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HomeMy WebLinkAbout96-00670 21 - 96 - 670 co <0 R 1....."..... to '; (l~ 0\ . c;: ~ N I..; Eil ..:::: r). .. , f' " 0a: ~ ~ a:: ~:~ :J UU R(i' J" f,f I.' ., ; '~6 AGO 21 nl'TB ,.;1. , Ct'.1 .\lfl CUi!. "" ., 2)\. Cl I. ~ z .... ". . -l Z -l 0 i ~ Ul I... I- ~ ~ i [; a: :s . <l: ~ 0 ILl :E < . III II: ~ . .. ~ Z .. Z > - C-l :E II: . .. ~ _ Ir <l: ~ . <l J <l U .J ~ .. LAST WILL AND TESTAMENT 1, MEDA E. FAHLLINCi of UPI'H Franld.ord Township, Cumberland county,'pcnm;ylvanla, br.lng:.lf sound anddlspo~lng mind and memory, do hereby maltc, publish and dr.clare this to be my La!ot Will and Testament, hereby revoking any and all former Wills or Codicils by me made. 1. If my husband, GEORGE W. FARLLING, shall survive me for a period of thirty ()O) days, 1 give, devise and bequeath my real estate unto him for a term of his natural life and upon his death, 1 give the remainder unto my son GEORGE W. FARLL1NG, JR., absolutely. 1 give all of my personal property unto the said George W. Farlling for and during the term of his natural life and upon his death, to my son George W. Farlling, Jr., absolutely. In regard to said personal property, 1 direct that the said George W. Farlling, my husband, shall have complete and full power to consume any part or all of said personal property in his sole discretion. 1 hereby appoint the said George W. Farlling as Executor of this my Last Will and Testament. 2. If my said husband, George W. Farlllng, shall die within a period of thirty ()O) days after my death, I direct that he shall be deemed to have predeceased me and that the provisions of my Will shall be construed upon that assumption. During the portion of such thirty ()O) days as my husband shall survive me, he shall have the right to use and enjoyment as life tenant of the real and personal property devised and bequeathed to him herein. ). (a) In the r.vent my said husband shall not survive me for WILLIAM F. MARTSOtl AnORNEY AT lAW CARLISLE, rA. a period of thirty ()O) days, and my said son George W. Farlling, Jr., shall not have attained the age of twenty one (21) years at the lime of my death, I give, drwlse and bequeath all of my estate, both real and personal, unto FARMERS TRUST COMPANY, Carlisle, Pennsylvania, In trust, to hold the same and to collect the income and Interest therefrom arising, and to pay and apply the Income and interest, and also In Its sole discretion, from lime to time, as much of the principal fund as in its opinion may be necessary for the care, maintenance and education of my son, George W. Farlllng, Jr. MY said Trustee shall accumulate any unexpended balance of income and add the same to principal until the said George W. Farlling, Jr., attains the age of Twenty one (21) years. (b) Any unexpended income and the principal of said trust shall be paid unto my son, George W. Farlling, Jr., upon his attaining the age of twenty one (21) years. 4. 1 authorize my said Trustee, and its successors, to exercise the following powers, In addition to those given by law, to be exercised In its sole discretion. (a) To retain any real or personal property which may at anytime form part of my estate as long as It may deem such holdings advisable. (b) To vote, in person or by proxy, securities held by it and In such connection to delegate Its discretionary power. (c) To repair, alter, improve or lease, for any period of time, any real or personal property, and to give options for leases. (d) To sell at public or private sale, to exchange or to partition real or personal property and to give options for sales or exchanges. To modify and renegotiate any agreements for the sale of any real or personal property thereof, or to WILLIAM F. MARTSQN AnoRNtlA.' lAW CARLlSl[, r~. waive provisions of any such agreement if It Is In the Interest of my estate to do so. . WILLIAM F. MARTSQU ATlORNEY AT LAW CAnLl:iLf, r.A. ~ '. . (e) To compromise claims. (f) To add to the principal of this trust any property received from any person by deed, will or In any othermanner and to further commingle this trust with any trust created by me by a life insurance trust agreement. (g) To make distribution in kind. (h) To exercise all power, authority and discretion given by this Will after the termination of the trust created until the same is fully distributed. .5. Under the circumstances set forth in paragraph J above, I hereby appoint Farmers Trust Company as Executor of this my Last Will and Testament. 