HomeMy WebLinkAbout97-00156
PETITION .,on PROIJA TE Rnd (iRANT OJ' LETTERS
Errore a! _k:.'._dLLlLU ...LS.,_~WA.",..,:", No. ...dl::/':_ (1 J~_ I_~~~_______
also known as __.~____. _. ..__, ___.... To:
___.__.....___..._u.._______, . .._. Register of Wills For the
---.---~-....-.--7,..C.. Deaa.w/. County of (...J.'.Lll.I.~"L'1 t'~ In the
Social Security No. _J.J.~~...L~LJ:L3._,-'_Z.._ _ Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petltloner(s), who Islare 18 years of age or older an the er.ecuu,-IL
In the last will of the above decedent, dated. I ~(]).tJ:..l.:iluit.:8 _
and codicll(s) dated ____....._
nam.Qd
. 19..2..:?-
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(stRle relevanl clrcnnluances, /l.g. renunciation, death or executor, tIC.)
Decendent was domiciled at death In & I)] I.3.I:'R Lr.\I..,,[) County, Pennsylvania, with
~I .S last family or princ~~1 r~sldence at _..C L~~. C~)' lJUJ..7IU,;< ~ S 1 P (.
jQmf. ("I.Aw>'IIJOI<.,T 4/~ (/Jr'Z'_<.l<!~.ii.tLL)Q~~ lV"P-
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(list Slreet, number and mundpalllY)
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Decendent, thFn ....Q.!:,..__ years of age, died .........l.Q._~_!~ML),q(L'1 ,19 f ,
at ({)/?1AI!A"'u&-_ CO,)..:. '..lj(_..A..4.lF ~>II->L. J(..c.nJ t:i I _"_'
Except as follows, decedent rtid neft marry, was not divorced and dtd II0t have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
Incompetent :
Decendent at death owned property with estimated values as Follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as Follows: '9' IJm,., If. <" r ;;; 7") U "0 fI. m [e..../
$ /, (.lC>C' Co()
$
$
$
s,f!>,o,1:C (}A-r.1o'{~
WHEREFORE, petitioner(s) respectfully
prt<ented herewhh and the grant of lellers
theron.
request(s) the probate. of the last will and codlcil(s)
Tf5r/M'YWf\lTA/'..'f
(testamentary: administration c.l.a.; administration d,b,n.c.l.a.)
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALE1 OF PENNSYLVANIA lss
COUNTYOF__ mbU\a.1l6 J
The petltioner(s) nbov,,-named swear(,) or affirm(s) that the statements In the foregoing petition are
true and correct to the best ollhe krlC\wledge and belief of pelhioncr(s) and that as personal represen.
talive(s) of the above decedent pelidoner(s) will well and truly administer the est ordlng to law.
Sworn to or affirmed Jlld subscribed j t,,/L-d2. ,J2.
be ore me this 1 a..::.~__ d~ of
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No. _.21-97-15(~____
Estate of WILLIAM B. SPONG, SR,
I Deceased
DECREE Oi" PROBATE AND GRANT 01<' U~'fTERS
AND NOW ..!.~~UA~~~L.________.______.____ 19_.~2...., in consideration of the petition on
the reverse side hereof, satisfactory proof having heen presented before me,
IT IS DECREED that the Instrument(s) dated__DECEMBER J~_...!2J_L.
described therein be admitted to probate and flied of record as the lasl will of
WILLl~..JL_SPONG, ~.!
and Letters __ T~~STAMJlliXill .
are hereby granted 10 WILLIAl1 SPON.~....J.R.,
~. r' '
'rYh,~ t. "" ,lIJt-l, (' .a . ~f.l.e;u,~
Reslller of Will.
FEES
Probate, Leller!, Etc. ....".,. $..lJt~
Short Certiflcates(s ) , . . . , , , . ,. $ 1 5, nn
~ I\X'l'M .1?~(JJl...., $..J.,.~
JCP $ 5.00
TOTAL _ $ 41.00
Flied ,F,Ji;IlRI1MI.Y, .~Q,. .l.9.n"......",..
A rrORNF.Y (Sup. Cl. 1.0. No.)
ADDRESS
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CALLED EXECUTOR FEBRUARY 21, 1997
21-9'7-156
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COMMONWEALTH 0' PEHN8VL~NIA . DEPARTMEHT Of HEAUH . VITAL RECORO.
CERTIFICATE OF DEATH
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W!lliam B. Spong, Sr.
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Wormleyaburg, PA 17043 ~f.III:'~ cumberland ~l Mo~MlI
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M)P'IHAMI'kll,,,,,,,*,lMll ~THE~'NAMe(f.,.t,l.J(N ~SulNmel
,Jacob Spong ,yala Catherine Carlisle
WI 1Hf00000000'W.II.INQA5oMu~CIt,fbotn.SWI~
William B. Spong, Jr. ~20 Grandview Ave.,Mechanicsburg,PA 17055
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....)it o.--[J ~1rcM1Wll[] (MonIrl.t....v'/Nlll Of 0Iht1 I'\It.
__ _ 01 ~'eb.3, 1997 B~ue Ridge Mem. Gardens /lE::isburg,PA 17112
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~, forever,to my son WILLIAM B. SPONG, ,JR., of Lisbum, Cumberland County,
t~\pennsYlvama,
"c~~ "'I'IRD: I hereby appoint my son, WILLIAM B. SPON(;, ,JR" of Lisbum,
\ . 'Cumberland County, Pennsylvania, Executor of this my Last Will and Testament and
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21-97-156
LAST WILL ANI) n;STAM.:NT
I, WILl.I!\M B. SPON(;, SR., of' Wormleysburg, Cumberland County, Pennsylvania,
being of sound and disposing mind, memory and understanding, do h\lreby make, publish
and dedare this to be my Last Will and Testament. hereby revoking all other fonner wills
and codicils at any timc heretofore mad(~ by me.
naST: I hereby direct my Executor, hereinatler named, to pay and discharg\l all my
just r.lebts, funeral and testamentary expenses liS soon after my decease as may be
practicable,
SECOND: I hereby give, bequeath, and devise all the rest, residue, and remainder of
my estate and property, real, personal, and mixed, of' whatsoever nature lInd wheresoever
situated, of which f may die seized or possessed or to which I may be entitled or of which--'.'
.'
I may have the right to dispose at the time of my death, absolutely and in fee simple
direct that no bond or surety be reqUired of him in this or any other.l urisdiction for
faithful pertbnnance of this office,
IN WITI~ESS WHEREOF, I have hereunto set my hand and seal this _jr~_
day or~ir/1&kL, 1995,
S,wcyp Dnd" SlJb~'~,dlP.~, ,)~I L",'\'\ rO"n,lOlW'
~"I.Ii!.;,,,,da / ,,~.. , , ....,.... 1915'
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rc;~--c~:;i:7 -Ii-
WILUAM B. SP 'G, S '
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~13TIFICIITION OF NOTICE UNbflli. RULE S, 6{Jl).
Name of OQcedent: Wl.U,lTlM B. SPONG I SH,
-' -
Date of Death: ,'TlNUMlY 30, 1997
Will No, 2197-0156 IIdmi n, No. 1997-00156
----
'fo the Register:
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court Rules was served on Or mailed to
the following beneficiaries of the above-captioned estate on
lYIAl't.JI L~ /1/91
~
IIddress,
Steven L. Spong
cia P. RIohard Wagner
TlND 130 South Seco~.
Moncke, Wagner, Hershey Wormleysburg, PA
& Tully, 2233 North Front
Street, Harrisburg, I'A
Notice has now been given to all persons entitled thereto under
Ruie 5.6(a) ~pt
Da te : 5/7/97
Name LAW OFFICES OF MHTON flEHNSTEIN
IIndress 2854 North Second Street
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Telephone ( 717) 232-8500
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Harrisburg, I'A 17110
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Capac i ty: __ Persona 1 Representative
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Counsel for personal
L'epresentative
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Romainder Rell/rn
(IOI.atll 01 ..0'" prla, 1012.13.821
F(ldlJral eslale TOil Roturn Required
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c 6,
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t:; 8,
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10,
11,
12,
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14,
15,
16,
17,
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"
;:: 18,
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~ 19.
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"
...
~ 20,
....
( 61_..__.______
(7 )
(91 $1.1,16B.OB
181 S34,235.05
(101 $10,367.44
Charitable and GOH;lrnmenlol BllqueUt lSchedule Jl
Net Volu. Sublectlo Tax (llne 12 mlnu.!..llno 13)
Spousal Tran,fers !for dol.. of death aftor 6.30.94j
See InUrutllondof Applicable Percenlcge on Reverse
Side. {Indude valulI Irom Schedule K or Schedule M,l
Amount of Line 14 tOKoble 01 6% role
llnclude valuet from Schedule K or Schedule M,l
Amount of llne lol tOKable 01 15% rate
(Include va lUll from Sc:hodule K or Schedule M.l
Prlncipalloll. due (Add 10K from llM' 15, 16 and 17.)
