HomeMy WebLinkAbout96-00558
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OATIl OF PERSOi'\AL IU:J>RESE:\TATIVE
(,O:\I:\IO\WEAI.T11 OF I'I':~'S\'I,\':\'IA
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COMMONWEALTH OF PENNSYLVANIA' nEPAATMENT OF HEALTH' VITAL RECOROS
CERTIFICATE OF DEATH
Kenneth E, Kline
so
, Male
UNCl(ft I YlNIl
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L. Kline
E. Shenk
I'1.ACEOfOt$f'OllJION.~"c-"O~
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o July 6, 1996 Rolling Green Mem Par
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Register of Wills of
ClJ:-lIJEHIl\ND
County, Pennsylvania
INVENTORY
Eslalo 01
Kenneth E. Kline
No.
2196-0558
0100 known 89
Dolo 01 Doalh
07/03/96
166-14-2436
,Docoosod Social Socurlly No.
Bonnie Shenk and Jane Kline Brockman
POlsonal Rop'osonloUvo(s) 01 tho .bovo Eslolo, dOC0050d, vallly that lho homs appoOllng In Iho lollowlng Invonlory Includo 011 01 Iho
porsonof assots who,ovo, 51lualo and 011 01 tho '001 051010 In Iho COnmonwoollh 01 Ponnsylvanla 01 sold Docodonl, Ihal tho valuation
placod opp05l10 ooch 110m 01 sold Invonlory ,op,osonts lis 100r voluo .. 01 lho dOlO 01 tho Docodonl's dOOlh, and thaI Docodont ownod
no roof 051010 out5ldo ollho COnmonwoollh 01 Ponnsylvonls oxcopl Ihsl which appoOlsln a momolondum st tho ond 01 Ihls
Invantory, I two vorl1y Ihot tho slolomonts mado In Ihls Invonlory 010 truo and corroct. Itwo undo,stand thst 100so slalomonts hOloln
010 modo sublocllo lho ponoltl05 0118 Po. C,S. SocUon 4904 rolaUng to unsworn 1005Ir1C011on to aUlho,lIios,
PBlsonol Rop,osonloUvo
Slgnalure:
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BOJlnie Shenk
/(1 ,/- ./t~....l;',-:illll (/
Jane line Brockman
414 Belvedere Rond
Noma 01 Steven J, Schiffman
Attornoy:
I.D. No.: 25488
Add'o..: 2080 Ling1estown Road
Suite 201
Harrisburg, PA 17110
Tolophono: 717/540-9170
Slgnalure:
Add,05S:
Harrisburg, PA 17109
Telophone:
DSled:
t I :;,'Jh ,r
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DoscripUon
Voluo
225,000.00
134,047.43
6,706.40
6,900.00
1,076.29
60.00
1.00
450.00
1. Real Estate
2. Stocks & !londs
3. Personal property
4. 1992 Fbrd Thunderbird
5. Mellon Bank Income certificate
6. Gun
7. Cash (Safe Deposit !lox)
8. Estinuted 1995 Federal Incon-c Tax Refund
(Anach additional shoots II nocossary)
Tetol: 374,241.12
NOTE: Tho Momorondum 01 rool 05loto oUl5ldo lho COnmonwoollh 01 Pennsylvania may, at lho oloctlon 01 tho pBlsonol roprosonlatlvo,
Includo Iho voluo oloach hom. bulsuch IIgmos should nol be extendod Into lho lotal 01 lho Invonlory.
Pr.p,lI.d by thl P,nnlylvlnll Bl' Anacl.tion
COPYflghtlcl11l1118 for," 1011*1" onlv CPSYII.m.,lnc.
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Register of Wills
cumberland Q)unty O:lUrthouse
1 Q)urthouse Square
earlisle, PA 17013
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March 27, 1997
Register of wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
Re: Estate of Kline
No. 1996-00558
Dear Sir/Madame:
Enclosed for filing please find the original and two
copies of the Inheritance Tax Return and Status Report
with regard to the above captioned Estate as well as a
check in the amount of $14,024.79 representing the tax
owing. Please time and date stamp the extra copies and
return them to me in the enclosed self-addressed
envelope.
Also enclosed is a check in the amount of $15.00
representing the filing fee.
Thank you for your assistance in this matter.
sincerely,
SERRATELLI, SCHIFFMAN
BROWN & CAL~OON,~P.C.
(~~~ ll~lrld-
Debra A. Evangelisti,
Paralegal
/dae
Enclosures
cc: Bonnie E. Shenk, co-Executrix
Jane Kline Brockman, Co-Executrix
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FIRST CLASS MAil
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2080 USl;U..\lU\\'S Ro.,n
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rOR OAHSOF OEATU AFTER IU3l1IU CHECK HERE
IF ^ SPOUSAL
" R,y~n ITI At
FILE NUMBER
CAB
H P L
E P 0
C R C
KOK
P S
SERRATELLI, SCHIFFMAN, BROWN & CALHOON
2080 LINGLESTOWN RD., SUITE 201
HARRISBURG PA 17IlO
~) 225,000.00
(2) None
(3) None
(4) None
(5) None
(6) None
(7) None
TELEPHONE NUMBER
717 540-9170
1. Roal Eslalo (SChodulo A)
2, Slocks and Bonds (SChodulo B)
3. Cloooly Hold Slock/Parlnorship InlOfost (SChedulo C)
4. Mongagos and Nolos Rocoivablo (SChodulo D)
5. Cash. Bank Doposlls & Miscallanocus Porsonal Proporty (SCh, E)
6. Joinlly Ownod Proporly (SChodulo F)
7, Translors (SChodulo G) (SChodulo L)
8. TOlal Gross Asools (Iolal Unos 1-7)
9. Funeral Expensos. Adminislrollvo Costs. Miscellanoous
Exponses (SChodulo H)
10. Dobis. Mongago Uabilltios. Uons (SChodulo I)
11. TOlal Doduclions (10101 Unos 9 & 10)
12. Not Valuo 01 Estalo (Uno 9 minus Uno 11)
13. Charilablo and Govornmonlal Boquosts (SChodulo J)
14. NOI Valuo Sub oct 10 Tax (Uno 12 minus Uno 13)
15. Spousal Translors (lor dolos 01 doalh aile, 5-30-94)
Soo Instruclions for Applicablo POIcontago on pago 2.
(Includo valuos Irom SChodulo K or SChodulo M,)
16. Amounl 01 Uno 14 taxablo al6% '010
(Includo valuos from SChodulo K or SChodulo M.)
17. Amounl 01 Uno 14 taxoblo al15% '010
(Includo valuos lrom SChodulo K or SChodulo M.)
18. P'incipallax duo (Add lax from Uno 15, 16 and 17,)
19.Crodits/Sp Povorty Plior Paymonls Discount
0.00 + 1[,,100,00 +
20. II Uno 191s gloalor Ihon Uno 10, onlor lho dllloronco on Uno 20. This Is lho OVERPAVMENT.
~ ~ ICheck here If you are requesting a refund of your overpaymentl
21. If Uno 181s greator than Uno 19. cnlor tho dllloronco on Uno 21. This is Iho TAX DUE.
A. Entor tho Inlorost on Iho balanco duo on Uno 21A.
B. Enlor lho total 01 Uno 211lnd 21A on Uno 218. This is tho BALANCE DUE.
Make Check Po abla to: Re Ister 01 Wills, A ent
~ ~ BE SURE TO ANSWER ALL OUESTIONS ON PAGE 2 AND TO RECHECK MATH . .
co"'~P~:r.~~h!.\',oo',~[ l\,'t5Jb~^NIA
n"i~" 2ft060'
ItAAAISDuna. PA 11128-080'
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
COUNTY CODE
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DECEDENT'S NAME ILAST. FUlst. AND MIDDLe INITlAq
KLINE KENNETH E.
DECEDENt'S COMPLETE AODRESS
2025 GOOl) HOI'~: ROAD
ENOLA, PA 17025
OA T[ or 111111 It
OAT[ OF OEAHt
07/03/1996
SOCIAL SECURITY HUMOE"
166 -14 - 2436
03/03/1920
c"o', CUMBERLAND
(IF APPLlCADLEISURVIVING SPOUSE'S NAME ILASt,nnST AND MIDDl[ INITIAl) SOCIAL SECURITY NUMOER
C P
o 0
R N
R 0
E E
S N
- T
X 2. Supplomonlal ROlurn
4... Futuro InlOfOst CompfOmiSO
(lor dalos 01 doath allor 12-12-02)
[]] 6. Docodonl Diod Toslalo 0 7. Docodont Mmnlalnod a Uving Trust
(Anach copy 01 Will) (Anach a copy 01 Trust)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
1. Original Rolurn
4. Urnlod Eslalo
05.
1 8.
NAME
STEVEN J. SCH1FFMAN, ES .
COMPLETE MAiliNG ADDRESS
R
E
C
A
P
I
T
U
L
A
T
I
o
N
(9)
19.094.54
(10)
None
(t5)
0.00 X
21-96-558
YEAR
NUMOER
AMOUNT RECEIVEOISE( INSTRUCTlONSI
0.00
Romalndor Rolurn
(lor dalos 01 doath prior 10 12-13-82)
FodOlal Eslato Tax Rolurn Roquirod
Total Numbor 01 Salo Doposit Boxos
(81
225,000.00
(11)
(12)
(13)
(t4)
19,094.54
205,905.46
205,905.46
=
0.00
(16)
205,905.46 X .06 =
12,354.33
T
A
X
C
o
M
P
U
T
A
T
I
o
N
0.00 X .15 =
0.00
(17)
Intorost
SIONA'UA'OFP'A50NA'SPON LEFOAFtL'NGAETU'V'1 EE ATTACHED FOR NAMES & ADDRESSES
,
(t8)
12,354.33
(t9)
(20)
14,100.00
1,7/,5.67
(2t)
(2tAI
(21B)
0.00
0.00
0.00
OA
z,/;v /en
OA I
SERRATELLl, SCIIlFFMAN, BROWN & CAUIOON
?9.~Q. !~1.~~!-.~~T9.~~. ~.~: 1. .~~!:r.~. ?9.~........ _... _.
HARRISBURG. PA 17IlO
Forl'l 1500 (Rev, 1-941
'REV-1&OlElC. + tn-IS)
co....oitw~~!l' OF p~~N<~rLV.N,. SCHEDULE A
INt~t~lb~'N'l'bTtc!'''b'tT.tI'N REAL ESTATE
ESTATE OF FILE NUMBER
KENNETH E. KLINE SSII 166-14-2436 07/03/1996 21-96-558
(Property 10lnUy-owned wtth RighI 01 Survlvorahlp muat be dlacloaed on Schedul. F) All real ..t.lI. .hould be reported .1 lair mark.1 valu.
which la dtlIned II the prtc. al which property would be oxchanged belwttn a wtlllng buy.r and a wtlllng aeller, nelth.r being compelled \0
b or ..II, both havln roaaonable knowt 01 tho rol.vanllacla.
ITEM
NUMBER
1
DESCRIPTION
2025 GOOD HOPE ROAD
ENOLA, PA 17025
The value of this real estate was suspended on the
original return, Tax was paid on the estimated value
of $235,000.00, The sale occurred on 7-11-97 and a copy
of the settlement sheet is attached hereto,
TOTAL (Also onlor on lino " Roca Ilul.llon
(II melO .poco Is noodod,lnsortaddrtlonalahools olaame alzo,)
CopyrllJht(el ,gll" fOlm loll..,. only CPSy'teml.lnc.
VALUE AT DATE
OF DEATH
225,000,00
S 225 000,00
FOfm 1500 Seh.dlll. A (R.v. 12-1&)
[-' S,'ItI"lIlonl Slnh'nll'nl
II000fl'I,.'ln"",,,III''''''"1I:
.11,11'11,,,"11"""'1'''''"1
~
1r
110.,11I 1'00.. !""111~','
_ ~~____!~I~._~'! I~~tl_. ~.. .___ .
I 11111/\ J IIlnlll"
1(11'"",
'''':''1' ,.',....,
..ll~1
1.':.."....'._-_ _ _ ____ t
II "-,,,'l.'.".~_., ...., ......
1 (1\',\
'1.lf..,,, 111<
I r,llll Ihl""'1111\I"tn,'I",II<,~"t. 1"".1\',1"111,..,,,1,1"..,11,,"1,",,,,.,'1\1\ ^""'''"'" 1'.1,., 10. IIn,1 I" ''''''flllrm.,,' "I:'n'.,' .1"...u Ilfll1'
......l..""'("" ,.....,. ,..w,.".'",I'lh'....."'t th'j..,d......."r'..'.",,,/,,I,"."'.n.II"lll.....'..n,I.,.."...ill,I",I"l1,,'h, 1,'1.1.
,~_.....
" ..._....I.."....,~t~.".... , ...~.. .~t ..,"'.....~....... , ..._...'....10....0#1.....,
1111: (jf){)1) 11111'1=. UrAl. I'SIAI!' 1I0"'OMI' I' '11I.Nt.:. N.!) IM"I'" .:IINI', NnW
1''\RINI:HSIIlI' KM1\\'N^,~ IAf',:I' J.:IINIIIIU1C Io:M^N.
HII''l(HI'fllll'iIlI'IIII!I'.<iI,\II'ol'
1\1:-'-'1.1111 "11",1
" ~."........Ar"
S lr. TAt iENCY
" r..,..."I'......... 1'1...""~..,.._.. AOENlsnllt
10101IMII L<iI O\\'N 111MI' UIMMllNIVEAU III.ANI)'J1II E
lIU1IIIS(Il.1.SIII\\Nll'I,\!)
l1^lllU"llIlltO,I'^ 111111 1J,\IUU"lIUIUI, 1'.\ 111111
lIN1Hl1m"
, ".II"~IlHI ''''It' 1I111\/'Jl
J. SUMMARY OF II[1RR[lWf:R'S TRANS^L"TIIlN K. SUMM^IlI' [IF SEI.LER'S TR^NS^CTIIIN
Irl.1. n1UJS.C;^MOUNI'I)UI! ('IUJM 110n1tUWI!1t 0100, UItOS,^MOUJIlI'IJUI1TO SIJI,I.IJIt
101 (.lIn"lcl uln lice 225 UUtl,llt) NI (."on"acl ulta rllic~ 225 ,XXI.lXI
IU1. I'Cnl.lnllnlll(1OI',I" 401 1'C1~U",I"lUrwll"
10J. St-1l1~mc"llh" U 11'1 bOllll'lofl tline Hf~ J 11.\9.111 .10]
fI~1 ..,
Ifl~ ,,>>
.\,IIU~I"I("I,r"lltcnll "-'IJ!.\ ,(1I~1 in IIJU"(~ Ad\illmcnlllnrilcnllrlllidl"ul1clinIJ"ncc
IUfo (1I\/II""nl;llt\ ,,, tl)",Cil tu...nl"U ,.
107. ('(Iunl\lUICl 111 II '17 In 121JI 'J7 7(1,3'1 "070",n"''1lu IIl/II/IHln I U.\I/CJ 1 76,39
"" Aueumcnll " .tOR Allulmcnll '0
U11 m
IIU .I III
III 'II
III '"
l2fJ C1RO~C; AMOll/'llr IIUP. rnOM nonnownn 12M, I 'li.fIlI "XI ORO~o;^M01JNTI>UnmSml,nn n.~,lI1(.,lj"
200. MtDUN'ISMID IIY Oil IN 1II:11^I.I'UpnoRltO\\'HR ~. ItPDUc;nONS IN ^MOUNT UUU 1 0 511LU1R
!fI1 (JC('lllltIOlCllfntllln"ne" ,SOl. E,(eu dtf006it fut InSUu(llonl'
!Ol l'linnn.oollnlounlolncwluln/J\ SOl. ScUlcmcnl(hll,,,,,'nullu/lint Hill llJlIlIlJ.tMI
2n\ biIUnI'kMnIl111'-tnJuhic(ll11 SOl 1!.JIJllu IoanIJ) 'Ikcn ,,,,t>ic(1 III
lfJl 5O.t r,l t>ffof fi'" mill' . tlNn
lf1\. "" I'. III nr uCttn,1 mn"..'c I(Mn
20'.. 1'!inw...llnll"",I"fullU'lnln(in miX"'.'" 51lf, l'un(mllllnlOtlnlt"'ullc,hllln(lI.t 175 lItMI,()I1
ltl1. \01.
,. ""
!lr' l<1'1
!1f1" ~m;(
!If)" ~111\.
"lhU\lnl(nnfnll'(n'.un,,,""II~Kll(1 ^d tlllmcn" fur iuml unn.~iJ b~ ICl1u
llU (.II,/ll""nl,uu ,. 110 GI\lJu,.,.nlnu ,,,
'" (:0111'11..1,.(\ '" \11 ('ollnlvlun ,,,
lU, ^uculllcnl' ,. 5U. Aucumcnll ,,,
ZI.1 !i,('IItIOI.IAX !l11U1 11J7tnUlII1 Ir, 2L4X '" SUllIOf. lAX n"1/I1I/'jllnllllll " 21,.1H
'" IIlJ\SII n7ltlliiJ7 IIItl7/1 1/9 .\,1)5 '" IUASlI n7JlI1/IJ7 ltl1l7/1 I 'J .''''.~
III .\1\
lI(, '"
'" '"
'" .\111;
21'1 .\I?
