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Home My WebLink About96-00593 / I ~ ~ ~ ~ .J -...9 Ct- I ..... ~ 0 cu .... . 0 0 .... en Z ~- PETITION FOIlPIlOIIATE :lml CHANT OF LE"lTEHS "") cr r73 r~.I- b - ,:,; E.llatt of ^. KI'XJKJ\ CI,IN" alJo 4/10"'" as KI'XJKJ\ ^. CI,INI'; No, To: Re~isler 01 Wills lor Ihe Dtcrasrd. COllllly 01 ClMUmUJIND In the Soeial Srcll,ity No. 168-50-0542 Commo/lwealth 01 Pennsylvania The pelilion 01 Ihe IIndersltlled respecllully rcprescnlllhal: Your pCliliuIICI(S), whu isla,e 18 yea,s 01 age or older alllhe e.,eculors inlhe lasl will 01 the above decedent, daled M..rch 12. and codicilll) dolcd namcd , 19...Ii- (":lIe ,dC\'MI cilClllIl\l:llltU. c.,. ICllllllclntloll, IJc:uh of cacculor, CIC.) Decedenl '"'' dOlllieilrd olucolh ill h er last lall1ily or rlincipallesidcnce al CUll1berldnd Counly, Pennsylvania, wilh 3628 Lishum flOdd [.o"~r ^1 len Township !list !'ltlccl, IIUlll~cr. "1",,1'. or UOlo,1 !Jewlelll. 111m --.-2.5_ )eals 01 o~e, died June 15, ,19 96 al 3628 [,isll\lrn Poad. Mechdnicsburq. p^ . Except as lollows, de~edellluiullol marry, was noluivolccd alld tlid not have a child born Dr adopled aller e.\eculioll 01 lhe will orrcrcd lor Il/obalc: was /lollhe viclill1 01 a killillg and lias ne'er adjudicaled incompelent: Decedelll al dealh oll/letlprorellY wilh cstimatctl ,'alucs as loll Oil'S: III domiciled in Pa.) ^II pClsonal pll'perlY (II not domiciled in Pa.) Personal propelly in Penns)'lvania (II nol domiciled In Pa.) Pmoual propell)' in Counly Value 01 real eslale in Pcnns)'h'ania silualed as lollows: 750.00 s s s s 75,000.00 3628 Lishum flOdd. Lower ^llen Township r1mhPrli1nn C"nl1nt-y. PflnnsylVrlnid WHEREFORE, pelitionerls) respectlully requeslls) the probale of lhe last will and eodicil(s) presented herewilh and the graut of lelters Testamentary (1t3IJmcnlarYi administration c.I...: administration d.b,n.c.t.I.) theron. i u c u '0_ 'fi -= "'u c '00 c': "- _u ~.. '1:_ ~o :; C M Vi ~2s!?J!!:t9 1125 East Lisburn fload MechanicsburQ. P^ 17055 \t1,'tl.;;' , . dU lne ones!/ 114 N. Locust Point HOdd Mechanicsburg. P^ 17055 .' OATH OF rEHSONAL UErUESENTATlVE COMMONWEALTH OF l'ENNS\,LV ANIA L ss COUNTY OF CUMBERI.^ND J The petilioner(s) nbove.named swenr(s) or affirl1lls) thatlhe slalemenlS in the loregoing petition are llue alld correello the besl 01 the knowledge nutl belief 01 pelilio"er(s) .ntlth.t as personal rep/esen- t.livels) 01 the obove ueeeue/lt pelitioncrls) will well 'Y'~ Iruly adml'nil er lhe ~slale according to Jaw. (, ,1 /~(J Sworn to Dr affirmed anti subscribeu { ,".,0 J4...'r/X, L~~., c;:.- '" belore me lhis :>3 rei. tloy of l flichdrd 5: CI ine I ~. .Julv J9...2.1i- ifIll I, ,( II, - .1/,;:(.1- ~ 'II ifl \. \ \' .i,. ... . Pduline ^. Jones I !; f I~ \' I. ( ') 1 L. Jlrgislrr :a. ~--- n'''-''I u-1 -- . 1/ '} ,. ,). Nil, 21-96-593 ,. Eslale of A. KEOKA CI,INE iJ/k/iJ KEOKA A. CI.INE , Deceased DECREE OF PRODATE AND GRANT OF LE'ITEnS AND NOW ,Ju 1 v 30, 19~, In consltlerAllon of Ihe pellllon on the reverse side hereof. sallsfaclory proof having been presenled before me, IT IS DECREED Ihatche lnslrumenl(s) daled March] 2. 1975 described Ihereln be Bdmhled 10 probate and filed of record as Ihe IASI will o'f A. Keoka Cline a/k/a Keoka A. Cline and Lellers Tes tamen tarv ore herebygranled 10 Richard S. C1 ine and Paul ine A. Jones FEES Probale, Lellers, Ere. ......... S 200.00 Shorr Cerllficales(4) ........ .. S 12..00 ~n\liM#lilbn ................ S 08 Jep s , 1 ~: Q TOTAL _ S Filed...... .:tl.1J:t. .3.QJ.\?~~............ 7)1""0 (' '/..'0..... ft:p (\ Rrl'ller or Wilh ).<.. /), J.rA Jerry R. Duffie (09601) Johnson ~ TT~~~i~ !SU~l:g~~ft 'i')weidner 301 Market St.. P. O. Box 109 ADDRESS Lemoyne. PA 17043-0109 ( 717l 761-4540 "'lONE "'l " ~ t.t . ::? ":.L "'1. ~ .- l"") C'I ==1 , U IiI .~ U(C p, 1= a: d::s OU ',,&I.,,' .. .........., lIl.c.... i 3 ~ S ! & J TIII-, 1-' III U ,"1\ Ih,ll rlll ill" illlllll,,1l h,l, ,'1\ I II 1, "'I I( 11 h " 'I'll! II. 'ill ,Ill ,1111'HI Ii It 11111. ,III "I ,It ,lIh llllh tiled \\ IIIl lilt. ,1-' 1.111,111\1 f'''" ,II nl( ill H~lll,d III ,1I11 .111 \\ dll,( I, 'I" 0),1, ,I I" t "i '-0, I" \ It .,1 1\1" d I~ 1111" I I. <l l'l 1 II 1.11 It III tdlll.!: WARNING: It Is II10golto dupllcllto Ihls copy by pholosllll or photogrllph. 21-%-5~3 It t' I,ll Ill!' ~( Iltl.. .111. .', ill ill.'............. (i~~\\I\"' pi;:", !i~~.~.. ..~..~..~~~. *\-. ~'. ~ . f fA,'. .'1',' I ..~ '(,pt.. '+-'-'W ...~J~~'j"j,. l~.~,-,-,-- KH:.- L4 1J~J;j llll,tl HC'L:I\l1.1I U if ')( \) " \ ,0; Ill.! ',J'I Ifil.- l).lle: '.) tLn.L I I, ~Il 1lI1411J,1., III CQMMOUWUUHOF PENNsnVANIA. OEPAllfMun OF IlEALTlt. VIlAL nu:onDS CERTIFICATE OF DEATH '''''hl'._'' :4UloHA':~K~~'k;"Clt~e - - -----I~F~~.r6it~~~50'1 .-0542 ~r~~~.1i"5'.199~~- ~':;~'~:J"Z:~(,5.~;' '~I:];~i~~~ J:~:;f ~'~~~~{~"",'::.::; I-'~';.~I'~:'~I~ ;-J ~_.KI =..,1 J ,A)....,,~lIlAl" 1I11..'fUI....llfltlll.. t.,~'l''".'''~ ,."... ......-...,....., ;;]....tOlUI..tolOl..""'i;[""""~:E_1 ............--.-.. C _.. 1 ...."1...11...._",_ ......1 u,,~er and Lower Allen 3628 L1sburn Rd. Mechanlcsburg PA ~..~.....~~* White ~~Ttl:1.,"' '~!.'i,^H~!~}fJ -_ h.G, _l.~J't_!'-,~if~~.~ OJ,! - J~''''"'-'=''. ''''''. ". UOIoCOfo, .......w. ,10/", -- . 1<JII....H1WUVM ol~"'..1 .... .......~.J~.,... l.J1o ."...."",f\(I" ,.~',_.~.I..J_ ':,U.Sc::.'~,-"'.lin__ ,.............. ...~.. ,.~.. '#..---... ......"........_....., .11 II I I h........~, c....... 0.......1'._....' Uomemaker Own !lame .... ....)t . .' "...~OI .d ~iii";i~~;;;U~:;:.}:.,....., IlA'ii4ltl.--' -PA "I .t lower ^' cn '(IU~ ".!.." I.., "'" __............._____________.__... 3628 L t sburn Road '~~-::~,. =:.':'" l~echantcsbur~1055 _______ ~____..!~ Cumberland -~, .,.11:::":--..-=':::.. ._co ''''...''.toloUlol.lIU.......... ""11.."....."'" ,.....u.u.........~......, lL Reuben A. Moyer lL Clara Ferguson ""~~I lNA'" ,I,,_h"j HI"""." S.......lQ'lJOl1lI,a ,...._ 1...,1.." l.I_ I','...... HL Vlr~fnia M. Creasey 'R 3628 Lisburn Rd. Mechanicshur PA 17055 "'1itiii1i""1iYii5~--- "A4lllI0l1ol'O"1~ N_"~",c..,~ 'OCAlOfC...-..-.....l..c... ~,Il ::.--;.~~.,~-:~:~_~~_I.:":~._~.:ll .. I "R~lin9 Green Memortal ~amp ltill PA 17011 /!.l;;:,- ,....~:?'*,~=.,...... :'ll'i~'i'~ h "yers.Fi:~:;,:.f"lt~me 37 East Main St. Mechanicsburg .- ....,;A~KI-, ",_a... ""71:"'- ................,~... ......J..-......., llfl.....Hl_.. ~.._... .._.._""_,,," ~i'" ,,1_ '...~_.- I J ".... 7.v. 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I: .,;;r.nliii"'u'IHI.:_I'l ""'."11I11'1..""" tOUO't"....ut..."... Of DtolHt L\UlIO".u."""..,f...1\0, ........"Ht..I".iM tlJUj"ilIM"'-' t>lKlIIB4tttJ.....'-'"'oa;'.VIIU ..,..... x- II !t.o",.. _IJ ....11 ..1 Ii ~ 11 ,... ,.. UiiiiiI.i,..,...,... .UIl'.'_'"IM......'t.............,.j .."'_'......' .........,. ...." t...._.,..,..-.... ............_......_.1__........ ~ !!._---- .__.ItlICUll.1""f'OI't.<..",..,.. ,.~ I'" , .~... . ,.. ~,. " . ' . 100..._...'......... _....1...'....,..._.... _...... ...._......_.,_...._,........ 'II.OIC"I'UIllMltl-'1:tMOOtl" CMUt.~.....,...-.,_.........IoI.II.'V.._ ....'