The URL can be used to link to this page

Home My WebLink About95-00949 , '. '-,'.:.;'-:"" i?~~::'~' , ,'" ,::. " '/,':, '~'::',:,~ ~,,:i,'; ,:";":;;;;: " ~"-:: ,- ~', '"~ '~'<:;;\~ft t:, '. ,- '", ' ',: : . ''-'':, ' ,', " ,\'':' ' " , . ,," " "", , "', 'Ci !, '.., :: 'hXti ~~:i\;'\: H' :^,gl.~~l;j~;t;;l f! :'''' " .. ,,:, ',';'~,:',l:'li ,"", ,'" ,~ "-:;\,"".., '" ~'i:',y .':, ',<c. __ ': ; " " "'." .,,>y ..:~', ': ,'~ ":' ;-.;"', ' <, '." f.,.,. ',';',.. ,\ ," ~ .,'; ,;,~;, '.,'.""'" ",~, ", "'fi/., ,':" ...:" '" ,'LS: ," ' ':: ,'"-::,',, :k~:r<'i::~:l,: ':.',,{, " ,', ::1 P2;. ':~R::: ',:', :;i'f:';;. t: ~:c ,; " Jj;:(i~'\:~~:\~;:V:\;!"";h \">;!r :: ;":':;:,'" :'''',~' ;,", ,~,: :;:,': i,t if,' ~~/~~~:{ ~4~~~t:;,( ~~~' :i~~~ ; fj~~~~[ '>;'." ~ 0 ~ &) ,:c' ," :1iIii' " " W,' ~';, V", ;,.'f:}'<<jL, " : "', :,:",; :,:',"{;,! \),:':?:.;::' , " ""::;::",'j/:":", , ':"J~,:\~: ' ,;:/'. " " " ':'i."/ ':',z'} '~". :';,"~,"" . '. . I' . ,: '. '::;:~:.:!,;;i:{;',: ry"t::', ,"." I'; .' I , . .. ,; '<COC,,,,,, ."1'. ',' ~';,;;'.. , !:;]\;:'::';".:r:$~ ,;~.,;" ':':', . I ,.!~~:::\.(,:g:~'\r;"';;"" ~ (:":,,,::,:, ", . ': ,', ", \' -'-j-, ,. ,--- , : '; ~~<} ~":.'; > ljr.'~'-:' '.' .. '". , ~:.,.. :>,' ': ',,', , K;~,. ",: ,,' ~ , I' , ...t . ~ r: ~ '\)1 , -f,;- . ....> . ;C;'" .....' .'0 '. ,z., I :;';~;".:{::.{'{I:r; ,;f " ; "; '"T,;:' :", ' " ' '>';':'/":~:';" I':,,'. :.C', ' , "~i~,.) ....:c.~;J~y.\\, '.," ',': ';":\': ",,'; ",.' ,,' """'~:Dt~'(:~'::: i;. E)';;. ,. '.',',.', ':i'?\;~. :'(::. Cd :;;"'/'~ :" ":;''''''',.: .,', " . ".:,' '. , :, . '.':' .;., ".". ~ ':':: "~;. :',,' ,';'.::: ;:. :~,,:',:'~ '\ ,:, . ,n, ,." :':.::'.:',/ ':"~.;:\ < '." ',:~ :,'"l,'" ':e'l.,', - - """,. ,~-::O_J~r~<:' ,', ""'" ": " ':'~,,': ';', , ,', ; ;,: . . p.;' .',. , . ,::..: ::C::;;;~;:;:':';;'i :,! '.;:: ,::'. ': .,., " i/C{: , . ::. ".", ,;.c' . .; ;~}:\: ::; ;.T:,~ ' '.:::i',i:"<(,':. ' . ",' ". . ;~:,:::~;,:, . '.'.'," ,,;' , ....:'...,<,', "; '~~~~ '-.' '.::-,.' -.: , , " ,,',~. . ..",-", ,,', "'2- ': ..... :':'/~.l;;<' . '. '. '.(1'./" .,::."; ,:' , " , 'I ' " .' .... .... ... " --, " " ,'-5 G) '0 1;; iLl ~ , . '~ "; ,.. f' ; ,i I, I . ., ". , "'.; " ,," ::,:\ .'<., " '-."'" "'\<" c.. " ~ -:" ,--, , i\-~-, '. ";,.; , .. ::' - - <~~~~~ <. '. ,-., ~., .- , .' ~ PETITION FOIl I>>IWIIATE IInd GnANT OF I.ETTEnS al- q 5 -q~q. Hulon I:. prOBSlJf /:\/.1/1' ,~I 111\0 Amnf" 1/\ . Nil. In: SUI'I."S,'""",." i\h pn-(~~)-h?.t2 /)C'I'I"'\I',I, Ih'~"\,,, III 11',1" 1,,, ,II,' elUlIII) 1\1' Cumborl.4n~ ___ In Iltl' (. '1lIllIllnn""'i1hh nl PCflll\)'hania Ilu.' Pl'lilH1I1 "lilli.' t1lhh.'I..i~lIl'll r\'\p""~llllll\ H"PIl""'lll' Ihal: Ymll 1'\'IIIIUlIl'I(\), \\hll il". itH' IN H.lI" 01 .1"~'1l1 ,,"hot illlllll.'l'\l'l'lIl orli lit IlIl'I.." \\ill ,'l tlu,' ilbtl\l',ll'l"'Ih'III. llalnl ^pr i I. 1 n, _. mill '-'lHlh:ilf,) ,lilll',1 lIilllll't1 ..__~_.ltJ.tJ5.__._ t~I.llr 1I"1"l,lIllllhlllll\I,IIlH'\.I'l' fnllllh'l.lIlllll, 111',1111 IIll"I'Ulhll, ,'Ie) Ik"'l'lIlh.'1I1 \\iI' "h"nkill',1 "1111..',1111 ill .c:umhor. !~!~~~_.. ._ _ _ .. _~ .. h..Qf. la" fumil) or plill..'ipall\.'\hll"h.'l'lIl 1000 Wost Sou.!=.h Pennsylvania. Carlialo,Doro lit" ~lln'l. 11111111,," ,1II.lllIllIhlll,lhl~1 Ik,,''''mklllt Ihen.~ _~_3_____. \l'm\ ul a~,,'. llh'd _ _ t~olvQml~er ~.~_ _ ___ _~~ ____I Il)_:~___ -__I 'II , car~ia.~e_-'!""I'~.!'_a-';_<:!,rliBl,!!_p_el1n6y...~nn _a ,,~,_,__,______, 1""'l'I'1 iI\ rulh",\, de"'l'lknl did nOII1Hllf). \\U\ IIU' l.li\'nrL'l.'ll illlll LlilllHll hnn~ u ,-=hild bUfn ur nduJllcd un.." "'\,,',,'Ullul1 ullhl' nill ulll'll'd I'm rfuhutl': \\it\ IIUl1hl' \.i~lilll uf a Idllin~ uml Wil\ nc\.cr ndjmlkatcd 111L',)IIIPl'I~:III: __._~_______~___.u..__ ______ __________ "u _ ('UtlIlIY, PCIII1\)'lvuniil, with S_tr<~o~,_ C,lrljsly,_______ Ik,,':Iil.ll'ltI ul dl'alh "\\lIl'd IHUr,,'II)' \\ill! l'\lin1iIlCd \i.IIIIl,'\ .1\ I"ullo\\,: (II LJlllllldlcLl ill 1'.." /\111'.,,,,,...11''''1'<11)' ~ $1,000,00 (1l11l" dl1ntidh,'t.I in p",~ 1''''I\Olltlll'ruP'''IIY ill P,,'nll\y!\-mtia $_ 11111,,' LJ"lIIidl<,1 ill 1';", I'<NlII..lllllll'.nY;lIl'"ulIl)' $_____ \'ulu..' "I Il.II ,,'\olUll' ill Pl'nll\y!\uuia S 0.00 \illlalul it' hJ111."": ~_~_~__.__,___.~.~_____.___.~__~_ \\ 1IL1{UIlIU, 1'.lilillllc,1'I '<'I'.c\I'"II) ll'q"<'Il'1 ,II. ,""'ml< lll' 111< ",,' "ill allLl clldidl(\) Jl''''..,,'nh..'LI hl'II..'\\ nil ilnd Ihe l!tanlul' klh,'r,.. . T!;:t;ttillT\entt1J;"Y_. ~ *____ _ _._ 1111..'11\11. Ih'.I.llllt'II1.1I\. ,hhllllll,II.ll111ll \'1 ,I; ;Ullllllll~lIillllllltl.llll ~',l,a I ~J .. ...)~/J;' e A './0/ -htJ::': t , L~:a.C(lrOl \.pro8upr r' IC/!ull'(:!Uc .VI'".. '..N' Tammy S1i~. P~UUUQ.r 'JUS l'uryu Hoad. .carllulu._l'A__17013 r)225 f.1o\1n.t.lin Viow or~~-Y~~..~Gb~ril~p~~bur(J, P^ ,; "', ., ~ . c " . - - , - i. ~ --- .-----. ~ .-..-.-..---.------ OATil OF 1>>lmSONAL IlEI>>IU:SENTATIVE ('O:\lI\lONWE,\ 1.'1'11 OF l'ENi'iS\'1. \''\N 1,\ I '<i (,OlXr\' OF ..Cumbcrt"Il~., _._ __... r <;. I It", JlI,.'lithlll"'1 (") ,.hU\t.'.n:lIlwd \\\l'illl" UI 011111111(') Ihill III,,' \IUl"'lIll'lll\ in I Ill' hH"'I:win~ p"'liliulI me IlIll' ill!d \.'.11 ,,'\.'I In 111,,' 11L'\olld Iltl' ~IH1\\ Il'll~l' alld hdkl uf p"'litiulI"'II') ilrullh.ll ..\ l'efsutUlI reprc..ello ttlll\rht III IlIl' aho\l' d"',,'l'lklll 11L'liliwll.."(\) \\ill \\\.'11 ,lIId II Illy mll1lini'll'f lhe C'lUll: u":L'urdinlt III htw. SII,"" to' I" "",",,...15.11I.1 "'''will..." I '. I W~, t' .tJ,l~ ll.,~e-{;-_._- '" Ill'''II'' lilt' 1!1I~ 1 th da\ 01 r '-" iQ' , UECF,N{lEJH c. ,1'Ir 95() I.tun coral ~rorit!r' ',' ~.-:-~~-:....-= il -1l1w\..,_/ L'(J>.i.-/lt~;')P! 't~-' ./J)./qi't/I:',-,8.UJ/L II,' '". t\ I \.:J.u.....;,_~_._ ~ MARY c. l,jI~WlS ~("~/\h:t '_r I mnrny ~uu I ~<!suor _ _ .. __ Un E ~;U.p{t h (-_ ~ (2. \.. . ..~/1. J,-lJ.!./rJ. (JyJ..J([L ..... ...~~ ~~r&,WJY John c. zepp, Ill,~quiro 52662 No. .-ill- Q 6- q4!l ESlulc of 1I010n E. P COGGor , Ucccllscd I>ECREE 01<' I)ROBATE ANI> GRANT OF U:TTERS .\1'10 NOW DECEMBER 20 Il)~.. In c"II,I~cratlon of lhe pelitlon UII the reverse .I~e hereof, ,ati5fllclury proof hllvlnll been prc,enlc~ before me. IT IS D!!CR!!!!\) lhat Ihe In,trumenl(5) dllle~-A\lRU.o-l.s.r-1 \105- ~e5erlbed therein be a~Ill\l\e~ 10 probalc an~ med of recor~ a' the Ill" wl\l of HELEN E. PROSSER TEST/\M NT/\RY L1S/\ C/\ROL PROSSER /\ND T/\MMY SUE PROSSER an~ Leller. are hereby IIrante~ 10 -- M/\RY C. FEUS Probale, L,'l\ers, Ele. ......... $ 16.00 ,i'~WA~&r~\fIeate5( ).......... $--%~ Renunciation ................ $ _JCP $ 5.00 TOTAL_$ 36.00 Filed .., .DECEMaER. .20.. .19.95....... ATTORNHV I~"p. CI. \.1>. No,) P.O. Box 204, 8438 car.liBte pike ^1l\lRI;.~S york springs, PA 17372 ?1?_I;?R_Rqnn !'1I0NI! C) t; CI\LLED TI\MMY PROSSER DECEMBER 22. 1995 .'-'li":-)>~-:~,},~:i;~-;?"~Y~$-::/"-=~'I~'/'-- -----t'f{)~ .,"1 v-</- CJ(i- r;~9 .' (l~) c. ,., , ~ ')1 I):"; '<"'. ' "." , ."'; , . '- '.. . . ~': . '.. ". -- . .' . " .' "'" .' '..<,;,'.: . . . . ,'-" ;,:;':;,' ,-.': "', .' ; '"". .,. ,--,':' '::",.e, "--';.', '. ,--,' "', , ,', " ,,-": _ - ;~L;,;::,,: __,' ;;~, .....',. .: ~ ,,~,:~';~~' t: ;;':' "ie ~f ',' ,;'\t;::+ ': ' , _, j' --', J<:-~:;--X':' . . '~, ;,';: ,~'~!,: ., i,l,: : . ?i.i'~~, l ""z" . ',' ,-;,-'~~ " , " -' ','. >- ",'-'. :'.' , , "';-, ,',c.'