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Home My WebLink About96-00544 PETITION nm PIWIlATE IIntl GHANT OF LETTEHS .9.}- qt,-$'Y Huu.___ /';'-/(/i .~t,,\ I 7> h., I Nil, ,": Film.' I ~I 0/\0 ""tH"" lI.\ Ih't'I'II\I',I, SIIdol Security Nil. I? I ~ 'I;l _=- ,13 ~..' ). Ilc~i"CI III Wil" IIlr Ih~ .1 COllllty 01 Cii.", f-"~'_~~_~!r.__ in Ihe t\lll111HlII\\t.'allh of I'l.'nn...ylvania lhe I'l.'liliun or 111\,' IlIldc."\I}!lIl'd 1l'\PL'l'lltlll~ U'llIl.'\I.'II1\ thai: Y'UII I'l'litilllll'II\). \\lu1 i,lilll' IX Yl'ar\ 111 ill!l' (I(' 1,IdCI alllhl'l,.'\""I,.'ut,"- _ ._____________ named illlhl'la\1 \\ill ol'lilL'ahu\l'dL'\..'L,.klll,dalcl! m__~_._~_________' (IJ__ ,"111 cIlllidll'l ,Ialcll ()~ ,. ,/ I" .; ./ .~, ...._.... 1~lilIL' Id..'\.lIlll.lh'IUll".lIIn",. ~',V 1\'lllllh'l.llillll. dl".lh lIt \.'\\.'(111111, elL',) DCl.'l'lll.lClIl \\a\ IhH1IidlCd al death in _,' ,___C_t!..,:~ 'f..:...!.~L~((__H ____ CUlml)'. Pennsylvania, wilh hL~___, la" family IIr prindpal rc,idcll,c al .t.j 7!Y.:.I:J... (!/!!u.Lu___J1. i!l";( .. J. J _._..___. .._..._,_ .,.. ._......_ _tj,(I.""'t).G.,,~_~<---.( /.;'J''''f!,~tt.,wA:0 III\! '1ll'd, 1I111nbl" .1lI.II1lI11h.lp.lhl~1 Occcmlclll.lhcn .....'If!._- ycar, of agc.lIicdj/," J.,dl'...j'..~o)-- .19 '1(. al . t'",""~..i!.<JL_~fo;1.c,.j{r(('--'!..>L_...._, c,....' Ib".u.__f..!, E\\."l'l't ", r\lllll"~'" l,.!rCl.'tJcIll did 1I00l11arry. \\a\ nnt t..Jh"Orl'l.,'U and did litH have a ,hild born or adopted aftcr c\cclIliollOf Ihc \lilloffcrcllJVr plllh,t1c: '"'' nllllhc I'klimof a killillg and wa, nCl'cr adjudicaled in,ompclclII: _____.._,_.' __..Li,01___________.. ()l'l'l'lHh.'nl ill lkalh llwm:d prupl:r1Y with c"Ilirmllcu \'ahll:~ a" 1'0110\\": (If dllmidlcd in Pa.1 All pc",,,,al propcny (If nol dnl11icilcd in l'iI.) Pcr\llnal properlY in 1'c.'IIIl\yh"illlia (IInllt dOl1lidh:u in POI.) Pcr\onal pfllpl'r1Y in Cout1ly Valli\..' lJf n.'all.."lilh.' ill Pc.'nn...)hania ,ituah.:d ..... 1"0110\\\: ..__ _~_ n ....________ ..__....___. S 7.' 00". "" S ., CO" 00 S ~ ClOO CD S_u 000 00 pi-- \\ IIEKU()KE. pClilillncr(\1 rc,pc,lflllly rcqll~(') Ihc plObalc of Ihc la\l will and codicil(,) rn:"l'lIIl'll hcn:wilh and (hl' granl of k.ttl.r...____~. ~.._ ,-_c.!._..Ja'!!.!...!L:f_~:X. It\','.llIH'tl1;U\; ;ldl111tlIQr,llttlll ..:.I.il.; adl11ini\lrilliun d.h.n.c.l.a,) 1111..'1011. ;: -2~ ~-= ::z: ~ l~ 1./'" G , ~ I 7-.. '< k . --...-'. - "A" .- . .>~L1__lIpf',-dd('h., r,_,,:,__/;r't'( /.!t_(.'t.t;:'l.,-,_(,j >-..,.....:.1____ p.,-, ,1'7- c: of7 .,</7;.). /:!c../.../. ?.:t: ...--.-- - - -~--- -~-. -.---...,;7- ~~ " ; ...~---~. - -- ~-_. --.- .-_. -~------_._-_._-_....- - -. - -~._~._..._-_._..._._- OATil OF PEI{SONAL ImPHESENTATIVE (,O:\I!\IO:\\\'Et\J.T11 OF I'F:\:\SYJ.\'ANIA ! .. /I' - ,;:; COl:\TY OF _,-(,~.!b(.:fcfE..L____.. J lhl.I'....lilion....II..) ahtn.....'1al11l.d "H.arl"~ or anirll1(1o) Ihallhe ...lale111....n" in the foregoing pClitioll arc Int\,.. .1I1d \..'"lHI...",,'1 10 I Ill' h","1 01111.... J..1Hm!l'..I!!e ami bdid of I'cliliOllerC...) and that a\ personal rcprcscn. lilli\'!"'l". tll Ih.... ahll\l' \k'\.'l'\krll 11\.'liliolll'I(') \\ill \\l'1I allll truly ,u..lmini...tcr lhe e'iIUIC according to law. S\\Otll h\ \\1 alIIfIlH.'d ,1I1d 'lIh"..1I1'l'd I heltlll' III\.' lhl' ~t:t?~/t." . "';". jd'!\ 01 -91/.0;,;/ e'i,'-L'IUt.- ~ .f lPV1-A- _ IS: //3-9 ?Mary c, Lewis' ,;..ti\Il'r/J,Il~1f- /~, r,.,r ::'.~t! ---... -;------ '" .;;' " '" ~ l:: ~ 2 N 21-96-544 o. K~IUlc 01' t.'/..,',".t /' a hu / , I)cccused In:CREE 0... I)ROIIATE ANI) GRANT 01<' LETfERS AND NOW July 12th. 19~, in comidcralion of the petition on the reverse side hcrcof, slllisfaclory proof huving becn prescnlcd bcfore me, IT IS DECREED thul thc Instrumenl(s) dlllcd 1Ja. /, I1f if described thcrcin be ndmittcd 10 probulc und filed of rccord ns thc IUM will of E Iv",Ll. L is//!? ( und Lellers "j;fl-,,,,,,,,, I<tV7 are hereby granted to AI. ..6.. ,/ :iil, k 'YrktJj. (J. ~IUlj/jbJ / .,i,'..of ill, Mary C. Lewis ~+ , FEES Probate, Lellers, Etc. ......... Shorl Ccrtificates! 4) . . . . . . . . . . Renunciation ................ x-Pages (6) JCP S 200.00 S 12.00 S S 18.00 TOTAL _ S 5.00 . ~.~~Y. .~~~~.'.~~~!i. . . . . . . . . ~~?...qq. ATTORNEY (Sup. 0. I.D. No.) ADDRESS q 'I Filed PHONE 00 :p~ c: ?: ~ :J r> .' 0 '-- , c:: ,- - - , 0 " - " . ; " ;;::,:.- w &l 9'Jl"': 0 :1:'::1 r....; '" Called Executor on 7-15-96. Pili , o.r lrwil................. - .... -.., 1'.0 =--=-.::" WOflll'...NA.t..:'...........--s......... . Irma Schackis ,*ClNMHTlMAAHJ AQOAlIIISft&~ -.~CaoIt 540 A alacian Ave. PUCl~ D$I"ClICfOt.........c-..,,'-"-1 ._- Rolling Green Mem. Par ll";;:t, w.ww..WUI....... --- -- """""'''''''''' 1I"'~_"""'" U~mpr1t:)n 'T'....'I? ,.. Meeh, "". Pa. 17055 ....z.co. Ca~p Hill, Pa, 17011 _aM... ....... ....~..-bo.........,,......., ",.,...._..............,,~.. .....-"...... ....,.,.-...-......., 1" ~...._ ORI~DDlAD~~...., -...--- ., 9~~.A-" ,~~ 3 '<19t.. If.""" r...............~""'-".....N.... 01........_........ .~.PMCW........__.'-l....... ......,---"-... NAIiII AHOAOOAlII~ fltIlC&tn ers-Ilarner FIl Inc. 1903 Market LCV<Sl..... OIJI1OIOAASAIXlN$( et'.."::It;:. to """" I==- :-......... 110 I , ",,"It 0Iw......~.................. 1IIIl-*"l.....~_...""""1 . ev..-..... I: OIJIlOfOAASACCHSlOUlNClOIl OIJI lOIORASACQN5Il;J.AHCE Oft MNAU1OfTr'~ .IUl.ll.AIlll'flOftlO COW\IITJOH 01 CAlJM "''''''''' IMI<HR 06 CUlH 00V1 01 lHJUIlY ,.......0.'_1 , . . 11Ul0l1NJI.RY IHJUA"fRWCIAK' DElICfIIllIIftOWH.UrfotQ.lAlJllD ...0 ..0 -. - .... o o o - '-- o o o l'UoCI~~',,,,,-,, ...........~.-. U. -..... ~.. ... ... 0...0 '. ~ .. ~AHOCUlnnM~~b:lIIp~_,,'d~.u...Ql-.. ".. ........, -......,.................. ......... ....,.,........... .....UOOM(I'......._........ .. ..... ....... ........... ....... 0, ,ocr ~ , c.MI........-- - .... c:un....lC::I-=a.....on.I .c:unnlNll '"'1CUM",,....~taMd"-l'l.......,,... ~NsP~......_C--.:l_1Jf lII...........,~..._-..........UuM(tI...._.............................................................. " ""I/,.{ 1/'.... I ..... Of-O'O?