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HomeMy WebLinkAbout96-00260 PETITION FOR PRonATE and GRANT OF LE'n'ERS Estate of si~MI~ .llflfi..1tt~tl late of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, Deceased. Social security No. 183-12-3292 No. 21-96- ~l.oD Tal Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner, who is lB years of age or older and the executor named in the last will of the above decedent, dated February 23, 1984. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 317 South High Street, Mechanicsburg, Pennsylvania 17055. Decedent, then 80 years of age, died March 3, 1996, at Holy Spirit Hospital, East pennsboro Township, Cumberland County, Pennsylvania. Except as follows, ddcedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: No. exceptions. Decedent at death owned property with estimated values as follows: (If domiciled in pa.) All personal property $lD,DDD.DD (If not domiciled in pa.) Personal property in PA (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania $9D,DDD.DD situated as follows: 317 South High Street, Mechanicsburg, Pennsylvania l7D55. WHEREFORE, petitioner respectfully requests the probate of the last will presented herewith and the grant of letters testamentary thereon. ence of Petitioner . P cK 1945 Spring Road Carlisle, Pennsylvania 17013 OATH 0.1<' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) The petl.tioner. above-n.,med swears or affirms that the statements in the foregoing petition are ttue and correct to the best of the knowledge and belief of p~titioner and that dS personal representative of the above decedent petitioner will well and truly administer state accor to law. Sworn to or affirmed and subecriced before me this 25th day of MAR~!:l 1~96 ~f).'"u ('..Ir"'" ii' . ~'I\L I~ I..I(<I(,~ 1/1-<1-. rvJ1\1< (,;. tE~-v_S' ./ Regia e2tl t'::" - PETITION FOR PROBATE lInd GRANT OF LE'n'ERS Estate of Sarah V. Berstler late of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, Deceased. Social Security No. 183-12-3292 No. 2l-96-26D To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner, who is 18 years of age or older and the first alternate executor named in the last will of the above decedent, dated February 23, 1984. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 317 South Hi9h Street, Mechanicsburg, Pennsylvania 17055. Decedent, then 80 years of age, died March 3, 1996, at Holy Spirit Hospital, East pennsboro Township, Cumberland County, Pennsylvania. Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate I was not the victim of a killing and was never adjudicated incompetent: No. exceptions. Decedent at death owned property with estimated values as follows: (If domiciled in pa.) All personal property SlD,ODD.DO (If not domiciled in pa.) Personal property in PA (If not domiciled in pa.) Personal property in county Value of real estate in Pennsylvania S9D,DDD.DD situated as follows: 317 South High Street, Mechanicsburg, Pennsylvania 17D55. On March 29, 1996, Letters Testamentary were issued to Ronald L. Peck, the primary executor named under the Last Will and Testament of the above decedent. The said Ronald L. Peck died on June 1, 1996. WHEREFORE, petitioner respectfully requests the grant of 1ettere testamentary on the said Last Will of decedent. sidence of Petitioner Road Pennsylvania l7D19 OA'm OF }>ERSOm.L1rEPRES~ COMMONWEALTH OF PENNSYLVANIA ) I SS: COUNTY OF CUMBERLAND I The petitioner above-named swears or affirms that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petition~r and that as personal representative of the above decedent petitioner will well and truly administer e estate acco ing to law. Sworn to or affirmed and subscribed before ~e Ith s 1'1 "H, I day of - / 1.2 , ,'" ',,' 19!!.6 .jJ1 (,,.;,, ( !" (, /'~:~#rl(1 I W'flY C LHIl S Reg st~r ( 1:S - IC}-{- Ie;>...! G\::.(' No. 21-96-260 EstAte ot SArAh V. Dertsler, DeceAsed DECREE OF PROBATE ANI) GRANT OF LETTERS AND NOW JUNE 21 , 1996, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary FEES Probate, Letters, Etc. .$ 25.00 Short Certificate(s). .$ Renunciation. . . . . . . .$ $ TOTAL $ Filed. . . ~U~E .21. .1~9~~. ?~.OO CALLED ATTORNEY ON 6-21-96. Wayne F. Shade, Esquire 15712 ATTORNEY (Sup. Ct. I.D. No.) 53 West Pomfret Street Carlisle, Pennsylvania 17D13 ADDRESS 717-243-0220 PHONE nQ \t:i :r.J c: ~. -;'i ll' : ~ t;. , t. ~~ - -.J "OJ -"" '.' - - , :1 ~ ! ~ ! & ~ J I"" Thi,,'''fllll'flil~lh,lltlillll!lIlll1.1ljHllltl:l ,~I\ll). 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'=~ l~I~--:.~-r~L~ ~--~,..(]- ~rrOflA"RIt tm'~rJ:o.~I'ACt:~ft"...\IO(.....,.........,..I..:.t...... ;r:1l~;==' ~,:-.._--~ .. Cumberland East Pe~nshoro !~I!L I.~L.s~'n ~r..ki-\ --~-~ ~ o;;"~;:~=;;r .~~II~U.~~_ ~\~~7~~;" f~ ~~~._ u.:..o::::-~: .__~~ II f _II ...1... ~ \....j" II. OU.5.C:kf Ie !!.L-Dome tic__ !L-...........__ I L-- Wldowed- <leased DlClQ("J.Wo\lNO,I.OO/IIU~...C...__,..t;<... ~~t~JrtIS Ir.!oI...__.Pa.__~.__.____.._llod Ihl]____.._____.____ "''oIDI0,(1 __ _........... -... _oIi__ ~tlL~liln -' 11.( :::.:::.:::"'_ Mechantcsburl1. YO""-"''''''''' ............ u.._.~....... - 317 S. Ilfgh St. " Mechanicshurq, Pa. 17055 '"~.S"""""""'UOI"" ...- IL-...l.CLJ1Uler ""Cl\MAH1'N.lUII'~'''' 3 :or<u.... P.9Ai4L(liAY,L~!~j! _ I....... __Don'jrl. I..-.l!<lck !M5...5u~jno_nd_Cad 1.1 _P. 1'0"_ ..t,;oooii'a'\la. &- ClU'OI">I'U!IotIOf ""ClCJlOIloI't)$jl~ ~""~"''--' 1'~Ii.arc;;~~ ,.eu. _rJ c._LI "-0._",_1 J ......,...-. .01....,...,. ~[J .....~,.I.-..-.-; ---.:---- .- ----. (! '1. 3~8~96 __ . 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'''U' .... ~ tf< rOI'.''''.:'~-';~~-:'''' "' -. ,- --.- ~QtiQ" --- ...i:,-:----;;;, :....,I..:;;,OMO./O.? "7-~'~'- 1l1'.'.rl~'i1~~/'~"~';,""'-,' .'lIOOtOUIototoQ."'lu..r"'otoQ'""OUI................ ....,'.".~..,.".. .,... ,. v _ :S/-, ,......-.....,...--... ...",...-........-.... -..... ......~.....,...........,"'.-,...'.,... '. ''''1 .....t.l.,,""'''~,,~......!..,--....ot...w uflA.'" ~'..Ijt_","''''' ft.7,,~...1) l' "IfwO/f,.....,. ......~ 1",,:... f"~J,,...t;J.U' Jf,,,o ~I - ___ ~.~.~":!~::~./~).~.~~!..______ illl.hIVU." ,..,..... 1._- C/1ttn,o PI'':'''' '1/1'1'#",./ '-o.li ru...i..'..'....A.....~..-t'i.1 L.,,,,...,r?,/v S'..., fl-.:"....,~, oiit ioi"i.~.[...,."'lJt...,.1 i.-I" - E ~ 1-t.!.lt4' ~~ I:~-' ~-- -..._~u" ~::=wr" ["::-_:I~~~S IU.......Mi'l"L;ii..~---- ---- l.r-.UU>fCW"_lI\.l 01[1(.11'10' \. "'-" M .......... ..._.. [/ ...........4........... _ (J .... II _... I J h-....."..."........., ,.. II u.r.......'........... -- - - - .u.,lfn'oQ""'OUII.,....._. ........j....... _, .'.. ~ ......~. ',..' .,...... _ " .., ...............,_... ..""'........._.........._01......._'...14_ our 1O'(f..~.1 ,fc.t... i""'1 ..1000atIIUI"....COfIOIII. ""'".............._.._................t_ ......,,,,..._ "n'''.......'."..."..oo" "I" ....."'... .."""""..,~.........I'''' "_"""1<1 '" -MiI-(..1.'fYll-'......;&i........~'.,;.ut.lM -.- 1~1' IAIII~I ~.- 1ll...,J. i.l11L LAST HILL AND TESTA~IENT 1, SARAH V. BERSTLER, of thc Borough of Hechanicsburg, County of Cumbcrland, Commonwealth of Pcnnsylvania, being of sound and disposing mind, mcmory and understanding, do make, publish and declarc this as and for my Last IHll and Tcstamcnt, hcreby revokin and makin8 void all former wills and codicils by me at any time heretofore madc. FIRST. 1 order and direct that all my just debts and funeral expenses be paid by my Executor, hereinafter named, as soon as conveniently may be done after ~y decease. SECOND. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath in seven (7) equal shares unto my children, DAVID G. PECK and RONALD L. PECK, and my step-children, ~ ROCHELLE HADE, SANDRA SHORT, JACQUELINE TRIANO, RICHi\RD T. BERSTLE '2-. and KAREN DARHOI~ER, absolutely and in fee simple, in equal shares. If any of my said children or step-children should fail to survive me, then and in that event, I give, devise and bequeath the share of the same unto such of them who shall survive me, absolutely and in fee simple, in equal shares. THIRD. In the event that 1 should, by reason of physical or mental disability, become unable to take part in decisions for my own future by virtue of \~hat is commonly knO\~n as "brain death", I order and direct that, where there is no reasonable expectation of my recovery from physical disability, 1 be permitted to die and th t I not be kept alive by artificial means. It is my express desire WAYl'fE fo~. SIIAIIF. Attorne, at La. S South IhnoYtr Strut Carllll.. Pennl,tnnl. 17013 Cot -= ,~ . . I "; I ~~ ::: se ~f nf m~ > l. . \. , ~ i-:. l;; > f f == ~ ~ ~-i ~ J;QJ ~ ~ :1'- f' Q ~ > ~> ~ ~9 00 = ~ 31 ~ en II. .. s: ~ r-:"o~ B B ~ ! ~~~j . , WAVNB F. SIIAIlI! Anomey It taw .5) Wc.ll'omrrd Sind entitle. Itmnl)lvania 1701l ~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Sarah Berstler, aka Sarah V. Berstler Date of Death: March 3, 1996 No. 21-96-260 To the Register of wills: I hereby certify that notice of beneficial interest as required by Rule 5.6(a) of the Orphans' Court Rules was served upon or mailed to the following beneficiaries of the above- captioned Estate on April 1, 1996: Ronald L. Peck 1945 spring Road Carlisle, Pennsylvania 17013 David G. Peck 315 Camp Ground Road Dillsburg, Pennsylvania 17019 Richard T. Berstler 114 Holly Drive Mechanicsburg, Pennsylvania Rochelle Wade P.O. Box 2343 Show Low, Arizona 85901 Sandra Palmer 241 Kenmar Drive New Cumberland, Pennsylvania Jackie Triano 8559 Minvet Place panarama City, California (')0 c- ~ :o$l CD 3~ 17055 IT " ~n ~. (':.9 ;g '. .- d, c: c.. ... ()~.... ..1 ~~:. '. , ~ '"'" -0 t~8 - b w :'Oc Ui in S:. )>;:1 0 17070 91402 Karen J. Darhower 212 Third Street, Apartment 7 New Cumberland, Pennsylvania 17070 Notice has now been given to all persons entitled thereto under Rule 5.6(a). Date: April 1, 1996 t1Y~r:-~. wayn-e' F. Shade, Esquire 53 West Pomfret Street Carlisle, Pennsylvania 17013 Telephone: 717-243-0220 Counsel for Personal Representative NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In re Estate of Sarah Berstler, aka Sarah V. Berstler, Deceased No. 21-96-260 TO: Ronald L. Peck 1945 Spring Road Carlisle, Pennsylvania 17013 Although you are probably already aware of the following information, the law requires that you be provided with this formal notice. Please take notice of the death of decedent and Letters to the personal representative named below. beneficial interest in the Estate as testate heir. the grant of You have a Name of Decedent: Sarah V. Berstler Last known address of Decedent: 317 South High Street, Mechanicsburg, Pennsylvania 17055 Date of death: March 3, 1996 Place of death: Holy Spirit Hospital, East Pennsboro TownShip, Cumberland County, Pennsylvania County of grant of original Letters: Cumberland Decedent died testate. A copy of the Will is attached. The name, address and telephone number of the personal representative appointed is Ronald L. Peck, 1945 Spring Road, Carlisle, Pennsylvania 17013; home telephone 717-243-6741, work telephone 717-795-4747. The name, follows: Carlisle, address and telephone number of all counsel is, as Wayne F. Shade, Esquire, 53 West Pomfret Street, Pennsylvania 17013 - 717-243-0220. Additional information may be obtained from the following source. Date: April 1, 1996 Wayne F. Shade, Esquire 53 West Pomfret street Carlisle, Pennsylvania 17013 Telephone: 717-243-0220 Counsel for Personal Representative WAVN!! F. SHAIlI! Attorney al lAw 5J Wesl Pom(",1 Slrttl eartillc, Prnnl)'lvania l10n 0 'g~ - I{) 0(1) l""I 88 <II=':: c.. ,,'?;: '" Ii: - tp \, 0 .:S"c .- -0 .... ~ ~ ttt(i"l ::1 :u 011 OV> ~.o ~Q) ~ :uE a: a: 08 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In re Estate of Sarah Berstler, aka Sarah V. Berstler, Deceased No. 21-96-260 TO: David G. Peck 315 Camp Ground Road Dillsburg, Pennsylvania 17019 Although you are probably already aware of the following information, the law requires that you be provided with this formal notice. Please take notice of the death of decedent and the grant of Letters to the personal representative named below. You have a beneficial interest in the Estate as testate heir. Name of Decedent: Sarah V. Berstler Last known address of Decedent: 317 South High Street, Mechanicsburg, Pennsylvania 17055 Date of death: March 3, 1996 Place of death: Holy spirit Hospital, East Pennsboro Township, Cumberland County, Pennsylvania County of grant of original Letters: Cumberland Decedent died testate. A copy of the Will is attached. The name, address and telephone number of the personal representative appointed is Ronald L. Peck, 1945 Spring Road, Carlisle, Pennsylvania 17013; home telephone 717-243-6741, work telephone 717-795-4747. The name, follows: Carlisle, address and telephone number of all counsel is, as Wayne F. Shade, Esquire, 53 West Pomfret Street, Pennsylvania 17013 - 717-243-0220. Additional information may be obtained from the following source. Date: April 1, 1996 Wayne F. Shade, Esquire 53 West Pomfret Street Carlisle, Pennsylvania 17013 Telephone: 717-243-0220 Counsel for Personal Representative WAYNH F. SUAUI! ^ l10mty I. taw '3 Weal romrm Strffl C.r1illc.I'rnnlylvania I7UIl i I I r NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In re Estate of Sarah Berstler, aka Sarah V. Berstler, Deceased No. 21-96-260 TO: Rochelle Wade P.O. Box 2343 Show Low, Arizona 85901 Although you are probably already aware of the following information, the law requires that you be provided with this formal notice. Please take notice of the death of decedent and the grant of Letters to the personal representative named below. You have a beneficial interest in the Estate as testate heir. Name of Decedent: Sarah V. Berstler Last known address of Decedent: 317 South High street, Mechanicsburg, pennsylvania 17055 Date of death: March 3, 1996 Place of death: Holy spirit Hospital, East Pennsboro Township, Cumberland county, pennsylvania county of grant of original Letters: Cumberland Decedent died testate. A copy of the Will is attached. The name, address and telephone number of the personal representative appointed is Ronald L. Peck, 1945 spring Road, Carlisle, Pennsylvania 17013; home telephone 717-243-6741, work telephone 717-795-4747. The name, follows: Carlisle, address and telephone number of all counsel is, as Wayne F. Shade, Esquire, 53 West Pomfret street, Pennsylvania 17013 - 717-243-0220. Additional information may be obtained from the following source. Date: April 1, 1996 Wayne F. Shade, Esquire 53 West Pomfret Street Carlisle, Pennsylvania 17013 Telephone: 717-243-0220 Counsel for Personal Representative WhYNIl F. SllhlJ\! AUomt'f atl..aw .53 Wul pomrrt{ Stitt' Carli.lt. Ptnn.yhrania 17013 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In re Estate of Sarah Berstler, aka Sarah V. Berstler, Deceased No. 21-96-260 TO: Jackie Triano 8559 Minvet Place Panarama city, california 91402 Although you are probably already aware of the following information, the law requires that you be provided with this formal notice. Please take notice of the death of decedent and the grant of Letters to the personal representative named below. You have a beneficial interest in the Estate as testate heir. Name of Decedent: Sarah V. Berstler Last known address of Decedent: 317 South High street, Mechanicsburg, Pennsylvania 17055 Date of death: March 3, 1996 Place of death: Holy spirit Hospital, East pennsboro Township, cumberland County, Pennsylvania county of grant of original Letters: cumberland Decedent died testate. A copy of the will is attached. The name, address and telephone number of the personal representative appointed is Ronald L. Peck, 1945 spring Road, Carlisle, Pennsylvania 17013; home telephone 717-243-6741, work telephone 717-795-4747. The name, follows: Carlisle, address and telephone number of all counsel is, as Wayne F. Shade, Esquire, 53 West Pomfret Street, Pennsylvania 17013 - 717-243-0220. Additional information may be obtained from the following source. Date: April 1, 1996 Wayne F. Shade, Esquire 53 West Pomfret Street carlisle, Pennsylvania 17013 Telephone: 717-243-0220 Counsel for Personal Representative WAYN\! F. SnAil\! AUomcy at 1.