......-.,....lh...........,"'-,_ .... .............,.......,..........c.,..'" ....._...et..... . .. ~~~~::::.1~c.i~-~!;.~~t~_. - ------ ~L?"IJI ~J~AJe._'J,ln? "'J" ~'-r ~3 ~ >" (,\ ..". n. .) ~ -l '-.:J , .. .., _1; :J '..;.'5 ta: P' 0: 00 . 1lla!it ~mill cutb illegtamtttt I, A. KEOKA CLINE, of Lower Allen Township, Cumberland County, Pennsylvania, make, publish and declare this to be my La8t Will and Testament, hereby revoking and making void any and all former Wills by me at any time heretofore made. 1. I direct the payment of my just debts and funeral expenses as soon after my death as may be convenient to my ExecutoIll hereinafter named. 2. I give, devise and bequeath all my property and es- tate of every nature and wheresoever situate to my children in equal shares. In the event that any of my children shall pre- decease me and leave issue to survive, I give, devise and bequeath the share of such deceased child to such issue by representation per stirpes. 3. I name, constitute and appoint my son, Richard S. Cline and my daughter, Pauline A. Jones, to be Executors of this will. I direct that the Executors of this will shall not be required to file bonds. IN WITNESS WHEREOF, I hereunto set my hand and seal this ,:./I!.lday of j1ld\" II ,1975. { l } L<- " I, (', l' \. ~ , _ '-- (SEAL) A. Keoka Cline Signed, sealed, published and declared by the above named Testatrix as her Last Will and Testament in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. , "'J ;J IiL" &\111 ~ , "", / J ~ . / ~ /-' (oJ.' /' . , . (te/,,'l.( ,j . /1 (. tf ti...IlY- '7//. :!1-96-593 REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBII"G WITNESS Virginia M. Creasey -'*l (~) a subscribing witness 10 lhe will presenled herewith, (....) being duly qualilied according to law, depoie(s) nnd say(s) thnl she wa s present and saw A. Keoka Cline the testat r; " , sign the same and that "hp signed as a wilness atthe request of leslatrix- in I> e r presence and (in lhe presence of each other) (in the presence of lhe other subscribing witness(es)). I e_(A~O('I~<A./~(. er.~..M/-. vllQmia M. creasey / .~ 11 (Name) v 3628 Lisbum Road, Mechanicsburq, PA L7055 (Address) Sworn to Dr aflirmed and subscribed before me lhis 23rd. day of ,Ju 1 v 19.2&- \. r '/' IJJr....,i ^-,t...,~.... , 0 P. '. PI:,' J..f,,\\ Regisrer (Name) "'" l.~ (A ddress) ",' ~ C"._ d:~ C'. N _J REGISTER OF WILLS OF CUMBERLAND COUNTY :J O~TH OF NON-SUBSCRIBING WITNESS :-'\ ), .:3 ()() Edmund G. Myers (~) a subscriber herelo, (11&) being duly qualilied according 10 law, depose(s) and say(s) lhal he is familiar with lhe signature of Robert L. Myers. Jr., ~ will that he presented herewith and _I believes lhe signature on lhe will is in the handwriting of __ . (one of the subscribing witnesses lO) lhe Robert L. Myers. Jr. 10 lhe best of his knowledge and belier. Sworn to Dr affirmed and subscribed before me this 23 rd day of July 19~ ,. l' J )))n,,~ . I) "',;~'\~ _\ /.._, o. ~l, f" \ Regisrer Ii: u./ /,,1} J:c'rV Edmund G.t1Yftljs Johnson, Duffie. 7'S@e~rt & Weidner 101 M~rkpt St.. P. O. Rox 109. Lemoyne, (A ddress) PA 17043 (Name) (Address) .- ....-.: ~:.: - r;.l ....1). ~) .~ N " C\- " " 1 0 l"'"'\ ~ () ,'. --.., " r., '0 'll~ ih 0.: 9' .:;) 0: QU E :;;...-- CER'rIFICA1'ION OF NOTICE UNUER HI~I,E S.u!!!]. Name of Decedent: A. Keoka Cline a/k/a Keoka A. Cline Date of Death: June 15, 1996 will No. 0593 Admin. No. To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 1//f/f1(, , . Name Richard S. Cline Pauline A. Jones Virqinia M. Creasey Eugene E. Cline Dranell L. Cline R. Leon Cline John H. Cline Address 1125 E. Lisburn Road, Mechanicsburg, PA 17055 114 N. Locust Point Rd., Mechanicsburg, PA 17055 3628 Lisburn Road, Mechanicsburg. PA 17055 3201 N.W. 12th Terrace, Gainesville, FL 32609 5268 Maui Lane, Orlando, Florida 32812 523 Cayuga Court, Boulder City, Nevada 89006 3624 Lisburn Road. Mechanicsburg, PA 17055 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None Date: ?/It/1ft I , 'J"-, \"'} ame Jerry R. Duffie, Esquire Johnson, Duffie, Stewart & Weidner Address 301 Market St. P. O. Box 109 Lemovne, PA 17043-0109 ~, N r_ l: ~ Telephone(711 761-4540 Capacity: Personal Representative x Counsel for personal representative lL. ~:.: .;:l uo COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } ss: Pauline A. Jones and Richard S. Cline according to law, deposes and says that tho y are Executors of tho Estate of A. Keoka Cline a/k/a Keoka A. Cline lat. of _~r Al}-.en ~~!!~.p , Cumberland County, Pa., deceased and that tho within Is an Inventory made by Pauline A. Jones & Richard ~ Cline , the said Executorx of tho entire estate of said decedent. consisting of all the personal property and re.1 estate, ucept rool estate outside th. Commonwealth or Pennsylvania, and that the figures opposite each item of the In.vento(y represent it's fair value .s of the date of decedent's dooth. ,.... / " ,I ~ . ',iu. LuU! C I . aI'''-...!,: . Pauline A. Jones / 114 N. Locust Point Rd., Mechanicsburg, PA . . , . . 17055 ~1~ Richard S. Cline being duly ~rn Sworn to and subscribed before me, ~ 19 97 DIANNE LENIG. Notary PiJ~ Lcmoyno Borough CumbCllan o. My Commission 8pircs Dec. 21,1997 1125 Pilst Lisburn Rd.. ~1echanicsburq. PA ...dd".. 17055 Date or Death 15th D.y June 1996 Month ru, INSTRUCTIONS I. An inventory must b. fil.d within three months afler appointment of personal representative. 2. A supplement inventory must b. fiI.d within thirty days of discovery of additional a..ets. 3. Additional sheets may b. attached as to personalty or realty 4. See Articl. IV, Fiduciaries Act of 1949. '" 0 ] ~ 0 I "" U "'" 0 . .... <t: ! ~ >- ~ .,; P': . \;; w ~ . !;c " M ~ W 0 llJ '" c.. I- u 0 . ...~ Ii' 0 '" ~ 0 '" 0 0 w 0: W ljj 0 " . ~~ J, I- J: c.. ~ ~ c.. I- ...J U. ~ '" Z U. ..J -< 0 III 2 c.. llJ:I: ~ W 0 -< w r .;. -.-I <... N > Z 0: ~ C ..... '" Z 0 ..... 0 C ~ ~ B ~ VI Z U 0 0 0: U .... l< Z I w -< c.. ~I ." . S c e>: " I - -;: . 0 0 0 I .D -0 -" \.l . , 0 E ~ 0 llJ . <t:: - ~ 0 ..., '" Ii " u u: CD ..J Inventory of tho roaland personal ostate of fl. KmKA CLINE a!k/n KmKA fl. CLINE deceased 1. Real Estate - No. 3624 and 362B Lisburn Road, Lower,Allen TOwnship, Cumberland County, 9B,500 00 Pennsylvania. Appraised value - 2. Cash in decedent's possession. lOB 40 3. Commonwealth of Pennsylvania - property tax rebate. 350 3B 4. Household Goods - Date of death value 500 00 5. Depart:Irent bf Transportation - purchase of Right-of-Way 362B Lisburn Road, Lower Allen TOwnship. Purchase Price 1,000. 00 6. Hershey Bank - Checking Account No. l5l-0B129 Date of death balance - 3,755 34 'IDrAL 104,214 12 :0 .:: ~ c. l.lf .'- i-_ ;:1 \ _-:~ :1 UU '.rv.uoo th 11,Q., w .. ~:!cn u"'>< w..U XCO u"'-' ..", ~ / S-- .