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Home My WebLink About96-00349 " . , , '0 CD -0 1;; ,-- . o Z PETITION FOR PlmUA TE lInd GRANT OF LETTEHS O)I-qlo - ~Nq E\llII,'of,~t~.llen J.E. 1I01sinqer al.\oktwU'" tiS Soda' S"t',,,il.\' No, . Dl't't'Owd, 710_40_74R"i No, To: Regisler of Wills for Ihe CounlY of Cumbe r 1 a nd in Ihe Commonweallh of I'enn'ylvania The pelilion of Ihe undersigned re'peclfnlly rcpresenls Ihal: Your pelilioner(,), who islare 1M years of age or older an Ihe e~'l!mor" in Ihe la'l will of Ihe above dccl'denl, daled M;, rrh 1 "i . ami codicil(,) daled ~1 /1\ named , 19..9.li..- (\I"IC relt',,""1 drClII11\lanCC\, C.JZ.. renunciation, dea1l1 of C'H'ClIlor. CIC.) ()C~ClldCI1I was domiciled at death in Cumbprl and County. Pennsylvania, with h i" la,' fmnily or principal rcsidence al E;7q Snuth M; nnl"'''''''' Rn;,rl. Snuth-Middletnn 'I'nwn"h;p. C;,rl;"le. PA (Ii~t ~trccl. l1ul11hcr and 111undpillil)'} Deeel1delll,lhel1 46 years of age, died at r;u,.' ; 1:;;1 p 4.ospi to:;'J' Exeepl as follows, decedenl did nol marry, was nol divorced and did nol have a child born or adopled after exeeulion of Ihe will offered for pro bale; was nOllhe viclim of a killing and was never adjudiealed incompetent: np~pr1pn" '"'~c: m;u",.;pn ton r.l;dne 'T'n701Qc::kr HQ1.iRg9r "ho died 15, 1995. A previous marriaae .to Rho.nda K Shenk resulted in divorce on DecemTel11 al wall' owncd property wlln cSllmalei! values as To'low~: Auq\l.s t. 4 1981 (If domiciled in I'a,) All personal property $ eo. 0'0-0 .00 ' . (If not domiciled in I'a,) Personal property in Pennsylvania $ (If 1101 domiciled in I'a,) Personal properlY in CounlY $ Value of real eslale in I'ennsvlvania $1 "in nnn nn SilUaled as follow,: tril~t gf laRd '.'ith impro'lemgntE: thgr~OR E:it\l3W a...t.-.6.7..9-So11th Minnlpc:::pv Rn~n ~nllt-h M;nnlptnn Tnwn~hip. CQmV~L1~.nd County, PA WHEREFORE, pciitioner(,) respeelfully presentcd hcrewilh and Ihe grant of letters April 11. ,19 96 on requeS!(s) the prohalc of thc laS! will and codicil(s) testamentarv (lc'lnmcmary; ndmini\IHUion c.I.a.: administralion d,b.n.c.t.il.) lImon, ." - ..,. " c 12 ~- ",. c ..,0 c': C"l": 2~ ~~ so ;; c ~ Vi tUf.~ 4./..Jwl:f'7 ATlen Holsinger ??7~ Npwv;"p Rn~n Car1;c:::lp, 01\ 17n,~ S~N 1Ql_40_q7E;0 ~one (717) 776-7590 I, 1,I.j "I ~ kfJ:j1 ft'{.,U,yvl,. Peg ,Hnl" ngpr 7?71 Npw"il'n Dn~d Carlisle, PA 17013 SSN 187-44-9510 Phnn" (717) 77E;_7"iQn OATH 01; PERSONAL REPRESENTATIVE COMMONWEALTII OF I'ENNSYLVANIA } ss COUNTY OF C'lImhr>rl ;,nn The I'eliliul1er(,) :lhuve.named ,wear(s) or afl1rm(s) Ihalthe slatell1enls inlhc foregoing pctilion arc trne :11111 eurrect lu Ihe hest of Ihc knowledge and helieI' of pelilioner(s) and that as personal rcprcscn. ,,"ive(,) 01' Ihe ahove decedenl pelilioner(s) will well and Iruly adminislcr Ihe estalc according 10 law, Swuon 10 or af~~~'fI1 and suhserihed hcfore lI1e Ihis day of 7f~~h~ffij~'1 -(,. ~ J' ,CjC\_ <i i /2&<.' d-lo-i~/l<y7 " , I I' ." " '1'1:1 <. -'J' ,,--), .- '" ;Q' " " :: ~ ~ No 21 - 96 - '49 . Estate of ~~('\rhpn .1. F _ Iln' q; nq",r , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW APR I L 30. 19.2!i..-. in consideration of the petition on the reverse side hereof. satisfactory proof having been presented before me. IT IS DECREED that the instrument(s) dated M" r,..h 1 'i. 1 qq6 described therein be admilled to probate and filed of record as the last wlll of Stephen J. E. Holsinger and Letters Tcr.c:t-;1mpnt-;::!ory are hereby granted to 1\ 1 1 pn Hn'~;ngpr Ann PPggy l-tnl cd ncJ'~'" FEES Probate, Lellers, Etc. .,..,.',. S 270.00 Short Certificates( 3) . ,. , , , . , " s gOO RenuJ)cialion ..,.",.,....... S X-pages S I ~ ,uu JCP S,QO TOTAL _ S 299,00 Filed ...... fIPR {I,.. ,3,Q.. J .9,~Q.. .. .. . .. . .. Fi~h;::!orrl T Wpnnpr. ,1'" _ ft4qh34 ATTORNEY (Sup. CI, 1.0. No,) 366 Green Spring Rd., P.O. Box 40 NQ'ruil19. p" 1 7"<11-nn<1n ADDRESS (717) 77E;-E;'iE;!i PHONE 00 ~ ~~ , , \I; :JJ~ 0\ <t' n " - .' 'U :;0 !'-I \Q .. .- .- '. ex> ii> N ~~. Cl . "DC: );>;;1 Letters and order put in attorneys file in Pro thy on 5-1-96. '1111' I' 1,1 It 1111\ ,\t,1I 11,1 11Iholllllllldl 1.11,,11 Ht .:1,11,11 lilt Pllrlll..! Illll1h.ilt III H ,'_1'.," " """'<:,> \'j'" 111"11\ Ill' dl;'lfl d q 11111' .IlI "I ,\. ,lIh ,ltd', I..J I" 1111.1111 111 tdlll!-'_ lilt d '" 1111 lilt' ..... \ 1" I I ",. I.! tlll," .\ .II ('\ I,,'" l! '. .\ I.. t ,t ~:. d. WARNING: Ills 11101111110 dupllclItl' thl, copy by pholos1nl or photollraph, I'U'IHI flll" Illldl\.llt. .' on ",,<S\I\10,'Pf-t :", ...~, . '4,r-_. '~../ ",0:\. ,.., '''''~.. I :a;/ , ' I>' ~=I . \'" t-J i' ii,;' . ' ~ c::!. . ..." ~",~.:. ,/~J '{,piii~' ~'to\~,~ }Hl ~""",.. ~/ .--. -, " r." I' L' \"\- \ Ll;.,,<,r,o r" \ ~)..Cll'.\ ~"P..~'t\(uJ ',)\,.1 Hq:''o'1.1f AI';: i ~_4 cO 3 'l 2 G [; ~-; 4 I ),lIl' Nil ''''''.311..&.'' COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH .,-'..".....-.. ~~"CUlllrr...."'M. . 210 40 - 2485 ;l"l01' tUJ" ..._~. _I .,April 1\, 199b .... ... ..Hale ... ... .....lCfla~ICA~ ...."'.... ..' I'I,.W:.IO#MII'..Q....."'-- --,.,.....--- MC""to~ ....-Q l~ C Stephen J, E. lIol.lnger .''''~~'_ su.o.ro'''__Cco,roo'' .,.. - .-.,w .. .Q(....-.I """""~.~UJO _ c.... V"OIlllM ~I"-" I ';'1 46 '" c.oo.J"OT"fOfOf..llT" Cumber land . SUf'YI\lH1VOU'J& .1_ ro---- CM li.le ""llIu/"'WUS''''_ -............- -....... lu"t" It Widowed u.D____...... c:. ~Ii,.,.,ptnn 1""_ PA .. -- U -.. C rnbcrlnnd --' ,,,0::::='::::" \oIQl....Il'..II...c".."'...."'_s..- ~79 S. ~Iddlesex Rond Corlls1e, PA 17013 'M .. '.u....IlI......(......._~.~ Warrcn C. Holsinger, Sr. L. Holsinger ~IOlOOY'Otoltll;lH._etC--O........ ..0-,.... Cumberlnnd Volley Hem. , .. ...,()I\Il..,."...~I'."...~llcn '" QI' \1'051 Ot .......G 0_....0 aor.-~,.,. ~""".....o \9% "''''lANO~:.sO#'H;IU" 219 N. lIanover _0 .. ........ ~<-lOl$l "",velA .id"'" . . .,.,."",_ ................ .........,....._..__...._,....... 01>_......,...--..""'" -".....-"'...~.......- .-......"'...... ~.-.-._..-"- .....-. 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".. ,'. ,'" - -. ~ ,..' ',,' , . . . ';:;';{ , " :.~:-;; '''-:,,; .", ~",,' .' '. , ,;Z'~{:':~ , ' .. "'.~! :,.~:~ . , . "... ";'" .,;' .,'. ,.i':' ..,. }..,~: :"i<'-:'::'~'''c ',<>. "~":.' "'/' .r.,;;,;;:", .',.' ' ';.. ,_.' -,', , " .. '.' ' ,; ,':',,: . ' :'~;' . , : ::-;'.,:{\\' .'!',.....;{': ...:,,' " '..' ,:'.:.' 'o'. " ,.:, ',< '...'.., ';'iE , . ,: ;':-':,;Y';:" /".,.,' . .'~":~; ,\,;; .. : ,',,',' ;:')~:;;~;\"::;:i::'::,ifl: , ' ". .. :.:.,:,?:;d:;::~~, , ' , ".:'),:::/itcC,' ; . ' , ~,~.~,{< .. . ., ';,' : ':,:Z:~! ' '.:.' "..,:. ;.~/{~;;D,(~.: , ' x ,.' :..~,;::,};~;:,;;\:; :y, '. '..' ': i;e'::'~: ~ . '. < \~;h\c: " , :'.' ,;,': ;;',:': ;,';,~ ,:::::':,/\:t :,:j;C:Y:;' ': ',' " " . '. .. ',' : --. , ,",,',:,' ,....':"',:; ': .' :.:,.'X~{ . ..': :"'C;'j " ;; ':>; . ":';:;.'~ " ;~~"3;~'~ , .. ',:', " "i':' ; LAST WILL AND TESTAMENT OF STEPHEN J.E. HOLSINGER I, STEPHEN J.E. HOLSINGER, of South Middleton Township, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all Wills, Codicils, or writings in the nature thereof, by me at any time heretofore made: FI.R,ST: PAYMENT OF EXPENSES - I direct that all my ,just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of m~' estate, SECOND: RESIDUE OF ESTATE - I give, devise and bequeath all the rest, residue and remainder of my estate, be it real, personal, or mixed, (excepting any annuity policies and benefits) as follows: A, Two-thirds (2/3) to STEPHENIE L, HOLSINGER; and B. One-third (1/3) to SARA E. HOLSINGER. This distribution is on a per capita distribution basis. I have made the above distribution due to the fact that Stephenie's mother, Elaine Holsinger, contributed substantiallY towards my estate, AdditionallY, Sara E, Holsinger's mother is still living as of the date of this Will, and it is my hope that Sara's mother provide for her in her Will, , " THIIiD;, REAL ESTATE DIRECTIVE - In the event that m~' children do not wish to sell my house and real estate, I direct that ALLEN HOLSINGER shall manage the renting, leasing, and/or living arrangements thereof, FOURTH: TRUSTEE OF CHILDREN'S ESTATE I give, devise and bequeath any share or shares of my estate which passes to a child who has not attained the age of twenty-one (21) to my brother, ALLEN HOLSINGER, as TRUSTEE, to serve without posting bond, on the following terms and conditions: A. So long as any child or children are minors, the net income of the Trust shall be paid to or applied for the maintenance, education or support of any or all of the children at such time and in such proportions as my Trustee shall in his sole discretion determine. In the event that the income would be insufficient to provide any of the minor children with adequate maintenance, education and support, the Trustee shall invade the principal for this purpose and such invasions shall be according to the needs of the children, rather than according to any pro rata scheme of distribution. B. The Trustee shall create a separate Trust for each child upon his or her attaining the age of eighteen (18) years, The principal of such separate Trust shall be the pro rata share of the principal Trust, according to the number of children entitled to receive income from the Trust; and the share of such child in the income from the original PAGE 2 Trust shall ther'eufter "elise, The terms of the sepllrate tr'ust shull be as follows: I, The Trustee shall immediatel y pay to such child one-fifth 11/5) of the principal of said trust. 2. The entire net income shall be distributed quarterly 1.0 such child. 3. The Trustee may pay the remainder of the principal and accrued income of said separate Trust, in lump sum or in partial payments, upon her attaining the age of twenty-one (21) years, or at any time thereafter, at his IIbsolute discretion, when he believes that the child is capable of managing said monies. 4. If said child shall die after attaining eighteen (18) years but prior to attaining the age of twenty-one (211 years, the separate trust for his or her benefit shall terminate and the principal and any undistributed income shall be paid to my other child. 5. In the event any of the children dies prior to becoming entitled to a share in the principal of the original Trust, the interest of such child in said Trust shnll cease. FIFTH: APPOINTMENT OF GUARDIAN OF THE PERSON - I appoint my brother, ALLEN HOLS INGER and his wi fe, PEGGY 1I0LSINGER as guardians of the person of any child of mine who is a minor at the time of my death, to serve without bond, PAGE :! STATE OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, STEPHEN J,E. 1I0LSINGER, having been duly qualified according to law, acknowledge that I signed the foregoing instrument as my Will and that I signed it as my free and voluntary act for the purposes therein expressed. ~ St-{~'-""" ~~ L~4v1 STEP EN J ..E' HOLSINGER, Testator We, having been duly qualified according to law, depose and say that we were present and saw STEPHEN J.E. 1I0LSINGER sign the foregoing instrument as his Will; that he signed it as his free and voluntary act for the purposes therein expressed; that each of us in his sight and hearing and at his request signed the Will as witnesses; and that to the best of our knowledge he was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. ~/J?2 /2 S)~~ ~ PAGE 5 (O""O~WI AI 111 1II 1'1 ~IolSVI VA~IA IIIl'ARfHINf Of UI VI NUl ftUN( AU Of I~DIVIUIJAI I Aiel S 01111. :.,01101 ItARRISBURG. "A 1'1;'11-0"01 * I I'.' , INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 96-0349 ACN 96126698 DATE 07-09-96 Ih'lhlll'" " ." TYPE OF ACCOUNT o SAVINGS IXJ CHECKING o TRUST o CERTIF , EST, OF STEPHEN J HOLSINGER 5,5, NO, 210-40-2485 DATE OF DEATH 04-11-96 COUNTY CUMBERLAND ~: LI) u ALL~N0l HOLSl NGER: .r 2273 NEWVIltE RD OLe CARLISLE n. PA 17013 ...... - REHIT PAYHENT AND FORHS TO: REGISTER DF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 '- Q: ., ..., HEHSEAS ISlJ'FEDEAAL CU hils provldad tha Dapart_ant with the Infor_fltlon Ilstad below which hItS boan uud In calculating the potential a-1dae. Thel&ecerds, .1r\!Jcllte thnt at the duth of the above dacedont, you wore it Joint owner/beneflclllrY of this account. J, yOU 'eal this Inferllfttlon IsC1nQtrrect, pleau obtain wrltton cerroctlon fro. the flnllnclal Institution, attach a copy to thl. for. and return it to the above add~t'~ Ihls account Is ta_able In "croardance with th~ rnh~rlt~nc. ,". low. of 'he rn..~nw..lth "' Pa""CWIVAnl.. au.stlon. .ay be anlwerad by cal1~ (717) 7111-1I1ZI. COMPLETE PART 1 BELOW Account No. 14595-11 . . . SEE REVERSE SIDE FOR Data 12-21-95 Eshbllshad FILING AND PAYMENT INSTRUCTIONS Account Sd.nce Percent Taxable A~ount Subject to Tax Tax Aate Potential Tax Due 16.788.71 X 100,00 16.788.71 X ,15 2.518.31 To Insure proper crodlt to your account, two (ZI copla. of this notjce _ust ncco_pany your pay_ant to Ihe Rogilter of Wills. Hoke check payable 10: "Regisler of Wills, Agont". PART ill HOlE: If to. pay..nts are eade within throe (1) .onths of the dacadent', date of daath, YOU _ay daduct a 5% discount of the to. due. Any Inhorltanu talC due will bece.e dellnqullnt nlna (91 ..onths aftar the date of death. TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSNENT BASED ON THIS NOTICE [CHECK ] ONE BLOCK ONLY A. r=J fhe above Infor_atlon and taw dua II correct. I. You _ay choosa to ra.lt pay.enl to the Register of Wills with two capias of this notice to oblain a discount or avoid Interalt, or you nay chack bOlC "Aft and r.turn this notlca to the Raglstllr of Will, and an official assass.ant will be Issuad by Ihe PA Dapart_ant of Ravllnue. B. ~"The above assot has baon o~ will be raported nnd taw paid with the Pllnnsylvanla Inherltonce fax raturn ~'Io be filed by the dacedant's rllpresentatlve. C. r=J The abova Infor_atlon Is Incorract and/or dllbts and daductlons ware paid by you. You ..ust co.plete PARI ~ and/or PART [!J balow. If you indicate a different tax ratel please state your relationship to decedent: PART ~ iAX R~TURN - COHFUTAiICH LINE 1. Data Establlshad 2. Account Balance 3. Percent Taxable 4. A~ount Subject to Tax 5. Debts and Deductions 6. A~ount Taxable 7. Tax Aate 8. Tax Due TAX ON JOIni/TnU3i ACCOUNiS PA OFFICIAL USE ONLY 0 AAF DEPARTMENT OF REVENUE OF 1 2 3 4 5 6 7 8 X PART @] DATE DEBTS AND DEDUCTIONS PAD 1 2 3 4 5 6 7 8 CLAIMED X PAID PAYEE DESCRIPTION AMOUNT PAID I I I TOTAL tEnter on Line 5 of Tax Conputation) $ Under penalties of perjury, I declare that the conplete to the best of ny knowledge and belief. , ~f;..' ~. 1(ce.~0v/ TAX R SIG ATUR facts I have reported above are true, correct and HOME ( )'" ~ ) 'd'" ( WORK (, ) TELEPHONE NUMBER GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAK ASS[SSH[NT Mllh ""lllh_,.II" Inhru' h",...III" 1,,'of.,.llun tub_ltled by the flnllnellll Inltltutlon. 1. Inh."It"ncI ,". beea... delinquent nln, 'on'''1 afl., Ihe IIltlll'n", ell'll, of d./lHI. .s. A Joint account I, la."hl. ev,n though the d.c..I.nt', "".. "'". ,uhlud nl It .""., II' cUlwtlnlenc:e. It. Accounh (IncludinG tho.. held betw..n hUlbllml "lid wH.' which the d8c.:1.nt 1"'( In Jnlnt n".., ..Ithln 011. '18'" II' lor to d,.th are fully ta.ulbl. .... 1'"""'''1. ~. Accounts .,Iabll,hed jolnth b.lw..n husb.."d "nd wi" 80r. Ihll" nn. '1"''' 'Irlor to lle..th lire not ,..."bl.. 6. Accounts h,ld by" deClldent "In trult for" o"oth.r or oth.r. nt. l"ltlbl. ',,11'1. REPORTING INSTRUCTIONS - PART I - TAXPAYER RESPONSE 1. BLOCK A - If the Inforlatlon ftnd co.puhtlon In the notlc. lire correct ftnd dlilductiona fire not being clftl..d, plnc. ftn "X" In block "A" of Part I of the "ta_pay.r Reaponle" I.ctlon. Sign two caple. find .ubelt th.e with your ch.ck for the neount of tall to the R.ght.r of Willi of th. county Indlcatod. 