HomeMy WebLinkAbout97-00683
PETITION FOR PRODAn: IInd GRANT OF LETn~RS
___2 L.~LT~kX.:L-~~'---
Rcgistcr of Wills for the
County of Cumberland in the
(:onuuonwealth of I'ennsylvania
IIstate (!f m~RTR'JDE M. D\lRKl\Ol,l)l<~R No
cllw klloll'/I Cl.~ To'
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.'toclal Secllrlty No. 174_05-1767
The petition of the undersigned respectfully rcprcsents Ihat:
Your petitioner. who is III yellfS of age or older is thc Exccutrix named in the I."'. will of the
above decedent, dated June 10, '99' and codicil(s) dated \none\. John Burkholder. the co_Executor
nl\l1led in said Will died June 10, 19%,
Decedent was domiciled al death 111 cumberland County, Pennsylvl\llia, wilh her last family or
principal residence at 80' North Hllnoyer Street, Carlls'e, North Middleton Township
Decedent. then 88 yellfS of age, died July 19, '997. at 80' North lIanover Street, Carlisle,
Fennrylvanla,
ExccptllS followS, decedent did not marry, was not divorced and did not have a child born or
adopted after execution of the will olTered for probate; was not the victim of a killing l\IId Wl\S never
adjudicated incompetent:
Decedent at death owned property with estimated values l\S follows:
(If domiciled in Pa,) All personal property
(\fnot domiciled in Pa,) Personal property in Pennsylvania
(If not domiciled in I'a,) Personal property in County
Value of real estate in Pennsylvania
situated l\S follows: 1547 Spring Road, Carlisle. North Middleton Township
$ unestimated
$
$
fune;,timated
WHEREFORE. petitioner respectfully requests the probate of the ll\St will and codicil(s)
presented herewith and the grant of letters testamentary thereon,
(' / ~);: /, / (;/0 1_ (/!, /) l !) ';71 'j)
d~,,' {'; , L.!"'"'' 0" .N, "Cd <,h"p,," ,,';:fl" fh~j, J?~'-
_ ct,.. \",.+, 1\"" \,.,UJ,~' <4\.Wliz-;beth Ann Burkholder Nicholson
4111 West Sixth Street
Waynesboro, PA 172611
(717) 762-7312
===============================~======~=======~===~~=================
OATH OF FERSONAL REPRESENTATIVE
COMMONWEAL I'll OFFENNSYL VANIA )
: SS.
COUNTY OF CUMBERLAND
)
The petitioner ab(lvc-named swears or alTlrms II1a\ the statements in the foregoing petition are
true and CClTre<'\ In tlo~ b~st of 'the knowledge and belief of petitioner l\IId that l\S personal representative
of the above d"cedent, petitioner will well and truly administer the estate according \0 ytw, . ' , ' )
, /"/f"'/I:1'/ (,ii''') /' Vi ,I<'/"'(.~~';r .'
'w,", . rn olli""" "" ..",,;'od L\.'-'" . I- ""d; <J', (,,, ' <<"I, ;k',cl !}<d&J4, ,~
before l\Ie this ._...ut.l:L day of (\ ,\,u\.F, ,,\\<'\" Elil,abeth Ann Burkholder Nicholson
_f>.l~at--.-" \9, 7
fY)IlJU~ (,-, . ~f' ') :' '':I--
Re 'Ister\'
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Thb b \0 ('rnth' t1lttllh(' il\I~"1l1,lti(l1l1li.'IT gi\"'ll i" ,,)lll'\I1\ '_'IPII'd 11'111\ ,III !111l',l!Ld (1.'lllIil,lll' (II dc,nll lltlly IiIi'd Wilhilll' ,1\
locd R~'gi'ILH"Th(' origiI1alll'l'liflc,lll' will he rlllW,lIdll! III Ill, \1,111' \'\I.d Fl'l/II\L {HIli 1,111\ 11l'lllI.l1\I'1l1 fililq~,
WARNING: 1\ Is IIlcllalto duplicate this copy by pholO!llill or pholo"raph.