&" 5lWul rootfrtlSU<<1 Carliilc. rrnnl)'lvsnia 1701l NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In re Estate of Sarah Berstler, aka Sarah V. Berstler, Deceased No. 21-96-260 TO: Karen J. Darhower 212 Third street, Apartment 7 New cumberland, Pennsylvania 17070 Although you are probably already aware of the following information, the law requires that you be provided with this formal notice. Please take notice of the death of decedent and the grant of Letters to the personal representative named below. You have a beneficial interest in the Estate as testate heir. Name of Decedent: Sarah V. Berstler Last known address of Decedent: 317 South High street, Mechanicsburg, Pennsylvania 17055 Date of death: March 3, 1996 Place of death: Holy Spirit Hospital, East Pennsboro Township, Cumberland county, Pennsylvania County of grant of original Letters: cumberland Decedent died testate. A copy of the Will is attached. The name, address and telephone number of the personal representative appointed is Ronald L. Peck, 1945 spring Road, Carlisle, Pennsylvania 17013; home telephone 717-243-6741, work telephone 717-795-4747. The name, follows: carlisle, address and telephone number of all counsel is, as Wayne F. Shade, Esquire, 53 West Pomfret Street, Pennsylvania 17013 - 717-243-0220. Additional information may be obtained from the following source. Date: April 1, 1996 Wayne F. Shade, Esquire 53 West Pomfret Street Carlisle, Pennsylvania 17013 Telephone: 717-243-0220 Counsel for Personal Representative WAYNE F. SUAIlI! AUornt')' all..Iw S) W(lt I'omrm SlttcI (".,Iitlt. Pmnlylnnia 170B 0 4_'.'1. - (.":i .I :.~ 0 E! "" " (;1:":: e,_ n u<': ; :..::::- . - (5 '. r;-' -r.1 o. n:: .t. ''': ~ ;. :, 'Q,,:' ~.-.. .. ! 001 UCJ ~ 6::: wc: ~. ;:J c: uu IN RE: ESTATE OF SARAH BERSTLER, a/k/a SARAH V. BERSTLER, Deceased, Late of the Borough of Mechanicsburg : Cumberland County, Pennsylvania: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-96-260 STATEMENT OF PROPOSED DI~TRIBUTION The Executor proposes to distribute the entire balance of the Estate for distribution under the provisions of Item Second of the Last Will and Testament of the decedent, as follows: 1. David G. Peck $13,700.52 2. Estate of Ronald L. Peck 13,700.52 '3. Rochelle Wade 13,700.52 4. Sandra Palmer 13,700.52 5. Jacqueline Triano 13,700.52 6. Richard T. Berstler 13,700.52 7. Karen Darhower 13.700.52 TOTAL $95,903.64 I, David G. Peck, Executor of the Estate of Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, hereby declare under penalty of perjury that the foregoing Statement of Proposed Distribution is true and correct to the best of my knowledge, information and belief. Date: January 30, 1997 ~;2k David G. Peck WAYNI! F. SHADe A_ II Law S) w... Pumtrtl Strtd Cattdle, Pawylvania 17011 I. LAST HILL AND TESTAMENT I, SARAH V. BERSTLER, of thc Borough of Hcchanicsburg, County of Cumbcrland, Commonwcalth of Pcnnsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Hill and Testament, hereby revokin and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor, hereinafter named, as soon as conveniently may be done after my decease. SECOND. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath in seven (7) equal shares unto my children, DAVID G. PECK and RONALD L. PECK, and my step-children, ~ ROCHELLE HADE, SANDRA SHORT, JACQUELINE TRIANO, RICIUIRD T. BERSTLE ~ and KAREN DARHOIo/ER, absolutely and in fee simple, in equal shares. If any of my said children or step-children should fail to survive me, then and in that event, I give, devise and bequeath the share of the same unto such of them who shall survive me, absolutely and . in fee simple, in equal shares. THIRD. In the event that I should, by reason of physical or mental disability, become unable to take part in decisions for my own future by virtue of what is commonly known as "brain death", I order and direct that, where thcre is no reasonable expectation of my recovery from physical disability, I be permitted to die and th t I not bc kept alive by artificial mcans. It is my cxpress desire WAY"! F. SIIADF. Attorn., I' La" S South Ihnenr Slut! C"lht.. P.nn.,I.,.nl, 17013 that I not be permitted to suffer the indi~nities of deterioration, dependence and hopeless pain and that therefore, medication be mercifully administered to me only to alleviate my suffering, even though this may hasten the moment of death. LASTLY. I nominate, constitute and appoint my son, RONALD L. PECK, to be the Executor of this my Last Will and Testament, but i . for any reason, he should fail to qualify as such Executor or cease so to serve, then and in that event, I nominate, constitute and appoint my son, DAVID G. PECK, and my step-son, RICHARD T. BERSTLER, as successive alternative Executors hereof, each to serv without bond. IN WITNESS '~EREOF, I, SARAH V. BERSTLER, have hereunto set my hand and seal to this, my Last Will and Testament which consists of three (3) typewritten pages to each of which I have affixed my ~ . W Arft" F. SllA." Attorn., II La. S Soulh Ihnoyu SUtel , nlll1.. P,nn.,I".nl. 170U - 2 - signature this:< 3...J... day of F ~ One Thousand Nine Hundred Eighty-four (1984). , A.D., ,d~~~ (SEAL) The preceding instrument, consistinp, of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by SARAH V. BERSTLER, the Testatrix therein named, as for her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hE,reto. tf/re~~ f~~ /:7 . W AYIl. F. 5"A.. Altom., at La. oS South BaaoYlf 8trllt nU.... PtGDs,tYlDla 17013 - 3 - ~< OH Z ~~ ~!M p.,tIl ZZ ZZO OIaH ~p.,~ o ":> U~S ~Z O::l!j 0...0 HU::l\O to:: ON 2~I:lUJ, U - 0'1 till ~~~~ zS~c:i Ola (11:0:::: ~~? ':) ~:. "", \ ;'.- ~ .~I~ o ,*.~ U<ll Q)O: 0: 0 ~Ci: ~ 0 " :::: , :, ) - l""I ., ~ ...., :.J P\ 'E ~;:) EC:'l:l-~aJ"" cu CV C 0 C >',u E..c:QC:E~.c III 'M I: ] ">- bLlIl ~a III CII,o CII ..... .alllp., ~ ~U ....." 'M - ~ 1Ilt:>::~ I: :>> o 1a01ll~ 1at:t:"E:l C11-8 S Hlatll~CII0 <~t:>::IIl~U HHIa..-f tIltlllQ ~"tl lat:>:: -01: Ia'''tl III IQ:>CII.a..-f .. III bL '" ~~~~~~ z~<CIIoB to U 'w - - ftI W ~ ~ ~ ~ W'- ~ a.EQ~C.~ u '!!!".~<iimBa; 's .c - D.e:e: c .C:C-oC:JQ) 'O:B'ro~o.c .! CDE"'cn~~.: .. ~'~-SS~IDS .c '; ai r "'e: ~ ~ i 'i~ ... m:J w...... '0 -=" 0 .2 C 0 U CD -mUtj.v-l/) " ~ -S ~~6. ;: " u _.0 >... .::ooocoS .7J..S g'O-c~~cn c: 'tl".o .. l!! ~ cro!.EcncQ) $' Q) .c...roo.c _ .Eg..;:.c~- :Ii ~ ~':::go!!! c&.5 E :s ....- 0 - CD -.Qa.-.::;....cn _ -E.~..g.a~~ l!l~ _>._.c >'\: o! en :=0= ftI - C:."O ial'~ ~a ~.~ ~'m CJUJQJ"'''C>CD__ .tg,E~mQ).~oo Q)Q.lU-o-cuc8 .r:. -.J: _ ~ c: .... ... -o-c.a.I":~o<( I:l Ia tIl o p., ~ p., ~Z 00 H HH Z::l ffi~ HH <tIl HH .... - III ~ ~ ~jJ;~ ~ '" ti ~ '( If ... ~ ~ :l ~ III i:i C Z ~ ~ ~ ~ ~ <: ~ ~ ~ ~ U C' WAYNI! F. SHAD!! A_lito., 53 WCII pomr", SUtd CarlUIe, Pmalylv.... 17013 IN TilE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF SARAIl BERSTLER, a/kin SARAIl V. BERSTLER, Deceased, Late of the Borough of Mechanicsburg : Cumberland County, Pennsylvania: NO. 21-96-260 FffiST AND FINAL ACCOUNT OF, DAVID G. PECK, EXECUTOR Date of Death: March 3, 1996 Letters Testamentary Granted: March 29, 1996 First complete Advertisement of Grant of Letters: July 5, 1996 Account Stated to January 29, 1997 3/29/96 3/29/96 4/16/96 4/18/96 4/22/96 5/20/96 5/20/96 7/10/96 8/26/96 1/29/97 PRINCIPAL RECEIPTS Net proceeds of sale of house and lot of ground known and numbered as 317 South High Street, Mechanicsburg, Pennsylvania Suburban Cable TV Co., Inc., subscription refund Members 1st Federal credit Union, combined balance of Account No. 47117 Kevin G. Flaherty, proceeds of sale of 1985 Ford automobile Shipley oil Company, oil service refund Donegal Mutual Insurance company, automobile insurance refund Capital Blue Cross, health insurance premium refund Bell Atlantic, telephone service refund Donegal Companies, homeowner's insurance refund Pennsylvania Department of Revenue, inheritance tax refund $ 83,218.57 14.73 25,764.74 2,500.00 69.25 61. 