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HomeMy WebLinkAbout96-00360 1:\111/(' 01 Aglll'S B. CoupL'r a/\l1 AIlOH'Il ll\ PETITIOI' F<m PIWnATE :Iud (;I{ANT OF I.ETTEI{S :</- 9" . :3 ~ 0 1'\11 In: Sodal ,\I'I'lIr;l." Xo. 215- 31,-94U2 /'I'I'I'I1\.'d, Il<,!,"I<,' ot \\1110 t", Ih<, lOlllll~ 01 Cumberlanu 11\ Ih<, (, 'OllIlIlOIl\\ l'illlh nl Pl'lIl1,yh'ania Ihl'lWlilioll '1IIhl'lllllkl'I~llnlll''''pl'\'.-IIIIII\ Il'pll"l'lIh Ihal: YOIII Pl'lillOlh.'Il'.. \\110 1'. ,II" I~ \l',,,.. 01 d~'l' 01 oldl''- anlll"l'\l'I..'HI ill I hl' 101..1 \\ illl,1 I hl' abl'\l' dl'll'lklll, dall'd :'1;1 rell () t alld <,o.h,';Il,1 dill".t /;//\ E."c.culur LlmI HulHilltuto EXt:lt:lIlur have nmuulH.:mI nanll'd ____.I'JJ5__ 1'1.l!~' ,d\'\.tlll ,II, IIm'I,llh~'.. I ~' I, !i',II, I,Hlolli, ,I.- ,:1 ,i! ,"~'cll1tIT, rh.1 Ik\:l'l1lknl \\a, '.ltl'lIil.:'ikd ;11 dl'illh III Cumher I and h ~r la..1 fal1lily 01 l'!illt.:il'alll',idl'Ih.:l' al 335/, \~alnlll __Catll' HUt Buruut:h. i'A <. 'llIl11l~. Pl'llll\yl\'i1l1ial willt Street, Call1l'_UI)I____._ 11l,1 ql\'d, 1l\J11l1'~'1 ,lid tIll1ll.q',III!\ I Ik":l'11lknl.lhl'll 87 ~l',II" ul ap', dil'd Fehruary II t ___._, pl._9J)_____. III lIuly Spirit 1I,,);pltal _~__~___.____, 1:\l'\.'1'1 ,I" llllltl\\... dl\:c.:Ul'lIl .lid Ihllll1alry. \'tl' 11111 di\llll'c.:d and dId lUll ha\l'a l'hill! horn OJ auopll'd :.111\.'1 1:\l'ltuiol1 of I Ill' \\ill "nl'll'd hH prohall'; \\iI' lIo1lhl' \ i,:tilll 01 " )"illill~ ami \\iI' Ill'\'l'r iu.Jjlldil'illCd in,,:,)llll'l'll'lll: K/~\ _,~ _ ______,.,_______________ Ik...'l"Hknll!! "k~"h \'l\\ill'lII'I,lrl'll~ Hilh l',lilllall,.'d \allle.. a.. 1(~lhl\\": (If dl'I1I,\.'ilL'd ill 1'01,1 :\11 pL'r"lll1aII'HlpL'II~ (IIIHlI "h'l1l1....lkd il: P;a.l I'l'I"Ol1al plopl'n~ III Pl'lll1..yhallia (111lt1t dlHlli....lkd ill I)a.) I'l'l\{lllal prl1pl'ny III <"'llIlIlIY \'allll' III Il'all'..I,lIl' III Pl'IIIl..\hallia ';111111(,1 Ih hIli,,,,,; 3354 \,alnllt St reet, Campllill. S JJ'1..knul'l!! _____ S_UnknVI;Jl ~-~-/(--T-- ~ t{.fI. ftI.f\U .__~__._ .______._ P.cnnsylvanta_~____ \\ IILRIIIlRI. 1'<,lil;""<"(') 1<"I'<'<'Iltrll\ I<'IItr<,'I(" Ihe 1'"' 11I1I \' ,,' Ih<, I,,,, will IIlllt muicil(\) 1'11'''l'llll'd I1l'rl'\\llh ;lmllh\,' !!Ialll t)1 kiln.. u[ administratioll. CI T .AI __~_________ '~,'.Ll1ll~'n;,tl\: .IJI1l'l'~'Tr.ltl"n.- I ,I; .1dll1ilH'lr,llllll\ II,h.I1_\.I..I,1 1111..'1'111. o t2/?r1U Albert F, Stidman 2790 Prince lIaruld Cuurt lIearndull, VA 22071 -rJ- ,. r, ~J ~0 ' ; r: \ . aL U_cU""" _- ;,..L? .1./ .IIC'1l1f:ine C. Shaffer __ III l!llnker lIi11 Ruad --- ~--._.._~------ :\e\~ Cumber laud . J'A uj:nQ._ ~~ " j --_._._._~- ..---.-.-..-.,---- OATIl OF I'EnSOi\AI. IU:I'IU:SI.:~TATI\'E (,1I"'III"\E.\I.l"1I OF l'i':"SYI.\"A'IA ('( II "" II F Gumhc I' I. III I! I . s:-; roo Ihl'l'lllllPl'l'Il\,\ :thl1\':-nilllll'd -\\\''011;,) III ,tllllll1('llh,1t lhl' "all'l11l'I1\'o illlhl' r,ltq!oill}! pl'tiliul1 arc Ifill' ,llId .:.lilL',,:1 1111hl' ill'q lllth\,' ~Il'l\',h:dfl' ,lIld h'hl'llll I'l,tili'1I1l'II..,.llld Ihal a.. I'l'I"Ollal n."ph~,l'n. 1,1I1\L'! ) ,II Ilh' ,lhtlll.' til'\.l'dl'I" 1'1'1111l11h.'1(\,1 \\111 \\dl ,1IH11I1lh 'HII11~)hl' l',I.lIl' .'....l.onlin!! 10 1,,\\. S\\nfll lo' III .1111lI1h~1 ,Hid '1I11'dl"l'd I .tfu 1'14'1. d'-,.,r-.,. 1,-1 ~ h71~" 'II. 'ii" ~2) .1.\\ III ~J. "-J:',u v....<-. C\.J..II"-li.L~' ~ .ripr!. II ' oj j?6 1 j (J m :: ,j, f4..~1 L,' 'iI<L..J,f-",'/J/')Ut,kl'l'&j - - ~ /.- /Ce>-rs- ,g'T""" 1 (J 2 ,,'.:1 . F' Mary C. I.CWtS !'in. 21-%- ](,0 --~-_.-_._-~..- -----_._--~---_.. Esllllr III' _~\!.ll"; "'.,_CI~Jl'l'r..--_-___-___-_._-' lkcrllsrd nECUEE OF 1'lWUATE ANn GUANT Ol" LETTEUS AND NO\\' .____. May . ~.~,_.___... _ _.."" . __...._. ___ 19.2.(1. ., ill """ideralioll of the petiliolllln the rc\'cr!\l' !olidc hel col'. !\athhu:tory prouf ha\ing hl'CII prC\Cllll'd ht..'lufC me, IT IS DECREED Ihal the ill"n,melll(\) daled... . Hard1...6,_ 1975___ de,eribed thereill he admilled 10 pro bale allll filed of reeurd '" Ihe I"" "ill of __'~lllleH II. Cuuper alld Lellm u( a<lmlnl.Htr';.tlu!'""c.I:-;;;-;-n..-----..---. . ------- are herehy granted III __AJ!>eLLJ'.,__5Udm'JlL-'mIL,I"c(IU\:lJJl~ L.__ShaLlli~ --------.--- .----- ----------------------..---- ----~-- '} /7 '-I!.' ) ,/ -'!t~~cf.t~~ aj P.tt->ilJt..W, U l~el,i'lcr .11 \\'111, ~~Iu ~ Marl C. L~wi.s r FEES Probate, Leller', Ele, ..... S305.00 15.00 Shnrt Certificate,{ .) , . . S.___ ..._- Renullciatioll ..1.4)"""..." s..JQ.,.oo_ I\ffidavit _._____ S_3..jl0_ X-Pages (1) TOTAl. _n S 3.00 J.~P M 2 d 199'" 'i.00 I-Iled ".9Y"I1,,,..v.. 341.00 l:elth O. IIren!1(Jman 47077 ,\TlO!{St\' (SUJl. n. 1.1). ~n.) Ill, U. t~ain Street ~.EhanicHburB. :'A 17055 AIlIlKFSS _____C7JJJ 297-n_~~ 1'1I0NL ''5 tJ~ o - .. -e-:( ?!'- o 2 ~ rx: ~ '.' s C) ~. c"' . roa: 0: \0 p' , u;C: -=' uU Call Attorney on May 3,l996. 21-l)(,-360 REGISTEI{ OF WII.I.S 01; ClIHIlEI\J.MW COUNTY OATH OF SUnSCIUIUNG WITNESS COllicil (cach) a subscribing willless 10 thc will prc,clucd hcrcwith, (cach) bcing dnl)' qnalilied according to law, dcpose(s) and sa)'(s) Ihill prcscnt and MIll' the tcstat , signthc same and that signcd as a witncss atlhe request of testal_ in 11- presencc and (in Ihc prcscnce of cach olhcr) (inthc presence of the othcr subscribing witncss(es)). Sworn to or affirmcd and subscribcd beforc me Ihis _ da)' of 19_ (Name) (Address) Rellisler (Name) (Address) REGISTER OF WILLS OF CUHBERJ.A~D COUNTY OATH OF NON.SUBSCRIBING WITNESS Albert F. Stidm<ln <lnd J<lcqueline C. S!wffer (each) a subscriber hcreto, (each) bcing duly qualilicd according to law, deposc(s) and sa)'(s) that they <Ire familiar with thc signature of AgneR B. Cuuper ~k testat..rllL of (one of the subscribing witncsses to) thc will presentcd herewith and codicil that they belicveXlhc signalllre on thc will is in the handwriting of testatW- believ~lr'thc signature of Ihc will prcscntcd hcrcwith and that they oodiaik believ""lhc signalurc on the will is in the handwriting of ,\gneR II. Cuuper to the best of _the!.!:.-~ knowlcdge and belief. Sworn to or aflilOlcd and subscribcd before (?t!t-/' / ~ h' 29th " I' Albert F, Stidmnn me I IS ua)' 0 (Name) ~' J9 96 2790 Prince lIaruld Cuurt, lIenrndun. VA 22071 a~1- ~~~~, fa; ~f/YJ1'~:TLU &k/tId(!:J1 J7 izll~ I,J J<I:.