No,
21-97-683
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, or any real or personal property of any nature; to sell, lease,
pledge, mortgage, transfer, exchange, dispose of or grant options
in regard to any or all property of any kind forming a part of my
estate for such terms and such prices as they may deem advisable;
to borrow money for any purposes connected with the protection and
preservat.ion of my estate; to mortgage or pledge any real or
personal property forming a part of my estate or to join in or
secure the partit.ion of same; to compromise any claims or demands
of my estate against others or of others against my estat.e; to make
distribution in kind and to cause any share to be composed of cash,
property or undivided fractional shares in property different in
kind from any other share; and to execute and deliver such
instruments as may be necessary to carry out any of these powers.
IN WITNESS
<R~ #1 day of
WHEREOF I have hereunto set my hand and seal this
o twIt....
, 1991.
)'
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l!.J.'/'cl'l)k/; Ij' I~I, l/I )()jLC}JEAL)
Gertrude M. Burkholder
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named
Testatrix, as and for her Last Will and Testament, in the presence
of us, who at her request, have hereunto subscribed our names as
witnesses thereto, in the presence of the said Testatrix and of
each other.
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Page 3 of 4 Pages
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COMMONWEALTH OF PI;NNSYlVANIA
DEMRTMI!NT OF REVENUE
OI!Pl. 280801
lIARRIUeURO, PA 17120.0001
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
BURKHOLDER, GERTRUDE M,
SOCIAL SECURITY NUMOER ,DATE OF DEATH
174.05.2767 0712'1/97
(If Applicable) SUfvlvlng Spoute'. N.mfl (I.st, FII'~1 'Anrt Middle Inllllll)
~~"I ______....
FILE NUIYIB~K
21 97
COUNTY CODe YEAR
'DECEDENT'S COMPLETE ADDRESS
SO I Norlh Hannver Stl'<'el
'DATE 01' BIRTH Carlisle, I'A 170D
0511S/OI) COUNTY ('lIlllhcrlnnd
SOCIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INsmUCTIONSI
(TO BE FILED IN DUPtJCAlC
\MT1-I REGIS1ER OF WILLS)
!: 4a. Future Interest Compromise
(for dates of death altar 12.12.82)
r.', 6, Decedent Died Tostate 7. Deoedent Mal~telned a Living Trust 0 8,
(Attach copy of Will) (Attach copy of Trust)
ALL CORRESPONOENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILiNO ADDRESS
STEPHEN L. BLOOM, ESQUIRE MARTSON, DEARDORFF, WILLIAMS & O'ITO
TELEPHONE NUMaER 10 East High Street
(717 ) 243-3341 Carlisle, "A 17013
I,: 1. Original Raturn
2. Supplemental Return
6S~
NUMBER
3, Remainder Return
(for dateA of doath prior to 12.13.82
5. Federal Estale Tax Return Required
Tolal Number of Safe Deposit Boxes
: ,
(1)
(2)
(3)
(4)
(5)
(6)
(7)
~2,551.79
1. Real Estate (Schedule A)
2, Stocks end Bonds (Schedule B)
3, Closely Held Stock/Partnership Interest (Schedule C)
4, Mortgages end Notes Receivable (Schedule 0)
5. CeshhBank Deposits & Miscellaneous Personal Property
(Sc edule E)
6, Jointly Owned Propartv (Schedule F)
7, Transfers (Schedule G) (Schedule L)
8, Total Gross Assets (total Lines 1.7)
9, Funerel EXp'enses, Administrative Costs, Miscellaneous
Expenses (Schedule H)
10, Debts, Mortgage Liabilities, Liens (Schedule I)
11, Total Oeductlons (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Government Bequests (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
15. Spousal Transiers (for dates of death after 6.30.94)
(Include values from Schedula K or Schedule M)
10, Amount of Line 14 taxable at 6% rate
(Include velues from Schedule K or Schedule M)
17. Amount of Line 14 texeble et 15% rate
(Include values from Schedule K or Schedule M)
18, Principal \ex due (Add tax from Lines 15, 16, and 17)
19, Credits Spousal Poverty Credits Prior Payments Discount Interest
+ + 17,89 (19)
20, If Line 191s greater than Line 18, enter the difference onLine 20. This Is the OVERPAYMENT (20)