~r ., 11-('. l(l . "'" j INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WillS) lOR OATIS 01 DlA1It AmR 1 ~/31 191 ClUCK IlIRl IF A SPOUSAL POVlRTY CRlOIT IS CLAIMtO 0 flU NUMBlR 21 [] 1. Originol Return o A. limited Ellate 0 40. Future Inlerelt Compromise (lor dOl" 01 deoth oher 12.12.821 [] 6. Decedenl Died Testote 0 7. Decedent Moinlained a living Trust (Alloch copy 01 Willi (Alloch copy of Trult) ALL CORRESPONDENCE AND CONfiDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAoMI Jerry R Duffie Esg COM'Ull MAIUNQ ACORUS, . ,. Johnson, Duffle, STewart & 301 Market St., P. O. Box Lema ne, PA 17043-0109 98,500.00 COMMONWt:AlIH Of '(NNSYlVANIA OU'AUlo\(NT Of JI(V(NU( O(rJ, 280601 hAJlll.ISlURO.'A 111211.0601 OICIO(NT.S NAMI I\An. URn. AND MIOOll INll1"'I'CLlNE, .. ffi Q W U W Q SOCI...\ !.lCU'11l NUMI( 168-50-0542 OAT( Of O(AII1 6/15/96 [I' i1P'LI(AllflllllvlVINO I'ouln flA"l (LAn. ,,111 ."ltl....,~:lLt INlllllj / / '7- ,- C:.....- 96 0593 COUNTY CODE YEAR NUMBER A. Kln<lI OlClDlNT'$ CO",,'UIt AOtlltU 3628 [,isburn Head ~1ccl1i1nicsburg, P^ 17055 COllnT ClI-IDffi(.J\N) ....MOUNT I:[CllVIO IUI IN$UUCTIONSI 10/25/00 o 2. Supplemental Return o 3. Remainder Relurn (lor doles of deolh prior 10 12.13.82) o S. Federol Eslale To. Return Required llU'HONE NUM.U 761-4540 :z: c ;: :s ::> .. s: c( u w '" 1. Real Ellole (S,hedule A) 2. Slock. ond Bond. (Schedule B) 3. Clolely Held SlockJPortnership lnlerest (Schedule CJ A. Mortgages and Noles Receivable (Schedule DI 5. Cosh, Banlc Deposits & Miscellaneous Personal Properly (Schedule E) 6, Jointly Owned Property (Schedule f) 7. Translers (Schedule G) (Schedule l) 8. Totol Gron Anets Ilotallines 1.7) 9. Funeral Expenses, Administralive COSII, Miscellaneous hpenlO' (Schedule H) 10. Debll, Mortgage liabilities, liens (Schedule I) 11. T01al Oeductions (10101 lines 9 & 10) 12. Net Value of Ellate (line 8 minus line 11) 13. Charilable ond Governmental Sequesh (Schedule J) lA. Net Value Subject 10 Toll. (line 12 minus line 13) 15. Spousal Transfers (for dales of dealh after 6.30.94) See Inllructians for Applicable Percentage on Revene Side. (Include values from Schedule K or Schedule M.) 16. Amount of line 1 A ta.able at 6% role (Include volues from Schedule K or Schedule M.) 17. Amount of line 14 taxable 01 15% role (Include yoluel from Schedule K or Schedule M,) 18. Principal loll. due (Add lax from lines 15, 16 end 17.) 19. Credill Spousal Poverty Credit Prior Paymenh + 3.500.00 Discount + 184.21 20. II Line 19 is greater than line lB, enler the difference on line 20. This is Ihe OVERPAYMENT. aD 21. If line 18 is greater than line 19, enter the difference on line 21. This is the TAX DUE. A. Enlor ,he in'"e" an ,he bolonco duo an line 21A. 3/15/97-9/10/97 B. Enler the tolal of line 21 ond 21A an line 218. This is Ihe BALANCE DUE. Ma~. Chlc~ Poyahll tOl Right., of WlII., Ag.nt I... . .. ~ ~. BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH . ~ ~... :.~,. ..... ~nd.r penalties of perjury. I declare lhall hove examined Ihil return, including occompanying schedule 1 and ,IalemenU, and to the belt of my knowledge and belief, bit Is I~ue, corred, and complele. I declare thai 011 real ellal. has been reporled 01 true market value. Declaration of preporer other Ihan the personal representalive is 01lg n 011 in ormal! n of .....hich preporer hOI any knowledge. ICiN....'yU,/ 'U~9Nl U ONSI.a 0 'ILlNQR I N )/J. AODU$$ 114 N. locust Pt. Rd., t'o1echanicsburg, PA OAn / / ' , ",t:.. ~ 1125 E. Lisburn Rd. ~1cchanicsbur PA 17055 QLPf _'17 · '" 0"'" 301 ~larket St. P. o. I30x 109 OAll;1 I( lEma ne PA 17643 0109 q tJ 1 f 7 / I . :r: c ;: c( ... ::> .. :s c u >< c( ... _ 8. Tolol Number of Safe Depolil Box" weidner 109 (I) (2) 13 ) (4 ) (S) , 5,714.12 3,462.69 (6 ) (7 ) 107,676.81 (9 ) (10) 14,339.14 653.12 (8 ) (15) (16) (17) (11) 14,992.26 (12) 92,684.55 (13) -a- (14) 92,684.55 x,_= -a- x .06 = 5,561.07 x .15 = -0- (18) 5,561.07 (191 3,684.21 (201 92,684.55 Interelt Check here if you ore requesting 0 refund of your overpayment. . (21) (2IA) (2IB) 1,876.86 83.00 1,959.86 - .~.______.__..___._., - _...._.__________._.__.____..._...______...___._.n._"_..___. '" ___,___..__ (Prop.rly 1.lntly..wn.d with Rlght.f Survl....hlp mu.I b. dIICI...d.n Sch.dul. f) AII...I..I.t. .h.uld b. r.p.rt.d.t f.1r m.,k.t ..Iu. which II d.fln.d a. tho prl.. al which pr.p.rly w.uld b. ..chang.d b.lwttn a willing buy.. and a willing ..II.., n.lth.. b.lng c.mp.lI.d t. buy .r ..II, b.th ha.lng ..a..n.bl. kn.wl.dg. .f Ih. ..I.. anI facti. .! ---...------ ITEM I NUMBER I I Ily.1)07Ih 112,UI ~'~'~II ",~.u.; COMMONWIAlht Of '(HNULYANIA IN M.((WDj~~(Dl~~~_p1.~t:.;.;.~~~::::-::~:"___~.,;__=_=.-_ _ SCHEDULE A REAL EST ATE . .__ :.~_ _-_,,~~_:o-.7,-_==.u~~~L. FILE NUMBER 21-96-0593 ESTATE o. Fl. KOOKJ\ CLINE a/k/a KOOKA Fl. CLINE DESCRIPTION 1. I' Real Estate - No. 3624 and 3628 Lisburn Road, Lower Allen TOwnship, Cumberland County, I Pennsylvania. (Deed Book 0, Volurre 14, Page 509) Appraised Value (Copy of Appraisal attached). TOTAL (Aha .nler on Iin. 1. Rocopitulotion) (II more spact is n..d,d, inserl additional shetts of sam. S;zt.' ~-"-+-i-:-'-"~'- r------ I VALUE AT DATE I Of DEATH 1 $ 98,500.00 S 98,500.00 DEFINITION OF MARKET VALUE, Th, on"'l probabl, pr", which. pmpcrly .h..uld hrin. In . ,..,"p,til'" und open m.r~cl under all conditions requisite 10 .II fllir ulc. the bu~cr and ,eller, cac:h lu:linl prudently. ~Ilnwlcd.(abl)' and ."uml". Ihe price II nol affected by undue ilimulul-. Implicit In 111i. definitlnn is lhe cUluummulion or . ...Ic II or . ',,(tlned dale and Ihe panln, of IIlfe (nlll1 ,~IIC1 In buyer under cnndiliolll whereby: (I) buyCl and seller lit 1)'1'1(111)' mtJU"alcdl (2) both p.1rliCllfC wclllnrormcd or 'Ao'c:lll1dvbcd. and each aCIIlI, in wh.lll he cOluldefl his own bell inlC:rell; (J). reasonable time is allowed for Cl.pmun: in Ihe opcn mll,lel; (ot) payment b made: in lerml of cA.h In U. S. dollars or In lerms or nnilllcialarrallACI11CnU cumparahle Ihcu:tOi and (5) the price 'epresen" Ihe normal c(m,ldcrallon for Ihe propcll)' lold unaffected by spetlal or creath"e nnantlnl or Wiles cunceuiun.. Irolnted by an)\ln' 1l\<<1.led wllh Iii, ..I,. tAdjultmentlto the comparables ",uII be made for spedal or creati\'c nnandnl or salel concenionl. No adjustments are neceWlr)' for Ihose costs which are normally paid by sellers us a relult of 1r.lllilion ur law in a market lun; Ihelc C"sts are leadil)' identifiable lince Ihe srller p.l)1 Ihese cOilS in virtually all salel lransaclions. Special or crnlivc financinl adjustments can be made 10 the comparable' properly by cumparisons 10 financinglerms otTered by . Ihinl party instilutlonal lender Ihal is nol already involved in the pmperly or tranlaclion. Any adjuslnlenl Ihould not be calculilled on it Rlechanical dollar fur dollar cost uf the financina or concession but Ihe dollar ilnIGunl of any adjuslment should apprulirnate the marLet'!Io reaction 10 the financing or conceuion!io based un IlIe appraiser's jUd,menl. STATEMENT OF LIMITING CONDITIONS AND A"PRAISER'S CERTIFIr.ATION CONTINGENT AND LIMITING CONDITIONS, Th' approiser', mllOe,'lon Ih., app'... in Ihe .pprol..1 report lssubject to Ihe following condilionl: I, The appraiser will not be responsible for mailers of a legal nalure that arrect eilher Ihe property being appraised or the Utle 10 it. The appraiser assumes that Ihe lille is good and marketable and, lherefore, will not render any opinions about lhe lille. The property is appraised on lhe basis or it beins under responsible ownership. 