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HomeMy WebLinkAbout97-00691 ..t4,;~ , ~ \l ~ ~ . c:o.c:. - ~ ~ /:) Q ~ \ ~ t:;":" ,'~ ""'" .... - \ '0 Q.. ~ - t-l F ,- co ~ f: d (;..\ ~ 1ft t1 ~ Z ~ , u.a .J ~ ~. ....... . ....,... ~~ ,~" . '. ..~-.. PETITION .'OR PROBA n~ and GRANT OF I,ETTERS No. ._.d1':~.rJ!l~L:-{Jjp-9l.--- To: E.!/a/e of ~r!r~_:R.,~JSF..eit.1l-~_-----., a/so know" as _n _____...__..~_ ...,-.-,..-.---' ____..,__....__.._..."'.'.."_.._..."'_ Register of Wills for the . __~_.__..------'-, D,'ceased, County of ~..mY/IND In the Socla/ SeCllrlty No. .__J.1A.".2lh.122.6----"...-..- CommonweAlth 01' Pennsylvania The petition of thc nndmlgned rcspcClfully rcpresents that: YDur petllloner(s}, who Is/are 18 ycars of agc or older an Ihe execu\.Q!: ----- named In the last will of thc above decedent, dated __.....____ .__..,_____..____...-----llaCewhPr ?fi , 19.9.6...- and codlcll(s) dated _nLa__..-,...-- ....,-...,..--."-.--- ------~_._-_.~--_.._~~_..,-_......"._-~~.~...-_.- -~-----~-~-_._-------_.~.__._....__._._-_.- (stale relevant drctHIlSll\llCCS, c.~, renunciation. death (If executor, etc.) ~-----._~~-_.~.._~"....__.._~.--------- Decendent was dDmlclled at death in _,_._..Cumbe.r:land------..---- County, Pennsylvania, with his last family or principal residence at ,_u....~aver Road. LoWE:l.r Allen Township, f'1 ,mhAr 1 amL.courrt.:i,...l'fl1lnl"Y 1 "''In j a_ (list street, number and lIlunclpallty) Decendent. then ,__.71L-_. years of age, dlcd August 5 , 19 97 -, at HR.rri!=:.hllrg Hnr.l.pitJ\..l t Hrlrr'IRhllrg, f"L:=tllphin ('f)unry: PAnn!=:ylv~ni"" . Except as follows, decedent did not marry, was not divorced and did not 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 IncDmpetent: _l'l2oe_ ---- Decendent at death Dwned property with estimated values as follows: (If domiciled in Pa.) All personal property (If nDt domiciled In Pa.) Personal prDperty In PenRsylvania (If not domiciled In Pa.) Personal property in County Value of real estate In Pennsylvania situated as follows: S 22.700.00 S 0.00 S 0.00 S 0.00 WHEREFORE, petltloner(s) respectfully request(s) the probale of the last will and cDdleil(s) presented herewith and the grant of letters Testamentarv (tcstamentluy; administration c.t.a.i administration d.b.n.c.l.l,) theron. }'" ")' ~'" ~~~J ~(~;~; 11 NeW Cumberland. PA ~e: ~o 1 Iii 17070 -.-- OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA }' S8 COUNTY OF nlMRERLAND The petltioner(s) above-nanled swear(s} or Afflrm(s} that the statements in the foregoing petillon are true and correct to Ihc best of the knowledge and belief of petltloner(s) and that as personal represen- tatlve(s} of Ihe above decedent petltloner(s) will well and truly administer the estate according to IBW. , . /-)/ '. / i I / -.;.-' Sworn to or .afflrme.d and subscn~~d ~- r-;,lJ;J.....l "-, n M iL,~. S(1 bcfDre me this _..l5ih__..-_ ma o'{ Robert D. l<)itzer '!! ~~."'~' ", (119, \ . II ~ '---.-----7 -- M.ML~\1"bL-f\!iilYf1",:~JJWiltJ.,- 1 Ml\ Y. Uc. LF.W I S ;;;;;i'&' , I:!. Tllb Is 10 (('nif\' lhal dH' IJlII\l:n,lli\ll\ Ill'IT I'i\'\'ll i~ llIl!n_-[h L-opi,'d fill!!) ,111 IlrJf)'l,d lnlilil.';llr (II de,nll dilly Ilkd wilh Ill(' a,~ I,oral R"gisl],;ll,'Thl' original <"end!,;!!.. \\'ill'[l(' 1;II\Uldvd (('I tilt' \lalc \'iLd 1~{'\(lI';[\ f lll!cc Ill!' pl'l'ln;lJll'1I1 liling. WARNING: Ills IIlegallD duplloato this CDPY hy photostat or photograph. h't' lilr thi~ cl,rtitl(ilh', '1\.~,n(l -,i,i,;;';i,,;,-,-_. -,ii/iiit' ~"OF ",;~~~~, /,"""'<.~\.' . fE4"""" i~\11~/ , " "<'..I'A.....\ (I~.(.. '.!!ft..,...,..~..:..~ ~-! ,,~ I", BI, . .(,.,1>=, * '. ~," ,; *, ~\ '--- ,', / l ~ ~'-._, - ,,-. -'~,\' \. ;j'fi'~<~" 't~:?ME'Nt ~'\~~W_l~ ~~iidtJLWjJJ;-- 4431866 N-n. I] ~ -/({)'M-a,(,~~~.o:.. '-(i.<:-f{.!-'\.~i."v- 'f I11L',111 'W'iHM U 0 C' . " \"'-L't'-.':kjL'~2Y+,,__ u [);I{(' t1l~, II.IH., lill COMMONWEALTH OF PENNSVLVANIA . OEPARTMtiNT OFHtiALTH . 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"" '" ." ='m.~:~:::.::'i7~t:ti !~ ll,l J, I,;}I "J1V1y?-C(I2J I IS' Iqf' 'c1 BUBEAU Of INDIVIDUAL TAMES INHERITANCE TAM DIVISION DEP', ZID6Dl HARRISBURG, Pi 11121.0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE cL *' NOTICE OF INHERITANCE TAM A~~BAISE"ENT, ALLOWANCE OR DISALLOWANCE Of DEDUCTIONS AND ASSESS"ENT OF TAM U...IIU U'" In..'' LOWELL R GATES ESQ GATES . ASSOCIATES 1013 MUMMA RD STE 100 LEMOYNE PA 17043 DATE UTATE OF DATE OF DIATH FILE NUMBER COUNTY ACN 03-09-98 KREITZER 08-05-97 21 97-0691 CUMBERLAND 101 AlIOunt B..I H.d ANDREW R L MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUS~ CARLISLE. PA 11013 CUT ALONG THIS LINE ~ RITA IN LOWER PORTION FOR YOUR RECORDS ~ itiV:i5W-iX"Aiiji-iii9:i7Y-Niificr"OP-YNHiiiii'ANCi"YA'i1"APPiiA"iiiHiilr;-ALi-ciiiANci-oli----" ""---- "----- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KREITZER ANDREW R FILE NO.21 91-0691 ACN 101 DATI 03-09-98 TAM RETURN WAS. (X I ACCE~TED AS FILED ( ) CHAHOED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN I. B..l E.t.t. (SchedUl. Al Z. stock. _ _. (Soh.....l. II S. Clo..ly Keld Sto.k/~.rtner.hlp Int.r..t (Soh.dul. CI 4. I1ort_./Not.. R.o.lv_l. (Sohedul. 01 S. C.ohll_ Ilepoolb/"ho. ~.r.onel ~rOl>.rty (Sch.dul. EI 6. Jointly OWned ~roperty (Schedul. fl 7. Tron.f.r. (Schedul. 01 I. Tot.1 A...t. NOTE I To Inlur. proper credit to ~our acoount, .ub.lt the upper portion of thl. for. with your te. p.YMent. .00 .00 .00 .00 40.583.83 3.890.05 118.191.02 tll III (ZI (51 (41 (51 (61 (71 162.664.90 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funeral EMpen.../Ao.. Coatl/HiIC. EMP.n... (Sehedul. H) 10. Debt./Nert.... LI_llltl../Llen. (Sch.duI. II 11. Tot.l Deduction. IZ. Met V.l... of T.. B.turn 15. CherH_l./Go..rNlent.l ~.hl Hen-.lect.d 9115 Tru.h 14. Met V.l'" of E.tet. Subject to T.. 19,592.11 (91 1I01 10.992.11 (111 IIZI (151 1141 1n.IiA4 '2 132.080.68 .00 132,080.68 (Schedul. J I If .n ........nt w.. i..u.d pr.viou.1Y, lin.. 14. 15 .nd/or 16. 17 and 18 will rlfl.ct figur.. that includ. the tot.l of ~ r.turn. .......d to dat.. ASSESSMENT OF TAXI IS. _t of Line 14 .t Spou.el r.t. 16. Aoount of Line 14 t..obl. .t Llne.I/Cl... A r.t. 17. Aoount of Line 14 t..obl. .t CoII.t.r.I/CI... I r.t. II. ~rlnclp.l T.. Duo TAX CREDITS I ~AY"ENT DATE 11- 05-9 NOTE I (ISI .00 M'OO. 11" 132.080.68 M' 06. 1I71 .00 M .15. - (III .00 7,924.84 .00 1,924.84_ RECEl~T NUIlIIEB AA242433 DISCOUIlT (+l lNTEREST/~EN ~AID (-I 396.24 7,528.60 ANOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 1,924.84 .00 .00 .00 . If PAlO AfTU DATE INDICATED, SeE REVEIlSE PDB CALCULATION Of ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN '1, NO ~AY"ENT IS REQUIRED. IF TOTAL OUE IS REFLECTED AS A "CREDIT" (CBI, YOU NAY IE DUE A REf UNO. SEE BEVEBSE SIDE Of THIS fORM fOB INSTBUCTIDNI.I oQ r f'-~.; " .t'n ,0 MIPY_nOth E.tlt" of Melt,den" dvlnt on or blfor. o.c..., 11, 1..2 ..- If In>> - future In,.,..t In the ,.t.,. ,. ,ren.'",r_ In po.....lon or InjD~t to Cl'" . (00111',reJ) blneftol,r.e. of tht dlcedent .ft,r the IMplrt'Jon of 8nY ..t.,. ,for 11f. or for ~r', t~ c~.lth hlrlby expr...ly ,...rv.. the right to."ral.. .nd ...... ',lntf.r tnhtrlt~. TIM" .t the l,-'ul c1... . (0011",r,1) r.t_ on Iny .uch twturt lnt.r..t. PUIlPOIE OF NOnCE. To '"UUI thlt r....lr...nts of S~tlon lUG of tM InhlIrltMCII Md E,t,t, hie Act, Act 21 of 1995. (12 P,S. haU", 9140). PAvtEMT, o.tlGh the top portion of thit Notice Wld lubIIlt Mith vour ptyant to the Regist.r 0' Nll1t printed on the rIYlr'. .Ide. __....... aMok or .oney or.r ptVllbl, tot REGISTER OF tfILU, AGENT REFUND (aUI II r,ft.nI 0' . tu ClrecUt, which we. not ,..,..t.. on the Tile R.turn, nil' be roqu..tld by oOllpltUnt M "Application for R.fund of Penn,,,lv.,,., lnn.rltlnCl end Est,,_ Tu" (REV~Un). Appllc.Unn. .r. .v.UIlb1. .t the Offic. of the R..I.t.r of Will., WlY of thl 25 A.venue Ol.trlct Offlc.., or by oolllng tt. ,pecl.l 2.~hoUr .n...rl"l ..rvlc. ~.r. for for.. orderlngr In Penn.ylv-nl. 1-100-562-2050, out,JdI Penn.ylv-nl. end vlthln lOCI. Herrllburg .r.. (717) 717-1094, TDD' (717) 772-2l5l (~.rlnt I.,.lred Only). OI.Jf:CTlOMS~ Any p.rty In Int.r..t not ..U.fled with tM 'PP".l..-nt, .UovWtO. or dll.UovlnCl' of d.ctucrUOft., or ..........t of tlM (InGludlnt dl.count or Intata.t) I' .hown ~ thl. Notlca .ust object within sixty (60J d.y. of racalpt of thh NoUe' bYI -~wrltt'" prota.t to the PA Dep.rt,,"t of R.venue, ao.rd of ""11', Dept. 211021, Herrl~t., PA 17IZI-1021, OR ....IMtS," to haYe the ..tt.r eMt.r.lned .t eud1t of the MC....,t of ttt. ,.....onal r.pr.....t.Uv., OR u.....l to thl Orphan.' Court. AlliUM IITRATlVE CORRECTlONS1 'MtuIll .rrore dlNOy.rad on thlt ........"t shoUld be Iddr...1Id In ..rlUng tOI PA o.p.rt....t of R.venut, luraeu of Indlyl~1 Tlx", ATTNI po.t A...."'"t R.yl~ unit, Dept. 210601, Harrllburg, PA 11121-0601 Phone (111) 7.,.'SOS. ...,... S of ttt. bookl.t "In.tructlon. for Inherltanc. T.x R.'urn for. R..ldent OIcldlnt" (REV-IS01) for an 'MPlenatlon of adalnl.tr.tlvl1Y correctable .rror.. PENAL TV I If Will tal( due II ,.Id within thr.. CU c.landlr ....th. aft.r the .......t.. ..th, .flv. parclnt (IX) discount of the tlM p.'d I. .llowed. TN 15% tu ......ty non-plrtlolpltton penaltY II cOlPUtld on thl total of the tlX IIIId Inter..t ......ad, and not p.ld blfore January II, 1996, thl flr.t day .ft.r thl end of thl tlX .-nesty ~rlod. Thl. non~p.rtl~lp.tlon panalty II ."..1....1. In tM .... .anMr and In the thII ... U.. p'rlod .. you would epp..l thl t.x and Int.r..t that he. been ......... II Inclloated on this notl_. DIItOUNTI 1NTtR!1T1 Int.r..t II charted beglmlng with flr.t dey of delinquency, "r nine (9) ...,th. 1InCi one (1) day frOll the d.t. Qf ..~, to the dat. of P.~t. Taxa. Which beO_ .11,",,*,t bIIfor' January 1, 1912 bI.t lnt.r..t .t the r.t. of .SM ('~) INrc,"t par ~ c.lcul.tad .t . dalh rat. of .000164. All t.x" which bac... ctallnquant on and .ft.r Jllnytry 1, 1..2 wtll bier tnt.re.t .t . rat. which Nlll very frOll c.lendar y..r to cIJand.r y..r ..Ith thlt r.t. announced by the PA o.,art.ent of R.venut. The .,,11clblt int.r..t r.t.. for l~'Z through 1"1 .r.t '!Dr lnt.r..t lII.t. hlh Inter..t Factor !!!! Int.r..t Rat. Dallv Int.r..t F.otor 'HZ ZOX .000"1 ,917 'X .0002'" I9IS '0 .000.,. ,.....,", IIX .000501 IM4 IIX .000501 ,"Z OX .000247 I'U lSX .000SSi 19t5~1"" 7X .00al9Z .... lOX .ooon. '1"'-1"1 'X .000247 --Intar..t I. calculated .. follo.-l1 DlTEUIT . 'ALANCE OF TAlC UllPAlD X NUIlIEI OF DAY' DELINQUENT X DAILY INTEllElT FACTOR --Any Notlo. ...uId Ifter the t.x bee... eMlI,...t ..Ill ren..t an Intlr..t ollcul.t1on '0 flftHft CIS) dill' bellond the d.t. 