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HomeMy WebLinkAbout97-00013 ,~/- CJ'7- 13 c COMMONWEAL TH OF PENNSYl.VANIA D~rARTMENT OF REVENUE ()EPT. 280601 HARflISEHJRG, pA 17128.0801 ENTRY INTO SAFE DEPOSIT BOX TO REMOVE A WILL OR CEMETERY DEED t-_.._.~~._. Oalo (jll~ntry Month Day YO.:lI ~L__~..J'L_-l.id- III 4l1ii' 'hlllll Please Print or Type .."--.--,. .'_"_'H""_.__. MUST BE COMPLETED BV Af.PRESENTATIVE OF FINANCIAl. INSTITUTION WHEAE SAFE DEPOSIT BOX IS lOCATW AND RETURNED TO ABOVE ADDRESS. DfiiEOENT's NAME ['"I. ""I. Mid"'"' '---'-~SOC'Al SECURITY NUMBER DATE or- DEATH ~~d_~d!t:<,J~ ~j(,".i"'(I 1//1' <k,;2,t.l~ ADDRESS OF DECEDENT S!((Iul ^(jdrw,s !2!i i,.deLAI- /0 _ill'/'"\ / \ - (-~;I'1J,d /1';/,/ NAMf: AND ADDRESS OF PERSON REQUeSTING THE OPENING OF THE SAFE DEPOSIT BO)( City Slato jl lip Code /7C.'// ,'" c,f).., ~_.t~~~i (c.<,?6-t.:t' Slrllflt Arldro!l5 City c~1II /114 !'Y;(.:.l .",- '.________ , (~'1'//"1r!I1 NAMf. AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED NallH! (,f Fm,lf1r.lallfl;,lilUlifill g" Zip Code /7C'J;'/ !)4L!jdudU9M/ J"I3-1~k StllHll Address City /.... 'Ii-~>"'l/'-~' ~i/ t!- TITLE OR NAME(S) UNDER WHICH BOX IS REa'iSTERED State /! ?Ip Coda 3!J.~... It) fir .1r__ NUMBER OF SAFE DEPOSIT BOX 7c>F;'3 .-_fl3 WAS THERE A WILL IN THE BOX? ~ES 0 NO 11 yes a. Dllte vi wilt: ...~1 1 MOl\tll f), /! h) ~Jj I).' /- .Ii",.J! ,), 'H , I ~ / s' ,,{:{ ,,,I ,;ULjit'f D~y YOM b. Nama and addroaa of personal ropresenta1Ivo(ll!, If named In the will: Name /17/th/f'e / .../11 Streot Address ;(i-'< I j A ,t;.r.j ;:::'..v/ I!' . <: -46.-<!'r City ,k~aJ/C",/j , State Zip Code CfJ/9 j j/ :))., Name /1}4,1.1 ~j(;-1A/,.f/e Stroet Address elly Slatll Zip Code ,.:2 c, Name and addros8 at attorney, If llnv: Nama !!J46!O" c/ AP,,,,, A,' Streot Address .' . I (.13].1 j)1AI'ik.~ Name - City 4 Zip Coda &~/I.il// /76'1/ City State Zip Coda Sirei'll Address I oertlfy u t penf:llty of perjury that the above r8cord 18 correot and oomplete to the bOlt of my knowledge and belief. Slgn,Jltw ! "::~~e Prll1tj1j.mJ. , / .../..L.ftm'l,t .j. " ....sT1d~4'..t// y..Pt: _ rW/;',(/ :, ~I i ! d ,'"r! S. 1:",,11 I!.'tat<' of ~-- also known as PETITION FOR PROBATE and (;RANT m LETTERS d./-9?.- j:J ~.J(L To; '_'_~___~~<< Rl'gisler of Wilt, for Ihl' ~._...________ , {J('('el/\ei!. ('oLlLlly of CUlllh~r1illld~_ ill the Social Security No. .! (JI,..O! --IJ L7 (',"llIl\OllWl'allh of l'ellLlsylvallia The pelilion of Ihe uLldelsigned respl'l'lfnlly represents Ihal: Your petitioner(s), who is/arc IH years of age or older an Ihl: exeeutrix_ ___~__________.__ numed in the last will of Ihe ahove ~eel'denl, duled _ . Mn rch2'L___~ .. . .~___, 19~ and codicil(s) dated __~ ~.. . (Jne~_~_____~_______~~_~__ (Slllll' rl.'kV1ltlll'ill'IIll\~lUIWC<;. e.g. rCIllIllciutllJll. dl'Hth of CXCl.:utnr, etc.) Decendent was domiciled at death in ___....JdLrnhQL1mliL.~~__......<~....~~__ County, Pennsylvuniu, with h f'r ,9 lust family or principal r;siJI~nc~ ut .___.<.a2..LUahlluL_..RWld..,.-<..0~m.p H, 1'1. PA 17n]1 ..(. ,?'pl!'"'~ a..iLL.L0.__1i2-',G1ld;l'l"'--J-----,~~_..<_...____._ (li,>[ '>lrccI, nlll11hcr ilnd Illtltldpallly) I h 80 . d' i O"cembcr 28 Dcccl1(cnt, { en ~__~___ yeH1'S 01 ngc, Ice _____.~___.___ .__ .__.._.._._..,_..:.._.~ al ~_~_...-8.2..4....uab.ux:n-RQad+_Grunp _lli.ll., ....!'.A.__..l1011__~__ Except as follows. deeedenl did nOlmany, Was nol divorced und did not have a child born 01' adopted after exeeulion of Ihe 11'111 offered for prohale; wus nOllhe victim of a killing und was never adjudicated incompetent: ___..........._L:,jjgfl.",--~______._. ....~........... ..-...- ~~ Decendem at death owned property with estimated values us follows: (If domiciled in Pa,) All personal properlY (If not domiciled in Pa.) Personal properly in Pennsy!vaniu (If not domiciled in Pa,) Persona! properly in County Value or reul estnte in Pennsylvania situnted as follows: ____.~...____~~,_.._~~)~_C 96 ,19___, $ 700,000.00 ------ $. $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will nnd eodleil(s) presented herewith und the grant or letters.._..____....I..,..(/. I,.., "I" "'+-- __..,-__ (ICsllllllClll,HY; ndminisl/'lHton c,l~II.; IIdllllnlstrutiotl d,h:Il,C,I',fl,) theron, ~ u D "0- '6*, ",v o 19 'e ~A. "t"~ ~ c ~ ~, Iii /./1 /)~ . C..~...........;C/IC ~..,...:. .~---~~- _..JeanneIi'Reager 2318 Market StTeet. ----..Camp Hill, l'A.........l 701 1 $ ,_~___,___,_'A' ,...'..,__,_"__._,,.. -.-..-,.-..........-- ._._---_...__._._~..... .. .-...-.,",.--, .......-....".... ...--_. OATH (W PERSONAL REPRESENTATIVE COMMONWEALTH OF I'ENNSVLVANIA l88 COU NTY OF ___::;.urT1bi'rlan..d____~.._...._..._ _.. . J' The petitiol<er(s) above-nllmcd swear(s) 01 allirm(s) thallhe statemenls in Ihe foregoing petitim! arc trl<e and corrr.etlo the hesl nr th.: knowledge and hl'lief of pelitioner(s) and that as personul represen. tativc(s) of the I<IHWO' ,keedl'lll pedliol<er(s) will w~Jl<llld truly admiJ~st9"lhe eslllte according to Inw, . C /i(-~ S' < '1'1" I' i ,,1 "'1'1 (/ cc;1t--"-,,,I-'1\_'~"_'.c"___ ,WOI'll 1.0 01 .'.' ...'.r....n.'.e.t'. ...l1U Sl,)Sl:Il H':..' 1-.....-------...~.....'.. -P-'." .,.--~~~-.--_.-,-~----' ~. ~~)~ilr-'~m-C;c~-r") I g l~V "f n m .. _.__~:=....m____~.___m____ i. ,-- -')'n;..{1i. d ~- v~J I, c.' ) i; 7p 1L .-" ; l<n----------~~-d ~ -Mary'-c9:ew~? ,-).&.. ..J./ii,'ci~/:'l ..\);),IJ dJd.-----u B /6-. /5,;{ - j- , No, ~_.?~-:92.-l:l _..____ Estate of M [LORIW S. REED ; Deceased DECREE OF PROBATE AND GRANT OF' LETTERS AND NOW ]anua,nJ 7th 19 97 ' '." I' I ' , . _..:_-~-----_~.J:____...,_..:....L'_'H-'___'___.'.,_____,__" ~_ '"___1 III COIlSlucratlO1l 0 t le petitIon on the reverse side hereof, satisfactory proof having becn prescnted beforc mc, IT Is DEC"EED I I ' (,) I ., M'll"ch 29 1')94 l\. t tat t lC IIlstrUl11cnt s (ntcu~':~.__"__on"'~----!.-_"__.-'-~_"___~__M' described therein be admitted to probate and filcd of record as the last will of ....._____ MlJdl"ed S. Reed and Letters _ T0"t~m"ntn-,"y _._ ..,___.__ are hereby granted to ,___ Je..?_nneR. Rea<:J(J!"~__ ~)/ Crjb.-J..i>. c}f~ ~~;j .C):Y?