphan.' Court. ADKIN ISTRATlYE CORRECTIONS I ractulIII .rror. dllcav.rad on 'hi. al......nt 'hould b. .ddr....d In writing tOI PA D.p.rt..nt of R.v.nu., Bur.au of IndlvldU.1 la.u, AIINI pa.t Aueu..nt Ravl... Unit, Dapt, Z80601, Il.rrhbura, PA 111l8-0601 Phone 1717) 18'-6505. S.a PI.. S of thlll boakl.t "Inltructlanl far Inherltanc. I.. R.turn far III R.,ld.nt O.c.d.nt" (AEY-IS01) for an ..plan.tlan of adalnl.tratlvely corract.ble .rrar., OISCOUNI, II .ny t.. dUe h paid within three UI ul.nd.r .onth. all.r tha dacadant'. d..th, . IIv. p.reant I!il() discount of the taM paid la .Ilawad, PEHAl TV I Ih. 15~ t.. .ana.ty non-participation p.nalty I. co.put.d an the total of the ta. and Int.r..t al.....d, And not p.ld b.far. January 18. 1996, the flrlt day aft.r the and of the ta. ..n..ty p.rlad. thla non-p.rtlclpatlon p.nalty I. app..labl. In the la.. .ann.r and In the tha .... tl.. p.rlod .. you would .pp..l the t.. and Int.r..t that h.. bean .......d a. Indlc.t.d on thl. notlc.. INTERn' I Int.r..t la ch.rg.d b.vlnnlna with flr.t day a' dallnqu.ncy, or nln. (91 .onth. and a~. 11J day fro. the d.te of d..lh. to the d.t. of p.y.ant, I.w.. which b.c... d.llnqu.nt bafar. January I, 1981 b.lr Int.r..t at the r.l. of .Ix (6~1 p.re.nt p.r annul elleulat.rl .t a dally r.ta a' .000I6~. All ta... which b.caaa d.llnqu.nt on and .ft.r January I, 1'8' will b..r Int.r.11 at a r.t. which will vary fro. c.l.ndar y..r to e.l.ndar ya.r with thlt r.t. announcad by tha PA D.p.,t..nt of R.v.nu.. Ihe .ppllcabl. Int.r..t tata. fat 1'81 through 1996 .r.. '!!!! Int.r.lt RII'. Dally Int.r..t rllctor !2! Int.r..t Rllt. DIIlly Inl.r..t ractar 198Z 10:< .0005108 1987 .. .000Z~1 1915 16:<< ,OOOU8 19811-1991 Ill( .00nOl 19U Il~ .000501 1991 .~ .0002'" 1985 1S~ .GOO5S6 1995.199~ IX .0001" 1986 IG:c .0001'4 199"-1996 .. .000141 --Intar..t Is calculat.d .0 follo"'.1 IHTEREST . DALAHCE OF TAX UHPAIO X HUnDER OF OAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Hotlc. 1.lu.d .ft.r the t.. b.co... d.llnqu.nt will r.fl.ct an Int.r..t calcul.tlan to 'Ift..n CIS) dlY. b.yond the data of the ........nt, If pay..nt I. .ada aft.r the Int.r..t co.putatlon data .hown on the Hatlca, additional Int.r..t "".t ba c.lculatad. ESTATE OF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION MARIAN E. McCLOSKEY ESTATE NO. 1995-00874 RECEIPT, RELEASE AND REIMBURSEMENT AGREEMENT WHEREAS, Marian E. McCloskey, late of the Borough of New Cumberland, Cumberland County, Pennsylvania, died testate on August October 20, 1995, having first made her Last will and Testament, duly executed on May 31, 1973, which is recorded in the Office of the Register of wills of Cumberland County, Pennsylvania; WHEREAS, by her aforesaid Last will and Testament, the said Marian E. McCloskey named Louise C. Horstick ExeGutrix of her Last Will and Testament; WHEREAS, Letters Testamentary on the Estate of the said Marian E. McCloskey were duly issued by the Register of Wills of Cumberland County, Pennsylvania, unto Louise C. Horstick on November 21, 1995; WHEREAS, Louise C. Horstick as Executrix of the Estate of Marian E. McCloskey has gathered the assets of the Estate as set forth on Exhibit "A" which is a statement of the account; WHEREAS, the debts and deductions, including payment of the Pennsylvania Inheritance Tax in said estate, have been paid as set 2 '. forth on Exhibit "A"I WHEREAS, it is the desire of the undersigned that distribution be made and the said Louise C. Horstick is willing to make such distribution upon the receipt of a proper release and indemnification, which it is the purpose of this Agreement to provide. NOW, THEREFORE, KNOW YE that I, Louise C. Horstick, who am named as a residual beneficiary under Item II of the Last will and Testament of Marian E. McCloskey, do hereby acknowledge that I have this day had and received from the aforesaid Executrix in full and final satisfaction and payment of all sum or sums of money, legacies, bequests and devises as are given, devised or bequeathed by the said Last will and Testament of Marian E. MCCloskey, the amount of distribution which is set forth opposite my name in the Schedule of Distribution in the Statement attached hereto and marked Exhibit "A"; AND I declare that I have examined the Account of the said Executrix attached hereto as Exhibit "A" and find the same to be true and correct in all particulars and hereby approve the same and request her to make final distribution