6. In the event my said husband shall not survive me for a period of thirty (30) days and the said George W. Farlling, Jr., shall be twenty one (21) years of age or over at the time of my death, then I give, devise and bequeath, all of my estate, both real and personal, unto the said George W. Farlling, Jr., absolutely, and I appoint him as Executor of this my Last Will and Testament. 7. If my said husband, George W. Farlling, shall elect to take against the provisions of my Last Will and Testament, then I direct that his share of my estate to which he would be entitled shall be paid solely out of personal property and, if possible, the real estate retained and distributed to my son, George W. Farlling, Jr., as part of his share in my estate. IN WITNESS WHEREOF I have hllreunto set my hand and seal .;;:Ii/ ,,~ day of Janllnry . 1::1>1. th i s ~~(SEALI Signed, sealed, published and declared by the above named Testratrlx, Moda E. Farlllng, as and for her Last Will and Testament, In the presence of us, who, at her request, In her presence, and In the presence of each other, have hereunto subscribed our names as witnesses. [iJj~~11_1m(~~,- I . , /. ~..-;~L k;.,,-~ J WILLIAM F. MARTSON Al1DRNEY AT LAW CARLISLE. PA. .. -. .- ....," 21 - 96 - 670 REGISTER 01' WILLS 01<' COUNTY OATH 01<' SUnSCRIIJlNG WITNESS '~ codicil (each) a subscribing witl s 10 the will presented herewith, (each) bdn ' law, depose(s) and say(s) that uly qualilied according 10 presenl and saw signed as a wilness at the resence of each olher) (in the presence of Ihe the testat . sign the same and that request of lestat_ in h_ presence an other subscribing witness(es)). Sworn to or affirmed nnd subscribed bcfo me this of 9_ Register (Nail/C) (Addrcss) REGISTER OF WILLS OF C, /-,,(,11, { ~rJ /) COUNTY OATH OF NON-SUBSCRIBING WITNESS C'~urlc A ~";(/""l (each) a subscriber herelo, (eoch) being duly Qualilied according to law, depose(s) and say(s) that h" I < familiar with the signnlUre of f-l" ,{ <, c::' r.v II, 'HI eodieil- lestal~ of (one-oLthe,-~ubscribing--witncsscs to) the, will-- presenled' herewith and codicil- Ihat h. "- believes Ihe signnlUre on the will is in the handwriting of c ("II.~ \ 1'-\" ,~ " --- to the best of h ; r knowledge nnd belief. ,e . . Sworn 10 or aflirmed and subscribed before ~?-Ce""';"', ~/~..-, me this 21ST day of' (Nail/C) / 1 AUGUST !ip~'\ ,0." I I;("J" ,/I, II....J f..',,_.,1/, " , t'/~ '&..'. )J7 f -'fiD A/ft..1.), . (Address) RCRistcr t (l fe. "71 'f I (Nail/C) (Addrcss) c. ., , ! l \ I .- f") ~2 cD c;:? 0\ -.."( . (). :.~ - N '3 ~ .' ~. '.J '... (v~ 0:: '" !-" - C;: III ::l Gu i ( \ 1 \ f. i , I ,. i I , l ._c.i'.....':<r"f-~""-."'!. Ll . CERTIFICATION OF NOTICE UNDER RULE S.6(a) Name of Decedent: Meda E. Farllina Date of Death: Auaust 1 O. 1996 Admin. No. Will No. 2196-0670 To the Regisler: 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 January 3 , 1997 !!!m!! Address Georqe W. Farllinq, Jr. a/k/a George A. Farlling 701 Bloserville Road Newville, PA 17241 Notice has now been given to all persons entitled thereto under Rule 5.6{a) except N/A Date: January 3, 1997 (h~ )/L.[(. J Signature . " Name James D. Camobell. Jr.. Esa. Address CALDWELL & KEARNS 3631 N. Front st. Harrisburg, PA 17110 Telephone(711 232-7661 N set "6 -:<r $. N n :'L'';: a: ri .~ :~ '. I \D (. I .:.. . ~ '.; -, , t.._ .'::.. '" 0 ~. .:e 0 01) P' ala: ~8 a: Capacity: Personal Representative x Counsel for personal representative ~ .. IN REI ESTATE OF MEDA E. FARLLING, LATE OF HOPEWELL, TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED IIN THE COURT OF COMMON PLEAS I CUMBERLAND COUNTY, PENNSYLVANIA I ORPHANS , COURT DIVISION INO. 2196-0670 RECEIPT AND RELEASE The undersigned, GEORGE W. FARLLING, JR., a/k/a GEORGE A. FARLLING, does hereby acknowledge that he has this day had and received of and from GEORGE A. FARLLING, Executor of the Estate of MEDA E. FARLLING, deceased, all of the residue of the Estate in full satisfaction and payment of all sums of money due to him on account of his interest in the Estate of MEDA E. FARLLINGi AND THEREFORE, the said GEORGE A. FARLLING, does by these presents, remise, release, quit claim and forever discharge the said GEORGE A. FARLLING, his heirs, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to this final distribution of the said Estate of MEDA E. FARLLING, and the said GEORGE A. FARLLING agrees to refund to the Estate any portion of the distribution which may be necessary in the future to discharge his pro,rata share of any liabilities of the Estate of which he may hereafter receive notice. (J --L dd - ,rY.-.'.uy~ tC/ J?"z.e~<;:J I ~ George W. Far1ling, Jr. a/k/a . ~7;...;#P"'?