-itue1{'Je c. Sh<l~M,rlle) I 111 lIunker lIill Rd.. ~ew Cumberl<lnd. I'A 17070 (tlddress) . . . '. L^:~'r HILI, AIm 'l'EH'l'A1.tENT I, !lgncs ll. Coopcr, a rcsidcnt 01' thc Borough of emnp Hill, Cumberland COWlty, Pcnnsylvania, bcinl~ of aowld and III "podnl~ mln<l, mcmory alld undel'atallll- ing, do makc, publinh anll dcclarc thin an and 1'01' my lant Hill allll 'l'catament, hereby revoking and making null and void any anll all '..I111n and 'l'catmnentn, or wri tin[;s in the nature thcreol' by me at allY t tme heretol'ol'e made. 1. I nominate, conntitute and appoint S. Joseph !,!oomaw, Esquire, Camp Hill, Pennsylvania, to be Executor of thin, my last Hill and 'l'estament. Should a substitute or succesnor Executor be required, I nominate, conntitute and appoint as such Cumberland COWlty National Bank, New Cumberland, Pennsylvania, or its successor corporation. I direct that my said Executor shall not be required to give bond for the faithful performance of his duties hereunder in this or any other jurisdiction, and that if, notwithstanding this direction, any bond is required by any law, statute or rule of court, no surety be required thereon. II. I bequeath to my niece, Patricia Hornby, who, at the time of execution of this last Hill and Testament, resides at 2 Hilton Villas, New North Road, London, N.I. DN, England, the sum of five thousand dollars ($5,000.00). It is my express direction that this bequest shall be free of all inheritance or es- tate taxes, it being my direction that all such taxes which may be assessed as the result of my death shall be paid out of my residuary estate. III. All the rest, residue and remainder of my property and estate, of whatsoever kind and whercsoever situate, of which I shall die seized 01' possessed, or of which I shall be entitled to dispone at the time of my death, I give, de- vise and bequeath to my son, Albert F. Stidman, Falls Church, Virginia, the same to be his abnolutely. Should my naid son not be living at the time of my death, my entirc rcniduary cstate nhall pass instead in equal nhares to my then surviv- ing grandchildren. IN HITNESS IfHEREOF, I have hereunto set my hand and seal to this, my last t Will and Testament, this ..i.- day of ),lareh, 1975. lif Ii :,( !.{) .frt.,' " l 'i./ Agnes B. Cooper (Seal) '.j RENUNCIATION 21-%-360 In Re Estate of Al!ncH II. Cuuncr deceased. To the Register of Wills of Cumbc r land County. Pennsylvania. The undersigned S. Juscph Nuumaw. namcd CXCClI tur of the above decedent. hereby renounce(s) the right to administer the estate.and-H5j>eet{lI!I)'-lI5k{,)-thet-L-cttefS bc-issucd--to WITNESS hand this 25th day of April ,192L-. mv S. Jus ph .,79 i.Af4 t<<El41JC !JIlloJC /!'IIsr 13rm...; I'A /7 3 (" (Add,es.) (SlanOIUr.) (Add,es.) (SlanOIU") (Add,es.) .. ~. .' ... ' S - 8- 1(, ("r J ~ L ~>~c~fXU~ -fj!o~.~"~j~~- (0 _~',~,-/c..jn 1..5,000, - Q;JJ pCl1/r.u~,,-6 i ~.J/vu:bz-"-,,,-, h p, ,.d~. ~bdLJ f Cttpt.,/ ~. C.().rYf'~J) (~/-1C'-.3"(}) PfitZd-- /J...2......,..{. .....x/..z., /'JI.-~k 1~o~x to: LYl"0-~ Cfovt~ SA CLl-t.'L/ / I { /3.JLtu; /-k-lI I2d '-11w (J.ln-~~'d.~- rfl- t7['70-~.5-JJI '. - . 'JIlC~IE S ~rs. MMinShalfer 111 Bunker HiD Road New ClJ1lbelland, PA 17070 - ;153'1 ,,-.jL;~ ~ ~,c. "- r/LJ --C~, tk'>4J O-v-&L --Uf ...-tJ...",:i. ~-I--<:WL ~-J . L I rJ'L6~' 9'-<i0SJ <jfu . , t . , l . - .. ---- . -. ~.:;_. ---'._-.~...bd.~ 4> t..... -'1:. .-. -. ~.. -..... ..., .- . Rcce "', Ii' , 0: " ..it; '11'- -') 11AY -9 ,1'] :27 C" r\o.-. .r Cu:nbeiland -, " . ^ l',~ . I' I. I " (I,: r , , l', '. ._---" ----"",.,..,- . -;::'~'.~-_._'-:-----"'-N. r.. 4f"',r_ .,-:.. , \ ~ -ttf '0 ., . !!! 0 .) .- 2~~ <::: ~> .. u ~ "T~~ ,. !Y- .. j. ~j , ~ ..) , U '~'.) ; o c, ~ '. E <DO: .ll =' a: uO ....''''! 1M. 11\.911 ~j. llOooMoNwu.l'H qr,"~H"".N" a0Al1M1Nl iiiJ,.'NU1 _~' J. ""1.<1+0, I !I! Ii 8~ ! ~ ~ 8 I ~ a f.r. . J ,-y ') .., INHERITANCE TAX RETURN RESIDENT DECEDENT (TO I. FILED IN DUPLICATE WITH IEGIST!R 01' WILLS) ... H_ PA NO. 2196-0360 CDUNlYCX)Ot 1996 VIAl 00360 NUMIlI Cooper, Agnes B. I 215-34-9402 09/21/08 3354 Walnut Street Camp Hill, PA 17011 Cumberland 02/11/96 CIlI. 0.1g;.., R..... o .. I.lIoit.d E"." o 2, s.'PP'.....~al A...,. 0... """.. 111I..." C-plC''''''' ,.., clare.., death alror t2.12..21 o 1. D td.... MoiftfOi'*' 0 LmI\Q Tru&l ad. y 01 T",~I 03.. 'oIablw. ,.,.... II... prlot.. 12.1 U2l o J. ,.."" r.. T"" ...... ~ .l.... T....' N....... II $010 DopooII '- Thomas'M. Devlin, Esq_ . 1802 Market Street Camp Hill, PA 17011 338,620.69 13,407.50 J2!>,213.19 0.00 325,213.19 19.212.79 750.00 19,962.79 15.750.00 4,212.79 4.212.79 ,.. P.ttfl"'l'. I cMdo,.. lhat I hOft UOI'Ilined thi, retufn. =:1 D(companyh'll KJte:duJe. artd .~ II to "'1 g. , It IItrw. ~ oM ~... Mdo,.thal all ,1ICI1...... hot bMn r at If",. Marbl woIu.. D.da,ation of pt.pa........,~ thI peno.oJ "'111 . "_ill. ....... .. .1 IroIonolatIool 01 . P......,., ha. ..y .....1ocIe., I U ~R ut.r"'! :)'7'/" /!,,}c. /1." ./,J c 1-/".",/.., YiI}Jc It III N. '" f ADO'" ; f. ' . '/. "1/' .' /1,/' ~~/I /;::;:, / 't'...J.. r iL.<v('V-.J/ . 0; i/;' C,// // / I ~ /f 730-9878 !. iloal ed." (Sc!ooduJ. A' I I) 2. Stad....d Iandt (Sc!lodvI. .) ( 21 2. Clacaly I1tld StadclParlnat.t.lp lot_ (Sd..duJ. q . ( 3) .. Mangov" alld Na'" Aocol.aI.Io (Sd..dvlo OJ ( ~) J, CcuhScl..d~~~" I. Mioc.ll_. ""......1 Property( 5) 224. 249 . 64 I E) 6. Jal.1fy aw-I '--'Y 1Sd..d.1. II ( 6) 7. Tro...... ISdood.l. G)ISdltclult 4 1 7) .. Tatal Grot. An'" ~"allin.. 1-7) 9.1.....1 up.".... Ad",;.i."atn.. C.tI.. MilClba_v. I 9) 13,407.50 fa_. 15d,od.J. H) , 10. Dollt'. Mattgag. Uol.1~_, u... (SdIodvl. II (10) 11, TGlaI Doduclia". ~atall;"" 91. 10) 12. Nil Val.. aI !1Ial. pint 1 1ft..... ~... 11) 13. CJ.aritabl...d ao.."_alloq..." (SdlOdul. JI 1.. Nil Val.. Svb~" la Ta. Pin. 12 minv. Nn. 13) 15, "-v.. all.., U ....bl. .. ~ ..t. Padvdo ...... It... Scloodul. K at SdIodvl. 101,1 16, A-......f~... 1~ 'a..bl... 15" .... (I..dud. .alv.. /.... 5"''''.'. K at SdItduJ. 101.1 17. PrincipallGJtdvt (Add t.. from 11M IS llIId ""'" 11M 16,) 18, C,edit> 5poonat P"-'Y Croc/i, Pria, ~.nt> DlocaI.nt + 15,000 + 750 19. 1/ Ii". 111. .-" "",".11I 17. _ rho dlfIwo_ Oft..... 19. ThI." rho Ovrl'''YMINT, IIDI.---..------....-a..,~.__............lIII1In~~~..~rl"tl'Slll'lUl. 20, H Alii 17 It a-or than W II, ""'"' rho ""-1M. Oft I1no 20. Tlolt It rho TAX DUE. A. E_ "'" lot....t .n rho bola_ ..... .. be 20A. .. E..or rho IOf.1 allint 20 and 20A an hili 201, Tlolt i. tho lALANa DUr. MooIlO a..... r.y.lolo "" ...... .f WI"'. Ag.., 79,279.14 35.091.91 0.00 0.00 n~nn 0.00 ( I) 0.00 (111 (12\ (13] I. lIS) 320,213.19 1e.06 . (161 5.000.00 Ie .15. (17) 1- (II) 1'91 (2Ol (2OA) (201) <.- , '. . " ,'C-t.>',( OAf /tl_~/-'/t PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (v) IN THE APPROPRIATE BLOCKS. 1. Did decedent moke 0 Iransfer and: o. retain the use or income of the property tronsferred, ....................................... b. retain the right to designate who sholl use the property transferred or its income, t. . . t t c. ra oln a reversionary In eres or ..............................................................t..... YES NO d. receive the promise for life of either payments, benefits or core? ....................... . 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving odequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate considerotion? ................................................. 3. Did decedent own an 'in Irust for' bank account 01 his or her death?..................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. '".' . . '.)0 x x x x x x . . .' A. SI:1-rLl:lil:lIT STA'l'l:lil:lI'I' II,'. LoUNl'lUllf...r 1I\1~""" ~u UIIDA.Illll~IW'I'II"r '-'KI 110 lillI_Un 1'r ., TIll !;II WAIl I, I "" I. I I ,-.1&4 I.' I t..n.. unl..\,. 'II.' IIUIUIU\ I" l.lJM II~I"IU I" ~.f'(.Mi1 1" tAU IIlIdU .. 0 on ., I I Cunw. In.. 'IlUUl\~ , ,. IIQtll1'II" I.... h h.IIlt...., '0 tin p'" . ,1. h.'''' ..I uh.l ..\\1.....\ \loot'" Iwt..".nh I'd" ... ."'" 111 "Ill .."h....' ...., ... ........... 1\... .......01 "l,ocl' "... 1"101 ",.."1'-' \"t dUI"',,' \1..,...11.0.. h... hr ,",.....'10".1 poI.pe....... "I ... h.lIId,1I h ".. huh. 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MMLtl' tt',U n01. 