~'> <- . -;:> IU.WNfO~UOl~.Ml>~~CAUIt l.....l1)'rPI.,..,.r~ c..,J r,p o 4i'Jr:JiO ~o... u. 11.,._";,,1:.... (W[,..IOp.u.. 0.,_, " lAW OFFICES OF KEITH A. BLANK 3461 Markel SI . SUfle 303 Camp Hill, PA 17011 Phone (717) 737,2670 rIfTII I hereby nominate. constitute. and appoint my brother, HERBERT ZINK. as Executor of this my Last Will and Testament. In the event he is unable or unwilling to act as such, then I aminate, constitute and appoint HELGA T, WALKER as my executrix. In the event that either my brother, HERBERT ZINK. or my sister, ELGA T. WALKER, are unwilling or unable to serve as such, then I aminate. constitute and appoint the Members First Federal Credit Mechanicsburg, Pennsylvania. as Executor of this my Last ill and Testament. SIXTH In the settlement of my estate, my Executor shall assess. among others, the following powers: 1) To retain for the benefit of my estate any investments that I may have at my death, including specifically those consisting of stock of any bank even if I have named such bank as executor herein, so long as the executor may deem it advisable for my estate to do so. 2) In order to effect a division of the principal of my estate or for any other purpose, including any financial distribution. the executor is authorized to make said divisions or distributions of the personalty and realty partly or wholly in kind, and to allocate specific assets among ~JD~ beneficiaries so long 1lB the totul market value of any uharo is not effected by such division or allocation, 3) To sell either at public or private sale and upon such terms and conditions as the executor may deem advantageous to the estate, any or all real personal property or interest owned therein by the estate severally or in conjunction with other persons or acquired after my death by the executor and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute. acknowledge and deliver any and all deeds, assignments. options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon the executor in this paragraph or elsewhere in my will, 4) To mortgage real estate, and to make leases of real estate. 5) To borrow money from any party, including the executor. to pay indebtedness of mine or of my estate, expenses of administration, legacy, estate and other taxes, and to assign and pledge assets of my estate therefor. LAW OFFICES OF KEITH A. BLANK 3461 Markol 51. SUIte 303 Camp Hili. PA 17011 Phone (717) 737-2670 ~j~ 6) To pay all costs. taxes, cxpcnscs and charges in connection with the administration of my estate or a trust, 7) To vote any shares of stock which form a part of the estate and to otherwise exercise all the powers incident to the ownership of said stock, 8) In the discretion of the executor to unite with other owners of similar property in carrying out any plans of the reorganization of any corporation or company whose securities form a part of the estate. 9) To do all other acts in their judgement deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate or trust. 10) The corporate fiduciary, if any, shall be entitled to compensation based on its regular schedule of fees for such services in effect at the time of the service rendered, 5-EVEN'l'H I direct that no trustee, executor, or other fiduciary amed. nominated or appointed in this my Last Will and Testament hall be required to post any bond or give any security of any type or any purpose whatsoever. any law or rule of court of the ommonwea1th of Pennsylvania or any other jurisdiction to the ontrary, notwithstanding. LAW OFFICES OF KEITH A. BLANK 3461 Market 51. SuT1e 303 Camp H.a. PA 17011 Phone (117) 131,2610 ~'-;:,t-.J~ OMMONWEALTH OF PENNSYLVANIA OUNTY OF CUMBERLAND We, ELVIRA I. BLEUL, G\_\el\. 'w./(O<cb(e!( :P. . and n . the Testatrix and witnesses to the attached or foregoing espectively, nstrument, being first duly sworn, do hereby declare to the ndersigned authority that the Testatrix signed and executed the nstrument as her Last Will and Testament and that she signed illingly. and that she executed it as her free and voluntary act or the purposes therein expressed. and that each of the witnesses, n the presence and hearing of the Testatrix, singed the Will as itnesses and that to the best of their knowledge, the Testatrix as at the time eighteen years of age or older, of sound mind and nder no constraint or undue influence. ITNESS: ~ ~L ){~il ~r/Ju\~ ~A'A_J~ ELVIRA I. BLEUL worn to the subscribed to before me --Ltt.-- day of ~rnb('r -- ._- No' II'" Sr~;l1 \ ::..:..;" 1'1c~.\rv PU'JhC Dnrl:] C. .\. :":;, "1\,('/1:1"'0 county ,..."....~) I'd ;;('10. \...1 L J'O _ , '-':1 ,:::\7 -;' ~:1" :.';.01' r: "f. ((l~ .:1.. t._ . or. ,'_' '-:"'-:-~'\5:1'MitJ(jt'olnU~,o,;" \" "1.... y Commission Expires: LAW OFFICES Of KEITH A. BLANK 346 t Markel 51 . Suite 303 Camp H.a, PA 17011 Phone (717) 737-2670 CERTIFICATION OF NOTICE UNDEH HULE 5.6(at Name of Decedent: i/",-",l.- I i? /("J 1 Date of Death: T,,/.,, 3 I~<;t,. Will No. Admin. tlo. 7~- /' -y, ,'i ~ Iv'l/,,-OO,5''t'(' To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-caplioned estate on 'JWy 10, tf,' : . ~ ollc 2;,,1. Address (SI?I S(1"U">~.f. Sf. 1-I",,.mtlJ/"uJI'l , f'<- 17c ~ (, I~I !d/.' v P,It, 1/, II did . 01< 17 12 I) 'I 17,:~'> Ild.,/.,'/7:"I" I..?Yblt,I"",.u S/~.~//U"'f. K- 77/i 7(. /(dl'l'd''<J../u/r /'''''''''''''''1' In.,oI {,[,I/'y . 13 g N,?~ .,.If:fy, &"',!> 11,/1 , A- , 11'('11 Notice has now been given to all persons entitled thereto under Rule 5.6 (a) except ,AloAJQ ~; .' /-i,/;,r- :;,,;~' Signature Name /~"~i,.f /.;.. k Address 5'h' 17?1,:ldl/'"n' r/v.:. Ifi'/.O'fdj.!U,"f ,(1,,- 11','[S- Date: /o/2./f' ~ N ~ -.... r.1 1 .! => uu Telephone(?'!) 1'(17. ??' .J~ 2_ Capacity: x.. Personal Representative Counsel for personal representative AIVI~OO(l.17'HI I 5-- / I 3 - --) INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) ....L FOR OATIS Of OIATH AnlR 12/31191 CHICK HIAI II A SPOUSAL POVlRTY CRIOII IS CLAIMID I flU NUMBlR 119:i:: 'rA "., ..,~ -> .,.. COMMONW(Alftt Of Prt4H!aUVANIA OEPARTM(NT Of fUVWUI 01" 180601 HAUI!aBURG. PA 171180601 19% VE^~ 21 cou"tY COOl 5/~[t NUMBER Olllj)l'il'~ (OMPIIII AOOII ~~ 0- is fil u w g PICIPIN .!! tjAMIIIA~'. III!!I. AIm MIOUll ItllTIAq Uleul, ElvLra 1. ~OcliliiCuilll"~UMiiR ,- 10AII OflJlAl1l _~~42-82~~___ _ u . 7/J/% I" ""!(UIII\u",~,'j{..v,)u\f\""'-1 "A\l '.1\' Af'll"l'nl ."I,A') lOA" Ullllllli.' (,/27/50 \''''''' \I (u"''' """'" Supplemenlul Relurn I) 3, 115 !17I/,-A CharleH !luau HechankHhllrg, I'A 17055 (0""[ l:umbcdallu. _ u_" ,"OU", ",,,,,," 1'" ''''''U~l'::'~ Remainder Return (lor dale' of dealh prior 1012.13.821 Federal E'lale Talt Return Required W 0- ",::5'" u"''' wGou ",gO u"'~ It'" "" N/A LXxI DA If.~ 6 0_ S. Tolol Number 01 Safe Depo,il Bou, I ] 2 [ ] 01.0 Fulu'o In'ere,1 Compromi,,, (lor dohn of deoTh alter 12.12.82) Decedon' O;.d Te"al. II 7 Oeced.n' Main'a;n.d 0 l;,in9 Tru.' (Anoch copy of Willi (Alloth copy 01 Tru,l) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. Original Relurn limiled e,lote .0- "'z ww "'co "'z 8~ COMPlltI MAIliNG APORU!! NAME .....-----....."""-- 4/, I,. Nain Street Hcdwllh:sburg./_ fA' __ __m___ KeiJJLQ,-1l=U=ll~E"qulru-.....