~t /tKA- ./ George A. Far ling IfV.UOO Ell:+ IM"I l!! ..~'" ua:" ",...u ",cog ua:.. ~ .... "'Z "'''' a: co a:z 8~ I .~ I I / I. I ,. lOR OATIS 01 OIATH A"IR 12/3119\ CHICK HUI " A SPOUSAL ~OVUTY CRlOIT IS CLAIM~O 0 flU NUMBIR '!\~ COMMONWEAltH Of ,(NNSYlVANIA DE'A.'M(Nl Of I[vENU( D(rt 210601 HAUIS,URG.'A 11121.0601 DtClDtN"S NAMf IlASt 'IUI. AND MIDDlt INITIAII INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) cou~l CODE 9G YEAR 0670 NUMBER OIUOINI'S(OMmll ADDIIU ... il; co '" u '" co Farllin , Meda E. 'Q(';'~'~U"~ ;u.~,; 51 o,~ ;'1 o~79G JD'~;' ;'~/ 0 9 I" ""'"CUIII 'uh",H(i vouu ''''''''ll'U ..." ''''0 "'0011 ''''''''11 SOCIAL U(UIIIY NUMIlI 91 East Creek Drive Newburg, P^ c~" Cumberland AlolQUtH IfC(lv(O ISH ,NS1IUctlONSI N/^ OJ. 05 .L8 o 2. Suppl.m.nlal R.turn R.maind.r R.turn (far dattS of d.olh prior 10 12.13.82) fed.,ol htole To.. R.lurn Required o 1. Originol R.lurn o .t. limiled eslol. 0 040. Futur. Inl.",t Compromi.. (for dot" of d.olh ohlt 12.12.82) [Z1 6. D.ndent Di.d Teslot. 0 7. D.c.d.nt Mointoin.d 0 living Trusl (Altoch copy 0' Will) (Atloch copy 0' T,u.l) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO, NAM( COMmn MAILING ADDIIU James D. Cam bell, Jr., Esquire 3631 North Front Street "".HON'NU.... Harrisburg, P^ 17110 717 232-7661 20. If Lin. 19 i, gr.oter than line 18, .nl.r the differ.nn on line 20. This is th. OVERPAYMENT. Ii! D ...:r.n..(lf,.la''''l'..U..'-l.III.llII1I!-'.'.ll'I1":T:lr.1a''''I'I.'l'''(''{'~'I"f.hl 21. Uline 18 i. greoler than line 19, .nler th. difference on line 21. Thi' i, th. TAX DUE. A. Enter th. in'er,,1 on th. balance due on Lin. 21A. B. Enler Ih.tolol of Line 21 and 21A on line 21B. This illh. BALANCE DUE. Malee Chick Payabl. to: Reglst., of Will., Agen' z co S ::> t: :1! III a: I. R.ol E,lol.(Sch.dul. A) 2. Sloch and Bond. (Sch.dule B) 3. Closely H.ld StockJPol1n.r,hip Inrer..t {Schedul. q ". Mol1goges and No'" R.ceivabl. (Schedul. 0) 5. Co.h, Bonk D.po.ill & Misc.llon.ous Penonol Prop.l1y (Sch.dul. E) 6, Joinlly Own.d P,opel1y (Schedul. F) 7. T,on.I... (Sch.dul. G) (Sch.dul. l) 8. Tolol Gran An'" (tolollin" 1.71 9. Funeral E..p.n.... Admini'l,aliv. Co.t.. Misc.llon.ou. bp.n... (Sch.dul. H) 10, O.bt., Mol1gog. liabiliti.., li.n. (Sch.dul. I) 11. Talol D.ductions (10101 tin" 9 & 10) 12, N.I Volu. 0' E.lal. Ilin. C minus line 11) 13. Chorilobl. and Gov.rnm.nlol 8eque'" (Sch.dul. J) U. N.t Valu. Subj.d 10 Ta.ILin. 12 minu, line 13) IS. Spou,aIT,on.f.n (fo, dot.. of d.oth oher 6.30.9"1 See In.truction. for Ar,plicabl. Perc.ntag. on Rev.n. Sid.. (Includ. volu" ,om Sch.dul. K or Sch.dul. M.) 16, Amounl of line U la..obl. 01 6% rol. (Includ. volu.. from Schedul. K or Sch.dul. M.) 17. Amounl ollin. U lo.obl. 01 15% '01. (Include 'tolulI from Schedul. K or Sch.dul. M.) 18. Principal to.. due (Add 10. from lin.. 15, '6 and '7.1 19. Credi" Spou.ol Poverty Credil Prior Poymenh + Tolol Number 01 Safe D'po'il Bo..., z co !;1 ... E .. co u .. c ... (11--- (2) 26,526.50 (J) (4) (5) 4,072.65 3,661. 59 3 ,420.11 (61 (7) (Q) 8,028.51 (8 ) 37,680.85 (10) 8.028.51 :>Q,6'i:> 14 (II) (12) (1JI (141 2Q,6S::>.34 (IS) )(,-= (16) __2.9_,j).52~JA----x .06 = _---1.,-219-.14 (17) ____.n_ _..______ __ x .15 = (18) ____L,_n~.l1__ Discounl +~8~.9.lL - Inlerllt (1Q) ______8&._96 (201 _______ (21) (21A) (218) __1,690._1.8___ 1,.(i90.18 >- >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH..o( ~ ~nder p.nolli.. of perjury. I declor. that I hove uomined Ihis retu'n. including Otcomponying sch.dul" and ,totem.nh, and to Ihe best of my knowl.dg. and b.lief, II is Iru.. COff.ct and compl'I', 1 d.do,. Ihot 0\1 ,.01 "lot. hos be~n reported otlru. market valu.. O.dorolion of prepare' alher Ihon Ihe penonal repr,"ntoli". is ba,ed on 011 informalion of which prepor.r hal any ~nowl.dg.. SIG~J(jll Of 'USQ ~u Of.lYil'~f. 'oifii'iN'G'lfTU.N ADDIUS -~- DAif ~ '- .-t".?:~ 70..LJlig,<;Qr_."jJJ..<:'.-l~1.!J--1JQ........yjJJ.f'_P0-J.]-2-,tL " SIGN"T .~ Of' I'''. OTt1lllt1ANj.U'.UINT"II....1 ADDIUS DATl " " 'l I, ______~6_31 r~_:__~r9_n_t St.--,_ Hb~._~_.!'