'h. PA Dopar'..nt of Re\l'enue will Inu. an official au.....nt IFore REV-Is~a [X) upon rec.lpt of the return froe tho R.gllter of Wills. 2. BLOCK B - If thl anlt specified on thll notiu has bun or will b. reportod Bnd tn_ pllld with the Pennlylvanla Inheritance talC Return fll.d by the cleudent's roprlillontatlvlil, placa an "X" In block "B" of Pllrt I of the "t"lIlpay.r Aosponu" lectlon. Sign on. COpy and uturn to the PA Departeent of RliI\I'.nuliI, Bureau of Individual 'aua, DliIpt 2aObOl. Ilarrllburg, PA 1712a'O&01 In th. envelop. provided. 5. BlOCK C - If the notlc. Infor.atlon Is Incorrect and/or deductions are being clalaed, chock block "C" IInd coepl.te Parts Z and 5 accordina to thl In.tructluns b..i.uw. SiYII i.... cu..i..,. eo.... J..t.~:t ::..... ..lt~. IOU:- c!'".;.:~. ~c:- ~~~ ::"eo:...,t cf hi" f1.~'P"!. te .to.. O_"hhr of Wills of the county Indicated. Tho PA Dlilpart.ont of RliIv.nuo will luuliI an official asun..nt IFor. AEV'ISlja [X) upon r.cllpt of thl r.turn fro. the R.glst.r of Willi. TAX RETURN - PART 2 - TAX COMPUTATION LINE I. Ent.r thl date the account orlalnallY was establlshod or titled In the aanner IiIIIlI.tlna at date of death. NOTEI For a deced.nt dying aftlilr lZ/lZ/aZI Accounts which the decedent put In joint na.es within one III year of death are talllabl. fully as transfers. However. there Is an elllcluslon not to elllceed S3.000 per transf.re. regardllss of thl value of the account or the nu.ber of accounts held. If a double asterl.k (MM) appoar. before your flr.t nll.e In the oddres. portion of this notice. the '3.000 elllclusion alrlady has blln deductod froe the account balance as reported by the financial In.tltution. Z. Entlr the total balance of the account Including Intere.t accrued to the date of death. 5. Th. perc.nt of the account that Is tlluble for each survivor Is d.ter.inod as follows: A. 'he perc.nt talllabl. for Joint anets e.tabllshed lIore than on. year prior to the decodent.. death: DIVIDED BY TOTAL NUHBER QF JOINT OWNERS Ellla.pll: A joInt auet regist.rod DIVIDED BY TOTAL NUMBER OF )l 100 . PERCENT TAlIABlE SURVIVING JOINT OWNERS In the na.e of the decldont and two other person.. I DIVIDED BY 3 IJQINT OWNERS) DIVIDED BY 2 (SURVIVORS) . .167 Ie 100 16.7Z (TAXABLE FOR EACH SURVIVOR) B. The percent talllllble for asnts created within ono yellr of the decodent's death or accounts ownod by the docedent but held In tru.t for IInother Indlvldualls) (trust blneflclari..): I DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT OWNERS OR TRUS' BENEFICIARIES X 100 . PERCENT TAXABLE [lIlallplel Joint account regi.terld In the na.e of the decedont and two other persons and ..tabllshod within ono year of death by the docod.nt. I DIVIDED BY Z ISURVIVORS) . .SO X 100 . SoOZ ("XABLE FOR EACH SURVIVOR) 4. The a.ount ,ubject to talC (line lj) Is deterained by liIUltlplvlng the account balance (line Z) by the percont talllabll (line 3). S. Ent.r the total of thl debt. and deductions II.ted In Part 5. 6. The lIliIount tanble (line 61 Is deter.lned by ,ubtracting the debts and deduction. Illne Sol fro. the a.ount subject to talll (line 101. 7. Enter the approprlato talil rat. (1In. 1) as deter.lnod below. A. For dates of death occurr Ing after 6/50/9lj, the tu rates for transfe,.. to SPOUleS are a. followll 1. Oates of d.ath on or afhr 711/9lj and blfore 1/1/95 tho rate Is 5:<. Z. Dates of d.ath on or after 1/1/95 transfers to spou..s will be talllod at OZ taM ratl. Hote: For dat.. of dlath prior to 7/1/94 transfer. to spous.s are talllable at 6Z. B. 'ransfers to lineal descendants Including father, ~other, son, daughtor, grandchildren, son' In' law, daughter-In-law, stepchild IInd their Issue are tOlllable at .Ix porcent (6ZJ. C. Transflrs to all oth.r. Including brother, .Ister. uncle, aunt, nephew and niece are taMable at ,Iftoen percent (lSZI. D. If you changl the talll rate. plea.e specify your rellltlon.hlp to the docedent in the arAII provldod. a. The a.ount of tax dUI (line a) Is dlilhr..lnod by .ultlpiylna the a.ount talllable Ulne 6) by the tax rat. (IInlil 71. CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowable debts and dlilductlons are doter.ined a. follows: A. You legally are r..pons1bl. for pay.ent, or the ..tate SUbject to ad.inlstratlon by a personal ropres.ntativ. I. In.ufflclent to pay the doductible It.... B. You actually Pllid the debts after doath of the dlcedent IInd can furnish proof of plly..nt. C. Olbts being clel..d .ust be It..lzed fully In Part 3. If additional splice Is nuded, un plain paplr a Ill" Mil". Proo' of pay.ent lIay be tlqueshd by the PA Depart..nt of Revenue. TAXPAYER ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN HARRISBURG AT (717) 787-8327. TDDI (717) 772-2252 (HEARING IMPAIRED ONLY) / " " CO""OHwl Al TII {II III HI4SVl VAN I I. DlIIA~'"IH' 01 NIVIHUI IIUIU AU 01 INDIVIDUAL 'AXI S OUll. O'BOhO I IlAIUUSBUIfC. il" IIlla.ObOl * FILE ACN DATE NO.21 96-0349 96126697 07-09-96 INFORMATION NOTICE AND TAXPAYER RESPONSE 'lolhlU If' U HI TYPE OF ACCOUNT Ix1 SAVINGS o CHECUNG o TRUST o CERTlF , EST. OF STEPHEN J HOLSINGER 5.5, NO, 210-40-2485 DATE OF DEATH 04-11-96 COUNTY CUMBERLAND ALLEN L HOLSINGER 2273 NEWVILLE RD CARLISLE PA 17013 RENIT PAYNE NT AND FORNS TO: REGISTER OF WILLS CUMBERLANO CO COURT HOUSE CARLISLE, PA 17013 U"'I ';""'-1: , LL. ~-5 ~ :-: ~ MEMBERS 1ST FEDERAL CtP- tin provided thll Dupnrt..nt with tho inforutlon lIstad billow which hns bUlln uud in calculating thll potenUal tlU: dUll. Thalr rocords IndJcetll lhnt at thll doath of tho above docodant, you werll a joint ownllr/bonll,lcinry of this account. If you f.al thts Infor.llt~ 11 incorrect, plllulI obtain writtlln cortllctlon fro. tho finllnclal Institution. attlleh II copy to this for. ::!'1~ ..~t:,;-~ it It' t"t: ::t:~...~~..~o=:. Ihl:: ::o::::.:""!t !<: t!,v...~l~ In "("~n,.(4~"!"... "I.., t". '"",,"I~."". T... ,.w...f t.... r,..,....".....lth..f 0......,1.....1. Due.tlon. .ay b. enlwored~ calling (711) 187'IUZ7. COMPLETE PART~~ BELOW M . . SEE Account~llo; 1459-5-00 ,. ~ Dolo o:H) u: 0\. ,~~ _~ '"" U Established Account aalanc. Percent Taxabl. Anount SubjDct to Tax Tax Rd. Potential Tax Due REVERSE SIDE FOR 04-13-73 FILING AND PAYMENT INSTRUCTIONS lo Insur. proper crodlt to your account, two (Z) coplo, of thl, notico lIust nccolllpllny your pay.ent to tho Rllghtor 0' Will,. Halo.lI chllck payable to: "Register of Wills, Agent". PART [D 11 . 669.82 50.000 5,834.91 . IS 875.24 TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE x HOlE: If tllK plly.enh !!Ire .ade within three (3) .onth' of the docedont.s datil of death, you IIIl1Y deduct 1I 50% discount of tho tlIK dUll. Any inheritanco t!lll due will bOco.. delinquent nino 19) aonths after tho datil of dellth. x [CHECK ] ONE BLOCK ONLY A. 0 Tho abo",e lnfor.lllion IInd tllK duo is correct. 1. You .a'l choose to re.lt plly.ent to the RlIgishlr of wills with two copios of this noticlI to obtain a discount or avoid Intornt, or you .ay chock ball "A" IInd roturn this notico to thll RoUlstor of Wills and an o,flcllll assllss.llnt will bo Issuod by tho PA DIIPartllllnt of RII",lInull. B. ,@'Thll abo",1I auot hu bOlln or will bll rllPortlld and tllK paid with thll Ponnsylvanla lnheritanco TIIJIl rllturn to bo filed by thll docedllnt's roprllsllntatl",o. C. 0 Tho abollo infor.aUon Is Incorrect Rndlor dllbts and doductlon. Wllrll paid by you. You ItUst co.plotll PART 0 and/or PART 0 below. If you indicate a different tax rate, please state your relationship to decedent: OFFICIAL USE ONLY 0 AAF PA DEPARTMENT OF REVENUE PART ~ I AX f(~ TUtlN - \;UM!'U"o/\I10N LINE 1. Dot. Estab1ishod 2. Account Salance 3. Percftnt Taxable 4. AnDunt Subject to Tax 5. Debts and Deductions 6. Anount Taxeble 7. Tax Rate 8. Tax Due OF TAl< UN JOIN', ...TKu::.i A\;CuUNT& !'AU 1 2 3 4 5 6 7 8 CLAIMED 1 2 3 X 4 5 & 7 X 8 PART ~ DATE DEBTS AND DEDUCTIONS PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL IEnter on line 5 of Tax Computation) of perjury, I declare that the facts I f my ~no.ledg. and belief. ,e:: (t"lir.,/ s correct and I 'I{'I\, 7 DATE GENERAL lNFORMATI 011 1, fAILURE TO RESPOND WILL RESULT IH AH OffICIAL TAX ASSESSWEHT .lIn ."pll<obl. In,.,..t h...d on In'o,..tlon subeltt.d by the flnencla' In.tltutlon. " I...rlt.... I.. b.'o..' d.llnqu.nl nln. .on'n' .',.r 'n. d...d.n". d.'. o. d..ln, " A jolnl ...ounl " I...bl. ...n 'nougn 'n. d...d.n'" n... ... .dd.d .. . ..,'.r o. .on..nl.n.., ., A..ounll lIneludlng Ino'. n.ld b.,...n nu.b.nd .nd .1..1 .nl.n In. d...d.nl po' In jolnl ..... .lInln on. ,ur prior '0 d.~th .r. fully ta..ble as tr_n.,.r.. ,. A..ounll ..,.bll,n.d j.lntl' b.,...n nu.b.nd .nd .If. ..r. 'n.n .n. ,..r prior to d..'n .n no' ,...bl.. b. Ac:c:ount. held by (I dlCldlnt "in tru.t fa'" another or other. are tllltnbl. fully. REPORTING INSTRUCTIONS - PART 1 .. TAXPAVER RESPONSE I, BLOCK A _ I' 'n. In.or,.'lon .nd .0.po,.,I.n In In. noli'. .ro .orr..' .nd d.du.,lon. .r. no' b.lng .1.1..d, pl." .. "x" In bl..' "." of P.rt I o. In. ",..p.,,, ...pon.." ",,'on, Sign ..0 .opl" .nd .ub.1I tn.. .lIn ,our .n." for 'n. ...unt of I.' '0 In. ..al,'.r of Will' o. 'n. ..unl' Indl..'.d, tn. PA D.p.rl..n' of ....nu. .111 I.,u. .n 0..1.,., o.......nl (For. REV.1S4& DO upon nulpl of the r.turn frol thl Ragl.,.r of will.. " BLDCX B _ If In. ..... .p..,.,.d on Inl. no' I.. n.. b..n or .111 b. r.por..d .nd ... p.ld .I'n In. p.nn.,I..nl. I...rl..n.. T.. ..,urn m.d b, .n. d...d.nl'. npr...n..tI... pl.'. .. "X" In blo" "B" o. P.rl I of .n. "to.p.,.r ...pon.." ...lIon. Sian on. 'OP' .nd ,.'urn '0 'n. PA D'P.rI..nl of ....nu.' Bu'..u o. Indloldu.1 T..... D.p' ,"'0", 1I."lIburg. PA l1l,""0" In In. anvelop. provided. ., BLDCX C _ I' In. noli.. Infor..'lon I. In.orr.,' .nd/or d.du,,'on, .r. b.lna .1.1..d, .n." blo" "C" .nd .o.pl.'. P.r" , .nd · ...o,o,na to tn. ,n..ructlon. ..io" .i.n t.O ..pl.. .nd .uu.1I 'n.. .lIn ,.u' .n." 10" ,to. ..oun. 01 ,.. p...hi. '0 .:ox .....,.' o. 0111. .f 'n. .ounl' Indl..'.d, tn. PA D.p.,...n' o. ....nu. will 1"0. .n offl.I.' ..,.,...n' IFor. .EV'I'" E" upon r...lpl of the nturn fro' tho PIglstor of wUI.. TAX RETURN - PART 2 _ TAX COMPUTATION LINE 1. Enhr HOTE; In. d.l. In. ...ounl orlaln.ll, w.' ..,.bll.n.d or '111.d In In. ..nn.r ..I.,lna .1 d.'. of d..'n, F.r . d...d.nl d,lng .f,.r "/1"'" A..ounl' wnl.n .n. d...d.nl pul In jolnl n...' wllnln on. III ,..r o. d..ln .r. I...bl. full, Of Ir.n.f..., 1I0w...r. 'n.n I' .n ..elusl.n nol '0 ...nd ",'" p.r ".n,f".. na.rdl." of In. o.lu. of thl account or thl nuabar of I!ICcounU held. I' . doub'. ..,.r'" I'" .pp..r. b.f.'. ,our "r.' n..' 'n 'n. .ddr." porI Ion of Inl. n.,I.., 'n. ".'" ...lu.l.n .Ir..d, n.' b..n d.du...d fro. In' ....unl b.l.n" .. r.p.rl.d b, 'n. fln.n.I.. 'n,'llu'l.n. " En,.r 'n. ....1 b.l.n" .f In. ....unl In.ludlng In..r..' ...ru.d 10 In. d.'. .f d..,n, ., Tn. p....nl .. In. ...ounl ,h.' I. ....bl. 'or ...n .urvl.or I. d...r.ln.d Of followS: A, Tn. p.r..nl I...b'. for jolnl ....1. ..,.bl'.n.d .or. 'n.n on. ,..r prior '0 'n. d...d.n'" d.. In: DIVIDED BV TOTAL HUHBEA OF JOINT OWNERS [)lIlIPh: A joint auat reght.rad DIVIDED BV TOTAL NUHBER OF )( 100 . PERCENT TUABlE SURVIVING JOINT OWNERS In thl na.1 of the dlcadent and two othar plrsons. , DIVIDED BY . IJDIHT DOHE.SI D'V1DED .. , ISUlIVIVD.S' . ,1'1 . ... . '0,," lTA,ABLE FOR EACH Su.VIVD., B, Tn. p.r..nl ,...b" for ....,. .r.,'.d .lln'n on. ,..r 0' .n. d...d.nl" d..'n or ...ounl. own.d b, In. d...d.nl bul n.ld In trust for anothlr Indlvidua1(.) (trust banlfidaries): 1 DIVIDED BY TOTAL NUHIER OF SURVIVING JOINT OWHERS OR TRUST BENEFICIARIES )( 100 . PERCENT TAXABLE [,..pl.' Jo'nl ...ounl r.g",.r.d In In. n..' of In. d...d.nl .nd Iwo oln.r p.r,on' .nd ..,.b.l.n.d wllnln on. ,..r o. d..,n b' tha deudlnt. 1 DIVIDED BV Z (SURVIVORS) . .50 )( 100 SOX (TAXABLE FOR EACU SURVIVOR) ., Tn. ..ounl .ubjocl 10 .., IlIno Sl I. d.,...ln.d b, .ulllp'y'ng In. ...ounl b.l.n.. IlIn. " by In' p"..nl I.,.b'. Illn. ." 5. Enter the total of the dahts ftnd daductions Ilstad In Part 3. 0, Tn. ..ounl I...b" (IIn. ., I. ......In.d b, .ub'r."lng In. d.bl. ond d.dU.llon. (IIn. " fro' 'n. ..ounl .ubj.., '0 ... (IIn. Sl, 1. Entar the approprlata tal( rllta (llna 7) at daterainad balow. A, For d.I.. of d..ln o..urrlna ..,.r """,. In. .., r.I.. 'or .r.n.f.r. '0 .pou'" .r. .. fol'Ow,: t. Datu of daath on or aftar 111194 nnd bafore 1Ii/95 tha rata is 3X. Z. Datu of daath on or aftar 1/1195 transfars to spouses will ba tand at oX tax rate. Hota; For data. of daath prior to 1/1/94 tran.fars to spou,es ara taxable at 6~. B, ,r.n.f.r. to lln..l d....nd.nl. In.ludlng ...n.r. .oln.r. .on, d.uanl.r, ar.nd.nlldr.n. ,0n'ln".w, daughter. In. law, stapchlld and their I"ua ara taxnbla at ,Ix per cant (6X). C. Tr.n.f.r. 10 .1' oln.r. In.lud'na bro'n.r, ,I...r. un.I., .unl, n.pn.w .nd nl..' .r. ....bl. ., flf,..n p.r..nl 11'~I, D. 11 ,ou .n.na' In. I.' r.'" pl.... ,p..If' ,our r.,.tlon.nlp '0 In. doc.d.n' In 'n. .roo proold.d, B, tn. ..ounl o. lox du. IlIn. ., I. d.,.r.ln.d b, .ulllplYlng In. ..ounl I...bl. (IIn. 0' b, In. I.. r." Illn. 1\, CLAIMED DEDUCTIONS .. PART 3 DEBTS AND DEDUCTIONS CLAIMED A, YOU 1'0011' .r. r..pon.lbl. for p.,..nl, or In' ..,.,. .ubj.., '0 .d.lnl.,r.,lon b, . p.,.on.' r.pr...nl..lo. I. In.uf.I.I.n' to pay tha daductlble ita'" B, 'ou .,'u.lly p.ld In' d.blo .ftor d.. In of In' d...d.nl .nd ..n furnl.n proof o. p.,..nl, C, D.bl. b.lna cl.I..d .u.1 b. 1".lzod lullY In p.rl'. If .ddlllon.l .p.'. I' n..d.d, u.. p'.ln p.p.r B IIZ" ,II", Proof of pay.ant lay b. raquasted by tha PA Capar,.ant of Ravenue. Allowable dabts and daductIon' are dataraInad as follows: TAXPAVER ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAVER INQUIRV UNIT IN HARRISBURG AT (717) 787-8327, TOOl (717) 772-2252 (HEARING IMPAIRED ONLY) I .~) (I (I ' ~ .oa DATil O. DIATH Ann 1213 I "I CHICK HIAI IP A SPOUSAL POVla" CUDIT IS CLAIMID rJ fill NUMBla 21 COUNlY CODE ---O(([D(Nf';COM,ifii ADDU!.!. :Y.UOOI.t III 'HI , SE ... Q ... U ... o ~ >t-!i:l ug:u "'00 ::c.... u...", ... <( ~SE ..... ..0 0% uo ... ~, :1 ,.) "'.....1." . 1",0,- .f. v. INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) (OMMOfIWIAlltl Of rtuN\YlVAUIA UlPAR1MfUIOf luvtNUI 01 PI now I IlAIUIl~IIUMG. PA I/US 0601 orcTo-rm'>flAMi il;"il, ''-li~'l. AtiO MIDDlE ;NI-' Go lJ6 00349 YEAR NUMn~ 679 south Middlesex Road carIisIe, PA 17013 eM', Cumberland o J. Remainder Return (10' dOl.. 01 d.oth prior to 12.13,82) o 5. f.d.ral E.lal. Tax R,'urn R.qulr.d 0- B, T 0101 Numb.r 01 Sol. D.padl BoxOl 1I0LSINGER, STEPIIEN J. E. :~A1"~'~~~'~~~'~R5 \b~I~;':~796 r~~~~~~49 DI L Original R,'urn 0 2, Suppl.m.nlal R.turn o 4. L1mil.d E.,al. 0 40, Futul. Inl.101I Campromi.. (10' dot.. 01 d.alh ah.. 12,12,82) [jI 6, Docod.n' Di.d T..tal. 0 7, Doc.d.nl Mainlaln.d a Living Tru.1 __ (Much copy 01 Will) (AlIach copy 01 Tru,') ALL <:ORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. HAM MPl MAlliN A !t Richard L. Webber, Jr., Esq. 366 Green Spring Road P.O. Box 40 Newville, PA 17241-0040 T 'fPHONf HUM. .I ~}17 I 776-6566 44,160.11 ( 81 _32.9.,..l99~ q4 45,607.57 283.592.37 -0- 7R'3 92 "17 17 ,n1 'i.,54 -0- 17.01'i454, 17,015.54 17 ,nl 'i.. 54 B. Entor lh. total ollino 20 and 20A an lin. 20B. Thi. I. Ih. BALANCE DUE. , Mak. Ch.ck Payabl. I.: R.gl.... .f Will., Ag.nl ..... ... BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH"'''' Jndo, pon.hio. .1 pc'ju'-y, I doclore thaI I h... ..umin.d thh relurn. Including accompanying "hodulll and .Iolom.nll. and 10 th. b.".1 my knowl.dg. and b.liol I illruo, corrod and complete. I dedare Ihot 011 real "stole has been reported allrul mar~.1 value. D.daration 01 prepar., other than the penonal ropresenlatlye i: IDiOd on all informalion of which prepar., he, any knowledg.. I I '!J It, r "GNtmrEW~p~N~fO'f1l1NGR!lU'N AODRl~~ Peggy, Holsinger 679 S. Middlesl!