without the filing of said Account for audit and approval by the orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania. In consideration of the delivery to me of the distribution as J .' aforesaid, for myself, my heirs, executors, administrators and assigns, I do remise, release, quitclaim and forever discharge Louise C. Horstick individually and as Executrix of the Estate of Marian E. Mccloskey, Deceased, and Anna Marie sossong, Esquire, and the law firm of Skarlatos & zonarich, its successors and assigns, of and from any and all actions, suits, payments, accounts, claims and demands whatsoever or by reason of their administration of the Estate of Marian E. McCloskey, Deceased, hereby agreeing that the Orphans' Court Division of the Court of Common Pleas, Cumberland county may, by its decree, confirm the said account and discharge Louise C. Horstick. I further agree to indemnify and hold harmless Anna Marie sossong, Esquire, and Skarlatos & Zonarich from any and all claims, loss, liability and damage which they may suffer or to which they may be subjected by reason of the settlement of this account and distribution of the assets of the said Marian E. McCloskey. I do further declare it is my intention to be legally bound by the execution of this instrument and do hereby covenant and agree with the said Executrix and with the other beneficiaries that should any liability come known against the Estate of Marian E. McCloskey after the signing of this Agreement, I will contribute pro rata with the other beneficiaries up to the share distributed hereunder to satisfy any and all claims, demands, suits or causes 4 , McCLOSKEY.ACC. ESTATE OF MARIAN E. McCLOSKEY Accounting By Statement of Receipts and Disbursements for the period OCTOBER 20, 1995 1995 THRU OCTOBER 31, 1996 RECEIPTS: principal Dean Witter Reynolds, Inc. - Sale of Stocks Benefit Management Services - Insurance Benefit AT&T stock - 144.3330 Shares $ 20,689.58 2,000.00 8.840.40 $ 31,529.98 TOTAL PRINCIPAL RECEIPTS =========== DISBURSEKENTS: Principal ~ 05/22 Leader Nursing Horne - Camp Hill - Final Bill $ 2,279.33 05/22 Louise C. Horstick - Reimbursement for Funds Advanced 809.49 05/22 Parthemore Funeral Horne - Funeral 2,652.84 05/22 Commonwealth of Pennsylvanial Department of Welfare Medical Assistance Claim 10,381.31 06/14 Vital Records - Death certificate 3.00 06/27 Penn Credit - 1995 Personal Tax 28.50 06/28 Register of wills - File Inheritance Tax Return and Inventory 25.00 06/28 Register of Wills, Agent - Inheritance Tax 1,307.57 07/17 Cumberland Law Journal - Advertise Letters 60.00 07/23 Equitable Life Assurance society - Reimbursement for November, 1995 Payment 21. 72 09/19 The sentinel - Advertise Letters 69.88 09/27 Skarlatos & Zonarich - Attorney Fees 3,400.25 Skarlatos & Zonarich - Escrow 399.00 TOTAL PRINCIPAL DISBURSEMENTS $ 21,437.89 =========== SUMMARY AND SCHEDULE OF PROPOSED DISTRIBUTION PRINCIPAL - RECEIPTS PRINCIPAL - DISBURSEMENTS NET AVAILABLE FOR DISTRIBUTION $ 31,529.98 21.437.89 $ 10,092.09 ..____..__a_ TOTAL DISTRIBUTED TO LOUISE C. HORSTICK AT&T Stock - 144.3330 Shares $ 1,251.69 8.840.40 10,092.09 -=aa_======a 2 '* COHHONWEALTII OF PENNSYLVANIA DEPARTHENT OF REVENUE 8~REAU ~f INDIVIDUAL IAXES UURIIAHCt tAX DIVISION Mil" lion I IIARRIIiBllf1l, PA lllta-aUI NOTlCC or INIIERITANCE TAX APPRAISE"ENT, ALLOHANCE OR OISALLOHANCE or OI:UUCTION"\ ANU ASSf.BSHENT or TAX ON JOINTLY IELU OR TRUST ASSETS "'.1141 U II' 1I1.'U DON R MCCLOSKEY C/O SAMUEL ANDES ESQ 525 N TWELFTII ST LEMOYNE PA 170"3 DATE 12-23-96 ESTATE OF MCCLOSKEY MARIAN E DATE OF DEATH 10-20-95 FILE NUHBER 21 95-087" COUNTY CUHBERLAND SSN/DC 201-1B-2069 ACN 960032"1 In.'''''''' ~..ount R..ltt.d_~ _ ,(d; I." ., ,.., ? () ,. . (.- ...,J" , (,......> HAKE CHECK PAYABLE AND REHIT PAYHENT TDI REGISTER OF WILLS CUMBERLAND CO COURT IruU~E CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS __ hifv:isiii-E)f-AFFi-iiz-:96j------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 12-23-96 ESTATE OF MCCLOSKEY MARIAN E DATE OF DEATII 10-20-95 COUIITY CUMBERLAtlD FILE NO, 21 95-DB74 TAX RETURN WAS. S.S/D.C. NO. 201-18-2069 (X) ACCEPTED AS FILED ( ) CIIANGED JOINT OR TRUST ASSET INFORHATION FINANCIAL INSTITUTION. REAL ESTATE ACN 96003241 ACCOUIIT NO. 1-1I0USE TYPE OF ACCOUllT. (1 SAVIIIGS ( 1 CIIECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISIIED 04-15-87 Account Do101lc.o Porcont Toxoblo Amount Subjoct to Tox Dobts ond Deductions Toxeblo Amount Tox Rote Tax Duo x 39,500.00 0.500 19./5("UO .00 19.754,00 .06 1,185,2(, x TAX CREDITS: PAYMENT DATE RECEIPT NUMBER 01 SCOUIIT l+) IIITEREST (-) IIITEREST IS CIIARGED FROM 07-21-96 TO 12-31-96 AT TIlE RATES APPLICABLE AS OUTlIlIED ON TilE REVERSE SIDE OF TillS FORM NOll'l TO III~URE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT TIlE UPPER PORTION OF TillS NOllCE WITII YOUR TAX PAYMENT TO TilE REGISTER OF WILLS AT TIlE ABOVE ADDRESS, MAKE CIIECK OR MONEY ORDER PAYA8LE TO. "REGISTER OF WILLS, AGENT." AMOUNT PAID TOTAL TAX CREDI~ . 