Credits Spavin I Poverty Credit Prior Poymenh
+
(II) $21,51\5.52 __._
(12) ,$11...Lf,;99~}_.____..__.
1131 _"_"_...m..
(141 ...$1),699.53.. '.._. H.....:
(15)
__..._X.___.-
1161 Sl,2.699 53 06 _$7_6_]_.97___,...._.........".....
.....,= ...-,,--...,..""......., Q... .. ... ..
(171 _.,......... ......_.........,......._.......... ,15 =
(181 $7..(,1~0!.?_._..____...._
Discount
10lfHOil
+
(191
(201
If line IQ II greater thon Uno 18, enler !he differenco on line 20, Thii II the OVERPAYMENT,
110
Cho(~ 11Iltc .f Vov oro 1(1(IUo5tmg Cl rofund of your ovorpoVfllonl.
21, If Une 18 II gretalar than Uno lQ, onler the differonco on line I], Thii 1\ 'he TAX DUE,
^' Enter thu interol' on lho balanco duo (,/\ Line 21 ^
B. Entellhe IOIC11 of line 21 t..nd 21A on (irw ~1!1 Th.~ 1\ till! BALANCE DUE,
n~_a~. Chltc\< Pnvabl~_to: Rogllte, of Will" Agont
~:::::..~...:.:.~..:~...:.:::.:..:..~BE_~.':!~..E...T.<'_.~.~~.lY..ER.~LL. (,}~.fSTIc>.N.S ()N .RE~~RS.~..S.I.DE.. ANp.!C>..~.E~I:!!~!5..,t.I~~~~. ~:.c:..'_._._..._...
Under penahiel of perjury, I declare Ihol I ho."o &!tomilHld this (dlurn, including (I(cornponying \chudlllol and \!otomonh, and l<;l Iho btlil of my knowlfldge and beliol,
it Is true, correct and complete. I dedmo Inot 011 rool osloto hos bou/1 rflportod (It Irue morhll volvo. O(lclorotion of prepCHor olhor IhCH'! Iha perionol repro,unlolivo il
based on all Informallon of which preporor hm any knowl.,dgo,
iio-NAIlJU Oipfj(50N.iiEpuNSiiiif.fo~..i.iill~{T~i"iu~I~' ----A(JI;~(~~ -.. -------.. . .' --. DA'r--------n... ....------.
~JiL:Ld7...J3..:. ..I. J,-t'lL IS).() l.'I{t/t..W"l ~<---.J I1L'-R." l}JedlllJ.,'/( 'AI.>lcf."q" ,'.!.I/ '~r'1 -;7
51 u..1U~!.~1 PIlEIIItJEIl cHl1f~rkf.rl!;':V! Af)()IlI~~ I IM11
, kilvlll.)U;Vl. ,rc~ ' , . {?~I(lr,'; f./ SI (('fl.,) <;/, f!tI,,'I/I(,/i/<'(:.. ('II / r (J 'f" :</. 'i '7
. ml.,?7._~..
{211
PiAl
IlIBI
$7(,] .97
Act '48 of 1994 provld., for the ,.ducllon of the tax rat., impo..d on the n.t value of Iranlflln to or for
the UI. of the 'POUI.. Th. rat.. a. pr..crlb.d by the .tatut. will bel
e 3% (.03) will b. appllcabl. for .lIat.. of decedents dying on or aft., 7/1/94 and b.for. 1/1/96
e 20/0 (.02) will b. appllcabl. for ..tat.. of deced.nh dying on or after 1/1/96 and b.for. 1/1/97
e 10/0 (.011 will b. appllcabl. for e.late. of doceden" dying on or aft., 1/1/97 and b.for. 111/98
e Spou.al trand,n occurring on or after 1/1/98 will be exempt from Inheritance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (.....) IN THE APPROPRIATE BLOCKS.
YE~ t:!Q
1. Did decedent moke a transfer and:
a. r~tain the use or income of the property tral1sfel'red, ..........,..........,....,......,......,..............
x
b. retaill the right to designate who shall use the property transferred or Its income, ..............'
x
c. retain a reversionary interest; or ..........,..........,....................,...................,.........,..,.......
x
d. receive the promise for life of either payments, benefits or care? .......................,..........,....
x
2. If death occurred on or before December 12, 1982, did decedent within two years preceding
death transfer property without receiving adequate consideration' If death occurred after
December 12, 1982, did decedent transfer property within one year of death without receiving
adequate consideration',..,..".."..,.....,... ,..""",.',......"",.", .....,..."... ......,'.,.... .....,..,.,. '..,...
x
x
3. Did decedent own an 'in trust for' bank account 01 his or her deathL..............................,..,..
x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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A. ~;ltl"l'j,j:;ME!IT :-;'j'!d'f:Hl<:I~ l'
1I,~. lill'Mlllle'll Of IlliUSI il(,
MI(lliR[lAN otV[t{Jt't-lOH
'fr
OMII NO. ~502.(\26~
II':fY'rt''Oii.'Q'AN---
rT'I"~~" u'" ~_:' . :_'..r~~:~~,. ~ !\~ ".'-1')' c;,-r~~::_iinrr,_-'-r;'-<Ii i' N::~~~~, J\JN - - - ---jY:-lOAii iILi~~~;~;-" . -- ]a. -~{IR'U^ci~' jUS.CA~t--liUM~ril
i;-.-'j(lrC ;'j-t;i 1;-- f~"':~1 'l~' il,t'li!l:hlltl l'U lilv';- ~.~;i-n -~'lotQln"'l1t (If nClun I ~t't Ilnm;mi--~_-;;r,tj;, /llno;)~ti--rn jir t;-nl\(l hv---ii;~'"'Qt t fcnllii;r-nu-r.nt --
nfn IIhown. Ilt'IIIR tI\(lI'Kl'd "WOcl" ~('r\! I,,\\d o\/tr.idt' llll' tlM,lr'lIl tilt"! (\t'1} tlhowl\ 1\I,Irll lor' lllformn\ionnl p\JrpO~lIR .,nd nlll
flllt lncllKlod In till' lolnl~, S,O 1{)'Y6 (l/MOfFA.JUN)
Li:-N^M~',;tiD"^bbRE~S-ol"iIORJ(6~1:-R I. IWit ^IUJ"A[IDRtSS o,'lirllt,n' ,,, ':'ii^~r'AijD'-ADbRrs~'-ofl[-~O{R
\.Illlldm n, Spnng, JI', tXllwtor
(>1 lh~ f~lntu of \llllinm
II, lil,nlill, Sr,
IllliOlhyM. Molin IIIK!
HllrlthoA, fli'l/ta
130 $outl1 Socolld Stl'l~cl
\.Iorlntoyopw'U, PA 170/,3
Hl!II\bnrll hi led~r~1
Crud!1 union
~i!7S tolt frlrdlll Rllnd
MlIllhnnlCloorll, PA 170S5
~sETirtM[H"l AllEllf---.-----~--~- ~~-~----<,~ T:'-Si!TmH~IIT .oAi-r-,-.'-
f !rlll IInrtl9b\lrll Ser...lco corp.
~
O:-'NfOP~R mOCA'fOi('~~---~------~--
19 Harkl1t SlrO~1
liormtovnburo, PA \701.3
ClIrbnrltl/'ldCounIY, P^
p-l'~croTs-(i1UMEiiT'-'---..._."'_.~.a.~"_.~~_.~---
1 ~5 lOC\I~l GI roul
Ilnrrlsburg, rA l'l\06'19'u
JUM \9,1997
J. SUMMARY OF IIORIIO'WER'S TRAHSACTloN K. liUHHARY 0' Sl!llF.R'S TR"NSACTION
100. GROSS AMOUNI DUE fROt1 9DRRO\.iEIl 400. GROSS AHCXIIH OUE 10 SHUR
::;i.::;:;::t:~~;~~: R~;;':~~ --;,::':o~t- ):::: ~*:I;f)~,::~-::~--:: -::r"=
104. (,04.