'l'AI azCIl'U .. J,ATILA11lIlANTI 2.00 1411U. \VJAI. .....UIWo.. ";...oi.~~ 11..:UC...ll::u '(1', h'l\lllll .1....I!oQ), 'fc'lonlll 1.'U." ,,'12.00 - unLPIllt nAtlll.Ul'T ,.\101 2 I, lI,nin, p.,. 101 I.hh .'a\'..II1., \h. 1l911.u,tl.. .e~nl,l",l.~,. nell,,' ot ,'~~~~ .~ """""''''''''''''''Dl.'--~ Cttl.Uhd \0 b. . \"'. COpt hNl ~rll',. Tunflll' C..plllt litnl..,,.I. -'91ftl I.tllt 2 ".,. t",..tAt. . .. 11I"'""1.....'.... COMloOOIN<EAl.tH 01' PEWlSYlVmA IHHERITAHCETAX REtURH RESlOEHT OECEDEHT ESTATE OF SCHEDULE B STOCKS AND BONDS FILE NUMBER 2196-0360 Agnes B. Coope~ (All property JolnUy.ownad with RighI 01 Survivorship mUll be dllcloltd on Schsdul. F,) ITEM NUMBER 1. 2. 3. - 4. - 5. DESCRIPTION VALUE AT DATE OF DEATH BIIC Securities P.O. Box 7746, philadelphia, PA 19103 Acct. No. 22014221 (No cash o~ secu~ity position on date of death o~ post-death - See attached lette~) -0. PNC B~oke~age co~po~ation 630 Dreshe~ Road, 1I0rsham, PA 19044 Acct. No. 22014221 (See attached note stating all positions in account we~e liquidated and p~oceeds sent to add~ess of ~eco~d on 3/27/95) -0- Smi th Barney P.O. Box 12057, lIa~~isbu~g, PA 17101 SB Mutual Fund Acct. No. 724-06993-15-410 Plus cash of $149.61 included (See attached date of death value lette~1 34,69 L. 91 Atlantis Inte~national Co~p. 100 sha~es G 1.00 (No dividends paid) 100.00 Insulock systems Co. 100 sha~es G 1.00 (No dividends paid) 100.00 -Note: Stock not openly t~aded. Executo~ ~esea~ch ~equest of B~oke~ has not ~evea1ed any cu~~ent value o~ t~ading. The~efo~e nominal $1.00 pe~ sha~e value att~ibuted. . .. TOTAL (Also enter on On. 2, RecapltulaUon) $ 35,091.91 QI mall Splc.ts ne.ded, InselleddiUonal sheets of s.m. size,} .----~ ,/ lhG ,u" ,tI.,-t-trl - 0 ~ ~~u. - #"''7. t" '1'''' ~ U"-' '8 ~ I'"I~ I> ~ ~~ ~ (AP#..::t. /- 11"\"'1'11\,""1""" \" /' '/ (' 1ft' fl'.\III'lI'. .ull/IM" ""1'.'1'1'11'1111',' _ J(,r ~""r4-I""C ff>t<-r ?WI r .J1.N-lA- S~liI. - ~,..f,. 11! "";~ _J/,fr ~:; ~,,:t!I(C June 24,1996 r ~ _SM4~~1hP~ ~ Keith o. Brenneman, Esquire SNELBAKER & BRENNEMAN 44 West Main Street Mechanicsburg, PA 17055 . ~~~;.~;,~;; ",' el~ Re: Estate of Agnes B. Cooper, Deceased Account No,: 2201422\ Dear Mr. Brenneman: In response to your letter of June 20, 1996 please be advised that the above referenced account, registered in the name of Agnes B. Cooper maintained neither a security nor a cash position as of the date of death, February II, 1996. A review of the account history indicates that there has been no activity in the account since August, 1995. . If 1 can be of further service to you regarding this matter, do not hesitate to contact me at 215-636-3058. Very truly yours, ~lL Robert B. Kaplan 1(~('t(, ~.. . /rdt ~ H "" P 3 \I0,Rnl:J,~k 21~'(,:\I,.:\I11111 . . .' U'l - VltlVO u/ ,::) 3;3 H I '::>~.k:> . SNELBAKER 8 BRENNEMAN ^ l'kO'U~IONf\L COkJ'ORA'10~' AlTORN[n AT ~W RIClMR.D C. )N[LBAKlR. KEITH 0 BRENNEMAN PHILIP H_ ~PAAE 44 'Nur MAIN URLL 1 MECHANIC5DURG, PENN~YLVANIA 1/055 711.6U/'lJ~2U P. 0 BOX 316 FAOIMILt Qil) 001-7061 June 21, 1996 ~ v~., N1r~Y ,*C/(j tV PNC Brokerage corp. 630 Dresher Road Horsham, PA 19044 Re: Agnes B. Cooper ~ Account Uo. 2~014~21 / Sirs: Dear Please note this firm's representation of Albert F. stidman and Jacqueline C. Shaffer, Co-Administrators of the Estate of Agnes B. Cooper, deceased who died on February 11, 1996. It is our understanding that Mrs. Cooper was the title owner of the account referenced above. This letter will serve to request that you provide me in writing with a statement setting forth an inventory of the above account and a date of death value for same. If there are any other accounts in which Agnes B. Cooper was the owner, please identify same setting forth its contents and the date of death value for each asset therein. In addition to the above, this letter will serve to request that you provide me with any documentation necessary to change title ownership of the account to either the Estate or the beneficiary under Mrs. Cooper's Will. If you should have any questions concerning this request, please feel free to contact the undersigned. I thank you for your assistance. '{ours truly, KOB/sz CC: Albert F. stidman Jacqueline C. Shaffer 1&!/~r)Br~5Z:J ,~p~ 'Ii' ,:;V plo\ -Uv ~ ~ t(tLI~~ ,1r~ IVv~ ~ 3/;17/,,5: ~ ~/~ ~_ ~ ~ 11.11;; ~! ~ ~-- TOTAL SECURITY QUANT ITY PRICE VALUE Cash 149.810 1.000 $149.81 SB Mutual Fund Diversified Strategic Income 4,326.538 8.030 $34,742.10 Class B TOTAL ACCOUNT VALUE FEBRUARY 11, 1996 AGNES B. COOPER - ESTATE VALUATION $34,891.91 The Infonnatton contained herein has been obtained from sources deemed reliable; however, due to human error, complete accuracy cln not be gUlrlneteed. .. . .. ...1.. v.. ,U", COlo\lIOIfNEAL lH Of PEJ</l1lYL VNIA INHEl\ITNlClI TAX RElURH RESlllE/ITllECl!llE/IT SCHEDULE C CLOSELY HELD STOCK, PARTNERSHIP AND PROPRIETORSHIP Ple"e Pr!nl or Type FILE NUMBER 2196-0300 ESTATE OF Agnes B. Cooper (schedule C., or C.z mUlt... etleched lor elch bUllnGlllnterelt 01 UlG decedent. other thin e proprletorlhlp.) DESCRIPTION VALUE AT DATE OF DEATH ITEM NUMBER 1. None TOTAL (Also enter on tine 3, RecapftulaUon) Ii 0.00 QI more splc.1s n.ld.d.lns.lI.ddiUon.' sh..,s of s.m. sJz.J ACcount t-b. Type Date Opened or Issued Date Closed or Matured D Dauphin Deposit Bank and Trust Company MAIN OFFICE: 213 MARKET STREET. ItARRISOURG, PENNSYLVANIA 17101 717 255-2121 Decedent Confirmation Name: Agnes B. Cooper SOcial Security No.: 215-34-9402 Date of Death (DOD): 02/11/96 8100714665 ------------------------ ------------------------ ------------------------ Certificate of Deposit ------------------------ ------------------------ ------------------------ 03/29/95 ------------------------ ------------------------ ------------------------ 10/29/97 (Maturity) Date of Death Balance $23,849.76 ------------------------ ------------------------- ------------------------ PLUS ------------------------ ------------------------ ------------------------ Date of Death Accrued Int. $1,463.25 Joint Qlmers (if any) None ------------------------ ------------------------ ------------------------ Date of Joint Qlmership ------------- ------------------------ ------------------------ ------------------------ ------------------------ ------------------------ ------------------------ ------------- ------------------------ ------------------------ ------------------------ Special Comments: N/A Additional information availabl. at $20.00 p.r hour. On. hour minimum. Date Prepared: JUly 3, 1996 Prepared by: Cheryl A. Bowers . .' Customer Management Information Dept. (CM!) Page 1 of 1 Farm 00-020-218 (REV 7/93) Telephone No. (717) 255-2054 I~SINCE 1914 ~\I,.?/ ~111~1@71 218 Camp Hill Mall 'Campllill,Pennsylvania 17011 THE DIAMOND SPECIALIST Phone7l7nJl-185S --ro /;J Adm 1+ ()toet (lO)1 CVJ II. J - fl1.li.it peul htw~ wi id/J.:i:u flitJ'''-oJ& bdl-- !luvt- ~ eJpJp. ~ .,M.LvedL~ Ii.~ p-v w(J)., ftJl.Lrd P-<<r- brJ.~ - aJ2R..- .A<-tf1 fk/Jp - WIu;o.:lOJ1.v "=~u. AD~ {bVv, - ~~v ~ P-'I/Jlcu...t- - I-vMA in.c. ~ tr0..Aco.A'Ado - 10 J.;t. 8N..vi ~ ~{1.Q.cf2AJ1a?.- - C!AoI!vz.. wt;b.., 3or.d.~ ' ~ - /.l1;M.a.~ .;tJ..ctftlfy -Itr ~uu::Mv - oj IuA. ~ A.wr.nlV~pIJl-' '""" ?9-" ( MIPhttuf!.D!o/ud.;\.A..,.~ - c?v{C.J)LL8.- fUtIJJJ Ml~4{d.. !L(m4:- /1'<J..