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HomeMy WebLinkAbout96-00278 PETITION FOR PIWHA TE and GnANT OF LETIEnS "'-1- q~' :l1R' No. To: ES/al<' of OHV 11.1.1: 'I', ANIlI:H::flN aim knoll'n as VL'ceaset/, Register of Wills for the Coulllyof ,'lImb"r).,n" in the Commonwcallh of Pennsylvania SocIal SeCllfIlY No, \27-10-40WI The pelilion of the undcrsigned respeclfully represents Ihal: Your pClilioncr(s), who islant 18 years of agc or oldcr an the exeCUI ,'i x in the lasl will of Ihe above deccdcnt, dated F"l>ruill''.' :>7 and codicil(s) daled named ,19~ lSI31C rch~\'Jnt cirCIlR1uam:c!o. e.g. renuncialion. dc.uh of C'tcUlor. etc.) Decendent was domiciled at dcath in Cllmb"r I "nil " i 5 last family or principal rcsidence aI 72 ') H,,",n i a h ViII a'1". Cumbcrlilnd County, (lenm:;ylv"nia (liu sUett, number and munclpalilY) County, Pennsylvania, wilh r.tr~ch"n i csburq, vfo,^ ,1.\",. \l.oo..f Decendcnt, then 37 years of age, died F"hrllnrv 24 31 Polyclinic ~J~clicill CC'nt('lr, lIarrinburo. 1),1unhin Countv. PA Except as follows, decedcnt did not marry. was not divorced and did nOI have a child born or adopled after exccution of thc will offercd for probate; was not the victim of a killing and was never adjudicated incompctcnt: Deccndent at de:uh owncd propcrty wilh estimatcd valucs as follows: (If domiciled in Pa,) All pcrsonal property (If nOI domiciled in Pa,) Personal property in Pennsylvania (If not domiciled in Pa,) Personal property in County Valuc of real eSlalc in Pennsylvania situaled as follows: ,19 96 S 700,000,00 S S S WHEREFORE, pctitioner(s) respeclflllly rcquest(s) the probate of the last will and codicil(s) presented hercwith and the grant of Ictlcrs t(,5tamcntnry (testamenlar)'; administralion c.C.a.; adminislration d.h.n.c.l.a.) Iheron, i u C u ~E u ~ o:!< .,,5 g:g E~ u_ ;; C ;; C " iii 1 , ,/"'41!L.. J., Li.tc ./.:.l....f.l..t-- RlIth t.. Andcr50n 729 HenRinh Village, P.O, Box 2015 t-1cchilnicsburg, PA 17055 t. ,;u/ ":/'c, '/ (,' OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } l:lS COUNTY OF C!l~mERr.ANn The pClitioner(s) abol'c-pamcd swear(s) or affirm(s) that the statemcnts in Ihc foregoing pctition arc !rile and corr~ct to Ihe hesl of the knowledge and belief of pelitioncr(s) and that as personal represcn- talive(s) of the above dccedcnt pelitioner(s) will wel1 and truly administer thc estate according to law, \ 5WO, ,rn t(\ or affirmed" ;t nd subscribcd { bcfore me thi~, I .y day of , II (J Jj 19-!L- l.()^)'/;I-<;/I-, ")', ,'(I Ir;"//J_:' ') '/_ / .'J.,J , I'.;/t. If?; Rellisler '... '{, r., . }; ~..tr;o(. _./ Ruth I.. ^nd..r~on '" .;0' ::: " ;:, , ~ I,,: No, 21-l)(,-27H Estate of onv 11,1.1': '1', ANDEllSON , Deceased DECREE OF PROBATE AND GRANT OF LETTEI~S AND NOW APR I L 2 19--2.L... in consideration of Ihe pelilion on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) daled r"cbrllnry 27, 1991 described therein be admitted to probate and filed of record as the last will of Orv I J 1 c 'I'. Andcrson and Lellers Tcstnmcntary are hereby granted to Ruth L, Andcrson FEES Probate, Letters, Etc, .".,'." S 410.00 Short Certificates(4l) '.... . .... S 120.00 ~l\Iilim",~HM.~~9f.!',.. S 15.00 ,IeI' S 5.00 TOTAL _ S 550.00 Filed ,'\m~..2".,! ??,6, .. . , .. '.. , . ... , , , .. # 39785 ATTORNEY (Sup, Cl, I,D, No,) 414 Brldqc St" Ncw ClIrnbcrlnnd, PA 17070 ADDRESS (717) 774-7435 PHONE 00 ,.; :0 cO' :-Ot' ::l" 0-. 1.\1 ("t f" '" 'J ,. "5 ; :tI I ( - , " -u ~~ ;. W VI 2. ."",r" .. "j; ::; - ~, Ion HAILED LETTERS AND ORDER TO ATTORNEY APRIL J, 1996 ~ 15g; ..- .. u '0 '" l"'I <';l ~ -- n.. ~3 ." '..t ..... ;.l , ~ ..... I " :-! ~ : '-' ,", ~ ;:~) ,~ ( i) .~ ~ .., .:J 0 ..:;, ~ ,~ E OW ~8 Cl)a: CC WILLS\ORVILLE.WIL LAST WILL AND 'l'ES'l'AMENT OF ORVILLE T. ANDERSON I, Orville T. Anderson, of the Township of Upper Allen, County of Cumberland, and Commonwealth of Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I bequeath my automobiles, household and personal effects and other tangible personalty of like nature (not including cash or securities) together with any existing insurance thereon, to my wife, RUTH L. ANDERSON, if she survives me by thirty (30) days. Should my wife, RUTH L. ANDERSON, not be living on the thirty-first II (31st) day after my death, I bequeath such tangible personalty and Ii ,I !I II I' II 1\ I: 'i II 'i \1 II 1\ Ii insurance thereon to my son, RICHARD C. ANDERSON, provided he survives me by thirty (30) days. ITEM II: I devise and bequeath the residue of my estate, of every nature and wherever situate, including any property over which I shall have any power of appointment, to the then acting Trustees under -'--: 1 that certain trust created by me on ~1>' i .:-'-7 1991, in , . '/0',"": II , / which I am the Settlor and ORVILLE T. ANDERSON, RUTH L. ANDERSON, and CCNB BANK, N. A., are the Trustees, to have and to hold, IN TRUST, for the uses and purposes and subject to the terms and provisions thereof, including any alterations or amendments thereto, or any other trust which may hereafter be substituted therefor. -1- ITEM VI: The Corporate Executor shall receive compensation for the performance of its functions hereunder in accordance with its standard schedule of fees in effect from time to time during the period over which the services are performed. ITEM VII: I direct that my Executrix, Guardian, Trustees and their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, vI (1 hand and seal this J I ORVILLE T. ANDERSON, have hereunto set my ,. JS"Y;1<,(,'i'f-1' 1991 "C;,/ ',' ) 'n f~ 1 r' /7 I ( ,/ ){.'1'/ '(1<2- '- :-, /jr, (-j {Il( .{-tl\ , , 'ORVILLE T. ANDERSON day of SIGNED, SEALED, PUBLISHED and DECLARED by ORVILLE T. ANDERSON, the Testator above named, as and for his Last will and Testament, and in the presence of us, who at his request, in his presence and in the presence of each other, have subscribed our names as witnesses. II ~?(!'/ /J. ,/Ay{;l~L I Witness 0~ I /.c//,d k, 1', ;;2/ Address " I , {, , ' ,'( . I I I f l I" witness I , I, I , r // , I ... .' f // I, I " Address -4- his last will; that Testator signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; that to the best of our knowledge, the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. ~j/ /J~- ? . ./ --< :.......~~ t!/ /!%cyt?c:~d ' 'Witness /' / I I I / " Witness I \\,,:wL)r~: :t;. L.{ affirme:n:~j~:,,~~:nowl,e~:e.~/~_f(~r~.' :el/bY I. 7 [.l~ 'I ( II this ,-x - day of"~'"" f"" ",j_' ({, , ~:_~l. \ ' (: II l J 1/ t' .; j .~.,..,l'..x , witnesses, .~ "./;/ (: 1(.) il'~ ~" 1.'..'- __ :..-1\ 1\ (",'.l~( Notary Public \ . '.. 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STONB' ATTORNEYG AT LAW 4f4 BRIDoe STREET x~ CVIlDBR~"D. 'rA' 1't07'O,. .. " '(:,:.~ '".? ".;';' " : . --"",^ '-" ,'" :' .~ -- '.i- ',-, -:- . ;~',~'-_: ',"-" ~ , , ..--- .,~.tll:I.~ 4.'tny .'1:' CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Orville T. Anderson Date of Death: February 24, 1996 Will No. 2196-0278 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court rules was served on or mailed to the following beneficiaries of the above captioned estate on April 10, 1996. Ruth L. Anderson 729 Messiah Village P. O. Box 2015 Mechanicsburg, PA 17055 Richard C. Anderson 120 Ramblewood Drive Etters, PA 17319 Mrs. Carla Neumann 757 South Third Street DeKalb, IL 60115 Miss Donna Pearson 21490 Airport Road Sycamore, IL 60178 Mrs. Emily Bader 8209 San Augustine Lane Germantown, TN 38138 Mrs. Cheryl McClain 2890 Colonial Ridge Court Cincinnati, OH 45212 Mr. William A. Lindeman 2890 Colonial Ridge Court Cincinnati, OH 45212 Miss Esther V. Bullock 410 South Street Geneva, IL 60134 PNC Bank, N.A. successor to CCNB Bank, N.A. 4242 Carlisle pike Camp Hill, PA 17011 Mrs. Diane Kluz 5862 Pathfinder Road Rockford, IL 61109 Mrs. Barbara Dienst 15414 State Rd., Rt. 23 DeKalb, IL 60115 Mrs. Susan A. Hungerford E-2 Brookway West Lewisville, NC 27023 Mrs. Cathy Schad 3840 Belmont Avenue Cincinnati, OH 45227 Mr. Bernard W. Lindeman 4951 Kugler Mill Road Cincinnati, OH 45236 Miss Mary E. Bullock 420 South Street Geneva, IL 60134 Mr. Harold 814 Market DeKalb, IL Pearson Street 60115 0 t:~ - .;:? ::>0: 0 .!!1 8 ('\}~-= a.. :) ~!.;?f,: .~~ () ':-:"0 ~ .J . c 'C' ~. ~ c.: ~, .... O~ ., '" ....-. , .0 0'.)) "it E um fR we: i1>=> 0: UU E - COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: __ _,. ..__Jtuth_L._.An~crQ9D --.-- ----- being duly Hwa.rn._,__ aecording to law, deposes and says that sho ~_thlLEx.c.Clli.J:ll_-- .._______ ________ of the Estate of orville _~~~:r~on late of __ORPer.Allen TownshiE! , Cumborland County, Pa" deceased and that the within is "n inventory made by _,_H!Jth L. lInderson_ , the said Executrix of the entire estate of said decedent, consisting of all the personal prop.rly and roal ostate, except real estate ouhide the Commonwealth of Pennsylvania, and that the figures opposito eaeh itom of the Inventory represent it's fair value as of the dato of do cedent's death, 19 ,~ (' j ~10'^" C4<..~}"'-~ , Huth L. Anderson 729 Messiah Village P.O. eucullH" .~"'itf'N'+o1 r1X and subscribed before mo, Box 2015 Mechanicsburq, PA 17055 Addr... Date of Doath 24 Day 02 Month 1996 Y..r INSTRUCTIONS I, An inventory must bo filed within three months afler appointmont of porsonal roprosantative, 2, A supploment inventory must bo filed within thirty days of discovery of additional assets, ], Additional sheets may bo attached as to personalty or roalty 4, See Article IV, Fiduciaries Act of 1949, I I !I e I .,; 11 >- 0, 1 I Ul I " I- UI ... ~ I I >- 0: I- '" , .. 