::0, '1(11^I,MIUUNrSI'^"1 17f;,OZ~.,t.l $20, TOT^t. RI!UUCnONS IN IIJ.I.IU~,.t'
IIY on IN nr:IIAl.rnr lIonnownn ^MDUNT nun sm.UlR
]1.0 USll ^'I SHI'IU;'\II!.NI.I'ItUMIIO !Ionuowmt (.00, C,\SII ^TSr.I'It.l?J.tlW!'1U IlllUMSI!tJ.1!ll
JOI. {i!U" .mounl dut fmm bOrfl'MCf lint 120\ 22l1m,111 till, Chou .m"unl dut 10 'dIu lint .all}! 21~ 07(1, ~IJ
.\IlZ l.cu In,nunl,""id bv/fo, !.(ltro..-t" fhnt Z2tll { 17~ 1I:!5.'O 11Jl.1.cIl,etlU(lJnn,lnlnlllllnldllel(UUllnc5ZtJ\ ( I'H 112~.4,'
.vn rA1li1l GI J1mm 0"0 nllRR(lWF.R 9.1111.17 rm.C"A.;n lilT. 0 Vn.m SE1.U:R .'1 ,O~I.lrl
I',\f.ll
1Il'llll'Iu'IItI'I''\'llIItlll'l
"
I.t:.. -I J ..(
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
.-
\',OO[ll: 1l1.fJ~j
Co"'~et':t,wl!~\ 'If, '1llt,.'fIl~l'""
"'R"'sBfir.b5r.e'l~ I'.'OM'
oeCEDEN1'5 NAMe (LASt. FillS', ANO t,AIOOl[ INITIAL)
KJ.lNE KENN~:I'II ~:,
SOCIAL s[cumt'l' NU~nc" o""e OF U[AHt OAlr or I1lfUtI
166.1/..2/,36 07/03/199f> 03/03/1920
ron 0"I[50r OCA1UArt[H I. 11"11 CUCCI( IlCAC
,rASPOUSAl !"-,']
f'OY[fHYC!l[D1t I'.iClAU.A[LJ. ..
FILE NUMDER
"1
COU'41yCO[)C
OrC[OENI'S CaM"lI-IE Aoon[SS
2025 GOOIl liON: ROAD
ENOLA, I'A 17025
COU"" CUMBERLAND
\1' ArPlICAOL[jSUfWIVINO sPOUSE'S NAME {lAST JIA!.' APm f.lIOOlE INlflAll SOCIAL s(cunl1 (HUMDr"
(If..
':;;:"~'
1I^1.
tlUMllI"R
"'MOUNT Accrlvr nl~.[r INstnUClIOPIS)
0.00
2. SupptofT"ICnl.ll Roturn
4i1. FululO Intetest Compromise
(lOf dales 01 dO.llh altar 12-12-82)
[]] 6. Decedent Dll:td Toslata D 7. Decedent Mainl.llncd .1 living Trust
IAIl.1Ch co 01 Will) (AlI,lCh a cop 01 Tru'll
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD DE DIRECTED TO:
c 0
II L
r 0
c C
K K
S
~ .'
': 'J
.' 'j
I' 0
! E
..
'1
X 1. On91nill Return
4. llmlod Est,lle
t'A~E
STEVEN J, SCHIFFMAN, ES .
TElEPHONE NUM[)EA
o 5.
1 8.
Remaindor nl'l..rn
(for dalos 01 d":llh prior to 12-13-82)
Foderal ESlillt. 1,'1 Return RCqlHrcd
Total Numbrr 01 S:.lc OCp0511 BOll(>5
COUPlE1E MAILING ADDRESS
SERRATELI.I, SCHIFFMAN, BROliN f. CALHOON
2080 I.INGI.ESTOIIN RD" SUITE 201
HARRISBURG PA 17110-9",.5
235,000,00 I
13~,O~7,~3 (Tax is being IXlid on
None $235,000,00 Estimutc)
Nono
15,193.69
67,273,01
Nono
(8)
(9)
2/, ,1,50,19
717 5/,0.9170
1. Roal E!".tittc (Schedule Al 1
2. Slocksand Bond, (Schedule B) (2)
3. Closely Held Slock/Parlnershlp Interesl (Schedule C) (3)
4. Mortgages and Noles Recolvable (Schedule 01 (4)
5. Cash. Bank DepOSits & Miscellaneous Pelson:11 Properly (5ch El (5)
6. Jo,nlly Owned Property ISchedulo FI (6)
7. Tran,lolS ISchedule G) ISchodulo Ll (7)
B. Total Gross Assets (tolal Lines 1-7)
9. Funeral Ellpenscs. Administrative Costs, Miscellaneous
ElCpenses (Schedule HI
10. Oebts, Mortgago Liabilities. lions l:ichedule I)
11. Total DeductIOns (total Lines 9 & 10J
12. Not Value 01 Estato (Line 8 minus Line 11)
13. CharItable and Governmental Bequests (Schedule J)
14, NOI Value Sublect 10 fa, ILlne 12 minus LinD 13)
15. Spous.ll Transfers (for dates 01 death after 6-30-941
See Instructions for Applicable Percentilge on page 2.
(Include v.llues ham Schedule K or Schedule M )
16. Amount of Line 14 lalC.lblo at 6-/_ rale
(Include values from Schedule K or Schedule tot)
17. Amount 01 Line 14 lalCable at 15-/_ rate
(Include values from Schedule K or Schedule M l
18. Prlnclp.ll t.n due (Add tall: hom Line 15, 16 .lnd 17.)
19.Credlls/Sp Povorty Prior Paymenls DIscount
0.00, 11,000.00 . 578.95
20. If Lino 19 is groaler th.ln Lino 18. enler the dlllefonce on Line 20 This is the OVERPAYMENT.
~ D ICheck hore if you are requesting a refund 01 your overpayment. I
21. II Line 1815 grealer th.ln Line 19. enler the difference on Line 21. This is the TAX DUE.
A. Enter the Inlerest on the bal.lnce due on Line 21A
B. Entor tho 101.11 of line 21 .lnd 21A on Line 218. This is tho BALANCE DUE.
Make Check Pa able to: Re 1.le, 01 Will.. A ent
~ ~ DE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH ~ ~
, r it'fldllles 01 pellu'y,1 dKI.,,, thai I h''te e..ml~d lhls U!tuI".I/tCludlng acct'mpanylng schedul~s and sldl~mf'nls, and 10 lhe best 01 my ..nowlt'dlJt! illld lx!lrel.llls true,
. 1 ,trId comptele I d~I.,,, lhal,lI le,l esl,l" has bfoen ,epo'lt>d alt'ue ma'''t>l 'tallle Ot>cldrahon ot plt'pa,e, othN lhan the pt'fsonal ,ep,esenliU'tC! 1'10 t.l,;('(j on iUlnlo,m,}tion 01
" 1.'t'lhI"cor hn,lT)' "noYflt'd!)e
(10)
33/,.86
(11)
(12)
(13)
(14)
(15)
0.00 X
=
(16)
1,26,729,08 X ,06 =
(17)
0.00X,15=
(18)
Into rest
(19)
(ZO)
(21)
(21A)
( 21D)
, ..rJ"l~O~~~.f\~ON.BEsrRNS1[)'E}OR FllINC RETUAN
~ l:. \)l\M\..IC-- SEE i\'I'I'I\C.1 mn roll NNolES !. ADDllr:.sSES
f'::~:: c;~;:'~~~~~/:'~;~~~:RE~:;;;:::~:/ ~~:R~A:I:~;I~;.'I'..' ~~~ ;~.~~~... 'I;~;~~' ~ .~~;~~~~~ - - - --
'-:41/1 ~~-~~ i ~-:i~~E-7~~~-~~ &~ i6j~JJ~:' ?9.1... -.. -- - -- - . -.
1.51,51/,.13
2/,,785.05
1,26,729.08
1,26,729.08
0.00
25,603.7/,
0.00
25,603.7/,
11 ,578.95
0.00
1/, ,021, . 79
0.00
1/, ,02/..79
OATE
1-,/,
/" I
DATE
,j.. /i ;'
FOlm,1S00 ,tlt~~ 7.94,
A
.. , :/48011994 provldos lor the reducllon 01 the lax rates Imposed on the nel value ollranslcrs 10 or lor
I' use ollhe spou8e. The ralos as prescrlbod by lhe slalute will be:
(,03) will bo applicable lor eslatol 01 decodents dying on or oller 7/1/94 and belore 1/1/96
. , (.02) will bo appllcDblo lor oslalos 01 decodonls dying on or oller 1/1/96 and belore 1/1/97
.' (,01) will be appllcablo lor eslates 01 decedenls dying on or oller 1/1/97 and belore 1/1/98
, '; :'ousallranslors occurring on or 81l0r 1/1/98 will bo exempt from Inherllanco tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A MARK (Xl IN THE APPROPRIATE BLOCKS,
YES NO
l hd cJeud..nl "'.,~. II tf/II1\ler and
,I. rel.l111 the un 0' Incorno at Iho proporty Iranslerred, .
x
b. fOl.lln Ihe ftghllo do\tgnato who shall use the property transferred or its income. . . . . . . . . . . . . . . . . . . . .
x
C. .eltlln a 1.....fslOn."y intorost or . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x
d. ,ecolvo tho proms. for hi. of oithor payments. benefits or caro? . . . . . . . . . . . . . . . . . . . . . . . . . . .
x
11 (j(Hllh accuned on or boloro December 12. 1982. did decedent Within two years preceding death
lIil,,\fo' plopelly wllhoul ,.coiving adequate consideration? II death occurred after Oecembor 12.
1')62. Llld dlPcodvnt Uan~tof proporty wllhin one year of death without receiving adequate
~on~ldof.lllon? . . . , . . . . .. ..............
x
Old docedont own an 'In !rusl for' bank account at his or her death? . . . . . . . . . . , , . . . . . . . . . . . . . . . . .
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.
(', 1'1 'I'Jhl{cI19<J4 form soflwIF' only CPSYltems,lne.
Form 1500 {Rev. 7-g41
S~fe neposit Box Inventorv (form REV-485):
[FRONT]
-_._-----_._---_..__._--_._._-~-_._...._...._._-_.._.-..--
........a.......
.w.
SAFE DEPOSIT BOX
INVENTOIlY
~""O'.......,,'_
Of....,Mf""O'IW'f.....
--...-a f... ....-
",,", .....
....-.....'6 ,,,.....
Meow P"n' .. Typ4
i
I
i
I
I
I
I
I
I
I
,
I
I
,
,
I
I
(\ASt,mSl.1IUOOU'I t:;,.'
c-/",,-e... R~.....L.-rlf' <.-
ADOI.W 0fI DtCmOiT rsnll1l lOl"'l1..
'Z-.:> 2-r G--" /fii ,..R, h.f) .z:..vou
HAMI AHD ADOIOS Of' P'USOH ItQ(JEmHG net 0f'1H1f'tG Of! ntl s.A.1'1 Dt1'01IT lOX
"''''''''l
IsnUT A.DOUIJ.I
IOTl1
1S1...rfl Ill' CCOrl
NAML AOOIt1S AHD llUnoHSHl1I (I' ANTI TO Ot<:lDfHT. 0' P"tI:SONISI "tUHT AT nu lOX ~
.. IN.u.Cj . J-#~"v/L- I5.n""~"1
A.'l'-"iv/~'
19Jq ;r,t::<.^-
(lntO AOOIUll .;'-aJ IOTll l1'Art) II" coon
'-I/y I?<..l .U J~ mS (p... / ;r c:p
... ........., () Jh-'-"- l3i'wC-/~-.J (tU,...OOH"'u'
J: / I ......--L ,D~~./;-f:4
mun AOOlUIl IOTl1 ,,,,cooo I
}2,) I?-"L- !k'J} J- ob./ ,go~ /l",J :J{;.vt").// /7J1J/
.. ......... IltLAl'ION"'.'1 I
CSntnA.DOl.Ull IOTll mAin Ill'COOQ
NAMI AHD AOOIUS Of "HAHQ.IJ. 1HSTTT\IT1~ WHot ll41 s..&.A 0CP0SlT lOX rs l..OCAT1C
.......,
rm:tn ADOIfUl
/(J ISt.t.tO 111' COOll
iff., / /tJ.r.r'
OA n AND I1MI Of u..ST lHTtT ~ LL
---, -"/ 7c" / r: ZS- d>-- .~<"_A.
mu UNDO: WWfli ~x IS uettnllD .
jC--4,,v-'rtt- 1::_ ~f..( J-..J'
..
~.IN~
(lntn ,t,COIl1R
"nul ADOUUl
IClTll
lUAm w' COOCI rcfTT\
1'1At['J 1:1' COO['J
I .11-.-...........
rsn.nloOOl:llll
o<m1
nUttl tlJ, COOtI
c. ~""""""''''~.If..,.
.........,
{STUfl.tl:lClCIUI
IClTll
IU.t.fr, ,'1J' Coo<'l
..-..--------------.---.- .__.~-~-_.--_.._._..._._- .---. -.-.. --.--
'soz EX + 112.8Sl
CO"~N~~~r.r;:g~r'tY'NI'
SCHEDULE A
REAL ESTATE
~ .\TE OF
FilE IIUMOER
_'i'~NNETH E. KLINE SSII 166-1/,-2/.36 07/03/1996
Ii ,_orly jolnlly-ownld with Righi 01 Survivor. hip mu'l bl dl.clo,"d on Schldull F) All roalo'llll .hould bl reportld 01 lair mark'l valul
\.l'ch I. dlllnld "' thl prlclll which proplrty would bl exchlngld bllwlln I willing buyer and a willing ..lIlr, nllther bolng complllld 10
~"y or ,"11, bolh havln rolSonabla knowlld 101 Ihl rollvanl '"cl..
ITEM
',:,I.IOER
1
DESCRIPTION
VALUE AT DATE
OF DEATH
SUSPENDED"
TAX IS BEING
rAID ON AN
EST I MATED
VALUE OF
235,000.00
2025 GOOD HOPE ROAD
ENOLA, PA 17025
(Tax is being paid on
$235,000.00)
TOTAL (Also enter on line 1. Recaprtulation)
(If more space IS needed. insert addl1ional sheets 01 same size.)
Cl:'.~1'9hl (c:11994 tOlmsoltwlI. only CPSyst.ms.Inc:.
S 235,000.00
Form 1500 Sc:hl'dule AIR...., 12.85)
III v . 150)[X . 14.81>)
CO"::HA~~1!lq~'V"~H~~lhY'NIA
ESTATE OF
SCHEDULE B
STOGKS AND BONDS
KENNEl'H E. KLINE SSfl 166-14-2436 07/03/1996
(All '0 ort
ITEM
r JUMOER
1
2
3
I,
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
2/,
25
26
27
28
29
30
11
32
33
3/,
35
36
37
38
39
1.0
t,j
1.2
1,3
/1/'
1,5
DESCRIPTION
olnll -ownld with RI hi 01 Su,vlvorohl mu'l bl dl.clo,"d on Schodull F.l
U.S. Savings Bond flQ1822825360E
U.S. Savings Bond flQ1826464924E
U.S, Savings Bond flQ1829417840E
U.S. Savings Bond flQ1829826227E
U.S. Savings Bond flL5400485569E
U.S. Savings Bond flL543364455E
U.S. Savings Bond flL549652382E
U.S. Savings Bond flL549657728E
U.S. Savings 80nd flL549903555E
U.S. Savings Bond flL552016490E
U.S. Savings 80nd flL554173605E
U.S. Savings Bond flL554179058E
U.S. Savings Bond flL558401152E
U.S. Savings Bond flL556456231E
U.S. Savings Bond #L560390148E
U.S. Savings Bond flL560398752E
U.S. Savings Bond #L565600499E
U.S. Savings Bond #L565606889E
U.S. Savings Bond #L567293849E
U.S. Savings Bond flL567298016E
U.S. Savings Bond flL570355415E
U.S. Savings Bond #L572272768E
U.S. Savings Bond #L575120465E
U.S. Savings Bond flL575128268E
U.S. Savings Bond #L576534696E
U.S. Savings Bond flL576539083E
U.S. Savings Bond #L582080007E
U.S. Savings Bond #L582087572E
U.S. Savings Bond #L582254336E
U.S. Savings Bond flL584473259E
U.S. Savings Bond flL584479749E
U.S. Savings Bond 111.592/,717/,9~:
U.S. Savings Bond flL592475009E
U.S. Savings Bond flL593081817E
U.S. Savings Bond #L593089548E
U.S. Savings Bond flL596526264E
U.S. Savings Bond flL597494727E
U.S. Savings Bond flL597499477E
U.S. Savings Bond flL599654937E
U.S. Savings Bond 1I1.603312583E
U.S. Savings Bond fl1.606062305F.