A. 0 Chick hlrl If you Irl rlqulstlng I rlfund of your oVlrplymlnt.
21, If Line 18 Is greater than Line 19, enter the difference on Line 2'1. This Is the TAX OUE.
A. Enter the Interest on the balance due on line 21A,
B. Enter the total of Line 21 and 21A on Line 21B. This Is the BALANCE DUE.
Mlkl Chick PlYlble to: Rlglstlr of Willi, Aglnt
"SE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE ANO TO RECHECK MATH"
Under penalUaa of perjury, I declara thlt I haye a..mlned thla ratum, Including ecccmpanylng .ohedulas and .tatemenla, and to the besl of my knowledge and
bellaf, It latrua, correcland complate. I daclaralhsl ell real I.late haa been reportad al true markal yalue, DeclaruUon of prDplr.r olha, Ihanlhe peraonal
repreaenlaUye Is based on slllnformaUon ofwhloh preparar has any knowledge,
~URE OF PERSON RJ!PO~E F<}R F~INQ RETURN ADORESS DAJF. /
~). ~.. ,.~/..&'lI,/~)/~..J 418 W, Sixth Street, Wsynesboro, I'A 17268 I (" c~'I 17
10 ikEO~~I9fOTHe AN Rf.PRESENTA1IVE AODRliSS DATE.
..---;:rC.......-;Z i'-->:~.~ 10 E. High Street, Carllslo, P A 17013 I oj:)7 /,n
4. Limited Estate
~
i
a:
~
I
a
1,632.66
34,184.45
(9)
(10)
28,219.82
5,964,63
5,964,63
(15)
(16)
(17)
357,88
357,88
17,89
(21)
(21A)
(21B)
339,99
$339,99
.',
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I..ULD 01lLlG 1T0001.WILLOlI
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1WI.ISIURO . PA 17110
DATI Of PAYIl'iNT OIllfllNAL ADJUITIO UIUAL l .T I
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LAST WILL AND TESTAMEN~
I, GERTRUDE M. 8URJO{OLDER, of North Middleton Township,
Cumberland County, Pennsylvania, being of sound and disposing mind
and memory, do here~y make, publish and declare this to be my Last
Will and Testament, hereby revoking any and all former Wills or
Codicils by me made.
1.
I direct that all my just debts, funeral expenses,
testamentary expenses and all inheritance taxes (whether such taxes
may be payable by my estate or by any recipient of any property)
shall b~ paid from my residuary estate as soon as practicable after
my decease and as part of the administration of my estate. My
Executor shall have no duty or obligation to obtain reimbursement
for any such tax so paid, even though on proceeds of insurance or
other property not passing under this Will.
2.
I give, devise and bequeath all of my estate, both real and
personal property, in equal shares unto my son, JOHN E. BURlOiOLDBR,
and my granddaughter, ELIZABETH ANN BURltHOLDER NICHOLSON,
absolutely. Should my son, JOHN E. BURKHOLDER, predecease or fail
to survive me, then I give, devise and bequeath his share to my
said gr~nddaughter, ELIZABETH ANN BURKHOLDER, and should the said
( \ . ..)
.- 1:0
G.M.B.
page 1 of 4 pages
i.I,
"
ELIZABETH ANN BURXHOLDER fail to survive, I qive, devi.. and
bequeath her share to her issue, per stirpe..