2. The appraiser has proVided a skelch in Ihe appraisal report 10 show approximate dimensions of the improvemcnls and the skelch is included only to assisl lhe reader of Ihe report in visualizing Ihe properlY anti undentanding the appraiser's determinalion or its size. J, The appraiser has elllmined the available nODd maps thai are provided by the Federnl EmelJency Manasement Aaency (or other dala sources) and has noted in the apprnisal reporl whether lhe subjecI sile is located in an idenlified Special Flood Hazard Area. Because lhe appraiser is not a surveyor. he or she makes no guaranlees, elpress or implied, 'regardinglhis determination. Subject site may be located in flood zone 'n' or Ie'. 4. The appraiser will nol sive testimony or appear in court because he or 5he made an appraisal of Ihe property In question, unless specific arranaements to do so have been made beforehand. 5. The appraiser has estimated the value of the land in the cost approach 81 ils hiahesl and beSI use and the Improvements at their contribulory value. These separate valualions of the land and improvements must nol be used in co~unction with any olher appraisal and are invalid if they an: so used. 6. The appraiser has noted in lhe appr.lisal report any adverse condilions (such as. needed repain, depreciation, Ihe presence of hazardous wasles, lode: substances. CIC.) obscrved during the: inspeclion of the subjecl property or thaI he or she became aware of during the normal research involved in pcrformingthe oppmisal. Unless olherwise slaled in the"appraisal report, the appraiser has no knowledge of any hidden or unapparent conditions of the property or adverse environmental condillons (including Ihe presence of hazardous wastes, loxic substances. etc.) that would make Ihe properly more or less valuable, and has assumed that Ihere orc no such conditions and makes no guarantees or warranlies. express or implied, regarding lhe condilion of the properly. The apprnlser will nol be responsible for any such condilions Ihal do exist or for ..ny engineerins or IClling that might be required 10 discover whelher such condilions exisl. Because the appr.aiser is lint an CAper! in Ihe field of ellvimllmental hazards. Ihe appraisal report must not Ix: considered as an environ menial assessmenl of the properlY. 7, The appraiser oblained the informal ion, estimales, and opinions that were ellpressetJ in Ihe arj'lraisal report from sources Ihat he or Solie considers 10 be reliable and b..:lieves Ihem to be true anti currec!. The appr.aiser docs nol assume responsibility for lhe accuracy of such ilems thai were furnished by other parties. 8, The appraiser will not disclose lhe contents of Ihe appraisal reporl except ..5 provided for in Ihe Uniform Slandards of Professional Appraisal Practice. 9. The appraiser has based his or her apprnisal rC(lOrl and valualiun conclus.ion for an uppr.aisal IhuI is subject 10 satisfactory completion, repairs. or alterations on the assumption that completion or the improvements will be performed in a workm..nlike manner. 10. The appraiser musl provide his or her prior wrilten consent before Ihe lentJer/elienl specified in the appraisal report can distribute lhe appraisal reporl (includins conclusions aboUI the property value, Ihe appraiser's idenlily and professional desianations. and references to any professional appraisal organizations or the firm with which lhe appraiser is associaled) 10 anyone other Ihan the borro....tr: the mortgagee or its successors and assigns; the mortgage insurer; consullanl5; professional appraisal organizations; any stale or fedemUy ilpproved financial inslitution; or any department. laency, or inslrumentality of the Uniled Stales C1r any state or the District of Columbia; elcept thai the lender/client may distribute the properly description scction or Ihe report only to t1ata colleclion or rcporlinlt service(s) wilhout havi"a 10 oblain Ihe appraiser's prior wrillen consellt. The appraiser's wriuen consenl and approval must also be obtained before Ihe appraisal can be conveyed by un)'One to the public throuJ,h advertising, public relations. news, sales, or olher' media. Freddie M.e Form 439 6.93 Pal" of 2 F.nnie Mac Form 10040 6.93 rum." Wcwm,blC..11SWhiIllfyA""w,rw- n..tn.CTOMII 11110O)24).454' 1"._100' , AIIJIItAISI:R'S (,[Kllnt'AIION: lilt ^llllfiU\tl (('lllnn .UlII t111't'n IIIJl I, I hone rneJrt!lt'11 tht ,uhJtt:1 millltt illtol IIlhl ha\t ttlrdrll a 1II11l11ll1l111 IIr IllIrt' Itallt \i1ln ur l'IIIPC'IlU 11111,t \imilar And JHIl,imale tn the ,uhlrl"l 1"III,rll)' fill t:llmhlrlOlIJIlI1 III lilt' 'illn (tUlIl'JlI\llll anitl.\I\ allll havc lIIallc II dnllilr allJu'tlllellt ",,11m ilPPIlIJ1f1i1le III rrflrd lilt' IllJIl..t'1 It'adMI In IlImt Itrlll\ tit 'll1llln'illll \Jrlillillll If II \lgnificllllt Item in :1 (umllillilhlt IHul'ell)' 1\ '1I1't'lInr Ill, II' Illllle Iilwlilhlr tlUlIl, Ihe \uhJrd f111lf1elt)'. I hone 1I1:lIle ;I nrKiui~'e luJJU\ll11ent hI 'CIIIII;C Ihe illlJU\ltll ,aln f1mt lit tilt' t'lImf1i1ll1hle 111111, If I It.llIllllklllll 11t'111 III II cUIIlf1.uahle luuperl)' i, IIIrWIlC III, nr Iru fll\III01l1le Ihall tht' \lIllled 1""1~1I)', t hJ\t' 1II.IIIe it 11I1\lll\e iulJu\llIIefll hI iIlCI(";I\C Iht' atlJU\lell !kilt, l'II(e lit Ihe l:1I1111l;U;lhlr 2, I ha\'t' taken intn ctlll\illWltlnn Ille faclt'" Ihat hl\'e an illlf1;,ct nn vlllue In m)' de\'rlnpll1enl of Ihe e\limate of marl..el value in Ihe af1I"...i\o11 lepml. I 1I.I\t nnl ).lItlwlIljtly wllhhchl IIn)' \illnifinnl inrllfll1alinn hum Ihe arprai\:ll lepurt anll I hdint', In the he\t III Ill)' "nll\.,-Irtl~e, thilt nil "atel1lenll and infllUnatiun in Ihc apprJi\a1 ft'(\tlft IIrc true and COffccl. J. J slalcll in the lI(\pmi\J1 ,cJlmt unly I1IY uwn Jlu\nnill, unhi;l\ed, anll Jlrofes.\illnal IIn01ly\il, upinillns. and concluloiun\. which lire suhject tllIl)' tll the I.:lll1tllll:tllt .11I11 IimilillR cnnlllliulI\ spedfied in this form. 4, 1 h.n'e no present m prmpeclivc inlere\1 ill Ihc JlrnpcrlY Ihal i!'li the suhjcct 10 this rCf1ort. llnd I hilve no presenl or prospeClivc personal inlernt Ilr hias wllh fCspect to the participants in the transaclion, I did nol h.nc, either partially or completely, my anal)'\is Ilnll/or the cstimatc of market value ill the: aJlprai\:l1 report on the race, color, religion, se.., handicap, familial stalUs, or nalional origin of either Ihe pm\ptctive owners or occupants of the subject propert)' or of the present ownefl Of occupanh of Ihe proptrties in the vicinity of the suhjecI Jlroperly. S, I have no presenl or conlemplated future inlcresl in thc subject propcrty, and neither my current or fulure emplo)'menl nor my compcnsalion for performing this apprai5J1 i'i conlingcnt on thc appraiscd value of Ihe properly. 