~' Rd. ~.!}en.Ho!.s.!nger ~_ ,. ....'L: "'t ~1[,.f11""1"A) Carlisle, PA 17013 ,IGNAtUltfOf i'ifti....RlR alliER THAN II A IVE ADOiBl'T!j .1 II DATE ,/ /'V /I'~ . c JI~/n lchard L. Webber, Jr. 366 Green Spring Road, P 0 B . . ox 40, 159.000.00 8,776.20 % o ~ ~ ;;: <( u w .. 1. Roal E.lal. (Sch.dul. A) I 1) 2. Slack. and Bond. (Sch.dulo B) ( 21 3, Clo.oly H.ld Slock/Parln."hip Inlor..1 (Sch.dul. q (3) 4. M.rloaoo. .nd Nol.. Rocoivabl. (Sch.dul. D) ( 4) 5, Cu.h. Bunk D.po.ll. & MI"ollanoou. P.".n.1 P,.p.r1y( 5) 1 61 . 423 . 74 (Schodul. E) 6, J.lnlly Own.d P,.p.r1y ISch.dul. fl 7, Tran.fo" (Sch.dulo G) (Sch.dul. l) g, Total Gro.. A...II (l.,alllno. 1.71 9. Funerol EJCpon..., Administrati.... Costs, Milcellaneous ( 9) Exp.n'" (Sch.dulo H) 10. D.b", M.'lg.g. li.blliliOl, li.n. (Sch.dul. II (10) 11. Talol Doductlon. (I.tollin.. 9 & 10) 12, Not Valu. of bl.,. (lin. 8 mlnu. lin. II) 13, Charitablo .nd G.vornm.nlol B.qu.... ISch.dul. JI 14. Nal Volu. Subj." '0 Tax (Iino 12 mlnu.lin. 131 15, Amounl of lino 14 laxablo.1 6% ,at. (Includo valuo. Irom Sch.dul. K or Schodul. M,) 16, Amounl .f lin. 14 la.abl. 01 15% '01. Ilncludo valuo. from Sch.dulo K a' Sch.dul. M,) 17, Plincipalla. du.IAdd 10' 'r.m lin. 15 and from lin. 16.) h3. Crodits Spousal Poverty Crodit Prior Poymont, + + 19. "Iina 18" groolo, Ihan lino 17. .nlo, Iho dilloronco an lino 19, Th" l'lho OVERPAYMENT. ~O~,u..~'Irw.li'.'~'I'I.tfll~I'.'.N~d"T.l'I'1"I.'.IJ'!l!1.1~~I>J111 . 20. If lina 17 I. glO.'or Ihan lin. 18, .nlor ,h. dill. IOn.. on lin. 20, Thl. illh. TAX DUE. A. Enler the Interelt on the balance due on line 20A. (201 120A) 120BI ( 6) ( 7) 1.447.46 (11) (12) (13) (141 (15) 2R:'I. 592 . :'17 l< ,06 a (16) l< ,15 a % o ~ 5 ... ~ o u >< <( ... (171 Interell Oilcount 118) (19) PlI aI V' 1101 ", .,.., t ,,~,~~~.. (OMMOHwtA\~.'~ ~ ;;UtWHVAtUA . nunlnAuef I". '11U.H aUIOUH DU.IUlIII ESTATE OF~=~-='-=-" ~,=-=- SCHEDULE B STOCKS AND BONOS ....-- ..~ ~ -="'fiLE NUM'8Eil=-' ...- 1996-031\9 STEPHEN J. E. HOLSINGER ~ _..- IAIl prap..ly lalnlly.awnod with Right af Su,vlva..hlp mu.t bo dlsclalld an Schodulo F,) VALUE AT DATE OF DEATH ITEM NUMBER l. DESCRIPTION $ 6,776.20 U.S. sav~ngs Bonds $ 8,776.20 ---.. .,. ~.. .....- IIY:"'OIU'17,171 W \ SCHEDULE G COMMONWIAllll or r1NNmYANlA. TRANSFERS IN..flnANel 'AX .nuI" _____^__~~SIDI~'.D~~IDIN'. .~____ ...______.. ESTATE'Op'.,m_' "..' .,- ' .. ,., ' ,...- ' t _ _.'''~".' 0"'._______ --_ FilE Nu-MBE'R --' '..'-' , -..' "... -- . 2196-0349 STEPHEN J. E. IIOLSINGER --~..__._--_.._._-- -. .-....--.....-- -.-----..----- --_.-- .------ .-- ..-.-.-----.-..--.- THIS SCHEDULE MUST 8E COMPLnED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES, .," - -...- -.. - ITEM DESCRIPTION OF PROPERTY ~ER ~~~~.!.~~!~!~"# ....i' ,.ra'~o,nhip'o d,na.n', duf, 0' "alu'." TOTAL YAlUE DEiD, OF ASIE! _ _ ..11'i'L. '''DOllAR vALuE..' , Of DECEDENT'S INJ!.R!S1....,__ EXCLUSION 1 . 1989 pontiac Grand Am motor vehicle 3,000. 0 2,450. 0 100 0.00 TO: Sara Holsinger 679 S. Middlesex Rd. carlisle, PA 17013 Date of transfer - March 1996 Relationship - daughter '. TOTAL (AIIO Int.r on lin. 7, R.ca~l!utQtl~t 5 (II mort spOCt is "Hd,d, inserl oddifionollh..rs 0' 10m. ,i,.., 0.00 .'V\Sll'" 11 III ,,~~,9l\ ... f/!.~ COMMONW[AlUIO' rftmSYlvAWA INH(lIIAtHI 'All .(TURU R(SIDINI DrCIOIUl \ SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES ESTATE OF , Ploa.o P,!nt or T,Y.~o MOER 2196-0349 STEPHEN J. E. HOLSINGER DESCRIPTION ITEM NUMBER A. Funoral bpon..s: 1. B. 1, Hoffman-Roth Funeral Home Admlnlst,allvo Casls: (1) Allen Holsinger Pe"anal Repre,enlaHve Cammi..ion, (2) pegg y Hols i nger Social Security Numbe, 01 Perianal Repre.enlalive: ( 1) 191 - 40 (2) 187 44 Yea, Commls,ion. poid 1997 -9760 9510 2. Atlo,ney Fee, Richard L. Webber, Jr., Esquire Famill' Exemplion ~ara E. Holsinger Claimon' SJ;eohenie L. HolsinllMbfoon.hip Dauqhters Addre.. 01 Claimanl 01 deceden", dealh 3, 4. C. 1. 2. 3. 4, S, 6, 7, 8. for 51'001 Addre.. 679 South Middlesex Road City Carlisle Slale P A Zip Code 17013 Probote Fe.. Cumberland County Register of Wills Miscellaneous Expen.." The Sentinel - legal ad Cumberland Co. Register of wills - short certificates Roy D. Gottshall, Auctioneer Cumberland Law Journal - legal ad Wolfe & Shearer Realtors Estate Bank account debit - overpayment on savings bond General Accident lnsurance for 1993 Nissan Van cumberland Co. Register of wills - filing of Inventor and Inheritance Tax Return ~~. Rea. of Wills - reserve for filing fees Accounting, Guardianship proceeCl1 ng 5 TOTAL (Also enl., on line 9, RecopitulaHan) n, . . , ..... .. . AMOUNT $ 6,397.00 16,461.24 16,461.24 3,500.00 299.00 94.29 6.00 45.00 60.00 200.00 27.34 234.00 25.00 350.00 S 44,160.11 "- "..... ...... ,.&..0 ~~ (o.-o.W'&""I" .INN"....,.. .......It.IIIf' t.. "IU'''' IUtU''''"c.t01Nt SCHIDULlI DIBTS O' DECEDINT, MORTGAGE L1ABLITIES AND LIENS ISTAU 0' STF.PIIEN .J. E. HOLSINGER 'ILl NUMB" 2196-0349 mM HUMI.. DIICIlmoN AMOUNY ,. RWC Emergency Physicians $ 10.00 2. University Hospital University Physicians 108.00 11.15 3. 4. University j hysicians 180.00 5. Cowley Hedical Associates 51.56 G. Yellow BreecllC!s EMC, Inc. 402.75 7. University 1I0spital 25.00 8. University Physicians 336.85 0 Carlisle Hospital 25.00 10. Bronstein and:Jeffries 5.15 ,. 11. University Hospital 292.00 TOTAL IAIM _ ... N... 10. 1-,.11010"'.' nr -- - II ~ ...... . -'... ....." 01 ._ .1..1 S I 447.46 ~ un II. PI71 * COMM()HwIA,'H 01 "HH"lV..H.A ."",lIlf..",(I 'A' Utul,. 1IIIO~I''''1 SCHEDULE J BENEFICIARIES lATE 0' STEPHEN J. E. Il0LSTNGER FilE NUMBER 2196-0349 ITEM 'lUMBER NAME AND ADDRESS OF BENEfiCIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Ta.abl. &.qu....: 2. Sara E. Holsinger Daughter Two-thirds (2/3) One-third (1/3) I, Stephen ie to Ilols i nger Daughter ITEM HUMBER NAME AND ADDUSS O' BENEFICIARY AMOUNT OR SHARE OF ESTATE I. Chartlabl. and Gov.rnm.nlol l.que'I': I. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Alto .nl.r on lin. 13. Rocopllulorion) III mo,. 'poc. I, ....cIod. 'n,." DddlllonDI ,h.." 01 ,om. ,In) s " Inventory of the real and personal estate 01 . STEPIIEN J. E. 1I0LSINGER deceased SEE EXHIBIT "A", INCORPORATED BY REFERENCE HEREIN AND ATTACHED HERETO. r- :~~ - 0 '" 11);: -:: " 0.. , ,- " M . - 'I" \1:' i1ii C, ., ..., (J '~..n " .:) U C:l " ala: r- e:: p, .!!!::> a: UU COMMONWEALTH OF PENNSYLVANIA I COUNTY OF CUMBERLAND J II: ALlEN HOI,EINGER an~_P~c..~~..!.!Q.lSINGER being duly sworn according 10 law, depolO' and say' Ihal t,j;ley are c:.Q.:.Ex.~.!l..t.9X!O___..-___,.__ 01 Ihe Estale 01 stephen J. E. Hols i nger late 01 --5.o.uth..Mi~dlet,OIJ T,OIlJ}shJI2._o,__...____, Cumberland County. Pa" d.c.u.d and that the I hi I I d b them th 'd Co-Executors wIn s an nvenlory ma e y _______..____n_____ .._ -. , e 18' ollh. entire eslale 01 said dec.denl, consisting 01 alllhe p.nonal prop.rly and real eslate, exc.pt real .:tat. outside the Commonweallh 01 Pennsylvania, and that Ihe ligures opposite oach Item ollhe Inventory r.present II's lair valu. as 01 the dale 01 decedenl's dealh. ~wnrn and subscribed belore me, ~(/!/..( j!",..~ ~/h(~ /(~i-,'ff~ Encutor . Adml~ttn(or tJ Allen Holsinger Peggy HOlsinger 221,3 Newville Rd. 2273 Newville Rd. Carlisle, PA l70l3Carlisle, PA 17013 19 97 Addr... Dale 01 Dealh 11 DIY Apd 1 Month 1996 Vur INSTRUCTIONS I. An invenlory must be filed within Ihree monlhs all.r appolnlmenl 01 p.nonal representatlv., 2. A supplement inventory mu:t be filed within thirty days 01 dilcov.ry 01 additional assets. ], Additional sheets may be attached as to penonally or rully 4. Su Article IV, Fiduciaries Act 01 1949. I>: t>J t.:l ..,; 0'1 ~ Z w .... CD <l' ~ I- UJ CD l'1 ~ W ~ o-l II 0 l1. U 0 lI'l g\ II II 0 0 w C '" ~ I c<: w CD II ID t- J: l1. -' LL i .,; l1. E Z l- " 0 0'1 LL -' ~ 0 t>J, l1. = 0'1 W 0 <( ~ :i <( .... > Z c<: Z 0 c C ~ " VI z zl 0 0 "" <( U ~ Z W l1. t>J "0 :r c 0..; - ..! t>J 0 ~ II f-o. .., "0 ... 1Il II E - II 0 I CD " it 0 I -' U CD R'V,1I0J IX. 117 III I I . ~~ SCHEDULE A . - ,co:~f1~;<<\~\~~'~}~~i~~~t.~:N,:~" ~~.~ _~,~~=.~...~~~L.~.~~~ ~~ ESTATE OF STEPHEN J. E. HOLSINGER FILE NUMBER 2196-0349 '.C" ~_.:_~:-_.___ _ _.... l. .-.- -. -_.-.. --.-.- DESCRIPTION I I ./ , i I I :/ ! , I ,I Real estate, together with dwelling situated $159,000.00 thereon, located in the Township of South Middleton, Cumberland County, PennSYlvania, with street address of 679 South Middlesex Road, CarliSle, PA 17013, more fUlly bounded and described in Cumberland County Deed Book "0", VOlume 31, Page 311. ---..------. -... VALUE AT DATE OF DEATH -... i i .1 ---....-.. .. -_.. -.---. ..__~!~,~.~!~!!)!~!_on /in. I, R.!~.P.~~lo!j~nl GXIt18/T \\A'I - f' -- -. -::::.I!-;-;~'QQQ,JlJL .----.--.... . ....-. ----..----...----.-----------. ~"ltcllll.fJlll .t. SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Plla.. Print or T . FilE UM ER 2196-03119 (OMMONWfAUU 0' PlNNSnVAt-UA INHI.nAHel 'AX .nUIN IIIIDtN' DICIDIN' ESTATE OF STEPIIEN J. E. 1I0LSTNGER (All pr.,..rtv 1.I"tfy...W'n.d 'tlfllh th RIght of Survlv."hlp mUll h. dhdo..d on Sch.dul. '1 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Memhers First Federal Credit Union - Share savings $ 11,669.82 Acct. #111595-00 Accrued interest to date of death 11.42 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. ,15. 16. 17. 18. 19. Members l'ilrlst Federal Credit Union - Share savings Acct. #14595-02 4112.97 Memhers First Federal Credit Union - Checking Acct. #14595-11 Accrued interest to date of death 19,788.71 9.75 Personal Property 5,7116.00 Metropolitan Life Insurance Company Accrued interest to date of death 04,000.43 054.85 Blue Cross/Blue Shield refund 32.00 Blue Cross/Blue Shield refund 27.75 Blue Cross/Blue Shield refund 26.70 Blue Cross/Blue Shield refund 27.75 87.00 189.00 Blue Cross/Blue Shield refund Blue CrOSS/Blue Shield refund Blue Cross/Blue Shield refund 71. 25 Blue Cross/Blue Shield refund 61.20 Blue Cross/Blue Shield refund 41. 00 1993 Nissan van motor vehicle 12,600.00 eneral Accident Insurance - refund of automobile insurance 180.00 armers Trust Company Acct. #12-746113 and 2-086999 arlisle 1I0spi tal - refund 23,7011.50 471. 64 971 280ZX motor vehicle 500.00 ''''''.,h .ddltl.n.1 8Y,- K 11" ,h,,"11 m." 'p." II n..d.d,) /.1)- () 1 - y BUREAU OF INDIVIOUAL TAXES INUUIlANC[ tAll DIVISION DEPI. 180bOl ItI,RIUSBUAC. PA 11Iza-ObD) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE 1* 'y NDTICE OF INHERITANCE TAX APPRAISENENT. ALLOWANCE OR OISALlOWANCE OF OEOUCTIONS ANO ASSESSNENT OF TAX "'-1"'11 ", III.'" RICHARD L 366 GREEN PO BOX 40 NEWVILLE WEBBER JR ESQ SPRING RD DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-31-97 HOLSINGER 04-11-96 21 96-0349 CUMBERLAND 101 STEPHEN J Al'lount Ra.,i U.d PA 17241 MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE'v:i54'niCjiFPTOi-:9fj-HeiriCE--oF-YtiHEiiiiANcn'-"iniPPRAisEHEHi'-;-jiLLOwANcE-oli----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HOLSINGER STEPHEN J FILE NO. 21 96-0349 ACN 101 DATE 03-31-97 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..I est.t. (Schedule A) (11 2. stocks and Bonds (Schedule B) (2) 3. Clos.ly Held stock/Partnership tntar.st (Schedule C) 131 4. Mortgage./Hot.. Racalvable (Schedula DJ (4) S. C.sh/Bank Deposits/Kise. Parsonal Property (Schedule El (51 &. Jointly Owned Property (Schedule fJ (6) 7. Transfa,.s (Schedule G) (71 8. Total Asset. NOTE: To lnsure prope" credit to your account, sub_it the uppal" portion of this far., with your tax pay.ant. 159.000,00 8,776.20 ,00 ,00 161.423.74 .00 ,00 (8) 329.199,94 44.160.11 1,447.46 Ill) 1121 113) 114) 4~,~n7 ~7 283.592.37 .00 283.592,37 APPROVED DEDUCTIONS AND EXEMPTIONS: ,. Funaral E~pansas/Adn. Costs/Hisc. E~pansas (Schadula H) (9) 10. Dabts/Hortgage Liabilities/Liens (Schadule I) (10) 11. Total Deductions 12. Hat Value of Ta~ Return 13. Charitab1./Govarnnantal a.quasts .Sch.du1. J) 14. Het Value of Estat. Subject to Ta~ If an assessment was issued previously, lines 14, is and/or 16, 17 and 18 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAXI 15. Aaount of Line 14 at Spousal rate (15) 16. Aaount of Lin. 14 ta~ab1a at lineal/Class A rate .1&1 17. Aaount of Lina 14 taxable at Collateral/Class a rat. .171 18. Principal Ta~ Due NOTE: .00 X .00= 283.592.37 X .06= ,00 X .15= 1181 .00 17.015.54 .00 17.015.54 TAX CREDITS: PAYNENT DATE 01-13-97 ANOUNT PAID DISCOUNT 1+) INTEREST/PEN PAID I-I 8.41- RECEIPT NUNBER AA185064 17.015.54 INTEREST IS CHARGED THROUGH 04-15-97 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 17.007.13 8,41 .19 8,60 . IF PAID AFTER DATE INDICATED. SEE REVERSE FDR CALCULATION DF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN $1. NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR). YOU NAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORN FDR INSTRUCTIONS. I ,..., ,- ~,'" J ,- "'"7, " I ;" 'r '- RESERVATIONI Estat.. of dacadant. dying on or bafor. Dee.abat 11, 1981 .. If any future Intar..t In tha ..tat. 11 transf.rrad In pOII...lon or enjoy..nt to tla.. a (col1a.a,al) ban.flelarla. of the decadant .ft., the ..pltaCJon 0' any ..ta.. for III. or for ya.r., tha Co..aRw..lth hat.by ..pr...ly ra..tw.. the right to apprals. and ...... tran,'.' Inheritance r.... at the lawful ct... a (co11.t.r.l) rat. on any such future Int.'..t. PURPOSE OF NOlICEr To fulfill tha requlr...nt. of Sactlon Zl~a of the Inheritance and E,tat. 'a. Act, Act 21 01 1995. (11 P.S. Section 911,0). PAYH[Nh Detach the top portion 01 thl, Notlca end lubalt with your pay..nt to the Ragl,ta, of Will, prlntad on the tavar.. .Ida, h"ak. chack or lon.y ord.r p.y.bl. to: REGISTER OF MILLS, AGENT REFUND (CR): I r.fund of . tax cr.dlt, which wa. not r.qu..t.d on the T.x Raturn, ..y b. reque.tad by co.pl.tlng an "Appllc.tlon for Refund of Pann.ylvanla Inh.rltanca and E.t.t. T.x" (REV-1313). Appllc.tlon. are .vallable at th.Offlc. of the R.gl.t.r of Will., any of the 23 R.venue Ol.trlet Off Ie.., or by calling the sp.el.1 Z~.hour an.werlng .ervlce nuab.r. for for.. ord.rlng: In Ponn.ylvanla 1-800-36Z-20S0, out.ld. P.nn,ylvanla and within local Harrl.burg araa (111) 181-809~, TOO' (711) 112-2252 (H..rlng I.palred Only). OBJECTIONS: Any party In lnt.r..t not .atl.fled with the .ppr.I....nt. .IIow.ne. or dl..llowane. of d.ductlon., or a..e".lnt of tlx Ilncludlng dl.eount or Int.r..t) .. .hown on thl. Notlc. .u.t Object within .Ixty (60) day. of r.cllpt of this Hotlce by: AO"IN ISlAATlVE CORRECTIONS: --wrltt.n prot..t to thl PA Dopart.ant of Rev.nu., Bo.rd of App..I., n.Pt. Z810ZI, Harrl.burg, PA --.I.ctlon to have the ..tt.r d.ter.ln.d at audit of thl .ccount of the per.onal r.pre.ont.tlvl, -.app.al to the Orphan.' Court. 