/JAU}":,{Jj..~.... o Register r Wills MI;I~ C, Lewis FEES Probate, Letters, Et6, '" , , . , " $ 410.00 Short Certlflcates(ll)""""" $...JO.~ Renunciation "(.1.)"""",,, $ 5 . 00 _ ~c~ages __~ L:4. 00 TOTAL _ L~_ FlIed ,,," ,,~~f1!1m,,?~t:t!,l,m,,~~~~~,q David IV. Reager #20868' ATTORNEY (Sup. C\, I.D, loIo,) 2331 Markot Street , Camp HUl, PA 17011 ADDRESS (717) 763-1383 PHONE Called Attorney on January 8,1997. ~~ \d ::0 if ['"'" ..;;j CD , , (L) ~ sr.! , c.... ('-1 0 I" ~ ...... if) '-', , c} [' J, : .1 ~j :'1<_ a3 q:; , , .~ (D t- o S ~.t e I/> ~, ;:+ w 1111'- I'. !ii l<'IIJ!\- IILl! IIlt- 1I11111!1!!11I1:1 11('1' "I\lli i'- \(1111'1 tI\ I.,,_d 1" ~'y.II_11 Ilh (>lII'.IIl_1i '(lllIli_!I( \'_i11 ~'" I'>I\\-_II\/;'d I '''!'lld If 1(11 Iii "I iii' 'd,II, \ 'ILlI \:,-, ';[' '1!li ,II, ,Ii (k,lill ,11111' 111<,1 I'if 1'('llll.llllIII Idlll1'" \"IIIIIII( ,1-, ( lit!; WAf~NING: It IS III"(J~I to dupli(nto 11115 copy by phot",;lilt or I'11OtOW~ph, Nil, ilii!ii;;;iiPi""J" 'i'''''~ ~\1I1 Of PI~'\\ \i'....~ ,,: '. r.r..~.~.. I~.!/~'! '. I:~ '.~~! ! ''->~'' .!i: ~ \ *\' j'~,c_, ,_ i, .1' ,a;, , '-"'....? \-f"A" ,~'I:' , :'!'iIiIH' " :!'i'" :tt."-'f'(!"IIII!!r.1 a. 0- ~ . ~1;~~~f:Ff:~4d<:r h-c 1(11 Ihi., tntflILIl<.', ,~_' illl , 4018728 ,nee 3 11996 [.l,([,' ~~~:'~. ' ~~!llI:nNf;!'l\l~'U!';lI'<~;I"\l~., ",,:t'~';~""~~;)I;1<"'::r",rry\~~-''', U~".wt 'i'': f,',' ,,_~'_~'__?i:t;\'~~'.~1.,11l'7'cO.o..ww.TH(MJ"INNIYI.*HlA.OIfIAfmllNTOfIHlALTH.VrTArRi"cOftOI'~~~!\1iT."_ :._" ';', ' ~~',~,.,'; :'-''''-':'~~'I:'-~-;:-'~~~~-'-"'~~;:--~;~;~. . ':,'t;' ~I~";""'.~'~"'~'.h I CERTIFICATE OF DEATH,"1~~tt....'''-':''" _:I'~-' \~~-~).;,";~:l~~;~',_'.l..:.~.;;i~~~-:; \,.:.:~,-.l._. '\". ., '. JM"'~""'~~~~t ~~,!"--4\O"""'~"""',"I""';, 4 (Coroner)tfI;':f"'''':''.1i'1'~.-l_l''~''''~~'''M;Ii'.lI\';'':,'-'''''~_''':''''''''''''\''......t..':'.. :)\'-'.. ,,:',;,,"'j'.l.-1'},-. t\f':'.....,:"" "", \'-")'i"'~(:;",I-,' '" ,,\ "fwwl'LlllllMfl .'" ", ,,:'. . . ,wtt......lIIt ." .. 'I .~tecum'~ ~OPOIRl-l~.o.y.'IMl1 Mildred . ,"h. S ' '~"""!.' R..d" ,"'",',",,, .,F..al;'" I, 164-01..1117'~.c.mber 28, 1996 ........., litiiiiii'ViNi HlIfIl . tIfO'H ~ Of' H ~~_t"IlfnAllIoI"Q/lQlNl"'" u.,iiij;"~ .--. ".......o.r,....\ Mlcrfo'491C01n)I :- .. ~.. 80,t.... .,: ~\,~" m~"" r.,l1,1916 Pine Grove,PlI _0." -qi~ ""'O,~.. ::::00 " _.II:I'~'" =:"'0 CMH ' w.MI,;;~~.",IW'4~" ._MH4CUl1 HIIMHICl :'-Cu-b';rr::dt;U ~v"'.r ~~.~~';: 824'iiab'ln':ad'r,C~;'p':~111~~t, t:iil::11~__~.~~~j~ -, "''''''r, ~ " ,"""'" ,-, 11." ...=:~c:.-.:::&::Ir ,~- ,b~,. llllluM.~w.:,o/l . _ LI. .AMotUlO LJ ~: !t.\.,.......~ /' ql~1Nbw\1lIITlIf .. .buoew"If.e'.~'."~o.i~ ~~~~1t. ~l.~. Nt ._~. ~ lZH..~_ eif'''''''I,.I. "'W!doWed ,~r~~' ~h. ~'I:,."-' '~.!""_~ t'~ ',_, ~""""~~"......,.....~~ 4~ r '...",..', t...- l:I"j<,;-iOol.l.'\1'1.;.'/i......:,"IIlI'...... ,,,cI...........u........ . ", Lower Allen...- " i 824' Lisbutn R.:>ld Apt 515 Iff '''.,,>. ,.,~;\tjlk\~.\.,.l.t!''w;'(-rtil' :::-a;~, .t~.~\..,'~"\;';!.~,'h,;".)~ ..;.'i,_~~::-~~ It. C51p Hill, Pa 1.,011 . '...... '''' CUrberlttnd. .'~ ......,~.ft' n~.D~"'::'::::'"':".,,~.... ,.' ~ 1'..,'....,.1..".... M'HIfl',....fni!.MoOtII,'.. ..._t'., ,. l~fI'lI"" . . '," YOllM't.......'"'......"""*1o.trwttIi ". . ~ _" ". I' 1Cben: r.teaae '""..,,~,~.'....., lll'I,u(_,-., " ~'...' ,,,~,,"',"''''' N/A~:,'" l...........'/-"""'.,.,i..,\:".'".,.....', '",...n''.Jl''' ~ Jeanne Reager jr -~ '--- ....' 0''''' _0 _..._0..,,,. 0 DIIIlliIfl 'o.p .'" -::~ ' h" . "','f,"',.. -_. -.'.:, -"'::).:' '~'I[~!.~::'.'.', "':i;;l\t'I;I/o~."":I~_" ' .'.'. P"jtb' ,''''<O'~''''O' ,~,...,....tf.,,,,,,,,,,,,,,,'~"""1 ' DIRtft -' ~ ~ ''I' ........,'~, '1'-'- :b. . __ k~ "." ",\I~~,..'t.l">-"I'lir~. , " I, I -",""I,I--\.J". 0\>':"" "':'H""',' 0" , ", '_\"'--1 ',,*"_.\' ''t''I,~r'~'''4-'}''~~.''~ (-ft .w"""~ ........ .~...~. ~~.tt1 ... ." "~-.q','V. ., tl'''.. '1,.1,' ... 0 ..JI( , ... 0, .. 0' OYtl'\';' "'~' 0 """" .._ __~ _.... '" . ' _iM4l~ ~~.,...X.,-J.' -:--4 _ '_,Jt;;;'~...,o.w"",,!~~ ::--~:fjf/"rJ'J~.t "'~......, .~Lf:"-,:,, ''''-.'''''~~_~1tn1\ -'-'!'!!.~'~....,__oi_.;.::__...__.._...,~o' ~AHD ~;~"'''~''''C'''' ilit,.;" ..~............ .....-.........--.........-'.........,....,....'''....''.'.,..................... .. '. lIl,-.... - ,........."" oroner. ...tr~(~~u-r.J,' '_1 ;':;-"r~--1~~. '';'_W;fo.,1"".,., ".~..}:.ft'''''f:~j'''.{If~_''' " ~ .auJ.'. ~~~;_. 1 ~~...~~=~r,:::::..'==:".:t7.-=:...-:....:::."..-l:......,....~..........1. 0 1~~',~.J1.W~...th.Fm~., .j~' Dec.. 30., ~ ~,-,j~.,,~, ' ..,.rI.'.JtJ.....~'lJtH'. . ". ..f~.\.-~l~id.',i,~~~ IlIIClAOON:"Of...iONMtO~ Of..,....J,,".~ ~....:."'.". ~u..:_ ,"};-~;,"'4i.iJ~..;l\lf:I.."tl,~.1~\",);: ',\ ,;(r~;~<r~.~.;'r\.,:,~,..~.."I,:':;;.~4'...\,'tt'~~~_ (*mI1jT,,-IfP'ffnlM1cha.l L. Norr1.., Coroner" .1,[:. ~.......,.............., .~........................,...,IM""'''''''''~''''''''''''' .1'1~' :.,~t 405 Fair",.y Drivli' I' ". ',;' -......,....".........,..".......;,...............,....,.""...,,,,,,...,......,..",""\ql""...., '~' ~U-},in';;" h 1 b PA 170Sc 'i;.' "'" .' , . " .- ., . . f1C_an_c8_ura. .__ ____& ,,' ~ -;';"'?-?A;~'.~- ,,' Hl!'~.JtLJ.. ..., /976 ,'. 't5jg o)!.;; o~.. ;:-:, ... "\-~ 'Ic=' () .';) 'C) .H (b"l' (J -u; jl , . , I"'\.t:~ ' r;:r , :::l 0;. (;) "{t'.., E;-.' c: ,,0 '-''"0 .~ -.2l aa \f' ~ p, tit t \i ~ , "' ~ II ;!Jj. 1 j ~ """' . ~ ..im ~ ~ '" ",-. - ~ ~ "'-~ ~ ,~ ~ ~~c !a ~ ffJ ~ ! ~~O >:I . . . '. J '""'" " ~ 1fiust ~ill una ijJ~stUtlt~ttt of MILDRBD 8. RBBD I, Mildred S. Reed, of 3605 Kohler Place, Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and Testament, hereby revoking any and all prior wills and codicils thereto by me at any time heretofore made,. I specifically revoke my will dated November 14, 1989. FIRST I direct that all my just debts and the expenses of my last illness and funeral shall be paid from the assets of my estate as soon aa practicable after my decease. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable, for the purchase, erection and inscription of a suitable marker for my grave which is in the Rolling Green Cemetery in Lower Allen Township, Cumberland County, Pennsylvania. SECOND I give and bequeath all automobiles, household effects and other tangible personal property, not including cash or securities, owned by me at my death, together with all policies of insurance thereon, to my children, Michael M. Reed and Jeanne R. Reager, providing that they are living on the sixtieth (60) day after the ~ ~ date of my death, to be divided between or among them as they shall agree. In the event that no agreement is reached, the said personalty shall be sold, in whole or in part, as my personal representative shall determine, and the proceeds shall become a part of my residuary estate. In the event that one of my children are not living on the sixtieth (60) day after the date of my death, I give, devise and bequeath their portion of my estate to my remaining child. In the event that both of my children shall predecease me then their respective shares of my estate shall be distributed in accordance with their Last Wills and Testaments probated at the time of their death. Notwithstanding the above, I give, devise and bequeath the following the following specific cash bequests: A. To my friend, PAMELA SHABROOM, or her heirs, the sum of Five Thousand and 00/100 Dollars ($5,000.00); and B. To the Grace Evangelical Lutheran Church at Carlisle Road, Camp Hill, the sum of Five Thousand and 00/100 Dollars ($5,000.00) THIRD I give, devise and bequeath the residue of my estate, of every nature and wherever situate equally to my children Michael M. Reed and Jeanne R. Reage.r, providing that they are 1i ving on the sixtieth (60) day after the date of my death. In the e'vent that one of my children shall predecease me, then I give devise and bequeath the residue of my estate to my remaining child. In the 2 ~1 ~ " -i ~ event that both of my ohildren shall predecease me then their respeotive shares of my estate shall be distributed in aooordance with their Last Wills and Testaments probated at the time of thelr death. FOURTH In the event that any beneficiaries who are entitled to reoeive a portion of my estate have not yet attained the age of forty (40) years at the time of distribution, then I give, devise and bequeath the share of each such beneficiary to my t.rustee hereinafter named, IN TRUST, nevertheless, upon the following terms and oonditions: A. Each share shall constltute and be held, administered and distributed by the Trustee as a separate Trust; B. The inoome and so much of the prinoipal as may, in the sole discretion of my trustee, be necessary for the maintenance, support, medical expenses, and education of the beneficiary, shall be paid to the beneficiary or shall be applied directly for his or her benefit in monthly or other convenient installments. C. Any income not so paid or applied shall be acoumulated and added to such beneficiary's share of the trust estate at the end of each calendar year. 3 A. To retain any or all assets of my estate, real or personal, without regard to any principle of diversifioation, risk or productivity. B. TO invest in all forms of property as my fiduciary may deem proper, without regard to any principle of diversifioation, risk or productivity. ~ ~ c. To purchase investments at a premium or discount. D. To exercise all rights of a security holder or shareholder in any corporation; to give proxies; to join in any merger, consolidation, reorganization, voting trust plan, or other concerted action of security holders; and to delegate discretionary duties with respect thereto. To sell at public or private sale, to exchange or to E. lease, for any period of time, any real or personal property, and to give options for sales, exchanges or leases, for such prices and upon suoh terms or conditions as they deem proper. F. To allocate receipts and expenses to principal or income, or partly to each. G. To borrow money from my corporate fiduciary or others and to mortgage or pledge any real or p~rsonal property as security therefore, in their sole discretion. H. To compromise any claim or controversy without order of court or oonsent of any beneficiary. 6 ~ '\ J , I. To exercise any option, right or pr i vilege granted in insurance polluies or arising from ownership of investments. J. To make any distribution herein provided for in cash, in kind, or partly in each, at valuations fixed by my personal representative or trustee at the time of distribution. IIGHTH I appoint Michael M. Reed and Jeanne R. Reager, Co-Executors, of this, my Last Will and Testament. Should they both predeoease me or for any reason fail to qualify as such Co-Executors, or having qualified, fail to serve as such Co-Executors, then I nominate, constitute and appoint David W. Reager, Executor of this My Last Will and Testament. NIN'rH I appoint my son-in-law, David W. Reager, as trustee of the trusts crftated under this Will. Should David W. Reager predocease me or for any reason fail to quallfy or cease to act as such trustee, then I appoint Dauphin Deposit Bank and Trust Company as trustee of the trusts created under this will. TENTH My Co-Executors and Trustee shall not be required to post security in any jurisdiction. 7 j I~ I~ I~ ~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: I, MILDRED S. REED, THE TESTATRIX, WHOSE NAME IS SIGNED TO THE FOREGOING INS'rRUMENT, HAVING BEEN DULY QUALIFIED ACCORDING TO LAW, DO HEREBY ACKNOWLEDGE THAT I SIGNED AND EXECUTED THE INSTRUMENT AS MY LAST WILL AND TESTAMENT; TIIAT I SIGNED IT WILLINGLY; AND 'l'I!A'l' I SIGNED IT AS MY ~'REE AND VOLUNTARY ACT FOR 'l'HE PURPOSES THEREIN EXPRESSED. SWORN OR AFFIRMED TO AND ACKNOWLEDGED BEFORE ME BY MILDRED S. REED, THE TES'l'ATRIX THIS 29TH DAY OF MARCH, 1994. JlJc(1J-~ ~~/ ;[J~C-t( Testatrix ,/l; I. /" _I I \ I II Notary Public x' /' c;,LJ_.) L<~/L"JI.~'. ')-" .--...,"__...._ COMMONWEALTH OF PENNSYLVANIA ) : 58: COUNTY OF CUMBERLAND ) c;------ N;i!"l:-i:,1 ~:;:.',\ll OotX),tJ.h. L. ::'((:,,:.1\'1."