3,
I nominate, constitute and appoint the said JOHN BURKHOLDER
and ELIZABETH ANN BURKHOLDER as Executors of my estate, In tho
event both of th~m shall be unable or unwilling to serve in such
capacity, then I ~ppoint FARMERS TRUST COMPANY, Carlisle,
Pennsylvania, to act ~n such capacity.
4.
I nominate, constitute and appoint FARMERS TRUST COMPANY,
Carlisle, Pennsylvania, as the guardian of the estate of any minor
beneficiaries under this my Will.
In addition to all powers
qranted by law or listed herein, I authorize my Guardian to expend
any part or all of said guardian estate ~or the care, maintenance,
support, education or general welfare of any minor beneficiaries or
for any illness or emergency which may befall them.
5.
I direct that my Executors shall not be required to file a
bond to secure the faithful performance of their duties in any
jurisdiction.
6 .
I authorize and empower my personal representatives and
guardian, in their lole and absolute discretion, to purchase or
otherwi.e acquire and retain any investments of Wllich I die seized
.j U
-' H f)
G.M.B..
Page 2 of 4 Pages
,.
or any real or personal property of any nature, to .ell, lea..,
pledge, mort9age, tran.f.r, exchange, di.po.e of or 9rant option.
in r.9ard to any or all property of any kind forming a part of my
e.tate for .uch terms and .uch prices as they may deem advi.able,
to borrow money for any purposes connected with the protection and
preservation of my estate; to mortgage or pledge any real or
per.onal property forming a part of my estate or to join in or
.ecure the partition of .ame; to compromise any claims or demands
of my e.tate again.t others or of others against my estate; to make
di.tribution in kind and to cau.e any share to be compo.ed of cash,
property or undivided fractional shares in property different in
kind from any other share; and to execute and deliver .uch
instrument. as may be nece.aary to carry out any of these power..
IN WITNESS
tl/4#J day of
WHEREOF I have hereunto set my hand and seal this
..June...
, 1991.
,,1 k:.' tlJ."i: ll' H, /1.
"Gertrude M. Burk 0
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named
Testatrix, as and for her Last Will and Testament, in the presence
of u., who at her request, have hereunto subscribed our names as
witne.... thereto, in the presence of the said Testatrix and of
each other.
__ -r-- .~~~
. ~7 /'
'--~c. ~ ... L 1/ X:.I/,;..V
Page 3 of 4 Pages
Ir:\flIUI.'\I,^TAlrl(.l\\lI.~t"Tll.'\NmICI\,nllt
CERTIFICATION OF NOTICE. UNDER RULE 5.~(a)
Name 01' Deccdent: GERTRUDE M, BURKHOLDER
Date of Death: July 29,1997
FileNo, 21-97-683
To the Register:
I certify that notice of beneficial interest required by Rule 5,6(a) of the Orphans' Court Rules
was served on or mailed to the following on or about October 28,1997:
Elizabeth Ann Nicholson, 418 West Sixth Street, Waynesbol'o, PA 17268
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: N/ A
Date: October 28, 1997
Signature
Name
~:-';J" /--r
~: .~-_.- ;;;~~-
.._-'. -~,- .
~. Blo~m,-ESq~~~----'----------'----
MARTSON, DEARDORFF, WILLIAMS & OTTO
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Personal R~presentative
J'Jflt1q
IUREAU OF INDIVIDUAL T~MES
IMHEmAltCE UM DIYIII~
DE.PT. 210601
H."Alt1~aJ PA 17121-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
C~
*'
_1.'lm.."'."-'"
GERTRUDE M
l
MAKE CHECK PAYABLE AND REMIT PAY HINT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLC, PA 17013
CUT ALONG THIS LINE .. RITAIN LOWER PORTION FOR YOUR RECOItDS ~
iiV': lili; -iie""A,p-i i'i9 :,rnii'iTi6r-6,- INHiiiiT Ailci-TAx - APPRA-iiii..-iiir; -An-6iiANci -oli-...... ..-. - - - - -.
