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Home My WebLink About96-00038 ....ci """,.0,/ .'," '. ~ "'. ,". t' CD' .... ' o 1;; LLI '( 7. \ ,'" ','i 'J" " . ~. '_1 r:' '\-::.1 ,. " ,', >." '" "., , ;'1 \" ">f, , "', "':'~;::,' " , , i' '~,: - ( '. n",'," ",.' <,'; " " .s:. ".. ...=-: -.,', , .:" PETITION FOR PROBATE and GRANT OF LETTERS j ESlale of III1M,lir # ~~II-.e No. 2/ - Iqqc.u. 0.3~ also known as To: Regisle, of Wills fO'lhe . Deceased. County of in the / Sodal Set'llrily No. ,,~.., '1-.J./tJ - 2.1/7 ~J Commonweallh of Pennsylvania The pelition of ,he undersigned ,especlfully ,ep,esenls Ihat: Your pelitioner(}(,'who is/~'K years of age 0' old~ad Ihe execukl r in the lasl will of If,cabove decedcnl, daled ,1"""1 "~ I 7 and codicil(s) dated named ,19~ ('lOlle rt'le\'ant d'Cllm\lanCl"\, (',It, r~'nllncialinn. Llc.lIh or C\('(UIOr, tiC.) Dccendcnl was domiciled al dealh in (!" "",rn,n ." .J} CounlY.. Pennsylvania, with h I; It lasl family or priJlcipal,esidcncc al ;)i.J 'I I\:L:,:-,,~ (L /I My ~.,.., ,.+ (ilb:;l" .1-! lL f/fJ 17" '/ - 1-1<.(' I (11\1 \tr~'1:t. number and ';nundraJil)') , &' Decendenl.then ~ ycarsofage, died .f}{;'/.6mI7rL- /2... ,199/-, al____ . Excepl a, follows. dccedenl did nol marry. was nOI ~ivo'ecd and did nOI have a child born or adopted afle, c.xeculion of Ihe will offcred for probale; was nol thc viclim of a killing and was never adjudicated incompclcl1l: Decendenl al dealh owned prope'lY with eSlimalcd values as follows: (If domiciled in Pa.) AllpersonalplOperlY (If not domiciled in Pa.) l'ersonalproperlY in Pennsylvania (I f nOI domiciled in I'a.) PcrsonalplOperlY in CoulllY Valuc of real C'lme in I'cl:nsylvania situalcd as f"lIollS: x-l - flo G'I (/ J '0' . s s s s WHEREFORE. pelitioner\J<J rcspcclfully p,e,clllcd hc,ewith and Ihc gralll of ICllers rcquesl(s) the probale of Ihe last will and eedieil(s) n.;.;rll....,dN~~ (h"\lamCnlar~': ndmini\uali n c.I.a.; admmtmatlon d.b.n,c.l.a.) Ihcron. , " ~ c " ..,- "C;f .a:l:' "=': c': i~ ;. ;.n ~ /{"l'-l v": l- \.v ~ C' I~h:"'t= 15~" d':.. I' I'? :- :2!i'rl -~-~~'-V--- 1t?"~SI"t t.. ~v l"}n>o I!.III~ /70/" , , ~ OATH QIo' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 ss COUNT\' OF l!,^,M({IlOu'I'~'I) J Thc pClilicl1crl') abovc-namcd ,"c.u(,) or affirm(,) Ihallhe SlalCmel1lS in Ihe foregoing petition arc Iruc :II1U ~orrC~llo Ihc hc,1 of Ihc knowlcdge and bclicf of pClitione,(s) and that as personal,epresen. IiIlil'c(\f of thc llhol'c dc~cdcnt pCllliol1er(5) will wcll and Irul)' adminislc, the eslale according to law. Sworn 10 or afli,mcd ami ,ubscribed 1 ~k...-1~'D. f. J{,. ~ ~ ;: :';i~ _-3~I:d(. 19~ ~ . CL\.lf~ U~~I'::l. II .-.M.J_ 1 /5-'7S-5 . tt~'(l.h. ~ Thl" j\ In u'rlily .halllu' illfllllll,1I101l11C'1l" HI\'f'III"llllllld~ 1III'H,IIrHIII .11l111j~ll1,d H'llIlh.IU' lll,k.llh dIlJ~' fill.d willi IIU,: .1\ 1.c~:Jllh'lIi\u",. Till' ori~jn,11 H'''',li',III' "ill h(, IIIIW,lIdt ,1111 dll....',tl( V",II Ilt'lllld,<< HIIlI' 1111 1'1 I I 11.11 IIIII llllll~ WARNING: 1111 IlIoonllo dupllcAto lhll copy by photollnl (lr photDO'Aph. No. a/nrl '/'1.'l%I:'t/l-ta.--ZZj' ..k..l ('.Io'I\IJf , Fl'C (or lhi, ll'illfll'.lll', S!JMI 3283528 DE(; I .J 1995 D.lle COllS'OHW!Al.TH 0' PENNIYLVANIA . DEPARTMENT 0' HEALTH' VITAl nEconos CERTIFICATE OF DEATH ...."'Mnl ,,,",- o.w ~ """"""'''''''' "ar'CQljjII~ Snydertavn,Pa. _0 "1ICII~.(PIIt"''"''1lIoIlItIWI '.lfIU~ IlJl ~"CUflITY"""" · female . 579 - 40 - 2479 1'VICI~~"o... _-__..._.. ON'DfID1RH.......O"'lIMrJ . 12-12-1995 12-16-1913 _rZI "",,0 ::::"0 _0 ::"0 ..........-........ a...... ......" - -- -- .- --- -- married white -....... ..--~-........ ....- a. Dr. Samuel W.Berkhei ,... .. - ..... Cumberland ....' "..0 ~-=-=.. -m'ffy"'lfIl'm'tie'rBer' ~T'*&HIAOON..IICSlrtIl 2B51 Rue.ell Road Cam lUll '__If c:.-, .0Itw..... Hemori,.l arthumber1and Park In ....... AHDACGM" Neu er Funeral Home uta........... ,....0.............. .. - Dr. Samuel W. Berkheieer ....1lI _0 ___0 ... ~,' - \"1.. '"1.. l't ..--........~ .............. 0... ......_.............__.......,..... ....,..,..... '-...-........... Pat 17011 .. I - ~.17102 ...0 ..0 OWIOICI'IAlA "" ,=- i-"'- I . fIIM1' . c........................... ... ..-...........-.......,.,... I. ow jQlIlAlA OW1QP'lAlACO<<QI..t Of) ----" -..-'" '" ""* ....... - ...... T_~""""" KUl".WOM? ClUC:,..MC:liWKUlTOCCUIilNo.. o,qlg,,,,,,,,,,, -...- - --- - 0 - 0 ....._ 0 .... 0 ... 0 .... 0 ~............... 0 I'UCfOuu....."._,..,.................... Y. - ~ K ~N~ ~~IINf" -cIIT..,.."..,.....~~ra-..IIlMII....___~'*P~diMII_~....1JI .........,~...................--...c......__........ .................................................... ... 0 ..0 1),1 ,~ I,ll --- f ~ .....,ClR'fW'YMQPHTIIC&AH"..,..tdI~~......",....UwltIllIllNlr'f .........,................................. .....................~., ....-......... ... ... ....... ....., ..... "MIDCAL....~'""',. c~ . 011.. .......................-........."'''''...........MCWfM..... 1fN. ......,.,..... .......... ......,.l_ ................................................................................................................... % ~ \>,.,,-,-~" "'1 ... I r-- "0 tt'! M , ~: ..., co- M I :::: .. -, ;..; , 'fl '!) c:. 1=" '..J ::. 0: UO ~ 1Z'1J-1bbl-le ",' ~ '.... .' "":'-~' ;;.fY '!. -5 '.3;,i:E1 i5 - 06 :. \. : :- .,,.' ,,-'- \-'-:. ,;,. .,.: :.h~::; ,".-. .-,., .., ';i;," ,',; ::'_i ~. , ' ,,';< .. -.\,' , . . ;',':' i' , ~': ','..; ,.... ~ i IQ ".; ~ . III i .1,;. ~. .' " . .... . ..~,,-..' ',.-' , ~':; .:, ,. ,",.. ~. . . . 1Uast lfill an~ ij[~stttm~nt OF HARRIET H. BERKHEISER I, HARRIET H. BERKHEISER, of 2851 Russell Road, Camp Hill, Cumberland County, Pennsylvania, declare this to be my last Will, hereby revoking all prior wills and codicils. FIRST: The expenses of my last illness and funeral shall be paid from my estate. SECOND: I hereby give and bequeath, absolutely and in fee simple, to my spouse, SAMUEL W. BERKHEISER, all my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment, provided that if my spouse dies before the thirtieth (30th) day following the day of my death, this gift shall lapse or be divested and I make .said bequest to my issue, per stirpes, living at the time of my death, to be divided among them as they shall agree. If they cannot agree for any reason, my Executor shall make the decision and its decision shall be final. My Executor shall represent any minor child in any division of such property and shall deliver to the person standing in the place of a parent to such minor, without bond, such portion of the minor's share as my Executor, after considering the minor's wishes, deems appropriate and shall sell the balance and pay the proceeds to my Trustees to be retained for the minor under Item SIXTH hereof. Page 1 ;./.11 '6 . , .' . THIRD: The gitt to my spouse in this Item is intended to give my estate the marital deduction ettective under the Internal Revenue Code to reduce Federal estate tax. Any provisions in this Will which contlict with or tail ot this intention shall be 80 reconciled or amplified as to accomplish this Objective. If my spouse, SAMUEL W. BERKHEISER, survives me, I direct that my Trustees, hereinafter named. hold. IN TRUST, an amount free of all taxes equal to the maximum marital deduction allowable to my estate for Federal estate tax purposes, reduced by an amount, if any, needed to increase my taxable estate to the 1arge8t amount that after allowing for the unified credit and any other credits available to my estate, will result in no Federal estate tax, and pay the net income therefrom not less frequently than quarterly to my spouse for life. My spouse shall have power to appoint all or any part or parts of the principal of this Trust to himself or a class composed of the isrue of myself and my spouse. This power shall be exercisable by him alone and in all events by specific reference thereto in his Will, or by delivery at any time or times during his lifetime of a written direction to my Trustees who shall thereupon make payment as he directs. My Trustee shall pay to his personal representatives from any unappointed principal the difference between all taxes, interest and penalties which they must pay by reason of his death and those which would be payable by them if such unappointed principal were not taxable in his estate and shall add the balance of such unappointed principal to my residuary Trust. Page 2 w.~.~ , , . .. . FOURTH: I give and devise the residue of my estate, real and personal, to my Trustee hereinafter named, IN TRUST, as follows: (a) The net income therefrom shall be paid to my spouse, SAMUEL W. BERKHEISER, for life. (b) My spouse shall have the power to appoint to himself up.to the greater amount of five percent (5~) or $5,000 annually from the principal of the residuary trust under this Item. This power of appointment shall be noncumulative and may be exercised during my spouse's lifetime only by him giving the Trustee written direction other than by his Will. (c) Upon the death of the survivor of myself and my spouse, the principal and accumulated income, if any, shall be paid to my son. SAMUEL W. BERKHEISER, JR., if living. (d) In the event my son, SAMUEL W. BERKHEISER, JR., predeceases the survivor of myself and my spouse, or dies within thirty (30) days of the date of the death of the survivor of myself and my spouse, the principal shall be divided into as many equal shares as there are grandchildren of mine then living and grandchildren then dead, leaving issue then living. Thereafter: (i) One share shall be paid, per stirpes, to the living issue of each of my deceased grandchildren. (ii) The net income from one share may, in the absolute and sole discretion of Trustee, be paid to or accumulated on behalf of each of my living grandchildren until they attain the age of twenty-one (21) years. at which time the Page 3 \4.\~.~ . . . income shall be paid to each grandchild for. lif~, provided however, that each such grandchild shall have the right to withdraw one-third (1/3) of his or her share of the principal and accumulated income when he or she shall attain the age of twenty-five (25) years, one-half (1/2) of his or her remaining share of the principal and accumulated income when he or she shall attain the age of thirty (30) years, and the remaining balance of his or her share of the principal and accumulated income when he or she shall attain the age of thirty-five (35) years. The rights of withdrawal may be exercised from time to time in whole or in part and the said rights of withdrawal shall be cumulative. (iii) Upon the death of each of my grandchildren who survive the survivor of my said spouse and myself, the share of principal from which he or she is eligible to receive income shall be paid to his or her surviving issue, per stirpes, or in default of such issue, shall be divided among my remaining grandchildren and the then living issue of my deceased grandchildren, per stirpes, to be held in trust for my remaining grandchildren as part of the share from which they receive income and to be paid over to the issue of deceased grandchildren. (iv) If no issue of my son survive the survivor of my said spouse and myself, the remaining undistributed principal and accumulated income shall be divided into four equal shares and one share shall be paid to each of the following entities: (a) CASE WESTERN RESERVE MEDICAL SCHOOL, Cleveland. Ohio. (b) MARKET SQUARE PRESBYTERIAN CHURCH, Harrisburg, Pennsylvania. (c) SALVATION ARMY. Harrisburg, Pennsylvania. Page 4 U. ,IJ .~ . . (d) GEISINGER MEDICAL CENTER, Danville, Pennsylvania, lllIH: Trustee may use principal of the trust under Item THIRD hereof (Marital Deduction Trust) only for the benefit of my spouse, With the foregoing exception my Trustee may use principal from the trust under Item FOURTH hereof (Residue Trust) for the benefit of my spouse and issue as that Trustee deems necessary: (a) To meet the expense of any accident, illness or other emergency befalling any of them; (b) For maintenance, support and education (including college and graduate school): (c) To pay funeral expenses, including the cost of a grave marker and perpetual care of the grave. Any principal used for the benefit of my issue shall be charged as an advancement from his or her family's share of the trust. Further, any invasion on behalf of any issue cannot exceed the amount that would be allocated to his or her family's share of such trust. Notwithstanding the foregoing, the power to consume, invade or appropriate property for the benefit of my spouse and issue shall be limited by ascertainable standard relating to health, education, support or maintenance within the meaning of subparagraph (a) of Section 2041(b)(1) of the Internal Revenue Code of 1954 or any similar provision which may be in effect at the time of my death so that such power will not constitute a general power of appointment. Page 5 \..\ . 1..