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HomeMy WebLinkAbout96-00857 " Thi.. I' Itl H IliI~ 111,11 tlit 1I1!lfl111.11 hill ht It 1.~1\l " I', \, 'lIt t I h \ 1l1'll ,I 11,,111 ,Ill' Illrlll,J! U"llilll,t1t' 01 dt'.1I1l dilly hkd willi lilt: .1' Illl.l\ Htfl",lI.l1 Tilt ""rIlLd It'! lith .llt '\ dill! I. '1'.\ ,\ld. ,I Ii' rill :'I,llt \n,d HI ,"I'J., tll!i.c 11Ir l't r I".llllll! filing WARNING: It Is II1c90lto duplicate this copy by photostRt OF photograph. L /..-_.~ ~:."7...":' I /~'/i.'( ..)..~': :~~ ,0; ,--:.)."(~- d U i.' \)11 Ill' t'll flll... ltlllllL.ll( 1 m.llltq.:l"dIH NI). rer I 6 '9~B . . i),lll' 3783965 COY"'ONWEALTH OF PENNSYLVANIA.. DEPARTMENT OF HEALTH. YITAL RECORDS CERTIFICATE OF DEATH CI~ I'...... ~... 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GAUGHEN, of the Township of Hampden, County of Cumberland and Commonwealth of Pennsylvania, declare this to be my Last Will and Testament, and hereby revoke any and all prior Wills and Codicils made by me. ITEM I : I give all of my tangible personal property, including by way of illustration, household goods, furniture, furnishings, books, pictures, silver, chinaware, jewelry, automobiles, boats, and personal effects, and any insurance thereon to my wife, LORENA G. GAUGHEN. ITEM II: I give and bequeath the sum of Five Thousand ($5,000.00) Dollars each to nieces and nephews of my wife and me, as follows: per stirpes; a) BETSY A. VANDEPEREL WOLF, of Lebanon, Pennsylvania, b) SUSAN VANDEPEREL GROBASKI, of Boyne Falls, Michigan, per stirpes; c) stirpes; d) e) stirpes; and SUSAN MARLENE SHANK, of Carlisle, Pennsylvania, per GREGORY SORENSEN of Lincoln, Nebraska, per stirpes; SUZANNE PALKOVIC of Highspire, Pennsylvania, per ~\ ~ ~ ~ )} event assets or the proceeds of assets which do not qualify for such marital deduction shall be the last to be used to satisfy Trust A). Either cash or investments or both may be allocated to this Trust. This Item of my Will is intended to empower my Executor to qualify this gift or as much thereof as he deems advantageous for the qualified terminable interest property provision set forth in Section 2056(b)(7) of the Internal Revenue Code of 1986, and my Executor is hereby authorized to make the election to qualify or not to qualify. As such I direct that (l) if any provision of my Will shall result in depriving this Item of the benefits of IRC 2056(b)(7), if elected, such provision is hereby revoked and my Will shall be read as if any portion thereof which would result in such disqualification is null and void; (2) my Executor is hereby excused from liability to any person for the decision to elect to have this Item qualify for the marital deduction or for the decision to elect not to so qualify it; and (3) no reimbursement or other adjustment shall be made as among beneficiaries by reason of the consequences of such election or failure to elect. B) Trust B shall consist of the remaining fractional share of all property in my residuary estate after deducting the fractional share allocated to Trust A. 3 \ \ ~ ~ 1- ~ ~ C) (i) The Trustee shall pay the net income from Trust A to or for the benefit of my wife, LORENA G. GAUGHEN, for her lifetime, in such installments, but not less frequently than quarterly, as it may determine. (ii) The Trustee shall pay from time to time from the principal of Trust A to or for the benefit of my wife: (1) Such sums as shall in its discretion seem necessary to permit her to maintain a standard of living approximately equal to that maintained by her during my lifetime, taking into account ~ such other sources of income, support and estate that may be readily available to her, and (2) Such sums, including any or all the principal, that my wife may request in writing. 0) (i) The Trustee shall pay the net income from Trust B at least quarterly to or for the benefit of my wife in such proportions or amounts as it may determine to be proper to provide for her support, maintenance, and health care, and for the maintenance by my wife of the standard of living maintained by her during my lifetime, taking into account such other sources of income, support and estate that may be readily available to her. (ii) The Trustee shall from time to time pay such sums from the principal of Trust B to or for the benefit of my wife as may, in the Trustee's discretion, be necessary for her support, 4 per stirpes; and (ii) Seventy-Five (75\) percent to my son, THOMAS W. GAUGHEN, per stirpes. The share(s) if any, to which issue of my son THOMAS W. GAUGHEN become entitled under the terms hereof, shall be added to and become subject to and governed by the terms and conditions of the Will probated on behalf of my said son and/or any pertinent trust(s) relating thereto. H) Should my wife die without leaving issue, the balance in Trust A and B shall be distributed as follows: (i) Twenty-Five (25\) per cent to the CATHOLIC DIOCESE OF HARRISBURG; and (ii) Seventy-Five (75\) per cent to be divided as follows: (a) three-fourths (3/4) thereof to my sister, BERNITA K. SORENSEN, of Camp Hill, Pennsylvania, or her surviving spouse, per stirpes, and (b) one-fourth (1/4) thereof to my sister-in-law, PAULENE VANDEPEREL, or her surviving spouse, per stirpes, of Grand Rapids, Michigan, per stirpes. ITEM IV: If my wife, LORENA G. GAUGHEN, predeceases me, I hereby give, devise and bequeath all the rest, residue and remainder of my estate as follows: A) (i) Twenty-five (25\) percent to my sister, BERNITA K. SORENSEN (MRS. MARVIN SORENSEN), per stirpes; and 6 r (il) Seventy-five (75%) percent to my son, THOMAS W. GAUGHEN, per stirpes. The share(s), if any, to which issue of my son THOMAS W. GAUGHEN become entitled under the terms hereof shall be added to and become subject to and governed by the terms and conditions of the Will probated on behalf of my said son and/or any pertinent trust(s) relating thereto. B) In the event there are no issue, the balance of my estate shall be distributed as follows: (i) Twenty-Five (25%) percent to the CATHOLIC DIOCESE OF HARRISBURG; and (ii) Seventy-Five (75%) percent to be further divided as set forth below: a) Three-fourths (3/4) thereof to my sister, BERNITA K. SORENSEN, of Camp Hill, pennsylvania, or to her surviving spouse, per stirpes; and b) One-fourth (1/4) thereof to my sister-in-law, PAULENE VANDEPEREL, of Grand Rapids, Michigan, or her surviving spouse, per stirpes. ITEM V: I grant to my Executor the following powers in addition to and not in limitation of such powers as it may hold by law: A) To retain property owned by me at my death and to invest any funds of my estate or trust in any stocks, bonds, notes or other securities or property, real or personal, notwithstanding 7 ~ ~~ r" Xt that such investments may not be of the character allowed to fiduciaries by statute or general rules of law, it being my intention to give my Executor the broadest investment powers possible. B) To sell or otherwise dispose of my property, real or personal, at any time forming a part of my estate or trust, for cash or upon credit, in such manner and on such terms and conditions as my Executor may deem best, and no persons dealing with said Executor shall be bound to see to the application of any monies paid. C) To manage, operate, repair, improve, mortgage to lease for any term any real estate at any time held or owned by my estate. D) To borrow money for the payment of taxes or for other proper purposes in administration of my estate. E) To distribute in cash or in kind, upon any division or distribution of my estate. F) In general, to exercise all powers in the management of my estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and condition as to said Executor may deem best, and to exercise and deliver all instruments and to do all acts which said Executor may deem necessary or proper to carry out the purposes of this Will. 8 ITEM VI: In addition to such other powers and duties as may have been granted elsewhere in this Will, or which may be granted by law, the Trustee hereunder shall have the following powers and duties: A) To retain any property owned by me at death and to invest any funds of my estate or trust in any stocks, bonds, notes or other securities or property, real or personal, notwithstanding that such investments may not be of the character allowed to fiduciaries by statute or general rules of law, it being my intention to give the Trustee the broadest investment powers possible. B) To sell, convey, exchange, partition, give options upon, or otherwise dispose of any property, real or personal, at any time forming a part of the trust estate or trust, for cash or upon credit, in such manner and on such terms and conditions as the Trustee may deem best, and no person dealing with said Trustee shall be bound to see to the application of any monies paid. C) To borrow money from any person, including any fiduciary hereunder, for any purpose in connection with the administration hereof, to execute promissory notes or other obligations for amounts so borrowed, and to secure the payments of such amounts by mortgages or pledges of any property, real or personal, which may be held hereunder. 9 ~ :r ( X 0) To make loans, secured or unsecured, in such amounts, upon such terms, at such rates of interest, and to such persons, firms or corporations as it may deem advisable. E) To invest and reinvest any funds in the Trust in any property, real or personal. F) In dividing or distributing any property, real or personal included herein, to divide or distribute in cash or in kind, or partly in cash and partly in kind, as said Trustee may determine, and to that end to allot specific securities or other property or any undivided interest therein, to any share or part. G) To employ such brokers, banks, custodians, investment counsel, attorneys, accountants and other agents, to delegate to them such duties, rights and powers as it may determine and for such periods as it thinks fit. H) To register any securities at any time in the Trustp.e's own name, in Trustee's name as Trustee or in the name of nominees, with or without indicating the trust character of the securities so registered. I) To determine as to all sums of money and other things of value received by the Trustee whether and to what extent the same shall be deemed to be principal or income, and as to all charges and expenses paid by said Trustee, whether and to what extent the same shall be charged against principal or income. 10 ~ ~ .~ J r .. . . " J) To receive such other property, including policies of insurance upon my life, or the proceeds thereof, as may from time to time be deposited with the Trustee by me or my estate, and to administer such policies and the proceeds thereof in accordance with the terms of this Will. K) Notwithstanding anything in this Will to the contrary, Sin the event that any proceeds from a qualified employment benefit plan are received by the Trustee, the Trustee shall in no event use any of said proceeds to pay any debt or claim against me or my estate, nor any taxes or similar charges against my estate. L) To operate, own, or develop any business or property held hereunder in any form, including without limitation sole proprietorship, limited or general partnership, corporation, association, tenancy in common, condominium, or any other, whether or not they have restricted or no management rights, as Trustee in its discretion may determine. M) If the Trustee shall be compelled at any time during the existence of this trust, or thereafter, to pay any tax or interest or penalty for any reason, the Trustee shall be entitled to be reimbursed from the principal of the trust; or if the trust principal be then insufficient, or if it be then terminated, the Trustee shall be reimbursed by the person to whom the principal of the trust shall have been distributed to the extent of the 11 ~ f' I X\ . ..-- "t. I " .- . .,' . . all of fifteen pages, including the self-proving attestation clause and signatures of witnesses. , .' ~~~ fi----I--~ (SEAL) ELDON L. GAUGHEN WITNESSES: le~~J~I"I" , ~~ "- ......- -- OF OF " lIal""riJ!J"r. ( Ie' . ~'I' ,")./'.1 / ~A (J/J , { t 14 FIRST CODICIL TO LAST WILL OF ELDON L. GAUGHEN Donn L. Snyder, Esquire Boswell Snyder Tintner & Piccola 315 North Front Street, Post Office Box 741 Harrisburg" Pennsylvania 17011 (i) Twenty-Five (25%) percent to the CATHOLIC DIOCESE OF HARRISBURG; and (ii) Sevenly-Five (75%) peF cent to be divided as follows: (a) three-fourths (3/4) theFeof to my sister, BERNITA K. SORENSEN, of Camp Hill, Pennsylvania, per stirpes; and (b) one-fourth (1/4) thereof to my sister-in-law, PAULENE V ANDEPEREL, or her surviving spouse, per stirpes, of Grand Rapids, Michigan. FOURTH Amendment of an Item. I do hereby amend Item IV of my Last Will and Testament dated April 15, 1992, so that after amendment it will read as follows: ITEM IV ITEM IV: If my wife, LOR EN A G. G AU G H EN, predeceases me, I hereby give and bequeath the following: A) The sum of One Thousand ($1,000) Dollars each to my nieces and nephews as follows, per stirpes: Susan Marlene Shank, of Carlisle, Pennsylvania; Susan Palkovic, of Highspire, Pennsylvania, and Gregory Sorensen, of Lincoln, Nebraska. B) The sum of Two Thousand Five Hundred ($2,500) Dollars to my niece, Besty A. Vande pc rei Wolfe, of Lebanon, Pennsylvania. C) The sum of Two Thousand ($2,000) Dollars each to my niece, Susan Vandeperel Grobaski, per stirpes, of Boyne Falls, Michigan, and to my dear friend. Gloria Dellree, of Mechanicsburg, Pennsylvania. D) The sum of Five Hundred ($500) Dollars to my nephew, William Vandeperel, of Grand Rapids, Michigan, per stirpes. E) The sum of Ten Thousand ($10,000) Dollars to my sister, Bernita K. Sorensen. per stirpes, of Camp Hill, Pennsylvania. F) All the rest, residue and remainder of my estate of whatever nature and wherever situate, I give, devise and bequeath to my son, Thomas W. Gaughen, per stirpes. The share(s), of any, to which issue of my son become entitled under the terms hereof shall be added to and become subject to and governed by the terms and conditions of the Will probated on behalf of my said son andlor any pertinent trust(s) relating thereto. Page 2 J ~ .) \ - \. ~ ~ -, t --..".:, "\'- \~ \~ ,. G) In the event there arc no issue. the balance of my estate shall be distributed as follows: (i) Twenty-Five (25%) peFccnt to THE CATHOLIC DIOCESE OF HARRISBURG; and (ii) Seventy-Five (75%) percent to be further divided as set forth below: a) Three-fourths (3/4) thereof to my sister, BERNITA K. SORENSEN. per stirpes, of Camp Hill, Pennsylvania; and b) One-fourth (114) thereof to my sister in law, PAULENE V ANDEPEREL,or her surviving spouse, per stirpes, of Grand Rapids, Michigan. FIFTH Reoublication of Will as Amended. I hereby republish and reaffirm my Last Will and Testament as herein modified, amended and supplemented by this First Codicil as if sueh Will were set out here in full and do incorporate it by this reference thereto, and do hereby republish and declare my Last Will and Testament as amended, modified and supplemented as my Last Will and Testament. Te timonium Clau e. IN WITNESS WHEREOF ,I have hereunto set my hand and affixed my seal this day of J.une-, 1995. O~O /. ,// rL ,{,--.- ELDON L. Attestation Clause. The foregoing Codicil was signed,sealed, published and declared by Eldon L. Gaughen as and for the First Codicil to his Last Will and Testament and he did also republish and reaffirm his Last Will and Testament as by this First Codicil amended as and for his Last Will and Testament in our presence, and we, at his request and in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses on the above date. }. ~<. /' {' - ~.c:;/' . ."..;..;.,-? // / ..~~f( -r.r:-... - /. . d{lt/1/t1t' t ,JuJ/;.V/YI,f'<.j of of -!-I I/. ,6. '-' .YIt, /11 M it/I! y/, -fJA Page 3 ..- l) !!1 r:? ::~; .. '.~. (,- .' ~:' .~: l..-j .n ucr> <lla: a: .'.. ~ GO "J .. 0, c:: \.;0<( ul~ ,; - N g V) P' .- to: OJ::> Uu :S @ Ii: olll i :; ~~-; :t ;t ~ d~~ ~H2i ~ g . ~ ~ THIRD Amendment of an Item. I do hereby revoke Item FOURTH of my Last Will and Testament dated April 15, 1992 and Item IV of my First Codicil dated July 6, 1995 so that after amendment it will read as follow: A) All the rest, residue and remainder of my estale of whatever nature and wherever situate, I give, devise aud bequeath to my son, Thomas W. Gaughen, per stirpes. The share(s), if any, to which issue of my son become entitled under the terms hereof shllll be added to and become subjecl to and governed by the terms and conditions of the Will probated on behalf of my said son and/or any pertinent trust(s) relating thereto. B) In the event there are no issue, the balance of my estate shall be distributed as follows: (i) Twenty-Five (25%) percent to THE CATHOLIC DIOCESE OF HARRISBURG; and (ii) Twenty-Five (25%) percent to GOOD SHEPHERD CHURCH, in memory of my sister, Bernita Sorenson; and (Hi) Twenty-Five (25%) percent to HOLY SPIRIT HOSPITAL; and (iv) Twenty-Five (25%) percent to my sister-in-law, P A ULENE V ANDEPEREL, or her surviving spouse, per stirpes. FOURTH Reoublication of Will as Amended. I hereby republish and reaffirm my Last Will and Testament as herein modified, amended and supplemented by the First Codicil dated July 6, 1995 and by this Second Codicil as if such Will and First Codicil were set out ~'~',,"'~"'''-''''''-''''-~~-'~''-' , .. ~ .,- ~.. ,..e ,.".