......,;', _ -- -:,':., '." ' ::',':'-< ,! ' ';;'n'>, - - - , ~. :2;;,"",,J ::~ ';; ',";-if. 'j,';:"" '1':'dl L_... -.,',zf! "1;~ ',';;.., ' ,'.,' .~,~- i" ;' ," ,,:,~,} :;:: -; :.':::,,;( , " _" - ,/~i ,: ,,' '; n;' C,: , , -,' C'_" .,-", _po;. , .. . :' ,"" , _ ::'~;;--,31f~,_.!-~~.: :;; L .. : , " . "';:,;"- , :;: "':'. ::i '. '; _.: ':- ~~J~: ';'. : '~1 r:~t<'- <.::~ ;.: ,.;.!,( '~ . ,'" , --'~ '"':Jt ,'''' ,- ,. " , " ..,- -, ;--". , ,','. ,,' " .\ ' -- - .",< ',' '-,;'-\ ',,~: ,':a ' -- "::: ':;'<, ,,': --. ,', - ~ ' "":" '::.' . ,L, ,",',_, :-::. _ " :,:~;. r ~~ ll~ '.,'-; , t~ "' :a . ~ ~., i , ,~:{l ,\i!:\;: ", ,':;i". ! . ;': ,,' :"" ~ -, "':,:':L " ":J';';<:;,:, ' ' .. .' ;',,;:i \fl'~~~i ".:6kiL';<;:. ' . . ,', '; . ", \':-:"'~'~;!" '".,.. \i:,~~,::l':~';"--C'! '. .:L.\(;;": ''-, ,:'., .'. . . ~ ""~";; ". ,': -, ..... '.:,i, :.'- .. '" :';}:' y 1. "~-.':':~ :,;'..,- ,:-, .'. '" " ::-_" ',' ,", ' .<- :':i.-";':.'--: ",:,__.:;_.,' . ", , "';: ".,' ,:.;,-' ',( ", ""':';':,,> ' ';'-'-'-", ..' '," ",' : .':.-,.... ' '",. :i:""+']",q~;':.":i"C~"!}.::. . "',-'e',',.,,;. ,.:.>,.",:." ,":.-.;'<.:.......':.': . <\,:.;':"_-_;' .'.-" ,.,' ,r;:"__,:",.",, " .. --.-',', .'" ".:,',',:, :.'-', .>. "', ':. .,:.".,-, -- .".';",'/'. ':', ',' :::'.: ;:-:"":" -- , .:-,--.:-,.,.,., ':.",' ,', . ';.: ,";' '" ;>,;, ...' --. '.,:,., .....<.". ,,' };,,:"") ..-'.,.,;, . \:,; ,~~I'{\~;:' . .', "1,'\ .... ,,;ji :;,\,,:' , ,', . " ..' . '. ..' ",'.." ... ", '. ':-,' ,:' " ' , .'" . . ~ ~ -" I , ,~ ,"" - f !;l VI l2 110 .0 S ' ~ Q , UJ Z UJ ul' :.:1 A . I .. . . . , ., , . ~:r!~g~t 'Mtj~'fnl\,.~k (<i~,!ilat\ttlt1} ~~J~ 'lR~ ...........~ ~....tJ...V...I._,.J.~ OF HELEN E. PROSSER I, HELEN E. PROSSER, of the Borough of York Springs, Adams County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all prior wills and any and all codicils, thereto, by me at any time heretofore made. FIRST: I order and direct all my just debts and funeral expenses, together with all death taxes, State and Federal, shall be paid from my residuary estate, as soon as practicable after my decease, as a part of the expense of the administration of my said estate. SECONO: I give, devise, and bequeath unto the Chestnut Grove Cemetery Fund for the perpetual care of my grave site the sum of One Hundred ($lOO.OO) Dollars. THIRD: All the rest, residue and remainder of my estate, whether real, personal or mixed, of whatsoever kind and wheresoever situate, I give, devise and bequeath unto my niece, LISA CAROL PROSSER, and my niece, TAMMY SUE PROSSER, in equal shares, absolutely and in fee. FOURTH: I nominate, constitute and appoint my niece, LISA CAROL PROSSER, and my niece, TAMMY SUE PROSSER, Co-Executrix of this, my Last Will and Testament, but if either of them predecease me or for any reason fail to qualify as such Executrix, or having qualified, fail to serve as such Executrix, I then nominate, con~titute, and appoint the survivor thereof my sole surviving Executrix of this, my Last Wi 11 and Testament. I further di rect tha t no Executor so appointed shall be required to post any bond or give any security I r'0' ~ (,' '__... .. I., ,l 'Jy ) J{" C I r: y'JL.-O/ J,,,~/t-'/ of any type for any purpose whatsoever, any 1 aw or rul e of Court of the Commonwealth of Pennsylvania, or any other jurisdiction, to the contrary notwi thstandi ng. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, mY Last Will and Testament, consisting of two (2) typewritten pages, the first page bearing mY signature at the bottom for the purpose ... '; of indentification, this 1/- day of a.......{' , 1985. " U 'I C .J) "~~l''--' C I (Yl&4J. d,SEAL) EN[i PROSSER :"<i " ',\ .2- '.)' CERTIFICATION OF No'rICE UNDER RULE 5.61al Name of Decedent: lIelen R. ProsDer Date of Deathl Nov. 28. 199~ Will No. 1995-0949 Admin, No. To the RegisLerl I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' !.:ourt Hules was served on'or mailed to the following beneficiaries of the above-captioned estate on Feb. 15 , 1996 Name Lisa Carol Prosser Address 6225 Mountain View Drive, Chambersburg, PA "101<:./ Tammy Sue Prosser 985 Forge Road, Carlisle, PA 17013 ChestnuT Grove Cemetary Fund York SprinQs. PA 17013 "' CA.\!. el;: it:... l(re.....,d~"'-t .(>At/(er ~ere..,. Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Datel 2/15/96 e~-- Name John C. Zepp, III Address 1'.0. Box 204 York Springs, PA 17372 Telephone(711 528-8900 Capacity: Personal Representative Counsel for personal t'epresen ta t i ve x COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ..I Lisa Carol PrOBuor ,1ml 'l'amtllY 5uo Prossor .-...._. .--' .--,-~- -~_._-~_._--~~'--~._' .--..,..- --...-- ._.~._--- .-.------.-----.,-----.--. . being duly sworn _ ____ ...__ .ccerdlng 10 I.w, deposes .nd .ay. Ih.t the y..aro.-t.ho..____ -.--.-. -- - -=o-~:or-"__.---.- ..._ .' ..._ 01 the Est.I. 01 . ..llJilil1L-E.J'.r.llBll.or_-- the Ilorouljh of Carlisle I.t. 01 ... . -....... .. ., Cumberl.nd County, 1'.., d.c....d and that th. within Is .n Inv.ntory mode by ...!..i~o_c:n.rol~.r"'BI~'!.r_.!\lI. 1'am!"y !!uo.'p"ro~~ th. ..Id 01 the .ntlr. .state 01 .ald d.c.dent, consisting 01 all Iho p.rsonal prop.rly and reel .slot., exc.pt r..1 .stat. outsld. th. Commonwe.lth 01 P.nn.ylvanl., .nd Ih.t the IIgur.. opposlt. oach Item 01 the Inv.ntory repr.sent It'. lair valu. .. 01 the d.te 01 d.cedent'. de.th. sworn .1. '-/.)..111. e .(,.1/.( ~~t<J4tl Lisa Corol Prosser -6225 Hountain View Drive ~: ;-tn~~~;-'-;;'(~~~:-~\t;~~~Ch"mbOrf;hl1i(J' 111\ 1'ammy sueCnrosser and sub.crlh.d belor. me, flnrch 21~ (:50(b~ 1996 j 985 Forge Road, Carlisle, PA 17013 Oat. 01 .\ . No!arlaIS.al d P.,ko, D.l.erel'l.ljolary PubllD Lttllnc.ro Tw ., I,dame Co~nty , My cor.~~~l' %xp;len N"~..~:.:.. ~901 ~. ..1GFc..... Oeeth ___2!itlL. Day v.., Addr... 1996 ___N9'i!l.mb.lu:'__ Month INSTRUCTIONS I. An Inv.ntory mu.t b. fII.d within thr.. months .ft.r .ppolntm.nt 01 p.rson.l repres.nlotlv.. 2. A suppl.ment Inventory must be lIIed within thlrly d.ys 01 dl.covery 01 addition. I au.h. 3. Additlon.1 .h.ets may b. a"ach.d .. to personolty or r.alty 4. See Artlcle IV, Flduclarle. Act 011949. 0-. .<: '" :;J, 5 " ..; w 0 GO .. ~ ~ S 0 .. w " 0.. Ol U 0 " .. 0 w In .. III C '" "" J: "" III .... .. .. t- o.. LL 1Il 1Il .,; 0.. ... E t- ..J ... Z jj 0 1Il ... 0.. ... 0 LL ..J 0 .... :s: w 0 < .. .. i- < 0- > Z "" '" 13 . z 0 c 0. C . " 0. VI Z w U III 0 "" N Z W < ... 0.. " -0 . III c U .... .. III - ;: " '" 0 " .<l ... .c " E -0 0 + .. 0 .., .. " it 0 ..J U CD Inventory of the real and peraonel estate 01 lIo10n r.. prossor deceased -- 1. personal property (card toblo, 2 chaira, TV, rocliner, small sowing cabinot) $55 $291 2. Refund from prepayment of modicel insurance 3. Checking account 196-932-3, Adams county National Bonk York springs, PA 17372 1,441 ::'-t .Ii _ e. ~ 00 57 23 80 . '0.1....1',11111'.111'111 ~ ,I 'I "..1:-1." "!"'" INllf:llITANcr: TAX llF.lUl!N llESIDENT DECEDENT (TO IlE I'llF.D IN DUPLICATE Willi llEGISTEll 01' WillS) lOlM.\'IIIWI ^llll 'I' l'IIIlI"t"''''"^ 1I11'^A"...'Ulllllll....IlIUI 1II"1111'If.lll "^API'nlJRl;. r^ lIun w.nl :~ .