00, UI <( '0, j .. ~ a. l- e ~ u ~ I, .. " 0 0 VI ..: c '" '" 0 !I UI 0: UI '" .. " I, l- I a. , .... ... c oD " Z I- ...J U. I- ... .,; ~ 0- r ...J <( 0 ..: a. 0 u. :l: ~ W 0 <( UI '" .!. .;. I > 0: ... ,<( Z ... '" - c Z 0 c oM Q. ~ I I .; I VI z > :r 0 I 0: ... u I z w <( 0 .... a. ." c Ii .. - ;: 0 .. 11 .<l ." ... .. E - " 0 ~ ~ 0 ...J l' u:: ., [It ate Valuation ElUte of: Orville T. Anderlon DIU of Delth. 02124/96 proce..tng Dlte. 05/01/96 Vlluatlon Dlte. 02/24/96 Number of Securitlel l6 Shere I Security Mean Dlvllnt Security or Par Description Nlgh/A.k LowlBld "or Adj, Accrual Value I) 412 AIRTOUCN COKHUNltATION (00949Tl00) 02126/96 33.m 32.5 Nil 02123/96 33,625 32.5 NIL NYSE 32.937500 13,570,25 2) 383 ~ERITECN CORP NEY (0268041041 02126/96 59.875 58,25 NIL 02123/96 61. 75 59.375 Nil NYSE 59,812500 22,908,19 3) 383 ~ERITECN CORP NEY (0309541011 02126/96 59,875 58,25 NIL 02123/96 61. 75 59.375 Nil NYSE 59,BI2500 22,908,19 4) 200 APPLE COMPUYER INC (037833100) 02126/96 30,125 29.5 Nil 02123/96 30,25 29,625 NIL NASOAQ 29,875000 5,975,00 5) 506 BELL ATLANTIC CORP (0778531091 02126/96 67,875 65,75 NIL 02123/96 68,875 67.125 Nil NYSE 67.406250 34,107.56 6) 278 BELLSllJTN CORP (0798601021 02126/96 40.25 39,125 NIL 02123/96 41,75 40,25 Nil NYSE 40.343750 11,215,56 7) 171 BURLINGTON NRTNN SANTA (12189Y1041 02126/96 81,315 80,75 NIL 02/23/96 82,75 80,625 NIL NYSE 81.375000 13,915.13 8) 103 CATELLUS OEV CORP (1491111061 02/26/96 7,75 7,625 NIL 02/23/96 7,75 7,625 NIL NYSE 7,687500 791,81 9) 50 OElMARVA PYR , LT CO PfO 7,52% (247109879) 02/29/96 98.0 Bid 02/23/96 98,75 Bid OTC 98,600000 4,930,00 10) 600 fORT DEARBORN INC SECS (347200107) 02/26/96 15,875 15,75 NIL 02/23/96 15,875 15.625 Nil NYSE 15.781250 9,468,75 III 252 LINCOLN NAlL INCOME fO (5342111071 02/ 26/96 13,5 13.375 NIL 02/23/96 13,5 13,25 Nil NYSE 13.406250 3,378.38 12) 252 LINCOLN NATl INCOME fO (534217104) 02/26/96 13,5 13,375 Nil 02/23/96 13,5 13,25 NIL NYSE 13,406250 3,378,38 estltt Vlluatton EI'"'. o':Orvlll. T, Anderson VIIUltlon Olt.: 02/24/96 Shares SKur Ity Mun Olvllnt StclJrlty Dr Por Description HlghlAsk lowlBld &lor Ad), Ace rue l Value 131 'M HCDONNEll OllJGlAS CORP (5801691001 02/26/96 92,5 90,0 Hll 02/23/96 93,5 92,0 Hll NTSE 92,000000 17,940,00 141 400 NORTHN STS PWR HINN (665772109) 02/26/96 50,625 49,125 Hll 02/23/96 51,5 50,625 Hll NTSE 50.468750 20,187,50 15) 412 NTNEX CORP (670768100) 02/26196 52,25 51.0 Hll 02/23/96 53,5 51. 75 Hll NTSE 52.125000 21,475,50 16) 200 PACIFICORP (695114108) 02/26196 21. 125 20,875 Hll 02/23/96 21,375 21,0 Hll NTSE 21,093750 4.218,75 17) 412 PACIFIC TELESIS GRllJP (694890104) 02/26/96 29,375 28,875 Hll 02/23/96 29,625 29,25 Hll NTSE 29,281250 12,063,88 18) 800 PROCTER & """BlE CO (742718109) 02/26/96 84,125 83,0 Hll 02/23/96 85,5 83,125 Hll NTSE 83,937500 67,150,00 191 2000 ROCKYEll INTl CORP (7743471081 02/26196 61.125 58,875 Hll 02/23/96 6],0 61.0 Hll NTSE 61. 000000 122.000,00 Olv ,29 E 02/15 R 02/20 P 03/11/96 580,00 20) 2000 ROCKYEll INTl CORP Cl A (774347405) 02/29196 57,375 Bid 02/23/96 61,625 BId OTC 60,775000 121,550,00 Olv .29 E 02/15 R 02/20 P 03/11/96 580,00 211 124 SANTA FE ENERGT RES (802012104) 02/26/96 9,75 9,375 Hll 02/23196 9,5 9.25 Hll NTSE 9,468750 1,174,1] 22) 249 SANTA FE PAC GOLD CORP (802176107) 02/26/96 16,375 15,875 Hll 02/23/96 16.0 15,375 Hll NTSE 15,906250 3,960,66 231 600 SCANA CORP (8058981031 02/26/96 27,5 27.0 Hll 02/23/96 27,75 27,375 all NTSE 27,406250 16,443,75 24) 6400 SCHERING PlllJGH CORP (806605101) 02/26/96 57,0 55,625 Hll 02/23/96 58,0 56.875 Hll NTSE 56,875000 364,000,00 Olv ,29 E 01/31 R 02/02 P 02/27/96 1,856,00 . , Eltlt. VIlUltlon Eltlte o"Or.llle T. Anderlon VIlUltlon Olte' 02/24/96 Shar.. soc:urlty Mean O"/I"t Soc:urlty or Par Ouerlptlon MIgh/Alk low/lld &lor Ad). AccrUll VIlue 25) 100 SCMLUHIERCER lTO (806857108) 02126/96 75.5 74.0 MIL 02l'lJ/96 75.625 74.0 MIL USE 74.7111250 7,471.13 01. .375 E 02/21 R 02/'lJ P 04105/96 37.50 26) 822 SIC COU4UNICATlONS INC (81053331031 02126/96 56.5 55.25 MIL 02/'lJ/96 57,875 55.875 MIL NUE 56,375000 106,340,25 271 800 TECO ENERCT INC (8n375100) 02126/96 25.875 25.5 MIL 02/'lJ/96 26.125 25.75 MIL USE 25,812500 20,650.00 28) 150 UNION CAMP CORP (905530101) 02126/96 1,8,375 47,625 MIL 02l'lJ/96 1,8.25 47.5 MIL USE 47.937500 7,190.63 29) 540 U 5 ~ST INC COM-HEOIA CRP (9128892011 02126/96 22.625 22.0 MIL 02l'lJ/96 'lJ,O 21.75 MIL USE 22,343750 12,065,63 30) 540 U 5 ~ST INC (912889102) 02126/96 34.125 33.625 MIL 02l'lJ/96 34.75 33.75 MIL WY5F 34,062500 18,393.75 " Il(V.I~OO ". 1.'<,141 0.1" ~ COMM()f~WfAlftt Of f'f~Hl\YIVM~IA OI,UIMItH m 1IlvWUl 01'1 :IObOI HAIlRI!lIUIlG ,. 11171CbOl \5-(VI-l.;Y INHERITANCE TAX RETURN RESIDENT DECEDENi (TO BE FILED IN DUPLlC.4TE WITH REGISTER OF WILLS) w . .... :w::!VI ua:"" w~u xeO ua:~ ",,,, '" .. ,.... ""''' Ww "'e a:,. Oe u", 1. 2, 3, J, 5, z 0 6, ;:: .. ~ 7, ::0 .... ..: B, .. u 9, w a: 10, 11, 12, 13, 14, 15, 16, 17, z 0 ;:: lB, .. .... 19 ::0 '" :E e u >C 20, .. .... F- 'OA DAYlSO'DIA1H AnlR 12131191 CHICK HEAl " A SPOUSAL ,. POVlRn CAlDrl15 CLAIMID ' "LI NUMIIA .'1 COUNTY CODE II:'7H NUM8Ei:I 1.i]1. 04, 'Ill tEAR .... z W Q W U W o CIUOU.1 ~ '4AMl IIA~l 'I'~' M~C ""UC~1 1'4IIIAII I\HIIEI~SO~, Orvi I il' T. ~oe'Al :.leUIIIY '4UMIIII 10AI( C' OIA!H lOAf( 0' tiltH L~7-11I-/IIIH7 11,'-.'11-% 11-II'J-1I1l I" ""1".1111 '~h', .,(. ,.Qull l I."'", u...." I UI ".0 ..'otht '''11''11 l~oelAl :OleUI,IY '~uMIlIl '\11.11'1";011, Rulh I.. .'711-1I1-I.'H7 OIClOH~I.\(OM"11l AOOU\\ /.~II :h':,:,i.d, Vii J.q'.l' P.o. :1,,\ h;II\Jl'~;hllrg, 1''' Illl')r) CO"'"h' ClIl1Illl' I' ) ;lIld AMour" Ilt(I\lIO 1\IlIN\lIuet'ON\1 Box ~'() I r) S I ,lIht}, 20H.12 o 3, Remainder Relurn 2 (for d011l of deolh prior to 12.13.8 I [] 5. Federal ESlole Tax Relurn ReqUired I _ 8, Total Number of Safe Depolll BOIt'l lim.'ed Eslote [j 2. Supplemenlol Relurn Original Relurn o 40, Future Inleresl Compromise (lor do'.. 01 doo,h oh.. 12.12,821 ~ 6, Decedent Died Teslole C 7. Deceden' Maintained a living Trust (AlIoch copy cf Will) (AlIoch copy 0' Trulll ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD. BE,DIRECTED TO: NAMf COMPlf If MAIllNG ACOll:U~ David II. Stonl', Esq\lirL' Sllllh' l.aF4Ivt'r II, Slolh' tfLW10Nl t.UMIU P.O. Box E 771,-71135 N,',' '''1'1,""1. 1'/\ I ]ll70 S I . (1'1'1 HH'1. ',(, )'J, 7~].h/l 11.llh.I)/, :!'}, 9)~.) H 1.''i.110 (151 $1 ,069,208, I 2 (161 11.,116,94 (171 17,000,00 Discount Intereu + Rool EIIO'o (Schodulo A) (1 ) S'ock. ond Bond. ISchedule B) (2 ) Closely Held Slack/Partnership Inlerest (Schedule q ( 3 ) Mortgogel and Noles Receivable (Schedule 01 I 4 1 Cosh. Bank Depolits & Mi$Celloneous Penonol Property 15) (Schodule E) )o;nlly Owned PropeNy ISchedule F) 16 ) Tron"on ISchedule GI (Schedulo l) 171 TOlol Gran Anets (total lines 1.7) Funeral Expenses. Administroli\lll Costs. MilCelloneoul I Q 1 Expenses (Schedule H) Deb", MONgoge liobili';e., lien. (Schedule II (101 TOlol DeduC1ions (Iota I lines 9 & 10) Nel Value of EUole (linlt B minus line 111 Charitable and Governmental Bequests (Schedule JI Nel Value Subiect to Tax (line 12 minus line 131 Spousal Transfers (for doles of d.olh oher 6.30.94) See InstruC1ions for Applicable Percentog. on Revene Side. (Include values from Schedule K or Schedule M.) Amount 0' line U laxable at 6% rate (Include values from Schedule K or Schedule M.) Amount of line 14 laxable at 15% role (Includ. values from Schedule K or Schedule M.) Principal lOx due (Add tax from lines 15. 16 and 17.) Credits Spousal Poverty Credil Prior Payments + If line 19 is 9r.aler than line 18. enler ,he difference on line 20. This is the OVERPAYMENT. me IB )$1,101" 723.HII (11) 2/,,077.1 H l,llHll,61,(,.66 (12) (13) .Oll (14,$I,OHO,(,I,(,,('6 x._::I ,00 x .06 = 847.02 x ,15 = 2,550.00 (IBI $3,397,02 (191 ,00 1201 (21) (21AI (21BI Sl.lQ7 0') .00 Sl,lQ7.0~ Check here if you are requIsting a refund of your overpayment. 21. If line 18 is greoler than line 19, enler Ihe difference on line 21. This is the TAX DUE. A, Enler Ihe inlerest on the balance dUI on line 21 A. B, Enror ,ho'o'ol oll;ne 21 and 21A on line 21B, lh;,;. ,he BALANCE DUE, Mah Chick Payable 101 Reul1ler of Will., Ag.nt ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND,TO RECHECK MATH .... Under penalties of plflury. I d.dor. thot I have examined 'his relurn. including accompanying schedules and stale men". and to ,he bell of my ~nowl"dge and belief. i' is 'rue. correcl and complete, I declare that all real eUate has bllen reported a' Irue market value. Declaration of pre parer other thon Ihe personal repuuen,olive t' based on 011 informohon 0' which preparer has any "nawledge. \IG~lUllf 0' 'fIUON IIn'O~'!Illlf 'Olt 'llINQ IlUUltN AOOln~ CAIE '/ /'" ,LJ{v" / l..,u .,<-' 7.'1) ~h',;si.," \'ill.,gl',I',ll. Jlox .'01'1, ~II,..h;ol1i<'shlll'g, 11-'2-(,''\'( ~, 0' ',1'U(. THI.'M....N IfPl(UNIAU\lf AOO.llU~ PA I 70 '"} r) OAIE \ I',ll. Jlox E ;';1'1< ClIIOlh"I'I;ol1d, 1''\ 17070 Il.t?