~ ~., .~ COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF DAUPHIN We. Eldon L. Gaughen, and !IJ.J.J._i;..~-E.:._!!22.'!!~lL----- and Jeffrev R. Boswell.. the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn. do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Second Codicil to his Last Will and that he had signed willingly (or willingly directed another to sign for him). and that he executed it as his free and voluntary act for the p",p"'" th,,,in "p,,~,d. .nd Ihot ",h nf th' wlln"'"'. In Ih. p''''''''' ond h"dn, nf the Testator. signed the Will as witness and to the best of our knowledge the Testator was at that time eighteen years of age or older. of sound mind, and under no constraint or undue influence. ~e:.~~. !?:::rJ-1r---- .-iff R. . Bcy'well: Witness I., ~jl'7 ~_. ....:-;~~i A-',~"----- william D. Boswell' Witness Jeffr Subscribed. sworn to, and acknowledged before me by Eldon L. Gaughen. the Testator and subscribed and sworn to before me by Jeffrey R. Boswell and William D. BOswell ,witnesses this JAj:Way of Novem er.1995. J iJJl../I- (Seal) f---"~--'.-f ~:.''','..i '.::' ~ ~ :~.~::,:~4_-'--~:, . ' . I' . .., .;".; .,:\ p\,~"li,'.~ . ;,~ ".~- .'......~ ......' '. ,!.,:,.:, ,,':.., .,.. .... c.~._:..>.) (:~.! -,'I ; L;.'~~:;: :1!~~I~.;.~:'<:~:~~":~E~~~.:..:0::~ :.:. :'.~~ ~-~,.l . . lll1RD CODICIL TO LAST WILL OF ELDON L. GAUGIlEN ri ~ ~ Introductorv Clause I. Eldon L. Gaughen. do hereby make, publish and declare this to be the Second Codicil to my Last Will and Testament dated April IS. 1992. FIRST Amendment of an Item. I do hereby amend Item II of my Last Will and Testament dated April 15,1992, and revoke Item FIRST of my First Codicil dated July 6. 1995, and amend Item FIRST of my Second Codicil dated November IS. 1995, so that after amendment it will read as foJlows: ITEM II: I hereby give and bequeath the foJlowing: A) The sum of One Thousand ($1.000) DoJlars to my niece, Susan Marlene Shank, per stirpes. B) The sum of Two Thousand Five Hundred ($2.500) DoJlars to my niece, Betsy A. Vandeperel Wolfe. C) The sum of Two Thousand ($2,000) Dollars each to my niece, Susan Vandeperel Grobaski, per stirpes, and to my dear friend, Gloria DeJlree. D) The sum of Five Hundred ($500) Dollars to my nephew. William Vandeperel, per stirpes. E) The sum of Four Thousand ($4.000) DoJlars each to my niece, Suzanne Palkovic, and my nephew. Gregory Sorensen, in memory of their mother (my sister) Bernita K. Sorensen, per stirpes. COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF DAUPHIN We, Eldon L. Gaughen, and W~~~!.?_m_..o_:._':<:~~:.~~_______ and Jeffrey R. Boswe~he Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Third Codicil to his Last Will and that he had signed willingly (or willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, iR the pFesence and hearing of the Testator, signed the Will as witness and to the best of our knowledge the Testator was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. A%t~ ~--- Eldon . Gaughen,'Testat r ---A::-t-<' ,!) hr't-- William D. Boswel,lWitness t3ft,~'~LC . Jeffrey R. Boswell' WItness Subscribed. sworn to, and acknowledged before me by Eldon L. Gaughen, the Testator and subscribed and sworn to before me by William D. Boswell and J9ffr9j' R. Dg'....g) 1 ,witnesses, this-6.t.J1- day of February, 1996. :\ )1/ . "W~ P_J ___ NOTARIAL SEAL - - ....1 Maronella F. Miller. Notary Public Hams~urg, PA Dauphin County My Commission Expires Jan. 10,2000 -.....- rOil OAIC'ior O[AHl AFT[R Wlll')lCfirCK ttCRE Jr A'jf'OU:iAL pov IHvCllrOll,')r. AI..,r FILE NUMBER . . . /5-/.;J,J ~q INHERITANCE TAX RETU~N RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGIS rER OF WILLS COUNT",C:OOE: REV. 1SOO EX . 17.')41 j 2. Suppl"menl.ll Return ~.. Fuluro Inlell'sl Compromlso lIar dales 01 dealh altor 12-12-B2: CRlS. Decedent DIed Testale 07. Decedenl Malnt,llMd a LIVIng Trust (Attach cop 01 Will) I Att.1ch a cop of Trust: C P ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: ~ ~ NAME COMPLETE MAILINGADDRE5S R D Donn L. Sn dcr Boswcll Snydcr Tlntncr & Piccola ~ ~ TELEPHONENU"'SER Post Off Icc Box 741 - T 717 236-9377 Harrlsbur PA 17108-0741 1. Real EstalelSchedule AI (1) Nonc 2. Slacks and 80nds I Schedule 8) (2) None 3. Closely Held StocklPaMershlp Inlerest I Schedule C) (3) None 4. Mortgages and Noles Receivable (Schedule 0: (4) 222 , 335.00 5. Cash. 8ank Depo"ls & Miscellaneous Personal Property (Sch E: (5) 299 , 733 . 27 6. JOintly Owned Property (Schedule FJ (6) Nonc 7. Transfers (Schedule GllSchedule L; (7) None 8. TOlal Gross Assets (total Lines 1-71 9. Funeral Expenses. Administr.1tivo Costs, Miscellaneous Expenses (Schedule Hl 10. Debts. Mortgage Liabilities, Liens (Schedule Il 11. Tolal Deduct"ns (Iotal Lines 9 & 10) 12. Net Value of ESlate (Line 8 minus Line 11: 13. Charrlable and Governmenlal8equests (Schedule J: 1~. Net Value Sub ct to Tax (Line 12 minus Line 13] 15. Spousal Translors Hor datos of death after 6-30.94: See lnstruc!lons for ApplICable Percentage on page 2 (Include values from Schedule K or Schedule M: 16. Amount 01 Line 14 taxable at 6~', rate (Include values from Schedule K or Schedule M ; 17. Amount of Lino 14 taxable allS'I. rale (Include values from Schedule K or Schedule M) 18. Prlncipallax due (Add lax from Line 15. 16 and 17.: 19.Credl1s/Sp PO\lortl Prior Payments Discount 0.00. 10,500.00 . 120.00 20. If Line 19 IS grealer lhan Line 1B. enter the difference on Une 20 ThIS is the OVERPAYMENT. ~ ~ ICheck here tf you are requesting a refund or your overpayment.1 21. II Line 18 is greater than Line 19, enler the difference on Line 21 ThiS 15 the TAX DUE. A. Enler the Interest on the balance duo on Line 21A B. Enter Ihe tolal of Line 21 and 21A on Line 218 ThiS IS Ihe 8ALANCE DUE. Make Check Pa abl. to: R 1.ler of Will.. A enl . . BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH ~ ~ CAB H P L E PO C R C K 0 K P S co... ~~t':tIWt ~i 'h'.~w:m,)~ ."" ~AnRI:i~fJ~h ~~.f'~\:".Of.OI D E C E D E N T nr,,:rrr:"'.T., IjA_..r .tAr" rln'lI AId) IJIOI1Lr l'flllAlI ~:_:.!.~t:!.::_!:L.!~ I (lnll, I" orr:l:onn !i co....rln( AonnES~; I,'JOI, Lwt. Trlndlo Ml~cllillltc~burg, PA o . 00 X 06' ~ 21-96-0857 yfA" NuunER DAT[(Jr orA". 10/11/19% OAlr.Of IJlllhl 08/19/1920 Road 17055 At.40utH RECEIVEDI~EE INstRUCTIONS) 319 M,5.00 Remainder Relurn liar dales of dealh prior to 12-13-621 Fedoral Estate Tax Return ReqUired Tolal Number 01 Safe Deposit Boxes (6) 522,068.27 > A, 'f ':1.'11,' f 'l\..!\4l1rl\ ',tJB-tJS-17B') County Curnbl1rlnnd (11) (12) (13) (14) 129,860.48 392,207.79 llF APPLICA[)L(l ~unVlvltlG ~roU:j[ OJ PIA"[ (lA~H rln~;T "'jO -"IOOLE UHlIAlI Gau hun, Lorena G. X 1. Ongln.11 Return 4. LImited Estate ~.OCIAL ')ECURI TY 'luvnER 201-16-1,933 392,207.79 0.00 (15) 376,207.79 xor.' 0.00 (17) 16.000.00X 15' 2,400.00 T A X C o M P U T A T I o N Inlerest [TI 5. 1 6. R E C A P I T U L A T I o N (9) 64.034.06 (16) 2.400.00 (10) 65.826.42 (19) (20) 10,620.00 8.220.00 (16) (21) (21A) (21B) 0.00 0.00 0.00 Under p4Jn.lI11UtS 01 PltllUf'y.1 de<:l.IU, Ifl" I "IV8 .nAmmed II'lIS felurn. H'lCIt.dIr'lq .ccom~rTjll"lg sc:t,.,dules.and stllemenlS, Ira 10 Ine Dest ot my knowledge arod be".f, .IIS Hue, cOlleel,nd c plitt.. t deer.flt 11"1,11 tell It lale hn be.." 'eported ,Illrve markel v.IUlt. O.el.,.llon of p'.potlor other lhln the perSONI u,pr.senIIII1l8" bnedon.11 inlOlmlllionof which pr.~ h&S'ny knowl Donn I.. Snydcr 315 North Front S". iJ;;rr lsbur- -: - pii - - i iios.:074f - - -... - - -.. - - -.. - - -. E5ENlATiVE Boswcll Snydcr POSL Office BOK 741 iJijr,:lsbur--:-Pii. -i iios.-W,r - - - -. --- - - --. .-. ---. DATE ?-)l)-~ i CATE =1ko/'17- Form 1 0 1~.V. '.941 REV.1511EX. (7-e81 COlA::'~1~4~\WUiiJVhY'NI' ESTATE OF SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Pl.... Print 0' T . FILE NUMBER 21.96-0857 Eldon L. ITEM NUMBER A. B. 1. 2. 3. 4. C. 1 508-05-1789 10 II 1996 DESCRIPTION AMOUNT 1 Funeral Exponlo" Myers Hsrner Funeral Home, Inc. - Funeral EKpense 6,767.00 2,304.13 2 \lest Shore Country Club - Funeral I.uncheon AdmlnlotraU.e Costa: Personal Representative Commissions Social Socurily Number 01 Personal RepreSenlalive, 205 -18 _ 3634 Vear Commissions paid 1997 33,669.00 Attomey Fees 80S well Snyder 16,835.00 Family Exemption Claimant Lorena G. GauRhen Add,e" of Claimant at decadent's death St,eelAdd,a" 4904 East Trlndle CiIy MechanlcsburR Relallonship Spouse 3,500.00 Road Slata PA Zip Code 17055 P,obata Fees Register of \lllls 879.49 Miscellaneous Expons..: Lorena G. Gaughan - Reimbursement for Medication Allowance Paid to Estate 79.44 . . TOTAL (Also ente, on line 9. Reca ~ulatlon) (II more space Is needed, Insert addhlonllsheots of limo slzo.) Copyright (c) 1994 form softw.r. only CPSyst,ms,lne. $ 64 034.06 Form 1500 Schtdu" H(Rev. 7-88) Estata of: Eldon L. Gaughon Sac Soc #: 508.05.1789 Dato of Doath: 10/11/1996 Contlnuotlon of Schodulo H-RIt (Probll to 1'0OfI) ltom Doscrlptlon II Amount 1 Boswoll Snydor Tintnor & PIccola . Rolmbursoment of Costs Advanced 2 R05we 11 Snyder Tintner & Piccola Costs Advanced 3 Roswell Snyder Tintner & Piccola Roimbursomont of Probs to I'oos 4 Boswol1 Snyder Tintnor & Piccola Roimbursoment of Logal Advertisemont 162.75 24.56 392.50 179.98 5 Boswell Snydor tintnor & Piccola . Rolmbursomont for coplos and postage 32.42 6 Cumberland Law Jeurna1 - Advertiso Grant of Lettors Tostamontary 60.00 7 Patriot News - Thank You From Family Membors 27.28 ----------..-..- 879.49 . . . , ~ "L_ __" ~ . . . " ~ .. W I r, r, I, ELDON L. GAUGIIEN, of the 'l'ownship of lIampden, County of Cumberland and Commonwealth of Pennsylvania, declare this to be my Last Will and Testament, and hereby revoke any and all prior Wills and Codicils made by me. ITEM I: I give all of my tangible personal property, including by way of illustration, household goods, furniture, furnishings, books, pictures, silver, chinaware, jewelry, automobiles, boats, and personal effects, and any insurance thereon to my wife, LORENA G. GAUGHEN. ITEM II : I give and bequeath the sum of Five Thousand ($5,000.00) Dollars each to nieces and nephews of my wife and me, as follows: a) BETSY A. VANDEPEREL WOLF, of Lebanon, Pennsylvania, per stirpes; b) SUSAN VANDEPEREL GROBASKI, of Boyne Falls, Michigan, per stirpes; SUSAN MARLENE SHANK, of Carlisle, Pennsylvania, per c) stirpes; d) e) stirpes; and GREGORY SORENSEN of Lincoln, Nebraska, per stirpes; SUZANNE PALKOVIC of Highspire, Pennsylvania, per ~ ~ ~ cJ ~ f . . I . f) WILI.IJlM VJlNDEPEREL, of Grand Hapids, Michigan, per capita. ITEM III: If my wife, LORENJI G. GJlUGHEN, survives me, my Executor shall divide my residuary estate, of whatever nature and wherever situate, into two parts, hereinafter designated as Trust A and Trust 8, and pay over the same to my Trustee hereinafter named, each such Trust to be ascertained as follows: A) Trust A shall consist of the smallest fractional share of all property in my residuary estate that qualifies for the federal estate tax marital deduction as will be sufficient to result in the lowest federal estate tax being imposed upon my estate after allowing for the unified credit, and any other allowable credits and deductions. In making those computations necessary to determine such fractional share, the final determinations in the federal estate tax proceedings shall control, and there shall not be allocated to Trust A any asset or the proceeds of any asset: (i) which does not qualify for the marital deduction for federal estate tax purpose, or (ii) with respect to which any estate or death taxes are paid to any foreign country or any of its possessions or subdivisions, or (iii) with respect to which any tax credit or deduction shall be available because it shall be subject to both federal estate and federal income tax (except to the extent that assets of my estate other than those herein described are not sufficient, in which 2 .-" ~. , , event assets or the proceeds of assets which do not qualify for such marital deduction shall be the last to be used to satisfy Trust A). Either cash or investments or both may be allocated to this 'l'rust. This Item of my Will is intended to empower my Executor to qualify this gift or as much thereof as he deems advantageous for the qualified terminable interest property provision set forth in Section 2056(b)(7) of the Internal Revenue Code of 1986, and my Executor is hereby authorized to make the election to qualify or not to qualify. As such I direct that (1) if any provision of my Will shall result in depriving this Item of the benefits of IRC 2056(b)(7), if elected, such provision is hereby revoked and my Will shall be read as if any portion thereof which would result in such disqualification is null and void; (2) my Executor is hereby excused from liability to any person for the decision to elect to have this Item qualify for the marital deduction or for the decision to elect not to so qualify it; and (3) no reimbursement or other adjustment shall be made as among beneficiaries by reason of the consequences of such election or failure to elect. S) Trust B shall consist of the remaining fractional share of all property in my residuary estate after deducting the fractional share allocated to Trust A. 3 C) (i) The Trustee shall pay the net income from Trust A to or for the benefit of my wife, LORENA G. GAUGHEN, for her lifetime, in such installments, but not less frequently than quarterly, as it may determine. (ii) The Trustee shall pay from time to time from the principal of Trust A to or for the benefit of my wife: (1) Such sums as shall in its discretion seem necessary to permit her to maintain a standard of living approximately equal to that maintained by her during my lifetime, taking into account such other sources of income, support and estate that may be readily available to her, and (2) Such sums, including any or all the principal, that my wife may request in writing. 0) (i) The Trustee shall pay the net income from Trust B at least quarterly to or for the benefit of my wife in such proportions or amounts as it may determine to be proper to provide for her support, maintenance, and health care, and for the maintenance by my wife of the standard of living maintained by her during my lifetime, taking into account such other sources of income, support and estate that may be readily available to her. (ii) The Trustee shall from time to time pay such sums from the principal of Trust B to or for the benefit of my wife as may, in the Trustee's discretion, be necessary for her support, 4 ~ 1 maintenance and health care. Regardless, the Trustee may annually dIstrIbute to my wife principal equal to the greater of Five Thousand ($5,000) Dollars or Five (5%) percent of the principal balance. E) My first priority for the income and principal of Trust B taken together is the support, maintenance and health care of my wife for her life. In determining whether any invasion shall be made for the benefit of my wife from the principal of Trust A or from the principal of Trust B, it is my desire that such invasion be made from Trust A as far as practical. F) Upon the death of my wife, LORENA G. GAUGH EN , the Trustee shall first deduct from Trust A and pay to the personal representative of my wife's estate an amount equal to the increase in federal estate tax or state death taxes which her estate will have to pay because of the inclusion of the assets under this Item of my Will in her gross estate (unless she directs otherwise in her will), and all then-remaining principal of Trust A shall be distributed pursuant to the provisions of Paragraph G of this Item, and any income not previously distributed to my wife shall be distributed to her estate. G) Upon the death of my wife, Trust B shall terminate and all assets in Trust B and any undistributed balance remaining in 'I'rust A shall be distributed as follows: (i) Twenty-Five (25%) percent to my sister, BERNITA K. SORENSEN (MRS. MARVIN SORENSEN), 5 ~ 1 G ~ per stirpes; and (ii) Seventy-Five (7St) percent to my son, 'I'1I0MAS W. GAUGIIEN, per stirpes. The share(s) if any, to which issue of my son 'I'1I0MAS W. GAUGIIEN become entitled under the terms hereof, shall be added to and become subject to and governed by the terms and conditions of the Will probated on behalf of my said son and/or any pertinent trust(s) relating thereto. H) Should my wife die without leaving issue, the balance in Trust A and B shall be distributed as follows: (i) Twenty-Five (25%) per cent to the CATHOLIC DIOCESE OF HARRISBURG; and (ii) Seventy-Five (75%) per cent to be divided as follows: (a) three-fourths (3/4) thereof to my sister, BERNITA K. SORENSEN, of Camp Hill, Pennsylvania, or her surviving spouse, per stirpes, and (b) one-fourth (1/4) thereof to my sister-in-law, PAULENE VANDEPEREL, or her surviving spouse, per stirpes, of Grand Rapids, Michigan, per stirpes. ITEM IV: If my wife, LORENA G. GAUGIIEN, predeceases me, I hereby give, devise and bequeath all the rest, residue and remainder of my estate as follows: A) (i) Twenty-five (25%) percent to my sister, BERNITA K. SORENSEN (MRS. MARVIN SORENSEN), per stirpes; and G , . (il) Seventy-five (75'1,) percent to my Bon, 'l'1I0MI\S W. GI\UGHEN, per stirpes. 