\ .K SIXTH: I appoint my Trustee as Guardian to hold for minors all property payable by law to a guardian appointed by my Will and use the same for the minor's maintenance and education, either directly or by payment to any person selected to disburse it, whose receipt shall be a complete acquittance therefor. All unexpended income and principal shall be paid to the minor at majority. For purposes of this Will, majority shall be construed to be when the individual attains the age of twenty-one (21) years. SEVENTH: No provision of this Will is intended to exercise any power of appointment, including any power of appointment granted to me by my spouse's estate planning or other documents. EIGHTH: All taxes, interest and penalties thereon payable by reason of my death with respect to property comprising my gross estate, whether or not passing under this Will, shall be paid from the principal of my residuary estate, provided however, that funds of my Trust created herein may be used to pay taxes, interest and penalties attributed to such trust assets. NINTH: No interest of any beneficiary under this Will or any codicil hereto shall be subject to anticipation or voluntary or involuntary alienation, and the personal receipt of such beneficiary shall be the sufficient and only discharge of my Executor and Trustee unless otherwise provided herein. TENTH: In addition to powers given them by law, my Executor and Trustee and their successors and any Page 6 ~.IJ.n guardian acting hereunder shall have the following discretionary powers applicable to all real and personal property held by them, effective without court order and until actual distribution: (a) To retain all property received by them including the stock of any corporate fiduciary acting hereunder, provided such property remains productive; (b) To invest in all forms of property without restriction to investments authorized to fiduciaries, so long as such investments are productive; (c) To join in any incorporation, partnership, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors; (d) To compromise controversies; (e) To exchange or sell for cash, property or credit, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration of the trusts hereunder, without liability on the purchasers or lessees to see to application of the consideration, and to give options for these purposes without obligation to repudiate them in favor of a higher offer; (f) With respect to my residuary trust under Item FOURTH hereof, to allocate items of receipt or disbursement between income and principal as they deem equitable regardless of the character given such items by lawi Page 7 ~ , . " .,. . (g) To apply income or principal to which any beneficiary is entitled directly for his or her maintenance and support should they deem such beneficiary incapable of receiving the same by reason of age, illness or any infirmity or incapacity, or to pay the same to such person as they select to disburse it, whose receipt shall be a complete acquittance therefor, without the intervention of any guardian; (h) To borrow money, including the right to borrow from any corporate fiduciary acting hereunder, and mortgage or pledge as security; (i) To hold investments in the name of a nominee; (j) To distribute in cash or kind or partly in each at valuations fixed by them; (k) To assume continuance of the status of any beneficiary with reference to marriage, divorce, illness, incapacity or other change in the absence of information deemed reliable without liability for disbursements made on such assumption; (1) To elect to value my gross estate for Federal estate tax purposes as of the date of my death or as of the alternate valuation date as allowed for such purposes, and to claim as income tax deductions expenses that would otherwise qualify as estate tax deductions and other elections allowable under law; (m) Except to the extent necessary in order that the trust under Item THIRD hereof qualify for the marital deduction Page 8 ~\.~.~ . . . . . . t . . allowable under the Internal Revenue Code. it shall not be necessary to segregate investments as belonging to a particular trust or share therein and all interests may be held in undivided form in a single fund from which proportionate distributions are made based on current reappraisals; (n) To merge any similar trust established by my spouse where the terms of the same are identical; (0) In the event that I am the beneficiary of a qualified terminal interest trust and the same is taxable in my estate, I direct that my Executor shall seek reimbursement from said trust for all taxes due by my estate because of the inclusion of such trust in my estate, said computation of taxes due to be computed by taking taxes owed by my estate and such property included therein as compared to the taxes my estate would owe in the event said property were not taxable in my estate; and (p) To undertake any and all acts deemed necessary and proper by it for the proper and advantageous management of any trust and the settlement of my estate. ELEVENTH : No fiduciary who is a beneficiary of my residuary trust created in Item FOURTH hereof shall participate in the exercise of any discretionary power to use the principal thereof for the benefit of any person or to apportion or allocate items of charge or credit between principal and income of such trust. TWELFTH: Any person. other than my spouse, who shall have died within thirty (30) days of my death, Page 9 j,J . 11 "K . . .. .. ... shall be deemed to have predeceased me. If my spouse and I die simultaneously, or under such circumstances that the order of our deaths cannot be established by proof, my spouse shall be deemed to have predeceased me. Any person (other than myself) who shall have died at the same time as any then recipient of income or in a common disaster with such beneficiary, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased such beneficiary. THIRTEENTH: I appoint my spouse, SAMUEL W. BERKHEISER, as Executor of, and my spouse, SAMUEL W. BERKHEISER, and my son, SAMUEL W. BERKHEISER, JR., as Trustees under this my Will. In the event my said spouse cannot act or continue to act as Executor and/or Trustee for any reason, I appoint my son, SAMUEL W. BERKHEISER, JR., to act in his place. No fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 11t!J day of 9.... u.4.) , 195'z-r to this and the preceding nine (9) pages, and I have also placed my initials on each preceding page for better identification and greater security. ~E;':. ~~Ys~':"" <SEAL) SIGNED, SEALED, PUBLISHED and DECLARED by the above-named Testatrix, HARRIET H. BERKHEISER, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses: se . . . Q w b..u..-C.... ..'?-- Residing at ).~I I1.H4d,L~ , ~ /tdI, Pa {"'a I ' at 1/" c.v.L~ ,,.. ~<!....~ NdP. Pc. nol/ (JjJM II' @~dA... Residing Page 10 \..l.J.~. ". . , ... ~nY.nlorY 01 the r..1 and ptl10nal "I.t. 01 E - ..2./-Ql;-3f/ '1 '.' BAIlIlIET A. BERXIIRISRII d.c....d SEE ArrACBim E1RIBIT "A" - STOCtS AND BONDS . 717,932 58 'SEE ATTACHED E1RIBIT "B" - CASH, ~ DEPOSITS AND HISCELLA!fEOUS . pERsONAL PRoPEllTf 91 497 87 " TOTAL 09,430 45 . . '. . .. ;~ ,'.;:;;'..''', ,. COMMONWlALTH O' PENNSYLVANIA COUNTY OF CUMIIIlLAND . } .1 SAKll!L W. BEIWlBISER. Mln, duly BVOrn 1& EluIcutor .eco,dln, to I.w, d'p"n .nd IIYI th.t h. 0' the Ed.t. II Rllrrf".. A. R....haf....... I.t. 01 _Camp Bill eu",b"lend Coynly, r... d.euud .nd th.t the wIthIn I. .n InYlnlory m.d. by h:la _ _ I th. 111.1 Executor 01 the .ntiro ..t.t. of IIld d.c.d.nt, conslstlng 01 .11 the pllloul prep.rly end ,ul ....Ie. IIUP! rul nht. ouhld. the Co",monwulth of r.nnsylv.nl., end th.t th. ligurol opposll. OIeh II.", of the Inv.ntory repre..nt It's lair velu. '1 or the d.t. or d.e.d.nt'l duth. 19 96 -:.$,. ...~ l.. ~~ buwttp . AJ",;,,:.tt.t., Sworn .nd .ubse,ibld b"or. m., SAKll!L W. BElWIEISER 2851 RUSSELL ROAD CAMP BILL PA 17011 1.44,." D.1 December tr.C."th 1995 Dat. or Duth 12 Yu, IHSTIlUcTIOHS I. An inv.ntDry ",yst b. fiI.d within th,.. months .flt, .ppointm.nt of parsDn.lroplOunlativ.. 2. A luppl.m.nt Invlntory must be fiI.d within thirty dlYs 01 dlseovary of .dditiDn.1 ....Is. 3. Addition.1 Ihuh m.y b. .H.eh.d .. to pmon.lty or rully 4. S.. Artiel. IV, Fidyeilli.. Act 01 19<19. . . l: Cl ..; w . 0 ell . CICI ~ . at: .- .... . III '" W ~ i . ..~ e 0. ! .... u % 0 '" a . 0 w w Q i= at: . '~eIl ... .... .... -' u. ti E l'l ... III III 0. Z U. -' ji 0 L ~~ ~ ,.. 0. ... W 0 < . ~ i: ... > % at: -< Z 0 Q ; " o~ . ell - '" % ~ ~ III 0 at: < ... ~s % w .... 'Q " .., - ~ ~I 0 ~ ~ . ,IJ ." .! E . . 0 a: -' ... I ElDlBlT "A" I STOCKS AND BONDS FIL! HUMBER UTAl1l0P HARRIEr A. BERl<HEISER (All praperty Jolntly-ownlcl wtth RighI 01 SUIVlvollhlp mUll be dllClolOd on Schedul. F.) ITEM NO. DESCRIPTION 1 Allstate Corp (277 shares) 2 M'erican Brands Inc DE (800 Shares) 3 M'erican Express Co (402 Shares) 4 Archer-Daniels-Midland Co (6777 Shares) 5 am: OOE CORP OIlIO (731 Shares) 6 Black & Decker Corp:lration (350 Shares) 7 CSX CORP (690 Shares) 8 CQRFSTATE'S FIN'L CORP (400 Shares) 9 J),2E IN: (450 Shares) 10 ~ WITl'ER D~ & CO (117 Shares) 11 FAS'IMlIN CHEMICAL CO (50 Shares) 12 FAS'IMlIN KODlIK CO (200 Shares) 13 EA'!m CORP (1.178 Shares) 14 ELJER INDS IN: (20 Shares) . 15 FRANKLIN TAX FREE TRlJST PA TAX FREE m::a-IE FWD (2987 units) 16 GEmRAL ELEX:TRIC CO (200 Shares) 17 HARSCO CORP (400 Shares) 18 HERSHE'{ FOODS CORP (200 Shares) 19 INl'L BUSINESS w.cHINES CORP (62 Shares) 20 1<llHI..M1IN CORP (19 Shares) 21 l.E1lMAN BROmERS HOLDJN:;S IN: (80 Units) 22 MERIDIAN am:oRP IN: (920 Shares) 23 OORFOLK SOl1lliERN CORP (429 Shares) TOtal. fran continuation e (s) TOTAL Also enl81 on Bno 2, hulallon) (II more spoce Is needed, Insert eddlllonll sho'llS 01 same size.) PA1S031 NT"'" eepyrlght Fon'" soUwat.Oftly, "14 N'kO,Inc. N'.P~D~I ,.- .' -1996-00038 VALUE AT DATE OF DEATH 10,993.4.4 36,000.00 17,411.63 117,326.81 28.828.81 12,425.00 30,812.99 15,400.00 13.106.25. 6.018.19 3,262.50 13,787.50 64,716.37 177.50 32,065.45 14,225.00 23,575.00 12,975.00 5,952.00 223.25 1,750.00 42,262.50 34,614.94 180.022.45 $ 717.932.58 m-"DW'I'-f41 INHERITANCE TAX RETURN ~~~~:ki~gfFDR~MnrR 12131111 RESIDENT DECEDENT POVERTY CREDIT IS CLAIMED cO"~~~::'~:-~~Toci::~:['~~~AHIA (TO BE FILED IN DUPLICATE FILI!N'iMjER 1996 HA..'I~~~.'::~~:..-o'Ot WITH REGISTER OF WILLS) COUNTY CODE YEAR DECEDENl'S NAME (l.4ST, FIRST. "'ND MIDDLE INITI"'L) DECEDENrS COMPLETE "'DDRESS BERl<HEISER, HARRIEl' A. 2851 Russell Road DECEDENT SOCI...L SECURITY NUMBER D"'TE OF DEATH DATE OF BIRTH Camp Hill, PA 17011 579-40-2479 12/12/95 12/16/1913 Coun CUni:Jerland ~'.ST A~': "'0 L[ 1~:~I~Llo u .. HA ILA'. SOCI...L SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONS) BERKHEISER. SAMUEL W. 297-14-9309 800,664.35 1. Ortglnol R.rum 3. Romolnd., R.Mn o 4.. FuM. Inlorost ColT1'rDn1se (lor dal.. 01 d.alh alt", 12-12-62) lB 6. Deced.nl Died Tostal. 0 7. Doced.nt MoInlolnod e UvIng T",ot (Anach copy of WIll) (Anach copy 01 T",.,) ~.CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOUUl BE DIRECTED TO: .' NAME COMPLETE MAIUNG ADDRESS Peter J. Ressler 3401 N Front Street TELEPHONE NUMBER POBox 5950 717-232-5000 Harrisb ,PA 17110'0950 1. Reol Eslal. (Schedule A) ( 1 ) None 2. Stocksond Bonds (Sch.dule B) (2) 717,932.58 3. Close/'{ Held SIockJPlII1norshlp Inl",..1 (Sch. C) ( 3 ) None 4. MDngages and NDI.. Rocelvebl. (Sch.dul. D) ( 4 ) None S. Cosh, Benk Deposlts & Miscellaneous P.rsonol ( 5) 91,497 . 87 Proporl'f (Sch.dule E) 6. Jointly OWnod Proporl'f (Schedul. F) 7. TronsfGnl (Schedule G) (Sch.dul. L) 6. Total Gross ......ts (10101 Unos 1-7) 9. FtJnerol exp.n.... Adninlstrallv. Costs, Mlscellenoous Expenses (Sch.dul. H) 10. D.bts, Mongag. Ulblli1l.., U.ns (Schedul. I) 11. TOlol Deducllons (10101 Un.. 9 & 10) 12. N.t VoIu. 01 EsIoI. (Uno 6 ninus Un. 11) 13. Choritab18 end Govornrnonlol Bequ..ts (Sch.dul. J) 15. Spousal Transferlt'or datu at death all., 1!I~30-'4~ S.. Instruction' tor Applicable Percentage an Page 2.llnclude va.,.. tram 5ch.dull Kor Schedule M.l 16. Amount 01 Un. 14 loxebl. et 6% 'eta (Includ. volu..!rom Sch.dul. K or Sch.dul. M.) 17. Amount of Un. 14toxabl. e115% ral. (Includ. volu..!rom Sch.dule K 0' Schedule M.) TAX 16. Prlnclpoltox due (Md lOX !rom Un.. 15, 16 and 17.) COMPUTA- 19. Credits Spou....l Pavert)' Credit Prior Payments TlON + + 20. II Uno 19 Is r.eter thin Un. 16. enl.r the dlffer.nc. on Uno 20. ThIs Is 'h. OVERPAYMENT. .\: ,aliCItIiOliiH.... n '.."""'c1or .urow Irll.''''!ll,''i;!;l:,,:i,,:,' 21. II Un. 16 Is gr.aler then Uno 19. .nle,lh. dillOfence on Uno 21. This Isth. TAX DUE. A. Enler thelnl.res' on th. bollnce due on Un. 21A. B. EnlOf the 10101 of Uno 21 end 21A on Un. 21B. This Is the BALANCE DUE. Make Chock pa able 10: Re Isler 01 WIlls, Agenl !Ii ili.i:lIHi:W!i1Ii,H'i:!':,i:ii:,'!!,:i'I'III!:!!i.i:'..J,:I..Be SURe TO ANSweR ALL QUE5T1OHS ON PAGE :lAND TO RECHECK MATH. '..' ", :,::'::'", '1'11". n 1M' pon 0 per ry, aro t at ave ex nod th s return, nduding accof11]8~ng schodulos and statements, and to tho 510 rrri now1odgo end belief, ft Is tru.. COfTec1 end co"1'I.le. 1 decler.the' 011 r.oI..lal. hos bOOn reponed al true mark.1 volu.. Declerelion 01 pr.perOf olher Ihan Ih. personal IOpnlSGnllllv.ls be..d on oIllnlormotion 01 which pr.perer has env knowledge. SIGNAl E OF PERS N RESPONSIBLE FOR FILING RETURN ADDRESS DATE :\- See Schedule attached 0/- '1- (fC. ADDRESS DATE 3401 North Front Street, P.O. Box 5950 ';. ./- 9(; Harrisburg, PA 17110-0950 " CHECK APPRO- PRtATE BLOCKS o 4. Uniled Eslel. CORRES- PONDENT RECAPIT - ULATlON ~ -;}. 