~.:;;=;.;.;..- iiit.rnrlH'~"fj}.'A'.liA~f,.fI6~r:. Aliiii,lIjibl' ii;iliAlj Z. I'rOHltfll', 111'11'11 I:. ~ IUCiAI',IiIIiI".."".I. o 111)-11'1-1',]'1), ~ IJ 1. 01111111111 Rnlulll I I '} ~lItl'fllrlll.."llIlltf'hHI1 i'1ie8 1".1 A. lImihHJ [,Iuln I.tll, fHltn" hl'I""" Cflln,Jltllllh,. ilioo I' I or. Ilnl Ilul,., n 1,.11111 fir", ''}.17.111J U::,.';;l II II n. _ (), Uccr.ll"nl UiI'll ,,.'1111" I O,.,,,ll,.nl Muitllfllllf'11 It UII'II1!1IIll\1 -( (^lIl1th (till)' or Will) I^"mll ropy nf htnl) -.--.-.. ALL conRESrofiiiENCE ANP i:ONf.iOEiiii^lTilx'lf~r6RMi'Tioil siiouio'oi'iJiRECTEP'TO. I IlJ.J,u------...-..--..H ... --- ".. m" .........- "..'. Oi,.INllri,l.Allli,il).liliUU" ....---. ~1 !i lY.W DCO ClZ uO Po I. nttul Ellulft ISthlHlulo A) ( I) 2. SIDl~I onrl nOlllh (ScI'f'lluln n) ( 7) 3. Clolol)' lIold &lotUPnllllt'IIhlllllllrnotl ISthrtluln C) (J) -----. A. Ma'lgngol and NoloI "ntol...olll" (SdlfltJuln U) ( A) 5. Cnlh. On Ill< Dt'fJollh & MhtnllonnouI Pl'flonnlll,opnJt)'( 5) __ _.. ~l , 71~ '{._lH) . IS,h.dul. E) r U.UU 6. Jolnl )' Ownrul Prolloll)' (SdllJcluln r) ( 6) . 7, '''"111... IScI,.dul. GIIS,h.dul. II 1 71 . o. 10101 O,on Annh (lolntHnol 1.7) 9. rUflNol E'I1{!llIrl, A,lminlllroli...e COlh, MhtnllUlmolJI ( f}).. _~.l, ~5 ~.-~~ . E"ponl'" (Sthedulft II) 10. Oobh, Morlgouo lInllllilhn, Uftlll (SduH'uln I) 11. T olul OOlludiolll (Inlntfinol 9 '" 10) 12. '-101 Vuluo of Ellalo (lino 0 minuI lino 111 1 J. (Imrllllh!" fllIll GQVnllllllOnlnl Reflunl" (Sc.h"duln J) ... __ !~:.!.-I~f1I~.~li~~_~t!~'?-~? Inlllu,.I~'.!' _1.31..______________. IS. Amounl of linn IA '""ohln nl iJ'lh ffllo (15) ."' (I"dudo 'Julutll hOIll SdlfJlJulo K or SduttJulf1 M.I 16. Amounl of linn 1 A IUlwh11t fll 15% Hlln (lndudll yulu"1 ham Stllottul" K or Sdlfu'lIln M.) 17. rrllltlflullnl( tluo (^dJ tux from Iillll15 unci hOll1lillo 16.1 10. C,ndih Spoulnl rO...'Hly (,cdit Plio, rll)'ltltlllh __~____u____. + _.. ________u._ .... .-----.- ..-.- In'di 1111"AllI 11/.111:'1', 1""lf III ,,"dll I.' 1",/ 1 'II.' IS. 7 3 - (I rOR DA"1 or II'AII' ArTlR 12'31191 CIIECK IIIRI Ir " SrOU5^l - rUvlRIT CRIIIIIIS CLAIMfD Ll 1Il"WMRIR . ... .... .-...---------- t],19 .9.1 UJUIIIY toO[ 11fifiHili'~ (iJi,\f1iir ).biiHH ';,\"01" '1'11.1.1 f'!l"IllO," i .11 11011I1' 1111111 11 :;olltl1 :;I.I'~nt .',,, I flllt', I'^ t"I0I.l II!i IIUMbER ,Joh" c. :'.npp, 111 IIIIfil51lf IllJi;W""'- ---... 7\7 L. J=- !)2""I1I.HI~~__.:.:-.~~__ . ------- .-.--- . --- - - - <EAR ("""', CUl1lhorlolltJ z o r: ::l ~ Q '" 1101.. n (161. Z o i= ;:! :> a. :l: o u >< ;:! ()!lcoulll I I 3, I J 5. "fllIlnllul", "..hllll (for dUll" of d.oll'l'r1or 10 12.13.82) rnllrual F.llnlo Tnl( nlllum Requlrell ll1lul t-lumll" of Snl. U"polll 00,,'" . ..0. P.lI. Yorl~ nux 204 :;pl'lllqn, I'll 17372 .--.-----.------- . _. _ _ __ ._u ___ __. ___ __h__ lJ.OU 11.00 U.OO 0.1I0 1I.UO 1 01 .. 1,787.00 .. .....I.I.UU._...__.._ 111) __$1,357.86 1121 __$4:a9...9!1 (131 ___$100.00 ____..__..____.I~~L=:.- $329.94 )( ,06 a $329.94 $49.49 )( .15 = 1171 IflINn.' U.OO 1101 1191 Iq. IIl1no 10 II gtttnlnt 111110 linn 17. tlnlnf II", .lilll'fttllCn nntilll' 19, 11111 h Ih" OVERPAYMENT. IfiJIDJ3ml1.'IlOOOA'A,~':II..O~f!Il!!~ll'(iI~Il!~'I.I!ili.l')jiUWl 20. !lUno 17 II gfculor lI.on lillo 10, elllcr Iho dill"'Ollto on fillo 20. nit illll" TAX DUE. A. [nlflr 1110 IIIIOIl'1I 011 Ill" Iwlunto dun onlillo 20A. 1201 120^1 .__._._._J,l~.9P______ 12081. $49.49 O. Enler 1110 10101 01 linn 20 nllel 20^ on lint! 20n. 11111 II 11m UAlANCE OUE. Mnb ~Iu"k ravnblv In:..!I!~~!!!!.~! !!~!!!.I~_O_"_'.'_'__.____h__ ~ __~__ .___ ....... Di SUnE TO AiisWERAITOiiESTIONS'ONReVERSESiiie ANO TO -iiiicliiicK iMTi'..... i 'I;;;;;--,;;';i;iii;i 01 f1~'luty. fd;cjf;;;-li;~i ili;;;-;;~,,~,i;;-;Jii,i~'~~i~II~:I~i~l;i;'~ll-~~~~;;;j;-;;;~i;;jj-i(i;;'J;,i;;q,~;r;i~;;"n;;,i;:- nnd 100h~; my IInowledge and bell.;; II II hun, (nitI'd tlntl '~m It'In" I d"dnl" Ihlll n~1 "111..'111111 I,", "t'nll,,,,,oII"1 III hUQ '1II11~"1 ...ululI, U"dmfllioll of fllt"lIJfer olllllr than Ihe pllnonol rt'pre.enlatlye I. t""rll nn olllnfoffunlion wllld~'LI.'"''f1I''' 11m ( 'v ~Ilnwlltdll'" !,UIiAlIIR! [" HAloli iI a~~ot!~.e; L '!1Jj'r ^"I,RIII .. -. u. .... On' n-_-ti.:;:-~;;~-~ur-~---- oAI! Iln" C"rol Pr"..nnr, rl:~)I, 'llllllll.,li" \,1..\... IIrivl', " ,I 1. I'~, I~ ]/~I/'Jf) \,"i,AII.., i,f mW,f. i,lliI; IIIMIf'H'.r~I"I^I"'!7. .. ^,,,,'i\\ . -- riAlr _.. rll'ltt)lt';/'jot1-\"fJn(l~~Jtr"I""- "",,01, ,',,, I hi", .",,_.._ 7"'1_.__.1I:'I."lr, _,_____._ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECI< MARI< (.-0) IN THE APPROPRIATE BLOCKS. .YESNO- 1. Did decedenl make tl IransFer and: l( a. retain the use or income of Ihe proporly transFerred, ....................................... b. retain Ihe right to designato who shall use the property transFerred or its income, t. .' I I c. re oln a reversionary In ercs or .................................................................... d. receive the promise For liFe of either paymenls, benefils or care? ....................... 2. If death occurred on or beFore Docember 12, 1982, did decedenl within two years preceding death transFer property withoul receiving adequate consideration? If deoth occurred aher December 12, 1982, did decedenl transFer properly within one year of dealh withoul receiving adequale consideralion? ................................................. 3. Did decodent own an 'in trust For' bank accounl 01 his or her death?..................... IF THE ANSWER TO ANY OF HIE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. . J w , I. W COMMONWE....ItH 0' 'INNn'WA.tllA INHUnANCI YAX .nUIN InlDINT DleRDIN' SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY I Plea.e Print ar Type FILE NUMBER IIVUotll. Ifltl ESTATE OF lIolon E. prausor 95-00949 IAII prop"'" Jolntly.owned with the Right of SurvlvoFlhlp mUll b. dllClo..d on Schedule fl ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. porsonol praporty $55.00 2. Chocking /lccaunt. 196-323-3 /ldoms County Notionol Bonk $1,441. 23 3. Rofund from propoymont of modico1 insuronco $291.57 TOTAL AI.o enler on line 5, Reea S $1,787.80 (Alloch additional 8\1" )C 11" ,heelllf mot. 'poce I, n.eded.) 5(1IE(lIH.1; II I \. r!) ~ I ": 'it";,, rlJNr:n^l F.lO'I'IoIHS, (O,,"""W,'""OI "",""',,,", ^l>MIIIISlnl\lllIr: ,.(\~15 AI.II: ""''''''''" lA' "''''''' MI'C~LI ANn)'" ':'lrl:I,ISI ~ I I IH!tlllrullHlIlillH .. .. ., ~ " . . ... II "0'0 Plh,. or TY-fn ~~:~~~~__ --;,~;~~~:~~:~,~;:~',.~-""-- 0 ---.". _C.__, ..-. -, .. .0. tIlt rlitI\I16q--~';~~=-~949 ~.... "-..--------- , \ t. ""1\11 It. 1'.'1 Ur:SCr.II'lIl1tl AMOUNT ITEM NUMBER _____ _.._.............__.___._.. ,._._._., ____.. .~A A. 1. B. 4. C. 1. 2. 3. 4. 5. 6. 7. O. Fun..ol El'Cl1onloll I"uhlily nprny $114.110 $300.00 $300.00 1. Lion PrODBor Admllll.trollve Co.II, Tommv PranBor Pononul Reprolcnlullvo COfllnll"iolu Social Sncurlly Numuor of Ponol1ul Ropfc"",lullvo: . y.o, COII"nlnlon. paid _~?.?!!.-------. -. ._.... .------------. _.-.- 2. Allornoy Foo. John C. Znp!" III $450.00 3. lomily E.ompllon Clolmolll ______ A<ld,on 01 Clolm.:I,1 0' dec.<I.II". ,10011, SIIool Add.... .