_~_171 10 Act '48 of 1994 provide, for Ihe reduction of Ihe lax rale,lmpo,ed on the nel value of tran,fe,. to or for the u,e of the spouse. The rate, a' pre,crlbed by the ,Ialute wIll be: e 3% (.03) wlll be applicable for ellale, of decedenl' dying on or after 7/1/94 and before 1/1/96 e 2% (.02) will be applicable for e,Iale, of decedenll dying on or after 1/1/96 and before 1/1/97 e 1% (.01) will be applicable for e,Iale, of decedenl' dying on or after 1/1/97 and before 1/1/98 . Spousal Iransfe,. occurring on or after 1/1/98 will be exempt from Inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....)IN THE APPROPRIATE BLOCKS. YES NO 1. Did decedenl make a transfer and: a. retain the use or income of the property transferred, ....................................................... b. retain the right to designale who sholl use the property transferred or its income, ............... c. retain a reversionary interest; or ................................................................................... d. receive the promise for life of either payments, benelits or core' ....................................... 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property withoul receiving adequate consideration' If death occurred alter December 12, 1982, did decedenl transfer property within one year of death without receiving adequate consideration' .................. .................. ............................. ............ ................. ..... 3. Did decedenl own on 'in trusl for' bonk account at his or her deathL.................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. x x x x x x x Financial Trl!sr Company ServIces Septcmber 24. 1996 Caldwcll & Kcarns Attorncys At Law ATrN: Jamcs D. Campbcll Jr. 3631 North Front Street Harrisburg, PA 17110,1533 RE: Estatc ofMeda E. Farlling Dcar Mr. Campbell: This Ictter is in rcsponse to your rcquest for information on Meda E. Farlling's Financial Trust Corp ("FTC") common stock holdings. Wc havc cncloscd a copy of your Ictter dated Scptember 18, 1996 for your rcfcrence. The price pcr sharc as of thc datc of death, August 10, 1996, was $ 26 1/2. On June 27,1986, thc certificates were registered into Meda E. Farlling's namc from thc joint rcgistration. Also the ccrtificatcs you list in your lettcr werc deemcd missing and indemnity bonds were prcparcd for those ccrtificates. The additional shares wcre thc rcsult of stocksplits. As of August 23, 1996, Mrs. Farlling held thc following sharcs. Certificate Issue Number Date Number of Shares Certificate Source 104109 06/27/86 276 Transfer 107158 10/17/88 138 50% Split 113650 06/01/92 207 50% Split 117719 08/30/93 62 10% Split 121730 08/29/94 227 30% Split 127965 06/17/96 --2l 10% Split Total Shares 1.001 If you havc any questions, call mc at 717,243,8003 cx\. 4807. Enclosure Sinccrely yours, ~CL~~ Karin A. Kahlbaugh Trust Assistant Farmers Trust . Division of Financial Tru~1 Compan)' I w..t High Street. P.o. Box 220 . Carli,le. PA 17013 (717) 243.3212 Fi"t N.tion.1 Bank .nd Tnl\' Co. 13 W.-t Main SUCCI. P.O. Box 391 . Waln..h",o. PA 17268 (7171762.8161 Ch.mhc"hurg Tru,' 14 Nonh M.in SUee.. P.O. Box C . Ch.mhc"hurg. PA 172!l1 17171 263 .92!l1 Financial TN't Corp 3\11 Allen Road. P.O. Box 220' Carli,le. PA 17!l13 17171243.8(10) " " "~J~:9,, ...;.V".. COMMONW[AtHt Of '(NtUYl\IANIA INHIIITANCI lAX .nUIN II~DINT DICID.NI I __J SCHEDULE D MORTGAGES AND NOTES RECEIVABLE ..__Plo.a.o.P,in~ a'.lYf'o u...__ fiLE NUMBER 21-96-0670 Ilvl~I".I'''1 ESTATE OF Farlling, Meda E. IAII prop.rty lolntly.own.d with the Righi of Su,...l...onhlp mull b. dlulo..d on Sch.du~!.!:L-.___,__~.~.. ITEM NUMBER DESCRIPTION VALUE AT DATE Of DEATH 1 . Investment Note, Central Pennsylvania Conference, United Methodist Church, Harrisburg 4,072.65 TOTAL AI.a enle' on line 4, Reea ilulalianJ S 4,072.65 IIr more space is needed, insert addjlional shee" or some size.' CENTRAL PENNSYLVANIA CONFERENCE THE UNITED METHODIST CHURCH Il00M 119 I QOO \QUilt AlILlNGlON AVENUE I HAMIIOUIIG, Pt:NJlIYlVANIA 17109 I TElEPHONE l7171 b~2.0460 6 ATTORNEY JAMES D. CAMPBELL, JR. CALDWEL & KEARNS ATTORNEYS AT LAW 3631 NORTH FRONT STREET HARRISBURG PA 17110-1533 Dear Attorney Campbell: This letter is in reference to your recent correspondcnce concerning thc estatc of MEDA E. FARLLING. Wc do have an investment in our Conference Loan Fund in the name ofMeda E. Farlling in the amoWlt of$4,OOO.00. This investment currently cams 6.50% interest and is paid semi-annually on May I and November 1. The intercst that would havc accrued 011 this accowlt from May I to thc datc of her death, August 10, 1996 would be $72.65. In order to liquidate this investment wc would need to receivc thc Investment Certificate which would have been issued at the time of the investment. If this cannot bc located, wc would be happy to provide you with an In Lieu of Lost Notc fonn. If you need additional infonnation, plcase contact my office. Sincerely, ~..J )Iu. )) <I.-,....-'\..:. t~ (Mrs.) Zedna M. Haverstock TREASURER-COMPTROLLER COUNCIL ON FINANCE AND ADMINISTRATION """0411.111'1 w j SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PI.olI Pllnt 01 T . FilE NUMBER 21 96 0670 (OMMOHWIA\lH O. 