00 ~ BALANCE OF TAX DUE ---1,185."24 INTEREST AND PEN. (,B, 0 1 TOTAL DUE 1,233.25 If PAID AfTER TIllS DATE;, SEE REVERSE rOR CALCULATION or AOOITiDN.i[lliri'Ri'sf:-. Ir TOTAL DtlE IS LESS 111 N t1, NO f'AVt1EUT IS RFournrn. If lOIAL DUE IS REfLECTED AS ^ "CRCO"" ( CRI. YUU IIAY DE DUE ^ R[FUllO. SEE REVERSE SIDE OF litIS FORM rOR JUSIRUCTlOUS. J . 2~ ::0 ~ :DB ~.t, :1 3 =0, r:r-,' ill r.~ 0 f!~ , I" HI tl~ ,,":, ~1.. :l I n C, {.,;, -..J '. cl ",-:61 9'.- :Y =:(\i :t..' N ;no .' ,~ - ;g~ 0 ',j i.' , I " ; ! I 'I J. t I ,I,:, , ! i , I I ! I I I ,I i \ ' I I , \ \ \ \ \ \ ., \ \ I III i II , , I , ~-~ ~ ,:""~ . , ,,' ... ,~ . .' '. -4 ;: 1.1. - ~~} ,.,,\ llO)" A '~;., 'l~~ I ''i I ,.' 1 " ,><.'" . ~I " i j ~{ J I ) 1 t~ ! ~\ i tt1N '\ '~ ~ :" ~ ~ ~ )~ ~ ~ K: 1 ..t~~" !~/~ i~~ ; \"l ~ '" . ~ -, .... ,.... .... .~ , l-u V\ l'r\ .......... ~ " " ~ \, ~~\'lll' ~ 'll ~ ~ ~ ~ ~ ~J ~ ~~ \J C~~ "- .~ fU1 1;"-' 0, ~, , . \ I ~' ~ 'i . . ,~" t ~ ! " . ; . -I'~' i- ".,j. i {, ,. / . I. t . . ~:J~ " H' #. 'J- ,II , ~ ;,. -, I 1wqwno . 'lIelO Ill: lid L- 8301 L6. .. - . ' it, ~... ,1 ' ' 't.'. f...... ~. ~" . , I._ ~ GII!'" ,I :, )DS 10 ..".,.., I"""'Y'~U I.. '!'-..i . ,'t.',\. V';;JrJ , ~' ..~; f f \ " , ~ ", . . . . I . ,,' - -' .. - .-- '--~--- , , -r--'----'-----.~~."' ~-~ . ....~. /.5~;,.J'. ,f t> COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * BUREAU OF INDIVIDUAL TAXES UHJIITAHCE TAX DIVISION DEPT. lIDIO I HARRIlItIIG, PA uua-DIDI HOTICJl OF IHBEIIITAHCE TAlC APPIlAIBEIlEIlT. ALLOMAHCE OR DISALLOMAHCE OF DEDUCTIDHoL.AHD AllSE8811EHT OF TAlC ON JOINTLY ""LD OR nUBT AlIIIET8 m.lI41P&t?fU.HI DON R MCCLOSKEV C/O SAMUEL ANDES ESQ 525 N TWELFTH ST LEMDYNE PA 17043 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSNoI'DC ACN 12-23-96 MCCLOSKEY 10-20-95 21 95-0B74 CUMBERLAND 201-18-2069 96003241 Mount R..ltt..! E MARIAN MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ FlEii=isiii-iif-AFii-riir:96i------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 12-23-96 ESTATE OF MCCLOSKEY MARIAN COUNTY CUMBERLAND E DATE OF DEATH 10-20-95 FILE NO. 21 95-0874 TAX RETURN WAS. S.S/D.C. NO. 201-18-2069 (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION ACN 96003241 FINANCIAL INSTITUTION. REAL ESTATE ACCOUNT NO. I-HOUSE TYPE OF ACCOUNT. () SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 04-15-87 Account Bahnce Porcent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 39.508.00 0.500 19,754.00 .00 19,754.00 .06 1,185.24 NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS, MAKE CHECK OR MONEY ORDER PAYABLE TO. "REGISTER OF WILLS, AGENT," TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST (-) AMOUNT PAID INTEREST IS CHARGED FROM 07-21-96 TO 12-31-96 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM . TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATIOH OF ADDITIOHAL IHTEREST. . I IF TOTAL DUE IS LESS THAN .1, NO PAYNEHT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CRI. YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR IHSTRUCTIOHS, I .00 1,185.24 48.01 1,233.25 P\IlPOSE OF HOnetl To NUlll tM r.,I,""'''' of Section Zl~O of tM JrlMrltence end Eltat. T.. Act, Act s.aUon 1140). 2~ ~ :0 ~' :o~ y :~ r~~ t) <, 0 :-1' (~ I C"') n '~ , C t:l ,', , I , ,) ;a :::.: (: : - .~. , - (jj ~'C W 2- ):>;.::\ \Cl .. ., 1,,1. (12 P.s. PA"KKH Do_ the 'op perU... ef In" ...1.. ..... ....It .11n .our ....... .. - R....'.r .f 01110 .rln'''' ... - raver" side. ... .... dwCk or ...-Y o,.r pllyebl. tal REGJS1D OF WILLS. AGDfi. 'U ...-to r...luod ....11 flro' bo _lIod .. MI' In..ro.' ...Ioh _ bo ...., .11n ... r_h...r _lIod '0 - .... REfUND (CR) I . r.f<nl .f . ,.. .r...lt. ...Ioh .., no' r.......od ... _ ... r.turn, ... .. r......'od b. ._..U... MI "...II"U'" f.. R.f<nl of ......Ivonl. Inhorl..... ond E..." ,.." lREV-I.,.I, ...11..'1.... .r. ...llob.' ., tho Offl.. .f _ R..I.'" of 0111., MI' .f tho .. R.u..... 0.."1.' offl." or b. ..UI... - _101 ...t>our ......rl... ..rvl.' nuobor' for f.r.. ....rl...' In .ooo..IUDOI. 