171Z8-10ZI, DR DR Factual .rror. dl.eov.r.d on thl. a.......nt .hould b. addre..od In writing to: PA nep.rt..nt of R.Vlnu., Bur.au of Individual T...., ATTN: Po.t A.......nt R.vl.w Unit. D.pt. Z80601. H.rrl.burg, PA 171Z8-0601 Phone 11111 781-6505. S.I page 5 of the bookl.t "Instruction. for Inh.rltanel T.. R.turn far a R.sld.nt D.c.dent" lREV-ISOI, for an ..plan.tlon of .d.lnl.tratlv.lY corr.ctabl. Irror.. DISCDUHTt If any ta. due I. paid within thr.. (3' c.llnd.r .onths aft.r the d.c.d.nt'. d.ath, a five p.rcant ISX, dl.count of the tax paid I. allowld. PEN'-ITY: The ISX tax a~..ty non-participation p.nalty I. coaput.d an the total of the ta. and Int.rl.t ......ad, and not paid b.for. January 18, 1996. the flr.t day aft.r the .nd of the ta. a.nesty p.rIOd. Thl. non-p.rtlclp.tlon p.nalty I. .pp.alabl. In the .... ..nn.r and In tha the .... tl.. period .. YOU would appe.1 tha t.. and Int.r..t that ha. be.n .......d as Indlcat.d on this notln. INTEREST I Intarl.t I. ehargad blolnnlng with flr.t day of d.llnqu.ncy, or nlna 191 .onth. and on. (II day fro. the data of daath, to thl d.t. of pay.ant. Ta.a. which bae... d.llnquant b.for. January I, 1942 baar Int.r..t at the rata of .Ix 16X) p.rcent p.r annu. caleul.t.d at . d.lly r.t. of .00016~. All t.... which beca.. dlllnquant on and aftar January I, 1982 will boar Intorl.t at . r.ta which will vary fro. calendar y.ar to c.londa, yoar with that rat. announc.d by the PI D.part..nt of R.vonu.. Th. appllcabl. Int.ro.t r.ta. far 19&Z through 1991 ar.: !!!! Intlr..t Rat. Dally tnt.rut Fllctor !!!! lnt.ro.t Rat. Oftlly Inter..t Factor 1982 ZO~ .000S48 1981 .~ .000l41 1981 16:( .000438 19l18-1991 lU .000501 198~ 1l~ .000301 1992 .~ .000l41 1985 U~ .OOOlS6 1993-1994 1~ .oooln 1946 ID~ .000Z14 1995-1991 .~ .OOOl~7 --lntarnt Is celcul.t.d ., followll INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Notle. I"u.d .ft.r the t.. b.co... delinquent will r.fl.ct an Inter..t celculetJon to flfte.n liS) dtys b.yond the d.t. of the ........nt. l' pey..nt Ie .ad. aft.r the Intor..t co.putatlon da'a .hown on the :iotlc.. .ddltlonel Intorut .ust ba e.lculet.d. ~ '() 'r I') -Cl ., COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT C'*, BUREAU OF INDIVIDUAL TAXES INULRIUHCL lAIC DIVISION DIP'. 1.06DI ttARAlsaURe. PA l/111-0601 111.IU'U.., IU'''I RICHARD L WEBBER JR ESQ 366 GREEN SPRING RD PD BOX 40 NEWVILLE PA 17241 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN STEPHEN 05-05-97 HOLSINGER 04-11-96 21 96-0349 CUMBERLAND 101 r Altount R.ttt tt.d MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 NOTEr To In sur. prop.r credit to your account, subnit the upper portion of this for. with your tax pay.ant. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE"v:ii.iij-EX--AFpuio;f:9:;-jum-...--iNifE'iiii:ANCE--i'Ai{"Si,'A-fEHE-ti'r-ii"-AC-CoiJiif--.-..u----mu---m-m ESTATE OF HDLSINGER STEPHEN J FILE NO. 21 96-0349 ACN 101 DATE 05-05-97 THIS STATENENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAN ED ESTATE. SHOWN BELOW IS A SUNNARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYNENTS. THE CURRENT BALANCE. AND. IF APPLICABLE. A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 03-24-97 PRINCIPAL TAX DUE, 17.015,54 PAYMENTS (TAX CREDITS), PAYMENT DATE 01-11-97 RECEIPT NUMBER AA185064 DISCDUNT (+) INTEREST/PEN PAID (-) ,00 AMOUNT PAID 17,015.54 TOTAL TAX CREDIT 17.015.54 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 .00 · IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN .1. NO PAYNENT IS REQUIRED. TOTAL DUE IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CR I . YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRN FOR INSTRUCTIONS, I J r'~ '..1 ~ .~ PA'ffl[NYI aetaeh the top portion of thl. Hat Ice and sub.lt with your pav..nt .ad. payable to the na.. and addr... printed on the tev.t.. ,Id.. ., If RESlDENf DECEDENT .ake check or 80n.y ord.r payabl. to: REGISTER OF WILLS, AGENT. If NOH.RESIDEHT DECEDENT .ake check or 80ney order payable tD: COHHOHWEALTH OF PENNSVLVANIA. REfUND (CR): A r.fund of . taM credit, which wa. not reque.ted on the Ta. Return, ..'1 be reque.ted by coapletlng an "Application for R.fund of Pennsylvania Inh.rltanc. end Eltata 'ax" (REV-131!). Application. at. avallabl. at the Office of the Regllt.r of Willi, any of the 23 A.v~. District Office. or fro. the Depart..nt., 2~.hour Bnlverlng ..rvlce ~b.r' for lor.. ordering: In Pennsylvania 1.aOD-362-ZDSD, out, Ide Pennsylvania and wIthin loul Harrisburg area (117) 787-809ft, lODl (117) 77Z-ZZSZ OIurlng I.palnd only). REPLY TO: Oue.tlon. regarding .rrors contained on thl. not Ie. should be .ddr....d to: PA n.p.rt.ent of R.venu., Bur.au of Individual lall8', A11N: po.t A.......nt Ravl_ UnIt, O.pt. Z80601, tlarrlsburg, PA 171Z8-0601, phon. (717) 787-6!iOS. DISCOlICT: If any tax due I_ paid within thr.e (]) c.lend.r .anth. .fter the dec.dent.. d..th, . flv. percent (!iX) dl.count of the tax p.ld I. .llowed. PENALlY: Ih. 15X t.x a~..ty non-p.rtlclpatlon pen.lty I_ coeputed on the total of the t.x .nd Intere.t .......d, and not paid b.fora Janu.ry 18, 1996, the flr.t d.y .ft.r the and of th. t.x aane.ty p.rlod. INTEREST: Intera.t I. chargad beginning wtth flr.t day of delinquency, or nine (91 aonths and on. (1) day fro. the data of de.th, to the date of pay..nt. Tax.. which beca.. delinquent bofore January 1, 198Z boar Inter..t at the rate of .Ix (6X) percont per annul c.lculat.d at a dally r.t. of .00016ft. All t.x.. which beca.. d.llnquent on and aft.r January 1, 198Z will bear Intor..t at a rate which wlll vary fro. c.lendar year to cal.ndar y.ar with that rate .nnounc.d by the PA Depart.ent of Rev.nue. Ihe appllcabla Intara.t rate. 'or 198Z through 1997 ar'l Vear Intar.st Rate Dally Intere.t Factor .oar Intarast Rate D.lly Intere.t Factor 198Z i!OX .000Sft8 1987 9~ .00Oi!47 1983 16~ .GOOft38 1988-1991 11:C .0OOSOI 1984 llX .0OOSDl 199Z 9~ .oooi!ft7 1985 13% _000356 1993-1994 n .OooI9i! 1986 10% .ODDi!7ft 1995-1997 9% .OOOi!ft7 uIntarast Is calcul.tad .0 'allowS: INTEREST = BALANCE OF TAX UNPAIO X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ..Any Hotlca I..ued .fter the tax beco.e. d.llnquent will r.fl.ct an Inter..t calculation to flftean (IS) day. beyond the data of the ........nt. If pay.ent I. .ade aft.r the Int.r..t co.putatlon date .hown on th. Notlc., additional Inter.st .u.t b. calculated. STATUS REPORT UNDER RULE 6.12 Name of Decedent I tj -/(, I' tit "' , Date of Deathl '1/1/ h(, Will No. d t-tti1l - ?4 ~ ..J E. If (.) J f ; f1 (,.... r- , Admin. No. 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 estatel 1. State whether ~inistration of the estate is complete I Yes No 2. If the answer is No, state when the personal representative reasonabll ~elieves that the administration will be complete I A~(" I f I \ 1,~5 3. If the answer to No. I is Yes, state the following I a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounls may be filed with the Cerk of the Orphans' Court and may be attached to this report. Datel b I, Iff lJ" .\~.~ 0;-; "u. 'J In "" - 0- <:r I ~ --, ,,) - -' ~ '.J d) ~S u:' Ole: 9- au e: ..:zJ/ -Z.~...d /1 Signat.ure (2:( he,'! 1-. h/r411"', Jr. Name (Please type or print) let (, 'n, fI":') ;Z,.J.) f'. cJ a,~ Yo ,v,.~~.II, );.' /7)'-((-C.'O/.fO Address ( 717, 7'(; - t- '> t{ Tel. No. Capacily: Personal Representative X. Counsel for personal representative (HAH:rmf/AH3) JRD/June 30, 1992/17858 REGISTER OF WILLS Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 \ NOTICE PURSUANT TO RULE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Personal Representative Counsel: IUCHAHD L. Wr:HHr:H I r:SQ. I RE: E'ilate of STI::PHI::N J.I::. HQ[.sING~Y,cceased, Lale of SOUTH MIDDLI::ON TWP E'ilate No.: 21..1996'0349 Dale of Decedent's Dealh: 4..11- 9 6 Pursuant to Rule 6.12, the above named personal representative or the above named attorney, if applicable, within two (2) years of the decedent's dealh, and annually thereafter until administration is completed, is required to file with the Register of Wills a Status Report as required by Rule 6.12, in substantially the prescribed form, showing the date by which the personal representative, or attorney, as applicable, reasonably believes administration will be completed. The purpose of this Notice is to advise you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Orphans' Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Wills is required to notify the Orphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative and the delinquent personal representative's counsel, if any. Accordingly, if the requisite Status Report is not filed by 6..1..98,19_, you are hereby advised that a request will be submitted to th Court in accordance with Rule 6,12. ,n . Date: 5 -12 _ 9 8 ,,\...//, yn ~ Distribution to Estate File .. .. .. , 1996-0349 FIRST AND FINAL ACCOUNT OF ALLEN HOLSINGER and PEGGY HOLSINGER, Co_Executors For ESTATE OF STEPHEN J.E. HOLSINGER, Deceased Date of Death: Date of Executor's Appointment: Dates of Advertisement of Letters: ~ sentinel: April 11, 1996 April 30, 1996 May 6, May 13, and May 20, 1996 May 10, May 17, and May 24, 1996 April 11, 1996 to July 25, 1997 cumberland Law ~ournal: Accounting for the Period: purpose of Account: Executors, offer this the transactions that ALLEN HOLSINGER and PEGGY HOLSINGER, Co- account to acquaint interested parties with have occurred during their administration. The account also indicates the proposed distribution of the estate. It is important for additional discussed with: that the account be carefully examined. Requests information or questions or objections can be Richard L. Webber, Jr., Esquire 366 Green spring Road P.O. Box 40 Newville, PA 17241-0040 (717) 776-6566 .... .. summary of Account ~ Current Value Fiduciary Acquisition Value proposed Distribution to Beneficiaries S255.678.77 princinal Receipts $334,360.46 Less Disbursements: Debts of Decedent Funeral Expenses Family Exemption Administration Expenses Federal and State Taxes Fees and Commission $ 1,463.55 6,387.00 3,500.00 16,953.64 17,114.54 25,374.42 - 70.793.15 $263,567.31 - 15.790.27 Balance before Distributions Distributions to Beneficiaries Principal Balance on Hand $247,781. 44 Income Receipts Less Disbursements $ 8,888.90 991. 57 Balance before Distributions Distributions to Beneficiaries $ 7,897.33 0.00 Income Balance on Hand $ 7,897.33 Combined Balance on Hand S255.678.77 Page 2 ... .. !:,urrent Value fiduciary Acauisition Value RECEIPTS OF PRINCIPAL Realty: Real estate, together with dwelling situated thereon, located in the Township of South Middleton, Cumberland County, pennsylvania, with street address of 679 South Middlesex Road, Carlisle, PA 17013, more fully bounded and described in Cumberland County Deed Book "0", Volume 31, page 311. $ 159,000.00 Cash and Cash Equivalents: 1. U.S. Savings Bonds - principal 2. Members First Federal Credit Union - share savings Account #14595-00 Accrued interest to date of death 8,776.20 11,669.82 11.42 442.97 3. Members First Federal Credit Union - share savings Account #14595-02 4 . Members First Federal Credit Union - checking account #14595-11 Accrued interest to date of death 19,788.71 9.75 5. Metropolitan Life Insurance Company Accrued interest to date of death 84,880.43 854.85 6. Farmers Trust Company Acct. #12-74643 and 2-086999 23,704.50 Tangible Personal property: 1. Miscellaneous personal property 5,746.00 12,600.00 2. 1993 Nissan van motor vehicle 500.00 3. 1971 Triumph motor vehicle Page 3 . . ... Current Value Fiduciary Acquisition Value Receipts subsequent to date of death: (Valued when received) 04/23/96 Blue Cross/Blue Shield - refund 05/09/96 Blue Cross/Blue Shield - refund 05/31/96 Blue Cross/Blue Shield - refund 08/29/96 Blue Cross/Blue Shield - refund 08/29/96 Blue Cross/Blue Shield - refund 09/17/96 Blue Cross/Blue Shield - refund 09/17/96 Blue Cross/Blue Shield - refund 09/17/96 Blue Cross/Blue Shield - refund $ 32.00 189.00 87.00 71.25 61. 20 27.75 26.70 27.75 10/15/96 General Accident Insurance - refund of automobile insurance 180.00 11/08/96 Blue Cross/Blue Shield - refund 12/07/96 Carlisle Hospital - refund 01/22/97 Insurance Claim - Homeowner's policy 06/12/97 1996 Federal Income Tax refund 06/12/97 Blue Cross/Blue Shield - refund 41.00 471.64 3,575.29 1,553.23 32.00 TOTAL PRINCIPAL RECEIPTS $ 334,360.46 DISBURSEMENTS OF PRINCIPAL DEBTS OF DECEDENT 07/23/96 RWC Emergency Physicians University Hospital $ 10.00 07/23/96 108.00 Page 4 . .. . Fiduciary Current Value Acquisition Value 07/23/96 Met-Ed 244.76 07/23/96 University Physicians 11.15 09/03/96 Carlisle Hospital 491.64 09/14/96 University Physicians 180.00 11/18/96 Yellow Breeches EMC, 402.75 Inc. - ambulance bill 04/28/97 University Physicians 15.25 $ 1,463.55 FUNERAL AND BURIAL EXPENSES 04/15/97 $ 6,387.00 Hoffman-Roth Funeral Home $ 6,387.00 FAMILY EXEMPTION To Be Paid Stephenie Holsinger S3.500.00 and Sara Holsinger $ 3,500.00 ADMINISTRATIVE EXPENSES 04/30/97 $ 299.00 Cumberland County Register of Wills - probate fee 07/23/96 William L. Shearer, Jr., - real estate appraisal fee 200.00 08/12/96 Roy D. Gottshall - appraisal for personal property 08/12/96 General Accident Insurance Company - auto insurance 45.00 234.00 Page 5 i"-\",~ ".~.<.;.< :.'....; }~". . Current Value 4% on $ 3\ on $ 2% on $ 100,000.00 100,000.00 34,360.46 S 12.687.21 To Be Paid Richard L. Webber, Jr., Esq. attorney fees on principal 5% on $ 4'1; on $ 3'1; on $ 2'1; on $ 100,000.00 100,000.00 100,000.00 34,360.46 S 12.687.21 Less attorney fees previously paid . ..j J i 08/02/96 $ 1,500.00 04/15/97 Richard L. Webber, Jr., Esquire - partial fee Richard L. Webber, + 2.500.00 Jr., Esquire - partial fee 3,500.00 remaining balance $ 9,187.21 PREVIOUS DISTRIBUTIONS TO: Sara Holsinqer 09/14/96 Nationwide Mutual Ins. $ 730.80 Co. - car insurance 09/27/96 SAT Program - Sara's 22.00 test 10/29/96 Redbook - Sara's 10.00 magazine 12/04/96 Shipp ens burg 25.00 University - Sara's application fee Page 8 MVi:.:...~_';!;;,; ;"'.~.-t.'i";,./- ~.,- i~ -" :~" ~''''n' ",-.' . Fiduciary; Acquisition Value $ 25,374.42 Current Value 12/04/96 Edinboro University - 25.00 Sara's application fee 12/04/96 Gettysburg College 35.00 Sara's application fee 12/11/96 Aardvark Studios - 18.00 Sara's class pictures 12/14/96 Bon Ton - Sara's 39.75 Christmas gift 12/18/96 Argus - yearbook 15.00 12/20/96 Boscov's - Sara's watch 68.90 12/20/96 Capital City Mall - 50.00 Sara's Christmas gift 01/16/97 Dr. Greineisen - Sara's $ 75.00 glasses 03/04/97 Lock Haven University - 25.00 Sara's application fee 03/04/97 Penn State Univerfli.ty - $ 40.00 Sara's application fee 04/24/97 Hecht's - Sara's 33.92 birthday gift 04/28/97 Monumental Life Ins. - 18.63 Sara's life insurance 05/06/97 Lock Haven university - 200.00 Sara's admission fee 05/16/97 Monumental Life Ins. - 223.56 Sara's life insurance 06/05/97 J Crew Order 133.95 06/12/97 Lauren Dubs 100.00 06/12/97 06/14/97 06/21/97 Allstate - car insurance 579.00 Wildware 25.35 Nell's - graduation 43.18 Page 9 ~ Fiduciary AQm1isition Value . ~rrent Value Fiduciary Acauipition Value 06/21/97 Country Butcher - graduation 42.18 06/21/97 07/23/97 07/23/97 Giant - graduation picnic 33.33 Nissan - car payment 149.18 MCI 7.88 TO: Stenhenie Holsinaer 07/23/97 Kearns & Ashby - 76.00 Stephenie's dentist bill 09/19/96 Lifetouch - Stephenie 14.50 school pictures 10/05/96 Boscov's - Stephenie's 43.35 pictures 10/18/96 Super Shoes - Steph's 148.96 clothes 10/26/96 Boscov's - Steph's 9.98 film developing 10/29/96 Washington National 30.00 Stephenie's life insurance 11/05/96 Ashby & Kearns - 99.00 Stephenie's dentist bill 11/18/96 Georgi Sports - 58.00 Stephenie's school jacket 12/01/96 Champs - Stephenie's 84.99 sneakers 12/11/96 Lifetouch - stephenie's 14.00 school pictures 12/19/96 Kay-Bee - Stephenie's 31.79 Christmas gift 12/20/96 Boscov'S - Stephenie's 165.36 camera Page 10 $ 2,769.61 ., ". .current Value Fiduciary Acauisition Value 02/11/97 South Middleton 12.00 Township - Stephenie's basket class 02/28/97 02/28/97 TV Cable 25.40 Cash for miscellaneous 300.00 expenses 03/03/97 Cats, Cats & more Cats - 17.90 Stephenie'S candles 03/07/97 Circuit City - 3,344.23 Stephenie's computer 03/08/97 Nell's - groceries 21.35 03/09/97 Bon Ton - Stephenie'S 52.00 clothes 03/14/97 Cash for miscellaneous 200.00 expenses 03/15/97 GPU Energy 522.18 03/15/97 BFI - trash service 43.20 03/15/97 United of PA 30.67 03/15/97 BJ Wholesale - 144.01 household items 03/21/97 South Middleton Twp. - 17.00 Hockey registration for Stephenie 03/21/97 Nell's - groceries 37.29 03/28/97 J.C. Penney Co. - 34.49 Stephenie's clothes 03/28/97 J.C. Penney Co. - 92.81 Stephenie's clothes 03/28/97 GPU Energy 210.35 03/28/97 TV Cable 25.40 Page 12 03/28/97 03/28/97 03/28/97 03/28/97 03/29/97 03/29/97 04/14/97 04/14/97 04/15/97 04/23/97 04/25/97 04/28/97 04/28/97 04/28/97 04/28/97 05/03/97 05/05/97 05/10/97 curr!i1nt val~ Fiducia~ Acauisition Value Cat Fancy - stepltenie's 25.97 magazine Young & Modern - 12.97 stephenie's magazine BOSCOV's - stephenie's 39.99 dresS BOSCOV'S - stephenie's 32.70 pictures Nell's - groceries 27.05 Cash for miscellaneous 300.00 expenses south Middleton Activity Fund - field trip 13.00 stephenie's Diane Willis - 18.50 Stephenie's field trip Pa, Dept. of Revenue - 7.00 steph's 1996 income tax Bon Ton - stephenie's 28.00 clothes Cash for miscellaneous 300.00 expenses Washington National - 30.00 stephenie's life insurance TV Cable 25.40 GPU Energy united of PA 155.43 28.77 Dunham's - Stephenie's clothes 34.98 united of PA 26.61 BJ Wholesale items household 113.25 page 13 Fiduciary ~urrent Value Acauisition Value 06/20/97 United of PA 39.42 06/20/97 GPU Energy 126.85 06/30/97 TV Cable 26.16 06/30/97 USA Waste 43.20 07/01/97 KMart 50.63 07/06/97 BJ Wholesale 36.00 07/08/97 Cash 44.00 07/17/97 Sprint 56.68 07/18/97 Cash Withdrawal 300.00 07/23/97 GPU Energy 182.16 $ 9,337.05 TO: Sara and Stenhenie Holsincrer 08/12/96 TV Cable 08/12/96 United of PA 09/03/96 GPU Energy - electric 09/14/96 United of PA 09/14/96 BFI, Inc. - trash service 25.39 135.65 111.15 261.78 41.55 09/21/96 Karns - groceries 09/27/96 NeIls' Market _ groceries 33.85 35.90 Page 15 ""M'",",~#_"',,_~, .