..,;/.1, Not,'ry. Publlo HlIjbhl'\'~_l)d;:pllin C:':'jl':Y My (;\JI !1:ni:;i:~'i- r~>~--r'J:~ ,IWlfl ID, 1994 '.'k111 iUJr, P(liiri~;;lvi;I:,i;:7\~ ~;:~(~~iGiT(,-Jn.;r;rr:;;; '''. t / L I ' 1,1 I, i -) " (' WE, )";1 )Or)( (/,_ "UlleJ C ') AND, {!L/III/ U ('I( Ij, CI, f"C it i THE WITNESSES WHOSE NAMES ARE SIGNED TO THE FOREGOING INSTRUMENT, BEING DULY QUALIFIED ACCORDING TO LAW, DEPOSE AND SAY THAT WE WERE PRESENT AND SAW THE AFORESAID TESTATRIX SIGN AND EXECUTE THE INSTRUMENT AS HER lAST WILL AND TESTAMENT; THAT SHE SIGNED WILLINGLY AND THAT SHE EXECUTED IT AS HER FREE A.ND VOLUNTARY ACT FOR TilE PURPOSES THEREIN EXPRESSED; THAT EACH OF US IN 'l'HE HEARING AND SIGHT OF THE TESTATRIX SIGNED 'I'HE WILL, AS WITNESSES; AND THAT TO THE BEST OF OUR KNOWLEDGE TilE TESTATRIX WAS AT THE TIME EIGH'rEEN (18) OR MORE YEARS OF AGE, OF SOUND MIND AND UNDER NO CONSTRAINT OR UNDUE INFLUENCE. SWORN OR MARCH, 1994. AFFIRMED TO AND SUBSCRIBED TO BEFORE ME, THIS 29TH /)/ 'Gd:_ j :xi;)/}L,t.(2l//) 2{!/tJci~ 'Witness 1 ~,/ I( (c~ L) <7 DAY OF I {JLl~ILt ,( Witness /..J Dt)(I/' Notary PUblic ~ y' /':'). " . J'---->.~<.ItHJ '11" [ --'--~,j:'li.;')i~('"1 ~ Dotxl:~,h L, hl"if,-'rl1:in, Not)/y PubflCi ,1-hil,tl:!f;~'_I)<;;:i-,l:if1CoUi'ty My c,(lliUri";~::i;' L,:';':_'. ,.Iu:!il W, 19M_ '-( ~,,\ ~ji" hift~;y;~;~! !it~;\~;w:;:Uiii'-i;JH,~~;;:;-.. ;>.1-(}7_-J} RENUNCIATION In Re: Estate of MILDRED S REED , deceased. To the Register of Wills of CUMBERLAND , County. Pennsylvania, The undersigned, Michael Reed . of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters TestamentaJ:Y be issued to Jeanne R. Realler WITNESS I I, hand this ~ day of ':'{ ,1996. // {' ','/ //(/ /,.,: /i/r' / ' 7 (Signature) \i , \. 22 Lanes End. Ipswich, MA 01938 Sworn to and subscribed before me .' <' {.>/" ,'" .1....;, " this ...' day of i """ I , I . 1996. ~;Y)IJtY/IY'~ .., . I.&{C(}( {l/:LCY '. Not Public N fARIAL SEAl. RHDNDA L. WOODS, Notary Public Camp Hill Boro, Cumberland County M Commission Ex Ires Se 1.1,1997 Member, Pa'"1\Vh'anill ^,1\oclallon 0 Notaries ~~ ~ :n ,W8 IT " f.;1 ~ ", " ,,-, '-'1 ~, '. [':. .~ , '" "" ~ ~;;: 1 ("', , ~'i .... ;!] ::b w (.'; r.:> Iii :tIi; i::!J 0 ;J>~, ..... w c CERTIfiCATION OF NOTICE UNDER RULE 5,6(a). Name of Decedent: MILDRED S. REED Date of Death:__~j)ecember 28, 1996 Will No,_____.__ Admin. No. 1997-00013 To the Register: I certify that Notice of Beneficial Interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on January 14, 1997 ~ MQ[es~ Jeanne a. Reager 2318 M9M~ilt. Camp Hill. PA 17011 Michael M. Reed 22 Lanes End, lJ,lswlch, MA 01938 Pamela ShabIQQll 20 Citadel Drive Camp Hill PA 17011 Grace Lutheran ChurclL 1610 Carlisle Road, Camp HIli, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except_ None ~;; Signa re Date:_~Y.e.f.U.4.Jji~ 0- i'" rE ,,- \0 0 ~'2 "', D . :~. Ei: l,j ,~ c_ 1 U"\ - , d) ".,.- ~ (\ .'1' -, .,- () , ~. 'y-, ...~ 0 fu p; c! 0:: i:ii - G Name: David W. Reager Address: 2331 Market S1m~mp Hill. PA 17011 Telephone: (717) 763..1383 Capacity: Personal Representative --X- Counsel for personal representative ,I c,_.-_ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 111 .J (,illl1H' R. Rl~ngpr being duly, sworu_ according to law, deposes and sayt that !flO -~---'- ExeclI tr i x _ _________ ot tho Estate of ..__._~.!).;,gE~ S '__~~.~~_.'~._"____~ -~------~._.._--_.. lat. of Cump Hill ., __, _, Cumberland County, Pa.. deceasod and that the within i. an invontory made by.-, tho said ---.....---,-.-,----- of tho .ntir. e.tate of .ald decedent, consisting of .11 tho per,oMI prop.rty and real estate, e.copt real estate ouhlde the Commonwealth of Pennsylvania, and that tho figure, opposite each Item of the Inventory represent It'. felr value .. of the date of decodont's death, ' " ,//':::-;' l~'> \~~:n:t.-R~Li~~~t.:~~rC~ 2318 Market Street Sworn and subscribed before rne, November 13 19 .~~ V) ( Ii. (?f,k:i{dll- 7l7. r!{l.fl? //t.-(r~ , NOlar,,~ seal ~ P\tJ4ic UnQi) M HarrmOn~ Counly ~=f.xpjroe F9~, 26, 200' Io\ember, \'Iinru !\ascx;lalion 01 Nolaries j Camp Hill, PA 17011 ...__.,..---;.........--,.----,-~...............------------~-_.... Add".. Oat. of De.th __28th _c[aY,Q.L,p-"cemberL-1996 " . Day Month YUt INSTRUCTIONS I, An inventory must be filed within three months after appointment of personal representative. 2, A .upplement inventory must be filed within thirty days of discovery of additional a"ets. ), Additional sheets may be att.ched as to personalty or realty 4, See Article IV, Fiduciaries Act of 1949. ~ -d uJ ~ ~ M ~ ~ ..... ~ "" w ..... ~ "- u 0 ~ .'" 'rl ~ ~ 0 0 w Vl ., :J:l Q '" =- w iE ., If. ~ !Z "- ~l c -' I.l. ~ " '" ~ 0 ~ "- 0 I.l. ...J ~ "" LLl 0 <( ~I u { N > Z cr: Z 0 Q ~ V> ~ ~I 0 0 "" U ... Z w "- "tl ~ ... ~ I "i: 0 ~ ..D "tl .... ~ e 0 .. ~ j U iE 0 .. Inventory of 111(1 roal ~nd pomonal oslato of Mildred S. Reed ---~..~...__.._-------- - _..~-_._~.__.---_.- ---..- 1. 1994 Buick Sedan 2. American Exprefls Accounts a) High Yield Tax EXempt ClasH A - $115,950.79 b) Fixed Retirement Annuity - $75,199.30 c) Fixed Retirement Annuity - $75,199.30 d) Fixed Retirement Annuity - $57,316.90 e) Fixed Retirement Annuity - $103.100.92 f) Flexibld Annuity - $134.636.87 g) Fixed Retirement Annuity - Value Plus $34,665.09 h) Fixed Retirement Annuity - Value Plus $30.688.46 i) Fixed Retirement Annuity - Value Plus $61.690.31 3. Dauphin Deposit Bank & Trust Company Checking Account No. 0070741794 4. Return of Security Deposit from The Woods at Cedar Run 5. IDS Mutual Fund Group 6. Vanguard Group - Wellington Fund 7. Income Tax Return - Commonwealth of PA 8. Redbook Magazine Refund 9. McCalls MagazIne Refund 10. TV Guide Refund 11. Series EE US Savings Bond 12. Series EE US SavIngs Bond 13. Series EE US Savings Bond 14. Series EE Savings Bond 15. Series EE Savings Bond 16. Series EE Savings Bond 17. SerIes EE Savings Bond (Not eHgible for payment) TOTAL' cleceased 18,750.0 688,4/,7. 4 7,639. 8 ~ ., . !, 2,307.20 566.04 10,155.57 /,50.00 7.33 11.63 36.31 28.82 27.80 27.70 26.72 26 62 25 60 728.509.16 111'i_l,,(li)I'1II,.I_fj,l\ t- Z C" " C" U '" " W t- ","'" trl[;1 ,"",0 ~-,[~ "- "" ,t- "'Z ww "'''' "'z "'0 u"- "J,-i iJ" ' / I)() 'I>"/I~} L- ~r' ~,:~' ," ,.};~, ~~ "i'~')I' " ""'d,,~tl~ / ,) /-')"1 fOH \IA 11' Of III Alii AflfH 1 'i/:Ill~ 1 (III 1M 111111 If". 