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HomeMy WebLinkAbout95-00890 No. .;1./- ,qq,5. Wqo Esllllc 01' DORl s ,J. WEN'I'Z , ncccllscd nEClum OJ.' PHOUATE ANn GHANT (W LETTEHS AND NOW ~Y1>MBER 2B _,___.___._. IY~?L. III cOI1\ldcrUllollof Ihc pctillolloll Ihc rcvcrlc .Idc hcrcof. slIIl,fllCIIlI)' pmof hll\llIg hCClIllICIClIlCd hcflllc mc, IT IS DECREED 1IIlIIthc Ill\lIIlmclIl(I) dlllcd___Q<<::TOBEIl_l.I.J 982 dc,crlhcd IhcrcllI he IIdmlllcdlo I'rnhllle IIlId filcdof recllIdll' Ih,' "'" "III or DORlS ->L WENTZ IIlId tellers TESTAMENTARY urc hcreby grullledlo TERRENCE L KEMBERL1NG MARY C \..lyt~,tLf(i ~UH. I pi. ,~(f.lll:jJifUL{() LEWlS Rtahttror WIII\ 1S1(p-LL(-t(~ FEES Probulc, tellers, Ele. .......,. S 235.00 Sholl Ccrltneulcs( )..,."".. S~:. g~ x-page~ . v RellunclulIOII "..,..'.,.."" S JCP S 5.00 ~70-01l TOTAL _ S . Filed .'". ~9X~~,~~,~, ,~~.',' ,ln~"". "nOk:.Ii\' I~,ur-, 1:1, I,ll, :'0,1 AIlIlRESS !'1I0NE I." ('I f'; , , . '-"\ c~ :, uu LETTERS AND ORDER WERE MAILEI1'.TO THE EXECUTOR NOV. 29. 11995 Thi", ''''ltllt'nil) I!I.II rill' 1l111l11l1,11'1I'llll"lt~:I\CII l'.l"'tt,th 1"1'11 '11'dll _Ill '1111'111.11 11'llllp.11C1I1 dt'.lIh ,flll~ tdt.,1 wlIll lIIl'.I'" till,.! Hq~I\H.1I Till llll~'.lll.d I ('llllh ,lll' \\ III ht /". \\ ,ll ,It .j to! I! '( "1.,1, \ lid HI" q.j., C "lilt 1"1 I ;!'IIlLIlItllI liltll~ WARNING: It Is 1II00nllo dupllcnll> \hls copy hy pholoslnl or phologrnph. ht' Illl II..... H'lllli, .Ilt', J! IHI .' -; , , ( ,~>:':-l,:_~ ; ",';i' I (I .. --- #~>>::"/. . , .. "" , ............. \..,.... ... 1111.d Hq.:I\11.1I NOV. I~U5 TI'EH , .l- SIIOtll.D lU!An AS 322853G FOLLOw:r:" Il,lIt' '7~<- /J 1'1',1:1'- CM:?~z./ /</. /4. f : \".,~t L' ;.:~- ~t _ <. " , COllllONWEALTH OF PENNSYLYANIA . DEPARTllENT OF HEALTH' VITAL RECOROS C CERTIFICATE OF DEATH ........ ClDlH ,..WDJooo IMq I, Doris J. Wentz AOI....8rhMfI ......,.._" kICIAl.lIQftnl4UlMlfl . 209 - 12 - 7464 ONIOf'Dl"HI_"_o., _I ., November 19.199S ... I,HBl e 70 'J,. . lfYHA&.Il..I"Cll.-.,............,_1 DIIII06.'H ~OI'''I Ml.Hf'l..AUlCAI_ 1Ieoe""..~,c.....,1 Plj.{'IOl'Ol"H ...' .....___....... """"" .....-0 ..~..... 0 ::':',,0 ..~...........WMe._ _~I Wh I te .........."""" ~_ !P""-*'-" 1/21/2~ Enolo,Pa. TV. . Cumberland ham den Tw ... " =~~ D__~I Widow u.,G__........ lIomnden - I...........""'........ "'.........,........,....., N Clorical avy lXaDlNt..~~..eIt"~""'l4>c..s.t 644S Wertzviil. Rd. "Enolo. Pa.17025 ....tck.......'..~l_ John 1.. Humer "' ....... n-o.....-a Terrence L. Kemberl in '" .... ,,-0 ................0 o....~, Ports DlClDlHT. oct..... ... ...... - ~-- "....... ,.. .. - ..., Cumberland -....' ".O~~,:::., WOltc"...........'...w.u.o................ Carrie G. Frownfeltor ""ORWAHT"YAAIHQAOON;~. "- " 317 IIlll.re.t Dr. New 01 I ._olc-.eo---, \ ......"'" 17070 Cumberland Po. .~......,.~ Silver Po, 01500/881- M .. D .. ...[J ...k'l (IV'A" )dl~1 ...."- -....""'- 1-:.----- I .;1.5- I , N.R1.;OIfoel~__.............IIfOW ....~""Iht......'r"II..-......IIIII'M'1 I: ... ...". WlN.AUtOnf'MllHOI W4HN1"Df'OINH -...AetIPf\lOllTO COW\.'~OI tAU.. 0 0 OI'Dt"H' -. ,- "'- 0 ~"""'veI_ 0 Hol!!' ",0 Hol!!"" --- 0 c..w........._.......... [] It>. twlOflHJUMf .......0.'_1 ItwICl'.uuA'f IKJUIIlY"'l'IOl'\lI' DCKMlHOWlHJUftfOCCUMlD '11M 0 ...0 . .. I'UCIOf lHA,fly.At-..,...........,tenolrI ""'. t.-.g.-~II ... lCICNIOHl>>"'c.,.t-.-...a ... ,.. CIIIT..."p........... .CUl,.'f_....,aoAIt~_..V.....~llI_."_....._~.,,.....,...._........,..wJ'....._I....'JI ,........"'..~.....-.............-e4tJ.....__....... ... ..,.,.,.., ,. .,...,......,.....,.,..... ........... .~lHO'IIOAHDClIl'.'M'"'aG.UI~~..........""'.-...oJl.."'...w..~...-~ k........,...~._..."""".........._...........,.............~.l....__~ 'WlOtC,\L u........M:Ofto..u I Ofl.... ~ ....-*"1'-'1 ..,...,...".-..,.. '"'" .,...,.....lhec(lltl1.. "'''-lime. "I., -""plM'. .............. ""Ml'11InoI 1I.-.....lM..."..,....,....,...........,......,.............."............,.........".....,...,.........., ,. UftI HUWIC P1,fF'l,/'/1 , .. -"'"_.....-...