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HomeMy WebLinkAbout96-00658 PETITION ,,'OR PRonATE and GRANT 01<' l.ETTERS d-./- [I ~ -in 51 Nu. To: Estalr of _ElUTIU':---JiI';I,SON aim klloWII as Reghter uf Wills for the D"t'eas,'t!. Cuuntyof CUlIllll'rland in Ihe Social S"t"lfiIY No. 172-01-2)) I Commonweallh of Pennsylvania The pelilion of Ihe undersigned re'peclfully repre'enls that: Your peliliouer(,t), who islJr): IS year, uf age or older ,mthe e.\CcutnI:-- in Ihe lasl will of thc above decedel1l, dated ~~!.r and eodicil(s) dated AU!\UHt 8, 199?_ named ,19B- (\lalC' felt\'anl ~ir'IlIO\lan~I.'\. !::.ll. rc:nundallOI1, dtalh of (\t\:ulor. (Ie.) Decedent '''IS domicikd at death in _-ClImb.lU:.l.aud County, Pennsylvania, with h iH . last family or principal residence al Chorch uf God Home 801 N Hanover Street CarlisI", \'"nna :lorD of Carl1Hle Iii..' ..lrI't.t. 1IIJI1\11l'f. '1'",(1. Hr Bllrn,J Deeedent.llll'n 84 yea:', of a~e, died AuguHt II.. ,1996 at Cumberland County . Except as follows, decedent did nOlmarry. was not divorced and did not have a child born or adopted after execution of the will offered for probate; was notlhe victim of a ~i"ing and was never adjudicated incompetem: Decedenl al dealh owned properlY ";th eSlimated values as follows: !If domiciled in Pa.) All personal properlY (If not domiciled in Pa.) Personal properlY in Pennsylvania (If not domiciled in Pa.) Personal properlY in Coumy Value of real est ale in Pennsylvania situated as follows: $1.100.000.00 $ $ S N/A WHEREFORE, petitioner!s) respectfully requesl(s) Ihe probate of the last will and codieil!s) presented herewith and the granl of letters TeHtamentary (tc\tamcnI3r)': 3dminim~ltion c.I.a.; administration d.b.n.c.t.a.) theron. i v C " ..,- '0 -= 0:" C ..,0 c'= ~.- ~J: 'tr~ ;0 11 .. Vi Dauphi~}. osH Ba~k t:l. :~7t Company ~tn'U't7;/ /M~ Senior Vice-President - Trust fficer P.O. Ilox 190 Carlisle PA 17013 Attn: financial ~erV1CCR OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } as COUNTY 010' Ctlmoer1iHl;!, /:i;,'j-.{ The petitioner(s) above-name1 ,wcarts) or affirm(s) thai the statements in the foregoing petition arc Irue and correct to the be~l of the knc.wledge and belief of petilioner!s) and that as personal represen- lative!s) of the above deccder.1 p~ti\io.,cr(s) will well and Iruly administer the estate according to law. Sworn to or affirllll:.d and ~ub';:ribed { pauphi~eposit.,-!!,-1nJY.;I1)~,Trust Cotp,l'any before me this LU ~L\)' of ; Pftr..~..IJ 7J ~t.,.... ~. ^ll<jUSt, . i:9~ Senior Vice-I'renident and !? 1/-1)' (t. l . ~{l' ..,' .', ..... I...... t'... I I Trust Officer ~ Maxy C. '_ewis Rt!RIJ(f.." ! :E: I I , , I I , I I No. 21-96-658 EslDle of FIlIl'? C. NELSON , Deceased DECREE OF PROBATE AND GRANT OF tElTERS AND NOW AUClUst 22, 19~, In consideration or the pelilion on Ihe reverse side hereof, sot is factory proof having been presented before me, IT IS DECREED Ihatlhe InslrUmenl(S) dated .1111 y Q. I QQ? and AIIQUst B. 1992 described therein be admitted 10 probale and filed of record lIS the last will of Fritz C. Nelson and Lellers Testamentarv lire hereby granted 10 Dauphin Deposit Bank and Trust Compauy FEES P b L E S 865.00 ro ate, ellers, te.......... Shorl CertifiealeS! 3) .. . .. . . '" S 9.00 Renunciation................ S Codicil (2) S 10.50 X-Pages (13) 45 00 JCP TOTAL _ S . Flied .... August .22.1996........ .~:?? $934.50 .j OOSWEl.:L, SNmER TlNINER & PICXX>LI\ Lam Snvder.EAtn'\re A lTORNEY (Sup. Ct. 1.0. No.) 315 ~ Froot Street Harrisburq. PA 17108-o74~ ADDRESS (717) 236-9377 PHONE II 'n .1 :..~ _ .f,.4 .- ,.~ "': L'- CJ . 'oj .-" [.!:'I . ~',-: , ';1 If) f,j':': ,.. CC PI ~:J 00 Called Dauphin Deposit Bank and Trust Canpan~.Sr. Vi.ce-President_Trust Officer on 8-23-96. '. .. \ hI', I I 'I I " I I I, <II, \,,11 1,ll',1 \\111, 1I1l',I' Thi,,, lll~tllll) Ih,1! tl1I11I1'lllll.1ll.'1I )l'll t~l\t'P I, ,.!!'t,l, ,. I'" . 1,0111 '11,1111'111' 11'11,1"" I 'J I'. ' " LOloII Hl't:I'cr.tr Till 1111~:1l1,11 Illlllrl ,lIt \\ dll\, I, >I" I! I,.! ". I ill '" III \ II ,Ill\, ";1,\.,1111.,. 1"1 1'1 I II 1.11 H lit Idllll'. WARNING: Ills IlIcgnllo dupHCllll! Ihl. copy bV photostllt or photogrnph. No , ,,'(~\iiiOi);ft~ ',/:. /_~~"'!lI\'" :~"'.~' till' :. . \~~ Ii U Ii: 1 ~\ , :;. ~"A' '~'; ;~. "-:!Iiijiil ~\ ~~"? ~.I''''~' ~ a~7~,,~~,~~'1.1J2(r 1"4.('1111 tI." tlllllh,'l'. ~.'\I!I .', I' 1 "J C' r\ l' 0,) l. I..) /t) J AU:) I 6 1J9G 1>,IIt: I COMMONWEALTH OF PENNSYlVANIA' OEPARTMENT OF HEALTH' VITAL RECOROS CERTIFICATE OF DEATH ,.,..,. Of DlCUIIHT ".. WoO;M ~_ . Fritz C. Nelson AGl,.....,,-., t.INDt""UI'I UNDlfl'DoW ..... 0.,. Holn I ......-. 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P\ACtOllItUVA'...._ """ .,....,1"'*',_. -.... _ I~..l ... . .1'flOI\tDII1"'C""OAHOcunln'INQ'"'IIQ.UII""'_b6I...~....,.o.I~..""..."IG._"....~ fII.........'.,............_III..... ........... ....."........... ....'tMMt.l..... __'N_" I r! 7~UNaJJ ,....0 uaHSlHUUel" IWI~p.~~"1 0'" MD-oH. -s'>- L- 1!~(r>I'I~ H.UIIl AHCtAODNSSO# PlJlSOftwttC COtW\rtlOCAlSII Of Ot:A" ,....,"n',pe.".,. UI,U.I",^", .t. 1l",^vF'~*"" P.o, ~O~ 2'" l<<.,. IJSOIIL€ -I/l, 11 o ....DlCAL IUMlNlfllCOAONlfl """'" ...........,..,"'" tI\6'. 1M.1ll1.........,."',"""*'. ...ttl KC""'''4 Itlu.. ",".11I..., ""plKI. .........,l'It uuMillaN a'.~...."...................,...................................."...............,...........,.......,..... "'GIllAM SIlQHAILIN AHDHUU." 6'liLottLLJ 6 21-96-658 nn v.i ::IJ c iF." :o~ ~1 ., Ch :.:. .-:1 .... ~, '"" ,:', C'1 <.:::I N 0 .' :',1 . .- t.J Ch" (, ....J. b~ );o~ U1 LAST WILL AND TESTAMENT OF FRITZ C. NELSON I, FRITZ C. NELSON, of the Borough of camp Hill, county of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind and memory, and not acting under undue influence of any person whomsoever, do make, publish and declare this instrument to be my Last Will and Testament, in manner and form following: PRIOR WILLS FIRST: testamentary made by me. I hereby expressly revoke all Wills, Codicils and writings of whatsoever kind and nature heretofore DEBTS AND EXPENSES SECOND: I hereby direct my Executor, hereinafter named, to pay all my just debts, expenses of administration and funeral expenses out of my estate as soon as is practicable after my decease. TAXES THIRD: I direct that all estate, inheritance, transfer, legacy or succession taxes, or death duties, which may be assessed or imposed of, wheresoever situate, whether or not passing under this my Last Will and Testament, including the taxable value of all policies of insurance on my life and all transfers, powers, rights or interests includible in my estate for the purpose of such taxes and duties, shall be paid out of my general estate as an expense of administration, and without apportionment, and shall not be prorated or charged against any of the gifts in this Will or against any property not passing under this Will. In the absolute discretion of my Executor, hereinafter named, it may pay such taxes immediately or may postpone the payment of the taxes on future or remainder interests until the time possession accrues to the beneficiary or made, shall be added to any amount then remaining in the Unified credit Shelter Trust, established hereinafter, and distributed under the terms and provisions of this Will as though my said wife predeceased me. (b) unified credit Shelter Trust - (i) Any and all assets remaining after the Marital Deduction Trust outlined in subparagraph (l)(a) of Article FOURTH above shall be held in this, the Unified credit Shelter Trust. All of the income from said Trust shall be made available to my wife to be used as she may wish. The principal of said Trust shall be held for the benefit of the beneficiaries as provided in subparagraph (2) below. However, my wife shall have the following limited powers to invade the principal. specifically, she may invade the Trust principal for her maintenance, education, support and health care. (2) predeceased spouse. Should my wife predecease me, or not survive me by thirty (30) days, or survive me and subsequently die, then and in that event, my estate shall be distributed, IN TRUST, as set forth below: (a) This Trust shall be known as the FRITZ C. and BELLE F. NELSON Endowment Fund. (b) The following shall receive life estate income interests: (i) To my brother, Floyd Nelson, of Kane, pennsylvania, monthly income of two hundred-fifty dollars or an amount -4- every agreement with respect to the property included in any trust created in this Will, which they could if they were the absolute owners thereof, without being limited in any way by the specific grants of power hereinafter made. (2) To retain for such time as in their judgment may seem advisable all or any part of my property as assets which at any time shall constitute a part of the trusts herein provided for, (3) To sell or exchange, either privately or at public sale and without prior approval of any court, at such time or times and at such price or prices, and on such terms and conditions as the Trustee may consider advisable, all or any part of the trust property, real, personal or mixed, and to execute, verify, acknowledge and deliver all deeds, bills of sale, or other documents which may be necessary or proper in the exercise of such powers without liability on the purchaser or purchasers to look to the application of the purchase price. (4) To manage any real property held by them in such manner as they may determine, including authority to alter, repair, maintain or improve such property as hereinafter set forth, to mortgage such property on such amount, on such conditions and at such rates of interest as they shall deem advisable; to abandon such property, to adjust boundaries, to erect or demolish buildings thereon, to convert for a different use, to dedicate for public use without compensation, to grant easements and rights-of-way, to waive payment for property taken by right of eminent domain and to claim and negotiate for payment for property, to enter into party-wall contracts, to protect out of the general funds of the trusts herein created, to insure or perfect title, and to charge the cost of any action taken with regard to any such property to principal or income as they may determine. To make all ordinary repairs, alterations or improvements against the principal of the trust herein created of which the property being repaired, altered or improved forms a part. (5) To lease any real estate subject to the trust herein created for such term or terms, and for such rental or rentals and under such covenants and agreements as may, in the discretion of the Trustee, be considered for the best interest of the trust estates. The Trustee shall recognize existing leases, but still have the power to agree to modification of, or amendment to, the terms of existing leases or to extensions or renewal thereof. -8- The Trustee shall have the authority to acquire by purchase, gift or otherwise, and to resell, receive, hold, manage and control real estate and other interest therein, subject to the Trusts, and do all things necessary or proper in the performance of such functions. (6) To invest, and from time to time to reinvest, to acquire and to retain temporarily or permanently the trust estates received or held by them in cash or in kind of real or personal property, foreign or domestic, including by way of illustration, but not by way of limitation, common or preferred stocks, investment trusts, mutual funds, common trust funds, voting trust certificates, bonds, mortgages, debentures, notes, unsecured obligations, wasting assets, or investments which are unproductive, overproductive or underproductive as in their discretion they may deem advisable, and without regard as to the proportion that any such investment may bear to the total trust funds or the relation it may bear to the type or character of other investments in the trust estates, or to the effect such investments may have upon the diversification of the investments in the trust