;05,-'--' - -~-- ---~ ---.- ---- 1.'05. ~~_.~--,~-
--^djuhtnlon~ritc;'m.q~P3Tdbi Scl\crln-n(ll'lIncc--------<~- tldJustmontl for lttoms paid by Sell~r in od...lllice ........4
TIi6.SCiiOQi~-.-o6719.97tQo7:-01-:97.~ --'.--n.62- (,D6-:sch(ln~~~fi.19.97t_;;~07-01-91 - . i!1,~~
10GountYtI;;;s-~-o6:i9~t.;-or:_oi:9F-- ---'loo~rr' ~ii7;.~~ly..t;~;;;---06:w.97-~-Of:'oF96-- _.---r~
'f08~^s~~&;~nts--.-- \0 -----~--.--_..-- ~A.B_;O~g;eflts tl;l ~---
io~;:__---_..-.--~.-..-----..~.---"-~ ------.~-'".- ;;o9:---~--- -
Tio:-m'__-__._.-_n-_~~__.-.~~~-~- 41o:"-~'---"~~~~-~ ~~ . ..:.=
TIr.---'-'~---~-~-----"--~' 4T1~~~-
112. __U" - 4i2. -
120. GR.OSS AMOUNT DUE fROM 80RROWER.
3l,51~,39 ~ZO. GROSS AHCKJIH OUE 10 SELLER
30/122,09
.lOO. AMOON!S PAlO IIY OR IN BEHAlf Of BORRO'oiER 500. REDucr IONS IN AMooNI DUE TO GELLER
201. Oeposit or t>ntntlSI moMY ._~....-?,ooo.oo 501. E,~cnu Ijoposlt (SOt Inlltru~tll;lMl -
W'i~ltlclplll Amounl 1;1 ( No~..:.;;n(s J --==~ =---;!r,o~~:.~~ ~~:....Sttt l~mrtno~;l~gos .~~}1C~~==Il~~i~~ ,=-~6r~.8r
203. t)(!Rtlny loon(sl IlIlum subJllcl to. ~O" E~htln9 lonns Tnklln SubJqct to
104. _ .-'. _ "-~=--', _~-=:,,~;;;;;r('f_[Ir.!~~rl\lO~i;.~TOi.~~=~:=. -~_'_:=
~._____~.. _.___~:..._. ~~~~~COflC: II\{)rtgngc \olln ,_~~~_~.~
206. 506,
~. .---=:-.=-_-==--=====-___.__ =--==--=~ ~9!:... ({}'Qi:.~~!..~1 &bu7Ged-lIs.p~CIlO(j;)-'~-= :........._.~
20tl. 506,
209.--------------'------- 509-:-------..---
~---^iJjUstroo'nr;;;or \toms unpold"'bYSolTer ---.--.. ----;djV;'t'!'r.onts lor itoms unpllid by SO\tD~ _._~
210, School To)(os to 5-10. school filMS to-------o----
211.COLlntyIO)(ltS to -~--5it.colJntytll)(08-<~"""""- to .--.----.-
212. AS&OSllmllfltll - II) 512, tI~RII58m/JflU to
'ffi:'"-- 5\3.
F,t;. -- 5\1,.
lTI7-- -- - ~~- 515.
2~---'._"N~'__~_--~-~~- 5i~~-
217. -~----- 517.
218. 516.
219. ...... ~ .. ~lf-
-,,-~
220. TOTAL PAID !lOfOR lJORR()I.II;~
26,OOtl,OO 520, totAL 1t(/)lJCtlOIl AMOUIH OUf SElLER
67~.84
300~ tASII At SETtlEMENT FRO/V to nORROWER 600. CASH ,1;,1 SETtlEHEN1 IOIFROH SallER
lOl. Qros~Am'tOimfrClIn. 90rrow;;;-~rr;)f~.ii5j' '""-32-;5T5:3i" 6'iil-:--r..r~"^~~Ou-nTohrr;r----(\Tn;nifo) -----So, 122,D8
302. lull Aml Pllid"'byifo/' 6orrowQr . ctillll 220j' oi'- -26,000.00) 602. 'C~5S~R'oductlon~ Duo -Sol\llr -- nihil 520) ( 61S,M)
3D3. CASII (I(] fROIl
6,SI5.39 603, C^SII ()() 10
SEllER
29,446.21,
I I 10
BORRO....ER
[ I fROM
Tho Undorlllgilnd horob) /lclmowlrdgo rocQIPt of n comp\otrd C(}py of
00'""" ~"JrZI1j_.1!l:222~___,__
Tlmhthy 11_:, 1'1011/1 .
00'""" :1JJ1t.J!.ILtl.L(UIJ.t..J)(,
Mnrlonll A. ~\ollll tft~-_._-
pllgn~
\&2,Of thiS, 8tn;~Ih;;>!.,.fjn)' IItt~chn.:l?,rDrU~!r..
"lL" t.~~ 'o:f:.tl
SELLER ~~~~.:~:_~~~re 'I
c:..
Huo-T (3-66) AE~30iJ
101 11lHIIlIf ~dtlfjMlfll f'^I,r 7
.
Ml~lTfi(;;'I'~~IIAii(.(s-'~""'--"'-'~'----~-'~"~--""""~--'-'---'~-'-"-~---'-'----'-'----
filO: foin-l-ilnloll/Rr(l~,(Hh C(~llllfi~l(lnll tluBod on J'lir.O' I'^ID "ROM --- - -, "1110 fROl1
"'Divi-~T~~'-oj'i:-~,~~ii.,;I(Jn ((Ino 700) n~ 'Illl-~w-r'l ~ "IWRRO'oI(R'S $[llCR'f;
l~\, ,"'- .----- t(J WNDS Al fUIIIlS ....1
'707: r ---- In --" SfllW1ENI BIi'HtM~HI
;oj: CUlIlnlll5'ul\ r(l;;'lll ~Oltl~ln'J'lI ~ ______. .-. --. -- _______.
10~~-- . -- ----- .. .-- ---.--
/lOO, lIEMS PAYABU JIi cnNflCC11ClN 111111 IO^lI
nOr:'l(;nrl"Or-l;!iultloll fna- ..,--. %---- -.--,
noi;-t-onil'Oi"rc.\l!1i'~ '1: (lO()D' " -.
iiOJ;--Af1,;'lli"Gu-il:i\l'" --~-,--
6li" ~'-ci'c;Ji t'~-o';llrl ----
nO~~,TOodC;rll"jl'r~'ilnll fQO" --- --" ,,"-
nfJfJ,' ilf~ll'r:lirjll;;1fi-;~~
ilcil,-iJ"r's .d;-~-r'"o
n'o8;-'fnK-S!1;T(~ 't;~'" "-~-...
i109~"HiliTtnGC;\rii'&'" .~.~.....
iiiii:...---..---~.--... ...',. ."-~.-..,.~-,--..' '''''''',"
611.------.----.. ."~ -----.....-,...
I,
I(J-~~;;llhHB \;\1 IW
10 -Hrll~lrr-;--\~'I feu
... 10 -Hc~,iloi,-l-i A I fCU'" -.-
. 'i-/}-~'Hl;~~lit;-';t itli .,. ,--~-.
- --- iil-'"iir'l~;~;~-i lId 1[;1'" .---.
1(l-Hr';I~;o;-B lHt feu
.-.--- -- '''~'''-iO~HO;'i,or; j~'\-i(:lt~...
--~-- ....-- --(O-"-Hon~;Qr;;-ffti' 'feu'"
, _P~: 11~;'OO I :~~ .:j~~~~~~
flOC l/,1.00
fo'D.""'i'iEMiii(OUJRF,b llY wit/fR lOur t"dD IN ADVAfICr -- ...
9oi-:tnto;.;;it'j'r-om 06 :;9;97t'~'-Or:o f'.91 ~~l-~"_ ~':ri9~ii~Oi(I~'ril_l_~(iny;>:~f,"15'OO~):' '_- "~T--" : ...---.. ~--:'-'~6 f:15~ _. ~-..~...~--_.
?O~'~M~,~tYii~o-"ili;UNlilc-ii'i;r;mTunf!;r-'---o1Q;\tl\II'-t~-' ..--- ...-... - .--..-.- --~--- ._,~,_.__u~._.. .---<-. -~~.. -~ "---....._.,-~~._-
90j~'Hftinj:',Ti;;~'vrl\l"c"~;:llml~~'fi);>"'Tijy~ij:;.'-i~" ..-,,,-.----- --- .~.~. H____"_ .,.....----...--....-.. ~-.,-~~~-.----, -.~~~.-...."--.--
fo4-;--_._m_.-,-~. ...,-~-_.-."..._-~-_..--to-. . ....,. ....-, -- ..~~. ..~..__.-.--- ..'-.-"" --.----~... .-.--~ - -'~-.,..-----.
905:-- ..---~.... _.~___..._.r__.__~.___.~ .... -.- .....-.~. -~...,'- ...- ---....,------< __..n.__'. ~-_...._..'-_.-- ~..-._..- ..._u,_
!~~~~.~.~RV[~.y.rpo~.~! ~~,!!.!_~...':~~.~~___..____. ~....._ ..__..._____..__..........~__..~..__._.._ r----' _____..._-;;,-;;- __.~_.. ___
1001, IlOUlrd Inlul'Iltlco 3.000 month, tl '$ lS,no por month I,S.OO
1'002, Mo~~~.!~J~!;urn~:..~_====~~~~=-~~':~,-~::===~~:~~~J~~f~=.::.-=-===~= ====== =-=-=~=-==
~~~~.o.:-!.~~~___ 13,000 ~~t~___~-.!.,...----!~~_~.~..P.~~..~~_.,_.__._....____ ~___-1.~.~_._..____
1004, r.ounty Illl\o~ 5,000 monlhs I) '$ \5,!i9 por month 77.95
io05, ^WmOnl"-.u._~.._---month~--..5-r--~--p;;-n;;;nii;----.---- ~_._.-_..~- --------
liio6:---,,-,-u"-"~"------'---''''--mQn;:i;i--'~-i---'--...- fJ~r Il1llnih.~--'-~'--'- ~----._. .------.
liior.-~-"--------------rh)nth;---il,-----'-'-por-;;;;;;ih~"-----,,- ---~-- _N~"'_.___'
loo8.-;iigrQOiito.Acij~tm;;niN~---------._-"--M-'------'---~~...--- ------:9i:1n ~._-
1100. 11llECII"RGES
11O;:-iottTOmo;;I'~-;:-cloll;;F;;---t~1iiliM"iior;;-stc In,-iC~q..;i;o--~-----' -'~---,sO-:OO" -.---. 150,UO
11'Ii, Abstrocl ilr-l'iiT;s'~;reh--to~---~--'----~'~------'- ---- ------
i'10].'-1I1r;E';n;fiUlIi~"---to---"-"--~'-~-~---"'-"C~-~-~._~._--~- -----...--..-
iliJr:fT.t.i;-rnfiljrMcc-iiindor-to.--------.......~-..... _._~-.-.-.