'I'he share(s), if any, to which issue of my son THOMAS W. GAUGHEN become enti tIed under the terms hereof shall be added to and become subject to and governed by the terms and conditions r,f the Will probated on behalf of my said son and/or any pertinent trust(s) relating thereto. B) In the event there are no issue, the balance of my estate shall be distributed as follows: (i) Twenty-Five (25%) percent to the CATHOLIC DIOCESE OF HARRISBURG; and (ii) Seventy-Five (75%) percent to be further divided as set forth below: a) Three-fourths (3/4) thereof to my sister, BERNITA K. SORENSEN, of Camp Hill, Pennsylvania, or to her surviving spouse, per stirpes; and b) One-fourth (1/4) thereof to my sister-in-law, PAULENE VANDEPEREL, of Grand Rapids, Michigan, or her surviving spouse, per stirpes. ITEM V: I grant to my Executor the following powers in addition to and not in limitation of such powers as it may hold by law: A) To retain property owned by me at my death and to invest any funds of my estate or trust in any stocks, bonds, notes or other securities or property, real or personal, notwithstanding 7 t X{ , . . that such investments may not be of tlw character allowed to fiduciaries by statute or g(lI1er.11 rules of law, it being my intention to give my Executor the broadest investment powers possible. B) To sell or otherwise dispose of my property, real or personal, at any time forming a part of my estate or trust, for cash or upon credit, in such manner and on such terms and conditions as my Executor may deem best, and no persons dealing with said Executor shall be bound to see to the application of any monies paid. C) To manage, operate, repair, improve, mortgage to lease for any term any real estate at any time held or owned by my estate. D) To borrow money for the payment of taxes or for other proper purposes in administration of my estate. E) To distribute in cash or in kind, upon any division or distribution of my estate. F) In general, to exercise all powers in the management of my estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and condition as to said Executor may deem best, and to exercise and deliver all instruments and to do all acts which said Executor may deem necessary or proper to carry out the purposes of this Will. 8 ~ r ~ I'I'..:M VI: J n ndd I t1 on to Huch othm" powors and dutios as may have been grantod olsowhoro in this Will, or which may be granted by law, the 'I'rustee hereunder shall have the following powers and duties: A) To retain any property owned by me at death and to invest any funds of my estdt.e or trust in any stocks, bonds, notes or other securities or property, real or personal, notwithstanding that such investments may not be of the character allowed to fiduciaries by statute or general rules of law, it being my intention to give the Trustee the broadest investment powers possible. B) To sell, convey, exchange, partition, give options upon, or otherwise dispose of any property, real or personal, at any time forming a part of the trust estate or trust, for cash or upon credit, in such manner and on such terms and conditions as the Trustee may deem best, and no person dealing with said Trustee shall be bound to see to the application of any monies paid. C) To borrow money from any person, including any fiduciary hereunder, for any purpose in connection with the administration hereof, to execute promissory notes or other obligations for amounts 50 borrowed, and to secure the payments of such amounts by mortgages or pledges of any property, real or personal, which may be held hereunder. 9 ~ f ~ \ D) To make loans, secured or unsecured, in such amounts, upon such terms, at such rates of interost, and to such persons, firms or corporations as it may deem advisable. E) To invest and reinvest any funds in the Trust in any property, real or personal. F) In dividing or distributing any property, real or personal included herein, to divide or distribute in cash or in kind, or partly in cash and partly in kind, as said Trustee may determine, and to that end to allot specific securities or other property or any undivided interest therein, to any share or part. G) To employ such brokers, banks, custodians, investment counsel, attorneys, accountants and other agents, to delegate to them such duties, rights and powers as it may determine and for such periods as it thinks fit. H) To register any securities at any time in the Trustee's own name, in Trustee's name as Trustee or in the name of nominees, with or without indicating the trust character of the securities so registered. I) To determine as to all sums of money and other things of value received by the Trustee whether and to what extent the same shall be deemed to be principal or income, and as to all charges and expenses paid by said Trustee, whether and to what extent the same shall be charged against principal or income. 10 ~ ~ t\ . , . . J) To receive such other property, including policies of insurance upon my life, or the proceeds thereof, as may from time to time be deposited with the Trustee by me or my estate, and to administer such policies and the proceeds thereof in accordance with the terms of this Will. K) Notwithstanding anything in this Will to the contrary, Sin the event that any proceeds from a qualified employment benefit plan are received by the Trustee, the Trustee shall in no I event use any of said proceeds to pay any debt or claim against ~ me or my estate, nor any taxes or similar charges against my estate. L) To operate, own, or develop any business or property held hereunder in any form, including without limitation sole proprietorship, limited or general partnership, corporation, association, tenancy in common, condominium, or any other, whether or not they have restricted or no management rights, as Trustee in its discretion may determine. M) If the Trustee shall be compelled at any time during the existence of this trust, or thereafter, to pay any tax or interest or penalty for any reason, the Trustee shall be entitled to be reimbursed from the principal of the trust; or if the trust principal be then insufficient, or if it be then terminated, the Trustee shall be reimbursed by the person to whom the principal of the trust shall have been distributed to the extent of the 1 1 . amount received by each distributee. The Trustee, before making any distribution of either income or principal, may accordingly require an undertaking in form satisfactory to the Trustee to reimburse the Trustee, or the Trustee may withhold distribution pending determination or release of any tax lien. N) The Trustee shall be entitled to receive compensation for services rendered in connection therewith. ITEM VII: No interest of any beneficiary of my estate shall be subject to anticipation or to pledge, assignment, sale, or transfer in any manner, nor shall any beneficiary have power in any manner to charge or encumber his or her interest, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of the Executor for any liability of such beneficiary, whether such liability arises from his or her debts, contracts, torts or other engagement of any type. ITEM VIII: My Executor and Trustee shall be exempt from giving bond or other security. ITEM IX: The Trust (s) es.tablished hereunder shall be administered in accordance with the laws of the Commonwealth of Pennsylvania. ITEM X: All death taxes (not income taxes) that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be considered a part of the expense of the administration of my estate, and my Executor shall 12 ~ . . . .. . '. . .' COMMONWEAL'l'/1 OF PENNSYLVANIA: COUNTY SS: OF DAUPHIN: We, ELDON L. GAUGIJEN, the Testator, MARK R. PARTIJEMER and MARONETTA F. MILLER, 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 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 witnesses 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. .A _ / _. . ~itn)essl :.-,(,j,i.-"dL; ~- l'ir(L.~ MARO~TA F. MILLER, Witnes~. Subscribed, sworn to and acknowledged before me, the undersigned officer, by Eldon L. Gaughen, the Testator, and subscribed and sworn to before me by Mark R. Parthemer and Maronetta F. Miller, the witnesses, in the presence of each other, this /s c-~ day of April, 1992. - );...A.,v'i;: /J -,,;I-0.'..bJ ( _ Notary Public ~ J r--.- 15 . . . (i) Twcnly'!'ivc (25%) pCFccnl to thc CATHOLIC DIOCESE UF IIARRISBUIUJ; and (ii) Scvcnty.Fivc (75%) per cent to be dividcd as follows: (a) Ihree-fouFths (3/4) thcreof to my sisteF, BERNITA K. SORENSEN. of Camp II ill , Pennsylvania, per stirpcs; and (b) one-fourth (1/4) thereof to my sister-in-law, PAULENE V ANDEPEREL, or her surviving spouse, per stirpes, of Grand Rapids, Michigan. FOURTH Amendment of an Item. I do hereby amend Item IV of my Last Will and Testament dated April IS, 1992, so that after amendment it will read as follows: ITEM IV ITEM IV: If my wife, LORENA G.GAUGHEN,predeceases me,I hereby give and bequeath the following: A) The sum of One Thousand ($1,000) Dollars each to my nieces and nephews as follows, per stirpes: Susan Marlene Shank, of Carlisle, Pennsylvania; Susan Palkovic, of Highspire, Pennsylvania, and Gregory Sorensen, of Lincoln, Nebraska. B) The sum of Two Thousand Five Hundred ($2,500) Dollars to my niece, Besty A. Vandeperel Wolfe, of Lebanon, Pennsylvania. C) The sum of Two Thousand ($2,000) Dollars each to my niece, Susan Vandeperel Grobaski. per stirpes, of Boyne Falls, Michigan, and to my dear friend. Gloria Dellree, of Mechanicsburg, Pennsylvania. D) The sum of Fivc Hundred ($500) Dollars to my nephew, William Vandeperel, of Grand Rapids, Michigan. pCF stirpcs. E) Thc sum ofTcn Thousand ($10,000) DollaFs to mysistcF, Bcrnita K. SOFcnscn. per stirpcs. of Camp II ill, Pcnnsylyania. F) All thc FCSt, rcsiduc and rcmaindcF of my cstatc of whatCYCF nalllFC and whercvcF situate,l gi\e. dcyi~e and hcqucath \0 my son, Thomas W. Gaughcn. per stirpes. The sharc(s), of any. to which issuc of my son hccomc cntitled undcF thc tCFms hCFcof shall be added to and hecomc suhjcct 10 and govcrned hy the Icrms and conditions of thc Will prohatcd ou hchalf (\1111y said ~(ln and/ or auy pcrtinl'nt tFU~I(S) rclating thCFC((1. Page 2 J .1 ~ , , ~ ~ ".~ \~ .. -......:. " "- \.~ \''''t'., . , , , '. . '1 '. I ~.. G) In thc event IheFe are no issuc. the halancc of illY estate shall he distrihuted as follo\\'s: (i) Twcnty-Five (25%) (lCFccnt to THE CATHOLIC DIOCESE OF HARRISBURG; and (ii) Seventy-I~ive (75%) percent to be further divided as set forth below: a) Three-fourths (3/4) Ihereof to my sister, BERNITA K. SORENSEN, per stirpes, of Camp Hill, Pennsylvania; and b) One-fourth (1/4) thereof to my sisler in law, PAULENE V ANDEPEREL, or her surviving spouse, pcr stirpes, of Grand Rapids, Michigan. FIFTH Reoublication of Will as Amended. 1 hereby republish and rcaffirm my Lasl Will and Testament as herein modified, amended and supplemented by this First Codicil as if such Will were set out here in full and do incorporate it by this reference theFeto, and do hereby republish and declare my Last Will and Testament as amended, modified and supplemented as my Last Will and Testament. Testimonium Clause. IN WITNESS WHEREOF, I have hereunto set my hand and affIXed my seal this Py of lune; 1995. O~ [," . /' lL-I{r--. ,~~ I"---(SEAL) ELDON L. AUGHE AlIestation Clause. The foregoing Codicil was signed,sealed, published and declared by Eldon L. Gaughen as and for the First Codicil to his Last Will and Testament and he did also republish and reaffirm his Last Will and Testament as by this First Codicil amended as and fOF his Last Will and Testament in our presence, and we, at his requcst and in his pFcsence, and in the prcscncc of cach OthCF, havc hCFcunto SUbSCFibcd ollr namcs as witnesscs on thc abovc datc. /-. /.. -':~- of "',f C / (' , _.-;'" ..<... / , , . ./JJ: /l;,. . . .7f//i/flr. e.. ,(j/i/.11h?1.'l''{'' of // ,C ~:, v '.. "~I I _/)/,1 ,,-...V/I,1. ~/,1A"/ "// _ Q j' PaHC :; SECONI> COI>lCIL 1'0 LAST WILL OF ELI>ON In GAUGIlEN Introductorv Clause I, Eldon L. Gaughen, do hereby make, publish and declare this to be the Second Codicil to my Last Will and Testament dated April 15, 1992. FIRST Amendment of an Item. I do hereby amend Item II of my Last Will and Testament dated Npril IS, 1992, and revoke Item FIRST of my First Codicil dated July 6, 1995, so that after amendment it will read as follows: ITEM II: I hereby give and bequeath the following: A) The sum of One Thousand ($1,000) Dollars each to my nieces and nephews as follows, per stirpes: Susan Marlene Shank and Gregory Sorensen. B) The sum of Two Thousand Five Hundred ($2,500) Dollars to my niece, Betsy A. Vandeperel Wolfe. C) The sum of Two Thousand ($2,000) Dollars each to my niece, Susan Vandeperel Grobaski, per stirpes, and to my dear friend, Gloria Dellree. D) The sum of Five Hundred ($500) Dollars to my nephew, William Vandepercl, per stirpes. [ E) The sum of Ten Thousand ($10.000) Dollars to my niece. Suzanne Palkovic. peF stirpes. :v -\ . . . .. . .. . . SECOND Reouhlicntlon of Will os Amended. I hereby republish and reamrm my Last Will and Testament as herein modified, amended and supplemented by the First Codicil dated July 6, 1995, by the Second Codicil dated November 15, 1995 and by this Third Codicil as if such Will and First and Second Codicils were set out here in full and do Incorporate them by this reference thereto, and do hereby republish and declare my Last Will and Testament, First Codicil and Second Codicil, as amended, modified and supplemented by this Third Codicil as my Last Will and Testament. Testimonium Clause. (1;'. IN WITNESS WHEREOF,I have hereunto set my hand and afrIxed my seal ~his lr day of February, 1996. ~ LOON L. 0..... (SEAL) Attestation Clause. The foregoing Third Codicil to the Last Will and Testament was this .6..th. day of February, 1996, signed, sealed, published and declared by the Testator as and for his Third Codicil to his Last Will and Testament in our presence, and we, at his request and in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses on the above date. . J/ ~ I) /. ....:.:.... #fl ~ .. .. '- ., ,.!'~c'- . V of ~ h'.~,;: 1':1'(,// o t {; ~~ /. . , ~ :' .~, I ~J' !\.L'--. of -7 C.fJI/.ti ....~/ \ Inventory/Disposition Record of Scife Deposit Boxes Drilled @ Mellon Bank Compony No. t5:l1 ~ ornce N.me 1.1. 0. U,\ {lcll? "" Dote II-I &'- <J " Box No. I ~')' - C) 4-==> Nome or Renter(s) € I~nl'\ L 6C\l1jh(:!() J Of' e.\1 a.. (,.. c., (J It r l:' 1". ~' lOw. G,o U.~\,,~"\ LasIKnownAddress 3s~ 'S. S~r+-''-I1.&- H-:t\ p.J _!'I\eJ,\d vll'r-c.,bu.'Y) P).. 17G~~ ornce Number I '8. "-J - Last Acce.WI'.ymenl DOle I ~ (/' / (whichever is m05t current) fI- ". - t<' Soc. Sec. #(s) (}() I ~ 1& - '19 ~ =? CONTENTS (\\o..n"C>.te C~d.;..\1ic<,-k - C2.Lclov\ I- CXQ'\C\. L Go.l.Lo-h~..... + ~ 6u. 5S M A-tV U i,II.,'c!(!'1'J. 'S-\-o.-\.el}\-tV\1- - Cc--rn.rnO'\l.(.....o..\+h ..VeL+" f P.:.<-~vd( Au.~, ('18"5" ~~l'~ Cer.-\-.:.\.'ca:le-: .J.ON...VVL ~\o.~ &tisS 1\.1(41\ ~)15)07 Bux dr~ II u cLu. ~ '+0 Loss o\! .j(~ DISi)OSmos OF CO:'.l ~~~I~ (Cbc=ck ~rrrupri.lle blod) o ~nl for E.Kht~1 ,)iCCI.lilllc=J by RtDltHI) D... 1/-11. 'If: I,iti.\o rv.. ~ II-If""/. r?- - BR.1036 RoY.(IIIS) LD 7.1ll ~Ia~~g ~..ai!l~r:l .... ... . '" .. .... ~ llolll to. ..U 0 ~~~~a llol'l~r:lr:l .... o . '" '" '" . III ... D' " ... ,a( U 01 .c U .. D' "" " 01 01 .... ..., .w > cO ... cO U cO en .r( X .... U1.&J.... >.. O'Q).JJCl.I S2,,11( ... c:: .... ... 61 0 > cO u :E cO:E III .c'O >. "" 01 .... G.I :a Cl.I CJ C O.&J .. 0 w C ...:Ee>cO cO ... :EO< 0< cO r>: r>: :s >.~t-4C) 01 " I o I I :E . III XUU vii~i ........... . :EO<O<:E .0:: p:: . :E....e> ~~~~ ~I'I~~ .... o . III '" '" . III ... ~ o III I-< ~"'r:l III e>to. tinl ~o ~~~~~ ...iilto.llor:l o o . .... r:l ~~ r:lO ... .... ... ... ... ... .... o "" .. 01 01 01'" "" "" 01 cO D' cO "" U c:: u C oM.""'.... t-4 ...>.... .... 1'D...t . ""Ill"") ... ... 01 "" 01 E U "u :s 01 '.. .c E 01 E ... 01 E 01 ): .&J 0 W o ta u Q.. ... "" " C)cn....1 I I I ... . . . . UIllU~ . . . . ur.n....o.. I I ~ o III ue: li!(:< ... ~ U ~ '" ~ u u .c II 01 .c g cO e> II .01 e>.c cOg II cO Ole> ... 0'" .Jill ~ ~ .... .... '" o I '" o .. I .... III .... .. i ~ "" .. 01 ... 01 Ie .&J t:J\ 0 t:J\ Il II III .. II t-4 .... D'.... ,a(""Il,a( .c u ... ... u ... G.I In > GJ .... .= 0 10 .s:: ~ U "'Ill U 01 t1' r-t Q oW VI c: CO 0 11) .... c:: 4J 0 cu ,a(0....Q1l U In to In of"4 lU'" tI) IJI VI) .Il 01 cO:S Ullo llolll I I . I I III . . . . ~~9~~ Ullolllllolll - Form 709.U.S. Gifl Tax R~lurD. (CODI'd) United States Gift Tax Return (s<<wn6.J19oI1N lnt."".l R....(\Ut~cHFQr i,tufNJc .and OcCtm~' 11. 1'J1S1."nd~lo.. ..In...." I. l'Jl!d) C,&1.ndu"ur 19 .-,3',/"..,. Gtp.lrtmlnt or \1'1' T,ulwry I Ir\l'"...IA....n"'.s..,..'" .. for "P,lwlC't Act" Noliet, WI theln'tructJon, fOl form 10010. Deno,', lint ".1m!! ,1nd m.(ll3Il! IMI,)I Conor's L.ut n.1me SOCIJI S~";wfll/numcl!r ""-1':'000 L- G,.:,~"''r..z...v 5":;)~ -O~-I-I'i- Matns (numDCI olnd SHeet) Ooml!;ll!! - G. W C Ou..-r S-t -'::'.1 ",),~ City. Stolle. and ZIP coo. \-' ... Cltlzensn1p ,... _ ('l H II ~ 1101 I - "- ~ -~ . ~- IItnedQnO'd,el1dwnngthe~e.u.cnecknere" o1ndtnter(lJteotde.1tn ............................................ ,19 ...... It you recel~~ 01" ealenSlon 01 time to lile thiS Form 709. che<:k he,e .. 0 indJttJcn the Form 4868, 26aa. 2350 or l!ltenslcn lent:r. II you Ul'ledonor) flied,) previous Form 709 (or 709.A), has yaur Jddress CtlJr.gtd ~lnce tne IJ~f Form 709 (or 1C9.A) l'f,JS lllll!a? , , , A Gilts by husband or wile 10 third parlles.-Do you eonsenlto have lne gilts made by you and by jour s.ouse to tMJ parlles during tne ealendaryear considered as made one.hall by eaen 01 you? (See instructions.). . . . . . . . (II tn~ ;mswer is "Yes, .. the fol/owing informatIon must be lurnlsn~d Jnd your spouse is to sign the consr!nt snOIVn te'o~, lithe Jnswer is "No." skIP lines 1.5 Jnd 0 to Schedu/eA.J 10 Name 01 eonsenllng sp~se .:')"""'1'" p, GA 2 Were you married to one anotner dunn r..m 709 (R.<.J....19.~) 0"'."" I\t\ ~J:J (1.,111 a :~ .1 I Yo, No 1\1. \";~'/.I}1!~9.j " F-:{~:,:; ';((.{;t:$. .:.. 'h.uv tne entire c31enaar 'tear? (s~e instructions) Ib SocIal SCCJrlt'l numccr ~ 1- '(,-~"I'.~ '- 1""'''''''-''11.01 ':'''1-,.;ahl'" V"'"" *11,/" ';;/'::-'~ 1(t,;1,J?;: 1:.<.. . . . . . . !;:/t;.',,~ 'l/l;M~~ :,:;I~l 4,>,0i ~;"ll,h~ ,J.~'''i/~~ 3 If the answer to 2 is "No." check whether 0 married 0 divotc!dor 0 widowelJ. .1nd ~''f! dJIe:(Ste inSUl..ctlcns) ~ 4 Will a R,lllaxrel.rn lor Ih'S e.lendar year be hied by your spouse? . . . . . . . . . . . . . 5 Con...nl 01 Spo"u-I (l)I'lwnllO N1.lne ,.IIS. m~l1e tlf m. Jnd 0., mf ,po",. tQ IMIS p.Ul,e$ .J1o'L/'\i tn. CJI~nlSu ,C.I, c.n',l1crt~ u m...:c Cr.c-twi' Dr ".1(:'1 oJl ..,. We ,lie Deln ......It altne 10lnt..nd utltlJlllolClut, laf I,U Clultd Dr tne 'Jecutlan al t~, ccnunl. Con~nllnl ,PO,,"', ,1&0'&"'11. ... 1 2 3 4 5 6 c 7 .!:! 8 .. " 9 10 11 12 13 14 .. ~ .. .:: ~ .. '" ;; >- .. c 0 E ~ 0 '" u .. .:: u .:: u ~ - '. '" .. .. '" .. a.. Enter tne amounl from Schedule A,line 13 . Enter the amounllrom Schedule B, line 3 . Tolal taxable gillS (ada lines 1 ana 2). . . Tax compuled on amounl on line 3 (see Table A in separate instructions) Tax computed on .mounl on line 2 (see Table A in separate inslluctions) 001111 . 11 2 31 ~ "'I(,~ :I~I ,,:. -~ 1'1 "1 (,3 '-to I I 'I..;.." " I, I . -..... u ~ _-', h. ') ~~-....J I I 31 41 51 r:-I 17\ 81 9\ 10 I 111 12 131 14 I Balance (sublract line 5 from line 4). . . . . . . . . . . . . . . . . . . Enlerlhe unllied crecltlrom Table B (see Instructions). . . . . . . . . . . . . Enter lhe unllled ereC,t against tax alloNable lor all pClor ::eriods (f~h. B,linel, cel. (c)) Balance (sublracl hne a from hne 7) . . . . . . . .<.6) ~ . . . . . . Enter 20% 01 the amounl allowed as specilic exemPtiOi\\~ember 8, 1976. .nd befere January 1, 1971 (see instructiOns) . . . '<C . . . . . . . . . . . . Galance (subtract line 10 Irom hne 9) ., .,. .,. . Unllied credit (enler lhe sm.ller of hne 6 or line .,. Creclllor foreign gilt taxes (see instructions) TOlal credits (a Cd hnes 12 .nd 13). . . . " ;'I ~ ~ J_"J~ 15 16 I 17 I 18 I 15 Balance (subtraclline 14 Irom hne 6)(do not e~ter less tnan :ero) 16 G,1t taxes prepaid wllh ellension of lime to hie. . . . . . , 17 II line 16 is less th.n line 15. enter BALANCE DUE (see instruClions) 18 II hne 16 is ijreater lhan line 15. enter AMOUNT TO BE REFUNDED. PI east iUlach the necess.Jry suppl~mental docum~nts: see instructions. Una" ~n"ll,c, al PCIIl..,.,.1 I1C(':". Irwl I n.lw. cl..llTllned In., U:h.rn. Inch.l1.nl!l: .In., Jt(Qm~n"ni \cnltdu:c' Jnd ,I.)lemenl\, Jnd I,) lr.t CC\t cl,n, ..n....'c.:'c ",nil Delielll.' t,Io', CCUK1, Jnd ccmplet.. C<<U,Jhan 01 P"'loIff' (etner INndctl\)') I' D.'N on .llllnIQIlt'..1tlCn ot ",nlCll P'Cp.lICt r..1\ .In, I\tla",(~~e. OonOl" "llnJI",e ~ CJt~ . PtePJt.t', "Ilruhlle (alntt trun ~cnClI .. ColIC. Pfeg'ItJ', JdC,tU (oint' ttl~n aonOf) ... WAGGONER. FRUTlGER II DAUB. c.PA. ?. Camp HilL PA 17011rcom 709 (R...6SII ,,,' page 720,465 for P.lp.rwork Reduction Act Hotlce, IU P.Jie 1 01 thl lep,u.lte Inlltuctlonl to thillorm. Forni 709. O,S, Gift 1'u Return, (cont'd) Fellm 709 tR.., 6.a~l SCHEDULE A.-Com ulallon of Taxable Gills Gills 1m POI,. 2 hliC310r anllJllon. medlcJI Jnd eduCJIlonJI tlclUSlcns-see InsuuCllons 1 Total gills 01 donor (see instruellons) . . . . . . . . . . . . . . 2 One.hall 01 ,tems ".". .'"",.".., ottllbutable to spouse (see instruclions) 3 Balance (sublraelline 2 Irom line I). . . . . . . . . . . . . . . 4 GillS of spouse 10 be included (Irom Schedule A.line 2 of spouse's return-see instruet,ons) 5 TotalglltS(addlines3and4). . . . . . . . . . . . . . . , . . . 6 TOl.' annual e,cluslons lor gilts hsted on Schedule A (inelualng line 4) (see inslruellons) 7 Total included amounl of gilts, subtract line 6 from line 5. . . . . . Oeduellons (see instrucllons) 8 G,lts of inleresls to spouse for whitn a mall tal deduction will be claimed, based on ilems ....... ..... .......' of Senedule A 9 Elelusions attnbutable to gilts on line B. . . 10 Manlal deduetlon-subtr.ct line 9 Irom line B 11 Ch.nl.Dle oeaueha.. bmd a. ilems .......... 10 ..,...... ,leu uelulianl 12 Tolal deauellons-aaa hnes 10 and II. . . . . . 13 Ta,able ~Ifts(subtraclline 12 from hne 71. , ' , T.,minabl.lnteresl Marital Oeduelion. (See inslrucliOns.) o . Cneck nere If tau elected. unael tne rules of section 2523(1). 10 include gilts 01 qualiliea termlna:lelnlerest property on line B. aoo,e. Enler tne Ilem numbers (from Scneaule A. aoove) 01 tne gills for wnlCn tau made In.s eleel,on ~ ,..........,......,..........,. O~I' 01,'11 Il.m nwmWf eon..', Nm..AlJ ~lJa',,, jn!J cJu",pbon alll,I1.11 1'\'1,11 "... rNlJ' Ot ,"uns ol.U"'1. ,nlff Ilu,t', ...:.nlll,'''1 nwnoff Wig.. jncl.&lucn. Call, olln.lfu,1 ..Uln.m,,,1 1I11\..,II.U ,",Cwllll". tnl" lrl. CU$IP numtw,(i).I' '1,,1'&01,. Oonon.lliJjw\!.1J tl.I"solj'U 1 ... C" I l" Lo"" r.... a N ;:,"1'00:...'" '01 ("11 S '.-. ......<:.~ 0 ~ r I".-;+--<".-..J C.ON ::,o/.'d",t..d.. l...",d.. CUI'" - " - Sc.h...d....l~ A It",. c..h~cL 8 9 10 II SCHEDULE B.- DIGIOIA (lhl donol) hit 1111 UI lthllftl 10' ~'lor 1K1lOG" (lI..tu," IU Itl.SIIu,uonllof umplcllnl s",,41111 a tltIO..1 (e) (01 Amol.lf\lolll4f\lllItl1 Amownl 01 ,pecll,c CI,Q,1 Jiol..nl .,11 eumllloOn IOf p"o. ".la, pC'IO\J' ,JIl" pelloO, el'l(]lng 0,10:' Ocumec,ll 1911j t.nu..h I t911 (.) C,Jle"l1.ll.,e,uc, CJlcl\QuQu,ultt ('UlnlUllct,QtI\1 \b' Intetn,)l Re,,,nu' ollIC' .ntl. pliO' !flu,"...n 'l~ ~::l.. G::r 1~'iO ~h,I",Lll\h""i fA '+~l - 0 - 1 TOI"~ lor plIO' p."cds (wllnoul adjullment lor ,educeo Ipec.hc mmplian) I I -f 0 I 2 Amount, if Jnt, by whICh total speCllic e'tmption, line I, column (0). is more tnJn $30.qOO . . . . 2 3 Total amount 01 taaable RillS lor griaf periOdS (add amount. column (e), hne 1. ilnd .1mcunt, il aM. on hne 2). 3 (II male space,$ needtd. afldch add",on.' shetfs of s.me size.) page 720,466 ,"s ,--- , , V"I,,".1 0.1101,,11 1 2 3 4 5 6 7 ~o8J I 32. LI I ~ 3D lollG,\-:- ;.:.. <J /(0 12 13 " '-J I(~ I Tn l'lo (-, '\lnu..nlol ,..,.Clle ~,Il' 11 JI ,1 . - ,1'11 . .-...-,.- - -T " .~ - / . _;.....:J:d,<LN.Q. v-~o-~=;t~"~~dqC::U:i;;~'r:~ '<:--1., ,~o~ ~d }. - IT~~: '--~_ _,_~~~ '2:-. . :..,?_c..h ~S[~~i-~ 11 f-' l' ,-'" .~~~.c"-'l -'~:[' ":1 'I . '1,1 ----II .r-----.,"-.---. -. .,. . :l' ,I '--'-;1 :1 ,1'--""--':: ~"'-:;':L~~IY nd~.Ll~-~f' E~~;<~.I'~-t'Gr~i-.I' .~-:-.. .. 'C' ' ..' i.. 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'j'" : lllli'~l-'- -rr-;-;--i -;1 ~---i:""'1"'- -'---1'" - ,. nrT.~-~7-j-'T-T-'----1' -;,"' r-Tl--' --I" ii, lll-c',--I :', I. I '-i--"'-- T --' . ... . ! ... ---"--r'-""- .---t---.-- -.--- -.-. _.... - -.. 21 'I I . ,: I I' I 1 . I I ' /I" .. 0 ... --l T:--:n- -jr -.: . ....--r-: uO ... '[ i 29:1 ~.- r-'''-l- irr-~~-- .-..i..-~.-~;-I-~ ~:.._..--.j-...T. lit ---..:--.'--ii. -~"--I'-';-~._'I I ~T"- --r-:' "__... I 'I I ,1 ., , I" . _!' L~,.l~.. ~__u " TT~_i.._l_.:..L_ L,_:. l', i !. ,II : l~ ' 1'1 . 1,1 . "jJ'r,oJ-..-.t-- '-;r~-:~'''''r- ..1 ! ...--.,..- 'L-:r" -i- --. ,'-- 'r ; L:_: [-' ,- U-:_ I :fuL-..~-- -H---'l-":'-:- lI:i I, . ,. I' :\ I, I','.. I. . 'I i!' I. :' Is~-J'-!"I-: "';JT:T'--': ;' "i" :-1-' ",' i, ;....: :-', : ! 'I " 11 I I.' , , t . '-lirl ;' j J.. I L~.U: 'I" ,! . i 'I,' I'. [;1 i rr--r""~""" 1 ' I ,;-- -~"'li, I . 'L--I -~-I' -l 'r"I-'" 11, ' ,. I, I . I " . ,. . I' ., I, .- ~;.r-:-: ':1 t-i _I~. -f':'-:-r ;- ;;.1- r '..i' i i".'.l-r.,' 'r "-"; '. '-.: -:1 ! . l~:-i j-!'[fT ."'j - IT riT -ij :'~'~Fr-:r- T;''''-;-'-!!'','' I_ ;o'!' :-r:-"j 1"~,' -'11' -:--r-;i-:r ~I- "i--; Too :1-1 :.: [I : I . ;1 I '. ' ,! I . - ! I ., .. I I -, I ' I, I ", " ,------- -- r ~....:..- to -... -, - - ._. -- '.11." '.. I:o.! --- --.. . -.-- - ,-~. '._- .. ..~ , .1 , ,. I , , i I -I , 77Go;..,3' - ll~{7Ij .. -- i-- --. -12.:: ,.j , ~ ~ 1_.. A I'," ... - .:,. , (, ~O~! ,: 1 I .-'1-..-,..-1---_.. : . . , ,- - '~i ' : I 'I!. ! , ,I ' -triO I I ;1 i i I i.! -"'-'1 I I , I , I --I-~ - ., -I _r - . --' r- ': " I .' . UNCIPAL ITEREST RATE \YMENT AMT. Date Paymt. H 235,000,00 0.0700 1,660,93 Interest TERM 1 ST. TOTAL 7 Yrs, : Balloon Term 7 Yrs, PAYMENT DUE 8/ 8/ 1994 INTEREST 108,187.98 Principal LOAN BALANCE ----------------------------------------------------------------------------- Advice 19. 8 lP, 8 :t, 8 lV. 8 .!c. 8 JTALS 1994 ,no 8 .b. 8 ,r, 8 ,r. 8 IY 8 :ne 8 lly 8 :g. 8 :p. 8 It. 8 'v. 8 !c. 8 TALS 1995 ,no 8 .b. 8 r. 8 r, 8 y 8 ne 8 ly 8 g, 8 p. 8 t, 8 V. 8 C. 8 rALS 1996 n, 8 b, 8 r, 8 r. 8 y 8 .ne 8 .ly 8 :g. 8 ,po 8 .t. 8 tV. 8 .c, 8 TALS 1997 .n. 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 1,370,83 1,369,14 1,367.44 1,365.73 1,364.00 6,837.14 1,362,27 1,360.53 1,358,78 1,357.02 1,355.24 1,353.46 1,351. 67 1,349.86 1,348.05 1,346.22 1,344.39 1,342.54 16,230.03 1,340.68 1,338.81 1,336.94 1,335.05 1,333.14 1,331.23 1,329,31 1,327.38 1,325.43 1,323.47 1,321.50 1,319.52 15,962.46 1,317.53 1,315,53 1,313,51 1,311.49 1,309.45 1,307.40 1,305.34 1,303.26 1,301.18 1,299.08 1,296.97 1,294.84 15,675.58 1,292.71 290.10 291. 79 293.49 295.20 296.93 1,467.51 298,66 300.40 302.15 303.91 305.69 307,47 309.26 311. 07 312,88 314.71 316.54 318,39 3,701.13 320.25 322.12 323.99 325.88 327.79 329.70 331. 62 333.55 335,50 337.46 339.43 341.41 3,968.70 343.40 345.40 347.42 349.44 351. 48 353.53 355.59 357.67 359.75 361.85 363.96 366,09 4,255.58 368.22 \ 234,709,90 234,418.11 234,124.62 233,829,42 233,532.49 233,233.83 232,933,43 232,631.28 232,327.37 232,021.68 231,714.21 231,404,95 231,093,88 230,781. 00 230,466.29 230,149,75 229,831.36 229,511.11 229,188.99 228,865,00 228,539.12 228,211.33 227,881. 63 227,550,01 227,216.46 226,880.96 226,543.50 226,204,07 225,862.66 225,519.26 225,173,86 224,826,44 224,477.00 224,125.52 223,771.99 223,416,40 223,058,73 222,698,98 222,337.13 221,973,17 221,607.08 221,238.86 ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- ~~- eb. 8 43 1,290.56 370,37 220,868.49 --.-1---.1- 3r. 8 44 1,288,40 372.53 220,495,96 --.-1--.-1 _ I pre 8 45 1,286,23 374.70 220,121.26 --.-1--.-1- , 3Y 8 46 1,284,04 376.89 219,744.37 --.-1--.-1- ./ I 'Jne 8 47 1,281.84 379.09 219,365.28 --.-1--.-1- .' IJ1Y 8 48 1,279.63 381. 30 218,983,98 --.-1--.-1- I 8 49 1,277.41 383.52 218,600,46 --.-1--.-1- ! Jq. lap. 8 50 1,275,17 385.76 218,214.70 --.-1--.-1- I :t. 8 51 1,272,92 388.01 217,826.69 --.-1--.-1- I JV. 8 52 1,270.66 390,27 217,436.42 --.-1--.-1- i 30. 8 53 1,268.38 392.55 217,043.87 --.-1--.-1- ! ----------- ----------- I )TALS 1998 15,367.95 4,563.21 13n. 8 54 1,266,09 394,84 216,649.03 --.-1--.-1- ; ~b. 8 55 1,263.79 397,14 216,251.89 --.-1--.-1- I I lr. 8 56 1,261.47 399,46 215,852.43 --.-1--.-1- i 8 57 1,259.14 401. 79 215,450.64 --.-1--.-1- . ;)r. . . ! lY 8 58 1,256.80 404.13 215,046.51 --.-1--.-1- i me 8 59 1,254.44 406.49 214,640.02 --.-1--.-1- : 11y 8 60 1,252.07 408,86 214,231.16 ---.1--.-1- 1Q. 8 61 1,249.68 411. 25 213,819.91 ---.1---.1- iP' 8 62 1,247.28 413.65 213,406.26 ---.1---.1- ; :t. 8 63 1,244,87 416.06 212,990.20 --.-1--.-1- )V. 8 64 1,242,44 418.49 212,571.71 --.-1--.-1- !C. 8 65 1,240.00 420.93 212,150.78 --.-1--.-1- ----------- ----------- )TALS 1999 15,038.07 4,893.09 m. 8 66 1,237.55 423.38 211,727,40 --.-1--.-1- !b. 8 67 1,235.08 425.85 211,301.55 --.-1--.-1- Ir. 8 68 1,232.59 428.34 210,873.21 --.-1--.-1- lr. 8 69 1,230,09 430.84 210,442.37 --.-1--.-1- IY 8 70 1,227,58 433,35 210,009.02 --.-1--.-1- ;ne 8 71 1,225,05 435.88 209,573.14 --.-1--.-1- :ly 8 72 1,222.51 438,42 209,134.72 --.-1--.-1- tq. 8 73 1,219.95 440.98 208,693.74 ---.1--.-1- ,po 8 74 1,217.38 443.55 208,250.19 --.-1--.-1- :t. 8 75 1,214.79 446.14 207,804,05 --.-1--.-1- lV. 8 76 1,212,19 448.74 207,355.31 --.-1--.-1- 8 77 1,209,57 451. 36 206,903.95 --.-1--.-1- ----------- ----------- 2000 14,684.33 5,246.83 8 78 1,206.94 453.99 206,449.96 --.-1--.-1- 8 79 1,204.29 456,64 205,993.32 --.-1--.-1- 8 80 1,201. 63 459,30 205,534.02 ---.1--.-1- 8 81 1,198.95 461,98 205,072.04 ---.1--.-1- 8 82 1,196,25 464,68 204,607.36 --.-1---.1- 8 83 1,193,54 467.39 204,139.97 --.-1--.-1 _ 8 84 1,190.82 470,11 203,669.86 --.-1---.1 _ ----------- ----------- lTALS 2001 8,392.42 3,234.09 '11 , ':'. III : ~ I!I' :111, 'II., , I,otl '" :, . ~ ' " l' I . . lilt I I'!!!,:! .J 11\' .. oil ~ 'l " I" , , It: ,01 "_~' I' ,I' :" I '\ ill ,II ,Ie,lil. ,!i.h 1"'i11.1l1l11l tlllll:": Ilk.! v.llh IIIl'.h WARNING: It Is IlIcgnllo dupllc;ll~ this :opy by ;>holoslnt (l! photogrnph. ,I (111:,.1'01 I'll' I,. I ~ III ' . ( I t I' , It. ' .' \ \ll ""r~{l!taF/;:~, . ~':s.~~' ,,- - ';~t'\:'; '. ~~., i't'~ \~~\. ~I- ~ '~:: u ti j;: I It . > a', ..~;-'., '\ .?)., ..'._" ~.., . ,,~. ,,' ~;'Eliln\ :~:~;" ~ 3783:37,; :\'\1 I I I !htrt, I I 'I I -. .":--- /) ,/i<~;~~.' {~!//J,';;..I / If/' /,-,t ..I-';"'I:l~::::;;~_ 1..",,'U,.,"I>r,," (; cei " 3 J~.ga D,IIl' I COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. YITAL RECORDS CERTIFICATE OF DEATH HAMlOfOlClC''''I'........ ~... In ,. -...- ., 1ItoOI"1Q4' -,- I OAl'ICl'IIInH (lob""ilo'!_1 76 '''' CCllJHfYCWDtRH ."'fl1r\.AGlf<;#t_ ~OI01RM"'.Ic."''''__ _......"'......__ $:Io<I3'g"Y'l:<a.no,1 ..cSl'l~L. Aug 19,20 North Bend Ne '...- J(I' '",un/OlAWI ,."11I r........ ~"."'M'4__' ;lei-I s(.Hr/.f f/asp;la/ an.lOAO. """Cl'OIMH nd OfCIDlf'fT'sutu/olOCCVMo. _':;:':;::'''::::,~~ .. Realtor ..,Jack G3u hen OlaOlHT'I~AOON:II~.....~,-" Sl.-loc..... t PeMsboro .HJCl'IlJSlftfSSllHDut11l' _SCICIC'I'lII'_(Il",. us AIlI40'OACU' ...[i ...0 OlCIOl'lrllDUC.G1OH , .--..."s.c-..., ,0>11) Pa ~IO ........1A6.SW1.rI....,.,... ..............,~ -- Married White ................... ~-,..-- 4'c:::r., .. 1,.Xl__....... GlsBm3n 355 South Sporting Hill Mechanicsburg,Pa 17055 ...c-. .. -- ~.. ClInber~and ---" ".0 ::::==. IolOI..IIlI..AWI,'_....._.......$wlI'lMO'.. Agnes Kelly ,. 'AlHUI'IN.AWllr.. ~ LM1 'lllanas G3ughen , HQNINllrSNA"'11~,.,.... ~Of'OIS1'OSlllOH --0 ....CX ,,__0 .............0 _ CWWllSc>a,.. , "IOfI'u ...... R$CIMAClIHQAI$UCM ~l Cl' Oosrosoo.. "'-Ole-toy. 0......., 0I0u'01r"-. ~~.CltfO'""'Sa.I.z.~ , Gate of Heaven Cemete I'lIAWIAIoOAOOflIs.sOflMOUf'J - ... ~.-.._._--- ~~..- ".._."" 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O......J 1.3,199' I I ! . , , . I'lwor or I'VULlC..\ TlON OF NOTICE IN CV;\IUEI~L..\ND LA W ./ovnNAL (lJnll~r Act No. 5S7. UPpl'llwll Muy 16. 1929). P. L.17S~ STATE OF PENNSYLVANIA : COUNTY OF CUi\IUERLAND : 55. Roger M, i\Iorgenthlll, Esquire. Ellitor of th~ Cumb~rlunll Law Journal. of th~ County and Slate aforesaid. being duly SWOI11. according to luw, deposes anll says that the Cumberland Law Joul11al. a legal petiodical published in the Borough of Carlisle in the County und State aforesaid, was established January 2. 1952. and d~~ignated by the local courts us the llfticial legal periodical for the publication of all legal notices. and has, since January 2. 1952. been regularly issued weekly in the said COUnty. and that the ptintell nmice or publication attached hereto is exactly the same as was ptinted in the regular ellitions and issues of the said Cumberland Law Journal on the following dates. viz: NOVEMBER R. 15, 22.19% Affiant further deposes that he is authotizellto vetify this statement by the Cumberland Law Journal, a legal petiodicalof general circulation. unllthat he is not interested in the subject mattei' of the aforesaid notice or advellisement. and thut all ullegations in the tilregoing statements as to time, place lmd character l'f publication are true. "",X3,?;.1;:-- OOUgbeD, EldoD L. d..'d, Lat. of the To"n.hJp of Hamprl.n, E.'ICecutor: Oonn L. Snvder. P.O. Bo, 741. Ham.bur~, P;\ 17108. Attorne\'s: Boswell. -Sn\'der. Tint. ner & Ptccoln. Donn L Snvder. AUornev .t Law, 315 :'10M Front Street. Po.t OlOe. Bo.. 741. H.r. rt.burg, Pennsylv.l1I. 17108. SWOR:'-I TO AND SUBSCRIBED before m~ this 22 duyof NOVEMBER ,1996 ~Kt-\ ; '- ~;--n'QV:;;cui:L' Notary I-----:-::-.~:::.::. :.. ~.. :>.~~':E~::\?',,~.~,~ \,..":' :.;..::=.: ":-: ~ '.". ~ ... \ Proof of Publication of Notite in The Patriot and The Evening News and The Sunday Patriot-News t'ndflr .4.tt No. 381. .\rllMJ\'.....t ~I,,)' III. U.....'1). CI)"''''I)~I<''"lth 0/ Pcnn~IIIt'"llio. } < . t I)/wfy of nOllphHI . .'. .............................~)J.~.\1i!.