~. ',:' Current Value Fiduciary Acauisitioll Value 09/28/96 Giant - groceries 24.34 09/30/96 James Tyson - 20.00 winterizing pool kit 10/02/96 United of PA 44.51 10/02/96 TV Cable 29.39 10/02/96 GPU Energy 191.99 10/03/96 Giant - groceries 79.16 10/11/96 Pepsi Stuff - Sara 10.00 and Stephenie's order 10/11/96 Chem-Dry of Harrisburg _ 90.09 carpet cleaning 10/11/96 Saylor's Market - 50.54 groceries 10/18/96 Karn's - groceries 35.09 10/21/96 GPU Energy 105.30 10/29/96 TV Cable 52.78 10/30/96 Karn's - groceries 28.72 10/31/96 Giant - groceries 16.47 11/01/96 United of PA 47.55 11/01/96 Lunch and spending money for Sara and Stephenie Giant - groceries BJ's Wholesale _ household items 78.89 300.00 11/09/96 11/09/96 26.30 11/16/96 11/25/96 Giant - groceries 38.67 Nell's - groceries 44.71 Page 16 """-'-l-<i"'V'"".,,_,_,,-,-..,<< ~{~:f .: t\""11 ., "I'j ~. I' Iv,':'l ~:' .,' ?fij \:f. ,,',c,', y :r~1i:: ' '-'.h l"~" \1';;. W..; if,.") I ~i<l {~::JJ \'~'\J ;""j' ~;::;1;' :i{.,; ,..., ",...c.'. J,.,) "i'.tid ;'i,..,~J P:~ ;J'i "''', P{~ ,~" '" :lo_~i,;' .:rl .' ..:\ ,,',1 .."1 "":~'1'j :~_:~'. ok} \(p ~'F;:' ,;<'ij' :t1 j:~).l -~4:'1 1i~~ ",:;~. .. ..,~ ~, .;Y' ~~.,~ v"J ',J" '"<' ~m Fiduciarv Current Value ~ Value 11/29/96 Spending money for 200.00 Stephenie and Sara 11/30/96 Giant - groceries 34.85 12/02/96 GPU Energy 140.09 12/07/96 Spending money and 300.00 Christmas money 12/11/96 TV Cable 25.39 12/16/96 BFI - trash bill 41. 55 12/16/96 United of PA 50.32 12/18/96 Spending money for 300.00 Christmas shopping 12/27/96 Spending money for 300.00 Christmas shopping 12/30/96 BJ Wholesale - 74.72 miscellaneous items 06/09/97 A.H. Reiff - tanbark 170.00 06/30/97 L&M Heating 86.92 $ 3,683.61 Total previous distributions S 15,790.27 /,i 'to] ".1 :IJ . ',J J' </t; :i- ""I' ,~ '0 :r , )!;I : if RECEIPTS OF INCOME Interest York Federal Savings and Loan - Estate Checking account # 090859532 09/12/96 10/07/96 11/09/96 12/07/96 01/09/97 02/11/97 $ 13.41 10.54 26.83 24.41 23.28 21.49 Page 17 . _'f!I!lIlt'~~.;."""",,.,,.,--,,,,,,,,.,,~.,->~....._~- ...."'....",...,,,',,_..,,:l,p.~io.;_/ ,._.~.".-"; -'I ;;.,.:.,," ""-""<'.' ,..... - I>ROOF OI~ I>UDLICATION OF NOTICE IN CUMllERLAND LAW JOURNAl, (UOller Act No. 5117, approved May Hi, 1929), P. L.17114 STATE OF PENNSYLVANIA: ss. COUNTY OF CUMDERLAND : Roger M. Morgenthlll, Esquire, Editor of lhe Cumbcrland Law Journal. of the Counly and State nforesaid, being duly sworn, according to law. deposcs and says that the Cumberland Law Journal, a legal periodical published in lhe Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legul nUlices, and has, since January 2, 1952, been regularly issued weekly in the said Counly, and that lhe printcd notice or publication attached hereto is eJlactly lhe same lIS was printed in the rcgular editions and issues of lhe said Cumberland Law Journal on the following dales, viz: MAY 10. 17.24.1996 Affiant further deposes that he is authorized to verify this stutement by the Cumberland Law Journal, a legal periodical of general circulation. and that he is not intcrested in lhe subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing slalements as to lime, place and character of publication are true. SWORN TO AND SUBSCRIBED before me this 24 day of MAY .1996 - ~~~rJd- Notary Hololnaer, Stephell J.E.. dee'd. Late or South Middleton Town- ship. Co-Executors: Allen L. lIolslnger and PcAAY K. lIolslnger. 2273 Newville Road. Carlisle. Ph 17013. hllomcy: Rlchnrd L. Wcbber. Jr.. 366 Oreen Spring Rond. P.O. Box 40. Newville. Ph 17241.0040. NOTARIALSEN.. MERlfNE IlARHEVI<'. NoI..., N>Ilc Carl!lo. CUnl>n/Il COII'IY. PL MyCOm_E I,", Exhibit "A" LAST WILL AND TESTAMENT OF STEPHEN J.E, HOLSINGER I, STEPHEN J.E. HOLSINGER, of South Middleton Township, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all Wills, Codicils, or writings in the nature thereof, by me at any time heretofore made: FIRST: PAYMENT OF EXPENSES - I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. SECOND: RESIDUE OF ESTATE - I give, devise and bequeath all the rest, residue and remainder of my estate, be it real, personal, or mixed, (excepting any annuity policies and benefits) as follows: A, Two-thirds (2/3) to STEPHEN IE L. HOLSINGER; and B. One-third (1/3) to SARA E. HOLSINGER. This distribution is on a per capita distribution basis. I have made the above distribution due to the fact that stephenie's mother, Elaine Holsinger, contributed substantially towards my estate. Additionally, Sara E. Holsinger's mother is still living as of the date of this Will, and it is my hope that Sara's mother provide for her in her Will. Exhibit "E-1" TJlIRQt REAL ESTATE DIRECTIVE - not wish to sell my house and BOLSINGER shall msnsge the arrangements thereof. In the event that my children do real estate, I direct that ALLEN renting, lessing, and/or living FOURTH: TRUSTEE OF CHILDREN'S ESTATE - I give, devise and bequeath any share or shares of my estate which passes to a child who has not attained the age of twenty-one (21) to my brother, ALLEN HOLSINGER, as TRUSTEE, to serve without posting bond, on the following terms and conditions: A, So long as any child or children are minors, the net income of the Trust shall be paid to or applied for the maintenance, education or support of any or all of the children at such time and in such proportions as my Trustee shall in his sole discretion determine, In the event that the income would be insufficient to provide any of the minor children with adequate maintenance, education and support, the Trustee shall invade the principal for this purpose and such invasions shall be according to the needs of the children, rather than according to any pro rata scheme of distribution. B, The Trustee shall create a separate Trust for each child upon his or her attaining the age of eighteen (18) years, The principal of such separate Trust shall be the pro rata share of the principal Trust, according to the number of children entitled to receive income from the Trust; and the share of such child in the income from the original PAGE 2 Exhibit "E-2" Trust shall thereafter cease. The Lerms of the separate trust shall be as follows: 1. The Trustee shall immediately pay to such child one-fifth 11/5) of the principal of said trust. 2. The entire net income shall be distributed quarterlY to such child. 3. The Trustee may pay the remainder of the principal and accrued income of said separate Trust, in lump sum or in partial payments, upon her attaining the age of twenty-one (21) years, or at any time thereafter, at his absolute discretion, when he believes that the child is capable of managing said monies. 4, If said child shall die after attaining eighteen (18) years but prior to attaining the age of twenty-one (21) years, the separate trust for his or her benefit shall terminate and the principal and any undistributed income shall be paid to my other child. 5, In the event any of the children dies prior to becoming entitled to a share in the principal of the original Trust, the interest of such child in said Trust shall cease. FIFTH: APPOINTMENT OF GUARDIAN OF THE PERSON - I appoint my brother, ALLEN HOLSINGER and his wife, PEGGY HOLSINGER as guardians of the person of any child of mine who is a minor at the time of my death, to serve without bond. PAGE 3 Exhibit "E-3" STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND SS I I S'fEPHEN J ,E. JlOLS INGER, having been duly qual i f ied according to law, acknowledge that I signed the foregoing instrument as my Will and that I signed it as my free and voluntary act for the purposes therein expressed. ... ~~K/JIAvr STEP EN J.~7 HOLS1NGER, Testator We, having been duly qualified according to law, depose and say that we were present and saw STEPHEN J.E. HOLSINGER sign the foregoing instrument as his Will; that he signed it as his free and voluntary act for the purposes therein expressed; that each of us in his sight and hearing and at his request signed the Will as witnesses; and that to the best of our knowledge he was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. -UI/~ /J? ~,a. SJo.-.J w o..w-x- PAGE 5 Exhibit "E-5" AND IT NOW being desired Lo d.lntd bute the assets 1 iflted in the Schedule of Pl'oposed Distr.ibution con[]une(] on I\ugust 26, 1997, by specifically awarding the hen'!inaftel--descdbed real estate in accordance with the above r.ecited Paragraph SECOND of decedent's I~ast Will and Testament to ALLEN HOLSINGER, as TRUSTEE for STEPHEN IE L. HOLSINGER, a two-thirds share and SARA E. HOLSINGER, a one-third share: NOW, THEREFORE, it is ordered, adjudged, and decreed that: ALL THAT CERTAIN tract of land situate in South Middleton Township, Cumberland County, Pennsylvania, bounded and described as follows: BEGINNING at a point at the northern right -of -way line of Middlesex Road (T-546) at the dividing line between Lots Nos. 3 and 4 on the hereinafter mentioned Subdivision Plan; thence along said dividing line, North 85 degrees 03 minutes 27 seconds East, 250.00 feet to an iron pin; thence along the dividing line between Lots Nos. 1 and 4 on said Plan, South 04 degrees 56 minutes 33 seconds East, 140.00 feet to an iron pin; thence along the di viding line between l,ots Nos. 4 and 5 on said plan, South 85 degrees 03 minutes 27 seconds West, 251.05 feet to an iron pin at the northern right-of -way of said Middlesex Road; then along said right-of-way line, North 04 degrees 30 minutes 51 seconds West, 140.00 feet to an iron pin, the place of BEGINNING. CONTAINING 35,073 square feet. BEING Lot No. 4 of the Final Subdivision Plan for Brookfield Manor prepared by Stephen G. Fisher, R.S., dated [-larch 31, 1981, and recorded in Cumberland County Plan Book 39, Page 123. IS hereby awarded to ALLEN HOLSINGER, as TRUSTEE for STEPHENIE L. HOLSINGER, a two-thirds share and SARA E. HOLSINGER, a one-third share, subject to paragraphs THIRD and FOURTH of the Will. The Recorder of Deeds in and for said Cumberland County is Exhibit "F-2" STATUS J~'!~.~Q_~lT UNDER RUI,E 6,-!1 Name of Decedent: S t>r-l,r - J f /-I../r,' ~ r('- ,.- " Date of Death: ~tI" ('t (. will No. tftt,{. /J/))~/'1 Admin. No. 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. State whether a~ministration of the estate is complete: Yes No J 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: }... ~r J,;,') /441 3. If the answer to No. I is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. The serar'ate Orphans' C'jurt No. (if any) for the personal representative's account is: c. Did I.he personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: 4 I ,de, 4 -7\ :Jl C} r,~/ ..-( Signature " I 1'-'- r",../ Name (Please Je C 6 ~rr , /"2'f v-- v ./1... Address L-. ~..d-t./.,'r,J. type or 111' int ) 5/.'''1 ;.:....-./ > ~'''. .r.. yl> ('1' 1 ?~I/I ) L,?/7) '7 )(,-{ ~ -{. <: Tel. No. Capacity: Personal Representative .' . .,.' j Counsel for personal representative (HAll: rmf 1 AM3) SUlUllInO'_oUttounl rilllC Current .YIIluc_ Fiduciary ^equisitiun -Y..1I1uc Proposed Distrihutiun to Beneficiaries 15 $191.418.53 rrinc.ipal Reecipts 3 $ 279.592.1l Less Dishursements: Dehts or Deecdent Funeral Expenses Falllily Exemptiun ^dministmtion Expenses Federal and Slate Taxcs Fces and COlllmission 3 $ 0.00 3 0.00 4 3,500.00 4 200.00 4 324.97 4,5 +21.874.42 Balance berore Dislrihutions ::...25.899.39 $ 253,693.32 Dislrihutions tu Beneficiaries ::-6.8.814.58 $J.B.4.858.74 I'rincipalBalance un Hand lnc.om~ Receipts Less Dishursements $6.559.79 :-l1.00 Balance herorc Distrihulions Distrihutions tu Beneficiarics $ 6,559.79 0.00 Income Balance on Iland $J.,559.79 Comhined Balance on Iland $191,418.53 2 CmrcnL'inlllc Eiducim'y. AC\lllisilioIL'iU!IlC HE(J~II~D:WF.J~IU~(J I'A L Renll)': I. 679 South I\liddlesex Road. Carlisle. 1'/\ $ 159.000.00 Cush nnd Cush E1luh'nlcnts: A. York Federal Suvings and Loan - Estate Checking Account /l090R595J2 . halance as of First and Final Accounling IiIcd July 25, 1997 $ 3.590.45 13. York Federal Savings and Loan - Money Markel Account /1020057646 - bnlance as of Firsl ami Final Accounting IiIcd July 25. 1997 $ 116.828.26 Tun~ihle I'crsllnul Prllpcrt)': Receipts SUhSl'llucnttll d:lle of c1C:lth: (Vnlue when received) 1. Penn Slnle Geisinger. insurance refund $ 174.00 TOTAL PRINCIPAL RECEJI'TS S 279,592.71 l>ISBURSEI\IENTS OF I'IUNCJ\'AL D.EUTS_OF_I>E.CEDEl'IT NONE n!~EI~^LAr-:IUJ.l'RIAkEXeE~S.ES NONE 3 Cuw:nLYuluc. EidudllQ: Acquisitiun YUille. [AM IIX.EXEMl'llO.l'i 08/31/97 SlIra Ilolsingcr $ 1,750.00 OWl 5/97 Stcpltcnic Ilolsingcr i.l.1Silllll $ 3,500.00 AnM]~JSIJ~'(1 VE....EXI~>~S. To Bc Cumbcrlllml County Rcgistcr or $ 200.00 Paid \Vilis - Rcscrvc ror liIing orSccond & Final Accounting amlPclilion ror Appointll1cntorOulIrdian $ 200.00 EEDEHAL..AJ'o/JtSL\TE-TAXt:S 04/14/98 I' A DcI'\. of Rcvcnuc $ 151.24 1997 PA-41 04/15/98 U.S. Trcasury 19981041 $ 82.39 . 04/15/98 I' A DcI'\. ofRcvcnuc $ 91.34 19981'A-41 $ 324.97 f.E ES_AJIlD_C.oMl\JIJiS1QISS Riclmrd I.. Webbcr. Jr. - Commission on principal rcccipts as follows: Paid liS follows: 09/25/97 To Bc Paid $ 4.565.82 ~ML12 $ 9.187.21 .' 