__.______._----.---- ----.,---.-- "-.....---.- RololI~l1.hlll _ __.. Clly _' __~__,____.___...___ __SIII'n ___._____ Zip Codo._. Probata Foos cmnhorlllnd County Hogluter oE \'Il1to $38.00 Ml.cellolloou, EKpon.oSl Cumher land County J~o(J.l1 Journal $60.00 Cnrliulo Hl!lItlllf~l $93.0& Rogiator oC Willa IPil11~ lIotu.lI) $15.00 Rogintor oC Wllll\ (Cilill<! CO"lilV o'JrOO1ll0Ilt) $17.00 TOf^L (^,.o ol1ln, 011 11110 'I, Rncllpllulollol1l 5 $1.357.86 (If morn 'rncn It """lIr.I, 1"':0.1 (1<<1,1111,,11111 ~hr.IJ" of larno sbo.) .."""" 1"" ttb ., Of "NII\"''oI'''4'1. (~~";~t:~~' '.'t',~~~,'N ''''OIlHD 1 SCHEDULE I T \ DEBTS OF DECE~ErN'o LIENS rl.a_~., r'.I!I' O! !YI!.'!._-. ._. MORTGA~E L1ABILlTIE ___.,... -'- f,jLElflJMDER _..'_ In:;-:09!19.... ----.--: .__._ ----- " ----- ~----~--. --.-.----.....------.-'.-.- AMOUNT ...-.-------. ESTATE OF I~. prosaer____ nelen ITEM NUMBER DESCRIPTION --~--- -- 1. " 11 10 Rec;pllulullon) TOTAL (Aho enler on no I , I IIu"", sil,." . I d intOI' otldilionnl, Icn. () ,II mOIO spoco IJ f10U( It , 0.00 $ 1rv.1"''' 112673 ,COMMONWEALTH OF PENNSYLVANIA ,. DlMIlTMINT 0' .IVIHUI OPPICIAL UCII" . I'INNSYLVANIA INHIRITANCI AND ISTATI TAX '*' D H.o. AA RECEIVED FROM, I ACN ASSESSMENT I!I CONTROL ... NUMBER AMOUNT 2EPP JOHN C III ESQ POBOX 204 Ivl ."Pt . Ii '1 YORK SPRINGS, PA 17372 lOtD HUI - ESTATE INfORMATION, Ell filE NUMBER 5i1 21-199:5-0949 Ell NAME Of DECEDENT ILAST) 1;1 PROSSER HELEN E II DATE Of PAYMENT EI POSTMARK DATE COUNTY SSN 1 G3-09-b2/1E! (fiRST) Mil CUMBERLAND DATE Of DEATH REMARKS m TOTAL AMOUNT PAID .49./19 IlEGISTER OF WILLS V2 (i. /;...;" RECEIVED BY jJlrd'i L ..:1//" ",.,.J,:~ ,! 'IQNA-lUIU _ I , MARY C. LE~IB ,.(/ ',. .,,;., j REGISTER OF WILLB SEAL TAMMY SUE PROSSER & LISA CAROL PROSSER C/O JOHN C 2EPP CHECK" 0109 ~ .1 I " I 'I ~. ; . ~ . " ,~. ., . ;0' j '; .---- . -;-. -. .__.- :-....~--4.~ ....,..... _-1.., -". ~ ". 1 n He: IlflUILe of lIel en Il, P.'OSfHH', IJncea BCU IN 'I'1I1l ('OURT OF COMMON PLEAS (JI' CIJ~mlml,ANIl COUNTY, NO, 1995-009<19 FA~l1l,y SIlTTbIlMJ;;N'I' AND INDEMN I FICNl'lON AGREEMENT FILED ON BEHALF OF LISA CAROL PROSSgR AND TAMMY SUE PROSSER, CO-EXECUTORS OF 'i'llI': ESTATE OF HELEN E. PROSSER, DECEASED WHEREAS, Helen E. Prosser, with her last address at Sarah Todd Memorial Home, 1000 W. South Street, carlisle, Cumberland county, pennsylvania, died testate on November 28, 1995. The court order dated DecenIDer 20, 1995 was duly admitted to probate by the Register of wills of Cumberland County, pennsylvania at the above number and term; and WHEREAS, Lisa Carol Prosser and Tammy Sue Prosser been duly appointed as Co-Executors of the Estate of Helen E. prosser, Deceased; and WHEREAS, the parties in interest to the Estate of Helen E, Prosser, are: (1) Lisa Carol Prosser, niece; co-executor (2) TiJllllny Sue prosser, niece, co-executor (3) Chestnut Grove Cemetery Fund WHEREAS, all known outstanding debts and obligations of the Decedent have been paid in full; WHEREAS, each of the parties to this Agreement has been furnished with a complete list of the estate assets and receipts, attached hereto as Exhibit "A" and disbursements as set forth on \ .... -. ... ... ... . .. the accounting attached hereto l1S ExhIbit "1.1"; and WIIEREIIS, it is the desire of the parties to this IIgreement, that final distdbution of this estate be l1ccomplished without a formal accounting to the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, or any other court of competent jurisdiction, it being the desire of the parties to avoid the expense of a formal accounting; and WHEREIIS, the parties to this Agreement each acknowledge they have received a proposed Summary of IIccount attached hereto as Exhibit "C". WHEREIIS, the parties to this Agreement each acknowledge they have received a proposed Schedule of Distribution attached hereto and marked as Exhibit "0"; and WHEREIIS, each of the parties to this Agreement does acknowledge their receipt from the Administrators the distribution, if any, as evidenced by Receipt of Distribution, IIpprval of Account and Release, which is attached hereto and marked as Exhibit "E". NOW, THEREFORE, WITNESSETH, in consideration of the mutual promises, covenants and agreements recited herein, the parties do agree as follows: 1. Each of the parties to this Agreement does hereby release and forever discharge the Co-Executors from any and all liability which may from time to time arise in connection with their services as Co-Executor of the Estate of Ilelen E. Prosser, Deceased. The parties do further agree to indenUlify and hold harmless the Co- Executors, from any and all liability which may arise against the estate from creditors or other claimants. .' ~" I\CCOUN'I'INO or 'I'IIB IlS'I'I\'l'E Q.E IIELEN E. PROSSBR. DECBI\SED I\SSETS DESCRIPTION AMOUNT 1) Personal property (Color 'l'V, Recliner, Samsonite Card Table and two chairs, and small sewing cabinet 2) Checking account 196-932-3, I\dams County National Bank, York Springs, PA 3) Refund from prepayment of medical insurace TOTAL $ 55.00 $ 1,441.23 $ 291.57 $ 1,787.00 I , r , . . . Exhibit "A" . ACCOUN'!'ING Ol~ '1'1I~ ~S'I'A'm QE IIIU.EN E, PROSSER. D1~CEASllO DIS13URSIlMEN'!'S I3Y BXECUTORS DESCRIPTION AMOUNT 1) Cumberland County Register of wills 2) Family spray 3) Legal Journal 4) Sentinel 5) John C, Zepp, III, Attorney at Law 6) Internal Revenue Service, Inheritance Tax 7) Register of Wills, filing return 8) Register of wills, filing Family Agreement 9) Lisa Prosser: Co-Executor 10) Tammy Sue Prosser: Co-Executor TO'I'AL 38,00 84,80 60.00 93,06 .450.00 49.49 15.00 17.00 300.00 300.00 1,407,'35 Exhibit "13" , PROPOSED ST^,rl~M'iN'I'/SClmDU(.,E 01' DISTRIBU'l'ION OF' 'I'IIE 1\SSE'I'S 01' Till!: EST1\1'!!: OF' IIELI!:N I!:. PROSSI!:R, DECE1\SED The following assets are hereby proposed for distribution to Lisa Carol Prosser, as having either been previously distributed or to be distributed pursuant to this 1\greement: 1. 1/2 of the remainder of the estate, cash 1/2 personal property $112.73 $27,50 1'he following assets are hereby proposed for distribution to Tammy Sue Prosser, as having either been previously distributed or to be distributed pursuant to this 1\greement: 1. 1/2 of the remainder of the estate, cash 1/2 personal property $112.72 $27.50 The following assets are hereby proposed for distribution to Chestnut Grove Cemetery, as having either been previously distributed or to be distributed pursuant to this Agreement: 1. Gift $100.00 EXHIBIT "D" IUlCEl!'T Q.I~PI STRD}U'['lOl:l.