-,--..._- ., ~-- "r " r,I\S'I' NIl,!, I\ND 'l'ES'l'I\MEN'!' I, DOlUS J. Wl,N'l'Z, of tho 'l'ownship of Hampden, County of cumberland and Commonwealth of Pennsylvania, beinc;r of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and 1'estament hereby revoking LInd mLlking void Ll11 fOl'mer wi.] Is ilnd coclicl,ls by mo at any time heretofore made. FIRST. I order and direct that all my just debts and -4\} , --~ "~I " funeral expenses be paid by my Executor or Executrix, as the case may be, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remai.nder of my Estate, real, perso~al and mixed, whatsoever c)\ and wheresoever situated, unto my son, TERRENCE L. KEMBERLING, , \ " ~ -, , "] . ) absolutely and in fee simple, if he survives me. THIRD. If my son, 'l'ERRENCE L. KE~1BERLING, does not survive me, then and in that event, I give, devise and bequeath all the rest, ~esidue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, unto my daughter-in- law, namely, LORETTA ANN KEMDERLING, absolutely and in fee simple, if she survives me. FOURTH. If both the said TERRENCE L. KEMBERLING and LORETTA ANN KEMBERLING do not survive me, then and in that ultimate event I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoeve situated, in equal shares unto and among my four (4) nephm'ls and LAW O,"ICI;I) SNtLDAr.:ER. McCAL.ED {; c;l.lc~cn niece, name ly, JEHOME \~EHLER, FRANK WEHLER, IHLLIMI ~IEIILlj;H and JUANITA GINGRICH, share and share alike, absolutely and in -J LAW OHlef:. Dr~ELuAKtn. McCALtD a. l:LIC~ER -. fee silUple. LI\S1'LY. 1 nOlUinate, constitute and appoint IUY son, '1'ImRENCE L. KEMBERLING, to be the Bxecutor of this, IUY Last will and Testament, but if for any reason he should fail to qualify as such Executor or cease 130 to serve, then and in that event, I nominate, constitute and appoint my daughter-in-law, namely, LORE1"l'A ANN KBMllIClU,lNG, to he lhe I.:xecutri X hereof, each and both to serve without bond or other security as a condition of qualification hereunder. IN IH'I'NESS WHEREOF, I, DOlUS J. WEN1'Z, have hereunto set my hand and seal to this, my Last IHII and Testament which consists of two (2) typewritten pages to each of which I have affixed my signature this / -!.!: day of Oc -I'd (JE 11:... A. D. , One Thousand Nine Hundred Eighty-two (1982). . Y()i""";' 0 /~ ~, ?i;- cJ (SEAL) " ' , The preceding instrument, consisting of this and one (I) other typewritten page, each identified by the signature of the Testatrix, was on the date thereof signed, scaled, published and declared by DORIS J. WENTZ, the 'I'estatrix therein named, 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 subscribed our names as witnes'~';~~'~~~/ ,,(t(;;~, C\~Zt4.,ftl'&'N/ q~fl-M'-/f;' YJI. GI' ~" '. COMMONWEAL'rll OF I'ENNSYTNlINIll S5. COUN'l'Y OF CUMI3EIU,lIND We, DOlUS J. ImN'l'Z, RICIIARD C. SNELl3l1KER and JlINE'I' M. FORRY, the Testatrix and the witnesses, respectivelY, whose names arc si~ned to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrumont as her Last Will and Testament and thut she had signed willingly, and that she execute it as her free and voluntary act for the purposes therein express d, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge the Testatrix was at that time eighteen year of age or older, of sound mind and under no constraint or undue influence. /} <'--7 " ~",r '1:celitatn x -)' /k<l...... /' .<:.-- / , "'.. ,,)' i ; -t' d'?"',' '. "t! L//"..L~. , I~itness (lA'''' .1," #/, \...~ I'J-t-\ -'J I~itness subscribed, sworn to and acknowledged before me by DORIS J. WENTZ the Testatrix, and subscribed and sworn to before I C. SNELBlIKER and JlINET M. FORnY, witnesses, this acL;;I.u......, 1982. me by RICHlIRD l".v day of .j /1.," <.(.1' ( -~~, if f" (",('1 (r>. k..:?....U..LiI',.J Notary public , _?,^!~~~~:!~I,t ':: ~\:JJ~:P~. t;I)II',f:f puttle fU\-,I!,,\I.;~. IE,'; ",\1!Vl, ':t:".:!1""l"ID C'ut'l" ,''I'' _. - .... ," \1 II d, \l...!M,1!~'.;C'" r;~;JIi\L:' flU. 'iI, 198G r.tCII1~I, ~~lIiiS)'lv:H1la r,:'Jocllllol'l of IIDlnl" LAW ol'1ICII.. SNEL.DAKEn. MOCALI!.D A ELICKER INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWfAlIltOOPlNN""VA.,,A (TO BE FILED IN DUPLICATE O('ARlMINlOl UVWU( 1t~..".fJ:Q,}~ol'JJ?~.~",1 u . . WITH REGISTE~ OF WILLS) cou,m COOt Ole OWl!. UAMIIIA.". 'IU . AltO Mlllllllltllli~1I iif[iTli~i1rr ~tllIRI u luc..!ll.L bor I.