4 OI/271911 02/1119g 02/23/911 02/25/911 02/271911 03/0W911 03/14/911 03/16198 03/lll/98 03/18/98 03/21/98 03/31/98 04/04/98 041011/911 04/11/98 041\3/98 041\3/98 04/13198 04/13/98 041\3/'Jll 04/14/98 04/20/911 04/20/'J8 04/20198 05/04/98 05/09/98 OS/22/98 OS/22/911 OS/22/98 06101198 06103/98 06/08/98 06/15/98 06/15/911 06/15/98 06/15/911 061111198 06/24/98 06/24JlJ8 06/30/911 06/30/98 07/071911 07/10/lJll 07/161lJll 07/20JlJ8 Nissan Sprint Cash Nl'vl"C Cush \\'ithdm\\'al Sam Ilolsingcr Cash Sprinl Dr. Ciricnciscn Sanl Ilolsinger Cellular Onc Sanl Ilolsingcr B..I. Wholcsalc Cash Cash NM"C BMCi Music Scrvice I'^ Dcpl.orTranspl1rtation "11 Stale I.uck Ilavcn IJnivcrsity Ccllular Ooc Sprint Citihank Discovcr Curd Sprint Cash Ccllular Onc Discovcr Card NM^C Baish "utu Body Shop Sprint Cash Discuver Card Citihank Lock Ilaven Univcrsity Monumental Lire Insurance Cash NMAC Cellular One Sprint Cililnlllk Nissan Sara Ilolsiuger Sura Ilolsingcr Discuvcr Card 2511.113 50.110 30.00 300.00 25.00 25.00 50.00 39.59 72.00 100.00 137.211 40.00 64.73 50.00 200.00 247.113 43.07 36.00 1.202.00 100.00 43.26 39.04 20.00 27.00 32.13 200.00 60.63 60.00 45.21 500.00 20.72 300.00 60.00 20.00 20.00 223.56 170.00 148.64 101.81 39.62 60.00 26.15 200.00 135.00 20.00 6 07/:!O/'IH 07/:!O!tJH 07/:!tJI'IH OH/05/tJH OH/:!O/tJH OH/:! I NH OH/:!4/9H OH/:!5/9H 09!05NH 09l1519H 09/16/tJH 0l//16I9H 0l//:!4/9H 09/:!619ll 10/OHNH 10/09l9H 10/14/9ll lOll 6/9ll I O!:!1/9ll IO/:!9/9H II/Wl)H II/:! 119H 11/:!1/9H 1:!1O:!/9H I :!/()1/9H I :!/04/9H J 2117/9ll 1:!1I7/9ll 12/20/9ll 12/28/98 12/28/98 01/16/99 01/22/99 02/03/99 O:!/23N'J 02/23/99 0:!/:!3/99 0:!/23/99 0:!/23/99 02/24N9 03/()(,/99 03/20/99 03/22/99 03/22N9 04/() 1/99 Cellular Oue Cash withdrawal Nissan Sprinl IIACC Sara Ilo!singer N issan Cash withdrawal Cash withdrawal Cellular Onc Sprinl Nissan AIISlalc Cash withdrawal Brcnncr Nissan Sara I (olsingcr Sprint Cash withdrawal Nissan Sara Ilolsin!!cr Nissan Discovcr Card Cash withdrawal IIACC Sara Ilolsingcr Cash withdrawal Nissan Cash withdrawal BOSClIV'S DisClll'Cr Card Citibank Cash withdrawal Nissan Cash withdrawal Ccllular Onc Nissan Pinnacle Ilcallh Ilospital ~\'Iagazinc Swccpstakc IlMO ~\'Iusic Scrvice l\lcinke Cash withdrawal Cash II ithdrawal ^IIStatc Nissan I'SUl' I'JO.n 110.00 169.IH 39.73 436.50 H5.00 129.IH 50.00 125.00 242.61 22,63 149.IH 1.164.00 20.00 103.72 50.00 33.35 70.00 149.IH 134.50 149.18 8H.I8 20.00 467.25 40.00 210.00 149.18 175.00 63.60 260.00 110.00 20.00 149.18 llO.OO 232.16 149.18 132.97 266.91 90.63 24H.50 100.00 85.00 1.1:!4.00 149.18 50.00 7 02/11/98 02/11/98 02/11/98 021\3/98 02/25/98 03/03/98 03/07/98 031\3/98 03/14/98 03/16/98 03120/98 03/21198 03/21198 03/21198 04/16/98 04/18/98 04/18/98 04/20/98 04/28/98 04/29/98 05/04/98 05/04/98 05/04/98 05/09/98 05/16/98 OS/23/98 06/03/98 06/18/98 06/30/98 07/03/98 07/10/98 07/20/98 07/20/98 08/05/98 08/07/98 08/14/98 08/14/98 08/15/98 08/21/98 08/24/98 08/25/98 08/30/98 09105198 09/12198 09/15198 Kearns & ^shh)' Washington Nntionnl Sprint Dr. Stoken Columhia House Cash withdrawal Dick's Ilill's Cash Sprint K-Mart Cash Dr. Phelan Dick's Circuit City Bosco\"s B.J. Wholesalc Sprint Cash Ilnnn Crarts Washington Nationnl PSGC Sprint Cnsh 13.J. Wholesale Cnsh Sprint Cash Sprint Peggy Ilolsinger Cnsh Washington National Cnsh withdrawal Sprint Kinnc)'s Drew Stoken. M.D. WnlMart Cash withdrawal Dr. Stokcn. M.D. Kearns & ^shhy Olsh withdm\\'al Don Ton Cash withdrawn I B. t-.l11SS Jane 24.00 30.00 29.23 35.00 36.58 156.00 27.98 31.63 40.00 28.46 31.78 400.00 10.00 75.14 43.44 68.59 43.80 36.10 200.00 11.25 30.00 10.00 20.47 200.00 73.18 200.00 29.80 230.00 29.72 117.00 300.00 30.00 290.00 67.25 39.98 365.00 31.44 400.00 247.50 51.50 350.00 117.23 275.00 127.20 9.98 9 0lJ/16/911 Sprinl 105.78 0lJ/17/911 I.iJ~lollch 15.00 OlJ/19/911 B.J. Wholcsalc 57.19 0lJ/22/98 flcrrr Joncs. Inc. 50.00 09126/98 C'lIsh withdrawal 380.00 10/09/911 Joe. Pcnncy 119.00 10114/911 Sprint 43.68 i 10116/911 blllc,lIional Tours 90.00 . I 10116/911 ('ash \\ilhdrawal 330.00 'I 10/21/911 Washinglon National 30.00 I I 1/02/1)11 B.J. \\'holcsalc 335.90 : I 11106/98 Sprinl 44.07 . lj 11/14/98 Waggoners utvlC 8.50 ~ I 'I 11/21/98 Cash withdrawal 380.00 , 11/23/98 I Icrfr Jones 230.85 11/30/98 Kindred Spirit 99.00 12/02/98 EF Institute Trusl 1,338.00 12/02/98 Sprint 36.84 12/04/98 Cash Wilhdrawal 290.00 12106/98 Lowe's 26.47 12/17/98 The Wall 55.09 12/17/98 B.J. Wholesale 26.80 12/17/98 Cash withdmwal 225.00 12/111/911 Scars 74.19 12/18/98 Capilal Cily Mall 50.00 12/28/98 Teen Magazine 14.77 12/28/98 Vital Records 4.00 01/09/99 B.J. Wliolesale 49.36 01/16/99 Cash withdrawal 380.00 01/22/99 I'assporl Serviccs 25.00 01/22/99 Prothonotary's Office 15.00 01/22/99 Washington National 30.00 01/24/99 IMWRF 281. 75 01/30/99 Limited 39.00 01/30/99 PetSl11arl 23.29 02/03/99 Cash withdrawal 320.00 02/09199 Young & Modern 12.97 02/09/99 Sprint 57.91 02/10/99 Soulh Middleton ACly. Fund 26.77 02/25/99 Kindred Spirit 39.50 03/06/99 Cash wilhdrawal 300.00 03113/99 B.J. Wholesale 84.76 03/13/99 Bon Ton 66.78 03/17/99 Kearns & Ashby 31.50 03/17/99 Sprint 42.28 10 -........-"....-,..- . 01/15Jl19 IJI/16/99 01/16/99 01/22/99 02/09/99 02/23/99 03/17/99 03/17/99 03/17/99 03/22/99 04/01/99 04/19/99 04/29/99 05/11/99 OS/21/99 06/0K/99 Check charge Sprint TV Cahle GI'U Energy TV Cuhlc G I'U Energy Wustc Managcmcnt TV Cahle Gcncral Accidcnt GI'U Encrgy TV Cablc GI'U Energy Robcrt C. Cairns. Tax Coil. TV ('uhle GI'U Encrgy TV Cahlc 21.KO 49.79 27.95 3 02,4 II 27.95 195.39 37.50 27.95 579.00 237.34 29.76 92.04 382.72 29.76 86.85 29.75 $ 21.692.91 HE-CEle:L'LOLlN.COME. York Federal Savings and Loan. Estatc chccking aecollnt #090859532 08/12/97 $ 7.47 09/07/97 12.34 10/22/97 32.41 11108/97 20.85 12/11/97 18.32 01/16/911 14.116 02/III9K 7.57 03/1 K/9ll 3.79 04/14/98 3.35 OS/22/98 4.66 07/16/98 5.711 07/16198 (J IInc) 3.20 01l/20/98 5.85 09/12/911 7.13 10/13/911 5.35 11/14198 3.44 12/17/98 3.42 01/15/99 4.47 13 l'I~OI~O:;lmS<.:111~l)l1LE_0J1_UISl'IUU UTI orn:o_UI::N I::EI CIAIU I~S Per Mticle SECOND (A) of Will. suhjed lol'OIrllllraphs TI \IRD OIIllI FOUR'll I: TO: Stephellie L. Ilolsinger COIsh (See auached eOllculation) $ 38.882.42 Two-thirds (2/3) share real estOlte. together with $ 106.000.00 dwelling situOlted thereon. located in the Township of South Middleton. Cumberhulll County. Pennsy\vaniOl. with street OIddress 01'679 South Middlesex Road, Carlisle, I' A 17013, more fully bounded and described in CumherlOlnd County Deed Book "D", Volume 31. Page 31 \, pursuOlntlo Decree Awarding Real Estate auached hereto. $ 144,882.42 Per Article SECOND (B) of Will. subject to Paragraphs TIIIRO and FOURTH: TO: Sara E. Holsinger Cash (See aUOlchcd cOllculOltion) $ (6,463.89) One-third (1/3) share real estate. together with $ 53.000.00 dwelling situated thereon, located in the Township of South Middleton, Cumberland Counly, Pennsylvania. with street address of 679 South Middlesex Road. Carlisle. I' A 17013. more fully bounded and described in Cumberland County Deed Book "0", Volume 31, Page 311, pursUOlntto Deerce A warding Real Estate auached hereto. Total proposed distribution $ 46.536.11 15 State of Pennsylvanle, County of Cumberland. 8S: Marian M. Welsh, Classified Ad-Visor of THE SENTINEL, of Ihe Counly end SIole sloresald, being duly sworn, deposas and says lhal THE SENTINEL, a newspaper of general clrculallon In Ihe Borough 01 Carlisle, County and Slale aforesaid, was eslabllshod Decembar 13th, 1881, since which dale THE SENTINEL has boon regularly Issued In sold Counly, and Ihal Ihe prlnled nollee or publleallon attached herelo Is exaclly Iho some as was prlnled and published In Ihe roulsr edlllons and Issues of THE SENTINEL on Ihe following doles, vlz Copy of Notice of publication \ I J '1 Affiant further deposes that he Is not Inlerested In the subJect matter of the aforesaid notice or advertisement, end that ell allegations In the foregoing statement as to time, place and character of publication are true. May 6, 13,20, 1996 10 Public N'otlc88 . EllECilTOR'S IlQIlkIl lIU.r. '.'tnmitnlnry on Ihe "lele 01 . 8TEPHE,. J.E. HOL8INllER.I.'~ ollhl Township 01 South MIddleton. Cumberland County, PA. decl8ud have boen granted '0 Ihl und".lgnld: ' . An pal'1onll know1"g IhtlultlvlI to bllndebt.. ed 10 ISld estate will m8U 'puymen\ Immedl. Itely, and U1ol. hIving claims wnl prell"' Ihem lor IIUlemlnllo:' ." ~!~ -?# ~LtJ ( <- . . .~ Alltnl-..HollJntJlr,and P.glIY K. HoI.lng.' Co.Euc.ulora 2213 New'iiMe ROld CI~"'.',p" 17013 May 29, 1996 Rkih.1ll L W.bb.._ J,. ...nome)' 3158 O".n Spring ROlld P. O. Bo..O .wvll.. p~ I7U',OO4D... Sworn to and subscribed before me this 30th day of May ,19 96 ~ ~~{ , N Public My commission expires: Wrn:tfL.~1'IJto ealslliBolD. ~ Mv COli II b6IOn EJ<PrOO ,Junll2. t g 88 Exhibit "B" LAST WILL AND TESTAMENT OF STEPHEN J.E, HOLSINGER I, STEPHEN J.E. HOLSINGER, of Sout.h NiddleLon Township, Cumberland County, Pennsylvania, being of sound mind, memory nnd disposition, do hereby make, publish and declare this my Last Will and Test.ament, hereby revoking and making void any and all Wills, Codicils, or writings in the nature thereof, by me at any time I,sretofore made: FIRST: PAYMENT OF EXPENSES - I direct that all my just debts nnd funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as pract.icable after my decease as a part of the administration of my estate. SECOND: RESIDUE OF ESTATE - I give, devise and bequeat.h all the rest, residue and remainder of my estate, be it real, personal, or mixed, (excepting any annuity policies and benefits) as follo\~s : A. Two-thirds (2/3) to STEPHEN IE L, HOLSINGER; and D. One-third (1/3) to SARA E. HOLSINGER, This distribution is on a per capita distribution basis. I have made the above distribution due to the fact that Stephenie's mother, Elaine Holsinger, contributed substantially towards my est.nt.c. Addit.iona11y, Sara E, Holsinger's mother is still living as of the date of this Will, and it is my hope that Sara's mother provide for her in her Will. Exhibit "E-l" TJ!IIHH REAL ESTATE DIRECTIVE - In the event that mY chtldl'en do not wish to sell my house and real eHtate, I direct that ALt,EN nOLSINOER shall manage the renting, leasing. and/or livln~ arrangements thereof, FOURTll..t TRUSTEE OF CHILDREN'S ESTATE - I give, devise and bequeath any share or shares of my estate which passes to a child who has not attained the age of twenty-one (21) to my brother, AI,LEN HOI.SlNGF.R, as TRUSTEE, to "crve without posting bond, on the following terms and conditions: A, So long as any child or children are minors, the net income of the Trust shall be paid to or applied for the maintenance, education or support of any or all of the children at such time and in such proportions as my Trustee shall in his sole discretion determine, In the event that the income would be insufficient to provide any of t.he minor children with adequate maintenance, education and support, the Trustee shall invade the principal for this purpose and such invasions shall be according to the needs of the children, rather than according to any pro rata scheme of dist.ribution. B. The Trustee shall create a separate Trust for each child upon his or her attaining the age of eighteen (181 years, The principal of such separate Trust shall be the pro rata share of the principal Trust, according to the number of children entitled to receive income from the Trust: and the shore of such child in the income from the original PAGE 2 Exhibit "E-2" Trust sh~ll thereafter cease. The Lerma of the sepnrate trust shall be as follows: 1. The Trustee shall immediately pay to such child one-fifth (1/6) of the principal of said trust. 2. The entire net income shall be distributed quarterly to such child. 3, The Trustee may pay the remainder of the principsl and accrued income of said separate Trust, in lump sum or in partial payments, upon her attainln~ the age of twenty-one (21) years, or at any time thereafter, at his absolute discretion, when he believes that the child is capable of managing said monies. 4. If said child shall die after attainin~ ei~hteen (18) yenrs but prior to attaining the age of twenty-one (211 years, the separate trust for his or her benefit shall terminate and the principal and any undistributed income shall be paid to my other child. 5, In the event any of the children dies prior to becomin~ entitled to a share in the principal of the original Trust, the interest of such child in said Trust shall cease. EJ_E~ij~ APPOINTMENT OF GUARDIAN OF THE PERSON - 1 appoint my brother, ALLEN HOLSINGER and his wife, PEGGY HOLSINGER as guardians of the person of any child of mine who is a minor at the time of my death, to serve without bond, PAGE 3 Exhibit "E_3" AND IT NO\\' being desired to liJl Ii II the Schedule of Distribulion eonlirmed on August 26 1997 by specilieally awarding the hereinafier-deseribed real estate in accordance wilh thc abuvc recitcd Pamgraph SECOND of dcccdent's Last Will and Tcstamcnt to ALLEN I (OLSINGER. as TRUSTEE lilr STEPIIENIE L. I (OLSINGER. a two-thirds sharc and SARA E. HOLSINGER, a one.lhird sharc: NOW. THEIU':Io'OIH:, il is ordered. adjudged. and decreed thai: ALL that ccrtain tract of land situatc in South Middlctun Tuwnship. Cumberland County. Pennsyh'ania. boundcd and describcd as follows: BEGINNING at a point at thc northcrn right.of-way linc of Middlcsex Road (1'-546) at the dividing Iinc bctwccn Lots Nos. 3 and 4 on thc hcreinaficr mcntioncd Subdivision Plan; thcncc along said dividing Iinc. North 85 dcgrccs 03 minutcs 27 scconds East. 250.00 feet to an iron pin; thcncc along thc dividing linc bctwecn Lots Nos. I and 4 on said Plan. South 04 dcgrccs 56 minutcs 33 sceonds East. 140.00 lect to an iron pin; thcncc along thc dividing linc bctwccn Lots Nos. 4 and 5 on said Plan, South 85 dcgrccs 03 minutcs 27 scconds Wcst. 25 I .05 fcctto an iron pin atlhc northcm right.of.way of said Middlcscx Road; thcncc along said right-of.way linc. Nurth 04 dcgrccs 30 minutcs 5 I scconds Wcst. 140.00 fectto an iron pin.thc placc ofUEGINNING. CONTAINING 35.073 squarc fccl. BEING Lot No.4 of thc Final Subdivision Plan for Brouklield Manor preparcd by Stcphcn G. Fishcr, R.S., datcd March 3]. 1981. and rccordcd in Cumberland County Plan Book 39. Pagc 123. 2 Exhibit IF_2" ~ ' , ..~...~ If, , . IN RE: ESTATE OF STEPHEN .LE. HOLSINGER, late of South Middlelon Township Cumbelfand County, Penna. deteased :IN TIlE COURT OF COMMON PLEAS OF :CUMBERLAND COUN1Y, PENNSYLVANIA : OlphlU1's COUlt Division : No. 1996-00349 NOTICE This is to advise you that Duncan & Hartman, P.C. by Susan 1. Hariman, Esquire, as attomey for Sara Holsinger, has filcd objections 10 the second and final accounl filed by Allen Holsinger and Peggy Holsinger, Co-executors of the Estate of Stephen I.E. Holsinger. A copy of thc Objections is enclosed herewith. This notice is sent to you as an interested party, in accordance with the Rules of Court. Susan 1. H I Irvine Ro Carlisle, PA 17013 (717) 249-7780 August /'1, 1999 IN RE: FSTATE OF STEPHEN .LE. HOLSINGER, late of South Middleton Township Cumbeliand County, Penna. deceased :IN TIlE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA : Olphan's Court Division : No. 1996-00349 OBJECTIONS TO EXECUTORS' SECOND AID!. FINAL ACCOUNT And now comes Duncan & Hartman, P.C. by Susan J. Hartman, Esquire and files the following objections on behalf of Sara Holsinger, one of the heirs of Stephen J.E. Holsinger. I. Sara Holsinger is a sui juris adult residing at 4345 Carlisle Pike, Camp Hill, Cumberland County, Pennsylvania 170 II. 2. Sara Holsinger and Stephenie L. Holsinger are the daughters of the decedent, Stephen J. E. Holsinger. 3. Under the Last Will and Testament of Sephen J.E. Holsinger, Sara Holsinger is entitled to one-third (1/3) of the estate of decedent and Stephenie Holsinger is entitled to lwo- thirds (2/3) of the estate. 