6. J was not rrquircd to report a Jlredelermined valuc or direclion in villue that favors Ihe cause of Ihe client or any related parlY, the amount of the value: estimate, the altainmcnt of D specific rcsull, or Ihe occurrence of a subsequent evenl in order to receive my compensation and/or emJlloymenl for performing the appraiu1. I did not base the appraisal report on a requested minimum valualion, a specific valuation, or the need 10 apJlrove a specifiC mortgage loan. 7. I performed Ihis IIpf1raisal in conformity wilh Ihe Uniform Slandards of Profenional Appraisal Practice Ihat were adopted llnd promulgaled by the AJ'lprniul Slandards UoanJ of The Appnlisal Foundation and Ihat were in Jllace as of the dfective dale of this apprai13I, with the elception of the de~rture provision of Ihose Slandards. which docs not apJlly, I acknowlcllge that an estimate of a reasonable time for e..posure in the oJlCn market is a condition in the definition of m.nket value and the eMimale J developed is COn!ii'ilent with the markeling time noted in the neighborhood section of Ihis report, unless I have otherwise slated in the reconcilialion section. R. J have personally in\pected the interior and euerior arras of Ihe subject property anlllhe eXlerior of all properties listed as comparables in Ihe apPr.lisal report. I further certify that J hon'e noted any apparent or known advene conditions in Ihe 5ubjecI impro..'cments, on the subject sile, or on any s;te within the immediate vicinily of the subject property of which I am aware and ha,,'e made adjustmcnts for these adverse conditions in my analysis of Ihe proJlerty value 10 the ulent that I had market evidence to support them. I h3\"t' also commenled about Ihe effect of the nd\'erse conditions on Ihe marketability of Ihe subject Jlroperty. 9. I personally prepared all conclusions and oJlinions about the real e\lnle Ihal werr sel forth in Ihe 3J!l'uaisal report, If I relied on significant professional assistance from any Individual or individuals in Ihe performance of the appraisal or the pre~ration of the appnlisal report. I have named such individual(s) and disclosed the specific tash performed by them in Ihe reconciliation scction of Ihis apPr.lisal rrport, I certify that any individual so named is qualified 10 JlCrform the ta"k\. I ha\'e not authorilcd nn>'one to make a change 10 nny Ilem in the report: Iherefore, if an unauthorized change is madc to the aPJlnlisal report. I will lake no responsiblity for it. SUPERVISORY APPRAISER'S CERTIFICATION: If , su!'<rvi.ory ,ppro;ser .igned the ,pproi.., "port. he or .he certifies and agrees thai: I directly surcrvise Ihe 3J1rtr.liser who prepared the af1praiul report. have revicwed the IJlprai1ll1 report, agree wilh the statements :and conclusions of the ilprraiser. acrec to be bound by Ihe arJlraiscr's certifications numbercd 4 through 7 aOO..,c, and am taking full responsibility for the apPr.lisal and Ihe aJlpraisal report. )(,24 .lnd 3628 Lisburn Road, Mcchanicsburg, Ph 17055 SUPERVISORY APPRAISER (only if "qu;n:dl: Signature: Name: Philip I, Car""ln Dale Si~ned: 22 Apri 1 191)7 Stale Ccrtification-: U^-002641-L or Slate l.icemc-: AII-04233Q-A Slate: Pcnn!iyl v,lnin Expirnlion Dale of Certific;ation or License.3D June Signature: Name: I>ate Signed: State Certification-; or State Licensc-: State: t 9'19 Expiration Dale of Certific;alion or licensc: ODd o ""'No'__" Freddie ~bc Form 439 6.93 PJ,::e 2 of 2 Fannie Mac Form 10040 6-93 rUm. a Wonnt Inc., JIS "'1\itnr, Avmut. New IIt\'a\,CTOMII 11110012''.''''' tI..IlIS1U 1.'#1J0t'1t 11J.IIJ '* COMMONWIAutt 01 P1~NlYlVANIA INHUltANC! tAX aUU.N RIIIDINT DICIOINT ESTATE OF " .... .-.... - ..,.- ..... SCHEDULE F JOINTLY-OWNED PROPERTY Joln'tenant(.I. A. KmKll CLINE 1l/k/1l KmKll A. cr.INE NAME A. Pau1in~ A. Jones B. C. '. Jolntly.awned property. AOORESS 114 N. Locust Point Rd. ~'echllnicsburg, PA 17055 fiLE NUMBER 21-96-0593 RELATIONSHIP TO DECEDENT Daughter ITEM LmER DATE NUMBEI FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECO'S DOLLAR VALUE OF JOINT JOINT OF ASSET % INT. DECEDENT'S INTEREST TENANT 1. A 5/75 Mellon Bank - Checking Account No. 162-107-0398 2,331.62 50% 1,165.81 2. A 2/92 York Federal Savings & Loan Savings Account Ne. 010-181898 Date of death balance, plus accrued interest 4,593.76 50% 2,296.88 TOTAL (AI.o enler on line 6. Recapitulation) S 3,462.69 (If more space ;s neeclecl ;nsort ocldilionalsheels o( somlll' size) '"'Il'l''l''' I " ITEM NUMBER PI.a.. p.lnt a. Ty . UMBER 21-96-0593 ~.~'~ I'!-', -,." -. ~ COMIlolONWIAL'" 0' 'INN~'fIVANIA IN""ITA"-CI tAl I(tUIN IUIDINt DICIDIN' SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES fl. KOOKA CI,tNI, n/k/n KI'X)KfI fl. CI,INE DESCRIPTION A. Funtlal Exp.n.." B. 4. C. 1. 2. 3. 4. 5, 6. 7. 8. 1. Myers Funeral lIanc - funernl expenses Rolling Green - mL,rker inscription 2. Admlnilt.atlv. Ca.ts: 1. Pellanol Represenlative Commission. Social Security Number 01 Pellanal Repr.senlalive: Year Commission. paid 2. Anorn.y Fe.s - Johnson, Duffie, Stewart & Weidner 3. Family Exemption Claimant Virai "ia M. Creasev Relalion.hip Address 01 Claimant 01 decedent's dealh Dauahter Slree' Addre.. 3628 Lisburn Road City Mechanicsbura Slale PA Zip Code 17055 Prabole Fe.s - Register of Wills - Cumberland County Mlscellan.aul Expensel: Cumberland Law JOurnal - advertise letters The Patriot-News Co. - advertise letters Register of Wills - file Inventory & Inheritance Tax Return Mary Ann Prior, Treasurer - School taxes Mary Ann Prior, Treasurer - County real estate taxes Omaha Property & Casualty - flood insurance Kemper Nat1. Ins. Canpanies - Haneowner' s Insurance Reserve for close-out costs TOTAL (Allo .nle. on line 9, Recapilulalion) (II mort "POC' il ne.ded, Insert odditionollheets 01 lam. II...) AMOUNT 4,809.50 108.00 4,000.00 3,500.00 217.00 60.00 71. 20 25.00 658.44 217.00 258.00 265.00 150.00 S 14,339.14 IIV.IIUII'I2I1I _9..,t,~ ~ CQIr,U,tOHWIAUH 0' "HN"IVAH1A IH~lInAHCI'''' IIrUIN IIIIDIH'DIClDIHI SCHEDULE J BENEFICIARIES ESTATE Of A KmKA CI.JNE .,/k/., KI-DKA A. CLINE ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY A. Ta.abl. B.quOIII. I. Richard S. Cline - 1125 E. [,isburn Hmd Mechanicsburg, PA ]7055 2. Pauline A. Jones - 114 N. Locust Point Rd. Mechanicsburg, PA 17055 3. Virginia M. Creasey - 3628 Lisburn Road Mechanicsburg, PA 17055 4. Eugene E. Cline - 3201 N.W. 12th Terrace Gainesville, Florida 32609 5. Darnell L. Cline - 5268 ~Bui Lane Orlando, Florida 32812 6. R. Leon Cline - 523 Cayuga Court Boulder City, Nevada 89006 7. John H. Cline - 3624 Lisburn Road Mechanicsburg, PA 17055 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY B. Charilable and Governmental Bequests: 1. FILE NUMBER 2]-9(i-OS93 RELATIONSHIP AMOUNT OR SHARE OF ESTATE Son One-Seventh Residue Daughter One-Seventh Residue Daughter One-Seventh Residue Son One-Seventh Residue Son One-Seventh Residue Son One-Seventh Residue Son One-Seventh Residue AMOUNT OR SHARE OF ESTATE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Aha onlor on lino 13. Rocopilulation) S (If more .pan II needed, Ins.rt additIonal .h..,. of same size) . . .."..-_..__.....-..._... .'0... -. , e ,;, ~"t;~,.J';~,~~.'",.""i:~.