Hii5:-.0oc;-~;nT-r;-t'pllrnt.r;n-~--~--..---~-_.~-"~~.-------~-- -.-, "__H__~_'_.
;\06-:NO~iiry~-.---~----.tO-Cns.I~..__..~_.___=_-==.=---- --._~- 16.(10 ==--l.:.oo-
ffilf:"~littiir;;Y;Bf(;ns'-'-""--~ 10
'---(TnClud-;,;-;;t;;~otlcr;l ntT.bo;:&l--------.-- l
;.lo8-:T1tT~lniurnmjj'-~-~~~t;TiTii!liirrl&bur8 '8'I'CO ,corpilrlll'I" ,
. '$JtI.O of r&lllnrl'&hurg$ervcoCorp.
--(TiicTi~j;~lIbovo I 1~~~u;:;t;ir~IEndorllorOOni;-ioo;_100;.D---_____,.-.--- --~--- _N_'~___
H09,-lor.dor'-~-Covornllll-'--~-------"- - -~-----_.._.
IiTii:-own;r;s-~II-e--i-.--~-_._-~----~-........,;--.-----..-'-. -----.--~,-
lTfl-.-Endorlle~.------~r&liiM'rl.bur9-&~r;ico r.orp, 75.00
lHl:-.or'bVrllolne.ntCtiilrgq-~\o.A(jrr;rfcl.nro~-~'----- -_..~OO-
iTi:i:-iodl.'rlll E;p7o-~Ch;rIl~-i'o Adlllr (ti"iir,lvnl-----...----.---- -------If..~o- .----
\200. OOVERNI1HH IlECORDIIIO AllO IRAl/SftR CIfMO~~
1201. R,tClrdlng"f;,iiillDOed,-a50'-i'Ho;'Tg.D9OT29.So"-1i0i~$-'---~"--.-. ---s3~oo ----
ilO~. CltY/CO\;rityr";'x/stl\m~iiioeod'--~---1H;;rj9n;j"O'$---'----"-_.-- ]00,00- -----
;'iIT:SIii"t;"l;~/ftlii;;I"----"o;;(rl--"'--'--~iMortgilO;-i~-~'-'.__._M'.-..-----~- ~.~~-_.- 300.0'0
~ A"rq;..mntOi-HOrIl,;iiotoC~crla~ cOW\iY~~r~lti;;d;:--'M----~ ----llJio -.--
i20~-'~-'-'-'-----'-"'-'----~---'---""---"'--'-""-"...------- ------. -------,
1300. ADDlllOUAl Sf:IILEMEIH CUMliU
'i~ilUrYoy----"-~'--'~"-'_.l'o --~--..-.,~.,-~-"_..---..._-_.-..:._--- ,-----
ij02'~'rOMllh5po~t'f~,i--~'--"~--'~'-\;;'--"------M"'.T'._-'"~---.. ---,,'~-"-'-'-'---'-' --~-- -.-----
ijo3'.-o'Ullm;ry's;~o';"iiTiT-.-'----loM'-wormi~v~b~',;o.-tiorouo~--,~~--~"u_.-~-~iJf. --------6-:-8[. ----64:or.
i"30i.~Qiin~tgiTy'Trn;il.tin I" --~-''''t';;-'-wor'nii'a'yiihurg''ii"o;'~uo1\''-~~'-~H.n-~-'401,61- --'-4~.i2 --"--~9ij
iiOs:19'97 c(lunlYlli~~ft---"--~--'-'-'--U;--oiinnl i"~friiIGt;;~.m_-_n._..__~--~-- ------- ~._--'-'-9f:iiii-
Wio, TOTAL tlfllltMEUT CilMGF.S (EMor On Llf1~A 103, Seclion J ond 502, Soctlon Kl 2,]93.31 675.84
]60.00-~.
8'1' IIlgnlnu pouo 1 0' thl. Btlllomofll, 1M BIgnotorloi IlCkl1owlOdllO rO'lllpl of II COllflloUd Cllpy ()t POilU l 01 this 2 pogo 1I1lltcmont.
(J/110FfIl,JUN)
HilS IS CERTIFIED 10 DE
^ TRUE MIO CORRlCl COPY.
~/
,Irsl Hnrrhb\Jrg Sorvtco Corp.
SoHlllmo/lt Agont
\.;-- ..It'
.
AGREEMENT OF SALE
THIS AGREEMENT OI<~ SALE made this .!..'/I'h day of IM"1 ,1997, by and
between, WILLIAM B, SPONG, JR., EXECUTOR of the Estate of William B, Spong,
Sr" "Sellei''' herein, and TIMOTHY M, MOFFA AND MARLENE A, MOFFA, husband
and wife, "Purchasers" herein,
The parties hereto, intending to be legally bound hereby, mutually agree as
follows:
1. PremiHes, Seller hereby agrees to sell and convey to Purchasers, who hereby
agree to purchase, subject to the performance by Purchasers of all covenants,
provisions and conditions hereinafter set forth, the Premises known and numbered as
19 Market Street, Wormleysburg, Cumberland County, Pennsylvania, and described
in Exhibit "A," attached hflreto and made a part hereof, hereinafter referred to as the
Pi'emises,
2, Purchase Price, Purchasers shall pay to Seller as a purchase price the sum of
Thirty Thousand ($30,000,00) Dollars as follows:
(a) 'l\vo Thousand ($2,000,00) Dollars in cash or by certified check before or
upon the signing of this Agreement, the money to be held by Milton Bernstein (herein
"Bernstein"), attorney for Seller, provided that Bernstein shall return said money to
Purchasers if this Agreement terminates without default as a result of the failure of
the conditions precedent as described below, or if Seller cannot convey good and
marketable title tc .Purehasers at closing, as defined herein,
(b) 'l'he balance of Twenty-Eight Thousand ($28,000,00) Dollars shall be paid
at closing,
3, Flnancinv Contin~enr~', From the datil when Purchasers accept the offer,
Purchasers shall have thirty (30) days to obtain a mortgage commitment from a
lending institution,
4, !:iilil,
(a) Seller shall convey title at closing by General Warranty Deed to the
Premises to Purchasers free and clear of all liens and encumbrances but subject to all
restrictions, easements, servitudes, conditions and covenants of record and/or visible
on the ground and subject to zoning ordinances and other governmental regulations
affecting said Premises, Title shall be good and ma~ketable as may be insured by a
reputable title insurance company doing business in Pennsylvania at time of closing.
5. Be.alt.Y.. Transfer 'l'ax0,jj, Real Estate transfer taxes shall be divided equally
between Seller and Purchasers.
6, Rents and Jis.sessment.s. All water and sewer rent,s, assessments, levies,
charges, governmental and all other expenses in connection with the Premises shall
be computed to the date of closing and pro.rated between the parties,
7, Risk of Loss, Seller shall assume the risk of loss or damage through fire
or any other casuHlty subsequent to the execution of this Agreement, until closing,
8. Renresentations, Seller shall maintain and be responsible for the maintenance
of said Premises and shall keep the Premises in good order and repair from the date
hereof until closing, reasonable wear and tear excepted. Purchasers hereby warrant
that they have seen the Premises (Exhibit "A") prior to execution of this Agreement
and have inspected said Premises prior to signing this Agreement, and have agreed
to purchase it as a result of such inspection and not because of or in reliance upon
any representations made by the Seller or his agents.
9, l20ssessiQIl and Tender. Possession is to be delivered by deed, keys and
physical possession to said Premises at closing, The date of closing shall be on or
before the 30th day following the date of the mortgage commitment, unless extended
by mutual consent, TIME IS OF THE ESSENCE IN 'rHlS AGREEMENT,
10, Pennsvlvania Law, The provisions of this Agreement shall be interpreted
and construed in accordance with the law of Pennsylvania.
11, Non.Assill'nment. 'l'his Agreement shall not be assigned by Purchasers without
the prior written consent of Seller.
12. Entire Ar:reement. This Agreement of Sale represents the entire agreement
between the parties hereto, and shall extend to and be binding upon their heirs,
executors, administrators and assigns.