~ 1m .-:T. . ~_ ._m\_ _. _____ SOCIAl iIolCUIII" "UMIU (lA1f or IJI.\1I1 DATI Of 111"1 ----D'I(!1.- /,? 7'ltrL_ . I~ '.11'75"" _ .1/tR 1/'75 _ ~~, . c.lJ,'n~'(( (0.nd.._e I" """"",'""""'0 ,~It, ...., "'~~:~:::~""':~' --'''KIA' >lCI'"'' It".", __ _ _~_ t.:~":I_~"":~"_'~I~~:'~:"01t" ~ I. OrlDinal Rnlurn LI 2. ~ul'pl(tmnnlul Rolu'" 10"1 J. Rnmulndllr Relurn II or dOh" of death prior 10 12.13.82) o .t. limited E.lolo LJ 40. Fuluro lnltulut Complomhl'l i J~, Fedoral fllal. To. Rlllurn Required If 01 dOl'" of douth alter 12.12,02) "" 0 d 0 d I I-I 7 I I -0' I I V'lI' 6. 11(0 IInl ill .ulnlo ._ . DIIClt( ani Mninlninol (] Li"inU T'uI' __ 0, Tnlul Numblll 0 So II Dopolll 80a.I IAlloch (Opy of Will) IAlloth tOpy 0' TrUll) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD DE DIRECTED TO. UAMf COMrll1l MAlllPlG AIlOIU!! ":\. IE(tcnre. L, /)l'mL,cd'i1a' .,3/'/ ,.";It,,,'~,1- 0("1':- "';'~~lU~"9~'B -q5/7 .. J))I!UL~~_'.!.I'.JC?d(.inc( /)f) -_g;.')e;::;,..:.,...,-"O III __. .__w, .0...............____00 (21 _____.__.._ ___e._______ (3) .___ : ~: --- 'UiilcD.OO~ J) 'IfNI' 30 161 __nO _"_e_.'....L__ (71 I 9 I ___It,'9.Y..O, .3/0 ,'J 555.:;"1 -.-_._---- R[Y.UOO". 11.IHI l!! ~~t: w~U ",00 uED: ~ .. .J.~ we; =0 =z 8~ , " , ~~~ ffi fil lrl o z o 5 E :i III = 1. Real Eltole (Schedule A) 2. Sloch and Bonds (Sthedule BI 3. C10lllly Held Stock/Partnership Inloresl (Schedule q 4. Mortgage, Dnd Noles Receivable ISthedulo 01 .s. Cosh. Bank Depo,at & Miscellaneous Porsonol Property (S,hedul. El 6. Joinlly Owned P'operly (Schedule f) 7. T,ons'en ISchedule 01 (Schodulo l) 8, Tolol Gran Anelt (10101 lines 1.7) 9. funeral Expllnllu. Adminislrotive COlh, Miltollonoous EJcponses (Schedule tl) Debls. Morlgage lIobllilies. liens (Schodule I) Tolol Deductions (total lines 9 & 10) Nel Value of Estole (Line 8 minus line 111 Cha,ilable and Govelnmonlal Roques" ISchedule J) Nel Valult Subiectlo To" (line 12 minus lIno 13) Spoulol T,onl'on (for doles 01 cloolh oller 6.30,94) See Inl"ucllonl for Applitablo Po,untaOIl an Revcult Side. Ilndud. valuel from Schadulc K or Schedule M.) 16, Amount 01 LiAll 14 lallohlo at 6% rate llndudo volues from Schodule K or Sthedule M.) 17. Amount 01 line 14 tOllable 01 15% ,ale (Include voluos ham Sthedule K or S,hadule M.) 18. Prlndpolla" dult (Add 10" I,om lines 15. 16 und 17.) 19, (radii' Spousol Poverty CIOdl1 Prio, Poyments / FOR DAlES OF DEATII AnER 12/31191 CHICK HIAI IF A SPOUSAL POVERTY CREDIT IS CLAIMID [J FIll NUMBIRe--., _u____ , YfAR (J~; 'J",t) NUMBER If line lB Is greoter than Lina 19. onlo, Iho differonclt on Line 21. This II th. TAX DUE. A. Enle, Iho inter." on Ihe balance due on Line 21 A. B. Ente, Ihotolal 01 line 21 and 21A on Line 218. 1hl, is Ihe BALANCE DUE. Make Check Pavabl. tal Reglate, 01 Willi, Agen' W' ~~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<-< . .,. I Und., penaltllts 01 pOllury. I dllclare Ihal I have lllIomlned this return, including ottomponying schedul.t and s'alemenh, and to Ihe he ,I a. my ~nowledge and bolle', It II lrue, corroel and complele. I declor. Ihol 011 real .stalo ha, been reporled at true market valUII. D.daralion of pr.pu'o, othe, than Ih. penonol ,epresentative Is based on olllnformallon of which preporo' has ony knowledgo, 5010NA~ 0' ,U:.ON lll)rON:'~1 t 011 'lIIUO 1l(IU~4 ~lifiih~ _ 1\ _ DAIl ~ 4. ~,~ _' /rllI,1I(I;'" bf/v'!; Nt'tvclJl/JhoUJ//tI N l7u1b 0./ .J/I!i/Yr,.o 5o~GNjlUll Of 'lll'A.~ OTlHIlIt AU IltrlllUNTA v AO[iRI!!S D~ll II I 'V,AQ{'ly.li OJ&. /If) . 1)"~f_C~~~.-!i() nl. r'(>/~2.l!!..i!.Y..Jl'lt, .~ I, ('Il^/)~i!L ';;'(3 9& 10. 11. 12. 13, I~, IS, z o ~ ~ '" ~ '" o u S + -~-- 17070 ':/1 I '1 '0 1_ .iJO (0) e__L"IJ,--r,>J/!' (101 CJ IIS-QO (111__..__,_ . (121 __IJ_;.,J/c79. 'I 0 (131 .___.__l!.~L~TIS~-6,jP' ~9 . (151.___ ___._ _.'m.....e._D (161 ~._ .Ll5),,7.0:t.?_. .06 D ___Ct qLtO. l z... (17) )( ,IS 1:1 '.:JOlc OilCounl + _::?.J7,!!!.._ (10) ...loro c)L/O. 2"2- &J]. 01 Inloroll 20, If lIno 19 h OrrtOle, Ihon line IB, enter thlt dill"rfln,e on line 20. This is IhO OVERPAYMENT. elO (191 (201 21. Check h.ro If you or. ,equullng 0 ,efund of you, Dve'payment. (21) (21AI (2181 lD5'l3,:J/ -------~----- --fL')1";;. .n " , -..