~.b,)i:7~,~,!::::.:~:..........,..,.....,.....,bein~ duly sworn according to law. deposes and soys: l\$$t, Ccr:truller That he is the ...........................,of THE PATRIOT - :'\E\\'S CO,. a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market Street. in the City of H.rri<burg, County of Dauphin. State of Pennsylvani., owner and publisher of THE PATRIOT and THE E\'E::-':I:'\G :'\1::\\'5 and the SUNDAY PATRIOT,NEWS newspapers of general circulation. printed and published at 812 to StS ~Iarket Street, in the City. County and State afores.id: that THE P A TRlOT and THE EVENI:-;G NEWS and the SU:-IDA Y PATRIOT - NEWS were established ~forch 4th, 1854. and Februar>' 15th, 1917 and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto Is exoctly as printed and bl'hd' h' I d" d' h'h d'h ~th, lltr., ar:d 18th pu IS e m t elr regu ar e Itlons an Issues w lC appeare on t e.......................................................... days of ~Qvember i996. ..................................................................................,..................................................................................................... That neither he nor said Cumpany is interested in the subject m.tter of said printed notice or .dver- tising, and that 011 of the allegations of this statement as to the time. place ond character of publication are true; and That he has personal knowledge of the focts aforesaid and is duly .uthorized and empowered to verify this statement on behalf of The Patriot,News Co. aforesaid by ,'irtue and pursu.nt to a resolu- tion unanimously passed and adopted severally by th~ 5,~oqkholders and board of directors of the said Company and subsequently duly re.:orded in the office for th~ RecQrding of Deeds in and for said County of Dauphin in )li,c.lI.neou, B"ok ".\1". \'"Iume 1 I. Pa.. ,11;,../ (I I~ f""" "'" ~ C f N ' I' " I , ,Q" - opy 0 ~ otlce or Pub tcatlon ; " ;,....'----..;,.., J 'oJ ....................._ .~.:........t...... ...................................................................... ~ . ., ~ Sworn to .nd sub"cribed before me this'...J..~.\;!........da>' of ~j{Y.embe'" A lC4~F. /"',.... . /& / . ...:.....~.......:-.. ...,...-..~..~~:~3CSci~.-:.~..7~~..:-:..... .~.~..{::;;;':-:.:;:~..~;~~ To/T'f l A""".,.,. Nota'" Fct:,e . 1ol0tat"J Public t1.]rr4~~. Oauph:n Ccur,:y ~Iy com . i,;~~~~~p.,r.~~.-:H"~,?..:.~~?... .............. Statemen'fcrtA(fVertisfug Costs Estate Notices LETTERS OJ: TESTAMENTARV IN '"' e,. talt Of Eldon L. GOughtn.lo!l 0' ,,,. Tft..-..nlnla 01 liomOCSI". Counho 0' Cumo.rrand arid C~m",on. ....0111'1 of PennSylvania. lStC'C1~d. havlnQ !)un oronllfd to r", unCltfll;n'd. all ettson, It'dtDft<! 10 said S:sfat. art rtaunTtd fa mal' Immedlat. lIa~m.nl and t/'loSt hO\llno claims .....11I or.Slnl Itttm lor Slnlt"".nl wtmoul d.lav '0: Donn L. Snyder, e..cutor P.O. Bn11l HarrlsDur"PA 17101 OR TO: Connl..!nydtr,lhoulr. 8011ill1!II, Snyder. Tint"., J, ;tIc COilS Ano,nno'Lo_ lUNo,.", Front1trl!.t P'lU OP!lln 80.141 Harrnllvro, PA 111GC _^.!!!!.nnforEIICllt E.C :::..,'.e.l ,1.,.... S.r. ~ :c.e r."... r.;'.r,.t.r,~r..I....!:t.., ~ t~ r;. R.~-!l H a r 1;.~ .~.9. ~.;:: :;;.1..,... .r..&;;. ~,... ....1-. 7..~. !!. S,....., .... ..... ...... ........ To THE PATRIOT,:'\EWS CO,. Dr. For publishing th~ notice or publication attached hereto on the IIbove st.ted dates - $........).!.?..:..~.~... P b . $ 1, fJU ro atmg same ............................ 1 ;" "S Total $.............:,~..:..~...... Publisher's Receipt for Advertising Costs THE PATRIOT,:-:EW" CO" puhlisher of TilE PATRIOT and TEE EVE:'\I:-:'G :-;E\\'S and the Sl!NDA Y P A TRIOT-NE\\'S. new.'papers of g'~nel'.1 circ~lation. h,,,'ehy acknowledge receipt of the aforesaid notice .nd public.tion costs and certilies It:a: the ",me have been duly paid. TilE PATRIOT-:'\E\\'S CO. By Register of Wills of CUMBERI.^ND County, Pennsylvania INVENTORY [;I,ll" 01 Eldon L. GauKhon No 21-96-0857 also known as C'1e 01 C"lh 10/11/1996 ,C.e....d Soel.1 S.eullty No. 508,05-1789 Donn L. Snydor. Personal Represenlallve(s) ollhe ebove ESIaIe, d.e....d, v.rity lhallhe ~.ms epp.aring In lhe lollowing Invenlory Includa an ollhe personal assets wherever situate and all of the real estate in the Commonweahh of Pennsylvania 01 said Decedent. that the valuation placed oppos~. ..eh ~am 01 s.1d Inventory ,epres.nls its 1.lr v.lue as ollhe d.le ollhe Ceeedanrs de.th. and thaI C.e.d.nl owned no real estate outside of the Convnonwealth of Pennsylvania except thaI which appears in a memorandum at the end of this Inv.nlory. I NI. v.rily lh.1 the slalements made In lh~ Invenlory .re true and correct. INle undersland that I."e stalements herein are made subject 10 lhe penalties 0118 P.. C.S, Seellon 4904 relaling 10 unsworn f.ls~lcatlon 10 ,ulhcr~i.s. N.me 01 Donn L. Snyder Anorney: IC. No.: 06858 Address Post Office Box 741 Hilrr! sbur!\. P^ 17108 - 0741 T.I.phone: 717/236-9377 ~~.'~-~44 Signature: on L. Snydor Signalur.' Address: 315 North Front St. HarrisburK. P^ 17108-0741 Tel.phone: 717/236-9377 C.l.d, 07 /08/1997 Description c. v.,u. ~ (See continuation page(s) attached) i Anach additional sheets if necessary) Tot.1 629,570.11 NOTE: The Memor.ndum 01 ,e.lestale outside lhe Commonwe.hh 01 Pennsylv.nla may. .t lhe eleellon ollhe person.1 represenlallve, include the value of each 11em. but such figures should not be extended into the total 01 lhe Inventory. Pr'plred by the Plnnsylv.rU ear Association COp/,5ght (c) 1996 form softw.re only CPSyslems,lne, Fo,m tlRW-7 (199Z1 Inventory/Disposition Record of Safe Deposit Boxes Drilled @ Mellon Bank ComponyNo, t5:l1~ ornceNlIme l.l.o,."'t'{lcll'V"'\ D.te 11-1 &'- " " Box No, I 'rl'1" C) 4 ~ Nome or Renler(s) €t&l')('\ L 6C\Ujh(:!() J Of' e.\'\ a.. (,.. G(J It r l:' n 1x~: lOw. G,Cl.U.~I"~"\ LaslKnownAddress 3s~ 'S, S~r+-l~"&- H-:t\ p.J j\""bvu'r-c.,bu'Y) P).. 17Q~~ ornce Number I '8. '-l - t.AU1 ACCCMII'oyment Dille I ~ c/' / (whichever Is mO.'lt currenl) 1/' ". - c" . #() ~O I ~ I & - '19 ~ =? Soc. Sec.' _ .. - -- - - CONTENTS (n.o..rr,'C>. t e C~d. ;..\1ic<,-k - fiLclov\ I- CXQ'\C\. L GC\\.Lo-h~ ,.... + ~ 6- u. 5'5 ."" Ii- tV Ui.II;c!(!'1'J. 'S-\-o.i~,}\-tV\t - Comrno.\.l.(.'...c>..\-U-, )Je..\'( P.:.<-~nt( A(.l~, 1'18"5" ~~l'~ Ce"-\-.:.\':c:a.ie-: .J.ON...\'VL ~\o.~ &t.lss 1\.1(41' ~)(5)o7 Bux dr~ II ed d. u. t '+0 Loss o\!~ D1SI'OSrnos tW L"lJ~~1 tS-l~ lChC'ck .IrrrurrialC' hlod.) o Senl fllt r:MhC'JI .)iCclainll:J by HtDlC'I(I) I),.. II-li.'ll: 1.111010 t'i/.. ~ II-If -'if" ~/- DR.2016 R...,(&.9S) LD 7m .'~ "J ).J_ '-",:1 '/--\\ '~....' :.~~ __: 'oJ"" ",,,-, t .." ;,;.......... L. B. SMITH LINCOLN MERCURY, INC. 6391 Carlisle Pike Mechanicsburg, PA 17055 (717) 697-2273 1-600-946-1444 M61J " " "1 ~ r.J~ ,&17 /}7)/l.t."'- D6 fl'f L,,~ Tf/I-'ca.... ~ ~ ~,~ ~p- a-.Q~ J.,A.a.v ~ ~ oJ- :E/ 8, ~ o/~ I~::~ .."...,.,- PHONE 697.2273 FAX.697-2175 ED DICKERSON S.lH MaN9*' L. B. SMITH L1NCQ.N . UERCUR't', lHC an CARLISLE PIKE MECHANICSBURG. PA 17055 ._- ,- ..._- . --- _.....~-...--... @ ". r-~ J 'jJ1 r1(8.([JlD.~ ("", 18;8 1/1 ~~15 .:JL! --.....- ......... '. Mellon Bank November 13, 1996 I~ll. no\: 7"\!1!1 f11111.1I1"'l'hi;t, P.\ WIlII.j."i!)!1 Boswell, Snyder, Tintner & Piccola Counselors at La" 315 North Front Street P,O, Box 741 Harrisburg, PA 1710-0741 Attn: Maronetta F Miller Re: Est<<te of Eldon L. Gaughen Dear Ms. Miller: In accordance with your request, the attached information sheet has been provided as of October 11, 1996. Please see attached information sheet, If you require further assistance, please contact the under signed at (215) 553-1585, Sincerely, ! / ....t,. - -: "..~i I i :1.,..., Shell a Warner Mellon Bank, N,A, Deposit Support Services (199-5355) P,O, Box 7899 Philadelphia, PA 19101-7899 482 al ~h~!~ (II .. . ... .. (II tl~a ~~Q~ J:<1ll~O 0- Il ... oW U Ql .<l U III D' ., II Ql Ql 0" ., oW > III .. III u III In .... :E .... w .u.... >.. tJ'lG.l.aJlU i:I..c ... A .,.. ... CLJ 0 >IllUX ~X.<l'" >''' Ql ., Ql :0 Ql Ql II 0 ., oW 0 .. Il "X\:llll III .. X~~~ >..... .... e" Ql II I o 'I X . C/l I . . . XUU . . . . C/lX\:lX ~~~~ X........e" .. Q , III '" '" . III .. ~; ~I~~~ ~ ~!il~ ... Clli:Q Q Q . (II ~fll ra. ~~~~a llo~~QQ .. Q . ... '" '" . III .. ., III Ql Ql Ql" ., ., Ql III 0- III ., U A U A ...c........ M ....>.... .... rU.... . .,C/l,,:O .. .. Ql ., Ql E U II U :l Ql ... 'fi E Ql E :0 21 6 ~ o III U llo .. ., II \:lC/l"" I I I . .... . . . . UC/lUX . . . . \:lC/l....O' ~fll ~~ .... is Q ~~ QO .. .. ... .. .. ... (II Q ~ ... I-< ~ ~ II Ql 1 \:l II . Ql \:l.<l III g II III OJ\:l .. 0" ..:11<1 ., III Ql .. Ql II ., 0- 0 0- Il II lQ III II ........ tJ'l.... oW,lJe=.w .<l u...... U -.. G.I Ul > AI '...<l 0 Ill.<l xu "'C/l U Ql tfI rot c:. oW 111 s:: ro 0 II) .... c:: lU 0 G.I oW O......Q II u w cd "'.... lU ... en If.I (I) .<lOJ Ill" uo.lo.lQ I I . I I lQ . . . . ....UQC/lU ~~ui~1Ii .. (II .. ... Q I '" Q .. I (II III (II .. I ~ ~ ~ " " WAGGONER, FRUTIGER AND DAUB Y;~'I'/0'('t1 ~t~/t~;... c :t"r'nfl III" II/.; 3310 Market Street Camp Hill, PA 17011 Telephone (717) 761-1222 Fax (717)975-0843 MEMORANDUM TO: Maronetla F, Miller, Legal Assistant Boswell, Snyder, Tintner and Piccola FROM: Robert L. Daub DATE: November 25, 1996 SUBJECT: Tax Returns for E. L. Gaughen Attached you will find the requested copies of Jack's 1994 and 1995 individual income tax returns. Also, you will find a copy of a gift tax return filed for 1986, You will notice that Sch. B mentions a gift tax return for the 4th quarter of 1980; we have not been able to locate that return. If you feel it worthwhile we will spend additional time searching for it. I have no knowledge of any other gift tax returns filed by Jack. "~_"'A_'~_,C"".,,,,, . ' Form 709. U.S, Glfl Tu IMurn. (cunl'd) United States Gift Tax Return r..m 709 (RIY.Jwn. llJd~J CS<<~6019Qllht 1f1ICuWIRn'l\wt~.){rOfIl"Um.tJ. .1I1f Otulllbff 31. llJdl..nllblfllll"~lh.JI, 1. l'JIUH Otp.r1m.nlaltn. T""lwry c.llnd" W,.1t 19 i:~... InlllNI An.nwt Sf,..". .. for "P,lwuy Ad" HalJet, w.lh.ln,tructlonl far form 1040. Dono"S lint Nml! .and mldlJhllnltlt.1 Oono,', lout f\oIII10 SOl.:IoI!.,.''''Cloll1f nUmLll!~ ld.orV L- G,"'.........,k<LOV ~C)~-O)-I-I'l'r Ad12reu (numbel ~nd SlIcet) OomlCllt: G. COu....-r 5-t /=-.",)., Clrr. St. I'. and ZIP coo. Cltlllln~hlp (' -=-. "" (l H, I I r I'T n a I J '^ '::.. Ifcnedonordle<ld unsthe)e.lr,checkhere... .lndentetd.11eolde,llh ................................ ,19 II you "cePlIed,Jn e&tension a' time to file thiS form 709, check he,e .. 0 I1nd .stt.1ch (tie form 4868. 2688. 2350 Of elll~nSlon I~lter. Il.,ou(lhldonor) hied 01 previous form 709 (or 709.A), has your iJCJdren ch.1nged Since the laU form 709 (or 709.A) w.lS lilt"? , , . A Gills by husband or w,fe to third partles.-Do you consenllo ha,e the gills ma~e by you and by your spouse 10 lhlf~ . parties ~uring Ihe calen~ar year eons'~ered as made one.hall by each of you? (See instruct,ons.). . . . . , , . (If the answer is "Yes, "Ih. follOWing infolmallon musl be furnished and your spouse is to sign Ih. consenr shown belon!, If the answer is "No, " skip lines ).5 and 0/0 SChedule A.J 10 Name of consenting s"e'e 0....\2"" G ~ 2 Were au marrie~ 10 one another durin Olll,'U UUwJ,'J (".III'lJ,' Yo. No \(. "- holVV t e entire calendar year? (see instructions) Ib SOCial Sc:culily numt~r 2,a I - 1(. - Y 'i '~2 "..'1'1" '1/,zl./ I ':II,'~/I /f&~%;Zh'~ , ;;'/~f,.;'l; /lli/l,j?~ ':/;11" ''l/It~'III. ".,lIiM/*IWf iil%J % %~ '",:'{,II4;W,'li '" V'#/' ~~'0i' fkl&fr~ 3 If the answer 10 2 is IINo," check whether 0 m.1ltll:d 0 divorced or 0 'Wldol'Wed,.1nd give ".lIe 'see InsUuchons) .. 4 Will a III tauelurn forthis calendar yeal be filed byyour spouse?, . . , , . . . . , , , , . , 5 Con.."1 01 Spo,,"-l COOWnIIOh.hlln'IlIU' m"de tit me 'nd C., m,. ,pc",. 10 1M" ~llll~~ dllllflallnt CoIlcn4.u t.oIl ccn,~.,t" on m.aat on.-NII tit ."cnol II'. We "'e bolh....,. Orlhe 10.011100 ie'etlill~b.iIIr 101111. (IUled br Ihe e.ecul.oo 01 Ihl' (onunt. ConwnllOllpoUlI'llllUlulI "" ~ .. "0 ~ o ~ 15 Balance (sublraclfine 14 from line 6) (do nol enter less than zero) ~ 16 Gill taxes prepaid witn extension of time to file. . . . . . . e 17 If line 16 is less thon line IS, enler BALANCE DUE (see inslruclions) l; 18 Iflin.16is reat.r Ihan line 15. enler AMOUNT TO BE REFUNDED , ~ Please anach the necesSolry supplemental documents; see instructions. ~ UnlJ., pen.lIll" 01 pell~Ir.IIJt(.I"e 1h.&11 h,he t....mlned If\lS fllllln, In(llIdlhal'n,."ccomp.ln,.rl~ "hNuIC' .In" '1"lemrnl', "mJ 10 Ine tlest ollllJ ..n~"lcJ,,,, "nO U bthel.1 " HUI, (Ollrcl, lloa complele. Otctlllolhon 01 pltp"., (Olhc, INn 00001) 1'b4ltd on oIl1lnlofln.UlOn 01 ..Illth ptcp.ltet n,n "n., "no"lcd~t. oS: u :! - IV .. .. IV .. ii: 1 2 3 4 5 6 c: 7 0 ;: 8 .. :; 9 10 >< IV t- .. ~ .. oS: '-" O.lc ... Enler Ine amount "0m Schedule A, line 13 . Enler the amount rlom Sche~ule B,line 3 . Totallaxable gifts (a~~ lines 1 an~ 2). . . Tax compulea on amounl on fine 3 (see Table A in separale instluctions) Tax compuled on amount on line 2 (see Table A in separale inWuctions) 1 2 3 4 5 Balance (sublractline 5 from line 4) . . . . . . . . . . . . . . . . . . . Enlerthe unllied crealt from Table B (see instructions) , . . .. .,..... Enler lhe unl"e~ credit againsl tax allowable for all pllor pellods (i~h,' B, line I, col, (ell Balonee (sublract line B from line 7) . . . . . . . .<6) ~ . . . . . . Enler 20% of the amount allowed as specific ..emPli~,,~ember 8, 1976, and before Januory 1. 1977 (see instructions) . . . 'C . . . . , , . . . . . . 11 Balance (subtraclline 10 from line 9) .. '" '" . 12 UnIf,ed erealt (enlerlhe smaller of line 6 or line . . . 13 Cre~,l for foreign gift taxes (see instructions) 14 Total credils (a~d lines 12 and 13). . . . 6 7 8 'I 2... C~ 710 CJ Il ~ 9 Ncr-J ., 10 11 12 13 14 15 16 17 18 '. OonOf'"lln'lull ... O,ue ... Prepue,""llUluIe (Ollllflh.&nOOOOl) ... O,lIe .. "'---"' PrepII""s ~OflU (Olhe, Ih.n "enOl) ... :l WAGGONER. FllUTlGER & DAUB, C.PA far PJp.rwork Reducllon Act Nollce, ,.. p~&e 101 the sepJfJtllnstlucllon, ta thll'orm. CampHII~PA 17011r"m709 ("...68\1 ,,,' page 720.465 '. Form 709, U,S, Gift TIU Relurn, (conl'd) rOlm 709IA,f 6.S!!) SEE C rr I GII G I I CH DUL A.- o"!Jlulal on 0 axab e Is I Is en pohl,ca' Ollanllalron, mtd,cJ Jnd t uCJllonJI tIC uSlonS-Stt lnSUuctlons 111m Dunn', f'IoIm"Od 'IJ<I',,, .and dU(hPhOOol 11,11,11 lh. .,11 ,," m.llJ. b, 11l1ln' OuIlOl"'.I1,,,,,,,, 0", V..flllf" n"mOrt, 01.. Ift...l, .nl" Ilusl's MJ.nhl,..,. nWlle., belOw.and 'U,en.. COp, ollne IIUU twl"ol.,1I Gli.1I Iw.or..1l on"'l/m,nll' 1"'11,/1 ",IS Melllll.,.. tnl" Ih. CUSIP n","Wrll)." hol.r.DI, 1 C.O I'Y\ 1'"';"\ 0 't\.J <:'-!-o ~ 1<.., ~ S~"""""'c.~ " E" r,,>'h...-.,J 101 \'i1 01- c.o.v SO I,' d" t...d.. I ... '" d. CWf - <:.l - ... Sc..h...c:!....l~ A If A- c..~.... d.- o - 1 Total gills 01 donol (see instruelions) 1 -< ~onl 2 One. hall 01 Items 0..' ...'...... _.... aUllbutable to spouse (see inslluelions) 2 2. 5" 4/:> J Balance (sublrael hne 21rom line 1) . 3 2S Lj I to 4 Gilts 01 spouse 10 be included (110m Schedule A, line 2 01 spouse's relurn-see inslluCllOns) 4 . 5 TOlal gifts (add hnes 3 and 4) 5 ~Li 41to , 6 TOlal annual exclusions lor gifts hsted on Schedule A (including line 4) (see instruclrons) 6 I 0 '~J ~ 0 7 Total included omounl 01 gills, Subtract hne 6 Irom line 5 . 7 ,/S'tJ Ifr. Deductions (see inSlruClrons) I 8 Gills 01 Inlelesls 10 Spouse lor which a malllal deduction will be claimed, based on ilems ..,............,.... 01 Schedule A 8 9 EXClusions aUllbutable 10 gilts on line B , 9 10 MOlltal deduclron-subtraet line 9 110m line B 10 11 Ch.ril.blt dlOuelion. bJSlo on illms "".,,'., 10 ~.._.......Insuclusjons 11 12 TOlal deduclrons-add lines 10 and 11 . 12 13 Ta'abllUl,lls rsublraet line 12 Irom hne 7) , 13 ,Ii '-lIto I d P"ICC 2 Terminablelnteresl Morllal Deduction. (S~e inSlruClions,) o .. Check here II you elected, under Ihe lules of see lion 2523(1). to inClude gifts 01 qualil,eo termlnaole interest properly on line 8, above. Enlellhe Item numbers (Irom Schedule A, above) of the gills for whiCh you made thiS elecllon ~ .,...................,......,.. SCHEDULE B.- Did ,ou !Ill. dono,) hI. lilt lJ. flhuns 101 p,io, pe,iodsP (I1"'ts,U," inSlIuctioRS 'Of compl.hnl Stn.'hll. 8 brio.,) (el (" Amount o' unl"'d Amounl 01 speclllc "11M "~.tnSl K'll ..emphon IQl pllOf r.l. leu p.lllxn ollie, Pt:tIOOS l!nlhng CIIIOt' O.cembt'f Jl 1916 J.nUdl I 1911 ('1 CoIl'n<lolf)'U'C' C"I.na., qu""., (sn lnSUuctlGnSJ (" Inlernoll Rt:,.nut olllCe ,,/'\f'e ploOf "Iu'n WAI riled I" 0 no qq. Iat IHo Qh. 1... J. I ~ h:"" PI; (., "maunlOI l'I"Dle~,IIS 1'1-0 , -~- 7 7 S'I 1 Totals 101 priol penods (wllhoul .djuSlmlnllorreduced spec"ic exempllon) 1 , ~ 0 I 2 Amount, if any, by which lolal specific exempli on, line I, column (0), is more lhan $30,qOO . . , . 2 J TOlal amount of laxable Rills 10' p,iol periOds radd amounl. column Ie), hne 1. and amoun!. ilany, on line 2), 3 (If more space is needed, .ttach add,'ion.' sheets of same size,) I' -" "9 I page 720,466 '"5 , , ~_ UO_I\).Q.~ w~_Jd.Q I"J .G rl.....~L<.1\^J 'n_ ---7fQc~c2:.'-U?-~~~h ~ ~ :: ~ ~ f1 .. .....- .__. --_.~.. . _.. ,.. . I ", ..,,~::,- n""'j'=~L. -'-'~lF-=- ~ --=.-F--: - - -- '.'.r""- -~, -" '; -.--.-r: I' .1 illl , --.-.' "l~~~-'.~-:---ru, ._-. .=" -..' .. '\" , , . 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''''-'.:'':''l...t''-''''---'-'-~I-l -'~"i "Of ,. I , I ., I", ... . ._' " ,. _ .. : . I .; i i 1 I ,. ,. ., : I" ,. "....1 :! r' i..i' ---:,1 T : ., i i) , I I' I' I I l. i: :'II---:iT~:!-; - . r~-~~T-~~-;~-';'~'-j :1 i :.' :I'! ' 1 ., ; i :: , :: l' ;.