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"" "'" 24th II;" ." ".._,,,,---' ~ NOVrJ1ll~il I" 95--"'--- a .tI'l~MIY' (N'\\ k~ 16 ,H) 1"{~i;f,~Y'-- ---' ~ 1.5'(.//-'/ l()(pu~tlr ",..-..--- - . (..ell. CL II ' Z II . (I 'J Nil. ~/-lqq5.8g<( Estutc II\' IlIlZEL I, SIlERMIIN , Dcccuscd DECREE 01.' l'IWnATE AND GRANT 01" LETTERS liNt> NOW NOVEMBER 28 19J1..L, In consideration or the petition on the reverse .Ide hereor. .atl.rac\lIr)' Pillar having heell presellted herorc mc. IT IS DECREEt> thaI the illmumelll!') dllted..J1b:LJ.l.--19.2.1 descrihed therelll he admltled 10 probate alld liIed or record a. Ihe last will or HAZEL L SHERMAN alld LellCls TESTIIMENTAR)' lite herehy gtllllted to DEAN S !mERMAN "-11.JMuD ~UltVl ,-p-tAill', rkL/1LU MARY C'tEI.hs R.ghl.r or Will. ~p~ FEES Probate. I.ellers, Ete, ..,.,.... $ Short Certificates! ).,.,.",., $ x.page,s RcnllllcTalloll ".."",.".." $ JCP $ TOTIIL _ $ Flied ,. ':l~Yf:t:1~I?~.. ?~ r. . ~ ~,~?..,.,.,. 25.00 3.00 15.0ll 5.00 48.00 ATtoRNEY eSDI" Co. I.p, No,) APIlRESS ""0NI! MAILED LETTERS %~ AND ORDER TO EXECKUTOR NOVEMBER 28. 1995. Thi, i..loll'llil)' dl,llliu'lIl1l1l11l.llhIIIIHlI 1'1\\111, ."t",!l. "-I'! 1 II"'!' .11 'JIIl'Hld llllilll.,lt lit tlt',nh dllly 1.1 It al Itq;i..tr,lr. TIlt' 1I1lt:IIl,d U 1111 II .llt ',\ t11 "I I.d \\11.11 .\ I" t 1:1 '-'I,lll \ 11 ,I 1\. I "1.1, I III 1'1' li'l" 1'('11I1,11Il'1l1 tlllug. tall'" \\111i ilK' ." WARNING: Ills IlIclInl 10 dUllllcntv Ihls copy by pholoslal or photograph. . ,I / ..:..~~:~.~;.:',:,.I~ ~ .y'/ h.-t'lol Ihi..lI'llIlh.lll. J.' lilt ..-'-..... 'J'<(~\ III 01 i4'~, /~~.; . '.; '~~\ (gl' '. \~ . ,,.~. "''.::'':I''~~~ ~/4IINj 0\ W;.'t! ....:. j' ,......... ,~ ,.. A /~..._~.'.. l...;....:r;;J' " ...r~ p' 22-222 !J.,I:~ ^1;r'Orll)nl Hl',~"".or H mi~;bllr:/, f'a, 17109 32861G5 //-A/~2~ n.lfl' No "'.'&.1"""' caUUaHWIAUH 0' PINNIYL*NIA. aEPARTMENT 0' HEALTH' YITAL RECORDS CERTIFICATE OF DEATH U .. .. w. IWI'U_lIII 1OC~"C\oIlIIrr""""'lIII .. . Itazol L. Ohurman I. Female .. 207 - 07 'w " -ro.._. DlMH _.____..........___ .- ....'...,.CaH.. 78 .. ., ~ .....~ Dauphin White --.. ::::::_::&::'r Clorical ClKItlI.........~AIIP"I 1915 Atho1 Struot '1 Camp II1J 1, I'A. ""'....IUMt...._\~ -- ..-...-- ,~ 12 Ponnsvlvania DII - ~., ~mberland --., .,.0::"'-:::.:::'.. ""''''lIII'~",.","-_~ .. . H-..o - '- "-'CI no...--... '-'r \.OCAIOI.~"", c.. .0........ Crema ticn Society ........~ADCAI..OIMQJ'" o remat on . " - - 'f:L ----=.:.._._--~~...- . '15 ~ ...0 ..0 1.....__.._- I- I=--= ! ...." .......---...-"" ..-..."'-....-.....--.. 'i!",';fj.!l~l"f . '!;.,'fli/It,'1'h.ur. l( " ~J' ...,,; ro7i'. . D') . . ~lIII(llIotA'H s ,( IC,(< =- 00If1 01 fIlA.oIII, .......0.,._1 ''''01-.-' A.uIIl''''IIOf'Iol' DI""""IOOI'-..rfQC.Q.IIIN1l - - ~ o o ~....-- - o o O"'-"Cf oou.ofI......__.__....",.,.-.. II _w_ ... __ 0 ....CJ -- _0.... ...p"..... "'''' " tawt...lIII.......__ . 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'i~ ~' ~': ~; ~ 'm' ~ ui~ ~ ~ ~ a 0 .cg , .. ~~ " '- ~', !'.'- ,-., , ' '~ " " , '-- ~ - . ~ .: - ,-',.1' " 'j ',' ~'i :.! ;\ "t~ ;:, "t; ] , ;~:% ",,~ J~~ , ,w.' '. , . _1 ~' ,~..:' ".:.,.. 0;', ",0- l:~-,,-~~{,\.~--'..,. <',-:i , " .,~: I " - _~! i _ :' '-" , . , ''\, ~ " /'."" '- r ....... ~ ~ 'XZ '~ ~ ) ~ :i..,. ~ WILL OF IIAZEL L. SllRRHI\N I, /lAZEL L. SIfERHAN, of the Borough of Camp lillI, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last Illness, and any and all taxes and assessments ~ imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practi- cable after my decease as a part of the expense of the administration of my estate. ITEM II. I give and bequeath the sum of One Thousand ($1,000.00) Dollars to the CHURCH OF GOO of Landisburg, Pennsylvania. ITEM III. I give and bequeath all of my household goods, autQnoblles, jewelry, and all other articles of household and personal use, L'Cjuipment and ornament, together with all insurance thereon and relating thereto, in equal shares to those of the following persons who survive my death by thirty (30) days: A. One-Fifth thereof to my brother, DEAN S. SHERMAN, or his issue, per stirpes; B. One-Fifth thereof to my brother, CHESTER D. SIlERMAN, or his issue, per stirpes; " C. One-Fifth thereof to my brother, PAUL L. SHERMAN, or his issue, per stirpes; 1 ""- ~ ~ " r<' ....... ~ ~ ~ ~ ~ (~ \s- 1 ~ . D. One-Fifth thereof to the issue, per stirpes, of my deceased brother, HAROLD D. SIlERMAN; and E. One--Fifth thereof to be divided equally between my niece, DARLENE DUMM, or her issue, per stirpes, and my nephew, BARRY SIlERMAN, or hi~ issue, per stirpes. ITEM IV. I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever situate in equal sh!lres to those of the following persons who survive my death by thirty (30) days: A. One-Fifth thereof to my brother, DEAN S. SIlERMAN, or his issue, per sti rpes; B. One-Fifth thereof to my brother, CIlES'rER D. SIlERMAN, or his issue, per stirpes; C. One-Fifth thereof to my brother, PAUL L. SHERMAN, or his issue, per sti rpes; D. One-Fifth thereof to the issue, per stirpt~s, of my deceased brother, IlAROLD D. SIlERMAN; and E. One-Fifth thereof to be divided equally between my niece, DARLENE DUMM, or her issue, per stirpes, and my nephew, BARRY SIlERMAN, or his issue, per stirpes. ITEM V. I appoint my brother, DEAN S. SHERMAN, of Shermansdale, Pennsylvania, guardian of any property which passes, either under this will or otherwise, to a minor or to any person adjudged by any court of competent jurisdiction to be ffiP.ntally incompetent to C!lre for such property and his or her own affairs, and with respect to 2 The preceding instrument, consisting of this nnd FOUR other typewritten pages, each identified by the signature of the testatrix was on the dnte thereof signed, published, and declared by IIAZEr. r.. SIIERMAN, the testatrix therein nEUOOd, as and for her last will, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. ""'- ~ ~ " .'1: t?UfY-h- U~. ~ ('7/) tV ........ t ~~ 'I 5 II, !I!!I \\\\\\ .. l/'~~.. i 6ao t'J a )~. ij '':~;':y , ~ - ~ . "00 C :: roo ~. .<:'" - ~-' l>' < raro~o... > ."0 . . ~. c = <E :lJ,;: J: ClI t- el) g"'t c. "'-OE 8 <( '" '" l.:l "'l. . \, 'f.' It ,.1) ,.(1 .... i.l .J' -, ~t.-J ',j) .;n '. .;t:) ,::J .... ~ o .~- ... ,;J: {I. ',' 'I:t~ ') Bl \1' .... .)~ ,;t:. ,1' y. ;I: I _ - .... ... '" ~ - ,. ~ ~ -- - - - - - - " ~ ~ ~~ ....t: o :s I:; 0 1iiU '0;' ... 0:: - ~ i:;l,,, c_ :So vi 0 t"- .- U_ :':-0< ~lijp.. . "i: fif u..._ i':' 'E :€ a :s '" ::?uu ~ . - 0. " " ,I ':.., I (,' I l. .\ '; "f.. \ ' I to " "J .'- , ~., ~~~;. ,. , . , -, " . ; i,. 'l\ . r. .1 '-, t- ~ 'I" , .....\ . 4 "1 " ~. ;~ '. I " , ,:., \' ~ ~ 'f . .-___1 -r~ - 1':' t. - ,. ., , ---'~.