U.S. Savings Bond 111.60606916/.E
U.S. Savings Bond fl1.608??71/,7f:
U.S. Savings Bond I/L610/,/d15U:
U.S. Savings Bond 1/1.6125010/./,~:
TOlal of Continuation Schedule(,;)
Issue Date 4-15-60
Issue Date 5-13-60
Issue Date 5-13-60
Issue Date 6-15-60
Issue Date 8-02-60
Issue Date 8-26-60
Issue Date 10-03-60
Issue Date 10-21-60
Issue Date 11-17-60
Issue Date 12-15-60
Issue Date 01-18-61
Issue Date 02-10-61
Issue Date 03-29-61
Issue Date 03-13-61
Issue Date 04-26-61
Issue Date 06-02-61
Issue Date 07-03-61
Issue Date 07-26-61
Issue Date 08-24-61
Issue Date 09-15-61
Issue Date 10-22-61
Issue Date 11-15-61
Issue Date 12-18-61
Issue Date 01-18-62
Issue Date 02-14-62
Issue Date 03-08-62
Issue Date 03-30-62
Issue Date 05-02-62
Issue Date 06-05-62
Issue Date 07-05-62
Issue Date 08-03-62
Issue Date 09.05.62
Issue Date 09-17-62
Issue Date 10.16-62
Issue Date 11-21-62
Issue Date 12-/4-62
Issue Date 01-/4-63
Issue Date 02-04-63
Issue Date 02-2063
Issue Date 03-29-63
Issue Date 05-01.63
Issue Date 06-07.63
Issue Date 07-02-63
Issua Data 07.26.63
Issue Data 09-04-63
TOTAL (Also enler on hne 2. Rec.lpllul,llionl
(It mole !iIMCe l'i nceded. lw.er1 ,lddlllOn.ll sh('('l~ 01 SJnlC size J
Ct'I'.I'-I"":c) 1')')( 101m sollw"" only CP~t\l"m... III(
25.00
25.00
25.00
25.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
FilE NUMOER
VALUE AT DATE
OF DEATH
161. 03
156.3/,
156.3/,
156.61
316.20
316.20
319.86
319.86
310.56
311.18
311.18
314.16
317.78
317.78
317.76
309.1,2
309./,2
309./,2
312.38
315.88
315.86
306.66
307.54
307.5/,
310.52
312.78
312.78
303.6/,
30/, ,1,2
30/. ,1.2
307.36
309.5/,
309.5/,
309.5/,
300.52
301. 76
301.76
301,.70
30/,.70
306.12
297.16
299./,2
299,1.2
299,1,2
303.80
120,7/,7.15
rOlm 1500 Scrll'd...'! B tHl'_ ..~[-,
s
/3/, ,0/,7./.3
~:nt./llo of: KENN~;I'II ~:. KLIN~:
Soe Sue (/: 166-1/,-2/,36
DIIlI' of llullth: 07/03/1996
Contlnuntlon of Schudulu !l
(Stockn nnd !londn)
ILUIlI llascrlptlon UnIt Valuo at Onto
II Value of Death
I,u U.S. Savings Bond OL612505664E Issue Dato 09-20-63 50.00 303.80
I," U.S. Savings Bond I/L614042993E Issue Dato 10-21-63 50.00 303.80
I,b U.S. Savings Bond I/L621362575E Issue Date 11-19-63 50.00 29/,.96
/,'1 U.S. Savings Bond flL621369367E Issue Date 12-12-63 50.00 296,78
511 U.S. Savings Bond I/L621538353E Issue Dato 01-19-611 50.00 296.78
~1 U.S. Savings Bond I/L624313922E Issue Date 02-05-6/, 50.00 299.62
5~ U.S. Savings Bond #L624970926E Issue Date 02-28-64 50.00 299.62
53 U.S. Savings Bond #L627801762E Issue Date 04-06-64 50.00 301. 01,
5', U.S. Savings Bond #L627807504E Issue Date 04-30-64 50.00 301. 0/,
55 U.S. Savings Bond #L628016227E Issue Date 06-01-64 50.00 294.22
56 U.S. Savings Bond #L631814309E Issue Date 0703-64 50.00 29/,.22
57 U.S. Savings Bond #L636291835E Issuo Date 08-04-611 50.00 297.08
58 U.S. Savings Bond #L636294241E Issue Date 08-13-64 50.00 297.08
59 U.S. Savings Bond #L639232019E Issue Date 09-17-6/, 50.00 298,1,8
60 U.S. Savings Bond #L641891131E Issue Date 10-15-611 50.00 298.48
(,1 U.S. Savings Bond OL641897527E Issue Date 11-16-611 50.00 289.78
b;> U.S. Savings Bond #L644060939E Issue Date 01-06-65 50.00 291. 66
63 U.S. Savings Bond #L646159929E Issue Date 12-14-64 50.00 291. 66
6/, U.S. Savings Bond #L647487455E Issue Date 02-02-65 50.00 267.52
65 U.S. Savings Bond flL647502637E Issue Date 02-26-65 50.00 267.52
66 U.S. Savings Bond #L652610381E Issue Date 0/,-01-65 50.00 268.80
67 U.S. Savings Bond #L652718105E - Issue Date 04-30-65 50.00 268.80
68 U.S. Savings Bond flL657031371E Issue Date 05-28-65 50.00 260.98
r,l) U.S. Savings Bond #L658118448E Issue Date 06-29-65 50.00 .2/,9.7/,
:;(J U.S. Savings Bond I/L659043595E Issue llate 07-28-65 50.00 2/,9.7/,
.11 U.S. Savings Bond I/L662547699E Issue Data 08-19-65 50.00 2/,9.92
l:; U.S. Savings Bond #1.664586453E Issua Date 09-23-65 50.00 251.16
...." U.S. Savings Bond I/L667434974E Issue Date 10-18-65 50.00 251.16
II. U.S. Savings Bond I/L669307205E Issue Date 11-17-65 50.00 2/,6.2/,
..' U.S. Savings Bond flL671891951E Issue Date 12-13-65 50.00 256.2/,
/"J
7f~ U.S. Savings Bond #L670025193E Issue Date 01-0/,-65 50.00 256.26
n U.S. Savings Bond I/L671897718E Issue Date 01-31-66 50.00 256.26
78 U.S. Savings Bond #L671986695E Issue Date 03-02-66 50.00 2/,3.88
7') U.S. Savings Bond flL674293580E Issue Date 01,-0/, -66 50.00 2/,3.88
ell U.S. Savings Bond #L678361100E Issue Date 05-0/,-66 50.00 2"', . 0/,
81 U.S. Savings Bond fl1.678526394E Issue Date 06-06-66 50.00 2/,6.56
87 U.S. Savings Bond I/L6785311077E - Issue Date 06-24-66 50.00 2/,6.56
81 U.S. Savings Bond I/L684046676F. Issue llata 07-22-66 50.00 2/,6.5/,
8/, U.S. Savings Bond I/L687805948E Issue Date 08-10-66 50.00 2/,1. 70
H5 U.S. Savings Bond I/L688036885E Issua Date 09-23-66 50.00 2/,1. 70
8(, U.S. Savings Bond IIL688195601E Issue Date 10-20-66 50.00 2/,1. 70
87 U.S. Savings Bond IIL68820/,0"',E Issue Date 11-16-66 50.00 2"',.0/,
8b U.S. Savings Bond I/L690721515E Issue Date 12-15-66 50.00 2/,6.76
b<J U.S. Savings Bond I/L692783421E Issue Date 01-04-67 50.00 2/,6.78
Enluto 0[: KENNETH E. KLINE
Soc See II: 166.1/,-2/,36
Dnla of Doath: 07/03/1996
Continuation of Schadulo 11
(Stocks llnd Bonds)
Item Doscriptlon Unit Value at Dato
II Value of Death
90 U.S. Savings Bond OL692842777E Issue Date 02-02-67 50.00 241. 9/,
91 U.S. Savings Bond OL694882876E Issue Date 03-02-67 50.00 2/,1.91,
9? U.S. Savings Bond #L703761752E Issue Date 0/,-03-67 50.00 2/,1.91,
93 U.S. Savings Bond I/L703890810E Issue Date 05-01-67 50.00 2"',.26
9/, U.S. Savings Bond I/L705654457E Issue Date 06-01-67 50.00 2/,6.91,
95 U.S. Savings Bond #L707431814E Issue Date 06-26-67 50.00 246.9/,
96 U.S. Savings Bond OL709195069E Issue Date 07-25-67 50.00 246.92
97 U.S. Savings Bond I/L709201387E Issue Date 08-17-67 50.00 242.08
98 U.S. Savings Bond OL713585563E Issue Date 09-21-67 50.00 242.08
99 U.S. Savings Bond #L713733009E Issue Date 10-20-67 50.00 242.08
IOU U.S. Savings Bond #L7138S1397E Issue Date 12 - II, - 67 50.00 247 .42
101 U.S. Savings Bond I/L713766347E Issue Date 11-14-67 50.00 244.4/,
102 U.S. Savings Bond #L713859164E Issue Date 01-03-68 50.00 247,1,2
103 U.S. Savings Bond I/L713887808E Issue Date 02-08-68 50.00 2/,2.56
10/ U.S. Savings Bond #L718927268E Issue Date 03-13-68 50.00 242.56
IlJ5 U.S. Savings Bond I/L718932909E Issue Date 01,-03-68 50.00 242.56
106 U.S. Savings Bond I/L718939882E Issue Date 0/,-30-68 50.00 2/,2.56
107 U.S. Savings Bond #L728646672E Issue Date 05-27-68 50.00 2"', . 96
108 U.S. Savings Bond #L730204983E Issue Date 06-18-68 50.00 2/,7.88
109 U.S. Savings Bond #L730212264E Issue Date 07-15-68 50.00 247.8/,
110 U.S. Savings Bond #L730219835E Issue Date 08-20-68 50.00 242.98
111 U.S. Savings Bond flL737936630E Issue Date 09-18-68 50.00 2/,2.98
112 U.S. Savings Bond #L740083799E Issue Date 10-16-68 50.00 242.98
113 U.S. Savings Bond #L740091965E Issue Date 11-15-68 50.00 . 2/,5.36
1 II, U.S. Savings Bond flL740095328E Issue Date 12-05-68 50.00 2/,8.6B
115 U.S. Savings Bond I/L740174682E Issue Date 01-08-69 50.00 2/,8.66
116 U.S. Savings Bond I/L740181448E Issue Date 02-03-69 50.00 2/,3.78
117 U.S. Savings Bond 1/1.7401B8971E Issue Dote 03-07-69 50.00 2/,3.78
118 U.S. Savings Bond #L749235656E Issua Date 0/,-01-69 50.00 2/,3.78
119 U.S. Savings Bond I/L751742912E Issua Data 05-05-69 50.00 2/,6.11,
120 U.S. Savings Bond I/L7S9751353E Issue Date 06-03-69 50.00 235.38
12/ U.S. Savings Bond I/L7S9757392E Issue Dote 06-15-69 50.00 235.38
122 U.S. Savings Bond #L759807280E Issue Date 07-2/,-69 50.00 237.66
123 U.S. Savings Bond flL763384360E Issue Date 08-20-69 50.00 238.18
12/ U.S. Savings Bond flL767282898E Issue Date 09-16-69 50.00 238.20
I 2~) U.S. Savings Bond 1/1.767288422E Issue Dote 10-21-69 50.00 233.5/,
126 U.S. Sav Ings Bond I/L767363354E Issua Data 11-03-69 50.00 233.5/,
In U.S. Savings Bond I/L773482810E Issue Data 12.08-69 50.00 23/,.7/,
128 U.S. Savings Bond I/L77S818229E Issue Date 01-06-70 50.00 236.96
129 U.S. Savings Bond I/L2108539452E Issua Date 12-14-77 50.00 1/.3.50
130 U.S. Savings Bond I/L2112791210E Issue Date 01-11-78 50.00 1/,3.50
131 U.S. Savings Bond I/L2019S42091E Issue Date 01-30-76 50.00 169./,6
132 U.S. Savings Bond 1/I.2032S32306E Issue Dote 03-02-76 50.00 1M. 52
133 U.S. Savings Bond 1/1.2038809243E Issua Date 03-26-76 50.00 1M. 52
EnlillO of: KENN~~l'Il E. Kl.IN~:
Soe Sac II: 166.1/, .2/,36
Dal., of Duath: 07/03/1996
Continual Ion of Schudlllu II
(Stockn and Bondn)
Item Doscrl(ltlon UnIt Valuo al Dale
II Value of Dealh
13/, U.S. Savings Bond OL2038811463E Issuo Date 04-26-76 50.00 16/,.52
135 U.S. Savings Bond #L2038820710E Issuo Data 05-24-76 50.00 166.08
136 U.S. Savings Bond IIL2038823704E Issuo Date 06-21-76 50.00 166,1,6
137 U.S. Savings Bond OL2042372482E Issuo Date 07-21-76 50.00 166,1,/,
138 U.S. Savings Bond #L2042376587E Issue Date 08-10-76 50.00 161.58
139 U.S. Savings Bond IIL20568B0262E Issue Dale 09-10-76 50.00 16/.58
11,0 U.S. Savings Bond IIL2056883333E Issuo Date 08-08-76 50.00 161.58
1/,1 U.S. Savings Bond #1.2056886911E Issue Data 11-12-76 50.00 163.14
1/,2 U.S. Savings Bond OL20S6931330E Issue Date 12-14-76 50.00 163.62
11,3 .U.S. Savings Bond #L2061152133E Issue Date 01-05-77 50.00 163.62
I"', U.S. Savings Bond IILI091933313E Issue Date 02-05-75 50.00 170.1,0
I/.:} U.S. Savings Bond IIL1091961723E Issua Date 03-03-75 50.00 170./,0
1/lll U.S. Savings Bond IILl091966090E Issue Date 04-02-75 50.00 170,1,0
11, 7 U.S. Savings Bond flLI0919685S8E Issue Date 04-25-75 50.00 170,1,0
I/,B U.S. Savings Bond 111.1101S75264E Issue Date 05-23-75 50.00 172.0/,
II,') U.S. Savings Bond #LI101S77775E Issue Date 06-20-75 50.00 172,1,6
150 U.S. Savings Bond IIL2005523569E Issue Date 07-17-75 50.00 172.""
151 U.S. Savings Bond #L2005522670E Issue Date 08-07-75 50.00 167.42
IS~ U.S. Savings Bond IILI105065185E Issue Date 09-04-75 50.00 167,1,2
153 U.S. Savings Bond flL20091I5400E Issue Date 10-08-75 50.00 167.42
15/, U.S. Savings Bond IIL2009118242E Issue Date 11-07-75 50.00 169.06
15~) U.S. Savings Bond 111.201/,385159~: Issue Data 12-04-75 50.00 169. "',
15(; U.S. Savings Bond OL2019S40113E Issue Date 01-09-76 50.00 169.46
157 U.S. Savings Bond 111.105414271SE Issue Data 01-29-74 50.00 . 181.8/,
158 U.S. Savings Bond II L1 0661809"',~: Issua Date 03-01-74 50.00. 176.5/,
159 U.S. Savings Bond 11I.l066187253E Issue Data 03-26-74 50.00 176.5/,
161) U.S. Savings Bond IILI066194558F. Issua Data 04-25-74 50.00 176.5/,
161 U.S. Savings Bond IILI0711068/,7E Issue Date 05-21-74 50.00 178.2/,
16/ U.S. Savings Bond IIL10711l,9/,76F. Issue Date 09-09-74 50.00 1 73 . "',
16] U.S. Savings Bond IILI077651444E Issue Date 10-17-74 50.00 173."',
1M U.S. Savings Bond #L1077655016E Issue Date 11-12-74 50.00 175.12
Ih:) U.S. Savings Bond IILI077659301E Issue Data 12-06-74 50.00 175.5/,
16(, U.S. Savings Bond fl1.1091919028E Issue Dale 01-06-75 50.00 175.52
If'; U.S. Savings Bond 1I1.2131329313E Issue Date 06-20.78 50.00 132.96
Ih8 U.S. Savings Bond IIL2131863318E Issue Dale 07-12.78 50.00 13 3.00
Ih9 U.S. Savings Bond IIL2131863319E Issua Dala 07-12-7B 50.00 133.00
17') U.S. Savings Bond IIL2138834799E Issua Data 08-10-78 50.00 130./,0
171 U.S. Savings Bond IIL2139"',8866E Issua Data 09-20-78 50.00 130,1,0
In U.S. Savings Bond IIL2139458142E Issue Date 10-11-78 50.00 130./,0
In U.S. Savings Bond IIL215176610SE Issue Date 11-17.78 50.00 131. 62
171, U.S. Savings Bond #L2152390560E Issua Dale 12-11-78 50.00 131. 98
175 U.S. Savings Bond flL21b0239412E Issua Date 01-17-79 50.00 132.00
1 ](, U.S. SavIngs Bond 111.206115/,70/,E Issue Dala 01-26-77 50.00 163.62
17"1 U.S. Savings Bond IIL2061158223E Issua Data 02-23-77 50.00 158.86
.