'of the .....lIIIIIt. If P'YIlIr\t II ... aft.r the Int.r..t ClOllpUt.Uon dat. .hoNn on thl NoUoe, additional Int.r..t ...t bI oalouhtld. ',' !:!AS'l' WILL AND 1,ESTM!.m O~ ANDREW R. KRBJTZER I, ANDREW R. KREITZER, now of 1'/ Beaver Road, Camp Hill, Cumberland County, Pennsylvania, 1'1011, do publiSh and dec lare this to be my Last will and Testament, hereby revoking all other prior wills and codicils made by me. FIRST I Familv Back9round and Appointment of Executor. (A) Family and Backqround Informatio~. I am a widower, my wife, DOROTHY KREITZER, having passed away on July 31, 1990. I have one (l) son, ROBERT D. KREITZER. Throughout this Will, ROBERT D. KREITZER, wi II be ref erred to as "my chi ld" . The word II issue" will include my child as well as my other descendants. (B) Appointment of Executor. I appoint as my Executor and successor Executor (all hereinafter referred to as Executor or Executor[sl) under this will, the following named persons to serve without bond and without being required to account to any Court: Executor: My son, ROBERT D. KREITZER. Successor Execlltor: My daughter-in-law, SHARON LEE KREITZER. SECOND: Funeral and ~ast Illness EXDenses/ Taxes. (A) Expenses of Funeral and Last Illness. I direct my Executor to pay my funeral expenses and the expenses of my last illness from my estate. (B) Taxes. I direct my Executor to pay any and all estate, inherltance, succession, legacy, transfer and other death taxes or duties, by whatever name called, inCluding any and all interest and penalties thereon, in~osed under the laws of any jurisdiction by reason of my death, upon or with respect to any and all property included in my gross estate for the purpose of such taxes, whether such property passes under or outside of this Will, out of my residuary estate, without being prorated or apportioned among or charged against the respective devises, le~a ~e~~~iciaries, transferees, or other recipients of any Ec pI' ett, 0 charged against any property passing or which m \e asse.o any of them. The Executor shall not be , ),^" J ~1JtIf/ / . c~ ~llT WILL Mill T!STAM~ Q! ANDRBW R. KRBITZBR - PAGE 2_ entitled to reimbursen\ont for any portion of ilny such taxes from any such person. THIRD: ~anqib18 personal ,property. gxcept for t.hose items excluded beloW and thOSll items onumoratod in the L,etter of Instruction, I bequeath to my child, ROBERT D. KREITZeR, living at thf) time of my death, all tangiblo penwnal property, including but. not limited to clothing, :jewelry, heirlooms, furni ture, personal effects, motor vehicles, and all other similar articles, which I own, and t.he insurance thereon. If my child does not survive me by s ixt.y (60) days, I leave such tangible personal property to the issue of my child, per stirpes. Should my child be deceased without any issue, I leave such tangible personal property to my daughter-in-law, SHARON LEE KREITZER. If there is any disagreement as to distribut.ion, I dlrect my executor to make such distribution. The decision of my executor shall be final and binding. Any items not selected may be sold at the sole discretion of my executor and, if sold, the net proceeds therefrom shall be added to the residue of my estate. Tangible personal property shall not include: (1) any and all property used by me in any business, (2) cash on hand or on deposlt in banks, (3) stock or securities, (4) any type of evidence of indebtedness, and (5) any life, health or accident insurance policies. Notwithstanding any other provisions ln this Artlcle THIRD, I may leave a separate, dated and unsigned Letter of Instruction, which I shall place with my Will, containlng directions as to the ultimate disposition of certain of the property bequeathed under this Article THIRD, and such Letter of Instruction shall determine the distribution of such items. FOURTH: Residuary Gifts. I give, devise and bequeath all the rest, residue and remainder of my estate, of every kind and character, real, personal and mixed, tangible and intangible, and wherever situated, inCluding any lapsed or renounced legacies or devises (and including any property over which I may have a power of appointment), to my child, ROBERT D. KREITZER, per stirpes. Should my child predecease me, leaving no issue, I devise and bequeath any portlon of my estate remaining to my daughter-in- law, SHARON LBE KREITZER. (G) Distributions Durina Administration. prior to final distribution of my estate, the Executor, in his discretion, may make partial distri.butions to one or more beneficiaries or d/JtJ ~C_ [\ \ ~ / (-~ LAST WILL AND TBSTAMENT OF ANDRBW R. KRBITZBR PAGBJ TrustS. As a consequence, the Executorship and any 'l'rusts created under this Will may exist contemporaneously. A distribution may be made subject to any indebtedness or liability of my estate. FIFTH I S'Dsndthrift provisi.on. No beneficiary shall have the power to anticipate, encumber or transfer his or her interest in the estate in any manner other than by the valid exercise of a power of appointment. No part of the estate shall be liable for or charged with any debts, contracts, liabilities or torts of a beneficiary or subj ect to sei zure or other process by any creditor of a beneficiary. SIXTH I powers of Executor. In addition to the powers and duties as may have been granted elsewhere in this Wl1l, but subject to any limitations stated elsewhere in this Will, the Executor shall have and exercise exclusive management and control of the Estate and shall be vested with the following specifiC powers and discretion, in addition to the powers as may be generally conferred from time to time upon him by law: (A) In the management, care and disposition of the Estate, the Executor shall have the power to do all things and to execute Buch deeds and instruments as may be deemed necessary or proper, inCluding the following powers, all of which may be exercised without order of or report to any Court: (1) To sell, exchange or otherwise dispose of any property, real, personal or mlxed, at any time held or acquired hereunder, at publiC or private sale, for cash or on terms, without advertisement, including the right to lease for any term notwithstanding the period of the Estate, and to grant options, inCluding any option for a period beyond the duration of the Estate. (2) To invest all monies in such stocks, bonds, securities, mortgages, notes, choses in action, real estate or improvements thereon, and any other property as the Executor may deem best, without regard to any law now or hereafter enforced limiting investments of fiduciaries. (3) To retain for investment any property deposited with the Executor hereunder. -ft~ d'(.9- % t\ LAST WILL AND TESTAMENT OF -- ANDREW R:-KREITZER PAGE 4_ (4) '1'0 vote in person or by proxy any corporate st.ook or other security and to agree to or take any other adtion in regard to any reorganization, merger, !consol ida tIon, liqulda t1on, bankruptcy or other procedure or proceedings affecting any stock, bond, note or other security. (5) To use attorneys, real estate brokers, accountants and other agents, if Buch employment is deemed necessary or desirable, and to pay reasonable oompensation for their services. (6) To compromise, settle or adjust any claim or demand by or against the Estate and to agree to any resdssion or modification of any contract or agreement affecting the Estate. (7) To renew any indebtedness, as well as to borrow money, and to secure the same by mortgaging, pledging or conveying any property of the Estate, including the power to borrow at a reasonable rate of interest. (8) To retain and carryon any business in which the Estate may acquire an interest, to acquire additional lnterest in any such business, to agree to the liquidation in kind of any corporation in which the Estate may have an interest and to carryon the businsss thereof, to join with other owners in adopting any form of management for any business or property in which the Estate may have an interest, to become or remain a partner, general or limited, in regard to any such business or property and to hold the stock or other securities as an investment, and to employ agents and confer on them authority to manage and operate the business, property or corporation, without liability for the acts of such agent or for any loss, liabili ty or indebtedness of such business if the management is selected or retained with reasonable care. (9) To register any stock, bond or other security in the name of a nominee, without the addition of words indicating that such security is held in a fiduciary capaoity, but accurate records shall be maintained (\ ,~ .;, LAST WILL AND TESTAMENT OF ANDRBWR~KREITZER PAGE 5 Showing that such security is a Estat~l asset and the Executor shall be responsible for the acts of such nominee. (B) Whenever t.he Executor is dlrected to distribute any Estate assets in fee simple to a person who is then under twenty- five (25) years of age, the Executor shall be authorized to hold such property in Trust for such person untU he/she becomes twenty-five (25) years of age, and in the meantime shall use such part of the income and the principal of the Estate as the Executor may deem necessary to provide for the proper support and education of such person. If such person should die before becoming twenty-five (25) years of age, the property then remaining in trust shall be distributed to the personal representative of such person's estate. (0) In making distributions from the Estate to or for the benefit of any minor or other person under a legal disabUity, the Executor need not require the appointment of a guardian, but shall be authorized to payor deliver the same to the custodian of such person, to payor dellver the same to such person without the intervention of a guardian, to payor deliver the same to a legal guardian of such person if one has already been appointed, or to use the same for the benefit of such person. (D) In the disbursement of the Estate and any division into separate trusts or shares, the Executor shall be authorized to make the distribution and division in money or in kind, or both, regardless of the basis for income tax purposes of any property distributed or divided in kind, and the distribution and division made and the values established by the Executor shall be binding and conclusive on all persons taking hereunder. The Executor may in making such distribution or division allot undivided interests in the same property to several trusts or shares. (E) The Executor shall have discretion to determine whether items should be charged or credited to income or principal or allocated between income and principal as the Executor may deem equitable and fair under all circumstances, inCluding the power to amortize or fail to amortize any part or all of any premium or discount, to treat any part. or all of the profit resulting from the maturity or sale of any asset, whether purchased at a premium or at a discount, as income or principal or apportion the s,ame between income and principal, to apportion the sales price of any asset between income and principal, to treat any dividend or . ~ LAST WI~L AND TBSTAMENT OF ANDRBW R. KRBITZBR PAGB 6 other di.stribution of any investment as income or principal, or apportion the same between income and principal, to charge any expense against income or principal or apportion the same, and to provide or fail to provide a reasonable reserve against depreciation or obsolescence on any assets SUbject to depreciation or obsolescence, all as the Executor may reasonably deem equitable and just under all the clrcumstances. (P) If at any time the total fair market value of the assets of any trust established or to be established hereunder is so small that the corporate Trustee's annual fee for administering the trust would be equal to or less than the minimum annual fee set forth in the Tru!ltee' s regularly published fee schedule then, in effect, the Trustee in its discretion shall be authorized to terminate such trust or to decide not to establish such trust, and in such event the property then held in or to be distributed to such trust shall be distributed to the persons who are then or would be entitled to the income of such trust. If the amount of income to be received by such persons is to be determined ln the discretion of the Trustee, then the Trustee shall distribute the property among such of the persons to whom the Trustee is authorized to distribute income, and in such proportions, as the Trustee in its discretion shall determine. (G) When the authority and power under this will ls vested in two (2) or more Executors or Co-Executors, the authority and power under this Will or granted by law shall be vested in, and exercised by, each of the Executors individually or all of the Executors jointly, such that each Executor may act independently, or the Executors may act jointly, in the administration or under the terms of the Will. SBVENTH: Rights and Liabilities of Executor. (A) No bond or other security shall be required of any Executor. (B) This instrument always shall be construed in favor of the validity of any act or' omission by any Executor, and any Executor shall not be liable for any act or omission except in the case of gross negligence, bad faith or fraud. specifically, in assessing the ropriety of any investment of the estate, the overall performa ce of the ent,ire estate shall be taken into account. 