- IEU'HON( NUMIU 717 697-8528 17055 84.500.00 III 121 (3 ) ( AI (5 ) z o 5 :0 0- 0: "" u w '" 1. Real e'tale (Schedule A) 2. Stoth and Bond, (Schedule B) 3. Clo,ely Held Stoc~JPortne"hip Inlere,t ISchedule q ... Mortgage, and Note, Receivable (Schedule 0) 5. Ca,h, Bon~ De po, it, & Miscellaneou, Personal Properly (S,h.dul. E) 6. Joinlly Owned Properly (Schedule F) 7. Tran.I... (S,h.dul. GI(S,h.dul. LI 8. Tolol Gran Auets (10101 line, 1.7) 9. Funeral bpen,e" Admini,trative Co,ts. Miscellaneou, Eltpen'e' (Schedule H) 10. Debt" Morlgoge liobilitie,_ Lien, (Schedule II II. Tolol Deduction, (lotolLines 9 & 101 12. Nel Value of e,tole (line 8 minus line 111 13. Charitable and Governmenlal Beque,ts (Schedul" J) u. Net Value Subject 10 Talt lline 12 minus Line 13) 15. Spou,ol Tron,fers (for date, of death alter 6.30.9") See In,truction, for Ar,plicoble Percentoge on Reverse Side. (Include value' rom Schedule K or Schedule M ) Amount of line 1.4 laltable at 6% rote (Include value, from Schedule K or Schedule M) Amount of line 1.4 loltoble 01 15% rote {Include value, from Sthedule K or Schedule M.I Principal tOlt due (Add tOlt from line, 15. lb and 17_) Credil' Spou,ol Poverty Credit Prior Poymenl' (191 PO) ,17,173.96 1.951.4L (6) (71 103,625.37 (8 I ---------.------ (9 I 18.440.90 73,78!,.16 (101 92,225.06 ---_.------ ___Il,~0_0_,3L (111 (12) (131 (I AI Il,~OO.~1 (15) ._ __K. .._d. = 5,700,16 x ,06 = 342.01 ..- ----.-~-_._--- (16) 16, 17, z 0 ;: 18, "" 0- 19, :0 Go :E 0 u )( 20, "" 0- 21. 5,700.15 x ,15 = __855.02-................._ 1,197.03 (171 (181 Discount Interest + +, Th;,;. ,h. OVERPAYMENT. II line 19 i, greater than line lB, cnler Ihe differenco on line 20_ DID Check here 11 you ore requesting 0 r.fund of your avltrpoym.nt. 1,197.03 (21) 121AI (2181 1,\97,03 If line 18 i, greater than linlt 19, enter the difference on lin" 21. Thi, i, the TAX DUE. A Enler Ihe interest on the balance due on line 21A. e, Enler Ihe tolol of line 21 and 21A on Line 21B. Thi' i, the BALANCE DUE. Mak. Check Payabl. ~o: R.~I~~.r. !f WIII~!_ Ac~.nt _ __ _____________ ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVEiisE"siDEANDTO RECHECK MATH ---:.(-;;;.(- ~----- ~~der penoltie' of perjury, I declore thai I have e.lomined this relurn, including accompanying schedule, and ,,(olemenh, and 10 Ihe best of my ~nowledge and belief, It" true, correct and complete. I declare thol 011 real l'\lole has been reported 01111.10 m(]f~el value Declorohon 01 p't!parer olher thon the personal repreulnloliyc i, baled on 011 informal ion of which preparer ho\ ony ~now'edge ~w.tlAfu:J or Ph~-6~.n.PONSlilnoi-'ll-IN'G'i-tli-iiii' n___ -AOOiil!!~-~Sl.O I\Pllal.:lch'ian .'.venue -- DAlf -- ,. !t.!'''''' __'!.._ ,__' Executor !IcdwnlcHburg, I'A 17055 II/I;}?l '__.uV:._."',.. I AIIR Olt'I" HIM~ IIPUI~t~lTA'I~f' - A{lP~I~~ 0/-'/'// /1 n~" 'f1€ 4/, I,. }lilin Sl" ::cdwnLcHbnrg, I'A 17055 1'1 7L, .- Act #48 of 1994 provides lor the reduction 01 the tOll rates imposed on the net value 01 translers to or lor the us. of the spouse. The rates os prescribed by the statute will be: . 3% (.03) will be applicable lor estates of decedents dying on or alter 7/1/94 and before 1/1/96 . 2% (.02) will be applicable lor estates 01 decedents dying on or alter 1/1/96 and belore 1/1/97 . 1% (.01) will be applicable for estates of decedents dying on or alter 1/1/97 and before 1/1/98 . Spousal translers occurring on or alter 1/1/98 will be Ollempt Irom Inheritance tall. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS. YES_1I0 1. Did decedent make 0 transfer and: x a. retain the use or income 01 the property transferred, ...........................................,......,.... b. retain the right to designate who sholl use the property transferred or its income, ............... x c. retain 0 reversionory interest; or ................................................................................... x X d. receive the promise for Iile of either payments. benefits or care~ .......,............................... 2. II death occurred on or before December 12, 1982. did decedent within two years preceding death transfer property without receiving adequate consideration~ If death occurred after December 12. 1982, did decedent transfer property within one year 01 death without receiving adequate consideration~....................... ............................. ............................ ..... ....... ....... X . " , , 3. Did decedent own on 'in trust lor' bonk account ot his or her dealh~...................................... X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. . . IIV1)0II1",1'1I SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Ploalo Print or Typo FILE NUMBER 1996-544 1I~:J~:~l\ "",JfjJJ.Jp COMMONWfAUH 0' 'fNNSVlVANIA INHlIlTANCI TAX InUIN IUIDINr DICIDINT ESTATE OF Elvira I. Illcul tAil prop.rty lolntly-owned wllh the Right 0' Survlvo"hlp mUlt b. dlulo..d on Sch.dul. FI ITEM 5 NUMBER DE CRIPTION VALUE AT DATE OF DEATH 1. Illuc Cruss/Illuc Shleld diHabllily pay 2, Refund - Hampden Tuwnship Ambulan"c Assu"iatiun 3. lIarrisburg IUltun - payment Cor servkcs rcndcred 4, Mls"ellaneuus furniture. persunai pruperty aud "luthing uC value 5, 1992 F'urd Taurus, 4 duur sedan 6, Refund - Real Estate Es"row A""uunt 7, Refund - West Shore Tax Ilu reau 123.57 171.00 740,00 8.745.00 6,830,20 543,53 20,66 TOTAL (Allo ontor an lino 5, Rocapitulation) S 17 , 173,96 (Attach additional 8VJH )( I1H ,heets if more 'pace il needed.) " .fV.l109U.jIUII ~ COMMONWEAUH 0' "NN~YlVANIA INHUltANCf TAX RfTURN IU~IDINT DICIDENT SCHEDULE F JOINTLY -OWNED PROPERTY 'I Jolnl '.nonll.I, a I. 111<'\11 FILE NUMBER 1996-54'. ESTATE OF _______~_~ __.___..__...__.___,-__._________________.______ ._______._________________m_________ ADDRESS 540 "l'l'al'h.:hLan Avcn\lc Ncchanlcshurg, I'A 17055 RELATIONSHIP TO DECEDENT IIrutwr A. NAME Hcrbert Zlnk B. C, Jolnlly-own.d prop."y' ITEM LmER DATE FOR TOTAL VALUE DECO'S DOLLAR VALUE OF NUMB'EI JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. A 10/20/9. Hembers First Crcdit Uniun 2,729,19 502 1.364,60 Savings accuunt #114107-00 2, A 10/20/9 Hcmbers First Crcdit Uniun 1,173.61 502 586.81 Checking "ccuunt #114107-11 - TOTAL (Also enter on line 6, Recapilulalionl 51,951.4t (II more space is needed inser' additional sheels of sume size) .l\lIt1llhl'"1 ESTATE OF ~~'\l ".IJ;1i,-(\ - ~ril~,.. (OMMONW(AUIt Of P(NH!.VlYANIA INH(RllAH(( lAX AflUAN _"UIO(H' OrCfD(N_'_. ~ SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES I 0 _ _Pitta.. Print or Typo FILE NUMBER I;lvira I. IIleul ITEM NUMBER A. Fun.ral Expon.... o__~__. --------------------J-..J9..9-C!.=.5!tLr----- -0.'0' DESCRIPTION . AMOUNT I B. 4. C. 1. 2. 3. 4. 5. 6. 7. 8. 1. 