--;~----..A. I" . , -. ..4 ... . ~- - - - -- - - - _ __ _ _ _,_ __ 4_ .._ ___~_ _. ._.... ,_ ,._ ,,_ _. ~ __ __ _. ._____ _.___ __ ___ _ _. _ '__ __ _" DAA 082597 COMMONWEALTH OF PENNSYLVANIA NO. DEPARTMENT OF REVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ICY.lItJIII',"1 ~ ~~~ RECEIVED FROM: i ACN ASSESSMENT I!' CONTROL ~ NUMBER AMOUNT SHERMAN DEAN S C/O GEORGE A VAUGHN III 3904 TRINDLE ROAD CAMP HILL, PA 17011 101 .25-;-000.00 .- ,Oto",.., ESTATE INfORMATION: I:t fiLE NUMBER g 21-1995-0B88 I:t NAME Of DECEDENT (LAST) 11:,I SHERMAN HAZEL L ~ DATE Of PAYMENT Iii 02/09/96 EI POSTMARK DATE COUNTY S#JO CUMBERLAND DATE Of DEATH SSN 207-07-9049 (fiRST) IMI) REMARKS 1 / 5 DEAN S SHERMAN C/O GEORGE A VAUGHN III CHECK" 1008 m TOTAL AMOUNT PAID .25,000.00 PB I RECEIVED BY : ' l I,,,' ," : " :"h/ I SIGNATURE i '/ ' ,. t; 'I MARY C. LEWIS '~ I,:.. 'j )j') Ir, REGISTER OF WILLS REGISTER OF WILLS I , ~~ ':;""':--------------.-----.-----.---- - ------- -----~--~_, . .~' I SEAL I J. . ..,' . , . . .r ---- " . "'--.-"-'- :-...~~..II~--I{. -1.~_ , ClmTIFICATION OF NOTICE UNDEI{ IWLE 5,(, (II) Name of Decedent: Hnzel L. Shermun Dnte of Death: November] 8, 1995 No.: 1995-00888 To the Register of Wills: I certify thut Notice of Beneficial Interest required by Rule 5.6(0) oCthe Orphnn's Court Rules wus served on or mniled to the benefieinries and/or intestnte heirs of the ubove-eaptioned estnte ns listed on Schedule A ottnched hereto on Februnry 9, 1996, Notice hns now been given to nil persons entitled thereto under Rule 5.6(n). Dnte: .2/;11( ~r;~1I1' III, Attorney at Law 3904 Trindle Road Camp Hill, PA 17011 (717) 975.9102 COllnsel for Personal Representuti ve ,.. i,"~,l ''''~ r5Ci .. ...' I;: (, 1- 7 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS YEAR REV. l!lOOEX '17.114) '1 ran OAl(50F DEAH~ AftER IVll/91 CUECftHERE ..- Ir A !iPOU5Al OV RT en I "' Al FILE NUMBER CAB H P L E P 0 C R C K 0 K P S C P o 0 R N R 0 E E S N - T cO"~F,t'lI.~fN '\'lJfr.rINl:'iJ~r'NI' UARRI5R8~g.~.ffi h;. 0f,0' 2195.0888 COUN1"YCODE o E C E o E N T DECEDENT'S NAUE (LAST. FlnST, AND UIODLE INUlALI Shormull Huzol I.. SOCIAL SECURity NUUDER DAlE OF" DUTH DATEOf' DlAHl 207.07.9049 11/18/1995 10/03/1917 OECEDENT'!iCOUJ"l[T[ ADDRESS 1915 Athol Stroot Cump 11111, PA 17011 NUUDER 0.00 0.00 erptlMtlelD ptIrufy. .c.rel II .v....mne I .,.Iurn, ncudnglcCOmp.l"yngac edU.II 1111.ment..1 101 e .10 frr'/ now 1I..nd Ie ,n .true. correcl.nd complet., decl.,.lhll.lI r..I..llle h.. been r.porled 111,ue mArk.1 \IIlue, Oecl,,.lIon 01 pr.~re' oth., th.n th. persoNI r.pr...nt,UvellbAsed on.lIInformAllon01 whIch prllp".' hit I"y knowledge. County Cumbor Illnd (IF APPlICABlE)SURVIVING SPOUSE'S NAJ.4EllAST,FIRST AND UIDDLE INUlALI SOCIAL SECURlTYNUJ.4DER AMOUNT RECEIVED(SEE INSTRUCTlONSI 0.00 X 1. Original Relurn 4. limrted Eslate 2. Supplemental Return Remainder Return 4.. Fulure Inle,est Compromrslt (for dates of death prior to 12-13-82) (for dates of death alter 12-12-821 D 5. Federal Estale Tax Return Requi,ed [ID 6. Decedent Died Teslate D 7. Dltcedent Mainlained a living T,ust -...!cl'1 Total Number of Safe Deposit 80lles (Attach co of Willi (Attach ft co 01 Trust) C if." \.~ -n;P ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI- ;__ NAUE COMPLETE MAILING ADDRESS t. Goor 0 A, Vau hll III ~ -: R E C A P I T U L A T I o N TELEPHONE NUUBER 717 975.9102 1. Real Estate (Schedule A) 1 2. Slotks and Bonds (Schadula B) (2) 3. Clo.aly Hold SlocklPannershlp Inla,e.1 (Schedula C) (3) 4. Mongages and Noles Receivable (Schedule 0) (4) 5. Cash. Bank Deposits & Miscellaneous Personal Property (Sch. E) (5) 6, Jointly Owned P'operty (Schedule F) (6) 7, Tran,'ers (Schedule G) (Schedule L) (7) 8. Tolal Gross Asset' (lolallines 1.7) 9. Funeral Expenses. Administlative Costs. Miscellanoous Expenses (Sch.dullt H) 10. Debts. Mongage liabilities, liens {Schedule I} 11. Tolal Oeduclions (10101 Line. 9 & 10) 12. Nel Value 01 Estale (line 8 minus line 11) 13. Charitable and Governmental Bequesls (Schedule J) 14. Net Value Sub ecl to Tax (lIno 12 minus line 13) 15. Spousal Transfers (fol dates or death alter 6-30-94) See Instruclions for Applicable Porcentage on page 2. (Include values ham Schedule K 01 Schltdule M.) 16. Amount 0' line 14 laxable at 6'/, rate (Include values from Schedule K Or Schedule M,) 17. Amount 01 line 14 taxable aI1S'/. ralo (Include volults born Schedule K 01 Schedule M) 18. Plinclpallax due (Add tax from line 15. 16 and 17,) 19. Clodits/Sp Poveny Prior Payments Discounl Inlorest 0,00+ 25,000.00 + 1,315,79 0.00 20. If line 19is grealer than line 18, enler the dilference on line 20. This is lhe OVERPAYMENT. g] 0 ICheck here If you I,e r.qullllng I refund 0' your overpayment.l 21. "Line 18is 9reator than line 19, er.ler Ihe differenco on line 21. This is the TAX DUE. A. Enter Ihe inlerest on the balance due on line 21A. B. Enter lhe total of line 21 and 21A on line 21B, This i~ the BAl^NCE DUE. Make Check Pe eble 10: Re Isler 01 Will.. A enl ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH .. .. 2,123.62 0.00 2,123,62 390', Trllldlo Rbud Gom HIll PA -17011 t en ono' 3,118;;11 N nil' Nono 100,55',,39 NOllo 98 ,OM ,1,7 ". 1-: \Q u'"T f) -, (8) 201,737,57 (9) 11,070.65 (10) 70.86 (11) (12) (13) (14) 11,1"1. 51 190,596,06 1,000.00 189,596.06 (15) 0,00 X : (16) o. 00 X ,06 : T A X C o M C I T I o N (17) 28,',39,1,1 189,596,06 X ,15: (18) 28,1,39,1,1 (19) (20) 26,315.79 0.00 (21) (21A) (21B) SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE RD 2 Box 63 Shormiiri,j' Daio': 'pi.:' 'i7(j<jO""'" --""""""" S:J-p.c ~""f ..%1.1."-........, (AJO._ SIGNATURE OF PRE PARER OTHER THAN REPRESENT ATlVE DATE lorm .oltw.,. onty CPSyallms.lnc. j~j6i.' Tr iniiio' iloa,f".'..,',.,',..,',....,',.,.,.. Carnp Hill, PA 17011 !;'-/S/:l(' FOlm 1500 (RlIV, '.94) Act 1148 01 1994 provides lor the reducllon 01 the tax rates Imposed on the net value oltranslers to or lor the use 01 the spouse. The rates as prescribed by the statute will be: 03"/. (.03) will be applicable lor estates 01 decedents dying on or alter 7/1/94 and belore 1/1/96 .... .. . 02"/. (.02) will be applicable lor estates 01 decedents dying on or alter 1/1/96 and belore 1/1/97 01"/. (.01) will be applicable lor estates 01 decedents dying on or alter 1/1/97 and belore 1/1/98 oSpousaltranslers occurrIng on or alter 1/1/98 will be exempt Irom Inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A MARK (X) IN THE APPROPRIATE BLOCKS. YES NO 1. Old decedent mah a transt.r and: x .0 retain thl us. or Income of the propertY transterred,. . . . . . . . . . ......................... . b. re'aln tho right to doslgna'o who .han U50 'ho p,operty "an.terred o,~. Income. ' , . , , , , . . . . . . . . . . . , ., X c. retain a reve"lona!)'lnte,os', 0' , . , , , , , . . , , . , . , , , , . , , , . . , . ' . . , . , . . , . , , . , . , , . , , X d. receive the proms. for m_ ot either payments. ben.lits or car.? . . . . . . . . . . . . . . . . . . . . .....,.. . X 2. If death occurred on or befor. Oecember 12. 