'flDUl,Al rOVIHH IHIIlIlI', C1.AIMIIl Jill NIlMIIIIl .'1 <if III11 \ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) '(I Ail IHJMIII !l ()IIIII1' { 1-101 C:OMMONwr AI HlOI PI" t--IH~,'1'l V"-Tl1^ IIll'Al{lMfHI of IHVI :-illl (JlI'I. ','1l0f,Ol ltAIHII'1I\UIIC"l'A 1/1'}Il,II/ilJl _ iil(Ti-llt-ji;~fikMn(i;-<-i,I-\II',f: AI-II; f,lil>!>! Ii" II Itdl Reed, Mildred S. "';'~~:'6i~R~~ ';'~'~[' \"~';/~'~ /'~ 6 1"-;;:;;0f~~'~;I\~~li;~,w;~-,---;;r(;,-j;;-l-" tJAMt i\A-;;-t' li~'" ;,til> 1",t.L1lt i'ldIA') 11",.'H'I"".",,';'illl,\I'i,I;I',', 11\:' I, 1.\ ,,\111 [11 H'''I,d I Api. !llli CHili\, 11111, I'A 17111 \ eml'il( Cumbot' \ /Iud \"""'''''''''''''''''';11'''''''''''''''''' \\;,\I(I'III<lillI ! '\/11/\11 \","""""""""",,'"'''' \:l kYIIIUlnd11i l{nIlH!1 11111 dilto, hI .l!lillh pfli'! Ii. I'J l'll\'1l fndl!i!i\ hltlii' 1m: RllltJfll kltq,drlld z o ~ " ,- 0: .. u w ~ \ \ ~ 1 Or\g\oal Rt'lufl1 \ '1 ~lilppll!Il\UI1I\I\ RuluJ!1 r I \ l,""'ocl [""" ! ",.. lu/["" 10,",0,1 ("o'p,,,,,,,<o (IOf dn\u\ 01 dU(llh t,!lfH \1.\1.0','1 , Ll<i 6, O"oclon' D"d To<''''" I 7 Oo,od..,' M"",,,,i,,,,d n l!,io\ll,,," \ IAlloeh copy 01 Wi\11 IA,,,,,h (ol'Y ,,\ I rolll \AUCORRESP_O~DfNCfANO- CONfiDENTIAL TAX INFORMATION SHOUl.D ll~ OIRfil;TED 10, NA/,'l \fI.IMf'llll /-,I/dlUll' ^llIllif',\ David W. Reager RIiAGlm & A\lI.I':I\, 1'. <:. 11[11";0'" "VM"" 2331 Market Htrl'('l. _\J717_ I 763-1383 CIIIIII' 111\1, I'A \701\ 1 R"o\ ""010 15,,,odulo Alii I 2 Slock\ oncl Bonds (5(hodulo B) ( ') \ 3, C\~~oly Hold Slo(klPdrlnorship \n\oro~I{5c\\(1dulo Cl (3 \ <1, Morlgog0\ and Nolin Ro(.Oivnblt1 {Schudu\o Dl (<1\ 5 (",,,, Bonk Dopo,i" & M"",II""nnu, 1'",,,,,,,1 rropo,ly (S,I 728,361,50 (SdllHhJlll f) 6, Joinlly Owned PropO!\Y (Sdwdu\o Fl 7, Tronder~ {Schodu\/J OJ (SdlOdultl L) 8, Tolol GroH Ano1\ (10101 LiflO~ 1.71 Q, Funowl E:(pOl\\Q~1 Admln\\tfCllivo Co~I~1 Miwllldl1QOU\ E){pcf'\oS (Schodule HI 10. Dohh, Mor19Cl~10 Utlbaltlo~, Uon\ (Sdl0clu\o I) 11. Tt,lol Doduclion~(lolel1lillu\ q & IO} 1"\ (\2) 1131 ,lIdt \ \!l 11\ I f1lqll'~i!mhn( ill ~\\i(t1 DflPll\ll l\{jl.ll\ 161 III (0\ nll.J61,5Q I q I 15,157.01 1, ~96, 71 16,1\53,72 711.907.7B 5,000.00 706.907.78 (101 z o ti .,. 0' ~ (.~ ~ " ., r' l?, Not Voluo elf E\lcl!O {Uno B mh\\i\ LinD III 13. Charilablo and GovlHnmonlC\l f\oquo~t\ (Scho~lulo J) __. .!-~_:.~.?,~~J~.~~~~~l{J.(j__t_o,_~,~_~JL!~l_o'_~_~L.I,~_i,~,u\ LillO 1 :11.__ 15, Spousal TrCll\\for\ {for dulo\ of dUI"\! ,,11tH 6.:'lO.Q41 500 In\lruct\OIl\ lor ^rplknhlo PnfUllllqqn on Itilvnl\fl Sido, (Indudo volu1I\ 1f(llIl ~l(hod(Jln K or Sehnduln M,} 16, Amounl 01 Uno 14 1(1)((11110016(')10 mle (Includo vo\UO\ from Schlldulo K or Schodulo M,) 17. Amount 01 Linn 1,\ jn)(ohli1 nl 1 ~il\/D [(110 (lndude Vdl(lO~ frnm ~lchHlhJln K {If ~)rl1fl(I\J\f! M_I 10, Pdncipo\ InK dun (Add I(I~. 11(,m (inl", 1'), lfl nlll! It' l IQ (rnili,., 'ipoll'.([1 P,1Vl.tly (".dol !'li",1"11111",II'. (It,,,oj\llll 1l\li'fn! (1"1 111>1 101,907.78 5,000.00 \171 3 S ,000.00 , \, 7 ~iO .00 20 II l,ne 19 i, ~r">'''' ,hn" U.." ,n, ",,", '''" dill.."" '" ,," I"" '10 11",,, '"'' Ovr:RrA YMtNI, mil 21, II Line 1f1 j~ (jfP(\II'[ Ihnn lin!' Ill. I'lIlI'l III" dill..l"ni(l ,.I, 1;1'" /1 1111\ I'. !hi' t^X [lur, A. ftllf'r II", inll,[,",1 "111110' h,tI'l'll" .I,,,' ,'11 I..".',' I t, B f'n\('[ tlw !.-11 01 I ,-,f lil",)1 (11101 ;1/, ,,1\ \'111' ill\ 11.,-, il... 1\^I^UCI' (lilt Moko Churli Ptlyn\JIIl 10: Illl(li~llIf of Wllh, ^"llfll ,..,.. II[ SURf 10 AN,Wfn MI, QUF.IION, ON ~fvrn'Ol '.\Il1 ^Nlll0 ,~I'CIH'CK MA,TH, .l(,~ lI~d.. 1""",I'i,,', 01 ,,,,,,u'y, , 01",',,,,, ,,,,,, II..",' "'''''''''',,\ ,I", ,"""", ""\,,,1""1 "",,,,,,"'"1''''' ".I",,'''''''' ",,,I ""''''''1'''"', ""d ", ,I", 1,;",(.1 ,,;y k,;~';'-';dg;';;;;,j-ri,;ji;f, ,'" '''''', '""~,' ""d """1'\"'" I d",f,,,.. ,10,,1 "II ",,01 ''','",,, "",,,,,,,,,, """,,,,,,1 ", "".. "",I", "",,,, \1",10""(,,,,, ,,11""1""'" ",I"" ,10"" ",,' 1'"""",,\ '"1'''''''''''''''" i. \HIH1c! 01\ (lll Il\I,HIIHlIIOfl 01 wllit'h 1'11'1"1["111"" "11)' 1",,1/11,,1;1" W~llt"''':~'''I:'';''''/'(''t;I~r' (:' ;/ ,," ""', ,"'" 'i ,J( ,'~ ,I li11 ,It l'iU, ,d 1 Ii , JlIII ~ i1(1)1 1'11'1'( ii, I f' , II ' i 'I ' I' ,I . " / ' I 'J I' .r I , 111\11 ",\1( REVl50QHt (11.99) ~~ COMMONWEALTH Of PENNSYlVANIA INHERITANCE TAX Il.ETURN RESIDENT DEeWENT .- - SCHEDULE F JOINTLY-OWNED PROPERTY MILDRED S. REED - j FILE 'NUMBER~' -- 21 97 0013 __e__.._"_ _____"__~__.__.____.___..__ ESTATE OF Joint tenont(.). NAME A. Tyanna Reed ~______ AD!?,!~.s______~__ ---'!.ELATIONSt:tIP TO DECEDENT B. C. Jointly-owned property. ITEM LETTER DATE FOR TOTAL VALUE DECO'S DOLLAR VALUE OF NUMBE JOINT MADE DESCRIPTION OF PROPERTY TENANT JOINT OF ASSET % INT. DECEDENT'S INTEREST __H_ 1, A 4/93 Series-EE U;S. Savings Bond 57.64 50% 28.82 $100.00 2. A 3/94 Series EE U.S. Sa'$ i1l8s Bond 55.60 50% 27.80 10 .00 3. A 4/94 Series EE U.S. Savings Bond 33.40 50% 27.70 $ 100.00 4. A 3/95 Series EE U.S. Savings Bond 53.44 50% 26.72 $100.00 5. A 4/95 Series EE U.S. Savings Bond 53.24 50% 26.62 $100.00 6. A 2/96 Sedes EE U.S. Savings Bond 51.20 50% 25.60 $100.00 7. A 6/96 Series EE U.S. Savings Bond Not eligible $100.00 for paymen t ($50.00) ___._~_1___ _____ ________IO~ A~.IAlso ~nl.r o~ln. 6: R.co~~t~icl~onl __ .:.J_6.:! . 26 ____ (/I more space /5 needed inserl additional sheets of same size) ~ I V 1\ l\ II' I' "ql SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ptea.e Print .r Tvpe . . - -_: I~fN.~f~~~..~:'I~~~~~~~::~.:~-=-~ ~s ((jMM{lr~wrALII! 01 I'rlHIC,YI'/Atll/l INllfMI fMIf.! lAX I~f 'lJUI~ Rl ~.IlHI~i (Hell/tIn EST'Attof.~ .,. ITEM NUMBER Ml1.1lRED R. REED DESCRtPTION A, Funeral Expen.." B. 4, C. 1. 2, 3, 4, 5. 6. 7. 8. 1. Myers-Harner Funeral Home 1903 Market Street P.O. Box 291 Camp Hill, PA 17011 Charlene M. Myers Catering - Wake Michael M. Reed - Family Dinner Wine & SpirIts - West Shore Plaza - Lemoyne West Shore Country Club - family dinner Admlnl.tratlvo Costs: Personal R(}proscntalll/o Commissions Social Socurily Numbor of Porsonol Roprosonlollvo: 1. Yoar Commissions puid 2, Allornoy Foos Rengel' & Adler, P.C. 3. Family Exomplion Clolmonl .... Rolollonshlp Add.." 01 Claimant 01 docodonl" doalh SIroet Addross AMOUNT 4,743.00 971.71 240.15 401.73 113.80 8,000.00 City .............._..._ . ...._~..._...Slal. __-,- Zip Code_.