UV.\sOll'll:'t IU~1
,',. j SCHEDULE E j
~~~k CASH, BANK DEPOSITS AND
COMMONWfAm' Of "NNSYlVANIA MISCELLANEOUS
INHI"TANCITA~U1U'N PERSONAL PROPERTY P T
'= U"D'NT DIC.,O'!iT ____ ._~__....__....._____.. ...__..._ PI.as. rln' ,~e.~
E~TAI E OF----.------.-----. FllfNDMBEif"-' ..-
Wl 11 "im B sponn. S.r.L._..___...__n_.__._._._._,,____..____.._......___M~ (lISL.___._..
IAN'lIul~Mr:~BO~'RV lolntlv.ownod with tho Right of 5u,uluo..~p :;:'c~~~I~;:~~.O~~~.~~L-..----=r VAlUE AT
~DATE OF DEATH
--------
l. 1987 LeSabre - Buick $2,650.00
2. Savings Account - Hanis Bank #10-50-005748 $ 144. 71
3. Dauphin Deposit Bank Checking Account #10456813 $ 278.12
4. 40 year old Marlette trailer of Nominal value $ 100.00
5. U.S Railroad Retirement Death Benefit $ 971.60
6.
Prorated Real Estate Tax refund from sale of house
$ 91, 00
TOTAL (AlIa "n'"r on IIn" 5, R"~~IUlo'ionl $ 4,235.05
IMach addlllondl BY," )( \1" .hee" If more ,poco II needod.)
LL.!!.\!.I,g!L1.987:86
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March 24, 1$197
William B Spong JR
1520 Grandview Ave
Mechanicsburg PA 17055
In Reply Refer To:
A 716-09-9207
William Spong SR
Dear Mr. Spcng:
Your claim for the lump-sum death payment on the account of the
above-named employee has been approved. A check for $971.60 will loon
be .ent, as you re~lested, to:
Musselman Funeral Home, Inc
324 Hummel Ave
POBox 137
Lemoyne PA 17043
If you believe this decision is incorrect, you may request that the
decisi.on be reconsidered. If you wish th.i.s reconsideration, you must
request it in writing and your request must be received by the Board
within sixty days from the date of this notice. You may file your
request at any office of the Board. If you have additional evidence to
be considered, please include it in your request.
If you disagree with the reconsideration decision, you may then appeal
to the Bureau of Hearings and Appeals within sixty days from the date.
of the reconsideration decision.
If you do not request a reconsideration within sixty days from the
date of this notice, you may not file an appeal at a later date.
If you have any questions about this letter, please contact the RRB
field office listed below.
.
)
"SincoreIX, (J.,. ^
~1'~
Joan Fields
District Manager
cc:Nua.elman FB, Inc.
,
RL-24a pc (9f94)
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M1ISSELMAN 1'1INlmAL \lOME, INe,
\ loU P'VIO'
flOW
UAL
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,JII""w..t1l1vllll'l Fl 1'" ~ t
PnJdClntial Prororty l1nO C.1Hlo'llty
irlsurancc Company Ano Affill,ltod
Companies
11111111111111111111111111I1111111I11111111111I1111111111111111111111111111111111111111111/111I
[illtnirJiMltln (ot 1ho "rlldnrltlnl Ir\IIIIIH1[('
COI1lI>/lflY 0' Arnnrlctl
Billing Statement
CDr Policy
Policy Number 282A910921-3
Payment
Bill to: Spong William B Jr ~ Elovce A
1520 Grandvlew Ave
Mechanlcsburg PA 17055-5913
04/12/97 --1
Po II cv Per lod
from 01/14/97
to 07/14/97
Account
8.I~ce IS 0
03/25/97
dlz 7 ~o~
Yhelle,~
:2.1mMf7
11 I 33.00
Pr.mlum ond
s. Ie. Chlr .
689,00
SUllO
Surchlr S
0,00
TOUlI
Chorg..
689,00
Totol
Po m.nt.
556,00
Curr.nl
I
133,00
To mok. ohong.. to your policy or obtoln
billing Informotloll, coli:
POLICV< CHANGES MA V ..,o\FFl!C"f:t)TlJ~EAMOUNTS AND.. 0,0\ TES
Two
Payment Plan Selected Pavmen t
ROBERT 0 FARABAUGH CLU CHFC LUTCF
Your Prudential Representative.
at.I.I.. ...... II....... .~.11-717-97S-3625
or Client Services at.......1-800-437-5556
To r.port 0 .Iolm, ..11...,......, .1-800-1,37"'3,35
Amount Due
Aerualnlng Installments
111' tollm.nt. Including
s~_c~~g. 01$5
N.xt Bill Du. DOle
To Pay In Full
133.00
Look for other messages on the reverse. Thank you for Insuring with The Prudent/al.
Detaoh hflr.. Delich hlr..
Bod 11 V I nJ u r V $ 100,000
Each Person
Each Accident $ 300,000 $ 5 $ 7 $ 7
Underlnsured Motorists
Bod I I Y I nj u r V $ 100,000
Each Person
Each Accident $ 300,000 $ 55 $ 50 $ 55
first Party Benefits
Co III s I on $ 50 $ 73
Deductible - $ SOD
Comprehens I ve $ 18 $ 40
Oed. $ 50 Fr Wnshld Glass Cov $ 2 $ 2
Towing - $50 Each Disablement $ 5 $ 5
Rental Car Coverag~ ----...... ------ .....----
TOTAL PREMIUM PER CAR $ 253 $ 186 $ 306 $ 745
REMAINDER OF TERM $ 133 TOTAl POLICY PREMIUM
PREMIUM DIFFERENCE FOR
PAC 681 ED. 1/90
PAGE I OF 2
,denbal ti;
Prudonti.,1 PrDper tv and C.lSlI.1Ity
Insur",1CO COlllp.1ny
11111111111111111111111111111111111111111111111111111111111111 11111 11111 1111111 lilll 1111 III 1111
A SullaidlMY ot 'fho rllJtJllnll/l1 IfI\lJl nnen
Compllny (If Am(lrictl
Cnr Polley Renewnl Declarnllons
Policy Number: 28 2A9! 0921
Agency Data: 890160 2 W SH 010
, Box 4403B
.tc:.nn...lllp. PI .32.2.3..1
Client Serylce,
1-800-437-5556
CI.lm,
1-800--437-3635
Named Insured
and P,O, Addre..
Spong William B Jr & E loyce A
1520 Grandvlew Ave
Mechanlcsburg PA 17055-5913
This policy period covers ,6 months,
from 07f14/97 to 01flllf98, 12:01 A,M,
at place of garaging,
Listed below are names and birth dates of licensed drivers resident In your household,
I Spong William B Jr
08/13/39 2 Spong Eloyce A
10/16/41
I.lsted below are the cars covered by your pol Icy.
CAR YEAR MAKE MODEL BODY TYPE VEHICLE I D NUMBER TERRITORY SYMBOL
1 1994 Ford Explorer Wagon 4D IFMDU34XORUE73672 040 6
2 1987 Bui ok Lesabr Cu Sedan 40 1G4HP5436HH538906 040 8
3 1992 Chevrolet S10 Blaze Uti 1 4X4 IGNDT13ZXN2162794 040 J
CLASS CODE
841220
841120
841220
Lis ted be 1 ow and within "Important Messages", are your pol Icy coverages, I imlts, and premiums.
If a premium charge dOeS not appear, that coverage I s not provided. (Deductible Is abbreviated
as Ded.)
COVERAGES LIMITS PREMIUMS
Car Car 2 Car 3
Boe II y I nj u r y $ 49 $ 48 $ 49
Each Person $ 100,000
Each Accident $ 300,000
Property Damage $ 27 $ 27 $ 27
Each Ace I dent $ 100,000
Uninsured Motorists $ 43 $ 50 $ 50
Bod I 1 Y I nj u r y
Each Per son $ 100,000
Each Accident $ 300,000
Under insured Motorists $ 6 $ 9 $ 9
Bod I I y I nJ u r y
Each Person $ 100,000
Each Accident $ 300,000
First party Benefits $ 50 $ 43 $ 50
Co 11 I s I on
Deductible - $ 500 $ 48 $ 68
Comprehensive
Ded, $ 50 Fr Wnshld Glass Cov $ 16 $ 36
Towl ng - $50 Each Disablement $ 2 $ 2
Renta I Car Coverage $ 14 $ 14
---...... .........-..... ------
TOTAL PREMIUM PER CAR $ 255 $ 177 $ 305
TOTAL POLICY PREMIUM $ 737
PAC 681 ED. 1/90 PAGE I OF 2 AE12-011181
CUMBERLAND LAW JOURNAL
2 LIBERTY A VENUE
CARLISLE, PA 17013
..MAY 2. 1997
Cumberland Law Journal is published every Friday by the Cumband COllnty Bar
Association and is designated by the Court of Common Pleas as the official legal publication for
Cumberland County and the legal newspaper for publication oflegal notices,
TO:
Edgar R, Luhn. 111, ESQUIRE
RE:
William B, Spong, Sr., ESTATE
Legal advertisements must be received by Friday Noon, All legal advertising mllst be paid
in advance, Make all checks payable to: Cumberland Law Journal.