~:Slllto 0[: KENNEl'H E. KLINE
Sac See II: 166-1/,-2/,36
Data of Death: 07/03/1996
Continuation o[ Schodulo II
(Stocks and Bonds)
Item Doscriptlon Unit Value at Date
II Va1uo of Death
178 U.S. Savings Bond OL2075119417E Issuo Date 04-06-77 50.00 158.86
179 U.S. Savings Bond OL2080264419E Issue Dato 05-10-77 50.00 160,112
180 U.S. Savings Bond #L2080267756E Issue Date 06-02-77 50.00 160.76
181 U.S. Savings Bond #L208656S422E Issue Date 07-08-77 50.00 160.72
182 U.S. Savings Bond #L2086565421E - Issue Date 07-08-77 50.00 160.72
183 U.S. Savings Bond #L2093102853E - Issue Date 08-05-77 50.00 156.04
18/, U.S. Savings Bond #L2096637067E Issue Date 08-08-77 50.00 156.0/,
185 U.S. Savings Bond #L2097026504E Issue Date 10-04-77 50.00 156.04
186 U.S. Savings Bond OL2097033323E Issue Date 11-02-77 50.00 143.10
187 . U.S. Savings Bond #L22015S6714E Issue Date 02-20-80 50.00 127.08
188 U.S. Savings Bond #L2204590345E Issue Date 02-20-80 50.00 127.08
189 U.S. Savings Bond #L2204595725E Issue Date 04-18-80 50.00 127.08
190 U.S. Savings Bond OL2163526258E Issue Date 02-27-79 50.00 129.42
191 U.S. Savings Bond #L2167508365E Issue Date 03-19-79 50.00 129.42
192 U.S. Savings Bond #L2167518S6SE Issue Date 04-16-79 50.00 129.42
193 U.S. Savings Bond #L2168076685E - Issue Date 05-09-79 50.00 130.68
19/, U.S. Savings Bond OL2174863034E Issue Date 06-14-79 50.00 130.98
195 U.S. Savings Bond #L2174863033E Issue Date 06-14-79 50.00 130.98
196 U.S. Savings Bond #L2176174740E Issue Date 07-23-79 50.00 130.98
197 U.S. Savings Bond IIL2181990667E Issue Date 08-23-79 50.00 128,1,0
198 U.S. Savings Bond IIL218100S098E Issue Date 09-18-79 50.00 128,1,0
IYY U.S. Savings Bond #1.2187139260E Issue Date 10-16-79 50.00 128.40
200 U.S. Savings Bond IIL2187146440E Issue Date 11-19-79 50.00 129.62
21)1 U.S. Savings Bond flL2199364491E Issue Date 12-17-79 50.00 129.62
20, U.S. Savings Bond flL2201S44532E Issue Date 01-18-80 50.00 129..62
203 U.S. Savings Bond flL2115317665E Issue Date 02-21-78 50.00 139.32
20/, U.S. Savings Bond #L2118241288E Issue Date 03-16-78 50.00 132.60
205 U.S. Savings Bond #L2118541415E Issue Date 04-14-78 50.00 132.60
206 U.S. Savings Bond OL2127657891E Issue Date 05-12-78 50.00 132.6lI
207 U.S. Savings Bond flLI020629332E Issuo Date 03-05-73 50.00 190.00
208 U.S. Savings Bond flLI020733357E Issue Date 03-25-73 50.00 190.00
209 U.S. Savings Bond flLI024601722E Issue Date 04-24-73 50.00 18/, .46
210 U.S. Savings Bond #LI024608434E Issue Date 05-21-73 50.00 184.46
211 U.S. Savings Bond IILI024624921E Issue Date 06-18-73 50.00 181, .90
21/ U.S. Savings Bond #LI024619310E Issue Date 07-16-73 50.00 186.70
213 U.S. Savings Bond flLI027105844E Issue Date 08-13-73 50.00 187.10
21/, U.S. Savings Bond IILI027115702E Issue Date 09-11-73 50.00 187.12
215 U.S. Savings Bond IILl027155629E Issue Date 10-09-73 50.00 181.68
216 U.S. Savings Bond #LI051133684E Issue Date 11-08-73 50.00 181. 68
217 U.S. Savings Bond #LI05I137218E Issue Date 12-06-73 50.00 181. 8/,
21B U.S. Savings Bond #1.1054114652E Issue Date 01-02-74 50.00 181. 8/,
21Y U.S. Savings Bond IIK19184044EE Issue Date 11.05-81 75.00 Ill. 39
no U.S. Savings Bond IIK19188370EE Issue Date 12.08-81 75.00 Ill. 39
2/1 U.S. Savings Bond IIK19191171EE Issuo Date 01.14-82 75.00 111.39
Eutal.u of: KENN~;I'II ~:. KLINE
Soe Sac II: 166-1/,-2/,36
(Jilt" of DOllth: 07/03/1996
Contlnullllon of Schlldulu II
(Slock:; IInd lIondu)
Item (Jascrlptlon Ullll Vllluu lit (JlllU
II Valua of (Jauth
222 U.S. Savings Bond IIK19191,007EE Issue Datu 02-03-82 75.00 108.15
223 U.S. Savings Bond IIK19198078EE Issue Dote 03-05-82 75,00 108.15
22/, U.S. Savings Bond IIKl92006/,5EE Issue Date 0/,-05-82 75.00 108,15
225 U.S. Savings Bond IIK19205234EE Issue Dote 05-05-82 75.00 108.15
226 U.S. Savings Bond flC2093178210E Issue (Jate 08-24.79 100.00 256.80
227 U.S. Savings Bond #C2093178209E - Issue Dote 08-24-79 100.00 256.80
228 U.S. Savings Bond flG2093178208E - Issue Date 08-24-79 100.00 256.80
229 U.S. Savings Bond flM89926669E Issue Dote 04-01-69 1000.00 1,,875.60
230 U.S. Savings Bond flM89926668E Issue Dote 04-01-69 1000.00 1,,875.60
231 .U.S. Savings Bond IIM89926667E Issue Dote 04-01-69 1000.00 1,,875.60
232 U.S. Savings Bond IIM89926666E Issue Date 04-01-69 1000.00 I, ,875.60
23} U.S. Savings Bond IIM89926665E Issue Date 04-01-69 1000.00 1,,875.60
23/, U.S. Savings Bond IIM89926665E Issue Dote 04-01-69 1000.00 1,,875.60
235 U.S. Savings Bond IIM89926663E Issue Data 04-01-69 1000.00 1,,875.60
236 U.S. Savings Bond IIM89926662E issue Date 04-01-69 1000.00 1,.875.60
237 U.S. Savings Bond flM89926661E Issue Date 04-01-69 1000.00 1,,875.60
238 U.S. Savings 80nd IIM89926660E Issue (Jote 04-01-69 1000.00 I, ,875.60
23'! U.S. Savings Bond IIM89926659E Issue Dote 04-01-69 1000.00 1.,875.60
2/ilJ U.S. Savings Bond IIM899266S8E Issue Data 04-01-69 1000.00 I, ,875.60
2/11 U.S. Savings Bond IID89783320E Issue Date 04-01-69 500.00 2,/,37.80
2/,i U.S. Savings Bond IIL818123305E Issue Data 08-16-71 50.00 198.76
2/" U.S. Savings Bond flL820331818E Issue Date 09-14-71 50.00 198.78
2/,1, U.S. Savings Bond 111.820335329E Issue Dote 10-04-71 50.00 192.98
2/1 ~) U.S. Savings Bond IIL820/,01609E Issue Doto 11-04-71 50.00 192.98
2/0(, U.S. Savings Bond IIL823170998E Issuo Date 12-03-71 50.00 193.1,8
2/,1 U.S. Savings Bond IIL823177688E Issue Dote 01-04-72 50.00 195.36
2/,8 U.S. Savings Bond flL83087270SE Issue Date 02-07-72 50.00 195.80
2/,9 U.S. Savings Bond IIL830875441E 15sUQ Date 02 - 2/, - 72 50.00 195.80
250 U.S. Savings Bond IIL830915889E Issue Data 03-22-72 50.00 195.82
251 U.S. Savings Bond 111.8309215171 I~;suc Date 0/, -?II- 72 50.00 190.12
252 U.S. Savings Bond IIL8309279/,61: Issue Date 05 -;>1- 72 50.00 190.12
25'\ U.S. SavIngs Bond IIL833568347E Issue Dote 06-20-72 50.00 190.611
25/, U.S. Savings Bond IIL833634424E Issuo Date 07.18-72 50.00 192.50
7.5::' U.S. Savings Bond IILI000SS70241: I,;slla Dat" 09.11-72 50.00 192.9/,
25(, U.S. Savings Bond IIl.I0005547H5E 1:;::\1.. Ihta 08-22- 72 50.00 192 .9/,
257 U.S. Savings Bond 111.101r.822~~~E 1:;"" Ihte 10.02-72 50.00 187.32
258 U.S. Sovlngs Bond 1I1.1020SS207/,E Issue Date 11.03-72 50.00 187.32
25') U.S. SlIvlngs Bond III.I020S57611E Issua (Jata 12-05-72 50.00 187.72
nil U.S. Savings Bond /11.102060531 OJ: I~, .;' III IJ..:.a 01.03-73 50.00 189.52
261 U.S. Savings lIond 111.1020625/,721: 155\1' (Jilt" \l2-13-73 50.00 190.00
262 U.S. SlIvlngs lIond 111.77S822031E IsmH.: iJ,ill: O;J-03-70 50.00 237.56
2(d U.S. Savings Bond fll.775825/,60E Issuo Datu 03-05-70 50.00 237.58
7. (jll U.S. Savings lIond 111.775829363~: Issue nOlle 0/, -02. 70 50.00 232.90
?C,', U.S. SlIV t ngs lIond 111.7758386971': Issue (Jate 05.0/,-70 50.00 232.90
~:~IIlIC of: K~:NN~:I'II ~:. KI.I Nl,
Soe Sac II: 166. II, .2/,36
Oala of Doath: 07/03/1996
Continuation of Schadulo II
(Stocks and lIondu)
Itam Description Unit Valuo at Data
II Value of Death
266 U.S. Savlngu Bond IIL78251149SE Issue Date 05-22-70 50.00 232.90
267 U.S. Savings Bond #L775849979E Issue Data 06-23-70 50.00 23/,.02
268 U.S. SavIngs Bond #L77S858614E Issue Dato 07-22.70 50.00 236.02
269 U.S. Savings Bond IIL78251835SE Issue Date 08-18-70 50.00 236.88
270 U.S. Savings Bond #L78252633SE Issue Date 09-15-70 50.00 236.88
271 U.S. Savings Bond #L792412907E Issue Date 11-04-70 50.00 228.32
272 U.S. Savings Bond IIL792/,10527E Issue Date 10-16-70 50.00 228.32
273 U.S. Savings Bond #L792422733E Issue Date 12-03-70 50.00 228.8/,
27/, U.S. Savings Bond #L792426837E Issue Date 01-05-71 50.00 201. 32
275 U.S. Savings Bond #L799930866E Issue Date 02-03.71 50.00 201.7/,
276 U.S. Savings Bond IIL799934262E Issue Dato 03-03-71 50.00 201.7/,
277 U.S. Savings Bond IIL808014321E Issue Date 04-02-71 50.00 197,1,8
278 U.S. Savings Bond IIL810613218E Issue Date 05-04-71 50.00 197./,8
279 U.S. Savlncs Bond IIL810614488E Issue Date 05-17-71 50.00 197,1,8
2811 U.S. Savings Bond IIL810690503E Issue Date 06-21-71 50.00 198.02
281 U.S. Savings Bond #L810699816E Issue Date 07-21-71 50.00 198./,2
281 U.S. Savings Bond IIK6315699EE Issue Date 05-07-80 75.00 130.80
282 U.S. Savings Bond #K6318666EE Issue Date 06-10-80 75.00 130. 80
283 U.S. Savings Bond IIK6318667EE - Issue Date 06-10-80 75.00 130. 80
28/, U.S. Savings Bond #K63242~4EE - Issue Date 07-15-80 75.00 130.80
285 U.S. Savings Bond IIK632S839EE Issue Date 08-08-80 75.00 126.99
286 U.S. Savings Bond IIK173S9S70EE Issue Date 09-10-80 75.00 126.99
287 U.S. SavIngs Bond IIK17734418EE Issue Date 10-07080 75.00 126.99
288 U.S. Savings Bond #K17939179EE Issue Date 11-07080 75.00 . 121.05
28<J U.S. Savings Bond IIK17944481EE Issue Dale 12-16-80 75.00 121,05
2911 U.S. Savings Bond IIK17946534EE Issue Date 01-14-81 75.00 121.05
291 U.S. Savings Bond IIK18292414EE Issua Date 02-06-81 75.00 117.51
292 U.S. Savings Bond IIK1829S68SEE Issue Date 03-09-81 75.00 117.51
293 U.S. Savings Bond flK18662194EE Issue Date 04-16-81 75.00 117.51
29/, U.S. Savings Bond IIK1866S271EE Issue Date 05-07-81 75.00 11/, . 7?
295 U.S. Savlncs Bond IIK18665270EE Issue Date 05-07-81 75.00 111,.72
2% U.S. Savings Bond IIK186684S6EE Issue Date 06-08-81 75.00 11/,.72
2<J7 U.S. Savings Bond IIK18672626EE Issue Date 07-10-81 75.00 111,.72
298 U.S. Savings Bond IIK1867S939EE Issue Date 08-17-81 75.00 111. 39
2<J<J U.S. Savings Bond IIK18679457EE Issua Date 09-09-81 75.00 111.39
3011 U.S. Savings Bond IIKI868/,6/,IE~: Issue Data 10-16-81 75.00 111 .39
3tll 513 Sharas or P.P. & 1.. Common Stock 23.62 12,117.06
...------------
120.7/,7.15
mv. 1509U t 112.81\)
Ca"::'~~\Y~r.qlbl~g~~lhY'N"
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
..g:NNI..:TIl E. KI.IN~: SSII 166-11,.2/,36 07/03/199b
Jolnllonanl(.):
A.
NAME
JANE KLINE BROCKMAN
ADDRESS
RR 1, BOX 120
SUNBURY, PA 17801
O.
BONNIE E. SHENK
414 BELVEDERE ROAD
HARRISBURG, rA 17109
C.
DENISE TAYLOR
555 POMrANO
IIlTCHCOCK, TX 77550
Jointly-owned proporty'
FilE NUMDER
RELATIONSHIP TO DECEDENT
lJAUGIfl'ER
DAUGHTER
DAUGHTER
lETTER DATE
ITEM FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOllAR VALUE OF
NUMOER JOINT OF ASSET 'k INT. ECEDENTINTEREST
TENANT JOINT
1 A,8 01/20/89 Gorestates Bank 9,1,61.22 33.337- 3,153.71
C.D. 113063588887
2 A,B 01/06/83 Fulton Bank 1,8,605.79 33.337- 16,200.31
Savings 1/9932.43546
3 A 06/11,/8/, Mellon Bank 3,727.98 50.007- 1,863.99
Checking #112-542-0461
4 A 0/,/05/91 Mellon Bank 2,508.39 50.007- 1,25/, .20
Cert. '111/, -A61562-C
5 A 11/08/91 Mellon Bank 62 ,051, . 81, 50.007- 31,027,1,2
Savings 1/414-750041
6 A 07/26/91 Mellon Bank 1,2/,6.76 50.007- 623.38
Ccrt. #14-A61822-C
-
Total ,f Contlm lltlon Schcdula(5) 13 , 150 . 00
TOTAL (Also enter on line 6. Rec.lpltul.1llOnl 67,273.01
IIf more sp,lce is needed. lnse,t .1ddltionill sheets 01 sartlC size)
COll.,'Ultll icll'}'H torm ~ollw,u" only CJ'Sy'ltt'",'1, Inc
fOlm 1500 SChM~ll" F (nt'" 1?5!'"
~:stato of: KENN~:1'1I E. KI.INE
Sac Sac (I: 166-11,-2/.36
Dalu of Dellth: 07/03/1996
ContinuatIon of Schadulu F
(Jointly Ownud rr"purty)
Item Ltr for Datu Duscrlptlon of propurty Total Val Dollllr Val of
(I Jt Tan Joint of Annul Decds Interest
7 B 01/ /92 U.S. Savings Bond Series HH 500.00 50.001. 250.00
(13030156
8 B 01/ /92 U.S. Savings Bond Series HH I ,000.00 50.001. 500.00
1/1,19",.90
9 B 02/ /91 U.S. Savings Bond Series EE 3,360.00 50.001. 1,680.00
Face - $5,000 flV2113791EE
10 A 01/ /92 U.S. Savings Bond Series 1111 500.00 50.001. 250.00
1/3030158
11 A 01/ /92 U.S. Savings Bond Series HH 1,000.00 50.001. 500.00
1/1,19""86
12 A 01/ /92 U.S. Savings Bond Serl es HII I ,000. 00 50.001. 500.00
11/,19"',87
13 A 01/ /92 U.S. Savings Bond Series HH 1,000.00 50.001. 500.00
111,19""89
1/, A 02/ /91 U.S. Savings Bond Series EE 3,360.00 50.001. 1,680.00
Face - $5,000 UV2133793EE
15 G 01/ /92 U.S. Savings Bond Series HH 1,000.00 50.001. 500.00
IIOld9"',92
16 C 01/ /92 U.S. Savin&s Bond Series HH 500.00 50.001. 250.00
110/,03015/,
17 G 02/ /91 U.S. Savings Bond Series EE 3,360.00 50.001. 1,680.00
Face - $5,000 V2113792EE
18 0 01/ /92 U.S. Savings Bond Series HH 1,000.00 50.001. 500.00
110/,19/,1,88
19 0 01/ /92 U.S. Savings Bond Series HH 500.00 50.001. 250.00
113030155
20 0 02/ /91 U.S. Savings Bond Series EE 3,360.00 50.001. 1,680.00
Face - $5,000 V2113794EE
21 E 01/ /92 U.S. Savings Bond Series HH 500.00 50.001. 250.00
1/03030157
22 E 01/ /92 U.S. Savings Bond Series HH I ,000. 00 50.001. 500.00
110/,19",,91
23 E 02/ /91 U.S. Savings Bond Serlas EE 3,360.00 50.001. 1,680.00
Face - $5,000 V211379SEE
..............
13 , 150 . 00
.
'UV . 1S U EX . (Z.871
CO"II.9A~~r.~~W*~~lhY'NI'
SCHEDULE J
BENEFICIARIES
ESTATE OF
FilE NUMOER
KENNli'll E. KI.IN~:
ITEM
NUMOER
SS
166 -11,.2/,36
07 03 1996
NAME AND ADDRESS OF DENEFICIARY
nElA TlONSlilP
AMOUNT OR
SHARE OF ESTATE
A. Taxable Dequosls:
1 Jano K1ino Brockman
RR1, Box 120
Sunbury, PA 17801
2 Bonnio E. Shenk
414 Bo1vedoro Road
Harrisburg, PA 17109
3 Denise Taylor
555 Pompano
Hitchcock, TX 77550
I, Barbaro \/eigle
10 Patriot Lono
\/lllingboro, NJ 080/,6
5 Judy Graham
1728 Haywood
Hendersonville, NC 28791
6 Darryl Manning
1415 B Leyote Road
Coronado, CA 92118
DlluLlhtor
0.20
Daughtur 0.20
Daughter 0.20
Daughter 0.20
Daughter 0.20
Grandson Sped fie Beq. -
Gun
ITEM
NUMOER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmenlal Bequests:
TOTAL CHARlTADlE AND GOVERNMENTAL OEOUESTS (AI,o enler on hne 13. Recap,'ul.lI,on)
01 more sp.lce IS need ad, Insert .1ddIIIOn.ll sheets 01 sarno size)
COpyllqhllc:II,},}4 fOlm "011"",,,,., only CP5w'l~m" toe
s
0.00
fOlm 1500 Scht'd..... J {Rev Z.&lI
.
:-- ...-.
- -
, .
,
\ .
.
.
. ,
.
.
.,
.
.
..
"-
.'
Register of Wills of CUMBERLAND county, pennsylvania
certificate of Grant of Letters Testamentary
No. 1996-00558 PA No. 2196-0558
ESTATE OF KLINE KENNETH E
(LA:>'!', t.lK::;'!', 1'I!UULt.)
Late of
HAMPDEN TOWNSHIP
l,;UM)j~t(.J..JJ\l'(U ~UUl'('J.'I,
WHEREAS,
dated July
was admitted
Deceased
Social Security No. 166-14-2436
day of July
1996 an instrument
on the 17th
2nd 1984
to probate as the last will of KLINE KENNETH E
(LA::;'!', t .lK::;'!', 1'I.lUULt;)
late of HAMPDEN TOWNSHIP CUMBERLAND county, who died on the
3rd day of July 122i and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, MARY C. LEWIS ' Register of Wills in and for
the county of CUMBERLAND in the commonwealth of pennsylvaniar hereby certify
that I have this day granted Letters TESTAMENTARY
to BONNIE E SHENK and JANE E KLINE - and
NOW KIA JANE KLINE BROCKMAN
who have duly qualified as Executorlrix)
and have agreed to administer the estate according to law, all of which fully
appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my Office the ~ day of July 1996.
/l!}ILlwtl. M":,~ vlC-,. (7/1 j,/~;~~1~ {;. .<i.