4-- I!f)V -DL: c.- '. . , ~~ST WILL AND T~STAM&NT OF ANDRBW R:-KRBITZBR PAGB 7 (0) Each Executor shall be entItled to receive reasonable compensation for servIces actually rendered to my estate, in an amount the Executor normally and customarIly charges for performing sim:l1ar servIces durIng the time which he/she performs the services. BIGHTHI Tax Blections. In determinIng the estate, inheritance and income tax lIability relatIng to my Estate, the Executor's decisIon as to all available tax electIons shall be conclusive on all concerned. If the Executor joins with my spouse in filing Income tax returns, or consentIng for gift. tax purposes to having gifts made by either of us durIng my life considered as having been made one-half by each of us, any resulting liabilIty shall be borne by my EstatEl and my spouse in such proportions as they may agree. In accordance with IRe Section 2632(a) and wlthout regard to whether a Federal estate tax return is actually filed, my Executor shall allocate so much of the Federal Generation Skipping Transfer (GST) exemption amount as will fully exempt any generation skIpping transfer which may occur under this Will. NINTH I Definitions and General Provisions. (A) Survival. Any beneficiary, inClUding my spouse, who dies within sixty (60) days after my death shall be considered not to have survived me. (8) Trust Estate. "Trust Estate" means all assets, and wherever acquired, inCluding income, which may belong Trust at any given time. (C) Children. Except for discretionary distributions which may be made unequally among a group of persons and distributions pursuant to a valid exercise of a Power of Appointment, in making a distribution to the children of any person, the property to be distributed shall be divided into as many shares as there are living children of the person and deceased children of the person who left children who are then-living. Each living child shall take one share and the share of each deceased child shall be divided among his then-livlng descendants in the same manner. A posthumous child shall be considered as living at the death of his parent. however to a , , ) /l(D) C \'f.I.ll ~se otherwise stated, all references in my ter numbers are to those of the Interna1 ;!;JIU . , <:;v C-,. ". ;, 11 ; Ci .' CU" . ~ U . ~ :! I 'Ii ~ ~ ~ ~ ~ ... ~ 0 Vl U uI ~ W 0 ~ II ~ ~ IL <rJ ... <rJ ~ Pl 0 1< ~ .~ ~ w i " I:: ..J ~ iil ci ~ <rJ ~ 5 i :::> " ~ M ~ ,f " 'II .- .. ,.., ., ~ r' {/ ,,'-V' ">1"',1 ,. 11"'1 1'5 -I CI (~<+. GNHERITANCE TAX RETURN ~?t~8.t1i~rfFDI~~MmR '2/3'''' RESIDENT DECEDENT POVER~,!EDIT_I~C~!~____._ 1;{IMMflNW[AI r 'I (II l'tNN'iY\ VANIA (TO BE FILED IN DUPLICATE filE NUMBER IHI'AlIIMI NI ,,' "I VI N\l1 21 1 '197 0691 """11":~:':::;~:~':';~" "",,' ..._ ~~TH_~~GIS~ER-O"'- WIL~~lu C()~tl_TY (:.QQf'.____'_,VIAH_ NUMIlEH DECEDENT'S NAME ILAST, FIHST:'ANDMIDDli: INITIAW-'--'''--'ilE(.i'DENT~ic(IMri:iiiEADDi0JS- KreHzer An(It-ew R. 1" !leiIVP!' Road DECEDENT SOciALSE~YNUM8ERIDATE()TDEi\lfl-ToATi:OI'BI11111 ('imp IIi 11 , PA 17011 174-20-1296 __.~ 01l/O',/97 Ln" /17 /1r)?,! (,\llIlIly CI.I!tXl!']and -\"It:;'~~~I:\~III\I;i\":~:Y:~'': ',I" ,(>;,: :" [1i'T'~r-;-OCIAI_~E"(:III~i~Y NI:l1f ~\ 'f~()i:~: R~l.IIVE~ (SEE INS~I1UCTiONS)___ ~i'I<1"'nl R""1111 IT~' ';lpp"""",,lnl 11"111111 lJ" R,,,"nllldlJl n"III'" II'" d"t~', 01 ,hlillh flrI'" t" 1/-' 1-.1"1'.<'1 CHECK APPRO- PRIATE BLOCKS 04 UllIitud E!lhdo 04f1 rllllll1illllmtwl C()nlp'0I1\l~ltl [1 r, Ffldnrtlj bhUO Tm( Rnturn AuqulfOd \101 c!a\(m 01 clOlllIl flllm 1~~-12..n~) [~u Om;(ldOl\l Olnd TO:lt;\lo ~l ., Docodlllll Maintnlllfld fI l!Vinq THl\;I 0 [I. Tulnl NlIInbm 01 snlH Doposll B())(fls (Attach copy 01 Will) (AII<1ch copy 01 Tllwl) HECAPIT - ULA TION ALL CORAES~DENCe AND OOf>lFlDENTIAL TAX 1!l!ORMATI~~D ~~Dlfi~~o:__ NAME COMPLETE MAIL1~I(; ADDRESS lDWell R. Gates, Esqnire (J.cltes & ASscx:~iate!l, P.C. TELEPHONE NUMBE:R ",--,--.-"'- 1013 MI.In1\il Road, suite 100 '/17-731-9600 La le PA 17043 1, Rf.Hd Estaln (Scllnduln Al ( 1 ) None 2 Slocks and BOlldn (Scl1odlllo B) ( 2 )~--~~."""'---None ~l, Clo!iolV Huld Slock/PmtnUltlhtp Illlmo:,1 (Sch. C) ( a 1 None 4. MmtqaqoB nnel Noltm Rncoivnblfj (ScllOclul{J Ol ( 4 )----~_.---- None f), CaHh, Bank DOPOHlhl 8 MIBcellmlOmw Pnt!1(l1H11 ( fJ 1 40-;583.83 Plopntty (Schodulo E) 6, Joinlly Owned PWpOlty (Schocllllo F) 7, TIElIlSIOlfi (Schodulo Gl (Sdlftclulo Ll B. Tolol GIOS9 AS!l(JIH (Iolal UnmJ 1-7) 9. FUIlOl al E)(potl:-;as, Admlt1l91lollVO COS1H. MtBcellanoous Expu!1:-10S (Sclloclulu HI 10. DubIs, MOIlgaqo lIabihtios, LiOIlR (Schodulo II 11, Total Ouduc1j0l19 (Iotal Unll8 {I & 10) 12, Nel Valuo 01 Eslalo (lillO B ITlinU5 L1no 11) 13 Challlablo and GovmnlllfHllal BUqU(lsts (Sc:hoduln J) (0 I (71 3,890.05 118,191. 02 CORRES- PONDENT (0 ) 162,664.90 ( 91 19,592.11 (10) ~992 .11 1\1) 112) 1131_ 30,584.22 132,080.68 Ncne 14. Nol Vllluo Sublecl to Tux (litH! 12 ll1il1lHi LillO 13) 15, '-'I\lI\/llilllf,llbHH;; (II)! '!-I!lI', 0\ dIJ,\!ti ,d1tH II-,ll-Gill, .'jfJ!l \!l:;huc\llll1'; 1M AI'I'IiI.,1l11l' I'flfum\.1(1" IIIII'.HI!' (. (111<oh1l1D V.Illl...'; trnfll SctHldull<', III f,,-I\I!,II!Ir> M.~ (14) 132,080.68 (15) K, 10. Amount 01 Utlfl14lilXablo al G';{" 1010 (10) (lllCIUdo valum, hom Schuell/lo K 01 Sr;hodlllu M.) 132,080.68 K ,06 7,924.84 17. Amount ot Lilln141axublo al H\'Y., nltll (1lldudo valuoR hom Schoduln K or Scl1Udul(1 M.) 18. Plinclpallm< duo (Add lax linin UmlH Hi, 1B 011<:117.) 19. CrndllB -';PII\I"III'[JVtHIV IH'lot PliO! PnVlllUlltn Dmcoulll Inlol(lHl . 7,528.60. .___ 39~.24 - 0.00 20. 11 Linn 19 i~ gHmtHt than Uno 18, mltm thu dltforonGIl 011 lillO 20. ~hl!i is 11m OVERPAVMENT. ~ Ctl.~k h... ~ you .... ,.q...~nlla "!!!!!!LOW.' ov.rpaym.nt. --:=] 21. 11 Ulln 101:1 f;lloalllt 111UIl Utll' 1U, ontm Iho (1I111111111CO OIl IJIl(l 21. This if! 1110 TAX DUE. A. EIll01 Iho 1t\101oHt Oil tllIJ bal!ItlG(I duo Oil LillO 21A B Entollho lOltll 01 Uml <!1lllld ~1A un Lill1l21B. ThiH IH 1I1H BALANCE DUE. Mak. Chook pay.bl.to: R.glster 01 Wills, Ag.nt ..----- .. .. BE SURE TO ANSWER ALL QUESTIOf>lS ON PAGE 2 AND TO-RECHeCK MATl1. · Undlll ponn "I pwi'"v, I """Inlll IhnlI I,nvn "Knlll'n"d III'" Iflhlll\. In<:llld'n<1 .""ornpnnyin<1 RdlndlllOR nn" "lnlflllloi'IH, 6nd 10 Iho b"HI 01 my knowl<l,jqo nnd b"II,,1,1 I" Ill", cOII"el nn" ,,"Illplolo. I dodnl" 111111 nil ","1 o"lnl" hn" b""n Inporl"d l111i1l" rnnrkol vnlll" D""lnln\lon 01 plOpnllll olhOl Ihon 1110 pm.on.1 Inpl(!flWllfll n i b.fl!lnd OIl nllltll0l111allon 01 WllU;I\'p~~\!OI IWH fillY krlowl(lclqn. -----" ~i NA j i If'!' n:i(fNFU-',f'JlN:I(!llfliIHIIlINIII\llliHN 1\(ilHl!'", [lAH , , See Schedule attached JL' '/- 7( "ATI ,1 /-4-17 (1'1) 0.00 K .15 0.00 (16) 7,924~84 TAX COMPUTA- TION (191 (20) 7,924.84 (21) (2tAI (2\81 0.00 0,00 0.00 n l!tANHII'ItL~~I^IIVf Al lpli! i,~, 1013 MI.Ima Road, Suite wloyne, PA 17043 100 N4i1f'fI.OIJ\ /""~''',\ LAST WII..I.. AND TEST~BNT OF ~REW R. KRBITZER I, ANDREW R. KREITZER, now of 17 Beaver Road, Camp Hill,. Cumberland county, Pennsylvania, 17011, do publish and declare this to be my Last Will and Testament, hereby revoking all other prior wills and codicils made by me. FIRST I FamilY Backqround and Appointment of Executor. (A) Family and Backqround Information. I am a widower, my wife, DOROTHY KREITZER, having passed away on July 31, 1990. I have one (1) son, ROBERT D. KREITZER. Throughout this Will, ROBERT D. KREITZER, will be referred to as "my child". The word "issue" will include my child as well as my other descendants. (B) Appointment of Executor. I appoint as my Executor and succeSRor Executor (all hereinafter I'eferred to as Executor or Executor [s]) under this Will, the following named persons to serve without bond and without being required to account to any Court: Executor: My son, ROBERT D. KREITZER. Successor Executor: My daughter-in-law, SHARON LEE KREITZER. SECOND I Funeral and Last Illness Expenses I Taxes. (A) Exoenses of Funeral and I..ast Illness. I direct my Executor to pay my funeral expenses and the expenses of my last illness from my estate. (B) Taxes. I direct my Executor to pay any and all estate, inheritance, succession, legacy, transfer and other death taxes or duties, by whatever name called, including any and all interest and penalties thereon, imposed under the laws of any juriSdiction by reason of my death, upon or with respect to any and all prope,ty included in my gross estate for the purpose of such taxes, whether such property passes under or outside of this Will, out of my residuary estate, without being prorated or apportioned among or charged against the respective devises, leg~ee.