---1II'!'ROVA), 01' ACCOUNT J\ND RELEASE The unden,;Ign(!d, I,isil Cal:o) I'I:ossor, 'l'altnltY Sue Prosset' and Parket' 0, I,el:ew, Pres i.dcnt/Sec , of the Chestnut Gt'ove cemetery, being those interested untlCl: the l,mll; wi 11 and Testament of lJelen E. Prosser, Deceased, desIre that the Bstate be di.stributed without the formality of a court accounti.ng. The Co-Bxecutorfl of the Bfltate are willing to consent to such distribution upon receIpt of a proper release, which is the purpose of this document to provide. In conflideration of the willingness of the Co-Executors to make distribution without the formality of a court accounting and agreeing to be legally bound hereby, the undersigned, individually, and on behalf of their respective heirs, personal representatives, successors and assigns, do hereby: 1, Waive the filing of an account of the administration of the Estate in any court, 2. Declare that they have examined the attached informal account and proposed statement/schedule of distribution of the Co-Executors of the Estate of lJelen E, Prosser, Deceased; find it to be true and correct in all particulars; accept and approve it with the same force and effect as if it had been prepared and filed with, audited, adjudi.cated and confirmed absolutely by a court of competent jurisdiction; and as if the balance of principal and income had been awarded by the court in accordance with the statement/schedule of distribution. EXHIBI1' "E" ~ .... ,,- ...., ... .,~ . .' 3. Wan:ant that the bene(iciat'ics, Lisa Carol Prosset', Tammy Sue l't'osser, and Pilrkel: D. (,et'ew, president/ Secretary of Chestnut Grove Lutheran Cemetet'y, named in the informal accounts and statements/schedules of distribution are entitled to l'eceive the entire distribution thereof in accordance with the informal account and statement/schedule of distribution. 4. Warrant that the they know of no outstanding and unsatisfied claims against the Estate and approve the distribution of the balance of principal and income shown in the informal accounts and statements/schedules of distribution to the persons set forth therein. 5. Absolutely and irrevocably release and disc~arge the Co-Executors, and their heirs, personal representatives, successors and assigns of and from any and all actions, liabilities, claims and demands relating in any way to the administration of the Estate and distribution in accordance with the informal account and statement/schedule of distribution and without a court accounting and adjUdication. 6. Agree to indenmify and hold harmless the Co-Executors and their heirs, personal representatives, successors and assigns, from and against any claims, liabUities, loss or expense (including costs and counsel fees) arising from any cause whatsoever, which the Co-Executors may incur as the result of the administration of the Estate and its distribution in accordance with this document to the extent to which they have received distribution under this agreement, including, but not limited to, any liability for any Federal Estate Tax, Pennsylvania Inheritance " " .- '1'I1X or llny [)LhoL~ denth l:ilXOfl, and ilny li'auor(,l or Pennsylvania Income 'l'axes ilnd Pennflylvilniil PerRonal propeny 'l'axeR, together with any interest, penillties and costEl incidental thereto, relating in any way to the Estate and also including, but not limited to, any assets received or payments or distributions made by reason of any negligence or mistake of law 01' fact. 7, 'l'he undeL'signed hereby acknowledge receipt of those assets as set forth on the proposed statement/schedule of distribution as of the date of the execution of this receipt of distribution, approval of account and release, Date: 5<~1-?.b WI'l'NESS: "i~h~~Ol~:::~/WUt rker B. Lerew, presiden Secretary Chestnut Grove Cemetery . . i/ (J (__ REV"1547 EX AFP 112-951. CD""OHwrAt HI or IJrHHSYI \fANIA ACN 101 orPAR'HlNI Of NlvfNU(: NOTICE Of INIlERITANCE TAX BUJt(AU Of INDIVIDUAt fUIS i. APPRAlSEHENT, ALLOWANCE OR DISALLOWANCE ~~::is~~~~~lp.A IIIi'a.ObOI ~ Of' DEDUCTIONS AND ASSESSMENT Of TAX I DATE 06-11-96 ESTAfEiiF~pIfbTSE-R ~n,[Etf~t~"~E=~~'~~-~'-'o_"~='='~~~-,- FILE NO. -2rcrlH9'ilr- DATE OF DEATH 11-28-95 COUNTY CUHBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT TIlE UPPER PORTION Of TItIS fORN WITIt YOUR TAK PAYNE NT TO TilE REGISTER Of WILLS, NAKE CItECK PAYABLE TO "REGISTER Of WILLS, AGENT" REMIT PAYMENT TO: JOHN C ZEPP III PO BOX 204 YORK SPRINGS PA 17372 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 [-' ""ount R...i H.d -=- CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEV: is'f,"j -iii-AF P -n 2": 9SY-No1'"ici - -OF- "ftiHiifii'AN-CE - 1'"11 iC"jippjiiii 5 iHENT -; -ALi:owAN-cE -'(ili------ -- - -- - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF PROSSER HELEN E FILE NO. 21 95-0949 ACN 101 DATE 06-17-96 TAX RETURN WAS. I X I ACCEPTED AS fILED I CIIANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..l E,t.t. (Schedul. AJ (i) 2. Stock. and Bonds (Schedule OJ 12>> 3. Clo..1y H.ld stock/PartnershIp Int.....t ISch.dul. C) (3) 4. Hartg.gal/Not.. Rac.ivabl. ISchedule OJ (41 5. Cash/Oank Deposita/Hilc. Parlonal Property CSchedule E) 15) 6. Jointly Owned Prop.,.ty ISch.duh fJ 16) 7. T~.n.f.~. ISch.dul. GJ (71 8. Tot.l An.ts .00 .00 .00 .00 1.787.80 ,00 .00 (8) 1,787.80 APPROVED DEDUCTIONS AND EXEHPTIONSI 9. fun.~.l E~p.nl../Ad". Co.t./Hi.c. E~p.n... (Schedule HI (9J 10. D.bt./Ho~tg.g. Liabiliti.s/Li.ns ISchedule IJ C10) 11. Tot.l D.duction. 12. H.t V.lu. of T.~ R.tu~n 13. Ch.~it.bl./GoY.~n".nt.l B.qu..t. (Sch.dul. JJ 14. H.t V.lu. of E.t.t. Subject to Tax 1,357.86 .00 1111 1121 1131 114) I .~~7 86 429.94 100.00 329.94 NOTE: If an assassmant was issuad praviously, linas reflact figuras that include tha total of ahh ASSESSMENT OF TAXI 15. Anount of Lin. 14 .t Spou..l 16. Anount of Lin. 14 t.~abl. .t 17. Anount of Lin. 14 t.~.bl. .t 18. P~incip.l T.x Du. 14. 15 and/or 16, 17 and 18 will raturns assassad to date. ~... Lin..l/Cl... A ~.te Coll.t.~.l/Cl... B ~.t. 1151 11&1 1171 .00 K .00. .00 x .06. 329.94 x. 15. I1BI ,00 .00 49.49 49.49 TAX CREDITS: PAYNE NT DATE 03-27-96 RECEIPT NUNBER AA1l2673 DISCOUNT 1'1 INTEREST 1.1 .00 AHDUNT PAID 49'.49 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 49.49 .00 .00 .00 . If PAID AfTER DATE INDICATED, SEE REVERSE fOR CALCULATION Of ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS TitAN $1. NO PAYNENT IS REQUIRED. If TOTAL OUE IS REfLECTEO AS A "CREDIT" ICR), YOU NAY BE DUE A REfUND. SEE REVERSE SIDE Of TillS fORN fOR INSTRUCTIDNS,I 0\ "'-. '., "1 - ., "':-"..( ."n r. r;1 :'..::: l") ~ ~9 ;. 1.1 r., 0'(' a: '\' f..\ u" ~. :.1 ()() RESERVA'ION, E,..t.. of dlCldlnt. dying on O~ blfore Olc..bl,. It. 1911 -- I' any future Int.r..t In thl ..tst. .. tran,ferrld In po.....lon or ."Joy..nt to el,.. B Icollet.taU b,n,flcl.rI.. of thl dlcedent aU.,. thl ..plraUon of any ..,.t. for IU. or for YIUI, the Co..onlf,.lth hat.by alfpr...h r...rv.. the right to appr.h. end ...... trln".r Inh.,.Uanu T.... at the lawful Cia.. I lealla'ar,l) rat. on any such fulur. Int.r..t. PURPOSE OF NOTICEt to fulfIll the requlr..anta of Section 2140 of the Inherltsnea and Eltat. I.. Act. Act II of 1991. 12 P.S. Sactlon ZIItD. PAVttfHll D.tach the top portion of thl. Notlel and lub.lt with your pay..nt to the Rag.a'lr 0' Will. prlntad on the rlv.r.. .Id., ""ak. ch.ck or .an.y order p.y.bl. tal REGISTER OF MILLS, AGENT All pay..nt, r.c.lv.d Ihal1 flrlt b. applied to any Int.r..t which ..y b. due with any r...lnd.r .ppll.d to the t... REFUND (CA)I A refund of II ". credit, which .... not requ..ted on the T.. Return, ..av b. r.qu..t.d by co.pl.Ung In "Application for A.fund of P.nn.vlvanla Inh.rltanc. and E.tat. Ta." (REV-UIS). ApPllcatlonl ar. av.llable.t th.offlu of the A.gl.t.r of Will., any 0' the 2' R.v.nue DI.trlct o"lc.., or by calling the ,plcl.1 l4-haur an....rlng ..rvlc. "u.b.r. 