DISALLOWANCI OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATI OF BURKHOLDER GERTRUDE M FILE NO. 21 97-0683 ACN 101 DATI 01-27-98
If an ..111.III.nt wa. i..uad previou.ly. 11n.. 14. 11 .nd/or 16. 17 .nd 11 will
r.flect figur.1 that includl thl total of ~ return. .1....ld to d.tl.
ASSESSMINT OF TAXI
11, ~aount of Lln. l~ .t Spoul.l r.t.
li, ~..unt of Llno l~ t..obl. .t Lln..l/Cl.11 ~ r.t.
17. ~MOUI1t of Llno l~ t..obl. .t Coll.t.r.l/Cl.11 I r.t.
1.. prlnolp.l T.. Duo
TAX CRlDnSI
PAVHENT
DATE
-28-97
NOTICE OF INNERITANCE T~X
AppRAIIENENT, AlLON~NCE OR OISALLON~NCE
OF DEDUCTIONI ~NO ~ISE'S"ENT OF TAX
STEPHEN L BLOOH ESQ
HARTSON ET AL
10 E HIGH ST
CARLISLE PA 17013
DATI
ESTATI OF
DATI OF DIA TH
FILl NUMBER
COUNTY
ACN
01-27-98
BURKHOLDER
07-29-97
21 97-0683
CUMBERLAND
101
~.oun~ R..ltt.d
[
TAX RETURN N~S I I X) ACCEPTED ~S FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSI
APPRAlSID VALUE OF RETURN BAIID ONI ORIGINAL RE1'URN
1, Ro.1 Eltot. ISoh.dul. ~I
2. Stookl end londl ISoh.dol. II
S. Clol.l~ Klld Itook/p.rtn.rlhlp Int.r,"t eSoh.dul. CI
~. Hort,.,oI/Not.. R.o.lY.bl. ISoh.dulo OJ
5. C..h/lank O.pollt,/H1Ic. Perlonal Proparty (Schedule E)
i. Jolntl~ awn.d prop.rt~ ISoh.dol. FI
7. Tronlf.r. ISoh.dol. 01
I. Tot.l A...h
I I CHANGED
III
(2)
151
I~I
15)
IiI
171
3'2,551.79
.00
.00
,DO
1.632.66
.00
.00
III
APPROVID DEDUCTIONS AND EXEMPTIONS I
9. Funeral EMPen..,/Ad.. Coatl/Hile. E~p.n... (Schedule H)
10. D.btI/Hort.... LI.bllltl.I/LI.n. ISoh.dul. II
11 . Tot.l Deduotiona
12. N.t V.lu, of T.. R.turn
15, Ch.rlt.bl./Gov.rnoont.l I.qu.ltlj Non-.I.ot.d '115 Trultl
l~. N.t V.lu. of Elt.t. Subj.ot to T..
7,957.00
1'1
1I01
20.2&2.82
1111
1I21
liS!
1I~1
Iloh.dol. J I
NOTIl
IUI_
lIi.
1I71
.00 X .00.
5,964.63 K ,06.
.00 M .15.
1111
RECU pT
_IU
AAZ 2398-'
,-- DISCOUNT 1+ I
INTEREIT/pEN PAID I')
17.89
339,99
AHOUNT PAID
TOTAL TAX CRIDn
BALANCE OF TAX DUE
INTEREIT AND PEN.
TOTAL DUI
NOTE I To inaura proper
oredit to ~our aooount,
.ub.1t thtl upp.r porUon
of thll for. with your
t.x p.y.ent.
34,184,45
'A.'19 &2
5,964,63
.00
5,964,63
.00
357.88
.00
357,88
357,88
,00
,00
.00
. IF pAID AFTER DATE INDICATED, SE! REVERIE
FQR CALCULATION OF ADOITION~L INTEREST,
IF TOT~L DUE II LESI THAN fl, NO pAVHENT II REQUIRED,
IF TOTAL DUE II REFLECTED AS A "CRIQU" ICRI. VDU H~Y IE DUE
A REFUND, SEE REVERIE IIDE OF THIS FORK FOR INITRUCTIONS.I
A\!IERY~T1,,"1
1'IJlI'OII! Of
MOnef.!