-...-...... ..... o~ i~.. :,:~:~~~~~~,J;:;~~~~[~~}~te \ "" """".~'~"~'~~ tp;;p.rtY\oi~noi~ilh'Ri;h,~T5~,;;i~~;.i.ij,-";u'l bo dl.clo..d on 5ch~dulo Fl An ,.01 ..1010 .hould bo ,~j,~;i;i~I-'~I;;;~;k;'-;~l;' which II doll nod o. tho p,lco 01 which plopllly would bo n,hongod bolwun a willing buyo, and a willing IIn." nollhll bolng componod to buy a' 1III,~~~.!L~~~ab!! kno~Jodll.!_~',I!>.O!o_lovanlfac".. -- --.--"..', '--------- ITEM NUMBER DESCRiPtiON VALUE AT DATE OF DEATH --.-....._------"--~- _..--u------~-"~---.- ...~..,-.-- \, lDYt.JS Wee 11..lIi\\c ltoc1o ~n(lIC, ?'I 17();~5 \ 1/2- ::>lol~ fl('''~c re~lc(cr1htll c{wc.llif1[rJ DfrroyimC,ICIO 3/'1 aC(r? I to ( Cl e I roC hf.'cl ~Ct ({Ir;- a O'IL~.bLt"/d'nr.S (shed i~C\vil"Cl") {J I On 'J,~e ;;ireC.hC. :system (lJlcL. j':l(lv(,le well l U)C, ~ :wId. On //",11" f;, ( e,B,XO""') ,$ 66;000 6D ___:~OTAL l~nIO!~J!~" Rocop-l;ulotlo~l,______ _..____ .~B~QQO~_ (II more spoco is needed, in,e,' addilionol ,huls o( lame size.) IIV-ltotll.'''TI I' ~ COMMONWEAltH 0' P(NNSYlVANIA INHUnANCI TAX ..tUIN IUIDINT DICIDINt ESTATE OF \. !.)or i:) LJen~ L (All pr.p.rty lolnlly.own,d with th. Righi 0' Survh,."hlp mUll b. dlnl...d on Schedul. FI ITEM NUMBER SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Ploalo Print or Typo FilE NUMBER DESCRIPTION VALUE AT DATE OF DEATH .tJ 3000. aD CD , 'lI!>B Fvrct .:5u) E5~O(,+- @. c.o".lenl~ 0+ re5ideMe - +0 (II, ;,)hi/1(S C Ir. . () 3000. DO TOTAL Alia onlor on IIno 5, Roea lIulatlon) S (JO (Attach addiUa"ol BY," )C 11" shUll If more .pat.ls "oodod.) IIY-U09l1tIU"1 ~jj. COMMONWEAlTH 0' PENN~YlVAN1A INHUIIANCE lAlC RllUIIN IIl51DlNf D(ClDINl ESTATE OF \. _ !\O ( I ') Jolnl lononll.). ..T SCHEDULE F JOINTLY.OWNED PROPERTY --._------- -------.--- lJ)e n I (' - fiLE NUMBER A. LQU r CL NAM'E-- /fembpI (, r;g .::, I '/ Ilt'lL! ADDRESS /<'1 1/ e!(' :.~, 1,)1 I uc.. (' It m br! Ir" 1..-1.. {il! Pol RELA TIONSHIP'TO' DECEDENT-- '\111"/1 It'(, III-la IJ l) B. C. Jointly-owned prop.rtYI ITEM LmER DATE FOR NUMBEI JOINT MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF TENANT JOINT OF ASSET 'MoINT. DECEDENT'S INTEREST 1. r-r .:3/0/90 PN Co. ~>Ont:. thcc.t'''b Arc-/- !l SI'l/ooI",'f>~ll (Pll~~.'IS 5d'b .3.;131,13 , :J II :.3/1/90 fiJ'en rl, a I) eun/( (!Or/; f,'rcde .J'lflXJ - 33'6 l<f~:s WI J.(\~, ill ded. oj: oeClt h ~o.o'/~51t> ;jo% IO,oZ-1. 108 ,3, 4 ;:l/d'to f-c. !mer;, Tf,!;,-l (lelh-M((.lc 11. '133-o'i.o//;),o dSO/.rJ(.,:;"/ 50% 1~,S3'3.?'l l.J-~ .Inj., -'0 {I(de 01 deo (h , L( , tj ~/,11o JJ'i1 I I ~ r.:::rILJ j (It S i3t1I\t.. 0 CQI hrirc.le o,~-ifj'5'iHZ.~'1:>3 10, 000. ()o $o%, S 000 O/J WI ];1\ ~ I" elrd e or deed h . TOTAL (Allo enter on lino 6, Rocapitulatlon) S 3076&,.30 , (I( more space" noeded Insort adell/lono/,heeh o( samo sizo) \, ,eJ~;!- COMMONW(AUtt 0' '(NNIYlVANIA INHunANCf fAI _UUIU4 RUIO[N'D(CrDfNl ESTATE OF \ - J'Or i .:> J' 'IVISII fl. I'''' ITEM NUMBER A. B. 4. C. 1. 2, 3. 4. 5. 6. 7. O. SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES " PI.al. P,lnl or Typ. MFiLENlfMiiER - .. IJJe rd 2 ~ DESCRIPTION AMOUNT 1. Fun.ral Expen'ell -, K, dlC\ , cl :it)" F" f1 t', n P ~I(J'" e. :Lr'c men, 0 r ,('cPs Vi t',2.2.0.00 105.00 ~ G-'n~ riLl, 1. , Admlnlllrallv. Calli' POrlonal Roprosonlotivo Commlulon. Saclal S.curlty Numbor of Pononal Roprolontallvo, Yoor Commi..lon. paid 2. Allornoy Foo. 3, Family Ex.mption Claimant Addro.. af Clalmanl al dacodont'. d.ath Slrool Addr... Rolation.hlp City Stalo Zip Codo Probata Faa. Mllcollan.oul Exp.n,,", AOOI''''~;nr _ (",'(de nul,cc - fcLJr,ot- flews ( () < In oJ; IL/IIS- Wl'dz.lI' lie Ko"c;l f\o~ " I (\ C r ~ - ..,c... " . u-. , + (vI/II<- Wt>rl'l..Vi/lc ;:1'0(,l( 'I (Cl,,:;f c ( Trl V - Sa C " ., .> . -r ') I r t\CCG"LLn~I~". ,C,X ICl'(f'I('L1,,,,,ec:'S '17.3v 13.00 SeD. DO tJSo.oo TOTAL (AI.o ontar on lino 9, Rocapitulallon) (II mar. Ipac. II n..d.d, Inl.rl addlllonallh.... 01 lam. 11z..) s V. 5 u.O~{, """"""", '*' COMMONWIAUtI 0' PlNHI".........I" INIIUlIANCI IAI IflUIH IUIDINlblCIDINI L SCHEDULE I DEBTS OF DECEDENT, . M~RTGAGE LIABILITIES A~~_ ~_I~N~m ... _ Ploa.o Print ar TVPo FILE NUMBER ESTATE OF \ l~()l I :, ~r U)l!nlz.. ITEM NUMBER DESCRIPTION 1"11:] (p (!CU " I, ;: Pc.p f.. le'el e.. III ~(H.l t/",f(rfC"I';J1' 11('( (~~}()" ..r./r e,f UL/'-l.J uJerll. v;,le /10C\0 AMOUNT 1. 