2 Hyers-Harner Funeral Hume Rulling Green - grave upening fee I Admlnl.tratlv. Co.ts: 1. Personal Reprosentatiyo Commissions Social Security Number of Personal Repre,entall,e: Year Commissions paid 2. Snelbaker & Brenneman, p, C, Attorney Fee. 3. Family Exemption Claimant _ Relation.hip Address of Claimant at decedent'. death Street Address City Slate Zip Code Probate Fee. tu Register uf \~ills, Cumberland Cuunty Mlscellan.au. Exp.ns.s: Advertise letters - The Patriut News Cu, Advertise letters - Cumberland Law Juurnal Chuck Bricker - cummissiun un sale uf persuna1ty Chuck Bricker - appraisal fee Re/Hax, ERA - cummissiun un sale uf real estate Transfer tax un sale uf real estate Reserve fur filing accuunt, accuuntant fees and miscel1aneuus expenses TOTAL (AI.o enter on line 9, Recapitulation) (If more 'pac. Is needed, Insert additional sheets of .ome size.) 4,922.00 695,00 2,000.00 235.00 63,40 40,00 1,127,50 40,00 5,915.00 845,00 2,000,00 S (cuntinued) . "':1111:' ".:, '*' COMMONWfAUH 01 '(NN"'....ANIA INHUIIAHCI ,.. I. IV"! _"lOIN' OIClOIHI SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS L..... PO.. .. ,,,. FILE NUMBER ESTATE OF Elvira 1. IIte,,1 1 I _</1 N~TJ~ER DESCRtPTION 1, Nembers First CredIt Uniun - persunal sl!;naturc luan 1111/,107-03 2, Nembcrs First Credit Unlun - vehlde lua" 111"'''07-0/, 3. ~lembers First Credit Uniun - VISA a~~uunt 11/.1214499921/.1072 balance: 4. 1'1111 Nurtgage Services murtgage, baJan~e due: 5, Unigraphics - due un accuunt 6. Brunstein & Jeffries - due un a~cuunt 7, Ehrlich - due un accuunt 8. I'P&L - due un accuunt 9, Bell Atlantic - due un accuunt lO. Suburban Cable - due un accuunt 11, Deissler's - due un a~cuunt 12, Water Cumpany - due un accuunt 13. Stephensun's - due un a~cuunt 14, Hampden Tuwnship - (sewer) due un ac~uunt 15. Cunduminium Assuciatiun dues - due un accuunt 16, Hampden Tuwnship Ambulance - due un accuunt 17, David Brunstein, N.D, - due un accuunt 18, Juhns Hupkins Huspital - due un accuunt 19, West Shure ENT - due un accuunt 20, Wulpuff & Abramsun - due un accuunt 21. Apria Hea1thcare, Inc, - due un account 22, Brunstein & Jeffries - due un accuunt TOTAL (Aho enler on line 10, Recapitulation) (IF more space is needed. insert addifional sheets of same size,) .---" , AMOUNT 3,252,12 7,003.51 3,352,35 54,766,57 30,44 60,00 91.45 99,45 153,43 10,66 55,29 47,06 29.56 98.00 55.00 386,00 55,00 2,4[,0,00 275.00 1,066,74 351,53 105.00 $ 73.784,16 r' , LAW OFFICES OF KEITH A. BLANK ;461 Marke1 St.. SUlle 303 Camp HM, PA 17011 Pnone (717) 737.2670 such statement or list in existence at the time of my death shall e determinative with respect to all items devised therein. If no ritten statement or list is found and properly identified by my Executor within ninety (90) days after the probate of my Will. it shall be presumed that there is no such statement or list and any ubsequently discovered statement or list shall be ignored, FOURTH I hereby give all the rest. residue and remainder of my state as follows: 1) Fifty percent (50%) of my estate consisting of real. personal and mixed property, whatsoever and wheresoever the same may be, I give, devise and bequeath unto my mother, IRMA E. SHELBY. 2) The remainder of my estate shall be equally divided among my four siblings, HELGA T. WALKER. HERBERT ZINK. OTTO ZINK and MANFRED ZINK, 3) If my mother predeceases me, her share shall go to my four siblings, HELGA T. WALKER, HERBERT ZINK. OTTO ZINK. and MANFRED ZINK, in equal shares, 4) If any of my siblings predecease me, their share shall go to their children per stirpes. ~J.~ . ~ t FIFTH I hereby nominate, constitute. and appoint my brother. ERBERT ZINK. as Executor of this my Last Will and Testament. In is unable or unwilling to act as such, then I aminate, constitute and appoint HELGA T, WALKER as my executrix. In the event that either my brother, HERBERT ZINK. or my sister, ELGA T. WALKER. are unwilling or unable to serve as such, then I aminate, constitute and appoint the Members First Federal Credit Mechanicsburg, Pennsylvania, as Executor of this my Last Testament. SIXTH In the settlement of my estate, my Executor shall assess, among others. the following powers: 1) To retain for the benefit of my estate any investments that I may have at my death, including specifically those consisting of stock of any bank even if I have named such bank as executor herein, so long as the executor may deem it advisable for my estate to do so. 2) In order to effect a division of the principal of my estate or for any other purpose, including any financial distribution, the executor is authorized to make said divisions or distributions of the personalty and realty partly or wholly in kind, and to allocate specific assets among LAW OFFICES OF KEITH A. BLANK 1401 Matkel SI . SUIte 303 CamP H', PA 17011 Pnono 1711] 737,2lj70 ~,J~ . beneficiaries so long as the total market value of any share is not effected by such division or allocation. 3) To sell either at public or private sale and upon such terms and conditions as the executor may deem advantageous to the estate, any or all real personal property or interest owned therein by the estate severally or in conjunction with other persons or acquired after my death by the executor and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title. free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon the executor in this paragraph or elsewhere in my will. 4) To mortgage real estate. and to make leases of real estate. 5) To borrow money from any party. including the executor, to pay indebtedness of mine or of my estate. expenses of administration. legacy. estate and other taxes. and to assign and pledge assets of my estate therefor. LAW OFFICES OF KEITH A. BLANK 1.61 Market 51.. Su..e 303 Camp HI", PA 170t 1 PhOne (717) 737,2670 ~J~ LAW OFFICES OF KElTH A. BLANK ~61 Marlte1 5t . SUIte 303 Camp H., PA 17011 Pllone (717) 737.2670 6) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or a trust. 7 ) To vote any shares of stock which form a part of the estate and to otherwise exercise all the powers incident to the ownership of said stock. 8) In the discretion of the executor to unite with other owners of similar property in carrying out any plans of the reorganization of any corporation or company whose securities form a part of the estate. 