15-78-5 ~ - 00038 NUMBER (far datu af d,.lh prior to tZ-I3-17' ~ S. Federol Eslal. Tox R.rurn Required 6. TOlol Number 01 Sel. D.poslt Be... "",'1;', (6) (7) None None (6) 809,430.45 (9) 46.928.83 (10) None (11) (12) (13) 46,928.83 762,501. 62 None 14) (15) 762.501. 62 . .QQ... . (16) 0.00. .06 = (17) 0.00 x .15 . (16) Discount Intorost 762,501. 62 0.00 0.00 0.00 0.00 (19) (20) 0.00 (21) (21A) (21B) 0.00 0.00 0.00 co '? t:~ :::l~ OEl <1>= ~~?.: 'J ~ a... ,", '~.' ',' '1' a... UJ VI " ..~ .. .0 '~'-,) (0) C!>Q: 0: ~ " ~) .~ E ~8 '.....,f'<...t'f1\'t"tf;~!c?I,,:.., ,c .~, < PA RIV-11lOO EX (1-14) Pea- 2 Act 1148 01 111M provtd.. IDr Ih. reducllDn 01 th. lax r.I.. Impo.ed on the n" valu. Dllr.n,'.r. 10 or IDr Ih. u.. 01 the .pou... Th. r.... .. pr'lCrlbed by Ih. ItIlut. will b.: . 3% (.03) will b. .pplleebl. lor ..I.lea 01 deced.nl. dying Dn or .n.r 7/1104 .nd b.IDr. 1/1/96 . 2% (.02) will be epplleebl. for e.lIl.. of decedenl. dying Dn or ener 1/1/96 .nd blfDr. 1/1/97 . 1% (.01) will be epplleeble for esllt.. of decedents dying on Dr sn.r 1/1/97 end before 1/1/98 . SpouSlII transfer. Dccurrlng Dn or sner 1/1/9S will be exempl frDm Inherlllnce lax. PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING A CHECK MARK (II) IN THE APPROPRIATE BLOCKS. YES NO 1. Did docIclont mole. alronsllll and: L retoInlhouIGD'lncomeollhepropertylranallllT8d....................................... ..... ..................... x b. retIIn lho righllD deslgnllo who Ihall uoe lho property Iranalerrod o,lls Income.. .. . .. .. . . .. .. .. . .. . .. . . . . .. . . . . . . .. . . . . . . x c. retIIn .llMlIIIon8/'f Interest; Of....... ........................ ................................................. x d. ,ocelvelhoprorrllGlo,UI.oIe1therpoyrnents, banall1so'ell.?...................................................... x 2. K cIol1h occurred on 0' balo.. llecIIInbar 12, 1982. did deced.nt within two y.... pracadlng cIol1h Iranallll property without raceIvlng .daqUllo conslclotatlon? K cIoeth occurred alllll Dac:embar 12, 1982, did dacaclonllranaflll property within ana yell 01 cIoeth without IllOOIvlng.daqUof.conslclotatlon?............................................................................... X 3. Did docIclonl awn an 'n trulllof bonk occaunt of his 0' her cIoeth? . .. . . . . . . . . . .. . . . .. . .. .. . . .. .. .. . . .. .. . .. . . . . . . . . . . . . X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN. PA11OO2 NTF.... C"rrll'" '.,....loUw.,. Only, '114 NlkeI, "'Co NI4PAOQJ ._~. -~... .~..... .~ .- ,...... .... . . .......1 , I ._, ...''''1 . ' . . IRIRn: The gltt to my spouse In this Item I. Intended to give my estate the marital deduction etfectlve under the Internal Revenue Code to reduce Federal estate tax. Any provisions in this Will which conflict with or fall of this Intention shall be so reconciled or amplified as to accomplish this objective. If my spouse, SAMUEL W. BERKBEISER, survives me, I direct that my Trustees, hereinafter named, hold, IN TRUST, an amount free ot all taxes equal to the maximum marital deduction allowable to my estate for Federal estate tax purposes, reduced by an amount, if any, needed to increase my taxable estate to the largest amount that after allowing for the unified credit and any other credits available to my estate, will result in no Federa~ estate tax, and pay the net income therefrom not less frequently than quarterly to my spouse for life. My spouse shall have power to appoint all or any part or parts of the principal of this Trust to himself or a class composed of the issue of myself and my spouse. This power shall be exercisable by him alone and In all events by specific reference thereto in his Will, or by delivery at any time or times during his lifetime of a written direction to my Trustees who shall thereupon make payment as he directs. My Trustee shall pay to his personal representatives from any unappointed principal the difference between all taxes, Interest and penalties which they must pay by reason of his death and those which would be payable by them if such unappointed principal were not taxable in his estate and shall add the balance of such unappointed principal to my residuary Trust. Page 2 I.\~.~ . . -.. roDRTH: I live and devl.e the re.ldue Of my e.tate, real and peraonal, to my Trultea hereinafter named, IN TRUST, al followl: (a) The net income therefrom shall be paid to my spouse, SAMUEL W. BERKBEISER, for life. (b) My spouse shall have the power to appoint to himself up to the greater amount of five percent (5~) or $5,000 annually from the principal of the residuary trust under this Item. This power of appointment shall be noncumulative and may be exercised during my spouse's lifetime only by him giving the Trustee written direction other than by his Will. (c) Upon the death of the survivor of myself and my spouse, the principal and accumulated income, if any, shall be paid to my son, SAMUEL W. BERKBEISER, JR., if living. (d) In the event my son, SAMUEL W. BERKHEISER, JR.. predeceases the survivor of myself and my spouse, or dies within thirty (30) days of the date of the death of the survivor of myself and my spouse, the principal shall be divided into as many equal shares as there are grandchildren of mine then living and grandchildren then dead, leaving issue then living. Thereafter: (i) One share shall be paid, per stirpes. to the living issue of each of my deceased grandchildren. .....1 (ii) The net income from one share may, in the absolute and sole discretion of Trustee, be paid to or accumulated on behalf of each of my living grandchildren until they attain the age of twenty-one (21) years, at which time the ~ ""'1 ---, Page 3 \4.\~.~ ~\\I;'i'l'<',Ff,'"-- -......"...-....-.'-.....- ."'.... . - ......... income shall be paid tD each grandchild tor lite, provided however, that each such grandchild shall have the right to withdraw one-third (1/3) at his or her share at the principal and accumulated income when he or she shall attain the age at twenty-tive (25) years, one-half (1/2) at his or her remaining share at the principal and accumulated income when he or she shall attain the age of thirty (30) years, and the remaining balance of his or her share of the principal and accumulated income when he or she shall attain the age of thirty-five (35) years. The rights of withdrawal may be exercised from time to time in whole or in part and the said rights of withdrawal shall be cumulative. --, (a) CASE WESTERN RESERVE MEDICAL SCHOOL, Cleveland, Ohio. (iii) Upon the death of each of my grandchildren who survive the survivor of my said spouse and myself, the share of principal from which he or she is eligible to receive income shall be paid to his or her surviving issue, per stirpes, or ill default of such issue, shall be divided among my remaining grandchildren and the then living issue of my deceased grandchildren, per stirpes. to be held in trust for my remaining grandchildren as part of the share from which they receive income and to be paid over to the issue of deceased grandchildren. (iv) If no issue of my son survive the survivor of my said spouse and myself, the remaining undistributed principal and accumulated income shall be divided into four equal shares and one share shall be paid to each of the following entities: ..... . ...~! (b) MARKET SQUARE PRESBYTERIAN CHURCH, Harrisburg, Pennsylvania. (c) SALVATION ARMY. Harrisburg, Pennsylvania. Page 4 U. ,IJ .~ (d) GEISINGER HEDICAL CENTER, Danvllle, Pennlylvanla . [1IIB: Trultee may ule principal at the trult under Item THIRD hereot (Harltal Deduction Trult) only tor the benetit at my ,poule. With the torecoinc exception my Trustee may use principal tram the trult under Item FOURTH hereot (Relidue Trust) tor the benetit at my Ipoule and illue as that Trustee deems necessary: (a) To meet the expense at any accident, illness or other emergency betalling any at them: (b) Far maintenance, support and education (including college and graduate school); (c) To pay funeral expenses, including the cost of a grave marker and perpetual care of the grave. .-.~ Any principal used far the benefit of my issue shall be charged as an advancement from his or her family's share of the trust. Further, any invasion on behalf of any issue cannot exceed the amount that would be allocated to his or her family's share of such trust. '--' I Notwithstanding the foregoing, the power to consume, invade or appropriate property for the benefit of my spouse and issue shall be limited by ascertainable standard relating to health, education, support or maintenance within the meaning of subparagraph (a) of Section 204l(b)(1) of the Internal Revenue Code of 1954 or any similar provision which may be in effect at the time of my death so that such power will not constitute a general power of appointment. ---.-:'I ~ Page 5 W I..I.K S1XII1I 1 appoint my Trultee II Guardian to hold tor mlno'l all property payable by law to A &uardlan Appointed by my Will And ule the lame tor the mlnor'l maintenAnce and education, either directly or by payment to Any peuon nlected to dllbuue It, whon receipt Ihall be a complete acquittAnce theretor. All unexpended income and principal Ihall be paid to the minor at majority. For purpolel at thll Will, majority ShAll be construed to be when the individual attains the Age of twenty-one (21) years. SEVENTH: No provision of this Will is intended to exercise any power of appointment. Including any power of appointment granted to me by my spouse's estate planning or other documents. EIGHTH: All taxes, interest and penalties thereon payable by reason of my death with respect to property comprising my gross estate. whether or not passing under this Will, shall be paid from the principal of my residuary estate, provided however, that funds of my Trust created herein may be used to pay taxes, Interest and penalties attributed to such trust assets. MInIH: No interest of any beneficiary under this Will or any codicil hereto shall be subject to anticipation or voluntary or involuntary alienation, and the personal receipt of such beneficiary shall be the sufficient and only discharge of my Executor and Trustee unless otherwise provided herein. .~ OJ "I IEHIa: In addition to powers given them by law, my Executor and Trustee and their successors and any Page 6 \..\. l.l. 71 ----. --,--,. .......,., ..,1 ,'''.' . . . , . Ihall be deemed to have predecealed me. If my Ipoule and I die Ilmultaneoully, or under luch clrcumltancOI that the ardor of our deaths cannot bo eltabllshed by proof, my IpOUIO shall bo deemed to have predeceased me. Any person (other than myself) who shall have died at tho same time aD any then recipient of Income or In a common disaster wIth such beneficiary, or under such circumstances that It is difficult or impossible to determine who died first, shall be deemed to have predeceased such benef iciary. THIRTEENTH: I appoint my spouse, SAMUEL W. BERKHEISER, as Executor of, and my spouse, SAMUEL W. BERKHEISER, and my san, SAMUEL W. BERKHEISER, JR., as Trustees under this my Will. In the event my said spouse cannot act or continue to act as Executor andlor Trustee for any reason, I appoint my son, SAMUEL W. BERKHEISER, JR., to act in his place. No fiduciary acting hereunder shall be required to post bond or enter security in any juriSdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this nr~ day of 9....,,~ > ' 195'.., to this and the preceding nine (9) pages, and I have also placed my initials on each preceding page for better identification and greater security. ~.. . ~ -:t/. ::i;? - w.... .. (SEAL) lET H. BERKHEISE SIGNED, SEALED, PUBLISHED and DECLARED by the above-named Testatrix, HARRIET H. BERKHEISER, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses: ~. o \N 'b 'JJ.. ._~ at J.<;;o,~1 ()J.~.. C . IL.,a~ I{dfl PQ 1"701' , Residing p~ 1/.!f1 ,~.tA... Residing at ~" lIJ. '............ lA.. t'1.....~ ~. Pt. IltJ/, Page 10 w j.~. "IV. till I. f,_-II) SCHEDULE B STOCKS AND BONDS CO.....OHWIALT" 0' 'INNlnVAHIA INHumANe I TAIiI ftUU"H ~1I101Nt OICIOINI allAT! Of' FtLl! NUMKR lWUUEI' ^. BEIOOIEISER (All property lolnUy-owned wtlll Righi 01 8ulI/lvo'"hlp mUll... dlaclol.d on Schedul. F.) ITEM NO. DESCRIPTION 1 Allstste Corp (277 shares) 2 American Brands Ine DE (800 Shares) 3 American Express Co (402 Shares) 4 Archer-Daniels-Midland Co (6777 Shares) 5 ~ OOE CORP OHIO (731 Shares) 6 Black & Decker corporation (350 Shares) 7 CSX CORP (690 Shares) 8 CORFSTATE'S FIN'L CORP (400 Shares) 9 DQE INC (450 Shares) 10 DEAN WITI'ER DISCOVER & CO (117 Shares) 11 EAS'l.MlIN CHEMICAL CO (50 Shares) 12 EAS'l.MlIN KODAK CO (200 Shares) 13 EAmON CORP (1,178 Shares) 14 ELJER INDS m::: (20 Shares) .15 FRlINKLIN TAX FREE TRUST P^ TAX FREE INCXX>lE FUND (2987 Units) 16 GJ;M:AAL ELEX:I'RlC CO (200 Shares) 17 HARSOO CORP (400 Shares) 18 HERSHE'l FOODS CORP (200 Shares) 19 INI'L BUSINFSS MACHINFS CORP (62 Shares) 20 KlJHIWIN CORP (19 Shares) 21 WiMAN BRallIERS HOLDINGS INC (80 Units) 22 MERIDIAN BlINCORP INC (920 Shares) 23 NORFOLK SOlmIERN CORP (429 Shares) TOtal fran continuation e(s) TOTAL Also enler on line 2, Roc i1lJlltion (II me,e aplcala needed, II1I8Il eddl1lonsl lheets olaome size.) PA1S031 NTF '212 Copyright Fa,,,,. Sollwat.Only, '1" Nllco,'"e. N14P",03' -1996-00038 VALUE AT DATE OF DIA TH 10,993.44 36,000.00 17,411. 