&fR... pI1CUttt{;-. - ~~ (~iIv) r;ocJ..,-f/)~ ~ wdN lJ ~ ~tJ..- ~ Ci..eL ~ ~ fAIy;L," ~ ~ ()J), 10 ~ ~1Jifl:/t{)Z.; ;It{JM.o ~ . ~. . ~Ld~ Oju /Jd~fr;>w(wkQ;fo'jQ,) ~~ ()tNA ~ .' ~. OJ);.. p.tee.o ()J(.t, ~ ~ " . .. . .' UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF CALIFORNIA Defendants. ) CIVIL ACTION NO. 94-1455D (POR) ) ) ) ) ) ) ) ) I LOWELL A, IIAJlN, et nI., Plaintiffs, v. INVESTORS TRUST GOVERNMENT FUND, ct nI" NOTICE OF CLASS ACTION DETERMINATION, SETTLEMENT OF CLASS ACTION AND SHAREHOLDER DEIUVATIVE ACTION AND HEARING THEREON, AND IUGIIT TO SHARE IN TIlE CLASS ACTION SETTLEMENT PROCEEDS TO: ALL PERSONS WHO OWNED OR PURCHASED INVESTORS TRUST GOVERNMENT FUND SHARES DURING THE PEIUOD FROM JANUARY 1, 1992 THROUGH NOVEMBER 8, 1994, INCLUSIVE, AND ALL INVESTORS TRUST GOVERNMENT FUND SHAREHOLDERS OF RECORD ON OCTOBER 11, 1995 PLEASE READ TIllS NOTICE CAREFULLY. TillS NOTICE RELATES TO TIlE PENDENCY AND SETTLEMENT OF TIlE ABOVE-ENTITLED ACTION. TIUS NOTICE MAY CONTAIN IMPORTANT INFORMATION AS TO YOUR RlGIITS. TIUS NOTICE IS NOT INTENDED TO BE, AND SHOULD NOT BE CONSTRUED AS, AN EXPRESSION OF ANY OPINION BY THE COURT WITH RESPECT TO TIlE TRUTH OF TIlE ALLEGATIONS IN TIlE ACTION OR TIlE MEIUTS OF THE CLAIMS OR DEFENSES ASSERTED. TillS NOTICE IS MERELY TO ADVISE YOU OF TIlE SETTLEMENT OF TIlE ACTION, OF TIlE CERTIFICATION OF TIlE CLASS IN CONNECTION WlTII TIlE SETTLEMENT, AND OF YOUR IUGIITS, YOU ARE HEREBY NOTIFIED, pursuant to Rules 23 and 23.1 of the Federnl Rules of Civil Procedure, and an order of the United States District Coun for the Southern District of California (the "Coun"), that the parties have reached a settlement of nil claims, including nil class action claims and nI\shareholder derivative action claims (the "Settlement") assened in the above.entitled action (the "Action"). The Settlement 15 described below. I. SUMMARY This section is a summary of the Action and the Settlement. PLEASE READ THE ENTIRE NOTICE CAREFULLY. Plaintiffs filed the Action against Investors Trust, as the Investors Trust Government Fund, a series of Investors Trust (the "Fund") and its adviser and sub-adviser, among others, Plaintiffs have alleged that the Fund, contrary to its stated investment policies and disclosures, invested in 50-called derivalive securities (the "Challenged Investments") including, for example, collateralized mongage obligations. . Plainliffs have reached a proposed settlement with the Fund and the olher defendanlS which calls for payment of S7,3 million to the plaintiff class. This sum is a negotiated figure which reOects the uncenainties in litigating the Action, the defenses assened by the defendants, and the potential range of damages which the plaintiff class might have been able to establish at trial. Between October 31, 1993 and November 8, 1994, the net asset value pcr share dropped over 17% per share representing a : loss to the entire Fund in the range of $200 million. Market conditions, including a rising intercst rale environment which ,. adversely affected all bond funds, were responsible for a substantial ponion of this decline. Damage studies evaluated by the plaintiffs, their counsel, and their expens have concluded that the total loss to the Fund due to the Challenged Investments was only $27 million. This sum 'may have been subject to a reduction to the range of 518 to 520 million to reflect the losscs all bond funds suslained in 1994 due to inleresl rate changes and uther markel faclOrs, Defendants claim that even if the class were successful in establishing liability, lhe damages wuuld be subjecl to addilional offsets that may have funher reduced damages to the range of 57 million to SIO milliunto reflectlhe losses suslained by olher investments in which the Fund could properly have invested, including mongage.backed pass.lhrough certificales, While the 57,3 million selllement represents roughly 3,5 % of the entire 1055 to the Fund, it represents 27 % of lhe loss arguably allribulable to the Challenged Inveslments. Moreover, the S7.3 million selllement rcpresents up to 100% of the damages that Defendants argue could be recovered cven if Plaintiffs wcre successful in proving that the Challenged Investments were improper. The proposed senlement includes a provision thaI class members who do not request exclusion from the class will waive all claims they might have regarding all losses (from the Challenged Investments and all olher inve511ncnts) suslained by the Fund during the class period, against all Defendants and all persons who sold these invesunents to you, including but nOl limited to banks, financial inslitutions, investment advisers, and brokers, Class counsel did not plead claims relating to the losses to the Fund other than those caused by the Challenged Inveslments, and did not invesligate thc circumstances surrounding each individual investor's purchase of Fund shares whether from a bank, financial instilulion, investment adviser, broker, or otherwise. Therefore, each class member mUSl make his or hcr own evaluation (independent of that made by the class representatives) as to whether under his or her own panicular circumstances he or she should waive any such claims, All investors of the Fund who either purchased or held any Fund shares during the class period, and who sustained losses as a result lhereof, are eligible to receive a share of lhe Selllement provided the Selllemenl is approved by the Coun and the investor timely returns a compleled claim form in the manner sel forth below, IF YOU DO NOT WANT TO PARTICIPATE IN TIlE SETTLEMENT, YOU MAY REQUEST TO BE EXCLUDED FROM THE PLAINTIFF CLASS, ALL INVESTORS WHO DO NOT REQUEST TO BE EXCLUDED FROM TIlE PLAINTIFF CLASS IN THE MANNER SET FORTH BELOW WILL DE DEEMED TO HAVE RELEASED ALL CLAIMS, INCLUDING ANY POTENTIAL CLAIMS, WHICH THEY MAY IIA VE AGAINST TIlE FUND, OR ANY OF TIlE OTHER DEFENDANTS, OR ANY DANK, FINANCIAL INSTITUTION, OR DROKER, OR TIIEIR AGENTS OR EMPLOYEES, RELATING TO THE INVESTOR'S PURCHASE OF FUND SHARES. IF YOU DO NOT WANT TO PARTICIPATE IN THE SETTLEMENT AND YOU DO NOT WANT TO RELEASE ALL CLAIMS YOU IIAVE OR MAY HAVE AGAINST TIIESE ENTITIES, YOU MUST SUBMIT A WRITTEN REQUEST FOR EXCLUSION FROM THE PLAINTIFF CLASS ON OR BEFORE JANUARY 16, 1996 IN THE MANNER 'INDICATED DELOW IN SECTION E ENTITLED REQUESTS FOR EXCLUSION, The AClion also includcs a shareholder derivative claim on behalf of the Fund alleging that the defendants caused the Fund to invest in the Challenged Investments. The selllement of this claim will result in several changes to the operation of the Fund. Because the shareholder derivative claim was brought on behalf of the Fund, lhe selllement of the shareholder derivative claim will not result in the payment of any additional monelary compensation to the investors. II. SUMMARY 01' TilE ACTION L Plaintiffs Lowell A. Hahn, Wesley J, Caner, John J, Jessup, Selma L, Heman, James J. Curci, Sylvan H. Paul, Manha D. TIlompson, as Trustce of the Manha D, Thompson TruSl UTD 11.14-91, Ralph Rodriguez, Jr., Adrienne F. Rodriguez, and Harold D. Hampshire (collectively, the 'Plainliffs') by their counsel ('Plaintiffs' Counsel') have brought the prescnt Aelion both as a class aelion, and as a shareholder derivativc action, against the Fund, GNA Capital Managemenl, Ine" GNA Distributors, Ine" GNA Securilies, Ine" and GNA Corporation (eolleclively, the 'GNA Parties'), and Weiss, Peck & Greer Advisers, Inc, (the -Sub-Adviser'). 