estates and they shall not be restricted in their choice or investments to such investments as are permissible for fiduciaries under any present or future applicable law, it being my intention to give my Trustee power to act in such manner as they will believe to be for the best interest of the trust created herein. I hereby direct that my Trustee may, in addition to all the powers of investment herein given, maintain in my trust estate securities of the corporate fiduciary in any amount which the said Trustee within their discretion deem proper. (7) To pay income tax on gains from the sale or other conversion of capital assets out of the proceeds thereof. (B) To amortize, accelerate payment of, reduce, extend, modify, settle or liquidate any lien, encumbrance, mortgage or other charge against any real estate or other property which may be subject to these trusts. The Trustee shall specifically keep and perform all of the covenants, terms and conditions of any existing mortgage or mortgages upon said real estate, on the part of the mortgagor required to be kept and performed and shall have full power and authority, with the consent of the mortgagee or mortgagees, to refund, replace, extend or otherwise amend the same, and to anticipate and accelerate any periodical payments therein required. -9- (9) To subscribe for stock allotments and exercise all rights and privileges pertaining to securities which are available to the owner thereof. (10) To receive or make distribution of any trust herein created, either in money or in kind, or partly in money and partly in kind. The judgment of the Trustee as to what shall constitute an equitable distribution or apportionment shall be binding and conclusive upon the beneficiaries hereof. Nothing herein contained, however, shall empower the Trustees to make distribution before the time or times specified herein. (11) claim or trusts. To pay, collect, compromise, sue for or contest any other matter, directly or indirectly affecting the (12) To use income and/or principal to maintain in force any policies of life insurance which I may own on the life or lives of other persons or to receive in gift or purchase or maintain previously existing insurance or annuity contracts for the benefit of any beneficiary, primary or contingent, if the Trustees determine that the best interest of my family would be served by purchasing said contracts or by continuing such insurance in force, and to exercise all the powers given to the owner of such policies. (13) To employ counsel, auditors, accountants, appraisers, engineers, and other persons, professional or otherwise, as may be necessary for the proper administration of the trusts, and to pay their compensation from trust funds. (14) To borrow money and security therefore, to execute bonds and mortgages containing warrants of attorney, to confess judgment and to pledge personal property. (15) To incorporate any unincorporated business recei ved from my estate. (16) To carryon and conduct any business enterprise in which I may be engaged at my death. (17) As to each trust created herein, to exercise all the powers granted and all the duties imposed herein until such time after the termination of that trust as the property included in that trust has been fully distributed, and to do all other acts -10- I I , ! i . which in its judgment may be necessary or appropriate for the proper or advantageous management, investment or disposition of any property included in any trust created herein. EXECUTOR POWERS NINTH: I hereby give unto my Executor, hereinbefore named, and to my Trustee, hereinbefore named, the fullest power and authority in all matters or questions pertaining to the administration of my estate and trust, executing the provisions of this my Last Will and Testament, including, but not by way of limitation, the power and authority to determine all doubtful questions which may arise in the construction of this my Last Will and Testament, and the trust hereunder; I further hereby authorize and empower my Executor, pending settlement of my estate, to sell, convey, mortgage, lease, exchange, encumber or otherwise dispose of any and all of the property, real, personal or mixed at any time belonging to my estate, either at public or private sale, without prior approval of any court, and at such times and for such price or prices and in any such case upon such terms as it may deem to be best in its discretion, and I authorize and empower my said Executor to execute, aCknowledge and deliver to the purChasers, grantees, mortgagees, vendees, assignees or other persons, such contracts, deeds, mortgages, bills of sale, and all other instruments of writing necessary or proper without obligation upon the latter to see to the proper application of the proceeds. It shall also have the power to compromise or otherwise settle or adjust any and all claims, charges, debts and demands whatsoever against, or in favor of my estate as fUlly as I could do if living. It shall further be empowered to carrYon and conduct any business enterprise which I may be engaged in at my death, to retain any assets, including stOcks or securities which I may own at the time of my death, pending settlement of my estate, without regard as to whether or not such assets or securities are legal investments for fiduciar- ies, and may make distribution in kind to my Trustee. Pending settlement of my estate, it shall also have the authority in its discretion to convert, sell, exchange or dispose of such assets and securities either for cash or for terms satisfactory to them and to acquire other assets without limitation to securities or investments as may be declared legal for investment of trust funds. It shall further be empowered to borrow money, and to pledge assets of my estate as security therefor, for the purpose of paying taxes which may be levied upon or payable by my estate -11- in accordance with this Will and in the event that funds in the hands of my Executor, shall be insufficient to pay such taxes, and if, in the opinion of my Executor, it appears that conversion of securities and other assets, real and personal, would then be made at a sacrifice. Should my wife, BELLE F. NELSON survive me, my Executor shall be authorized, in its sole, exclusive and unrestricted discretion, to determine whether to elect Section 2056(b)(7) of the Internal Revenue Code of 1986, as amended, or any corresponding provision of state law, to qualify all or a specific portion of the trust created in Article FOURTH, paragraph l(a) of this Will for the federal estate tax marital deduction and any marital deduction available under law of the applicable state. I suggest, but do not direct, that in exercising such discretion, my Executor attempt to minimize or eliminate the federal and state taxes payable by my estate at the time of my death. However, my Executor should also consider the effect of its election upon the taxes payable by my wife's estate at her death. The decision of my Executor shall be final and conclusive upon all persons whose interests in my estate are directly or indirectly affected hereby. SIMULTANEOUS DEATH TENTH: Any person, other than my wife, who shall have died within thirty (30) days of my death, shall be deemed to have predeceased me. If my wife and I die simultaneously, or under such circumstances that the order of our deaths cannot be established by proof, my wife shall be deemed to have survived me. In any case, if my wife and I have established identical trusts, such trusts may be merged, combined and administered as one. Any person (other than myself) who shall have died at the same time as any then recipient of income or in a common disaster with such beneficiary, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased such beneficiary. SPENDTHRIFT PROVISION ELEVENTH: The rights, titles, benefits, interests and estates of any beneficiary hereunder, including beneficiaries under the trusts herein created shall not be subject to the -12- ri9h~s or claims of his or her creditors nor subject nor liable to any process of law or court, and all of the income, principal or other benefits from or under any trust herein created, shall be payable, and deliverable only, wholly, exclusively and person- ally to the designated beneficiaries hereunder at the time the designated beneficiaries are entitled to take the same under the terms of this instrument. IN WITNESS WHEREOF, I have hereunto set my hand and seal this q~ day of JUly, 1992. ~~~ FR C. NELSON SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, FRITZ C. NELSON, as and for his Last Will and Testament, consisting of fourteen (14) pages, in the presence of us, who at his request, in his presence and in the presence of each other, all being present at the same time, have hereunto set our nds as tn es: /%~( (/4:/ ~,4: ..- / ....;0. Ll'#h ,. Nal 1-i:"rC., /~ Address ... , -13- o.~ t.'l.:-:: ~::':: 'I" . !? '.~I \1 \~ OJ'l \.. "I'. l~' 6.;-'1 . " d,p u .u IDa: a: \0 ~ N tr.: ,~~ )("1, ;) t. ,', J ~ ~ " 0' ..f .!Po::J UU :s ~ @ ~ Ii: oll z J' ~ i tn 0 ~ ~ tn ~.. ~ Ie) :n~ ~ '-9 , .! ~ . Ii fz< . '--9 l:in~J 0 u 0- ~u~ ~ N I Eo< - II) ~ H "6 r ,Eo< ~ tn ~ 2 ~ " '- ~ . I - ; FIRST CODICIL TO LAST WILL AND TESTAMENT OF FRITZ C. NELSON BOSWELL, SNYDER, TINTNER & PICCOLA COUNSELORS AT LAW III NOkTIe FROm SnEEr P.O. !\Ox 741 HARlISBURG. M 17108.0741 .- r COMMONWEALTH OF PENNSYLVANIA: SS: COUNTY OF CUMBERLAND: We, Fritz C. Nelson, the Testator, , and , the witnesses, whose names are signed to the attached foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed, sealed, published, acknowledged, and declared the instrument as his First Codicil to his Last Will and Testament; and that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; and that each of the witnesses in the joint presence of each other and in the presence and hearing of the Testator, signed the instrument as witness to his First Codicil to his Last Will and Testament; and that to the best of their knowledge the Testator was at the time eighteen years of age or older, was of sound and disposing mind, memory and understanding, and was under no constraint or undue influence. /,1' ) ;-'," , ~/;! {. t{\~/ (' ;;I}>-. FRITZ C. NELSON, Testator ,~q~ ~~ Witness Subscribed, sworn to and acknowledged before me, the undersigned officer, by FRITZ C. NELSON, Testator, and subscribed and sworn to before me by Donn L. Snyder and Mark R. parthemer , witnesses, in the presence of each other, this 8th day of Auqust , 1992. L~ rJ.. C O~J'- Notary u llc , rWI"I;,.i: ':;:.! SARAH L.ifli',; ~:d' ~'1~-'~i PI.Y~ My C'~",'~~:;n i Ir ~'I L'~: i.~. :334 ftarr'~r"rt P~" (;3';'" '1 ':OV11 J '. . ~ IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ,PENNSYLVANIA ORPHANS' COURT DIVISION No. 1996'{)()658 FRITZ C. NELSON i I . ,1 ., ~ERTIFICATION OF NOTICE UNDER RULE 5.6(0) Name of Decedent: FRITZ C. NELSON Date of Death: AUGUST 14, 1996 " Admin No. 1996-00658 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 August 25, 1996: Name Address Dauphin Deposit Bank and Trust Company, Trust of Fritz C, Nelson Trust 8 West High Street Carlisle, PA 17013 Notice has now been given to all persons entitled January 9, 1997 Signature Name Address D N NY. Post Office Box 741 Harrisburg, PA 17108.{)741 Telephone (717) 236-9377 Counsel for personal representative ~?f;:;iE/-r;4 :-i1 t?'" .~~ ? !!i j7~P'~17 7~17 'o:JJ1ou 941 41!M pupoFJU! !WM lUOWlllP.15 plP.S In Ad, 'UI>! 1(1 J, .If '/,In!:)!JOURQ 'JOllpH10 0;0 OIlH~O mil Ut lC:;OJ01Ul un IIlI . .'1I 01 10~IUnOOOp. alii 01 UMClU'1 uosmd J0410 Aw"" , , .;:1Il11~,:J p,gdun AJtMB 01 UHMU Uf};.JQ SU4 'UO!lnt;!Jls!o 1:-: .. " 'f"tmU?lS P!e~ 01 -3uoll:I,,14U U;ll1PM ill!) 01 ^~p t~':l d'Jlt't~J':IJUOO JOIUnu:> -HI! m p'l;l,'t'_';JJ{J oq III'^ 'J'll'.. . ~;';~~ pue uUJlI'~HI1r i)ljl ;'1\'.);' ""I:JlqUH;IO p,j~.,,; .. ;.'is S!L11 ,0 bU!1!I iJ41 JO -}:lll,JU UdU~~"^ 1041 ^J!lJuJ "'i.I' t'; .;;. _ f-4 <Il ~ I<< ~ Z 0 f-4 0 0 <Il ~11lf-4 ~ "'tn ~ r;l osl2 Pl~~z", Z ulaO ~g; . U H<Il O~O'" UI:I <:IlHI1l :ZOU H\O 111 U::>H o 0000 o:>C>: N<Il :;J<Il~~ ~!;S~J, 0 ~~ ~~ ZlaC>:H o HO\ !::l:l H HU U ~I:I;;: <IlU ~U1(/)H ~B 1<<1:1 OHI<< I<<11l:>~ ~"'1:I11l O~>l 0 lhffi 1:1 E-4 0000 " 111 "'OoQ gUffiUZ Z>' !;! f-4 ~~ <Il f-4 c>: U '" ~~ <Il H 111 I<< I:IU ~ ,;?, 't~ .. ~- .:,. ~ :- r .' ~ Ow ,fa ' 'IJOII~. '1111,"01 IJDO/~ PO.o. Oil u' /J fJotu Dp "aIel 01/1/ ?oo JIJIiOo tOl11l91 IIIIAI 91/1.IP J.st lJflO~~~IJ::O"P'O:1~Oo .111 b6-'~IS9; UI 'a._.