-,... Estate VIluatlon Eltate of: orvtlle T. Anderson DolO of Doolh, D2/24/96 Proto..lng Dole: D5/D1/96 VolUlllon Dole: D2/24/96 Number of Securtttes 16 Shares Securtly Meon Dly/lnl Security or Par De.trlpllon Hlgh/A.k LowlBld &/or Ad), Ace rua l Value 1) 412 AIR10UCH COMMUNlCA110N (D094911001 02/26/96 ]3,125 32,5 H/L 02/23196 33,625 32,5 H/L NYSE 32,937500 13,570,25 2) 383 AHERITECH CORP NEY (026804104) 02/26/96 59.875 58,25 H/L 02/23/96 61,75 59,375 H/L NYSE 59,812500 22.908,19 31 383 AHERITECH CORP NEY (0309541011 02/26/96 59,875 58,25 H/L 02/23/96 61.75 59,375 H/L NYSE 59.812500 22,908,19 41 200 APPLE COMPUIER INC (0378331001 02/26/96 30.125 29,5 H/L 02/23/96 30,25 29,625 H/L NASDAQ 29,875000 5.975,00 5) 506 BELL ATLANTIC CORP (0718531091 02/26/96 67,875 65.75 H/L 02/23/96 68.875 67.125 H/L NYSE 67.406250 34,107,56 61 278 BELLSOUTH CORP (0798601021 02/26/96 40.25 39,125 H/L 02/23/96 41,75 40,25 H/L NYSE 40,343750 11.215,56 71 171 BURLINGTON NRTHN SANTA (12189T1041 02/26/96 81,375 80,75 H/L 02/23/96 82,75 80,625 H/L NYSE 81,375000 13,915,13 8) 103 CATELLUS OEV CORP (149111106) 02/26/96 7,75 7,625 H/L 02/23/96 7,75 7,625 H/L NYSE 7.687500 791,81 9) 50 DELMARVA PYA & LT CD PFD 7.52% (2471098791 02/29/96 98,0 Bid 02/23/96 98,75 Bid OTC 98.600000 4,930,00 10) 600 FORT OEARBORN INC SECS (3472001071 02/26/96 15,875 15.75 H/L 02/23/96 15,875 15,625 H/L NYSE 15,781250 9,468,75 111 252 LINCOLN NATL INCOME FD (5342111D7) 02/26/96 13.5 13,375 H/L 02/23/96 13,5 13,25 H/L NYSE 13.406250 3,378,38 12) 252 LINCOLN NATl INCOME FD (534217104) 02/26/96 13,5 13,375 H/L 02/23/96 13.5 13,25 H/L NYSE 13.406250 3.378,38 " Eltlte VltUltton Eltlte ol:oryllll T, Anderlon VIlultton Olle: 02/24/96 Sh.rea SKur Ity Mean Oly/lnt Security or Par Oelcrlptlon Htgh/Alk low/Bld &/or Adj. Accrual Vllue 13) '~ MCDONNEll DOUGLAS CORP (580169100) 02/26/96 92,5 90,0 H/l 02/23/96 93,5 92.0 H/l NTSE 92,000000 17,940.00 14) 400 NORTHN STS pya MINN (6657721091 02/26/96 50,625 49.125 H/l 02/23/96 51.5 50.625 H/l NTSE 50.468750 20,187,50 15) 412 NTNEX CORP (6707681001 02/26/96 52.25 51.0 H/l 02/23/96 53,5 51,75 H/l NTSE 52,12500a 21,475.50 16) 200 PACIFICORP (6951141081 02/26/96 21.125 20,875 H/l 02/23/96 21,375 21,0 H/l NTSE 21,093750 4.218,75 17) 412 PACIFIC TELESIS GROUP (694890104) 02/26/96 29,375 28.875 H/l 02/23196 29,625 29,25 H/l NTSE 29.281250 12,063,88 18) 800 PROCTER & GAMBLE CO (7427181091 02/26/96 84,125 83.0 H/l 02/23/96 85.5 83.125 H/l NTSE 83.937500 67,150,00 19) 2000 ROC~ll INTl CORP (7743471081 02/26/96 61.125 58,875 H/l 02/23/96 63.0 61.0 H/l NTSE 61,000000 122,000.00 Diy .29 E 02/15 R 02/20 P 03/11/96 580.00 20) 2000 ROC~ll INTL CORP Cl A (774347405) 02/29/96 57.375 Bid 02/23196 61,625 81d OTC 6O.nsOOO 121,550,00 DIY .29 E 02/15 R 02/20 P 03/11/96 580,00 21) 124 SANTA FE ENERGT RES (802012104) 02/26/96 9.75 9.375 H/l 02/23196 9.5 9.25 H/l NTSE 9,468750 1.174,13 22) 249 SANTA FE PAC GOlO CORP (8021761071 02/26/96 16,375 15.875 H/l 02/23/96 16.0 15,375 H/l NTSE 15.906250 3,960,66 23) 600 SCANA CORP (805898103) 02/26/96 27,5 27,0 H/l 02/23/96 27,75 27,375 H/l NTSE 27,406250 16,443,75 24) 6400 SCHERING PLOUGH CORP (8066D5101) 02/26/96 57.0 55,625 H/l 02/23/96 58,0 56,875 H/l NTSE 56,875000 364,000,00 Oly ,29 E 01/31 R 02/02 P 02/27/96 1,856,00 , , Eatlte Vlluatlon ElUte ohOrylll. I. Anderson Vlluetion 011.: 02/24/96 Shsr.s Seeur I tv Mlln Olvllnt Seeur IlY or Par O.serfptlon High/Ask Low/Bid &/or Ad), Accruel VIlue 25) 100 SCHLUHBERGER LIO (806857108) 02/26/96 75.5 74.0 H/L 02/'lJ/96 75.625 74,0 H/L HISE 74,781250 7,478.13 OIY ,375 E 02/21 R 02/23 P 04105/96 37,50 26) 822 SBC lXI4HUHICAlIONS IHC (845333103) 02/26/96 56.5 55,25 H/L 02/'lJ/96 57.875 55.875 H/L NYSE 56.375000 46,340,25 271 BOO IECO EHERGY IHC (872375100) 02/26/96 25.875 25.5 H/L 02/23196 26.125 25,75 H/L NYSE 25,812500 20,650.00 28) 150 UNION CAMP CORP (905530101) 02/26/96 48.375 47,625 H/L 02/23/96 48.25 47.5 H/L HISE 47.937500 7.190.63 29) 540 U S VEST IHC COM'HEOIA GRP (912889201) 02/26/96 22.625 22.0 H/L 02/'lJ/96 23,0 21.75 H/L HISE 22.343750 12,065,63 30) 540 U S VEST INC (912889102) 02/26/96 34,125 33.625 H/L 02/'lJ/96 34.75 33.75 H/L .'SF 34,062500 18,393,75 \ .,.,to.,..IIllI , SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Plea.e Print or T e FilE NUMBER -!~ COMMONWfAUH Of .fHNSYlVANIA INHllnANCI 'A. lnulN .UIDINT DfCfDIN' ESTATE OF Orville T, Anderson IAII property loinll'f""OWned with Ihe Righi of SUI'YI'lClnhlp mull be dlulOled an Schedule f) ? ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. PNC Bank, N.A,-Cert. of Deposit #21001014866 $20.5B9.20 2. PNC Bank, N,A,-Checking AccOllnt #5070102048 39,134.44 TOTAL (AI.a enter an line 5. Recapitulation) Is 59,723.64 (A"om odditionol 8'n- )( 11- ,hee" if mote spote is nHded.) II 1.1,1<;;<;;+ o?:.;:? >>0:1 rtlC S"'llo: rtiC u... =".\. '2 t&v \UU'!t 0, ... ~rttr.n1f'''"'lt': r.\ I. ," . IU ~(.oJ';'CC=' t"".UJ. nuvBKBKR 13, 1996 PNCBANK ~~~ LAPAVBR & STONE A'l"l'R: DAVID H STONE 414 BRDXiE ST RBW ClJJIBSItLAND PA 1 - 0 ~ 'J RB: BSTATS OF ORViLLE: T ANDERSON DATE or DBATH 'iA:"JE::' DEAR MR. STONE, PBR YOUR REQUEST, HER::: AP.E T"rIE DATS OF DEATH VALUES: =K.tJ.l'ICATB OF DBPQ:;:-;O ACCOUNT lroHBER 21001015060 21001014866 ;:1001025561 CBBc:IO:RG ACCOUNT N"UMBER 5070102048 5140001294 51 0 , 097 . 05 RtJTB 1!'IIt51'-.l- S20 ,S89 .20 TRUST (,I ,I I'" S10,003.41 Rtn'B SBCOND'14 S39 r 134.44 ..I,'ll.U~-r; I' , S 8 r 167 .93 ROTE SBCOND.... <~ JOIM' A~\.1)unlS WERE onNED ATLBAST 1 YEAR PRIOR TO DRA'l'H. :~y, ~g~L l'~ BARKING REP TOTAL P,OI , SCHEDULE G TRANSFERS ESTATE OF ....U: NlIl\tnElt Orville T, Anderson 21%.(J2711 ITEM TOTAl. \' AI.UE DE,D % DOI.I.AR VAI.UE OF NUMIlEIt DESCRIPTION OF PROI'EllTY EXCI.lISION OF ASSET INT DECEDENT'S INTEItES'I' I Dauphin DeposillJank & Tmst Co - Cen, ofl)eposil U810009JOHJ in TmSI fur Itichllrd C. Anderson $11.111>'14 100% $11,11/094 TOTAL (Also enter on line 7, Recapillllalilln) $11.11(01)4 " . D Dauphin Deposit Bank and Trust Company MAIN OFFICE 213 MAnKEY SlHEET HARRISBURG PENNSYlVAtHA ,"01 7U 2~~.2'2' Decedent Confirmation Name: Orv11le T, Anderson Social Security No.: 327-10-,1007 Date of Death (ODD): 02/2~/'J6 Accoun t No. 8100093083 , ------------------------ ------------------------ ------------------------ ~ I 8100~745B3 8100560382 Type Cert1flcate of Deposlt ------------------------ ------------------------ ------------------------ Certlflcate of DepoSIt Certlflcate of Depos,t Date Opened or Issued 03/24/93 ------------------------ ------------------------ ------------------------ 10/12/94 02/01/95 Date Closed or Matured 03/24/97 (I~at>Jn ti) ------------------------ ------------------------ ------------------------ 04/12/~17 \ r'lalUrltjI 06/01/96 IMaturlty) Date of Death Balnnce $11,116,94 ------------------------ ------------------------ ------------------------ $5,000,00 $21,115,13 PLUS Date of Death Accrued Int. -0- (Pa1d on 000) ------------------------ ------------------------ ------------------------ $7,81 $58,~4 Joi nt o,.mers (if any) Rlchard C, Anderson By Trustee ------------------------ ------------------------ ------------------------ or Ruth L. Anderson Ruth L, Anderscl1 or Date of Joint Orville T, Andersen ownership 03/24/93 10/12/94 02/01/95 ------------------------ ------------------------ ------------------------ ------------- ------------- ------------------------ ------------------------ ------------------------ Special Comments: N/A Add1tlonal 1nforl':'tat~on .l\,lal1clUl~ at SZO.OO per nou,.. One hour :nlO1mum. Date Prepared: Apr~ 1 ::9, 1996 Prepared by: C!lery1 A, Bowers Customer Management Infor:;;atlcn Dept, (on) Telepncne No, (717) 255-205~ Page 1 of .3 r-orm ~C-J20-:'6 (REV 7/93) ESTATE (n: Orvi III: T. Anderson ITEM NUMBER A, I 2 3, 4, B I. 2, 3, 4, C. I 2 3 4, 5, 6, 7 8, 9, SCIIEI)lILE II FlINERAI. EXltENSES, AI>MINISTIUTIVE COSTS :\1'11> :\IISCEI.L:\NEOl 'S EXPENSES IlESCRII'TIO:'\ Fllntrlll E'pcn,rs: Pllnhamore Fllneralllllllle.fllneral eXl'enses Spring Grove Cemetery & Arhoretum-urn hox Schall Monllmenl COlllpnny.monumellt Baughman Methodisl-limeralluncheon Adminbtrativt Cosl': I'ersonal Representative COlllmissions 1'/'\ Social Security Numbcr of Person,,1 RcprC!iCntali\'c' FILE NII:\IBER 21l)6.()27R -----..----...--.---------- --_.-- . Year COlllmission paid AttnntL'Y Fees Stone LaFa\'er & Stone Family Evemplion Claimant_,. _JJ..\\lh.J,J\nd~'!~!1.n_------ Relationship __.will: ___________ Address of Claimant at decedent's death Street Address ....1~.2Mcssiah Villal(~ \' O.Jl\!~,l.u\~ City --1'l:~nicsJmr1L- Stale _J~~__ Zip Code _J.lQiL... I'robale Fees Lelle" Teslamenlal)' & short cert (S55000), filing Inherilance Tax Relllm & In\'entory ($25,00) l\Iiscfllllnrolls Elpfn'u: ClImberland Law Journal-ad,', Lellers Testamentary The Patriot News Co .ade Lellers Testamentary Reserve for Federal & State Income Taxes & closing expenses TOTAL (Also enler online 9, Reca itlllalionl AMOUNT S3,I641)0 ](i500 (1)388 5000 15,00000 2,00000 575.00 40,00 63,40 2,000,00 523,952 18 SCIlEI>l'LE I I>E8TS OF I>ECEI>ENT. MOltTGAGE L1AIULlTIES ANI> LIENS ESTATE 0... FlI.E NllMISElt Orville T. Anderson 21l)6-02711 ITEM NUMBER ,\MOUN1' IlESCIUPTION I. Cowley Medical Assoc, P,C,-debl orlasl illness 579,96 2, Sally Johnson-nursing services 25,00 3, 2 checks wriuen from CorcStotes Bank account prior to dcath but not cleared by bank - both debls oflust illness (Uptown Cardiology Assoc, 511,12 and Tristan Assoc, $8,92) 20,04 TOTAL (AI." enter un line 10, RL'C8 itllhlliun\ $125,00 - ~. ~ - ~. +- SCIIEI)l1LE .1 BENE"'IClAI~IES HLE :'IIll!