2. For purposes of this notice, the term 'Defendants' shall refer to the Fund, lhe GNA Panies, and the Sub-Adviser in every capacity in which such entilies aCled, may have been alleged 10 have acted, or might be alleged to have acted, together with all of their present, future, or former affiliates, all predecessor or successor corporations, truSlS, or pannerships, all parent corporations, truSlS, or pannerships, all wholly or panially owned subsidiary corporalions. trusts, or pannerships, and all present, fUlure, or former directors, trustees, officers, agents, shareholders. employees, allorneys, insurers, joint venturers, panners. principals, personal representalives, heirs, executors, administrators, predecessors. successors, or assigns, . 3. TIle class aClion consists of ten claims, including claims for violation of Seclion lO(b) of the Sccurilies Exchange Ael of: 1934 and Rule IOb.5 promulgaled thereunder, Section 12(2) of the Securities Act of 1933, Sections 13(a)(3) and 34(b) of lhe Investment Company Act of 1940 ACl, as well as claims for common law fraud, negligence, negligent misrepresentation, negligent omission, breach of fiduciary duty, and breach of contract asserted against all of lhe Defcndants, ITEM Sweaters-88 Slacks-30 Blouses-21 Slips-14 Dresses-13 Top Coats-16 Bathrobes-3 Vests-l Aprons-4 Shoes-36 Skirts-29 Slippers-9 Hats-9 Wig-l Hair dryer-I Purses-14 Umbrellas-2 Heat massager-l Shorts-6 Bating suits-2 Cap-l Sunglasses-l Scarves-55 Bras-9 Panties-l0 Shirts-18 Pajamas-6 Nightgown-7 Housecoats-4 Hankies-20 Nylons-8 Candles-l0 Berets-5 Beach hats-3 Suit-I Jacket-l Belts-S Boots-20 Total EXHIBIT "E-3" ESTATE OF AGNES B COOPER List of Personal ElTccts As of2-11-96 (Given to Charity) UNIT COST $4 6 3 1 5 12 1.50 2 .50 6 5 1 3 8 10 3 1.50 5 3 4 1 3 1 1 1 3 2 2 3 .2S 1 2 2 3 10 8 2 8 TOTAL COST $ 88 180 63 14 65 152 4 2 2 216 145 9 27 8 10 42 3 5 18 8 1 3 55 9 10 54 12 14 12 5 8 20. 10 9 10 8 10 160 . . .' 1471 EXHIBIT "E-3" (continued) ESTATE OF AGNES B COOPER List of Household Items (Given to Charity) As of2-11-96 ITEM UNIT COST TOTAL COST Informal china: Dinner plates-12 Small desert bowls-II Dessert plates-12 Turin lid(no bowl)-I Salt/pepper set-I Large platter-I Med platter-3 Saucers-12 Sm platter-I Bowls-ll Sugar bowl-I Creamer-I Soup bowl-12 Dessert dishes-12 Serving bowls-2 Gravy bowl-I Bake pan-I Towels-II Roast pans-4 Travel steamer-I Iron-I Flatware-12pcs Glassware-30pcs Lamps sm-4 Pictures-2 Sheets-30 . Pillows-2 Pots-5 Pans-4 Bake sheets-2 Phone-I Pillow case-IO Books( child)-32 Barbeque set Travel Iron-I Total $36 22 18 2 I 5 9 12 2 22 I I 24 12 4 I 3 11 20 5 5 12 IS 12 8 30 10 25 16 2 10 10 64 5 7 $442 . -- $3 2 1.50 2 I 5 3 I 2 2 I 1 2 1 2 I 3 1 5 5 5 I .50 3 4 1 5 5 4 I 10 1 2 5 7 .. . .. - ...- "'IIM1t COMllClHWIAI.llt 01' PI!NNSYL VNfA NtI!RlTAHCITAll RITUIIH RUIlIHT DICllllEHT SCHEDULE F JOINTL Y.OWNED PROPERTY ESTATE OF FILE NUMBER AlInes B. Cooper 2196-0360 Jolnll.nlOlllj: NAME ADDRESS RELATIONSHIP TO DECEDENT A. N/A B. c. JolnUy-own.d property: lETTER ITEM FOR NUMBER JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSET DECD'S % INT. DOLLAR VALUE OF DECEDENT'8INTEREST 1. N/A TOTAL (Also .nllr on Un. 0, Recapllulallon) IJ -0- 11( mort spse.1s nud.d InSlrt sdcfUonsl shuls o( ssm. slzl} . .. """""'lftll COMMOUWEALlH Of' PENNS'(\.VNIIA lHltERlTANC& TAX RIiTURH R&SlOENT ll&CEllEHT SCHEDULE G TRANSFERS Please Print or Type ESTATE! OF FILE NUMBER 2196-0360 Agnes B, Cooper THlI ICHEDULI MUIT eacoMPLlTWAND'IUD., 1HIANSWER TO AN., 0' 1HEQUElnONS ON 1HIl REVERI! 1101 or 1HECC)VER $HUT" 'Yu. DECO. ITEM DESCRIPTION OF PROPERTY EXCLUSION TOTAL VALUE % NUMBER _._"'..._"""""'_..._..t..,."'....,.. OF ASSET INT. DOLLAR VALUE OF DECEDENT'S INTEREST I, N/A ~, TOTAL (Also enler on Une 7. RecapllulaUon) $ -0- (If mO/8 spac.1s needed /nsetl .ddi~oneJ sheels of semI siz.) ..,.ltl1ta'II-, c()loUol(lNWEl.LtHOl'PE/OlllYl.V"'" HIERJTMCI lA:J.. RIlURH RElllllEHT co:CEDE/IT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ESTATE OF ITEM NUMBER PIoa" Print or Typo FILE NUMBER Agnes B. Cooper DESCRIPTION A. Funer.' Esptnal.: 1. Myers-Harner Funeral Horne, Inc. (See attached invoice letter) B. Admlnllll.Uve COltl: 1. pllIOI18I Repre"nlaUve commlll\onl Soc:laI security Number 01 p.raonal R.pr..enlaUv.: Veer commission. paid 2. 3, 4, C. 1. 2. 3, 4. 5, 6, 7. 6, 9. AlIomey Fees Snelbaker & Brenneman, P.C. Attorney at Law Thomas M. Devlin, Esq. Family Exemption claImaI1I s~oet Addre" City RelaUonshlp Sial. Zip Code Probate Foe. Register of Wills - $341; TaK filing - $15; Inventory - $22 Final accounting - $100 MllCell.neoU' Esptn"": Robert Ensminger Appraisers Advertising Costs _ cumberland Law Journal & Patriot News Medical expenses Administrative travel expense mileage House operation utilities Real estate taxes Lawn care Termite inspection Trash removal bill TOTAL (Also entar on Une 9, Recapllulal\on) QI moll IpIC.1s nted.d.lns.rt .ddiUontl sllterS 01 $1m' size.) 2196-0360 AMOUNT 6,393.00 935.00 2,271.50 478.00 315.00 139.00 123.00 918.00 1,001. 00 387.00 240.00 117.00 . . ~. 90.00 $13,407.50 MYERS.HARNER FUNERAL HOME, INC. 1905 MARKETSTkEET P.O. BOX 291 CAMP ItlLL. PENNSYLVANIA 11011 ROBERT II. IIARNER SUPERVISOR TELEPIIONE lIl,lSlo9961 LOCALLY OWNED AND OPERATED March 2~ 1996 Mr. Albert F. stidman 2790 Prince Harold Ct. Herndon, VA. 22071 Services for Agnes B. Cooper February 17, 1996 Charges for Services Selected professional Services Use of Facilities Automotive Equipment Charges for Merchandise Selected Casket Vault Mileage $ 2,595.00 $ 2,595.00 $ 2,150.00 690.00 135.00 $ 2,975.00 Cash Advanced Grave Opening Clergy Flowers Organist Soloist $ 415.00 150.00 93.00 75.00 50.00 $ 823.00 $ 6,393.00 Total due within thirty days, please: Check n106 Received 5{14{96: _ 6,393,00 -0- Balance' Due: Paid in Full, Thank you very much. .. . .. ...11"'''"., COMMONWEALTH Of! PEHNSl'LVNIA INHERITANCE TAX RETVRH RE8lOEIIT CECEOOIT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Agnes B. Cooper Pi.... Print or Typo FILE NUMBER ESTATE OF 2196-0360 ITEM NUMBER DESCRIPTION AMOUNT 1. None -0- . " . . TOTAL (Also enler on Une 10, RecapllulaUon) $ -0- pf mo" 'piC, /$ nttd.d, Inset1.dclUonlllhttt, or 11m. sIz.J 11('."11....'..11 C(lMMONWEJoLlIlOl'PENIlS"I-VNM lNHElllTt.NCE TAA RE1IJRN RE$DEHT DECECEJIT ESTATE OF ITEM NUMBER 1. 2. ITEM NUMBER SCHEDULE J BENEFICIARIES FlU! NUMBER A<;lnee B. Cooper RELATIONSHIP NAME AND ADDRESS OF BENEFICIARV A. T"""bll Bequ..