~ .. .. "* ... .. ,-----..~_._._~- o Dauphin Deposit Bank and Trust C6mpa1y . '" n, " ',.1, " '9~ Jf''' "./... '1 '} .It L. '....J l;L: !:l;IT. .\ ,. 2 r: "'i) _./ .i: ~: ? ,- ~ .^ .- ~:: ~:~ -'-. ~~ '" A I j " , I' . .. :1 ~ . .- ., PRINCIPAL Receipts: Per Inventory riled This Account Page 1. 309,092.06 10,986.13 3 3 1,235.60 4-5 Net Gain (or Loss) on Sales or Other Disposition/Principal Less Disbursements: Debts of Decedent runeral Expenses Administration Expenses rederal/State Taxes rees & Commissions ramily Exemption Balance before Distributions Distributions to Beneficiaries 7,422.74 10,055.00 2,176.93 9,656.65 58,227.30 0.00 ------------- 1,32I,313.79 6 6 6-7 7 7 87,538.62 -------------------------- 1,233,775.17 0.00 Principal Balance on Hand 1,233,775.17 8 ------------- ror Information: Investments Made 9 Changes in Investment Holdings 9 INCOME Receipts: Per Prior Account riled This Account Net Gain (or Loss) on Sales or Other Disposition/Income Less Disbursements Balance Before Distribution Distributions to Beneficiaries Income Balance on Hand ror Information: Investments Made Changes in Investment Holdings 0.00 141,939.26 10-15 0.00 ------------- 141,939.26 12,309.45 16-17 ------------- 129,629.81 0.00 ------------- 129,629.81 18 Combined Balance on Hand 1,363,404.98 2 ..---.-------- nlSIlOI\:.JEMENTS or I'IHNCIl'flI. Debts of necedent: 1996-08-21 Emerald Drug Store - Prescriptions Expense 72!.>. .16 1996-10-01 Chorch of God lJome - Convalescont flame Expense 6,691.28 ------------- Funeral Expenses: 1996-09-05 Myers-Ilarner Funeral Home Inc. - Funeral Expense 1,181.00 1996-11-15 Rolling Green Cemetery Co. - Companion Marker and Memorial Base 2,B14.00 ------------- Administration Expenses: 1996-08-21 Cumberland County Register of Wills - Probate Fees 814.00 1996-0B-21 Cumberland County Register of Wills - Cost of Filing Additional Pages to Will 60.50 1996-08-21 Doris Sarber - Family Travel Expense 50.00 1996-08-26 Cumberland Law Joornal - Cost of Advertising and Proof of publication 60.00 1996-09-23 The Patriot News Co. - Cost of Advertisement and Proof of publication 119.98 1991-01-06 Internal Revenoe Service - 1996 Fiduciary Income Tax 203.00 1991-01-06 PA Department of Revenue - 1996 Fiduciary Income Tax 35.00 1991-05-14 Comber land Coonty Register of Wills - Cost of Filing PA Inheritance Tax and Inventory 31. 00 1991-06-11 Bowell, Snyder, Tinter & Pie cola - postage Expense 1998-01-13 Internal Revenue Service - 1996 Fiduciary Income Tax 6 1,422.14 10,055.00 8.45 63.00 . ...>,.~ ....""''''-'-,..:.~.: :.. 1998-01-13 FA Dopartmont of Ravonuo - 1996 Fiduciary 1ncomu Tax 1998-06-19 Cumberland County I\egistor of Wills - Cost of One Short Certificate Reserve: Reserye for Filing Account Federal and State Taxes: 1997-12-08 Cumberland County Register of Wills - PA Inheritance Tax Payment 1998-02-04 Cumberland County Register of Wills - Balance due on PA Inheritance Tax Fees and Commissions: 1997-06-17 Donn L. snyder, Esquire - 1/2 of Attorney's Fee Reserved to pay: ---------------- Donn L, Snyder, Esquire - Attorney's Fee $20,000.00 Less Payment 06/17/97 10,000.00 ----------- Dauphin Deposit Bank and Trust Co. - Execotor's Fee 9.00 3.00 600.00 ------------- 9,599.75 56.90 ------------- 10,000.00 10,000.00 38,227.30 ------------- Total Disbursements of Principal 7 2,176.93 9,656.65 58,227,30 ------------- 87,538.62 -=1:I1llI=__IlI....s=a=a !' INFORMATION GCHEDUU:S--PIHNCIPAL Investments Made: 6.223.~2 1998-12-01 601.878 units ARK Funds PA Ta~ Free Port folio Reinvestment of Capital Gains Distribotion Changes in Investment lIoldings: (985,934,00) 1997-11-03 E~changed 88,363 onits Municipal Bond Fund for 88,363 shares Marketvest Funds PA Municipal Bond Fund M59l 985.934.00 1997-11-03 Received 88.363 shares Marketvest Funds PA Municipal Bond Fond M591 in Exchange of 88.363 units Municipal 80nd Fund 1,061,374.30 1998-03-23 Received 106,201.746 shares ARK PA Tax Free Portfolio in Exchange of Marketvest Funds PA Monicipal Bond Fond #591 70.403.13 1998-03-23 Received 7,054,422 shares ARK Short Term Bond Portfolio in E~change of 7,054.422 shares Marketvest Funds Short Term Bond Fund #592 (1.061.374.30) 1998-03-23 Delivered 106,201,746 shares Marketvest Funds PA Municipal Bond Fund #591 in Exchange of 106.201.746 shares ARK PA Tax Free port folio (70,403.13) 1998-03-23 Delivered 7,054.422 shares Marketvest Funds Short Term Bond Fund #592 in Exchange of 7,054.422 shares ARK Short Term Bond Portfolio 9 RECf:1 PTS Of' INCOl1f: Di v id'JIld:!: 1996-09-03 Markctvo:!t Fund:! PA Municipal Bond Fund # 591 143.99 1996-09-03 Marketve:!t Funds Short T"rm Bond Fund # 592 169.91 1996-10-01 Marketvest Funds PA 14unicipa1 Bond Fund #591 26'/,08 1996-10-01 Marketvest Funds Short Term Bond Fund #592 319.28 1996-10-07 Fritz C. Nelson Trust under Agreement - Dividend on 100 shares TRW Inc. 55.00 1996-10-07 Fritz C. Nelson Trost onder Agreement - Dividend on 240 shares Atlantic Richfield Co. 330,00 1996-10-07 Fritz C. Nelson Trust under Agreement - Dividend on 200 shares Mobil Corp, 200.00 1996-10-07 Fritz C. Nelson Trust under Agreement - Dividend on Marketvest Funds Inc. Short Term Bond Fund #592 158.53 1996-10-07 Fritz C. Nelson Trust under Agreement - Dividend on Marketvest Fonds PA 110nicipal Bond Fund #591 119.61 1996-11-01 Marketvest Funds PA Municipal Bond Fund #591 271. 45 1996-11-01 Marketvest Funds Short Term Bond Fund #592 329.55 1996-12-02 Marketvest Funds PA l1unicipal Bond Fond #591 266.49 1996-12-02 Marketvest Funds Short Term Bond Fund #592 321. 59 1996-12-31 Marketvest Funds PA Monicipa1 Bond Fond #591 38.21 1997-01-02 Marketvest Funds PA Municipal Bond Fund #591 283.29 10 ~"f}:-l.; 1'''''' , ' "-~,,,':-f~~''''''; [ '~;:'<-',:, '<C""'-,_' "'j' u~' >,~, . \~;;. ;1:1 ~':(, _~T_, ',J!.l:" i'"'' .~ ."~"": ~~~ ~~!~'- ',' ~J:v, ('i ~'~i:l 7,,1 t~:"lJ ~"'J "".., ,t~~,: '\:"'1 tJ c-;;:.~, ti:J ~~}/1' ""j ;:""1': 'i{i' '-i;>I",) "',"j :?i'i'l ~1 ~~~l ~~Z< - :~~:": ~. ';, ;t{'1 ~~ 'I \1\1 '?J I[*~ ~f~l ';;iJ( ~-' ~- .";,, >: ,-,j;. ~;~i f( ,.Y-, ~~'f. ~"; i~';l i;lll ~~' .... ~ ;iC~j >~. 1 ;~~!J '3j "I ,-':,,: ;:1 2, ~j "j ~./ ",II ,,] 1997-01-02 M,ukotvosl. Funds nhort Torm 331.05 Ilond ~'Ilnd '592 1997-02-06 Markolvost f'unds PA Municipal 205.66 Dond Fund 1591 1997-02-06 Markotvost Funds Short Torm 329.86 Dond Fund 1592 1997-03-04 Markotvost Funds PA Municipal 262.22 Dond Fund 1591 1997-03-04 Marketvest Funds Short Term 304.20 Bond Fund 1592 1997-04-02 Marketvest Funds PA Municipal 207.95 Bond Fund 1591 1997-04-02 Marketvest Funds Short Term 336.87 Bond Fund 1592 1997-05-02 Marketvest Funds PA Municipal 278.32 Bond Fund 1591 1997-05-05 Marketvest Funds Short Term 330.88 Bond Fund 1592 1997-06-04 Marketvest Funds PA Municipal 285.11 Bond Fund 1591 1997-06-04 Marketvest Funds Short Term 343.29 Bond Fund 1592 1997-07-03 Marketvest Funds PA Municipal 268,2S Bond Fund 1591 1997-07-03 Marketvest Funds Short Term 334.03 Bond Fund 1592 1997-08-04 Municipal Bond Fund 3,651. 50 1997-08-04 Marketvest Funds PA Municipal 276.97 Bond Fund 1591 1997-08-04 Marketvest Funds Short Term 344.08 Bond Fund 1592 1997-09-03 Marketvest Funds PA Municipal 276.52 Bond Fund 1591 1997-09-03 Marketvest Funds Short Term 342.62 Bond Fund 1592 1997-10-03 Marketvest Funds PA MunicIpal 269.71 Bond Fund 1591 II , '-i.-~1;~"4:iF',",9Jd';";:i;"""~'\""""'~1,;'~:M.:(4.~;-~~~~"'\'i.i;;::",,:~i:~,"""':~;i""."""'1'":''.,; .... 1991-10-03 Marketvost Fonds Short Tnrm 334,12 Ilond Fund * 592 1991-11-04 Marketvest Funds 1'/1 Municipal 7.'/(,.90 Ilond Fund *591 1991-11-05 Marketvest Funds Short TOrln :~.12. 1 () Bond Fund *592 1991-12-02 Marketvest Funds 1'/1 Municipal 3,451.45 Bond Fond *591 1991-12-02 Marketvest Funds 1'/\ Municipal 111 . 91 Bond Fond *591 1991-12-02 Marketvest Funds Short Term 335.90 Bond Fund *592 1991-12-23 Marketvest Funds P/\ l~unicipal 228.69 Bond Fund *591 1991-12-30 Marketvest Funds 1'/\ Municipal 84.96 Bond Fund *591 1991-12-31 Marketvest Funds 1'/\ Municipal 3,919.61 Bond Fund #591 1991-12-31 Marketvest Funds Short Term 339.64 Bond Fond *592 1998-02-03 Marketvest Funds P/\ Municipal 3,992.85 Bond Fund *591 1998-02-03 Marketvest Funds Short Term 334.95 Bond Fund *592 199B-03-02 Marketvest Funds Short Term 309.80 Bond Fund *592 1998-03-03 Marketvest Funds 1'/\ Monicipal 3,539.50 Bond Fund *591 1998-03-20 Marketvest Funds P/\ Municipal 2,392.29 Bond Fund *591 1998-03-20 Marketvest Funds Short Term 240.39 Bond Fund *592 1998-04-06 /\RK 1'/\ Tal< Free portfolio 1,165.52 1998-04-06 /\RK Short Term Bond portfolio 94.21 1998-05-01 /\RK 1'/\ Tax Free Portfolio 3,619.45 1998-05-01 /\RK Short Term Bond Portfolio 314.22 1998-06-01 /\RK 1'/\ Tax Free portfolio 3,789.39 12 1998-06-01 AIlK lalOrt Tu UII Boud l'urlfollo ]2~). !J2 1998-07-01 M\K PA Tax ~"rne Port! 01 10 1,1>7.0.6'/ 1998-07-01 AIIK fJhort Term Ilond ('art! 011 0 37.4.9'1 1998-08-03 AIIK PA Tax Free Por!: Co1 io 3,73/..05 1998-08-03 AIIK Short Term Bond Portfolio 326,36 1998-09-01 ARK PA Tax Free Portfolio 3,687.75 1998-09-01 ARK Short Term Bond Portfolio 323.93 1998-10-01 ARK PA Tax Free Portfolio 3,551.66 1998-10-01 ARK Short Term Bond Portfolio 301.24 1998-11-02 ARK PA Tax Free Port folio 3,666.54 1998-11-02 ARK Short Term Bond Portfolio 297.22 1998-12-01 ARK PA Tax Free Portfolio 3,519.72 1998-12-01 ARK Short Term Bond Portfolio 287.09 ------------- 65,732.60 Interest: 1996-09-03 Capital Reserve Account 111.15 1996-10-02 Capital Reserve Account 662.08 1996-10-07 Fritz C. Nelson Trust under 27.04 Agreement - Interest on Capital Reserve Account 1996-10-07 Fritz C. Nelson Trust under 53.68 Agreement - Interest on Capital Reserve Account 1996-11-05 Capital Reserve Account 703.16 1996-12-04 Capital Reserve Account 673.60 1997-01-06 Capital Reserve Account 733.21 1997-02-03 Capital Reserve Account 756.93 1997-03-04 Capital Reserve Account 697.88 1997-04-03 Capital Reserve Account 789.32 1997-05-05 Capital Reserve Account 799.21 1997-06-05 Capital Reserve Account 823.16 13 '. 1997-07-03 Capital HOt1l!IVt) ^CCOllllt IIfll. tJl) 1997-08-01 Capital Hone rVf) Account 1160.0') 1997-09-03 Capital lh.wv rYe Account H26.09 1997-10-02 Capital Roserve Account ~)31 . 33 1997-11-03 Capital Reserve Account 921.17 1997-12-02 Capital Reserve Account 855.29 1997-12-31 Capital Reserve Account 1,005. 30 1998-02-02 Capital Reserve Account 966.92 1998-03-02 Capital Reserve Account 870.35 1998-04-02 Capital Reserve Account 982.98 1998-05-01 Capital Reserve Account 967.19 1998-06-01 Capital Reserve Account 1,013.98 1998-07-01 ARK Money Market Port folio 73.77 1998-07-01 Capital Reserve Account 936.56 1998-08-03 ARK Money Market Port folio 1,120.71 1998-09-01 ARK Money Market Portfolio 1,150.50 1998-10-01 ARK Money Market Portfolio 1,131.06 1998-11-02 ARK Money Market Portfolio 1,145.63 1998-12-01 ARK Money Market Port folio 1,108.21 ------------- 24,559.20 Other: 1996-09-04 Monicipal Bond Fund 3,666.17 1996-10-02 Municipal Bond Fund 3,522.31 1996-11-05 Municipal Bond Fund 3,576.69 1996-12-03 Municipal Bond Fund 3,512.78 1997-01-03 Municipal Bond Fund 4,238.28 1997-02-05 Municipal Bond Fund 3,766.91 1997-03-04 Municipal Bond Fund 3,459.55 1997-04-03 Municipal Bond Fund 3,797.06 14 1997-04 -17 fritz C. Nelson Trust undt.[ Agreement - Incomo Cduh 1997-05-05 Municipal Bond fund 1997-06-03 Municipal Bond rund 1997-07-02 Municipal Ilond fund 1997-08-07 fritz C. Nelson Trust under Agreement - Income Cash 1997-09-03 Municipal Bond fund 1997-10-02 Municipal Bond fund 1997-11-03 Municipal Bond Fund Total Receipts of Income 15 2(J~).25 3, (ju~). 