\llJElt ESTATE OF Orvilll: T, And~rs(l11 ITEM NAME AND ADDRESS NUMIIER OF IIENEFlClARY 21lJ6-027R REI.,\TIONSIIII' AMOUNT OR SIIARE OF ESTAI'E 1. S~e attachcd list of I~gat~~s S20,OOll,OO 2, Ruth L. Anderson 729 Messiah Villag~ Mechanicsburg,l'A 17055 wifc rcsidue of estate. out. right and in Credit Shelter Trust ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SIIARE OF ESTATE I. B, Charitable and Governmentallleqllests, NONE NONE TOTAL CIIARITAIII.E AND (iOVERNMENTAI. IIEQI'ESTS (Also enler 011 line 13, Recallillllaliol1) NONE Rt\'.16.J? EX4 (H In) *' SCHEDULE 0 TRANSFEnS TO SURVIVING SPOUSE ('OMN()NWEALnl or PP4NSnvAl'4A INIIDIT ANC't TAX amJlH IDlDDo'Df.CIDl>'f ESTATE OF Orville T. Anderson ..UrNumbtr 2196-0278 PART A: Enter the description and ,,'..Iue or.1I inlerests, both taxable and non.t..xable, rtgardlcu or location, (nel or deductions) 'olohich pasa 10 the dccedenl'ssuf"\i,,'inJ: spoult by will. intestacy. oreulion orla"'. or otherwise. Oescri lion of ilems 1 Amounl Credit Shelter Trllst $568,863.06 2. Bequest $500,325,06 Part A Total: Enter the amounl aho\\n on the recapitul..tion sheet in Ihe Dtudrnl Information Stellon. 20R. 1 2 Election To Subject Property To Tax Under Section 2IlJ(A) As A Taxablc Transfer By This OecedcnL If a trust or similar arrangement meets the requirements ofSec1ion 211J(A). and: a. The ln1st or similar amngcmcnt is listed on Schedule 0, and b. The value of the trust or similar arrangcmenl is enlerN in \lInole or in pm u an assd on Schedule 0, then the transferor'. personal rtprescntative may specific..lly idcnlify the trust (..n or I fractional portion or percentage) 10 be included in the election 10 htve lOch trust or similar property trealed u a tanble transfer in 1his esU1e. If less th.an the entire value of the uust or similar propmy is included u a taxable 1rIJUfer on Schedule a,the personal rtprcstnbti'o'e shall be considered to have made the election only u 10 a fradian of the 1I\1Sl or similar urangcmcnl. The numerator of this fraction is equlllo the amounl of the uust or similar arrangemenl included u a l..aX&ble asset on Schedule O. The denominalor is equal 10 the lotal value of the trust or similar arrangemenL ELEcrJON: Do 10U tltd undn ScdloR 111J(A> to Irul .. _ taublt trarurcr In thb "laic aU or _ porllon or. troll or alm1lar _rnnccmtnt ernlcd ror tht IOle list ofthb dtctdeRt'. .un'l"lne apouu durlnC tht lun.h'lnClpoun'. ?,lift Ufelime? YES D NO II] SIEft.IUI'< ~('(LA~*"WC//- 2.1..- 'It.:. Note: Ulhe clntlon _ppUtl to mort Ihan one lnul or IlmU., uranl!:ement.lhrn _ .rparalt form mUJt be Jll!:nrd ""d filrcl. Part B: Enltr the descriplion and .....lue orall interests, both taxable and non-t.tuble. reg.1ldless orlocation. (nei or dcductiolU) \lI'hic:h pasa 10 the d<<edcnt's survi...ing spouse ror which a Section 2 I 13 (A l election is hc:ing made, Oescri lion ofilcms Amounl I PortO T...t Form 106 IRoy, a.931 Estate of: Orville T, .\nders"n SCHEDULE M-Bequests, etc., to Surviving Spouse Election To Oedllct Ollaliliod Torminable Interost Property Under Soctlon 2056(b)(7),-1I a lrustlor other propertyl mools Ihe reqlllfements of qllahf,ed terminable Interesl property lInder section 2056(b)(7), and a, The trust or other property IS Ilsled on Schedllle M, and b, The vallie of the trllst (or other property) IS enlered m whole or In part as a dedllctlon on Schedllle M, then lInless Ihe execlItor speCifically IdenllflOs the Irllst (all or a fractional portion or percentage) or olher propeny 10 be excllIded from the election Ihe execlltor shall be deemed 10 have made an election 10 have slIch trust lor other propenyl trealed as qllahfied terminable Inlerest property lInder secllon 2056(b)(7). II less than the entire vallie of the trust (or other property) thai the execlItor has Included In the gross estale IS entered as a dedllctlon on Schedllle M, the execlltor shall be conSidered to have made an election only as to a fraction of Ihe trust (or other propenYl, The nllmerator of thiS lraction IS eqllalto the amollnt of the lrust lor other property) deducted on Schedllle M, The denomlnalor is eqllal to the total vallie of the lrust (or other property), Election To Dedllct Ollalified Domestic Trllst Property Under Section 2056A,-1f a trllst meets the reqUlremenls of a qllahlied domestic trust lInder section 2056A(a) and Ihls relllrn is filed no later than 1 year atter the time prescflbed by law (incllldlng exlenslons) for frling the relllrn, and a, The entire vallie of a lrust or trust property is listed on Schedule M, and b, The entlfe vallie of the lrust or trust property IS enlered as a dedllctlon on Schedule M, then lInless Ihe execlltor speCifically idenllfles the trust 10 be exclllded from the election, the execulor shall be deemed to have made an election to have the entire Irllst treated as QlIahfied domestic trust prope , Yes No 1 Did any property pass to the survIving spouse as a reslll! of a qllahfled dlsclalmer7, , , , ' , , , , , If .Yes, . aNach a copy of the wnNen disclaimer ,eQlI/red by SUf,t,on 25' B(b), 2a In what cOllnlry was the slITVlving spollse born? ' I b What is Ihe sllTVlvlng spollse's date of birth? 11- I 2 - 1 3 c Is the sllTVlving spollse aU,S, cllizen?, , , , , , , , , , ' ' , , , , , , , , , , , , , d If the sUTVlving spollse is a natllralized CItizen, when did the SllTVlving spollse acqlllfe cItizenship? e If the SllMvlng spollse is not a U,S, citizen, of what country IS Ihe SllNIVillg spouse a Citizen? 3 Election Ollt of QTIP Treatment of Annuities,-Do YOll elect lInder section 2056(b)(7)(C)(IIl not to Ireat as qllahf,ed terminable interest property any lomt and SllTVIVor annUities that are Included in the gross estate and wOllld otherwise be lreated as qllahfied terminable Interest property lInder section 2056Ib)(7)(C)? Isee instrucllons) l1em number Doscngtlon 01 gtOocny Interesls pasSing 10 sutvllj'lng spouse Amounl Jointly llwned prol'erty )/.0,542.75 2. Bequest per attached rilll.r JOll, J2), or, Totallrom COnllnllatlon schedlllels) lor additional sheeHs)) attached to thiS schedule 4 Total amOllnl of property Interests hSled on Schedule M, ' ' , , Sa Federal estale taxes (incllldlng section J9aOA taxesl payable Ollt of property interests hsted on Schedllle M , , , ' , , . , ' ' ' , ' , , , , Sa I b Other death taxes payable Ollt of property Interests Ilsled on Schedllle M 5b I c Federal and state GST taxes payable Ollt of property Interests listed on SchedllleM"",,' ",' 5c dAddltemsa,b,andc ,,'" ."." "" ,',' 6 Net amollnt of property Inlerests Ilsled on Schedllle M ISllbtract 5d from 4), Also enter on Part 5, Recaoltlllalion, paQe 3, at Item 1 B ' , " ".,,' 4 Q iB ~, !&ii",~", ~~ 5d I,040,Hr,i ,HI 6 IIf morc SOllee IS needcc:1. attach the conMuaMn scneaule from the ('no of tnlS vacJo.,1gc or aad/MnJl sneets of the s.1me slze,t (See tne msrructlOns on the rcve~c SJde.l Schedule M-Page 27 I , , II I i !I I' il I, I, Cumberland, and Commonwealth of Pennsylvania, declare this to be my ij I' ,I II II II Ii II II 'I II Ii ,I :! " I: i: I I LAST WILL AND TESTAMENT OF ORVILLE T. ANDERSON I, Orville T. Anderson, of the Township of Upper Allen, County of last will and revoke any will previously made by me. ITEM I: I bequeath my automobiles, household and personal effects and other tangible personalty of like nature (not including cash or securities) together with any existing insurance thereon, to my wife, RUTH L. ANDERSON, if she survives me by thirty (30) days. Should my wife, RUTH L. ANDERSON, not be living on the thirty-first (31st) day after my death, I bequeath such tangible personalty and insurance thereon to my son, RICHARD C. M1DERSON, provided he survives me by thirty (30) days. ITEM II: I devise and bequeath the residue of my estate, of every nature and wherever situate, including any property over which I I; , i " I! shall have any power of appointment, to the then acting Trustees under ?;~ ..., 7 that certain trust created by me on ( '.:...'.J:.,~..,:'ttl ,.