---==============================~========================~=========
Advertisement inserted on following dates:
APRIL J. 8, 25, MAY 2, 1997
All vertising Cost
Second Proof Request
$ 60.00
$ 0,00
$. 0.00
$ 60.00
.........................
$ 0.00
======-~
Proof of Publication
Payment received
Total Amount Due
Payment received ~APRIL 1~. 1997
by Becky H Moq~enthal/ExeJlItive Director
-,
1
SCHEDULE I
DEBTS OF DECEDENT,
MOR~GAG~~~~B~I~I:,,~_AN_~_~EN~._L P~!rlnt or T~~
_____..~m._.__"._ ___~___",_~/UMB97 ,_~.15.."_...
U'{.I"~ lit (7,"1
,\t..v.
~:~
CO/r!tMONWIAI'H Of HNNlYIYANIA
INtlUHANCf 'AK "!UKN
.UIOIN' OfteD(NI
EStATE Of
William 13, Spong, Sr.
ITEM
NUMBER
DESCRIPTION
AMOUNT
$ 38.38
$ 9.03
$ 14.9B
$ 64.12
$ 5'1.10
$ 472.79
$ 91.56
$ 1.78
$ 20.39
$ 421. 76
$ 29.89
$ 23.64
$ 877.50
$ 112.00
$ 522.00
$1,159.72
$ 930.80
$5,520.00
1.
PA Amerioan Wager Company
2.
Bell Atlantic telephone
3.
United telephone
4.
UGI gas
5.
PP&L electric
6. Carlos R. Leffler heating oil
7. Physicians Rehabj,1itation Medic,ine, Inc.
B. Tristan Associates
9. Tamdot Homecare
10. Internists of Central. PA
11. Cowley Associates
12. Pulmonary & critical Care Medicine ASSOC., ~.C.
13. Therapy Care Inc.
14. West Shore Jlmbulance
15. Cumberland Ambulance Service
16. Claremont Nursing & Rehabilitation Center
17. Camp Hill Care Center
l.B. Health South Renova Center
TOTAL (Also .nt., on line 10, Recopllulollonl
510,367.44
(If more space is needed, insert oddilional shflrals o( same size.)
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TURN THIS PORTIOI~ WITH
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STATEMENT
(1 '1/0 'I / ') I
ST A TpMENT DATE
IQ MARKET STREET
wllln'II.EY~;fiLlI;'I; I"() 'I ?O/l'l
'I (,'9Hl; 1
ACCOUNT NO,
IJI I 111\1-1
PATIENT NAME
AMOUNT ($~
ENCLOSED ~~
DIAG.
CODE
SERVICE
DATE
DESCRIPTION
CHAnGES I PAYMENTS I AD.!
PATlt:NT I IN$UnANCE
n 1 ;' 0 n / t,;. 7
('I:l/17/f,'7
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NURSING HDME UST I.EUEL-7
TRBUFI.ERG MEUICnRF
TRRU MEDICnRF WRITEDFF
fiL I.IF ';11111..1)
THIS IS NOT n ~IIUERFn SERUICE.
!iO,OO
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1.1
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1,1111MI
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PATIENT NEW SALANCE ~ 11] 0 , '18
PATIENT BALANCE DUE "AnENT
IS YOUR AESPONSIBILlTY
,.____.~u_..__,..!....L9CA TION CODES
H~JPA-! In~l 11(\:;1' :J,(llJTP^ TI[Nl HOSP :1 DOC Ton's orne!:
1 ~~? n . 'I (I
INSURANCE
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. . .
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IloJl U1NISTS ai' Ci:NTI'1AL I)A. LTD.
~,.
Coul~y Medic!l nssodAt~s, P,C,
TIs 10 M: Il'17~6198
m II, list Str~Qt
Calif' Illll, pn 17011
Ploalo addross any qu~stlons
to our billing stlft at
l-m.m.l0IS OR \.000.m-5Q50
U1Lmn n SPOHO, SR, Acr,t, 39095 03105/97
19 "ARKET STRIIT
yQRftILYSDURC PA 17043 Pago Ho,
'Dm PnIrHl DOCTOR UHITO O[SCRIPTIOH/PROC ! OIAO COOtS CHnRCIS ADJUSTS R IC[ 1PT S OALAHCI coot
__.........~..~~......R..............~~..~_.........-............................................"........-...........-..-...-----
06/04/96 UILl.Un PAm 110 1.0 1I0spmL cm SUOSIO m mPLtx ~5,00 1U1 lU5 6,04 C/O
99231 496 578,9
06/05/96 U1Lm" PAm "0 1.0 HOSPITAL CARl SUOs[q LO~ conpLEX .~5, 00 14,81 .2US 6,04 C/O
99231 m 578,9
06/06/96 ulLLm PUll no 1.0 Hosp dilChlrgo dly.30 I1ln or 10s 75,00 11,70 ~2,6~ 10,66 C/O
9m8 m 578.9
08/20/96 U1LLIA" PAm no 1.0 orFICI UISIT 1ST PI milD rocus ~S,OO 12,73 25,81 U5 C/O
99213 ~96 .
... .. .. .. . v W
.....7.................................. n.. ....-... -" ....-... - - ...,...... .... '- - -.., ...-........ ......... ...... _.__..._~-"...
Total Oalanc~ 19,19
, f'loue Pay this amount "'''> 29,19
...... ........................... ......................... ........ ,........... ....... .................................. -.............. ...................... ........ ............- ........~..-.. ......... ........... ..-~........-_....~ ..--
hphnatlon I
I
of codlS 1
1,
C . Copay/Colnsuranco
H . Hon.covorod sorvic~
R . no Rnponso frOM your lnsuranco
o . O~ductible
T . lnsuranco coveraQ~ Torl1inated
... ..--... ............. ..........................." ".. .................... ~.............;.. .......................... _..................~................ ..........-.. .............. .................... ...... .......-.. ..,.,-_.. ..--......
II you uould prehr to pay lIith a crodlt card: VISA
nASHRCARO
nCCOUHT "
lHP _____ / _____ 8IGIIATUR[:
Current
,00
31-60
11. 7~
61-90
,00
91-110
,00
Om 110
U5
Pationt OU~
29,19
0110 HOII
29,19
.. PaYMnt UII~ Upon R~cQipt · lh~lIk You .,
Acr.oulltll
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If V('l\J i\r!l rOI,I('r(lcl undrr MNlit,\r(li <-10 l10t W;(l tlli!; bil1 f0r cL\irdllg
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WEST SHORE
1',;\II;Jllil>;l'\ \11,11\1 i\i _;!I'\P'i,
INVOICE
INVOICE II: ECi~:!';-:;~~r:=:J
...---'-~-'~'----------"'-
DATE: C=~T?/\l:Ifli)
008: 09/06/\4 SSN: 716-09-8207
PATIENT: ()I"O~I(;, ~IIL L1At1 II
1 ') MAF~KFT 8 r
v~or,MI..E\'D[]lIl,G, r:'A.l704;~
~o:' North 21 sl Slr,,"1 . CIIIIII' 11111, 1''' 17011,2204
(717)76Iel03H
FEDI!R^L ID' 23-2403002
BILL TO:
W1.I.. U:A1'j El ::;IJOI'IG
19 t1ARI\ET GT
WORMI..E\,SBURG, PA 17043
POLICY NAME:
INS, Jf:
INS, II:
ACCOUNT#: 1427
TRIPII: "'.I 1 ;~,;~~D~I
DATE OF SERVICE: 12/10/96
--
PATIENT PICKED UP: F~EI~OVA CEIHFF,
--
PATIENT TAKEN TO: DR GCII1.NDU:R'S OFFICE
DESCRIPTION OF ILLNESS/INJURY:
496 C.O.P.D,
DESCRIPTION
UNIT COST QTY, AMOUNT DUE
60.00 ,\ 60.00
1.00 6 6.00
40.00 1 40,00
l.OO (, 6.00
Strotcher Transport
Transpol't Va'!" Mi 1.8a98
Oxygen Administration
Tl'ansport y,\nMi1.ei.\g'l
'I
COMMENTS: HilS ACCDUNT H: P(~ST DUE! Th'i5 :i;",
~~;mc()nd invoice fDt' ~:;8f'V:i.CE1'::~ pt'ovid(:1d l~o you..
o)I:,nd your p,'lYmant Imml',cli.;d:.oly UI" conti''':: I;
our offico tu mako payment arrangoments!
THANK YOU
t.h ,SUBTOTAL
AMOUNT
PAID
TOTAL
l.l2.00
0.00
./.--;:-' "'----'
.1.12.00 ,../
----..- ..::;:..