'or for.. ord.rlngl In P.nn.ylvanl. 1-8DO-362.20S0, out,lde P.nn'Ylvanla and ..lthln loul fl.rrhburg .r.a (117) 131-8094, TOOl (111) 112-2l5l ut..rlng r.palr.d Only). OBJECTIONS. Any p.rty In Int.r..t not ..tl.fl.d with the appr.I....nt, .llowanc. or dl..llowanc. of dftductlonl, or ........nt of tax I Including dhcouot or Int.r..t) .. .hown on thh No tic. .u.t obJ.ct within .hty (60) dllY. of receipt of this Notice bYI u..rltt.n proh.t to the PA D.p.,.t..nt 0' Aav.nuI, Board 0' Appaals, Dopt. 281Ol1, tt.rrlsburg, PA 17ll8.101l, OR -..I.ctlon to h.v. the .att.r dat.r.lnld at audit 0' tha account of the p.r.onal r.prl..ntatlv., OR "app..1 to thl Orph.nl' Court. ADHIH ISTRATlVE CORRECTIONS I r.ctual Irrors dlscovlr.d on this ........nt .hould b. addr.ll.d In writing tal PA D.p.rt..nto' R.v.nu., Bur..u of Indlvlduel t.lCU. AnN: POlt Au.....nt A.vllw Un1l. Dlpt. l8060l, tt.rrhburG, PA Il1Z8-0601 Phone 11171 187-6505. S.. page' of th. bookht "In.tructlan. for Inh.rltanc. Tu Return fer. Ruld.nt Decedent" IAEV-1501) for an eMplanaUon of .dalnhtreUv.ty corr.ctable .rror.. DISCOUNT, If any tn due Is P.ld within three (3) c:nllnd.r aonthl ."Ir the dlCldent'. dUlh, " five perclnt (S:O discount of the t.1C p.ld Is .1I0wed. PENALTY, The 15;( tSIC ellne,ty nan-p.rtlcJpetlon p.neUy Is co.puled on thl tolal 0' the talC end Intu..t u.....d, and not peld be far. JanuarY 18. 1996, the flrlt day aft.r Ih. .nd of the tn. une.ty period. 'his non'parUclp.Uon pen.lty I, app..I.ble In the ..... .ann.r and In thl the .a... II.. parlad a. you would app.el the t.lC and Int.r..1 thet h.. b..n .......d al Indlc.ted on thl. natlc.. . INTEREST I fnt.rut Is ch.rg.d b.glnnlnG with fI,..t day 0' d.llnquency. or nine (OJ) .onthl and an. (I) dllY frel the dllt. of d.ath, Ie the date of p.yeant. TaM.' Which beea.e d.llnquent before January 1. 1981 baar Intar..t .t tha rala ef .Ix (6:'0 percenl pe,. annue c.lculated at a delh r.ta ef ,000164. AU talll" which bIlCD.. daUnqu.nl on end after Januerv I, 1981 will bur Int.ra.t III .. rete which will lIa,.y froa calendar year to calendar y.ar with Ih.t reta .nnounc.d by tha PA Dapart..nt of Aavlnu.. Th. nppllc.bl. Inl.r..t rat.. for 1981 through 1996 aral !!!!: Inlera.t Rllt. Onl hi Intarut Fl'lctor ~ Intar..t Rllt. 01111'1 Intar..t Fllctor 1982 '" .000548 1981 'X .000lit1 1983 16:C .000438 l'Jee-1991 lOt: .000301 1984 11:C .000301 1991 'X .000l41 1985 U:C .000356 1993-1'J'J4 lX .00019l 1986 \OX .000274 19950-1996 'X ;OOOl47 ulnt.r..t II calcuht.d .. follow" INTEREST . BALANCE or TAX UNPAID X NUNBER or DAYS DELINQUENT X DAILY INTEREST fACTOR --Any Netlce Islued aftar the t.. baeo... dlllnqu.nt will refl.ct en Int.rut c.lculatlon to flfllen liS) d.WS b.yand the date of Ih. a.......nt. If pay..nt I. ...d. aft.r Ih. Inl.r.'1 coaput.tlon dnl. 'hown on the Notlc., .ddltlonal Int.ra.t lItU.t b. calculat.d. T_ ,1, .. '. , In ROI Estate of Helen E. prosser, Deceased IN TilE COURT OF COMMON PLEMI OF CUMUERI,AND COUNTY, NO. 1995-00949 AMENDED SETTLEMENT AND INDEMNIFICATION AGREEMENT FILED ON BEHALF OF LISA CAHOI, PROSSER AND TAMMY SUE PROSSER, CO-EXECUTORS OF THE ESTATE OF HELEN E. PROSSER, DECEASED WHEREAS, Helen E. prosser, with her last address at Sarah 'I'oeld Memorial Home, 1000 W. south Street, carlisle, cumberland County, pennsylvania, died testate on November 28, 1995. The court order dated December 20, 1995 was duly admitted to probate by the Reginter of wills of cumberland County, pennsylvania at the above number lIud term; and WHEREAS, Lisa Carol prosser and Tammy Sue prosser been duly appointed as Co-Executors of the Estate of Helen E. prosser, Deceased; and WHEREAS, the parties in interest to the Estate of Helen E. prosser, are: (1) Lisa Carol prosser, niece; co-executor (2) Tammy sue prosser, niece, co-executor . (3) Chestnut Grove cemetery Fund WHEREAS, a Family settle and Indenmification Agreement was filed in the Register of Wills of cumberland County, pennsylvania on March 27, 1996; and WHEREAS, the parties to that Agreement believed that all outstanding debts and obligations of the Decedent have been paid in full; and WHEREAS, after filing said Agreement the Estate received a claim from the Dep/lrtment of Public Welfare, a copy of which is attached hereto as I>xhibit "A". WHEREAS, the parties in interest to the Estate of Helen E. prosser, agreed to return any payments made to them; and WHEREAS, the Department of Public Welfare has agreed to accopt the amount paid to the parties in interest to the Estate of Helen E. Prosser, plus any money returned by the State of pennsylvania, which had been paid as inheritance tax, in full satisfaction of their claim, and the settlement of thl,s estate be accomplished without a formal accounting to the Orphans' Court Division of thl! Court of Common Pleas of cumberland County, pennsylvania, or any other court of competent jurisdiction, it being the desire of thl! parties to avoid the expense of a formal accounting; and WHEREAS, now all known outstanding debts and obligations of tho Decedent have been paid or satisfied by partial payment; and WHEREAS, each of the parties to this Agreement has been furnished with a complete list of the estate assets and receipts, attached hereto as Exhibit "B" and amended disbursements as set forth on the accounting attached hereto as Exhibit "C"; and WHEREAS, the parties to this Agreement each acknowledge they have received the proposed Amended Summary of Account attached hereto and marked as Exhibit "C"; and WHEREAS, each of the parties to this Agreement does acknowledge their receipt of Approval of Account and Release, which is attached hereto and marked as Exhibit "0". NOW, THEREFORE, WITNESSETH, in consideration of the mutual promises, covenants and agreements recited herein, the parties do agree as follows: 1. Each of the parties to this Agreement does hereby releaue And forever discharge the Co-Executors from any and all liability which may from time to time arise in connection with their servic:('(J as Co-Executor of the Estate of Helen E. Prosser, Deceased. 2. Each of t.he parties does het"eby acknowledge that there lire no assets to be distributed to the parties in interest of the estate of Helen Prosser. 3. James L. Lauver, Claims Investigation Agent for the TpL Section, casualty Unit, BureAU of Financial operations, Department of Public Welfare, representing the sole debtor whi.ch has not been Iwid in full, hereby states he is so authorized to accept the payment set forth on Exhibit "CO as full satisfaction of the State of pA's claim against the Estate of Helen E. prosser.. 3. Each party to this Agreement acknowledges that this Agreement shall be indexed and recorded in the estate proceedingfl in this or any other state, and that the terms hereof shall be binding upon their respective heirs, successors, administrators cllld assigns. 