PAVMENT,
REFUND (eA) I
OIJECTIONSI
~D'UM
IITRmYE
COftRECTIONSI
DI"DUllTI
PlIlALTYI
IMTEA\!ITI
ht".. o' deCleRn" dylM1 on or blfor. ala"" 12, 1912 .... if Itny future int.r..t In the ..tit. 11 ,,_f.red
In po,.._.lon or enjav..nt to Cl.,. . (eoI1a"r.1) banI'I.J"I,. of thl deG.~t aft" the IMplr.tlon of '"' ..t... tit
l1f. or for y.~r', the C~.lth hereby IMpr.,.lv r...ry., thl right to ippr.'.. and ...... trtn.f.r l~lt.not ,....
It t~ lawful Cl... I (ooJlet.rel) r.t. on InY luch future lnt.r..t.
to fulfUl thl rtqulrlHntl of SICtlon 2llfO of the Inheritance end Est... TIM Act, Act 21 of 1'''. (12 ".S.
SIO' Ion 9140),
Detlch the tOP portion of .hl. Hotlcl end .~lt with your ply..nt to 'hi R"II'" of WillI printed on ~ r.~.r" .~..
"~"ak' ch.ck or .aneY order pIYlbl. tal REOISTER OF MILLS, AOENT
A r.fund of . tlM cr.dlt, Mhleh ~.. not r.que.tld on 'hl TaM R.turn, .ay bl rlqul.tld by OO.,lltlnt en "lpplloltlOft
for Rlfund of Plnn.ylvanil InharitancI Ind E.tltl TIM" (REV-ISl]). Applloltlon. era aVlllabla .t thl Offlc'
of thl Ra,i.t.r of WIll., any of the 2] R.venu' DI.trlet Offlo." or by 0.111"1 thl .paolal Z4-hQur
en'Mlrlnt ..rvlu nlJllb.r. fur for.' ord.rlngl In P.nnsYlvanla l-eGo-16Z-1.DSO, ouulcs. p.MlYlvlnla and
NUhin 10081 HerrlsbUr, .r.. (717) 7I7-.109oft, l1DOI (17) 772-2ZSZ (H..rlno lIP' Ired OnlY).
Any p.rty In Int.r..t not ,.tl,fl.d Mlth the appr.l....nt, allowenc. or dl.allowane. of deduction., or ......IInt
of t.1t (Including discount or' Inter..t) II .hONn on thlt HoUc. llIU,t obj.ct ..UMn .lMty (60) d.y. of r.c.lpt of
thit Notic. bYI
~-Nrltt.n protl.t to the PA D.p.rt..nt of RIVlnue, lo.rd of 'p~I.I., Dept, Z11021, Herrl.bUrl, PI 17121-1021, OR
~-.leoUon to have thl ..tt.r d.tlr.lned .t audU of the "oount of the PIr.on.t reprll."t.Uv., OR
--apPlII to the orphan.' Court.