'IHHl"l\'AHIA INHIIIIAHe. ..... ."UIM ..lIOIHI DIClDIH' ESTATE OF Farlling, Meda E. (An ".,.rty lelnlly-ewn," with the II,hl .f S"'A'I~nhl, ","'I' IN 111"...... ." ',hed,," PI ITEM NUMBER 1. 2. 3. 4 . 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. DESCRIPTION VALUE AT DATE OF DEATH effects, clothing acct. H 11-629-7, 100.00 Personal Checking Newville CD 3995026, Farmers National Bank CD 3995417 CD 3995011 CD 3994697 CD 3995582 CD 3995490 CD 3995506 CD 3995373 CD 3995058 CD 3995494 CD 3995467 " " " CD 3995532 " " II CD 3995523 II II II CD 3995531 " " II CD 3995527 " " " CD 3995525 " " " CD 3995479 " " " CD 3995359 " " " Financial Trust Corp. dividend check Farmers National Bank, 65.82 126.63 126.64. 116.45 101.25 202.62 205.76 100.56 200.88 100.50 251.06 251.23 200.42 100.29 243.95 355.07 207.71 202.55 151. 95 250.25 " " " " " " " " " " " " " " " " " " " " II S 3,661.59 (A"Qch additianol''''- x ". _h.." if more _poCt j_ n"d,d.1 . __ -. .._ ..... r" .... ... . IIVIKltllt,U"1 9.,~'9" 't~ COMMONWfAlHt Of p[NN$nVAUIA INHUITAUC[ TAX "(JUJlN ..(SIO[N' mC[O[N' SCHEDULE F JOINTLY -OWNED PROPERTY Farlling, Moda E. l'LE NUMBER 21 96 0670 . ~.~- ~---_. ~-_.- UTAn OF Joint tononl(.). A. NAME George A. Farlling ADDRESS --~-_._-~ RELATIONSHIP TO DECEDENT Son 701 Olosorville Road Newville, PA 17241 B. C. Jolntly,ownod p,opo,ty: ITEM LEnER DATE FOR TOTAL VALUE DECO'S DOLLAR VALUE OF NUMB'EI JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. A 3/23/68 Savings Acct. 1-138052, 4,811.00 50% 2,405.50 Farmers Trust Co., Carlisle PI 2. II 2/11/93 CD 3995581, Farmers Natl, New- 307.70 II 153.85 ville 3. II 5/13/92 CD 3995578 II II II 506.10 II 253.05 4. II 5/11/89 CD 3995522 II II II 202.49 II 101.25 5. II 2/29/89 CD 3995526 II II II 206.16 " 103.08 6. II 6/05/86 CD 3995493 II II II 302.71 II 151.36 7. II 3/20/92 CD 3995577 II II II 101.96 II 50.98 8. II 7/03/92 CD 3995580 II II II 402.08 II 201.04 - l___~___ TOTAL (Aho onter on line 6, Recopitulation) S 3,420.11 (II more space is needed insert oddi'ionolsheeh 0' same size} FARMERS . TRUST Septembe r 27, 1996 Caldwell b Kearns 3631 North Front Street HarrisburB. PA 17110-1533 Re: Estate of Meda E FarllinZ SSN 189-09-~251 Date 01 Death: AUBust 10, 1<1')6 Dear Mr. campbell, Jr.; In answer to your request r;onr;erninB ur.r;ounts owned. either separatelY or jointlY, by the above referenr.ed der;edent and the balanr.e in ear.h ar.count uS of the dute of deuth, we have checked our rer;ords and are submittinB the followillZ informution in duplir.ate. We SlJZzest that you file one of these letters attached to the Pennsylvania Inventory forms IF.CC) to substantiate the balunr;e you report. Note that we have shown the correr;t rezistration for each account. !\Iso, interest ar;r;rued to the date of death, if anY. is listed as a separate fiZure. Sa,rlnzs ar;r.ount 111-138052 was orizinallY open'!d 3/23/68. The ar.r;ount was titled joint between Meda E Farllinz or Georze A Farllinz. The balance as 'Jl 8:'10/96 was $~,805.9~ plus $5.06 accrued interest for a total of s~,811.00. The account was earninz 2.00% interest at the time of death. We did have a safe deposit boX titled In Meda E Farlline'S name at our Main office U1728. Sincerely, ~y~s~ Karen Tomassone Supervisor customer Service One West High Street P.O. Box 220 Carlisle. Pennsylvania 17013 (717) 243,3212 IIVUIt.., 1'''1 ~~:.~.~ "",'. ,'1'\ '. _ Jh- COMMONW(Atlll Of PlNNSn"'At~IA IUtl[lHTANCr tAX 1I(lUIIN ____~[~~.~~~! .o}~~.~(.N_I_ __.. ESTATE-OF SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES PI.a.. p.lnl o. Tvpo I FILTNUMBER H_ - ------------- I Farlling, M:rla E. 21-96-0670 ITEM NUMBER A. Funllal Expon..., 1. 2. DESCRIPTION Ewing Bros. Funeral lIomc Grave opening 1. B. Admlnl.t.atlv. co.ts: 3. Family Exemplion Claimant Address of Claimanl 01 docedenl's deoth Street Address City 2. 4. C. 1. 2. 3. 4. 5. 6. 7. 8. Personal Representative Commissions Social Secu.ity Numbe. of Personal Representative: Year Commissions paid Atlorney Feel Caldwell & Kearns Relalionship State Zip Code Probate Fees MI.c.lIanoou. Expon.." Carlisle Sentinel Cumberland Law Journal Filing Inventory and Inheritance Tax Return TOTAL (Also onter on line 9, Rocapitulolian) (If mo.o .paco I. noodod, In.ort additional .ho.t. of same .1.0.) AMOUNT 5,300.00 600.00 Waived 1,864.25 99.00 80.26 60.00 25.00 S 8,028.51 I.. lUll" nl't /l~'~~C\ -~""" (0""'0100"",.,1"01 "....\."...'.. ....."'I"""U ft.1 InuI.. .IUID'''' .~~~IIl~~'.__ _ SCHEDULE J BENEFICIARIES -., .._--- - ---- -. ,...