9 ) To do all other acts in their judgement deemed necessary or desirable for the proper and advantageous management. investment and distribution of the estate or trust, 10) The corporate fiduciary, if any, shall be entitled to compensation based on its regular schedule of fees for such services in effect at the time of the service rendered. SEVENTH I direct that no trustee, executor. or other fiduciary amed, nominated or appointed in this my Last Will and Testament hall be required to post any bond or give any security of any type or any purpose whatsoever, any law or rule of court of the ommonwealth of Pennsylvania or any other jurisdiction to the ontrary, notwithstanding. ~_J~- EIGHTH All inheritance, estate and succession taxes (including interest and any penalties thereon) payable by reason of my death shall be paid out of and be charged generally against the principal f my residuary estate without reimbursement from any person. IN WITNESS WHEREOF, I have hereunto set my hand and seal o this, my Last Will and Testament, consisting of seven (7) ypewritten pages, the first five (5) of which bear my signature at he bottom for the purpose of identification this 1st day of ecember, 1994. ~J~ ELVIRA I. BLEUL ITNESS: Pit- ADDRESS: <3L/1o I fI't.Ib.....J-. ~ ~,; b :?P3 ~/' J J 170/1 ..31../1,,( fIItu'~-I, )~ ~::;4'<(J3amp/JiI/ / Io/t 1")jI / LAW OI=FICES OF KEITH A. BLANK . W6 t M4" I:! S: Su..e 3DJ c..".,p.... PiA 170" ~ ~ .711\737.267(\ l.nnOt'LOAII ::: !:' I. I I hP I. I 1 t.". VIII"II. .1L1 lnMII. It. illY Il\IOn I. """".. In ra.. lI\IDa I. i i c.". ,... ..Inl e. liCI'ft,nl. ,.N 11 I.ph'*' t. ,he ,.. e .",_., .1 ."..1 .."I_.t "'". .......,. ~Id t. ..,d bJ 'N ..nl_" .,...t .~ ...... It.. ....... 'Iroea' _.. .,.hl ...t.I" 'N .1..11lt' 'hI'...."'- ""II ht 1111'1.."...1 JOlI'''''''' ..... ... Nt I_I..... I. 'Ioe huh. 0,' n.ft 111..01...1\.1I,....11. D. .....IollDADOU..O' ~ I...... bD 1oOOU" 0' l.lUIl ,. ..... bD lnDI'I' 0' U~1Jl. n,...lel..h II..l-'''M...lI'' 'In' U.U'" ....1'.... O. "'11I:" LOeATIOII I. .rnu_1lT ACIWf n.III.IUI I. II'I'M.IICD1'ClAft UII.A nul.. bad ..,.,..""""'T,....'.,, I~. ""....I~.boIl', fA Ilon I.pt..bot.n. Uti a.bI.hlld c....", 'A '~O'ln1'UIIIWT UUMlhtlt...t C.....IU.r.llOlI J. ,w.u.f or 1OllaIIII." n.ulACTSC* I. IUIOlU.'I' 0' l.lUIl" TUftICT1C1l 100. ~. AMOUft DIll ... ~ toO. CIIlOII AXMn' IlUI 1'0 .ILLI. 101. eo.tnct Ill.. ,rift "."0.00 101. cOfItract 'al.. 'rie. u.tOO.oo 101. '.,....1 .....rt.. '01. '.n...1 ,.--rt" 101. ..ul_.teN ..t.lal~r U..IIOO I.nl." nl. 10'. 10.. 101. '01. ....t..II"'arU.. .. leU., I......... IdJ.......tth.rU... .. 1.llerlll,IItr.1lC'lI 101. cU,/t.. T.... .. 101. CIt'/t_T.... to 101'. c..aat'l'Tu.. o..ao.tt t.OI.OI." ...01' 1000.Cwllt'T.... at.ao.n t. 01.01." ".01 10'. schaol Tu It.n...,.Ol.OI.U 1t1.0I .0.. Ichool T.. 0'.10''''00''01.'' "'.01 10'. Itwr &lid ..ru.. 0,.10... ,. to.OI... lI.n lOt. I_r .flIt ..tun at.IO." t. 10.Ot.tI lI.n 110. ....... ... ".IOeU to to.OI." 10.1'1 110. 'nOll. Du" Of.n." to lOeOl.n 10.1'1 Ill. 111. In. III. 1'0. CI.OI' NtOUftOlll... aou.CIltII. ....H.n no. GaOlI AM)IJlI"f Dl1I1'O .r:un '''111.'' 100. AM:lCII'f'I '1.10 IT .. III 111111 or IIOUOWIa ~oo. ~C*I IIII.MOWT 1lUI1'O nun. III. De dt.....rM.t__ 1.000.00 SOl. I_c.n Depodt I'Mh.tructllllll" 101. .rl..1 1. ....."t .1 __ ....1.' II.SOO.OO IOI.I,ul_lItC'hu...t.I.l1u IhI. .... 1.101.01 100...illl ""'.1"T"", I.. ItCt t. SOl. ad.th. !.Dall. T.h" 11Ibttcl to 101. SOl. ..,oU I.t "'. t...IIott.... 1e",le.. ...,...n 101. ~ot. .",oU .1.tCOfId_rt....t.." 10.. S... 10'. SOl. ,.. itdhboaned .. roc..d'l 101. SOl. lot. "'. Adt..t.IIt.fDrlt...II_ld.....U" t.dlllltatn" larlt___ldbtl.I1., 1I0.C1\/'_'l'U.. .. SlO.clt/t_Tun .. lit. Caulltl' Tu" .. SII.CO\IlItl'T.... .. III. Iehoo1. 'fu .. SII.lchool"'" .. In. ~n. III. SU. Ill. SlS. III. ~II. IU. SlI. III. III. lit. Sit. no. 'IVnJ. '1.10 I"roa 1iOUClWD. IS,SOO.OO $10. 'IOI'AI. uwerI<* IIOUII1' tlU'I It lUll u.no.s. 100. OIl AT IITTUtCIWf noIlI'I'O 8ClUOIII1. 100. e.... AT Ift'n.DIIJIT TO/not! llU.Ill. 101. Gr... &a, tllI. I~ lar.-r 111_1101 ....u.n 101. Cnlll '-lit Du. 'o..Un Ill",.,O) n.Il'." 101. ""n ..... .eld "'lIor tGr..-r 11M no UlOO.OO 101. t.tll bchctlOft. Du.I.lltr JI",lIa uno.n IOJ.c.u1 III nctl /\ to U.III.n 101.c.u1 1111Q I I .... It..... n,101.1I 'fIl. .lldtnl,1lId .....Y lek'} '~"/rtc Ipt ~ -.'lted CGpf' 0' pa,,' JU 0' 'Ill. .tlt.."t , .,,)' .tt.C_IIU rattrred t. htltb. '" . \ / 'L,,\ /1.,/4 11.:'- toUOIIIl. 111.1.1.. 'nIca..lelOfIIt /) II...l.lo,"ul."" ......... A. SBTTLIlHBNT STATBKBNT U... 0I.U:11II1t1' 0' .wI11IQ ....VI....DIYILOf..1n' o..lltO 1\11 ous .nu. 'lTfUJl&JI1'''AnMUrr'1tla1 , . ,". ,.."1 ..1..11,.... c_III"'u ...... .... .,In · Dhhl_ .1 ea.l..l- HIM 1001 II loll_I III.' . .n." ,....,"'. ..d' "'..DIt.III<I. UI.' I....... t...... ...s....... .. ,u.~I..I_''''.II..tl-' fU. .OO. InN ",,-.au .. COIlnCTIOIl Ifl,.. I.Mff .oa. \MIIO,II...tl.. ,.. 1.0000' "'11111._"1 1.0000' III. .1..1'.' .... c,.IlI' I ..'......11'.... tlOft'" ..t."". ,.... .,.. .01..... 10ft'" ,..Orlfal ,...n .... "... cu' ..\lo.oot '.1000'. ...n.oo ,.10 ,.... IOIlAOIfP" ,'*,..., .11TU.'" ntb'flOtl "WI" 'UIfI"U .11TU.'" ..tI\.OO ,/ PH .. UfltUIl".......,.. ,. .",,--.,...1 ....... .. Unt lid'''' ....,t roc un.oot> ,. Untll.".......'t. roc no.oOlo .. .. .. .. rlflt uII'" ...." . .. 'h.tu.l\lool....,. . .. ...tlow.t I.d ...".. In.oo 110.00 H.OI 10.00 100.00 100. 1'-- UQUIUD If ....... '1'0 II "ID IIf tD'fuc:l UI.I.'If..tt~O'.IO.""OI.U."" I.nooo"",11 .... 101. MIl". I....run .r._ lor _th. to UI. ,,,11''11 ....r_ ....... I... I Nfl to UI. I. ",. 1000. uaDftl r:aoIlftD wn.. UIIOU lOOI.........III..'.IlC. 1001. MDrt . . IIl.UflllC. 1001.ClI It_,.... 100'. COIInl "'... 100'. IdMlol Tall 10Of. lOOl. lOot..,..,.W....."I 1100. ,tTU e_ 1I1l. ..\\1_1 lit el,"1 'M 1I00.AMlract ...TIU....rclrro It,,1. 'Ltl. ..u.1nal'_ IIU.Tltl.IJlI.,~.t""r IIOS.~t'r.tIOll 1I0t.lot ,... nOl..norM""'. .. ...SO -... t. r_,h _the " r_tII, -... " r_,1iI ,.000_U.. " II.n r_'" I.OOO_lt.. " n.1I r_'h -... ,. ",r_tlil -.. II r_tlll 100.lI nO.JJ 11.10 .. 10 ~ .._ Iot"dTnlll.r. Ifill. toCAl' 10.00 , n.oo 15.00 , .... toll .t_ Iot"d'fI""If. Inc. .. .. .. 11..1.01.. ablwIo it.. .....fll UOI.1'IU.I...rlUlCl loll .t_IAJd1',,,,.I.r.IM. II.Mluol..ablwIo1t.......,1I100.IOO...I..ao 1I00.loIlIdIr..CDn..... 11.100.00 1110. Oo/ftIr'.C".". ...100.00 UU. On...1 h.. lO~. don.....1d 1'''nlllf. 111II. UII. IICIf to DA t,M.UlIlIl ...1 ,.hl. IIn. ,.Ud.otl_ ,.. ... ~'l'.10Il. ....Jd TraN'." .AC. "1.10 10.00 10.00 ..'.00 n.OI 1100. 0Cl'fDJMD'l' ~IIIO NID TUalua cauca 1I00.lICOtdl ,..'IIIIId' n.1O ,....". , II.S0 ,........, 1101. elt leoa.. Tu/It II DHoI' "'.00 ,MO",.., 1101. Ild. Tu/It II DHd , "..00 I*,rt,..,.' 1101. ...1 _t to cu.blrl.Jd COlla" I.IG. 01 c.ld. IIOS. 1100. AIlCII'l'IOlWo ,n1UlCIWt elLUGD UOI. '1'" 1101. .....hl 11_ 1101. It" IcMiI TU 1101.1.1... Chlr UOI. n.oo u',oo " ,U.OO 11.00 lo'i Ilbl...'....... ".00 'n.1O ' ..12 /' .. '0 ..t .. '.1"", I. ... e"or-hI liDO. mAIo II'J'TLIlID! cu.lGU tl"I.f OIl LlM' 101, .1Ct10ll J ,11II so.. ..etln ~l I.UI." ..UI.OI If' .s,IlI.. ,.,. I .1 Ihlt ...t_"t, IIIIIII,.\Orl.' .ck_I... ,1C.tpt .1 . ~Id'" CDPI'.I pi" 2 allhlt I ,.,. .ht_t. 1'''IUII.wo/"UUj CuUllaol to III . I",. copr J/i.JJ "i. ;f~11 /4.