1982. did decedent within two years preceding death transfer property without receiving adequate cConslderatlon? It death occurred ahe, Oecember 12. 1982, did decedent transfer property within one year 01 death withouI'8celvlng adequate tanskl.ratlon? . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . , . . . . . . . . . . . . . . . . . , , . . . X X 3. Old decedent own an 'In trust for' bank account at his or her death? , . . . , . . . . . . . . , . . . , . . . . . . . . . , . IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Farm 1500 (R.'1.1.94j Copyright (c) \994 form sottw.r. onty cPSyst.ms,lne, r . "li .. . REV - 1510E)(. (2-1171 courN\l\lll;\ll~~'\1,WhY'NI' ESTATE OF SCHEDULE G TRANSFERS Please Prinl or T e FILE NUMBER 2195-0888 Hazell.. Sherman 55(1207-07-901.9 11/18/1995 THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON PAGE 21S YES, ITEM DESCRIPTION OF PROPERTY EXCLUSION TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBER Includllname ollh.I,anll.,.., 11'1.11 OF ASSET .I.INT, DECEDENT INTEREST 1.laUonstil';'-'O dKed.nt dat. of 'ranl'.' 1 Amorican Express Financiai 16.""0,09 lOO.OO~ 16,"',0.09 Advisors (IDS); Fixed Retirement Annuity (9300-25308/,7 ) 2 American Express Financial 12,1.65.1.3 lOO . OO~ 12,1.65,1.3 Advisors (lOS); Fixed Retirement Annuity (9300.2861",,7) 3 Integon Life Insurance 69,158.95 100.00~ 69,158.95 Cerperation; Signal Preferred/Flexible Premlum Annuity (Contract 0653235) TOTAL (Also enter on line 7, Recapitulation) 98 061. .1,7 (If more spaco is needed, Insert additional sheets 01 same size.) COP'f'I~hl Ie) 1994 fOlm sollwa,. only< CPSys!llms, Inc. FOlm 1500 Schedul. G (A.v, 2.871 .&. " REV- tlt2U '1'.ll) CO"~N~lI.'X~~'I1W\~'i.'l.~tl"'YANIA ntsIDEN"t'bEcEDENl ESTATE OF SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Pl.... Print o' T . FILE NUMBER 2195-0888 Hazo I I.. Sherman 5511 207 -07.90'.9 11/18/1995 ITEM NUMBER 1 DESCRIPTION AMOUNT Sammons Communlcatlona, Inc.; Clnal bill Cor cable service 7.32 2 Bell Atlantic PA; Clnal telephone bill 3 UGl; final bill for gas service '. PP&L; Clnal bill Cor electric servlca 6,06 38,81 18.67 " TOTAL (Also .nter on lin. 10, R.ca ~ulalton) (If mar. space Is ne.ded, Insert add~lonal sh.ets of same size.) Copyright (c) t"4 'Ofm soltwar. only CPSYltams,lne. $ 70.86 Form 1500Schadul.IIR.", '.13) REV. 151] EX" (2-111) .. ., CO"t:.'ml~~{\'W.\~~)hl"NI' ESTATE OF SCHEDULE J BENEFICIARIES Hazol L. Shorman ITEM NUMBER ITEM NUMBER 551 ?07.07.90/,9 11 18 1995 FILE NUMBER n 95.0888 RELATIONSHIP AMOUNT OR SHARE OF EST A TE NAME AND ADDRESS OF BENEFICIARY 1 A. Taxable Bequests: Doan S. Shorman RD 2, Box 63 Shormons Dolo, PA 17090 Ilrothor ono- flCth 2 Chostor D. Shormon RD 1, Box 695 Landisburg, PA 17040 Ilrothor one - f lCth 3 Paul L. Shorman Main Stroot Landisburg, PA 17040 Brothor ono- f lCth I, Dorlono C. Dumm 600 Quail Koop Drivo Safoty Harbor, FL 34695 Nloco ono-tonth 5 Barry L. Shorman 230 Easy Road Carlislo PA 17013 Nophow ono-tonth NAME AND ADDRESS OF BENEFICIARY 1 B. Charitable Bnd GovernmenlalSequests; Boquost to tho Church of Cod of Londisburg, PA (ltom 11) AMOUNT OR SHARE OF ESTATE 1,000.00 TOTAL CHARITABLE AND GOVERNMENTAL BEOUESTS (Also onler on line 13, Roc. nul.lion) (II more space is noeded, Insert addillonal sheols 01 samo size.) Copyright (c) 1994 form soltw.reonly CPSyslems,lnc. S 1 000.00 FOlm 1500 Schedul. J (A..... 2.81) . ' ~., , " Estate of. Hazel L. Sherman SSP 207-07-9049 11/18/1995 CONTINUATION SCHEDULE continuation of schedulo J-A REUI\TIONSHIl' ,/\MOUNT OR sl!l\REOF ESTATE ITEM " N/\ME AND ADDRESS OF BENEFICIARY Nophew ono-fifth 6 Jack E. Sherman 490 S. Octillo Drive Apache Junction. AZ 85220 ~ ~ " f'.. '"' " r ,~ ~ ~ c;;Z ".:x;z .~ 1 ~ ,.. WILL OF IIAZEL L. S11P.1H\N I, HAZEL L. SHEe4AN, of the Borough of Camp Hill, Cumberland County, Pennsylvani. declare this to be my last will and revoke any will previously made by me. ITEM 1. I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, and any and all taxes and assessmente imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practi cable after my decease as a part of the expense of the administration of n~ estate. ITEM 11. I give and bequeath the sum of One Thousand ($1,000.00) Dollars to the CHURCH OF GOO of Landisburg, Pennsylvania. ITEM Ill. I give and bequeath all of my household goods, automobiles, jewelry, a all other articles of household and personal use, equipment and ornament, together wit all insurance thereon and relating thereto, in equal shares to those of the following persons who survive my death by thirty (30) days: A. One-Fifth thereof to my brother, DEAN S. SHERMAN, or his issue, per stirpes; B. One-Fifth thereof to my brother, CHESTER D. SHERMAN, or his issue, per sti rpes; '. c. One-Fifth thereof to my brother, PAUL L. SHERMAN, or his issue, per stirpes; 1 .-- .------- _ ......... "'- c. ~ '" l'.." ..... f" ~ ~ I" J ~ .~ ~ J ~ which I run authorlzc>d to appoint a guardian and have not otherwitw appointed a guardian or trustee. Such guardian shall have tho> power to use rrinci[>.ll as well as incofro from titre to tilOO for the person's education, Rupport, and welfare without regard to his or her parent's ability to provide for such education, su~>ort, or welfare, and to make such payment for these purposeR, without further responsibility, directly to such person or to the parent of any person taking care of such person. ITa-! VI. I appoint my brother, DEIIN S. SIII::RM!IN, of Shenmnsdale, pennsylvania, executor of this my last will. Should my said brother predecease fro or otherwise fail to qualify or cease to serve as executor of this my last will, I appoint my niece, /INN R. SIIERMIIN, of Carlisle, Pennsylvania, executrix of this my last will. ITEM VII. In addition to the other powers and authorities granted to my personal representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court approval and until actual distribution of all property: to compromise any claim or controverRY; to n~ke distribution in cash or in kind, or partly in cash and partly in kind, and in such l1\.lnner as my personal representatives may determine and at valuations finally to be fixed by them; to invest in all fonns of property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; to sell at public or private sale, to exchange, or to loaso for any period of tim:>, ;lIlY reill or personal property and to 3 ..... .. The preceding instrwnent, consisting of this and FOUR other typewritten pages, each Identified by the signatu[c of tho tcstatrl X W.1S on thc ,].,tC thc[eof signed, pUblished, and declsred by HI\ZEL L. SIIERMIIN, the testatrix the[ein nlllnell, 119 and for her last will, in the presence of us, who at her [equest, in he[ presence, and in the presence of each other, have subscribed our names as witnesscs hereto. '" ~ ~ " ,,-"" " ~ N: ~ ~ ~~ \,~ j ~, 5 . ,"'~" '....