4. This Agreement shall be governed by the laws of the Commonwealth of Pennsylvania. !,,-l. Dated at York Springs, pennsylvania this ~ day of July, 1996. WITNESS: " f ~ f-tu-L -P~\ Lisa Carol Prosser ( -1 -. , Claims Investigat~ml Public Welfare Agent, TpL Section - Casualty .---..- -,-..., -.... -'- " COHNON~EALTH OF PENN5TLVANIA DEPARIHENT OF PUBLIC WELFARE DATEr 05/24/96 5TATEHENT OF CLAIH ~;.~ I'PR~5;ER' HELEN - 10 9601194'19 --.---- ~. . - - .. --.-j .__.....__.,-~---- HEDICAL CLASS 3 CLASS 6 INPATIENT 0.00 0.00 OUTPATIENT 0.00 157.95 LONG TEAH CARE 15,90l.BG 26,067.45 DRUG 862.51 745.49 16,764.31 26,970.B9 . ; TOTALRE1HBURSEHENT TO DP~ 43,735.2G I Exhibit "A" -..- ---...------......, .________ ______._..____._.1 . . : ACCOUNTING OF THE ESTATE QE HELEN E. PROSSER. DECEASED ASSETS DESCRIPTION 1) Personal property (Color TV, Recliner, Samsonite Card Table and two chairs, and small sewing cabinet 2) Checking account 196-932-3, Adams County National Bank, York springs, PA 3) Refund from prepayment of medical insurance TOTAL Exhibit "B" AMOUNT $ 55.ll0 $ 1,441.:!3 $ 291. !i7 $ 1,787.110 , ". ACCOUNTING OF TilE ESTATE QE PELEN E. PROSSER. DECEASED DISBURSEMENTS BY EXECUTORS DESCRIPTION /\MOUNT 1) Cumberland county Register of wills 2) Family Spray 38.00 84.1'11 3) Lt:!gal JOllrllul 60.r (l 4) Sentinel 93. 0(; 5) John C. zepp, III, Attorney at Law 450.00 6) 7) 0) 9) Register of WLlls, filing return Register of Wills, filing Family Agreement Register of Wills, filing Amended Agreement PA Dept. of Public Welfare Lisa Prosser: Co-Executor 15.00 17.00 , . . 17.00 412.94 .I.U) 300.011 11) Tammy Sue Prosser: Co-Executor 300.011 TOTAL 1,787.80 ACCOUNTING OF THE ES'l'ATE Q.E IlELEN E. PROSSER. DECEASED SUMMARY OF ACCOUNT Estate Assets Less Disbursements $ 1,787.80 -$ 1.787.80 BALANCE $0.00 EXHIBIT "c" .,. APPROVAl. OF' ACCOUNT /\ND IlB!.o"ASE The undersigned, !.oisa Carol Prosser, Tammy Sue Prosser and Parker D. Lerew, President/Sec. of the Chestnut Grove Cemetery, I>oing those interested under the Last Will and Testament of Helen E. Prosser, Deceased, and ,James L. Lauver, Claims Investigation Agent for the TPL Section, casualty Unit, Bureau of Financial OperationEl, Department of Public Welfare, representing the sole debtor which has not been paid in full, desire that tl~ Estate be distributed without the formality of a court accounting. The Co-Executors of the Estate are willing to consent to such distribution upon receipt of a proper release, which is the purpose of this document to provide. In consideration of the willingness of the Co-Executors to make distribution without the formality of a court accounting and agreeing to be legally bound hereby, the undersigned, individually, and on behalf of thnir respective heirs, personal representatives, succeusors and assigns, do hereby: 1. Waive the filing of an account of thn administration of the Estate in any court. 2. Declare that they have examined the attached informal account of the Co-Executors of the Estate of Helen E. Prosser, Deceased; find it to be true and correct in all particulars; accflpt and approve it with the same force and effect as if it had been prepared and filed with, audited, adjudicated and confirmed absolutely by a court of competent jurisdiction. EXHIBIT "D" \" 3. Absolutely and irrevocably release and discharge the Co-Executors, and their heirs, personal representatives, successors and assigns of and from any and all actions, liabilities, claims and demands relating in any way to the administration of the Estate and distribution in accordance with the informal account and without a court accounting and adjudicati.on. Date. 7.~ WITNESS: J~~~~~!~ '~$JY@ - cJ -~ '() I- er D. Lerew, President Secretary Chestnut Grove Cemetery ~ \~~t~ J"~ Jtr>-- James L. Lauvelt-~aims I Investigation Agent, TPL Section - Casualty Unit Bureau of Financial Operationll Department of Public Welfare , \ / ! . . /5 I j Jj BURCAU OF INDIVIDUAL TAMES TflllllllfAN',: lAIC DIVISION tlt'l. zeG,,'1 IlARRISBURD, II" UIU'OUI COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOHN C ZEPP III PO BOX 204 YORK SPRINGS DATE ESTATE OF DATE OF DEATH FILE NUMDER COUNTY ACN 10-11-96 PROSSER 11-28-95 21 95- 0949 CUMBERLAND 101 I Allount R."tt t.d PA 17372 , 1..-.... *' IIw.nll II II' III.'" HELEN E MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 HOTEl To lnsur. proper credit to your account, lub.lt the upper portion of this for" with your taM pay..ant. CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... REii:is9-j-Ejf-AFP--ioi-:96i------.-.-iN-HERi-TANCiE-TA-i-RifcORD--AOj-USTiiENT--i.----------------------------- ESTATE OF PROSSER HELEN E FILE NO. 21 95-0949 ACN 101 ADJUSTHENT BASED DN, VALUE OF ESTATEI 1. R..I Eat.t. (Schedul. A) 11) 2. Stock. and Bond. (Sch.dul. 0) (2) 5. Cloa.ly H.ld stock/Partnership Int.r..t (Schedule C) 151 4. Horta.g'I/Not.. Racelvabl. (Schedul. DJ 141 5. C..h/Bank Depollta/Hi_c. Parlonal Property (Schedule E) (SI 6. Jointly Owned Property (Schedule f) (6) 7. Tranlf.r. (Schedule OJ (7) I. Total A...tI DEDUCTIONS AND EXEMPTIONS I 9. Funara1 E~pan.a./Ad.ini.tr.tlva Co.t., "hcaUanaou. hpan.a. (Schadula H) 1''1 10. Dabt./Hortgaga Liabilitia./Lian. CSchadula I) (10) 11. Total DaducHon. 12. Hat Valua of T.~ Raturn 15. Ch.rlt.bla/Cova~n~antal Oaqua.t. (Schadula J) 14. Nat Valua of E.t... Subjact to T.~ TAXI IS. AMount of Llna 14 at Spo",..l ~.t. (IS) 1&. AMount of Lina 14 t..abl. .t Lln..l/Cl... A ~.ta (1&) 17. A~ount of Llna 14 t..abla at Coll.t.~.l'Cl... B ~ata (17) II. P~inclpal Ta~ Dua TAX CREDITS I PAYHENT RECEIPT DISCOUNT 1'1 DATE NUHBER INTEREST 1-) ADMINISTRATIVE CORRECTION .00 .00 .00 .00 1.787.80 .00 .00 lal 45,093.06 .00 1111 1121 IUI 1141 .OOM.OO' .00M.06' .OOM.IS' IIBI AHOUNT PAID 03-27-96 AA1l2673 .00 49.49 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED. SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. DATE 10-11-96 1.787.80 45.093.06 43.305.26- .00 43,305.26- .00 .00 .00 .00 49.49 49.49CR .00 49.49CR IF TOTAL DUE IS LESS THAN $1. NO PAYHENT IS REQUIRED. If TOTAL DUE IS REFLECTED AS A "CREDIT" feR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I . PAYMENt I D",dI thl top portion Df thh Notln and ,ub,1t with your pl.,,'n' .,d, pay'bl. to thl n... Met add,... prlntad on the taVlr.. .Ide. .. H..... chick or .one., ord.,. plyabla tal REGISTER OF WILLS, AGENT. All PI."tnt. r.calvld ,hill bt applied fir.' to Iny Int.r..t which ..y b, due with any r...lnd... applied to the tlM. REfUND CCAI. A r.fund of . taM credit, whIch WI' nat r.qul.t.d on thl ,.. R,turn_ ..y b, requl.t.d by co.,latlno ~ ",lppllutlon for R.,tnt of Plm,v.vanla Intt.tUance and Elta.e hll" IREy.nU). AppllCIUan. at. IVIlllblt ., the o,flcl of the AI,_t'.r of Will., any of thl 25 R.venue Dl.trlct OfficI' ar 'rol thl Dep,rt..nl"' Z'-hour .......'11'111 ..rvlce nuabt" for 'or.. ord.t'lnlll In P.nnsvlvanl, l-aOD-36Z-ZD!iO, out.lda Pennlylv.nlt ~ within locII Hartl'burg .t.. (717) 787.a094, TOOl (7171 77Z-Z252 CH..rlng 1.,.lr.d only). RtPLV I.. ou..tlon. r...rdlng .rror. cont.lnad on thl. notlc. .hould b. .ddr....d tal PA D.p.rt..nt af R.v~. lur.eu of Indlvldu.1 T..... AtTHI Post b.....ant Rnl." Unit. Dapt. UUDI. narrllburg, PA IfUI-O"I. Phone (7111 717.6505. DISClUCh If ....y talC ... II paid "lthln thn. (l) eeland.r aonth. aftar tha d.cedant'. duth. . flv. parcent (SiC) dhcount af the ta. paid I. allowld. PEHAL TVI Th. ISiC t,M .