Flctu.1 error. dl.oov.r.d on thl. ........nt lhould b. .ddr....d In NrltlAl tOI PI Oapart,,"t of R.v.nue,
lur'fU of Indlvldull TIM'" ATTHl Post A.......nt Revl'N Unit, D.pt. Z10601, H.rrl.bur" PA 17121-0601
Phone (717) 7.7-6S0S. Sa. p'" S of the bookl.t "In.truotl~' for lnh.rltanc' T'M Raturn for. RI.ldent
Daoectant" (REV-lSOlJ for an 'Mplan.tlon of adIIlnhtnUv.h corr.ctabl. arror',
If any t'M due 1. p.ld Nithtn thra. (I) c.landlr .unth' .ft.r thl dac.dant'. death, I flv. par cent (IX) dlsoount of
thl t'M plld 1. .llowed,
Tht llX tlM .-na.ty non-plrtlclPltlon p.n.lty I. COlPutad on the tot.1 of thl t'M and Int.r..t ......ed, and not
plld bafor' Janu.ry II, 199', thl f1r.t dlY Iftlr thl .nd of tha t'M .ana.ty per1od. Thl. non-plrtlolpatlon
panaltv it app..llbl. In thl .... .eMlr and In tha thl .... U.. par 10d .. you NOUld ."..1 thl tlX Ilnd Int.r..t
thlt hi' bltn .......d .. indlc.tld on thi. notl~',
lnt.rl.t II charged b.,lnnlnt with flr.t d.y of dlllnquancy, or nlnt C') .onth. and one (1) dlv frOl thl dat. of
dtl\h, to thl dlt. of p.y..nt. 'IM.I which beo... dellnqu.nt b.fora January 1, 1.12 bllt Int.r..t at thl rltl of
.IM (6Xl p.r~'"t par annul calculltad .t . d.lly rlt. af .0001.oft. All t.MI. ~Ich bac", del1nquent on and Iftlr
January 1, 1'12 Nl11 bllr Intar..t It I rat. which Mill Vlry fro' callndlr yaar tn clland.r y..r Nlth th.t r.t.
~unotd by thl PI DIPlrt.."t of ".v.ou., Th. appllclbl. Int.ra.t rltl' for 1..2 through I'" .r'l
US! Int.rut JIIta Dlllw Int.r..t FactBr !!!!' !!!l.r..t "It. O.lh Int.r..t FtCtor
1912 20X .0001".1 ,," .X .oaoz"
1"] IlX .OOOUI 1'11-1'" 11:< .\'00101
191. m ,0OasOl 1"2 'X .0\02"
1911 11% .ooon' l.n~I"lt 7X .oo.at!
1911 10:< .00027"- l'U-1"' .X .000241
ulnt.rll' II Clloulltad .. follOMII
INTERUT . IALAMCE OF TAK UNPAID X MUNIER OF DAY' DELINQUENT K DAILY INTEREST FACTDR
."~nv Hotlc. ltl\llld IU.r the t.1t b.OOM' dll~nqulOt w111 r.Uaot an Int.rut cllt.ul.t1on to flft..n OS) d.~.
beyond thl dat. of th.,.......-nt. If ply..nt tl I~ aft.r thl Int.ra.t coaput.tlon date lhewn on the
"'~Io', addltlonl. Int.r..t llIU.t be o.lculltMt,
";.;' ;".,.. ...,. ."W no.. ~,- . '. ..,~...
P R I NC I P AJ."..&1KlllfIS
Installmcnt Salcs Agrccmcnt datcd Dcccmbcr 7, 1992, for promiscs at
1547 Spring Road, Carli sIc, PA~ principal balancc duc (32,350.03) plus
accrued intcrcst (201.76)
Ellis Kuhn, rcccipts of principlll on Inslullment Sulcs Agrccmcnt,
August, 1997 through March. 1998
Financial Trust Company. chccking uccount
Church of God Homc, pcrsonal account
TOTAL RECEIPTS OF PRINCIPAL:
PRINCIPAL DISBlJRSEMENIS.