:; Keg1st.er at 1.l . 'j
**NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE)
- ~ rl;-:;<'l't~:!~.." ~L_J\"'::' .:\' .:i\ :':lXI.\''''. . ,
I, '\.:. I r: -. , ,".t~:::.)::u;.~'1' .1',., .,.,.. ." :.',::;..r,.,..
, '.1.' '" OF - , '~~ . ',' 'i(. _. _ '
. , ,. U,','f,~.t1h .. "", \1"/1".. roo... .
~ "
&1. Cj(,-!i'5'8'
LAST WILL AND TESTAMENT
OF
KENNETH E. KLINE
I, Kenneth E. Kline, of Enola, Pennsylvania, being of
sound and disposing mind, memory and understanding, do hereby
make, publish and declare as and for my Last Will and Testament,
hereby revoking all other wills and codicils heretofore made by
me.
FIRST
I direct the payment of my debts and expenses of my
last illness and fun~ral from my estate as soon after my death as
conveniently may be done.
SECOND
I direct that all inheritance and estate taxes becoming
,
~
~
~
~
due by reason of my death, whether such taxes may be payable by
my estate or by any recipient of any property, shall be paid by
my Co-Executrices out of the property passing under this Will
which is not specifically bequeathed or devised, as an expense
and cost of administration of my estate. My Co-Executrices shall
.,.-
\
IS: / / </ - q
BUREAU OF INDIVIDUAL TAXES
I"HUIlANee UK DIVISION
DEPf. 180.01
HARRISBURG, PI. 111111'0.01
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INNERITANCE TAX
APPRAISEHENT. AllO~ANCE DR DISAllOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
c.
*'
STEVEN J SCHIFFMAN ESQ
STE 201
2080 LINGLESTOWN RD
HBG PA 17110
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
07-07-97
KLINE
07-03-96
21 96-0558
CUMBERLAND
101
."'IUIU'" 111.111
KENNETH
E
Allount Rellithd
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 ~
ifili:i54rE;(-"FP--iiii-:97Y"NciTicE--liTi"NHEilii'iiNcE-Ylix-A'PPRA-isEHEN'r-;-"i:.i:owiiNCE"'ciRmu_mu_-----
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KLINE KENNETH E FILE NO. 21 96-0558 ACN 101 DATE 07-07-97
If an assessment was issued previously, lines 14, IS and/or 16, 17 and 18 will
reflect figures that include the total of abh returns assessed to date.
ASSESSMENT OF TAX:
15. A.aunt of Line 14 at Spou..l rat. liS)
16. AMount of Line 14 taxable at Lin..I/CI... A rat. (16)
17. Allount of Line 14 taxable .t Collateral/CI... 8 rat. (17)
18. Principal Tax Due
TAX CREDITS:
PAYHEHT
OATE
10-02-96
03-26-97
TAX RETURN WAS: C X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rell E.tata ISchadule Al III
2. stockl and Bonds (Schedule 8) 12)
3. Closely Hald stock/Partnership Intera.t (Schedule CJ (3)
4. Hortg.gal/Nota. Receivable (Schedule DJ C4J
S. C.sh/Bank Deposits/Hilc. Parsonal Property (Schedule E) (5)
6. Jointly Owned Property (Schedule F) (6)
7. Transfars (Schedule G) (7)
8. Total Assets
I CNANGED
235,000.00
134.047.43
.00
.00
15.193.69
67.273.01
.00
181
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expan.e./Adn. Costs/Hi.c. Expan.a. (Schedule H) (9)
10. Debts/Hortgage Liabilities/Liens (Schadule I) (10)
11. Total Daductions
12. N.t Value of Tax Raturn
13. Charitabl./Govarnnental Baqu.st. ISchadula J)
14. Nat Value of Eatat. Subjact to Tax
24.450.19
334.86
1111
1121
1131
1141
NOTE:
.00 X .00=
426.729.08 X .06=
.00 X .15=
1181
RECEIPT
HUHBER
AA146805
AA185340
DISCOUNT C.l
INTEREST/PEN PAID I-I
578.95
.00
11.000.00
14.024.79
AHOUHT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To in sura propar
credit to your account,
lubnit the uppar portion
of this for~ with your
tax paymant.
451, 514 .13
?4.7R<; D<;
426.729.08
.00
426.729.08
.00
25.603.74
.00
25,603.74
25.603.74
.00
.00
.00
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS lESS THAN SI. NO PAYHENT Is REQUIRED.
IF TOTAL DUE Is REflECTED AS A "CREDIT" ICRI. YOU HAY BE DUE
A REFUND. SEE REVERSE sIDE OF TNIS FORH FOR INSTRUCTIONS. I
('"",
I
.' -..
{j(J
RESERVAflONI E.tat.. of d.C:.d.nt. dYing on or b.for. D.c..b.r lZ, 198Z -- If any future Int.r..t In the ..tat. I. tran.f.rr.d
In po.....lon or enJoy..nt to Cia.. a (collat.r.l) b.n.flclarl.. of the d.c.d.nt aft.r the .xplratlon 0' any ..tat. for
II'. or for y.ar., the Co..onw.alth h.r.by .xpr...ly r...rv.. the right to eppr.t.. and ...... tren.f.r Inh.rltanca Tax..
at the law'ul CI... a (collataral) rat. on anv 'uch future Int.r..t.
PIlIlPlm: Of
NOTICE:
To fulfill the r.qulra..nt. of Section 2140 of the Inh.rltanc. and E.tate 'ax Act, Act ZI of 1995. (1Z P.S.
S.ctlon 91400).
PA \1tEHT :
Detach the top portion of thl. Notlc. and .ub.lt with Your p.yaent to the R.gI.t.r of NIII. prlnt.d on the r.v.r.. .Id..
u"ak. ch.c:k or .on.y ord.r payabl. to: REGISTER OF MILLS, AGENT
REfUND (CA):
A r.fund of a tax cr.dlt, which wa. not r.qu..ted on the Tax R.turn, .ay ba requ..t.d by co.pl.tlng an ~Appllcatlon
'or R.fund of P.nn'Ylvanla Inh.rltenc. and E.tat. Tax~ (REV.151]). Appllc.tlon. .re .valleble at tha Of,lc.
0' the R.gl.t.r 0' Will., any of the Z5 R.v.nu. DI.trlct Offlc.., or bv c.Illng the specl.1 Z4-hour
an.w.rlng ..rvlc. nu.b.r. for for.. ordarlng: In P.nnsvlvanl. 1-800-36Z.Z0S0, out.ld. P.nnsvlvanla and
within loe.1 Harrl.burg ar.a (111) 181-8094, TOOl (111) l1Z-2ZSZ (Haarlng lep.lr.d Only).
OBJECTIONS:
Any party In Intar..t not s.tl.flad with the .PPral....nt, .llowance or dl.allowanc. of d.ductlon., or .".'...nt
of tax (Including dl.count or Int.r..t) a. .hown on thl. Notlc. .u.t obJ.ct within .Ixty (60) day. of r.C.lpt of
this Notlc. by:
&IlIfIN
ISTRAflVE
CORRECTIONS.
.-wrlttan prot..t to the PA D.parteant of R.venue, loard of App..I., D.pt. 281021, Harrl.burg, PA 17128-1021, OR
--.l.ctlon to have the .attar d.t.raln.d at audit of the account of the p.r.onal repr..entatlv., OR
--app.al to tha Orphans' Court.
Factual .rror. dl.cov.r.d on thl, ........nt should be .ddr....d In writing to: PA D.part.ant of R.v.nu.,
Bureau of Indlvldu.1 T.xe., ATTN: Po.t AS'...eent R.vlaw Unit, Dapt. 280601, Harrl.burg, Pi 11128-0601
Phone (111) 787-6505. S.. p.g. 5 of the bookl.t ~In.tructlon. for Inharltanc. Tax R.turn for a R..ldent
Dec.dant" (REY-lS01) for an .xplanatlon of adalnl.tratlv.lY correctable .rror..
DISCOUNT:
If any tax due I. paid within thr.. (]) calender aonth. .ft.r the d.c.d.nt'. d.ath, a flva p.rcent (S~) dl.count of
the t.x P.ld I. allow.d.
PENALTY.
The 15~ tax .an..ty non.partlclpatlon p.n.lty I. cOaputad on the total of the tax and Int.r..t a......d, and not
paId b.for. Janu.ry 18, 1996, the flr.t day .ft.r the and of the t.x .en..ty parlOd. 'his non.partlclpatlon
penalty I. app.alabl. In the .... aann.r and In the the .... tl.e p.rlOd a. you would appeal the tax and Int.r..t
that ha. bean .......d .. Indlcat.d on thl. notlc..
IHTtREST:
Intar..t I. charg.d b.glnnlng wIth flr.t d.y of d.llnqu.ncy, or nln. (9) aonth. and on. (1) day fro. the d.t. of
d..th, to the data of p.ye.nt. Tex.. which b.c... dellnqu.nt b.for. January I, 1982 b..r Int.r..t .t the rat. of
.Ix (6~) p.rc.nt par ennu. calculat.d at e dally r.te 0' .0001640. All taxa. which baca.. d.llnqu.nt on and .ft.r
Janu.ry 1, 1982 will b.ar Intare.t .t . rata which will vary fro. celendar y.ar to calandar Y.lr wIth that rat.
announced by the PA Dap.rte.nt af R.v.nu.. The appllcabl. Intar..t r.t.. for 198Z through 1997 era I
'!!!! Inhr.st R.t. Deily Tnhr..t Factor !.!!!' Inter..t Rata Dally Int.r..t Factor
1982 ZOX .000548 1917 'X .000247
1985 lOX .000U8 1988-1991 llX .000nl
1914 IU .ooonl 199Z 'X .000Z47
1985 13X .000556 199]-199~ 7X .000192
1986 lU .000Zl4 1995-1997 'X .000247
--Int.rnt 11 calcul.tad .. follow.:
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYs DELINQUENT X DAILY INTEREST FACTOR
--Any Natlc. I"u.d after the tax b.c:o... d.llnquent wIll reflect en Inter..t calculation to flft..n (IS) day.
b.yond the date of the ........nt. If paye.nt I. .ad. .ft.r the Int.r..t coeputatlon date shown on the
Hotlc., addltlonel Int.r..t IN.t be c.lcul.t.d.
/5 1/ 'i - ()
BUREAU OF INOIVIOUAl TAXES
IHlILAnAHCe ux DIVISION
DCP'. zeObOl
tlARIUSBUAC, PI. 111:8.0601
COMMONWEALTH OF PENNSYLVANIA
DEFARTMENT OF REVENUE
,-'.
NOTICE OF INHERITANCE TAX
APPRAISEMENT. AllOWANCE OR OISAllOWANCE
OF OEDUCTIONS AND ASSESSMENT DF TAX
STEVEN J SCHIFFMAN ESQ
STE 201
2080 LINGLESTOWN RO
HBG PA 17110
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-13-97
KLIIIE
07-03-96
21 96-0558
CUMBERLAND
101
r-
Anount Renltt.d
i~
I~'
Ih.lhl" I" tU-'"
KENNETH
E
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HDUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ifE"v:i54"i-Ex-AFP-fo3-:9:rnioTicE--oF--ltiiiEiiiiiiN-cE-TAX-iiPPRiiisEtt€Ni'-,--ALDiwA'iiCE-iiliun--m---um
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KLINE KENNETH E FILE NO. 21 96-0558 ACN 101 DATE 10-13-97
TAX RETURN WAs: ( 1 ACCEPTED As FILED I X) CHANGED SEE ATTACHED NDTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN NO. 01
1. Rlol Elt.t. (schodulo A) Ul
2. stocks and Bonds (Schedule 8) 12)
3. Closely Held stock/Partnership Interest (Schedule C) (3)
4. Harig.ges/Notes Receivable (Schedule D) (4)
S. CashlBank Deposits/Hisc. Personal Property (Schedule E) 15)
6. Jointly Owned Property (Schedule fJ (6)
7. Transfe,.s (Schedule G) (7)
8. Total Asset.
. DO NOTE: To Insure prope...
. 00 credl t to your account I
.00 subnit the upp.r portion
. 00 of this farn with your
. DO tax pay"ent.
.00
.00
(8) . 00
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:
IS. A~ount of Line 14 at Spousal rat. (15)
16. Aaount of Line 14 taxable at Line.I/CI... A rat. (16)
17. Amount of Line 14 taxabl. at Collet.raI/Cla'l 8 rat. (17)
18. Principal Tax Due
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad.. Costs/Hi.c. Expanse. (Schedule H) (9)
10. Dobts/Mortgogo li.bilities/lilns ISchldolo I) (10)
11. Total Deductions
12. Nat V.lue of Tax Return
13. Charitable/Govern.antal Bequa.ts CSchedule J)
14. Hat Value of Est.t. Subject to Tax
19.094.54
.00
Ill)
1l2l
113)
114)
NDTE:
.00 X .00=
407.634.54 X .06=
.00 X .15=
(8)
TAX CREDITS:
PAYMENT
DATE
10-02-96
03-26-97
DISCDUNT (.)
INTEREsT/PEN PAID 1-)
578.95
.00
RECEIPT
NUMBER
AA146805
AA185340
AMaUNT PAID
11.000.00
14.024.79
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
lQ.OQ4 ~4
19.094.54-
.00
407.634.54
.00
24.458.07
.00
24.458.07
25.603.74
1.145.67CR
.00
1.145.67CR
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CAlCUlATIDN OF ADDITIONAL INTEREST.
IF TOTAL DUE IS lESS THAN .1. 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 FDR INSTRUCTIDNS,)
" Wi 'I'
1-'
BUREAU OF INOIVIOUAl TAKES
IHIIUUAH(l UX DIVISION
DEPf. ZlOt.OI
IIARRIUURC, PA lI1Z8.01l1l1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
.,
(i
i*
...'uu II'" III.'"
STEVEN J SCHIFFMAN ESQ
STE 201
2080 LINGLESTOWN RD
HBG PA 17110
DATE
ESTA TE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
1l-03-97
KLINE
07-03-96
21 96-0558
CUMBERLAND
101
KENNETH
E
AMount R...lthd
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMeERlAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, sub..lt the upper portion of this forn with your t.x pay...nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiEV:ii.lij-EiCAFpuni3':9'fj--u--..ii-INHERii'liNCE-TAX""STiifEHENT-OF-AI:"colifif--j;..mmm----u------
ESTATE OF KLINE KENNETH E FILE NO. 21 96-0558 ACN 101 DATE 11-03-97
THiS STATEHENT IS PROVIOED TO ADVIsE DF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION DF All PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 10-06-97
PRINCIPAL TAX DUE, 24,458.07
PAYMENTS (TAX CREDITS),
PAYMENT RECEIPT DI SCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (- )
10-02-96 AA146805 578.95 1l,000.00
03-26-97 AA185340 .00 14,024.79
10-15-97 REFUND .00 1,145.67-
TOTAL TAX CREDIT
24,458.07
BALANCE OF TAX DUE
INTEREST AND PEN.
.00
.00
. IF PAID AFTER THIS DATE, SEe REVERsE
SIDE FOR CALCULATION OF ADDITIONAL INTEREsT.
I IF TOTAL DUE IS lESS THAN tI,
NO PAYHENT Is REQUIRED.
TOTAL DUE
.00
IF TOTAL DUE IS REflECTED AS A "CREDIT" (CRI,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
STEVEII J SCHIFFMAN ESQ
STE 201
2080 LINGLESTOWN RO
HBG PA 17110
COMMONWEALTH OF PENNSYLVANIA C/ ~~~\
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
".,IUIU'" llt-H'
DATE 02-12-98
ESTATE OF KlllIE KENIIETH E
DATE OF DEATH 07-03-96
FILE NUMBER 21 96-0558
COUNTY CUMBERLAIIO
ACN 101
/5//-'1 "'/
BUREAU aF INDIVIDUAL TAXES
INtlERI lANCr fA)( 71VISlOH
OEPl, :eChll '
HAARISBUR~' PI 111:e.ObOI
Anaunt R.nl~t.~ __~
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
HOTE: To insure prOper credit to your account, subnlt the upper portion of this forn with your tax paynent.
CUT ALONG THIS LINE ~ RETAIN LOWER PDRTION FOR YOUR RECORDS ~
R-Eii:isi/j-EX--AFP--ioi/:97i------.-.-iiiHERi-TANC-E-TA-i-RE-CORD--APj-USTt1ENT--..-----------------------------
ESTATE OF KLINE
KENNETH
E FILE NO. 21 96-0558
ACN 101
DATE 02-12-98
ADJUSTHENT BASED ON,
VALUE OF ESTATE:
1. R..I Est.t. (Schedule AJ
2. Stocks and Bonds (Schedule OJ
3. Closely Held stock/Partnership Interast (Schedule C)
4. Harts.gas/Nota. Receivable (Schedule DJ
5. Cash/Bank Deposits/Hlsc. Parsonal Property (Schedule E)
6. Jointly Owned Property (Schedule f)
7. Transfars (Schedula G)
8. Total Assats
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expens8s/Adnlnistrative Costsl
Hiscellaneous Expense. (Schedule H)
Dabts/Hortgage Liabilities/Liens (Schedule II
Total Deduction.
Net Value of Tax Return
Charitable/Governnental aeque.ts; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate Subject to Tax
BOARD OF APPEALS REFUND
III
121
131
141
IS)
161
171
225.000.00
134.047.43
.00
.00
15.193.69
67.273.01
.00
IBI
441,514.13
10.
11.
12.
13.
14.
TAX:
15. Anount of Line 14 .t Spousal rate
16. Anount of Line 14 taxable at Line.l/Class A rate
17. Anount of Line 14 taxable .t Collateral/Class a rat.
18. Principal Tax Due
TAX CREDITS:
PAYHENT
DATE
191
1101
43,544.73
334.86
1111
1121
1131
1141
43,879.59
397.634.54
.00
397. 634.54
1151
1161
1171
.OOX.OO=
397 .634.54 x. 06 =
.00x.15=
118)
.00
23,858.07
.00
23.858.08
RECEIPT
NUHBER
DISCOUNT 1+1
INTEREST/PEN PAID 1-'
AHOUNT PAID
10-02-96
03-26-97
10-15-97
AA146805
AA185340
REFUND
578.95
.00
.00
11.000.00
14.024.79
1.145.67-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
24 458.07
599.99CR
.00
599.99CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
fOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS lEss THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE Is REflECTED AS A "CREDIT" lCRl, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF TNIS FORH FOR INSTRUCTIONS. I
~. .-. ~.