\&: Albert F. Stidman 2190 J?rince Harold Court, lIerndon, VA J?atricia Hornby Brown Flat 2-29, Cruden street, London, NI BNII son sister NAME AND ADDRESS OF BENEFICIARY 1. B. Chal\lable end GOVlrnrnenlal Bequelll: None 2196-0360 AMOUNT OR sHARE OF ESTATE 100% less $5,000 bequest $5,000.00 AMOUNT OR sHARE OF ESTATl! TOTAL cHARlTABU! AND GOVERNMENTAL BEQUESTS (1\110 Inter on 1\n113, Recapllulabon) $ -0- Qf more SplCI /$ nlldld /IIsert IddiUon81 shills of Slml SIZI) -0- ~ .. . .. Lft.ST WILL MID 'l'EUl'M.u:IIT I, tlgnes D. Cooper, a resident of the Ilorough of Camp lIill, Cumberland County, PelUlGylvo.nlo., being of f10und and dlspoa1ng mind. memory nod understand.. ing, do make, publish and declare this ss and for my last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments, or writings 1n the nature thereof by me at any time heretofore made. I. I naninate, constitute and appoint S. Joseph Moomaw, Esquire, Camp lUll, Pennsylvania, to be Executor of this, my last Will and Testament. Should a Bubstitute or successor Executor be required, I naminate, constitute and appoint as such Cumberland COWlty lIational Dank, lIew Cumberland, Pennsylvania, or its suceessor corporation. I direct that my said Executor shall not b. required to give bond for the faithful performsnce of his duties hereWlder in thia or any other jurisdiction, and that if, notwithstanding this direetion, any bend is required by any law, statute or rule of court, no surety be required thereon. II. I bequeath to my niece, Patricia 1I0rnby, who, at the time of execution of this last Will and Testament, resides at 2 Wilton Villas, lIew 1I0rth Road, London, 11.1. DII, England, the sum of five thousand dollara ($5,000.00). It is my express direction that this bequest shall be free of all inheritanee or ea- tate taxes, it being my direction that all such taxes which may be assessed as the result of my death shall be paid out of my residuary estate. III. All the reot. residue and remainder of my property and estate, ot whatsoever kind and wheresoever situate, of which I shall die sei.ed or possessed, or of which I shall be entitled to dispose at the time of my death, I give, de- vise and bequeath to my son, Albert F. Stielman, Falls Church, Virginia, the sama to be his absolutely. Should my said son not be living at the time of my death, trrJ entire residuary estate shall po.DS instead 1n equal shares to my then surviv- ing grandchildren. DI WITlIESS WHEREOF, Will and Testwnent, this I have hereWlto set my hand and seal to this, my last .. .JL.:- day of ~larch, 1975. . . .. . . J""""". .' <J'" . I , -11'7,,(,1 /:J ?UllnJ tlgnes D. Codper (Seal) . , / SIGNED, SEALED, PUBLISIIED AlID DECLAIIED by /Ignes B. Cooper, the above nllllled Testatrix, as and for her last Will and Testlllllent, in our prssen.s, who, in her prelence, at'her request, and in the presence or each other, have here- unto subseribed our nom.s as attesting wttn...s.. .,...;:. ;,,~\.,.;;, "yt;;';'A "-:ilr~~}:'~;';' ,,',' -'11. (,/ II ,..'I''',~' .' ;~ ~ :.j;:, .",.; (4"",..1.', I- ),l,t" AddreBB ,.. r: ..~f".' ~i, .... .... t,' L;r, , "J "u.rl..J1V+": Cl-J. . 'J{J:! . f.a,-wm.e~ NBllle /d~~, 7l4VI(lN.....k~ Address ~- ~t 1 . .' . \ Ragister of Wills of Cumberland County, Pennsylvania INVENTORY Eslaleof Agnes B. Cooper No. 2196-0360 / 1996-00360 also known as Dale of Dealh 02/11/96 I Deceased Social Security No. 215-34-9402 , Personel Representatlve(s' 0/ the above Estate, deceased, verily thatlhe lIoms appearing In the lollowlng Inventory Include all 01 the personal ....ts Wherever slluate and all 0' the real estate In the Commonweallh 0/ Pennsylvania 0' said Decedenl. that the valuation plsced opposlle each 110m o/Slld Inventory represented lis 'air value as 0/ the date o/the Decedent.s death, and that Decedent owned no real estate outside 0/ the Commonwesllh 0/ Pennsylvania ..cept that whIch appears In a memorandum at the end 0' thIs Inventory. \/We verify thatlhe statementa ....de In Ihlslnventory arelrue end correcl.\/We understand that 'alse statements hereIn are ....de sUbJect to the penalties 0/18 Pe. C.S. Section 4804 relating 10 ~~2/aISInCatl. on 10 authorllles, oJ Attorney: / ~6"""""'1t?, ,,!:dv(<......', t::/ , 1.0. No.: ~t-! 1'/' ? /70,A J11't.I,-/kI-5/ C.fh1lJ /-1//1 IN j 7cJ!( ( 717 J 77{J_clf 'liS Daled Address: / t-' / :J. L{ /7'G I / Telephone: Descripllon Real property - 3354 Walnut Street, Camp Hill, PA Stocks and bonds Bank accounts Safe Deposit Box contents (see attached) Furniture and other property (see attached) Shoe box cash Estimated recovery from class action suit Federal and PA income tax refunds Blue Cross pension Ne~spaper SUbscriptions refund Prepaid house insurance refund Personal effects and household items given to charities (see attached) Value 79,279.14 35,091.91 213,062.63 884.11 1,705.00 5,900.00 108.75 458.00 201.15 8.00 9.00 1,913.00 (Attach addlllonal sheets If necessary) Tolal: 338,620.69 NOTE: The Memorlndum 0' real estate outside the Commonweallh 0' Pennsylvania ""y, at the election 01 the personal representstlve, Include (he value o/elch 110m, but such ngures should not be e.tended Into the tots I 0' the Inventory. Fonn IRW.J Prtpatcd by the Pennl)'lvanl. Bit AllocllUon t,.. I . " ~~ DNo. AA 146870 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF RlVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX 1~1"2Ill."'1 ACN ASSESSMENT I:t CONTROl ~ NUMBER AMOUNT D RECEIVED FROM: 101 $4,212.79 THOMAS M DEV~IN ESQUIRE 1802 MARKET STREET CAMP Hl~~. PA 17011 ESTATE INFORMATION: ~ FilE NUMBER g 21-1996-0360 ~ NAME OF DECEDENT {LAST) ;I COOPER AGNES B II DATE Of PAYMENT m POSTMARK COUNTY SSN 215-34-9402 {FIRST) (MI) CUMBER~AND DATE OF DEATH m TOTAl AMOUNT PAID 1.11.212.79 REMARKS I PB RECEIVED BY j .1 11'-' jJ PI N" RE. / ; ~I . J /;, I ' ill('" I MARV C. ~EW I S r ,.. J, ' ., / REG ISTER OF WI ~~S ,'j SEAL A~BERT F STEDMAN C/O THOMAS M DEV~IN ESO CHECK II 1006 REGISTER OF WILLS -' -'. .... _..-- ._-- - .... .~._.- ..--. .-- . -- . ..-." I~ '- -...~....bd. r.. F .-". -1:. - . ;.'1-- I, BURFAU OF INDIVIDUAL TAXES IHI" _IU.,([ IAll DiviSION DU r. :80&01 IIA"WISBUAC, f1" 11I:8-0bOI COMMONWEALTM OF PENNSYLVANIA DEPARTMENT OF REVENUE NDTlCE DF INIlERITANCE TAX APPRAISENENT. ALLOWANCE DR DISALLDWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX THOMAS M DEVLIN ESQ 1802 MARKET ST CAMP HILL PA 17011 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN Ii '---' 01-20-97 COOPER 02-11-96 21 96-0360 CUMBERLAND 101 i~1J 11,..hlllll'Il'.'" AGNES B .-- .. ~_~_~~I!~.~l!~t.E,,_=-_~=j I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEIi:iS4TEic--Aj:p-m-:96-njil~"-icEnciF-i-NHEifiTAN-cE-TAX-A-PPRA-isEifiNr-,--,\LL.-ciiiAifcE'iflinm__mmm, DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF COOPER AGNES B FILE NO. 21 96-0360 ACN 101 DATE 01-20-97 TAX RETURN WAS: I X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I Est.t. (Schedule AJ Cl) 2. Stocks and Bonds (Schedule OJ (2) 3. Closely Held stock/Partnership Int.rest (Sch.dule CJ (3) 4. Hartg.gas/Not.. Racelvable (Schedule OJ (4) S. Cash/Sank Deposits/Hlsc. Parsonal Property (Schedule EJ IS) &. JoIntly Owned Property (Schedule fJ 1&) 7. Transfars (Schedule GI (7) 8. Total Ass.ts APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expansas/Adn. Costs/Hlsc. Expenses (Schedule HI (9) 10. Debts/Hortgage Liabilities/Liens ISchedule IJ 110J 11. Total Deductions 12. Net Value of Tex Return 13. Charitable/Govern.ent.l aequests (Schedule J) 14. Het Velue of Estate Subject to Tax CHANGED 79.279,14 35,091.91 ,aD .00 224.249,64 .00 .00 (8) 13,407.50 ,00 Ill) 112) 113) 114) NOTE: To insure proper credit to your account, subnit the upper portion of this forn with your tax paYllent. 