4. Stephenie Holsinger is presently residing in the decedent's situate at 679 South Middlesex Road, Carlisle, Pennsylvania, which home is to be distributed to the heirs, one- third interest to Sara Holsinger and two-thirds interest to Stephanie Holsinger. 5. Sara Holsinger is presently residing at 4345 Carlisle Pike, Camp Hill, Pennsylvania. 6. In their second and final account, the Executors have listed joint expenses to be assessed to both Stephanie and Sara Holsinger. Some of these expenses relate 10 the property which is to be jointly owned by the heirs, however some of the "joint" expenses should not be assessed to Sara. , CERTIFICATE OF SERVICE I cerlify thaI on this date a copy of the foregoing Objections was served on counsel in the manner indicated below: FIRST-CLASS MAIL POSTAGE PREPAID ADDRESSED AS FOLLOWS: Richard L. Webber, Jr., Esquire P.O. 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"" ':, ( ~ I 1... ('~~ .'....... ~..,'r. .'K~ ~.;..r;;-.. -"~".,,'l ''''',', ".'j.~ .,~~.,'~ I"'" ..",l.,~,t\"\'.::r;,.jr:.~'lt,rl""''''"l\'','!.,,'-'. ...' '. .'," .... .~,' ,)'i.,~' "~..t .,,-:,,,..._f~';~ ',~':,:'~"r'''''''~<:''-'1:f:'i..:trt:..:'~~..~ - ... -- - .,'" :....'.'~ ,- i:'.,- -' ,'- "it ... .,~' ~-;-~".': . ~- ::-::;, -"~'.~'I.' ~'r J~}Mfj..~,;;\., ') ",';" ..'...~\'.,..'..: ; ~'><:. .~.:..::..~., ~;.'. ~',' -"'o"'..:,':-~t;..7,;'>":+i.~~1)1~~--:-'t{51' ',1. ....-~.,..:~'.. . '~,' ..,,', ,', : .-. .. .' ,.-' ::,'. t,..-........\:..,...Yfr..:f'I~..;~~).:. . .' '~'..,,'... ,',:... ,',.'~ ':" \..~( ""~""l''''"t~l:''' " ," ,. ~. ,.' ".~ ',. '1("" ~'''1' J.' .j il~" J~'.~I . ,.,j, ~'~~ '.... ;\" '~: . ":~I'< (-"l,2-,\:,,-~:~'1~,~~.4~':ri~:-$1'.~. ..: ' ','" .. ' ) .".4.0 ~"'1.1 Y.,i"',:+ '.1 ...':',"" '.\ :',.. :~. r'::;:-;;::Wt~':-'-:.~::-;;l1~~~r"'-,;, "",< .'':.:',1 '.. "'1 ..- ,:~ ~' _ ~,'~11".,.t'(~,;~'~:V ..~'.: 'i, ". "l..'-J'I;J:"'j'...-,;~\e;....,f~~:.,ll, . , ,'". . ",' ,-~( . ...-.,- ~ I.."TO: J: ,;',} . .: ~o-l ,~ L'_f .,,,.... '\.J: ::I1J:. y;;.' ~"-"J,.. j' ','~t~!. "..'.....-1>'I~' ~.I',;,>..~...f~u:. ":;:~'~::"':::':~::':f;~';~jY{f:~~:~}~~ffij};' " :.:'... ~' - '. " ., '. i" .~,. ./ " ~ :' .~ ~ " .. " '.'. .' \ ... , .::" t' ~. " '. .. '. ,.' '. .. IN RE: ESTATE OF STEPIIEN .I.E. 1I00..'iINGER. hUe of SOlllh Middlclon Township CumbcltlUuj COllnty, l'cnn1l, decc1lsed :IN TilE COUltT OF COMMON I'LEAS OF :CUI\1UEIU.AND COUNTY. I'ENNSYLVANIA : 011,h1l1l'S COlll1 Division : No. 1996-00349 on.JECnONS IQ.EXEClITORS' SECOND AND FINAL ACCOUNT And now comcs Duncan & Hariman, P.C. by Susan J. Hartman, Esquirc and files the following objections on behalf of Sara Holsinger, one of the hcirs of Stephen J.E. Holsinger. I. Sara Holsingcr is a sui juris adult residing at 4345 Carlisle Pike, Camp Hill, Cumberland County, Pennsylvania 17011. 2. Sara Holsingcr and Stcphcnic L. Holsingcr arc the daughtcrs of the decedent, Stephen J. E. Holsingcr. 3. Undcr the Last Will and Testament of Scphen JoE. Holsingcr, Sara Holsinger is entitled to one-third (1/3) of thc cstatc of decedent and Stephcnic Holsinger is entitled to two- thirds (2/3) of the estate. 4. Stephcnie Holsinger is prescntly residing in the decedent's situate at 679 South Middlesex Road, Carlisle, Pcnnsylvania, which home is to be distributed to the heirs, one- third interest to Sara Holsinger and two-thirds intcrcst to Stephanie Holsinger. 5. Sara Holsinger is presently residing at 4345 Carlislc Pike, Camp Hill, Pennsylvania. 6. In thcir second and final account, the Exccutors have listed joint expenses to be assessed to both Stcphanic and Sara Holsingcr. Some of these expcnses relatc to thc properly which is to be jointly owned by the heirs, howcver some of the "joint" expcnscs should not be assessed to Sara. CERTIFICATE QE.SERVICE I certify that on this date a copy of the foregoing Objections was served on counsel in the manner indicated below: FIRST-CLASS MAIL POSTAGE PREPAID ADDRESSED AS FOLLOWS: Richard L. Webber, Jr., Esquire P.O. Box 40 Newville, PA 17013 Attorney for the Estate Robert O'Brien, Esquire 17 West South Street Carlisle, PA 170/3 Attorney for Slephenie Holsinger DUNCAN & HARTMAN, P.C. by: " --J IN RE: ESTATE OF STEI'IIEN J .1\. 1I0LSIl\GEIl In the Court of Common Pleu of Cumberland ColDlty, Pmnsy"~ -------------..-------------------------------- late of South Ntddleton Township, -------------------------..-------------------- N.,. 1996-0031,9 -------..------------------ Civil. 19______ Cumberlnnd County, Penna., VI. decenscd orphan's Court Division ---------------------------------------------- ---------------------------------------------- -----_...-....-----~. - .-- ----....------------------ --------------------------------..------------ To the lle~lster of Wills, ..-----------------.. -----.. ------- --- ------- ---- -------- --- -- --. -- --------- ---------------- Please withdraw the objections filed hy ~e to the E~.cutnrs' Second and .- .-- ----------------------------------------- ---------------- -- --. ..---------------- ------- Final Account for the Estate of J.E. 1I0lsln~er, ""cN1se", on Augu:;t 19, 1999. .--.----------------------------.------------------------------------------------------------ .---- .__________________________. .----------------------------------- 0)0.:1. "'~ ~"'1' tl1hL-o -.-..--...-...---......-....---.-----..--.--.-.. . ~ .---------------------------.---.-------------------------------.- - ..,= I 7~-~Vrf_.{~ 9~ . :3ljCf ---- -..--- .---------------------------.------------------------------.------ To _______l~'1llJ..!;~1_.l'.._Jl~~.!~ll'.r__clJijJJ~'i. P~~fY August 9, 2000 --------..----------------- 'i,,)()()()()()(X T~_____ ~ ii~/: -/ ~_(.~;/1~4oi/' '';':';- 1.rJ..~rj.;.;.~-------- ,/7 Susan J. !la r.~ nan Attcr.1ey for Plaintiff. ..--- ~..w.~ __~-L""... ~.,:- IN RE: ESTATE OF : IN TilE COlJlrJ' OF COMMON PLEAS OF STEPIIEN .I.E. 1I0LSIN(;Jm, : ClII\IBEI{LANJ) COUNTY,I'ENNSYLV ANIA J)ECEASEJ) : OIU'IIANS' COURT mVISION . : NO. 191)(,.003-'9 I)EClmE AWAIU>ING ImAL ESTATE AND NOW, this ~ay of . 2000. it appcaring that thc Sccond und FillUl Account mtd Proposcd Schcdule of Distribulion of AI.LEN HOLSINGER und PEGGY HOLSINGER. Co-Excculors or thc Last Will and Tcstamcnt of STEPHEN J.E. HOLSINGER. latc or the Township or South Middlcton. Cumbcrland County. Pcnnsylvunia. dcccascd. havc bccn tilcd and udvcrtiscd in accordancc with luw and Rulcs or Court and thc samc having bccn confillned hy the Orphans' Court Division of thc Cumbcrland Count)' Court or Common Picas on August 28. 2000. hy thc Ilonomhlc Gcorgc E. IlolTcr. Prcsidcnt Judge: and it furthcr appcaring that thc Lust Will und Tcslamcnt of STEPHEN J.E. HOLSINGER providcd in Purugruph SECOND thcrein as lollo\\'s: "SECOND: RESIDUE OF ESTATE - I givc. dcvisc and bcqucath all the rcst. rcsiduc and rcmaindcr of my cstatc. hc it rcal. pcrsonal. or mixcd (cxccpting any annuity policics amI hcnclits) as lilllows: A. Two-thirds IIOI.SINGER: and (2/3) to STEPIIENIE L. B. Onc-third (1/3) to SARA E. IIOI.SINCiER..... '. ANI) IT NOW heing desired 10 distrihutl' Ihe :isseis Iisled in the Schedule of Proposed Dislribution eonlinned on August 2ll. 2000. hy specilie:illy :iw:irding the hereinuller-deseribed reul eslnte in accordance with Ihe abol'C reciled P:irugmph SECOND of deccdent's Last Will nnd Tcslamentto ALLEN IIOLSINGER. as TRUSTEE f(Jr STEPJ IENIE L. I IOLSINGER, a two-thirds share and SARA E. HOLSINGER. a one-third sh:ire: NOW, HIEREFOlm, il is ordered. adjudged. and decreed that: ALL THAT CEIHAIN lract of land siluate in South Middleton Township, Cumberland Counly. Pennsylvania, bounded and described as I{Jllows: BEGINNING at a point at the northern righl-ol:way line of Middlesex Road ('1'- 546) at the dividing line between Lots Nos. 3 and 4 on the hereinafll'r mentioned Subdivision Plan: thence along said dividing line. North 85 degrees 03 minutes 27 seconds East, 250.00 feet to an iron pin: thence along the dividing line bel ween Lots Nos. ] and 4 on said Plan. South 04 degrees 56 minutes 33 seconds Easl. 140.00 feet 10 an iron pin: thence along the dividing line between Lots Nos. 4 and 5 on said Plan. South 85 degrees 03 minutes 27 scconds West, 251.05 fCClto an iron pin allhe northem right-ol:way of said Middlesex Road: then along said right-of-way Iinc. North 04 degrees 30 minutes 51 seconds West. ] 40.00 /eclto an iron pin. thc placc of BEGINNING. CONTAINING 35.073 square fcct. BEING Lot No.4 of thc Final Suhdivision Plan ItJr J3rooklicld Manor prcpared by Slephen G. Fisher. ItS.. dated Mareh 31. 198/. and rceordcd in Cumberland County Plan Book 39. Page 123. BEING thc samc real estate which Jerald W. Stahler and Lynn W. Stahler. by dccd Datcd March 14. 19l16 and recorded inlhe Ollice of the Recorder of Deeds in and For Cumberland County in Dced Book Volume T-31. Pagc 790. granted and Conveyed to Stephen J.E. Holsinger and Elaine M. Holsingcr, husband and wile. The said Elaine M. Holsingcr dicd on or about Novcmber 15. 1995. thcrcby vcsting full tillc in Stcphcn JoE. Holsingcr. IS hereby awarded to ALLEN HOLSINGER. as TRUSTEE lor STEPHENIE L. HOLSINGER. a two-thirds share and SARA E. HOLSINGER. a onc-third sharc, subjcct to paragraphs THIRD and FOURTH ofthc Will. 1 , '-~- - , , , .- ..", '. The Recorder of Deeds in und l()r suid Cumberlund County is direcled to record this Order 1II1l0ng the deed records in his ol1ice und to inde~ the smllc in the Gmntor index in the name of Estate of STEPHEN J.E. IIOLSINGER. Deccused, and in the Gmntec index in the names of ALLEN HOLSINGER, Trustec lor STEPHENIE L. HOLSINGER and SARA E. HOLSINGER, in accordance with Section 71 J and 3536 of the Probute. Estates and Fiduciaries Code. BY THE COURT: ..-..- ...II".. ~ .. .;.. I f:i c.: j":' "'OJ I C:\ ':.':1 .'" 3 J. ... :-0 ) JIU)'JIlIIC .\11. 1'1'1!'17~~~ r. no " , , ;;f\l. '!, ;JIll . , Estate No.: 21-11)1)6-0341) ORPIIANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA In Re: EsHlle ofSTEl'lIEN .1.\0:. 1I0LSINGEI{ Lute of SOUTIII\I\I)1)LETON TOWNSIIII' NO. 21-11)1)6-0341) NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A IIEARING PURSUANT TO RULE 6.12, SUI'IU~i\lE COURT ORI'IIANS' COURT RULE Pcrsomtl Rcprcscntativc: Counsel for Pcrsonal Rcprcscntativc: RICIIARD L. WEBBER. ESQ. Datc of Dcccdcnl's Dcath: 04-11-11)1)6 Dutc of Dclinqucncy Noticc: 03-11)-2001 Thc undcrsigncd, Mury C. Lcwis, Rcgistcr of Wills, in accordancc with Rulc 6.12, Suprcmc Court Orphuns' Court Rulcs, hcrcby notifics thc Orphans' Court Division, Court of Common Picas of Cumbcrland County, that ncithcr thc ubovc namcd pcrsonal rcprcscntative nor thc abovc namcd counscl for thc pcrsonal rcprcscntativc huvc filcd with thc Rcgistcr of Wills or Clcrk ofthc Orphuns' Court his, hcr or its Stutus Rcport rcquircd by Rulc 6.12, Suprcmc Court Orplmns' Court Rulc und tlmtthe rcquisitc noticc, pursuunt to Rulc 6.12, Suprcmc Court Orplmns' Court Rules, wus givcn by the RcgistcrofWills on 03-11), 2001, und thut thc tcn (10) duy noticc to filc thc Stutus Rcport hus cxpircd. Accordingly, in uccorduncc with Rulc 6.12 thc Court is hcrcby notificd of such delinqucncy und thc undcrsigncd rcqucsts thut u Court conduct a hcuring to dctcnninc whcthcr sunctions should bc imposcd upon thc dclinqucnt pcrsonal rcprcscntutivc or counsel for thc delinqucnt pcrsonul rcprcscntutivc. Dutc: 05-24-2001 '\, "il '(', '~'j/JI., III/'\-J>;'\ l,0'fI1)r ) " . -t . c. "\" \, ~ II c v&~" ) ( Mury, . L:c\vis, Rcgistcr of Wills / '- ,-. Distribution: Pcrsonul Rcprcscntutivc Counscl for Pcrsonul RcprescnHltive Estutc Filc 01'''' ,.." A hcuring is sehcdulcd for )lLq} t/ 'ut y. '3c in Courtroom No.3. I I' thc SlUtus Rcport is filcd prior to thc hcuring dutc, thc I{curing will uutonmticully bc cune cd. i t. ,"~ . Complete ItemS 1.2. nnd 3. Also comploto 110m 4 II Restricted Delivory Is d.slred. . Print your nome nnd addross on the reverso 50 that wo cOon return tho cord to you. . AUoch \hls cord \0 tho bock 01 tho moilploco. or on tho front iI space permits. ,. MICIe Add,....o 10: - : fll crtARl) L .l\\ [,1)i3f~ LX~. . \'1 :pR'flKl\l C'-Vii kv. . S"U TL: leu .CkhJ~:Jl.t::J~. \ 10LY A. RtlCOlVOO by (p,.... flnnl c""M ~F1: ([. (,.CJ" (f""" c. sognaluto '\ UJ.<-<- rl~ D.lsdolNOfY ressdl"crenl trOlTlltem '1 II YES. enlOf dellV8fY oddross below: o Agool o Addressee o V.. ONo 3. ~. Typo .",.e:r-Certified Mail 0 Ellpl'e5S Mall o Reoistered 0 Return Receipt fOf MMChandi58 o Insured Mail 0 C.O.D. .. R..tricled QeIi'ery'1 lE"ro ree, 0 V.. 10259S-99.M.1789 QofnttSltc Return Receipt J'- ;;r fT1 CI ,. LI'1 II'" LI'1 .-'l PMtagl! , Ccrt".t"df~ Pr;~t"..v. Hl.,e "" Pet\.lfnf'lt!":"p\r~ ru lEN1ot!>e!1'MI fl~a"pdl C Re!.lfJCtf!d Oeh@\'')I F.'~ C \Endot~P.flt Re.qu.fOOI g To'.' po.'age & Fee. $ ~ AK/pfCHlI'l N.me IP't".ue Pt,!"r G't...I'IO rIa ~ COlllp't'!...<l V, ",.l'~~" c 'sr;p;it~'r'iiQ':o~'p6iio;'ii~'''''''' CI CI J'- 'c,ty,'si;i,j: l,i;::'-' .... ..-.-. -.. ............. ......-.....'...-. . . ( STATUS REPORT UNDER RULE 6.12 Name of Decedent: ~"prhpn .1 ~ ltnlc:inl)o.... Date of Death: Apri I 11. 1 qqc; Will No. Admin. No. ?1_1~% OJ4~ Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of th~ above-captioned estate: 1. State whether administration of the estate is complete: Yes X 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 X No b. The sep~rate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: tilt/Of fiV /1.. ..--fi--/! Signature ( Richard L. Webber, Jr. Name (Please type or print) 19 Brookwood Avenue, Suite 106 r~rlisle, PA 17013-9142 Address ( 717 ) 249-5373 Te 1. No. Capacity: Personal Representative X Counsel for personal representative (MAH:rmf/AH3) COP",-,OPI,,,(Alllt 01 p(tjf~'i~lIJAP"IA OIPAHTMIPH Of InVH.Ul nURIAU or IP.OI....'OUAl TA,('.i OlI'T ~80601 UA"II1SIlUllii. I'A 111-:11 01',01 ({IV l1ti11)(111 %1 RECEIVED FROM: PENNSYL VANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO, CD 003102 DOUGLAS G MILLER ESQUIRE 60 WEST POMFRET STREET CARLISLE. PA 17013 ACN ASSESSMENT CONTROL NUMBER AMOUNT ........'lIld 101 $1,513.12 ESTATE INFORMATION: SSN, 210.40.2485 FILE NUMBER: 2196-0349 DECEDENT NAME: HOLSINGER STEPHEN J E DATE OF PAYMENT: 10/10/2003 POSTMARK DATE: 0010010000 COUNTY: CUMBERLAND DATE OF DEATH: 04/11/1996 TOTAL AMOUNT PAID: $1,513.12 REMARKS: DOUGLAS G MILLER ESQUIRE CHECKIt 003194 SEAL INITIALS: VZ RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS CAPB HpRL EplO CRAC KOTK ES C P o 0 R N R 0 E E 5 N T C o M P T U A T X A T I o N :;OCIAl SU:UillTv NUMOEH 210.1,0.2/,85 1I1IS nnunN MUS' liE fIL[U IN OUI'UCAT( WITH UtE REGISTER OF WILLS ;J IAL OJ U I Y NU AEV.1500 ()I, . ,6.00. REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT <:OU'4 r Y CODE FILE NUMBER o E C E o E N T COMMONWEAL ft. Of f'ENN'iYlVANIA DEPARTMENT or R[VENU[ OEPT1!10f,01 "IARRIS(3UAG,PA 1111A.0(,01 OECEO(N'-S NAME iLA~'. frll'il AND MIDDl[ HlIIIAl E. CAlC OF BlRHH.4M-DD.YEAJll 0/, 11 1996 (I L LI 09 (]I, 191,9 'l I.. Pi Ml VIVt ;J U~ l III Ll 1. Orlylr\lIRf!lu," ... Llmll~E~I.I" 6. DKed~nl Died htsl.ale X 2. 4a. 7. Supplrm14"nlal Relurn Future Inlelf!s! Complom!~f! id.ll~ol death alhtf lZ.IZ.RZI OKedenl ,",Aint.lrwod. LJvtOlj Tru\1 (Attlch copy ot Trust; Spousal Po...erty Credit Idale 01 de.th belwt"en 12.J1.9t.nd 1.1.9SI D (Atlath copy of Willi o 9. Lllig'UonPtOC~dsR~f!ived 010. or ntlAL U:.[ ONL y 21-9fi.03',9 yEAn NUMBCR 3. R~ma'ndcr Return ~~~~~ I~ rl.al~_8z, 5. Ff!d~ral Eslal~ T,. Return Required 8. TOIII Numbftr of SaleOepo'Slt Bouts Ro er B. lrwln Es FlAM NAME lIf Appllcablel THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE & CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAiliNG ADDRESS 11. Electlonlot.. under s~_ 911JiA! (AlIdCh Sth 0) lRWIN & McKNIGHT TElEPHONE NUMBER 60 West Pomfret Street West Pomfret Professional Bldg. Carilsle, PA 17013 R E C A P I T U L A T I o N l . 