~~~iCiaries, transferees, or other recipients of any s1c pr elt 0 charged against any property passing or which m f asseo any of them. The Executor shall not be .' J~ I =<}'C ~ST WILL AND TBSTAMENT OF ANDRBW R. KRBITZER - PAGB:.I entitled to reimbursement for any portion of any such taKes from any such person. THIRD I Tanqible Personal Progerty. EKcept for those items eKcluded below and those items enumerated in the Letter of Instruction, r bequeath to my child, ROBBRT D. KREITZBR, living at the time of my death, all tangible personal property, including but not limited to clothing, jewelry, heirlooms, furniture, personal effects, motor vehicles, and all other similar articles, which I own/ and the insurance thereon. If my child does not. survive me by sixty (60) days, I leave such tangible personal. property to the issue of my child, per stirpes. Should my child be deceased without any issue, I leave such tangible personal property to my daughter-in-law, SHARON LBB KRBITZBR. If there is any disagreement as to distribution, I direct my executor to make such distribution. The decision of my executor shall be final and binding. Any items not selected may be sold at the sole discretion of my executor and, if sold, the net proceeds therefrom shall be added to the residue of my estate. Tangible personal property shall not include: (1) any and all property used by me in any business, (2) cash on hand or on deposit in banks, (3) stock or securities, (4) any type of evidence of indebtedness, and (5) any life, health or accident insurance policies. Notwithstanding any other provisions in this Article THIRD, I may leave a separate, dated and unsigned Letter of Instruction, which I shall place with my Will, containing directions as to the ultimate disposition of certain of the property bequeathed under this ArtiCle THIRD, and such Letter of Inst.ruction shall dete~ine the distribution of such items. FOURTH I Residuarv Gifts. I give, devise and bequeath all the rest, residue and remainder of my estate, of every kind and character, real, personal and mixed, tangible and intangible, and wherever situated, including any lapsed or renounced legacies or devises (and including any property over which I may have a power of appointment), to my child, ROBERT D. KRBITZBR, per stirpes. Should my child predecease me, leaving no issue. I devise and bequeath any portion of my estate remaining to my daughter-in- law, SHARON LBB KREITZER. (G) Distributions Durinq Administration. Prior to final distribution of my estate, the Executor, in his discretion, may make partial distributions to one or more beneficiaries or d/JtJ dfC' "~ ( (~-J \ r;. \ ~ /""'.. WoST WIl.L AND TESTAMENT 01" ANDREW R-~KREITZBR PAGB 3 Trusts. As a consequence/ the Executorship and any Trusts created under this Will may eKist contemporaneously. A distribution may be made subject to any indebtedness or liability of my estate. PIFTHI Spendthrift provision. No beneficiary shall have the power to anticipate, encumber or t.ransfer his or her interest in the estate in any manner other than by the valid eKercise of a power of appointment. No part of the estate shall be liable for or charged with any debts, contracts, liabil.ities or torts of a beneficiary or subject to seizure or other process by any creditor of a beneficiary. SIXTH I powers~ Bxecutor. In addition to the powers and duties as may have been granted elsewhere in this Will, but subject to any limitations stated elsewhere in this will, the EKecutor shall have and eKercise exclusive management and control of the Estate and shall be vested with the following specific powers and discretion, in addition to t.he powers as may be generally conferred from time to time upon him by law: . (A) In the management, care and disposition of the Estate, the Executor shall have the power to do all things and to execute such deeds and instruments as may be deemed necessary or proper, including the following powers, all of which may be exercised without order of or report to any Court: (1) To sell, exchange or otherwise dispose of any property, real, personal or mixed, at any time held or acquired hereunder, at public or private sale, for cash or on terms, without advertisement, including the right to lease for any term notwithstanding the period of the Estate, and to grant options, including any option for a period beyond the duration of the Estate. (2) To invest all monies in such stocks, bonds, securities, mortgages, notes, choses in action, real estate or improvements thereon, and any other property as the Executor may deem best, wi.thout regard to any law now or hereafter enforced limiting investments of fiduciaries. (3) To retain for investment any property deposited with the Executor hereunder. ( '\ tA;) SLCL r" r\ WoST WILL AND TESTAMENT OF ANDRBW R:-~RBITZER PAC! 4 (4) To vote in person or by proxy any corporate stock or other security and to agree to or take any other action in regard to any reorganization, merger, consolidation, l.iquidation, bankruptcy or other procedure or proceedings affecting any stock, bond, note or other socurity. (5) To use attorneys, real estat.e brokers, accountants and other agents, if such employment is deemed necessary or desirable, and to pay reasonable compensation for their services. (6) To compromise, settle or adjust any claim or demand by or against the Estate and to agree to any rescission or modification of any contract or agreement affecting the Estate. (7) To renew any indebtedness, as well as to borrow money/ and to secure the same by mortgaging, pledging or conveying any property of the Est.ate, inCluding the power to borrow at a reasonable rate of interest. (8) To retain and carryon any business in which the Estate may acquire an interest. to acquire additional interest in any such business, to agree to the liquidation in kind of any corporation in which the Estate may have an interest and to carryon the business thereof, to join wit.h other owners in adopting any form of management for any business or property in which the Estate may have an interest., to become or remain a partner, general or limited, in regard to any such business or property and to hold the stock or other securities as an investment, and to employ agents and confer on them authority to manage and operate the business, property or corporation, without liability for the acts of such agent or for any 10S8, liability or indebtedness of such business if the management is selected or retained with reasonable care. (9) To register any stock, bond or other security in the name of a nominee, without t.he addition of words indicating that such security is held in a fiduciary capacity, but accurate records shall be maintained (/\ . -AtJ ~- _....u"""'" LAST WILL ANt! TESTAMENT Q!! ANDREW R. KRBITZ~ PAGB 5 showing that such security is a Estate asset and the Executor shall be responsible for the acts of such nominee. (B) Whenever the EKecutor is directed to distribute any Estate asset.s in fee simple to a person who is then under twenty- five (25) years of age, the EKecutor shall be authorized to hold such property in Trust for such person until he/she becomes twenty-five (25) years of age, and in the meantime shall use such part of the income and the principal of the Estate as the Executor may deem necessary to provide for the proper support and education of such person. If such person should die before becoming twenty - five (25) years of age / the property then remaining in trust shall be distributed to the personal representative of such person's estate. (e) In making distributions from the Estate to or for the benefit of any minor or other person under a legal disability, the Executor need not require the appointment of a guardian, but shall be authorized to payor deliver the same to the custodian of such person/ to payor deliver the same to such person without the intervention of a guardian, to payor deliver the same to a legal guardian of such person if one has already been appointed, or to use the same for the benefit of such person. (V) In the disbursement of the Estate and any division into separate trusts or shares, the Executor shall be authorized to make the distribution and division in money or in kind, or both. regardless of the basis for income tax purposes of any property distributed or divided in kind, and the distribution and division made and the values established by the Executor shall be binding and conclusive on all persons taking hereunder. The Executor may in making such distribution or division allot undivided interests in the same property to several trusts or shares. (B) The Executor shall have discretion to determine whether items should be charged or credited to income or principal or allocated between income and principal as the Executor may deem equitable and fair under all circumstances, including the power to amortize or fail to amortize any part or all of any premium or discount, to treat any part or all of the profit reSUlting from the maturity or sale of any asset, whether purchased at a premium or at a discount, as !ncome or principal or apport.ion the s,ame between income and principal, to apportion the sales price of any asset between income and principal, to treat any dividend or i!J~ d't-c ,~ LAST WILL AND TBSTAMENT 01" ~PRBW R:-KREITZ~ fAG! 6 other distribution of any investment as income or principal, or apportion the same between income and principal, to charge any expense against income or principal. or apportion the same, and to provide or fail to provide a reasonable reserve against depreciation or obsolescence on any assets subject to depreciation or obsolescence, all as the EKecutor may reasonably deem equitable and just under all the circumstances. (1") If at any time the total fair market value of the assets of any trust established or to be established hereunder is so small that the corporate Trustee's annual fee for administering the trust would be equal to or less than the minimum annual fee set forth in the Trustee's regularly pUblished fee schedule then, in effect, the ~rustee in its discretion shall be authorized to terminate such trust or to decide not to establish such trust, and in such event the property then held in or to be distributed to such trust shall be distributed to the persons who are then or would be entitled to the income of su~h trust. If the amount of income to be received by such persons is to be determined in the discretion of the 'rrustee, then the Trustee shall distribute the property among such of the persons to whom the Trustee is authorized to distribute income. and in such proportions. as the Trustee in its discretion shall determine. (G) When the authority and power under this Will is vested in two (2) or more EKecutors or CO-Executors, the authority and power under this Will or granted by law shall be vested in, and exercised by, each of the Executors individually or all of the Executors jointly, such that each EKecutor may act independently, or the Executors may act jointly, in the administration or under the terms of the Will. SBVBN'l'H1 Riqhts and Liabilities of Executor. (A) No bond or other security shall be required of any Executor. (8) This instrument always shall be construed in favor of .the validity of any act or omission by any Executor, and any Executor shall not he liable for any act or omission except in the case of gross negligence, bad faith or fraud. SpecificaJ.ly, in assessing the. ropriety of any investment of the estate, the Overall performa ce of the entire estate shall be taken into account. 4- \ J!!JV -.