338.620.69 13,407 ~o 325.213.19 .00 325.213.19 If an assessment was issued previOUSly, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Anount of Lin. 14 at Spousal rat. lIS) 16. Allount of Lin. 14 taxable at Lineal/Class A rat. (16) 17. Allount of Line 14 taxable at Collateral/Class a rate 1171 18. Principal Tax Due NOTE: TAX CREDITS: PAYHENT I DATE 05-08-96 10-24-96 RECEIPT NUHBER AA112823 AA146870 DISCDUNT 1+) INTEREST 1-) 789.47 ,00 ,DO 320.213.19 5.000.00 X . DO: X .06: X .15: IlBI AHOUNT PAID 15.000,00 4.212.79 TOTAL TAX CREDIT 'BALANCE OF TAX DUEl , INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIDNAL INTEREST. .00 19.212.79 750.00 19.962.79 20,oa2.26 39.47CR .00 39.47CR I IF TOTAL DUE IS LESS TNAN SI. NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YDU HAY BE DUE A REFUND. SEE REVERSE SIDE DF THIS FORH FOR INSTRUCTIONS.' f" n. ,~ :: I '1",7 .,., ;J .,,11, 17 .'i'l :IJ7 Gib CUrri ..,', f'A RESERVATION: Eltat.. of dacadents dying on or before nec..ber 12. l~Bl .. If any future Intor..t In the ..tata i_ transfarrad In pOls..llon or anJoy..nt to Cln.. B leolt.I.ral) banaflcln,I.. of the dacadant aft.r the eMplretlon of any .,tat. for lif. or for ya.r., the Co..on~.alth hareby aMpr..,ly r...rv.. the right to appraise and a..... transf.r tnharltanca Ta... at the lawful Clan B (collll'ernU rata on any 'liuch lutu" lnter..t. PURPOSE Of HOTlCE: To fulfill the requlr...nt. of S.ctlon 2140 of the Inharltanc. and [stata Ta. Act, Act ZZ of lQql. 12 P.S. Saction 21"0. D.tech the top portion of this Hotle. and lubalt with your pay.ant to the Raglstar of Wills prlntad on the reverse side. --Make check or .oney order pnyable to: REGISTER or MILLS, AGENT All pay.ents received shall flr.t be ftppllad to ftny Interest whiCh .ay be due with ftny r..alnd.r applied to the ta~, A refund of a ta~ credit, whiCh wa. not reque.ted on the TII~ R.turn. .ay be reque.ted by co.pletlng an "Application for Refund of Pennsylvania Inheritance and [stat. laM" (REV-1313). Application. are available at the Office of the Regl.ter of Will., any of tho 23 Revenue Oi.trlct Office., or by calling the special 24-hour an.werlng service nu.b.r. for for.. ord.ring: In Pennsylvania 1-8aa-36Z-Za5a. out.lde Penn.ylvanla and within local Harrisburg area C7t7) 181-80'9". 1001 (111) HZ-2Z5Z ltlurlng I.palred Only), PAYMENT; REFUND ICR): OBJECTIONS; Any party In intere.t not satl.fled with the appralsa.ant. allowance or disallowance of d.ductlon.. or a.......nt of taM I Including dl.count or Int.re.t) a. shown on this Notice .ust obj.ct within sixty (60) days of receipt of thl. Hotlce by: --written prote.t to the PA Oepart.ant of Rlvenue. Board of Appeals, Dept. Z810ZI. Harrisburg. PA 11128-1021. OR --.Iectlon to have the .atter deter.lned at audit of the account of the per.onal representative, OR --app.al to the Orphans" Court. ADMIH ISTRATtVE CORRECTIONS: Factual .rror. dlscover.d on thl. a.......nt should be addr.s.ed In writing to: PA C.part..nt of R.venu., Bur.au of Individual TaMn. AlTN: Post Au.u..nt Ravl." Unit. Capt. l80601. lIarrhburg. PI 11128-0601 Phon. (711) 787-6505. S.e page 5 of the bookl.t "Instruction. for Inh.r'tanc. TaM R.turn for a Resident O.ced.nt" IREV-ISOI) for an e.planatlon of ad.lnl.tratlvely correctnbla ~Iror.. DISCDUNTI If any taM due 1. paid within three (3) calendar .onth. aftar the dac.d.nt". d.ath. a five percent 15%) discount of thl tax paid I. allowed. PENALTY 1 the lS~ taM lIane,ty non-participation penalty I. co.puted on the total of the tax IInd Intere.t a..e.sed. and not paid bafor. January la, 1996. the first day aft.r thl end of the taM aane.ty periOd. thl. non-participation penalty I. appealable In the sa.e lann.r and in the th. sa.e tl.e periOd a. you would appeal tha taM and Intere.t that ha. been asse.sed a. Indicated on this notice. INIf.REST: Intera.t I. charged beginning with flr.t dAY of dellnqu.ncy, or nlnl I~) lonths and one II) day fro. the date of d.ath, to the date of pay.ent. lA.e. which bocaea delinquent before January I, 1982 b.ar Intorest at the rate of sl_ 16~) percant per annul calculated at a dally rate of .00016". All tax.. which beca.e dellnquant on and aftar January I, I~az will b.ar Intere.t at a rala which will vary fro. calendar vear to calendAr y.ar with that rate announced by the PA nlPart.ent of Revenue. The applicable Inter..t rat.. far 1982 through 1991 ar.: '!.2! Inlere.t Rate DailY Interut r",ctor !!!! Interest A",ta DailY Int.re.t r",ctar n82 20~ .Ooos"a 1~87 9Z ,0002101 l~aS 16:< .000438 198a-I~91 11:< .000301 1~8ft 1l~ .000301 1992 .. .000241 1~8S lS~ .0001S6 19~3.1')~" 1% .000192 JlJlI6 10% .000214 1~~S-lfJ91 .~ ,OOOl'" --Int.rest is calcul"ted n. follow.1 INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Hotlce I..ued aftar the taM baco.e. delinquent will refl.ct an inter.st calculation to fifteen IISI days beyond the date of the a.se...ent. If pay.ent I. .ade aftar the Interl.t coeputation date .hown on the Hotlce. additional intere.t lust be calcul",t.d. , . . . . . P,.'.,..J-~. Fkt.lCtc~~dc:; tv'~ f'/~(.\?Mf .. q.."b~1 {llt.J.r::"tjh<~,~ ~c'?1!:' a ,c/./I- /i:~{ r ;3, for:> ?A 1, 6f1<</'tM I . ~t, ~('.....4,n......,d'~ frU ,fA. /1f~- IjQ~"cJ ;J.f7~;;ft a../)3~~ . , ~ I haroby cartlly that written notice of the filing of this Account. nnd ot Ih9 date, time and place when the same will be presented II, II'e Court lor conlirmatlon and 01 the la9t day to file writton "'."",IIOflS 10 sold Account, has bean given to every unpaid claimant and to evory other porson known to the accountant to have or claim an interest in the estate as creditor, beneficiary, heir or next 01 kin. -rz~A-;#~~ I horebycertlly '''.1 'Wi:'",., n~""c of the filinll of this $'nlnmqnt of Propo!,p.d DI}o,n~ill.c..;. .:.!J co; tile dllte. time and plnc'~ wl1f~n " " ""me Will be p,esontfld to Ihe Court for conlirmAtion and ,; 11,8 105\ day to file writton obl8ctions to sold $lOtoment of .'.oposed Distribution, has boen given to every unpaid claimant and to every other person known to the eccountant to have or claim an Interest In the estate as creditor, beneficiary, heir or nelCt of kin. A copy of said Statement was Included with the notice. ~~~.%?~/lL. " .,..,. ~ F~~ :1- ID t4 '1002- ...... -n c , 0- c. ... :.J 1> -.0.- n. ~III"< ~ ~ " . _. n 01 ""- C'm:J " . c: Q"'" _:::~ --"J 0_. a. o...J NO" -- '" "en . ~ :; r!!! ~ cr)> ro 0 c: .., .. '0.... g l :~ or. ?,~:J.a I. 0. b' COOte.... '<nO::' ~.... ';' -1:)"'3 ..:7 a. rb ., ,no. 00 C(;i =1 ". f-- . ~ :0:0 <n~ 1(", 0 ........ r'- i': n !:\:] ""',' ('i (. -- ~ I..;' N :. ':"' - :y ~. . ~~l''.; N (/)- .. 0 - - N ,. , , ~ ~~ sUMMARY OF ACCOUNT Current Value Fiduciary Acquisi tion Value proposed Distribution to Beneficiaries $256,009.50 $205,407.07 Prinoipal Receipts Net Gain (or Loss) on Sales or Other Disposition (Total of Liquidated Trust and Estate Receipts in Current Value) $330,660.16 $310,061.07 Nt" $ Nt" Less Disbursements: Debts of Decedent Funeral Expenses Paid Administrative Expenses Federal and State Taxes Fees and Commissions $See Admin. Exp. 7,243.00 3,840.00 19,962.79 3.206.50 subtotal $ 34.252.29 Balance Before Distributions Prior Distributions to Beneficiary Stidman Prior Distributions to Beneficiary Brown Principal Balance on Hand for Distribution $275,009.50 14,000.00 5.000.00 $256,809.58 RECEIPTS OF PRINCIPAL Assets Listed in Inventory (Valued as of Date of Death) Fiduciary Acquisition Value Cash: BHC securities PNC Brokerage corporation Smith Barney Atlantic International Corporation Insulock Systems Co. Corestates Bank Dauphin Deposit Bank Meridian Bank PNC Bank subtotal $ -0- -0- 34,891. 