1_.,,-,,'-"5'. ou..ldo .ooo,.IUDOI. ond .I.hln 'ocol ~rrlsbUrD .r.. (7171 787-10", TOO' (111) 71Z-2252 (Heerlno l~.lr.d Only). alJEClIllICS' .... ..... In In...... no' .....flod .11n _ _ro"-" .U...... .r dl..II........ .f .......U.... or ......-, .f ... line Iud I... dl......' or In'"'''' .. _ ... In" ..U.' ... ..l..' .Ithln .1." 1601 ..... .f r...I.. .f thh HoUe. byl --.rltt... .ro...' '0 tho .. .....,_. .f R........ ....d .f .."...., ...,. "IOZI, ....rl....r.. .. m..'IOZI. OR --.I..U... .. _. _ ..tt.. do.or.l..... .. tho ....It .f tho ......." of tho poroanal r..rooon"Uu,. OR --lIfJPMl to u. QrphMI' tourt ADttlH- ISlltATlYE CORRECTIONSI F.."", .rroro d.......od ... Inl. .......... .....Id .. ....r...... In .rIU'" .., .. ......-. .f ..u....., au.... of Indlul...1 ,...., ,I1N. '0" ........., R..I.. Unl'. DEP'. '....1, ....rl......... 171'.-"" ..... 17171 ).7-65'" .........f.ho boOkl.. "'n..rue.I.... for Inhorl..... ,.. R,'urn f.r . R..ldon' DecNent.. tREY-150l) fOf ., Illplenetlon of edIIlnhtr.tlvIlv cor,ectnbll .rror.. DlSCOtJfT I If MI' ,.. .... 10 ..Id .Ilnln W" 151 ......... ....In. .ft.. .hO --". do.In, . flu. ..r....' IOXI dllCOlrlt 0' thl; tllX paid 11 .UO'Md. PEKAL TV I "'" 15% ... ....... """....Uel.aU... .....1.. I. ._'od ... tho 'a'oI af lho ,.. ond In...... ......od. ..... no' ..Id boforo J....... I., 1996, lho Un' .... ..... tho ..... af tho ... ....... ..rlod. lh" """_p..U.lp.U,,, .....1.. 10 _lobi. In tho _ .....r ond In ,ho tho ._ U.. ..rlod .. .OU _,d _I - ... ond In'''''' tNt .,.. been .....nd '1 Il1dl"t-- on thh notice. INtEREST I In...... " ......... ...1",1... .tth fln' .... af ...11_" .r nino 19l .....ho ond .... CIl .... ".. _ do" of ...th. 'a tho ..... .f ...-" ,.... ...Ioh -- doll_' "fo" J....... 1. I'.' bOOr In..r..' a' tho r." af .1. 16%1 ......., por onnuo ..Ieul..od ., . doll. r." .f ....,64. .11 ,.... ...Ioh _ doll_' ... or .ft.. JonUO" I, I'" .111 bOOr In..r..' .. . .... ...Ioh .111 .... fr.. .........r ...r ,. ........r ...r with .ho' ro" ...-..cod b. .hO .. ......-, of R........ "'" _"""". Int.r..t t.t.. for 1"2 thrOUGh 1997 .t.' ~ tnt.r..t Rat. O.lly Int.r..t Fector ~ tntlnst A.'. Deily Int.r..' flllCtot 1911 ..X ,ODDS41 nl1 OX ,oaDZ41 1.1l 16% .ODDua .961.199. IIX .000501 I'" 11% ,DOOSDI I'" .% .DDOZU Ins In ,QDDSS6 199]-19"14 n .000191 1.16 lOX .000114 .995-1997 OX .0001"" .-lnt.nd h I:aIlculltlld .1 follQtlfll IHTEREBT . BAL6HCE OF TAX UNPAID X KUKBER OF DAY~ DELIHQUEHT x DAILY IKTEREBT FACTOR ._.... "U.. "...... .flor tho ,.. _.... doll_' .111 ..fl..' ... In...... ..leul.U... '0 flft.... 1151 d... ...ond _ doto of tho ......-.. If ...-' I. __ ..... tho In...... ._"U'" do" - ... - Notice, addltlOMl Inhred .....t blI eII1culltlld. I! " ,', (' , .... ;"i I'.' ./) :I...~' _,' SIGNA'JI~~,~..-' -; MARY C. LEWIS'" / ' './ // r', REGISTER OF WILLS , ~, ..w ..,' .'~ DND. AJ\'/1 Qp1.51' ,. COMMOND~~~~~~:R~:~:YLVANIA , .,~'''' DtU<J" / ' OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ,.",,;,".:', ,." '" , ,'...... -F" RECEIVED FROM, i ACN ASSESSMENT I!' CONTROL ... NUMBER AMOUNT DON R MC CLOSKEv "fbOOSf:!I,1 al,e:33.E:i 1381, SIMPSON FERRY NEW CUM8ERLAND, PA ROAD 17070 ESTATE INfORMATION, I!:'I filE NUMBER li'I 21-1995-0874 I!:'I NAME Of DECEDENT (LAST) ~ MCCLOSKEY MARIAN E ~ DATE Of PAYMENT 1M 02/07/ 7 m POSTMARK DATE COUNTY SSN 201-18-2069 (fIRSTI (MI) CUMBERL,AND OATE Of DEATH 10/20/95 REMARKS DON R MCCLOSKEY m TOTAL AMOUNT PAID 'U ,233.25 DO SEAL CHECK4I 300 RECEIVED BY REGISTER OF WillS ~ _'__' _._ .___._ - - - - ~__ _~ - _'_,.w _'.~... .,._......,_._ , , ,-- -'.. ,,- .---,--- - , .,~.. . ---- . ____,_----,.. ...~_dl7"Jw. _'~r:,,, ..~~- -, - - BUREAU OF INDIVIDUAL TAXES u'~nAHU: TAX DIVISION O[Jo,. :106Dl Ko&RRI~IURG, PA HUI-Il6D! CDHMDNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT ~ *' tn.IIIID'" IU'''J DON R MCCLOSKEY ("-LtL\4ISlI.1 HIl~U i'.iQ !n."!i=tII'Wl; L f I H liT DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-03-97 MCCLOSKEV 10-20-95 21 95-0874 CUMBERLAND 96003241 MARIAN E A.ount R..!tt.d l;:,..nuu~ rA 17 B ~,~. I :3l~'I 5 10//).1".'10./ r""~~y k'wl-/.J ,A4-'j,/J c.u1')6rA~L 4-,vtJ 1 1'4 I 7~' 70 REGISTER OF WILLS /.JLe7rst.:: >C7./tJ /TN'1 l:-urvl?C U"~"'<-~"''-'/.J'''~('r-- CUMBERLAND CO COURT HOUSE 7r:> 111<> /IT T7-1~ 1d,,/''-//lhJtL<''-~, CARLISLE, PA 17013 NOTE I To lnaura proper credit to your KCCM.rtt~ .lIb.1t the upfMIr portion of thla for. with your tax p.