- Pro bolO Foos Cumberland County Register of Wills Mlscellanoous Expon.o" Rick LisBe - Removal of furniture from houBe, Wire tranBfer fee for lDS Mutual 'und Cumberland Law Journal The Sentinel 469.00 100.00 8.50 60.00 49.12 TOTAL (Also onlor on lino 9, Rocapltulallonl S 15,157.01 (II moro .pace I. neodod. Insort additional .hools 01 .ame .1...) -- A. To retain any or all assets of my estate, real or persona 1, without regard to any principle of diversification, risk or productivity. B, To invest in all forms of property as my fiduciary may deem proper, without regard to any principle of diversification, risk or productivity. c. To purchase investments at a premium or discount. D. To exercise all rights of a security holder or shareholder in any corporation; to give proxies; to join in any merger, consolidation, reorganization, voting trust plan, or other concerted action of 'security ~ ~ \ holders; and to delegate discretionary duties with respect thereto. To sell at public or private sale, to exchange or to E. lease, for any period of time, any real or personal property, and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions ~ as they deem proper. To allocate receipts and expenses to prind.pal or income, F. or partly to each. G. To borrow money from my corporate fiduciary or others and to mortgage or pledge any real or personal property as security therefors, in their sole discretion. H. To compromise any claim or controversy without order of court or consent of any beneficiary. 6 PURPOSE OF NOTICEI To fvUIll th. uqulrelll.nh of Saotton 2145 lb) of the Inherlhmol Ilnd E.tah Tall ~ot, Aot 21 Qf 1995, 02 P,S. S.otlon 914S), P~Yl'1ENT I Detaoh the top portIon of thl. Notice and 'UbMit with your pelylllent to the Reghter of Willi pt'l"tld on thl rev.rll .Ide, n l'1akl chick or lIIoney ord.r payable tOl REGISTER OF HILLS} AOENT. REfUND (CR)l A refund of a tax credit Ray b. rlque.ted by cOIPI.tlng an "ApplicatIon for Refund of Penn.ylvanla Inheritance and E.tate Ta~" (REV-1313), Appllc~tlon' are av~llable at the Offloe of the R~ol.ter of Will., any of the 23 Rllvenue Ol.trlct OffiCI' or f,o. th, Oopart~ent" Z4.hour answering ..rvice nUllb.r. for forI' orderlngl In Penn'lyl...anla 1"800-36Z'ZOSO, outllde Pennlvl...anla and wUhln local Harrisburg aria (17) 787-8094, TOOl (717) nZ-ZZli2 (Hoorlng l.paIred Only), DBJEClIONSI Any PlIrty In Interest not 11Itl.fled with thl asusUlent of tax III shoHn on thh notlc. May Object within Ilxty (60) rlllYI of rllolllpt of thh Notloe bYI --wrItten prote.t to thll PA O.pttrtMent of R....oInUI, Board of ~PPlUlll, a.pt, Z81OZl, Harrhburll, PA 17128-10Z1, OR --Ihctlng to have the IlIllthr deterlllned at audit of tha perlonal ropre..ntlltlve, OR ~-appaal to tha Orphen.' Court. ADHIN- tSTRATIVE CORRECTIONSl Fllctual errors dlscoverad on thl~ ass.IIM8nt should ba addr.slad In writing tal PA Dapartatnt of Revenue, Bureau of Individual Ttlx&s, ATTHI Post Auus.ant Revlelol Unit, Dept, ZlS0601, Harrllburll. PA IllZ8~0601, Phon. (717) 781"6S0S. See pftgG S of the booklet "Instructions for Inhorltllnce r!llt Raturn for a RuIdant Dacadent" (REV-1S01) for an explanation of adMinistratively correctable .rrorl, PENALTY I The IS>; ta~ ftllnuh non'ollrtlclpatlon panalty is cOllputed on the tot81 of the ta~ Md Interelt auenad, Ilnd not paid before Jftnuary 18, 1996, tha first dey after tha end of the tftX IlIlInasty parlod. This non"partlclpatlon panalty 11 eppealflbla In the Ifllle lIenner and In thlil tha ~a'a thl. Pllrlod 1'1' yoU would apPlllll the tax and Interut that he. b,en a......d al Indlcatad on this not lei. INTEREST I For datu of dutlt on Dr after 10-3-91, Pennsyl...anla E,tate ra~ based on the Feder'a1 E.tate Ta~ r.turn becollU dGllnqUGflt at th. e~plratlon of nlna (09) Month. fr9' tha date of death. For datu of duth prIor to 10~3'91, Pennl'ly.lvanla EstIlte Tax bued on the Federal Estete TIl~ return becollu dallnqullnt at the uplretlon of eIr;Jht.en (18) .onth. froll the date of death, TIlxu which b.~l!Il1e del1nquent befara January I, 19&Z bear Int.rut lit the rllte of Ilx (6iO par cent per annUM calculated at a daJIy rate of ,000164, All tawal which becellla dellnquant an or after Jenuary I, 1982 will bear IntarQst at a rate which wIll vary fro. calondar yur to calandsr yeftr with that rftt. announced by the PA Dapart.a~t of Reyunue. The ~pplJcabl' Intere.t rflt., for 1982 through 1998 ftrel Vur Interut Rate nally Interut Factor Vur Int.rut Rate Dally Interut Factor 1982 ZO% ,00OS48 1987 9% ,000247 1983 16% .000438 1988'1991 11% ,000101 1984 11% ,000301 199Z 9% ,000247 1985 13% .000356 1993-1994 T% .00019Z 1986 10% ,000274 1995-199& 9% .000247 --Interest II calculated .. lollowsl INTEREST' BALANCE OF TAX UNPAID X NUMBER OF DAYS DE~INQUENT X DAILY INTEREST FACTOR --Any Hotlcl tuued after the tax bloo... delinquent wit! reflect an int.re.t calculation to f1ft..n (5) day. bit yond the date of tha ftuu...nt, If paYII."t 11 IIftde flftli t", Interut cOllputation dat. .hown on the Notice, addittonal Interut IIU.t be calculatlKi, BUREAU OF INDIVIDUAL lNtll.RITANCl TAX IlIYISION UlflT.i'80601 HARRIS&URO, Pi, I/IZf!'1l60! TAXES COMMONWEALTH Or- PENNSYLVANIA DEF'ARTMENT OF REVENUE / 'I 'j NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISAl.l.OWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN l:"",=,:I=~"T-=~:~~~=~ ] MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iffV': is"4-j -Eif -A F p" f of 97 Y-NOT iCE - -6 F -YNH Eiii;: Atie Ii - TAX- A-PPIIA i sF. HEN T -; -A l. rOWA tic Ii - OR - -.. - - -- - - - - - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX MILDRED S FILE NO. 21 97-0013 ACN 101 DAVID W REAtlER REAGER 8 ADLER 2331 MARKET ST CAMP HILL PA 17011 ESTATE OF RHO TAX RETURN WAS I (X) ACCEPTED AS FILED , ,- RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Elt.t. ISchadu1. AJ 2. stocks and Bonds (Schadule B) 3. Clo.ely