-- , 1991, in , I / which I am the Settlor and ORVILLE T. ANDERSON, RUTH L. ANDERSON, and ;1 'I i: CCNB BANK, N. A., are the Trustees, to have and to hold, IN TRUST, for :! " the uses and purposes and subject to the terms and provisions thereof, including any alterations or amendments thereto, or any other trust which may hereafter be substituted therefor. -1- -- ITEM III: I appoint my Executrix and her successors guardian of any property which passes either under this will or otherwise, to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this i' : appointment of a guardian shall not supersede the right of any " Ii ,i fiduciary in their discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, , i! both graduate and undergraduate) without regard to his or her parent's II I', I I, I' 1\ I Ii I: \i il ;i 'I I, ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. ITEM IV: My Executrix, Trustees and Guardian shall have the following powers in addition to those vested in them by law, and by other provisions of my will applicable to all property, whether principal or income, including property held for minors, exercisable without court approval and effective until actual distribution of all property: A. To retain any or all of the assets of my estate, real or personal, including stock of a corporate fiduciary or of its parent holding company, without regard to any principle of diversification. B. To invest in all forms of property, including stocks, common trust funds and mortgage investment funds whether operated by -2- d ~ I I my corporate fiduciary or others, without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, and without regard to any principle of diversification. C. To sell at public or private sale, to exchange or to lease for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. D. To allocate receipts and expenses to principal or income, or partly to each, as they, from time to time, think proper in their sole discretion. E. To borrow from, or to sell to, my Trustees even though such Trustees may be my Executor. I I I I I ~ Ii F. To compromise any claim or controversy. G. To join with my wife, RUTH L. ANDERSON, or her personal representative, in filing a joint income tax return without requiring 1 :i her to indemnify my estate against liability for the tax attributable II i , , i r 1 ~ ~ I ~ r ~ ~ ~ ~ r j I: to her income and to consent to any gift made by my wife during my lifetime being treated as having been made one-half by me for purposes of the federal gift tax law. ITEM V: I appoint my wife, RUTH L. ANDERSON, Executrix of this my last will. Should my wife, RUTH L. ANDERSON, cease to act or fail to qualify as Executrix, I appoint CCNB BANK, N. A., of New Cumberland, Pennsylvania, Executor of this my last will. -3- , ~ i " II il the performance of its functions hereunder in accordance with its Ii 'I II Ii II I, 'I I, I' I' I i ITEM VI: The Corporate Executor shall receive compensation for standard schedule of fees in effect from time to time during the period over which the services are performed. ITEM VII: I direct that my Executrix, Guardian, Trustees and their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, hand and seal this ,'D 'I I, ORVILLE T. ANDERSON, have hereunto set my day of Q$!I1'tt!{ , 1991- (O~/..~1. a.,,/vt4N) ~ --ORVILLE T. ANDERSON ! , I II ,I " the Testator above named, as and for his Last Will and Testament, and il II Ii il , I " , SIGNED, SEALED, PUBLISHED and DECLARED by ORVILLE T. ANDERSON, in the presence of us, who at his request, in his presence and in the presence of each other, have subscribed our names as witnesses. /t:-?~ ~.~~L witness /~Y/~U ki' Address I a ~r~'f_/~ /,/1: Witness .... , /i/'/', '~.Ii//!' ,//,-'/-;'-/ ./-y/" Address " }..', /./ -4- COMMONWEALTH OF PENNSYLVANIA) ) 55. COUNTY OF CUMBERLAND ) I, ORVILLE T. ANDERSON, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. Sworn to or affirmed to and acknowledged before me by ORVILLE T. {)/1 day of FJ, et/.fdl(.~.I' , 1991. / a- (~;;t~ g ~CL.'J( Notary Public ANDERSON, the Testator, this NOT ^R~\l SEI\!. CO~J;,T ,',~ 1-':[ L, ~ ~'~L1, j 'g.ry Public New'. ..; h:l.':-.:j P,\ {,~l:,,l.:!ll:r.j CO. My C;r,;' :3,.on E~ul~C:; Arr: 13, i991 COMMONWEALTH OF PENNSYLVANIA) ) 55. COUNTY OF CUMBERLAND ) We, lY-/4'kI J. d(ptf~d4:/' and 7,; " l:; ,(. I~:'; }\~./: ,. .{:J' / , I the witnesses whose names are signed to the attached or foregoing I i Ii 'I I, I, " I; , instrument, being duly qualified according to law, depose and say that we were present and saw Testator sign and execute the instrument as -5- his last will; that Testator signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; that to the best of our knowledge, the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. ~# 4-.J7~L' 'witness t- i I 51 Sworn to or ~ffi~'d to and ",kn~1.d9cd b.for. m. by Jt~ !}, \\.C...kfLc-izh.-L/ and--:r'v.V...-(./)(:' ;tt&t~'V1-P~1 , witnesses, 7:1/ r'I.('L { /Jt7d.r,;i ')c')-} witness this ,~7 ~ day of ~L+<,tJ,'''''a- , 1991. (il&t, ~L~>7f I(cv~ Notary public - NOT ARW, SEM. (Y~~~f.T'\NCE l. KN~U. NC.lary Public I,. "l to. ........r'~...4 ~\ .0. 'k:" Co .. ." ". "'.; l~",-, I' "'.:l""....,,",:el"d f':i Cc""n:s~)n ExPires~::!13";991' 11 Ii I' Ii II -6- II WILLS\ORVILLE.TRS I I I \ REVOCABLE TRUST AGREEMENT THIS AGREEMENT OF TRUST, executed in duplicate this ,:)1fh. day of ;;;hl(,(f.1"ri.-!.. ,1991, by and bet\~een ORVILLE T. ANDERSON, of the (J Township of Upper Allen, County of Cumberland, and commonwealth of pennsylvania, (hereinafter called the "Settlor") and ORVILLE T. ANDERSON and RUTH L. ANDERSON, husband and wife, of the Township of Upper Allen, County of Cumberland, and Commonwealth of pennsylvania, and CCNB BANK, N.A., of the Borough of New Cumberland, County of \ c"""r1and, and commonw,a1th of p,nn'ylvania, (h,r,inaft,r, un1'" I otherwise indicated, called the "Trustees"). WIT N E SSE T H: WHEREAS, Settlor has transferred to the Trustees all the property described in Schedule A annexed hereto; and WHEREAS, Settlor has designated the Trustees as beneficiaries under the life insurance policies described in Schedule B annexed hereto. NOW, THEREFORE, Settlor hereby establishes with Trustees a trust 1 consisting of the property described in the aforesaid Schedule A, i together with all other property, real or personal, that may be added i I ! to the trust and including the proceeds of any policies of life -1- I , I I I insurance in which the Trustees are named as beneficiaries (such property, additions and proceeds being hereinafter called principal) to be held by the Trustees, IN TRUST, for the following uses and purposes: FIRST: During the lifetime of the Settlor: A. The Trustees shall pay the net income to the Settlor in such periodic installments as the Trustees shall find convenient, but at least as often as quarter-annually. B. The Trustees may apply the net income of this trust for the support of the Settlor should he by reason of age, illness or any other cause, in the opinion of the Trustees, be incapable of disburs- ing it and the Trustees are further authorized to expend or apply from the principal of this trust such sums as they, in their sole discre- tion, may from time to time deem advisable for the support of Settlor to maintain him in the station of life to which he is accustomed at the creation of this trust or during illness or emergency. C. The Trustees shall pay so much of the principal of the trust up to the entire amount of principal to the Settlor as the Settlor shall request in writing. D. If the Settlor is, in the opinion of the Trustees, disabled by reason of age, illness or any other cause, the Trustees , : may, but are not required to, apply for Settlor's wife's benefit as J 1 I much of the net income and principal of this trust as the Trustees may l !i -2- ,- '- - deem advisable for Settlor's wife's support to maintain her in the standard of living to which she is accustomed at the creation of this trust, after taking into account her other readily available assets and sources of income. SECOND: Upon the death of the Settlor the Trustees may make such payments to facilitate the settlement of the Settlor's estate as provided for in Item Seventh below and shall also make the specific bequests listed below to the following beneficiaries who survive Settlor, all from the assets of this Trust: 1. $3,000.00 to Settlor's son, Richard C. Anderson. 2. $1,000.00 to Mrs. Dianne Kluz, 5862 Pathfinder Road, Rockford, IL 61109. 3. $1,000.00 to Mrs. Carla Neuman, 757 South Third Street, DeKalb, IL 60115. 4. $1,000.00 to Mrs. Barbara Dienst, 2610 South Route 23, DeKalb, IL 60115. 5. $1,000.00 to Miss Donna Pearson, 3514 Airport Road, Sycamore, IL 60178. 6. $1,000.00 to Mrs. Susan A. Hungerford, E-2 , Brook\~ay West, Lewisville, NC I I I 'I , I I ,; ,I ;: 27023. 7. $1,000.00 to Mrs. Emily Bader, 8209 San Augustine Lane, Germantown, Tll 38138. -3- ... .. . 8. $1,000.00 to Mrs. Cathy Schad, 6766 Chestnut Street, Cincinnati, OH 45227. 9. $1,000.00 to Mrs. Cheryl McClain, 6025 Miami Road, Cincinnati, OH 45243. 10. $1,000.00 to Mr. Bernard W. Lindeman, 4951 Kugler Mill Road, Cincinnati, OH 45236. 11. $1,000.00 to Mr. William A. Lindeman, 9220 Stoney Point Road, Hillsboro, OH 45133. 12. $2,000.00 to Miss Mary E. Bullock, 420 South street, Geneva, IL 60134. 13. $2,000.00 to Miss Esther V. Bullock, 420 South Street, Geneva, IL 60134. 14. $1,000.00 to Mr. Harold Pearson, 814 Market Street, DeKalb, IL 60115. 15. $1,000.00 to Mr. Clarence Pearson, 3514 Airport Road, Sycamore, IL 60178. 