Ellis Kuhn, Installment Salcs Agreement, reduction of Ilrlncipal,
August, 1997 through March, 1998
Vemon Kruger, reimbursement for allomey-in-fuct expenses
Hoffman-Roth Funeral Home, balance due on funeral
Register of Wills, Pennsylvania Inheritance Tax (paid at discount)
MARTSON, DEARDORFF, WILLIAMS & OTTO, partial attorney's fee
MARTSON, DEARDORFF, WILLIAMS & OTTO, disbursements:
Probate fee 90.00
Advertising Letters Testamentary 133.68
Filing fee 15.00
RmW:
MARTSON, DEARDORFF, WILLIAMS & OTTO, balunce attomey's fee
Reserved for additional filing fees and expenses
Commonwealth of Pennsylvania, Department of Public Welfare, claim
TOTAL DISBURSEMENTS:
INCOME RECEIPTS
Financial Trust Company, checking account. interest through closing
Church of God Home, interest on personal fund through closing
Ellis Kuhn, Installment Sales Agreement, balance of August, 1997 interest
Ellis Kuhn, interest on Installment Sales Agreement, September, 1997 through
March, 1998
TOTAL INCOME RECEIPTS:
32,551.79
.1,364,34
\,021.66
6\1 ,00
. 35,548,79
1,364'\\4
367.40
849,16
339,99
1,700,00
238,68
1,000,00
175,00
19.895.42
25,929,99
1.57
\,32
\3,91
),478,12
1,494,95
f 1t'II,mi\IJAlAt'IU\\I!Sl AnHiIM4n,!J'W lUll,
~.
-'
.
,
ESTATE OF GERTRUDE M, BURKHOLDER
CUMBERLAND COUNTY FILE NO, 1997-0683
RELEASE
KNOW ALL MEN BY THESE PRESENTS that the COMMONWEALTH OF
PENNSYLV ANIA, DEPARTMENT OF PUBLIC WELFARE, docs hereby ucknowledge re\;eipt
of and from ELIZABETH A, NICHOLSON, Executrix under the Last Will und Testament of the
suid Gertmde M, Burkholdcr, ofpaymcnt ill the total amount of$19,895.42. in filII satisfaction and
payment of its claim aguinst the within cstate duted August 29, 1997, a copy of which is uttuched
hereto,
AND, THEREFORE, the said COMMONWEALTH OF PENNSYLVANIA,
DEPARTMENT OF PUBLIC WELFARE, docs hy these presents remise, release, quit,claim, ancl
forever discharge the said ELIZABETH A, NICHOLSON, Executrix uforesaid, her heirs, executors
and administrators, of and from the aforesaid claim, and of and from all actions. suits. payments,
accounts, reckonings, claims and demands whatevcr. from the beginning of the world to the day of
the date of these presents,
AND the said COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF PUBLIC
WELFLARE, hereby consents and agrees that the Orphans' Court of Cumberland County may
discharge the said Executrix upon application, without further noticc to it,
IN WITNESS WHEREOF, the undersigned has hereunto caused this instrument to he
executed this i-\ day of l-.\OI.:k!i'1'\ ).QWJ 99 ,
Witness:
COMMONWEALTH OF PENNSYLV ANIA
DEPARTMENT.O c' BIo~ ~.~"RE~)
cB1, /~~/..;<<+ ~ &~
,/ ./ -, J ()/>EUf,.I;J'? i(!
"
.. '
COMMONWEALTH OF PENNSYLV ANIA
COUNTY OF'-'1:) (\'I.., I"\' ,W
)
: SS,
)
On this the ~ day of .~\ r, '.:k'((' \.)"1<.. , 1999, before me the undersigned officer,
personally appeared '~\..\c:\'\\~i'=- C/",'..',.'I . who acknowledged that.tle is the
. (;., I A. Suy~. LJ 1"_L:.s",__.~_____~_, ofthe Conllllonwealth of Pennsylvania,
Department of Pub lie Welfare, and that as such, being authorized so to do. executed the foregoing
instrument for the purposes therein contained,
L'
IN WITNESS WHEREOF I hereunto set my hand and official seul the day and ycur
uforesaid,
;r
,
."
, / .J /1
~i I. 01' (fZ..." ,/)(' (Ie
11: (;,
!\
~)' ,I,: :i
'-) (~
NOT"IlIM $1M
NICOL! L f"RlY, Ho4G<v """'"
Ho"""'" DIu..... c:-.ly. PI.
My <<=-_1....... Wt, It, 200lI