Hold stock/Partnership Inter.st (Schedula C) 4. Hortg.gMI/Noto. Recn!vabla (Schadu18 OJ S. Cuh/Sank Deposita/Hisc, Pal'sonal Property (Schedul. E) 6. Jointly Owned Propert,y (Schedula fJ 1. Transfer. (Sahadula G) 8. Total Assats 02-16-98 REED 12-28-96 21 97-0013 CUMBERLAND 101 1 CHANGED ll) (21 ( 5) 14) (5) (&) (7) ,00 ,00 ,00 .00 728,361,50 ,00 ,00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expen5es/Adn. Costs/Hisc. F.xpense, (Schedule Hl 10. Debts/Hodgage liabilities/Liana (Sehadul. IJ 11, TDtd Deduot ions 12. Nat Value of rex Rllt\lrn 13, Ch.ritabla/Govarnnantal aequasts) Non-alectad ~115 Trusts (Schadule J) 14. Nat Value of E shi. Subject to Tax NOTE: 15,157.01 1.296,71 (111 1121 (13) 114 ) (9) 1l0) '*' lt~'IH/II 'f~ (0' tll MILDRED S DATE 02-16-98 NOTEI To inJure proper oradit to your account, lubnit the upper part ion of th1. forn with your hx paYll1ont, 728,361,50 16.4~3 72_ 711,907,78 5,000,00 706,907,78 If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of ahh returns assessed to date. ASSESSMENT OF TAX: IS, Anount of Lin. 14 .t Spou.al rat. 16. Allount of Una 14 hxabla at t.1naal/Cla.. It rat. 17. Allount of lina 14 taxable at Col1.t~r.l/Cl... 8 rat. 18. Principal Tax Du. TAX CREDITS: PAYHEMT DATE 02-28-97 11-13-97 RECEIPT NUHBER -Ml'85212 AA242458 DISCOUNT (+) INTfREST/PEN PAID (-) 1,842.11 68.43- .00 X ,00,_ 701 , 907 . 78 K ' 06" 5,000,00 X .15"_. I1B) (15)_ 11&) (17)_ AHOUNT PAID 35,000,00 6,114,46 ,00 42,114.46 750,00 42,864,46 TOTAL TAX CREDI~ 42,888.14 .-~._-_... -".-----.-- BALANCE OF TAX DUE 23,68CR --.-. - INTEREST AND PEN. .00 _.~---------- ._-_._._~_._----~. TOTAL DUE 2~. 68CR -_._---_._~.__._- --.._---------~--~.- . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCUl.ATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFI.ECTED AS A "CREDIT" (CR), yOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS fORH FOR IMSTRUCTIONS.I RESERVATION, E,t.t.. of d.cld.nts dying all or blfor. Deoe.blr 12, 1982 ~- If IIny futurl Intlrut In thl IIhte II tr"nlflrred In POllllllon or .njoy.ent to Claft. 8 (oollatlral) blneflelar!e. of the dlc,dant after the IKPlratlon of IIny Iltat. for Ilflor for y.ar., the COMMonw.alth h,rlby eKPrl,.ly r".rve' the rlAht to ftppral,e and II"'" tran!f'r Inherltancl Tt~e. .t the lawful Chili B (collater'all ration .ny .uoh future lnterut. PURPOSE OF NOTICE I To fulfill the require..nt. of Section 2140 of the Inheritanoe and E.tatA Tax ~ct, Act 21 of 1995, (72 P.S. SlctIon 914BJ. PAYHENTI Dltech the top portlon of thl. Notlce Bnd subllllt with your pa'ylllnt to the Reght.r of Will. printed on thl rlvlrn .Idl, --Makl check or 1I0ney order psyftbh to: REGISTER OF' HILLS, AGENT REFUND (CR)I A r.fund of fl taJIC <lredlt. which was not reqllutld on the fa)! R.turn. .ay bl requlltld by oo.phtlng an "ApplicaUon for R.fund of Plnn.ylvanls Inh.rltanc. ftnd Estatl Tax" (RE~-1313), Applications IIrl avallabll at the OffiCI of the RIDghter of WUlI, tiny of the 23 R~v,"ue Ol.trlct OfflC8I, Dr by calling the ,pldal 24~hour an'wI"lng servlne nu.ba,. for forlll. orderlngl In Penn.yl",anh 1-800-362.2050. out.ldl Plnn.yl",anla and wl'hln looal H!lrrhburg ftrea (717) 787-8094, TOOl (717) 772~22!J2 (HearIng I.palred Only), OBJECTIONS I Any perty In interut not 5!1tl.fJed ~Ith the npprnIs8ll.nt. ftllowancCI or dlsallOlolancll' of dlductlons, or aSSlunnt of tax (Including discount or Intlrflllt) ll5 shown on thlll HoUe" .ust Object within s!>dy (60) dl!!lYI of recCllpt of thla Notlcl bYI "'written protlllt to the PA Oaparhlnt of Rlvenul, Board of Appealll. OClpt. 281021. tiarrlsburg, PA 17128-1021. OR --election to ha"'e the llIatter d.ter.lned l!!It audit of the account or the personal r.pr.."ntntl",,,, OR ~~apP(ull to the Orphl!!lns' Court, ADI1IN ISTRATI~E CORRECTIONS, Faotu~l .rror. dl.cov.red on thl. al......nt should be l!!Iddrel..d In writing tOI PA n8p!lrt~lnt of R.vanuo, Bureau of Indlvidwtl T~xu, ATTNl Po.t hsunent Re",lew Unit, Dlpt. 280601. tiarrlllburg, PA 171Z8~0601 Phon. (717l 787-6SBS, SII page S of the booklet "Instruction. for InhClrlteMCl Tal( RQturn for a RuldCln't OClc.dent" eREV~150l) for an el(Plenatlon of ndllllnl.tratlvllY correctabll ,rror.. DISCOUNT I If any tax due I. paid wIthin thrl' (3) calender lIonth. aft.r th, dee_dent'. dlath, a fIve percent e5%) dl.count of the talC paid I. allowed, PENAL TYl Thll lS% talC a.n..ty nan-participation p.nalty II COMPuted on the tot81 of the tax and Inter..t a,.....d, and not paId before Janufiry 18, 1996, the fl""t da-y after th. end of thlll talC l'u.nuty p.rlod. This non-p~rtlclp!ltion p.nelUy I. app"al~ble In the Iftllll unnor and In thCl the Sll.. tI.e periOd a. you would appeal the talC and internt that has be.n a......d ~. Indlcatld on thl. notlc.. INTEREST I Inter..t I. charged b.glnn!ng with flr.t day of d.llnquClncy, or nine (9) lIonth. and ona ell day fro. the dati of d.ath, to the date of pay..nt. Tal(e. which b.calll, d.llnqulnt before January I, 1982 belr Inter..t at the r!lte of .Ix (6%) p.rc.nt per annuli caloulatad 8t a dally rat. of ,000164, All tllxePl which baCilli' dlllnqulnt on end after January 1. 1982 will banr Inter..t at a rat. which will y~ry frolll c!lllndnr yaar to cftI.ndar y.ar with that rat. annaunc.d by the PA D.part~.nt of Rlvenu., The appllcnbl. interelt ratal for 1982 through 1998 ar" '!!!t Intarut RlIta Dally Int.!.!'.t Fftctor Ym !!!.~erut Rat,! Dlllly Intarcut F!lotor 1982 20% ,000548 1987 9% ,000247 1983 16% ,OO04!8 1988~1991 11% ,000301 1984 l1,l: ,00UOl 1992 ,% ,OQ0247 1985 U% ,000356 1993~1994 7% ,DOOI9? 1986 10% ,flO0274 1'195-1998 ,% .000247 --Jnter..t I, oalculat.d &1 followl! INTEREST . BALANCE OF TAX UNPAID X NU"BER DF DAYS DELINQUENT X DAILY INTEREST FACTOR ~~Any Notloe 1..ued aft.r the tax b.