- .. /' I, ~ ~\ '\ .... .... :,1 ' ,I " . "',. .. III lO , '" Q) III ~ '" '~ Q) lz '., II ..... .. :,'. III \ ~ "'I' .. 1-; , "- JK1. J' .. , '" .... ,. t . · J . JlM .. J-; " >- " ..- .~ ' .! C\ - J <( ... .. ;;E WI - III 0- ~. ~ \lIJI - .. /IlJi ,. ,.~ ,. , 'uI " - HI! f1I .. jt:l. r.FJ II ISJ till ~~ - ~!'6 II t'Il .. ~ , - '(sg " ,. I~~ ,ill .... " j8 , ... ..- .~ ' _:~, ',II ~:::l . j J ,. ,~ M\:il III !8~ <, ,~~ "...... " , ,. ,l. i:: / - .. , ' :, cJ].r f 11 11* 118 I' . -:, ,.:"" S'~~ . .) ~ r-. .- ~. ,I .., I' ,. ~CJ " L' ), ,'I ,'''' .- '< /J . . ' -- 'it, . r, .- <( .. , 'i l' ~ " ~ ,. a.. .. .. '( ," ;XI .. , , c..'J , " .' 0:: . - t"- ' 'lIII . -, , ... -" ~ I rSl a.:: .. IJ if. ~ '12 - .. ", , 12 0. ~ 1 , 0:: ~, i PI .. c:( . , III " I .. :c . .. , . '- I \0 -e~ - . , <,'I I.",) ;0. 1'-' ~-"F i" , ,;0 ?J " I M .. d I ('.j -; \ 0- , , 11 Ii (),;.._ , " ,,) 8 .U~ '~~ i; co r, I $ -1 i ~ I' 'j :!C .. ":.1 i Q; ~; ,,",' .' ..J ::I.. -l o~JJ ~ ~,' L: <"j5='OIl> :, :J ! =: Ola; .u(J l.I-f" a; .cr " . ... -...... ,,- -.~ .... '...'.- George A. Vnuj;/llII, III AlIorncy ill lilw 3904 Trlndlc ROild Cilmp Hili. Pennsylv.lnlil 17011 (717) 975.9102 FAX (717) 975.9105 May 6, 1996 Mary C. Lewis, Register of Wills Cumberland County Court House Carlisle, P A 17013 RE: Estate of Hazel L. Sherman, File 1#1995-0888 Dear Mrs. Lewis: Please find enclosed in duplicate a Pennsylvania Inheritance Tax Return for the above- referenced estate. According to the Return, an additional inheritance tax payment in the amount of$2,123.62 is required. A check payablc to you in that amount as collection agent for the Deportment of Revcnue is also enclosed. I also submit for filing an Inventory for this estate, A separatc check in the amount of $34.00 is enclosed to pay for the filing fees for thesc documents. Kindly process these documents in your usual fashion and issue your rcceipt for the payment oflhe inheritance tax, If you havc any questions or need anything further from me at this time, do not hesitate to contact me. GA V/dj Enclosures (5) Very truly yours, io~ii~ughn, III p~ ;f. :n:IJ 3 c>, mW 0- (~ 8 (:' ) ~ .., -, !':.n Attorney at Law Il' I!"~ ~~ " '. I () r', C' ". (Xl ; .' ? ") ? :Sd .. - ,.~ c:. - -" :'0..: 1h /no ~;!:l -. \0 cc: Mr. Dean S. Shennan .... -. 9'. .... " ~, .. ' -"- -- --.-.' '.. -.-. .._.- ..__. .-'-- -.- __n -- __~ ___.. _~_ . _. .._.._. ~._H '.~_ "..__ ___._ _.._~ __ _._. __ _ _~ _ _ _ __ __ __ , r:, c::',',", : " \"',:::,';';::ii,;':';";'":-:'\::,!,,:-:,",;', ", ,.: ',::" :,' .. '..', '...'. :';~':',"'.'i:",',-:"'" '.', ';C". " D'.':' ';'AA' ': .':,'1::1,1182'0 'rCOMMONWEALTH ,OF PENNSYLVANIA'"."": ,;,';;:;';":".: .... "', ~o. , ",' ',C; , ,/,' 'i:.'';', ,,. :",DlPAIlMINT 0' _IVINUI '.", . '.' '"" '.' ',,':' ~,: .'::' . ....i~~ ", ;::gPPlCIAL RlCEIPT'.;PEN~SYLVANIA INHERITANCE AND ESTATe TAx , ;,::;": >,': RECEIVED FROM, & ACN ASSESSMENT f!'I CONTROL iii NUMBER AMOUNT GEORGE A VAUGHN 111 ESQUIRE 101 "c:'.le:=~.bc 3904 TRINOLE ROAD CAMP HILL, PA 17011 SSN 207-07-90/t9 (FIRST) IMII CUMBERLAND DATE OF DEATH '" < m TOTAL AMOUNT PAID $2,123.62 CW j REMARKS SEAL DEAN S SHERMAN C/O GEORGE A VAUGHN TII ESQ CHECKII 101:5 REGISTER OF WILLS ....- .-.-. --- .._- '._- --, ~...,,- ---"- '.-.'-' --'-" ..-- .'.'- .-..- .. _. -....- .--- '--" ---. -- ~- -- -----:- --. .....- . , . ' -~ " _'. _....__._-~.:....~.A.'""'l:'_ _ -I~ ,..,':- - . ... Inventory 01 the real and personal estate 01 Hazol L. Shorman See attached Schedule u :! decoased 104,545.85 ~Q ~ :JJ :nUt Po ,'l; P. O' ,.." C" ",'- ..., I!! J ~ " " \.; " I, ~ L , I I) (, 0:> ... .~ (; " '-.l' f' ;g :':'lti: ';J == U --' O' ~ -0 r; U1 )>o;:l. 0 .... COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUM.ERLAND I. J UI Dean S. ~b9r,!1li!.D-___,_..,,___,__ '____,___ bolnv duly "worn occordlng to low, dopo.o. and .oy. Ihot ho is the eXeJ;:,ut.oL,__ of Iho e"olo of II"?:,,, I.. Sh"rm"n 1010 of --1,9l5-A.thol.. St.reet ,,_Camp,lLill-+-__, Cumborlond Counly, Po" docoo.od and that tho within I. .n In.onlory m.do by .JleilIL.S~-5hcJ:mil n , Iho ..Id "X" '" II to r of Ih. anliro osl.I. of uld d.c.d.nl, con.I.lIng of all Iho p."onol pro".rly .nd r..l ....t., ..c.pl rool osl.I. ouhld. Ih. Commonw..llh of P.nn.yl.onlo, and Ihol Ih. flgura. oppo.lt. oach It.m of Ih. Inv.ntory repr.unl II'. FaIr .olu. .. of the dol. of d.codonl'. d..lh. o~ , ,,-~J \ -f"\," /(;.. and .ub.crlb.d boFor. m., 'li......... .l f L-.,. ~'tt Eucuto,. elml""',.,., " 7/l,.! ~" RD 2. Box 63 i~ .Ill", </ 0/ 19 /,' TARlAL SEAL FRANCES T. VAUGHN, Nolory Pub! Hampden Twpo, Cumberland Co" P MyCommlulon Explr.s Aug. 9,1999 Shermans Dale, PA 17090 Addr... Dol. of O..Ih 18th Doy 1995 Vu, November Month INSTRUCTIONS I. An In..nlory mu" bo fIIod within Ihroo monlh. oftor oppolnlm.nt of po"onol roprosontollvo. 2. A .upplomont Inv.ntory mu.I bo fIIod wllhln Ihlrly day. of dl.covory of oddlllonol ono". 3. Additional .hoo" may bo ottochod os to po"onolty or roolly 4. Soo Arllclo IV, Flduclorl.. Acl of 1949. .... .... ," :I: 8 .,; w c S .. M ~ .... I1l I1l " ~ u ... S CJ u .. ~ 0 :il ... u '" .. w co: OJ .... C " .. i!: ... .... u.. .c 0 .; ... E Ul 0 u.. .... ~ 0 .c ... ~ W 0 -< i- ~ co: . Z ...:I ::l 0 c C 0 ~ II) Z .... ... ~ 0 fli z -< OJ 0 ... ... N o:l ." I1l c :I: - " -.: 0 u .., ." ... u E - .. 0 .. ~ ii: 0 .... 0 ID INVENTORY Estate of. Date of Death. County. Hazel L, Sherman November 18, 1995 Cumberland ----------------------------------------------------------------------- Cash. 1 First Federal Savings and Loan Assoc./ Certificate of Deposit (0232153411)/ principal balance ss of date of death 10,466,80 2 First Federal Savings and Loan Assoc./ Certificate of Deposit (0232153411)/ interest accrued to date of death 35,00 3 Harris Savings Bank/ Certificate of Deposit (04-55-272206)/ principal balance as of date of death 14,092.75 4 Harris Savings Bank/ Certificate of Deposit (04-55-272206)/ interest accrued to date of death 335.14 5 Harris Savings Bank/ Certificate of Deposit (04-63-175646)/ principal balance as of date of death 14,041. 