.IVoI""II.".1
146805 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
.
D NO, AA
RECEIVED FROM:
i
ACN
ASSESSMENT r:t
CONTROL ...
NUMBER
AMOUNT
MILTON BERNSTEIN ESQUIRE
2854 N SECOND STREET
.01
..I I . 000-;-00
HARRISBURG. PA 17110
\.,.,OI;OHUf
,
ESTATE INFORMATION,
I:t filE NUMBER
g 21-1996-0:S5a
I:t NAME OF DECEDENT (LAST)
~ KL INE KENNETH E
II DATE Of PAYMENT _
m POSTMARK DATE
COUNTY
5SN 166-11t-2436
(FIRST) (Mil
CUMBERLAND
DATE Of DEATH
m TOTAL AMOUNT PAID
'10/ 1 . 000 . 00
VZ
REMARKS
JANE KLINE BROCKMAN
CIO MILTON BERNSTEIN ESOUIRE
CHECKII 1032
REGISTER OF WILLS
r, ': ,.
"J .' . \'j .
RECEIVED BY ,,'li.:,.1 i_. ., ? d' I,.J ',1-,/
SIGNATU ~~.
MARY C. LEWIS "'. c/' V; /;,::';L
REGISTER OF WILLS J
i'
I
I
!
SEAL
_. - __._ -0_+- _._._+ ___ ...._._ .__ _ -- _.
..---
- _ ..----..~...~ _--tt"'r .,:.
ESTATE SETTLEMENT AGREEMENT AND RELEASE
This Agreemenl is made by and among Jane Kline Brockman and Bonnie E. Shenk, Co-
Executors of the Estate of Kennelh E. Kline, deceased (herein referred to as Co-Executors), and
Jane Kline Brockman, Bonnie E. Shenk, Denise Taylor, Barbara Weigle and Judy Graham, as
residuary beneficiaries of the said estate (herein collectively referred to as the beneficiaries).
In accordance with their desire that the administration oflhe Estate of Kennelh E. Kline
be terminaled wilhout the expense and delay of a court accounting, the parties hereto, in
consideration of the mutual covenants herein expressed, and intending to be legally bound hereby,
agree that
I. The Estate of Kenneth E. Kline, who died on July 3, 1996, is now in the process of
administration, Letters Testamentary having been duly granted to Ihe Co-Executors by Ihe
Register of Wills of Dauphin County on July 17, 1996.
2. Pursuant to the Last Will and Testament of Kenneth E. Kline, distribution of the
residuary estate shall be as follows:
Jane Kline Brockman
Bonnie E. Shenk
Denise Taylor
Barbara Weigle
Judy Graham
- 1/5 share
- 1/5 share
- 1/5 share
. 1/5 share
- 1/5 share
3. The parties acknowledge that the Co-Executors have received the assets and made Ihe
payments as set forth in the First and Final Account of the Co-Executors, a copy of which is
attached hereto and made a part hereof, and the parties approve the said Account in its entirety.
4. The parties also acknowledge that they are each entitled to a 1/5 interest in a Mortgage
which shall be transferred 10 them, pursuant to an Assignment of Real Estate Mortgage. The
parties acknowledge that the Good Hope Real Estate Partnership shall be instructed to make all
Iluure payments wilh regard to said mortgage, payable 10 Bonnie E. Shenk, as agent for the
MOrIgagees, who shall then dislribule, on a monthly basis, each beneliciary's one-Iifth share to
Ihem. The parties also acknowledge thai Bonnie E. Shenk shall be authorized to execute any and
all documents necessary on behalf of the beneliciaries, including, but nOllimited to, releases which
may be required in the future with regard to the MOrIgage. Bonnie E. Shenk acknowledges that
she shall not execute any documents without the verbal consent of Jane Kline Brockman. Consenl
of the remaining beneliciaries is hereby waived.
5. The parties hereto agree that the remaining balance of the estate assels shall be
distributed as set fOrIh in the Schedule o I' Distribution, a copy of which is allached hereto and
made a parI hereof. Without intending 10 Iimilthe rights or remedies of the Co-Executors, the
parIies fUrIher agree 10 indemnify the Co-Executors and save the Co-Executors harmless against
all liability, loss, and expense (including, but not limited to, costs and counsel fees) which the Co-
Executors may incur, whether due to the Co-Executors' negligence or otherwise, as a result of
making the above-described distributions without a court audit.
6. The beneliciaries authorize the Co-Executors to reserve the sum of Five Thousand
($5,000.00) Dollars, pursuant to the Schedule of Proposed Distribution Said reserve shall be held
until such lime as the Estate prepare and liIes the Iinaltax returns. '11;" Co-Executors shall then
distribute to the beneliciaries, in the proporIion of their interests as set fOrIh in Paragraph 2 above.
and without further accounting, the balance then remaining, whieh shall include any additional
interest and/or dividends earned on the estate account as well as any interest payments made with
regard to the real estate. Should any proper liabilities of the Estate, \\hcther li" taxes OJ
otherwise, arise or come to the allenlion orthe Co-Executors or any or the parties Ihereafter, the
beneliciaries agree to be jointly and severally liable therefor.
Dated: L.j.:Jl 9f
fI(tf. J;~ L..-
JUD GI HAM,
Uenclicinry
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS COURT DIVISION
THE FIRST AND FINAL ACCOUNT OF
Bonnie E. Shenk and Jane Kline Brockman, Executors
For
ESTATE OF KENNETH E. KLINE, Deceased
Date of Death:
July 3, 1996
July 17, 1996
July 3, 1996 to
Date of Appointment:
Accounting for the period:
March 23, 1998
Purpose of Account: Bonnie E. Shenk and Jane Kline Brockman,
Executors, offer this account to acquaint interested parties
with the transactions that have occurred during their
administration.
It is important that the account be carefully examined.
Requests for additional information, or questions, or
objections, can be discussed with:
Steven J. Schiffman, Esq.
Serratelli, schiffman, Brown, et al
2080 Linglestown Road
suite 201
Harrisburg, PA 17110
717-540-9170
principal
Receipts
Net Loss on Sales or other
Disposition
summary of Account
Page
2
$
374,985.52
3
20,143.24
354,842.28
$
Less Disbursements:
Debts of Decedent
Funeral Expenses
Federal and State Taxes
Fees and commissions
$
169.81
4,255.50
27,803.04
14,725.00
4
4
4
5
46,953.35
307,888.93
194,077.06
113,811. 87
Balance Before Distributions
Distributions to Beneficiaries
$
7
Principal Balance on Hand
10
$
---------------
---------------
For Information:
Investments Made 12
Changes in Investment Holdings 12
Income
Receipts
Sales or Other Dispositions
15
$
$
14,370.30
0.00
14,370.30
Less Disbursements:
Administration Expenses
Federal and State Taxes
Fees and commissions
$
3,354.06
12.00
2.064.92
18
22
22
5.430.98
8,939.32
0.00
Balance Before Distributions
Distributions to Beneficiaries
$
23
Income Balance on Hand
24
8,939.32
combined Balance on Hand
$
122,751.19
---------------
---------------
(1)
- ~. .'. ...' -.. .. .
Gains and Losses on Sales or other Dispositions
Date
Description
Net Gain
Net Loss
07/04/96
certificate
1,076.29
1.076.29
10/19/96 Sale:
Personal Property
Inventoried @ $
Net Proceeds
7,900.80
6.706.40
$
1,194.40
07/11/97 Sale:
2025 Good Hope Road
Enola, PA 17025
Cash received at sale less
Closing costs
Inventoried @ $ 50,000.00
Net Proceeds 31.051.16
03/18/98 Collection:
Cash (Safe Deposit BOX)
Safe Deposit Box Cash
Net Proceeds $ 1.00
Carried at 1. 00
18,948.84
Total Gains and Losses
$
0.00 $
$
20,143.24
20.143.24
Net Loss
---------------
---------------
Page 1
(3)
Disbursements of principal
Date
~
Amount
Paid
Debts of Decedent
cowley Medical Associates
$
42.19
07/29/96
07/29/96
Mary Lickel
Home visits
100.00
08/26/96
SOS Industries
Monitoring
27.62
Total Debts of Decedent
$
169.81
Funeral Expenses
07/29/96
Mt. Zion United Methodist
Church
Funeral Luncheon
$
300.00
07/29/96
Paul F. Zieber
pastorial services
100.00
08/20/96
Sullivan Funeral Home
Funeral Expenses
3,834.50
09/30/96
Mt. Zion united Methodist
Church
organist
Total Funeral Expenses
Federal and State Taxes
$
4,255.50
21.00
Register of Wills -
Inheritance Tax Payment
$
11,000.00
09/26/96
Register of Wills -
Inheritance Tax Payment
14,024.79
03/26/97
Internal Revenue Service
2.778.25
10/13/97
Total Federal and State Taxes
$
27.803.04
Page 1
(4)
Disbursements of Principal (continued)
Date Amount
Paid Paid
Fees and Commissions
SERRATELLI, SCHIFFMAN, BROWN &
CALHOON r P.C.
01/07/97 $ 202.50
SERRATELLI, SCHIFFMAN, BROWN &
CALHOON, P.C.
03/13/97 607.50
SERRATELLI, SCHIFFMAN, BROWN &
CALHOON, P.C.
04/23/97 330.00
SERRATELLI, SCHIFFMAN, BROWN &
CALHOON, P.C.
06/14/97 120.00
SERRATELLI, SCHIFFMAN, BROWN &
CALHOON, P.C.
07/05/97 210.00
SERRATELLI, SCHIFFMAN, BROWN &
CALHOON, P.C.
08/22/97 162.00
SERRATELLI, SCHIFFMAN, BROWN &
CALHOON, P.C.
10/13/97 1,184.00
Jane Kline Brockman
10/13/97 5,625.00
Bonnie E. Shenk
10/13/97 5,625.00
SERRATELLI, SCHIFFMAN, BROWN &
CALHOON, P.C.
12/03/97 109.00
SERRATELLlr SCHIFFMAN, BROWN &
CALHOON, P.C.
02/11/98 102.00
SERRATELLlr SCHIFFMAN, BROWN &
CALHOON, P.C.
03/23/98 448.00
Page 2
(5)
Disbursements of Principal (continued)
Date Amount
Paid Paid
Fees and commissions
Total Principal Disbursements
$
$
14.725.00
46,953.35
Total Fees and commissions
---------------
---------------
Page 3
(6)
Distributions of principal to Beneficiaries (continued)
Distribution Value
(continued from previous page)
Denise Taylor
08/26/96 Pennsylvania Power & Light
company Stock
103 Par
103 shrs.
$
2,432.86
Barbara Weiqle
08/14/96 1992 Ford Thunderbird
Beneficiary's share to be
reduced by $6900.00
02/26/98 2025 Good Hope Road
Enola, PA 17025
In-Kind Distribution of
promissory Note
$
6,900.00
35,000.00
41r900.00
Pursuant to "Article FOURTH" Under the will,
the followinq distributions were made to:
Barbara Weiqle
08/26/96 Pennsylvania power & Light
company Stock 2,432.86
103 Par
103 shrs.
Judy Graham
02/16/98 2025 Good Hope Road
Enolar PA 17025 35,000.00
In-Kind Distribution of
Promissory Note
Pursuant to "Article FOURTH" Under the will,
the followinq distributions were made to:
Judy Graham
08/26/96 Pennsylvania Power & Light
company stock
103 Par
103 shrs.
2,432.86
Pursuant to "Article 5(f)" Under the willr
the followinq distributions were made to:
Page 2
(8)
Principal Balance on Hand
Checkinq Account
Inventory
Value
Total Principal Balance
$
$
114.369.77
114,369.77
MELLON BANK
===============
Page 1
(10)
Unpaid principal Expenses
~
Amount
Total Unpaid Principal Expenses
$
0.00
---------------
---------------
Page 1
(11)
Information schedules - Principal (continued)
Chanqes in Investment Holdinqs
(Continued from previous page)
To
Barbara Weigle
Personal Property
07/03/96
10/19/96
Wards 22 Caliber Gun
07/03/96
08/01/96
2025 Good Hope Road
Enola. PA 17025
07/03/96
07/11/97
02/26/98
02/26/98
02/26/98
02/26/98
02/26/98
Page 2
~
---------------
---------------
Rec'd.
Sold
$
7,900.80
(7,900.80)
---------------
---------------
Rec'd.
Distributed
To
Darryl Manning
$
60.00
(60.00)
---------------
---------------
Rec'd. $ 225,000.00
Sold
cash received at sale less
closing costs (50,000.00)
On Hand $ 175,000.00
Distributed
In-Kind Distribution of
Promissory Note (35,000.00)
To
Jane Kline Brockman
On Hand $ 140,000.00
Distributed
In-Kind Distribution of
Promissory Note (35,000.00)
To
Bonnie E. Shenk
On Hand $ 105,000.00
Distributed
In-Kind Distribution of
Promissory Note (35,000.00)
To
Denise Taylor
On Hand $ 70rOOO.00
Distributed
In-Kind Distribution of
promissory Note (35,000.00)
To
Barbara Weigle
On Hand $ 35,000.00
Distributed
(13)
Information Schedules - Principal (continUed)
Chanqes in Investment Holdinqs
(Continued from previous page)
In-Kind Distribution of
Promissory Note
To
Judy Graham
Cost
$
(35,000.00)
===============
Page 3
(14)
Receipts of Income
Pennsylvania power & Light
Company stock
10/10/96 pennsylvania power & Light
Dividend
$
228.10 $
228.10
Mellon Bank Income certificate
#l40-078736-C
07/30/96 Mellon Bank Income certificate
Interest
$
1.68
1.68
MELLON BANK
07/03/96 Interest Received on savings
Bonds Redemption on 8/8/961
9/10/96 & 8/6/97
07/22/96 Retirement Check & Social
security Check
07/30/96 Estate Account Interest
08/30/96 Estate Account Interest
09/30/96 Estate Account Interest
10/31/96 Estate Account Interest
11/29/96 Estate Account Interest
12/31/96 Estate Account Interest
01/27/97 Car Insurance Refund
01/27/97 Estate Account Interst
02/28/97 Estate Account Interest
03/31/97 Estate Account Interest
04/30/97 Estate Account Interest
05/30/97 Estate Account Interest
06/30/97 Estate Account Interest
07/31/97 Estate Account Interest
08/30/97 Estate Account Interest
09/30/97 Estate Account Interest
10/31/97 Estate Account Interest
11/08/97 pennsylvania Inheritance Tax
Refund
11/28/97 Estate Account Interest
12/31/97 Estate Account Interest
01/30/98 Estate Account Interest
02/27/98 Estate Account Interest
03/18/98 pennsylvania Inheritance Tax
Refund
$
4,517.49
1,355.81
0.83
22.21
29.37
20.06
21.82
23.70
185.00
23.01
20.73
22.13
5.94
4.54
4.64
22.19
118.30
150.61
134.57
1,145.67
102.93
122.40
111. 90
104.91
599.99
8,870.75
1996 Federal Income Tax Refund
(1040)
10/14/97 1996 Federal Income Tax Refund
(1040)
$
461.00
461.00
Page 1
(15)
Disbursements of Income (Continued)
Date Amount
Paid Paid
Administration Expenses
Associated Products
10/18/96 Medical Assistance Rental $ 88.00
Pennsylvania Power & Light
company
10/28/96 24.16
George C. Clauser
10/30/96 Real Estate Appraisal 750.00
Bell Atlantic
11/02/96 72.13
Pennsylvania Power & Light
Company
11/22/96 34.88
Bell Atlantic
12/16/96 29.33
Pennsylvania Power & Light
Company
01/07/97 7.50
Hampden Township
01/07/97 Trash 33.00
Bell Atlantic
01/27/97 16.88
Pennsylvania Power & Light
Company
01/30/97 15.54
Mellon Bank
01/31/97 Service Fee 4.00
Bell Atlantic
02/21/97 16.68
Mellon Bank
02/28/97 Service Fee 6.00
Pennsylvania Power & Light
Company
03/19/97 8.56
Page 2 (19)
Disbursements of Income (Continued)
Date Amount
Paid Paid
Administration Expenses
Mellon Bank
03/31/97 service Fee $ 6.00
Pennsylvania Power & Light
Company
04/09/97 6.89
Jane Kline Brockman
04/10/97 Reimbursement for Lawn Mower 200.00
Hampden Township
04/11/97 Trash 33.00
Kathryn Fetrow, Tax Collector
04/14/97 158.47
Bell Atlantic
04/17/97 7.50
Mellon Bank
04/30/97 Service Fee 6.00
pennsylvania Power & Light
Company
05/08/97 6.45
Don Putt
05/12/97 Lawn Service 40.00
Bell Atlantic
05/16/97 12.80
Mellon Bank
05/30/97 service Fee 6.00
Pennsylvania Power & Light
Company
06/05/97 8.92
Don Putt
06/14/97 Lawn Care 80.00
Bell Atlantic
06/14/97 16.43
Page 3
(20)
Disburscments of Incomc (continued)
Date Amount
Paid Paid
Administration Expenses
06/30/97
Mellon Bank
Service Fee
$
6.00
Pennsylvania Power & Light
company
10.24
07/14/97
07/30/97
Mellon Bank
Service Fee
6.00
Bell Atlantic
5.02
08/01/97
Bell Atlantic
10.08
08/01/97
Pennsylvania Power & Light
Company
7.11
08/01/97
08/30/97
Mellon Bank
Service Fee
6.00
08/30/97
Mellon Bank
Check Fee
23.00
09/30/97
Mellon Bank
service Fee
6.00
10/31/97
Mellon Bank
Service Fee
6.00
11/28/97
Mellon Bank
Service Fee
6.00
12/31/97
Mellon Bank
service Fee
6.00
01/30/98
Mellon Bank
service Fee
6.00
02/27/98
Mellon Bank
service Fee
6.00
Total Administration Expenses
$
3,354.06
Page 4
(21)
Disbursements of Income (Continued)
Date Amount
Paid Paid
Federal and state Taxes
Pennsylvaina Department of
Revenue
10/13/97 $ 12.00
Total Federal and state Taxes $ 12.00
Fees and Commissions
Cumberland County Register of
wills
08/20/96 Cost Advanced by Jane Kline
Brockman $ 329.00
Mil ton Berstein, Esq.