22 3,TI6.54 3,546.95 0.61 3,646.59 3,556.24 3,646.31 51,647.46 141,939.26 ""......aa..............a_ Dl SBUI\SEMENTS or INCOME 1996-08-20 Transfer to Principal - 55.00 Accrued Dividend on 100 sharos TI\W Inc, 1996-08-20 Transfer to Principal - 200.00 Accrued Dividend on 200 shares Mobil Corp. 1996-10-01 Dauphin Deposit Bank and Trust 204.56 Co. - Commission 1996-11-01 Dauphin Deposit Bank and Trust 238.54 Co, - Commission 1996-12-03 Dauphin Deposit Bank and Trost 244 .04 Co. - Commission 1997-01-02 Dauphin Deposit Bank and Trust 240.63 Co. - Commission 1997-01-06 Internal Revenue Servico - 320.00 1996 riduciary Income Tax 1997-01-06 PA Department of Revenue - 53.00 1996 riduciary Income Tax 1997-02-03 Dauphin Deposit Bank and Trust 279,33 Co. - Commission 1997-03-03 Dauphin Deposit Bank and Trust 256.97 Co. - Commission 1997-04-01 Dauphin Deposit Bank and Trust 236.19 Co. - Commission 1997-05-01 Dauphin Deposit Bank and Trust 260.56 Co, - Commission 1997-06-03 Dauphin Deposit Bank and Trust 253,88 Co. - Commission 1997-07-01 Dauphin Deposit Bank and Trust 261. 41 Co, - Commission 1997-08-01 Dauphin Deposit Bank and Trost 250.55 Co, - Commission 1997-09-03 Dauphin Deposit Bank and Trust 256.63 Co, - Commission 1997-10-01 Dauphin Deposit Bank and Trust 254.59 Co. - Commission 16 . . PROPOSED DISTRIBUTIONS TO IlENEE'ICIARIES Curront Valuo 12128/98 E'iduci a ry Acquin i tion Villuo To: Dauphin Deposit Bank and Trust Company, Trusteo - O-Tip Trust under Section E'ourth l(a) Principal -------- ------------- --------- 64,816.851 shares ARK PA Tax E'ree Portfolio 665,669.06 647,902.38 ------------ ------------ 665,669.06 647,902.38 -a_aDDa_____ --.~-.-___D_ To: Dauphin Deposit Bank and Trust Company, Trustee - Unified Credit Trust under Section E'ourth l(b) Principal --------- Cash Securities: 7,054.422 shares ARK Short Term Bond Portfolio 41,986.773 shares ARK PA Tax E'ree Portfolio 95,774.32 95,774.32 70,473.68 70,403.13 431,204,16 419,695.34 Income ------ Cash 129,629.81 129,629.81 ------------ ------------ 727,081.97 715,502.60 ==--------=- =_=a==______ ~-------=--= -._.a______. 1,392,751.03 1,363,404.98 19 OJ! - qb -~.s-~' r-:--;' -:~ :-,.. '-, I.. MA_R 0 I1q 99 COMMONWEALTH OF PENNSYLVANIA OFFICE OF ATTORNEY GENERAL FelJnl'll'y 24, 1999 MIKE FISHER ATTORNEY GENERAL Charitable Trusts and Organizations Section 21 S. 12th Street, 3rd Floor Philadelphia, PA 19107-3603 Telephone: (215) 560-2402 Fax: (215) 560-2202 Donn L. Snyder, Esquire Saul Ewing Remick & Saul Penn National Insurance Tower 2 North Second Street 7'" Floor Harrisburg, PA 17101 Re: Estate of Fritz C, Nelson. Deceased Dear Mr. Snyder: Receipt is acknowledged of your letter regarding the charitable gifts in the above matter. I have reviewed the Account and other materials submitted and, on behalf of the Attorney Generi1l as parens patri~ for charities, would advise you that this Office is without objection to confirmation of the Account as stated. '1:) 'n f) t;.- I:"~ " ;'). General LB: j ak i '.1 INVENTORY Estate of: Date of Death: County: Fritz C. Nelson 08/14/1996 Cumberland CASH; Fritz C. Nelson T/A . Capital Reserve Account Accrued Interest 9,551.92 I07.81 Cash found in Wallet 8.00 Church of God Home . Refund of Telephone Expense 62.64 Church of God Home . Refund of Convalescent Home Expense 5,406.92 George Hugh Holder . proceeds of sale of 1 share Hershey Creamery 825.00 RWC Corp. Insurance Refund 15.19 United Security Assurance Nursing Home . Reimbursement for Care 3,813.32 ---........-..........-- 19,790.80 PERSONAL PROPERTY: --------------..-..- Harr's Auction' Proceeds from 32.25 Sale of Items found in Nursing Home Room .............. 32.25 STOCKS/LISTED: .......................... .. Received from Fritz C. Nelson Trust under Agreement 240 shares Atlantic Richfield Co 28,365.00 6,050.63 985,934.00 210 shares Dauphin Deposit Corp. 88,363 shares Dauphin Deposit Bank and Trust Co. Municipal Bond Fund 1,11B shares Fulton Financial Corp. 2l,311.8B 11,351.81 71. 82 189 shares Harsco Corp. Accrued Dividend .l. '~... Estate of: Dete of Death: County: Fritz C. Nelson 08/14/1996 Cumberland 7,491.589 sheres Merketvest Funds PA Municipal Bond Fund #591 75,440.30 7,054.422 sheres Marketvest Funds Income Short Term Bond Fund #592 70,403.13 200 shares Mobil Corporation Accrued Dividend 22,225,00 200.00 900 shares National Fuel Gas Co. 32,175.00 9,325.00 55,00 100 shares TRW Inc Accrued Dividend 369 shares Union Pacific Corporation 26,360.44 1,289,269,01 TOTAL RECEIPTS OF PRINCIPAL.............,. 1,309,092.06 -2- CAB H P L E P 0 C R C K 0 K P S o E C E o E N T 15--1<.;)\ - ~ INHERITANCE TAX RETURN RESIDENT DECEDENT CO......OHW~~h-TH OF ",[H"'''lAHIA (TO BE FILED IN DUPLICATE OEPAR iEJ't~.r ~~1l0fV[NU HA"'s~u.a.~A ""0-0,,, WITH REGISTER OF WILLS caUHTYCaOE OECECENrs NAME (LAST. FIRST, AND '-'lOOlE INITIAL) DECEDENT'S COMPLETE ADDRESS Nelson. Fritz C. Church of God Home, 50CrAl.5ECURITYNUMBER OATEOFOEAHt QAT(OFBlRTH Carli.sle, PA 17031 172-01-2331 08/14/1996 03/27/1912 FILE NUMBER Fon OAT[SOF OEATtt AFTeR lUll/SIt CHECK HERE IF Ii SPOUSAL RTV R ITI AIM Callnty Cumberland 2196-0658 n~. s "HA ~~~:!hS~".t:~pJ?"~'~lI~:E~U'~ ~~_~~;/~~~~~;}:_,,~~_t. __.... _ __... ...___..... __"__. !:i,J. , ..', ......:Z.6. '!// //ICarlisle, PA 17013 ... IGNATuRE OF PREPARER OTHER niAN R(PAES ATlVE Dauphin Depos i t Bank and Trus t Company ~. _\o!~~.t. _~~&I! _ ~.t_,,~~_t_ _ _ _ _.. _ _... _. _... _ _'" _ _ _.. _ _. Carlisle, PA 17013 REV.Uoo [X .(7.g.) (IF APPLICABl.E) SURVIVING SPOUSE'S NAME ILAST,FIRST AND MICDLE INlT/ALI Nelson, Belle F. X 1. OriglnoJ ReMn 4. Unvled ESlate SOCIAL SECURITY NUMOER 182.40.9714 AMOUNT RECEIVEOISEE INSTRUCTIONSI 0.00 !RJ 5. 1 8. R E C A P I T U L A T I o N (9) 70,244.78 2. Supplemental ROlurn 4,1. Futuro Inlorosl Compromiso (lor dale. 01 dealh oner 12-12-02) ~ 8. Dacedanl Died Teslale []] 7. Decadent Maintained a UVlng TruSI (Anach copy a' Will) (Anach a cop 01 Trusl) C P ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: ~ ~ NAME COMPLETE MAILINQ ADDRESS R 0 Doris Trostle Dauphin Deposit 8"nk and Trust Company ~ ~ rELEPHOHEHU"'OER 8 West High Street - T 800432.7994 Carlisle, PA 17013 1. ReoJ Eslale (Schedulo A) (1) None 2. Slacks and Bond. (Schedule B) (2) 1,289,269. Ol 3. Closelv Hold Slock/Portnershlp Inloresl (Schedulo C) (3) None 4. Mongages and NOles Racalvable (Schadule D) (4) None 5. Cosh. Bonk DeposilS & Miscellaneous Porsonal Property (Sch. E) (5) 21,683.71 6. Jolnllv Owned Property (Schodule F) (8) None 7. Translors (Schedule G)(Schedulo L) (7) _ 0- 8. TOlal Gross AsselS (loloJ Unos 1-7) 9. Fur1braJ Expensos, Administrative Costs, Miscollanoou9 Exponses (Schedule H) 10. DeblS, Mortgago Uabllities. Uen. (Schedule I) 11. TotoJ Daductions (loloJ Un.. 9 & 10) 12. Not Value 01 ESlala (Une 8 minus Uno 11) 13. Charitable and Gavornmenlal Bequesls (Schedule J) 14. NOI Value Sub aclto Tax (Une 12 minus Une 13) 15. Spousal Transfera (for dales 01 doalh anar 6-30-94) See In.lIIJctians lor Appllcablo porcontoge on page 2. (Include values from Schodule K or Schodulo M,) 16. Amounl 01 Uno 1410xable a' B% ralo (Include values from Schedulo K or Schedule M.) 17. Amounl 01 Une 1410xable a115% role (Include values from Schedula K or Schedule M,) 18. Principal 'ax due (Add lax Iram Una 15. 16 and 17,) 19. Credit./Sp Poverty Prior Pavmenls Dlscoun' o . 00 + + 20. If Una 191s groaler Ihan Une 18, enler Ihe differenco on Une 20. This l'lho OVERPAVMENT. [!;] D Check hero II au are re uesUn a retund at our Dve aymenl 21. If Uno 18 Is grealer Ihon Une 19, enlar Iha difference on Une 21. This I. Ihe TAX DUE. A. Entor tho Intorosl on Iho balanco duo on Uno 21A. B. Enter tho lolal 01 Uno 21 and 21A on Une 21 B. This Is Ihe BALANCE DUE. Make Check Pa ablalo: Ra I,'ar 01 Wills, A .nl ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH ~ ~ (10) 7,422.74 Inc. YEAR NUMOER Remaindar Return (far dales 01 dealh prior 10 12-13-82) FederoJ ESlale Tox Relurn Required Total Number 01 Safo Deposil Boxes (8) (11) (12) (13) 14) (16) (19) (20) (21) (2IA) (21B) 1,310,952.72 77 ,667 .52 1,233,285.20 1,233,285.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Una" p'naltlll of PIFjU'Y, I Cl'CIA,. I"all "a". '.,1mln,d till' 'llu,n.lnCIUel,ngAccomplny,ng .cn'dl,lIUlndltll,m,nl', ,nelto th, tle.t of my knOwteag,&nd tI,II". It II t,u., eOU'etAnd compl.I..1 ellCtA" thai &11 ,uIIlIAI. hll b.,n "port'el.1 ttl,l' m&'k,t ...,lu.. D,claFl!lon 01 pflp.."r othlF Ihln 11'1' p.rlOn&1 tlpnunt..tl....'. bn.d on AlI,n'armAlion or whICh pnp.", hu Any knowl.dg,. . r- /..! _y '7 . DATE (15) l,233,285.20X ~= (16) O. 00 X .06 = T A X C o M P U T A T I o N (17) 0.00 X .15 = Intorost Copyrtght {cltUg41arm .OHWA" only CPSytt,ms, 'nc. ir-lJ-97 OATE Fo'm 1500 {R..... '.141 ,... :.. ~~i.. - ~ '" ~ ..... - :- ~ " r- .+! :i :l)C P' a:~ Uli REY. '10:1 EX + (U"U) co......o!i'XMill!:1 'V. P~!j,~~~.NI. SCHEDULE A IN~hlb~N~'tit"A'olN'f" REAL ESTATE ESTATE OF FILE NUMBER Fritz C. Nelson SS_ 172-01-2331 08/14/1996 2196-0658 (Property !olnUy-ownod wtth RighI 01 Survivorship mUll btI dlsclosod on Schodul. F) All real 18111. should b. roporlod 1IIIIr mlrk.1 Vllu. which II deIlnod 18 th. prlc. .1 whIch property would b. ..chlnged between I wtlllng buy.r Ind I wtlllng Iln.r, n.lth.r b.lng comp.nod to b or IIn, both hlvln ....onabl. know! . 01 tho rol.vlnlllcta. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also onlor on IInol, Roc ItulaUon) (n moro .pacol. noodod, Inson addluonal.hool. ol.arno .ilo,) CoPytlllht(C) '"'' 'arm loU.ar. only CPSYI'I'nI,lnc, s Farm 1500 Schadull A IRI". U-'51 0.00 REV - 1503 EX + (4.111) CO......ONWEAL I~ OF P~\\SYlVANIA 'N",niTAN E IA'lunN RESICEN DEeE Nl' SCHEDULE B STOCKS AND BONDS ESTATE OF Fritz C. Nelson SS# 172.01.2331 08/14/1996 All ITEM NUMBER olnU -owned with RI hi 01 Survlvorshl musl bo dlsclosod on Schodulo F.) DESCRIPTION Received from Fritz C. Nelson Trust under Agreement I 240 shares Atlantic Richfield Co, CUSIP #048825103 2 210 shares Dauphin Deposit Corp., CUSIP #238282107 3 88,363 shares Dauphin Deposit 8ank and Trust Co. Municipal Bond Fund 4 1,118 shares Fulton Financial Corp., CUSIP #360271100 5 189 shares Harsco Corp., CUSIP #415864107 Accrued Dividend 6 7,491.589 shares Marketvest Funds PA Municipal Bond Fund #591, CUSIP #57061DI07 7 7,054.422 shares Marketvest Funds Income Short Term Bond Fund #592, CUSIP #57061E204 8 200 shares Mobil Corporation, CUSIP #607059102 Accrued Dividend 9 900 shares National Fuel Cas Co., CUSIP #636180101 10 100 shares TRW Inc, CUSIP #872649108 Accrued Dividend 11 369 shares Union Pacific Corporation, CUSIP #907818108 TOTAL (Also ontor on lino 2. Roca ilulation) (II mora spaco is noodod. inson additional shoots 01 sarno SilO.) COPyftghllc} 1"410rm 10tlwl'. only CPSYltl",I,ln" FILE NUMBER 2196.0658 VALUE AT DATE OF DEATH 118.187 28,365.00 28.8125 6,050.63 I!. 1577 985,934.00 19.0625 21,311.88 11,351. 81 71.82 75,440.30 9.97999 70,403.13 111. 125 22,225.00 200.00 35.75 32,175.00 93.25 9,325.00 55.00 71.4375 26,360.44 S 1,289 269.01 Fo,,,, 1500 5chldull 8 IRlv. 4-18) REV.. '107 EX . C7.1I) SCHEDULE D MORTGAGES AND NOTES RECEIVABLE Ploaso Pltnl or T 0 FILE NUMBER 2196.0658 cO.....f1!\~Mil1.l'(llf. p~~~~.hY.NI. INRtslb~Nl'O~li/nitf" ESTATE OF Fritz C. Nelson SS" 172.01.2331 08/111/1996 All ITEM NUMBER oln -ownod wttIIlh. RI ht 01 SUIVlvorahl muat ba d1lC1oud on Schadul. F.) DESCRIPTION VALUE AT DATE OF DEAlll , ;1 TOTAL (Also onlOf on line 4. Roc IlUlallon) (II moro space 's noodod.ln""" addlllonalshools 01 same slzo.) Copynghl(C) ,114 form .ollwar. only CPSy"''''I,lnc. s Far". 