112.,1v ;) -i)ell A+/t\ntk. - bC(f'Jrn{s AC(our1.l- .33. -1-7 ~ A~WClIO cller9/r ~rocluCfS - Decechwls Aaottnl- l~{'(ecle"+~ !laOI.Lt1+ ao.6[) OI~qs; /(, L{ IJarnpclen IWj) s rr~ L - j)eted(>(\j~ AlCOUf)-/. :64-.''- TOTAL (Aha onler on lino 10, Recopliulollon) (If more 'pace j, neoded, ;ns8" additional sheels 01 somo sjze.J _...ltlJlI.UI'1 ESTATE OF ITEM NUMBER '1!J~~ (OMMO"WI"ltlIOf ,''''I''IV''HI'' IN"III1"NU1..I1IUIN InI0IN10IUOIH' I J FILE NUMBER SCHEDULE J BENEFICIARIES nor I ~ .:r I))/lnlz- AMOUNT OR SHARE OF ESTATE NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP I. A. Takabl. 8.que.hl lC(I('fH c... L 1'\l'lI1bl"('''I'",r \3 I "' ,J, I J (Ill'':' I Dr i tI e..- . Nett) (!tt1y\Lrr(c.,,'Cel. ,>f) 1/010 ,Son [" ti, e.. E siC...' e. ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Gov.rnmental Bequelts! I. TOTAt CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.o onlor on IIno 13, Rocopltulollon) S (II mort 'pan Is n..d.d, In..r. addlllonal ,h..tl of lam' lb.) Oe_ I,MT WII.I. AND "&STAM&NT I, DORIS J. W&NTZ, DC tho Townahip DC lIampdon, County oC Cumbor1and and Commonwoalth of I'onnaylyania, boinV of uound and diapooin<J mind, momory and underatandin<J, do make, publiah and dec1aro thia 00 and for my Loot Will and Teutament hereby rovoking and making void all Cormer willa and codicUa by mo at any time heretofore mndo. . PInST. I order and direct that all my juat debta and funernl QXpanDOD bo paid by my Exocutor or Exocutrix, aD tho caso roilY bo, hereinaftor named, aD soon as conveniently milY be '\ lJ dona aftor my deceose. -,.,~ fi&COND. I <Jive, deviae and bequeath all the reat, reBidue llnd remainder of my ~BtQto, rOLll, paraooal and mixed, whatsoover and whereooever situllted, unto my aon, TERRENCE L. KEMDERLIIlG, abnolutoly anu in feo simple, if he nurvivos mo. . " " 0"'0 .\ -...~ !!!!Jill. If my son, 'rERRENCE L. KEMDEIlLING, doe 0 not survive me, thon and in that event, 1 give, devise Dnd boquollth all tho rest, ~csiduo and remainder of my Estato, renl, personal and mix~d, whatsoover and whorcGoovar situated, unto my daughtar-in- l11W, nsmely, LOIlETTA MIN KEHDERLING, absolutely llnd in fse uimple, if she survives me. rOURTII. If both the said 'l'E1l1lENCE L. KEMUEIlLING llnd LORET'fA ANN KEMDERLING do not survive me, then and in thllt ultimllte event UWD"ICU .NELDAlCtR. Mc:CALCO to 1:1.1C:l(ln I give, clovioc and boqueath 411 the rc~t, ronicluo and remaindor of my Estate, real, personal and mixed, whatsoever and whorosoove situ.ted, in equlll shllres unto llnd omeng my four (4) nephews snd niece, Mme1y, JEIlOME WEIILER, FRANK WEIILER, 10IILLIMI WEIILER and JUANI'rA GINGRICII, ohare llnd shore alike, nbse1utely llnd in Cue nimple. I.AS1'I.V 1 I nominnto, constituto null oppoint my Gon, 'l'lmmmCB I,. KHHUI~tu.lNG, to bo tho I~xoculor or thin, In)' I.nut WLll nnd Tonlomont, but ie COL" ooy l"ODUOn ho Dhauld filll to quality no such l~xQculor or conno 60 to nervo, Lhon and in thnt avent, I nominuLo, conul:llulo noel oppoint my dnufjhlor-in"lnw, nnmoly, t.OR&T'1'J\ J\UN Kl!:HUEIlLING, to ho tho BxoclIlr!x horoof, ooeh nnd both to Durvo without: hond or othor nocurlly no n condition or quolificnlion hereundor. IN WI'rmmS NII&H&OI;', I, DOlUS J. Wt~N'rZ, hnvo hereunto Gat my hand nnd nenl to thlo, my Loot Will and 'reotament which conoloto of two 121 typewritten pn~eo to each of which I a"hed my uignature thio / -!.J" clny oC Or: i<l (Jl'';:' . One Thouoand Nine lIundred Eighty-two tln21. '/)"'1.." 0 /; J...',., f.- ..... J ",' 0 have ^.D. , (SEIIL) 'rhe prccotlinq instrument, conulotin9 oC thin 001.1 ono (1) other typewritten page, ench identified by the oignature of the Tootntrix, wan on the data thereof Di~ned, Donled, published and declared by DORIS J. liENTZ, the TeotafriK therein named, no nnd for hor I~aGt Will nnd "ostament, in tho proaoneD of us, who, at her requDot, in her preacneD, and in tho presence of each other, have ouboeribed our nameD aD witnqD'~.;;~~('Vf?~ ..0;;,;,~~,E0;:,{..u..f.d?/ \. Q:'1-M.