----. filE NUMBER 21-96-0670 EsTATE Of Filrlling, Mcdil R. ITEM NUMBER RELATIONSHIP AMOUNT OR SHARE OF ESTAIE NAME AND ADDRESS OF BENEfiCIARY A. Ta.abl. Sequ.."; I. George A. Filrlling 701 Bloserville ROild Newville, PA 17241 Son 100% ITEM NUMBER AMOUNT OR SHARE OF ESTATE NAME AND ADDRESS OF BENEFICIARY B. Charitable and Governmental BequeslI: 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAho In'" on linl 13. RtCOp;'.'o';on) S (If more spact" n..ded, In,ert addilionalshltls 0' soml sill) ...1 \ ~' ~ .,. ~ o .\ ~ ~ , _ .:J IJ" ~; ~ l .. t\ . " z~ r ~ ... ~z ~ () I '" ~ q It z ~ ee II. d ~ I i \0 ,! t;~ z , e 3\J 0 1/-' I 6 lI! , '" "'~~ z .. .... ., ::l l() :( ., Z ::l J~ 0 z u , ~ t9 ~ . '" Q .. ~ ~ .. ~ ., .. 0 :( ::l .. .. .. ::l ~ .. .. , ~ z .. ~~::l ~ ., go~ e .. 0 I"'l ~ ~ Ii: . '-lo I/) Q)o ZIlC 00 11I..- -Z 1/)... =-=> Uz ~- .. z ~w ..::l ~ z~ q z> ~ ~ ~~~5 ~OOCD~ ~ ~z:cI _wD.QC ~!~~ ~'" ... z~ a.: 0" '" ~Q ~ o u f & . ! ~ . . .. ., :( ::l Z Q Z 0 ~ ., WI 3 " ;;: .~ ~ .. f) u .... ~ .. ~I -\ :( \S .. z .. z ~ ~ :e 0 u \J < c ~~ ... .. ii "'2 .. !i; - .. ~ :5 t u 1lI~ =~ ~ "z %- ..:e M dO Zz " .. Q . . :r---: - ~ ..----.--. .--- -.,- .--.- WT VILL AHD TUTAMtNT I, MlDA E. 'MLLINO or Upper '..nklDrd To.n.hlp, Cuaberhnd county,';.Mlyhlnll, b.lng ot lOund InddhpDllng .lnd Ind ."01")', do her.by ..klt publhh and d.cllre thl. \0 b. fIfI Lnt. VIII Ind TllllMlnl, h.r.by r.voklng .~ Ind III tor..t VIII, or Codicil. by .t .'d.. I. It -t hUlband, GEORGE V. FAAUIHO, Ih,,1l IIIrvlvl .. tot I p.rlDd or \hlr\y ()O) dOY', I glv., d.vl.. ond b.qu.a\h ay r.al .atlt.. anto hi. tor I l.t. ot hit nllura. lit. and upon hi. d.llh, . glY. th. r...inder unto rq Ion OECROE V. FAALLING. JR.. Ib..lutlly. I gIVe 111 ot rq pUlonl1 propert)' unto lh. ..ld O.org. V. Farlllng tor and during lh, lit. ot hi, nllutll lit. Ind upon hlt death. to ~ Ion Olorg' V. Fatlllng, Jr., Ib..lut.ly. In regard to nld perlonl. property, I dlnct thl" lhl nld G.org. V. Ftrlllng, fI:i hUlband, Ihlll hlY' co.ph'" Ind taU powlr to cenlU.I Iny plrt or all er II1d plrlonll proplrty In hit lell dhcnUon. 1 hi fib)' Ippolnt. thl ..Id GiorgI V. F.,IUno II Eucutor or this f(;f Lilt Vl11 and fuhm.nt. 2. WIWIoM r.1UoIT1OII .""'~..~ .......k Jf rtI IIld husband, G.orgl V. Fulling, ,ball die within I porlod or lhlr\y (JO) day. anor ay d..\h, I dlrec\ lha\ ha .ha" bl d...ed to hlv, predlcu"d a. Ind t.blt the provlllenl Dr WI VIII ,hill b. con,trutd upon thUI:numptlon. O\Irlng the portion Dr luch thlrt)' (30) dlYI II a:t bUlblnd ,hill tlnlve .', he ,hlU hlVI the right to 1.1" enrS enJO)'1l.nt II 11 tt tenant or tb, rill Ind plnonel proptrty dlYlld and b.qu..thtd to hla hen In. ). (al In the Iv.nt a:!/ ..Id hUlblnd IhaU not lurvlYl .. tor a parlod or \hlr\y (JO) day., and ay ..Id Ion O.orga V. 'arlllng, Jr., ,hlU not blVI Ithlntd thl Ige or tVlnt)' one (21) y"n at , '..,J ,',,\:, I .' .. , ~ . .' . '. ....... ...' - ... ~ -.... ..-. .., . '. .. ... .~., . . J -. .' ~. - - "---- --. u - ___0_ 1rv.11tJ1I1."" 146886 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX . D NO. AA RECEIVED FROM: & ACN ASSESSMENT r:w CONTROL i:I NUMBER AMOUNT CIlMf'FJEI.L JAMES D JR ESO ;/631 N FRONT 6T 101 $1,690.18 HARRISBURG, PA 171JO - loto HU, ESTATE INFORMATION: ~ FilE NUMBER g 2 J -1996-0670 ~ NAME OF DECEDENT (lAST) i:iI FARLLJNG MEOA F II DATE OF PAYMENT a POSTMARK DATE COUNTY SSN I B9-09-l.25I (FIRST) (MI) CUMBERLIlNO DATE OF DEATH REMARKS GEORGE W.FARI.L1NG .m fa TOTAL AMOUNT PAID REGISTER OF WillS " , RECEIVED BY < . '. ,.. , ;';'1.- / SINATllf ',,,L ( .. , /;, M' /c1' l-at. ' MARY C. LEW 1 S -"-' .. ' I REGISTER OF Wll.LS 51.690.18 VZ SEAL CHECI(lI 3 -.~.-r-~ ---' ---- .,.".,,- Cl~"_-1-:~ - , , ------ . ~..---....llcI. /~/;{.;?-b COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE , -"" BUREAU OF INDIVIDUAL TAXES INftERIJANCE fAIC DlvtSIOH DEPJ. l80601 HARRIS.URe, Pi 11121-0601 NOIICE OF INItERlTANCE lAX APPRAISEHENT. ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN JAMES D CAMPBELL 3631 N FRONT ST HBG JR ESQ PA 17110 02-17-97 FARLLtNG 08-10-96 21 96-0670 CUMBERLAND 101 A..ount Rail! t t.d *' 11901"'11'" III.t" MEDA E MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=is47'EX-AFii-m-=96rNOYicE--riF--fNHEifii'AiicirYAX-'A-PjiR'AySEiiENT-,-"U.i.