~ '-':1: 'II' :. II ::. ' i , I .!. I 1 1 , ~,,,.._.Oo____ I --~-r-----'--" "__M ..*--. . , , 'i ., iI '"'I"'... __. ,. 'I . " i , ' 1 ' 1 ., :1 . , . ?RINCIPAL ; INTEREST RATE PAYMENT AMT. Date Paymt.H 235,000.00 0,0700 1,660,93 Interest TERM 1 ST, TOTAL 7 Yrs. : Balloon Term 7 Yrs, PAYMENT DUE: 8/ 8/ 1994 INTEREST : 108,187.98 Principal LOAN BALANCE ------------------------------------------------------------------------------ Advice \ug. 8 1 3ep. 8 2 : )ct. 8 3 ; .~ov. 8 4 i )ec, 8 5 I rOTALS 1994 Jan. 8 :eb. 8 1ar. 8 I \pr. 8 .1ay 8 : June 8 , , July 8 '\ug. 8 3ep. 8 Jet. 8 lov. 8 )ec. 8 rOTALS 1995 8 8 1ar. 8 \pr. 8 1ay 8 June 8 Tuly 8 \ug. 8 ;ep. 8 Jet. 8 ~ov. 8 )ec. 8 rOTALS 1996 Jan. 8 :eb. 8 1ar. 8 \pr. 8 1ay 8 Tune 8 Tuly 8 \ug. 8 3ep. 8 Jet. 8 ~ov. 8 )ec. 8 rOTALS 1997 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 1,370.83 1,369,14 1,367.44 1,365,73 1,364,00 6,837.14 1,362,27 1,360.53 1,358.78 1,357.02 1,355.24 1,353.46 1,351.67 1,349,86 1,348.05 1,346.22 1,344.39 1,342.54 16,230.03 1,340.68 1,338.81 1,336.94 1,335.05 1,333.14 1,331.23 1,329.31 1,327.38 1,325.43 1,323.47 1,321.50 1,319.52 290.10 291.79 293,49 295,20 296,93 1,467.51 298,66 300,40 302,15 303.91 305,69 307.47 309.26 311. 07 312,88 314.71 316,54 318,39 3,701.13 320,25 322,12 323,99 325,88 327,79 329,70 331.62 333,55 335,50 337,46 339,43 341.41 15,962.46 ----------- ----------- 3,968.70 1,317,53 1,315,53 1,313,51 1,311.49 1,309.45 1,307.40 1,305,34 1,303.26 1,301.18 1,299,08 1,296,97 1,294,84 15,675.58 1,292.71 343.40 345,40 347,42 349.44 351. 48 353.53 355,59 357,67 359,75 361.85 363.96 366,09 4,255.58 368,22 234,709.90 234,418.11 234,124.62 233,829.42 233,532.49 233,233,83 232,933,43 232,631.28 232,327,37 232,021.68 231,714.21 231,404.95 231,093.88 230,781.00 230,466.29 230,149.75 229,831.36 229,511,11 229,188,99 228,865.00 228,539,12 228,211.33 227,881. 63 227,550.01 227,216.46 226,880.96 226,543,50 226,204,07 225,862,66 225,519.26 225,173.86 224,826.44 224,477.00 224,125.52 223,771.99 223,416.40 223,058.73 222,698.98 222,337.13 221,973,17 221,607.08 221,238,86 ~-..! - ~ -..!- -..! ~- ~ -..!- -..!~ - -..! ~- -..!~ - -..! -..! - -..! ~- -..! -..-I _ ~ -..-1- -..-1-..-1- -..-1-..-1- ~ -..-1- -..-1-..-1 _ -..-1-..-1- -..-1-..-1 _ -..-1-..-1- -..-1-..-1- -..-1-..-1 _ -..-1-..-1- -..-1-..-1- ~ -..-1- ~ -..-1- ~ -..-1- ~ -..-1- ---1-..-1_ -..-1-..-1- ~ -..-1- ---1-..-1_ ~ -..-1- ---1-..-1 _ ~ -..-1- ~ -..-1- ~ -..-1- ~ -..-1- ~ -..-1- ---1-..-1_ ---1-..-1 _ ---1-..-1 _ ~ -..-1- ~ -..-1- ". Feb. 8 43 1,290,56 370.37 220,868.49 ---! ---! - '~ar. 8 44 1,288.40 372.53 220,495.96 ---! ---! - '\pr. 8 45 1,286.23 374.70 220,121.26 ---! ---! - ~ay 8 46 1,284.04 376.89 219,744.37 ---! ---! - ~ June 8 47 1,281.84 379,09 219,365.28 ---! ---! - July 8 48 1,279,63 381. 30 218,983.98 ---! ---! - .\uq. 8 49 1,277.41 383.52 218,600.46 ---! ---! - 3ep. 8 50 1,275.17 385.76 218,214.70 ---! ---! - )ot, 8 51 1,272.92 388.01 217,826.69 ---! ---! - -lov. 8 52 1,270.66 390.27 217,436.42 ---! ---! - )eo. 8 53 1,268.38 392.55 217,043.87 ---! ---! - ----------- ----------- rOTALS 1998 15,367.95 4,563.21 Jan. 8 54 1,266,09 394.84 216,649.03 ---! ---! - Feb. 8 55 1,263,79 397,14 216,251.89 ---! ---! - .~ar. 8 56 1,261.47 399.46 215,852.43 ---! ---! - \pr. 8 57 1,259,14 401. 79 215,450.64 ---! ---! - ~ay 8 58 1,256.80 404.13 215,046.51 ---! ---! - June 8 59 1,254.44 406.49 214,640.02 ---! ---!- July 8 60 1,252.07 408.86 214,231.16 ---! ---!- \uq. 8 61 1,249.68 411.25 213,819.91 ---! ---! - )ep. 8 62 1,247.28 413.65 213,406.26 ---! ---! - )ot. 8 63 1,244.87 416.06 212,990.20 ---! ---! - -lov. 8 64 1,242.44 418.49 212,571.71 ---! ---! - )eo. 8 65 1,240.00 420.93 212,150.78 ---! ---! - ----------- ----------- rOTALS 1999 15,038.07 4,893.09 Jan. 8 66 1,237.55 423.38 211,727.40 ---! ---! - :'eb. 8 67 1,235.08 425.85 211,301.55 ---! ---! - ~ar. 8 68 1,232.59 428.34 210,873.21 ---! ~/- \pr. 8 69 1,230.09 430,84 210,442.37 ---! ---! - .~ay 8 70 1,227.58 433.35 210,009.02 ---! ---! - Tune 8 71 1,225,05 435.88 209,573.14 ---! ---! - July 8 72 1,222.51 438.42 209,134.72 ---! ---! - \uq. 8 73 1,219.95 440.98 208,693.74 ---! ---!- ;ep. 8 74 1,217.38 443.55 208,250.19 ---! ---! - )ot. 8 75 1,214.79 446.14 207,804.05 ---! ---! - .-lov. 8 76 1,212.19 448.74 207,355.31 ---! ---!- )eo. 8 77 1,209.57 451. 36 206,903.95 ---! ---!- ----------- ----------- rOTALS 2000 14,684.33 5,246.83 Tan. 8 78 1,206.94 453.99 206,449.96 ---! ---! - Feb. 8 79 1,204.29 456.64 205,993.32 ---! ---! - ~ar. 8 80 1,201.63 459.30 205,534.02 ---! ---! - Ipr. 8 81 1,198.95 461.98 205,072.04 ---! ---! - lay 8 82 1,196.25 464.68 204,607.36 ---! ---! - l.me 8 83 1,193.54 467.39 204,139.97 ---! ---! - )11y 8 84 1,190.82 470.11 203,669.86 ---! ---! - ----------- ----------- 2001 8,392.42 3,234.09 Proof of Publication of Notite in The Patriot and The Evening News and The Sunday Patriot-News l"nd"r .\('C No. 581. .\rIIMn"....t ~I,,)' 1ft. t~. ('nlJllJlnnll'flllth n.!I""IIU/III'Ollio.} . Cn'wlll of n'lIIl'hill '.'. ...........................,kiJ~.I,l:~,~.t)i.<,~r.r.:,,~..............,....,.......beilll'\' (lull' sworn accor<linJ.: to law. deposes and .oy.: ^:3tit, CtOr.trullcr That he Is the ...........................,of TilE PATRIOT - :-:E\\'S CO., a corporation orgllnized ond existing under the laws of the Commollwelllth of Pennsylvania. wilh ill' principal office and plllce or business at 812 to 818 Market Street, in the City of lIarri<hurJ.:, COllllly of Dauphin, State of Pennsylvnnio, owner Bnd publisher of TilE PATRIOT and TilE E\'E:--iI:-:G :--iE\\'S and the SUNDAY PATRIOT,NEWS newspapers of general circullltion, printed and p"hli.<he.j lit 812 to 818 Market Street, in the City, County and St.~te aforesaid: \hllt THE P A TnJ0T ond THE EVE:o;'ING NEWS and the SUNDAY PATRIOT. NEWS were established Morch 4th, 1854. an,l February 15th, 1917 and September 18th, 1949, respectively, and all have be~n continuously published ever since: That the printed notice or publication which is securely attached hereto I. exoctly as printed and bl'hd'thi I d" d' h'h d h 4th, Utl"., and 18th pu IS e In e r regu ar e 11Ions an Issues W IC appeare on t e ....................................................,..... days of ~cvember 1996. ........................................................................................................................................................................................ That neither he nor said Cumpony is interested in the subject matter of said printed notice or adver- tising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot.News Co. .aforesaid by virtue and pursuant to 0 resolu. tion unanimously passed and adopted severally by th~.lt(rkhOlders and board of directors of the said Company and subsequently duly re.:orded in the office for h RecQciling of Deeds in and for said County of Dauphin in )Ji,rrllaneoll.Il""k ")(". \,,,111"'" II. Pa..' 31P.' I r 1"7'1 €'(1 ,\ Copy of Notice or Publication I ; , vL--.-""C I, ,q; , - .......................,....v..w........................................................................... Sworn to....and subscribed 9etore me thiS<::..+.ft,till......day of N~.'.~.f?mQ!?X A. 190f..;.' '_' /. . , ',.., .' ,".'-/ N,.,I....-/Cn...l.~ _.- ~'. ..,. ~ ....~. . ~.I' ............ .._taL.......ou.......~............ ..........................-... Torry L Russ'lll. NoWy ""hlie /Votary Public H.1rrcbutg, D,)uph~n cour.ty ~Iy comn i,N~~E;!p.~'.~~~~D~.~..:.??L .............. Statemen'fOrAdYertlsrtig Costs Estate Nollces I.ETTER$OF TESTAMENTARV IN 'h. es.- hUt of Eldon L. GougM".lal, or thl Township 01 HamOdt". Covntv 01 Cumbtrland of\d Common" '"""ollh at Pennsvlvania. dlctoMd. h(Jvlllg bf-t" gro"Itd to tfI. und.ntgn,d. 011 persons Indlblfd 10 $Old Estot, or. rtQuested 10 mok,lmm'OIOI, oavm'nt and Ino" havlnll claims will or..."' them lor se"ttm,nt wIthout d,la.., 'a: Donn L. Snyd,r,e..,,,'or P.O.8ox7" Harrllbur"PA 17101 OR TO: Conn L. Snyd,r,IIQulr. 1I0l...ell. Snyder, Tln'ner' PIccola AHor"", at Law 31S No,,", Fro"' Str..' paU OHI" Box 7.' Harrllburg, PA 171~ _AJ~!.n..., for EI'at. E.c ~,\'il2. ,U.".. ,S.n ~/.d,e r..... li.n J;.n,er..I.... r.... Ji'J.C;;I;. g,). a Ha r J;'. t~!?H.r.S.I....... r..~':.,..... ).,7.} ~!.g........ ............ .......... To THE PATRIOT-NEWS CO., Dr. For publishing the notice or publication attached hereto on the above stated dates ' $..........U.~.:.~.~... P b t. $ 1. 0 U ro a lUg same ............................ 179.98 Total $............................ Publishers Receipt for Advertising Costs THE PATRIOT-:\'F.WS CO,. llUblisher of TIlE PATRIOT anrj THE EVE:-II:-IG :\'E\\'S and the SUNDA Y PATRIOT-:\'E\\'S. newspapers of general circulation. hel'eh;- acknowledge receipt of the aforesaid notice und public.tion costs ond certilies that the same have been dul)' paid. TIlE PATRIOT-:\'EWS CO. By .......-........................................................................... COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE /'J/;')" '! BUREAU OF INDIVIDUAL 'A~ES IN'lIWIUNlI TAll UIVISIl:N 01111. ;'&01101 IlAWIlI':.lIuPC. PA 1/I:S'OhOI c NOTICE or 1I11llRllANCE 'A~ APPRAISEHENT. ALLOWANCE OR DISALLOWANCE or DEDUCTIONS AND ASSESSHENT or TA~ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-17-97 GAUGHEN 10-11-96 21 96-0857 CUMBERLAllD 101 DOtHl L SUVDER BOSWELL ETAL PO BOX 741 HBG PA 17108 AMount ReMi t tad ,. (\. ,.. -'" 0,1; " ''!o.~...'"' "t.r. t' '.... "':>t ." 1....\:.. .. .. . ." (', -....:",,;.-.},.....I .....~ ~.~l$""l.:;t "ll ~, 11.,.\., It I".:' ". HDOIl MAKE CHECK PAVABLE AND REMIT PAVMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iff1j:is'4i" EiCAFi'--i09":97Y-NCj'ficnij:--XNHEiiii'ANCE-;:'AiOippRAisEHENT-;-AL.rOWANCE-oli----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ELDON L FILE NO, 21 96-0857 ACN 101 ESTATE OF GAUGHEN TAM RETURN WAS: I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule AJ 2. Stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest (Schedule C) 4. Hortgages/Notes Receivable (Schedule OJ S. Cash/Bank Deposits/Misc. Personal Property (Schedule EJ 6. Jointly Owned Property (Schedule FJ 7. Transfers lSchedule G) 8. Total Assets I X I CHANGED SEE III 121 131 141 15) I bl 171 .00 .00 .00 222.335,00 299 .733,27 .00 .00 181 Iql 1101 64,034.06 65.826.42 1111 1121 113) 114) APPROVED DEDUCTIONS AND EXEMPTIONS: q. Funeral E~penses/Ad~. Costs/Hisc. Expenses 'Schedule HI 10. Debts/Hortgage Liabilities/Liens 'Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governnental Bequests; Non-elected ql13 Trusts (Schedule J) 14. Nat Value of Estate Subject to Tax DATE ATTACHED 11-17-97 NOTICE NOTE: To insure proper credit to your account, subnit the upper portion of this for~ with your tax paynent. 522.068.27 1'9.860 48 392.207.79 ,00 392.207,79 If an assessment was issued previOUSlY, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: IS. Anount of Lin. 14 at Spousal rat. CIS) 16. A~ount of Line 14 taxable at Line.l/Class A rat. (16) 17. A~ount of Line 14 taxable at Collateral/Class Brat. (17) 18. Principal Tax Due NOTE: TAX CREDITS: PAYHENT I DATE 01-09-97 RECEIPT NUHBER AA185052 DISCOUNT 1.1 INTEREST/PEN PAID I-I 120.00 .00 .00 16.000,00 M .00, M .06, M .15, I1BI ,00 .00 2.400.00 2.400.00 10.620.00 8.220.00CR .00 , B.220.00CR i L . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS lESS THAN 51. NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF TNIS FDRH FOR INSTRUCTIONS. I AHOUNT PAID 10.500.00 , TOTAL TAX CREDIT , IBALANCE OF TAX DUE, INTEREST AND PEN, I TOTAL DUE PROOA TE ",7/91 lu.v.urOl:XI!>lJ..4l .~ INHERITANCE TAX EXPLANATION OF CHANGES COMMOPN.'tAl fIl or f'[N!.:,'1 VANIA O[I'AJtfM[Nror UlVtNUt IIURUU OF INDIVIDUAL tAnS DUlt Z8OC.cl 14A.RAtSRURG f'A 17"6 or..o1 Eldon Gaughen 2196.0857 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 /.7 ~. 1:1.:} - 17 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 03-30-98 GAUGHEN 10-11-96 21 96-0857 CUM8ERlAND 201 *' 1.,.,"1,."1"."1 ElDON l " '-- BUREAU OF INDIVIDUAL TAMES INtlrAlUHU tu Dlvl51nH DrPI. 11OttOl ttARAI\luwa. PI lIUI-OUI DONN l SNYDER BOSWEll ETAl PO BOX 741 HBG A.ount Ae.Ht.d PA 17108 HAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WIllS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 HOTE: To in lure proper credit to your account, subllit the upper portion of this for. with your t.x pay.ant. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~ R-EiV:483--EX--AFP--ioi:-97j-----.-.-Niiiicif-oF--oETifRHIiiATIo-N-Aiio-ASlSESS-HENif---------------------------- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN .. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE elF TOTAL DUE IS LESS THAN fl, NO PAYHENT IS REQUIRED IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) ESTATE OF GAUGH EN ELDON L FILE NO,2l 96-0857 ESTATE TAX DETERMINATION ACN 201 1. Credit For State Death Taxes as Verified 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 2.280,00 3. Inheritanee Tax Assessed by Other States or Territories of the United States (Exeluding Diseount and/or Interest) ,00 4. Total Inheritance Tax Assessed 5. Pennsylvania Estete Tax Due TAX CREDITS: PAYMENT DATE DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID RECEIPT NUMBER 'J " . " . ~ _I" I INTEREST IS CHARGED THROUGH 04-07-98 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.- >IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. DATE 03-30-98 3.118.88 2.280.00 838.88 .00 838.88 55.94 894.82 'PI,II,n3111' Iq "n. 1,.JIIUI IlIuolllPPII '13110N I~I uo Ufll)~' I'IIP UOII"II\!lMO) 1'.JI'UI .~I JIlIII IpII. 'I ,U""'lId II .IU........ .~, ,0 IllIp .~, puO".q ,A.p 1\1) uII"II 0' uOII_,n".3 I'.~.'UI UI 1'.lf.~ III" IU.nbUII.P 1..03IQ .11 I~' ~I'fll plnll' .'I,ON Au,.- H01~VJ lB3H31NI A11VO X lN3nONI130 BAVO JO H3BWnN X OIVdNn XVI JO 3~NV1VB . lB3H31Nl ""0110' IV pllll1n'lu 'I IU~.'UI.. '''ZDDD' ,. lia&I-'1&&1 "aDDD' ZQI '161 l&tDOG' " "itbl'iltbl ''1UOO' >:il !ilIIClI '''ZOOO' ,. 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IU..AVd JnOA 411" ,,_qnl puv "liON S141 jO ua11~od dOl 141 4'01-0 :IN]WA'f'd .r;, ....-~. l. PIIlPO$E Of NOnCEs To fulfill ~ r.qulr...nt. of Section 2145 lb) of the Inheritance end E,tat. Tax Act, Act 21 of 1995. (72 P.S. Section 'lUJ. PA \1EJfT I DIIt8Ch the top portion of thh Notlel end ....It with you" p..,.."t to tfMI Regl,ta,. of WUlI prlnt..t on the reve"" ,... n ...... chKk 0,. ItOMV ardtlr p.~l' tal REOISTER OF MILLS I ADENT. REFUND (eA) 1 A r.kPS of . tu: credit ..y b. n~.tlld by cOIIPlaUng en "Appl1cetlon for A"unci of PeMl:Ylvenla I""'rlt~ end Est.ta Tax" (REV-nUl. Appllc.tlonl ara ItVlll1abl. at thl! OffiCI of the R-ahta,. of Wllh, eny of the ZS RevWlUll District Offlce' or frOll the o.partMnt" Z4-hour ."....,.1"" ..rvlce ~n for forlll or.rl".1 In penn.yl~l. 1-800-362-2050, outllde Pennlvlventa Bnd within local Harrl~rg .r.. (717) 7.7-8094, fDDt (7171 nz-usz nt_ring 1..lred Only). aUCTIONS 1 Any party In Int.r..t not ..thfied with thll ...........t of tax .1 show! on thll notice ..y obJ.ct within ,htty (6D) day. of ,.aulpt of thh Hotlc. byt .....rIUen prot..t to the PA Dep8rtMnt of Rev......, IoIIrd of AppAll, Dept. 211021, Harrisburg, PA 171Z1-1I21, OR --allletlng to tw.ta the ..Uar detarelned at eudlt of the perlOMl r~nMntatlva, OR __.....1 to the OrphWl.' Court IIItIH- ISTRATlYE COAAfCTJDMSl Flletuel arrors dlscovarlld on this ........,t shOUld be IIddr...ed In writing to; PA Dep.rt....t of R.v""', IUr.-u of Individual Tax." ATTNs po.t A....~t R.vlew unit, Dept. Z10601, Harrisburg, PA 17IZI-0601, Phone (717) 787-6!iOS. SM pltQ8 5 of the booklet -In.tructlon. for lmarltence Tu Aaturn for I A..ldent ~t- (REV-ISOI) for an explanation of ~Inl.tr.tlv.lv corrlletBbla .rror.. PEHAL TV; TM 15% tu _....ty non-partlclp.tlon penel ty II CMJUted on the tot.l 0' the tax and Intand .....Nd, Ind not ,.Id blIfora JtnU8rv 18, 1996, the flr.t dliv aftar the and 0' the tu ....ty period. Thl. non-"rtlclp.Uon penllty I. .....hb.. In the ... ....r 8nd In the the ... tI_ ptIrlod .. Vou would eppul the tax and Intar..t thet t.. been .....Md .. Indicated on thh notice. INTtREST; additional Penn.vlvenl. E.tata Tu .....Nd .. . result 0' . d-. on the Federal E.t.ta Tu clollng laU.r ~. dellnqu-.'\t .t U. expiration 0' ona (1) .mth 'r~ the detl the fl..1 notice 0' the Inc,..... In Fadenl E.tata Tu It received. Tu" Wllch ~ delinquent be'ora Januarv I, 19IZ bMr Intar..t .t tM nt. of 1l)C (6%) ptIrcent par ..-.. ulculated at . dlilh rata 0' .ODOI". All tUII which bec_ delinquent on or aft.r Jenuary I, 1912 ..Ill beIIr Intara.t at a rata which ..Ill vary 'r~ calender v..r to calendar year ..Ith thet rata .nnounced bv the PA OapeirbWit 0' Alv""', TM eppllcBbla Int.r..t rat.. 'or 198Z thrClUltl 1991 arls ~ Intar..t Aat. Dally Int.r..t Factor ~ Inter..t Rtta Dally Intara.t Flletor 191Z lO% .0DOS4I 1917 9% .ODOZ47 l'U 16% .DOOU' 1961-1991 11% .000501 1'14 11% .0DOnl 199Z ,% .ODOZ47 1915 15% .DOO5S6 1991-1994 n .DOO19Z 1'" 10% .000Z14 1995-1'" ,% .000247 --Int.r..t 1. calculated a. 'ollow'; IHTEREST . BALANCE OF TAX UNPAID X HUKBER OF OAYB DELINQUENT X DAILY IHTEREST FACTOR --Anv Notlc. I.aued a,t.r the tu bec~' delinquent ..III raflllet 8ft Inter..t calculation to fifteen (IS) day. bevond the deta 0' ttMI ........,t. If p.v-nt I. Ada; aft.r the Int.r..t c~tatlon data ahotfn on the Notlca, additional lnt.r..t ..,.t be c.lcu"ted. \ " .............. ~ ~':-i Ln ;: It') ~ nl ~ : ,l~L- " :':ll'~'..