63 117,326.81 28,828.81 12,425.00 30,812.99 15.400.00 13,106.25 6,018.19 3,262.50 13,787.50 64,716.37 177.50 32,065.45 14,225.00 23,575.00 12,975.00 5.952.00 223.25 1,750.00 42,262.50 34,614.94 180,022.45 $ 717,932.58 > ''''''...':7.".,..,....'..- Estate ot: 1WUUF:l' A. BERl<HEISER SOiEOOLE B -- Stocks and Bonds Pogo 2 -1996-00038 Item Value ot Dote No. Description ot Deoth 24 PP&L RFSOORCFS ~ (1,962 Shares) 48,191. 63 25 rorcw.c EW:I'RIC POiIER CO (600 Shares) 14.925.00 26 ROYAL 00I'0i Pl'IM CO (424 Shares) 56,975.00 27 SElIRS ROEBUCK & CO (300 Shares) 11,756.25 28 'I'ELE caws ~ (TCI GRP) (1.200 Units) 24,675.00 29 'I'ELE CCM>t ~ (LIBERIY MEDIA GRP) (300 Units) 7,912.50 30 Household International, Inc. (200 Shares) 12,112.50 Account No. 4410002643 31 foIJN INVT 'IR #197M FD IN!' TERM MPS (25 Units) 1,024.78 32 foIJN INVT 'IR FD #9D M INSD MIS PA (25 Units) 1,103.44 33 foIJN INVT 'IR FD #187M IN!' TERM (5 Units) 965.53 34 foIJN lNV'IR FD PAll11 SER (5 Units) 380.82 TOI'AL. (carry fotward to main schedule) . . . . . . 180,022.45 SMITH HAnNEY INC. ACCOUNT POSITION SUMMARY AS OF 01/11/96 HARRIET H BERKHEISER 2851 RUSSELL ROAD CAMP HILL PA 17011-2141 ACCOUNT: 724-08726-1-9-514 FC: JOSEPH KURTZ % of ASSETS" MONEY FUNDS STOCKS MUTUAL FUNDS UNIT TRUSTS 24,873.16 663,262.99 31,303.76 59,826.20 3.2% 85.1% 4.0% 7.7% ------------- ------------- ------ ------ LONG POSITION & CASH* 779,266.11 100.0% ------------- ------------- TOTAL ACCOUNT VALUE 779,266.11 '. . . VAlUE DOES NOT INCLUDE UNPRlCED SECURITIES. .." OF ASSETS REFLECTS ACCOUNT BALANCES AS A PERCENTAGE OF LONG POSITION & CASH AND IS ROUNDED TO THE NEAREST TENTH. AS A RESULT THE ACTUAl TOTAl MAY NOT EOUAL 100". THIS INFORMATION .IS BEING PROVIDED AT YOUR REOUEST AND DOES NOT REPLACE OR SUPERSEDE YOUR SMITH BARNEY INC. CUSTOMER STATEMENT. THIS INFORMATION IS BASED UPO, I THE MARKET VALUE OF YOUR ACCOUNT AS OF THE CLOSE OF BUSINESS AND IS SUBJECT TO DAlLV MARKET FLUCTUATION. _.._H_. ., SMITH BARNEY INC. PAGE 1 ACCOUNT POSITIONS AS OF 01/11/96 HARRIET H BERKHEISER 2851 RUSSELL ROAD CAMP HILL PA 17011-2141 ACCOUNT: 724-08726-1-9-514 FC: JOSEPH KURTZ QUANTITY SYM/CUSIP SECURITY DESCRIPTION PRICE MARKET VALUE 24,834 S8CX SMITH 8ARNEY MONEY FUNDS INC 1. 000 $24,873.16 38.47 ACCRUED DIVIDEND 277 ALL ALLSTATE CORP 39.125 $10,837.62 800 AHB AMERICAN BRANDS INC DE 44.000 $35,200.00 402 AXP AMERICAN EXPRESS CO 39.500 $15,879.00 6,777 ADM ARCHER-DANIELS-MIDLAND CO 17.250 $116,903.25 731 ONE BANC ONE CORP OHIO 35.750 $26,133.2S 350 BDK BLACK&DECKER CORPORATION 31.875 $11,156.25 690 CSX CSX CORP 44.500 $30,705.00 400 CFL CORESTATES FIN'L CORP 36.375 $14,550.00 450 DQE DQE INC 31. 250 $14,062.50 117 DWD DEAN WITTER DISCOVER & CO 45.375 $5,308.87 50 EMN EASTMAN CHEMICAL CO 63.875 $3,193.75 200 EK EASTMAN KODAK CO 66.250 $13,250.00 1,178 ETN EATON CORP 53.250 $62,728.50 20 ELJ ELJER INDS INC 9.125 $182.50 2,987 FRPAX FRANKLIN TAX FREE TRUST PA 10.480 $31,303.76 TAX FREE INCOME FUND .' ** MORE ** 1...A"'~r:~""",~_,-".,-~;,. .... .--....,...-.-~. -- .-'.":.......____ . .w.. _.. SMITH BARNEY INC. ('AGE 2 ACCOUNT POSITIONS AS OF 01/11/96 HARRIET H BERKHEISER 2851 RUSSELL ROAD CAMP HILL PA 17011-2141 ACCOUNT: 724-08726-1-9-514 FC: JOSEPH KURTZ QUANTITY SYM/CUSIP SECURITY DESCRIPTION PRICE MARKET VALUE 200 GE GENERAL ELECTRIC CO 70.500 $14,100.00 400 HSC IlARSCO CORP 58.125 $23,250.00 200 HSY HERSHEY FOODS CORP 65.125 $13,025.00 62 IBM INTL BUSINESS MACHINES CORP 87.250 $5,409.50 19 KUH KUHLMAN CORP 12.250 $232.75 80 LEH LEHMAN BROTHERS HOLDINGS INC 21.250 $1,700.00 920 MRON MERIDIAN BANCORP INC 44.500 $40,94D.00 25 62622A642006 UTS MUNICIPAL INVT TR 1197 M 1023.280 $25,582.00 FD INTER TERN-HLTY PMT 25 62623X302006 UTS MUNICIPAL INVT TR FDI9D M 1100.710 $27,517.75 INSD Mis PENN MTHLY PMT 5 62623Y300006 UTS MUNICIPAL INVT TR FD 1187M 963.670 $4,818.35 INTER TERN MTHLY PMT 5 626236624006 UNITS MUN INV TR FD PA 1 11 381.620 $1,908.10 SER 429 NSC NORFOLK SOUTHERN CORP 78.500 $33,676.50 1,962 PPL PP & L RESOURCES INC 25.375 $49,785.75 600 POM POTOMAC ELECTRIC POWER CO 26.500 $15,900.00 424 RO ... ROYAL DUTCH PTLM CO 137.625 $58,353.00 N Y RECISTRY SH PAR N GLDR 5 .. MORE .. '-",.~ '-~-,.. ---" M' SMITH HARNEY INC. PAGE 3 ACCOUNT POSITIONS AS OF 01/11/96 HARRIET H BERKHEISER 2851 RUSSELL ROAD CAMP HILL PA 17011-2141 ACCOUNT: 724-08726-1-9-514 FC: JOSEPH KURTZ QUANTITY SYM/CUSIP SECURITY DESCRIPTION PRICE MARKET VALUE 300 S SEARS ROEBUCK & CO 42.500 $12,750.00 1,200 TCOMA TELE COKMNS INC NEW 21. 750 $26,100.00 SER A TCI GROUP 300 LBnA TELE-COM INC SER A NEW 26.500 $7,950.00 LIBERTY MEDIA GRP -------------- -------------- TOTAL ACCOUNT VALUE 779,266.11 . VALUE DOES NOT INCLUDE UNPRlCED SECURITIES. THIS INFORMATION IS BEING PROVIDED AT YOUR REOUEST AND DOES NOT REPLACE OR SUPERSEDE YOUR SMITH BARNEY INC. CUSTOMER STATEMENT.. THIS INFORMATION IS BASED UPON THE MARKET VALUE OF YOUR ACCOUNT /lS OF THE CLOSE OF BUSINESS AND is SUBJECT TO DAILY MARKET FLUCTUATiON. . SMITH BARNEY INC. ACCOUNT POSITION SUMMARY AS OF 01/11/96 SAMUEL W BERKHEISER HARRIET H BERKHEISER JTWROS 2851 RUSSELL ROAD CAMP HILL PA 17011-2141 ACCOUNT: 724-08728-1-7-514 FC: JOSEPH KURTZ % of ASSETS" UNPRICED SECURITIES ============= ====== LONG POSITION & CASH* 100.0% .00 ============= TOTAL ACCOUNT VALUE .00 . VALUE DOES NOT INCLUDE UNPRICED SECURITIES. .'% OF ASSETS REFLECTS ACCOUNT BAlANCES AS A PERCENTAGE OF LONG POSITION & CASH AND IS ROUNDED TO THE NEAREST TF.NTH. AS A RESULTTHE ACTUAL TOTAL MAY NOT EOUAL lDD"'. THIS INFORMATION 'S BEING PROVIDED AT YOUR REOUEST AND DOES NOT REPlACE OR SUPERSEDE YOUR SMITH BARNEY INC. CUSTOMER STATEMENT. THIS INFORMATION IS BASED UPON THE MARKET VALUE OF YOUR ACCOUNT AS OF THE CLOSE OF BUSINESS AND IS SUBJECT TO DAlLV MARKET FLUCTUATION. SMITH BARNEY INC. PAGE 1 ACCOUNT POSITIONS AS OF 01/11/96 SAMUEL W BERKHEISER HARRIET H BERKHEISER JTWROS 2851 RUSSELL ROAD CAMP HILL PA 17011-2141 ACCOUNT: 724-08728-1-7-514 FC: JOSEPH KURTZ 2UAH~I~Y SYM/CUSIP SECURITY DESCRIPTION PRICE MARKET VALUE 5,000 PRIME CABLE INCOME PTNRS L.P. ============== TOTAL ACCOUNT VALUE .00 J' , < , ,- .VALUE DOES NOT INCLUOE UNPRICEO SECURITIES. ,'.THlS INFORMATION IS BEING PROVIDED AT YOUR REOUEST AND OOES NOT REPLACE OR SUPERSEDE YOUR SMITH BARNEY INC. CUSTOMER ..STATEMENT. THIS INFORMATION IS BASED UPON THE MARKET VALUE OF YOUR ACCOUNT AS OF THE CLOSE OF BUSINI!SS AND IS SUBJECT ,.. . :TO DAlLV MARKET FLUCTUATION. .< . 09:15 05/07/96 PRINTER:V07N BY: KURTZ, GETHIN J ~'ROM: }6H6 A 724-08726-1-9-514 GLAS HARRIET H BERKHEISER 2851 RUSSELL ROAD CAMP HILL PA 17011-2141 CASH ACCT BAL MONEY FUNDS STOCKS MUTUAL FUNDS UNIT TRUSTS ACCOUNT VALUE 3.50 25,260.59 694,290.23 30,407.66 57,643.60 807,605.58 HOME: BUS: OTHR: SSN: 579-40-2479 SWEEP: SBCX TYPE 1 MKT 0014 05/07 AGE: RISK: INVEST OBJECT: 782,341. 49 AUTO PAY DIV ******************************.********* LN SYM/SEC RNK/DESCRIPTION QUANTITY PRICE VALUE T-C DV 01 tSBCX SB MONEY FUNDS CA 25,188 1.000 25,260.59 1-9 FRACTION OF A SHARE .50000 02 ALL 11M ALLSTATE CORP 277 38.375 10,629.87 1-9 C 03 AMB 8/z AMERICAN BRANDS I 800 40.375 32,300.00 1-9 C 04 AXP 11M AMERICAN EXPRESS 402 45.875 18,441.75 1-9 C 05 ADM ARCHER-DANIELS-MI 6,777 19.000 128,763.00 1-9 C 06 ONE 3/L BANC ONE CORP OH! 804 33.625 27,034.50 1-9 C 07 BDK 2/H BLACK&DECKER CORP 350 39.000 13,650.00 1-9 C 08 CSX 8/Z CSX CORP 690 50.750 35,017.50 1-9 C 09 CFL 21M CORESTATES FIN'L 1,527 36.625 55,926.37 1-9 C 10 DQE 3/H DQE INC 450 26.125 11,756.25 1-9 C 11 DWD DEAN WITTER DISCO 117 53.500 6,259.50 1-9 C 12 EMN 31M EASTMAN CHEMICAL 50 67.125 3,356.25 1-9 C 13 EK 11M EASTMAN KODAK CO 200 73.750 14,750.00 1-9 C ...************************************* LN.SYM/SEC RNK/DESCRIPTION QUANTITY PRICE VALUE T-C DV 01 ETN 2/M EATON CORP 1,178 59.875 70,532.75 1-9 C 02 ELJ ELJER INDS INC 20 11.375 227.50 1-9 03 FRPAX FRANKLIN TAX FREE 2,987 10.180 30,407.66 1-9 C 04 GE l/L GENERAL ELECTRIC 200 76.250 15,250.00 1-9 C 05 HSC HARSCO CORP 400 67.750 27,100.00 1-9 C 06 HSY 3/L HERSHEY FOODS COR 200 75.125 15,025.00 1-9 C 07 IBM 21M INTL BUSINESS MAC 62 107.000 6,634.00 1-9 C 08 KUH KUHLMAN CORP 19 17.875 339.62 1-9 C 09 LEH 3/H LEHMAN BROTHERS H 80 25.125 2,010.00 1-9 C 10 2039566 UTS MIT197INT 25 1014.460 25,361.50 1-9 11 2040023 UTS MIT9DPA 25 1068.740 26, 7l8. 50 1-9 12 2039911 UTS MIT187INT 5 767.270 3,836.35 1-9 13 2043312 UTS MITllPA 5 345.450 1,727.25 1-9 14 NSC 8/Z NORFOLK SOUTHERN 429 84.375 36,196.87 1-9 C *********** MORE TO PRINT ************ Rlv-nOIEX. CI~I1) SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PtollO Prlnt Of T e COMMONWEALTH OF PENNSYLVANIA INHERITANCI! TAX RI!l\IRN RESIDENT DECEDENT ESTATE OF HARRIE:l' A. BERl<HEISER All olnU -owned wtth th. RI htol Survlvo,.h ITI!M NO. FILE NUMBER -1996-00038 mUll... dllCloled on Schedul. VALUE AT DATI! OF DEATH DESCRIPTION 1 Fa.mers Trust Co., Account 11540838 43,024.32 71. 66 Interest on above item accrued as of decedent's death 2 Smith Barney Money Funds, Account 117240872619514 3 Fa.mers Trust Co., C.D. 110117230 4 1991 BUICK LFSABRE - See attached Blue Book 16,377.51 18,981.12 8,100.00 295.20 5 DEFINED ASSE:l' F\JNDS (0lEX:l<S RECEIVED Bur UNDEPOSITED AT DATE OF DFATH) 6 FARMERS TRUST (aIEX:KS UNDEPOSlTED AT DATE OF DFATH) 7 SMITH BARNEY (0lEX:l<S UNDEPOSITED AT DATE OF DFATH) 8 FRANKLIN PA (CHEX:!< UNDEPOSITED AT DATE OF DFATH) 9 HOUSEHOLD I (CHEX:!< UNDEPOSITED AT DATE OF DFATH) 190.17 4,234.51 155.38 68.00 TOTAL Also enID' on Uno 5. Roc I1ulallon S (Anach IddiUonol 8 1/:t' x II" ahoots "mor. specels needad.) 91,497.87 PA15011 NTF lZIS Copyright FOf"" Softwue Only, t.14 Nelco,lnc. NI4PAO'1 . .. .... ~-..u ~~~;,.~-r.! ;i~ 4 BUICK Igg2-91 ",.. "" .. l_ '_j ,.... n., ... 1_ ..... 1"lln;.::.tHt.:"UIIIH' '" ..:~:' .....,fA: In III 10n '"'" 10 _ M un 110 u..u ',ett Sill u_. n. 111 D lnUuIWUIIJ.n .121U.""'........,__ u. 111 O ....0c...lD__.._..*11U.,0U U.IUCtlol\tfAooII...., 121 'UI "'OW-tO _ __.11I\ lUll0U 2nUHII1!W1'Sull_ 221 us M - nOU'JII.ed''''' . no nl 10 UUt,,"IIOI.SUQ) 10 . ltt2lU.lIlIIl.V..U."....C.FWD E n.....CDP'!htt --._ 11. 111\WIIlCUUOII . 5 12.,.......__'__. 121 U~lolnSt...1O .___tn lI2Iu.n :~:~:~':~ii-=. a: U UUUlUlml T lIU.1..1&r'''''''''._ 71 1 11.ooSt~IO.~tl0121142n I .00 ..... .'... w c.... 100 .0 lID'" h-tt S"'I__.__ 110 1M tlt2 CIWTUllly.U.pt....C.,WD 100'" ,)_" c-lM". 100 lOt C UI1I1"U1W\.U . nm'-......_.._.... n 11 InoSM.tO __IoU 1100 UO 1I11.Sl.".'....__ 1111 tllTlllmTOII.U n,u'C1"ntt __ n. 111 C "00W-tO_1I6 .n. 1111 ,.0 m c.." c.Mrll_..._ ,.0 111 "OOc...ZU__&llII121 ,.. 200"'CoI\I ~.fA,.., JOO 2. A lnOSl..ptO__&llIIUI III 111 UUUP"St"'__. 211 211 R UlllnUlUltt-u 210U'&U.S1'U.I_ 211I '2M In.w..._..____Nt 1111 I'" 100IlU........ . 100 111 5 'lollSlI.plO_._IU T211 III II921110...DM.\STlA'V' ". urn., uttw.." . . . - . IUllUlnl. . . '" lol0tm.. ._._AU IUO 'IU 11021""10 ._1Id 112.,2211 umn tllTl"" lIuwnl U.lnI .' e'; 14100WlttO__U6 1111 no 12UISt...1O _ _...I1U1200 lU1J 1200 c.. ZD.___J.III 1111 1100 IDUI1STU UTIU lIS" . ':..I JM~,~:,r-" 1011 ~In UUUII.pD~lInlll~~ll. 1121"'-10 -=--_11.' U2l10aO .nIU'C1"",,_ 111 :111 UlI SII 'filII) ___ NI In. 10411 211 UUII"'" 11111__ 211 :llT1 IU"sa.."~ 10 I 1~:m~.:::-- 1~: iU .n,u.o"'rtt_ 111 11 200mtna.....uC."u 200 '2M 121 U.".. SlII_ 121 12 tIn PAR" AVI"UYlllIA.n.F'Q . 12IU......~_ 121 lUplIlnUVl ., 111"'Cc'"",,CNn. 111 1fIUTOOSKll.o (w1114110 112U U'U'CI""C."_~. 121 12 '''1IW..oiAi=~cuU~4100 nlll lIU.IIIlISbc."""'__ 11 1 lITIlU 1.01"hIr.SuIVW_ ,.0 .11 nOlOCNeZD__U111floliUI lIu.....r......_._~ l' 1 _ 10 u. ha..'.."'.....1 10 I no m ,.....ftt ___.. .._. 110 nl U.lI'hilMSI,11 . U' 221 no...'.""s.,....__~ no IU ttl2 RlGAL.V..AT."....CofWD Ulmtuct..,StItSl't.llrI) u. 'UI ifill mllll nuu Q "'''' ___ _.. no 211 1121 ""'.0 .__.__. m 1111 10411 no U. o..:'/lN S"ltll no no 112. c....lD ___ .~_. ai, 1111 10421 100'" e....... _____ '00 100 IIIUlIllnI . UOGSI..C1 ._~.1lD\ 141. 11410 '..UUUR....f,T."....C.'WD 1~::0Ittrl::n---_1I01 141111410 1;~~:I~m._._'"1 4112. li~ loo.0St..C1..____lIln 'ala 12121 ,::Mrc'UsT1."ir-'"' 4In 11041 l00.0c....ZO-;::.:..:;:.!11010 1212 112' c.c. m':"""__1U1 1310 110. 41lom"etls..-.t . 00 4110 IInw-1O . ___. ,.u .no 1101 10". SltlH h~ _...._ 10 . I mUll au_ mn.u '" mCl"'rttu_... 111 1f1 U'OtNNlD _.._"11121 1111 'U~,ij f.t~mJ:lmJ~11S BUICK 1991 \ .,... - ,,.,.. n,. _.. 1- .- 'It'RICiAL..'1.....'.n.Ac"wD IWU':::~ICI .__._.. _ IItt 1400 1111 D lIOO C...lD _ _ WlI 1400 1111 1I1111Ut.1I1ml s.. 0 1121 Till W. CI .._ m .nl I M 1111 c...lD _. M:l1 1121 "00 101 - E 101 4100 UI ...... s...... _ '00 .00 5 nutSlttlthor ___ n n 110 121"'CD"'ttt.___ 121 121 T nOIUCNIlIrlIl.CI..., 110 no 112 100 II.,.... Stl' _ 100 100 I i 100 U, '""......", - 100 100 C . 10 IU......Dwhtl' '0 10 U U. Sl."'..ISU...lI 21 . '00 U. tr'II'Il ttettrI __ 100 100 l00U',...,........_ 100 I,: 11,IUtulJlftStan_ nl 111 100 W,..., Sut __ 100 ~OOU.l;l..Spwt"'1 _ JOO 200 C 10 U."'"tloIlIhtll. 10 I 2QOIUbttl..'''.'"_ 200 200 110 U'tnl Wlft/fA'fttl 110 11 1ft1 UU.RI.V..AT."