16. $1,000.00 to Mr. Gunnard Pearson, 316 Garden Court, Sycamore, IL 60178. Ii. In the event the Settlor's wife, RUTH L. ANDERSON, does not survive him, the sum of $30,000.00 shall be distributed to Messiah Village. THIRD: If Settlor's wife, RUTH L. ANDERSON, survives him (and for the purpose of this Item Third, she shall be deemed to have -4- ~ survived him unless it appears unmistakably that she predeceased him), " , and if the federal estate tax due because of Settlor's death will be reduced by making this gift for her benefit, Trustee shall distribute to Settlor's wife, RUTH L. ANDERSON, absolutely, the least amount (based upon values as finally determined for federal estate tax , purposes) as shall be needed for the federal estate tax unlimited marital deduction to reduce the federal estate tax to the lowest possible figure after full use of all other deductions and credits allowable in calculating the federal estate tax, except that such ;1 amount shall be calculated without regard to the augmenting of my I taxable estate by reason of generation-skipping transfers and without regard for any credit for state death taxes that would not otherwise be payable. Accordingly, Settlor directs that: A. If the marital deduction, or any similar benefit, is allowable with respect to any property, including property held by entireties, which Settlor's wife has received prior to Settlor's death or at Settlor's death will receive othen~ise than pursuant to this Item Third, the value or such property shall be taken into consider- ation in calculating the si=e of the gift under this Item Third. B. No property ineligible for the marital deduction, or any similar benefit, shall be distributed to this gift for Settlor's wife, RUTH L. ANDERSOll, pursuant to this Item Third. C. Either cash or investments or both may be allocated to the gift under this Item Third. -5- D. Any property allocated under this Item Third in kind shall be valued at the value at which it is finally included in Settlor's gross estate for federal estate tax purposes, provided that the aggregate market value thereof on the date of allocation (plus the value as finally determined for federal estate tax purposes of all other property qualifying for the marital deduction) is at least equal to the dollar value of the marital deduction as finally determined for federal estate tax purposes. E. If any provision of Settlor's will shall result in depriving Settlor's estate of the marital deduction for federal estate tax purposes, such provision is hereby revoked and Settlor's will shall be read as if any portion thereof inconsistent with allowance of the marital deduction for federal estate tax purposes is null and void. FOURTH: If Settlor's wife, RUTH L. ANDERSON, survives him, the Trustee shall hold the residue of Settlor's estate, of every nature and wherever situate, IN TRUST, for the following uses and purposes: A. To pay the net income therefrom to Settlor's wife, RUTH L. ANDERSON, for and during her lifetime in such periodic installments as Trustee shall find convenient, but at least as often as quarter- annually. B. As much of the principal of this Trust as Trustee, in its sole discretion, may from time to time think advisable for the -6- I I I I I I I I , i support of Settlor's wife to maintain her in the station of life to which she is accustomed at Settlor's death, shall be either paid to her or else applied directly for her benefit by Trustee after taking into account her other readily available assets and sources of income. C. Trustee may apply the net income of this Trust for the support of Settlor's wife, RUTH L. AllDERSON, should she by reason of age, illness or any other cause, in the opinion of Trustee, be incapable of disbursing it. I :1 'I " shall have the power to direct Trustee to pay to her or to apply out 11 I I ;1 ,I :1 I D. In addition to the above provisions, Settlor's wife of principal in each year, including the year of my death, an amount not in excess of the greater of Five Thousand ($5,000.00) Dollars or five (5%) percent of the then aggregate value of the Trust principal. This power is non-cumulative and can be exercised only by an instru- ment in writing signed by Settlor's wife, and delivered to Trustee. Upon the death of Settlor's wife, RUTH L. ANDERSON, or upon Settlor's death should Settlor's wife predecease him, the Trustee shall hold the trust property as provided in the Item Fifth below. FIFTH: Upon the death of Settlor's wife, RUTH L. ANDERSON, or upon Settlor's death should Settlor's wife predecease him, the Trustee shall hold the balance of the principal and any accumulated and undistributed income of the Trust in further trust for the following uses and purposes: -i- A. To pay the net income therefrom to Settlor's son, RICHARD C. ANDERSON, for and during his lifetime in such periodic installments as Trustee shall find convenient, but at least as often as quarter-annually. B. As much of the principal of this Trust as Trustee, in its sole discretion, may from time to time think advisable for the support of Settlor's son to maintain him in the station of life to which he is accustomed at Settlor's death, shall be either paid to him or else applied directly for his benefit by Trustee after taking into account his other readily available assets and sources of income. C. Trustee may apply the net income of this Trust for the support of Settlor's son, RICHARD C. AN,DERSON, should he by reason of age, illness or any other cause, in the opinion of Trustee, be incapable of disbursing it. D. Upon the deaths of Settlor's wife, RUTH L. ANDERSON, and Settlor's son, RICHARD C. ANDERSON, the Trustee shall distribute the balance of the principal and any accumulated and undistributed income I to Baughman Memorial United Methodist Church, Third and Bridge I i I j 'I , , I I I 'I ,/ I 'I , Streets, New Cumberland, Pennsylvania. SIXTH: The interest of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. , . -8- , I i I I SEVENTU: The Trustees shall have the power, but not the duty, to make such expenditures out of the principal of this 'Trust, as the Trustees, in their discretion, may consider desirable in order to facilitate the settlement of the Settlor's estate. In exercising such power, the Trustees may pay, in whole or in part, any or all of the following items: the expenses of Settlor's last illness and burial, including cost of any gravemarker; his debts; his income taxes; the death taxes on any or all property in his gross estate for tax purposes; and all other items in connection with the settlement of his estate. Any such items may be paid directly by the Trustees or the funds for their payment may be transferred by the Trustees to Settlor's executors or administrators; and neither such executor nor administrator, nor any beneficiary of Settlor's estate shall be required to reimburse the surviving Trustees for any funds so paid or transferred. All such death taxes on present or future interests shall be paid at such time or times as the surviving Trustees may think proper, regardless of whether such taxes are then due, provided that any postponed taxes on future interests shall be charged against are imposed. EIGHTH: The Trustees shall have the following powers in addition to those vested in them by law and by other provisions set forth I herein, applicable to all property, whether principal or income, I I ~ 1 I i -9- . .,. ...... including property held for minors, exercisable without court approv- aI, and effective until actual distribution of all property. A. To retain any or all of the assets of this trust, real or personal, including stock of the Corporate Trustee or its parent holding company without regard to any principle of diversification. It is suggested, without making this direction legally binding, that the Trustees retain investments of good quality rather than liquidat- ing them. B. To invest in all forms of property, including stock, common trust funds and mortgage investment funds whether operated by Corporate Trustee or by others, without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification. C. To sell at public or private sale, to exchange or to lease for any period of time, any real or personal property, and to give options for sales, exchanges or leases, for such price and upon such terms and conditions as it deems proper. D. To allocate receipts and expenses to principal on income or partly to each as the Trustees from time to time thinks proper in its sole discretion, but in no event shall the income of the marital deduction trust be reduced by exercise of this power. E. To compromise any claim or controversy. F. To distribute in cash or kind or partly each. i I I ~ -10- :! G. To hold property in itG name without deGignation of any (ldllclill:y capacity or in the name of a nominee or unregistered. N ltl'I'J1: The Trustees shall have no duty to pay any premiums on thu llfo insurance policies subject hereto and the companies issuing such policies shall have no responsibility to see to the fulfillment of tho trusts herein created or the application of the proceeds of such policies and the Trustees shall have no duty to bring suit upon any of the life insurance policies subject hereto unless they hold funds hereunder out of which it may be indemnified against all costs, legal fees and other expenses of suit. TRNTn: Settlor reserves to himself the following rights (each of which may be exercised by Settlor alone whenever and as often as Suttlor may wish): A. All rights now or hereafter vested in Settlor as the , owner and the insured under the life insurance policies subject hereto, including, but not limited to, the rights to change beneficia- ries, to borrow on policies either from the issuing companies or from other institutions or other persons, to assign and pledge policies for , any loan, and to receive dividends and all other payments available to the owner and the insured; and B. The right by an instrument in writing, intended to take effect during Settlor's lifetime, signed by Settlor and delivered to -11- the Trustees, to revoke or amend this agreement in whole or in part, provided that the duties, powers and liabilities of the' Trustees shall not be substantially changed without their written consent. ELEVENTH: Anyone may add property, real or personal, to the principal of this Trust by deed, will or otherwise. TWELFTH: The Corporate Trustee shall receive compensation for the performance of its functions hereunder in accordance with its standard schedule of fees in effect from time to time during the period over which its services are performed. THIRTEENTH: The situs of the trust herein created, for adminis- trative and accounting purposes, shall be in the County of cumberland and Commonwealth of pennsylvania, and all questions pertaining to the construction or validity of the provisions of this instrument shall be governed by the laws of the Commonwealth of Pennsylvania. 