~, ~.~ 'q\ ~'" .'" tt~\~.X\ g:~ ;'~ i.. '" : _~ 1'" N '" - L~ ., , " OJ W III => o ~ => o U l"l lIl><... .....1-<0 cn...J2:,.... 10--41-4:;:,.... ~~O W U ......... < 00", U Z ~~W ><'" ..... ~I-< III <lIlW'" :J:1-4g:),.,J U:o:~ lIlW=>< :O:~ UU ... \" ,~1J '-,) J ,~, ';... ~ ~ t; ~ . , \ I ," , \ I. I, ! , . ) \ , :.- I I y:~ OJ III ... ~ 41 0 tOCUX \0 >:>~ 9 ~c aJ U)cuf""4 N ctca........t c~:>o,.. OJ 'O-o~ c..t,..,I.~O ~c.~~< c ... '0 !:l. c . .s: i. ~.. . ... ,,"co ""'" BloW 4) H 8l",OI:>] :r lll:> III c: ~ co 0'" Co C1) ... E .. '" E " '" c ~ ::: r..: \ . '\ I" ., '. I ~ \ i r .:.... ; ! , '._'.-.. - -. ~- ...., . ;, .. ReeDI:, Rc\;,~' _ of ,lllIs '98 JUN -3 P12 :54 CI~II Cum!:;,.." "lift . .;. PA PURPOSE OF NOTICEs To fulfill the requlreeent. of Section 21~5 (b) of the Inheritance end Estete teM Act, Act 21 of 1995. (72 P.S. Section 91~S). PAvtENTa Detach the top portion of this Notice and sub. It with your pey.."t to the Register of Wills printed on the reverse side. __ "eke check Dr ltOney order payable tal REGIStER OF HILLS, AGENt. ,,' ". .1- "",j.. l ' .~"",..,. ..' r. II ',I ~" { . . )- .. . ~ \ 'ft .. ,r ,~ . \ .! . \~. f i' , . . ) '. , .. '1.. " , ., ~. ,...". , ,1 J ~ . " \. -, ~' ~. l' ,.f " ,-7": ._-, --.-.,."."..-' .~ .--~., -"'.- -- - - r 1..- , l .- --. -- -~'''''''_.- , .\. , . < .. Moronello 1'. Miller Penn NOlionollnsuronce Tower 2 North Second Slreel. 7\h Floor Post Office Box 1291 Ilorrisburll. PA 17108 -------- ~~.,-~.. .- :~...;:..." --~~- . I,' ; .J..-~':'" --~..-- (~....:-- ...~: ii:-;-~"~.:.__ II.!: " ~,.l ,.--- ;-.~- ~~."':;" n"';"...cr-":",, ~_.~_ ..~.~...... '- '0 oJ L . ..- . I-'~I:' . ( ,___._._....__~_~--A.. DEI' ARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION EXT DEPT. 280601 HARRISBURG. I' A 17128-060 I 1"/12&-0601 1,..111".1...11111.11111,1111..111111.,....11.11111 ...~ -~._'"- T' ~14:t~~t~'Jt",f.iit:.~.:.l.t.~~.~--- -r-'-..---"'. , .. .' >J ". ' 4:'; >. " . ,I" ... , I' . .~ ' : .~-. . . J> . '...~. I ' , .,\..,,--t .....: ... . " . ,"" r ", . . , '. ~', I~ . ,'oiJ,. ", ..... f '~ :"J~~) ... . ..;;' . . ,,'.,~ ; ."'.~.'r_.1,' . ,1 '.... ':.., . . . ,"',f ,'" , .,. . .. ... ::,' ...,',. , .. . .~, . '-f." "'" ~' . . . .. '. .1 . i.', '. , . ':r>'. . --'-~.- ~.- ."#" .-.... _..-._."---'.~' ~ .----..- /:J'/.3S"'l COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT \'- * BUREAU OF INDIVIDUAL TAKES JtttE.AJ1ANC[ tA. PIVISIDH DlPI. Z806Dl tWlRISIURG, fI" 1111ft-DbDI DONN L SNYDER BOSWELL ETAL 2 N. 2ND ST 7TH FL HBG PA DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN '''.!I11 II '" In.''1 10-19-1998 GAUGHEN 10-11-1996 21 96-0857 CUMBERLAND 201 ELDON L 17101 Allount Relnltt.d MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 NOTE I To insure proper credit to your account, sub.it the upper portion of this for. with your tax pay.ent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV: i6iWEx-,\j:'p--iili-:97r-----.iiii-iNiiiiiITAiic'E-TAX-sTAfEifE"NT-OF-Accciiiiif--iiii'.---------------- ----- ESTATE OF GAUGHEN ELDON L FILE NO.21 96-0857 ACN 201 DATE 10-19-1998 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAK DUE. APPLICATION OF All PAYHENTS, THE CURRENT BALANCE. AND, IF APPLICABLE. A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 06-08-1998 PRINCIPAL TAX DUE ,______._______________ PAYMENTS (TAX CREDITS): PAYMENT DATE 05-29-1998 10-05-1998 RECEIPT NUMBER AA270164 REFUND DISCOUNT (+) INTEREST/PEN PAID (-) 66,72- .00 838.88 AMOUNT PAID 910.00 4.40- TOTAL TAX CREDIT 838.88 ,DO BALANCE OF TAX DUE INTEREST AND PEN. .00 .00 TOTAL DUE . IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS lESS3~N Cl. NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REflECTED AS A "CREDIT" (CRI. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) " ':'; , , ..l" f' . ,I ) I " '- , 'l L t- '.. . " , ',\ r ; ,', . .' ,4 . . , " ..~ ,~ " , I f ".. ., ;r a- Ll> ...' p')'~.."I'. I""" Ll> ru o o o o o ... ; , , .' .' ---~ _ ..;;r-- r . ~~----- ""--:,-JlfII ,- "" v:( . . . .,,:. , JI{I}lhl1l~ ~ll. II)\J~,.17K~X i~lJV (I Ii IUll1~~ In Rc: Estalc Ill' ELIlON L. (;AtJ(;IIEN LaIc Ill' IIAMI'IlEN TOWNSIIII' IlRPIIANS' COl IRT DIVISION ClllJRT Ill' CIl~H\ION PLEAS OF ClJMBERLI\ND Clll INT\' PENNSYLV ANIA Eslatc Nil.: 21-191)(,.1)(11157 Nil, 21-1')1)(,-0111157 NOTICE OF FAILlIlH: TO FILE STATlIS REl'OIH ANIl REQlJEST TO CONIHJCT A IIEAIUNG l'URSlIANT TO IWLE 6,12. SlIl'lH:i\1E COURT ORI'IIANS' COURT IWLE I'ersonal Reprcsentative: Counsel for I'crslllUlI Reprcsentative: 1l0NN L, SNYlHm. ESQ, Datc or Deecdent's Dcath: 10-11-19% Datc or Delinquency Noticc: 09.116-21101 The undersigncd. l\'lury C. Lewis, Registcr of Wills, in accordance with Rule 6.12. Suprcme Court Orphans' Court Rulcs. herehy nlltilies Ihe Orphans' Court Division, Court of Commonl'leas of Cumberland County, thatncither the above named personal reprcsentative nor the ahovc named counsel for the personal rcprescntative havc tilcd with thc Rcgister of Wills or Clerk of the Orphans' Courl his. her or its Status Reporl required by Rule 6,12. Supreme Court Orphans' Court Rule and tlUlt the requisite notice. pursuanttll Rule 6.12. Supreme Court Orphans' Court Rules. was givcn hy the Register of Wills on 09-0(" 20111, and that the ten (10) day notice to tile the Stutus Report has expired. Accordingly, in accordancc with Rule 6.12 the Court is hercby notilied of such delinqucncy and the undcrsigned rcquests that a Court conduct a hearing to determine whether sanctions should he imposed upon the delinquent personal representutive or counsel ri.Jr thc delinquent personal representative. Date: 11-116-211111 Distribution: Personal Represenlative Counsel lor I'ersonal Representative Estate File .1(.\.'/, ;..f:rcilltb..t..21 9; }<,If.III. A hearing is scheduled for 1Il 1\ in Courtroom Nil. 3, If the Status Report is tiled prior to the hearing date, the hearing will automaticalll' be cancelled. . / , / Georg"E. t. t ' / '. v. / , ')fl L. , . ' ST,\TUS nEl'onT UNI>EI{ nULE (1.12 Name of Decedent: ELDON L. GAUGIIEN Date of Death: October II, 19% Register File No. 191)6-00857 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administmtion of the above-captioned estate: I. State whethcr administration of the estate is complete: Yes XX No 2. If the answer to #1 is No, state when the pcrsonal representative reasonably bclieves that the administration will be complcte: 3. If the answer to #1 is Yes, state the following: a. Did the personal representative file alinal account with the Court'? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account infomllllly to the parties in interest'? Yes L No _ d. Copies of receipts, releases, joinders and approvals of fonnal or infonnation accounts may be filed with the Clerk of the Orphans' Court and may be allachcd to this report. ( pies attached) Date: January 15, 2002 Signature: DO N L. SNYD 2 NORTII SECOND STREET, 7TH FLOOR HARRISIlURG, PA, 17101 717-257-7524 Allomey for the Estate 7S'IUI111<lm , I , IN RE: THE ESTATE AND TRUST OF IN THE COURT OF COMMON PLEAS ELDON L. GAUOHEN CUMBERLAND COUNTY, PENNSYLVANIA DECEASED ORPHANS' COURT DIVISION NO. 21-96-0857 ACKNOWLEDGMENT. RECEIPT AND FINAL RELEASE KNOW ALL MEN BY THESE PRESENTS, that I, THOMAS W. GAUGH EN, sole surviving heir of the late ELDON L. GAUGH EN Deceased, late of the Township of Hampden, in the County of Cumberland and Commonwealth of Pennsylvania, who died testate, do hereby acknowledge the receipt of and from Donn L. Snyder, Executor and Trustee of the Estate and Trust of the said ELDON L. GAUGH EN, Deceased, assets in kind in the amount of Fifty One Thousand Seven Hundred Nine and 00/100 ($51,709.00) Dollars, in full satisfaction and payment of sums of money, share or shares, purparts, and dividends which are or were due, owing, payable and belonging to me, by any means whatsoever, for my share, part, or dividend of the Estate and Trust of said ELDON L. GAUGHEN Deceased, made pursuant to Last Will and Testament of ELDON L. GAUGHEN. AND THEREFORE, I, THOMAS W. GAUGHEN, do by these presents, remise, release, quitclaim, and forever discharge the said Donn L. Snyder, Executor and Trustee and his attorney and agent of and from the said share or dividend of the estate aforesaid, to the extent of the sum of Fifty One Thousand Seven Hundred Nine and 00/100 ($51,709,00) Dollars, of and from all actions, suits, payments, accounts, reckonings, claims, and demands whatsoever, for or by reason thereof, or 12'1~211:2U12 ... .. , of any othcr act, matter, cause, or thing whatsocver, from the bcginning of thc world to thc day of thc date ofthcsc prcscnts. As thc condition for reccipt of this final distribution madc this datc by the said Exccutor and Trustec I hcrcby agree to p"y or refund any mnount, to (my any tax (including interest and pcnalties), liability, or any propcr debt of the cstatc or trust as detcmlincd by the said Executor, Trustce or a court of competcnt jurisdiction to the extent of proportional liability, which proportional amount represents the proportion that would be paid to me after the payment of all taxes, debts, and administrative expenses. I agree to accept this stated amount as a final distribution pursuant to said Last Will and Testament of ELDON L. GAUGHEN under the conditions as stated in that agreement and in this Acknowledgment, Receipt and Release. I hereby assign, setover and transfer my entire interest in and to this final distribution to TWG Real Estate Management Services and dircctthat said check be issued to TWG Real Estate Management Services, the cashing of said check shall be an acquittance and release in accordance with the tenns above set forth. ~ . t;J. IN WITNESS WHEREOF. [ h,,, h,=,1o ,,' my hood "d ,~Illii, :J / ~,y 0' ~~,~ /T A . GAUGHEN ocial Sccurity No. 202-36-7027 UIUZl212<<ll " .,. TWG REAL ESTATE MANAGEMENT SERVICES ~'?f1?71' - - A ONN.. .. ",.. ;j. 3- ;).1337 sf::, . .f Sworn to and sub~c~ed before me this (;7 daYj;.Of August, 2001. ., LJ., tl/I/.c/~4/~ NOT AM' PU L1C My Commission Expires: NOTARIAL. SEAL NANCY J. l\JIIHEA. NoWy".... c-p Hlllloro. CUoober1oInd eo....., Ca'1I ifl'on JIn.' 2P02 ,. ... ~' ;l: f'''\>'' . .'. . ,..\.,. '~"~~i.:~J::;~~",tIIll""'" , ~ \:....li.c\\ \\\\ . J "" -.f' \\......'!;,\"..t ...,.. '" ..,}~.j;':.' ~'(J"" ........ tl... ", .1.\;.""'k'.i".; $'.. ..... C'r!I.1;:.:r \ .\.... . .'':/.' ~ ......... ,..... . '<<OAt..,' ~ .\ ;;:'~~"~"'-" ",,("\(,.; .:...: ,-y..r,.' "'" ....,) , _.. . _..c :'" .. , ! :'.. : I~ Or : s - t.. .""Ct _'_ .,. - :,:. '.C" ~....' ~ '.l~ ,::. ~ '."~. ~..: t'.ti. ~ "".'. '''''Yl.I)... :- :(",.~. " '0 '. '" ,-" .' (.r .. ,\~..:.T.. "" ,. .........~,,\; ,....~ ~.:r.l,. . "" lIIf/ly p\)., ",\ .I..\~ ." I' '" \\" (1"'I.,,:!,,','\o; ",,,,,"U.,,, ~: \~,~. 'i;.'\"r~:. d. . ...........).,.,. ""'....-',-' ," , '.:; . ,,~:;.:?::~ .r:,:-.;\;:.. :<..~.;~::\t, . " ',' ,;. '.: . '~ , , . U'Ullil,'lH IN RE: TI-IE ESTATE OF ELDON L. GAUGHEN IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 1996 - 0857 DECEASED ACKNOWLEDGMENT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, that I, LORENA G. GAUGH EN, of Mechanicsburg, Pennsylvania, do hereby acknowlcdgc thc rcceipt of and from Donn L. Snydcr, Exccutor of the Estatc of ELDON L. GAUGHEN, Deceascd, Two Hundrcd Fourtcen Thousand Eight Hundred Tcn ($214,810) Dollars, in full and final satisfaction and paymcnt of all sums of moncy, sharc or sharcs, purports, and dividcnds which arc or wcrc duc, owing, payable and bclonging to me, by any mcans whatsocvcr, for my share, part, or dividcnd of the Estate of said ELDON L. GAUGHEN, Dcccascd, made pursuant to the Last Will and Tcstament of ELDON L. GAUGHEN. AND THEREFORE, I, LORENA G. GAUGHEN, do by thcse prcsents, rcmisc, rclease, quitclaim, and forcvcr dischargc Donn L. Snydcr, Exccutor and his attorncy and agcnt of and from the said sharc or dividend of the cstatc aforcsaid, to thc extent ofthc sum of Two Hundred Fourtccn Thousand Eight Hundrcd Ten ($214,810) Dollars, of and from all actions, suits, paymcnts, 561l21~1I~' , accounts, reckonings, claims, and dt:lIIllllds whatsocwr, for or by rt:ason tht:rt:ol: or of any othcr act, malter, cause, or thing whatsot:wr. from the bt:ginning of the world to tht: day of the datc of thcse presents. As the condition for receipt of this full and Iinal distribution made this datt: by thc said Exccutor, I, LORENA G. GAUGHEN ht:rt:by agrt:es to payor rt:lund IIny mnount, to pay any tax (including interest and pt:nalties), liability, or any proper dcbt oftht: t:statt: as dett:mtined by the said Executor or a court of competent jurisdiction to thc extcnt of proportional liability, which proportional amount reprcst:nts the proportion that would bt: paid alit:r the payment of all taxes, debts, and administrative expenses. Thc undcrsigned agrecs to accept this stated amount as a full distribution pursuant to said Last Will and Testament of ELDON L. GAUGHEN, undcr the conditions as stated in this Acknowledgment and Rclease. ,....., IN WITNESS WHEREOF, I have hercunto set my hand and seal this /J. day of June, 1998. WITNESS: ). r'" . . ),~,; , ... " I' t./", .(01 , () " .' \ . '--, ~.... o-..._..'~ _ I ' ~...a~~",: po - (S) LORENA G. GAUGH EN Social Sccurity No.: d)u I - I ~ - '-1'( :! 33 Sworn to and subscribed bcfore mc this .J:bf.!:L day of Junc, 1998. ~ NOTARY PUBL NOlo,I.1 50.1 Ahond. lfeHolI,ros;er. Notary Publio Harrisburg. O,1uphln County t/lY Comrn:s~lon Expires March 15, 2000 Member, Pennsylvania Associal,on 01 "olarles 5611216111191 -2- \ IN RE: ESTATE OF ELDON L. GAUGHEN IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO, 219~857 ACKNOWLEDGMENT AND FULL RELEASE KNOW ALL MEN BY THESE PRESENTS, that I, SUSAN VANDEPEREL OROBASKI, of Boyne Falls, Michigan, one of the heirs of the late Eldon L. Oaughen, Deceased, late of the Township of Hampden, County of Cumberland and Commonwealth of Pennsylvania, who died testate, do hereby acknowledge the receipt of and from Donn L. Snyder, Executor of the Estate of Eldon L. Gaughen, Deceased, cash in the amount of Two Thousand and 00/100 ($2,000.00) Dollars, in satisfaction and payment of all sums of money, belonging to me, by any means whatsoever, for my share, part, or dividend of the Estate of Eldon L. Oaughen, Deceased, made pursuant to Paragraph ITEM II (C) of the Third Codicil to the Last Wil1 and Testament of Eldon L. Gaughen. AND THEREFOR E,I, SUSAN V ANDEPEREL GROBASKI, do by these presents, remise, release, quitclaim, and forever discharge Donn L. Snyder, Executor and Boswell, Snyder, Tintner & piccola and its agents of and from the said share or dividend of the estate '" I . , I i I I I , i ,I Ii , , , , :! I i il I! , " 1 I I I 1 /i , I " Ii aforesaid. to the extent of the Five Hundred and 00/100 ($500.00) Dollars, of and from all actions, suits, payments, accounts, reckonings, claims, and demands whatsoever, for or by reason thereof, or of any other act, maller, cause, or thing whatsoever, from the beginning of the world to the day of the date of these presents. As the condition for receipt of this full distribution made this date by the said Executor, I hereby agree to payor refund any amount, to pay any tax (including interest and penalties), liability, or any proper debt of the estate as determined by the said Executor or a court of competent jurisdiction to the extent of proportional liability, which proportional amount represents the proportion that would be paid to me after the payment of all taxes, debts, and administrative expenses. I agree to accept this stated cash distribution as a full and final distribution pursuant to said Last Will and Testament and Codicils of Eldon L, Oaughen, under the conditions as stated in this ACknowledgment and Full Release, IN WITNESS WHEREOF, I have hereunto set my hand and seal this ,~ day of ~e.b. ,1997. 1J/; JJ~ ~;J~ .p .iAO~ FKIt ':)}~Dlt7~~; 1-1 '011~1 Security No, :;;~'(f%-33S~ Sworn to and subscribed before me this .1rr\. day of feh 1997, (\ ~L'A ~ 1n. r-~hJ) ~~KR Y PUBLIC APRIL fA. GATES NOTARY PUBLIC, ALLEGAN COUNff. .' MY COI.li,llSSIQ~ EXP. 051'1212001 ~Jir~ In ~~ ,#11..'....' ~tlc.. (.f " -,~'. FILE NO. ORDER CH.V,GING NAME 85-142,099-I:l' ,"" ',J"'t! of \~IL~,:h:'~ 'i: HULl) V!,~J::>E PEP-f.:' 532 1089 ---.-.---,,""\]--...----- _.---. .--....-- ..-. "U'''' na.... ... ...JU~H.1.lP.Q. ?_W.l.,JJJ'.__\i.PJy!!J,.. -.... .- -----. .. ,.' ..~ ~'- ;.1 . ~ /.;.~ _{L_'.J? . ~ ~ .. . .Dala...5.toPP.lls / ~ ,. ',,' .'" .'. I J.Jug.! 01 f"~t;a:e: Trif. .;OUR I F INOS ., '. ' l1 ~ ; . . : .: ur:~!,...f..g.r".!._ _has fil..d a petitIon requesting chan,le of l1al"~i':, 1 '\:'1 ... ., t~~. ;,'d "'\ '..;( " ,. ....: . .tt...,:,1t:l .",' . ,. :f\~.t! I, IT I~: .~.;:[), '~E\ .~Jl . , I ;) ,', ....... \ . ... ~ . "" by r~b'ication. .,I.~r 0' e~il intent .and al! nersonls) ror '.'II-om a .:hange of name il sough. '''1'(' u~..: ..p.a' ,",son!s. be changed; t".. To: .l=~'::'':1 E.e..=e.l..... -... ......._ .... .E.;.ch.l::d.2h.1.1 1 ip \'h:.i.,'1h~. ..-.-------.-. --- -.-. ..-...-..---.- -.--- ----- _.._...._. .0- .._. .-...---.--- ..... ..--.-----. ..-- .. / " DALE STOPPEl S : .' ..'--- ._ ,. J. . I . ....] ~Mj' ;=.i",o"~----"- ..- /~ . - ",-" ."c:......-> -....:;r /."" . / . -------.- I y.~' ~,'L" I /KUwro R, ROBEY ~ of Pmbltf " ....~ ,I i '! . , , , i ! i ,. Bit "0 .