(k:e- .......... LAST WILL AND TESTAMENT 01" ANDREW R. KREITZER PAGE 7 (C) Each Executor shall be entitled to receive reasonable com?ensation for services actually rendered to my estate, in an amount the Executor normally and customarily charges for performing similar services during the time which he/she performs the services. BIGHTHI Tax Elections. In determining the estate, inheritance and income taK liability relating to my Estate, the EKenutor's decision as to all available tax elections shall be conclusive on all concerned. If the EKecutor joins with my spouse in filing income tax returns / or consenting for gift tax purposes to having gHts made by either of us during my lHe considered as having been made one-half by each of us/ any resulting liability shall be borne by my Estate and my spouse in such proportions as they may agree. In accordance with IRe Section 2632(a) and without regard to whether a Federal estate taK return is actually filed, my Executor shall allocate so much of the Federal Generation Skipping Transfer (GST) eKemption amount as will fully exempt any generation Skipping transfer which nmy occur under this Will.. NINTH I Definitions and General Provisions. (A) Survival. Any beneficiary, inCluding my spouse/ who dies within sixty (60) days after my deat.h shall be considered not to have survived me. (B) Trust Bstate. "Trust Estate" means all assets, however and wherever acquired, including income, which may belong to a Trust at any given time. (C) Children. Except for discretionary distributions which may be made unequally among a group of persons and distributions pursuant to a valid exercise of a Power of Appointment, in making a distribution to the children of any person/ the property to be distributed shall be divided into as many shares as there are . living children of the person and deceased children of the person who left children who are then-living. Each living child shall take one share and the share of each deceased child shall be divided among his then-living descendants in the same manner. A posthumous child shall be considered as living at the death of his parent. '~l (D) * t~se otherwise stated, all references in my ter numbers are to those of the In~~ , c:;v C-. THE KREITZER FAMILY IRREVOCABLE TRUST . THIS TRUST AGREEMENT is executed in triplicate on this ~ day of December, 1996/ by and between ANDREW R. ItREITZER, now of 17 Beaver Road, Camp Hill, Cumberland County, Pennsylvania 17011 (herein called "Settlor") and ANDREW R. KRBITZER, now of 17 Beaver Road, Camp Hill, Cumberland County, Pennsylvania 17011 (herein called "Trustee"). ARTICLE I. TRUST ESTATE 1.01. Jnitial Principal. Settlor, desiring to establish an irrevocable trust, does hereby irrevocably transfer, assign and deliver to the Trustee and his successors, and assigns the assets listed on Schedule A, attached hereto and made a part hereof. As further evidence of such assignmeht, the Settlor has eKecuted or will execute or cause to be executed such other instruments as may be required for the purposes of completing the assignment or transfer of title to such property to the Trustee. The Trustee accept such transfer and assignment to themselves as Trustee, and undertake to hold, manage, invest and reinvest the assets of this Trust, and to distribute the income and principal of the Trust in accordance with the provisions of this Agreement. 1.02. Addi tional Principal. The Sot tIer and any other person or persons, with the consent of the Trustee, shall have the right at any time to make additions to the corpus of this Trust or any share thereof hereby established. All such additions shall be held, governed, and distributed by the Trustee in accordance with the terms and conditions of this Agreement. ARTICLE II. IRREVOCABILITY OF TRUST , 2.01. Irrevocabilfu. Settlor has been advised of the consequences of an irrevocable trust and hereby declare that this Trust shall be irrevocable and shall not be altered, amended, revoked, or terminated by Settlor or any other person or persons. ARTICLB III. LIFB INSURANCE POLICIES 3.01. General Provisions. If any insurance pOlicies are transferred into this Trust, the Trustee shall be vested with all right, title, and interest in and to the transferred policies of insurance, and are authorized and empowered to exercise and enjoy, for the purposes of the Trust herein created and as absolute owner of such pOlicies of insurance, all the options, benefits, rights and privileges under such pOlicies, including the right to borrow upon and to pledge them for a loan or loans. The Trustee takes all . rights, title, and interest in and to the above stated insurance policies subject to any prior split-dollar life insurance agreement and assignments, which may be in effect at the time of transfer. The insurance companies which have issued pOlicies au. hereby authorized and directed to recognize the 'rrustee as an absolute owner of such policies of insurance and as fully entitled to all options, rights, privileges, and Interests under such policies, and any receipts / releases, and other instruments eKecuted by the Trustee in connection with such pOlicies shall be binding upon all persons interested in this Trust. The Settlor her.eby relinquiShes all rights, title, int.erest and powers in such policies of insurance which Settlor may own and which rights, title, interest and powers are not assignable, and willi at the request of the Trustee, execute all other instruments reasonably required to effectuate this relinquishment. 3.02. Payment of prenliums. The Trustee shall be under no obligation to pay the premiums which may become due and payable under the provisions of any policy of insurance which may be transferred or assigned to this Trust, or to make certain that such premiums are paid by the transferor of such policy, or to notify any persons of the nonpayment of such premiums, and the Trustees shall be under no responsibility or liability of any kind in caSe such premiums are not paid, except the Trustees shall apply any dividends received on such policies to the payment of premiums theteon. Upon notice at any time during the continuance of this Trust that the premiums due upon such policies are in default, or that premiums which will become due will not be paid, either by the transferor or by any other person, the Trustees, within their sole discretion, may apply any cash values attributable to such policy to the purchase of paid-up insurance or of extended insurance, or may borrow upon such pOlicy for the payment of premiums due thereon, or may accept the cash values of such policy upon the pOlicy'S forfeiture. In the event that the Trustees receive the cash value of such policy upon its forfeiture for nonpayment of . premiums, the amount rf.ceived shall be added to the corpus of this Trust, and shall be administered according to the terms of this Agreement. If the insured under such policies of insurance, becomes totally and permanently disabled within the meaning of any policies and because thereof the payment of premiums, or any of them, shall during the pendency of such disability, be waived, the Trustees, upon receipt of such knowledge, shall promptly notify the insurance company whiCh has issued such pOlicies, and shall take any and all steps necessary to make such waiver of premium provision effective. 3.03. Duties of Trustee With Reqard to Lit e Insurance Policies. The Trustee shall be under no obligation or duty whatever except with respect to the safekeeping of such pOlicies of insurance and the duty to receive such sums as may be paid to them, in accordance with the requirements of this Trust, by the companies issuing such policies / and to hold, manage and disburse such 2 proceeds subject to the terms of this Agreement. upon the death of the insured, the Trustee shall make reasonable efforts to carry out the provisions of this Agreement, including the maintenance or defense of any suit, provided, however, the Trustee shall be under no duty to maintain or enter into any litigat.ion unless its expenses / including counsel fees and costs / have been advanced or guaranteed in an amount and in a manner reasonably satisfactory to the Trustee. The Trustee may repay any advances made by them or reimburse themselves for any such fees and costs from any corpus or income of this Trust. ARTICLE IV. TRUST DISTRIBUTIONS 4.01. Trust princigal. The entire corpus of this Trust, including the assets initially transferred to this Trust, subsequent additions to this Trust, and the proceeds of any sale, exchange or investment of such Trust assets / shall be used for the purposes herein contained. 4.02. Income Distribution. During the Settlor's lifetime, the Trustee shall accumulate any and all of the net income of the trust / place all net income into the bank account known as the KRBITZER PAMILY IRREVOCABLE TRUST "HOME" ACCOUNT, located in the PNC Bank and shall utilize such net income for the pu~pose of the maintenance and repair of the residence of the Settlor, Andrew R. Kreitzer, located at. 17 Beaver Road, Camp Hill, PA 17011. The Trustee shall make no distribution of principal tOt or for the benefit oft the Settlor. 4.03. Principal Distributions. Upon ,the death of Settlor, the Trust shall terminate. Upon termination, the remaining trust estate shall be distributed to the Settlor'S child, ROBERT D. KREITZBR, per stirpes. If the Settlor's child shall predecease the termination of this Trust, the predeceased child's share shall be distributed to the issue of the child, per stirpes. If the Settlor's child shall predecease the termination of this Trust wi.thout leaving any issue / then the child's share of this Trust shall be distributed to the wife of the child, SHARON LEB KREITZER. 4.04. General Power of Appointment. Settlor's child, ROBERT D. KREITZER, is hereby granted the general power to appoint some or all of the principal of this Trust. to himself or his estate, in such proportions and upon such terms (in trust, outright gifts, or in any other manner) as he deems advisable. This power shall not be exercisable under his Will. If Settlor's child fails, either in whole or in part, to exercise this general power of appointment herein granted, the unappointed principal shall continue in trust and shall be administered according to the terms of this Trust. Upon the death, resignation, removal or incapacity of Settlor's child, ROBERT D. KREITZER, his wHet SHARON LEE KREITZER shall exercise the general power of appointment under this proviSion. 3 . 4.05. Broa.d Sgecj,al Power of Aggointment. ANDREW R. KRaITZI!lR is hereby granted the special power to appoint., at any time and from time to time, the principal of this Tnlst, in whole or in part, and in any manner and in such proportions as he deems advisable to whomever he desires. Tnis power shall be exercisable by his Willi specifically referring to this special power of ;appointment. in this paragraph 4.05 of this Trust. This special power of appointment does not grant to ANDRBW R. XREITZBR the power to appoint the principal of this trust to himself, his estate, his creditors, or the creditors of his estate. If ANDRBW R. KRE:l:TZBR fails, either in whole or in part, to exercise this special power of appointment herein granted, the unappointad principal shall continue in trust and shall be administered according to the terms of this trust. ARTICLE V. POWERS OF TRUSTEES 5.01. General Powers. In addit.ion to such other powers and duties as may have been granted elsewhere in this Trust, but subject to any limitations contained elsewhere in this Trust, the Trustees shall have the following powers and duties: A. In the management, care and disposition of this Trust, the Trustees shall have the power to do all things and to execute such deeds, inst.ruments, and other documents as may be deemed necessary and proper, including the following powers, all of which may be exercised without order of or report to any court: (1) To sell, exchange, or otherwise dispose of any property, real, personal or mixed, wheresoever located, at any time held or acquired hereunder, at public or private sale, for cash or on terms as may be determined by the Trustees, without advertisement, inCluding the right to lease for any term notwithstanding the period of the Trust, and to grant options, inCluding an option for a period beyond the duration of the Trust. (2) To invest all monies In such stocks / bonds, securities, investment companies or trust shares, mortgages, notes, choses in action, real estate, improvements