00 6 Harris Savings Bank/ Certificate of Deposit (04-63-175646)/ interest accrued to date of death 253,12 7 Harris Savings Bank/ Certificate of Deposit (04-63-195144)/ principal balance as of date of death 13,146.76 8 Harris Savings Bank, Certificate of Deposit (04-63-195144)/ interest accrued to date of death 226.92 9 Harris savings Bank/ Money Market Account (04-05-003597)/ interest accrued to date of death 9.50 10 Harris Savings Bank/ Money Market Account (04-05-003597)/ principal balance as of date of death 5,287,19 11 PNC Bank, N.A./ Checking Account (5140057378)/ principal balance as of date of death 1,939.31 12 PNC Bank, N.A,/ Checking Account (5140057378)/ interest accrued to date of death 1.32 13 PNC Bank, N.A,/ Certificate of Deposit (21001019340)/ principal balance as of date of death 30,785.53 -1- " INVENTORY Estate of. Date of Death. county. Hazel L. Sherman November 18, 1995 cumberland ----.------------.-.--------------------------------------------------. 14 PNC Bank, N.A., Certificate of Deposit (21001019340), interest accrued to date of death 976.95 15 United States of America, lump sum civil service death benefit payment 872.75 16 Refund of deposit for bus trip 135.00 17 Nstionwide Insurance, refund of unearned renter's insurance premium 8.10 18 Josephine M. Magee, refund on prepaid bus trip 54.00 19 Refund of withheld 1995 federal income tax 501.00 20 Crossroads Property Management, Inc" payment for cleaning services 60,00 Subtotal 93,228.14 Miscellaneous Personal Property: 21 1991 Pontiac automobile; VIN 1G2AF54TOM6203448 6,600.00 22 Two gold and diamond rings and one gold scatter pin and chain 480.00 23 Miscellaneous personal property and furniture 1,119.00 Subtotal 8,199.00 Bonds. 24 Forty-three (43) US Savings Bonds (Series E and EE), principal value as of date of death 812.50 25 Interest paid on liquidation of forty-three (43) US Savings Bonds (Series E and EE) 2,306.21 Subtotal 3,118.71 -2- \. COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~ ~ { '1 ) (SS, ) On this, the \ q-/-v. day of t'Y\ 0'>-1_ 1996, before me the undersigned officer, personally appeared HARRY L. WILSON, JR., who acknowledged himself to be the Treasurer of the Landisburg First Church of God, and that he as such officer, being authorized to do so, executed the foregoing instrument for the purposes therein contained by signing the name of Landisburg First Church of God by himself as Treasurer. In witness whereof, I hsreunto set my hand and official o (SEAL) NlUIBI SeoI ChMono R.Goo<ti,,~~ Mi~~~:{8ll8 C,ILWORl(II'ROII\OOIOI96A, wrll .2- , , '. ,2.1 -q5 -'H Y Estate of. Hazel L. Sherman SSH 207-07-9049 11/10/1995 CONTINUATION SCHEDULE Continuation of schedule H-A ITEM H DESCRIPTION AMOUNT death certificates and memorial notices (reimbursed to Dean S. Sherman) 3 Telephone expense of Dean S. sherman for discussion of funeral plans 4 Rice Memorial Works/ gravemarker (reimbursement to Dean S. Sherman) '/' 20 3~ ~ ~~ .cr,'.. :j. l\" ~ _.,~ ;..~ ~":j. 1',' , ~ \';. 111 .. D'. (j i,.:' ..L ~'; ? "'H;-~' Fir ;E: ~-:;: t') - , ;::jt, - Wo ~': .b:. ;:+ - O:J 00 ~ :0:0 C(ii 3 -, "ill rr"i (f) 0 ~: , ~ .i'o &, ",' ClJ , ,~). ..,j '", ~ (') (] .'-.:-:1.: b', -.r \:~; , , ;!:l ~o .. (', ~ c,; ~t': h:- e. )>;4 0\ 4.30 372.00 376.30 Rotate of. Hazel L. Sherman SSN 207-07-9049 11/10/1995 I , j ITEM N CONTINUATION SCIIEDULE Continuation of Schedule H.C DESCRIPTION AMOUNT commioosion and expenses on sale of miscellaneous personal property and furniture 6 Register of willsl fee for short Certificates (reimbursed to Dean S. Sherman) 18.00 7 prothonotary of Perry County I fee for certified copy of decedsnt's divorce decree (reimbursed to Dean S. Sherman) 5.00 8 Telephone expense to Dean S. Sherman to locate intestate heirs 6.30 9 Bureau of Vital Statistics I fee for death certificates of decedent's relatives for various death claims (reimbureed to Dean S. Sherman) 27.00 10 Mountz Jewelerol appraisal fee for decedent's jewelry (reimbursed to Dean S. Sherman) 47.70 11 Postage reimbursement to Dean S. Sherman 12.80 12 Register of willsl fee for Short Certificates 12.00 ,} 13 First Federal Savings and Loan Assoc. I charge for estate checks 23.46 14 Bureau of Vital Statistics I additional death 15.00 -:.- Gcor~c A. Vall~11II, III AlIClr/WY al L.1W 3904 Trlndll! Rll.ld Camp HIli, Pcmnsylvo1l1l.1 17011 (717) 975.9102 fAX (717) 975.9105 Mary C. Lewis, Register of Wills Cumberland County Court House Carlisle, PA 17013 2Q ~ :o:D May 31. 1996 ::t!1Z <I' III l-~ i."' i} . ..,. ~ ~; ~ 'l:~ ~-~ ': J., .., , r' " .' ;:.~ ~ . ;e , - If, I) 0 -TJ l~':' .b:. - ".~ !Xl RE: Estate of Hazel L. Sherman Dear Mrs. Lewis: On May 6, 1996, I sent to you a duplicate Pennsylvania Inheritance Tax Return for the above-referenced estate. It has come to my attention since then that the continuation schedules for schedule H-A and schedule H-C were not included with the return. The amounts for both of these continuation schedules were, however, included in the totals and in the calculation of the linal inheritance tax liability. You willlind enclosed in duplicate the continuation schedules which I ask you to make a part of the record in this case. If you require anything further in order to do so, please contact me right away. v cry truly yours, ~ti~ '&orge A, Vaughn,lII Attorney at Law nn em :1 -, c.... ~ 'j \ll C7> :o:D () ~ c:.... ~-? ~.; r) i" Co, '. ~~~ GAV/fv Enclosures (2) ,:: ~ z: J., (..I () .-f' ~; ~~i tire - cc: Mr. Dean S. Shennan ('. : (:. I~ L> , ,) n ;',2<- ......~ ;e - j,;, 0, t/~/ /.) (,. r; . . ' . . (i, REV-1547 EX AFP 112-951.1 COttttONwrAI Tit or PIHNSVl "ANIA , Of PAAI"LHI Of PI VI HU[ . . IIUJt(AU or INDIVIDUAl tAXIS , .' IIfPI, "BOliO I "AHA I SBIIAG , rA 11l18-ollOl . ESi"ATEOF ~11tIlHAll- '~IfA'Zte~ DATE OF DEATH 11-18-95 ACN 101 NOTICE OF INIlERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS ANO ASSESSMENT OF TAX DATE 08-05-96 ,,' ""'2\''''9 5::cOc8ifB"<O~~= CUMBERLAND ~o~c.~' "",=.~.,.".==--==-=- FILE NO. COUNTY NOTE, TO INSURE PROPER CREOIT TD YOUR ACCOUNT. SUBMIT TIlE UPPER PORTION OF TillS FORM WITtI YOUR TAX PAYMENT TD TilE REGISTER OF WILLS. MAKE CIlECK PAYABLE TO "REGISTER OF WILLS. AGENT" REMIT PAYMENT TO: GEDRGE A VAUGHN III 3904 TRINDLE RD CAMP HILL PA 11011 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 11013 1- Anount Renitt.d CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEW is4'i-EX -A Fj'-- ii 'Z:9s-'--NOT iCE - -ciF" i"NH Eiii i' AifcE "TAX "iipiiiiA-is EHEN'T -;-m:ciwANcE "ijli-" - __mm"" - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SHERMAN HAZEL L FILE NO. 21 95-0880 ACN 101 DATE 08-05-96 TAX RETURN WAS. I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1', Reel Est.te (Schedule A) (U 2. Stock I and Bonds (Schedul. B) (2) 3. Closely Held Stock/Pertnership Interest (Sch.dule C) (3) ~. Hortaages/Not.s Rec.iv.ble (Schedule 0) (4) S. Cash/Bank Daposits/Hi,c. Perianal Property ISchedule E) 15) 6. Jointly Owned Property ISchedule F) Ib) 7. Tran,fers ISchedule 0) (7) 8. Tobl Aueh I CIlANGED ,00 3.118.11 ,00 .00 100.554,39 ,00 98.064,41 18) 201.131.51 APPROVED DEDUCTIONS AND EXEMPTIONS: q. Funeral Expenses/Ada. COlt./Hi.c. Expen'e' ISchedule H) Iq) 10. Debts/Hortgage Liebilitie,/Uenl ISchedule I) (l0) 11. Tot.l Deductions 12. Net Velue of T.x Raturn 13. Cheritabl./Govarnnental Oeque.t. CSchedul. J) 14. Net Velu. of E.tate Subject to Tax 11.010.65 10,86 IIlI 1121 1131 II" 11 ,141 ~1 190,596.06 1,000.00 189,596.06 If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSHENT OF TAX: 15. AMount of Line 14 16. AMount of Line 14 17. AMount of Line 14 1&. Principal Ta~ Dua NOTE: 14, 15 and/or 16, 17 and 18 will returns assessed to date. .00 X .00. ,00 X ,06. 