00 196.10 13.09 48.50 596.51 $112,482.49 TOTAL PRINCIPAL RECEIPTS WAYlIP. F. SHADE Aa.cner aI Law 53 w... I'<>mfrd SUttl CarIialc. r-oylvaala 17013 !lRINCIIJAL DISBURSEMENTS Bell Atlantic, outstanding check for telephone service united Water of Pennsylvania, outstanding check for water service Shipley oil Company, outstanding check for fuel oil Wayne F. Shade, reimbursement for probate fees Wayne F. Shade, reimbursement for advertising Letters Testamentary PP&L, electric service Bell Atlantic, telephone service Myers Funeral Home Barry L. Heckard, sr., real estate per capita tax Donegal Mutual Insurance Company, homeowner's insurance Borough of Mechanicsburg, sewer and refuse central Penn Appraisals, Inc., real estate appraisal Register of Wills, estimated Inheritance Tax Bell Atlantic, telephone service PP&L, electric service The Sentinel, advertise Letters Testamentary Bell Atlantic, telephone service United Water, water service David G. Peck, reimbursement for veterinary fees PP&L, electric service Register of wills, file Petition for Probate 6/20/96 Cumberland Law Journal, advertise Letters Testamentary 3/29/96 3/29/96 3/29/96 4/25/96 4/25/96 4/25/96 4/25/96 4/25/96 4/25/96 4/25/96 4/25/96 4/25/96 5/ 1/96 5/ 1/96 5/ 9/96 5/10/96 5/30/96 5/30/96 5/30/96 6/ 7/96 6/17/96 -2- $ 19.22 35.86 87.00 220.00 60.00 78.74 21. 69 5,361.00 161. 54 99.50 70.70 250.00 5,500.00 19.03 24.08 78.38 19.45 39.54 232.00 19.85 25.00 60.00 6/28/96 7/ 9/96 7/11/96 7/17/96 7/17/96 7/24/96 10/ 2/96 10/ 3/96 1/29/97 1/?9/97 Bell Atlantic, telephone service David G. Peck, reimbursement for refuse removal PP&L, electric service PP&L, electric service united Water, water service The sentinel, advertise Letters Testamentary Register of wills, filing Inheritance Tax Return James R. Gingrich Memorials, grave marker engraving Wayne F. shade, attorney fees Register of wills, reserve for filing Account, etc. TOTAL PRINCIPAL DISBURSEMENTS INCOME RECEIPTS 4/16/96 Members 1st Federal credit Union, combined interest on Account No. 47117 1/23/97 Farmers Trust Co., interest on certifi- cates of deposit TOTAL INCOME RECEIPTS INCOME DISBURSEMENTS 1/29/97 Reserve for 1997 income tax TOTAL INCOME DISBURSEMENTS WAYN1! F. SHADe A_" lAw 53 WUI PomIrd SIred Carlisle. 1'alIu)'1v.... 17013 -3- 20.86 220.00 22.05 9.80 21. 52 85.72 15.00 60.00 5,400.00 200.00 $ 18,537.53 $ 103.47 1.955.25 $ 2,058.72 $ $ 100.04 100.04 ~;S tIl:i! ~~ p..tIl z~~ OlLlH ~p..~ o -:> U>,H Eo<t:l ~~E-I OP::O tjU::l\O ..... 0<'1 ::It:lUI o ~~ \0 U - 0\ till ~~~~ ~s~c:i .~ I~I AS . ~ ;symo .p ~IIMele~ uOllnqllll/fl ,olIn IUOI pllodold ullM eouePIOooe UI p.IIOlp uOllnqlllllP pUI Arolnlolql PIUIlIIUOO IUnoooV I b b/ .., . f7 'VOl(] ~~ ..l'::; '..)" ~ -" ~- "t; . ~'.J ;~ C ,,:- '8-";' ~, 'D CIa: a:: o 9- o :;z t___-' ."]0- , . 0:::- .() ~) .- l""I 2 ...., . ' '._0 ,; E ,9;;) uu ":"0 c: 't2 +4 .. Co ~ w iij ~ ~ P' <1l 'M g > .-l >- bllIl ...S:: ::l s:: <1l CIl.o CIl _ ,.c::lIlp.. ~ .lJO -....... .,.t . 10.0 <1lP::ll4 s::>- o lLlOI1l.lJ ~~~ CIl-fl 9 <~~~~8 Eo<Eo<lLl.-l tIlUlItl 114"tl ILl!>:: . 0 s:: 1Ll."tl I1l Itl:>CIl,.c::.-l .. III 1>.:.... ~~~~g] z~<g~~ U <II 3:>:>::: u cu 0 OJ ~ a~ Ill~ t! ; ._ Q) _ Cl).c -5.co&)m.: _=- J:o o'i~g-.-= g'1ll'OCS-g =E1il~cll ::: <0 .!.!!.- :: <II m'" mom .c~~cC:(D ........cu.:.:co oco~atn 5~"Dcn~Q) '::3cmQ)~ OQ)co.ca.... cue .~C c co Q'" QJ'- lD-'- C s:.... ~a.n;::1-~ 'E'gE8~;; sco~~~E ~ III c ~.- <OEO'O c' 5'::: U'iij Q) <0.5 .. ... III 0 E .. >(1)0 ... - :t:...-o'O.coo t:~t:"'c-- ~Q\:I~CO~~ J:oc-oc CDclUuE'o ... r. 01.' ~... ,g ~ ... :..;~ ~ :: 'w _ro2c<<..:e.c Eo< ~ o U U < ~ Z H 10.0 t:l ~ Eo< tIl P:: H . ~ ,~ ~ '" - Iol 8 ~ ~ j ~ :S := ,., ti ~ ~. '< e: '-' ~ 1;; ::< 1;; ~ ~ ~ ffi ~ ~ ~ ~ ~ '" ~ '" ~ U . WA\'N!: F. SUAIJ!: Allllm('y:all..a\\' H\\'C\II'lllllftrl SIr<<1 (',:nli'Ir.I'I'nm)"h':mi.1 17013 IN RE: ESTATE OF SARAH BERSTLER, a/k/a SARAH V. BERSTLER, Deceased, Late of the Borough of Mechanicsburg Cumberland County, Pennsylvania: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-96-260 RELEASE KNOW ALL MEN BY THESE PRESENTS, That I, KAREN J. DARHOWER, being one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, late of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, do hereby acknowledge that I have this date had and received of and from David G. Peck, Executor of the Estate of the said Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, the sum of Thirteen Thousand Seven Hundred Seventy-Three and 88/100 ($13,773.88) Dollars, in full satisfaction and payment of all such sum or sums of money, legacies, bequests, intestate shares and family exemptions to which I am entitled by Will or as an heir-at-law and to which I am entitled from the Estate of said Decedent. NOW, THEREFORE, I do hereby remise, release, quitclaim and forever discharge the said David G. Peck, Executor of said Estate, his heirs, executors, administrators and assigns, of and from the said legacy or legacies and other shares in said Estate and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for and by reason thereof, or of any other act, matter, cause or thing whatsoever, from the beginning of the world to the date of these presents. IN WITNESS WHEREOF, I have hereunto set my hand and seal, this 7th day of March, 1997. WITNESS: Cv,~", 9 4,~ ~({I piJA~d</ aren . Darhower (SEAL) COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) On this, the 7th day of March, 1997, before me, the undersigned officer, personally appeared KAREN J. DARHOWER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREO seal. Notarial Seal Connie J. Trill, Notary Public Carlisle. Cumberland Counly My Commission Expires Oct. S. 2000 L nto set my hand and official ~-<~i---/~ Notary Pu ic WAYNE F. SHAIlI: AlIomt'). Illl..1w ~., Wc~l l'l'lllrrrl StJed t':uli,k.I't'ool)'lv:lOi.ll 1701l IN RE: ESTATE OF SARAH BERSTLER, a/k/a SARAH V. BERSTLER, Deceased, Late of the Borough of Mechanicsburg Cumberland County, Pennsylvania: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-96-260 RELEASE KNOW ALL MEN BY THESE PRESENTS, That I, RICHARD T. BERSTLER, being one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, late of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, do hereby acknowledge that I have this date had and received of and from David G. Peck, Executor of the Estate of the said Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, the sum of Thirteen Thousand Seven Hundred Seventy-Three and 88/100 ($13,773.88) Dollars, in full satisfaction and payment of all such sum or sums of money, legacies, bequests, intestate shares and family exemptions to which I am entitled by will or as an heir-at-law and to which I am entitled from the Estate of said Decedent. NOW, THEREFORE, I do hereby remise, release, quitclaim and forever discharge the said David G. Peck, Executor of said Estate, his heirs, executors, administrators and assigns, of and from the said legacy or legacies and other shares in said Estate and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for and by reason thereof, or of any other act, matter, cause or thing whatsoever, from the beginning of the world to the date of these presents. IN WITNESS WHEREOF, I have hereunto set my hand and seal, this l,.I" day of March, 1997. WITl\E, SS: / Jr. . . '/ I , I. i t' ': /', fr/" ,- _) ',_n , ~, ;L( ;.:a It' Richard T. Berstler (SEAL) ./il( , .11 ../ COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) On this, the I.,i" day of March, 1997, before me, the undersigned officer, personally appeared RICHARD T. BERSTLER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. I hereunto set my hand and official IN WITNESS WHEREOF sea 1. ";''';t.'''~ :-..'J ""'l'''. ~ I '),,'r':~.., .......1.';./ Pt':-~:- . ;:;~~:::_~.