1500 Sch.dul. D IR., 7.11) 0.00 REV-tlOIU.lt-IPI SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PI0850 Print or T 0 FILE HUMBER 2196-0658 cO"l'N'I:l,"Xft.'I.'A' Q{ PWlt~f.Y'NI' "hlo'N)b~c'Eb,"r" ESTATl! OF Fritz C. Nelson ssn 172-01-2331 08/11./1996 o\n -owned with RI hI 01 Survlvorohl mUll be dllclOled on Schedule F VALUE AT DATE OF DEATH 9,551.92 107.81 DESCRIPTION Fritz C. Nelson Trust under Agreement Capital Rserve Account Accrued Interest 8.00 2 Cash found in Wallet 62.64 3 Church of God Home Refund of Telephone Expense 4 Church of God Home Refund of Convalescent Home Expense 5,406.92 825.00 proceeds of sale of 1 share Hershey Creamer 5 George Hugh Holder 15.19 6 RWC Corp. - Insurance Refund 3,813.32 32.25 United Security Assurance Nursing Home - Reimbursement for Care 7 Haar's Auction _ Proceeds from Sale of Items found in Nursing Home Room 961.39 8 9 Equitable Group Annuity Certificate #AC733-251 Beneficiary Belle F. Nelson 893.61 10 Fulton Bank IRA #210-000051 Beneficiary Belle F. Nelson Accrued Interest TOTAL (Also onlor on lino 5. Rocopilulation) (AUach addltiona18 11'2!' . 11- shoolS II moro spaco Is noodod.) Copynohl(t) 111I4 forlfl 10ltW." on'y CP5Yll.IfII.lnt. $ 21,683.71 Form 1500 5th.dlll. E lR'v, 2-11) 5.66 REV. l!lO' EK . tn.1I1 CO......O~WfliL'~ 0' P[~'Y1 VANIA INN 'AI AN E ,.., UAN A SI EN OEC[ NT SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 2196-0658 ESTATE OF Fritz C. Nolson SSII 172.01-2331 08/11./1991> Jolnttlnan1(I): RElATIONSHIP TO DECEDENT NAME ADDRESS A. B. c. ITEM LETTER DATE TOTAL VALUE DECD'S DOLlAR VALUE OF FOR MADE DESCRIPTION OF PROPERTY NUMBER JOINT OF ASSET % INT. DECEDENTIKTEREST TENANT JOINT TOTAL (Also onlO' on lino 6. Recapitulation) Is 0.00 JolnUy-ownod property: (II moro spacol. noodod.lnsortaddiUonal .hoot. 01...... .izo.) Copy,IG'" [e) ttg4 'Ofm lolt.....&r. only CPSYlteml,lnc. Form 1500 Sehldule F IRev, 12-111 REV. UIOUt 1'.It' CO"':1R~'lir~li.l1 Of. P~Whl"NI' ~t"O[N)b\td'E'b'tNl I!STATl! OF SCHEDULE G TRANSFERS Ploaso Print or T 0 FILE NUMBER 2196-0658 Fritz C. Nolson SS# 172.01-2331 08/14/1996 nllS SCHEDULE MUST BE COMPLETED AND FILED IF nlE ANSWER TO ANV OF nlE QUESTIONS ON PAGE 2 IS YES. ITEM DESCRIPTION OF PROPERlY EXCLUSION TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBER I"ClloId~,~a,m. alltl. tran,t.,.., Ut,lt OF ASSET % INT. DECEDENT INTEREST t.l.hanl'lI 10 d.ud.'" d.l.ol t,a"lt." TOTAL IAlso onlor on IIno 7, Recapitulation) k 0.00 (II moro spaco Is needod, Inso~ addltionolshoolS olsamo slzo.) Copytlgh1(C' In" tarm salt...'. anly CPSYlt.ml,lnc, Fa,m 1500 SChedul. G (R.v, 2~'7) SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES REV. un EX. (7-11) CO"'~NO!1,'Xf..A.'IJ" Of. PIJt~tV.h'l'N" ~lsib'EN~btt"OENr" ESTATE OF Fritz C. ITEM NUMBER A. Pi..... P~nl or . FILE NUMBER 2196-0658 Nelson SS# 172.0l.2331 08 14 1996 OESCRIPTION AMOUNT 1 Fun.ral Exp.n...: Myers-Harner Funeral Home Inc. . Funeral Expense 7,181.00 2,874.00 2 Rolling Green Cemetery Co. . Companion Marker and Memorial Base B. Admlnl.traUveCo.la: Dauphin Deposit Bank and Trust: Co. Personal Rapresenlativa Convnisslons Social Socurlty Number 01 Parsonal Rapr..anlativa: Vaar Convni..lons paid 38,227.30 1, 2. Attorney Foes Donn L. Snyder, Esquire 20,000.00 3. Family Exemption Claimant Addre.. 01 Claimant at docedanr. dealh Straat Addras. City 874.00 Relationship State Zip Code 4. Probate Fees Register of Wills c. Miscellaneous Expenses: Cumberland County Register of Wills . Cost: of Filing Additional Pages to Will 60.50 60.00 50.00 203.00 35.00 179.98 500.00 0.00 s 70,244.78 1 2 Cumberland Law Journal - Cost of Advertising and Proof of publication 3 Doris Sarber . Family Travel Expense 4 lnt:ernal Revenue Service - 1996 Fiduciary Income Tax 5 PA Department of Revenue 1996 Fiduciary Income Tax 6 The Patriot News Co. - Cost of Advertising and Proof of publication 7 cumberland County Register of Wills . Reserve for Cost of Filing Accounting TOTAL (Also enlar on lino 9. Roca Itulalion) (II more .pacel. needed, In.er1addlUonal .heela 01 same .1ze.) Copyrlght(c) UI94 to"" 10ItW&" only CPSy.ttm"lne. Fo'"' 1S00Schldull HtR'v, 7-11) REV~1141 EX.IIO~i.1 SCHEDULE M FUTURE INTEREST COMPROMISE COM\'N~lt"XM.'ll.l1llf:~'tYhl"NI' "hIOEN)'6C::""b'tN~ ESTATE OF Fritz C. Nelson ssn 172.01.2331 OB 14 1996 Thlo ochlldulolo opproprtlt. onlv lor fatal.. 01 d.c.donll dying In.r O.comb.r 12, 1982. This achodulo Is 10 bo usod tor nil fUluro tnlDfosts whoro tho ralo oliO which Will bo opplicablo whon tho futuro inlorosl vosts In possosslon and on nl cannot bo ostabhshod With cor141n . Tho Instrumant croatlng tho futuro InlOlosl is: Will FILE NUMBER 2196.065B Trull (Pl.... 11Iach copV ollnltrum.nl) OIhor I. Benencllrt.. OATE OF BIRTII AGE TO NEAREST BIRTIIOAV NAME OF BENEFICIARV RELATIONSHIP 1. 2. 3. 4. 5. II. For decedonls dying on or ahor JulV 1, 1994, iI a surviving spouso oxorclsod or Inlonds to exorciso ono 01 tho following within 9 monlh. ollhe decodonr. doath, chock tho approprialo box and .upply a coPV 01 tho documenlln which Iho .urviving spou.o oxo,cl.o. .uch withdrawal right. Unlimited rtghl 01 withdrawal Umlted rt hi 01 withdrawal III. ExplanaUon 01 Comproml.. Oller: (II mo'o spaco i. noodod, attach additional 8.5 XII. .hoot.) IV. Summary 01 Comproml.e Oller: 1. Amounl 01 FUMe Inlorest . . . . ........"......... . . . S 0.00 2. Valuo 01 Uno 1 oxomplfrom tax as amount passing 10 charities. otc, . . . . . . . . . . . , . , , S (also Includo as part of tolal shown on Una 13 01 Cove, Shool) 3. Value of Uno 1 passing 10 spou.o alapproprlalo lax ralo . . . . . . . . . . . . . . . . . . . . . . . . S Check 1 Block 0 6%, 0 3%, 0 0% (also Includo as part 01 tOlal shown on Uno 15 01 Covor Shoot) 4. Valua 01 Uno 1 Taxable at Unaal Rato . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S (also Includo as part ollolal.hown on Uno 16 01 Cove' ShOOI) 5. Valuo 01 Une 1 Taxable at Collala,a1 Ralo . . . . . . . . . . . . . .., . . . . . . . . . . ' . . . S (also Includo as part ollOlal shown on Uno 1701 Covo, Shool) 8. TOlal Value 01 FuMO Inlo'esl (sum 01 Uno. 21hru 5 musl oqual Une 1) . . . . . . . . . . . . . . . . . S Copytlghl(e) 10\15 fatm sallw.,. only CPBystlms,lne. Farm 1500 Ben.dull M (RI.." 10~1I.) 0.00 0.00 0.00 0.00 0.00 AEV - 1141 0. 11-'111 SCHEDULE N SPOUSAL POVERTY CREDIT COMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX QlVI510N (AVAILABLE FOR DECEDENTS DYING AFTER IWI/91) ESTATE OF FILE NUMBER Fritz C. Nelson SS~ 172.01.2331 08/11./19% 2196-0658 ThiS schodulo must bo complolod ilnd IlIod If you chockod tho spou501 POVOfty crodlt box on tho COVOf shoot. PA T I - CALCULATI N OF GRO S E TATE 1. Tooblo AssOIS 10101 110m IIno 0 (covor shOOI) , I. 1 310,952.72 2. 0.00 3. 0.00 4. 0.00 5. 0.00 0.00 2. Insuranco Procoods on !.Jlo of Oocodont. 3. Rotiremont Bonelits . . . . 4. Joinl AssolS wilh Spouso 5. PA lonory Winnings. . . 6a. Olhor Nonlooblo AssolS: UsI (Anach schodulo II nocosslll'/). . . . .. .'.... 6a. 6b. 6e. 6d. 6. SUBTOTAL (Unos 60, b. e. d). . . . . . . . . . . . . . . . . . , ...........6. 0.00 7. TOlol Gross AssolS (Add IInos 1 Ihm 6), . . . . . . . . . . . . . . 7. 1,310,952.72 Incomo: a. Spouso........................ b. Docodonl....................... e. Jolnt.......................... d. To Exompllncomo. . . . . . . . . . . . . . . . . . e. Other Incomo not listed above. . . . . . . . . 1. Tolol...................... 4. AvorBgo Joint Exemption Incomo Calculation 4a. Add Joint Exomption Incomo from above: (II) 0.00 8. TOlol ACl1JoI Uobilitios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Nol Valuo 01 Eslalo (Sub.oclline BIram IIno 7) . ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IIlIno 9 Is groalor Ihan $200.000 - STOP. Tho oslale Is nol ollglblo 10 claim Iho crodlt. II nol. conlmuo 10 Part II. 9. I , 310 , 952 . 72 PART II - CALCULATION OF JOINT EXEMPTION INCOME - (Attach copIes of Federal Individual Income Tax Returns for decedent and souse. 1. TAX YEAR: la. lb. Ie. Id. Ie. II. B. 0.00 1993 2. 0.00 2a. o . 00 2b. o . 00 2e. o . 00 2d. 0.00 2e. o . 00 21. TAX YEAR: 1994 3. o . 00 3a. o . 00 3b. 0.00 3e. o . 00 3d. o . 00 3e. 0.00 31. TAX YEAR: 19 95 0.00 0.00 0.00 0.00 0.00 0.00 4b. Avorage Joint exemption Incomo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IIlIno 4(b) Is groalor Ihan $40.000 - STOP. Tho OSlalels nol oliglblo 10 claim Ihe crodlt. II nol. conlmuo 10 Part 111. PART 11\ - CALCULATION OF SPOUSAL POVERTY CREDIT FOR RESIDENT AND NONRESIDENT ESTATES . 0.00 : 3) 0.00 + (21) o . 00 +(31) 0.00 . 1. Insert amount of taxable transfers to spouso or $100,000. whichover Is less. . I. 2. Multiply by credit perconlage (seD instructions) . . . . . . . . . . . . . . . . 3. This is the amount 01 tho Rosident Spousl1l Povorty Credit. Includo this figuro in tho calculation 01 total crodits on IIno 19 01 tho covor shoot . . . . . . . . . 4. For Nonresidonts, ontor tho ratio 01 tho docodent's gross ostato in PA to tho valuo 01 tho docodonl's gross ostato . . . . . . . . . . . . . . .. ................... 5. Multiply lino :J by Iino 4 and ontor the total horo. This is tho amoun1 01 tho Nonrosldont Spou:131 Povorty Crodit. Includo this figuro in tho calculatIon 01 tolnl crodlts on lino 19 at tho cover sheet. Copyrlghlltl t;;4 form loll""'.'. only CPSYI1."'I,I"t. 2. 3. 4. 5. 5Ch.dul. tR.....1.UJ R[V.U,..'OttIIUI COMMONWEALT" OF II[NN5YLVANIA IN..[RUANCE TAli. Jl[TUnN SCHEDULE 0 TRANSFERS TO SURVIVING SPOUSE R[!1IDENf DECEDENT ESTATE OF File Number Frltz C. Nelson SSII 172-01-~131 OR II, 1')% 21%-0658 PART A: Enlor Iho doOCtlpllon and voluo 0101111'1010010, bolh Il\Jloblo ond non-ll\Jloblo, rogOldlooo ollocollon ond nol 01 doducllono, which ass to tho docodonl'o ourvlVmq :JPOU50 by will, mlostacy, operation 01 law, or othorwl:Jo. Doserl lion ot Itorm l.ife Interest Unified Crcdit Shclter Trust under Item (l)(b) of Last Will and Testament Amounl 565,755.20 110m' I 2 Life Interest Qualificd Terminable Interest Property Trust under Item (1) (a) of the l.ast Will and Tcstament 665,669.34 3 IRA Fulton Bank and Benefits Equitable Group Annuity 1,860.66 PlIl1 A Tolal: Enlorlho 10101 horo and In Iho .pouso'o "Amounl ROCDlvod- block on pa 0 1 I , 233 ,2 B 5 . 20 Election To subJect Properly To Tax Under Section 2113(A) As A Taxable Transfer By this Decedent, lIaWol or similar arrangomonl moolO tho roqullomonl 01 Socllon 2113(A), and: a. Tho trust or similar arfnngomont is listod on Schodulo 0, and b. Tho valuo 01 tho trust Of simlar arrangomonl is ontered In wholo or part as an asset on Schodulo 0, Ihan Iho "anoloror's porsonol roprosanlallVo may spocilically idonllly Iho "usl (all or alracllonol portion or porconlago) 10 be Includod In Iho olocllon 10 havo such wst or slmlar propony "oalod as a Il\Jlablo Iranslor In Ihls oslalo. II10so than Iho onllro valuo ollho "uol or slmlar propony Is Includod as all\Jlablo "anslor on Schodulo 0, Iho porsonal roprosonlallvo shall be con.idored 10 havo mado Iho olocllon only ao 10 alracllon ollhO L-uSI or similar arrongomont. Tho numoralor ollhlo traction is oquollO tho amouol ollho Irusl or simlar a"angomonllncludod as a Il\Jlablo aosol on Schodulo 0, Tho donominator is oqual to Iho 10UlI valuo 01 tho trust or simIlar arrangoment ELECTION'Do you elecl under SecUon 2113(A) to treat as a taxable transter In thlo estate all or a portion ot a trusl or similar srrangement crealed for the sole use of thIs decedent's surviving spouss during the surviving spouse's enUre lItetlme? YES 0 NO m Signature Date Note: It the election a lies to more than on_lrust or similar arran emenl. then a s arale c ot Schedule 0 must be sl ned and filed. Part B: Enlor Iho doscrlpllon and voluo 01 olllnlolo.'s, bolh tl\Jlablo and non-tl\Jlablo. rogordloss ollocalion and nol 01 doducllons, which asS to Iho docodonl's survivin spouso lor which a Section 211:J(Al oloctlon is bcin mado. 110m' Doserl lion ollloms Amounl 0.00 Part B Tolol (soo Inslrucllono) Form 1500 5th. 'JI' 0 tR,y.l.gSI COpyflgl'lllCll\JU tOfm IOU......'. only CPSy'1,,,,,,.lrc. ~ -. ." ~. . " NC NAME OETACH AND RETAIN TlflS PORTION FOR VOUR RECOROS 7 c '" Fritz C. Nelson, EKecutor '.'c'" y v, 60Y No. M-043861 NC NO. 1301753117 DATE August 19. 1996 REMITTANCE AMOUNT INCOME PRINCIPAL FOR Codicil to Will and Additional pages to Will JCP Fee $60.50 -, ;\~ ,; , f' " " "', ,f '\ '! I." }- ... ,J . . - . - n 'lI r. \ . ~ .....'1.. .' f Jt / . . ,,_ "C, .~ \ 't, ' ~f -_I --- ~~ ._.._~ r..- 'r,-. i'i y -::~----"7--"'---""4. \ \ t ,\ , .'~... ~ ., ! ~ r j . " . / ~' ~ , ],00,. ...'