189,596.06 x,15. 1181 .00 .00 28.439,41 28,439,41 .t Spou,al hleable at talCable et rat. Lin.al/CI... A rat. Coll.ter.I/CI.I' B rate I1S) I1b) 117) TAX CREDITS: PAYMENT DATE 02-08-96 05-01-96 RECEIPT NUMBER AA082591 AA1l2820 DISCOUNT t'I INTEREST t-I 1,315.19 ,00 AMOUNT PAlO 25,000.00 2.123.62 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 28.439.41 .00 ,00 ,00 . IF PAlO AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS LESS TIlAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF TillS FORM FOR INSTRUCTIONS.) ,- ;- -( :-4 - l_'_~ , .,/i N 0" 1/" I S 'I' l " ' r"' ,) :> wU; ijU a: RESERVATIONI [Ite',. of dlcldlnt. dwlng on or b.for. Dlc..b., 11, .'11 .. If any lutur. Int.,..t 'n the ..tat. I. tran,f.rrld In po.....lon or .nJoy..nl to Cle,. I Itoll.t.,el) bini' Icier I.. of thl dlcldlnt .,t., th. ..pltttlon of ."y ..tet. for II'. or for Y"'" the Co..onw..lth het,by ._pr...ly '1.ltV.' the right to Ipprftl.. and ...... ttlnl,.r Inherltancl ,.... .t the tlwful Cl... . (coll_'.,a') tet. on any such future Int.,..t. PURPOSE OF HOTICEt To fulfill the r.qulr...nt. of Slctlon ZI~D of thl Inheritance and [It,t, raM Act, Act tZ of ."1. 72 P.S. SlcUon llltD. PAYHEHTt D,tach the top portion of thl. Hotle. and ,ub_lt with your pay..nt to the AIDII'" of Willi prlnt.d on the t.v.,.. .Id.. --Hllk. ch.ck or .0n'lI ord., pIV'lbl. tOI REGISTER OF HILLS, AGENT All pIV'..nt. r.c.lv.d .h.11 flr.t b. IIPpll.d to anV' Int.r..t which .'V' b. due with any r.~.I"d.r .~pll.d to the ta.. RErUHO ICR)I A r.'und of . t.. cr.dlt, which w.. not r.qu..t.d on th. I.. R.turn, lev b. r.qu..t.d b, cOlpl.tlng An "Application for R.fund of PeM.vlvlnl. Inh.r1tanu and Esl.t. Ta." (R[V-I3l,U. AppllClltlon. ar. aVIIUllhI. .t tht Dlllcl of th. R.glst.r of WIUI, anv of Ih. Zl R.v.nu. Ohtrlct Offlc.., or bV' ulIlng the .pecl.' t"huur .nlwerlng ..rvlc. nu.b.rl for for.. ord.rlngl In P.nn.vlvanla l'100-36Z-Z0S0, outlld. P.nnlylv.nl. and within 10cII U.rrlsburg .re. 17171 7117-a09ft, TOOl 17171 71Z-Z252 tIl.llrlng I"p.lr.d OnlY). oBJ(CTJoHSI Any p.rty In Inler..t not 'IItl.fl.d with the Ippr.l.e.ent, ,llow.nc. or dl..llowance of d.ductlon., or ........nt of ta. (Including dl.count Dr Int.r..tl I. .hown on thl. Hotlce .Ult obJecl within .1.Iy 1601 day. of rec.lpl of this Notice bYI --wrltttn prol..t to the PA o.p.rt..nt of R.v.nue, Bo.rd of Appe.h, o.pl. 2alDZI, tlarrhburg. PA 1712'a'1021, OR .-.Iectlo" to heve the .lItt.r det.r.ln.d .t audit of the account of Ihe p.r.Dn.1 r.pr...nl.tlv., OR --.pp..1 to the Orphan,' Court. AoHIN ISTRATlY[ CORRECTIONS, r.clual .rrot. dl.cov.r.d on thl. 1I..e....nt .hDUld b. .ddt....d In writing tDI PA oeparl.ent 0' R.v.nu., Burnu of Individual Ta..., AnNI Po.t A......."I Revl.w Unit, O.pl. 280601, ".rrl.burg, PA 17Ua-0601 Phon. (717) 717-6505. 5.. palle 3 of the bookl.t "Inllrucllon' for InherUrmc. Irue R.Iurn 'or II Re.ldanl o.cedent" IREY-ISOI) for an e.pla~allon of IId.lnl.Iratlvelv cortecl.bl. error.. DlSCoUHh If .nv t,. du' I. p,ld within three (31 cel.ndar lonlh. Ift,r Ih. d.e.d.nt'. d.,th, . flv. p.re.nt C5~) dl.eount of Chi t.. p.ld It allow.d. ' PENAL TVI Th. IS~ t.. atn..tll non'p.rtlclplltlon p.n.lty I. co.put.d on th. lolal of the I.. and Int.r..t .......d, end not P.ld b.fore Januery la, 1996, the Ilr.t dllY aftar Ih. and of the ta. ..nutv p.rlod. Ihll non'partlclpallon p.ntllW I. app..labl. In Ih. .... 81nn.r and In Ihe th. .... tl.. p.rlod .. you would app..' th. ta. end Int.ra.t that hI' b..n .......d .. Indicatlld on Ihl. not Ie.. INTERESTI Jntar..t I. charg.d b.glnnlng wllh flr.t day of d.llnquency, or nln. 191 .onth. Rnd on. (II day '1'08 tha d.l. 0' dellth, to Ihe d.l. of paw..nt. Ta... which bace.. dellnqu.nt b,for. January I, 19a2 b..r Int.r..t ul the rat. of .1. C6~1 p.rcant per annua calcul.t.d .t . dally r.t. of .00016~. All t.... which bee..e d.linquent on ftnd aftar Janullry I, 198r will baa I' Inter..t .t . 1'.1. which will v.ry fro. c.l.ndat v.ar to eal.ndar vaal' wllh Ihal 1'.1. ennoune.d by Ihl PA D.part..nt of R.v.nu.. Th. Ipplleabl. Intera'l rate. for 1912 through 19~b ar'l !!!! Inl.r..t Ral. Dallv Int.rlll r..clor' !!!! Int.r..t Rat. Dally Int.r..t r..clor 1'182 20~ .ooos'a 19B1 .~ .OOOrIt1 aa3 IU .oooua 19U-1991 Ill( .000301 1984 1IX .000301 1992 .~ .OOD:~l 1915 In .0003!.6 1995-I?91t ,~ .00011Jl 1986 In .000274 199!.-1'96 .. .00OZIt! .-lnt,,"1 h ulcuhhd .. followlI INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Anv Hotlc. I..u.d lI'ter tha la. b.co.., dallnqu.~t will r.flaet an Int.r..t c.leul.tlon 10 flft..n (Ii) day, ba10nd the date of the ...e...enl. If pay..nl i, .ad. .ftar the Intar..t co.pulallon dal. .hown on the Notice, addlllonal Int.r..t au.l be clllculat.d. 'O!J~/li? I- , ., 'r.lllOU ell' 1l"M pepnPUI 11M ,UIWlltlnS Pili ,0 Adoo 'r/ , , ~~~m JIIll'A.llllI\JIUlIq 'JOllplJ:lIIIIIInIllIlIl' Ur III1JlIIUI UI WIVIO '0 1I^"LoIIUIQUI1OOlI8I111111t -1I uOIJIId JIIIIlD A.lell1I 01 pUR ,IUVWI~ PlIdun AJlII\lI 0' UlIIIfD UHq IVll 'UopIlllJIIIO poIOdOJd ',0 IUIWBIIIlS PI" ot IUOpoB!qo UBUjJM III' 01 AlIp IIVI B41 ,0 pUB UOIIBWJUIIClO ~ Ilno:) 1141 01 PIIUVIBJd IIq 11IM IIWlIS B41 Ur;4MOOBld PUVIIWII '1IlIp 141 10 pUll 'uollnQlJI810 poIodOJd 10 i' ,1.Ur.WBI8IS Sl4i '0 DuIlU 1141 10 lI:IlloU UBUIJM \1141 AJIIlB:l AqlJBlIl J ~ ~' '."...)11;. b , 'D " c 1.. 0.- " = &'i ,ge! _ a.. .=. ~ . ~5 c oJ -..... 'ai~ cr- ~.~ 2:: · ~'E . ~.. ~ .'!!v . ;;:- i:\ 0: o-a) ~:c~ '"<..I __=- ... 9.... ~.: 't,a $ l~ ~ I> If ~ ~ ~j 1 Ii ~~ i~~ ~ ~ ~ ~ !.; ') ,loQ \ ~ ~ "~ .... ~ ~ ~ ~ ~ .~ '/, 't H~Cr);':I'ld f',.;,,} of liC(, '.: ,: ~"IJiS '96 SEP-6 P3:05 .J~C'_"-c:',,; ~:!j ~ ;;; ll! ll, ' Cieri " '; CrllJ!t Curllb"..,. ,J <>t, PA' <( II c:- 81 ,!II II a: !! 1111l 5...2&;....: 'O~ "'o5.l~ :1'11-8-2'2 :='E tI,5i ),,0 ';1I.!!'6, :a 5';~c ! '0 1ii'O,! ~ m ' j!l1!::oq~ I " '88".c~-~ c.!lj~lil,5 ~ .