~t. MAKE CHECK /0. 9~ PAYABLE AND REMIT PAYMENT TOI CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..... REV:i'6rfi"Ex-AFj.--ri'Z:9'6y------...--iflHiiiiTANCE'-i'AX-STAiiiiifN"i'-ciF-Ac-cciiJiii--.-..--------------- - - - --- ESTATE OF MCCLOSKEV MARIAN E FILE NO.21 95-0874 ACN 96003241 DATE 03-03-97 THIS STATENENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACH IN THE NANED ESTATE, SHOWN BELOW IS A SUHNARV OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYNENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT. 12-16-96 PRINCIPAL TAX DUE., 1,185.24 PAVMENTS (TAX CREDITS), PAVMENT DATE 0~-06-97 RECEIPT NUMBER AA185151 DISCOUNT (+) INTEREST (-) 58,B4- AMOUNT PAID 1,233.25 (')0 c: ;:;:" ri :, .:0 ,'""'Co: u ,) ..J ! " ~j INTEREST IS CHARGED FROH 02-07-97 TO 03-18-97 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.M TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. 1,174.41 10.83 .11 . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. \." / (";" ............ -............ J '--- 0, (<.> ..J IF TOTAL DUE IS LESS THAN n, NO I'AYNENT IS REQUIRED. 'CIS Or -Yl.c,ft 7 IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, /"t?: FII&,~.- e/rU_ ru VDU NAV BE DUE A REFUND. SEE REVERSE SIDE DF THIS FORN FOR INSTRUCTIONS. ) /:>Nr 11--.;n.<;t;"'l"/O--T "~t-VIL':<V ihV :;./ 2.G. /'77 TOTAL DUE _-1g.9~ \ \'\".\ t, " , '" ,),\",~:,\~;,~~ \'~"I" ;1"\\. .. ~. ..... ..,~~...", ~"'" \i ". \-,' " ., ...... PAVtEHT, o.tKh U. top portion of thh Hotle. end .m.Jt Mlth your p.YMiOt ..0. p.yebl. to U. NH Md ~r... prlnt-r an U. r.v.r.. .leM. If RESIDEHT DECfJJDfT .... chKk or MMW areMr p.yebl. tal REGISTER OF WILLS, AGENT. If 1Ol.Rt.SiDEiU' Dtct..lJbtl ... ChM:k or .".. ordlir p..BDi. 101 tutiii";';1Iii!'AL iH OF rlHiWYLV,,"IA. All ,.PMt. rectllved IIhIIll e>>. ...,U-r flrd to IWQ' Int.r..t which a_ t. due with .,. r...lncMr applied to the tb. REFlJrCD (CA)I A nf\nd of . tax credit, .....Ich .... not raqua..ed an the Tn A.tum, ay t. r~"ed by coapl.tlng ., "Appl1c:atlon for A.f\n:I of PemQlv.nla Irhe,.ltanc. end Elht. Tax" (AEValSlS). Appllcatlon. .r. rnlhbl. .t U. OffIce of the Aeal.tsr of WIll., any of ~ Z3 A.v~ DI.t,.lot a,flce. a,. froe the o.p.,.t-.nt'l Z'-hour ."....rl,. ,,",Ice nusber. '0,. for.. arCS-ring I In P....,.ylwnl. 1-800.56Z"2050, out.lda PlMswlwnl. end within 10000I Harrllburg .r.. (717) 711-1094, TDD. (711) nz-nsz (Hurlng IlIPllred only). REPLY TDI D.M.tlon. ,....rdlna It"rs conhlntd on thl. notice should be Bddrsned tal PA o.p.rtMnt 0' R.vll"lUll, IurAU of Individual Tn.., ATTNI Po.t A.....-ent R.vl.w unit, Dlpt. Z10601. Hlrrlaburg, PI 171ZI.06DI, phone (717) 717-6505. DISCIltIfTI If W1Y talC ~ Is ,.Id within thr.. (3) C8lend1r IIOhth. In.r ~ decedent'. dNth. . IIv. p.rcent (~) discount 0' the talC ~Id I. .Uowed. PENALTY I The 15% talC ....ty non.partlclp.tlon J*\Ilty II ~ted on the tot.1 of the tu WId Inhr..t ......ed, IInd not paid before ......,.y II, 1996, the flr.t dey .nar the end 0' the tu ..,..ty p.rlod, lKTDESTI Int.r..t Is chlrgecll>>glmlng with first dey of dallnquency, 0,. nine (9) eonth. end DnI (1) chlY frOll tM det. at dIIIItt'I, to u. oat. at pe)'8ll1t. 1..11 ..,'en Dee.. Delinquent blfor. "'....ry i, n., Delr in,.,.,t at UlIf ,..1.. ..I d)C (~) percent per ..... CIIlcul.tld .t I 1UI11y ret. of .000164. All tax.. which bee... tHlInquent on end eft.r ~rw I, 1912 wl11 baar tnt.r..t .t . r.t. which will v.rw f,.OI Cll~,. y..r to CIIlende,. y..r Mlth thet r.ts ~Id by the PA DIp.r..."t of R.VWlUl, The sppllC8bh Int.r..t ret.. for 1982 through 1991 aral v..,. Int.,...t Rate D.lh Intara.t Fecto,. y... Int.,...t A.ta D.lly Int.r..t Fector 1911 zax .000548 1'81 9X .ODUlt1 I... 161 .0DDue 1'''-1991 IIX .DDUOI I'" IIX .ODUDI I... 9X .OOUU 1985 In .00US6 1995-1994 n .000192 \9" lOX .00G!" 1995-1991 9X .ODU'" .-Int.ra.t 11 calcul.ted .. fallowlI INTEREST . BALAIlCE OF TAlC UlfPAID X HVnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR '-Any NotlC8 "Ned .n.,. the talC bKoM. dltllnquent ..Ill ,..fleet ." In..,...t c.lcul.tlon to flft.." 115) dly. I beyond the dIIt. of \his .........t, If p.~t II adI .ft.,. the Intera.t ~htJon dlta ~ on the Notlc., BddIUonel Int.,...t ..nt be c.lcul.ted. n ; I , i I I I 1 j I ,'t' ,,'. ~ ':rr ~ ~ '1~ ~ !