......... OET ACH ANO RETAIN THIS PORTION FOR YOUR RECOROS ,;2/- tic;, (,':5 r . \ I I I I i \ I i I . I I . . . . i I AlC NAME Fritz C. Nelson, Executor AlC NO. 1301753117 FOR Letters of Testamentary Short Certificates (3) y No. M - 0 4 3860 DATE August 19. 1996 REMITTANCE AMOUNT INCOME PRINCIPAL $865.00 $ 9.00 .....- -:=';":' . $874.00 .;" .' I, t. ,A," { ., , tI. ',. ?'. .j"'l' ., . F'. ,. ,< ~ \ f) . ~ . ..!' \ .j ,'- ." f ./'.. . - , .' ..;' ,~ .' ./ f f-' " \. ~( . '. ,- ,f ..---. ~~ ....--....A.. __ ["" " ...<<.,........... I . t ; I I ~ I . ., BUNlAU or INDIVIDUAL !AWlS I""".' U/rf(f U. IJIVIlIO.. 011'1. 110.0' '1"'.'110110, fl' 11111'0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN FRITZ f~. '(,..nu "'fll'''1 11-03-97 NElSON 08-14-96 21 96-0658 CUM8ERLAND 201 DDRIS TROSTLE DAUPHIN DEP 8K & TR CO 8 W It/GIt Sf CARLISLE PA 17013 Allount RelllHt.d 1> ~OAf'. 93 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WIllS CUM8ERlAND CO COURT HOUSE CARLISLE, PA 17013 NOTE. To In.ur. prop.r or.dlt to your .ooount, suboit tho upp.r portion of this foro with your t.. p.yo.nt. CUT ALaND THIS L~~.E_-__...~____.~!'.~~!~_.~~~.E..~.~_O_~!~!lN FOR YOUR FILES____..~_.___ , t. . "',' 1 ~ 1. '. , " . . ,j , . ,~. ;" '!;",. . ..." ~. , \0.; . , , .--.' -~ ~ s-.~-. r:.... , ---_---.~~-.......__....:lld. -.. , '> C ? I I. j . ..; -., .-...- " PURPDSE OF HaUCE: . To fulfill 'h. ,...I'...nl. of S.ellon 2145 lb) of Ih. Tnh.'llone. .nd E.I.,. T.. Ael, Ael 21 of 1995. (72 P.S. SectJon 9145). PAVHENJ: O.'.eh Ih. 10. .0,lIon of Ihh '011.. .nd .ub.1t -Ith .ou, ..'..nl 10 Ih. ...1.1., of Wllh .'Inl.' on Ih. rever.. Ilde. "ak. check or _onew order payable to: REGISTER OF HILLS, AGENT_ . ...--.- .' .' _._-~.;JiQ. --,- . rr- , . .. .,~ >. ,I' 'I' .' r , ,.'.' t\ .f. ~' ~ F ' " ~ I , -< . . . \ !> r .J I ; :"'''' i'- x , .. 1 '. .' , -:-, ~ .j f .." '. t'<' ., .' \' :'i . l, .f ..---' ---..,..,.,- ~- ... -. .. l.l}Mf""It'fIII~IJ~ If' "'J'I~1l ~IYYJ 1lII'A'lI~lf Tn! 111111 ~lIlr ..uur AU or IHIIIVlllUAl ,u,s 1l11'1.'ltql,(lI IlAIUII',IHllul I'A I !l~111 04101 MARY C. LEWIS _~N~~ PENNSYLVANIA REGISTER OF WILLS ~ INHERITANCE AND ESTATE TAX NO. AA 24 2518 AEV"102E'(II.") OFFICIAL RECEIPT flI,C[IVEO FROM: ACN ASSESSMENT CONTROL NUMBER AMOUNT DAUPHIN DEPOSIT OK & TR CO 201 "10.028.93 8 WEST HIGH STREET CARLISLE. PA 17013 lOtljlllhl FQ.D H!RE ... . ESTATE INFORMATION , Itr tlUMU['t e 1:JJ96-Q~58 SSN 172-01-2331 ,lAMlOf OIC[QENT ,lASTI IFlRSTI '''''1 ___!JEL@~_ FR IT2 C OAlr: or PAYMENT __.Jg.tQ..~ / 1997 POSlMAf1K OATE 0/00/0000 COUNTV --9J_MElERLAND OATE OF DEAn. TOTAL AMOUNT PAID SlO.028.93 PB " I.,.., r RECEIVED BY ~ , ~. 1.-.. - L,., .~." J.:..o ()..I ..../(.; l MARY c. L{W IS' / /: u .,.,,///;1- REGISTER OF WILLS 1 REMARKSDAUPHIN DEPOSIT BANK AND TRUST CO. SEA~HECKII M-049054 Hi t-;i3T:..i~ Of- V-.ilU.S --------------- -.- ----~-- --------:--:--;-:--"'"""'( " ?o,. ,> I ~. ~ , ..... . ---~ ., -.--. -_.-.-~-...~~. - - -,.':~. ~. , -. ~-. ". . BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIYISION DEPT. 280601 HARRISBURC, PA 171Z8.0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT 1. f/f-' * t(W.IU/U'" lU.I1) DORIS TROSTLE DAUPHIN DEP BK 8 W HIGH ST CARLISLE DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-29-97 NELSON 08-14-96 21 96-0658 CUMBERLAND 201 FRITZ C & TR CO AMount R.Mitted PA 17013 $56.90 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To Insure prop.r cr.dit to your .ccount, subMit the upper portion of this for. with your t.x pay"ent. /., . e ~ I ~ .. .j L " ,'. , r' . . , ,I .,'. \ , . , ... I I .'. - '. , . ~.....,..,.,.,- -- _.._Uh___.---.....M1I t.. ~.,.... -,:. ~d " , . ~'. .. '..1t', '''''''''..0 ,av n... "OIn.","""o# .. _. ...:'. _, _.~~_a~""'" .. .lN~fJY 'S11111 .:10 H~lSI9~H ID~ .tqllAed J.pJO AeuO. JO "'.4' ellll. IN3Q3'3a IN30IS]~ II ..PI' .IJ.^.J .4\ uo pelUIJd II.JpplI pUll ..IIU -4\ D\ _lqll~lId .plI. lu..Alld JnoA 4ll~ ll.qnl pUll .~I~oH 1141 ID UO'lJOd dOl _~I 4311l_O 'lN3WA'd '. ,,,. .-. , ~ \ ,. " , ",-,J.. I , ! , . (, , ,< ~ ~ I .1 . .; , L ,. "f, " , , .1 . '" ~ .-\ . ~ .' , . .~ ":'. J ~:.' , 7 . .' . ------_.:---~~. -..... _a"""""" r-. - -. "1':_' i \ , -. .. ~. . COMMOtlWlAl1lt or PUmSYlVAt41A ll[flAIllMUH 01 III VEtlU[ BUREAU OF INDIVIDUAL TAXES (lEI'f 2HOfiOl IIArmISUUI1G_ PA 111~8.0001 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT '*' NO. AA 269731 AEVlto> EX (It..., RECEIVED FROM: I ACN ASSESSMENT CONTROL NUMBER AMOUNT DAUPHIN DEPOSIT BK & TR CO CIO DORIS TROSTLE B WEST HIGH STREET CARLISLE, PA 17013 101 CIi.-=i,t.. Qn Fan H[R[ ESTATE INFORMATION: FilE NUMBER ra.o HERE - NAME OF DECEDENT (LAST) (FIRST! (MI) POSTMARK OATE 010010000 COUNTY CUMBERLAND DATE OF DEATH TOTAL AMOUNT PAID $56.90 SK REMARKSDAUPHIN DEPOSIT DK & TR CO CIO DORIS TROSTLE SEA~HECKII 2204856 RECEIVED BY MAR V C. LEWIS REGISTER OF WILLS ~ ( ',,-~ .. / ~ :' FlE;:I'; ',Ti 01' WiLLS -----'--'-- --" --------------.....- _H_____... _ _____ _. ___H_._"'_____ .__ .- -_. ----- --,- -----..----------;~ I p I t~.. ,~ " " . J 7 ~~,. .,. . -' . ___A _~ --_.----..-.-..----...,..lQ. __ r.. -r-':'~' - , PAVtt[NTl D...ch Ih. I.. ..rtlon of Ihll Hollco .... .....11 .lIh ..ur .....nl .... .....1. I. lho n..' .nd .dd.... prlntad on tha rava,.a "da. If RESIDEHI DECEDEHT .... ch.ck .r ..n.. ardor .....1. 'a' REGISTER OF WILLS. AGENT. If HON'RES1DEHT DECEDEHT .... ch.ck or .on.. ardor .....1. I.' COMMONWEALTH OF PENNSVLVANIA. REfUND (CRII . r.fund of . I.' cr.dll. .hlch ... nol r.qu..,.d on IhO T., ..Iurn. ... .. r.....,.d .. co..l.tln. an ....llc.'lon for R.fund of ..nn..I.onl' Inh.rllone. .... E.,.I. T.," (REV'ISISI. ...llc.llon. .r. ...Ilobl. .1 tho Dfflc, .f Ih. R..I.I.r of will.. on. .f Ih. 2S R..onu' DI.lrlcl Dfflc.' or fr.' 'h' D...rl..nt" 2'-hour an...rln. ..rulc. nuob.r. for for.' ord.rlnol In p.nn..I.onl. 1_.,.'S.2".S., oul.ld. pann..I.anl. and .llhln 10c.1 H.rrl...r. .r.. (7171 7.7-."" TOO' (7171 772-22'2 (H..rln. 1...lr.d onl.'. .EPLV TO. Qu..tI.n. ....rdln. .rron c.nl.ln.d .n Ihl. notlc. .hould .. .ddr....d I.' P' D..arl..nl of R......" .u..... of Indl.ldU.1 T."', .ITH. po.1 ........nl R..I.. Unll. 0..1. 2....1. H.rrl...r., P' 171'.....1. phon. (7171 717-6505. DISCOuNT l If on. I.' dUo I. ..Id .llhln Ihr.' 'SI c.I....r ..nlh. .fl.r Ih. d.c.d.nl" d..lh. . fl.. p.rc.nl ('Xl dl.counl of tha ta. pa1d 1. allowad. IhO I'X I.' .....1. n.n-..rllcl..II.n ..n.II' I. co...,.d on Ih' 1.1.1 .f Ih. I.' .... Inl.r..1 .......d, .... nol ..Id ..fo" J.....rY I., I.... Ih' IInl d.' .lIar Ih' .nd of Ih. ,., ..n..tv p.rI.d. Inl.r..1 10 char..d ...Innln. .lIh 11,,1 d.. of d.\ln...anc., or nln. ,91 .onlh. .... one (II d.. fr" IhO d." of d..lh, ,. Ih' d." of p....nl. T.'" .hlch ..c... d.II....nl ..f.r. Janu.r. I. 1..2 ...r Inl.r..1 .t Ih. r.l. .f ", (.XI .arc.nt .ar ...... colcul.,.d .1 . d.lI. r.l. .f ..'.1.', .\1 ..,.. .hlch ..c... d.\ln....nl .n and .lIar Janu.rY I, 1..2 .111 ...r Inl....t .1 . r.l. .hlch .111 .or. fr.' c.l.ndor ...r I. col.ndor ...r .lIh th.' .... onnoun<.d .. Ih' P' D...rl..nl of ......... Th. ...llc..I. Inl.r..t r.I.' f.r I'.' Ihrough I". .r.. Vaar tntarut Rata DailY tntera.t Factor Vaar tntarut Rata DailY tntara.t Factor - 198Z lOX .000548 1981 .X .000Z47 1981 16X .000458 1988-1991 llX .00nOl 1984 UX .0DnOl 1991 .X .000247 1915 UX .000556 1991.199" 7X .000192 1986 I.X .000l74 1995-1998 .X .000247 INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR __Intar.lt 11 calculatad a. folloWI1 PEHAlTVl INTEREST I --.n. Hollc, I..u.d .fl.r IhO I.' ..co.., d.II.....1 .111 r.fl.ct on Inl.r..t ..lcul.'lon 10 flfl." (1" d." ....... Ih. d.l. of Ih. ........nl. If ....anl I. .... .lIor IhO Inlor..' c._I.tlon d.l. ........ on IhO Nottca. addlt1ona1 Intaralt .u.t be calculatad. , I'J~ 'J,! )/ ,-.I., . BUREAU OF INOtVIOUAL TAXES IHlllAIUNCl IAlC DIVISION D[PT. :80bOl 1l.l'UIISBUIIC, PA II100a-ObDl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR OtSALLOWANCE OF DEDUCTIONS AND ASSESSMENT or TAX DORIS TROSTLE DAUPHIN DEP BK 8 W HIGH ST CARLISLE DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 1l-03-97 NEl SON 08-14-96 21 96-0658 CUMBERLAND 101 8 TR CO Allount R."ithd PA 17013 L/ ~~~9-'., rrr;,(l~ -~, I1tfJ.... . C MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WIllS CUMBERLANO CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ii"eV:i54TEx--,Uip--iii9-:9'fr-iioYIcE--o"-iNHEiiIiAii-cE-YAx-jippiiA"iSEi.fEiiT~--'\L.i-OWAi.fcE-cfR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX FRITZ C FILE NO. 21 96-0658 ACN 101 TAX RETURN WAS: I ACCEPTED AS FILED I Xl CHANGED SEE If an assessment was issued previously, lines 14, 15 and/or 1&, 17 and 18 reflect figures that include the total of ahh returns assessed to date. ASSESSMENT OF TAX: 15. Anount of Line 14 at Spousal rat. (15) 16. Anount of Line 14 taxable at Line.l/Class A rat. (16) 17. Anount of lina 14 taxable at Collateral/Cla.s Drat. (17) 18. Principal Tax Due TAX CREDITS: PAYMENT DATE ESTATE OF NelSON RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I Eat.t. (Schedule A) 2. Stocks and Donds (Schedule 8) 3. Closely Hald stock/Partnership Interest (Schedule C) 4. Harts.ges/Note. Recaivabla (Schadula OJ 5. Cash/Sank Daposits/Misc. Parsonal Proparty (Schedule EJ 6. Jointly Owned Property (Schedule FJ 7. Transfers CSchedula GJ 8. Total Assats III 121 131 141 151 t61 171 .00 1,289.269.01 .00 .00 21,683.71 .00 .00 181 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adn. Costs/Misc. Expenses (Schedule HJ 10. Debts/Hortgage Liabiliti.s/liens (Schedule IJ 11. Total Deductions 12. Net Value of Tax R.turn 13. Charitable/Covernnantal aaquasts; Non-elected 9113 Trusts (Schedul. JJ 14. Nat Valua of Estat. Subject to Tax 191 IlOI 70,244.78 7.422.74 1111 1121 1131 1141 NOTE: 1,860.66 X .00= .00 X .06= .00 X .15= llBI RECEIPT NUMBER DISCOUNT 1+1 INTEREST/PEN PAID I-I AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. '!o-lh'lI If' InUI FR ITZ DATE ATTACHED 11-03-97 NOTICE HOTE: To insure proper credit to your account, subnit the upper portion of this forn with your tax paynent. 1,310.952.7Z 77.667 ~? 1.233,285.20 .00 1.233.285.20 will .00 .00 .00 .00 .00 .00 .00 .00 IF TOTAL DUE IS LESS THAN '1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREOn" ICRl, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I , .' oEsto..IIOH, t...,.. .. d.e.d.n.. d.ln. on ., b.'.'. D.e..b., ". l.a, -- I' .n. 'u'u" In'.'.'' In .h. ...... I. .,.n.,..,.d In .......Ion.' .nl....n. .. Cl..' B Ce.ll...,.ll b.n.'lel..I.. .. ,h. d.e.d.n' .,.., .h. .,.I,..I.n ., .n. ...... .., 11" ., .., ,..". .h. C....n...l.h h.,.b. ...,...1. ,...,... .h. ,I.h. .. ...,.1.. .nd ...... ',.n.'" Inn.,l..ne. I.'.' at the lawful tin. B Ccollatarall rat. on any such future Intarnt. PURPOSE Of HOnCEI 10 fulfill the requir...nt. of Sactlon 2140 of the InherltanclI and [.tat. t._ Act. Act 21 of 19Q5. (7Z P,S. Section 91ltO J. PAYHEHT: D.'.eh .h. ... .."I.n.' .hl. H.lln .nd ......11 .l.h ..u, .....n. .. ,h. ..,;,t., .. will. .dn..d .n ,h. ,...". .Id.. .-Haka check or lIonay order payable tOI REGISTER OF' MILLS, AGENT REFUND C CA) : . ,,'und .. . ..' e,.dll, .hleh ... n.' ,.'u....d .n .h. I.. o.'u,n, ... b. ...u....d b. e...l.lln. .n ....1Ie..l.n for A.fund of Pennsylvania Inheritance and E,tat. ,.... tREV-UUJ. Appllcetlon. at. aVflUabla at the Offlu of the Ragl.tar of Will., any 0' the ZS RavanuII DI.trlct Of'lc.'f or by calling the sPllcla' Zit-hour an."erlnG ..rvlce nuabar. for 'or.' ordering: In PannsYlvanla 1'800-362-2050, out. Ida Pann,ylvanla and within 10ca. Harrl.bUrg ar.. (711) 7a7'809~, TOOl (7171 772.2252 tHaaring I.palrad Only). OBJEC"DHS, In. ..,,. In In'.'''' n.' ..1I.f1.d .lth ,h. .....Is...n.. .1I...nn ., dl..lI..ann .. d.dueU.n.. ., .".....n. .. .., 'Ineludln. dl.eoun' ., In','.'" .. .ho.n.n ,hl. H..le. .u.. .bJ.C' .I,hln .1,.. C.Ol d..' ., ,0e.I.' .. this Notica by: OR --wrlttan protalt to tha PA aapart.ant of Ravanua, Board of APp.al., Dapt. 281021, HarrisbUrg, PA _..lactlon to haya tha .attar datar.lnad at audit of tha account of tha parlonal r.pr'lantatlva, .