thereon, and other property as the Trustees may deem best, without regard to any law now or hereafter in force limiting investments of fiduciaries. (3) To retain for investment any property deposited with the Trustees hereunder. (4) To vote in person or by proKY any corporate stock or other securi ty and to agree to or take any other action in regard to any reorgani za t ion / merger / consolidation, liquidation, bankruptcy or other procedure .or proceedings affecting any stock, bond, note or other 4 .' security held by this Trust. (5) To use lawyers, real estate brokers, accountants and any other agents, if such employment is deemed necessary or desirable, and to pay reasonable compensation for their services. (6) To compromise, settle or adjust any claim or demand by or against the Trust and to agree to any rescission or modification of any contact or agreement affecting the Trust. (7) To renew any indebtedness, as well as to borrow money, and to secure the same by mortgaging, pledging or conveying any property of the 'I'rust, including the power to borrow from the Trustees (in the Trustees' individual capacity) at a reasonable rate of interest. (8) To retain and carryon any business in which the Trust may acquire any interest, to acquire additional interests in any such business, to agree to the liquidation in kind of any corporation in which the 'I'rust may have any interest and to carryon the business thereof, to join with other owners in adopting any form of management for any business or property in which the Trust may have an interest, to become or remain a partner, general or limi ted / in regard to any such business or property and to hold the stock or other securities as an investment, and to employ agents, and confer on them authority to manage and operate the business, property or corporation, without liability for the acts of any such agent of for any loss, liability or indebtedness of such business if the management is selected or retained with reasonable care. (9) To register any stock, bond or ot.her .security in the name of a nominee, without the addition of words indicating that such security is held in a fiduciary capacity, but accurate records shall be maintained showing that the stock, bond or other security is a trust asset and the Trustees shall be responsible for the acts of the nominee. (10) To merge this Trust with any other trust created in my Will or otherwise, with similar provisions and purposes and the same beneficiary or beneficiaries, but only to the extent that the merger of the trusts will not cause the imposition of gift tax or generation' skipping tax, federal or otherwise. B. Whenever the Trustees are directed to distribute any trust principal in fee simple to a person who is then under twenty-five 5 (25) years of age, the Trustees shall be authorized to hold such property in trust for such person until he becomes twenty-five (25) years of age, and In the meantime shall use such part of the income and the principal of the trust as the Trustees may deem necessary to provide for the proper support and education of such person in the standard of living to which he has become accustomed. If such person should die before becoming twenty-five (25) years of age, the property then remaining in trust shall be distributed to the personal representative of such person's estate. C. In making distributIons from the Trust to or for the benefit of any minor or other person under a legal disability, the Trustees need not require the appointment of a guardian, but shall be authorized to payor deliver the distribution to the custodian of such person, to payor deliver the distribution to such person without the intervention of a guardian, to payor deliver the distri.bution to the legal guardian of such person if a guardian has already been appointed, or to use the distrib~tion for the benefit of such person. D. In the distribution of the Trust and any division into separate trusts and shares, the Trustees shall be authorized to make the distribution and division in money or in kind or in both, regardless of the basis for income tax purposes of any property distributed or divided in kind, and the distribution and division made and the values established by the Trustees shall be binding and conclusive on all persons taking hereunder. The Trustees may in making such distribution or division allot undivided interests in the same property to several trusts or shares. E. If at any.time after Settlors' death the total fair market value of the assets of any trust established or to be established hereunder is so small that the corporate Trustee's annual fee for administering the trust would be equal to or less that the minimum annual fee set forth in the Trustee's regularly published fee schedule, then the Trustee in its discretion shall be authorized to terminate such trust or to decide not to establish such trust, and in such event the property then held in or to be distributed to such trust shall be distributed to the persons who are then or would be entitled to the income of such trust. If the amount of income to be received by such persons is to be determined in the discretion of the Trustee, then the Trustee shall distribute the property among such of the persons to whom the Trustee is authorized to distribute income, and in such proportions, as the Trustee in its discretion shall determine. F. The Tr\ls tees shall be authori zed to lend or borrow / inCluding the right to lend to or borrow from the Settlors' estate, at an adequate rate of interest and with adequate security and upon such terms and conditions as the Trustees shall deem fair and equitable. 6 G. The Trustees shall be authorized to sell or purchase, at the fair market value as determined by the Trustees, any property to or from Set.tlors' estate, or any trust created by Settlor during her life or by her willi even though the same person or corporation may be acting as execu tor of Settlor 's es ta te or the es ta te of Settlor's spouse or as trustee of any other sllch trusts and as the Trustees of this Trust. H. The Trustees shall have discretion to determine whether items should be charged or credited to income or principal or allocated between income and principal as the Trustees may deem equitable and fair under all the circumstances, including the power to amortize or fail to amortize any part or all of. any premium or discount, to treat any part or all of the profit reSUlting from the maturity or sale of any asset, whether purchased at. a premium or at a discount, as income or principal or apportion the same between income and principal, to apportion the sales price of any asset between income and principal, to treat any dividend or other distribution on any investment as income or principal or to apportion the same between income or principal, to charge any eKpense against income or principal or apportion the samet and to provide or fail to provide a reasonable reserve against depreciation or obsolescence on any asset subject to depreciation or obsolescence, all as the Trustees may reasonably deem equitable .and just under all of the circumstances. I. The Trustees are hereby authorized and empowered to purchase such insurance poHcies as they deem appropriate. 5.02. Votinq by Trustees. When the authority and power under this Trust .is vested in two (2) or more Trustees or Co- Trustees, the authority and power under this Trust or granted by law shall be vested in, and eKercised by, each of the Trustees :l.ndividually or all of the Tnlstees jointly, such that each Trustee may act independently, or the trustees may act jointly, in the administration or under the terms of the Trust agreement. ARTICLE VI. SPENDTHRIFT PROVISIOn 6.01. General Provision. No beneficiary shall have the power to anticipate, encumber or transfer his interest in the Trust Estate in any manner other than by the valid exercise of a Power of Appointment. No part of the Trust Estate shall be liable for or Charged with any debts / contacts / liabilities or torts of a beneficiary or subject to seizure or other process by any creditor of a beneficiary. ARTICLE VII. CONSTRUCTION OF TRUST 7.01. Choice of Law. This Trust shall be administered and interpreted in accordance with the laws of the Commonwealth of Pennsylvania. 7 7.02. Code. Unless otherwise stated, all references in this Trust to section and chapter nwnbers are to those of the Internal Revenue Code of 1986/ as amended, or corresponding provisions of any subsequent federal tax laws applicable to this Trust. 7.03, Other Terms. Unless the conteKt otherwise requires / the use of one or more genders in the teKt includes all other genders, and the use of either the singular or the plural in the teKt includes both the singular and the plural. 7.04. Cactions. The captions set forth in this Agreement at the beginning of the various divisions hereof are for convenience of reference only and shall not be deemed to define or limit the provisions hereof or to affect in any way their construction and application_ 7.05. Situs of Trust. The Trust shall have its legal situs in Cumberland County, pennsylvania. ARTICLB VIII. COMPENSATION OF TRUSTEES AND APPOINTMENT OF SUCCBSSOR TRUSTEES 8.01. Comcensation. The Trustees shall receive as their compensation for the services performed hereunder that sum of money, based on an hourly charge or percentage rate, which the Trustees normally and customarily charge for performing similar services during the time which they perform these services. 8.02. Removal of Trustees. Set tlor , may remove the Trustees, or any of them, at any time or times, with or without cause/ upon thirty (30) days' written notice given to the current Trustees. Upon the death of Settlor, a major! ty of the current inc~ne beneficiaries may remove the Trustees, or any of them, at any time or times, with or without cause, upon thirty (30) days' written notice given to the Trustees. Upon the removal of the Trustees, a successor Trustee shall be a.ppointed in accordance with the terms set forth in paragraph 8.03. 