- -.---------. .- - -'-r;;c;;;;- .. .1..1...; ~~.... _.......--......-_ ..........-'..;..:..-.J"__~~-Jn. _,,-.. Co' ..'..,.....,-n:::rI.-.&l"II"_...~..... . . Do not wr.te bJ:low Fo' cO'Jft 'J\e on!, ; urt1f)' tt1at I ha,- :.rll",)..'~': ''''ti l.'ODl ~ltIth Ihe trll"'" il1 tile ;, I';~ '. ~ t" .. thai I,t .$ a ,'O:IKI c:o, " ,.. ..~{ I. ,. \JCh l)f1ZII"llL lJrrb.:!te Cc::" ". ~I . ",.11'5. "'I " "P~ rieL 1111. VSA 11 ',1:IW".'. ~ BOSWELL, SNYDER, TINTNER & PICCOLA COUNSELORS AT LA.... 31) NORnI FRONT STIlEET P,O, Dox 7-11 IIARRI18URG, PA 17108.07.11 WILLIAM 0 BOSWEL.l. OONN L. SNYDER LEONARD TINTN[R JEF,REY t. PICCOLA JE"R['t R. BOSWeLL DRIGID O. ALFORD MARK R, PARTH[M[R CHARLtS J HAATW[L.L DYLAN 0 PAINT[R 17l7l13e.g377 'AX 17171 2311S'SUU' RICHARD 0 WICKeRSHAM OF' COUNSEL January 28, 1997 Ms, Gloria Dillree 2208 Logan Street Camp Hill, PA 17011 RE: Estate of Eldon L, Gaughen Dear Ms. Dillree: Enclosed please find a check in the amount of $2,000.00 representing the specific bequest to you pursuant to Eldon L. Gaughen's Will. Should you have any questions, please do not hesitate to contact me, rnl~, DLSI sam enclosure PNClffiANK PNC B,.k. N.A. South".,,,, PA 040 No. 124 January 28 97 !Q:!lli117 19_ 313 FOR "'.. OF Eld" ~~ , ~ ':0:1 ~:I ~ 2 HBI: SOBOI,?1, 2 21,11' ...... .. .. extent of the Two Thousand and 00/100 ($2,000.00) Dollars, of and from all aClions, suits, payments, accounls, reckonings, claims, and demands whalsoever, for or by reason thereof, or of any other act, matter, cause, or thing whatsoever, from the beginning of the world to the day of the date of these presents. As the condition for receipt of this full distribution made this date by the said Executor, I hereby agree to payor refund any amount, to pay any tax (including interest and penalties), liability, or any proper debt of the estate as delermined by the said Executor or a court of compelent jurisdiction to the extent of proportional liability, which proportional amount represents the proportion that would be paid to me after the payment of all taxes, debts, and administrative expenses. I agree to accept this stated cash distribution as a full and final distribution pursuant to said Last Will and Testament and Codicils of Eldon L. Gaughen, under the conditions as stated in this Acknowledgment and Full Release. IN WITNESS WHEREOF, I have hereunto set my hand and seal this .9.77" /." of l1J "-lilt/I L( day ,1997, ~. ,. fi'/I ~./ (,I. u.ftw' / . GLORIA D1LLREE Social Security No.1 'IF /-?j?,.5;<, Sworn to and subscribed before me this -;;}7TH day of ,J.4I\lvA-RY 1997, (jJP'~~l~ 'i '71;i~4"~ NOTARY PUBLIC t.-.J _L........ ~~~~'pfW'~ BOSWELL, SNYDER, TINTNER & PICCOLA COUUIElO"G AT LAW 'I) NORm FRONT STREll P.O. Box 741 /IARRISDURG, PA 17108.07-1 I 17171 ZJ&.0371 rAIl. 17171 230.0.3'0 WILLIAM D. DOSWeLl. CONN L SN'l'O[R LEONARD llUTNtR oJ[,.,.Rty t PICCOLA .JE"'AU A. DOSweLL. ORIOID O. ALFORD MARK R. PAnTHEMER CHARLES J HARTWEl.1. OTLAN 0 PAINf[R RICHARD 0 WICKERSHAM or COUNS[L January 27, 1997 Ms. Susan Marlene Shank 153 Olendale Street Carlisle, PA 17013 RE: Estate of Eldon L. Coughen Dear Ms, Shank: Enclosed please find a check in the amount of $1,000.00 representing the specific bequest to you pursuant to your uncle's Will. Should you have any questions, please do not hesitate to contact me. ,,"I, yo~. NN L. SNYDER DLSI sam enclosure PNClffiANK PNe B'nk. N.A. SouthC(nlr31 PA o~o No. t23 January 27 ~117 19!!L.. 313 PAY TO THE OROER OF Susan Marlene Shank $ 1,000,00 One Thousand and 00/100----------------------------------------------------------- DOLLARS 1:0:1 ~ :I ~ 2 ? :181: ,,~1~ sOBOI,?1, 2 21,11' M' ---- FOR specific bequest M' ---_. ~ BOSWELL, SNYDER, TIN1'NER & PICCOLA COUNIELonl AT LAW ~ I' NORTII FRONT STREET P,O, Box 741 IIARRISOURG. PA 17108.07011 17171 z:lo.a:.', 'A'" 17171 Z3e.S>>3Ie WILLIAM D. BOSWeLL 00"" L. SNYDtR LCONARD TINTHeR JEF,ReY t. PICCOLA JEF,ReY R. BOSWELL DRIGID 0, "V'ORD MARK R. PARTHCMCR CHARLeS J. HARTWELL DYLAN 0 PAINTER RICHARD D. WICKeRSHAM OF' COUNSEL January 20. 1997 Ms, Susan Marlene Shank 153 Glendale Street Carlisle, PA 17013 RE: Estate or Eldon L. Gaughen Dear Ms, Shank: Enclosed please find a Release for your signature as well as a copy of the same, This Release represents the specific bequest to you pursuant to your uncle's Will, After you have signed the original Release, please see that it is properly notarized and returned in the envelope provic1ed. Once we have the Release we will forward your check to you. Should you have any questions. please enclosures . 'I I i i IN RE: ESTATE OF ELDON L. GAUGHEN IN TIlE COURT OF COMMON PLEAS OF CUMBERLAND COUNlY, PENNSYLVANIA ORPHANS' COURT DIVISION NO, 219~857 I ,I :1 :1 , I ,I i , ! 'I I i l ;\ .' , i , ACKNOWLEDOMENT AND FULL RELEASE KNOW ALL MEN BY THESE PRESENTS, that I, SUSAN MARLENE SHANK, of Carlisle, Pennsylvania, one of the heirs of the late Eldon L. Oaughen, Deceased,late of the Township of Hampden, County of Cumberland and Commonwealth of Pennsylvania, who died testate, do hereby acknowledge the receipt of and from Donn L. Snyder, Executor of the Estate of Eldon L. Oaughen, Deceased, cash in the amount of One Thousand and 00/100 ($1,000,00) Dollars, in satisfaction and payment of all sums of money, share or I ! i I , ,1 shares, purparts, and dividends which are or were due, owing, payable and belonging to me, AND THEREFORE,I, SUSAN MARLENE SHANK, do by these presents, remise, by any means whatsoever, for my share, part, or dividend of the Estate of Eldon L, Ii I I I i 'I I Gaughen, Deceased, made pursuant to Paragraph ITEM II (A) of the Third Codicil to the Last Will and Testament of Eldon L. Oaughen. release, quitclaim, and forever discharge Donn L, Snyder, Executor and Boswell, Snyder, Tintner & Piccola and its agents of and from the said share or dividend of the estate " IN RE: THE ESTATE AND TR UST OF ELDON L. OAUOHEN DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DiVISION NO. 21-96-0857 ACKNOWLEDOMENT AND PARTIAL RELEASE KNOW ALL MEN BY THESE PRESENTS, that WHEREAS, Eldon L, Oaughen, late of the Township of Hampden, County of Cumberland, Commonwealth of Pennsylvania, died October II, 1996 leaving his Last Will and Testament and Three Codicils which provide in pertinent part that after payment of administrative expenses, taxes, debts and the distribution of certain specific bequests, the residue of his Estate should be placed in trust upon the terms and coaditions therein stated; and WHEREAS, with respect to Trust "A" his surviving spouse, Lorena 0, Oaughen, was given the right of withdrawal in part or in full of the principal of said Trust; and WHEREAS, by written notification dated April4,l997 the said Lorena 0, Oaughen did exercise her right to withdraw the entire amouat of Trust "A"; and WHEREAS, the Estate has not yet been settled and the Trusts provided therein have not yet been funded, and WHEREAS, Donn L. Snyder, the named Executor and Trustee under the Will of Eldon L. Oaughen. has consented to the distribution of principal funds which would otherwise comprise Trust "A" upon the terms and conditions hereinafter stated; and WHEREAS, the value of Trust "A", while not certain of ascertainment at this point in time. is in good faith estimated to be One Hundred Ninety Seven Thousand Two Hundred Forty Seven and 00/100 ($197,247.00) Dollars, which will be finally determined at the closing of the Estate. NOW TH ER EFOR E. in consideration of the premises, and the terms and conditions herein set forth. I, LORENA O. OAUGHEN, surviving spouse of Eldon L. Oaughen, of the Township of Hampden, County of Cumberland and Commonwealth of Pennsylvania, do hereby acknowledge the receipt of and from Donn L. Snyder as Executor and Trustee of the Estate of the said Eldon L. Oaughen, Deceased. the sum of One Hundred Seventy-Five Thousand and 00/100 ($175.000.00) Dollars, in partial satisfaction and payment of sums of money, share or shares, purparts. and dividends which are or were due, owing, payable pursuant to my notice of withdrawal to me, by any means whatsoever, for my share, part, or dividend of the Estate and Trust of said Eldon L, Gaughen, Deceased, made pursuant to Paragraph ITEM III (A) of the Last Will and Testament of Eldon L. Oaughen. AND THEREFORE, I, LORENA 0, OAUGHEN, do by these presents, remise, release, quitclaim, and forever discharge the said Donn L. Snyder as Executor and Trustee and his attorneys and agents of and from the said share or dividend of the Estate and Trust aforesaid, to the extent of One Hundred Seventy Five Thousand and 00/100 ($175,000.00) Dollars. received by me on account of this exercise of my right to demand the present payment of Trust "A" principal, of and from all actions, suits. payments, accounts, reckonings, claims, and demands whatsoever, for or by reason thcreof, or of any othcr act, matter, cause, or thing whatsoever, from the beginning of the world to the day of the date of thesc presents. As a condition for receipt of this partial distribution made this date by the said Executor and Trustee, I hereby agree to payor refund any amount, to pay any tax (including Interest and penalties), liability, or any proper debt of the Estate or Trust as determined by the said Executor and Trustee or a Court of competent jurisdiction to the extent of proportional liability, which proportional amount represeats the proportion that would be paid to me after the payment of all taxes, debts, and administrative expenses. I agree to accept this stated amount as a partial distribution pursuant to said Last Will and Testament of Eldon L, Oaughen, under the conditions as stated in this Acknowledgment and Partial Release. IN WITNESS WHEREOF, I have hereunto set my hand and seal '1-"- this /.J day of May, 1997. '~7.(.,(;~a'J./UI'1 )J): }..... f'" . LORENA 0, OAUOHEN Sworn to and subscribed before me this /2JI, day of May, 1997. vf2~,- ~ Notary Public V Social Security No.1c'l- It- - '/v :; ;; LL.-" r-I\".~ c..:: L~r, ''0/. '-"_ Nolarial Seal Rhond. HeHellinger, Nolory Public Harrisburg. Oouphin CounlY My Commission Expires Mnrch 13. 2000 Member. Pennsyl'/ania Association 01 No:a,ies CHAALCI C. THOtolAS CAAAOLL ,. ~URO' CHARLel C. THOtolAS. JA. 'D. MAAK THOtolAI ~ATRICI'" AAMITRONO THOtolAI T, NICICN JOHN A. ALZAMORA ACOINA L....ATZ J!,OIlltl/l, JJ;omu/I. Ylr11l/llro1l9 & ~8NI :Jlllomry" IlIIII COUII",lIol'3 al.faUl :;U'''\! 500 212 l.ocU'T :;,....EET P. O. BoX 9500 H^RtUSauRc. p^ 17108-9500 WAITCR'S DIAtCT DIAL NUMBeR 0" COUNlel. ..I0HN 1:. ,ULl.tRTON - JACK ,. A5CHINOtR fIVI4-IliIVI' - fiRM (711) 255-1600 717/255-7627 F^," 1117l 230-8218 1"'l"'IJYf1l712~"7l)16' May 12, 1997 Maronella F. Miller, Legal Assistant Boswell Snyder Tinlner & piccola P.O. Box 741 Harrisburg, PA 17108-0741 In re: Estale of E. L. Gauahen Dear Mowie: Enclosed is an Acknowledgmenl and Partial Release as you had requested. With respect 10 the phone service I will check again wilh Tom, bull have had various conversations wilh him. It is my underslanding that the service has been terminated. You will note that the bill shows a $3.31 credit. Your assislance is mosl appreciated. Very truly yours, THOMAS, THOMAS, ARMSTRONG & NIESEN By .-.... (/. . pal~A~SlrOng Encls. 1,\CllENTS'M1SC1GAUGHEN'LETTER1051297 L TR VandePe1."el Wolf _______________________~-~-~~~O:'::LARS \ and 00/100---------------- ""T~L' : \ \ - - . .__..._-~...._.- ., , . BOSWELL, SNYDER, TINTNER & PICCOLA COUNSELORS AT LAW ~ I) NORm FRO~" STIlEET P.O. Box 74\ H^RRlSBURG, Ph 17108.0741 17111 238.0377 'U 11171 23&.0310 WILLIAM D. BOSWELL CONN L. SNYDeR LEONARD T1NTNER J[rF'Rt1' [. PICCOL.A JC,.,.Rt'I' R. BOSWELL SRIGID Q. ALFORD MARK R. PARTHEMtR CHARLES .,J. HARTWELL OYLAN D. PAINTER RICHARD B. WICKERSHAM OF' COUNSEL January 31, 1997 Ms, Betsy A, Vandeperel Wolf 5815 Woodsong Way Kalamazoo, Michigan 49009 Re: Estate of Eldon L, Gllughen Dear Betsy: Enclosed please find a check in the amount of $2,500.00 representing the specific bequest to you pursuant to your uncle's Will, Should you have any questions, please do not hesitate to contact me. v~;::~. DONN L. SNYDE ~ DLSf mfm enclosure No. 126 PNCBA"NK. PNC B.nk. N.'\' soulhcont"l P^ o~o 7 SO-1213,,7 192..- )1) Janua1."Y 31 PAY TOTHE Betsy A, ORDER OF I Two Thousand Five l\und1."ed FOR specific bequest 1:0:\ 10:\ 10 2'/ :\BI: SOBOl. '/1. 2 21.1\' BOSWELL, SNYDER, TINTNER & PICCOLA COUNSELORS A.T LAW ~ I ~ NORTII FRO~" STREET P.O 80x 7.11 IIhRRJIIIURG.I'^ 171011.07011 17111 ZJtH~377 f'U 17171 Z3&.QJI& WI\.l.IAM O. BosweLL aONN L. SNYDER LEONARD TINTNCR JCF'rRCY c. PICCOL.... JtFTRtY R. BOSWCLL 8RIGI0 0 ALF'ORO MARK R. PARTHCMtR CHARLtS J. HARTWELL DYLAN O. PAINTE.R RICHARD D WICKERSHAM or COUNstL ~j2t-c...~\ 0b January 20. 1997 Q.P fd~bL- /\ jA r~ Ms. Betsy A. Vandegerel Wolfe J . ~ ~. C~e-'~ "lIdep~el D815 L oockso no LLOLf I \0'\.41..'- ,...-/-- 191<; MorRIAg3ldc-Brlve . -I /IQ a ~-- Grand-Raplos. MI 4Y506 ~una3co I rnr '7 100 I RE: Estate of Eldon L. Gaughen Dear Ms. Wolff: Enclosed please find a Release for your signature as well as a copy of the same. This Release represents the specific bequest to you pursuant to your uncle's Will. After you have signed the original Release, please see that it is properly notarized and returned in the envelope provided. Once we have the Release we will forward your check to you. Should you have any questions. please feel free to give Mr. Snyder or me a call. Very truly YOu~ ~O"tJi)~t ~, Ma~~tta F. _Miller Legal ASsimlnt enclosures , , IN RE: ESTATE OF ELDON L. GAUGHEN IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2196~857 ACKNOWLEDGMENT AND FULL RELEASE KNOW ALL MEN BY THESE PRESENTS, that I, BETSY A. VANDEPEREL WOLF<<, of Grand Rapids, Michigan, one of the heirs of thc late Eldon L. Gaughen, Deccased, late of the Township of Hampden, County of cumbcrland and Commonwealth of Pcnnsylvania, who dicd testatc, do hercby acknowledgc the reccipt of and from Donn L. Snydcr, Executor of the Estate of Eldon L. Gaughcn, Dcccascd, cash in the amount of Two Thousand Five Hundred and 001 100 ($2,500.00) Dollars, in satisfaction and payment of all sums of money, share or sharcs, purparts, and dividcnds which are or were due, owing, payable and belonging to mc, by any means whatsoever, for my share, part, or dividcnd of the Estate of Eldon L. Gaughcn, Deceascd, made pursuant to Paragraph ITEM II (B) of the Third Codicil to thc Last Will and Tcstament of Eldon L. Gaughen. AND THEREFORE,I, BETSY A. V ANDEPEREL WOLFf. do by these presents, remise, relcase, quitclaim, and forevcr dischargc Donn L. Snydcr, Executor and Boswell, Snyder, Tintner & Piccola and its agcnts of and from the said share or dividend of the estate aforesaid,to the extcnt of the Two Thousand Fivc Hundred and 001100 ($2,500.00) Dollars, - , ., of and from all actions, suits, payments, accounts, rcckonings, claims, and dcmands whatsoevcr, for or by reason thercof, or of any other act, mattcr, cause, or thing whatsoever, from the beginning of thc world to the day of the datc of thcsc prcscnts. As the condition for rcccipt of this full distribution madc this date by the said Executor, I hereby agree to payor refund any amount, to pay any tax (including interest and penalties), liability, or any propcr debt of the estatc as detcrmincd by the said Exccutor or a court of competent jurisdiction to the extent of proportional liability, which proportional amount represents the proportion that would be paid to me after the payment of all taxes, debts, and administrative expenscs. I agrce to accept this stated cash distribution as a full and final distribution pursuant to said Last Will and Testament and Codicils of Eldon L. Gaughen, under the conditions as statcd in this Acknowledgment and Full Release. IN WITNESS WHEREOF, I have hercunto set my hand and seal this dq day of ~n ;to ttl 1'-,1997. o. . V ANDEPEREL WOLF. Social Security No. 36' . t-f .;l-OC;;8 2> Sworn to and subscribed before me this ,g9 day of \ 7rlf7UOI (J 1997. J SI.ISAN'" P"L"""~'- No p ... J.~ ",,_:,.,,": "'/} villI: ~.... '''''">lY UI My CO#hm~SlkJTl ~,~ O:'''';~..93 lief"'}) ,Ii ;(o./Ot?(Ci2I-D. C::-, . . . . IN RE: ESTATE OF ELDON L. GAUGHEN IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 219~857 ACKNOWLEDGMENT AND FULL RELEASE KNOW ALL MEN BY THESE PRESENTS, that I, GREGORY SORENSEN, of Lincoln, Nebraska, one of the hcirs of the latc Eldon L. Gaughcn, Dcccascd, late of the Township of Hampden, County of Cumberland and Commonwcalth of Pennsylvania, who died testate, do hereby acknowledgc the rcceipt of and from Donn L. Snyder, Executor of the Estate of Eldon L. Gaughen, Deccascd, cash in thc amount of Four Thousand and 00/100 ($4,000.00) Dollars, in satisfaction and payment of all sums of money, share or sharcs, purparts, and dividends which are or were duc, owing, payable and bclonging to me, by any means whatsoever, for my share, part, or dividend of the Estate of Eldon L. Gaughen, Deceased, made pursuant to Paragraph ITEM II (E) of the Third Codicil to the Last Will and Testamcnt of Eldon L. Gaughen. AND THEREFORE, I, GREGORY SORENSEN, do by these prcsents, remise, release, quitclaim, and forever dischargc Donn L. Snyder, Executor and Boswell, Snyder, Tintner & Piccola and its agents of and from the said sharc or dividcnd of thc estate