~::;~~;L~::;,':'::~j tt.unbui, I 'U\fhP.'Ul~I/\tWV.."'JlIOI Not..,... .,! \ \ Notary Public '.l. \ I,,' '/ . WA\'NH F. SHAIJI! AIIOfT\r)'at t.aw ~\W(J11'lIIl11rrr1SIrt"rt ('.;uJi,IC', "rnn'ylnni" 1711I\ IN RE: ESTATE OF SARAH BERSTLER, a/k/a SARAH V. BERSTLER, Deceased, Late of the Borough of Mechanicsburg Cumberland county, Pennsylvania: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-96-260 RELEASE KNOW ALL MEN BY THESE PRESENTS, That I, KARIN G. PECK, being one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, late of the Borough of Mechanicsburg, Cumberland county, Pennsylvania, do hereby acknowledge that I have this date had and received of and from David G. Peck, Executor of the Estate of the said Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, the sum of Thirteen Thousand Seven Hundred Seventy-Three and 88/100 ($13,773.88) DOllars, in full satisfaction and payment of all such sum or sums of money, legacies, bequests, intestate shares and family exemptions to which I am entitled by will or as an heir-at-law and to which I am entitled from the Estate of said Decedent. NOW, THEREFORE, I do hereby remise, release, quitclaim and forever discharge the said David G. Peck, Executor of said Estate, his heirs, executors, administrators and assigns, of and from the said legacy or legacies and other shares in said Estate and of and from all actions, suits, payments, accounts, reckonings, claims 3nd demands whatsoever, for and by reason thereof, or of any other act, matter, cause or thing whatsoever, from the beginning of the world to the date of these presents. IN WITNESS WHEREOF, I have hereunto set my hand and seal, this ~ d, day of March, 1997. WITNESS: ~q.f~ K~ C. ~o? Karin G. Peck (SEAL) COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) On this, the 6d day of March, 1997, before me, the undersigned officer, personally appeared KARIN G. PECK, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN W sea 1. NOlan81 Seal Connie J Trill. Notary Public I Carlisle. Cnmberland Counly . Mv Commission Expires Del. 5. 2000 1_ unto set my hand and official ~ c:.7 ,-f~ Notary Pu)!S'1 ic WAYNE F. SIIAIlE Allt1mr)' al I..w ~U W,,\t l'tllnhrl Sllcel ('atli,I".I\-nn'yl\'ani.l 17111.\ IN RE: ESTATE OF SARAH BERSTLER, a/k/a SARAH V. BERSTLER, Deceased, Late of the Borough of Mechanicsburg Cumberland County, Pennsylvania: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-96-260 RELEASE KNOW ALL MEN BY THESE PRESENTS, That I, SANDRA PALMER, being one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, late of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, do hereby acknowledge that I have this date had and received of and from David G. Peck, Executor of the Estate of the said Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, the sum of Thirteen Thousand Seven Hundred Seventy-Three and 88/100 ($13,773.88) Dollars, in full satisfaction and payment of all such sum or sums of money, legacies, bequests, intestate shares and family exemptions to which I am entitled by Will or as an heir-at-law and to which I am entitled from the Estate of said Decedent. NOW, THEREFORE, I do hereby remise, release, quitclaim and forever discharge the said David G. Peck, Executor of said Estate, his heirs, executors, administrators and assigns, of and from the said legacy or legacies and other shares in said Estate and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for and by reason thereof, or of any other act, matter, cause or thing whatsoever, from the beginning of the world to the date of these presents. ~N~~NESS WHEREOF, I have hereunto set my hand and seal, thisC-:- day of March, 1997. WITNESS: 9~, deb<< /t~ Aldt!-t/' Sandra Palmer (SEAL) COMMONWEALTH OF PENNSYLVANIA ) ) 55: COUNTY OFC\<""LIClr0 ) On this, the ~ day of March, 1997, before me, the undersigned officer, personally appeared SANDRA PALMER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN seal. WITNESS WHEREOF, I hereunto set my hand and official ~'--'- . . -:'-~:'J. c----,~/f/7'" , .. '----/~O /' t', I __,~":':':...J Notary PUblic Mt.....~ .....,., > ,: . 'I . ,',.,,, .-:;;-' - o.~ o ~. ...--:.< ',f' ~. . . 0_ <:t .... no: w: )<. ~) ., r..) ~~ ,~ y- o:"'" r-- F' UJ i..: _:::l ()() . WAYNI! F. SIIAIlE Allomry al l.aw H\\'nlll(ll1tfrrlSltrd ('alli,I~'. l'mR,)h'.:u\i:r. I7llLl IN RE: ESTATE OF SARAH BERSTLER, a/k/a SARAH V. BERSTLER, Deceased, Late of the Borough of Mechanicsburg Cumberland county, Pennsylvania: IN TilE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-96-260 RELEASE KNOW ALL MEN BY THESE PRESENTS, That I, DAVID G. PECK, being one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, late of the Borough of Mechanicsburg, Cumberland county, Pennsylvania, do hereby acknowledge that I have this date had and received of and from myself, David G. Peck, Executor of the Estate of the said Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, the sum of Thirteen Thousand Seven Hundred Seventy-Three and 93/100 ($13,773.93) DOllars, in full satisfaction and payment of all such sum or sums of money, legacies, bequests, intestate shares and family exemptions to which I am entitled by Will or as an heir-at-law and to which I am entitled from the Estate of said Decedent. NOW, THEREFORE, I do hereby remise, release, quitclaim and forever discharge myself, the said David G. Peck, Executor of said Estate, my heirs, executors, administrators and assigns, of and from the said legacy or legacies and other shares in said Estate and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for and by reason thereof, or of any other act, matter, cause or thing whatsoever, from the beginning of the world to the date of these presents. IN WITNESS WHEREOF, I have hereunto set my hand and seal, this 6th day of March, 1997. WITNESS: pi K o//-{ d~ David G. Peck (SEAL) ~.,;f4 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUNBERLAND On this, the 6th day of March, 1997, before me, the undersigned officer, personally appeared DAVID G. PECK, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF I hereunt set my hand and official seal. NolarialSeal ~ Connie J Trill. Notary Public, A . , Carlisle, Cumberland County C). r I~ PI" ~~mmlssion Expires Del. 5, 2 ary Pu[jl ic I _____ CI -..< - -:'1 ~~ r,_ u .f!! N .. 0- o ~.. , -; .. "'l" - c; ~. -.- . , -' .~ 9\ .n C- wo: _::I 0: 00 IN RE: ESTATE OF SARAH BERSTLER, a/k/a SARAH V. BERSTLER, Deceased, Late of the Borough of Mechanicsburg Cumberland county, Pennsylvania: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-96-260 RELEASE KNOW ALL MEN BY THESE PRESENTS, That I, JACKIE TRIANO, being one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, late of the Borough of Mechanicsburg, Cumberland county, Pennsylvania, do hereby acknowledge that I have this date had and received of and from David G. peck, Executor of the Estate of the said Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, the sum of Thirteen Thousand Seven Hundred seventy-Three and 88/100 ($13,773.88) Dollars, in full satisfaction and payment of all such sum or sums of money, legacies, bequests, intestate shares and family exemptions to which I am entitled by will or as an heir-at-law and to which I am entitled from the Estate of said Decedent. NOW, THEREFORE, I do hereby remise, release, quitclaim and forever discharge the said David G. Peck, Executor of said Estate, his heirs, executors, administrators and assigns, of and from the said legacy or legacies and other shares in said Estate and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for and by reason thereof, or of any other act, matter, cause or thing whatsoever, from the beginning of the world to the date of these presents. IN WITNESS WHEREOF, I have here~to set my hand and seal, this I( d- day of March, 1997. // }/ ~ ,- f k/ ./; ,/ ' Ii' [Jackie Triano I WITNESS: ..------ ' /'}, (SEAL) STATE OF CALIFORNIA ) 1 ' ) SS: COUNTY OF lC':;1 lIf?r'l<=' I,;)L:, ) On this, the lO'l) day of March, 1997, before me, the undersigned officer, personally appeared JACKIE TRIANO, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. WAYNI, F. SIIAIJE Allomry.ll.aw !l.l \\'(~t l'omJIt'1 Stm:1 ('atlidt.l'mn\}h'ania nun IN WITNESS WHEREOF, I hereunto se,t, m~ hand and official seal. ~ ~ ~ ' .. OSCAR A LAGOS ).)' Q' . 4 COP/.M '1053162 ""'" /r,i l," J '. l- r- ., ..."",- "U'." CAL',)"'" ~ ~ ( , ~ r;'t\,:;'~ '~ll~~~~"7;~r~!:" :i~.";~ i# Notary public .."~,...... . ......... _..... ._'0.' ....~. ...._.,.