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Signature on file
SIGNED
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21.~'t~t~~9..6_!?tl..t..'!.2. ..'tt _
14 0".1(: OF CUnRl.:NT: ~ Il.LNESS (/;j'f.l syt>"lpln!ll) Oil I!, IF PATIf:NT tlM; HA{) SAM!: ()f1 ~;IMIL^n ILLNESS 113 DATES PMU;NT UNAm.f. TO wonK IN CUFlRI::NT OCCUPATION
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MM10D YY MMjDO YY
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""p',"MAR\<{''''A'l''''d'FP'~E<Ro'i HI::AL THSOIJTH RENOVA CTR. 429 5. 18TH STREET
To: CAMP HILL. PA 17011
"''''''I> 04/18/97 D^" 'PHY~)ICANS OFFICE ""I. CU2804!51 . ~,?,.731-4192
! ^ I 'f 'Il( IV I (I r I ,. ,\Ll ^ l: III'I! II '1: I ~.I ~ r 11 I, \ ,( II '.'1( ( I: nil I
PLEAS/: PRINT OR TYI'/:
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,
LAST WILl. ANI> TESTAMENT
I, WILLIAM II. SI'ONG, Sit, of WOf'mlcysburg, Cumberland County, I'cnnsylvlInia,
being of sound und disposing mind, memory und underslunding, do hereby muke, publish
and declare this to be my Lasl Willund 'I\:slamcnl. herchy revoking all other former wills
and codicils atuny time heretofore made by me,
FIRST: Ilwreby direct my Executor, hel'\:inuller named, 10 puy and disehnrge all my
just d,:hts, funerul and testamentmy expenses as soon uftcr my deccase as may be
pructieable,
SECON n: I hereby give, bequeath, and devise all the rest, residue, and remainder of
my estate and property, real, personal, and mixed, ofwhalsoever nature and wheresoever
situated, of which I may die seized or possessed or to which I may be entitled or of which
I may have the right to dispose at the time of my death, absolutely and in fee simple
forever, to my son WILLIAM B. SPONG, ,JR., of Lisburn, Cumberland County,
Pennsylvania,
TIIIRD: I hereby appoint my son, WILLIAM B. SI'ONG, JR., of Lis burn,
Cumberland County, Pennsylvania, Executor of this my Last Will and Testament and
direct that no bond or surety be required of him in this or any other jurisdietioll for
faithful performallce of this office,
IN WITNESS WHEREOF, 1 have hereunto set my hand and seal this /~:.l
day of Pfa'(J'.II._, 1995,
~0'-~ .~.
WILLIAM . SP G, SR.
Sworn and SUb"~rpi", ~"o'" ,,,' "",
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Nolllnal Saal
GoryW, Sorreolorcl, Nolary Publio
Wormleysburg Saro, Cuml10nand COl/illy
My Commission Expires Fob. 15, 19U5
e r, Poonsylvani. Associ.1ion 01 Nolanes
{.','
Page I of 2 Pages
~
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~
~
/ ,')-- / (.,:( -d
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAKES
'''UUIlANer. fAW DIVISION
nt'pf, taoiO I
IlA"'RI UURGI P'A 17UI.0601
NOTICE Of INHERITANCE TA.
A~~RAISEHENT, ALLOWANtE OR DISALLOWANCE
OF DF.DUCTIDNS AN~ ASSESSHENT OF TAK
DATI
UTATI! OF
DATI OF DlATH
FILE NUMBER
COUNTY
ACN
12-22-97
SPONG
01-30'97
21 9'1-0156
CUMBERLAND
101
F--~=~~:.~~ll!d -]
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 ...
it 'E"V: iS4 riiCAFP - i llF97Y - NO'fi CinOF - YNHiilIf ANtE - TAX -jiP'iiii'A-I sEHENr, - - ALi.-OWA"N"CE - iili'- ----- - - - - - - - - - -.
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
WILLIAM B FILE NO. 21 97"0156 ACN 101
APPROVED DEDUtTIONS AND EXEMPTIONS:
4). Fun.,...l Expen.../AdIt, COlh/Hhc. Expen... (Schedule H)
10. Debts/Horte_va Liabilitie./Liana (Sohedula I)
11, "otol o.rIucUonl
12. Nai Vatu. of Tax R.turn
15. C~.rltabl./GoY.rn~.nt.l aeque.ts; Non-.l.ctad 9115 Trult. (Schedule J)
14. Net Value of htllta Subject to Tax
MILTON BERNSTEIN ESQ
285'" N 2ND ST
HBG
PA 17110
ESTATE OF
SPONG
TA. RErURN WAS: (X) ACCE~TED AS fILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OFllETURN BASED ON: ORIGiN;Z-;ETU;N
1. R..I Eat.t. (Sohedule A)
2. Stoeka and Bonds (Schadule 8)
3. Closal~ "ald stock/Partn.r'ship Int.".$'t (Schedultt; C)
4. Hortg.u.~/Not.. R.ceiv.ble (Sch.dul. D)
S. C..h/8....k Deposita/Hi.c. P8"lon.l Pt'op.rt~ (Sch.dule E)
6. Jointl~ Owned Prop.rty (Schedul. F)
7. T,.anlf.,.1 CSch.d~l. G)
a. Total As..t.
NOTE:
) CHANGED
(ll
(2)
(~)
(4)__
(S)
(6)
(7)
30 , 000. Q.Q.
,00
,00
....!U!..
"',235,05
.00
,oil
(8)
(',~ *
UHiH II .~_ in..fI
WILl,IAM
B
19J
(10)-
11 .168.08
DATE
12-22-97
10,367,...('
(11) .
U2)
USI
U4)
NOTE: To in.u,.e prop~r
credit to your .~count,
.ub~it tho upp.r portion
of this for" wUh your
t.~ p.YlIlent.
34,2~
'1 .'i'Ci S;~
12,699,53
,00
12,699,53
If .n ......m.nt w.. i..ued previougly, lin.. 14, 15 and/or 16, 17 and 18 will
refl.ct figur.. that include the total of ~ return. a.s...ed to dat..
ASSESS"ENT OF TAX:
15. AMount of line 14 .t Spou.al r.t. (15)
16. AMOUnt of LJn8 14 t.~abl. .t Lin..I/Cl... A rRt. (16)
17. A.ount of Lin. 14 t.xable .t Coll.teral/Cla.. 8 ,.at. (17)
la. Principal Tax Du.
TAX CREDITS:
~AYHENT
DATE
09'30-97
RECEIPT
NUHBER
AA24228<3
DISCOUNT (+)
INTEREST IP.N PAID (.)
.00
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
,00 K ,00=
12,699.53 K ,06=
,00 K .15=
U81
AHOUNT PAID
761,97
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
761,97
,00
761.97
761,97
.00
.00
.00
I IF TOTAL DUE IS LESS THAN $1. NO PAYHENT IS REQUIRED,
If TOTAL DU. IS REfLECTED AS A "CREDIT" ICR), YDU NAY BE DUE
A REFUND, SEE REVERSE SIDE Of THIS FORH FOR INSTRUCTIONS,)
r' ,
i
, ',1
__J
()C',
RESf.RVlTIDHl E.t.t.. of deGeden\' avlnt on or blforl Dto..o.r 12, 1962 .- If en~ futurl lntlr..t In the I.t.t. J. trln.flrred
In po.....Jon or enJDy""t to el... B (coUe.tra1) blnlflollrie, of thl alcldlnt .ftlr the 'Mplr.Uon of MW ..tlt. for
life or fDr v.ar., tne c~.elth hlr.by Ikprl.,lv r~.trvI' thl right to I99r.l.1 ftnd ...... trtn.f.r l~rltlftO. TlkO.
et thl lwful Cl... B (ooUltllrall rlt. on tny luch futur. Int.r..t.
PURI'OSE OF
HenCE I
'ro fulfUI thl r.qulr....,t. of SIClt10n 2140 of thl Inhlrltan<l. ana Eltet. T.)( lot, Aot 21 of 1995. (12 P,'.
SI(JUon 91',0).
Detac:h thl top portion of thl. Notlc. IInd tub.dt wtth yo~r payunt to thl Regist.r of will. prlnt.d on thl r,.y.r.. .Iett.
--Kt*t chltk or ltOfI.y ordlr payable tal REOISTER OF MILLS, AGENT
PAVMENT I
REFUND (CR) I
. refund of . tek cr_dU, ~1(Jh wal not r~utllttrl on tho Tax R.turn, .av b. r.qu..ted by cOMplttlng an "ApflIlIc.tlon
for Rtfund of P.n,,.yl,,,anll Intl.rltenc. and Eltatt T8x" (REV-Ul'S). A!Jplic.tlonl .r. .",.Uablt at thl OfficI
uf th. Ravhtlr of Willi, MY of thl 23 R.v.nu. District Offlo.., or by callino thl ,pledel 24.hol,lr
.......rlng ..rvlu nUllb.rt for for.. orutrlng: In Pennllllven11l1 1-800-362-2050, oulllde Pennsyl",ani. end
within local Harrisburg "r.1lI (1\7) 787-8094, TOOl (717) 172-22S2 (Heerlng IllJIelrlitd Only),
Any plrtv In Inter.st not IIIthfl.cl :.11th the appraha."nt, ellolllene. or disellowancl nf ~tlon., or ........nt
of taM (Including discount or I"tar..tl as Ihawn on thh Hotlc. ltU.t obJeot ...Ithln Ib:b (60) day. of !'KIlpt of
thlt NotlQe by I
~-wrltten prote.t to tM PA D.part..nt of R.venu., ftoltrd of Appeals, nept. 2bl021, HarrisbUrg, PA 11121-1021, OR
u.l.ctlon to h.ve the ..ttar d.ter.ln.d at I'ludit of the aooount of thll per.onal rtpr...ntttl",., OR
--~..l to the Orphan.' Court.