-, IIrltOlle...Id'UllIhr,lne. ,.ul..."t""."l COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 51: lIerl>ert Zlnk boing duly ._ ~"WU.rll __ _ _ _ _ _ .ccording 10 I.w. dopolol ond '.Y' Ihol ho _ ,_.is ~J.'" ElICClIl:ur ________n__ ____ _ 01 Iho E,I.lo 01 ____LJ.ylnLl..._IHcILL__, __,_,__________,__ 1.10 01 ___ Nedlanicsl>urg ______ _ _ _. Cumborl.nd Counly. P.., deco..od .nd Ihet the within i. en invonlory modo by ___ ~C1:.~e!t_Z!n~ ______ __ _ __ -_I Iho ..id Executur 01 Ihe onliro o.lalo 01 ..id docodonl. con.i.ling 01 .11 Iho porson.1 propurly .nd ro.1 osl.Io. oxcept ro.1 0.1.10 ouhide the Commonwo.llh 01 Penn.ylv.ni.. .nd Ih.1 Iho liguro. oppo.ito o.ch ilom 01 Iho Invonlory ropro.onl il'. I.ir v.lue .. 01 Iho d.lo 01 docodonl'. do.lh. Swurn tu .nd .ub.cribod boloro mo, __ __ '.- (-t<:~..{--.fr-4 Executor. Admlnhh.tor this 1/111 day uf -----:-J '. \'::::td-Ju t',ul) 11i1;'c/OrhJ17L 19 96 ;. :i~~::;J j' f),\~r:lJ I J i :1"_'" : )~Jrv PI.b!iC t..;~~,,_, :...,J,,"; l-.,;tll CUiI1t'Hl:\ncICounly 'Ay C()rnrTll':~:Oh E ~ptO~ Due 31, 199fl ~', ..~"., p. hr,"'lT:t 1\""('(1:":<"''(1 fJH-.-:'~ 5~0~Jl~ala_"-'-'.!an Avenue Nechanicsburg, I'A 17055 Addr... Dole of De.lh 3 July 1996 Day Month v.., INSTRUCTIONS I, An invenlory musl be Wod within Ihreo monlh. .1I0r .ppoinlmenl of person.1 reprelenl.tive. 2. A .upplement invonlory mUll bo Wod within Ihirly d.YI of dilcovery of .ddition.1 .1I0h. 3. Addition.1 .hoeh m.y bo .It.chod ., to porson.lly or ro.lly 4. Soe Arlicle IV. Fiduci.riel Acl 011949. ~ 1-: I i , >- I -ti ....l' ~ I- w GJI ~ ~ '" I- .. c: '" w ~ ....ll ~ ~ '" l1. U .., 0 II> "'I " G e "" 0 '" >- w '" w C .. OJ G I- J: l1. " l1. c: c LL "'I ~ c: I- -' ....1 .. ~ '" Z jj 0 l1. OJ 0 LL -' ..., c:, ... :I: en W 0 <( ~ "'I ,,:. '" <( en > Z '" "'I ~I - .... Z 0 >, c C ....ll ~ 0 - II> Z '" 0 0 '" ~. 0 Z w <( I I .. .c l1. I " u c .... - .. OJ -.: ~ 0 " .D " ... I ~ E - ..!! 0 .. ~ 0 ..I 0 Ii: CD MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN lOWER PORTION FOR YOUR RECORDS ..... R-EV:isiii-Eif-AFii-iiif:9bi--NOr-icE--OF-i-NHER-iTAN-CE-ifAX-A-PPRiiisEi1ENT~--ALi:OWAN-CE-O-R----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ELVIRA I FILE NO. 21 96-0544 ACN 101 If an assessment was issued previouslY, lines 14, 15 and,or 16, 17 and 18 will reflect figures that include the total of abh returns assessed to date, ASSESSMENT OF TAX: 15. AnDunt of Line 14 at Spousal rat. tiS) 16. Anount of line 14 taxable at Line.l/Class A rat. 11&1 17. Anou"t of Line 14 taxable at Collateral/Class Brat. (17) 18. PrIncIpal Tax Dua /y- //3 - () DU~EAU OF INDIVIDUAL TAXES INlllkIUN([ ux D1VI~ION Drp,. :aDbOI tlANNISBUIlG. PA 1110'1I-0bOI COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INIlERITANCE TAX APPRAISENENT, ALLOWANCE OR DISALLOWANCE DF DEDUCTIONS AND ASSESSNENT OF TAX KEITH 0 BRENNEMAN ESQ 44 W MAIN ST MECHANICS8URG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN i = I I ESTATE OF 8LEUL TAX RETURN WAS, I I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Red Est.t. (Schedule A) (1) 2. Stocks and Bondi (Schedule 8) (2) 3. Closely Held stock/Partnership 1nt.,...t (Schedule C) (3) 4. Hortg.gas/Nota. Receivable (Schedule DJ 141 5. Ca.h/Bank Deposits/MIsc. P.rson.1 Property (Schedule E) (5) &. Jointly Owned Property (Schedule FJ (&) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ada. Costs/Misc. Expenses <<Schedule H) (9) 10. Debts/Mortgage liabilities/liens (Schedule II (10) 11. Total O.ducUons 12. Net Value of Tax Return 13. Charit.b1e/GoYern~enta1 aequ.sts (Sch.dule J) 14. Net Value of Estat. Subject to Tax NOTE: TAX CREDITS: PAYNENT OATE 11-12-96 RECEIPT NUNDER AA146928 DISCOUNT 1-) INTEREST I-I .00 02-17-97 8LEUL 07-03-96 21 96-054(, CUM8ERLAND 101 Alltount R....ithd I X) CHANGEO SEE 84.500.00 .00 .00 .00 17.1"73.96 1.951.41 .00 (8) 18,440.90 73.784.16 1111 U21 U3l U41 .00 X .00: 4,724.45 X.06: 6,675.86 X .15: (8) AMOUNT PAID 1.197.03 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN, TOTAL DUE PAYMENT MUST 8E MADE 8Y 04-04-97*. c./ ~\~~ ~rr~!~' IlIlhllll" ':I.tlI ELVIRA " DATE ATTACHED 02-17-97 NOTICE NOTE: To insure proper credit to your account, subnit the upper portion of this forn with your tal< paylt8nt. 103,625.37 9???<; 06 11.400.31 .00 11.400.31 .00 283.47 1.001.38 1.284.85 1,197.03 87.82 .00 87.82 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN $1. NO PAYNE NT IS REQUIRED. IF TDTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU NAY DE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FDR INSTRUCTIDNS.I RESERVAtiON: [,tat.. of dacadant. dying on or bafar. O.c..b.r 12, 1982 -- If any futuro Int.r..t In th. ..tat. I. tran.f.rr.d In Po...s.lon or .njoy..nt to Cia.. B (collat.ral) b.n.flclarl.. of the d.cadant aft.r tho a.plratlon of an~ ..tat. for Ilfa or for yaar., the Co..onwaalth har.b~ ..pr...ly r...rva. the right to appral.. and a,..,. tran.far Inharltanc. Ta... at tho lawful Cia.. B (collataral) rat. on an~ such future int.r.,t. PURPOS[ OF NOTICE: To fulfill the r.qulr..ant. of S.ctlon ZI~O of tho Inh.rltanc. and E.tat. Ta. Act, Act Z2 of 1991. 72 P.S. S.ctlon 21~0. PAVNENTl a.tach the top portion of thl. Notlc. and .ub.lt with your pay..nt to the R.gl.t.r of Will. prlnt.d on tho r.v.r.. .Id.. .-Nak. ch.ck or .oney ord.r payabla to: REGISTER OF MILLS, AGENT All payaant. recalvad shall flr.t ba appll.d to an~ Int.ra,t which .ay be dua with any r..alndar appli.d to the ta.. REFUND (CA): A r.fund of a ta. cr.dlt, which wa. not r.qu..tad on the Ta. R.turn, .a~ b. raqu.,tad by co.platlng an ~Appllcatlon for Refund of P.nn,vlvanla Inh.rltanc. and [,tat. Ta." tREY-Illl). Application, ar. availabla at the offlc. of the R.gI.t.r of Will', any of the 23 Rav.nua Di.trict Offlc.., or by calling the .paclal 24-hour an.w.rlng ,.rvlc. ~bar. for for.. ordarlng: In P.nn.vlvanla 1.800.362-2050, out.lde Penn'Ylvanla and within local Harrl'burg area (711) 787.1094, TOOl <<117) 77Z.2252 (H.arlng I.palr.d Only). OBJECTIONS: Any party in Int.r.,t not .atl.fl.d with the apprals...nt, allowanc. or dl..llowanc. of daductlon', or .ss.....nt of ta. (Including dl,count or Int.r.,t) a, shown on thl, Notlc. .u,t Object within .I.tv (60)> day. of r.c.lpt of this Notice by: --wrltt.n prote.t to the PA D.part..nt of R.v.nu., 80.rd of App.al., O.pt. Z81021, Harrl.burg, PA 17128.1021, OR ..el.ctlon to h.ve the ..tt.r d.t.r.lned at audit of the .ccount of tho p.rsonal r.pr...ntatlv., OR ..app..l to the Orphan,' Court. AO"IN ISTRATIVE CORRECTIONS: Factual .rror. dl.cover.d on thl. a....s..nt should be addr.s.ed In writing tal PA Capart.ant of R.v.nu., Bur..u of Individual ,...., ATTN: Po.t As......nt R.vlew Unit, n.pt. 280601, Harrl.burg, PA 17128.0601 Phon. (1111 117.6505. Sa. page 5 of the bookl.t "In.tructlon. for Inheritance la. Return for a Re.ldant Oec.d.nt" (REY.1501) for an e.planatlon of ad.lnl.tr.tlvely correctable error.. DISCOUNT: If any ta. due I. paid within thr.a (3) cal.ndar eonth. .ft.r the dac.d.nt.. death, a flv' p.rc.nt (5~) dl,count of the t.. paid I. .llow.d. PENAL TV: The 15X ta. aan..ty non"partlclpatlon pen.lty 1. coeput.d on the tot.l of the ta. and Intere,t .......d, .nd not paid before January 18, 1996, the flr.t d.y aftar the .nd of the ta. aan..ty p.rlod. this non"partlclpatlon p.nalty I. .ppaalabl. In the ,a.. .ann.r and In the tho sa.. tl.. p.rlod a. you would app.al the ta. and Intere.t that ha. baan .......d a. Indlcat.d on thl, not Ie.. INTEREST: Int.r..t I. charged b.glnnlng with first day of delinqu.ncv. or nlna 191 lonth, and one (I) day fro. the dete of d.ath, to tho d.t. of pay.ent. 