-fI: )1J, d t>-'I..A-<.... .... .,. ~ - '~ DNo.AA 112512(~()MM~~~:'~:.:~~:YLVANIA OFPlCIAL RlCI/Pr,' 'INNSYLVANIA INHIRITANCI AND ISTATI TAX .......'..."......... ,.... ""'" -.... c.','" , , , , awIMan... RECEIVED FROM, ACN ASSESSMENT P:I CONTROL iii NUMBER AMOUNT & LORETTA A KEMDERLING 101 ....,593.?1 317 HILLCREST DRIVE NEW CUMDERLAND, PA 17070 ESTATE INFORMATION, m FilE NUMBER 21-1995-0890 II NAMEOF~ D~Hs J II DATE OF P1S~~l:5/9'" B POSTMARK DATE iii 0/00/00 COUNTY CUMBERLAND DATE OF D\"'lH/19/95 REMARKS L SSN 1?09-1/?-74...4 (FIRSTj (Mil m TOTAL AMOUNT PAID $"',593.&1 K. N Cw SEAL CHECKfI e/141 REGISTER OF WILLS . ,/ . (.' ,;(.; ,;' "-,'V A II '/, /;'1.{,Jl-.'l./, WILLS'o\:. /l ".. /"'."""1 " - - -- - -..-- .,-- ~-. .,..,-~. --, --_ ,'~"4 ~,_.. ~__.., '."_ ~- --...... ,--~ .~~ .-. --- -- "-_. "-- ~- -- 0--.- '-!,-'--,_ ---r __ _.... e' ~ , .' ~ .~ , I ;< \' " , Of . .,--. -~ --- _.,-_.~-~~.. t... _.~ 7':. 'OtD ~u, _ J I , , ", ~ . ' N......::: """Of' lor ""'HI '''' - "'. ,.. -.... ..,.~ . " ...- /~'- ,/~.' ' ~. fAil,,, ~""/Ut' JI7 ''''kltJl'D, "... 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','c" .. _.~ '" e,\l T . _ . . .. > ~i. ~~ (\ ~ ' ;;/; ~~:~ ~~~ { ~ i~.:. ~~ ~~,. , ,'i'-I;'-"\':(.~:~':~~:"I; I, ""'J',"C""'" "l~' , .4J9 J.., f. '~I.:t~lr'" J';\1~ '/,~... , . . '.If': . ,"'>t>!..~ ," '~"" , ''''''';;. 0.; t. ," , '0, ,,' ""'~'\ ^Ii, ' ,1'f' "" .~ _~";\ '. e.-,,~. , . I:, ~I"I'" \:~.,~, '1-'1.(1',' ,~_~' ).:.3 '~,.:' "~" '"'~""r..,r, ,.:>-..,,~_:.';~,-~\\_ _', . .~ ;, . t" t. :-'.i., ~ \'~l/r'~, ~,'", ~ t,. ",iW ,;-,.., ,e, '5',c,.:,,!,? e" '"c'::";:.: ,," ~ ":'::," '~ iii III "~ - .. ~ ill C ~ .. .~ .. .. ~~ .. .... .,J .... ...", .... .. ." llie . . .. .. ..J . . . , ..... r-- .-I ~ ... .. .. .. ",. ... .. .. III III .. ". , ^ . ..;f :,~ ~ '0-. ..,.. " r-4 ct. '(!) ~ ::J co (/), - ex: '0:: <(, :x: U) m m ..... ,., ,\ . .. . .JJ,;'hf' ):~ j- .,.;. 'f} ..... '.~ .,' . -;;y ;..J'1).; , '~., ,'," . . -. . ., " , . <. '<''..,' ','.' :'. '~, ~,( , ,. 0,_"" ".,0. -, .i,.. '.,: ..' ".' ,>"".:~,.., ,', , ',,,,"' 'l,~. '1, " :";...: "'-'-. . ..~. ,e, .,.. ;\:1):, ~.'- .', t-{:,~;~_ ~--:':-';-:":-~-':il}'- \1_:':"" ... <; '-), ,/ii., .'Q). .... ~ . . ::::i '. l~' - ~~, i >/:: -..-,,:,- .~. ~ .~ ~ '~ . ~ ~ ~.' ~ ~.,' -+.... ~, Y'l ~~'~ ~~..(} ,~ --' ',-." " "in,. ;:'. ~ > ,". .... n,'.." ,t".;".,-_. :: ~-- "IC. ::,;~;;\:,::'~-':{;' "~<\_~-~-",:';; ::;': - .~. , .-,--,-';. <',' , -:_"-,-'-, r,-"1-.- ;-, ',- :;. (~'.',.~,. 1 ,,-'-', ,'" ',- t ,'-' ;1 ." '..t- , n r' _""I,.;' "C() ':"'1 .,', . '''I,rl'tf',J''> , . ")I:JC' . . ,;;-~ ,_,t.,',,_;, '~ .~~.' ..., .~" ,. , 'l,l q f'J~1 'J~' ~:J ~ - SpH _\ i~i I'"'> ';: ',.!It} , -.~ "'.1' 'c< i ';U .- /.1 .r t: "" ~i CEHTIFICATION OF NOTICE UtlDEH HIJl,E 5.61 a I 1 ' Name of Decedent: Ih.',) i/..'ll{ ;'. Date of Death: 1I.li.ll~) Will No. Admin. No. (,1f-oJl ,Q/ - 1')'i<j'.~'iO To the Register! I certify that notice of baneficial interest required by Rule 5.6(a) of the Orphans' eOllrt Hules was served on or mailed to the following beneficiaries of the above-captioned estate on I f'fI. It ~ 6S. CJ S'M ~ 'hJ(({'n.,<' I... '/'l'/l1h,...i"" J I (Suit- b~l1r'h(,(J'~l) Address I br,vc Nt!~y C,mbce',.{rl,\'{ P.:.l Notice has now been given to all persons entitled thereto under Rule 5.6(a) ~xc~pt ; \ C '7 , Date: 3/z,'-/9&> C'P:fL~~'LV :;! ~~.,d,<~..~ Signature / Name 7Cf/t',KC L. ty,1JiJI'((,J/5 Address ") 17 H.I/( IY"'} D(, "t"' Nt' I... Cl/O\ Ly,',(a"d Pr1 /7/J 70 Telephone(117 J 'TM:ISI7 :,; Capacity I ~/ Personal Representative Counsel for personal representative . ~, /') , , REV"1547 EX AFP 1IZ"951*'H:; COMHONldAl'H DI PfNNSVIYAHU ACN 101 IllflA"'"OH Of IlrVIH\l1 NOTICE Of INHERITANCE TAX lUlU AU III INDIVIDUA\ Ihl S I. APPRAISEMENT, AllOWANce OR DISALLOWANCE ~~:~is:~:ci;lpA II 1111' OfoO I ..1.. OF DEDUCTIONS AND ASSESSHENT OF TAM 1 DATE 05..13"96 ESTATE OF- \.I~"TZ==' --OM J ~=~~-==~---- FILE NO. - 2'195....0990 DATE OF DEATH 11-19-95 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT TIlE UPPER PORTION OF TNIS FDRH WiTt. YOUR TAX PAYHENT TO TIlE REGISTER OF WILLS. HAKE CIlECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TO: TERRENCE L KEMBERLING 317 HILLCREST DR NEW CUMBERLAND PA 17070 REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 A"ount Reni t led CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..... ifE"v: isc,"j- EX" AFP-- ii'F 9 SY - Niif i CE - -0' ii- YNH Eiii i' Aifc E - YAX "XppiiXi 5 EifENT -; - ALrewANcE - a-R' -"" -" - OM" - - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WENTZ DORIS J FILE NO. 21 95-0090 ACN 101 DATE 05-13-96 TAX RETURN WAS, I X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Re.l Est.te ISchedul. A) (1) 2. stocks and Sands (Schedule 0) 12J 3. Closely Held Stock/Pertnership tntere.t (Schedul. C) 13J 4. Hortgag../Not.. Receivabla ISchedul. 