....C.r<<D A 100lHc....c.-._ laG loS 1110c...m __ Ifl T1T1 "" R .0 ..U1. Strl 1/llItI_.. 10 UUII( ",TOI nouU."U""'-- no n 11D0SM..o__ W\ noo 10121 5 200 U' -.IM' .11"_ 200 200 UWIl Ulml ..O...ltt.,toItWC.... 110 .no 10nWM.o .., In, I1UO "I' ClJfTVlIIy..lT.PS....C.FWD :. 1111 c...:a ''='::..1 1000 10n. UlnI1U(DIl.U ~. - I4IIOSHalIO._.......".un.110 121U.,..I...__.. 121 IJS runnClSTOI.U ~ U.U.h.tt......." . In 121 IUow...____.1l6 IITI 1412 ,TlU.......OIIIIl...L 'I 11 1110 c... m___&Il1 1100 12Q 10U'~'" 10 10 11I0sc...... _1/1I Ilia 111 0 10U'Sl,,"h..-= 10 10 unll' UMlnl.U . UI U' c..v c..w. _ In UI 1211 w... .__.IU ITOO 1010 11. U' ClI$l .,.,.,c..*, III 111 1121 Sb.p 10 ___al lOTI 141 121 U.lu_ "'ll __ UI UI an.n UlCll." . 200 U' '-lM' "1'0._ 200 200 IIOOW-CD_____.I" 1221 111 101l.e....... om '0 10 nltun MTOI." tft, RO"'DMASTllll WAtOIl'VI 1200"'1O__1l6 1100 ,.n 11110hta...pD _."110010 UUI lIooc...lI_J.IIllIoO 110 _ noOSb.fllO-.~W '"0 .UI 110IUCD"",._ 110 no WT1I1UKlUt-.. UIU.lutJltt""'_ UI UI 1111W111l1.__...llt .,00 1121 . ,0IUe.""" '0 10 111'UI.,..o._._1l11411.1I1I,",PU..AVI'RIVilftA'U.r<<O P1unuut n 2 10InSt.." __ .1:1'1 IITI 12010 UI 12IUUIWllCllft' _CIUUOo nOlo ;11 ;ll~:~~ills~i~.;.:!ii "Iii 121 '12' 200"'CD",,, ___ 200 200 10 I UIU.G.It..kMS,,,,1I UI UI 10 I JOO.U Cell "IIIIlWI.CI...,. 200 200 111 111 10IUe.'""", _ ... .0 10 1(I~fll1:~1f:.,.w'1 .,,, - fP\l. fY" .. l_ ...., ,hi U'WI..','Ht-'WI.C"lI&". "lUll linn IttnDH' 1110 W-. _ Ie>> 1000 ..A ",WI.lI ilia c...:a _~_...,"I 1211 IUo SM. Cl ._ __1m '21' IlIUIlMTlI.n UUc...Bl__1U1 noo .21."..10 Ie) .,00 plUll WI UIlf.Y1 Iliac... 10 ,..1 Inl IIIWlLn..llllTl..... loI0W-_ _II>> IUO 211" Sl"" I.. . UI".CU"",tt_._._... 100 au,.... Su' __~. 100U......~-,. . 10 au...... 0. h..,. ,'OU.t.II ...".tI..., lOoIUc...vc..ull.... 10....I.SlII M-t'II _.. 121 U. I... S.II Si"'I_ IOU.......... ..- 10U'lratt,IItIlS,WI n.u,\uUlll'St,,, . ....\~...,. .'. -..... i ( , I 1 I ; i , .....l ., ~IV.tI\lIK '110111 COMMONWl!ALTH Of PENNSYLVANIA INHIlIITANCI! TAlC 1Im1I1N II!BID!HT II!C!D!HT mATI! OP SCHEDULE J BENEFICIARIES FlU! NUMD!R HARRIE:l' A. BERKHEISER ITI!M -1996-00038 AMOUNT 011 SHAIII! OF I!STATI! NO. HAMI! AND ADDRI!SS OF DI!NI!FICIARV RI!LAnONSHIP A. Tillable IleqUIIII: 1 samuel W. Berkheiser 2851 Russell Road Canp Hill, PA 17011 surviving spouse 762,501.62 ITEM NO. NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHAIIE OF ESTATE B. Charitable end Govemmental Bequests: None TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS Also entOl on Une 13. Rae ltulenon (II mo,e opae. Is needed, Insert.dd1l1onal ahllts 01 ..m. ....) $ PA1S131 NTF '220A Cop)'liohtFo"... Sottwlll Only, 11'" H.!co,lne. "14PA'31 0.00 REV-UI"8 EX. (B/8') SCHEDULE 0 TRANSFERS TO SURVIVING SPOUSE COMMONWEALTH OF fllNNSYLVANIA INHUUTANCl TAX ,,(JURN "UIDEMT DECEDENT ESTATl! OF FII. Numbe, HARRIET A. BERKHEISER -1996-00038 PART A: Ent8lthe ~pllon Ind valuo 01 a1llnlo,05". bolh t..eble end non-I,,"blo. ,ogordl... olloc.lIon. (nel 01 d.ducllono) which pus 10 lho doeod.nro surviving opouoo by will. InlO5'ecy. opOlIUon ollsw, or olhoroVt... Dosa1 lion 01 homs Arrount 1 1 Assets passing to Harriet Berkheiser Credit Trust in Accordance with Item Fourth of the Decedent's Will. Identifying NUmber - 25-6538822 600,000.00 2 Assets passing to Harriet Berkheiser Marital Trust in accordance with Item Third of the Decedent' sWill. Identifying NUmber - 25-6546204 154,401. 62 3 Item 4 on Schedule E 8,100.00 Part A Tolal: Ent8lllll1Ount shown on Iho,oc ltulltlon ohoolln Iho OocedenllnlonnoUon Sec:lJon. 762,501.62 ElectJDn TD Subject PrDperty TD Tax Under SectlDn 2113(A) As A Taxable Transfer Sy This Decedent. II 0 truot o,llilrIlor orrongomont mea" the requlromonlo 01 Sce1Ion 2113(A), end: L Tho truot 0'_01 orrengomonlls noted on Sch.dule 0, end b. Tho value at the truot Dr olmllor orrengomont Is enlered In whole o,ln part IS In ....t on Schedule 0, then the tronslerD(e personal reprosonlellve may spocifieally Id.ntlly lho truot (011 0' elrlcUonal por1lon 0' p8lcontsg.) to be Included In tho oIoc1Ion to h......sueh truot o,llilrIlor property tresled IS aloxable transler In IhIs O5..le. II loss then Ihe .nlife value 01 the truot 0' olmIlor property Is Inc:luclod IS a tOXlble treno/or on Schedule 0, tho pelllOnal reprosontallve oholl be conold.r.d to heve made the eloe1lon only ISla e rree1lon 01 the truot o,_or orrongomonl The nUlTlOletD' 01 this rree1lan Is equal to the llIl10unt ollhe truol 0' olmllor orrlngment Included IS e'oxeble ....., on Sehodllle O. Tho denomlnatD'is equal to tho tolal valuo 01 the truot o,_or orrengomonl ELECTION: Do you elect under Sec1Ion 2113(A) 10 tr.., u a taxable lrInsle,ln thll estal. all or a porUon 01 a trusl 0' similar omngemenl .....,ed lor tho 001. ule 01 this decodenl'e eurvtvlng spouse durtng the surviving spous.'o onUII IlIeUme? YES D NO ~ Slgnotu'. Dale Nole: II th. .llClIon ~Ies to mo,ethln on. trusl 0' slmlla,arrangemontthon a e"""ralo 10,," muol be signed and "led. Part B: Enl8lthe doser1pllon end value 01 a1llnler05". both toxebl. and non-Ioxsbl., rogordloss al\oCIUon. (not 01 dedue1lono) which pus to the doeodenrs ourvlvlng opou..lo, which. Sce1Ion 2113 (A) elocllon 10 bolng made. Doser1 lion 01 homs 1 Arrount None Part B Tolal 0.00 PAUIUl NT> 1011 Copyright Fonu Solt_.,. On'" 111S HllcO, In," NUPMI' Form 706 United States Estate (and Generation-Skipping Transfer) (Rev. Augult 1003) Tax Return OMD No. 1!\o15.0015 Eotato 01 0 elUzon o"..ld<o.t 01 tho Unltod Staloa (III IlpIrato InlInlcUonl). To be EJ:plt.sI2-31-05 o.plttM,nlal th. Tr'''Uf' "led 10' doeodonla dy1ng InOl OctobOll, llItO. For Plplrworll RoducUon Act 'n'.'''.I.......nw.S.MU NoUco. 100 '",,00 1 01 tholnltnleUono. 18 O.ud.nr. 'ill' n'III' ,nil III.ddlllnlt'lll,nd m'ld." "''''','' Iny) 1 b Olud."r,lA,t nl'u 2 Doeodont'l SSH HlIRRIE:l' A. BEIOOlEISER 579-40-2479 38 Oomjdll I' IlInI 0' dl&lh IUllnty and ILltl, or 101'111" coun"YI 3b Y.., dUlltll, nUbh"'14 0"101 '"lh 50all.,duth Camo Hill, CUrrberland County. PA 1913 12/16/13 12/12/95 68 Nil"" of ,.,cutor I'" InltruttID"" 6b [..wl.,.. addn..ln"",'., ,nil IUn' ,,,ckldlng,p.'tm."l at IUltt "D. Of 11011.1 -- SarmJel W. 8erkheiser tout.; aty. town, Ot pul,Wee; It&tl: 'nil ZIP cad" nt -- 6c Eneuto'" saa,lllcu"ly nlolmb,' (... ,"1'fWCtlO"') 2851 Russell Road , 297-14-9309 CarrQ:) Hill. PA 17011 78 Ham. and loaUon.' c;ourt wh"l Will WAI ploballd 0' ..t.t. adr'lIniJllnd 1~b CUI nvmbl' . 21-96-0038 o ' Court of CUrrberland County. Carlisle. PA 8 II dludln' dlld t..lall, chick hl'l . .. I X land a'lach a urtlllld copy 0' Ihl WIll 19 II ForM..,III.lttachld.dtlck h,r......1 I 10 II SChldul1 R.ll.lttachld,chlck herl.. ~I I 1 TDlaI gro.. .slll. (fiom pan 5. Rocapilulltion. pago 3. nom 10). .. . ........ ., . . . ., . ..... ... .. . 1 1. 076.108.27 2 TOlal allowlblo d.duclion. (Irom pan 5. Roeapllulation. pag. 3. ilom 20) . . . . . . . . . . . . . . . . . . . . . . . . 2 476.108.27 3 Taxabl. ..Ial. (suboact IIn. 2 from IIn. 1)................................................ 3 600.000.00 4 Adju.l.d taxablo gifts (Iolal taxabl. gilts (wi1hln tho rManlng 01 soclion 2503) mad. bV Ih. doc.d.nt InOl Doe. 31. 1976. Olh., than glnslhal as. Includibl. In doc.d.nrs gro.. oslal. (.oclion 2001(b))) ... 4 0.00 5 Add IIn.. 3 Ind 4........ .. . . . .. . ... .. .... .. .. . .. . . .................. ...... . .. ...... S 600.000.00 6 Tentative tax on the amount on line 5 from Table A In tho Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . 6 192.800.00 7a II Une 5 .xceods $10.000.000. .nl., loss.' ollln. 5 0' $21.040.000. II Un. 51. $10.000.000 or I.... .klp IIn.. 7a & 7b & .nl.' -0- on Un. 7c. I 7a I b Subtrlcl $10.000.000 1T0m IIn. 7e .. .. . .. .. . . .. .. .. . . . . . . .. . ... I 7b I c En10l5% (.05) at Un. 7b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . 7c 0.00 8 Tolall.nll1lv. tax (Idd IIn.. 6 and 7c). . .. . . . . . . . . . . . . . . . . . .. . .. . . . . .. . . . . . . . . . . . . . . . . . . . 8 192.800.00 9 Total gin laX p"V"bI. wi1h 'ospoet 10 gilt. mad. by Iho doe.donlenOl Oocomber 31. 1976.lncltJd. gin tax.. paid by tho doe.d.nr. .pou.. 10' such .pou.o's shas. ol.pD1 gifts (soctlon 2513) only U tho doc.d.nt waslh. donor ollhe.. gin. and th.V as. Includlbl. In tho doced.nr. gro.. ostal. (.eo In.L). 9 0.00 10 Gro.. eslal.lax (subolct Un. 0 I,om Iln. 6) . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . 10 192,800.00 11 Maximum unified credil against ..Ialo tax . . . . . . . . . . . . . . . . . . . . . . . 11 192.800.00 'Ii::;!:!!; -- 12 AdJu.unont 10 unifi.d cr.dlt. (This edju.unonl may nOI.xceod $6.000. m- See peg. 6 01 th.lnslructions.)... ... ..... .., ...... . . . ........ 12 0.00 ~;~I!:\:j~: n 13 AIIowabl. unlllod cr.dil (.ubtract IIn.121T0m Un. 11) .,. ......................... ........... 13 192.800.00 14 Suboecl line 13 1T0mlln. 10 (but do nat.nl.,I... IhenZOlO). ....... ......................... 14 0.00 15 Cr.dU lor 01110 d.llh taxos. 00 not .nler m,,,.lhon IIno 14. ColT'l'Ulo Ih. cr.dlt by u.ing Ih. lIIllOunl on Un. 31... $60.000. See Tablo B In tho InslrucUon. and attach e,odI1.vld<once (soo Inslructions) .. 15 0.00 16 Suboect line 151T0m Uno 14 .......................................................... 16 0.00 17 C'.redrt lor Federal gift laxes on pro-19n gift5(uc:. 2012IIItt1ch compulationl 17 0.00 ,.... ::,;"..,: 18 Cr.dU la, 10'.lgn dOllh lax.s (Irom Schodul.(s) Pl. tAll... '"mt.) "'CEI 18 0.00 "'''.''1' .;.i.... 19 Cr.dil fa, tax on prlor oln.'... (lTom Schedul. 0) . . . . . . . . . . . . . . . . 19 0.00 : \ i; ~:: :!: i 20 Tolal (Idd IIn..17. 18. and 10).. .. . . .... ... .. .. ., . ... .... ......... ... .. ............... 20 0.00 21 N.t.slal. lax (subtrlct IIn. 20 tromlln. 16) .............................................. 21 0.00 22 G.noretion-.klpplng oensl., tax.s (Irom Sch.dul. R, Pert 2. IIn.l0).... ............ . ......... . 22 0.00 23 Section 4960A Incr....d ..lalo lax (fiom Schedulo S. Pert I. IIn. 17) (seo Inslructlon.) . ......... .., 23 0.00 24 Tolal trlnsl., taxes (Idd UnDs 21. 22, and 23) ........................ .j.I................... 24 0.00 25 Prlor plYrMnls. EJ:plaln In en anach.d olalerMnl . . . . . . . . . . . . . . . . . .1 25 0 . 00 "..1 ;!:Ji:i} 26 Unil.d SIal.. Tr...ury bonds ,odoorMd In paymonl 01 eslalo lax. . . .. I 26 I 0.00 .,,,>;.; 27 Tolal (Idd nn.. 25 Ind 26) .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . .. . . . .. . . . . . .. . . . . .. . . . 27 0.00 28 Ballnc. duo (or Dv.roavmonl) (.ubtraclUn. 271T0m IIno 24) . . . . . .. .. . . . .. . . . . . . . . . . . . . . . . . . . 28 0.00 Undlr plnlllil. of plrJury,' d.c:lln Ihatl havl lu".lned thi. nlurn.lnc:ludlng o\c:compln)'lng achlduln and .lallmlnt., and 10 thl bllt 01 my knowlldg' and b.lllt, 1111 truI, c:o,rlc:t. Ind I:Ornpl.t., D.cllrallo" 01 pupanr olller Ihan thl ...wtor I. baud on .1Iinlo,"'atlon of whic:h pnper., has any Il"owl.dg.. SlgnaNI.(s) ol.xOC\Jlor(s) Data Signature 01 proparor other than oxoculor H7n NTF:I271 3401 North Front Street. P.O. Box 5950 Harrisburg, PA 17110-0950 Add'... (end ZIP cod.) 011. .' .' Form 70t11Rov. 8-83) Eltlte ol~ HAARI~ A. BERl<HEISER Part 3. - ElecllDns by the Executor 579-40-2479 1 Do U .Iecl aJlornlle valulllon? . . . . . . .. . . .. . .. . .. . . . .. . . . .. .. .. . .. .. .. . .. . .. . .. . .. .. .. .. .. . . . . . . . . .. . .. . . 2 Do you eloc1apeclal u.. valulllon? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II "1'.... u """t co Iole .nd .nlch Schedule A-1 3 Do you eloc1 to PlY the..... In Inslallments II dosctlbed In _lion 0100? . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II "1'.... u "".II11Ach Ihe IddlUonallnlormlUon dOSCflbed In Ih.ln.INCllons. 4 Do you .Iect to pollpOno Ihe plll1 of Ih. tax.. lnr1bollblo to e r.v.ralonllY Dr remalnd.r Inl.r..1 II dosctlbed In socllon 0163?............................................................................................. . Part 4. - GenerallnlormallDn (Note: PI.... enlch Ih. nec...1IY .upplomonlal documents. You mUltlltaeh th. death e.r1IllColte.) AuthortzabOn to r8C8fV8 conftdentJallax In'ormaUon under Aoguhltions sochan 601.504(b)(2Ut),10 act as the OS1110'S representative belors the InlOlnal Rovenu. Sorvlce. end 10 make wrin.n Dr o,a1 pre..nrellon. on behsll ollh. ..III.lf r.turn pr.par.d by In Ino,noy, lCCOunlln~ or .nroRed a enl tor the executor. Narno 01 r.prosenllllv. (prinl or typ.) Sllle Addr... (number, .ooet. end 'DOm o,.u1le no., clly. .Iele, and ZIP code) Peter J. Ressler PA See Schedule attached I declare thell om tho X Inornevl .m.nlAnll enrolled eg.nl (you "".1 chock Ihe oppllclblo box) lor tho exoculor .nd prepared Ihl. return lor the executor. I am nol under sus onslon or disbarment from raeliee beforo theiRS & am qualified to ractice In the state shown abovo. Slgnlture CAF number Olle ToI.phono number 1200-04822R 717-232-5000 1 Dellh cor1IlIcll. number and issuing eUlhortly (enach e copy of the delth cortillclle 10 this return). 21211 lvania De tJrent of Health 2 Oecodenrl bo.n. or occuplllon. II reUred, check h.re~ X Ind .I.le doc.denr.lormor bo.ln.... 0' occup"tion. Nurse 3 Martial Stltu. 