OBJECT IONS I
ADMIN
!STR.TlVE
C~CHONSI Faotu.l .rror. dl.cover.d Of'l this .........,t Ihould b. addr....d in writing to: PA Depert..nt of Rav.nuI,
aur'lMI of IndlvldullIl TIlIxu, AlUl1 po.t A......ant R.",law Unit, napt. 280601. Hllrrltb\lrll, PA 17128-0601
Phon. (117) 781-650!i. s.. po". 5 of the bookl.t "lnttructlonl for Inhtlrlhnce TllIll R.turn for. R..ldent
o.clO.nt" (REY~l!iOll for Iln .Mplenatlon of adIIlnlttrllt1"'.ty corrlCltllble error..
DiSCOUnT!
If .ny tel< ell.. h p.id within thr.e (3) eel.ndar aonth. .ftar tM Mcadtnt'. Math, a flve paro.nt <5;0 a1toount of
the taM p.ld it allDWd,
The liX taw aene.tll non-particJpat1on ptnlllty 11 co~utad on the total of thl taM ~ Intar..t a.....ed, and not
paid bafore Jan".rll UI, l'i)96, tha flr.t day aft.r the and of +.ha tax allne.ty period. Thl. nlln~partlf;lp.tlon
plnllllty h app.alabl. In the 18". lIann.r Ilnd 1n the the '!I" U.. perl ad 81 lIOU would ItfIP..1 tha tall .nd Int.r..t
that hat b.en .u'u.1d a. ineUcat" on thh notic..
(
,
.
?
,
i
PEKAL TV 1
INTEREST I
Int.r..t I. charged blflnnlne wittl fIr.t day of dal tnquancy, or nine (9) .onth. end on. 01 day frotl the d.t. of
de.tn, to 'h. dlllta of p.y..nt. laKa. which bee..a d.llnquent b.for. Januar~ 1, 1982 ~G.r Int.re.t at thl r.te of
.Ix U,,;O ptrCfli"lt per ItfII'lUIl ulcuhted .t II dally rata of .000164. All tax.. which b.t:.... dellnqu.nt on -net after
Jenuary I, 1982 wHI baar Intar..t at I rata which will yerll froll r.alitndar yeaf to calendar ~aar with that reta
MnOUnCled bll thl PA Dapart..nt (If Rav.nu.. Th. flppllcltbh illt.rut r.t.. for 1982 through 1998 .,..1
'!!!I: Inter..t Rate !lally Inter..t fflctor ~ Jnt.,...t.lt!!! D1lI11~ Int.r..t factor
1982 ZOY. .OOOS"8 1'987 OX .n00247
1985 16Y. .OO04SI1 1986-1991 11l( ,006301
1914 11l( .000301 199' 9Y. .000247
1985 13lt: ,00l)!.f!6 1995-1994 ]X .000192
196' 10l( ,000?1lt 1995-1991 OX ,0002lt7
.-Inttrut it r..lc:ulatad .. followlI
INTEREBT . BALANCE OF TAX UNPAID X NUNBER OF nAYS DELINQUENT X DAILY INTEREST FACTOR
--Anv MoUe. h.ued .ftlr thl taM beeC)M' dalinquent will rtflllClt an lI'!t.r..t c.leul.Uon to flft"" (Ui) dllv'
beYond thl data of the allll"...,t. If !)lIy..nt h._ afhr the Int.,...t co.putat1on data lhown on the
Notice, edd1tloncl Intlre.t t!U.t 1M calcul.tH.
,.
,.
../7'
APPROVAL OF ACCOUNT, RELEASE AND INDE~fNIFIC\TION
ESTATE OF WILLIAM B, SPONG, SR., DECEASnD
THIS AGHEEMENT is made this 211 ~ay of March, 1998 by and between, William B. Spong,
Jr, (the "Executor"), ElIecutor and reskluary beneficiary under the will of the hue WilllamB. Spong, Sr,
(the "Decedent") and Steven L. Spong, the Executor's brother and the only other potential heir of the
Decedent, who the Executor has determined should receive one "half of the residuary estate ~lercinafter
both arc referred to as the "Beneficiaries").
The Beneficiaries desire that th,: administration of Decedent's estllte be temlinllted llnd that the
Estate be distributed without the expellOe, deh,y and fom1llliry of a COllIt Accounting, The Beneficiaries,
by executing this Agreement. llgree to the proposcd distribution liS set forth in this docwllent. The
Executor of the Estnte is willing to con5ent to such a distribution upon receipt of a prQper relellse and
indemnification, which it is the purpose of this document to provide. In consideration of the
willingness of the Executor to make distribution without the formality of a Court Accounting and
agreeing to be legally bOWld hereby, the undersigned individually and on behlllf of their heirs. personal
representatives, successors llnd assigns h:we entered into this Agreement.
1. Decedent died on January 30, 1997, and Ius estate is now in probllte, Letters Testamentary having
been duly granted to the Executor by the Register of Wills of Cumberlllnd County on February 20,
1997, in accordance with Decedent's will, a copy of wluch has been previously mailed to each of the
Beneficiaries pursuant to Notice required by the Rules of Court.
2, At the rime of Decedent's death, his entire estOlte consisted of Cash, Bank Deposits, ~liscellaneous
Personal Properry and ren! property located at 19 Market Street, Wormleysburg, Permsylvalua. After rhe
payment of all expenses of ~e .est.ate, including ~1XCS, tj1e amount to be distributed to the Beneficiaries
is $11,938.00,-/1, M- PI (,.I.Jl (~u.-<'((1' .// t: . j)~ .
. .. i.v.tll:,t'"f,dfflj
3. The Executor advertised the grant of letters Test:unentary on AI' . 16,18,23,25 and 30, 1997 and
May 2, 1997, filed a Pennsylvania Inheritance Tax RetuLn and federal and srate h1eome tax teturns as
required, and paid the Inheritance Tax and Income Taxes due,
4. 1be Executor has paid all the debts and expenses of the estate known to him. The Executor has no
knowledge of any unpaid claims, absolute or contingent, wluch may be assl:rted against the estate, not
docs he have ?ny reason to believe there are llnl' .such claims.
S. The Beneficiaries declare that they have examined the attached lnheritnnce TllX Rerum and have
accepted it as art infoID1al accounting, find it to be true and correct in all particulars; approve it with
-,
tne same force llml effecl' a~ if il had been prepilfed a~ a fllrll1alaccountlng illlU l1k-d with, audited.
adjudicated and confirmed absolutely by II court or <:Oll1petent jllti~dicdon; anu ns if the balance Ill'
pl'incipal and income had been awarded by the Cout! in accordance with the lehedule of di~tributlon,
and, further, they
5.1, Warrant thllt the benc,fieiarics are the sole remaining parties in il1lcrcst in ule estaw and
entitled to receivc the cl\tire distribution thereof in accordance with the infonnal account;
5,2, Warrant the undersigned know of no outstllnding lInd ullSaci~fied claims against the
estate,
5.3. :\ppmve the distribution of the estate as set forth herein,
5.4, Absolutely and inevQcably release and discharge tile Executor, his heirs, personal
represenratives, successors and assib~"s, of and from any and all actions, liabilities, claims and demand~
relating in an)' wny to his administration of the "stnte and distribution 1tI accordance with the informal
account and schedule of distribution and without a court accounting and adjudication;
5.5. :\gree ro indemnify and hold harmless, the Executor, and his heirs, personal
tepresentntives, successors and assigns, ftom and against any clnims, li.1bilities, loss or expense (including
costs and counscl fees) arising from any cause whatsoever, wluch the Executor may incur as a result
of tile administration of the "state and its distribution in accordance WiUl tllis Agreement including, but
not limited to, any linbility for any federal estate tllxes, Pennsylvania Inheritance tax or any oUler death
taxes, and any federal or Pennsylvania income taxes, and Pennsylvania personal propetty tllxes, together
with nny interest and costs illcidel1lal thereto, tclari11g in any way to the estate; and also including, but
not limited to, any assets received or pllymcnts or d.istributions made by reason of any negligence or
mistake of lllW or fact,
6. Should any proper liabilities of the estate, whether for taxes or otherwise, arise or come to the
attention of the Executor or any of the Beneficinl'ies thereafter, ti,e Beneficiaries agree to be joinuy and
severally liable therefore.
7. This Agreement may be executed in multiple counrerpat!s, and, when so executed, shall be binding
upon all of the parties and tlleir respective heirs, next.of.kin, personal representatives and assigns,
k=
,.) !'f:~ f"
i^ 'j ,['1. (-,,), 1.,>. /
William B. Spong, Jr., Executor
Witness:
Ste~lg ~
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