0) 14J 5. Cash/Sank Daposits/Hisc. Personal Prop.rty ISchedule E) 15) 6. Jointly Owned Property ISchedul. FJ lEd 7. Tran.f.rs ISch.dul. OJ 17J 8. Total Au.ts 88.000,00 ,00 .00 ,00 6.000,00 30.786,30 ,00 .BI 124,706,30 APPROVED DEDUCTIONS AND EXEHPTIONs: 9. Fun.ral Expens.s/Ad", Costs/Hisc. Expen.e. (Schedule H) C9J 10. D.bh/Hodga"o Liabiliti../Li.ns (Schedule I) (l0) 11. Total Deductions 12. N.t Value of TaM R.turn 13. Charitable/Gov.rn".ntal B.qu..ts ISchedul. JJ 14. N.t Valu. of est.t. Subj.ct to r.x NOTE: If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSHENT OF TAX: 15, A~ount of Lin. 14 .t Spou..l r.t. (15) 16. A~ount of Lin. 14 taMable at Lin..l/Cl..s A rat. 11&) 17. A"ount of Lin. 14 taMabl. .t Collat.r.l/CI... B rate 117) 18. Principal Tax Due 6,560.36 2.555.54 Ill) 1121 1131 114) q .11 ~ qn 115,670.40 ,00 115.670.40 14, 15 and/or 16, 17 and 18 will returns assessed to date. .00 K ,00. 115.670,40 K .06, .00K,IS, I1B) ,00 6,940.22 .00 6.940.22 TAX CREDITs: PAYHENT DATE 02-15-96 RECEIPT NUHBER AA112512 DISCOUNT I') INTEREST 1-) 347.01 AHOUNT PAID 6,593.21 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 6.940.22 ,00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL nUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF TillS FORH FOR INSTRUCTIONS.) ~ ~Q ~ ".,:0 ::t'" . l\l b " II , () \.. ;;1' ..: ; ;:.: ., I " \D ~.~ , 31 :.'-, ( , tv en n :g<- :.:l - 0'1 RESERVATION. [.tat.. of dlcldlnts dying on or bafor. Dleaabat ." .9.' .. If any future Int.r..t In thl ,,'st. .1 tran,f.rred In Po.....lon Dr enJoy..nt to Cl... . leoll,'.r.l) bln,flet.rl.. of thl dlcldant .,t.t thl ..plt.tlon of any ,,'a'. for llf. Dr far y..t., thl Co..onw..lth hlt.by ..pt.,sly ta..tv" thl right to appral.. and ...... trlnl'.r Inh.rltanCI "M" .t thl 1..ful Cl... . (col1_,.t.ll t.t. on any such future Inter..t. PURPOSE OF HOTlCEI To fulfill thl ,..qul,...".. 0' bc\lon ZUG of thl Inharltanu and Eltat, hill Act, Act lZ of .991. 12 P.I. s.cUon 21"0, PAYH[Hh D.tlch thl top portion of thh HoUn and tubaU wlth your pay..nt to thl RIght,r of Wills prlntad on thl tIVI'" .Ida. ""Ikl chiCk or .on.y ordlr paYllble tal REDISTER OF' MILLS, AGENT All pay..nt. r.cllvld ,hIli 'Ir.t b. .ppllad to _ny Intlr..t which .'11' b. due with nny r...lndlr nppll.d to the tex, AffUHD (CRJI A r.fund 0' a tlX cr.dlt, which w.. not r.qua.ted on the T.x R.turn, ..11' b. r.qua'lld by co.plallng an "Appllcallon 'or R.,und of Plnn.ylvanle Inharltlnca Bnd E.tatl l.x" (REV-1511>>. Application, arl avallnbl. at thl O'flc. of Ihl Ralllshr of Wills, any of thl 15 AIVlnul District Offlc.., or by ulllng Ihl ,plclal Zit-hour In.w.rlng ,.rvlcl ~b.rs for lor.s ord.rlnOI In P.nnsylvanla l-eOO-16Z-zaSO, oul.lde Plnnsylvenla end within loul Harrisburg .r.. (117) 1I1-eO"', 100' (117) nz-un CHurlng l.p_lud Only>>. OIJECllONSI Any p.rty In Int.rl.t not .Itl.fl.d with the .ppr.I....nt, ellowlncl or dl..llowancl of dlductlons, or ........nt of t.M (Including dl.count or Intlrl.t) a' shown on thl. Nollcl .u.t ObJICt within .I_ty (60) days of rlcllpt of thlt Notlca bYI "wrltt.n prot..t to Ihl PA Dapart..nl of Ravlnul, Board of App..h, Dapt. zalOZI, U.rrhbufllf PA uua-lOZI, OR --.llctlon to havI thl ..thr d.t.r.ln.d at audit af tha account of the p.rsonal rapr...ntatlv., OR .-appl.1 to thl Orph.n,. Courl. AONIN ISlRUIV! CORRECTIONS I F.ctual arror. dl,cov.rld on thl. ........nl .hould bl addr....d In wrltlno tal PA Dapllrt.lnt of A.v.nua, Buruu 0' Indlvldu.1 'aus, A"HI po.t A.......nt Ravlew Unit. aapt. Z80601, llarrltburg, PA UUl-OUI Phon. (111)> 11'-6SUS. S.. p.ga 5 of the booklet "Instruction. for Inh.rltanc. fa. Aaturn for. R.sldant Dacad.nt" IREV-150lJ for an ..plan.Uon of .delnlttretl\l.h corr.ct.bl. arrors. DISCOUNT I If any hx dUll Is paid within thr.. (1) c.land.r .onth. .ft.r the dacadant's duth. . 