01 tho decodent el time 01 delth: []] MorrIod D Widow or wtdower - NAl'Il', SIN, Ind dall of duth 01 d~u.ud .po"" ~ V.. No X X :11:::1.1;1. ::::i:i:i>1 X ll!!;'j': .!;;!: :! i : I- ~ I ,.,,1,.0, X PIe... chick lhe "1'''' 0' .No' box fo, olch u.ltlnn. Single Legally separlled Divorced -.. Oat. diva." dau.. b.eama Ilnal ... 4a Survtving .poU.... narno 4b SocIal aocurtty number 4c Amount recelved (see Instrucllons) Samuel W. Berkheiser 297-14-9309 467.342.17 5 Individual. (othOlthln Iho IUrvtving .pou.e). 1N.1s. or olh.r ..tal.. who rocolvo benofits Irom tho ..tale (do nollnclude charttable benellcl- orIes Ihown In Schodule 0 .00 In.~ . For Prlvl Act Notice ( UClbl.IO Individual benollclorles on . see tho InslnlCllons 10' Form 1040. Name of Individual. IN.~ 0' osl.le rocolvln $5,000 0' more Id.n . numbe, RoIIlIonshl 10 dec.denl Amount (see In.t Harriet Berkheiser Residuary Trust 25-6538822 Trust 600.000.00 All unosi:or1a1nlbl. benollclarl.. Ind lho.o who rocolv. 10.. Ihan $5.000. . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . .. ~ 0.00 Tobl . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . .. . . . .. . .. . .. . . . . . . . . . . . .. . . . . . . . . . . . . . (Continu.d on n.xt pege) H7n HTF 2272 600.000.00 Page 2 Form 700 (Roy. 8-93) Part 4. - Gonorlllnlormallon (continuod) Mu.o chock tho "Vos. or -No. boll: for oach uDelle". V.. No 6 Doos Iho groas elllle conllln eny locUon 20<< p,opollY (qulllftod 10ffnlnlbkllnl..osl PIOPOIlY (Onp) kom a p.lor grll or oalllo 100 . 0 a ollhe InllnJction. 7. . . . . . . . . . . . . . . . . .. . . .. . . . . . . . .. .... . . . . . . . . . . .. . ... . . . .. . . . . . . . . . .. . X 7a H.vo Fodorll gill lax rollJrna OYO' boon mod7 . . . .. . . .. . . . .. . .. . . . . . .. .. . .. . . .. . . . .. . . . . .. . . . . .. .. . . . . . . . .. .. . X It "'Yes,- 10lso .n8ch co 1011 01 tho loturns, I' IYlJlablo, and turnJsh tho lollow! Information: 7b Portod(a) covored 7c Imernol Rovenue ol11co(s) wOOrelllod If au anaw.r '"(u. to an 0' u..Uons 1"15, au mUlt attach addldonallnformadon as described In th.lnstrucUons. 8a Was thoro an Insuranco on tho decadenrs 11I0 that Is nollncludod on tho roturn as IU1 of tho lOSS Dsl8107 . . . . . . . . . . . . . . . bOld Ihe docodent own an In.urlnce on Iho Ine 01 Inolhor Ihello not Included In the ro.. eSlol07 . . . . . . . . . . . . . . . . . . . . . . . X 9 Old Iho docodont allho time 01 dOllh own any property e. a jolnllonlnt wilh r1ghl ol.urvlvorshlp In which (e) ono 0' more ollhe olhor lolnllonenls WIS somoono Dlhor Ihln Ihe docodenr. spouse. end (b) loss Ihon Iho 11I11 valuo ollho proporty I. Included on Iho relurn os port ollhe rosa 0.10107 II "Yo." u IOOsl cOlllllolo and Inoch Schodulo E . . . . . . . . . . . . . . . . . . . . X 10 Old Iho docodonl. 01 \ho time 01 doolh, own any Inle"'lln I partn...hlp or unlncorporolod buslnes. o,"ny stock In an Inactive 0' closoly held corporotion7 .. . .. .. . . . .. . .. . . . .. . . . . . . .. .. . .. .. .. .. . . .. .. . . . . .. .. .. . .. .. . . . . .. . . . . . . .. . .. . X 11 Did Ihe decodont mako Iny nonslor doscrtbod In soction 2035. 2036, 2037. or 2036 (.... Iho InslnJcUons lor Schodule G)7 II "Ye." ou IOO.t colllllelo end onech Schodulo G . . . .. . . . .. .. . .. . .. . .. .. .. .. . .. . . . .. . .. .. . .. . .. .. . . .. . . . . . .. . . X 12 Werelhoro In oxlolenee lllho time ollho docedenr. dealh: a Any InJsl. Cfollad by Ihe decedenl durtng his or her lIlotime7 . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . b An trusts not creatod b tho decedent undor which tho decodent assessed an powor. beneficial inlerosl. or trusteeship? ... 13 Old thl diu dint .v.tpa...... ...,cl.., or '.1.... any g.n.,.1 paw., at .ppainlm.nl1 It .....1,.)'0\1 mu.t compl.l. .nd .llIr;h Sch.dul. H ........ 14 We marital deduction co"lJuted undor transitional rule of Public law 97-34, sec. 4OO(e)(3) IEr;onomlr; A"ov.,,, Tn Ar;t 011"11'. . . II "YOS" Inach e soparete collllulation ollho martial deduction. enle'lho omounl on horn 16 ollho Rocapllulation. end nole on ttem 18.co utalian a"ached." 15 Wos \ho docodon~ Inmodlalely boloro dea\h.,eceivlng an ennuity doscrlbod In Iho "GoneroJ" paragraph ollho InSlnJction. lor Schedulo 1711 "Y.... ou must com 1010 and anach Schodulo I.. .... .... ..... . .. . .... .. ..... .. .... .. .. ..... ... X 16 Old Iho docedonl heve I lolal "oxcoss rotiremenl acculOOlation" (os definod In socUon 49BOA(d)) In qualifiod employer plans end IncfMdull retireroonl lans7 II "Yos," ou musl com lelo and Inlch Schedulo S.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Part 5. - Recapitulation 110m no. Gross estate Allernate valuo Volue al dale 01 dealh 1 2 3 4 5 6 7 6 9 10 ScheduleA--Roal Esllte.............................................. Schedulo B -- Slocksand Bonds .. . .. . .. .. .. . . .. .. .. .. . .. .. .. . .. .. .. .. .. Schedule C -- Mongag... NOloS, end Cesh . . . . . . . . . . . . . . . .. . . .. . . . . . .. . . . . Schedule 0 -- Insurenco on tho Docedenr. Ufe (anach Form(s) 712). . . . . . . . . . . . . Schedulo E -- Jolnlly OWnod Property (anach Form(s) 712 lor filo Insuranco)....... Schedule F -- Other Mlscollaneous Property (anach Form(.) 712 lor filo Insurenee) . . Schedule G -- Trensle", Durtng Docodenl's Ule (anach Form(s) 712 lor fifo Insurance) Schodule H -- Powe'" 01 Appolnlmonl . . .. ..... . ... .. .. ............. ... .. . Schedulo 1-- Annulti.. .. ... . .. .. . .. . .. ..... . .. .. . ....... .......... .... TDlal gro.. ..late (add hems llhrough 9). Enlar here and on fino 1 ollho Tax Co uleUon.. .. . .. .. . .. .. . . .. . . .. . .. .. . .. .. . . . . .. .. . .. .. .. . .. . .. .. . . 0.00 717.932.58 78.454.61 0.00 266.677.82 13.043.26 0.00 0.00 0.00 1.076,108.27 Itom no. Doductions Amounl 11 12 13 14 15 16 17 16 19 Schedulo J - Funorol Expenses end Expensos Incurrod In Admlnlslertng Property Subjocllo Claims. . . . . . . . . Schodule K -- Debls ollho Docodonl . . . . . . . . . . . . . . . . . . .. .. . . .. . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . Schedulo K -- Morrgagos end U.ns . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . .. .. . . . . . . .. . . . . . . . . . . . . . . . TDlal 01 Items 11 through 13.................................................................. A1lowablo omounl of daductionslrom itom 14 (sco Iho InSlnJctJons lor Item 15 ollhe Rocapllulation) .. ... . ... . ScOOdulo L -- Not Lassos Durtng Admlnlsnation . . . . . . . . . . .. . .. . . .. . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . Schedulo L -- Exponsoslncuffod In Admlnlslertng Property Nol Subjoct 10 Claims. . . . . . . . . . . . . . . . . . . . . . . . Schodulo M - Bequosl.. ole., to Surviving Spouso. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schodulo 0 -- Charitablo. Public. and SImilar Gills and Be uosls..................................... 8,766.10 0.00 0.00 8.766.10 8.766.10 0.00 0.00 467,342.17 0.00 20 TDlal alloweble doductions add Items 151hrou h 19). Enlor here and on fino 2 ollho Tax Co ulation.. .... . Page 3 H732 HTF 2114 Copyright Form. SOIt.II. Onl)', 1113 H.lr;o, I"c. HUTOn 476.108.27 ~".".",_.__",<..,~,~.__,;,.;' "".'I",,",'."",:,. . -,,-,.-_._' Fonn 701 (Rev. 1-83) Eltate Dr: HARRIEr A. BERI<lIEISER SCHEDULE B -- Stocks and Bonds (For I<>lnlly owned proporly Ihll milt be dlacloaed on Schedule Eo _1hI IlIIuucllolll 10' Schedul. E.) 579-40-2479 ",. Ollen,IUlI" ""Iu"", flUIIft.unl al b."d. Of "uftlb.,., ,ha'" AJ1,,"'" Valu.alda,..,d.ath and,at ....IIi. ."." "lIdd fo' Id.ntlflc.ttlon. Ullll....Iu. .It.m.t.....Iu. ... Oi.... CUIIP"uftlbltlf .....ilAbl.. .,.ll.Iatt."cI.l. 1 Allstate Corp (277 shares) 39.6875 10,993.44 2 Arrer1ean Brands Ine DE (800 45 36,000.00 Shares) 3 !Ilrer1ean Express Co (402 Shares) 43.3125 17,411.63 4 Archer-Daniels-Midland Co (6777 17 . 3125 117,326.81 Shares) 5 BANe em: CORP OHIO (731 Shares) 39.4375 28,828.81 6 Black & Decker Corporation (350 35.5 12,425.00 Shares) 7 CSX CORP (690 Shares) 44.6565 30,812.99 8 CORE'STATFS FIN'L CORP (400 Shares) 38.5 15,400.00 9 WE ~ (450 Shares) 29.125 13,106.25 10 DEAN WITI'ER DISCOVER & CO (117 51. 4375 6;018.19 Shares) 11 E'AS'IW\N OlEMICAL CO (50 Shares) 65.25 3.262.50 12 E'AS'IW\N 1<DDAK CO (200 Shares) 68.9375 13,787.50 13 ~ CORP (1,178 Shares) 54.9375 64,716.37 14 ELJER INDS ~ (20 Shares) 8.875 177.50 15 FRANKLIN TAX FREE TRUST PA TAX 10.735 32,065.45 FREE IN::a>lE FUND (2987 Units) 16 GENERAL ELErI'RIC CO (200 Shares) 71.125 14,225.00 17 HARSCO CORP (400 Shares) 58.9375 23,575.00 18 HERSHEY FOODS CORP (200 Shares) 64.875 12.975.00 19 INI'L BUSINFSS WICHINFS CORP (62 96 5,952.00 Shares) Totollrom conUnulllon acheduleC.) (or eddltlonol sheell.lI enached 10 !his schedule. . 258.873.14 TOTALIAlso enlOf on PillS. RoclOltulaUon. oeae 3, It nem 2.1.................. 717,932.58 QI mo.. Ipocols needed, anech the canUnuellon achedule from the end 01 this poclcage 0' addlUDnol ahoelS 01 the aame slze.) (Tl1e InstrUclIo"" to Schedule B .,eln the alpllatelnsuucllon..) Schedule B - Page 12 H7n NTF 1171 Page 2 BERKHEISER 579-40-2479 SCHEOOLE B -- Stocks and Bonds Unit Alternate Alternate Value at Description Value Val. Date Value Date of Death 20 I<tJHIlol.h.N CORP (19 Shares) 11. 75 223.25 21 ~ BROnIERS HOLDINGS INC (80 21. 875 1,750.00 Units ) 22 MERIDIlIN BlINCORP INC (920 Shares) 45.9375 42,262.50 23 NORFOLK SOUl'HERN CORP (429 Shares) 80.6875 34,614.94 24 PP&L RESOURCES INC (1,962 Shares) 24.5625 48,191. 63 25 POI'(X>lAC ELErl'RIC POiIER CO (600 24.875 14,925.00 Shares) 26 ROYAL WlOi PrIM CO (424 Shares) 134.375 56,975.00 27 SEARS ROEBUCK & CO (300 Shares) 39.1875 11.756.25 28 TELE CXXffiS INC (TCI GRP) (1,200 20.5625 24,675.00 Units) 29 TELE C<M'1 INC (LIBERl'i" MEDIA GRP) 26.375 7,912.50 (300 Units) 30 HCFJsehold International, Inc. (200 60.5625 12,112.50 Shares) Account NO. 4410002643 31 MJN INVT TR !l197M FD IN!' TERM MPS 40.9912 1,024.78 (25 Units) 32 MJN INVT TR FD !l9D M INSD MIS PA 44.1376 1,103.44 (25 Units) 33 MJN INVT TR FD !l187M IN!' TERM (5 193.106 965.53 Units) 34 MJN INV TR FD PAUl SER (5 Units) 76.164 380.82 TOi'AL.(Carry forward to main schedule) . . . . . . 258.873.14 " FalIn 701 (Rev. 1-03) EIlJlle of: HARRIE:l' A. BERl<HEISER 579-40-2479 SCHEDULE C -- Mortgages, Notes, and Cash (Fa, Jolnlly owned P'DPol1y Ihlt must be dlacloaed on Schedule E. _tho InllNetlona lot Schedule E.) 111m OCllCllpllon MOInlle Momlle vw. Valuo .t no. vaJultlon dlle d.l. 01 dOllh 1 Fanners Trust Co., lIccount 11540838 43,024.32 Interest on above item accrued as of 71.66 decedent's death 2 smith Barney M:mey Funds, lIccount 16,377.51 117240872619514 3 Fanners Trust Co.. C.D. 110117230 18.981. 12 TDlaI ~Dm candnultlon achodulolsllor eddlUDnaJ shoellsll enachod to this achedulo. . . 0.00 rOTAI..(AIaa enlo' on Pill S. Rocllll1uledon. nino 3, II 110m 3.1................... 78.454.61 ~I mo'ellplClls n..dod, .nach the candnuellon achodulo Irom tho end ot this p.c1cege 0' eddldonaJ sh..ts ot the soma el2o.) (See tho InalNC1lan. on plge 14.) Schedul. C - Pall" 13 H7n NT' 2271 Fonn 7041 (Rev. 8-83) Eltate Dr: HARRIEr A. BERKHEISER 579-40-2479 SCHEDULE E -- Jointly Owned PropertY (II you .lDc1locUon 2032A vaJu.llon. you mull COIlllI.le Schedul. E and 'Scn.dulo A-\.) PART 1. - QUlllned JDlntlntoroltl - Intoreats Hold by tho Decodont ond His Dr Hor Spouse os tho Only JDlnt Tenantl SectlDn 204 b 2 Itl... ... C,,,,,ptl'ft For ..wrltl.., 01'1' CUI" numb't,1t 1"li,."I., An"",I, '1ltulllo,.da'l Altl,,,,I,.,I"'1 V,h".tdal..rduth See Schedule attached 533,355.65 533,355.65 266.677.82 Total !rom condnuellon schedule s or eddidonal sheel s ) a<<ached 10 IhIs schedule. . . 1a Totals................................................................ 1b Amounts Included In ro.. e.llle one-hall 01l1ne1e) . ... .. . . ... ............... PART 2. - All Other JDlntlnleresls 2a S1atelhl name end eddr... 01 each .urvlving co-lenlnl. II there ore morelhan th,ee surviving co-tenlnts, lI.t Ihe eddltlonal co-Ienlnts on en .Ilachod lheeL HI"" Addr'lI(n"",,,.,."d elf.." diy, ,tatl, And ZIP COd') A. B. c. It.", ... En"t I,ntrfo, col.n..... O..ttiptlon pnctudinlilal1lfnatt 1I1"'lllon dll. II any) For llCUritl.., give CUSIP numb.t.II.....lt.bl.. P,runt.lOI Includibl. I"dudlbl. alllrnll,vatu. Includibll""Iu.., dttt.fduth None 0.00 0.00 TOlal !rom condnuallon schedule s 0' edditlonal .heel.) a<<ached 10 this schedule. . . 2b TDlaI olhe, olnlinler..ts..... .. .. .. . .. .. .. .. .. .. .. .. .. .. . .. .. .. . .. . .. .. . . 3 Total Ineludible )olnllnte,..ts (add IInes1b and 2b). Also enler on Part 5. R' ItuIIUon. e e3. IllIem5........................................... (II more speco Is needed, a<<ach Ihe conUnusUon schedule from Ihe end ollhls packege or eddillonal .heets of Ihe .ame .Ize.) (See lhe InsllUcUons on pege18.) Schedule E -. PIg. 17 H72J NTF nil 266.677.82 Copytighl FOllu 5011..,,, Only, 1113 NllclJ,lnc. Hn70SE1 .....Il ,.A->l......~...._<.....,_"" .. I, Page 3 Estate of: Hl\RRIE:I' A. BERl<HEISER SCHEOOLE E, Part 1 -- ()Jalified Joint Interests 579-40-2479 Item No. Description Alternate Val. Date Alternate Value Value at Date of Death 12 PERS(KI\L U'rl:lW!S - see attached listing 13 RESIOEN:E AT 2851 RUSSEl.J.. RD, CAMP HILL PA 800.00 150,000.00 , " Tc1rAL; (carry forward to main schedule) . . . . . . 150,800.00 . -.....--,-'.