~i~ 8~ I ,~ i"'E<(E ~ j~8Ia~~ 'JQ j!S1!:a'15 IIJOI - 130 j'" ,~ . ~J, . :>tOtJ. -< r.. ~~i! ~ ! -- .I' . C', .. ." .... . . . '. IN RE: IN TIlE: COURT OF COMMON PLI~AS 01' CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF HAZEl. L. SIIERMAN, Deceased ORPHANS' COURT DIVISION Late of East pennsboro Township, Cumberland County, Pennsylvania NO. 1995-BBB FIRST AND FINAL ACCOUNT AW2 PROPOSED SCHEDULE OF DISTRIBUTION DEAN S. SHERMAN. EXECUTOR E.QB ESTATE OF HAZEL L. SHERMAN. DECEASED Date of Death: Date of Executor's Appointment: Dates of Advertisement of Letters: Cumberland Law Journal: Dee IS, 22,and Sentinel: Dee 9, 16, and 23, 1995 Accounting for the Period: Nov 1B, 1995 Nov 25, 1995 29, 1995 Nov 25, 1995 Sep OS, 1996 Purpose of Account: Dean S. Sherman, Executor, offers this Account to acquaint interested parties with the transactions that have occurred during this administration. The Account also indicates the proposed distribution of the estate. It is important that the Account be carefully examined, Requests for additional information or questions or objections can be discussed with: George A, Vaughn, III Attorney at Law 3904 Trindle Road Camp Hill, PA 17011 (717) 975-9102 " ACCOUNT OF 00 on G. Sherman, Exucutor for ESTATE OF HAZEL L. SHERMIIN, Deceaoed Date of Death. Date of Executor's Appointment, Date of First Advertisement of Lettero Accounting for the Period. 1B-Nov-95 2B-Nov-95 15-Dec-95 1B-Nov-95 05-Sep-96 Purpose of Account I Dean S. Sherman, Executor offero thio account to acquaint interested parties with the transactions that have occurred during this administration. The account also indicates the proposed diotr1bution of the eotate. It io important that the account be carefully examined. Requests for additional information or questiono or objections can be discussed with. George A, Vaughn, III 3904 Trindle Road Camp Hill, PA 17011 (717) 975-9102 " PRINCIPAL Page Receipte. Per Inventory Filed or Balance of Prior Account This Account 0.00 104,545,85 1 Net Clain (or Loss) on Salee or Other Disposition/Principal (400.25) 3 104,145.60 Lese Disbursements. Debts of Decedent Funeral Expenses Adminiotration Expenoeo Federal/State Taxeo Fees & Commiosions Family Exemption 70.86 461.30 3,224.10 27,123.62 11,075,00 0.00 4 4 4 5 6 41,954.88 Balance before Diotributions Distributions to Beneficiaries 62,190.72 1,000.00 7 Principal Balance on Hand 61,190.72 For Information. Investments Made Changeo in Investment Holdings INCOME Receipts. Per Prior Account Filed This Account 0.00 2,548.78 8 Net Clain (or Loss) on Sales or Other Disposition/Income 0.00 2,548.78 Less Disburoements 0.00 Balance Defore Distribution Distributions to Beneficiaries 2,5'18,78 0,00 Income Balance on Hand 2,548.78 For Information. Investments Made Changes in Inveotment Holdings combined Balance on Hand 63,739.50 ............. " RECEIPTS O~. 1'lllNClPAL Deocription ~'iduciary Acquioition Value Caohl 1995-11-19 Firot Federal Savingo and Loan 10,466,80 Aoooc. , Certificate of Depooit (0232153411)/ principal balance aD of date of death 1995-11-19 Firot Federal Savingo and Loan 35.00 ASODe. 1 Certificate of Depooit (0232153411) / intereot accrued to date of death 1995-11-19 Harrio Savingo Bank, 14,092.75 Certificate of Depooit (04-55-272206)/ principal balance aD of date of death 1995-11-19 HorriD Savingo Bank, 335.14 Certificate of Depoeit (04-55-272206) , intereot accrued to date of death 1995-11-19 Harrio Savingo Bank/ 14,041.00 Certificate of Depooit (04-63-175646)/ principal balance aD of date of death 1995-11-19 HorriD Savingo Bank, 253.12 Certificate of Depooit (04-63-175646)/ intereot accrued to date of death 1995-11-18 Harrio Savingo Dank/ 13,146.76 Certificate of Depooit (04-63-195144)/ principal balance aD of date of death 1995-11-18 Harris Savingo Bank, 226,92 Certificate of Depooit (04-63-195144)/ interest accrued to date of death 1995-11-18 Harrio Savingo Bank/ Money 9.50 Market Account (04-05-003597)/ intereot accrued to date of death 1995-11-19 lIarrio Savingo Bonk/ Money 5,287.19 Market Account (04-05-003597) , principal balance aD of date of death 1995-11-18 PNC Bank, N.A., Checking 1,939.31 Account (5140057378) / -1- 0, GAINS AND LOSSES ON SALES OR OTJlER PISPOSITIONS/PRINCIpAL Gain LoBB 1996-03-02 1991 pontiac automobile, VIN 1G2AF54TOM62034401 sold Net procseds 6,600.00 Fid. Acq. Value 6,600.00 0.00 0.00 1996-03-28 TWO gold and diamond ringD and one gold scatter pin and chain, eold at auction Net proceeda 3S4.00 Fid. Acq. Value 400.00 0.00 96.00 1995-12-14 Miscellaneous personal property and furniture, Bold at auction Net proceeds 014.75 Fid.'Acq. Value 1,119.00 0.00 304;25 Total Gains and LODses/principsl Less LOSS Net Gain 0.00 400.25 (400.25) 400.25 -3- '. Bherman) 1996-01-03 Register of Wills/ fee for Short Certificatee (reimburoed to Dean B. Bherman) 1996-01-03 First Federal Bavingo and Loan Assoc./ charge for eotate checks 1996-01-15 Telephone expense to Dean B, Bherman to locate intestate heirs 1996-01-15 Mountz Jewelers/ appraisal fee for decedent's jewelry (reimbursed to Deen B, Bherman) 1996-01-30 Register of Willsl feD for Bhort CertificateD 1996-02-15 Bureau of Vital Btatisticsl additional death certificates (reimbursed to Dean B, Sherman) 1996-02-15 Express Mail charge for delivery of edditional death certificates (reimbursed to Dean S. Bherman) 1996-04-11 Dean B. Bherman/ reimbursement for telephone charges 1996-05-03 Regioter of wills I for filing fee for inventory and inheritance tax return 1996-05-25 Register of Wills/ filing fee for Receipt and Release 1995-12-05 cumberland Law Journal/ advertisement of appointment of executor 1996-01-02 The Bentinel/ advertisement of appointment of executor 1996-05-09 Register of willo/ additional probate fees 1995-11-18 Reserve for miocellaneouo final administrative expenseD or unanticipated claims 18.00 23.46 6.30 47.70 12.00 15.00 10.75 13.25 34.00 7.00 40,00 68.84 210,00 2,500.00 3,224.10 Federal and Btate TaxeR' 1996-02-01 Register of Willo/ pa~nent of estimated inheritance tax 1996-05-03 Register of Wills/ payment of balance of PA inheritance tax liability 25,000.00 2,123.62 27,123.62 -5- I! Fees and Ccmmissionsl 1996-06-17 George A. Vaughn, 1111 payment of interim attorney'o fees 1995-11-18 George A. Vaughn, 1111 reoerVe for balance of attorney's fee 1995-12-18 George A. Vaughn, 1111 payment of interim attorney's fee 1996-01-23 George A. Vauglm, 1111 payment of interim attorney's fees 1996-02-22 George A. Vaughn, 1111 interim attorney's fee 1996-03-18 George A. Vaughn, 1111 payment of interim attorney'o fee 1996-04-17 George A. Vaughn, 1111 payment of interim attorney'o fee 1996-05-24 George A. Vaughn, 1111 payment of interim attorney'o fee 1996-07-22 George A. Vaughn, 1111 interim attorney's fee 1996-08-23 George A, Vaughn, 1111 payment of interim attorney'o fee 1995-11-18 Dean S. Sherman, reserve for payment of executor's commisoion Total Disburoemento of Principal -6- 262.50 1,500.00 800.00 775.00 862.50 525.00 250.00 662.50 100.00 137.50 5,200.00 11,075.00 41,954.88 . . 