~o..' d.llnquent will r.fleot an inter..t calculation to flft.en (IS) day. beyond the dllte of thli 1II....II.nt. If pllvunt I. Ijftd. efter th. Int.rut cOllputatlon dsta .hown on the NotlC8, addltlonaJ Inter..t ltU.t b. Cl'tltultlt.d, PAVHEMT I D.tach tht top portion of thh NoUoe a:nd .Ub.it with your p!I",..nt iliad. Ptlyablti to the nlM. and addr... printed on the rev.r.o .ide, If RESIDENT DECEDENT Make oheck or IIlcnQy ordllr payablll tal REGISTER OF WILLS} AGENT. If NON-RESlDENT DECEDENT _ake ch.ok or .0nlY order pmYl!lble tal COHHOHWF.AL TH OF PENNSYLVANIA, REFUHD (CRl I A r.fund of a tex credit, whlch wu not rllqu811ted on the Tal( RClturn, ,nlY be requested by cOMplaUng an "APplication for Refund of PennsYlvania InhCl"Jtanc. !!Inu E.\lltCI Tl!lx" (REY~1313l, AppllclltJ0l'11 are avallabl. at f.he Offlo. of the Register of WIlls, any of the 23 Revenue Olstrlot Offlou or frail the Oepartllent" 24~ho\w answ.ring ,ervlcl nUMber. for for.. orderIng: In Pennsylvania 1-800.362~ZOSO, out. ide Penn.ylvanla and within local HarrisburlJ area (717) 787-80941 TDOII (717) 772~Z2S2 (tlnring IIIPaJred cmly) , REPlV TOI Que.tlon,relJardlng error. contalnad on thla notice chould be addreaved tal PA Oepartaont of R.....nu., Bureau of Indl...ldual Taxe., ATTNI Poat A....I~Clnt R....i.w Unit, O.pt. 280601, HarrIsburg, PA 17128-0601, phone (717) '147-6S0S. DISCOUNTI If any tax due i. paId wIthIn thr~' (3) cal.ndar ~th. aft.r the deoed.nt's death, ft flv. percent (S~) di.count of the tex paid 11 allow.d, PENALTY I The lSY. taM a.ne,ty non~particlpatlon p.nalty I. r,o.putad on th~ total of the tax and IntQre.t u'la,.ed, and not paid b~fora january 18, 1996, the flrat day aftar t~ and of the tax aMn..ty p.riod, INTERESTl Inter..t 11 chargod baginnlng with fir.t day of dsllnquancy, or nlna (9) ~onth. and ona (1) day fro. th8 date of d.ath, to the data of pay_ant. Taxe. which b.ca.. delinquent bafor. January 1, 1982 blar lnt.re.t at thl rat. of IIlx (6%) peroent p.t annl,ll oahlUlated at ft dally rat. of ,000164. All taxu which blctl.. d.lInqulnt on and after January 1, 1982 will blar Int.rut at II rat. which will vary fro. call1nder yenr to callndar yur with that rat. annQunced by the PA OepartM.nt of R....enu.. Th. applicable 1nt.rut rl'ltu for 1982 through 1998 ar'l Vear Interut RaU Dally Int.ra.t faotor V.., Inter..t Rat. Dfll1y Intere.t Factor 1981 20% ,000548 19ft7 9% ,000247 1983 16% ,000438 1911<I-1991 11% .000301 1904 11% .Don01 1'1'/2 9% .000241 1985 13% .000356 199J~1994 7i: .DDDl<<J2 190' 10% .000274 1MS-1998 9X ,OOOZ47 ~-Inhrut Is calculatld .. folloWll INTEREST = BALANCE OF TAX UNPAIO X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --AnY Hotlol i..uld aftar the taM bleo.'1 dlllnqu.nt will r.fllct an Interllt caloo1~tlo" to f{ftCltn (IS) dMY' blyond .thl datI of tht u......nt. tf pay..nt II IIl!ld. flft.r the lntarut co.puotatlon dllt. .Mwn on the Notice, additional int.rl.t Mu,t be calculatod. PURPOSE Of NOTICE: PAVMENT I To fulfill the requ!rMt8l'lh of Seotion 2145 (b) of the Inh"rltano(l "nd Eltttlto, hx Act', Aot l!l of 1995. (72P.S. Seotion 91461. Dataoh the top portion rever~C1 side. -- Make check or ~onClY of this Motioa end SUbMit with your peyaent to tho Register of Wills printed on the ord~r payable tOI REGISTER or MILLS, AGENT, REFUND (CR1I A rofund of l'l tax credit IIlI!lY be roqu9stotl by complf\tlnQ till "AppllcnUon for R(lfund of Pennsylvania Inheritance and Estate Tax" (REY-l3UI. AppllcBtJons flre nVflllablcl at thE! OHiu" of the Reghhr of Wills, "ny of the 23 Revonue DIstriot Officos or froll the Dorartment's 24-hour answering servicCl nUlllbel'5 for fOr/u orderingl In PennSiYlvani6 1-800<~62.'?050, outsldg Pennsylvania flnd wlthln looal Hurrlsburg lIreo (717) 787-8094, TOOk (717) 772-2252 (Hearing Impulred Only). OBJECTIONS: ADHIN~ ISTRATIVE CORRECTIONS, PENAL TV: HITEREST: Any party In lntorost not saUllfied with the RSStlSS~ont ot tax as shown on this notice .ay objoct wl1hin sixty (60) days of receipt of this Notl~e by: --written protest to the PA [IElPartllont of RovenlUil, 80l'lrd of Appeals, Oept. 261021, Harrisbura, PA 17128-1021, OR --eleoting to hllve tho Ilattor detendnocl at audit of thll porsonal reprOBontatlV€I, OR --appeal to tho Orphans' Court Fa(ltLial errors dlsoovnrod on this assossIllDnt should bo addressed in writlng to: PA Departlllent of Revenue, Bureau of Individual TaxBS, ATTN: POllt "'ssOsSll9nt Revi9l<l Unit, Dept, 280601, Herr!sburg, PA 17128-0601, Phone (717) 7,1,7-6505. Sea paga 5 of the booklet "In&t1'uctlons for Inhor.ltance Ta:< Roturn for 8 Resident Decedent" (REY-1501) for an explanation of adllllni5tratlvaly corroctsbl& elTers. Tht! 15% tax unQsty non-partloipatlon PQnalb 15 oOMputed on the total Clf tho ttlX and Interest aSSillssed, and not psid before January 18, 1996, the first dl'lY lifter the end of the bx aMnesty PQrJod, Thls non-partioipatlon penalty is IIppe818blo in tho &S",9 lIentler and in the tho sallie t1111e periOd liS yoU would appeal the tax Dnd intllrest that ha~ been assessed flS indicated on this noUof!, Add.ltlonl!ll Pennsylvania Estatll Tax assessed ss a rosult of 8 chango on tho redersl Eshlto Tal< closing hitter beco.es dll'll1nquent at the e_\(plrfttlon of onD (11 Month frot! tho "lite the flnfll notioe of the lncreaso in Federal Estate Tax is reoeived. Tft~es which beon_" delinquont beforq J"nuar~ 1, 198?, bear interest at the rftte of sIx (6%) portent pet annul caloiJlmtod lit fl dally rElh of .000164. All hlxQ& whlohtlOCflllle delinquent on or nfter Jllnuary I, IlJS2 ",111 bear intltr8fit nt a rahl ",hich will vary from calendar year to oalendar lJear with thflt ratg announoed by the I'A Depftrt.ent of Revenue. The Ilppllol'llble lnturost rntes for 1962 through 1998 ar81 '!.2!; !.~2.~!.tJit!!! Dally Inter'ost Factol' ~ Interollt Rato ~f\tetest Faotor 1982 20X .flOO548 198.' 91. .000247 1983 16r, .000438 1988 -1991 11% .000301 1984 111. .OOO~OI 1992 91. .00024'7 lCJ6!i 13% .000356 199~~1994 7% .000192 198. 10% ,000n4 1995-1998 9% .000247 --Interollt is oaloulated .. followsl INTEREST ~ BALANCE or TAX UN PAlO X NU"BER or DAYS DELINQUENT X DAILY INTEREBT FACTOR ....Any Notloo lllllUQ<I eftor tho tEn< bMClltle5 dulinquellt wIll r(lfleot on interest oaltullAt10n to fifteen (IS, d8Yll bnontl the dRto of the rlliStlSSllent, If ptlYlIIont Is IIndo flftor the interest COIllPllttltion dfltll shown on th" Hotic"., nddltionftl Inturost "ust liD Gnlcullltetl,