-... ~- Fonn 706 (Rov. 8-93) Estste Dr: HARRI~ 1\. BERKHEISER 579-<10-2479 SCHEDULE M -- Bequests, etc., to Surviving Spouse EllCllon To Deducl Ouallned Tennlnabl. IntelOll Property Under SlCllon 2058(1))(7). -- " . tru.1 (0' otho< propOfty) mooll Iha IIqulromanls 01 quallnod lormInlbla Inlero.1 property undor sactlon ~6(b)(7), Ind 8. The trust or Olho, property Isllllod on Schedulo M, and b. Tho valuo ollha trull (0' olhar proporty) Is onlorad In wholo o,ln part as I deduction on Schadule M. then unl...lhe o.oculor .pocl1lcally IdonUno.tha trust (all 0' e Iractlonal pDnlon 0' parconlego) or olhor propor1y 10 bo e.cIudad fiom Iha alaction Iho a,ocuIDr Ihall bo deemod to hlva mado en alectlon to ha.a such trusl (or DlhOf proparty) tteelod u qualmad tarmlnsblo Inlarost proparty undor saction 2056(b)(7). It I... thin lhe antira .alua of Iha trust (or Dlhar property) Ihallha e.oculo, hu Included In Iha gro.. oslelels enlored as e deduction on Schadula M, tho o,aculor sholl bo considered to havo medo an elactlon only ..10 elraction ollhe trust (or olher property). Tha numaralDr of Ihls trlction Is aquol 10 tha amounl ollhe trust (or olha' property) deducled on Schedule M, Tha denorTinelDr Is aquol to tho tolol volua Dllha trust (or olhar proporty). ElecUon To D.duct Ouallned DomesUc T'\III P,op.rty Unde, SacUon 2056A. .-" e trust mools Iho raqulromanls 01 e qUolifiod domestic trusl undor socUDn 2056A(e) end Ihls rolurn Is lIIod no lala'lhan 1 yeti ellor Iho limo prescribed by law ~ncIudlng axtenslons) lor filing Ihe relurn. and 8. Tho enUra volua of I trusl 0' trust property Is IIsled on Schedulo M, and b. The antira volue Dllho trusl or trusl property Is anlered as I deduction on Schedulo M. then unl... tha e,oculor spooncolly Idenlmeslha trusllo be a,cludod trom Iho alaction. Iho e,ocutor shall be deemod 10 have made an election 10 have the entire tnlSllreated as uaJiflod domestic trusl ro e . Yes No X i::U'iii; ';\mlmi\~1 !,.liP!!!'I.I!:!:j:!'!, .,Pitj:!: )IPli:h' I : ~: I: i': i ' ,I : I' ; i i: I; I l!iLi:::i ::Hljlh:i: X 1 Old Iny property pe.. to Ihe surviving spouse.. e rosull 01 a quolmed dlsdalmor7 . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . " -Vos,' Inach e copy ot the wrlnon dlsclolmer ,oqulred by section 2518(b). 28 In whel country w..lhe surviving spDusa born7 United States b Whalls tho surviving spouse's dale 01 blrth7 12/16/13 C Islhe surviving spouse e U.s. cltizen7.. . .. . . . .. . .. ... .. ... .. ... .. .... .. .. ... .. . ............. .... . . .. . ... . ... d "Iha surviving spouse Is e nlluroll2ed c/tI2en, when did Ihe surviving spouse scqulro citizenshlp7 e "the surviving spouse Is nole U.S. citizen. 01 whel country Islho surviving spouse e citizen7 3 E1ecUon out 01 OT1P Tr...tmenl 01 AnnuIU... -- Do you elacl under section 2056(b)(7J(C){lI)nollo ttelles quolined larmInsblalnlerost property sny jolnl and survivor annuiUuslhal ato Included In Iho gross estale end would olhorwlse bo treslad IS ualinod lormlnable Inlerest ro 0 undo' socUon 2056(b)(7) C 7 (seo Instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . lIem no. Description of proporty Inleresls passing 10 surviving spouse Amount 1 It:ans listed on Sci:edule E 266.677.82 2 Assets passing to Harriet Berkheiser Marital Trust in accordance with Item Third of the Decedent's Will. Identifying N\.Jirber - 25-6546204 192.564.35 3 Item 1 on Schedule F 8,100.00 Totallrom continultlon schodule s) or edditlonol sheel(s)) enached 10 Ihls schodule. . . . . . . . . . . . . . . . . . . . . . . . 4 Total amounl Dt property Inleresls listed on Schedulo M. .. .. . .. . .. . .. .. .. .. .. . . . . .. . .. .. .. . .. .. . 4 58 Federal ellala laxes ~ncIudlng section 4980A taxas) psyablo oul 01 property Inlarosls IIstad on Schadula M. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sa b OthOl daalh taxus peyablo out 01 proporty Inlarests IIslod on Schadula M. . . . . . . . 5b C Federol end stelo GST laxos payablo oul 01 property Inlorests IIsled on Schedula M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5c 0 . 00 d Add ne"", e, b, and c ...... ... . ... . . . . . .. . .. ...... ........ ....... . .... . . . . ... ......... .. 5d 0.00 6 Net amounl of p'oparty Inlerasts IiSlod on Schadulo M (subtract 5d trom 4). Also enla, on Pari 5. R ltulation. a 03, alllem 18. . ...... . .. . .. .. . ... ... .......... .. ..... . .. . ..... ........ . 6 467,342.17 (II mora Spica Is needad, Inach Iho cDntinuaUon schadulal,om Iha and 01 Ihls packego or additional sheets Dt Iho same sl2o.) (Sea tho Instruc1lons on plgo 28.) Hm HTF.211 Schedule M -- Page 27 ,!I::i1II'I:1 "111"1'" ::;:i!i!;W '::,111'111111 , in . j i ~ il! :::i:t:!\::l I f i I- i' Form 708 (Rev. e-03) " SCHEDULE R -- Generation-Skipping Transfer Tax Nolo: To OYDld eppllclllon ollho doomod iliacI lion Nlo., Form 708 Ind SChodulo R ahould bo ntod 10 oIIocllo Iho OST oxompllOn 10 InJlt'lhol may 11101 hlYO laxoblo lormnldon. or dl,Ulbudonl undo, 100000n 2612 ov.n Illho lorm I. nol roqulr.d to bo nlod 10 roporl..tl,e 0' OST IIX. Tho OST IIX IllmpolOd on taxlblo IIlnalOla ollnl.roal. In property Iocllod Dutaldolho Unllod Stl'" os woll aa p'DpOrty Iocotod Insldo Iho Unltod StlIO.. Part 1. - OST Exompllon Roeonclllltlon (Soetlon 2631) Ind Soehan 2652(1)(3) (Spoelll OTIP) Eloellon Chocl< box ~ II you 110 making e loellon 2652(1)(3) (Ipoclll OTIP) oloellon (aoo In.lnJcllon.) 1 MullTOJm II10WlbI. OST .x.mpdon . . .. . .. .. . , . . , . .. ... ... ..... ... .. .. ..... ... .. . .... .... . 2 TollI OST .xemption IIlocII.d by Ih. doc.d.nt Igllnst doced.nr. motimo IIln.fer. . . . . . . . . . . . . . . . . . . 3 TollI OST .xemption oIIoclt.d by Ih. .xOCUIO" ualng Form 709, oglln'l doced.nl'alilellmo IIlnal""....................... ...................................................... 4 OST .xempllon II10ceted on Iln. 6 01 Sch.dule R. Par12 . . . . .. .. . . .. .. .. .. .. . .. . .. . .. .. . .. .. . .. 5 OST .xempllon II10ceted on IIn. 6 01 Schedule R. Par13 . . . . .. .. . .. . .. .. .. . . .. . . .. . .. .. . . . .. . .. 6 TollI GST .xemptlon lllocet.d on IIn. 4 oISChDdulo{a) R-l. . . . . . . . .. .. . .. . . . . . . . . . . . . . . . . . . . . . . 7 TollI GST .xemption oIIocel.d 10 Int.rvivoatrlnslers Ind dirOCI skip. (Idd lin.. 2-6) . . . . . . . . . . . . . . . . . 8 OST .xemptlon aylllebl.lO IIlocII.,O InJsIs Ind socdon 2032A Inlo,ests {sublllclllno 71,om IIn.l).............................................. ................................. 9 Allocation 01 OST exemption to InJsts (os dennod 10' GST IIX purposes): A Name ollnJsl . B TNSrS EIN (Ileny) C GST oxemption 0110- cated on lines 2-6, eboY. (s..lnsl.) D Addilionll OST exemption allocated (s..lnslnJcllon.) Harriet 8erkheiser Residuary Trust 25-6538822 600,000.00 90 Total. Mey not .xcood IIn. 6, lboY. . . . . . . . . . . . . . .. . . . . . . . .. .. .. . . 90 600,000.00 ,:",;:j:,: liil:il,\:, tlllh,,:I. 1 S 1.000.000 2 0.00 3 0.00 4 0.00 5 0.00 6 0.00 7 0.00 8 1. 000,000.00 :1:ii:ii\I'I i ~ I i!i; I 't 1: p!:j:!ik li!>:.!!;I': 1';!,!i1I'i' li!,"':!+' E TN.r. Inclusion ,allo (optionll-- ... InslnJcllon.) 10 GST oxomptlon evaHlblalo IlIocelolo .00000n 2032A Inle,ooto ,ecaived by Indivldull bononclarl.. oubtroc1l1n. 90 horn line 6. You muslenlch spoclll us. oI1ocallon schedule ...lnslnJct1on.) . . ....... 10 (Th.lnolnJct1on. to SChedul. R OlD In Ihe .epllaleln.lnJcllon..) Schedule R -- Page 33 H723 NTF 2211 . Form 701 (Rev. e-83) Ella'. 01: HARRIet' A. BERl<IlEISER Part 2. -- D~ect Sklpl Where the PrDplll1y InlelUl1 TllnltGlled Ball the OST Tex on IhI DIrect IlkIpI NImI 01 akIp pereon DoterlpdDn 01 plOPIll1y Intar... tranololTed None 1 Total llIIatG \IX velues 01 oD property Inleres1S Dated lbove........................................ 2 EaIaI.\lXes, lIIolo death lexes. and o\her chorg.. borne by the p,operty InlereslS D.led ebove. . . . . . . . . . . . 3 GST \IX.. bo,ne by the properly Inler8S1S Dated eboye but ImpD.ed on direct skip. othOlthan 1/1010 .hown on IhIa Part 2. (See Inatruc1lons.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 TDtallbc.d \IX.. and DIhor chOlges. (Add Dne. 2 and 3.) .. . . . . . . . .. .. . .. . .. . .. .. .. .. .. . . .. .. .. .. . 5 Total tenlawe moxl""m direct &klpe. (Subtrlclllne 4 Irom line 1.) . . . . . . .. .. . . .. . . .. .. .. .. .. .. . .. .. . 6 GST exernptl:Jn aJIocated .................... .... ......................................... 7 SUbt,.ctane8 lromRneS.. ............................................................... 8 GST \IX duo. (Divide Dne 7 by 2.818182). .. . . . . . . .. .. .. . . . . . . . . . . . .. .. . . .. .. .. .. .. .. : . .. . . . .. . 9 Entlll' \hi omounllrom Dna 8 of Schedule R. Part 3............. ................................. 10 ToiaJ GST \IX.. payabl. by the ..tate. (Add Dn.. 8 end 0.) Enler hele and on lna 22 of the Tex Co ulallon on eel................................................................... Schedul. R -- Pall' 34 H72S NTf 2212.1 C',Y'lgh1 ,.,.. S.fI.at, Ofttv.1In N.a,lnc. Hn,osRz 579-40-2479 Eltala lex .eIu. 1 0.00 2 0.00 3 0.00 4 0.00 5 0.00 6 0.00 7 0.00 8 0.00 9 0.00 10 0.00 Fonn 70t (Rev. 1-03) Ellat. of: HARRIE:1' A. BERJ<HEISER 579-40-2479 Plrt 3. _ Direct Sklpl Wh.re (ho PrDporty Inter..tl Trlnlforrld DD NDt BOlr tho GST Tax on tho Direct Skips NI/llG Dllklp pGflOn DOICtIpllon 01 properly 1nl000lllronllllTed None 1 TDtol..tale tax volu.. 01 ell propeny Inler..ts asled ebove....................................... 2 Estate tax.., ltale death tax... ond Dlhllt' charg.. borne by \he p'DPor1y InlOloots asled ebove . . . . . . . . . . . 3 GST lax.. borne by \he property Inlerests asled ebove but In1>osed on direct &kIps other thin Ihose lhown on this Pili 3. (See InstrUctions.). . . . . .. . . . .. . . . .. .. . .. .. . . . .. . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . 4 TDtol nxed lax.. and olhllt' charges. (Add anes 2 and 3.)......................................... 5 TDtol tantallve maxltrum dlrecl &kIps. (Subtract ana 4lrom ana 1.) ................................. 6 GST eX""1'lIon oJIocaled. . .. . .. . . . . . .. . . .. .. . .. . . . . .. .. . .. .. . . .. .. . .. .. . . . . .. . . . .. . . . . .. . 7 S\lbtroctanallromDne5............................... ................................. 8 GST tax due mJl1l .55 . Enlllt' here and on Schodule R. Pili 2. Dne 9 ..................... H7U NTF 221S.1 C'J1rr1IM'."n. SOft...lI. Onty, '"3 M,ICO,IIle. HU70SRS EIIIII tax volu. 1 0.00 2 0.00 3 0.00 4 0.00 5 0.00 6 0.00 7 0.00 8 0.00 Schedulo R -- Page 35 _llI' NOlICl!. ~i .A :n:tl 3 -. a'\ .~ ~o a~ u...o '0 fulfill the r..,lr...,,', ., Section IUS Ib) of tM lm-dtMe. Mid IEIl,t. Tn Aat, Nt .u of ltt:O ~ g (71 P.I. IeGUon 2141). ~. I c; ~ ~ -' ~ C /} htHh the tOIl portion 0' thh MoUe. Md IUNIt with your 'lYNn' to tM R....hr of WI11.'j"~lnted Cf\J:he ~ ~ :-...~ ".Vlr.. .Ide. r:-.. (I. c~ f; .. ...... cMck or ...,., order 'I,Mi1. tal REGISTER OF MILLS, AGENT I p.~:sz ~ (l) All ,.PM" recolvld ahliU be -.11... fir.t to My Intlr..t Nh1ch .1' be dutl Mlth en, r_lnfY -..,.. to tMlif~ ~c C; , nhnl of a tu credit _, be r....ted by co.pltUnt In "application for A.fund of P"","'.II U1 Inherlt~ ... E,t.t. 'ax- (REV-ISIS). "'lleatlon. .r. avail_I. at the Of,lco of the R..I'l'r of Will., Wt1 of the ZJ RevWIUII Dlltrlct Dfflc.. or 'rOll the o.,artMnt'. Z4"hour ..,.rlng ..nice nu.ben foro for.. order."'1 In Penneylv.nll 1.".-362-2050, out,lde PanntYlvlnla Md within local H*rrllbur. Ir.. (717) 7.7.1.94, TDD. (717) 77Z-ZZ5Z ("--rl"1 r.,..red Onl,). PAYMDfT I RUUNDIClh auCTIONS I '"' ,Irb In int".1t not ..thUed ..Ith the ........"t of t.x .. IhDwl on thh naUce ..y abject ..Ithln .Ixty ('0) dey. of r~.lpt of thl. Notlc. bya ....rltten prDt..t to the PA Dep.rtMnt of Aevenu., ICMIrd 0' appe.h, Dept. 211021, Hlirrllburg, PA nUI-IU1, OR --.IHUnt to heY. the ..tt.r det.r.lned .t Mldlt 0' the pe,.onel r.r...ntatlv., OR --."..1 to the Orphan.' Court. AOIIIH- ISlIlA fiVE CCIRI(CTICICII 'ectuel .rrorl dlacowred on thll ........"t Ihould bti .sdr"Nd In writlnt tOI Pi Dep.rt....t 0' ..........., lureau 0' Indlvl~1 Tax.., ATTNa Po.t A......."t A.vl.w unit, Dept. ZIO'OI, Harrllbur., PI 17IZI-0'01, ~ (717) 717.'505. ... P'" 5 0' the bookl.t -Inltructlonl 'or Inheritancl Tax Alturn for a A.lident Decadent- (REV~1501) 'or an Ixplan.tlon of edalnl.trltivlly corrletabll Irror.. POCALTY, The 15% tu ....ty non-p.rtlaJp.tlon panalty II COIIpUted on the tobl of the tu Met Int"l.t .....IId, and nat Plld be'or, Jenuarw II, 1996, the 'Ir.t dey a,t.r ~ end 0' the tax ....tv period. Thll non-partlolpatlon ,.".1 ty 11 .....labl. In ~ ... .."".r Met 1n the thII ... tI.. period I' you would .....1 the t.x Met Inbtl" that hi. beln .....Nd .1 1ncUCllted on thh natlce. INTtRtITa for dlt,. of ~th on or .,t.r 10~J.91, Pennlylvanl. E.tlt. Tlx bI,1d on the Fadar.1 E.t.t. Tlx return bee... delinquent It the Ixplratlon a' nine (09) Nnth. froe the data of duth. For dat.. of death prior to 10-S"t1, PennOlvanl. Est.t. Tu bII.ed on thII hdaral Elt,tl Tu return bacoM;. daUnquent It the .xplratlon 0' light.." nl) .."th. 