'aM.s which b.ca.. d.llnquent bafore January 1. 1982 ba.r Inter..t at tha rat. of ,1M <<6~) parc.nt par annul calculatld at . dally ratl of .000164. All taM.' which baca.e d.llnqu.nt on and aft.r January I, 1982 will boar lnter..t at a rate which will vary fro. cal.ndar yaar to c.l.ndar y.ar with that rate announc.d by the PA D.part.ent of R.v.nu.. tha .ppllcable Int.re.t r.te' for 1982 through 1997 .r.: !!!r Intor..t RlIt. Dally lnt.re.t Flletor !!!!' Int.,e.t Rllte Ollllv Intar.,t Fllctor 1982 ZO~ .000548 1917 'l .00OZ47 1983 16% .000438 19118.1991 1l~ .000301 19114 11% .000301 1992 9% .0002~7 1985 13% .OO03S6 1993-1994 n .OOOI9Z 198& 10% .aOOZ74 1995-1997 'l .000241 uIntare.t It calculatad .. follow.: INTEREST = BALANCE OF TAX UNPAIO X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ..An~ Notlc. I.su.d aft.r the ta. becoe.. delinquent will r.fleet an Intare.t calculation to flft..n l15} day. beyond tho date of the a...s,..nt. If pay..nt Is .ad. aft.r the intare,t co.putatlon date .hown on the Notice, additional Inter..t "".t b. calculated. IIY WO II "U, t. "-.'\ IIT...:..n'& ), . ~ ..4.~~1t~':~ COMMONWEALTH OF PENNSYlVANIA DEPARTMENT OF REVENUE IUIIAU O'INDIVIDUAL TAXIS DEPT.2B0601 HARRISIURO, PA 1712B,060I_~ __ DECEOENT'S NAME INHERITANCE TAX EXPLANATION OF CHANGES --- - - -.----.- -....--- -- ._._~.- .-- . -... -- FilE NUMBER './ _---=-?I to - 0 ;-9-~ ACN ~.V (( . !.!tL SCHEDULE ITEM NO. EXPLANATION OF CHANGES I-j, 1:f4J -J7~ Ji"fifJ"i; ;.. wN /#-t..t" /5"% t;,t+..e-j~~JL , TAX EXAMINER:__~~';~-------- PAGE .', , l"'I - ., ~~ Oo!-2 ,~i ~?: co c: t~) '."\ co ...- f:B .' "~ . . i.J '., o nl o (,it a> a: a: p; 'J ~~I .', E <ll:J uu BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 210601 HAAAISIUAC, PI 171ZI~06al COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE tll( r; roC -\: , * NOTICE OF INHERITANCE TAX APPRAISEHENT. AllDWANCE OR DISAllDWANCE OF DEDUCTIDNS AND ASSESSHENT OF TAX 1(1,1"'" &1'111.'" KEITH 0 BRENNEMAN ESQ 44 W MAIN ST MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-17-97 BLEUL 07-03-96 21 96-0544 CUMBERLAND 101 ELVIRA I Anount ReMitt.d CIlT AlON~ TI-IIS I.tt.~ .. RE'~fIN !..!'~ER pn:1TI"H F~~ '!OUr. q!~nR!\42 _~ ---..---....--------.....-.........---............. -.. . .. ....... -. .. f7. J?,Z MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 15"-//3 .-9 BUREAU OF INOIVIDUAl TAKES umLRI1AHC[ tAll DIVISION DlPI. lUIIOt IlARRl5llma, PA 111....01101 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT f* '- 1'1.11111111.111-." KEITH 0 BRENNEMAN ESQ 44 W MAIN ST MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-17-97 BLEUL 07-03-96 21 96-0544 CUMBERLAND 101 EL V I RA Amount R...lthd - MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 HOTE: To insure proper credit to your Bccount, sub~lt the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... ifE"v:i60TEX-jij:-p-io3':97y------tiiiii-iNHEiiiTA'NCE-fAiCSTATEHENToF'-;;ccoliN'T--iiliti--------------------- ESTATE OF BLEUL ELVIRA 1 FILE NO, 21 96-0544 ACN 101 DATE 03-17-97 TNIS STATEHENT IS PROVIDEO TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX OUE, APPLICATION OF All PAYHENTS, TNE CURRENT BALANCE. AND, IF APPLICABLE. A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-10-97 PRINCIPAL TAX DUE: 1.284.85 PAYMENTS (TAX CREDITS): PAYMENT DATE 11-12-96 02-28-97 RECEIPT NUM8ER AA146928 AA185216 DISCOUNT (+) INTEREST/PEN PAID (-) .00 .00 1.197.03 87.82 AMOUNT PAID 0\ IF.' ~ I '1.. TOTAL TAX CREDIT 1.284.85 ccl- P\ -'-':0 f""" .JU BALANCE OF TAX DUE INTEREST AND PEN, TOTAL DUE . IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS lESS THAN $1. NO PAYHENT IS REQUIRED. IF TOTAL OUE IS REFLECTEO AS A "CREDIT" ICRI. YOU HAY BE DUE A REFUNO. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I I .00 .00 .00 # -. .,. . ~ . '-'~"'>'-"""'''_'.~~5\:_:;;t,}~~rW~J.fl'\;''f~~~'1~~f~~~~;;;:<~~;u.....""a;..,_" -, }, . ,\ I' r I i , l , i, '. \ \""~ l;..'., J ------ . ---_.__..~ ...---...llQ...... .4Y~- .,:. - ,:'/' fl. :, 'I If RECEIPT AND RELEASE WHEREAS, ELVIRA I, BLEUL, late of Mechanicsburg, county of Cumberland and commonwealth of Pennsylvania, died on the 3rd day of July, 1996, having first made her Last Will and Testament in writing dated December 1, 1994. which since her decease was duly probated before the Register of Wills of Cumberland County and Letters Testamentary were issued to HERBERT ZINK, the Executor named in the Last Will and Testament of said Decedent; and NOW KNOW ALL MEN BY THESE PRESENTS, that we, IRMA E, SHELBY, HELGA T, WALKER, HERBERT ZINK, OTTO ZINK and MANFRED ZINK, being the residuary legatees and distributees named in the will of said Decedent and the persons entitled to share in the residuary distribution of the Estate of said Decedent, do hereby declare and say that we, and each of us, have examined the attached Account and Schedule of proposed Distribution, and find the same to be true and correct, and in strict accordance with the terms and provisions of said will, and we do hereby acknowledge that we, and each of us, this day have, had and received of and from HERBERT ZINK, Executor of the Estate of ELVIRA I, BLEUL, the cash and/or personalty set opposite our names in the above stated Schedule of Proposed Distribution, in full satisfaction, payment and discharge of all such sum or sums of money, legacies and bequests, share or shares, purparts and dividends which were due, owing and payable and belonging to us, and each of us, by any LAW O"lcr;s SNELDAKER. BRENNEMAN 6: SPAR!: means whatsoever, for or on account of our full share, part or LAW OFFiCeS SNELDAKER, BRENNEMAN 8: SPARE dividend of the Estate of ELVIRA I, BLEUL, Deceased, and all interests accrued thereon, NOW, THEREFORE, we. and each of us, the said IRMA E, SHELBY, HELGA T, WALKER, HERBERT ZINK, OTTO ZINK and MANFRED ZINK, do by these presents, remise, release, quit-claim and forever discharge