~ IN RE: ESTATE OF SARAH BERSTLER, a/k/a SARAH V. BERSTLER, Deceased, Late of the Borough of Mechanicsburg cumberland county, Pennsylvania: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-96-260 RELEASE KNOW ALL MEN BY THESE PRESENTS, That I, ROCHELLE WADE, being one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V. Berstler, Deceased, late of the Borough of Mechanicsburg, cumberland County, Pennsylvania, do hereby acknowledge that I have this date had and received of and from David G. peclt, Executor of the Estate of the said Sarah Berstler, a/k/a sarah V. Berstler, Deceased, the sum of Thirteen Thousand Seven Hundred Seventy-Three and 88/100 ($13,773.88) Dollars, in full satisfaction and payment of all such sum or sums of money, legacies, bequests, intestate shares and family exemptions to which I am entitled by Will or as an heir-at-Iaw and to which I am entitled from the Estate of said Decedent. NOW, THEREFORE, I do hereby remise, release, quitclaim and forever discharge the said David G. peck, Executor of said Estate, his heirs, executors, administrators and assigns, of and from the said legacy or legacies and other shares in said Estate and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for and by reason thereof, or of any other act, matter, cause or thing whatsoever, from the beginning of the world to the date of these presents. . IN nITNESS WHEREOF, I have hereunto set my hand and seal, thlS () day of March, 1997. ) WITNESS: \" ~ I ~t-c.'\..\.. (C'e.Ql) n . );;( kll' ;-/"" ~/c._ Rochelle Wade (SEAL) STATE OF ARIZONA 55: COUNTY OF ;0 ~ , ~ \L On this, the ) C. day of March, 1997, before me, the undersigned officer, personally appeared ROCHELLE WADE, known to me (or sati~f~~torily proven) to be the person whose name is subscribed to th~ ~ithin instrument and acknowledged that she executed the S3me fe,r the purposes therein contained. W^\"NE F. SII^IlE Allnmr)' a11.aw n WC'~1 I'umlrcl Surel ('lIrlidi:,I'cnn,)l\'ani.l \1UIl IN WITNESS '~HEPEOF, I hereunto set my hand seal. I and offis:ial \~-JJ . \ I~. ')~~ 0 -:;.:( Q :q '[L .~ N .. 0- r , . "" .~ ~ 0: ""1.: :-:: :.; ~.. [;; l: We: .!!!;:J 0: Uu 4' -. ." ..... O. -. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN X IN THE APPROPRIATE SPACES. YES NO 1. Did decedent make a tranefer and: a. retain the use or income of the property transferred, X b. retain the right to designate who shall use the property transferred or its income, X c. retain a reversionary interest, or. X d. receive the promise for life of either payments, benefits or care? X t: 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of death without roceiving adequate consideration? 3. Did decedent own an 'in trust for' bank account at his or her death? IF TIm ANSWER TO ANY OF TIm ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. r'\ >- X X IU!V,unll~'\" (12.IS) . COMMONWI:AI.TII 01' )'I:NNs\'I.VANIA INllliRnANCIlTAX RlrrURN IUJ.'IIUI!NT DP.CllDl!NT SCIIEDULE A REAL ESTATE ESTATE OF FILE NUMaER 21-96-26D Sarah Beretler, a/k/a sarah V. Doretlor r r1 OInt ownt WI I I . UNIYOn r mllll lie OUt (~I. t. U ASSESSED VALUE VALUE AT DATE OF DEATH ITEM NUMBER DESCRIPTION 1. Net proceeds of sale of house and lot of ground known and numbered as 317 South High street, Mechanicsburg, Pennsylvania 83,218.57 " .' TOTAL (Aleo enter on line 1, Recapitulat on) 83,218.57 (II nKm tpICe IS ottdcd InK" IW&lluonal SU('cU 01 umt t'U) A. Settlement Dtntcmont U.S. CtpMlmcnt or tloullnl .r.J UrL>.ln C~...e\tlnent ~8 tlo. 2!loz.on~ I. 1)-pe of LOin 1.0 '"" 2.0 '11\I'" ),0 Conll. Unln.. 4.0 VA 5.0 COOIl. Ins. c.. fllelooll1tJer . LOI:l h\,ll~..er 8. HorlYol~r Ill\. Cn... liulmr fiT.MARK'n C. 1hls torlll " furnhhed as . sUlC!f!lCnl of .clual ,...tttt~nl cosU. AmoU'l'. paid 10 .nd by Ihe settll.'1'P\('n1 ..,enl Ite Iohown. lieN Nrlcd (p.o.c) were paid ouulde Ihe clo1.ln.,j Ihty ore "ho..n t.or InfotNllonal purposes Ind .re not includrd in louts. D. SlIN' .od Ad<JreU ot 10rtOw., E. WIIft1C Ind AdJrns of suter f. Hllftlt Ind Addreu of Lef'lJer THE EVANGELICAL LUTHERAN DAVID G. PECK, ST. MARK'S CHURCH OF Alternate Executor of MECHANICSBURG, PA tho Eatatc of Sarah V. Berstler G. Property Location H. SettleG\tnt Agenl MURREL R. WALTERS III. ESQ. 317 SOUTH 'HIGH STREET Pl.te of Settlement I. Senlemcnl D'U MECHAIIICSBURG, PA 17055 53 WEST paM FRET STREET 07/10/96 CARLISLE, PA 17013 J. SUXHA.1l.Y or SCAROIlER'S tUNSACflONI K. SUXXAAf Of SELLER'S TRANSACTION I 100. GROSS AKOONT DUE fROH BORRMR 400. GROSS AKOONt DUE to SELLER 101. Canlratt uln price 84.000.00 401. CanU.tt IIln price 84.000.00 102. PersCt\lI propertY 402. Personal properly 10]. Setllement chlrlles to borrowerellne 1400) 964.00 40J. 104. 404. 105. 405. AdJUJ.tNnU for' ttlllS paid by sel let In .d'ilnce Adjustllltntl for IttfllS paid by sellet tn .cN.nte 106. City/town uu, .. 406. City/town taUI .. 107. COI.I'\1Y uus 07110/96 to 12/31/96 72.75 407. COlllty tun 07110/96 to 12/31196 n.n 108. Auenmenu .. 408. AUUPlenta .. 109. 409. 110. 410. 111. 4". m "2 , 120~ GROSS ~T DUE FROH BOUMR 85,056.75 '20. CROSS AMQJN1 DUE 10 SELLER 84.072.7S 200. AMCl./Nts PAID BY OR IN SEAAlf OF SCRROU'ER 500. REOUCflONS IN AXOONT DUE 10 SELUR 201. Deposit or earnest IllOncy 501. heen deposltenc Instructions) 202. Principal IlIlOII\t 01 new 10an(l) 502. Sl!tHfl!lent tharlltl to nlhrUlne 1400) 1540.00 20l. Exhtlnll 10anU) uten lubJect to 50l. hlstlnll 'Clln(l) uken lubJect to 204. 504. Payoff of flnt IllOttgag. lClon 205. 50S. P.yoff 01 lecard rortlla". loan 206. 506. 207. 507. 2015. 508.. 209. 509. ldJultlltnU for Hems lIIpatd by stUer AdjulllltnU tor items ~ld by ....\Ier 210. City/town toiles I. 510. City/town Ules .. 2n. Cwlty uxes .. 511. COt.nty tau. .. 212. Alsen~ntl 01/01196 to 07110/96 14.18 512. Assu~nl' 07101/96 to 07110196 14.18 2Il. 513. 214. 514. Z15. 515. 216. 516. m. 517. Z115. 5'15. 219. 519. 220. 10tAL PAID 8y/fOR BOlRMR 14.18 520. tOTAL REDUCtiON #J4CUNT DUE SELLER M4.UI )00. CASK AT SEttlEHENT fR<>>f110 8CAROU'ER 600. CASH AT SE11L[M[N1 TO/fRCIi SELLU ]01. Cron AI!lOUOt dYe Irom borrower(line 120) 85,056.75 601. Cton I/I'lO\lf\t due to "Itere line 420) 8/'.071.15 l02. leu I:nount paid by/tor borrowcrellnc 220) I 1&..18 I 602. Leu red\JCtlon olIl'Cunl due sellerelln... 520) I B~/'.1B I 303. CASH( m fROH)(O 10) 8ORROU'ER 85.042.57 t.Ol. C.lSH( m TO)( 0 fROM) SELLU 6J.21!,S1 t' 1hc inlorNtlon e:onulncd tn 8loe:h E, C, H and I al'd on \lne 40Hor. It line 401 II Ulerhled. linn &.OJ Ind 404) II hrporunt u. Inforll\oStlcn.nd I' bel~ furnished 10 the Inlernal .~...r~e Ser....ln. If you Ire rrqulred tu f'le I return. I ntlllillrnce penalty or olher unttlan wHI be IlrpO....d on you jl 1hl!. It('!'l " req...htd to be rrportell Ind Iht' lIS d,I'flllinn thlt it h.u not been reported. 1l1.O'''' SEllU.u:N1 StAtEHENt \.~.t;I"~: It i,. [fh~' In ~,,,,,,h'11)' ,...)1",1.1111" ,l.lh"."hlo tI'l' tlllilt',j U"lt\ en Hd, IIf '''1 olllfr "imillU tOf",. "t'II,II"", OJ'''' OH.lllllllO t;I'I I'w:h~lt'. fh'f .r~ int'''''''''.:''!' for th:lall, 'I!f; Ihlt" III U.S. ({"It ~t'n'OI'I lulll , 1010. ~1';'J"I'I.lmElI'I' :;'j'h'J'EI1EII'J' PAGE 2 ------ J'AIV '~C14 I;:i-D'-I-~~-- L. SC1HEtoltlH tIW,CU 100.IOUL SALES/8I.O([Il'S COHHllSlOJrl b.St"d on flrle: , fl__,OGO.OOOl , . . 80UO\JlI'S SUIU'S Dlllhlon of c~Jiulon (IIn. 700) u 10110"": IUloOSAI IU,,:JS AI 701. . 10 UIJUH[Jrll nlTlUI(Jrll 702. . " 701. Cl)'llnlulon ~Id at S.UItr.lent 704. 1100. IUHS PAYABlE IN CO"~ECtIOJrl \lIIH lOA~ 1101. Lo.n OrlglNltlon hf! , e02. loan O"eO\l\t , eOl. Appr.."..t In 10 1104. Crtdlt Rfport I. eos. Lender" InsPfctlon fu . e06. "art gage Insurance Application he .. e01. AUl.IfPtlOl'lfn 1105. 1109. 1110. 1111. 900. ImlS REWIIED BT LENDER 10 8[ PAlO IN ADVANCE 901. Intt"rnt fren .. " Id..y 90l. HOrlg..;e Insuranc. Prtnlhlll far months to 901. H"!lrd Insurance Prt"llllun for yurl to 901,. 90S. 1000. I[SUVES DEPOSlHO UItH LENDER 1001. Huard Insunnct" t:lOnths il , P" IPlOnth IDOl. Hortglgt" Insur..nce months g , p("r Mnth 1001. City property tun t:lOnths il , pt"r month 1001,. C~typropertyt...n months il , 12.65 per lllOnth 1005. Amu..l anen/llents monthsilS 43.12 per rrmth 1006. tIlOnths Q' per IlIOI'lth 1007. II)f\ths il , Pfr lllOnth 10011. tlOnths D S per month 1100. TITLE CKARCU 1101. Seullt1lltnt or Closing fft t. 1102. Abstract or tltl~ search .. 1101. tltlt ellllllnatlon t. 1104. Tille Insurance blnclu t. 1105. Docunent pUp.lratlGn I. IJA'NESHAOE,ESa. P.O.C. 1106. Not..ry feu t. 1107. AUorneyrs fns t. MJRIIEl Jt. IJALTERS, [SQ. POC C lncludu ..bove ItttrlS Nu:tltU: ) 1I0S. Tlth Insurance t. (Includes aboll' ftftlll Nl.Ilbcra: ) 1109. hnder's cover..ge , 1110. Owner's cover..ge , 1111. 1112. 1113. 