11\1. p.rcant t5:0 dhcount of tha laM p.ld I. allow.d, INtEREST. Intar..t I. ch.rgad b.glnnlng with flr.t d.y of dallnquancy, or nln. I') .onth. .nd on. (1) dllY fro. the data of d.ath, to the det. of p.y..nt. T.... which b.ca.. d.llnqu.nt b.for. Janu.ry 1, 1912 b..,. Int.,...t et the ,..1. of .Ix 16lel parc.nt PIr .nnu. calculalad at . d.lly rat. of .0001610. AU I.... which b.ce.. d.lInquent on and .,..,. Janu.ry 1, 1911Z will b.ar Int.r..t .t n ,.at. which "UI \lery fro. c.l.ndar y..r 10 celande,. yur with th.t rete announcad by the PA D.p.rt..nt of Revlnu.. fh. .ppllcabl. Int.r.st rat.. for I'IZ through 1996 ar., '!!!! Intare.t R.t. Dallv Int.,..t raclor V.ar Int.r..t R.t. 0.11'1 Int.r..\ raclor 1982 2alC .000!iU 1981 .~ .000ZIt' 1985 16lC .0001051 1988"1991 l1lC .000501 1914 l1lC .000501 1992 9< .000l., 1915 UlC .00OSS6 1995-19910 " .00019Z 1916 10lC .000Zl' 1995-1". 9< .000l" --Int.r..t Is calcul.tad .. fol1o-," INTEREST . B^L^NCE OF T^K UNP^ID K NUnSER OF D^YS DELINQUENT K O^ILY INTEREST F^CTOR --Any Notlc. I..uad .ft.r t~ tnx baeo... a.llnqu.nt will r.fl.ct .n Intar..t calculation to flft..n CIS) d.y. bayond Ih. d.t. of the ........nt. If pay..nt I. ead. .ft.r tha tntara.t coapul.tlon datI shown on the Hotlc.. .ddltlon'l Int.r..t lU.t b. c.lcul.t.d, , . PUASE FILE TInS REPORT WlTIIIN M YF.ARS OF DATE OF DFATII RFr.ARDLESS OF TIIF. STATIJS OF TIlE FSl'ATE. IF FSI'ATE IS oor cnlPllIDD, FILF. ^ 6.12 FURH YFARLY UNTIl. cn1!'ml'JON. !:l.TII1'!)S HI;l'lJWr_I!!!!?~tL!!!!..~~_. 6 ,IJ Name oC Uecodont.1 'tori ') .:r ._ulel1 t:f",___ Dllto of Deathf nO\Je""'?CL._L']..L~t1~ , e_)/. (/.'( ,\'7f) I 'If' . ,1 ~I I"" ,I e . Will No. "'--::-.:1':'!:':"_~~'':-.,:...!.2- Alhnl n. till. ____. ________ Pursllllnt to Hlllu 6.12 of tho SlIpl'l!nu' COIII.t. o 1'1'1,,) no , COllrt 1111 Ion, I l'OpOl't t.hn following with 1.'IlOPru:t. to l.'omplnl.l.on of thu IIdmlnIRtf'lIt.loll of thn olhuv,,-r.llpt.lonud untllllll 1. State WhulhAI.' adminilltl'atlon vi I ho ulltillu ill l.'omplOll': YOs->-(___ Ilo.___ 2. I f tho .1nnwn,' J n No, Rt.i1te whlln thll pUI'Rnnal representatIve reasonably belloves that tho IIdmilllstrntlon will bo complete: 3. J( the IInawor to No.1 Is Yell, stato tho followlngl a. Old the personal representative Clle a Clnal account with the Court? Yos~ No . 1\1T1\~~",-i) b. The aOrlll'ate Orphans' C~lIrt Nil. (If any) for the personal representative's account Is: c. Did Lhe personal represuntative state an account inCormally to the parl1es In interest? Yos >< No d. Copies of receipts, releilses, jolndel's ilnd approvals of formal or informal aGcounLs may be filed wIth tho Cerk of the Orphan'" Court ()nd may be atLached to l.hlll roport. Datal .,/Zlt' Jri&~ ,r'(u.t"I'U_"2, ~..:,~,<~~~ SIgnature / H_ I (' I L!.' ~ I ( c. ~-:..f.:. .!..!. ~},,~0lj I."" Name (1'leilflU lypo or prlntV-- .---.:!Il ~.IICI '~/' 7?~_._ IV"'-ft Jjunl1"h/fd Address {U- I7U7cJ 71'7 ');j r 'i':)/ 7 .l_...:1__._.___."e______ 'l'el. Ilo. Clll'aclty: X Pursonal Representative (MAII.rmt/AM3) ..Cuunsel Cor personal L'e(l1'tHlp.n ta tl VA IiW..:!7 i- .1 ESTATE OF DORIS J. WENTZ FIRST AND FINAL ACCOUNTING principal and Income princioal Real Estate 6445 Wertzville Road Enola, PA 17025 1988 Ford Escort contents of 6445 wertzville Road Enola, PA 17025 Checking account #51-4006-7824 1/2 interest certificate of Deposit #400-3881425, 1/2 interest certificate of Deposit #433-0401120, 1/2 interest certificate of Deposit #02_0958229423, 1/2 interest Automobile personal property PNC Meridian Bank FarmerS Trust Harris savings Bank Total principal IncomQ Blue cross/Blue Shield, Insurance refund PNC Bank, Interest income Harris Savings, Interest income patriot NewS, Refund Deposit on 6445 wertzville Road Sale of 6445 wertzville Road Total Income Total principal and Income ;i i\ " '!j $ 88,000.00 3,000.00 3,000.00 3,231.73 10,021.28 12,533.29 5.000.00. 124.786.30 245.89 11.73 245.27 4.82 500.00 86.908.38 87.916.09 $212.702.39