-riiiANCnfri---------'------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF FARlLtNG MEDA E FILE NO. 21 96-0670 ACN 101 DATE 02-17-97 TAX RETURN WAS, I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l E.t.t. (Sch.dul. AI 2. Stock. and Bond. ISch.dul. BI 3. Clos.ly Hald stock/Partnership Int.r.at (Schedule C) 4. Horta.gal/Not.. Receivable (Schedul. OJ 5. CaahJDank Deposita/Hllc. Parlonal Property (Schedule E) 6. Jointly awn.d Prop.rty ISchedul. FI 7. Transfar. (Schedule G) 8. Tot.l A...t. I CHAHGED III (21 131 141 ISI (61 171 .00 26.526.50 .00 4.072.65 3.661.59 3.420.11 .00 lal HOTE: To insure proper credit to your account, lub.it the upper portion of thl. for. with your t.x paYllent. 37.680.85 APPROVED DEDUCTIONS AND EXEMPTIONS: 8,028.51 9. Funaral Expans../Ada. Calta/Hi.c. Expan... (Sch.dul. H) (9) 10. D.btI/Hortg.g. LI.bllitl../LI.n. ISch.dul. II 1101 .00 11. Tot.l D.ductlon. 1111 12. H.t Value of Tax R.tu,." (12) 13. Charitable/Gov.rn..ntal Bequast. (Schedule J) (13) 14. N.t Value of E.tat. Subject to T.x ll41 NOTE: If an assessment was issued previously, lines 14, IS and/or 16, 17 and 18 will reflect figures that include the total of Abh returns assessed to date. ASSESSMENT OF TAX: IS. Aaount of Lln. 14 .t Spou..l r.t. IISI 16. A.ount of Lina 14 taxable at Lina.l/CI... A r.t. (16) 17. AMount of Lln. 14 t.x.bl. .t Coll.t.r.I/CI... B r.t. 1171 18. Principal Tax Due TAX CREDITS: PAYHENT DATE 10-31-96 RECEIPT NUHBER AA146886 DISCOUNT 1+1 INTEREST I-I 88.96 · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .00 X .00: 29.652.34 X .06: .00 X .15: llBI AHOUNT PAID 1,690.18 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE B.n'B GI 29,652.34 .00 29.652.34 .00 1.779.14 .00 1,779.14 1.779.14 .00 .00 .00 I IF TOTAL DUE IS LESS THAN 'I, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" lCRI. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I N " ~: -~ ,.( ; ~f: co ..:1: cc - m ,,' " (j <DO: a: I""- P' (a) ~..: _:J U() RESERVATION, Elt_t.. 0' dec.dent. dylna on or b.for. Dec.-b.r 12, 1982 -- l' eny future Int.r..t In th4 ..tet. I, tran,f.rred In po.....lon or enJoy.ent to Cl... I (coll,t.r.l) b~flcl.tl.. 0' the decedent .ft.t thl Ixplratlon of any ..tet. 'or 11'. or 'or y..t., the C~.llh hlteby expre.s.y r...rv.. the right to appr.I.. and ...... tran".r lAherltene. 'IX" It ~ lawful ell.1 . (coll,t.r"l) tet. on eny such future Int.r..t. P\JlPOSE 01' NOTICE, To fulfill the ,...,lr..."ta of $KUon 2140 of the Inherltancl .-.I Elhl' Tax Act, Act ZZ of 1991. 12 P.S. Section 2140. PAVtEHT, D.tltCh the top po,.Uon of thl, Notice and lua1t with your plv-ent to the Reglst,r of WUlI printed on the r.vlrs. .Ide. --tt.k. chedl or .ontIy ord.r payable tOI REGISTER OF MILLS, AGENT All PI)'Hf1h received me11 flrat tM epplJed to My Int.,...t which uy be ctu. with any r...lnd,,. epplJlId to U. tu. REFUND (CRh .. nfund of . tu cr~lt, whIch .... not reque.ted on the lBx A.turn, ..y ba reque.ted by co.pl.tlng en "application for Aefund of Penn.ylvanla Inherltanca end E.tat. Tax" (REV.1313). ApplIcatIon. .r. av.llabl. .t th. Offlca of the A.ght.r of Wills, any of th. U Aav.nuII Ohtrlct Offlc.., or by calling the specl.l Z4.hour an....rlng .arvlc. nu-ber. for for.. ord.rlngl In Penn.ylvanl. 1-100-36Z.Z050, out. Ide Penn,ylvanla end ..Ithln local Hlrrllburg .ra. (717) 717-8094, TOO' (717) 77Z-ZZ5Z (Haarlng I~.lr~ Only). OIA:CTtOHSs Any p.rty In lnt.r..t not s.t"Ued ..lth the eppra".Hnt, .llowanc. or d...llo....nu of deduction., or ..........t of tllX (Including dhcOU'\t or Int.r..U .. shown on th" Notlc. .....t obJact within .bly (60) da:... of rec.lpt of thh Notlc. bys --wrltt.., prot..t to the PA Oep.rt.."t of A.venue, Io8rd of Appa.h, o.pt. ZII021, Harr"burg, PA 17128-IOZI, OR --alectlon to hev. the ..tt.r det.r.lnad at audit of th41 account of th41 parsonal r..,r..."t.Uv., OR --appeal to ~ Orphans- Court. AOtUN ISTRATtYE CORRECTIONS s Factual .rrors dl.covar~ on thl. ........"t should b. addr....d In writing tal PA Depart.ant of AIVenue, Bur.au of Individual Tax.., ATTN: Po.t A......."t A.vla.. Unit, D..,t. Z80601, Harrl~rg, PA 171Z8-0601 Phone (717) 787-6505. S.. pag. 5 of the bookllt "In.tructlon. for Inherltanc. T.x A.tum for a A..ldant Dac.dent" (REV-1501) for an Ikplanatlon of ad.lnl.tratlv.ly correctable .rror.. DISCOlMT l If MY tu due h paId ..Ithln thr.. (3) cal~.r ~th. afhr the dKedent"s d.ath, . flv. p.rcent (5;(J d"count of ~ tax paid I. allowed. PENALTY: The ISX tax ..na.ty non-partlclp.tlon penalty I, c~tad on ~ total of the tu and Int.r..t .......d, and not p.ld b.for. January 18, 1996, the flrst day .ft.r the and of the t.x .......ty p.rlod. Thh non-participation 1*I81ty Is eppIelabla In thl ... .ann.r and In the ~ .... U.. parlod a. you would app.al the tu and Intarast that has be.