-appaal to tha Qrphan.' Court. 17128-1021, OR AD"IN ISTRATlvE CORRECTIONS: Factual arror' dl.covarad on thll al.....ant .hould ba addra.,ad In writing to: PA Oapartaant of RaYlnua, Bureau of Individual Ta.I', ATTN: POlt Allall.ant Ravla. unit, Oapt. 280601, HarrllbUrg, PA 1712S.0601 Phone (117) 787.6505. Saa paga 5 of tha booklat ~Inltructlonl for Inherltance Tax Rlturn for a Ra.ldant Dacadant~ IREV-1S011 for an a.planatlon of ad.lnl.tratlvaly corractabla .rror.. DISCDlItTI " on. ,., duo I. ..Id .lthln Woo 131 e.l.nd.' ..n'h. .fl., .h. d.cod.n'" d..,h. . fl.. ...nn' ,m dlse.un' .. tha tax paid I. allo.ld. PENalTY: Ih. ISX ..' ....... non-..,'lcl..'lon ..n.l'. I. c...u..d .n ,h. ....1 .. ,h. .., end In'.'''' .....,.d. ond no' ..Id b...,. ,.nu." ,a, ,..., ,h. '1'.' d.. .,.., .h. .nd .. .h. .., ..n.." ..,I.d. Ihl. n.n-..,'lel..'I.n ..n.l'. 1. .....I.bl. In 'h. .... ..nn.' .nd In .h. .h. .... .1.. ..,I.d .. ..u ..uld .....1 .h. .., .nd In','.'' that has baln a..a..ad .. Indlcatad on this notlca. INTEREST: In'.'." I. eh.,..d b.. Inn In. .I,h '1,.. d.. .f d.llnqu.ne.. ., nln. '" ..n'h. .nd on. 'II d.. .,.. ,h. d." .f d..'h, .. .h. d." .. .....n'. I.'" .hleh b.e... d.llnqu.n' b...,. '.nu." '. I'" b.., In'.'''' .. .h. ,... .. Ihe 16iC) par cant par annuli calculatad at a dally rata of .OOOI6~. All Un. which baca.. d.lInquant on and aftar January 1, 1982 will baar lntere.t at a rata which will vary fro' calandar yaar to cftlondar yaar with that rata announcad by the PA Oapart.ant of Ravanua. The appllcabla Intaralt rata' for 1982 through 19'7 ara: '!!!! Inter.,t R"ta DAlly lntar..t FAetor !!!! lntaralt Aata DAilY lntora.t Fnetor- nS2 ZOiC .000548 ln7 ,x .0002U nn '.X .00041S l'UI8.19'1 lliC .000301 191" IIX .00nOl llJU .X .000tU 1915 UX .000n6 I"S'11J9~ 1X .0001'2 1916 10iC .00021,. 19'5.19" 'X .000Z~7 --Intara.t Is ulculatad .. follow': INTEREST = BALANCE OF TAX UNPAIO X NUnBER OF OAYS DELINQUENT X DAILY INTEREST FACTOR -.Any Hotlca I.,ued aftar the tax baco.a. dallnquant will ra'laet an tntara.t calculation to fl.taan C1S) day' beyond tha data of the a..a..,ant. If pay.."t II ,ada lI'tar tha In"rut cooputatlon data ,hown on tha Nottn, additional Intarnt ault ba calculatad. , IIr~14;C'I"(',H<41 PROUA IE 10/20/91 ~.~ INHERITANCE TAX EXPLANATION ~.~ OF CHANGES CDMMON',vrAl1l101I'INW,YlV,VM O[I'Alt'MrNT 01 III VI Ntll BUREAU Of INDIVIDUAL TAlES or"l :W.ol U,\RlHSI1\JllG ",\ I H;'" fW",(ll Fritz Nelson Fll~ 2196-0658 ACN 101 SCHEDULE ITEM EXPLANATION OF CHANGES NO. The amount on line 15 does not include assets passing to a trust or similar arrangement for which a Section 2113 election has not been made (72 P. S. 9113). The reported values of the excluded assets have not been verified by the Department of Revenue. TAX EXAMINER Bill Lyons PAGE 1 ROW Copy PURPOst Of NOTICtl To fulfill the r.qulr...nt. of S.ctlon 21~5 Cb) of the Inharltanc' 8nd [.t.t. Ta. Act, Act ZI of 1995. (72 P.S. Sactlon 91~5', PAYttEHT, D.tach tha top portion of thl. Hotlea and .ubllt with your pay.ant to tha R.gI.tar of Will. prlnt.d on thl ravar.. sid.. __ "aka ch.ck or .on.y ordar payabl. tal REGISTER OF MILLS, AGENT. AEFUND (CA)I A r.fund of a ta. cr.dlt ..y b. r.qua,tad by coapl.tlng an "Application for Aafund of Pann'Ylvanla Inh.rltanc. and E.tata raM" (AlV-l)I)). Application. ar. .vallabl. at the Dfflc. of the Raglstar of Will., any of the Z3 R.v.nua DI.trlct OfficII or frol t~a Dapart.,nt', Zl,-ho", an.warl,,~ ..rvlca nuab.r. for forll ordarlngl In Pann.ylvanla 1-800-)6Z-2050, out.ld, Pannsylvanla and within lOCI. Harrl.burg araa (111) 187-8094, TOOl (111) 112-ZZ52 (H.arlng I.palr.d Only). OBJECTIONS: Any party In Intara.t not .atl.fl,d with the a.......nt of ta. a. ,~~~n on thl. notlc. .ay obJ,ct within .I.ty (60) day. 0' r.c.lpt 0' thl. Notlca by' --wrltt.n protast to the Pi D.part..nt of R.vanu., Board of App.al., D.pt. 281021, Hlrrlsburg, PA 11128-1021, OR --.I.ctlng to hive thl aatter d.ter.lnld .t audit of the par,onal rapr...ntltlvl, OR --.pp..l to the Orphan.' Court. AD"IN- ISTAATIVE COAAECTIONSI Factuel arror. dl.cover.d on thl. ..,..,..nt .hould b. addr..sad In writing to: Pi Dlpart..nt of Rav.nu., Bureau of Individual T.~a', ATTNt po.t A.......nt R.vlew unit, O.pt. 280601, Harrl.burg, Pi 11128-0601, Phon. (111) 181-6505. S.. pig. S of tn. booklat "In.tructlons for Inherltancl T.. Aaturn for. RI.ld.nt Dlcldant" CAEV-1501) for an I.pl.natlon 0' adelnl.tratlvely correctable .rror.. PENAL TV , Thl 15~ ta. aan..ty non-Plrtlclpatlon p.nalty I. coaputad on the total of the t.. and Int.r..t a......d, and not paid b.for. January 18, 1996, the 'Ir.t day aft.r the end of the tax .an..ty p.rlod. Thl. non-participation penalty I. app.alabl. In the .... aann.r .nd In tha the .... tl.. p.rlod a. you would appaal the tax and Int.r..t th.t ha. b..n .......d a. Indlcat.d on thl. notlc.. INTEREST, For d.t.. of dalth on or .ftlr 10-)-91, Pann.ylvanla E.tat. TI. b..ad on the Fld.ral t.t.ta Tax r.turn blco.., d.llnqu.nt at thl a~plratlon 0' nln. (09) .onth. fro' thl data of daath. For dat.. of daath prior to 10-3-91, Pannsylvanl. E.t.t. Ta. ba.ad on tha f.d.ral E.tata TIX raturn b.co... dallnqu.nt at the a~plretlon of .IQ~t..n (18) aonth. froa the data 0' d.eth. 'ex.s which baca.a d.llnquant bafora Janu.ry I, 1982 balr Intara.t et tha rata 0' .Ix (6X) p.rcant p.r .nnu. calculatld at a dally rata of .000164. All t.x.. which bac... dallnquant on or .,tar January 1, 19B2 will b.ar Intar..t at a rata which will vary 'roe cal.ndar yair to calandlr y.ar with that rata .nnounc.d by thl PA Dap.rt..nt of Aav.nue. Th. appllcabl. Intar..t rata. for 19B2 through 1997 Ir.l V.ar Int.rllt Aat. naUy Intarltt Factor V.ar Intarllt Rat. nally Intarllt Factor 1982 20X .000548 19111 'X .000247 1983 lOX .000U8 1988-1991 IU .000301 19a" It:( .000301 1992 'X .000:lt1 1985 n~ .000356 1")-1994 7X .000192 1986 lOX .000214 1995-1991 'X .000241 ulnt"nt I. calcul.t.d a. followll INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTDR ..lny Notlc' I..ued .ftar the t.x b.co.a. d.llnquant will r.fl.ct an Int.r..t calculation to flftaen (IS' day. b.yond tha date of the ........nt. If p.y.ant I. .ada .ftar the Int.r..t co.putatlon d.ta .hown on the Notlcl, .ddltlonal Int.r..t .ust ba calculat.d. /5"-/.v _ J' DORIS TROSTLE DAUPHIN DEP BK & TR CO 8 W HIGH ST CARLISLE PA 17013 COHHONWEALTH OF PENNSYLVANIA DEPARTHE~T OF REVENUE NOTICE OF DETERHINATION AND ASSESSHENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSINO LETTER DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN , / '*, BUREAU OF INOIVIOUAL TAXES INHERITANCe TAX DIvISION O[pr. zaUDI H.\ARISIURa, PI 1111'-0601 I.,./U 'I au HI-", 03-30-98 NELSON 08-14-96 21 96-0658 CUMBERLAND 202 FRITZ C Allount A..Ut.d "l MAKE CHECK PAYABLE AND REHIT PAYHENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 HOTEl To jn.u~. p~op.r credit to ~our account, subllit the upper portion of thl. for. with your tax paynant. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ..... RE-V:;i6--EX-iiFP--ioi:-9;i-----.-.-NO-ficE--OF--nETE-iHINiiiloii-AN-n-As-sESS-HENT----------------------------- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER .. ESTATE OF NELSON FRITZ C FILE NO.21 96-0658 ACN 202 DATE 03-30-98 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified 9.599.75 2, Pennsylvania Inheritence Tax Assessed (Excluding Discount and/or Interest) .00 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed .00 5. Pennsylvania Estate Tax Due 9,599.75 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federal Estate Tax Return 9.599.75 7. Additional Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID .-:\ . . TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE ,00 (IF TOTAL OUE IS LESS THAN .1. HO PAV~ENT IS REQUIRED IF TDTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU ~AV BE DUE A REFUND, SEE REVERSE SIDE OF THIS FOR~ FOR INSTRUCTIONS. I , _. "IF PAlO AFTER THIS OATE ,-'st6 REVERSE SlOE FOR CALCULATION OF ADOITIOHAL INTEREST. PUm'OSE OF NOTICE I to fulfill the r.qulr..anta of s.ctlon ll4S (b) of the Inherltanc. 8nd Eatat. tax Act, Act II of 1995. (7l P.S. S.ctlon 91451. PAYPfEHT: D.tach the top portion of thla Notlc. and subelt with your pay..nt to the Reglst.r of Will. prlnt.d on the r.".r.. .Ide. n ".k. check or .on.y ord.r payabl. to: REGISTER OF MILLS, AGENT. REFUND etA): A refund of a tax cr.dlt .ay be reque.t.d by co.pletlng an "Application for Refund of PennsYlvenla Inh.rltance and E.tat. tax" (REY-1313). Application. are available at the OfficI of thl A.gl.tlr of Will., any of the l3 Alvlnul District Offlc.s or frol thl O.Plrt.ent's Z4-hour answlrlng .ervlc. nueblr. far for.. ord.rlng: In Pennlyl"anla 1-800-36Z-Z050, out.ld. P.nnlyl"anla and within 10cII Harrisburg ar.. (717) 787-8094, TOOl (7171 77Z-ZZSZ IH..rlng lap.lr.d Only). OBJECTIONS: Any plrty In Int.rl.t not s.tl.fl.d with the a.s.ss..nt of t.x .. shown on thl. notlcl ..y obj.ct within .Ixty (60) d.y, of r.c.lpt of thl. Notice by: --written prot..t to thl PA Dlpart.lnt of AI".nu., Board of App.al., D.pt. l810ll, Harrl.burg, Pi 171Z8-10ZI, OR --.I.ctlng to hl"l the ..tter d.t.raln.d at audit of the Plr.onal r.prll.ntltiv., OR --app.al to the Orphan.' Court AIJtUN- ISTRATIVE CORRECTlONS1 Factu.l .rror. dl.cov.r.d on thl, ........nt should ba .ddr....d In writing to: Pi D.part.ent of A.venu., Bur.au of Indlvldu.l T.x.', AIIN: Pa.t A.......nt R.vl.w unit, D.pt. l80601, Harrl.burg, Pi 171Z8-0601, Phon. (717) 787-6505. S.e p.g. 5 of the bookl.t "Inltructlon. for Inh.rltanc. T.x R.t~rn for a R..ldant a.c.d.nt" (REY-1501) for an ..plan.tlon of adalnl.tr.tlv.lY corr.ctabl. .rrar.. PEHALTY1 Th. IS~ t.x aan..ty non-participation panllty I, ca~t.d on the total of the tax and Int.r..t ......ad, and not paid bafor. January IB, 1996, the flr.t d.y .ft.r the Ind of the t.x .an..ty plrlod. thl. non-Plrtlclp.tlon p.n.lty I, .pp..labl. In the .... .ann.r and In thl tha .... tl.a p.rlod .. you would .ppa.l thl tax and Inter..t that h.. be.n .......d a. Indlc.t.d on thl. notlc.. INTEREST I Addltlon.1 P.nnlylvanl. E.t.t. T.x .......d a, a rllult of . chang. on the Fadaral E.tatl Tax clo.lng I.tt.r baeo... d.llnqu.nt at thl Ixplratlon of anI (1) .onth fro. the data the final notlc. of the Incr..I. In r.deral E.t.t. T.x I. recalv.d. Ta... which bec.e. delinquent b.for. Janu.ry 1, 19BZ b.er Inter..t at the rata of .Ix (6~) p.rcent par annul calculated at a dally rata of .000164. All ta.e. which b.c... d.llnqu.nt on or aft.r Janu.ry 1, 1'8Z will b..r Inter..t at a r.t. which will vary fro. c.lendar year to calendar y.ar with that rate announc.d by the Pi a.part..nt of R.vlnu.. Th. appllc.bl. Int.r..t rat.. for 198Z through 1998 .r.1 '!!!! Interllt Rate Dally Inter..t Factor ~ Int.,..t R.t. D.Ily Int.rllt Factor 1982 'OX .000548 1987 'X .00OZ47 I.n 16~ .000431 1918-1991 1l~ .000301 1984 1l~ .000301 199Z OX .DDOZc.7 1985 13:< .0003S6 1 '93-1994 7X .00019Z 1986 10;( .000Z74 1995-1998 'X . aoOZ47 --Int.ra.t Is calcul.ted .. followSl INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. I..ued .ft.r the t.x b.co..s d.llnquent will r.fl.ct an Int.r..t calcul.tlon to flft.an liS) d.y. bayond the data of the ....sl..nt. If pey..nt I. .ad. .ft.r the Interest coaput.tlon d.t. .hown on the Notlc., .ddltlon.1 Int.r..t au.t ba calculat.d, Is:. I~~ I.. J' COHMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSVLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN *, , ~ BUREAU OF INOIVIDUAL TAMES IHttUIIAHC[ fAil DIVISION DlP'. 1IOt.OI IlARNISIURG. PA 111l1-01l01 1".lItlll" 11'.'" 03-30-98 NELSON 08-1(,-96 21 96-0658 CUM8ERLAND 202 FRITZ C DORIS TROSTLE DAUPHIN DEP BK & TR CO 8 W HIGH ST CARLISLE PA 17013 Anount R.",itt.d MAKE CHECK PAVABLE AND REMIT PAVMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 HOTE: To insure proper credit to your account, sub...!t the upper portion of this forn with your tex p.YMent. CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR FILES ... Rifv:iiJ;-EX--AFP--Coi:-9ij-----.-.