~-l......".O.~,'"'~_.,-..""-. ,'".,~." .-:', ~,' ... ',~ -"',..~,. lAW OFFICES JOHNSON. DUFFIE. STEWART {l WEIDNER 301 MARKET STREET p, O. BOX 109 LEMOYNE. PENNSYLVANIA 17043-0109 02/-t?& ....513 REGISTER OF WILLS OFFICE CUMBERLAND COUNTY COURTHOU~E 1 COURTHOUSE SQUARE CARLISLE PA 17013-3387 17D1~-:.3:.3"t2 02 1,.,111".111,,,,,.11,,11,,,11.,,11.1,1.,,,1.'11,,,,,,""",' ...........,-----"..,~".,..,-.~..'^....,_...~~,.. ", ,'. .~~ ~~...';...- .' .,'"....,.......~ .b-;'f .:-~-:.-_.,,-~ '.J ~ ..' .... ,',. ' . ,. /'" : )- . ..t;. . . 1#' \ , '0" . -t' 'i : .r. '\ . '-\~'. i! :,,\. , ,,, .'" ~ -i '. .'" . ,) _".:. ., ;, ,~' ., , . . ;".;~ "! i i , , , . , . , . 'l i''' ~ . j. \, -. ~,' ~' .:< \ . ".' . ., , ' c"~l ('L..,.._._.______ ", . ..-'. ,.-.' ,. ~._.. ""-'.. ............--. I cr.. ....:;1. ---- .....,.",..... ~- - . .f" ...... '. .-' -~ ~ .-. .- .... ,. ,- .-.-. ..--' -. .' ~. COMMor~W[AI.Tlt or fltrmSYlVAtllA Drf'AftTMHH OF ReVENUE BUAEAU OF INDIVIDUAL TAXES DEPT 260601 HARRISllUHG, flA 17126.0601 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT '*' NO. AA 242228 n'VI162 0'"..'1 1 I I I I ,I 1 I I I 1 j ! I i j~ ~- Jot.OtilHl ; RECEIVED FROM: I ACN ASSESSMENT CONTROL NUMOER AMOUNT JERRY R DUFFIE ESQUIRE I l~. , Ct.' .Qc:;q j:1J.. POBOX LEMOYNE. PA 17043 ESTATE INFORMATION: rilE NUMBER ;:>]-1996-059::1 NAME OF DECEDENT (lASH ---CLINE A KEOKA DATE OF PAYMENT FOlD HERE .. SSN IhB-50-()542 IFIASH IMII _.!lL11/1997 POSTMARK DAlE _'1.J.l 0 11 997 COUNTY ---CUtlBEBLA DATE OF DEATH TOTAL AMOUNT PAID $1,959.86 ; f: i "ir :,11 : '~. \),. {, -(.' RECEIVED BY /11..(i/l< L? 1'0."..1,/ /'bV MARY C. LF)'IS 1-:-";~h'/..{~7J'Y REGISTER OF WILLS f cw REMARKSPAULlNE A JONES (. RICHARD S CLINE C/O SEA~HECK# III JERRY R. lJJ},FIE u ~ _. _ .. ..._ ._~ .__ __ ___. _h __.. __ _._ "'__ 4'_ I ___..,.."...,- - -..~~.... 41-Ptr .?:. 1'5-117.~ BUREAU OF INDIVIDUAL TAXES '''.UllANC[ 'All Dlvl!.lOfirt DlPI. .'IObOI tlA5tAISBU'lG. Pi 1/1i'a-ObOl COHHONWEALTH OF PENNSYLVANIA DEPARTMENT DF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAk DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN JERRY R DUFFIE 301 MARKET ST PO BDX 109 LEMOYNE ESQ PA 17043 12-15-97 CLINE 06-15-96 21 96-0593 CUHBERLAND 101 Allouot R..ut.d \". ''N''~ t;; "9:~~L:0" ,~7t~l~ K . HAKE CHECK PAYABLE AND REHIT PAYHENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YDUR RECORDS ..... R Eii: is'ii - Elf -AFjoui iiF9:fi-iioricr-ciF-YNHEiii T iiifcE- TAX-iipiiiiiii sEifEiir;-AL1-ciiiiiifc E-ifrim- - -- -- -- - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT DF TAX ESTATE OF CLINE A K FILE NO. 21 96-0593 ACN 101 DATE 12-15-97 TAX RETURN WAS, (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I Estete (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held stoc~/P.rtnershjp Int.rest (Schedule CJ 4. Hort;ag../Nota. R.cel~.bl. (Schedule OJ 5. Cash/Sank Deposits/Hi.c. Parlonal Property (Schedule EJ 6. Jointly Owned Property (Schedule F) 7. Transfers (Schadul. G) 8. Total Anats CHANGED III IZl (31 141 (51 161 (71 98.500.00 .00 .00 ,00 5 ,714.12 3,462.69 ,00 181 APPROVED DEDUCTIONS AND EXEHPTIONS: 9. Funeral Expenses/Ad... Costs/Hi.c. Expenses (Schedule H) 10. Dabts/Hortgage Liabilities/Liens CSchedule I) 11. Total Deductions 12. Net Valu. of Tax Return 13. Charitable/Governnent.l B.quests; Non-.lect.d 9113 Trusts CSchedule JI 14. Net Valu. of Est.te Subject to Tax If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of abh returns assessed to date. ASSESSHENT OF TAX: 15. AMount of Lin. 14 16. A.ount of Line 14 17. AMount of Line 14 18. Principal Tax Due NOTE: at Spousal ta.abl. at ta.abl. at rat. Line.I/Cl.ls A rat. Collateral/Cla.1 8 r.t. TAX CREDITS: PAYHENT DATE 09-12-96 09-10-97 RECEIPT NUHBER AA1467Z9 AA24222B DISCOUNT I' I INTEREST/PEN PAID (-I 1B4.21 82.98- · IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 14.339.14 653 .12 Illl UZ) U31 U41 (91 UDl U5l U61 1,71 .00 92 .684.55 .00 X .00= x,06= X .15= U81 ... .h/ll ,,, .:, .,. A HOTE: To insure proper credit to your account, sub.it the upper portion of this forM with your tax pay. ant . 107.676,81 14.99~ n 92.684.55 .00 92.6B4.55 ,00 5.561.07 .00 5.561.07 5,561.09 .02CR .00 .02CR IF TOTAL DUE IS LESS THAN $1. NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRN FOR INSTRUCTIONS. I AHDUNT PAID 3.500.00 1.959.86 I TDTAL TAX CREDIT I BALANCE OF TAX DUE! INTEREST AND PEN. TOTAL DUE RES[AYATIONI E.tata. of dacadant. dvlng on or bafora Oaca.bar 12. 1982 .- If any futura Inta,a.t In tha ..tata 1. tran.flrrad In po.....lon or .nJov.ant to Cia.. B (tollatlrall bln.flclarl.. of the datldant aft.r thl ..plratlon of any I.tata for 11fa or for y.ar.. tha Co..onw..lth harabv ..pr...lv ra.arv.. tha right to appr.111 and ...a.. tr.n.far Inherlt.ncl T._.. at the lawful Cia.. 8 (collatuaU rate on Rnv .uch future Intarut. PURPOSE OF NOTICE: PAYMENT I REfUND (CAli OBJECtiONS I AD"IN ISTAATlVE CORRECTIONS: o ISCDUNT I PtNALTV: INTEREST: To fulfill thl requlra.ant. of Sactlon 21~O of tha Inh.rltanc. and E.t.te 'a. Act, Act 21 of 199~. (12 P.S. Sactlon 91ltO). Oatach thl top portlon of this Notlcl and .ub.1t with your plv.ent to thl R.glstlr of willi prlnt.d on the r.var.. ..d.. --Hak. ch.ck or .0nlV ordar p.Vabla tot REGISTER OF MILLS, AGENT A r.fund of a tl. credit, which wa. not r.qu..t.d on the la. Rlturn, .av ba r.quI.t.d bv co.pl.tlng an "Application for Rafund of Plnn.vlv.nla Inharlt.nc. and E.tat. Ta." CREY-I1Il). Appllc.tlon. .r. avallabl. .t thlOfflca of the Raglstar of Willi. anv 0' thl Z1 R.venua Dhtrlct Offlcu. or bV c.lIlng the .pacl.l Zlt'hour en.w.rlng .arvlc. nuabar. for 'or.. ordering: In Penn.ylvanla 1-800.l62.Z0~O. out.lda Pann.ylvanla and within local H.rrlsburg ana (7171 787'809lt. 100' (117) 17Z-22~2 Ulurlng lap.lnd Onlyl. Any party In Int.rl.t not .atl.flad with thl appral...ant. allowanca or dl.allowanc. of deductions. or ...a...ant of tax (Including dl.count or lntarast) a. .hown on thl. Notlc. IU.t obJ.ct within sl.ty C601 day. 01 r,c.lpt of thlt Notlca by: ..wrltt.n prot..t to the PA O.part.ent 01 R.vanul. loard of App.als, D.pt. Z81021. Harrl.burg. PI. --.llctlon to ha"l thl .attar dat.ralnad at audit of the account of the p.nonal r.pr...nt.tI...., ...ppaal to thl Orphan.' Court. OR 17IZ8.lOZl , OR f.ctual Irror. dlscovlr.d on thl. ........nt .hould b. .ddr....d In writing tOl PA O.part..nt 0' R.".nua, lurlau 0' Individual T..... ATTN: Post "'......nt R.vllw Unit. Dlpt. Z80601. Harrl.burg, PI 17128'0601 Phone (7171 781.6505. 5.. page 5 0' the bookl.t "'n.tructlon. for Inh.rltanc. Tax Raturn for a Ae.ld.nt O.c.d.nt" (AEY'lS01) for an .-planatlon of ad.lnl.tratl".ly corr.ctabl. arror.. If any tax dua I. paid within thra. U) eal.ndar .onth. .ft.r the dlcadent'. d..th. a fI". parunt CS:O discount of the ta. P.ld I. a110w.d. Th. 15~ t.. a~.ty non.partlclp.tlon panalty I, co.putld on thl total 0' the t.. and Int.r..t .......d. and not paid bafor. Januarv la. 19'6, thl flr.t day aft.r thl end of the tax a.n..tv parlod. Thl. non'partlclpatlon p.nalty i. app.alabl. In thl .a.. .annat and In the the .a., t1.. p.riod a. you would app..1 tha ta. and Intarelt that hi' b.en a......d a. Indlcat.d on this notlcl. Intar.st Is chargad baglnnlng with flrlt day of dallnqu.ncy. or nln. C9J .onth. and on. (1) day Iro. the data 0' d..th, to tha date 01 p.y..nt. T...s which baca.. de1lnqu.nt b.for. Januarv 1. 