1 q ! ,I Revocable Trust Agreement, the Corporate Trustee shall not take part I FOURTEENTH: Notwithstanding any of the other provisions of this in any administrative duties and decisions until after the deaths of ORVILLE T. ANDERSON and RUTH L. ANDERSO~, .unless the Corporate Trustee determines, in its sole discretion, after reviewing the written opinions of no fewer than two attending physicians, that neither -12- AMENDMENT TO REVOCABLE TRUST AGREEMENT THIS AMENDMENT TO THE REVOCABLE TRUST AGREEMENT made February 27, 1991, between ORVILLE T. ANDERSON, the Settlor, and ORVILLE T. ANDERSON, RUTH L. ANDERSON, and CCNB BANK, N.A., Trustees, is made 0r this ~, 1 day of September, 1992. , WIT N E SSE T H: WHEREAS, the Revocable Trust Agreement, in Item Tenth thereof, reserves to the Settlor the right to amend the agreement, and the Settlor now wishes to amend the agreement by removing Item 17 from Item Second of the Trust, and the Trustees are willing to accept such amendment, and the parties wish to reduce this agreement to writing. Now, therefore, Settlor hereby amends the Trust as follows: 1. Item 17, in Item Second, is hereby removed so that there shall be no gift to Messiah village. 2. In all other respects the original Revocable Trust Agreement dated February 27, 1991 is hereby ratified, confirmed, and restated. IN WITNESS WHEREOF the parties have caused these presents to be duly executed this 21 day of September, 1992. -1- ~ -. ~,. ... -- ~...-'" -....... .......... _........ .."n.!." el." day and year first above written. - / witn5~) ~ ~ n ~ ,r' /: . ' I 0/, I '1 '- ~:IlA)(/.,...." 'I/_Iilt/. 1/, ORVILLE T. - ANDERSON ',~ Settlor' - , / Witness ;;"-'\ ~" /' / 'l .. V'" v' J J l .If/, H i '~ ..... ,I, I ! /., ,tJIllLAY'-- ORVILLE T. ANDERSON~Co-Trustee Witness Ln /~, (2~~ RUTH L. ANDERSON, Co-Trustee ATTEST: CCNB BANK, N. A., Trustee ~ '----'JJ1CJ , .~ 1f5ST. Secreta ~r~~ vice President By COMMONWEALTH OF PENNSYLVANIA) ) 55. COUNTY OF CUMBERLAND ) day of l~'-v \:J the undersigned officer, a Notary public, personally appeared ORVILLE , "1 {ll.t/ On th~s the cl , 1992, before me, T. ANDERSON and RUTH L. ANDERSON, known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have here~unt~ set my hand and notarial p /YrwiM~v '-/ ~v!r Notary public seal. -2- ~OT~W,l St~l CQ':STt:::( l. ~,; . ........, ....~...~c t;t. C,,::~l:\:',ti.., 1''-' ...J.. ,_"J ':0. gy cc/-~;~tS:'lo~t nrii\~S A;:..:~ 13, 1?~~ 1/ - /5 .,!'! . /..~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE " BUREAU or INDIVIDUAL TA~ES '''Iii Itl IANCl l.h IIlvl!.IO" 01 PI. ,'1101.01 IlAPltlS8uAC, p, 1/1:8-0001 NDIICE or IN"EHIfANCE TA~ APPRAISEMENT. ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TA~ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEV: gcii -Eie" -AF ii - i 03:97 Y- NoYi c E" -OF - i-NHEii iiAtiCE - Y AX - iippiiii i sEifENi' -; -Ai. i"OWA'N"CE - DR' - "_m_ - - - - - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ORVILLE T FILE NO. 21 96-027B ACN 101 If an assessment was issued previoUSly, lines 14, 15 and~or 16, 17 and 18 will reflect figures that include the total of Ahh returns assessed to date. ASSESSMENT OF TAX: 15. A~ount of linB 14 at Spousal 16. Anount of lina 14 taxable at 17. Anount of Lin. 14 taxable at 18. Principal rax Due DAVID H STONE ESQ STONE ETAL PO BOX E NEW CUMBERLAND PA 17070-0562 ESTATE OF ANDERSON TAX RETURN WAS: I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Est.t. (Schedule A) 2. Stocks and Bonds (Schedule 8) 3. Closely Held stock/Partnership Interest ISchedule C) 4. Hartgages/Notas Receivable (Schedule OJ S. Cash/Bank Deposits/Hise. Personal Property (Schedule EJ 6. Jointly Owned Property ISchedule F) 7. Transfers (Schedule GJ 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral E~penses/Adn. Costs/Hisc. E~penses CSchedule HI 10. Debts/Hortgage liabilities/Lions ISchedule IJ 11. Total Deductions 12. Net Value of Ta~ Return 13. Charitable/Govern~ent.1 Bequests CSchedule JJ 14. Net Value of Est.t. Subject to Tax NOTE: rat. Line.~/Class A ret. Collateral/Class 8 rate TAX CREDITS: PAYHENT DATE 11-22-96 RECEIPT NUHBER AA146977 DISCDlINT ('1 INTEREST/PEN PAID I-I ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, 04-21'97 ANDERSON 02-24-96 21 96-0278 CUMBERLAND 101 i Anaunt Renitted r~~=="- r XI CHANGED III 121 131 141 151 Ibl r71 ,00 1.033,883,26 ,00 ,00 59,723,64 ,00 11.116,94 18) ~ l'. ." "'...,~, ",t(.1 ",''''' I...' f! '17r(.~-'rt' ~,"'\, r'r.?:'J~.::.I~' ""r..t.~:t,r--" "'j'-'II""11t11 ORVILLE T (91 1101 23,952,18 125,00 1111 1121 1131 114) SEE DATE ATTACHED 04-21-97 115) I1bl 1171 ,00 X ,00= 14,116.94 X ,06= 17.000,00 x,15= l1al NOTICE NOTE: To insure proper credit to your account, subnit the upper portion of this forn with your ta~ pay"ent. 1.104.723,84 ?4,077 18 1. 080.646,66 .00 1.080.646,66 ,00 847.02 2.550,00 3,397.02 3.397,02 ,00 ,00 ,00 ( IF TOTAL DUE IS LESS THAN ll, NO PAYMENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS,) AMOUNT PAID 3.397,02 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE RES[RYArIONI [.tat.. of d.c.dent. dying on or b.for. n.c..b.r 12, 198Z .. If any future Int.r..t In th. ..tat. I. tran.f.rr.d In po..e..lon or .nJoy..nt to Cia.. a I~ollateral) blnellclarle. of the de~ldent after the a.plratlon of any ..tat. for Ilf. or for y.ars, the Co..onw.alth h.r.by ..pre..ly re..rv.. the right to appral.. and 8..a.. tran.f.r IAh.rltance ra... at th. lawful Clal. 1 Icolleteral' rat. on any .uch future Int.r..t. PURPOSE OF HOnCEI To fulfill the r.qulre..nt. of Section 21~D of the Inherltanca and [.tate faM Act, Act 21 of 1995. (7Z P.S. S.ctlon 914D). PAYH[Hr I Oelach the top portion of this Hotlca and .ub.lt with your pay.ent 10 the Regllter of Will. prlnt.d on the rev.r.e .Id.. "Hak. check or .onay ord" payable to: RECISTER Of" MILLS, AGENT REFUND CCR': A r.fund of a taM cr.dlt, which wa. not r.que.ted on the TaM Return. .ay be reque.ted bV co.pletlng an "Application for Refund of Penn.ylvanla Inheritance and [.tale Ta." (REV-1111). Application. .re avallabla al Iha Off Ie. of the Ragl,lar of Will., any of the Zl Ravanue Di.trlct Office.. or by calling the .peclal Z~.hour an.waring lervlca ~berl for for'l ordarlngl In Penn.yivania 1.8DD.16Z'ZDSD, outllde Pann,ylvania and within local Harrllburg area (717) 7a7-809~. fDD' (7111 71Z-Z252 (Hearing I,palred Only). OBJECTIONSI Any party In Int.relt not ,atl.fiad with the appral...ent, allowanc. or dl.allowanca of deduction., or ol......nt of taM (Including dl,count or Inter..tl a. .hown on thll Hollca 'Ult obj.ct within ,IMty (6D) day. 0' rec.lpt of this Hotlce by: ..wrlttan prot.,t to the PA aepart..nt of Ravenue, loard of App.al., Dept. 281021, Harrl.burg, PA ...l.ctlon to hava tha .attar dat.r.lned at audit 0' tha account of tha per.onal rapre.antotiv.. ..app.al to the Orphan,' Court. 1712a.lD21, DR DR AOHIN ISTRATlYE CORRECTIONS: Factual error, dl.cover.d on thll al..I...nt .hould be addre'led In writing to: PA aaparl,.nt of Rlvanu., Juraau of Individual Ta.'I, ATTN: POlt A..e"llnt Ravlew Unit, aept. 210601, Harrl.burg, PA 17128-D6DI Phone (711) 787.65D5. Sea page 5 of the booklet "In.lructlon. for Inheritance Ta. Return for a R..ldent Daced.nt" (REV.15GI' for an ..planatlon of ad.lnl.tratlvely corr.ctable .rrorl. DISCOUNT: J, any taM due II paid within three Cl' calandar eonthl after the dec.dent'. death. . flv. p.rcant (5X, di.count of the t.. p.ld i. allow.d. PfNAlTV: The 15X taM eene,ty non-partlclp.tion p.nalty i. coaputed on the total of the te. and Inter..t a,.e...d, and not paid be fora January II, 1996, tha first day aft.r the end of the taM a.n..ty p.rlod. Thl. non.partlclpatlon p.nalty I. appaalabl. In the .a.. .annar and In the the ,a.e tl.. periOd a. you would appeal tha taM and Intara.t that ha. b.en al.e.l.d al Indicat.d on this not lea. INIEREST: Inl.re.t I. charged baglnnlng with first day of delinquency, or nine (9) .onth. and one CI, da~ fro. th. date of d..th. to thl dal. of pay..nt. TaM" which beca.e dlllnqu.nt b.for. January 1. 