~N f ~ ~ ~~ / ~~ J i' ~~ ~ l~~~ I .:'\J i~~ J \ ( ~~~. i~~~ . ,- . I ~ ~ ( ~~ '!: ~~ III S' " -.) ~ ~~r.z Id., \ "\ \) ~ ~ ,~ ~ ~ '~ ~ . ~ ~ (j ~0 I \ \ <.r' . -- '. - - -: -: - ~ CJ - .~ - - - - ~ 4 ,. .' " , ~ ;" , , j ;'" to; l " " ""t-- . I , f I ~ r" .tJ' I.'} , ,'~ I" :> , " ,L,. t . . .}' to r , 'I' 't' . ~ ~'.; r' ~ , " ' ' , " '.. ~ ' ~. " " .1 / , " . : - ~- ,-_.' r -- --.-.....-. ~~-- --..M_-po::t __J _ _ . ~,"" ."..:, /j':t-f '1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT ~-~ * BUREAU OF INDIVIDUAL TA~ES INHERITANCE TAX DIVISION OCPT. lID6Dl HARA15WRG, PA UUI-0601 DON R MCCLOSKEY C/O SAMUEL ANDES ESQ 525 N TWELFTH ST LEMOYNE PA 17043 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN """"..." III.'" 03-03-97 MCCLOSKEY 10-20-95 21 95-0874 CUMBERLAND 96003241 MARIAN E AMount Re.itt.d MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 NOTEt To In.u~. proper credit to your account, aub.lt the upper portion of thl. for_ with your tax p.y.ent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... ifiv=iliiWEx-"FP--n-Z-=9;,Y------ii.ii-ifij.f€lii'fliNc'E-fAx-sTATEfiE'IWiiF-A'ifeoriN'T--iiiii--------------------- ESTATE OF MCCLOSKEY MARIAN E FILE NO.21 95-0874 ACN 96003241 DATE 03-03-97 THIS STATENENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NANED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AHD, If APPLICABLE, A PROJECTED INTEREST fIGURE. DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT, 12-16-96 PRINCIPAL TAX DUE., 1,185,24 PAYMENTS (TAX CREDITS). PAYMENT DATE 02-06-97 RECEIPT NUMBER "'t AAla51S1 ~ ' DISCOUNT (+) INTEREST (-) 58.84- ,..- : ': '" ~ . ~ ,U I. 0: ". p, .::! :3 l.ll.l AMOUNT PAID 1,233,25 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE INTEREST IS CHARGED FROM 02-07-97 TO 03-1B-97 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FDRM,W . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS YHAN '1, ND PAYNENT IS REQUIRED. If TOTAL OUE IS REFLECTED AS A "CREDIT" CCRI, YOU NAY BE DUE A REfUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS, 1,174.41 10.83 .11 10,94 PAYHDR I DetKh tJM tap portlCW1 D' thh Notlc. ... ,ua.1t ..lth your p.pent ..... p,yMal. ta ttM n... find ~r... pr.nt~ CW1 th. r.v.r.. '.de. If RESIDENT OE:CEIJEHT ..... cMdI. ar aaney orde,. p.yllbl. tDI RECISTER OF WILLS, AGENT. If HOH.RtSIDDfT DE:ct:DEHT ..... eheck Dr ~y Drder p.yebl. tDI CotltOHWEALTH OF PENNSYLVANIA. All PQNnh recelwd lhell be IIPPlled flnt tD eny lnt.r..t which ..y tt. dull ..IUt any r...lnd.,. eppll~ tD tM tn. RUt.ND lCAh A nhnl a' . tn credit, ......ch II" not r~.t~ on tJM TalC R.turn, ..y be r.qI.M.ted by c~l.tlna en "Appllcatlan far .ef\nf of P.....tJlnnl. IntMrltWlC. ~ E.t... Tu. lREY-UU'. Appllcetlon, .r. .nllllbl. .t tJM Off.ce of the R....t.r 0' WUh, eny of the ZJ R.v...,. Dlatr.ct Office. or frOfl th. Oep.rt'ent', 14.hour ...1tM1~.ng ..rvlce r1UlIber. for forn Or-derlngl In Penn.ylnnl. 1.800-561-1050, outs.de Pem.ylv..,l. end ~.thln lacel H-rrllburg .r.. 1711. 187-8094, fDO. 17171 77Z-Z15Z lHe.rlng 1.,.lred only'. REPlV TDI au....on. r...Ntlng .rror. contelMd on thlt natlc. should be mdr...ect tal PA o.p.rt....t of R.y......, Bur.... of Itdlv.w.1 ,...., ATTMI Post A......."t Revl... lkIlt, Dept. za0601, '.rrllburg, PA I7UI-0601, phone 1717> 7"-'505. OISCOlJfTI If MY tax dull II p.ld ..Ithln thr.. 13) eel.....r ..,th. .ft.r the decedent'. death, . flv. percent ISX) dhcOWlt of the t... P11ld .. .llowed, PEHAlTYI The 15.% talc ......ty nan.p.rtlcIPltlon PMllty la CDllpUted on the tot.1 of tJM t.. find Int.r.,t ......ed, ... not P11ld be'or. J..-...u'w I" 1996, tJM IIr.t dlY .f"r tJM end of the t'll ..,..ty periOd. tHTtRtSTI tntunt.. chIIrged beglmlng ~.th flr.t de)' of delinquency, or nl". (91 ~th. Ind one (1) ct.y frOll the d.t. of death, to ttMl dIIt. Df p...."t. Ta... which bK... delinquent before January I, 1911 bear Inter..t .t the r.te of .1. I'X) percent per ennu. c.lcul.ttd .t . dilly r.ta of ,000164. All t.N" whIch bec... d.l.nquent on end .ft.r January 1, 198Z ...11 be.r Int.r..t .t . rat. wh.ch will v.ry frOfl cal~r y..,. to calendar Y"" with thlt ret. ~ by th. PA o.plrt.ent of R,ylOUl, ThI appl.cabl. Intlr..t r.t.. for 19., through 1'" Ir., V... Intan.t R.t. OIIlh Inter.., Flletor V... Int.r..t R.t. Dally Inhr..t Flletor 191Z ZOX ,000541 1987 OX ,aaOl4' 1915 16% .00041' 1911.1971 I1X .aOnal "" I1X .000101 '''' OX . GaOl4, 1985 15% .aOOS56 1975-1994 "" .000191 1... I'X .ooozn 1995-1997 OX .00GZ47 ....tnt.r..t I. celcul.tld .. faHf*1I INTEREST . BALANCE OF TAX lIHPAlD X NVNBER OF DA YS DELINqtlENl' X DAILY INTEREST FACTOR "-Any Hot.c. ...uad .ft.r the tax ~. dlll~t will r.flect en Int.ra.t calcul.tlon to fifteen (15) dly. beyond tJM det. 0' Uta ........"t, If pa..."t .. Ada .ft.r Uta Int.r..t c~t.tlon ct.t. ahoMn on thl HotIcI, add.tlonal Int.r..t ault be c.lculated. " \ ....... ...