1200. COVERNMEJrlT RECOIlOING AND TRANSfER CHAlICES 120l. Ilfeordln\l hes: Dnd' 21.50 ;"ortgo\gt' , 25.S0 ;Rt"lt".'l~t", , 49.00 110l. Cltv/county t"/U.."ll': Oet"d' e40.00 ;~ort\ll;t" , 840.00 1l03. SUtlP t"l/su~s: Dft"d' 81,0.00 ;Hortg..ge' 640.00 llOI,. 120S. 1l00. ADDitiONAL SETtLE"ENr (KARCn 1301. Surlley .. 130l. Pt"st InsPfttlon t. 1303. 1301,. 1305. RAOO~ I ES I res 95.00 1400. rOlAl UTtU/'IEJrll CHAIlCts fenter on lint" 103. St"ctlon J end lint' 502, hellon l:) 96~ .00 8t.O.OO CUIlflCAlICJrl I h...... carefully relllhled the tll.~'1 SfUlt'fllfnt Statt'll'lt"nt and to thlP ~,t of III'( knowlrdllt" I~ bellt'l, It h II Hilt' ..nd IUlIr.t. U"Cftnt"nt of ..ll nCt"lpts..nd dlsburSt'll'lt"nts m.:ade on ey .fCCO\lll1 cr by r.'IC' In this tr..nsattlon. I fllrtht'r certil) th..t I h..ve rt"c.,..td . co~/'_ th:,H~'O'1 l~j'ltmt"nt St..tl'fflt"nt. _ ~~I . '/['')''J r,~, ft. /' _&/~!.p"1 J:....,J, V. ;3"!.."'I..U.4JI12-L-~_ / - -~1' ~~MJ r...s:.;vd.I,JL~ :.~lI" , _ ~r("p,)I\'J ,~. Ir..... ,:I'''' .1('Io'"t.. .H(QlJfll of thi!, tr.n\.Iclio... I 1'0.... c.u,.d or ~tlt "Ith thi, ..1.llrn"L ....., D, l.;e. -DMr " MI!V.I)'l'Il:'~. (11.11II) . CUMMON\'.'I!AI.TII (U'I'I'.N,..,~rl.V^NI^ INIIltMrrANCI! TAX KlnllMN MI!,,'iIlJI'NTIJI!c'mllm SCIIEDULE F JOINTLY-OWNED PROPERTY Sarah Dorotlor, a/k/a Sarah V. Dorotlor FILE NUMDER 21-96-26D ESTATE OF Joint tonanl:(o). lW1f< ADDRESS 315 Camp Ground Road Dil1sburg, PA 17D19 RELATIONSHIP TO DECEDENT A. David G. Peck Son B. C. Jointly-owned property. LETTEF . ITEM FOR DATE NUMBER JOINT HADE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF TENANT JOINT OF ASSET \ INT. DECEDENT'S INTEREST 1. A 11/2] 1984 Members 1st Federal Credit union, Share savings Account No. 47117-00 364.85 50 182.43 2. A 11/2] 1984 Members 1st Federal Credit Union, Checking Aucount No. 47117-11 2,317.56 50 1,158.78 3. A 11/21 1984 Members 1st Federal Credit Union, Investment Savings Account No. 47117-05 23,082.33 50 11,541.17 t' TOTAL (Also enter on 111 e 6, Recapi ulation) 12,882.38 (II mafIC Irace II nc'tlkd ulltn alWltIOnIl IhtcUl or &lme lue) ~ tll:\'.1\I' I~X. (1-"') . t'I'MMIH4WI~I.1I1C1I'I'IJ;rh\'I.\'MH^ IHI11:HIl"ANt'H1AX tll:IIHU4 JtMlUlm'lIl!l'I~III".NT SCHEDULE J DENEFICII\RIES t:STATt: O~. FILE /lUMBER 21-96-26D Sarah Beratlor, a/k/a Sarah V. Berotler NAME A/lD ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxab 0 Boquootol 1. David G. Peck 315 Camp Ground Road Dillsburg, PA 17019 Richard T. Berstler 114 Holly Drive Mechanicsburg, PA 17055 Rochelle Wade P.O. Box 2343 Show Low, AZ 85901 Son One-seventh 2. Step-son One-seventh 3. Step-daughte One-seventh 4. Sandra Palmer 241 Kenmar Drive New Cumberland, PA 17070 Step-daughte One-seventh SEE ATTACHED ITEM NUIIBE NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Char table and Governmental Bequests. " TOl'AL CHARITABLE AND GOVERNMENTAL BEQUESTS (AlJoml<,on Iin< 13. R".pitubtioo) mOKlpaccl1 uu.rn a lllma I <<lJ (I l&nlC' Ill': LAST HILL AND 'mSTAI,mNT I, SARAH V. IlERSTLER, of the Ilorough of Mechaniesburg, County of Cumberland, Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Hill and Testament, hereby revokin and making void all former wills and codicils by me at any time " heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor, hereinafter named, as soon as conveniently may be done after my decease. SECOND. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath in seven (7) equal shares unto my children, DAVID G. PECK and RONALD L. PECK, and my step-children, ~ ROCHELLE WADE, SANDRA SHORT, JACQUELINE TRIANO, RICHARD T. BERSTLE ~ and KAREN DARHOWER, absolutely and in fee simple, in equal shares. If any of my said children or step-children should fail to survive me, then and in that event, I give, devise and bequeath the share of the same unto such of them who shall survive me, absolutely and Altorn,)' .t Law S South Ihnovcr Sltut . in fee simple, in equal shares. THIRD. In the event that I should, by reason of physical or <' mental disability, become unable to take part in decisions for my own future by virtue of what is commonly known as "brain death", I order and direct that, where there is no reasonable expectation of my recovery from physical disability, I be permitted to die and th t I not be kept alive by artificial means. It is my express desire Attora., at Law Bouth Huonf Strlll lilli, P.DDI,I.,nla 17011 signature this;( 3...J- day of r..~ One Thousand Nine Hundred Eighty-four (1984). , A.D., J_ I ~ ~ ~st~ (SEAL) The preceding instrument, cons is tine of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by SARAH V. BERSTLER, the Testatrix therein named, as for her Last Will and Testament, in the presence of us, who, at her request.. in her presence, a:nd in the presence of each other, have subscribed our names as witnesses he,reto. t1~ r-SYL rc/~? . t' - 3 - 11\l.1WhI4..41 112803 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OP REVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX '* D NO. AA RECEIVED FROM: fJ ACN ASSESSMENT I:' CONTROL ~ NUMBER AMOUNT SHADE WAYNE F 53 WEST POMFREl 51 Ivl ..~.:lOO.oo CARLISLE. PA 17013 ESTATE INFORMATION: Ell FILE NUMBER ~ 21-1 r~96"0260 f:II NAME OF DECEDENT (LAST) ~ BERSTLER SARAH II DATE OF PAYMENT ra POSTMARK DATE COUNTY SfiN 183"12-329,? (FIRST) (Mil CUMBERLAND DATE OF DEATH REMARKS WAYNE F SHADE ESQUIf1E fa TOTAL AMOUNT PAID $5.500.00 SK REGISTER or WI LLS "), ,y '11/ ' J. ' .' ,- RECEIVED BY //...//1... L-' .-:lJ- r.'LI..l/ /_/!/ .,/ SIQN....TURE .: _ ,., '. , . .J' , . ~, / l.',.' , ...,' ~ , NARY C. LEWIS f<El;)fjlTR OF WILLS SEAL CHECKII '1126 - . . - ------ .. --.~.-~ ... "1" .::.. IJ-q,~ .1 BUREAU OF INDIVIDUAL TAXES JNlt[RIUHC[ TAX DIvISION DEPf. l80&Ol HARRISBURG. PI 17Iza-0&01 COMMONWEALTH DF PENNSYLVANIA DEPARTMENT DF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT * l~ "1.\.11..11'111.'" DATE ESTATE OF DATE DF DEATH FILE NUMBER COUNTY ACN 03-03-97 BERSTLER 03-03-96 21 96-0260 CUMBERLAND 101 SARAH V WAYNE F SHADE ESQ 53 W POMFRET ST CARLISLE PA 17013 Anaunt He.ttt.d MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER DF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 NOTE: To Insure proper credit to your account, subnit the upper portion of this forn with your tax pay.ant. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YDUR RECORDS ~ iiiY:i6ilTEx-AFP-iiF96y-m--iiiiii-iNHERITANi:CTAx-sTAfEHENT-oF-iiccciiJiif--.-.iimum----mm--- ESTATE OF BERSTLER SARAH V FILE NO.21 96-0260 ACN 101 DATE 03-03-97 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE. A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT. 01-21-97 PRINCIPAL TAX DUE, . 5,161.57 PAYMENTS PAYMENT DATE 05-03-96 02-11-97 (TAX CREDITS), RECEIPT DISCOUNT C+) NUMBER INTEREST C-) AA112803 258.08 REFUND .00 "<r .. ,..- cr, ~ ,~ 1- ';.... ~ .:J UO AMDUNT PAID 5.500.00 596.51- TOTAL TAX CREDIT 5,161.57 BALANCE DF TAX DUE .00 .00 INTEREST AND PEN. TOTAL DUE .00 . IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN tl. NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I paYItENft Detach the top portion of thl. Hotlce and .ubelt with your paye.nt .adl peyabl. to thl na.. and addr... prlnt.d on the nv.r.. .Ide. If AESIDENT DECEDENf ,ak. check or .on.y ordu payabi. to: REGISTER OF WILLS, AGENT. If NON'RESIDENT DECEDENT .ak. ch.ck or lon.y ord.r payabl' tot COHHONWEAL TH OF PENNSVLVANIA. all payl.nt. r.caiv.d .hail b. appll.d flr.t to any int.r..t which .ay b. due with any r'lalnd.r applied to the taM. REfUHD (CA): a r.fund of a taM credit, which .a. not rl~.t.d on the TaM R.turn, lay b. requa.tld by coaplltlng an ~I.ppllcatlon for Rlfund of Penn.ylvanla Inhlrltancl and E.tat. raM~ (R[V-1515J. Application. ar. avallabl. at the Offlc. of ~ R.gI.t.r of Will., any of the Z5 Rlvenu. DI.trict Office. or frol the Depart,ent". Z4-hoUr answering .ervlcl ~r. for for.. ord.rlng: In P.nn.ylvanla 1-800-562-2050, out.ldl P.nn,Ylvanla end .ithln local HarrisbUrg ar.a (717) 787-8094, TOOl (717) 77Z-2Z52 (Hearing lapalr.d only). REPLY TO: au..tlonl r.gardlng arron contained on thlt notlCI shoUld tM eddr.ned to: PA D.partlent of Ravenue, Bunau of Individual TaMI', ATTH: Po.t A"I.saent R.vlew unit, Dept. za0601, Harrl.bUrg, PA 17IZ8-0601, phone (7171 787-6505. DISCOUNT: If any tex dua I. paid within thr.. (5) calendar aonth. aftar the dlcldent". death, a flv. parcant (5:() dl.count of the tax paid it allow.d. PENAl TVt TM 15% tax .