-NCificif-OF--nETifRHiN-Afio-N-Aiin-AS-sESSlHENii---------------------------- OF PENNSVLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER .. ESTATE OF NELSON FRITZ C FILE NO.21 96-0658 ACN 202 DATE 03-30-98 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified 9.599.75 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) .00 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed 5. Pennsylvenia Estate Tax Due 9,599.75 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federal Estate Tax Return 9,599.75 7. Additional Pennsylvania Estate Tax Due TAX CREDITS: PAVMENT DATE DISCOUNT (+) INTEREST/PEN PAID (-) RECEIPT NUMBER AMOUNT PAID '.j( " TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 tIF TOTAL DUE IS LESS THAN '1. ND PAYNENT IS REQUIRED IF TOTAL OUE IS REFLECTEO AS A "CREDIT" (CRJ, YOU NAY BE DUE A REFUND. SEE REVERSE SlOE OF THIS FORN FOR INSTRUCTIONS.J >IF PAlO AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. .00 .00 PURPOSE OF HOlICEI To fulfill the r.quir...nt. of S.ctlon l14~ (bl of the Inh.rlt.nc. and [,tat. Tax Act, Act II of 1995. (72 P.S. S.ction 914~). PAY"ENT: D.tach the top portion r.ver.. .ide. -- "aka ch.ck or .on.y of thl. Notlc. and .ub.lt wIth your pay..nt to tho R.gI.ter of Will. prlnt.d on the ord.r payabI. to: REGISTER OF HILLS, AGENT. REFUND eCR): A r.fund of a tax cr.dlt .ay b. roqu.,t.d by coapl.ting an "Application for Refund of Penn,ylvanla Inh.rltanc. and E.t.te Tax" (REV-I1Il). Appllcatlonl are avallabl. at tho Office of the R.gi,ter of Will'. any of the 23 Revenuo DI.trlct Offlc., or fro. tho O.part..nt", 24-hour an'werlng ,ervlc. nu.ber, for for.. orderlngl In P.nn.ylvanla 1-300-162-2050. out.ld. Pann.ylvanla and within local Harrisburg aroa 17171 737-3094. TOOt (717) 772-2252 (H.erlng Iepelr.d Only). OBJECTIONS I Any party In Intero,t not ,ati,fi.d with the als.s,..nt of tax as shown on thl. notlc. .ay Object within .I~ty (60) day. of r.colPt of thl. Notlc. bYI uwrlthn protnt to the PA nopart.ont of R.v.nu.. Board of Appoall. Oept. 281021. ttarrhburg, PA 17128-1021, OR --el.ctlng to have the aatter d.ter.ln.d at audit of the personal repres.ntatlve. OR --.ppeal to the Orphan," Court ADt"H. ISTRAlIVE CORRECTIONS: F.ctual error. dl.cover.d on this ....'...nt Ihould b. .ddr....d In writing t01 PI nep.rte.nt of R.v.nue, Bur.au of Individual Tax... ATTN: Po.t A.'.'...nt R.vl.w Unit. D.pt. l806QI. Harrl.burg, PA 17128-0601. Phone (717) 787-6505. S.e page 5 of the bookl.t "In,truction, for Inh.rltance Tax R.turn for. Re.ld.nt O.c.dent" (REV-I501) for an ..planatlon of adalnl.trativ.ly corr.ct.bl. .rror.. PENALTY: Th. 15% tax aene.ty non-p.rticlpatlon panalty i. co.putad on tho total of the tax and Intara,t a......d. and not paid b.for. January 18, 1996, tha first day .fter the ond of the tax aana.ty p.rlod. Thl. non-participation penalty I. app.alablo In tho .a.o .ann.r and In the tho sa.. tl.a p.riod .. you would appeal tho tax and int.r..t that has b.an ..'....d .. Indlcat.d on thl, notlc.. INTEREST: Addltlon.1 Penn,ylvanl. E.tal. Tax .,.e,..d as a re.ult of a chang. on Ihe Fod.ral E.tat. lax clo.lng latt.r becoae. dallnqu.nt .t the expiration of one (11 Month fro. the dato the final notice of the Incr.... In Fed.ral E.tal. T.. I, r.celv.d. Ta~.. which boca.e dellnqu.nt b.for. January I. 1982 b.ar Int.r..t at the rata of .ix (6%) p.rcent p.r annuM calculat.d at a dally rate of .000164. All ta~es which b.ca.. delinquent on or aft.r January 1. 1982 will b.ar Int.re.t at a rate which will vary fro. cal.nd.r y.ar to caI.ndar y..r with that rat. ftnnounc.d by the PA n.part.ent of R.v.nuo. Th. appllcablo Inter..t r.t., for 1932 through 1998 aral ~ Int.rnt Rat. Oalh Inter..t factor !!!!" Inhrnt Ral. Dally Inhre.t Factor 1982 20% .000548 1987 'X .000247 1981 16% .000438 1988-1991 It:( .000301 1984 lU .000301 1992 'X .000247 1985 13% .000356 1993-1994 7X .000192 1986 10% .000271t 199~.1998 .X .000247 ulnt.re,t I, calculat.d a. follow'l INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Notice I'.u.d .fter the t.~ b.co... dellnqu.nt will refl.ct an Inter..t calculation to flft..n (I~) dly. b.yond the date of the ..'.....nt. If p.y..nt I. ..d. .fl.r the Intor.st co~utatlon date .hown on thl Notlc., additional Int.re.t _u.t b. calculat.d. PAYlEXTI OItach the top portion a' thh MaUe. .-.d ...It ..Ith your ,.,..,t ... ,.)'8bl. to the MM end Iddren printed on the rever.. "de. If RESJDEKT DECDJEHT .... c:heck or MWMV order p.veilh ten RECISTER OF WILLS, AGENT. If ItOIHlES11lDIT DECEIlEIlT .... dwell .. ...... ....... .....1. t.. COIttON\IEAL TH OF PEHllSYLVAHIA. REJ1ICD (CAh A r.hnI of a tax credit, ....Ich .... not r~Il'" on the Tax Aatum, ..v be r.....ted bv COlIlpI.Unt ., -AppUelltJan for A.f1nI of p.,...nlVW111 Jrherl~ ... E.tat. Tax- (REV..nU). AppUcaUon. ar. 1IY'I1l1ib1e at thI Office of the Aeght... a' WIU., InY of thI Z3 A.v.... Ohtrlct Offlc" or froll the DlpartMnt'. Z4-hour .,....rl,.. "Nice ......n far 'an. arderl,..1 In P.-rtnlVW1la l-lao-36Z"U50, outelde p.,...nlVW1la and ..IUdn lOQI ..rrhburg ar.. (717) 717"1094, T1JD. (717) nz..ZZSZ CHArlng J~lred only). REPLY TOI DoIe.Uon. reprdl,.. arrare cant81ned on thh noUce IhaUld be addra..ed tal PA Deper~t of A.veNM, Bur'" of Indlvlul To.., Ami Pall ......lMnt A.vl_ lkllt, Dept. Z10601, ..rr!lburg, PA 17121"0601, phana (717) 717"6505. Dlsaunl If .,y tax ... I. ,.Id ..Ithln thr.. (5) calender -.nth. aftar thI decedent'. dMth, a five percent (S%) dllCCM'lt 0' the tax peld I. allawed. paul TV I The 15% tax ......ty nan"pIIrtJclp.Uan ,.,-1 ty 11 ~ted an the tatel a' the tax ... lnt.r..t .....sed, end not peld before Jenlarv 11, 1996, the flret dIIv aft.r the .-.d of the tax __.ty period. 1NTIRES1. Int.r.et 11 c:Mrged blglmlng ..Ith flret day of dell~, or nine C') IIOftth. and one (1) dQ frOll the dIIt. of dMth, to the dIIta of pa,..,t. To.. ....Ich bec8M "'l1~t before Januarv 1, l'IZ beer lntareet at the rate of .be (6%) perc.,t per ...... eIIlcul.ted at a dallv ret. of .000164. All tua. ....Ich ___ "'U~t on and afta.. ........, 1, 1HZ ..111 beer lnt.r.1l at a rat. ....1c:h ..111 varY 'rOIl calender vllr to calendar VII" ..lth that nt. ~ bv the Pi Depert.ant 0' R.v.nua. The ."Ilcabl. Intar..t rata. for 191Z through 1991 .r'l Yo.. Int.raet bte 0I11v Int.r..t Fector V... Jnter..t bte Doll. Inter..t Fecto.. 1HZ zoX .000541 1911 9J .000Z47 ItIS 16% .0000' 19ea"I991 I1X .000501 19M I1X .000501 199Z 9J .000Z47 I9IS 111 .00osWt 199'-1'" n .000l9Z 1916 lOX .000Z74 1995"199' 9X .000247 --Inter..t I. e11lculatad a. followll IIITERElIT a BlUlfCE OF TAX UIlPAIO )( HVKBER OF DAYS DELIHqUEHT )( DAILY IIITERElIT FACTOR ....Anv Matlce In,,1d aft.r the tax ~. dell~t ..U1 reflect., Inter..t calcuhUan to flft.., US) dIIv. beyond the dlta 0' the .....~t. If PII~t .. ~ aft.r the lntar..t CQIfIUtatlan dIIt. IhaWI an the Matlce, addition" lnt.r..t .,.t be calcuhtad. /s 1.<1- ,\. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' BUREAU OF INDIVIDUAL TAXES U'UITAHCI: 'AX DIVISION Dl.PT. UIUI twlAISIlltG, PA 1712'1-0601 m.IIU 0 an 11I-m DORIS TROSTLE DAUPHIN DEP BK 8 W HIGH ST CARLISLE DATE ESTATE OF DATI! OF DEATH FILE NUMBER COUNTY ACN 03-30-98 NELSON 08-14-96 21 96-0658 CUMBERLAND 201 bo<Jnt R..I Hed FRITZ & TR CO PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE, To In..,r. pr_r credit to your 8CCount, lubIIlt tM up...r portion of thh fo... with your tax p.~t. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE"y:iliiITEX-AFji-lo3':9'rj------ii.ii-iiiifEiiii:"Aiic'E-YAX-STA'TEii'ENY-OF-A'i:"cciijtfT--iiiii--------------------- ESTATE OF NELSON FRITZ C FILE NO. 21 96-0658 ACN 201 DATE 03-30-98 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACH IN THE MANED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 02-09-98 PRINCIPAL TAX DUE.. 9,599.75 PAYMENTS (TAX CREDITS), PAYMENT DATE '12-05-97 02-06-98 RECEIPT NUMBER AA242518 AA269731 DISCOUNT (+) INTEREST/PEN PAID (-) 429.18- 56,90- 10,028.93 56,90 AMOUNT PAID :. , TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 9.599.75 .00 .00 ,00 . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN el, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YDU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FDR INSTRUCTIONS. I C PA'ttI>fT1 o.tech the top portion of this Hatlc. WId ..,.It "Ith )'OUr p.~t aade p.,.bl. to U. r-. IW1d .tdr... prlntMt on the n.".r.. diM. If RESJDEHT DECEIlOCT uk. cheek or ...y arar payabl. tal REGISTER OF WILLS, AGENT. If NQN-RESlDEHT DECEDENT aka c:heck or "'1 orar pa,.bl. tOI CotttONWEALTH OF PEtf<<SYlVAHIA. REJ1.IID (CAli . r.f\n:I of . tex crlldlt, whIch WII' not r...tMt on the To A.tum, _1 be r...tMt by ~I.tlng ., "AppUQtlon far A.f\n:I of p...,-vIVMla Jm.rIUnce WId Edat. Tax" (REV-UU). AppUClltlon. ar. IM1I18bl. et the Offlee of the Aeglst.r of "Uh, en)' of the Z3 A..".,.". District Offlc.. or frOll the Depar....t.. Z4-hour .,....rlng .."Ice ,..,.n 'or fora. oriMrlncu In p.,.,sylVMI. 1-800-36Z-Z0Sa, ouhliM p...,-vlVW11. ... within 10C111 Harrisburg .r.. (717) 717-1094, TlJOI (117) nz-zzsz (Hearing J.,.lrMt only). REPLY TOI b.tton. regardIng .rror. contained on this nottce thould be eddrllnd tOI PA Depert-lt of A.."......., Bur.., 0' Individual Tax.., .TTNI Pa.t ........"t A.vl~ unit, Dept. Z10601, Herrlsburg, P' 171ZI-0601, ~ (717) 787-6505. DISCOl.IfTI If en)' tax dull I. paid within thr.. (]) QI8ndar ItOftth. .ft.r the decedent'. dMth, . flv. parcMt (5%) dl~t of the tax p.ld I. .Ilowed. PDtAl;t1 The 15% tax ....b non-p.rtlclpatlon per'IIIlb II coeputlld on the tatel of the tax IW1d Int.r..t .....sad, .nd not paid be'or. .JInMry II, 1996, the flnt day a'''r the end of the tax ......b period. INTERESTI Int.n.t II charged begl,.,l", with flnt da1 of iMU~, or nine (9) ItOftthl rd one (1) da, frOll the data of dMth, to the data of P.~t. Tax.. which bee-. deUnquw'lt bI'ara J.1uary I, 198Z Mar In"r..t at the nt. of ,he (6%) percent per ...... calcul.tMt .t . dIIl1' rat. of .0001". .11 taXI' which bee-. deUncp.Mnt on InI .ft.r .JInMry 1, 191Z will bier Int.r..t .t . rat. which will v.r, 'rOIl calendar ,ear to CIIlandlr ,..r .,Ith thet rat. ~ b, the p, Oepar....t of A.v.,.".. The 1lpp1lc:ab1. Int.rllt r.... 'or 198Z throuctl 1998 arel Y..r Int.ra.t Ra" DeUy Jnter..t rKtor Yoo. Jntlr..t Rat. DIllY Int.r..t rector 198Z 20Z .000S41 1987 .2 .000Z47 1.13 162 .00008 1988-1991 112 .00DSoI 1914 112 .000301 I99Z .2 .000Z47 1915 152 .00DS506 1995-1994 12 .000l9Z 1.16 IOZ .000Z74 1995-.99. '2 .000Z47 -"Jnt.,lIt I. calcul.tlld .. fallON'1 IIlTEIlEST " BALANCE OF TAlC UKPAID X HUKBER OF DAYS DELIHQUEHT X DAILY IHTEREBT FACTOR --Any NotlCII 1.....1d .ft., the tax brIccM. dellnquMt ifill r.UKt Bn Intlr..t cttlcul.tlon to '1ft.." US) "'1 beyond tIM dIIt. 0' u. ........"t. If ~t I. -sa ,'''r \hi Int.rllt ~tatlon dl;t. IhoNn on the Hatlc., addlt1~1 Int.,..t ...t be celcul.tMt. .. -^. . STATUS nEI'ORT UN[)ER nUl.E (,,12 Nmnc of [)cccdcnl: FnlTZ C, NEl.SON Social Sccurily No. 182.4().1)714 Datc of [)calh; 08/14/% Register File No. 21-11)1)6-0658 Pursuant to Rule 6.12 of the Suprcmc Court Orphans' Court Rules, I rcport the following wilh respcetto complction oflhc administrulion of the above-caplioned cstate: 1. S(ate whethcr administration of the estalc is complcte: Yes No x 2. I f the answer to III is No, state when the pcrsonal representativc reasonably believes thatthc administralion will be complete: Dccember, 1998 3. If the answer to III is Yes, stale the following: a. Did the pcrsonal rcpresentative file a final accoun( with the Court'? Yes No x b. The sepam(e Orphans' Court No. (ifany) for the pcrsonal representative's account is: c. Did Ihe pcrsonal represcnlative state an account infonnally to the parties in interest'? Yes No x d. Copics of receipts, releascs, joinders and approvals of fonnal or infomlUtion accounts may be filcd with Ihe Clerk of the Orp lUns' Court and may be allachcd (0 this repo . Datc: Augusl29, 1998 Signature: r- .' .' .~ .. , '., .;) .... ."- ;--".: 0 1"'1 0- W "'0 .j2 en ~ P- ... 5 0: t..)t,j '.UM l<i~"<,ll DOl N L. SNYDER 2 NORTII SECOND STREET, 71'11 FLOOR HARRISUURG, P A. 1710 t 717-257-7524 Allomcy for the Estate