1982 b.ar Int.r.st at the r.ta of .1. (6%1 p.rc.nt par annul calculat.d at a dally rat. 01 .00016~. All ta.a. which b.c..e d.llnqu.nt on and a' tar January I. 1982 will blar Intar..t at a rat. which will vary Ira. calendar v.ar to calln1ar v.ar with that rat. announc.d by the PA Dapart.ant of R.vanua. tha appllcabl' Int.r..t rat.. for 1981 th~ough 1998 .r.: !!!! Int.rllt A"t. D"lly Int.rut rftctor !!!r Int.r..t Ral. Dally Int.r..1 Fftclor 1987 .~ .000l~7 1988-1"1 ln .DOOSol 1991 OX .0001U IIIJ9S-11J9lo ,~ .0001'Z 19lJlj-llJIIJ8 .~ .OOOlU I'll 1981 19810 198\ 198& ulnt.rllt ZU: 16:C 11:< u:< 10:C I, cllculat.d al .000SU .000418 .000SOI .OOOSIi6 .0001llt followS! INTEREST = BALANCE OF TAX UNPAIO X NUnBER OF OAYS OELINQUENT X O~ILY INTEREST FACTOR .'Any Nollc. ISlu.d aft.r the Ie. blCo." d.linquant w111 r.fl.ct an Inl.r..t c.lculatlon to fllt..n (151 dav. b.yond the data of the ........nt. If pay..nl I. .ada aft.r Iha Int.r..' co.putatlon d.ta shOwn on Ih. Notlca, additional Intlrl.t .u.t bl calculat.d. :"'1/-01,"' 'jCf3 l>'- j - STATUS REPORT UNDER RULE 6.12 Name of Decedent: A. KEOKA CLINE a/k/a KEOKA A. CLINE Date of Death: June 15, 1996 Will No. 0593 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of th~ above-captioned estate: 1. State whether administration of the eBtate is complete: Yes No X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: A~ ~oon a~ thp rpal p~tatp can be sold. 3. If the answer to No, 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Cuurt No. (if anYl for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: 7/!C,/fJ7' hJu: cr: "" ", " j , n N .-1 ::0 ., to " P' "' ::; (.)(; Jerry R. Duffie Name (Please type or print) Johnson, Duffie, Stewart & Weidner 301 Market St., P. O. Box 109 Address Lemoyne, PA 17043-0109 (717 ) _761-4540 Tel. tlQ, Capa~ity: Personal Representative X Counsel for personal representative (MAH: rmfl AM3) , . I . IN THE ESTATE OF A. KEOKA CLINE LATE OF LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY. PENNSYLVANIA, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-96-0593 RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that I, the undersigned, being one of the beneficiaries of A. KEOKA CLINE, deceased, entitled to receive a One.Seventh share of the residuary Estate, do hereby acknowledge that I have reviewed the allached Informal First and Final Account of Pauline A. Jones and Richard S. Cline. Co-Executors and further acknowledge that I have received my One-Seventh share of the residuary Estate as follows: Cash In the amount of $8.421.64 I hereby waive the filing of a Formal Account with the Orphans' Court of Cumberland County, and accept and approve the Informal Account as stated with the same force and effect as if it had been duly filed in the Office of the Register of Wills, adjudicated and confirmed absolutely, and the amount paid to me had been duly awarded to me by the Court. I do hereby remise, release, exonerate and discharge the said Pauline A. Jones and Richard S, Cline. both individually and in their capacity as Co- Executors, as well as their heirs and personal representatives, of and from said payment, of and from all further liability of any nature to me, and of and from any and all claims against the Estate and the Co-Executors by reason of their administration of the Estate, including claims of negligence. IN WITNESS WHEREOF. I have hereunto set my hand and seal this ~ay of NOI/e-"'TOE;fi ,1998. f~M--& /' John H. Cline (SEALl llN THE ESTATE OF A. KEOKA CLINE LATE OF LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA. DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-96-0593 RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that I, the undersigned, being one of the beneficiaries of A. KEOKA CLINE. deceased, entitled to receive a One-Seventh share of the residuary Estate, do hereby acknowledge that I have reviewed the attached Informal First and Final Account of Pauline A. Jones and Richard S. Cline. Co-Executors and further acknowledge that I have received my One-Seventh share of the residuary Estate as follows: Cash In the amount of $8.421.63 I hereby waive the filing of a Formal Account with the Orphans' Court of Cumberland County, and accept and approve the Informal Account as stated with the same force and effect as if it had been duly filed in the Office of the Register of Wills, adjudicated and confirmed absolutely. and the amount paid to me had been duly awarded to me by the Court. I do hereby remise, release, exonerate and discharge the said Pauline A. Jones and Richard S. Cline, both Individually and in their capacity as Co- Executors, as well as their heirs and personal representatives. of and from said payment, of and from all further liability of any nature to me, and of and from any and all claims against the Estate and the Co-Executors by reason of their administration of the Estate, including claims of negligence. IN WI~NESS WHEREOF, /]/ iJ {j f, WI D.t /:, 1 998. . I have hereunto set my hand and seal thls.2)\ J day of ,/. . A'. .1 /.;; 1!-;tt:..~./ //t', ( IUd,tEAU Virginia M. Creasey. , STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND : 59: On this, the 2\\ J day of rJd t/ l- '/YI bi r, 1998, before me, the undersigned officer. personally appeared Virginia M. Creasey known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. (SEAL) rf~ lary Public )~/l;(;7 .l 0 I ' y Commission Expires: r r I cI.{ .J 0 NOTARIAL SEAL BETTY K. HOOVEN. NlllIVY P.u1>U9,~. Lomayno Bora, Cumberland COunty M Camro 7 2001 ., IN THE ESTATE OF A. KEOKA CLINE LATE OF LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21.96.0593 RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that I, the undersigned, being one of the beneficiaries of A. KEOKA CLINE, deceased, entilled to receive a One.Seventh share of the residuary Estate, do hereby acknowledge that I have reviewed the atlached Informal First and Final Account of Pauline A. Jones and Richard S, Cline, Co-Executors and further acknowledge that I have received my One-Seventh share of the residuary Estate as follows: Cash In the amount of $8.421.63 I hereby waive the filing of a Formal Account with the Orphans' Court of Cumberland County, and accept and approve the Informal Account as stated with the same force and effect as if it had been duly filed in the Office of the Register of Wills, adjudicated and confirmed absolutely. and the amount paid to me had been duly awarded to me by the Court. I do hereby remise, release, exonerate and discharge the said Pauline A. Jones and Richard S. Cline, both individually and in their capacity as Co. Executors. as well as their heirs and personal representatives. of and from said payment, of and from all further liability of any nature to me, and of and from any and all claims against the Estate and the Co-Executors by reason of their administration of the Estate, including claims of negligence. /f' IN WITNESS WHEREOF, I have hereunto set my hand and seal this .;(oul day of (Jrrtb/<t.u , 1998. ,;,c!u i,t<- {((~".t---- (SEAL) Pauline A. Jones ,'l' , . ( . STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND : 55: On this, the ,;! \a ~~ay of ~~.Jl^- , 1998, before me, the undersigned officer, personally appeared Pauline A. Jones known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. (SEAL) s=u~ ,,,..