-. ......ad .. Indlcatad on thh notlc.. INTERESTs Int.r..t I. charged beginnIng ..Ith flr.t day of delinquency, or nine (,) .unths and ana (IJ day fru. the data of daath, to the data of pa~ent. Tax.. which bac:.. delinquent before January 1, 198Z bear Int.r..t at the r.t. of six (6X) parcent p.r annua calculat.d at a dally rat. of .000164. All tax.. which bee..e d.llnquent on and aft.r January 1, 1'8Z ..Ill b.ar Int.r..t at a r.t. whIch will vary fro. calendar y.ar to calendar y.ar with that rat. announced by the PA Dapart.."t of A.v.nutI. The appliCable Int.r..t rat.. for l'IZ through 1997 ar.: '!!!r Int.t..t Aat. nally Int.r..t Fector !!!r Inter..t Aah Dally Intere.t Factor 198Z 20X .000541 1987 9X .000Z47 1983 lOX .000"31 1981-1991 IU .000301 I... IIX .0DUOl 199Z 'X .000Z...7 I9IS UX . ODU56 1993-1994 n .0001'Z 19&6 lOX .000Z74 1995-1997 'X .000Z47 --Inter..t Is calculat.d a. fal10wsz INTEREST = BALANCE OF TAX UNPAID X NUftBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. Inuad aft.~ the' talC baca.. deUnquant ..Ill reflect an lnter..t calculation to flft.", US) day. beyond U. dat. of tM ...........t. If paynnt Is .ade aftlr the Int.r..t CCNlPUtatlon date ahowl on the Notice, eddltlonal Inbr..t ....t be ~Icul.tad. ~ '( . ., -, ..._.....r .~, ._.. CUMIlF.lU.AND Register of Wills of 1i..II. County, Pennsylvania INVENTORY [Slatu 01 _____t:l_q9~~-.~i1E-!-~~ngn-. 21-96-0670 No. Dille 01 Dealh 8/10/96 alsu known ilS . Ducuasr.d Social SCCu,"y No ._~.2.-.Q 9 - 4 2 5 1 Personal Roprosonltlllvlllsl 01 tho 11110110 Estlllfl, dOClI/lSllCJ, Io'orllv thill tho ItOrll~ lIPlltlilllllY III lhu lolluwlIl\l IllvuntulV lIIc1wJu ..11 01 tho lJorHOnlllll!i~OI~ wholo\lo' Sltuutu <.lOd ull 01 Ihll fU1I1 UNllIlu If' thu Conunollwuulth 01 PllIlnsvlvlllllIl 01 Stlllj Dm;lllhml. Ihill 11m ...nluilllon placed UflIJOSltU clH;h 1111m of smd I!l\IlHlluly JUIIIO!>llllIS Its Iml villull ,IS of 11m tJah! "Ilhll Dl!l:tHlenl'!'> dllillh. III\lJ HuH Ducodont ownod no roul oslalo outsido ollhu COOl",onwftnlth 01 Ponnsvlvonlll ullcopllhill wt\H:h llPfltl,JlS III IllllOlllUldndurn III tho (lnd 01 thIs invontury. I/We votl'y thut Iho stulcmcnl!> Illlldu 11\ this 'nvunlof", llIlJ HUI: illld cull.)t;l. LVb: undclsl.lIld Ih.1l lalso stotcmunt& horom oro lIlodo SublltCI to thlt Iwnullms of 18 Po. C.S. Suctl(J1l 4904 hllllllllU It. UII~v';""' IHh.llll;i1l1ull I" lIulhonllus. N<tIllO of AlIo,noV: _~a.!11.e.s_..I:l,-_Ca~~lJelJ--, Jr., Esq. 1.0. No.: ____07.Q.5_1_ _..______.___._ .--.-- Add,o,.: 3631 N. Front st. PI~f~~/.ll A.!IH.!...'IlI.III....: .~A. n.;~) ~orge ~ ~ilin~ Dilled ---.----------.'- --.- ------ -- ____HaU!!;burg,~1\171 19 To'o"hono:__!].llLll~.:- 7 ~6.1_._._.. DUSCflpll(ln V;lhll: 1. Personal effects, clothing 100.00 2. Checking Acct. 1111-629-7, Farmers National, 65.82 Newville 3. CD 3995026, Farmers National 126.63 4. CD 3995417 " " 126.64 5. CD 3995011 " " 116.45 6. CD 3994697 " " 101.25 7. CD 3995582 " " 202.62 8. CD 3995490 " " 205.76 9. CD 3995506 " " 100.56 10. CD 3995373 " " 200.88 11. CD 3995058 " " 100.50 12. CD 3995494 " " 251.06 13. CD 3995467 " " 251.23 14. CD 3995532 " " 200.42 (cont. ) Totol: IAttach AtldllulIlal Sht:e1s II IU:CI!SSilfyl r.(HI lilt! MrITlOf.1lHiWT1 01 1,.,tl,'0;1;)11' 1/111\1111' thl' LUIIIIlIlIOl'''''.l\lh ,,1\"'1111...1.,11\1.1 In,I, .11 !Ill' "1." b(\11 '" 11.1' 11t'.\"I..'III.I""....IlI,III".. 1I11lwlt. the ...,.111(1 nl e;lch IttHll tllll (;'1( h I.QlII"\ ';'!lllll,t ""I II" ,'01"",10'11 ".10 1111' 1ll1.,lllI II... hh"llhll. RW-B ~!!S RIc:POIlT UNDEI\ RULE 6.12 Name of Decedent. Mcda E. Farllinq Date of Death. August 10, 1996 Will No. 2196-0670 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the foilowlng with respect to completion of the allmlnistution or the above-captioned estatel 1. State whcther adminlstrat Ion ot the estate Is complelcl Yes x No 2. t f the answer Is No, state when the personal representative reasonably believes that the administration will be completel J. If the answer to No. I is Yes, state the followingl a. Did the personal representative file a final account with the Court? Ycs No X b. The separate Orphans' CQurt No. (if any) {or the personal representative's account iSI c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounLs may be filed with the Cerk of the Orphans' Court and may be aLtached to this report. Datel n ! ,li1 --, ,i '\ /'. ( .r' ) I- Signature -.- '"J ') lJ'"\ If) "-' 0- James D. Campbell, Jr., Esquire Name (Please type or print) CALDWELL & KEARNS 3631 North Front St., I~rrisburg, PA Address 17110 . ~.' . , '\l:- l"- I C<I '-' '-'- (717 I 232-7661 Tel. No. i.. ' ('Jrv- o:~ r- P' : L: 2:1:> QQ Capacity: rersonal Represcntative _'0...counsel for pcrsonal representative (HAH I rm!.' AMJ) RV-27