198Z bear Inl.re,t at tha ral. of .Ix C6X) plrcant par annu. calculated at a dally rot. of .DODI6~. All t.... ~hlch beca.. d.llnqulnt on and aftlr January 1, 191Z will b.ar Inter..t at a rat. which will vary fro. calendar year to calandar Ylar with that ratl announcld b~ the PA D.part.ant of Revlnu.. Tha appllcabl. Inter..t rat.. for 1912 through 1997 ar.: '!!!! Int.re.t Rat. Dftlly Internt Fftctor Y.!!! Int.rnt Rat. D"lly Inta".t Factor 1982 ZDie .DDD!Jf08 1981 ,~ .DGD2~7 1981 16;( .GaGU8 19...1991 IU .aDDlDI 198~ lU .GaDlDI 1992 ,~ .GGG247 1985 In .GOan6 19n-I99~ 1~ .aDD192 1986 In .Goaz7~ 1995.1997 ,~ .00DZ41 uJnter..t ts calculat.d Ot follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ..Any Hotlce Is.u.d .'I.r the taM blco", dlllnqu.nt will refl.ct an Intere.l calculation to flftean (IS) day. beyond the dati of the a......ent. If pay,ant I. ..de aft.r the Inter..l co.pulatlon date .hown on the Hotlcl, additional Int.re.t aust b. calculal.d. r!. / STATUS REPORT UNDER RULE 6.12 Name of Decedent: Orville T. Anderson Date of Death: February 24, 1996 Will No. 21-1996-0278 To the Register: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. Yes -1L- State whether administration of the estate is complete: No 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 X (b) The separate Orphans' Court No. (if any) for the personal representative's account is: N/A Date: (c) Did the personal representative state an account informally to the parties in interest? Yes X No (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with ;~~o;~~rk of the Orphans' Court and~maY be att~aChed to this 1(_ >-"id Y Davi ~ 0" squire 414 Bridge Street New cumberland, PA 17070 717-774-7435 , . Capacity: Personal Representative x Counsel for Personal Representative PURPOSE OF HaUtEr To 'ul,lll the requlr...nt. of Section Zl~5 (b) of the Inheritance and [stat. la. Act, Act 21 of 1995. (12 P,S. Section 9145). PAYHENh D.tach the top portion 0' this Natlca and ,ub.It with your pay..nt to tha Raglst.r of Wills prlntad on the t.".r.. .Id.. -- "aka check or aonay ord.r pa~.bl. tOf REGISTER OF' MILLS, AGENT. REFUND (CR): A r.fund of a Ie. credIt .ay b. raqua.tad by coaplatlng an RAppllcatlon fat R.fund of PennsYlvania Inheritance and E,tata T.M~ (REV-Ill]). Appllcatlonl ar. avallabl. at the Of,lc. 0' the Ragl,'ar 0' Wills, any of the 23 Revenue District Offices or fro. the Oepart.ent"s 24-hour anlwerlng lervlce nu.bers for foral orderlngl In Pennlylvanla 1-800-36Z-Z0S0, outllde Pennlylvanla and within local Harrllburg area (717) 787-8094, TOOl (717) 77Z-Z2SZ CHearlng I.palred Only). OBJECTIONS: Any party In Intere.t not .atl.fled with the a..e..eent of tax a. shown on thl. notice .ay Object within sl.ty (60) day. of receipt 0' thl. Notice by: nwrltten prote.t to the PA Oepart.ent of Revenue, Board 0' Appeals, Dept. 281azl, Harrisburg, PA 17IZ8-1021, OR -.electlng to have the .atter deterelned at audit 0' the per.onal repre.entatlv., OR .-appeal to the Orphan.' Court. AOHIN. ISTRAJlVE CORRECTIONS I Factual error. dl.covered on thl. a..e'l.ent .hould be addrel.ed In writing to: PA nepart.ent 0' Rev8nU8, Bureau 0' Individual ra..s, ATINI Post A..e..eent Review Unit, Dept. 280601, HarriSburg, PA 17126-0601, Phone (717) 767-6505. See page S of the booklet ~In.tructlon. for Inheritance Tax Return for a Re.ldent Decedent" CREV-ISOI) 'or an e.planatlon of adelnlltratlvelY correctable error.. PENALTVI T~ IS~ tax aene.ty non-participation penalty Is coaputed on the total of the ta. and Interest a..e..ed, and not paid be'ore January 18, 1996, the flr.t day a'ter the end 0' the tax a.ne.ty period. Thl. non-participation penalty Is appealable In the .a.. .anner and In the the .... tl.. period a. you would appeal the tax and Intere.t that ha. been a..e..ed a. Indlcatad on thl, notice. INTEREST. For date. of death on or a'ter 10-S-91, Penn.ylvanla E.tate Ta. ba.ed on the Federal Estata Ta. r.turn b.co.e. delinquent at the ..plratlon 0' nine (09) aonthl 'roe the data of death. For date. of death prior to 10-]-91, P.nn.ylvanla Estat. Ta. ba.ed on the Federal E.tat. Tax return becoee. dellnqu.nt at the ..plratlon of elght.en (18) .onth. 'roe the data of death. Taxe. which beca.e delinquent be'ore January I, 196Z b.ar Intere.t at the rate of II. C6~J percent per annul colculated at a dally rate of .000164. All taxe. which beca.e delinquent on or a'ter January 1, 198Z will bear Intere.t at a rate which will vary fro. calendar year to calendar year with that rate announced by the p, Oepart.ent of Revenue. The applicable Intera.t rate. 'or 198Z through 1998 arel Vear Inter.st Rate Dally Intera.t Factor Year Interut Rate Dally Intere.t Factor 1982 ZO~ .000S46 1987 9~ .0002" 1983 lOX .000438 19116-1991 1I~ .DOOlOI 1984 11~ .000301 199Z 9~ .0002" 1985 13;( .000lS6 199]-1994 7~ .000192 1986 I.~ .000Z74 1995-1998 9~ .000Z47 ""Internt Is calculated a. 'ol1owlI INTEREST = BALANCE OF TAX UNPAID X NUNDER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Notice II.ued after the tax beca.e. delinquent will refl.ct an Interelt calculation to 'I'teen CISJ days beyond the date of the allel".nt. I' pay.ent Is .ade after the Interelt co.putatlon date shown on t~ Hotlc., additional Interest .ust be calculated. ,j-- 91/.. /--1 DAVID H STONE ESQ STONE ETAL PO BOX E NEW CUMBERLAND PA 17070 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN '. BUREAU Dr INDIVIDUAL IAXES IHlllRllANCr UX DIVISION nIP'. :80&01 IIA~RlsaUMC. IIA 1111a.ObOI tI,.I" 11"'111."1 05-18-98 AtlDERSOtl 02-24-96 21 96-0278 CUMBERLAND 202 ORVILLE T AIIQunt Re..it t.d MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 HOTE: To insure proper credit to your account, subnit the upper portion of this forn with your tax paynent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~ R-EV:'i6--EX--AFP--ioi:-97j-----.-.-Nb-iicif-OF--OETE-RHiiiAiib-N-AN-O-AS-SESS-HENir---------------------------- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER .. ESTATE OF ANDERSON ORVILLE T FILE NO.2l 96-0278 ACN 202 DATE 05-18-98 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified .00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 3.397.02 3, Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed 3.397,02 5. Pennsylvania Estate Tax Due ,00 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federal Estate Tax Return .00 7. Additional Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT DATE "0 ( RECEIPT NUMBER :::<! :0.; DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID :q ~ c:: N >- ~ ~ , ..U ( " a: P' ~:J UU TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE ,00 "IF PAID AFTER TNIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS TNAN '1. NO PAYHENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REflECTED AS A "CREDIT.' (CRI, YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I PURPOSE OF NOTICE: To 'ul'lll the requlre.ents 0' Section ZI4S Ib) 0' the Inherltanc. and Est.ta T.. Act. Act 21 0' 1995. 172 P.S. Section 9145). PAYMENt: a.tach the top portion 0' thl. Notice .nd sub.lt with your pay..nt to the R.gl.ter of Will. prlnt.d on the raver.. .Id.. -- "alt. ch.clt or aoney ordar payable tal REGISTER OF MILLS, AGENT. REFUND (CRh A r.fund 0' . ta. cr.dlt .ay be reque.t.d by coapletlng an -ApPlication 'or R.lund 0' Penn.ylVanla Inherltanc. and E.tat. Ta.- (REV-1315). Application. are avallabl. at the Of,lce 0' the R.gl.t.r 0' WIll.. any 0' the 23 R,venu. Ol.trlct OI'lc.. or 'ro. the a.part..nt's 24-hour &nlwerlng ..rvlce nuab.rs 'or 'or.. ord.rlng: In Pennlylvanla 1-800-562-2050. outsIde P.nnlYlvanla and within local Harrllburg ar.a (717) 787-8094, TOOl (111) 772-2252 IH.arlng Ilpalr.d Only). OBJECTIONS: Any party In Intetest not satlsfl.d with the a'''s~t of ta. a. shown on thl. notlc. .ay obJ.ct within sixty (60) days of r.c.lpt 0' thl. Notice by: .-wrltt.n prot..t to the PA aepart.ent of Revenue, Board of App.als, Dept. 281021, Harrl.burg, PA 11128-1021, OR .-.I.ctlng to have the latt.r deteralned at audit 0' the personal r.pr..ent.tlve, OR --.ppe.1 to the Orphan.' Court ADHIN- ISTRATlVE CORRECTIONS: Factual .rror. discovered on this assess.ent should be addressed In writIng tOI PA Depart..nt 0' R.v~. Bureau of Individual Taxes, ATfN: Post ASIIsl.ent Review unit, Dept. 280601. HarriSburg, PA 17128-0601, Phon. (117) 787-6505. Se. page 5 of the bookl.t -Instructions 'or Inherltanc. T.. R.turn 'or a R..ldlnt Dac.d,nt- (REV-lSOI) 'or an .xplanatlon 0' ad.lnlstretlv.ly corr.ctabl. error., PENALTY: Th. 15~ t.. a.nelty non-partIcipation p.nalty I. coaput.d on the total of the ta. and Int.r..t a.sa"ad, and not paid b.for. January 18, 1996, the 'Ir.t day aft.r the .nd of the ta. nanl.ty p.rlod. Thl. non-partlclp.tlon p.n.lty I. app.alabl. In thl .... .ann.r and In the the .a.. tl.. p.rlod e. YOU Mould app.al the ta. and Int.re.t that ha. b..n aSS..led .. Indlcat.d on thl. notlc., INTEREST, Addltlon.1 P.nn,ylvanla Estat. T.. .......d a. a relult of a chang. on the f.d,ral E.tat. T.. clo'lng I.tt.r b.co.e. delinquent .t the ..plratlon 0' one (I) ~th 'roe the data the 'Inal notlc. 0' the Incre.sa In faderal E.tate Ta. II r.c.IVld. T.... which bacn.. delinquent belor. January I, 1982 bear Int.r.st at thl rat. 01 sl. (6~) p.rcent par annu. calcul.tad at a dally r.t. 0' .000164. All ta.a. which b.ca.. d.llnqu.nt on or a't,r Janu.ry I, 1982 will b..r Int.r..t .t a rat. whIch will vary 'ro_ cal.ndar y.ar to calendar y.ar wIth th.t rat. announcad by the PA D.part.ant of Rav.nue. The appliCable Int.r..t rata. 'or 1982 through 1998 are: !!!! Int.rnt R.t. O.lly Inter..t Factor V'.r Int.r.st R.te Dally Intere.t f.ctor 1982 20iC .000548 1987 .~ .00OZ41 1983 16;( .00008 19"-1991 Il~ .00nOl 1984 11~ .000301 .99Z .~ .000247 1'85 U~ .0003S6 199]-1994 7~ .0001'2 .... 1D~ .000Z14 1995-1998 .~ .000247 ....Int.,...t II calculat.d .. '0110..': INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. IlIu.d .ft.r the tax becOll. dallnquent will r.IIKt an Int.,..st calculation to '1ft.." 115) d..... beyond thl d.t. a' the ........"t. l' paraent I. aada I'tar the Int.r..t coaput.tlon d.t. .hown on the Notice, adcllt10nal Int.,...t ...t be calculated.