~ Notary PUb!' ' My Commission Expires: .--.. _... .- - ._/ NOlAfUAL SltiL DIANNE lENIG, Nolary Puhlir. lcmoync BorouOh ClJmbr,rl~l1j Cn ; My Commission bpilC5 Dee, 21, 200 I IN THE ESTATE OF A, KEOKA CLINE LATE OF LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO, 21.96-0593 RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that I, the undersigned, being one of the beneficiaries of A. KEOKA CLINE, deceased, entllled to receive a One-Seventh share of the residuary Estate, do hereby acknowledge that I have reviewed the attached Informal First and Final Account of Pauline A. Jones and Richard S. Cline, Co-Executors and further acknowledge that I have received my One-Seventh share of the residuary Estate as follows: Cash In the amount of 58.421.63 I hereby waive the filing of a Formal Account with the Orphans' Court of Cumberland County, and accept and approve the Informal Account as stated with the same force and effect as if it had been duly filed in the Office of the Register of Wills, adjudicated and confirmed absolutely, and the amount paid to me had been duly awarded to me by the Court. I do hereby remise, release, exonerate and discharge the said Pauline A. Jones and Richard S. Cline, both individually and in their capacity as Co- Executors, as well as their heirs and personal representatives, of and from said payment, of and from all further liability of any nature to me. and of and from any and all claims against the Estate and the Co-Executors by reason of their administration of the Estate, including claims of negligence. f IN (1T WITNESS WHEREOF, I have hereunto set my hand and seal this'::!1L. day of ,1998. {)~14 ~ Richard S. Cline {SEALl I ., , . - .. .-----....-....--- ,"- . .... . IN THE ESTATE OF A. K~OKA CLINE LATE OF LOWER ,'~LLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21.96-0593 RECEIPT AND REU:JI~:; KNOW ALL MEN BY THESE PRESENTS, that I, the undersigned, being one of the beneficiaries of A. KEOKA CLINE, deceased, entitled to receive a One-5eventh share of the residuary Estate, do hereby acknowledge that I have revielllf:cl the aliddled lnfu:.-"..' First antJ Fine'l Account of Paulire A. Jones and Richard S. Cline, Co-Executors and further acknowledge that I have received my One-5eventh share of the residuary Estate as follows: Cash In the amount of $8.421.63 I hereby waive the filing of a Formal Account with the Orphans' Court of Cumberland County, and accept and approve the Informal Account as stated with the same force and effect as if It had been duly filed In the Office of the Register of Wills. adjudicated and confirmed absolutely, and the amount paletta m~' had been duly awarded to me by the Court. I do hereby remise, release, exonerate and discharge the said Pauline A. Jones and Richard S. Cline, both Individually and In their capacity as Co- Executors, as well as their heirs and personal representatives, of and from said payment, of and from all further liability of any nature to me, and of and from any and all claims against the Estate and the Co-Executors by reason of their administration of the Estate, Including claims of negligence. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of \J1')1 ~ '0.._ ,1998, ~~~P~. Eugene E. Cline -I=" l tl L.. ~ C 4 'So ~ t> 5 :2. I '34 '). (SEAL) ..... IN THE ESTATE OF A. KEOKA CLINE LATE OF LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-96.0593 RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS. that I. the undersigned, being one of the beneficiaries of A. KEOKA CLINE, deceased, entilled to receive a One-Seventh share of the residuary Estate, do hereby acknowledge that I have reviewed the allached Informal First and Final Account of Pauline A. Jones and Richard S. Cline, Co-Executors and further acknowledge that I have received my One-Seventh share of the residuary Estate as follows: Cash In the amount of $8,421.63 I hereby waive the filing of a Formal Account with the Orphans' Court of Cumberland County, and accept and approve the Informal Account as stated with the same force and effect as if it had been duly filed in the Office of the Register of Wills, adjudicated and confirmed absolutely, and the amount paid to me had been duly awarded to me by the Court. I do hereby remise, release. exonerate and discharge the said Pauline A. Jones and Richard S, Cline, both individually and in their capacity as Co- Executors, as well as their heirs and personal representatives, of and from said payment, of and from all further liability of any nature to me, and of and from any and all claims against the Estate and the Co-Executors by reason of their administration of the Estate, including claims of negligence. IN WITNESS WHEREOF. I have hereunto set my hand and seal this ~ day of (\('N . , 1998, QtUA!kilP rGJJ;,~, ASEALl Darnell L. Cline ('n,ln :'i ()ri5'ld NAKE or NOTARY PUBLIC PER'ONALLY KNOWN PRODUCED I.D.~~ TYPE or 1.0. ('4C-P1/;:;O-\0~3C .p ^ .:A 117:) /eLl .. ,.. IN THE ESTATE OF A. KEOKA CLINE LATE OF LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21.96.0593 RECEIPT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that I, the undersigned, being one of the beneficiaries of A. KEOKA CLINE, deceased, entilled to receive a One-Seventh share of the residuary Estate, do hereby acknowledge that I have reviewed the attached Informal First and Final Account of Pauline A. Jones and Richard S. Cline, Co-Executors and further acknowledge that I have received my One-Seventh share of the residuary Estate as follows: Cash In the amount of 58.421.63 I hereby waive the filing of a Formal Account with the Orphans' Court of Cumberland County, and accept and approve the Informal Account as stated with the same force and effect as If it had been duly filed in the Office of the Register of Wills. adjudicated and confirmed absolutely, and the amount paid to me had been duly awarded to me by the Court, I do hereby remise, release, exonerate and discharge the said Pauline A. Jones and Richard S. Cline, both Individually and in their capacity as Co- Executors, as well as their heirs and personal representatives, of and from said payment, of and from all further liability of any nature to me, and of and from any and all claims against the Estate and the Co-Executors by reason of their administration of the Estate, including claims of negligence. IN WITNESS WHEREOF, ~O~, '~A.J ,1998. I have hereunto set my hand and seal this ~ day of ? &a -If ~c--rl) LV. (SEALl R. L:eon Cline