-.....---. ..,..... -'~- .,.--' - ,.- -- .._- .._~- --_.~.-- -,..,-..--' 1- al'i"\.',.',l,,AA,'.,',',' '185,,3,,26' 'co. ',MMO,NWEALTH, OF, PENNSYLVANIA ',,'/i ' . '.. . ..'" .,". DIPAll'IM1KT O' RIVINUI t~~\"'~I;:t",i .,'.. OfFICIAL RECEIPT. PENNSYLVANIA INHEIUTANCE AND ESTATE TAX '* D ACN ASSESSMENT f!I CONTROL ~ NUMBER AMOUNT RECEIVED FROM, ~bVV~cli\ ...lV.'10 \ DON R MCCL.06KE'I IS811 Ei 1 MPBON FERR'I ROAD NEW CUMBERL.AND. PA 17070 '010 "far-' BSN 201-18-2069 (fiRST) (Mil " CUMBERL.AND D...TE Of DE...TtI fa tOTAL AMOUNT PAID $\0,91> BK RECEIVED BY 9?Ju I) ~~ ,rd, II I ,,j pit.. , .O,1lJU ~7 MAR'I c. L.I::wf's 5;!rLICJj))/i,;/- REGISTER OF WIL.L.S 0 DON R MCCL.OSI<'.V REMARKS SEAL I I \ _,_ _._ _ _ _"_ __ _ __._ ___.'__ _ _ ,_, ,___--: _' __.,._ ,__ _ _ _ _ ____ ~:-r- - "7'- , ,. .. REGISTER OF WILLS . - ' '. 'l .', ..~ . . Jot '\' / ' . , .' i:"r' --OJ., J ..., . . . " . -- ,--'-- --.- .. :----~_N. _ .4'~-.v -'l.:~ \, ., .::,r-.' , . , 15- -(,Y-S' BUREAU OF INDIVIDUAL TAKES INIIUII"HC[ IAII OIVI&I"'" DlPI, tlO~DI flAARISIURG. PA IIlla'OllOl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT r~IJ~; ~ f11'UII II II' III.", DON R MCCLOSKEY 13B4 SIMPSON FERRY RD NEW CUMBERLAND PA 17070 DATE ESTATE OF DATE OF DEATH FILE NUI1BER COUNTY ACN MARIAN 04-14-97 MCCLOSKEY 10-20-95 21 95-0874 CUMBERLAND 96003241 A"aunt Re"ttt.d ~ MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 NOTEI To Inaur. proper cr.dlt to your .ccaunt, lub.it th. upp.r portion of this far. with your t.x pay.ent, CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .. h-iv: i6b-j-Ejf-AFP--ioi-:97i-------...--iNiiiR IirANcE--TA x--sriiiEHE-NT-b-F-AC-Couiii--.-..--------------------- ESTATE OF MCCLOSKEY MARIAN E FILE NO. 21 95-0874 ACN 96003241 DATE 04-14-97 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACH IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYHENTS. THE CURRENT BALANCE, AND. IF APPLICABLE. A PROJECTED INTEREST FIGURE, DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT, 12-16-96 PRINCIPAL TAX DUE, 1.185.24 PAYMENTS (TAX CREDITS), PAYMENT DATE 02-06-97 03-26-97 RECEIPT NUMBER AA18S151 AA185326 DISCOUNT (+) INTEREST/PEN PAID (-) 58.B4- ,13- AMOUNT PAID 1.233.25 10.96 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 1,IB5.24 .00 .00 · IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIREO. IF TOTAL DUE IS REFLECTED AS A "CREOn" ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS, I ,DO E In , , r.i\ I ....- ',,!7 PAY"EHf I " i'il p;taCh the printed on r-- .,.... a, .oJ:::t top portlo~t:1hl. Hotlc. and lub.lt with your pay..nt ..d. payable to the na.. and addr... the r.y.r.. .Id., If RESIDEN' DECEDEN' ..k. chick or 1I0n.y order plyabl. tOI REGISTER OF WILLS, AGENT. If NON-RESIOEN' DEC[D[N' ..Io.a chick or lon.y order payabl. tal COHHONWEALTH OF PENNSVLVANIA. REfUND etR', A r.fund of . t.. cradlt, which w.. not r.quI.tad on the t.. Aeturn, ..y ba r.quI.lad by coaplatlng an "AppllcatlDn for R.fund of Pann'vlvanJ. Inh.,ltlncl and [,ta'. T.." fREY-IllS), Appllcatlonl .t. avallabl. at the Of'lcI of the RIg),.., of Willi, any of the lJ Alvanu. DI.trlct Dfflc.. or frol the Dlp."'.n", Z~.hour anlwlrln, ..rvlc. nueber. for 'or.. orderlngl In Penn.ylvanl. l-aDO~16Z~Z050, out.ld. P.nn.ylvanl. .nd ..lthln locel ,tarthburg .r.. (717)> 717.10'4, fOD' (717)> 771"'ZSZ CHllrlnll r,p.lr.d only), REPLY ta, ou..tlon. r.g.rdlnll .rror. cont.ln.d on thl. notlc. .hould b. .ddr....d tOI PA D.p.rt,.nt of Ray.nu., Bur..u of Indlvldu.l t...., AltNI Po.t A.......nt R.vl.w unit, n.pt. '80601, Harrl.burg, PA 17I'I~0601, phon. (717)> 717.UOS, DISCOUNT I If any ta. due I. paid within thr.. Cl1 catendar lonth. .ft.r the d.c.d.nt.. d..th, a ftv. pere.nt 15~1 dl.count of the t.. p.lu I. Illow.d, PENal TVI th. IS~ ta. 'an..ty non.p.rtlclpatlon penally I. co.put.d on the tot. I of Ih. ta. .nd Inter..t .......d, .nd not paid b.for. Jlnulry II~ 1"6, the Ilr.t day aft.r thl .nd 01 the tl. a.n"ly p.rlod. INf[RESl f Int.r..t I. charg,d b.glnnlng with Ilr.t day of d'llnqu.ncy, or nln. 1" .onth. and on. ell day froe the dltl 01 dllth, to thl d.t. of pay..nt, t.... which b.c.a, d.llnquent b.for. January I, 1'82 b..r Itltar..1 at the rata of .1. 