1. Real Estate (Schedule AI 2. Stocks and Bonds ISchedule BI 3. Closety Held Corporalion, Partnership or Sole - Proprietorship 4. Mongages & NOles Receivable (Schedule OJ 5. Cash. Bank DepOSIts & Miscellaneous Personal Property (Schedule EJ 6. Jointly Owned Property ISchedule Fl D Separale Billing Requested 7. Inler-Vlvos Transfers & MIscellaneous Non.Probale Property (7) ISchedule G or L) B. Total Gro.. A..et.ltotal Lines 1-71 9. Funeral ElCpenses & Administrative Costs (Schedule HI (9) 10. Debt. 01 Decedent. Mongage Uablhtles. & Uens ISchedule Il (10) 11. Total Deduction. (Iolal Une. 9 & 101 12. Net Value 01 E.tate (Une B mnus Une 111 13. Charitable and Governmental8equests/Sec 9113 Trusts for which an elechon to tax has nol been madelSchedule J) 14. Nel Value Sub ect to Ta. (Une 12 minus Line 131 (1) (2) (3) 16,878.1,0 None None (4) (5) None None (6) None None 250.00 None SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES OFFICIAL USE ONLY (B) 16,878.40 (11) 250.00 (12) 16,628.1,0 (13) (14) 16,628.40 15. Amounl 0' line 14 talCable at the spousal talC rale. or transfers under Sec. 9116(aX 12) 16. Amount of Line 14 taxable at lineal rate 17. Amount of line 141axable at sibling rale 18. Amount of line 14 taxable at collateral rare 19. Ta. Due 20. CHECK HERE IF YOU ARE REQUESTING A. REFUND OF AN OVERPAYMENT )) BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH < < x o 0 (15) 0.00 16,628.1,0 X 06' (16) 997.70 X 12 (17) 0.00 X .15 (lB) 0.00 (19) 997.70 Copyright/c) ZOOO form!oollo.vare only The LaCkner Gloup.lnc FormREV-1500 EX I. Rev. 6.00~ Decedent's Complete Address: STREET AD0I1ESS 679 S. Middlesex Rand ------,--_.~------- CITY Cad Isla STATE PA ZIP 17013 Tax Payments and Credits: 1. la, Due (Page 1 line 191 2. CredltslP.lymcnts A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 997.70 Tolal Cled,l' ( A . B . C I (2) 0.00 3. Interest/Penalty It applicable D. Interest E. Penalty 515./.2 515.42 TOlallnlere,t1Penalty ( D . E I (3) 4. If line 2 is greater than Line 1 ... Line 3, enter the difference This is the OVERPAYMENT. Check box on Page 1 line 20 \0 reque.t a relund (4) 5. If Line 1 ... Une 3 is greater lhan line 2. enler the difference. This is the TAX DUE. (5) A. Enter the interest on the lax due. (SA) B. Enler Ihe lolal of line 5 + 5A. This IS Ihe BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 1,513.12 0.00 1,513.12 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No 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: c. retain a reversionary Interest or. . d. receive the promise for life ot either payments. benefits or care? 2. If death occuned after December 12, 1982. did decedent transfer propeny withIn one year of death wllhoul recelying adequale considerallon? . 0 []] 3. Did decedent own an -in trust for or payable upon death bank account or security at his or her dealh? 0 []] 4. Did decedent own an Individual Retirement Account. annuity. or other non-probate property which conlains a benellCiaiy de,ignallon? 0 []] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury ,I d~'are th.t I have examined thi, return. Including .ccompan)'lng scht'dules.nd stllements. and 10 the best of my knowledge and behef. it Is trut', correct Ind complete. Declaration of prt'parer other than Iht' personal representalive Is based onal1ln1crmatlonol which preparer has any knowledge SIGN~ru OF!Y'~~R~~NSle~~F1L1NGREIURN Allen L. Holsinger Peggy Holsinger Z/".<. ,1v. '7 ' 2273 Newville Road /-/I..€tv .. 'Car"iisi(i:' pi\"" i i6i3.................... u,.. u SIGN EOF REPAREROfH HANREPRESENTATlVE IRWIN & McKNIGHT 60 West Pomfret Street "'Car"iisi(i :'piC 'ii6i3""" u.... --,... --,..,." DATE 10/10/2003 DATE 10/10/2003 For dales of dealh on or afler July " 1994 and belore January 1. 1995 Ihe la' rale Impo'ed on Ihe nel yalue of lran,felS 10 or for Ihe use of Ihe surviving spouse is 3'/, [72 PS. 91 161al 111l1il) For dale. of dealh on 01 allel January I, 1995 Ihe la' lale ,mpo,ed on Ihe nel value of lIan,felS 10 or for Ihe u,e ollhe ,ul"Ylng spou.e IS 0', [72 P S 9116 la) 11 11 liil] The slalule does nol e.empt a Ilanslello a surviVing spou,e from lax. and Ihe slalulory requlre"",nlS for dlSclo,ure of assel' and tiling a tax return are stili applicable e..an II the survi.'lng spouse is the On1i benefIciary For dates 01 death on or alter July 1. 2000 The .a, rale Imposed on the nel yalue of transfe,s from a deceased ch,ld Iwenly.one years 01 age 01 younger al dealh 10 or for Ihe use of a nalural parent. an adoptive parent. or a stepparent of the child is O;,~ 172 P S 9116 (a \ (1 2)} The la' ralp imrospd on Ihp nel yal"e at I'ansters 10 0' for Iho me ollhe docodpnts hnpal beoplrc,a""" 4 S". p"ppl as noted In 72 p S 9116: 121 172 PS. 9116'al:1l] The I.. rale imposed on Ihe net yalue of Iranslels 10 or for 'he u,e ollhe decedents S1bhog'" 12".:72 P S 91 16'a}, 131] A S1bhng is defined, under Section 9102. as an indIvidual who has at laast one parent in common With the decedent. whether by blood or adoption REV-15UEX'19-ool COUUONWEALTH OF PENNSYLVANIA INHERITANCE TA.'( RETURN RESIDENT DECEDENT ESTATE OF Ste hen J. E. Holsln er SCHEDULE J BENEFICIARIES S511 210./,0-2/,85 0/, II 1996 FilE NUMBER 21-96-031,9 NUMBER NAME AND ADDRESS OF PERSONISI RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (IntltJdeoultlghl SPOU1lldISlrlbullons, Ind IUlnsf." unci." Silt(. 9116.1~1 ZI! 1 Sara E. Holsinger 679 5. Middlesex Road Carlisle, PA 17013 Do Nol Lilt Trulte.el) OF ESTATE Daughter 1/2 remainder 2 Stephanie L. Holsinger 679 5. Middlesex Road Carlisle, PA 17013 Daughter 1/2 remainder ENTER DOllAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON IN. 15 THRU 18. AS APPROPRIATE. ON REV 1500 COVER SHEET II. NON. TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON. TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 (It more space is needed, insert additional sheels ot the sarno size) Copyrlght(c) 2000 formsofhure only The L.ckner Croup, lnc, Farm REV-1513 EX (Rev. 9.00) ;..~.,. .. -" ..... . ." ...-.- I m.c.. .,V'"I"" Oet4-SI'lOft ,orm-Ad ltot-OouO'- "'"' ....-.- ---_.~.,... ....,. '.... '''''''. ... , ...., . , , @tbi~ ~~~~ ~~~1UJ, MADE THE '1'N-1 .!.., d J v" ~ i.. eM ~;.,' of OUt !-orl! one thOtuand nlM hundred eigh'.':-': x (1986) BETWEEN EDITII II. IIOLSlNGER, wid~\I, of One Fairfield IIvenue, Newvi lle, CUmber land CO'~lIty, rennsy 1 vani a, hereinafte.: Granl," , and GERIILD R. HOLSINGER, WI.WEN C. HOLSINGER, JOliN E. LESCIILLEET,ISTEPHENJ.E. HOLSINGE~, and IILLEN L~ HOLSINGER, all of carliSle, Cumberland C'.1l.1ty, pennsylvania, hereinafte. Gmnte. : IVn .'lI;SSETH. that in eonsideratilln of ONE :,:m 00/100---------------------.-- __0.' ________________ ($1.00) ------. --------------------------- Dolu,.. in h"..,.t puid, the receipt whereof II herebl/aekn'1;:.-dDCd. the 3~id Drantor do es he~ebv D,;."I and ,,,,vev to the ,aid DmnleeS. their heir ~ and asslgns as tenants ln COM.tl)n TRIICT N~'.:...l. IILL that certain lot of ground situa ..' ! r, the Borough of Newville, Cumberlilnd County, pennsylvania, bou,',. ".\ and described as follows: BEING Lot No. 13 as laid out in the r l~'. of Lots of. the Borough of Newville being duly recorded in the ~'~')eder's Office in Carlisle, Pennsylvania, having a frontage on Chc,.nut Street of One Hundred F1V~ (1051 feet Four (4) inches to Lot No. l~ now or formerly of W. Schuller Lenney's Heirs; thence by the ~aid land now or formerly of W. Schuller Lenney's Heirs, Ninety-thtu~ (931 feet Six (6) inches to ~n IIlley; thence by another alley, One Hunored Forty (140) feet Eight IU; inches to Chestnut Street, the place ~~ BEGINNING. IIIIVING formerly thereon er,ected a stal:u and currently has thereon erected, a single family dwelling unit. BEING the same tract of land which Le:,,,ul G. SaliSbury, widower, by his Deed dated the 12th of September, .%4 and recorded in the Office of the Recorder of Deeds in an" ~or Cumber land County in Dee:; Book "I", VolUme 21, Page 973, granted .:.nd conveyed unto Edith II. lIolsinger and Warren C. lIolsinger, wHf! and husband. The sa iel \j"nen C. 1101 si nger having di..'.. on February 26, 1967, ti tIe to the .,.thin described Tract became i...., remaincd vested by operaticlI of law ~',lely in his surviving spousc, ::dith II. lIolsinger, the Granto" herein. TRIICT NO. 2 ALL TIIAl' CERTIIIN house and lot situato: 1.1 the South Ward of the Borough of Newville, Cumberland Count~, Pennsylvania, and located on the Norti,east corner at the interscct'~. of thc alley immediately cae: of Big Spring IIvenue, and parallel lh., "with the alley midway bel.lecn Vin'l and Chestnut Streets and ..:'.i'nding from the first above mentlonciJ allcy to lIigh Street, boundc,' .. .,j described as follows: '. ~POf. ~ 31' rAlL 344 ~:1'" ,J ...'".. l \ I I I I I :' ~ \ .- ......" . ...... _.."."~.l I ~I1C m~ TC J ~OCg .. '" , ::: .., ~I" r.. r..o k..".' Lr.. r.11,.;. r~ I.. : U c. ~. ;;.,.- .... :::: I.:", c:... <" r , /,;), . :;) ~J l;- "" 1..1. f .. . h'l ." .. ~ '<>::'.' ,.t.,. 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IIU' Ill-III RODGER B IRWIN ESQ 60 WEST POMFRET ST WEST POMFRET PROF BLD CARLISLE PA 17013 DATE ESTATE DF DATE DF DEATH FILE NUMBER COUNTY ACN 11-l0-2003 HOLSINGER 04-11-l996 21 96-0349 CUMBERLAND 10l STEPHEN J Altount R...ltt.d MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA l7013 CUT ALONG THIS LINE ~ RETAIN LDWER PDRTIDN FOR YOUR RECORDS ~ ifiv:i54i-EX-,\j:p-iiii:O:fniiiricniF-INHERii'ANcE-YAX-;,-piiiiliisEHENT-,--,\L.LOWAtii:niR'----------------- DISALLOWANCE DF DEDUCTIDNS AND ASSESSMENT DF TAX ESTATE DF HOLSINGER STEPHEN J FILE ND. 21 96-0349 ACN 101 DATE 11-10-2003 TAK RETURN WAS' I X I ACCEPTED AS FILED I CHANGED RESERVATIDN CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED DN: SUPPLEMENTAL RETURN 1. Re.l Estate (SchedulB A) (1) 2. stocks and Bonds (Schedule Bl 121 3. Closely Held stock/Partnership Interest (Schedule CI 13) 4. Hortgag.s/NotBS Receivable (Schedule OJ (4) S. Cash/Bank Oeposlts/Hlsc. Personal Property (Schedule EJ 151 6. Jointly Owned Property (Schedule FJ (bJ 7. Transfers (Schedule G) 171 8. Total Assets NO. 01 16.878,40 .00 ,00 ,00 ,00 ,00 .00 (8) HOTE: To insure proper credit to your account, sub..lt the upper portion of this fora with your ta)( payaent. l6,878,40 250,00 ,00 Ill) I1Z) 113) 114) ?.;n no 16.628,40 .00 300.220,77 APPRDVED DEDUCTIDNS AND EXEHPTIDNS: 9. Funeral E)(penses/Ada. Costs/Hisc. E)(penses (Schedule H) 10. Debts/Hortgage Liabilities/Liens ISchedu1e I) 11. Total Deductions 12. Net Value of T8)( Return 13. Ch.ritab1e/Gov.rn~ental Bequests; Non-elected 9113 Trusts 14. Net Value of Estate Subject to 18)( (9) 110 I (Schedule J) NOTE: If an assessment was issued previOUsly, lines reflect figures that include the total of ALL ASSESSMENT DF TAX: 15. Aaount of Line 14 at Spousal rat. (15) 16. Amount of Line 14 ta)(ab1e at lineal/Class A rate (lb) 17. Aaount of line 14 at Sibling rate 117) 18. Amount of line 14 tB)(Bb1e at Collateral/Class 8 rate (18) 19. Principal T8)( Due C ED 14, 15 and/Dr 16, 17, 18 and 19 will returns assessed tD date. ,00 x 00 = 300,220.77 X 06 = ,00 x 00 = .00 x 15 = 1191= .00 18,013.24 ,00 .00 18.013,24 HUHBER AA185064 C0003102 INTEREST/PEN PAID (-I ,00 5l5,42- AHOUNT PAID 17 ,015,54 1.513,l2 DATE 01-11-1997 10-10-2003 TDTAL TAX CREDIT BALANCE DF TAX DUE INTEREST AND PEN. TDTAL DUE 18,013.24 ,00 .00 ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS lESS THAN $1, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), yoU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) RESERYATIONI E.tata. of dacadant. dying on o~ before Oeca.bar lZ, 1982 .- if any futura Intara.t In the a.tat. I. tran.farrad In posse.slon or enjoyaant to Clas. I (collateral) beneflclarle. Df the decadant after tha expiration Df any e.tate for Ilfa or for yaars, tha Co..onwealth hareby Dxpressly re.erve. tha right to appralsa and aSlel. tranlfar Inherltanca TaxD' at the lawful Cia.. B (collataral) rata on any such future Intere.t. PURPOSE OF NOTICE: To fulfill the requlreeent. Df Section ZI40 of the Inherltanca and Estate Tax Act, Act Z3 Df ZOOO. (7Z P.S. SactJon 9140). PAVHENh Oetach the top portion Df thl. NDtlce and lub.lt with your pay.ent tD the Ragllter of Will. printed on the ~averla .Ide. -.Hah check or .oney ordar payabla to: REGISTER OF' HILLS, AGENT REFUND (CRII A rafund of a tax credit, which wa. not raquastad on the Tax Return, .ay be requested by coapletlng an "Application for Refund Df Pennsylvania Inheritance and Eltata Tax" (REY.1313). Appllcatlonl ara avallnble at tha Office of the Regllter of Will., any of the Z3 Ravenua Dlltrlct Office., o~ by calling the .peclal Z4.hour answering service for for.1 orde~lng: 1.800.362-Z050, .arvlces for ta.payers with Ipeclal hearing and I or Ip.aklng n.eds: 1-800.447-30Z0 (TT onlyl. OlJECTIONS: Any party In Intere.t not satl.fled with the apprals..ent, allowanca, or disallowance of daductlons, or ass..,.ant of tax (Including dllcount or Int.rest) as shown on thl, Notice .ust objact within sixty (60) days of ~.celpt of this Notice by: uw~ltten prot..t to tha PA Dap.rt.ant of Ravanu., Board of App.als, Dapt. 2810ZI, Harrisburg, PA 17128-1021, OR "election to have the .attar d.ter.lnad lit lIudlt of the account of tha personal representative, OR --appeal to the Orphan.' Court. AD"IN- ISTRATlY[ CDRRECTIONS: Factual .rror. discovered on this alse.seent should be addresled In writing tDI PA Departeent of Revanue, Bureau Df Individual Ta.as, ATTN: Post AI.ess.ent Revlaw unit, Dept. Z80601, Itar~l.burg, PA 17128.0601 Phone (717) 787-6505. See page 5 of the booklet "Instruction. for Jnherltanco Tax Return fo~ a Re.ldant Decedent" (REY.1501) for an ..planatlon of ad.lnlstratlvalY corractable error.. DJSCOUNT: If any tax dua is paid within three (31 calendar .onths afte, the decedant". death, a five parcant (5~) discount of the tax paid I. ellowed. PENALTVI The 15X tax aanesty non.partlclpatlon panalty I. coaputed on the total of the tax and Intera.t aSlessed, and not paid befora January 18, 1996, the flr.t day after the and of the tax o.n.sty parlod. Thi, non.pa,tlclpatlon penalty Is oppaalabl. In the sa.e .ann.r ond In the the s..e tl.e period os YOU would appeal the tax and Int.,.st that ha. b.an alselsed as Indicated on thl. notlca. INTEREST I Int.re.t I. charged beginning with first day of delinquency, or nlna (9) .onth. and one (1) day fro. the date of death, tD the date of pay.ant. Ta.as which beca.. delinquent before January 1, 198Z bear Inter.st at tho rate of sl. (6X) percent per annu. calculated at D dally rata of .000164. All toxe. which baca.. delinquent on and aftar January 1, 1982 will baa, Intere.t at a rate which will vary fro. calendar yaar to calendar yaa, with that rate announc.d by the PA Depart.ant of Revenu.. Th. applicable Intare.t rates for 195Z through 2003 aral Int.ra.t Oalty Intarnt Dally Jnter..t ...!!!!.. ~ Ve.r ...!!!!.. ~ Vaar ~ Dally Factor Year 1982 ZO~ .000548 19111 9X .000Z47 1999 n .000192 1983 I.X .000438 1988.1991 IU .00Q301 ZOOO ax .000Z19 1984 l1X .oonol 199Z 9X .000247 2001 9X .000247 1985 13X .000356 1993.1994 7X .00019Z ZOOZ .X .0001M 1986 lOX .00DZ74 1995.1998 9X .000Z47 2003 SX .000137 .-Inte"st I. calcul.ted a. 'Dllows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. Issued aft.r the tax baco.e. dellnquant will reflact an Interast calculation tD ,Ift.en liS) days beyond the data of the a.sa.s..nt. Jf payeent Is .ada after tha Interest co.putatlon date shown on the Notlca, additional Intare.t au.t be calculated.