'r.. thII dati of delth. Tax.. which bacaae delinquent before ~rv 1, 19'Z beer Int.rl.t It the r.t. of Ilx ('X) percant Plr ~ calculated It . dilly r.tl of .000164. All t.x.. which bee... delinquent on or ,'t.r J~tW 1, 19.2 ..Ill bier Int.tllt .t I t.tl which ..IU vary 'tOl cIlll'ldlr y..r to call1'ldlr year wIth thlt rate arnounclld by t.. PA Dapartaant of Aev~. The applIcable Intet..t r.t.. for 1912 through 1"7 .r'l Yo.. Int"..t Alt. a.lh Int"..t Fector Vllr Int"..t A.t. Dally Int.r..t F.otor UIZ ZOI .000541 19.7 9X .0002U 1915 10 .000431 1911-1991 IIX .000SDl 1914 IIX .000SOl I"Z 9X .000247 1915 15% .000556 1"5-1994 7lC .000192 1916 lOX .000274 1"5-1"7 9X .000Z47 --Int.r..t i. cllcul.ted I' fOU....1 IHTERElT . BALANCE DF TAll UIlPAID X IMlIER OF DAYB DELI"QIIEIIT X DAILY llITEREBT FACTOR "'Any NotlCI hlUed .,t.,. thII tax HcDM' delinquent ..111 raflect In Int.r..t CIIC1.llltlon to flft..., US) dly. beyond the dill of the ........"t. If p.,..,t II .Ida ,ftar the lntlr..t CoaputlUon dltl IhDwl on the Notlc., Iddltlonll Int.r..t ~.t be c.lcul.ted. ,/ i5- 7.Y - ,6- IUREAU 0' INDIVIDUAL TAXES IMHlRIIANCl lAX 01.11100 DOIf. IIUIl HMlIlIlon. P' 11111-"" COHHONWEALTH OF PENHSYLVANIA DEPARTHENT OF REVENUE NOTICE 0' INHERITANCE TAX A"RAISEHENT, ALLOWANCE OR DISALLOWANCE 0' DEDUCTIONS AND ASSESSHENT Of TAX PETER J RESSLER 3401 N FRONT ST PO 80X 5950 HBG DATE !STATE OF DATE OF DEATH FILE NUHlER COUNTV ACN PA 17110 12-16-96 8ERKHEISER 12-12-95 21 96-0038 CUH8ERLAND 101 AllOUr'lt R..Utod *' \' "")66'11"'11I.'" HARRIET H HAKE CHECK PAVABLE AND REHIT PAVHENT TOI REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... ii"iy:isW"ix-lij:p-ci'F9iif-NOT'ici--OF-YliHiiiifANCE-TAje-i,P'iiiiA"isiHE'N,.-;-m."OWANCE-iili----------- -- - --- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF BERKHEISER HARRIET H FILE NO. 21 96-0038 ACN 101 DATE 12-16-96 If an assessment was issued previously, lines 14, IS and/Dr 16, 17 and 18 will reflect figures that include the tDtal of Abh returns assessed to date. ASSESSHENT OF TAX: 15. Aoount of Line 14 ot SpGUI.l rot. (151 16. Aoount of Line 14 texobl. .t Llne.l/Clo.. A r.t. (161 17. Aoount of Line 14 texoblo .t Collotorol/Cl,", I r.t. (171 11. Prlnolpol Tex Due TAX CREDITS: PAYHENT DATE TAX RETURN WAS. (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Ro.l E.tot. ISchedul. Al III 2. Stocko end lond. (Schedul. II 121 S. Clo..ly Held Stock/P.rtnerahlp Intorolt (Schedul. CI (SI 4. HortOlOOI/Noto. R...I.oblo (Schodul. DI 141 S. Ca&hllank Depoalt.lHlac. Parsonal Property (Schedule E) (S) 6. Jointly Owned Property ISchedulo FI (61 7. Tron.f.r. (Schedulo GI (71 .. Tot.l A...t. APPRDVED DEDUCTIONS AND EXEHPTIONS: 9. Funeral Expen.../Ad.. Co.t.'"lac. Expan... (Schedule H) I,J 10. Dobt./Hortgoge Llobllltlo./Llonl (Sch.dulo II (101 11. Totol Deduction. 12. N8t Value of Tax R.turn lS. Chorltoblo/Go.orNOlnt.l I.quoltl ISchodul. JI 14. Het V.lue of Eotet. Subj..t to TIX NOTE: RECEIPT NUHBER DISCDUHT It) INTEREST I-I I I CHANGED .00 717 .932.58 .00 .00 91.497.87 .00 .00 (II 46,928.83 .00 1111 1121 IlS1 1141 762,501.62 X .00. .00 X .06. .00 X .15. 1111 ANOUlIT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. HOTEt To insure proper credit to your accCMMlt, oubooU the upper portion of this for. with your lox P._t. 809.430.45 4~.q'A A~ 762,501. 62 .00 762,501. 62 .00 .00 .00 .00 .00 .00 .00 .00 IF TOTAL DUE IS LESS THAN fl, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REfLECTED AS A "CREDIT" (CRI, YDU HAY IE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.I ~~ ~ :0:0 l~~ ~ Q ......... ~() [- n ~~ (;: c. . (.l - .i 1..&1 c: n. 9 :!2 ~.:_' (, SO (, N :om :tlL: C::S UlO )>;:1 - - 'l ',.\ "1 "'-' ,'1 ~ I ".1 .",,1 'j 'jl .\ i ",1 t ".1' ';j .....-, "'j '1 \:C~j "'\ ;.' RfIDtYAnOHt (,t,t.. af decedent. ctvJne on or blfor. o.c...., 12, .912 ... If MY future lnt.,.., In tM ..bt, II .,...,f.rred In po.....lon or enJo,.ent to el... I (col1_t.,.1) ~flol.rJ.. of the decedent .'t,r the IxPlr.tlon ., Inf ..t.t. for 11'. or for veer., the ~.lth herebW I..r..,l, r...rva. the rJlht to ."r,l.. ~ ...... ',.",f.r Inherlt~ ,.... .t the I_fut el... I (coU,t,r,U r.t. on ..., IUCh future Int.r..t. PIIlPOIE QI' NOnCEI To fulfill the r.....,.eMI\ts of $MUon llU of the InhlrltMCI Md Elt,t, Tax Act, Act ZZ of 1"1. 7Z P.S. leetion 2140. PAYlENTI DetKh the top portion of thh Notle. Md lWelt ..Jth ,our PIYMnt to thII R..ht,r of MUll printed on the revtlr.. '.dIi. ........ check or __, order pIylllll1 tOI REGISTER OF MILLS, AGENT All "PMt, rectll"'" tJMll flrlt be .,,11... to ..., lnt.r..t ""'lch .., b4I dull ..I th MY r_lndrlr IPPUed to the t... A r8fund of . t.. cr8dlt, ...,Ich .... not reque.ted on the Tax .Iturn, ..y be r~,t... by cOIlpleUtII WI "&PPllc.Uon for Aefund of P~.ylv.nl. Inheritance ~ E.t_te Tax" (REV-ISIS). application. are .valllbl. at the a'flce of the R..I,t.r of Will., ...y of the 1S Revenue DI.trlot af'lc.., or by c.lllng the special Z4-hour ...~rl", ..rvlce nu.blr. far 'or.. orderll'lll In Penn.ylvanl. l-aOO-S6Z-Z050, out. Ida Penn.ylv.nl. ~ withIn l~l ",rrtabur. .r.. (717) 717-1094, TOO' (717) 77Z-ZZSZ (Ha.rlna 1~.lred Only). AEnIGI(tRh OIJECTIONSI IIrI party In Intlr..t not ..tI.fled with \hi appnla.-.nt, aUwane. or dla.UOMMe. of decbltlon., or ......~t a' tu C1nclucUng dlacount or Int.r..t) .. IhcMIn on thla HaUc. .ust obJaot within .bty (60) dIIn of rlellpt of thll NoUce bYI -.wrlttan prot.at to the PA DIpIIrt...t of A..,..., IoIird of Appaall, Dlpt. ZllOZl, HIIrrlabur., PA 17121-1021, OR --elecUon to hrta the ..tt.r dat.r.IMd at -.tlt of the account 0' the ,.rsonal rapr..entlUve, OR .-.....1 to the Or,n.n.' Court. AIlIIIN IIT1lATlVE CORRECTIONS. 'Mtwl .rrors dlllCov.r. on this .....---.t should be addr..Hd In wrlUng tal PA DIp.rt...t of AIYWlUI, lur..u of IndIvidual Tax.., ATTHt Po.t A....~t Alvl.., unit, Dept. Z10601, Harrlabur" PA 17111.0601 Phone (717) 717-6505. Sea page 5 a' \hi bookl.t ""In.tructlon. for Inharltancl Tax A.tum 'or. A..ldant Dacadent.. (REV.1501) for WI IkPlanatlon 0' ~Inl.tr.tlv.ly correctlbl. .rror.. If In1 t.. dura I. paId withIn thr.. (S) CII1rdllr ...,th. .ft.r the dec..,..t.. dMth, I five percent C5~) dllCOI.I1t of the t.. paid I, .11...... DISCOIMTI PENAL TV! ThI 15% tax ___.ty nan"partlolplUon penalty I, c"PUted an the tot.l 0' the t.. ~ Intar..t .....Md, and not p.ld before Janu.ry II, 1996, the first dIIy .ftar the and of the tax ___.ty period. Thll non.parUelp.U... ,.,.lty II .....1...1. In the ... .....r Met In the the ... U.. period .. you MOUld .....1 the tax ~ Intar..t that hat bean ......... .. InclSe.tad on this naUc.. INTEIlDTI Int.nll II char.... b1tIMlna with first d8y of dellnquency, or nine (9) ...,th. and Dna (1) day frCIII the dIIt. of dN\h, to the data of ,.,..,t. Tax.. Nhlch bee-. dlU"...,..t bafor. Janu.ry 1, nlz bIIIr Int.ra.t at the rat. of .Ix (U) percent per ..... c.lculatad at . dIIUy nt. of .GOat". AU tu.. Nhlch bec_ dlllnquent an ... aft.r ......, 1, 1HZ wUl bIIIr Intlr..t .t . nt. which will Vlry frCIII e.landar y.ar to calendar year with that rata announced by the PA Deperbwlt of AMWIUI. The appUcabl. Inhr..t rat.. for 1912 thr~ 1997 .rat !!!r Int.r'lt A.t. D.llv Int.r..t Factor !!!! Inbr..t A.t. Dallv Int.r..t Factor 1911 'OX .000541 1'"1 9X .OOOZ47 un lAX .0000' 1911-1"1 III .000501 19M IIX .000511 I'" 9X .OaOZ47 INS In .00OSH 1"'-1994 n ..aOltZ 1916 IIX .000174 1"5-1"1 9X .000247 --Int.,..t It calcullt. .. follow.1 IIlTEIEIIT . IALAIlCE OF TAll UNPAID X IMIIEI OF DAYI OELINQUENT X DAILY IIlTEIEIIT FACTOR ..Any Hotle. I.sued .ft.r the tax bee.... delinquent will r.flect an Int.r..t calcul.tlon to flft..,.. (15) day. bayond the dat. of the ........"t. If pa)'Hnt It ..... aftar the Int.r..t coqutatlon dab ~ on the Motlcet additional Intar..t ...t ba calculatad. . 'LJ .. ., ,. , r- ) c.. r.:-l , ., r~- '.. po, J :J c: uc..; PUlPOU Of tGTlCEI To fulfIll the ,.aqulreaentl of Section 2.'S lb) of the InherltlnCl and E.tat. '1M Aot, Act 21 of 1995. (72 P.S. Section 9145). PAYJENT I DttKh the top portion of thl. Hotlca end lubtllt with your p.,ant to the Rlohter of ".1111 printed on the r"'lr.. llde. u "eke chttck or IIOMY ord.r p.yllbl_ tOI REGISTER OF MILLS, AGENT. REFUHDCtAh A refund of . hI( credit .., btI nqu..ted by CQllphtlng en "Application for R.fund 0' PIlnnlylvW'lla InherltlnCl and E,tata Tax" (REV-ISIS). application. ar. Ivallable at the of'lcI of the R.,t,ta,. of Will., InY of the IS Revenue DI.trlct Offlc.. or frol the Depart..".,. Z'-hour an.werlna .ervlce nu.ber. for 'or.. orderlngl In Penn,ylvanla 1-100-362-2050, out,lde penn.vlvant. and within locII Harrl,burg er.. (717) '.'-109', TOO. (717) nZ"ZZ5Z (H..r!ng 1..lred Onb). OBJECTIONS I Any Plrty In Int.r..t not ..tl.,l.d with the ......aent 0' t8. .. shown on thl. notle. ..y object within .I.ty (60) d.y. a' r.c.lpt a' thl. Hotlc. by. "written prot..t to tM PA Dep.rt..,..t 0' A.venue, lo.rd 0' &ppaalt, o.pt. ZllOU, Herrbburg, PA 17UI-lOU, OR ...Iectlng to hliv. the ..tt.r det.r.lned .t -..eIlt 0' the p.non.l npr..entetlv., OR --tlPP..1 to tha Orph.".' Court AIIIIH- IITRA JIVE CORRECTIONS. Factual .rror. dl.cav.red on thl. .......ent .hould b. addr...ed In writing tOI PI o.,.rteent a' Aavenue, lur.eu 0' Individual Ta..., ATTH. po.t A.....eant Aavlew unit, Dapt. 210601, Harrisburg, PA 11121-0601, Phone (117) 7'7-6505. Saa p.,. 5 0' the booklat -In.tructlon. for Inherltanc. T.. R.turn far. R..ldant Decedent" (REV-ISO!) for an a.plan.tlon of ~Inl.tratlvaly carrectabla .rror.. PENALTYr The In tax ~.ty non-p.rtlclpatlon penalty 11 COllPUted on tha tot.l 0' the ta. Met Int.n.t ......ed, Met not p.ld bI'o,.a January II, 1996, tha 'Ir.t day a't.r tha end 0' the ta. .-ne.ty period. Thl, nan-p.rtlclpatlon ,.,.lty II .....labla In tha .... .amar Met In the the .... tI.. JHIr10d a. you would IppUI the t.lC and Intera.t that h.. been ......ad .. IneUcated on th1l notlea. INTEREST. additional Pennlylvanla E.t.t. T.. ......ed .. . r.sult a' . change on thl Fader.l Eltata Tax clo'lng latt.r becoaal dallnquMt .t the 'kplratlon of one (1) ""th frOll tha d.ta the final notice of the lne,..... In Faderal [It.t. Ta. I. recalved. Ta... which bacaM delinquent !M'or. Jlr'Ulry 1, 1912 baar Intanlt at tha rata of .lIe (6X) per~ant par ...... c.lcul.ted at a dally rata of .000164. All t,... which bac... delinquent on or a'tar January 1, I'.Z will baar Int.r..t at a rata which wIll vary frOll c.lendar ya.r to e.landar ya.r wIth that rata ~ad by thl PA Depart..,..t of Ravenue. ThI appllcabla Int.r..t rat.. for I'IZ through 1991 .r.. V..r Intar..t R.t. D.Ilv Int.r..t Factor V..r Intlr..t A.t. OaUv Int.nst Factor I91Z ZOX .000541 1'"7 9X .00OZ47 1'"5 16% .000U. 1'11-1991 IIX .000301 1'" IIX .U0301 I99Z 'X .000Z47 1'"5 UX .UOJ56 1995-1994 n .000192 I'" lOX .000174 1995-199' 'X .00DZ47 --Int.n.t I. calculated .1 foUowl' INTEREST . BALANCE OF TAX UNPAID X HUKBER OF DAYS DELINQUENT X DAILY IH1l]U;ST FACTOR --Any Hotle. I.,ued aft.r the tax becOllI delinquent will r.flact an Int.r..t c.lculatlon to 'I,t..,.. (151 ~Y' !Myond thl ~ta 0' t.... ........"t. If p.v-ant I. ... .U.r the Intar..t coaput.t1on data IItIot<<1 on the Hotle., ~Itlonal Int.r..t ault be calcul.ted. , I b'- Ie STATUS REPORT UNDER RULE 6.12 Name of Decedent: IIARRIET II. BERIOIEISER Admin. No. 21-1996-0038 pursusnt to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether ~~inistration of the estste is complete: Yes X Pt~ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No )( b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes ~ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: 2/13/98 ftC;:::;l/~ signatu~e PETER J. RESSLER Name (Please type or print) POBOX 5950 Address HARRISBURG PA 17110-0950 '., , I , (717 ) 232-5000 Tel. No. Capacity: Personal Representative X Counsel for personal representative :;( . (HAH: rmfl AM3) JRD/June 3D, 1992/17858 REGISTER OF WILI.S Cumberland County COllrlhollse One Courthouse Square Carlisle, PA 17013 NOTICE PURSUANT TO RULE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Personal Representative Counsel: PE'l'ER J. HESSI.EH, I:;SQ., RE: Estate of HARRIE'1' H. BERKHEISEIjlDeceased, Lale of CAMP HILL BOROUGH EstateND.: 21-1996-0038 Date of Decedent's Dealh: 12 - 12 - 95 , Pursuant to Rule 6.12, the above named personal representative Dr the above named attorney, if applicable, within two (2) years of the decedent's death, and annually thereafter until administration is completed, is required to file with the Register of Wills a Status Report as required by Rule 6.12, in substantially the prescribed form, showing the date by which the personal representative. or attDrney, as applicable, reasonably believes administration will be completed. The purpose Dfthis Notice is to advise you that uDless the requisite Status Report is filed with the Register of Wills or Clerk of the Orphans' Court, as appropriate, within ten (10) calendar days after the date Df this Notice that the Register of Wills is required to DDtify the Orphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to determine whether sanclions ShDUld be imposed upon the delinquent penonal representative and the delinquent personal representatlve's counsel, If any. Accordingly, if the requisite Status Report is not filed by 2 - 11- 9 8 . 19_, you are hereby advised that a request will be submitted to the Court in accordance with Rule 6.12. Date: 1-27-98 illpl-y- Distribution to Estate File .