1995-11-18 DISTRIBUTIONS OF PRINCIPAL TO Bequeot to the Church of God of Landioburg, PA (Item III BENEFICIARIES 1,000.00 1,000.00 -7- RECEIPTS OF INCOME Interestl 1996-02-05 First Federal savings and Loan ASSOC.; certificate of Depooit (0232153411) 1 intereot accrued after date of death 1996-02-01 Harris Savings Bank, intereat accrued on certificate of Deposit (04_55-272206) after date of death 1996-09-04 Harris Savings Bank, certificate of Deposit (04_63-175646) 1 interest accrued after date of death 1996-09-04 Harris Savings Bankl certificate of Depooit (04 -63 -195144)1 intereot accrued after date of death 1995-12-15 Harris savinga Bank; interest earned on Money Market Account (04-05-003597) after date of death 1995-12-26 PNC Bank, N,A.; Checking Account (5140051378)1 intereat accrued after date of death 1996-09-04 PNC Bank, N.A.I certificate of Depoait (21001019340) 1 interast accrued after date of death 1995-12-31 First Federal Savings and Loan ASSOC. 1 intereot paid on estate checking account 1996-01-31 First Federal Savings and Loan AssOC.; interest paid on eetate checking account 1996-02-29 First Federal Savingo and Loan ASSOC.; interest paid on estate checking account 1996-03-31 First Federal savings and Loan AaooC.; interest paid on estate checking account 1996-04-19 Firet Federal Savinga and Loan ASSOC,; interest paid on estate checking account 1996-05-31 Harris Savings Bank, interest paid on estate checking -8- '. 153.03 181.86 547,50 483.15 998.43 2.89 3,63 5.33 11. 78 30.58 26.15 29,18 28.59 " account 1996-06-28 Harris Savings Bsnk, interest paid on sstste checking account 1996-07-31 Harris Savings Bank, interest paid on estate chocking sccount 22.86 23.82 ,2,548.78 Total Receipts of Income 2,548.78 Respectfully submitted, ~...p. .-<'f/~-'L_' DEAN S. SHERMAN Executor " -9- .' .' ',' . PROPOSED SCHEDULE OF DISTRIBUTION The decedent, Hazel L. Sherman, died on November 10, 1995. She was unmarried at the time of her death, and she had no issue. Her last Will by which she disposed of her entire estate was executed May 17, 1991. The decedent was survived by three brothers: Dean S. Sherman, Chester D. Sherman, and Paul L. Sherman. A fourth brother, Harold D. Sherman, had predeceased the decedent prior to the execution of her Will. Harold D. Sherman was the father of three children, Michael L. Ware, Jack E. Sherman, and Cheryl E. Hoerner, each of whom survived the decedent. However, two of these children, Michael L. Ware and Cheryl E. Hoerner, were adopted many years ago, and the decedent maintained no family relationship with them. It is the conclusion of your Accountant that pursuant to the provisions of the Probate, Estates and Fiduciaries Code, Section 2100, 20 Pa.C.S. Section 2108, these two individuals are no longer the legal issue of Harold D. Sherman. Accordingly, they are not entitled to any share in the decedent's estale. The decedent was also survived by a niece, Darlene Dumm, and by a nephew, Barry Sherman. Pursuant to Item II of the Will, the sum of $1,000.00 was bequeathed to the Church of God of Landisburg. This bequest has been paid in full, and a Receipt and Release evidencing this payment was filed with this Honorable Court on May 29, 1996. Pursuant to Item III and Item IV of the Will, the decedent disposed of the remainder of her estate in five equal shares. One share WilS left to each of her three surviving brothers. One share was left to the issue of her deceased brother. One share was to be CI\LWORK\PROD\D090596A.WPD - 1 - .' '. .' , ,," " , divided equally between her niece and her nephew. Your Accountant has on hilnd for distribution assets totaling $63,739.50. The assets consist entirely of cash. Your Accountant proposes to distribute the cash in strict accordance with the provisions of the decedent's Will. Accordingly, upon confirmation of the First and Final Account filed herewith, your Accountant shall make the following d1etributions, To Dean S. Sherman, $12,747.90; to Chester D. Sherman, $12,747.90; to Paul L. sherman, $12,747.90; to Jack E. Sherman, $12,747.90; to Darlene Dumm, $6,373.95; to Barry Sherman, $6,373.95. upon making such distributions, your Accountant will have disposed of all of the assets of the decedent's estate under his control except for the reserve as set forth in the First and Final ' Account which, less amounts properly paid, will be distributed at an appropriate future date to the same persons and in the same proportions as hereinabove set forth. WHEREFORE, your Accountant requests that distribution be decreed by this Honorable Court in accordance with the proposed Schedule of Distribution submitted herewith. Date: September 6, 1996 Respectfully submitted, 'i1>-t::>....- ,-.f: tlr1v"-,, ee DEAN S. SHERMAN, Accountant C.\LWORK\PROU\D090506A.WPD - 2 - '. . . .. IN REI IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF HAZEL L. SHERMAN, Deceased ORPHANS' COURT DIVISION Late of East Pennsboro, Cumberland county, Pennsylvania NO. 1995-808 NOTICE I hereby certify that written notice of the filing of this Proposed Schedule of Distribution of the date, time, and place when the same will be presented to the court for confirmation and of the last date to file written objections to said Proposed Schedule of Distribution has been given to every unpaid claimant and to every other person known to the accountant to have or claim an interest in the estate as creditor, beneficiary, heir or next of kin. A copy of said Proposed Schedule of Distribution was included with this Notice. /t /:.../ ~) . By: 1bfI' '/ 0~- . GEORGE J<. VAUGHN, III Attorney at Law STATUS REPORT UNDER RULE 6.12 Name of Decedent: Hazel L. Sherman Date of Death: Novcmber IB, 1995 Will No. 1995-00BBB Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 1( No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: N/A 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes X No b. The separate Orphans' Court No. (if any) for the personal representative's account is: N/A c. Did the personal representative state an account informally to the parties in interest? Yes No N/A d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. tf ~' " ;.ft d ~ S gna t.u Date: IfJJ7/0' Oeorqc A. Vaughn, III Name (Please type or print) 3940 Trindle Road, Camp Hill, PA 1701l Address ( 717) 975-9102 Te 1. No. Capacity: Personal Representative Counsel for personal representative X (MAH:rmf/AM3)