-nl.ty nan.plrtlclpatlon p.nalty I. coaput.d an tha total af ,he taM and Intlr..t ......ed, and not paid b.for. Janulry II, 1996. tha flr.t d.y .ftar tha Ind af thl talC aan..ty p.rlod, INTERESTa Intar..t I. charaad ba,lnnln, with flr.t day of dallnquancy ar nlna (91 aonth. and ~ ell day fra. tha data af daath to the data 0' pay.ant. t'Ma. which baca.e delinquent be fora Januery 1. 191Z ba.r lnt.r..t at tha rata af .1. 16XI parcent par annua calculatad .t a dally ,at. af .DDDI6~. All taM" which bae... dellnquant an .nd a,ta, J~,y 1, 19.Z will baar In'a,a.t at a ,.ta which will v.ry fro. calandar y.., to cllandar y..r with that r.ta announcad by tha PA nap.rt.ant of R.vanu.. tha appllcabla Inta,a.t ,at.. far 19.2 th,augh 1996 arll V..r Intan.t Rata DaUy In II'... Factor V..r Intarut R.ts nally Inta,..t Factor 1912 fOX ,aaDSU 1987 9X . D002lt7 .91) 16X ,OaOUI 19...1991 m .DOnal 1914 IlX .DDDlDI 1992 9X .000247 1915 UX .00US' 1991-.994 7X .00Dl9Z 19.6 lOX .00027" 1"'5.199' 9X .000247 ulnter..t 11 calculatad .. fallow.. INTFREST . BALANCE DF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Hatlcs I..uad I,tar tha talC bleaaa. dallnquant wlll reflact en lntar..t c'lcul.tlon to ,Iftsan (IS) day. b.yond tha d.II of 'ha ........nt. If pay,ant h .ada attar tha Inte,ut caputlllon data .hawn on the Notlca, Itddltlonal Interut ~It ba calculltad. 'Iy l"OU,..., .' INHERITANCE TAX EXPLANATION OF CHANGES , COMMONWEAlTH OF PENNSYlVANIA DEPARTMENT OF REVENUE BUREAU or INDIVIDUAL TAXIl DEPT. 280601 HARRISBURG. PA 1712B.0601 DECEDENI'S NAME filE NUMBER IIclt!u r:. I'roJUlur AC , - ill 1111 SCHEDULE ITEM NO. EXPLANATION OF CHANGES ^ cla1ll frotl tho DO(lDrttlC:nt of Public WuHorc: WaH ol'provcd. b)' the Ilepnrtaont. 1'-' TAX EXAMINER, Dr)'a" Rondon PAGE I" 1.',-' ./ BUREAU DF INDIVIDUAL TAXES INUJTAHC[ fAX DIVISION IJOIT. lIUU HARRIIIURG, PI 1111.aD'll COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT t' *' m.utl n 'I' 111-." JOHN C ZEPP II I PD BOX 204 YORK SPRINGS DATE ESTATE OF DATE OF DEATH FILE NUHBI!R COUNTY ACN 10-28-96 PROSSER 11-28-95 21 95-0949 CUMBERLAND 101 _t R..ltted E HELEN PA 17372 MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 NOTE I To lnau~. proper credit to your account, .ub.lt the upper portton of thl. fa~ with your tax p.~t. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .. REv:il.iij-ix--AFP--ioY:96y------..ii-iNifERiTANi:if-fAjf-STAfEHE-tii'-OF-AC-Couiif--.-..--------------------- ESTATE OF PROSSER HELEN E FILE NO.21 95-0949 ACN 101 DATE 10-28-96 THIS STATEHENT IS PROVIDED TO ADVISE DF THE CURRENT STATUS OF TNE STATED ACN IN TNE NAHED ESTATE. SHOWN BELOW IS A SUHHARY DF THE PRINCIPAL TAX DUE, APPLICATIDN OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT, 10-10-96 PRINCIPAL TAX DUE, .00 PAYMENTS (TAX CREDITS), PAYMENT DATE 03-27-96 10-15-96 DISCOUNT (+) INTEREST (-) .00 .00 AMOUNT PAID 49.49 49.49- RECEIPT NUMBER AA112673 REFUND TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .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 REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ. YDU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FO~ FOR INSTRUCTIONS. ~ ~. ." .. r.'l ,I PAvtlDfTt Detech the top portion of thh NoUce .. ...It with your PI....t .... p.,..11 to tM ,.... .. edd,.... " prlntlld on the r.v.n. .Ide. If RlIIDEHT D[CEDDfT ... check or _, order p.pill. tal REGISTER OF WULS, AGENT. If .....RlIIDOfT OEtEDOrT ... ~ or _y order p.pbl. tal CotltONWEAL TH OF PEtl-tSYLVAHIA, All pe.,..,.t. r__Iv'" IhIll be .,lIed flnt to MY Intlr..t Wllch _y be WI with IWt1 r_lndor IIPPlled to the W. R01.ICD cau. A r.hnI 0' . tlX credit, which .... not r....tMl an thl ,.. R."'rn, ..y be r~.tMl by COIIPI.Unt en "Appllaltlan fa,. R.hnI of P..,..,Iv.n11 1m-,.UIne. end E.t.t. To" CREV.aU.. Appllcetlan. .r. .....11_1. .t the O,'lce 0' the RIII.t.r 0' Will., In, 0' the 11 R.venue DI.trlat O"lc.. or 'rDe the Oeperteent'. I..hour en....,.lnt ..rvlce nueber. '0,. 'or.. ordering. In P..,.ylv.nl. 1-100-161-2050, out.lde P..,.ylvenl. end within lacel He,.,.llbur. .r.. (717) 11'-1094, TDD' (717) 71'-2152 (HeI,.lnt I.,elred ani,). REPLY Tal Du..Uan. regarding .rron cant.INd an lhll notice should bII Itddr...ed tal PA DlperbMt 0' Revlf1Ul, lur." 0' Indlvlou.l Texe., ATTNI Po.t A....seent Revl~ unit, Dept. 210601, H8r,.llburg, PA 1712'-0'01, ~ (717) 71'-6505. DIscc:ucT. If .", tex WI II plld .Ithln ttlr.. CS) eel__r ..,u,. Ifte,. the decedent'. ..tn, I flv. ..-rcent (11) dlKOU'\t 0' the tIX p.ld 1. .ll~, POIAL TV I The UX tIX .."..ty nan-participation penalty II coeputM on the total 0' the tu WId lntar..t .....Md, Md not paid bI'or. J~,.y I', 1996, thl fl,..t de, after the end of IhI tlM aene.ty period, INTDtEST. Int.,...t I. charged beglmlnt .Ith flret day of dlIII'ICIl*'CY, or nine Ctl ..",Ih. Met one (J) dIIv frM the dat. of dMth, to tM dat. of p.pent. T.... which ~ "'1l~t bIIfor. J....ry I, .91' bur Int.r..t at the r.l. of .Ix (6X) percent per ...... C11lcu""d .t . dIIUy nt. of .0001"'. AU I.... whIch becIM dIIU~t on Met .ft.,. J~r, I, 1'1' .111 bier Inl.r..t .t . r.te which .111 v.r, 'rDe calendar y..r to cllender .,..r .Ith that r.t. ~ by the PA Dep.rt..,t 0' R.venue. The IIPfIllubl. Inter..t r.t.. 'a,. nil through I'" .,... Y.." Int.r..t A.t. D.llv Int.r..t Fector v..,. I"ter..t A.t. D.U., Int.r..t Fectar 1912 ..X .000S41 1917 OX .00DZ~7 ltaS 10 .000411 1911-1"1 11X .00nGl 19M 11X .000301 I'" OX .000147 1915 ISX .00D!56 1991-1994 n .000192 1916 I'X .00Dln I 99S-1 '" .X .000lO ..Jnt.re.t I. eelcul.tld .. follow., IIlTEIIEIIT . BALA/lCE DF TAX UNl'UD X HVnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Notlc. Ie...,.. aft.,. the tu becoMe dllI".,.,-.t .UI r.flect en Int.,..t ulcuhtlon to '1ft.., US) de.... beyond tM dlt. of U. ........nt. If pe~t I. ..se .fter the Intlr..t cDlPUt.Uan dIIt. Itiown an the Notice, IddIU.....1 Int.r... ."t be C11lcul.ted. ,/ " / STATUS REPORT UNDER RULE 6.12 Name of Decedent: r:l~ \\'>r\ f" l\'rv,'._Sf-, Date of Deathl Nt,U ;I.. "". /99.S Will No. d.. 1- 95 - 'tV c; Admin. No. pur8uant 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-captloned estate: 1. State whether administration of the estate is complete I Yes~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete I 3. If the answer to No.1 is Yes, state the followingl a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account iSI c. Did the personal representative s:jte an account informally to the parties in interest? Ye No c)\'I".!r"f\~ ~-:l?-'i'b AI'\~A.dt:el ('u\"1 9-3D-96 , d. Copies of receipts, re~ases, joinders and approvalS of formal or informal accounts may be filed with the cerk of the orphans' Court and ma~e attached to this report. ~ -:---... Datel I 99 ~)(Jc-C-::: ') ;ignatll\e~) -- ~ )~.ohn c. Zepp Name-(Pl~ase type or print) PO box 204, York Springs, PA 17372 Address ... ( 717) 528-8900 Tel. No. Capacity: Personal Representative ~counsel for personal representative (MAIl:rmf/AH3)