8.03. Agcointment of Successor Trustee. The Trustee may resign at any time upon thirty (30) days' written notice given to the Settlor, or in the event of the death of Settlor, upon thirty (30) days' written notice given to the current income beneficiary or beneficiaries (inClUding a beneficiary's nat.ural or legal. guardian or legal representative), hereunder. Upon the death, resignation, removal or incapacit.y of the Trustee, then the Trustee's son, ROBBRT D. KREITZER, is hereby appointed the successor trustee. Upon the death, resignation, removal or incapacity of the successor trustee, then SHARON LEE KREITZER, shall be the second successor trustee, additional successor trustees may be appointed by the Settlor during Settlors' lifetimE?, 8 or, after Settlors' death, by a majority ~f the current income beneficiaries. Any successor trustee shall be a financially sound 'and competent corporate truste~l. Any successor trustee thus appointed, or, if the Trustees shall merge with or be consolidated with another corporate fiduciary/then such corporate fiduciary / Shall succeed to all the duties and to all the powers/ including discretionary powers / horein granted to the Trustees. ARTICLB IX. PBRPETUITIBS CLAUSE 9.01. General Provision. Notwithstanding anything to the contrary in this Trust / each disposition I have made here, legal or equitable, to t.he extent it. can be referred in its postponement of becoming a vested interest to a duration measured by some life or lives in being at the time of my death is definitely to vest in interest, although not necessarily in possession, not later that twenty-one (21) years after such lives (and any period of gestation inVOlved); or, to the extent it cannot be referred in any such postponement to such lives, is to so vest not later thall twenty-one (21) years from the time of my death. ARTICLB X. ACQUISITION OP UNITBD STATBS TREASURY BONDS BLIGIBLE FOR TAX PAYMENT; PAYMENT OF TAXES, FUNERAL EXPENSES, AND BXPBNSES OP ADMINISTRATION 10.01. Aoauisition of Bonds. The Trustees may, at any time, without the prior approval or direction of the Settlor and whether or not the Settlor is able to manage her own affairs / acquire United States Treasury Bonds selling at. a discount, which bonds are redeemable at their par value plus accrued interest thereon for the purposes of applying the proceeds to the payment of the United States estate tax on the Settlors' estate; and the Trustee may borrow from any lender, inCluding itself, with or without security, to so acquire these bonds. 10.02. Payment of United States Bstate T.ax bv Bond Redemntion. The Settlor directs that any United States Treasury Bonds which may be redeemed at their par value plus accrued interest thereon for the purpose of applying the proceeds to the payment of the United States estate tax imposed on the Settlors' estate, and which are held by t.he Trustees, shall, to the extent of the amount determined to be required for payment of the estate tax, be distributed to the legal representative of the Settlors' estate to be used by the legal representative ahead of any other assets _ and to the fullest extent possible to pay the estate tax. 10.03. Payment of Death Taxes and Other Bstate Settlement Costs. After the Trustees have complied with paragraph 10.02/ above, and ascertained from the legal representative that all such bonds have been redeemed in payment of the United States estate tax, the Trustees shall also ascertain from the legal 9 representative whether the legal represent.aUva has sufficient assets to pay the remaining legacy, Iluccess ion, inheri tance, transfer, estate and other death taxes or duties (except the additional estate taK imposed by Set::tion 2032(c), or corresponding provisions of the Internal Revenue Code of 1986 applicable to the Settlors' estates and imposing the tax) levied or assessed against the Settlors' estate (including all interest and penalties thereon) / all of which taKes, interest and penal ties are hereafter referred to as the death taxes, interest and penalties. If the legal representative advises the Trustees that insufficient funds exist to pay all the death taxes, interest and penalties, the Trustees shall then pay to the legal representative from the trust property / an amount equal to all the death taxes / interest and penalties in excess of the funds available to the legal representative for this purposes/ which payments are to be made without apportionment. In making the payments, tl1e Trustees shall use only those assets or their proceeds which are includable in the Settlors' gross estate for purposes of the United States estate tax and shall not impair the marital portion without first exhausting the entire non-marital portion. If the EKecutors of the Settlors' Estate, in such Executor's sole discretion, shall determine that appropriate assets of Settlors' estate are not available in sufficient amount to pay (1) the Settlors' funeral eKpenses, and (2) expenses of administering the Settlors' estate, the Trustees shall, upon the request of the Executor of the Settlors' estate, contribute from the principal of the trust estate the amount of such deficiency; and in connection with any such action the Trustees shall rely upon the written statement of the Executor of the Settlors' astat.e as to the validity and correctness of the amounts of any such eKpenses, and shall furnish funds to such Executor so as to enable such Executor to discharge the same, or to discharge any part. of all thereof itself by making payment directly to the person enti tled or Claiming to be entitled to receive payment. thereof. No consideration need be required by the Trustees from the Executor of Settlors' estate for any disbursement made by the Trustees pursuant hereto, nor shall there be any obligation upon such Executor to repay to the Trustees any of the funds disbursed by it hereunder, and all amounts disbursed by the Trustees pursuant. to the authori ty hereby conferred upon it shall be disbursed without any right in or duty upon the Trustees to seek or obtain contribution or retmbursement from any person or property on account of such payment. The Trustees shall not be responsible for the application of any funds delivered by it to the Executor of the Settlors' _ estate pursuant to the authority herein granted, nor shall the Trustees be subject to liability to any beneficiary hereunder on account of any payment made by it. pursuant to t.he provisions hereof. 10 ClOMMONWBALTH OP PENNSYLVANIA OOUN'l'Y 0' C /,J;l"berIOlJd ~/:-IA On this, the ,'Iu! day of . / 19~7 before me, a Notary public, the undersigned officer, personallY appeared SUSAN KAY QANDIBLLO, known to me (or satisfactorily proven) to be a member of the bar of the highest cour.t of sald State and a subscribing witness to the wit.hin inst.rument, and certified that he was personallY present when ANDREW R. ItRBITZBR and the above witnesses, whose names are subscribed to the within instrument executed the samet and that said persons acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Jjlf!/./j 0 71a!!i!-- ~tary publlic' My commission Expires: Nolanal Seal Stacey L. Naco, Notary Public Fermanagh Two., Juniata Ccunty My commission Expires Ocl \6, 19~9 Member, Pennsylvania As'ociallon 01 Nulllrles " 12 tt,W'''':{'_7''~'~~!~~~!!~r:~~_ I , '0' i i' I SCHEDULE E EXHIBITS I, ; I , ! I' , j' '_oj , ' , !' ,'- Cer.tilicnte 01' Deposit Maturity Notice , PNCBANK PNC DANK, N.A. CtrtlflCll" Numbe, 000031300052539 . ur ",.WI I u, $20.9'5.45 Rlnew.1 n"".menl 3 MONTHS READY ACCESS CD 498Z ANDREW R KREI~ZER C/O ROBERT ~REITZER 114 16TH ST NEW dUMBERLAND, FA 17070-1109 Dear Customer: Your PNC Dank Certific3te of Deposil will mature on 08/13197. Additiooal information about your CD is shown above. We offer a variety of ways for you 10 keep your savings growing. Please lake a moment to review the reinvestment choices available to you. R.new your CD for .n .ddltlon.1 term. Please note that your Certmeate of Deposit (CD) will renew for the term shown abo\'e, which may be different from your original term. To renew your CD for this amount and tenn, there's nothing you need to do. Yom renewed CD will receive the interest rate and annual percentage yield in effect on 08113197 Upon renewal, interest on Fixed Rate Cel1ificates will now be crcdited to your CD monthly unless you receive a periodic interesl paymenl. The Account Agreement on the back of this letter provides additional infonnation about the tenns of renewal for your investment and should be retained with your other account records. Because interest rates and annual perecntage yield may change between now and the renewal date of your CD, please call 1.800-537-2262 on or al'er 08/13/97 for renewal rate infonnation, Add to your CD or ah.nu. tho t.rm. If you would like to add to your investment or select a different tenn, simply complete the Renewal Authorization attached below and return it to us no later than ten days aller the renewal date of youI' CD, A postage-paid envelope is enclosed for your convenience, Once we receive your Renewal Authorization, we'll send you a conflfl1lation showing the changes you have made to your investment, as well as the new interest rate and annual pcrcenlage yield. You can select from investment tenns between seven days and ten years. If you would like assistance in determining the investmentlenn that is best for your needs, please call or visit your local PNC Bank office. We'll be glad to review all the choices available to you. Oth.r Inv..tment ahola.e. There are a number of other investment opportunities available which you may want to consider. From basic savings and money market accounts to morc sophisticated alternative products, the investment professionals at your PNC Bank office can hclp you selecl the proper mix of investments based on your fmandal goals. Thank )'OU for banking with us. We look forward to continuing to serve you. ;!:u E ~ Broce E. Walton Executive Vice President "'. \~;' ,. ~"." I'.'" ',\- ;....ii....;..' .. 08/19/97 04142 PM 18807 4~ 84 ~AL BQI02 ~HWI CHECK WITHDRAWAL VOUCHER &872- 0 ,MTI -1861.10 IEMB FEES 1 .00 1. ". I'" <Ii I" f" 1017491 ,.EFF DTI08/19/97 KREITZER/ANDREW R" FROM SAVINGS BALI 25.00 .. l~" "'...... ",~., ,,; ... ,,' J RECEIVED 8Y Xd.LilJ K/-a-J D~ACH THIS PORTION BEFORE DEPOSITING '''.'It,' .I.~'~".".'.'" "" ~"",~C";\"",r.~,. .. " ,;.,),rt. ~!l''''VAlUl~. ",:,.J_h.\~1 , ,. I' eo.e78I ., "':' ..... 017491 - - "i~ '~(1-1~;,,1"-'~"''' .. ....,.". - '.' $79.98 A0339971 THE ESTATE OF KREITZER, 17420U98 REFUND DUE TO DEATH "I- LOC N6K ,ftCHECK. , PUUI DITACM IIIDAI DIPDIITlNG OCTOBER 07, 1997 fW4C Colum/llU, 0,.,,10 J 1999 DOCUMENT F"CE H"S ".MU,TICOLDftED 8"CKOftOUNO VOID "FTEft '1. D"VS PAY SEVENTY-NINE AND 981100 _____------------------------------------U.S. DOLLARS COLUM8US 8"NK "ND TftUST COMP"NV COLUMIUS. OEOROI" \1\'~~II'III.Il\'mlml'\'.1I \\\ER 1".1II...1I1"... .11...1'1...\ .1..111....111.1..111".1.11111 THE ESTATE OF KREITZER. ANDREW R 17 BEAVER RD CAMP Hill. PA 17011-7405 JDIJ.u~~ a ~ . ~ ~~~-s- AutHORIZED SIGNATURES fOR AmerlCln f.mlly Lite Assur.nce Company ot ColumbUS IAfLACI 0111 ACCT * 5130161542 04~ NAME KREITZER ANDREW LED\lF.R BAL 'CURRENT BAL TOLERANCE AMT AVAILABLE BAL COLLECTED BAL FLOAT 0 DAY 1 DAY 2+ DAY LONG COLLECTED BAL AVAIL MEMO CREDITS AVAIL HOLDS 0 INT ACCRUED TO 0&/18/97 INT PO LAST PER INT PO VTO INT PO LAST YR BH* 1,62/1.81, 1,624.04 1,000.00 1,624.84 1,624.84 .00 .00 .00 1,624.84 .00 .00 1. 78 3.06 42.19 98.58 FEATURE SAFKEP OIROEP 001111 CC" 0000 III. SUBPHODUCT SUBOWNER OPENED CURRENT 00 FILE fMTE 08/18/9' SAVINGS RF.'3I.1LAR sue TXFR 00/00/00 00/00/00 T 1 01 10/22/90 DATE LAST OEP 07/26/97- \00.00 <CAST STMT 07/31/97 1,624.8/0 ~ CYCLEST.:;'mr-El:i--nTr-Er-i-- SVC&G :r; sve CHG WAIVE 00 CHARGE sve CHG WAIVE UNTIL 00/00;00 . RELATED PRICING -1/' INT WTHLD LAST PER INT WTHLD no INT WTHLD LAST YEAR .00 .00 .OQ STATUS PRESS ENTER FOR PAGE 2 DEPRESS CNTL/F7 TO RETURN TO BANCSTAR E lOST ____ CI15 1 IDS BANK 40 40 ACCT> 3300019169 CUSTOMER NUMBER 3300019169 NAME KREITZER A R CDA/REA CUSTOMER INQUIRY 08/18/97 15.05.0C MS ACTION SUCCESSFUL PROD> COA BRANCH 99999 COST CENTER 999999= SUBPRDCT DC CDA CUSTOMER SUBOWNER 01 REGULAR NAME ANDREW R KREITZER & C/O ROBERT KREITZER AOOR 114 16TH ST NEW CUMBERLAND PAl 7070 -1 1 09 COUNTRY RE LA TlONSH IP TIN 174-20-129~ WTHLD CD PC CERTIFIED TIN DATE WTHLD CERT 08/14/199E BIRTH DATE 0"/17/1927 LAST MAINT DATE 08/14/1996 REA PLAN PACKAGE CD ADDED REMOVE() SEL SUB ACCOUNT RST ISS/RENEW MATURES PKG APY NP 31300052539 08/13/199711/13/1997 4.75 CURRENT BI\U,NCE 20,9 i 5 ./15 : r."', T (".:'I - - TOTAL 20 I 91 5 ,~, 5 PF: I-HELP 2-MSGS 3-PLVL 4-RRS 8-CIF 7-56 a-SF 9-CI3/1 10-CI10 11..CIll 1.2-CI50 DEPRESS CNTL/F7 TO RETURN TO BANCSTAR 12D915 iff) , ,.,.,< ,,--.. -~ " . , ~ -,- SCHEDULE G EXHIBITS ,'- .' 