09/23/96 803.20
Milton Berstein, Esq.
03/05/97 932.72
Total Fees and Commissions $ 2.064.92
Total Income Disbursements $ 5,430.98
================
Page 5
(22)
Income Balance on Hand
Checkinq Account
Inventory
Value
MELLON BANK
$
$
8.939.32
8,939.32
Total Income Balance
===============
Page 1
(24)
Unpaid Income Expenses
Amount
Total Unpaid Income Expenses
$
0.00
============1:1==
Page 1
(26)
III v l!lOllX' 14,111,1
COMMotiwr ~~ '.l\ 01 l'nHl~:n<V"NI"
1I11,\~~lb1~) i,',l'(;',!HJ!"IUI
ESTATE OF
SCHEDULE B
STOCKS AND BONDS
KENN~:rJ1 ~:. KI.INE SSII 166-11,-2/,36 07/03/1996
olnll ..owned with RI hi of Su,vlvonhl mus' be disclosed on Schedule F.)
(All pro orl
ITEM
flUMOER
1
2
3
I,
5
6
7
8
9
10
11
12
13
II,
15
16
17
18
19
20
21
22
23
2/,
25
26
27
28
29
30
3)
32
33
3/,
35
36
37
38
39
1,0
Id
1,2
1,3
'.'.
/I~
DESCRlPTlOfl
U. S. Sav Inlls lIond IIQ1822825360E
U.S. Savings 1I0nd IIQI826116119?/,~:
U.S. Savings Bond OQ1829417840E
U.S. Savings Bond IIQ1829826227E
U.S. Savings Bond #LS400485569E
U.S. Savings Bond IIL543364455E
U.S. Savings Bond IILS49652382E
U.S. Savings Bond #LS49657728E
U.S. Savings Bond IIL549903555E
U.S. Savings Bond IILS52016490E
U.S. Savings Bond OLS54173605E
U.S. Savings Bond IIL554179058E
U.S. Savings Bond IILS58401152E
U.S. Savings Bond IILSS64S6231E
U.S. Savings Bond #LS60390148E
U.S. Savings Bond OLS60398752E
U.S. Savings Bond OLS6S600499E
U.S. Savings Bond #LS6S606889E
U.S. Savings Bond IILS67293849E
U.S. Savings Bond IIL567298016E
U.S. Savings Bond IILS703S5415E
U.S. Savings Bond IIL572272768E
U.S. Savings Bond IILS7S120465E
U.S. Savings Bond OL575128268E
U.S. Savings Bond OL576S34696E
U.S. Savings Bond IILS76539083E
U.S. Savings Bond IIL582080007E
U.S. Savings Bond IILS82087572E
U.S. Savings Bond IILS82254336E
U.S. Savings Bond Ol.584473259E
U.S. Savings Bond IILS84479749E
U. S. Sav Ings 1I0nd 111.592/,717/.9E
U. S. Sav Ings Bond IIL592/17S009E
U.S, Savings Bond IIL593081817E
U.S. Savings 1I0nd 1I1.593089548E
U.S. Savings Bond IIL596526264E
U.S. Savings 1I0nd II1.S97/,9/,7?7E
U.S. Savings Bond IIL597499477E
U.S. Savings Bond III.S996S/,937E
U.S. Savings Bond (11.6033)2583~:
U. S. Sav Ings Bond 1I1.606062305E
U. S. Sav I nl~'; Bond IIL60606916/, E
U.S. Savings lIond 111.6082?7II,n;
U.S. SavlngB Bond 1/1.610"'dI511':
U.S. Savini:'; lIond 111.6125010/,/.1':
IBsue Date 4-15-60
Issue Date 5-13-60
Issue Date 5-13-60
Issua Date 6-15-60
Issue Date 8-02-60
Issua Date 8-26-60
Issue Date 10-03-60
Issue Date 10-21-60
Issue Date 11-17-60
Issue Date 12-/5-60
Issue Date 01-18-61
Issue Date 02-10-61
Issue Date 03-29-61
Issue Date 03-13-61
Issue Date 04-26-61
Issue Date 06-02-61
Issue Date 07-03-61
Issue Date 07-26-61
Issue Date 08-24-61
Issue Date 09-15-61
Issue Date 10-22-61
Issue Date 11-15-61
Issue Date 12-18-61
Issue Date 01-18-62
Issue Date 02-14-62
Issue Date 03-08-62
Issue Date 03-30-62
Issue Date 05-02-62
Issue Date 06-05-62
Issue Date 07-05-62
Issue Date 08-03.62
Issue Date 09-05-62
Issua Date 09-17.62
Issua Date 10-16-62
Issue Date 11-21-62
Issue Date 12-/4-62
IBsue Date 01-/4-63
Issue Date 02-04-63
Issua Data 02-2063
Issue Date 03.29.63
ISBua Date 05-01.63
Issua Data 06-07.63
IB"ue Date 07.02.63
IBBua Date 01.26.6]
IS';1I11 nate 09.01,-63
TOT ^l (1.1'.0 l'Illl" 1111111\1' ;', HI~I:.lp'ltll,lllon)
f ',,'.1'" r1.',l' ,,,,,,,.111....1".1)"', C/""..!!""', I,..
(1I11~ JI,' .,p,I'-" ", l-,...,'~,,(l. UI',"ll ,1,j,I.I"II1.11 '.111','1', of ',.110" ',.,'" )
25.00
25.00
25.00
25.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00 ,
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
FilE NUMOER
VALUE AT DATE
OF DEAm
161. 03
156.31,
156.3/,
156.61
316.20
316.20
319.86
319.86
310.56
311,18
311.18
31/, .16
317 . 78
317.78
317.76
309,1,2
309./12
309,1,2
312.38
315.88
315.86
306.66
307.5/,
307.5/,
310.52
312.78
312.18
303.6/,
30/, ,1,2
3011,1,2
307.36
309.5/,
309.5/,
309.5/,
300.52
301.76
301. 76
30/,.70
30/1.70
306.12
297.16
299./,2
299,1,2
299./,2
]03.80
\
I.,.." 1lJOO ';, ,,,.,,-..11,01,'. , -f,
I
Estate of: KENNf.,'!1 E. KI.INE
Sac Sac II: 166-11,-2/,36
Data of Death: 07/03/1996
Continuation of Schadule II
(Stocks IInd Bond,,)
Item Dascrlptlon UnIt Value at Date
1/ Value of Doath
222 U.S. SavIngs Bond IIK19194007EE Issue Dllte 02-03-82 75.00 108.15
223 U.S. Savings Bond flK19198078EE Issue Date 03-05-82 75.00 108.15
22/, U.S. Savings Bond #K19200645EE Issue Date 0/, -05-82 75.00 108.15
225 U.S. Savings Bond flK19205234EE Issue Date 05-05-82 75.00 108.15
226 U.S. Savings Bond #C2093178210E Issue Date 08-24-79 100.00 256.80
227 U.S. Savings Bond #G2093178209E - Issue Date 08-2/,,-79 100.00 256.80
228 U.S. Savings Bond OG2093178208E - Issue Date 08-24-79 100.00 256.80
229 U.S. Savings Bond #M89926669E - Issue Date 0/,-01-69 1000.00 I, ,875.60
230 U.S. Savings Bond OM89926668E Issue Date 0/,-01-69 1000.00 4,875.60
23J .U.S. Savings Bond IIM89926667E Issue Date 0/,-01-69 1000.00 4,875.60
232 U.S. Savings Bond OM89926666E Issue Date 0/,-01-69 1000.00 I, ,875.60
233 U.S. Savings Bond IIM89926665E Issue Date 0/,-01-69 1000.00 I, ,875.60
23/, U.S. Savings Bond IIM89926665E Issue Date 0/, -01-69 1000.00 I, ,875.60
235 U.S. Savings Bond OM89926663E - Issue Data 0/,-01-69 1000.00 I, ,875.60
236 U.S. Savings Bond #M89926662E - Issue Date 0/, - 01- 69 1000.00 I. ,875.60
237 U.S. Savings Bond flM89926661E - Issue Date 0/,-01-69 1000.00 1,,875.60
238 U.S. Savings Bond OM89926660E Issue Date 0/,-01-69 1000.00 I, ,875.60
239 U.S. Savings Bond #M89926659E Issue Date 0/,-01-69 1000.00 1.,875.60
2/,U U.S. Savings Bond IIM89926658E Issue Date 0/,-01-69 1000.00 1,,875.60
21d U.S. Savings Bond #D89783320E Issue Date 0/,-01-69 500.00 2,1,37.80
21,2 U.S. Savings Bond #L818123305E Issue Date 08-16-71 50.00 198.76
2" j U.S. Savings Bond OL820331818E Issue Date 09-1/,-71 50.00 198.78
2'1/. U.S. Savings Bond IIL82033S329E Issue Date 10-0/,-71 50.00 192.98
2/,~ U.S. Savings Bond OL820401609E Issue Date 11-0/,-71 50.00 .192.98
21,6 U.S. Savings Bond OL823170998E Issue Date 12-03-71 50.00 193.48
2/,] U.S. Savings Bond IIL823177688E Issue Date 01-0/,- 72 50.00 195.36
2/,8 U.S. Savings Bond OL83087270SE Issue Date 02-07-72 50.00 195.80
2/,9 U.S. Savings Bond #L830875441E Issuo Date 02-2/,-72 50 ;'l0 195.80
250 U.S. Savings Bond OL830915889E Issue Date 03-22-72 50.00 195.82
2SJ U.S. Savings Bond IIL830921S17E Issue Date 0/,-2/,-72 50.00 190.12
252 U.S. Savings Bond #L830927946E Issue Date 05-23-72 50.00 190.12
25'\ U.S. Savings Bond IIL833568347E Issue Dllte 06-20-72 50.00 190 . 6/,
25/, U.S. Savings Bond IIL833634424E Issue Data 07-18-72 50.00 192 . 50
255 U.S. Savings Bond 111.1000557024E Ir.sue Date 09-11-72 50.00 192.91,
25(, U.S. Savings Bond IILI00055/,285E Is:;ue Date 08-22-72 50.00 192.9/,
257 U.S. Savings Bond III.lOlS822999E hisun Date 10-02-72 50.00 187.32
258 U.S. Savings Bond 111.102055207/,~: Ir.:.ue Date 11-03-72 50.00 187.32
25'J U.S. Savings Bond IIl.I020557611E ImHJc Data 12-05-72 50.00 187.72
260 U.S. Savln(\s Bond 11l.l020605310E Isr.ue DaLO 01.03-73 50.00 189.52
261 U,S. SnvlnBs 1I0nd III.I07,062S/,7?E I:i:;UC Date 02-13-73 50.00 190.00
261 U.S. Sav I ng:i 1I0nd 111.77582?03U: I:i:aw Data 02-03-70 50.00 237.56
7,6'l U.S. Snv i ng:; Bond 1/1.775825M,OE In:aw Data 03-05-70 50.00 237.58
7(,/. U.S. Sav inl~:' lIond 111.7758293103E I:;:ale Dato 0/,.07,.70 50.00 232.90
?();, U.S. Saving:; 11011<1 (Jl.n'iB386'nE I:;:aw Dat" 0',.0/,,70 ',0.00 7.3? .90
",
I
I E!.UllC of: KENNI':l'Il E' KI.INI':
, Sac Sac II: 166-1/,-2/,36
I
Date of llauth: 07/03/1996
, Continuation of Schadu10 B
I (Stocks und Bond,,)
I
I Item Doscrlption Unit Va1uo ut Dato
I {I Value of Death
I
I I,b U.S. Savings Bond #L612505664E Issuo Duto 09-20-63 50,00 303.80
1,7 U.S. Savings Bond #L614042993E Issue Data 10-21-63 50.00 303.80
1,8 U.S. Savings Bond #L621362575E Issue Data 11-19-63 50.00 29/,.96
1,9 U.S. Savings Bond #L621369367E Issuo Dato 12-12-63 50.00 296.78
50 U.S. Savings Bond #L621538353E Issuo Date 01-19-6/, 50.00 296.78
51 U.S. Savings Bond #L624313922E Issue Date 02-05-6/, 50.00 299.62
52 U.S. Savings Bond #L624970926E Issue Date 02-28-6i, 50.00 299.62
53 U.S. Savings Bond #L627801762E Issue Date 0/,-06-6/, 50.00 301. 0/,
51, U.S. Savings Bond #L627807504E - Issue Date 0/,-30-6/, 50.00 301. 04
55 ,U.S. Savings Bond #L628016227E Issue Date 06-01-611 50.00 294.22
56 U.S. Savings Bond #L631814309E - Issue Date 0703 -611 50.00 29/,.22
57 U.S. Savings Bond #L636291835E Issuo Date 08-0/,-611 50.00 297.08
58 U.S. Savings Bond #L636294241E Issue Data 08-13-6/, 50.00 297.08
59 U.S. Savings Bond #L639232019E Issua Date 09-17-6/, 50.00 298.48
60 U.S. Savings Bond #L641891131E - Issue Date 10-15-611 50.00 298.48
61 U.S. Savings Bond #L641897527E Issue Date 11-16-64 50.00 289.78
62 U.S. Savings Bond #L644060939E - Issue Date 01-06-65 50.00 291. 66
63 U.S. Savings Bond #L646159929E Issue Date 12-1/,-6/, 50.00 291.66
6!. U.S. Savings Bond #L647487455E Issue Date 02-02-65 50.00 267.52
65 U.S. Savings Bond #L647502637E _ Issue Date 02-26-65 50.00 267.52
66 U.S. Savings Bond #L6S2610381E Issue Date 0/,-01-65 50.00 268.80
67 U.S. Savings Bond #L65271810SE Issue Date 04-30-65 50.00 268.80
68 U.S. Savings Bond #L6S7031371E Issue Date 05-28-65 50.00 260.98
69 U.S. Savings Bond #L658118448E Issue Date 06-29-65 50.00 .2/,9.71,
711 U.S. Savings Bond flL6S9043595E Issue Date 07-28-65 50.00 2/,9.7/,
7' U.S. Savings Bond #L662547699E Issue Dato 08-19-65 50.00 2/,9.92
.1
n U.S. Savings Bond #L664586453E Issua Date 09-23-65 50.00 251.16
~'1 U.S. Savings Bond #L667434974E Issue Date 10-18-65 50.00 251.16
7/, U.S. Savings Bond #L669307205E Issue Date 11-17-65 50.00 2/,6.2/,
7'> U.S. Savings Bond #L671891951E Issue Date 12-13-65 50.00 256.2/,
7(, U.S. Savings Bond #L670025193E Issue Date 01-0/,-65 50.00 256.26
77 U.S. Savings Bond flL671897718E Issue Date 01-31-66 50.00 256.26
78 U.S. Savings Bond #L671986695E Issue Date 03-02-66 50.00 2/,3.88
79 U.S. Savings Bond #L674293580E Issue Date 0/,-0/,-66 50.00 2/,3.88
8U U.S. Savings Bond #L678361100E Issue Date 05-0/,- 66 50.00 2/,/,.0/,
81 U.S. Savings Bond IIL67852639/,E Issue Data 06-06-66 50.00 2/,6.56
82 U.S. Savings Bond IIL67853110nE - Issue Data 06-24-66 50.00 2/,6.56
83 U. S. Savings Bond IIL68/,0/,6676E Issue Data 07-22-66 50.00 2/,6.5/,
8/, U.S. Savings Bond IIL68780591,8E Issue Date 08-10-66 50.00 2/,1. 70
85 U.S. Savings Bond IIL688036885E Issue On.te 09-23-66 50.00 2/11 . 70
86 U.S. Savings Bond IIL68819S601E Issue Date 10-20-66 50.00 2/d.70
87 U.S. Savings Bond IIL68820/,0/,/,E Issue Data 11-16-66 50.00 2",..0/,
88 U.S. Savings Bond IIL6907?1515~: Js~uc Onte 12-15-66 50.00 2/,6.76
89 U.S. Savings Iland 111.692 783/, 21E I~imH:! Date 01 -()I,-(,7 50.00 2/,6.78
".