the said HERBERT ZINK. his heirs. executors and administrators, of and from our said share or dividend of the Estate aforesaid, and of and from all actions, suits. payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or of any act, matter, cause or thing whatsoever, from the beginning of the world to the day and date of these presents, AND, desiring to avoid the delay and expense of the settlement of said Estate by filing the foregoing Account of said administration in the Office of the Register of wills of Cumberland County and by having the balance in the hands of the Executor, as shown by said Account, distributed by the Court of Common Pleas of Cumberland county - orphans' Court Division. we, and each of us, do hereby agree that the foregoing Account and Statement concerning the matter of settlement may be recorded with the same effect upon us, and each of us, as if the same had been reported upon by said court, in a decree of distribution made on such report by the said Court of Common Pleas - orphans' Court Division. AND in consideration of the aforesaid settlement being made without the aid of such Court of Common Pleas - Orphans' Court -2- COMMONWEALTH OF PENNSYLVANIA) SS, COUNTY OF CUMBERLAND) On this the 3C1tL day of I-Y)(I.A/ , 1997, before me, a Notary Public in and for said State and County, the undersigned officer, personally appeared IRMA E, SHELBY, HELGA T, WALKER and OTTO ZINK, known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. '0 -/. . Q., \,..-// &' M't/C/4 / . J/,jj--,......uJY , Not ry pUblic Notarial Son! I'atr:cia J, TI'omson. Notary Pulll1C ~';)Ct1.1.:c;lrJrg !loCO, CurnllOrIand CountY My Commlssloo ExPIres Doc. 3'. ,900 ,.".~.~~~I~:!cnd~'" COMMONWEALTH OF PENNSYLVANIA) : SS. COUNTY OF CUMBERLAND) On this the 30tJ day of )77c~;- , 1997, before me, a Notary public in and for said State and county, the undersigned officer, personally appeared MANFRED ZINK, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. LAW OFFlCI:8 SNELDAKER. BRENNEMAN a SPARE \~, . ~ '----1/ .':../tLtc t!-,~/ . J-/t-<h.~)J Not ry public Notarial Soot Putrid" J TIlOmson. Notary PubnC ~~)cl1.',O:C-,l)u:'l Oom. Cu:nborland CountY My commtss:on Exp4rllS Doc, 31. 1900 "~~:.hu, p.-,.".~~'r,..,~~nnnlf't".""b 2. Snelbaker, Brenneman & Spare, P. C, attorney's fees: 1,399,05 3. Reserve for filing account, notary fees, and miscellaneous costs: 500,00 TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, CREDITS: $28,829.34 PERSONALTY - INCOME ACCOUNT DEBITS The Accountant charges himself with receipt of the following items of income from personalty: Members First F.C.U, Estate Checking account #160439-11 and Savings Account #072396: Interest to 2/27/97: TOTAL, PERSONALTY, INCOME ACCOUNT, DEBITS: $ $ 125.43 125,43 PERSONALTY - INCOME ACCOUNT CREDITS The Accountant claims credit for the payment of the following items from personalty income: NONE TOTAL, PERSONALTY, INCOME ACCOUNTS CREDITS: NONE REAL ESTATE - PRINCIPAL ACCOUNT DEBITS The Accountant charges himself with receipt of the Decedent's real estate as follows: LAW O'I'ICEB SNElDAKER. BRENNEMAN & SPARE All that certain condominium unit known and numbered as 4714-A Charles Road, Mechanicsburg, Pennsylvania, sale price: $84,500,00 $84.500.00 TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, DEBITS: -3- REAL ESTATE - PRINCIPAL ACCOUNT CREDITS The Accountant claims credit for payment of the following items from real estate principal: 08/02/96 08/02/96 08/02/96 08/02/96 08/02/96 08/02/96 08/02/96 08/04/96 08/22/96 08/31/96 08/31/96 09/04/96 09/10/96 09/20/96 09/30/96 J, L, Ehrlich - payment on account PP&L - payment on account Bell Atlantic - payment on account Suburban Cable - payment on account Pennsylvania American Water Company - payment on account Hampden Township - payment on account Condominium Association fee - July and August PHH Mortgage Service - payment on account PP&L - payment on account Condominium Association fee - September Pennsylvania American Water Company - payment on account PHH Mortgage service - payment on account PP&L - payment on account PHH Mortgage Service - payoff of balance due Pennsylvania American Water Company $ 91.45 99,45 153,43 10,66 47,06 98,00 110,00 512.39 29,68 55.00 14.27 513.05 21.89 54,766,67 9.05 Settlement Costs on Sale of Decedent's Residence: 1, Sales commission - Re/Max and ERA Anderson 2, Settlement fee to Keystone Land Transfer 3, Document preparation fee to Keystone Land Transfer 4. Notary fees 5. Express mail charges 6. Home warranty fee to ERA Anderson 7. Satisfaction fee to Keystone Land Transfer 8. Transfer tax (1%) 9. Pest inspection - Yingst Exterminating 10, 1996 School taxes 11, Late charge to Hampden Township LAW OFFICts SNELDAKER. BRENNEMAN a SPARE TOTAL: $5,915,00 35,00 75.00 6.00 10.00 385,00 12,00 845,00 35,00 776,40 9.62 TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, CREDITS: -4- 8,104.02 $64,636,07 RECAPITULATION I. PERSONALTY A. PRINCIPAL ACCOUNT Debits $15,712.87 Net Gain 62.12 Sub-total 15,774.99 Credits $28.829.34 Balance $(13,054.35) B. INCOME ACCOUNT Debits $ 125.43 Credits -0- Balance $ 125.43 C. NET BALANCE OF PERSONALTY: $(12,928.92) II. REAL ESTATE A. PRINCIPAL ACCOUNT Debits $84,500.00 Credits 64.636.07 Balance $19,863.93 B. INCOME ACCOUNT Debits $ 2,050.91 Credits -0- Balance $ 2,050.91 C. NET BALANCE OF REAL ESTATE: 21.914.84 LAW O'..'Ctl SNELDAKER, III. NET BALANCE OF ESTATE FOR DISTRIBUTION: $ 8.985.92 BRENNEMAN a SPARE -6- ,.....::..,;:.,.-.-....::',. .-','. * PERSONS HAVING CLAIMS AGAINST ESTATE NONE ** PERSO S I TERESTED IN DISTRIBUTION OF THE ESTAT 1. Irma E. Shelby 138 N. 33rd street Camp Hill, PA 17011 2. Helga T. walker pine Hill Avenue Box 17, R. D. #4 Mechanicsburg, PA 17055 3. Herbert zink 540 Appalachian Avenue Mechanicsburg, PA 17055 4. otto Zink 8171 somerset street Hummelstown, PA 17036 5. Manfred Zink Brandvain Siedlung 8 77876 Kappelvodeck, Germany LAW O,P1CEl SNELDAKER. BRENNEMAN a SPARE STATUS REPORT UNDER RULE 6.12 Name of Decedent: €t-V;~'" J /i("~UL Date of Death: :Jut~ ). I 'I'll- ;2.1 J([J' - 5L.1 Lj , Will No. Admin. No. ,;>,'9& [~.- 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 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 Y No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. )'...~'f.lIl t11 t.t-- Signature /((,1 n-( ". tJ({.~Nf:n1Il,J Name (Please type or print) Date: ~[ 3 1't"r1 -, , 11' 1, ". .- 'IY lV. ,111/,1 Ji'tl(l r 1'/CCrl-f.V/OtJ"tt, ,.oJ /7<>') Address i.:: ~:- ;"h -~ .:J (,,,. '-' '-' (711 I u el7 - f( ; 1..~' Tel. No. Capacity: Personal Representative ~counsel for personal representative (MAH:rmflAM3) ~. a ~1 fYl R '" ~. . ... ~.. - ~" r', t - ~"i -, b : llJ(C (C ,......~ p, \1)5 Gu