-na.ty non-partlcipetlon penaltY I. cOllpUted on the total of the tax end Intarnt ....ned, and not peld before January 18, 1996, the flr.t day aft.r the and of the tax aan..ty p.riod. INTEREST: Int.ra.t I. charged bIg Inning with fir.t day of dellnquancy, or nlnl (9) lonth. and on. el) day fro' the data of daeth, to the date of payaent. Tax.. which b.c'" d.linquent bafor. January I, 198Z b.ar int.r..t at the rata of .lx (6%) p.rcent per annu- calculated at II daily rat. of .000164. All tax.. which b1c~ delinquent on and aftar January I, 1982 will b.ar Int.rl.t at a rat. which will v.ry frol calendar y.ar to cal.ndar y.ar with that rat. announced by thl PA Oepartaent of R.venu.. Th. applicable Int.r..t rat.. for 198Z through 1997 ar.: Ynr Inter..t Rat. Dally Internt rector Ynr Interelt Rat. Oally Int.r.st ractor 198Z 10' .000S4a 1981 9X .000247 1911 16% .000,.58 198a-19'n 11:( .00UOI 1984 11' .000501 1'" 9X .0002,.7 1985 UX .000356 1993-1'194 7X .000192 I'" lOX .00D274 1995-1997 9X .0DDZft7 --Intlrut I. calculated I' follow.' INTEREST = BALANCE OF TAX UNPAIO X NUKBER OF OAYS OELINQUENT X DAILY INTEREST FACTDR --Any Notice luued after the t8X beeo'" delinquent .111 r.flect an Int.ra.t calculation to fifteen US) day. b.Yond the date of the .......~t. If pav..nt It .ad. aft.r the Int.rut coeput8Uon data .hawn on the Notlc., addltlonel int.rnt "".t tM calculatlld. " ~I 'J.'I / BUREAU OF INDIVIDUAL TAXES HIUII,AH(( UX DIVISIOM DlPl. llu,at HARRlSIUtG, PI 11UB.e.GI CDMMONWEALTH DF PENNSYLVANIA DEPARTMENT OF REVENUE '* (I. NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF OEOUCTIONS AND ASSESSMENT OF TAX '11""' II fI' IU.tu WAYNE F SHADE ESQ 53 W POMFRET ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-28-97 BERSTLER 03-03-96 21 96-0260 CUMBERLAND 101 SARAH Allount A..Bted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FDR YOUR RECDRDS ~ iIE.j:is4j-Ex-AFii-iiz:9&Y"NiiricE--oTYNHEiiii'ANcE-YliiOtPPRiiisEHENT-.--,\L.L'owANcE-ifli----------------- DISALLDWANCE DF DEDUCTIDNS AND ASSESSMENT OF TAX ESTATE OF BERSTLER SARAH V FILE NO. 21 96-0260 ACN 101 DATE 01-28-97 TAX RETURN WAS: I X I ACCEPTED AS FILED RESERVATION CDNCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE DF RETURN BASED DN: ORIGINAL RETURN 1. A.al Est.te (Schadule A) el) 2. stock. and Bond. ISchedulo BI (2) 3. Clo..ly Hald Stock/Pa~tna~ship Intere.t (Schedule C) (3) 4. Hortgag../Hota. Aacaivable (Schedula D) (4) 5. Cash/Bank Daposits/Hisc. Personal Property (Schedul. E) (5) 6. Jointly Ownad Property ISchadula F' Ib' 7. t~ansfars (Schedule G) (7) 8. Total Assets ) CHANGED HOTE: to insu~. p~op.r c~.dit to you~ account, subllit the uppa~ po~tion of this for. with you~ tax pay.ant. 83,218.57 .00 .00 .00 2,902.67 12,882.38 .00 181 99.003.62 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funa~al Expansas/Adll. Costs/Hisc. Expansa. ISchedule HI (91 10. Dabts/Hortgaga Liabilitias/Lian. ISchedule I) (10) 11. Total Daduction. 12. Net Value of tax Return 13. Ch.~ltable/Gove~nllental Baquasts (Schedula J) 14. Het Value of Estata Subjact to tax 12.977 .53 .00 Ill) lI2) lI31 lI41 1:>.977 ~3 86.026.09 .00 86.026.09 If an assassmant was issued praviously, lines 14, 15 and/or 16, 17 and 18 will rBflact figuras that includa tha total of ~ returns assassad to data. ASSESSMENT DF TAX: 15. ADOUnt of Lina 14 at Spousal ~ate (15) 16. Aaount of Lina 14 taxable at lina.l/Clas. A rata (16) 17. Aaount of line 14 taxabla at Collataral/Cla.. B ~ata (17) 18. P~lncipal tax Due NOTE: .00 X .00= 86.026.09 X .06= .00 X .15= lI8) .00 5.161.57 .00 5.161.57 TAX CREDITS: PAVMENT DATE 05-03-96 OIScDUNT (.) INTEREST 1-) 258.08 AMOUNT PAID 5,500.00 RECEIPT NUMBER AA112803 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 5.758.0B 596.51CR .00 596.51CR . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN el. NO PAVMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. VDU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) V r,d , , , H ")1 ." ',' 1 ',I i,l JI,:' '." Ck CUI, RESERVATION I E.tat.. of decedent. dying on or ~for. o.ce.o.r Il, 1911 -- If any future Inter..t In the ..tat. I. tren.f.rred In po.....lon or enJoy.ent to Cia.. I (collat.ral) beneflclerle. of the decedent eft.r the ._plratlon of any ..tat. for Ilf. or for y..r., the Co..onw..lth heraby a_pr...ly r.sarv.. the right to appral.. and a..... tran.f.r tnherltence Ta_.. at the lawful Cia.' B (collat.ral) rale on nny .uch future Inter..t. PlJIl'OS[ Of NOTICE I To fulfill the rltqUlr..."h of Section ll40 of the Imerltenc:. and E.tate Tax Act, Act II of 1991. 7l P.S. Section Z140. PAVHEKh Detach the top portion of this Hotlc. and .ubIIlt with your peye."t to th. RIght.r of Will. printed on the revlr" "de. uHah check or .-oney order payable to: REGISTER OF MILLS, AGENT All pay.ent. rec.lv.d shall flr.t be appll.d to any Intere.t which .ay be due with any reaalnder appllad to the tax. REF1.IGJ (CRl: A refund of a tax credit, which was not raqo.Mltad on the Tex Return, .ay ba requasted by cMIPletlng an "Application for R.fund of pam.ylvanla Inhllrltenc:. and [slllt. Tax" (R[V-UU). Applications are evallable at the Offlu of the R.glster of Wllh, any of the U Ravenue District Offlcn, or by calling the .peclal l"-hour answering lervlce nuebar. for foras orderlngl In PennSYlvania l-IOO-36l-Z0S0, outside PennSYlvania and within loc.l Harrl.burg ar.a (717) 717-1094, TOOl (717) 77l'lZSZ (He.rlng lapalrad Only). OBJECTIONS: Any party In Intar..t not .atl.flad with the appralsaaent, .lloWBnc. or dls.llowanc. of deduction., or .....s-.nt of tax (Including discount or Int.rast) a. shown on this Hotlc. .u.t objact within .I.ty (60) day' of r.celpt of this Hotlu by: --wrltt.n prot..t to the PA Dap.rt..nt of Ravenu., Bo.rd of App.al', O.pt. l110ll, Harrl.burg, Pi --.Iactlon to have the .att.r det.ralned at BUdlt of the account of the p.r.onal reprasantatlve, --appeal to the Orphanl' Court. HU8-IOZI, OR OR ADttIN ISTRiTIVE CDRRECTIDHSI feetual .rror. dllcov.red on thl. as.....ant should ba addr..sed In writing tOI PA Oapartaant of Rav~, Bureau of Individual Ta_a., ATTHI POlt A.s...aant Ravlew unit, Oapt. Z80601, Harrl.burg, PA 171Z8-0601 Phone (111) 717-6505. Sa. pega 5 of the bookl.t "tn.tructlon. for Inherltanc. Tax R.turn for a Resident Decedent" (REV-1501) for an e.planatlon of &dalnl.tratlv.ly correctabl. arrorl. DISCOUNT: If any tax 00. is paid within thra. (]) calandar ~th. afhr th. d.ced.ntt. dlath, . fiv. parcent (5~) discount of the talC paid It aliovad. PENAL TV I The 15;( tax ..,..ty non-partlclpaUon penalty It cc*putMl on the totel of the tlUt and Int.rnt a.....ed' and not paid b.for. January 18, 1996, the flr.t day after the .nd of the tax .-ne.ty p.rlod. Thl. non-participation panalty It appaalabl. In the SaM un".r and In the the ... tI.a pariod at you ..auld appaal the tax and Intarnt that has bien ........ at Indicated on thlt notice. INTEREST I Inter.st I. cherged beginning with flr.t day of dallnquency, or nine (,) ~th. and ana (1) day fr~ the date of dMth, to the data of pe~t, Tax.1 which blCaM delinquent bafon JMU8ry I, 1981 ~ar Int.r..t at \he; rat. of .he (6%) parc.nt par ~ calculated at II daily rat. of .000Ur4. All ta... which blc:MI delinquent on and aft.r January I, 1981 will bear Inter..t at a rat. which will vary fraa calendar yaar to calendar y.ar with that rat. announced by the PA Oapart-.nt of R.venue. Tha appllcabla Intar..t ratas for 1981 through 1'97 ar.: '!!!! Inlara.t Rale Dally Int.rut FlMltor !!!!' In1.r..t Rat. DailY Inlan.t rnc:tar 1982 ZOX .Oaa548 1981 'X .ooazu 198] lOX .000U8 1968-1991 'IX .ODDlOI 1'" 11;( .aaOlOI 1'" 'X .ooazu 1985 UX ,oOn56 199]-19'94 IX .00019l 1.86 I'X .00OZ7" 1995-1991 'X .000l"7 --lnt.r..t I. calculated .. foliov'l INTEREST = BALAHCE OF TAX UNPAIO X HUKBER OF OAYS OELIHQUEHT X OAILY INTEREST FACTOR --Any Hotlc. Is.ued aftar the tax becu.. delinquent will r.flect M Int.rnt calculation to flft.." (15) d8y. b.yond the date of the a...s..."t. If pa~t I. ~ aftar the Intera.t coeput.tlon date shown on the Notlc., Mldltlonal Internt .,.t ba calculated.