~:stnta of: KENNli'lI ~;. Kl.IN~:
Soc See II: 166. /1,-2/,36
Data of Daath: 07/03/19%
Contlnuntlon or Schudula n
(Stocks and Bonds)
ItaIR Description Unit Value at Date
~ Value of Death
266 U.S. Savings Bond 11I.782S111,95E Issue Date 05-22-70 50.00 232.90
267 U.S. Savings nand 111.7758/,9979~: - Issue Date 06-23-70 50.00 23/,.02
268 U.S. Savings Bond 11I.77585861/,E Issue Date 07-22-70 50.00 236.02
269 U.S. Savings Bond III.782S18355E Issue Date 08-18-70 50.00 236.88
270 U.S. Savings Bond 11I.782526335E - Issue Date 09-15-70 50.00 236.88
271 U.S. Savings Bond #L792412907E - Issue Date 11-0/,-70 50.00 228.32
272 U.S. Savings Bond #I.792410527E - Issue Date 10-16-70 50.00 228.32
273 U.S. Savings Bond #L792422733E Is"ue Date 12-03-70 50.00 228.8/,
27/, U.S. Savings Bond #L792426837E Issue Date 01-05-71 50.00 201.32
275 U.S. Savings Bond #L799930866E Issue Date 02-03-71 50.00 201.7/,
276 U.S. Sav ings Bond #L799934262E Issue Date 03-03-71 50.00 201.7/,
277 U.S. Savings Bond flL808014321E Issue Date 0/,-02-71 50.00 197./,8
278 U.S. Savings Bond fl1.810613218E Issue Date 05-0/,-71 50.00 197.1,8
279 U.S. Savings nand #1.810614488E Issue Date 05-17-71 50.00 197./,8
280 U.S. Savings Bond #L810690503E Issue Date 06-21-71 50.00 198.02
281 U.S. Savings Bond #L810699816E Issuo Date 07-21-71 50.00 198.1,2
281 U.S. Savings Bond #K6315699EE Issue Dato 05-07-80 75.00 130.80
282 U.S. Savings Bond #K6318666EE Issue Date 06-10-80 75.00 130.80
283 U.S. Savings Bond #K6318667EE Issue Dnte 06-10-80 75.00 130.80
28/, U.S. Savings Bond OK6324214EE Issue Date 07-15-80 75.00 130.80
285 U.S. Savings Bond #K6325839EE Issue Date 08-08-80 75.00 126.99
286 U.S. Savings Bond OK17359S70EE Issue Date 09-10-80 75.00 126.99
287 U.S. Savings Bond #K17734418EE Issue Date 10-07080 75.00 126.99
288 U.S. Savings Bond flK17939179EE Issue Date 11-07080 75.00 . 121.05
289 U.S. Savings Bond OK179/,"',81EE Issue Date 12-16-80 75.00 /21,05
29U U.S. Savings Bond OK17946534EE Issue Date 01.11, - 81 75.00 121.05
291 U.S. Savings Bond flK18292414EE Issua Date 02-06-81 75.00 117.51
292 U.S. Savings Bond flK18295685EE Issua Date 03-09-81 75.00 117.51
293 U.S. Sav ings Bond #K18662194EE h;suo Date 0/,-16-81 75.00 117.51
29/, U.S. Savings Bond flK18665271EE Issue Data 05-07-81 75.00 11/,.72
295 U.S. Savings Bond IIK1866S270EE Issuo Date 05-07-81 75.00 11/,.72
296 U.S. Savings Bond IIK18668/,56EE Issue Date 06-08-81 75.00 11/.. 72
297 U.S. Savings Bond IIK18672626EE Issue Date 07.10-81 75.00 Ill.. 72
298 U.S. Saving" Bond IIKI8675939EE Innuo Date 08-17-81 75.00 111. 39
299 U.S. SavIng" Bond IIKI8679/,57EE Issue Data 09-09.81 75.00 111. 39
300 U.S. Say 1 ng~i Bond IIKI8(,8/,6/dEE l!iSUU Date 10-16-81 75.00 111. 39
~:Sl"to of: K~:NN~:1'1I ~:. Kl.IN~:
Soc See II: 166.1/,.2/,36
Ilata of Ilaath: 07/03/1996
COlltlllllUlloll of Schaoula II
(Stockll lllld 1I01lou)
Itam Doscrlptloll Unit Vlllue ot Dato
U Valuo of Daoth
90 U.S. Savings Bond IIL6928/,2777E Ianuo Ilote 02-02-67 50,00 21t1 . 9/,
91 U.S. Savings Bond IIL69/,882876E Illsue Date 03-02-67 50.00 2/,1. 91,
92 U.S. Sovings Bond IIL703761752E - Issuo Date 0/, -03-67 50.00 2/,1.9/,
93 U.S. Savings Bond OL703890810E Issue Dote 05-01-67 50,00 2"', .26
9/, U.S. Savings Bond #L705654457E Issue Dote 06-01-67 50,00 2/,6.9/,
95 U.S. Sovlngs Bond OL707431814E ISllUO Dota 06-26-67 50.00 2/,6.9/,
96 U.S. Sovings Bond OL709195069E Issue Date 07-25-'67 50.00 2/,6.92
97 U,S. Sovlngs Bond #L709201387E Illsue Dato 08-17-67 50.00 2/,2.08
98 U.S. Sovlngs Bond OL713585563E Issue Date 09-21-67 50.00 242.08
99 . U.S. Sovlngs Bond #L713733009E Issue Date 10-20-67 50.00 242.08
IOU U.S. Savings Bond #L713851397E Issuo Dote 12 -1/, - 67 50.00 2/,7,1,2
101 U,S. Sovlngs Bond #L713766347E Issue Date 11-11,-67 50.00 2"',./,/,
IU2 U.S. Sovlngs Bono #L7138S9164E Issuo Dote 01-03-68 50.00 2/,7.42
103 U.S. Savings Bond IIL713887808E Issue Date 02-08-68 50.00 2/,2.56
/1)/, U.S. Sovlngs Bond OL718927268E Issue Dote 03-13-68 50.00 2/,2.56
105 U.S. Savings Bond #L718932909E Issue Date 01,-03-68 50.00 2/,2.56
106 U.S. Savings Bono IIL718939882E Issuo Date 0/.- 30 - 68 50.00 2/.2.56
107 U.S. Sovlngs Bond IIL7286/.6672E Issue Date 05-27-68 50.00 2"',.96
lOB U.S. Savings Bond #L730204983E Issue Dote 06-18-68 50.00 2/,7.88
109 U.S. Savings Bond #L730212264E Issue Date 07-15-68 50.00 2/,7.8/,
110 U.S. Savings Bond OL730219835E Issue Date 08-20-68 50.00 2/,2.98
111 U.S. Sovlngs Bond #L737936630E Issuo Date 09-18-68 50.00 2/,2.98
112 U.S. Savings Bond #L740083799E Issuo Dote 10-16-68 50.00 2/,2.98
113 U.S. Sovlngs Bono IIL740091965E Issue Date 11-15-68 50.00 2/,5.36
Ill, U.S. Savings Bond #L740095328E Issue Date 12-05-68 50.00 2/,8.68
115 U.S. Savings Bond IIL740174682E Issuo Date 01-08-69 50.00 2/,8.66
116 U.S. Savings Bond IIL740181448E Issue Date 02-03-69 50.00 2/.3.78
117 U.S. Sovings Bond OL740188971E Issuo Date 03-07-69 50.00 2/,3.78
,
118 U.S. Sovlngs Bond IIL749235656E Issuo Date 0/,-01-69 50.00 2/,3.78
119 U.S. Sovlngs Bond IIL751742912E Issue Date 05-05-69 50.00 2/,6. II,
120 U.S. Savings Bond IIL7597S1353E Issue Date 06-03-69 50.00 235.38
121 U.S. Sovlngs Bond OL7S9757392E Issue Data 06-15-69 50.00 235.38
122 U.S. Savings Bond IIL759807280E Issue Date 07 - 2/,- 69 50.00 237.66
123 U.S. Sovlngs Bond 111.763384360E Issue Date 08-20-69 50.00 238.18
12/, U.S. Sovlngs BOlld 111.76 7282898~: I:;suo Dnte 09-16-69 50.00 238.20
12', U.S. Savings BOlld 111.767288/,22~: Issue Date 10-21-69 50.00 233.5/,
12h U.S. SavIngs BOlld 1I1.76736335/,E Isnue Ilute 11-03.69 50.00 233.5/,
17.'1 U.S. SaVln&ll 1I0lld 111.773/,82BI0E I S~iUe Iluta 12-08-69 50.00 23/,.7/,
12B U.S. Savings 1I0l1d 111.775818229E I:wuo Date 01-06-70 50.00 236.96
129 U.S. SavIngs Bond 1I1.21085391152~: l~w\1Q Iluto 12-1/,-7"1 50.00 1/,3.50
130 U.S. Savlngu BOlld 111.21127912101': l~i:aW Date 01.11.78 50.00 1/,3.50
131 U.S. Snv ing~; BOlld 1I1.20195/,2091E I ~;suo Data 01-30-76 50.00 169./,6
132 U.S. Savingn 1I0l1d 1I1.2(32532)OM: Inmw Ilnto 03-02-76 50.00 16/,.52
1]) U.S. Snvlnl~:; 1I0lld 111.20)BBll'J7./,3~: I :i:i11U IlHtH 1l)-26.76 :lO.IlO 16/,.52
E!;UllO of: KENtu:rll ~:. KI.I NE
Sue Soc II: 166. 1/, - 2/, 36
Dill!! of Daath: 07/03/199f>
Continuation of Schudulo B
(Stockn IInd Ilondn)
Iturn Deucrll,tlon Unit Value lit Data
II Valuu of Dunth
13/, U.S. Savings Bond IIL2038811/,63E Issue Date 0/,-26-76 50.00 16/,.52
135 U.S. Snvings Bond IIL2038820710~; Ifwuo Dato 05-2/,- 76 50.00 166.08
I3C, U.S. Savings Ilond #L2038823704E Issue Dnto 06-21-76 50.00 166.1,6
137 U.S. Snvlngs Bond #L2042372482E ISGue Dntu 07-21-76 50.00 166. "',
138 U.S. Savings Bond #L2042376587E Issue Date 08-10-76 50.00 161.58
139 U,S. Savings Bond OL20S6880262E Issue Date 09-10-76 50.00 161.58
1/,0 U.S. Savings Bond #L2056883333E Issue Dato 08-08-76 50.00 161.58
lid U.S. Savings Bond #L2056886911E Issuo Date 11-12-76 50.00 163.1/,
1/,2 U.S. Savings Bond #L2056931330E Issuo Date 12-1/,-76 50.00 163.62
1113 .U.S, Savings Bond #L2061152133E Issuo Dato 01-05- 77 50.00 163.62
1"" U.S. Savings Bond OL1091933313E Issuo Dato 02-05-75 50.00 170./,0
1/1:1 U.S. Savings Bond #L1091961723E Issue Data 03-03-75 50.00 170,1,0
I/'ll U.S. Savings Bond IIL1091966090E Issue Data 0/,-02- 75 50.00 170,1,0
1/, 7 U.S. Savings Bond IIL1091968558E Issue Dato 0/,-25-75 50.00 170,1,0
1/,8 U.S. Savings Bond #LI101575264E Issuo Date 05-23-75 50.00 172.0/,
/1,9 U.S. Savings Bond #Ll10157777SE Issue Date 06-20-75 50.00 172./,6
150 U.S, Savings Bond OL2005523569E Issue Date 07-17-75 50.00 172."',
151 U.S. Savings Bond #L2005522670E Issue Date 08-07-75 50.00 167./,2
152 U.S. Savings Bond #LI105065185E Issue Date 09-0/, - 75 50.00 167,1,2
153 U.S. Savings Bond #L20091r5400E Issue Date 10-08-75 50.00 167,1,2
151, U.S. Savings Bond OL2009118242E Issue Dato 11-07-75 50.00 169.06
155 U.S. Savings Bond #L20143851S9E Issua Data 12-0/,- 75 50.00 169."',
15& U.S. Savings Bond #L2019540113E Issue Date 01-09-76 50.00 169.46
157 U.S. Savings Bond IIL10S4142715E Issua Date 01-29-7/, 50.00 . 181.8/,
158 U.S. Savings Bond #LI066180944E Issue Date 03-01-7/, 50.00. 176.51,
159 U.S. Savings Bond #L1066187253E Issue Date 03-26- 7/, 50.00 176.5/,
160 U.S. Savings Bond IILI066194558E Issue Date 0/,-25-7/, 50.00 176.5/,
161 U.S. Savings Bond #LI071106847E Issue Date 05-21- 7/, 50.00 178.2/,
162 U.S. Savings Bond #LI071149476E Issue Date 09-09- 7/, 50.00 173."',
163 U.S. Savings Bond flL1077651444E Issue Data 10-17-71, 50.00 173. "',
16/, U.S, Savings Bond #Ll077655016E Issue Date 11-12-7/, 50.00 175.12
165 U.S. Savings Bond OLI0776S9301E Issue Dato 12-06- 7/, 50.00 175.5/,
16(, U.S. SavIngs Bond IILl091919028E Issuo Date 01-06-75 50.00 175.52
16/ U.S. Savings Ilond 111.21313293I3E IsHuc Date 06-20-78 50.00 132.98
160 U.S. Savings Bond 111.2131863318E [S!;\lC Data 07.12-78 50.00 13 3 . 00
16') U.S. Savings Ilond 1I1.2131863319E Ifi:iuc Datu 07.12-78 50.00 13 3.00
Ill) U.S. Savings Ilond 111.213883/,799E l~imlO Datu OB-lO-78 50.00 130.1,0
171 U.S. Savings Bond IIL2139"',8866E l:wuc Datu 09-20-78 50.00 130.1,0
In U.S. Savings Ilond IIL2139/,581/,2~: l:wuu Date 10-11-78 50.00 130./,0
In U.s. Savings Ilond IIL21S1766105E I :;:aw Datu 11-17-78 50.00 131.62
171, U.S. Snvlnl\s Bond IIL2152390S60E I~i:ilW Datu 12-11-78 50.00 13 1. 98
175 U.S. Snvlngf; Ilond 11I.21602391tl2~; Imaw Dale 01.17-79 50.00 132.00
II(. U.S. Snvlngr. Bond 111.206115/,70/,(, I!.mw Dilt!! OI-26-T/ 50.00 163.62
171 U.S. Savinl~!i Bond 1I1.2061158??3E I!;!aw lJalt! 02.7).n 50.00 158.86
ESl:llt! of: K~:NN~:1'II E' KLlN~:
Sac Soc II: 166.1/,-2/,36
Oat" of DaRth: 07/03/1996
Contlnulltion of Schodulu II
(Stock" Ilnd Bond,,)
Itam Description Unit Value at Date
" Vllluo of Daath
178 U.S. Savings Bond OL207S119417E Issuo Dato 0/,-06-77 50.00 158.86
17'.1 U.S. Savings Bond IIL2080264419E IS5uo Dato 05-10-77 50.00 160.42
180 U.S. Savings Bond IIL2080267756E Issue Data 06-02-77 50.00 160.76
181 U.S. Savings Bond OL2086565422E I :;:;uo Dn to 07-08- 77 50.00 160.72
182 U.S. Savings Bond #L2086565421E Issue Date 07-08-77 50.00 160.72
183 U.S. Savings Bond #L2093102853E Issue Date 08-05-77 50.00 156.04
18/, U.S. Savings Bond #L2096637067E Issue Dnte 08-08- 77 50.00 156.0/,
185 U.S. Savings Bond #L2097026504E Issue Date 10-0/,-77 50.00 156.01,
186 U.S. Savings Bond #L2097033323E Issue Date 11-02-77 50.00 1/,3.10
187 . U.S. Savings Bond #L2201556714E Issuo Dato 02-20-80 50.00 127.08
188 U.S. Savings Bond IIL2204590345E Issue Date 02-20-80 50.00 127.08
189 U.S. Savings Bond #L2204595725E Issue Dnte 0/,-18 - 80 50.00 127.08
190 U.S. Savings Bond #L2163526258E Issue Date 02-27-79 50.00 129.42
191 U.S. Savings Bond #L2167508365E Issue Date 03-19-79 50.00 129.42
192 U.S. Savings Bond flL2167518565E Issue Date 01,-16- 79 50.00 129.42
193 U.S. Savings Bond #L2168076685E Issue Date 05-09-79 50.00 130.68
191, U.S. Savings Bond IIL2174B63034E Issue Date 06-1/,- 79 50.00 130.98
195 U.S. Savings Bond #L2174863033E Issue Date 06-11, -79 50.00 130.98
196 U.S. Savings Bond IIL2176174740E Issue Date 07-23-79 50.00 130.98
197 U.S. Savings Bond IIL2181990667E Issue Date 08-23-79 50.00 128,/,0
198 U.S. Savings Bond IIL2181005098E Issue Date 09-18-79 50.00 128.1,0
1<)'.1 U.S. Savings Bond IIL2187139260E Issue Date 10-16-79 50.00 128,/,0
201l U.S. Savings 1I0nd IIL21871/,6M,OE Issue Date 11-19-79 50.00 129.62
201 U.S. Savings Bond 111.2199364491E Issue Date 12-17-79 50.00 129.62
20~ U.S. Savings Bond 1I1.2201544532E Issue Date 01-18-80 50.00 129..62
203 U.S. Savings Bond IIL2115317665E Issue Date 02-21-78 50.00 139.32
20/, U.S. Savings Bond IIL2118241288E Issue Date 03-16-78 50.00 132.60
205 U.S. Savings Bond #L2118541415E Issue Date 0/, -11, - 78 50.GO 132.60
206 U.S. Savings Bond IIL2127657891E Issue Date 05-12-78 50.00 132.6/,
207 U.S. Savings Bond IILI020629332E Issue Date 03-05-73 50.00 190.00
208 U.S. Savings Bond 1II.l0207333S7E Issue Date 03-25-73 50.00 190.00
20'.1 U.S. Savings Bond 111.l02/,601722E Issue Date 0/,-2/,- 73 50.00 18/, '/,6
210 U.S. Savings Bond IILI024608434E Issuo Data 05-21-73 50.00 18/../,6
211 U.S. Savings Bond IIL1024624921E Ir.r.uo Date 06-18-73 50.00 18/,.90
211 U.S. Savings Bond IILl02/,619310~: I~iHUO Date 07-16-73 50.00 186.70
213 U.S. Savings Bond IILI02710S8/,/,E Issue Onto 08-13-73 50.00 187.10
2 Il, U.S. Savings Bond #LI02711S702E I~;sue Data 09-11-73 50.00 187.12
215 U.S. Savings Bond 1I1.102715S629E hwue Date 10-09.73 50.00 181.68
216 U.S. Savings 1I0nd IIL105113368/'E I s~;uc Dnte 11-08-73 50.00 181. 68
217 U.S. SavIngs Bond IILI051137218~: Issue Date 12-06.73 50.00 181.8/,
21B U.S. SavinGS 1I0nd 111.10S/111/,652E I s~;uc Data 01.02-7/, 50.00 181. 8/,
21'.1 U.S. Snvlng~; Bond IIK191B4044EE Ismw Data 1I.05-BI 75.00 I I 1. 39
2711 U.S. Sav i n'~~i lIol1d IlK I '.II BIl3 70EE I s ~;\If~ Datu 12-0B-1l1 7~) .00 I I 1.39
27! U.S. Saving:; flood ilK! 'JI 'JIll! EE I:;:au' Datl! 01 -1/, -HI 7',.00 111.39
..-.....,
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102. rn'l'Jft.lftonnf't1.. .eat r~non'lftf'''' II"
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