91 100.00 100.00 54,670.63 25,313.01 37,667.68 'l5.411.3l $248,154.54 $ As Administered Asset Summary: Stocks in schwabb Account (market) Money Market funds in schwabb Account PNC Checking - Estate account Small stocks (nominal value) subtotal $202,364.00 101,788.00 5,561. 65 200.00 $309,913.65 Real Estate: 3354 Walnut St., Camp lIil1, PA 17011 $ 79,279.14 See above cash asset summary Tangible Personal Property Retained by Beneficiary Albert f'. Stidman: Safe Deposit Box Contents f'urniture and MiscellaneouS Shoe Box Cash Class Action Suit f'ederal Income Tax Refund PA Income Tax Refund PA Inheritance Tax Refund Blue Cross Prepaid Pension Newspaper subscription Refund prepaid House Insurance Refund Items to Charities Household Items subtotal iOO.15 39.41 $ 140.22 Total Receipts of Principal $310,061. 01 DISBURSEMENTS OF PRINCIPAL Debts of Decedent Combined with Administrative Costs Funeral Expenses Myers-Harner f'uneral Home Tombstone $ 6,393.00 050.00 $ 139.00 405.00 315.00 123.00 910.00 1,001.00 301.00 240.00 111.00 25.00 90.00 $ 19,962.19 0.00 0.00 $ 935.00 2,211.50 Administrative Expenses Advertising Costs Register of Wills Real Estate Appraisal Medical Administrator's Travel House Utilities Real Estate Taxes Lawn Care Termite Inspection Bank Charge Trash Federal and State Taxes PA Inheritance Tax Internal Revenue Estate Tax PA State Estate Tax Fees and commissions Snelbaker & Brenneman, P.C. Attorneys f'ee to Thomas M. Devlin PROPOSED DISTRIBUTIONS TO BENEFICIARIES Albert f'. Stidman (Son) Patricia Hornby Brown (Niece) (previously disbursed) $256,809.58 5.000.00 $ 004.11 1,105.00 5,900.00 108.15 400.00 58.00 39.41 201.15 8.00 9.00 1,411.00 44'.00 $ 11."6.48 $338,660.16 $ 1,243.00 3,040.00 19,962.19 3.'06.50 $ 34,252.29 $261,009.58 i.:J - /t'() -<i - COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT (>/(0(. -'.~~''L!1 r~~f'rl~i .~r<4'~~'it:,'}4 BUREAU Of INOIVIDUAL TA~ES IN'II.NIUNCL lAIC OIVI'.tION 00'1. :aDtoOl ItAHMlseuAG. PA 1I1;'8-0bOI Itt ;,11" IH HI'" THOMAS M DEVLIN ESQ 1802 MARKET ST CAMP HILL PA 17011 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-1',-97 COOPER 02-11-96 21 96-0360 CUMBERLANO 101 AGNES B Anount Relllthd 1="==--=--. MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your Bccount, sub"!t the upper portion of this forn with your tax p.Yllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE'v:i60TEiCAFP--ioi-:97ymm...--iNHEiiiTANC'E--TAiCSTA-fEH'EoNT-iiF-AC-couiifuii..------mo-mon-m ESTATE OF COOPER AGNES B FILE NO.21 96-0360 ACN 101 DATE 04-14-97 TNIS STATEMENT IS PRDVIDED TO ADVISE Of THE CURRENT STATUS Of THE STATED ACN IN THE NAMED ESTATE. SHOWH BELOW IS A SUMHARY Of THE PRINCIPAL TA~ DUE, APPLICATIOH Of ALL PAYMENTS. THE CURRENT BALANCE, AND, If APPLICABLE, A PRDJECTED INTEREST fIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 01-13-97 PRINCIPAL TAX DUE: 19,962.79 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT I DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-08-96 AA112823 789.47 15,000.00 10-24-96 AA146870 .00 4.212.79 03-31-97 REFUND .00 39.47- I TOTAL TAX CREDIT BALANCE OF TAX DUE . If PAID AfTER THIS DATE, SEE REVERSE SIDE fOR CALCULATION Of AODITIONAL INTEREST. I If TOTAL OUE IS LESS THAN SI. NO PAYMENT IS REQUIRED. If TOTAL DUE IS RefLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REfUND. SEE REVERSE SIDE Of THIS fORM fOR INSTRUCTIONS. I TOTAL DUE 19,962.79 .00 .00 .00 INTEREST AND PEN. r;:", -" -, 'L' :',j PAYMENT I Detach the top portion of thl. Hotlc. and sub_It with your pay..nt .ade payable to the na.. and addrO., printed on the rav.r.. ,Id.. If R[SIDEHT DECEDENT .aka chack or lIIon.y order payable tOI REGISTER OF WILLS, AGENT. If HOH.RESIDENf DECEDENf .ake check or .o"ey ardar payable tOI COHHONWEALTH OF PENNSYLVANIA. REFUND (CR)1 A refund of a tax credit, which was not requasted on tha fa. Return. .ay be requasted by co_pletlng an "Application for Rafund of Pann.ylvanla Inharitanca and Estate fa." (REV-1313). Applications are available at the Office of the Regllter of Wills, any of the Z3 Revanue District Office. or fro. the Depart.ant'l Z4'haur anlwerlng sarvlce nu.berl for for.1 ordering: In Pannsylvanla 1-80D-!6Z-Z0S0. outllde Pennsylvania and within local HarriSburg araa (717) 787-8094. TDOI (717) 77Z'ZZSZ (Hearing I.palred only). REPLV fOI auestlons ragardlng errorl contained on this notice should be addrelled to: PA Dapart.ent of Ravenue, Buraau of IndividUal fau.. AnNI Post A..e...ent Review Unit. Oapt. Z80601. Harrhburg, PA 17128-0601, phone (717J 7A7-6S0S. DISCOUNT: If any ta. dua II paid within thr.a (3) calandar .onths .fter the decadant's death. a flva percent (5~) discount of tha ta. paid Is allowad. PENAL TV I fha IS~ tax aanasty non-participation penalty Is co_puted on the total of the tax and Interest allessad. and not paid bafora January 18. 1996. tha flrlt day aftar tha end of the tax a.nalty periOd. INfERESf I Intara.t Is charged beginning with first day of delinquency, or nlna 191 .onth. and one 11) day froe tha data of daath, to tha data of pay.ant. ra..s which baca.a delinquent bafora January 1. 198Z bear Interast at tha rata of six (6~) parcant par annua calculatad at a dally rata of .000164. All ta.as which beca.a dallnquent on and aftar January I. 198Z will bear Intarast at a rata which will vary fro. calendar yaar to calendar yaar with that rata announcad by the PA Dapart.ant of Rav.nu.. The applicable Interast rates for 198Z through 1997 arel Vaar Inter.st Rata Dally Intere.t Factor Vaar Intarast Rat. Dally tntare.t Factor 198Z ZO~ .OOOS48 1987 .~ .000Z41 1983 16:C .000U8 1988-1991 llZ .000101 1984 11;( .000301 I99Z 9Z .ODDZ47 1985 U:C .0003S6 1993-1994 7% .00019Z 1986 IOZ .000Z74 1995-1997 .~ .000Z41 --tntarut Is calculated .. follow.: INTEREST = BALANCE DF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Hotlca Issuad .ftar tha ta. baco... dallnquant will raflact an Int.re.t calculation to flftaan (15) day. bayond the data of the a'less.ant. If pay.ent Is .ade aftar the Interest co.putatlon date shown on the Notlca. additional Intere.t au.t ba calculatad. 01/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: JEANE E. BLASI Date of Death: May 31,1996 Will No. Admin. No. 21-96-0460 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 administration of the estate If complete: Yes ( ) No (X ) 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: Final tax returns and distribution Is not completed. 3. If the answer to No.1 Is Yes, state the following: (a) Old 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) Old 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 Clerk of the Orphans' Court and may be attached to this report. Date: April 17 , 2002 ~<~ ~/-7>v Signature ~hen D. Tiley Name (Please type or print) 5 South Hanover Street Address 'n :j (717) 243-5838 Telephone No. Capacity: ( ) Personal Representative ( X) Counsel for personal representative ."