16~1 parc.nt par annul calcul.tad at . dally rat. 0' ,000164, All t.... which b.ca.e d.llnquant on and aft.r January I, 1911 ..III ba.r Jnt.r..t at a rat. Which will vary froa c.l.ndar ya.r to cII.nd.r yaIr with that r.t. Innounc.d by the PA DIPlrta.nt of R.vanul, Th. appllCabl. Int.r..t rata. for I'll through 1'97 ar" V..r Int.r..t Rat. Dally Inl.r..t ractor V.1t Intar..t R.t. Dally Int.r"1 F.ctor I'll ,,~ ,00051,1 1917 ,~ .00OZ"7 1911 16~ .OOOUI 1'81.1991 IU ,000101 198" IU .000101 199' ,~ .OCOI41 Ins U:C .000156 1995~I991o ,. .000191 I'" 10~ .00027" 1995.1997 " .OOOZU "Int.r..t I. calcul.t.d I' follo"" INTEREST . BALANCE or TAX UNPAID X NU"BER or DAYS DELINQUENT X DAILY INTEREST rACTDR ..Any Hotlc. I..u.d Ift.r the ta. b.co... d'llnqu.nt ..III r.fl.ct an Intlr..t cllculatlon to flft.an CIS) dlY' blYond thl data of the ........nt. If paY"nt I. .ad. aftar the Int.r..t coeputatlon dlta .hown on thl Hotln, addltlon.1 Intar..t MI.t be nlcullt.d, IS -65'-,5> BUREAU or INDIVIDUAL TAMES HURl lANCe IAll DIVISION DlPI. lI0601 ItAAAISBUAQ, PA l111a-ObOI CDMHONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT ,*' d-- .Il'111I II II' 111.11. DON R MCCLOSKEY 13B4 SIMPSON FERRY RD NEW CUMBERLAND PA 17070 DATE ESTATE OF DATE OF DEATH FILE NUHBER CDUNTV ACN E 0(,-1(,-97 MCCLOSKEY 10-20'95 21 95-0B74 CUMBERLAllD 96003241 MARIAN E A..ount R.nt t ted MAKE CHECK PAVABLE AND REMIT PAVHENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 NOTE I To Insure proper credit to rour .ccaunt, sub...! the upper portion of this for.. with rour t.x p.y...nt. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REii:i60-j.EX--AFP--ioi-:97j------....-.iNiiERiriiNCE--TAX--STA.fEHE.NT-O-F-AC-Couiif--.-..--------------------- ESTATE OF MCCLDSKEV MARIAN E FILE NO. 21 95'0874 ACN 96003241 DATE 04-14-97 TNIS STAT ENE NT IS PROVIDED TO ADVISE OF THE CURREHT STATUS OF THE STATED ACN IN TNE NANED ESTATE. SHOWH BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYNENTS. THE CURRENT BALANCE. AND, IF APPLICABLE. A PROJECTED INTEREST FICURE, DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT, 12-16-96 PRINCIPAL TAX DUEt 1.IB5.24 PAVMENTS (TAX CREDITS), PAVHENT DATE 02-06-97 03-26-97 RECEIPT NUMBER AAIB5151 AA185326 DISCOUNT (+) INTEREST/PEN PAID (.) 5B.84- .13- AMOUNT PAID 1.233.25 10.96 TOTAL TAX CREDIT 1.185.24 .00 .00 .00 BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIOHAL INTEREST. I IF TOTAL DUE IS LESS THAN fl. NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU NAY BE DUE A REFUHD. SEE REVERSE SIDE OF THIS FORN FOR IHSTRUCTIONS, I IU:'\SI': Fill': '1111:, 1li':1~)I(1' \.Il'IlIlN '1\'\) YJo:llIl:; OF Iwn: OF 111-:11'111 llI'l;^IlIlIJ'~;S rw '111E ~;Ji\'I\JS 01' '1m: 1\5'I'^,m. II' 1'~;r^TI': IS tkll' rU11'IJm,]), I'II.E ^ h. Il. mllH Yl':IIllI,Y UNTIl. <UlI'IJ':l'lON. ~I \JJ'U .'('1\ ~ G;,\~f \ ! ,If . :;:!'./\:I:!!H _!II'; l'u'llT ,'!!!II!i!U~~U~Ii~ l~ .~ U " Nalno of 11"",,,ll!n\.l_ ~'~ri.l!l E._."~l_c~~sk~L____. Dato of IJr"1\.hl____~'_t,?~e.':_2Q,,"y)!!.~ W ill No. 00874-1995 ^dlllln. 1111, 1'1I1'1I11,1nL La 111111.' 1;.12 01 Ihl) Hllp1'l!n.., CClII~L nrphllnll' C:01I1't 11111"11. I l'IIpOI'\. I.hn (1IIII1wlll') wi\.1t l'nllpnl:\. \.0 1:011I1'1<1\.1011 of the lldmlnintl'i'l.iun 01 1.1\1' ilt.ovn-Gilpl.lunud unl.'llul I. :iLnLu WhL't'",n" iHhnininLrllLlull of till) fJSt.illu iu c:omplo\.f)I Yon X till ;~, If thu c'tlRWOr" in r'll, AI.,lt(1 whon tho l'ol"Rnndl reprer.0IlL.11.1"n roa!lollobly bolievr!1I Lltat t1w atlmllliotrl1Lion will be completel__. J. I { Lho anSWOl- Lo 110, 1 is Yes, state Lhe following: a, Did Lhe personal representative file a final account with lhe Court? Yos No X b. The Ilcral'ale OrphalHl' C...llrt No. (l[ any) [or the persollal l-epreaentaLlve'o account Is: c. Did tho pnrsonal roprOSI}lIliltivo stale an account infnl'm.~lly Lo the parties 1n inten'st"? Yes X tin d. Copioll of receipts, I-eleases, joindol's and approvals ul {ormal or informal accounts may bo filed wiLh the Cork of Lito Oq)ltilllfl' COlll't Illld Illay y,)o""r :0;1''' ,.po" Datel Novem.bnr ~..J..296 CJJ~e _.~~ Ann~ Marie Sosson9i-EJQulro lIame (Pleilse type or print) '. c/o Skarl~tos & Zonarlch ^(jdress~-.~-- ---- 204 St~te Street, Harrisburg, PA 17101 ': .L7J LL_.1;l);:,tQ'O.L.._____ '1'el, 110, ,)() Col'ar:ity: ____l'uI'Sonlll Hepl'l'sentallvo X Counsel for personal "representdlivll (MAII:rml/AH3) IlW-27