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Nwmblll 1l0l,T"1tlluwl1nu10 CiaU:" Auoc\.ttu, p,e, fllleN." ..bon h.ml NYm"" lIa' l.nd.,'. ~OYl'III' . 95. 900 ~!L.., .ll1t..R!u1tI'1 eO~'"111 I t1l1 JIU '" I ($ 95 00 HA ltol Ateolrilna I..., Oil. ~J!!!!l..!!.!l1WOI' un IIII'IIl/.llmlll' no. , n.ldl 0... I J 96 o lJi1 ....'~n 10 1..Ui...CuL.Jr1ll.cUllnlo IH" ill' - 1"'- 1W- Oates' ASIDe loost&oe and I)holocon~ ch,uoel ilQIl.JQI&.sllm~MI1Ml..l<tlMilllilL.-.,-_.~,---,._._---- 7.616.9,5 1 407.00 I ~... el'al~ll, I..i....d nla Ilun I 1l.IlI.monllllllam.nl Ind 10 110. bill ot Ill' 1"'\l..I.rl~, ~"d bi'l' I II i. I I"" .rrl HCUIII. .111.m.nl o! III ,,(tlpl. IlllI ~llbwfum.nll mid. lIn m, lecounllll b, "'. III 11111 1I,nll~llun j lullhlF ..1"lf~ 111.,' "h. IIC.,~,~ I Cllpy 011'" IIIJll 1 "'IU.m.,,1 81.'.rn.'" lhu 1:1'01 tier r&m! 1 r ll're~{\{."h Ie trust .."."" _~/i/:,> .",10/10/91:;'::,"'.1'\') j?, __, .",10/30/97 .'nI1'''''' 1;l:1~'''It",. 1101111""'_____ n." Ih~'1 0' A"nl__~_ rll'. 'hi IlIlIJ 1 altH.m.nl 811Iam~n' "hlch I ,,~~. PI'Pllld II I hw' .nd I'C'''lla Iceu,,'" o! Ihll IllnUr.llwll '- hi" tl lid 0 .1" ell'" Ih. 1'lnd. 10 b. dl,brliUd i/l "edl..net Willi 1111. 1111"'I.nl "-. ~ UIII ~__ 8alll.manl", , ~ _JI\A" 011).0/30/97 liIte~ As 'Joel II \ O~, I', C W/lRNING: II I' 1 Cl!mf '0 hnowln,I1' m'~' ..III 11'''IIIIfII' tll I~f Unlltd 1111" on 1~lf Ol.n, glllal 'tmlll !oln I'tnllllu ~POI1 ClIlI,lcuon 0111 !nelll'. 1 filii an, Im,II,,", , mfnl flIl ~",1I1 In: IIII~ II III Olldt alCllOn l~nl Ind II.Cllon ,OIU _~..~.~c_ ,i,'ii,..~""",~,~.~~i '~""-'. -,~,,~;;...~- ., ;OI.~'-; , (' '., SCHEDULE H EXHIBITS ,'. ~ I' ,- ~ ,.'..J ';..' i_" -",.._",.~ i ., 'I ,II --- 'if " ,I( NEILL FUNERAL HOME, INC. 3501 DlflY St, 3401 Milk" 81, HI"lIbutQ, PA 17 It I C.mp Hill, fA 1701t (717) IG401t133 (717) 731-8728 Slephen J, W1l1bech, F,Il" SupeMlOf J.m.. p, FlCk.., F,D" SupeMlot CONTAACT ,~! : 0"'" STATEMENT OF FUNERAL OOODS AND S~AYICES SelECTED CASE' C.......... ontv lor th_lIl",.lhI' you ..Ieeled or th"'N NqulNd.11 ..I .. NqulNCI by II.. 01' bV . 0I"",1IlY 01' cnmeloly \0 11M IllY 11I1ft,,,, wllll.plIIn 1111 NiJn In WltU", bllo.., A."__lllr.~F.' ,(/jetr- TOlII MIIChIndIM CASH ADVANCES: Salll Tu I CtmI1ery: r;IN~rl~~ ~~ lloIlh ClllllICIteI ~ol . . ail -- ..,. Permft Oill'<>llllotVllurlll Perm": Medical Exlllll..'. ChIlu!I Honorartum: JW,...,..,..., o!,e, i,i,a M..lclal1lNoc.lltt: Nr a Other TranlPOf\: 1M ol Town Fu.... Horn8l: seRVICES, FAClUTIEI, AUTOMOBILE. OTHER EOUIPMENT . v; AND OTHIIISERVIClI, ;! lItftl1.... ClIIMrII _ UI" ..... Pro.....o.... SlrvIOlI .1 Futllllllllhotor Ind Ill"' 01'* CIII of lhIIlIDHIId' EmbIIn*lu 8II1lWY 0111 olllMt UMIl'IbIIn*t IIImIInI DrIIA1g, Cllkllng Ind CoIlIlIlology POll AulopIy CIrI/POII Orglllllonltlon RllIOfIIon ClW1lI RI\Ilgntlon . 0II11Ild CuiIOdy WIIIII ShIIIerlng IIImIInI 0tItIr en ollhllllclMld: llItIol~:-1~/~1- :- .llItIolOlllh: if MERCHANOISF., I CIIl<II:~~'('" IKt ,.,Jllt'" I, OUter~"<;:;'llllh':~f . -7....1,.. I ,~c.__.__ I I Cl'1mlI1Ion Ikn: Cl'1mlI1Ion Conlllnlr. CloI1Ing 81 SaIIc1ed: ------ Gr... MIr1<er: Ad\nawladll,"*" ClIdI .. SaIICted MemorIII Reglllll' MernarlIl FoldInIPrayer CerdI__ C<IOOInIIIon Bh""*,,, UNtlNr TrlY__ TOlII 0111 ollll Da8IId IllNoIlng 01 SIt'vloellnd u.. olFd.... ViIllIIcln F......OII_ MImDIIII OIIemony GrIV8lldl 8plc1ll.... CIllwgI I 1_- TOlII D~eclk1g ol SatvIcIo IlII UN ol Fecllllll AutomoU.l. 01111, Equip" Ot... Sltvloel Ind Ot'" ChIrgIl' T,w'. ol FIIn1IIl1I to Fullll''' Home Hener'CoICh IlII llriv8' LknouIInIIO\Ile pl8IInQer VehlclIllII DrIwI' Salll)1lDlld VII1IcIlIlll DrIwI' FIaoYIr VIIIIlII 0liv8' UIItIy VlhlclIend DrIwI' Cemetery 11II11lII grl.. equipment o\dlllllonll TfIIlIIlOI\lIllon Cherg8l: .... .~ ,1I..iL ,II..fl- ZOl.S,OO .. , '" _ ". L., &!?Q:) of.' " . ~,(JIJ -'P!!.'fX) Newspaper NOlIceI: Tel8llI1onliTl\egraphlFlI: - MOlOl' EICOf\: I~.....kl'l l1v.p;;tHl,:i(fl-7iHir. Tl:ao 4l~~M I 11~: I We cn.ue you fa IlII' IItlIVIceIIn oblIInlng: TOlII Auto, 0IlIr Equ~ Ind Satvtcfl I .,. I/IJIOI' SUMMARV, Basic l'I'of..lonal Servlcll ol Funeral O.ecla .nd Sla" Ofler en ol \he Deceaaed Dlr8Cllng SIMceI and Us. ol FICII1I.. AutomoII.., Other equip. end SatvIcII Ind/a Peraonelzed SatvIOI PrOlJIm PIckage. Oller SetvIceI T.III SaMoe Chlrllll wllh Pmollll.... P...... Merchard.e Cash MYIOCII TolIl CIlIrlI.1 (Cl'edlls) 10 h:c:OUnt: Pll"*'- ~h chack, 01' cr~_ cllld) V..P ~." - -"4JlDI' Ytr' or_ _ *0'11"117 - PI_I"" SaMoeP,ogrllft Plckegl (ICOIIfl/ItldllCIfp"on 01 lhIpacl<ll/fllllll you . _,.gIlInI"-f'tfcI/J1I~YOU): . ., 'rl~t/I"tJII/l1 7,jjli,~r.. rtl"~1'" I 3075: c:!2.. Ot...llltvloell: Immadllle a..... I D~ect Cl'1mlI1lon Wfthout I ServICe . FOIWIfdInQ Remalns 10Anolher Funerll Home I RICa/I'InQ RImIInIIrom AnolI1er FIM'III HeInl I .. To1II SarvIcI CI\arg8I..1th . PIrIondzed PICkIgaI I. I - 11I1..... dUI In.. cndlll I ""~ . ~.~'!.. "I07&;tXJ"-;'~,,;,~:..' . I~ : 61~~ (- ) 1- I . ~'- .......~_M.,Moo.crr.oo.n.MM.tD,L"' ...tcV.IA"'..".......UO'............. tu.-' tH,l'IlCJlll, Ol\'""" "'to, 10,"" .....w..wt,YN.w.I PIIOI1 01 t .' "~""\'l'q.., _,.nt.rt4~'t.l'l"."iI'~;'~'~t,,,~"""''<<I1'r. f'..... , IPTlON ORDER FORM .'. I OIlDllt NO, i';;;kt... . . . . 124267 " ." ,MEMORIALS' , ".' '.' "...... . " .' "iJ'. ., ~"l\" ry" i ,'""., ' " ' ' ; , .."p... · ' ! . . ~.. ., :': \' .'1\,',... ,....." .......\I<"',H;...lil..~"":"1~ '~!:',j'~'", ~" ~"',;. '.,'; ;", ,I' .,', ,'".:' ..,':'',;' I. ":: ' , , ." ilf~' '. '11"~. ..,;:It ::"', ': .,;:~.~~~3 ~1J11~~~~~'F.~rry. ~~,d,.~~C~~~.lcs~~r;Il;\P~:;~05,~;~ (71~~~~~Zl!.. 11',~ ,~~.~.t!,;,~:1t~~~/:~'.;':~:;: ::;,; "~J"~ r~~~~c~:. : ::""'i :\:I~. (:,,'/,,:;,:.,:. .'~'ir "",r ';:,'i'i:;;',,:', .1i'I";\,\'!:~ 1~,;,:,.:.'.\.~~~\,~J.:"tll",",>,t'1~~'~t,t . \'\~..'" ::-~! ,~~'lf!:~ '~~lf":'-' , CEMETERY. I ,'. ~ [.c~TION ~.:...J;,;b.~,\~\o(.(r ,-. "I'r. ,,",.,'';. :, NAME OF DECEASED ", " "u' 'K 'VV' -' .a..t-t'\.- " "',;/. ;";:'" ,,:'., - ---F'+~ LETTERING REQUIRED: - "" , ,...~. .?\UB'{' ItWI ,-,:,'..-i ,.. - ." :'::--~7~~~ ;;" ".~:!{.~,-~,~:::"t'~r' ".:'.j'~ ':.: t:;'~~;~:~~r'~":':~'j}'~,';"'~".'~ '.:4.' ~,~'!:.::~~:: .. / "...-1............ , . 'I.. (' .': ~.'1 ~, ~..~.,. .. ..... ,.' ,.' -" ...--... ...., + .".-.....-.. ..,. ....,...--. ..... ...,.--'-,.. .. _.....~ ,..Jf..." , .,.~ ~......~.l. ,...."". '....i'.. ~~: , ;'.~.. ~'i' ..... -. . ~ '.'''''' ',' '."" '\'''-, IND, NAMES ON MEMORI ])Ol(t')~ COLOR OF GRANITE ~. .'. LOCATION: DRAW A PRECISE P 0 LOCATION OF MEMORIAL ON CEMETERY (U.. back f ark order copy" neceuarvl .'.GoO-(O~&b.(t< .~t-..$,~M~~tt.Pv:\~",~ ~ at l c~~p" .. ',;:..:~l't ,.,/)tln,..;;,:,s:" . 1".JJ"""fbJ,.o1(;'.:f1\':w."a'a 'chd~'~.. ""'l':'~~';;\ ..." .. . ",,\A.I.~ (0 . ,. ~ ." .",c."." ~I~;'\';" }-;:.\.. ""..>,. \.,'.'::.: '. ".,,' .i~":"~'''~... - .'.' .... (.:',": "~/.!i\" .''':;'''~:.';,'I': ":::""':'.:' ....~.~'.i.:.A:F>':j :', . ":". . j'. '.'; ~::?t',tP II';, .. .:~" " BILL TO: :'-':#OATE OF ORDER~ ~~ ORDERED .BY ~~c)~ ~ PHONE II (_) ~~ UPON EXAMINING THE ABOVE INSCRIPTIONS, IfoNE THE UNDERSIGNED, FIND THE SPELLING AND DATES TO BE CORRECT. THE WORK WILL BE COMPLETED AS iT IS ACCUMULATED, NO SPECIFIC COMPLETION DATE IS GUARA. N.T.E.ED .' "'; .,;,.,' '.'.:.' I... ,.: '. ,'. " ,..' I. " ..'.. , . ' 'i.'.""'.: .." ,. ., ..,.. ..1."".,..,.,...,,;.. ,.,..;,\, ":'ri,.,',.,<,..J:,.td..:: . ..' :..,. .." ",..,....".\..o!o. ,.' 1 ._ ' .. "., . ' - ". '..'. -' i ',I "I~' . I. . ,\ "i ~ ' '/".fj '1 '. " ; . /'/ '(,> '. '.' ,_:, ~, , siGNED ~1'!J 1- :J"" ":')W" ,:.::-2~ 'SIGNED: .. .. ,. .. ' . ..~.~'.Z:~:I"i\1.;, I' " , ~ur WI::J IGt ....., ., ~ ,." . '\' 't.~'. AO j , >'.' " ' . I I $ , .. ,.. '" . .,: , ' ,'.' PRICE" ,-- . DEPOSIT L":'-__ BALANCE .DUE $ .. IOLD IV 6, ~ .RA~CH -E o. DATE ENTERED . CUMnEI~L^Nn LA W .'OlII~NAL 2 LIBERTY A VI~NUE C^RLlSI,I~, PA 17013 m[[~l?flDn?r:' , ! SEP 3 0 1997 . i\ U~j'Q \J~..... .........".11...... ...... .....Ii_ SEI']'EMllER2fi,J2.21 Cumbel'lnnd Lnw Journnl is j1l1hlislwd l've!'y Fridny by Ihe ('lIlllbnnd County Bill' Association and is desi!lnated by thl' COlli I ol'C0l111ll00 l'k111S liS the nlliciallegal publication lor Cumberland County IInd the IC!lnlnl'lI'spnj1l'r Ih!' puhlklllionni'legnlllOtices. TO: Susan K. Candiullo, ESQUIRE ,._-------_....,..~.__._--' RE: Andrew It Kreitzllr, ESTATE __ ___" '_T_"'__"~._~~__.______ Legal advertisements must be received by Friday Noon, All legal advertising must be paid in advance, Make all checks payable to: Cumberland Law Journal. ========:::::=====:::::e==::,:==;;;;=:=o;:-:-;~.:."".. . ...... :.1,,',' ~': ,'" ;,~":'''1:_~'" :"':";:::-:;>;: :";";:-:;:"'C:'~:=::"~~====~~':::;=:~.::i~==:=:;:.j~=:::::== Advertisement inserted on following dates: SEPTEMBER 12. 19.26. 1997 Advertising Cost $ 60,00 Pl'QoF of Publication $ 0,00 Seco:1<! Proof Request $ 0,00 Payment received $ 60,00 ......................... Totnl Amount Due $ 0,00. =:::.;::====~= Payment received _SEPTEMBEIU.Jm_ by Becky H MorllenthallE1(ecutiY~Dil:el;I!JJ' CLASSIFIED ADVER'I'ISfNG INVOICE lion, fttInIInQ eNt IfWoIct ~If (7m 211-1131 1t1.Je tlatriot-HetuS BilliNG DATE j;""l"n/ To ,... ~, lid Cd CIIM6IcI ('1m ....."1 T.._ A_ 011I1117) .....m / r,I'" ':U "". " !,-....', ,. . ,., ." "I' . ,,, {8TOPDATE .'/$i,~'''MeS :.,,~, ,81ZEII ..::, '.. ,AD AMOUNT .." '~/' Q r 1.60IN I r$ 114.11 I ""'~;-:!1ttk<~/"":I\V ,l',~",'f",. ." .;." l--'~"f,~i..,.., ._-,.... ~!",r ~~,'~~~ if:'; . ~ .,' :",~,~~;~~~~E:.' ': . "/):;;..N~t,:M,'~,'::~:r;';!,.~.,~, r.:;ol tl~~ ?I,!l.,,,.,,,,...,. ,...' .1: ..', : ..,(,/','/!i.id., .:,';.;';, .. .,~ ,~{ .N' AFFIDAVIT CHARGE . ,., ' \ I :' . D.': .. 'I , ~ ,//1';.;;"'<1"1,"'. ,... ..'.' . ,'.1...."..','. ~;' " \i,e.., '1/.!~.;r,fl"""t:l.l,i.l" -.-' , ."'" . ,.-"lll",f,..',' .1>" , ;;'~?;~"~ir$J\"'::: ATTENTION GrnER ' , :. ,... . PA 17043 '~"~~~f ~OEBITM~'" . .-, . (;01"" P' ~ 'I" , , .\ } 1..1' ,:>,:"'.,' .. S \991 1 REOITMEMO . ,'., ".~ "':I'~l~~E~ ,2 : '. , . j ',I' i'M' ,Q ", ISCOU...... ' ,. ",I "~l ' 1\ lJ "r; ~'" '111- nl~ .,l, ~~"'.1~';"(l""~': "".;1"'. '.'r, . , ,\' '4.; f ,/I. ,,, f" ~ '?1.' 1 . " "I' . , , " ,.,;,tr,:i,t".l.,r\,,' ,.~\~.,,~l 1~,.,l'1,"'r", ." .., "r,.,.II,;:O'....\JiI/,I(. : '\:\i~"~ "~t:,..". ... ADVANCE PAYMENT NT t. ,(\" ,I, ........... , GATES I ASSOC~ATr~~.'lt/tii(,~ r-;.U.U " ',,:" ,"'.f,..... i r,.,~':L1',r~' ~"'~';:'r.~ . f;REITZER EST I TERM-I{ DUE UPON RECEIPT ,.c. ,'. , " 'I'. , ,"'J' , .,'" "1""I'..':~ , ,. CLASS .;~;8TAAT DATE. 1 G;] 09105/97' . ,./. '~~. ",,'. ' '. 1_, ' "I' ,f'~")' 'C j,,~~1 ' ~ ,,, '.' t, . :",., ,,... ;.; lit '. '!}. ., .',' d'. . :.:.:.j :,.:I:i\",..\:\.~.,~ j REFERENCE NO. r;;.IJUl GATeS I ASSOCIATES. 1013 MUMMA ROAD SUITE 100 LEMaYN!! ACCOUNT NO. I T319600liAT OESCRlpYON OR TAG UNE ~',' ':;':'I~\~,~f:.D:X~,;,~t;j;::.,'"",. ',"~.' r., . PLEASE DETACH AND RETURN WITH PAYMENT REFERENCE~.ITP68Jl~' I ~ 1$ 'mite 'atrint'~e&r. GIn. .,. "G . . .....] T ACCOUNTING DEPARTMl!NT ACCOUNT NAME GATES I: ASSOCUT P,O. BOX 80387 ~ . " '__ HARRISSURG, PA 17108-03e7 M; ,. . ." . 'EO;'01:23-1304402 M~ ~~~J73196,00r.~T ... . , ", , " -, . ~ ," MAKI:: Ulf( K "AV^fll( TO I m-I! ACCOUNT NUMBER EXP, DATE AMouNT' PAID 1$/3~~ I. -- :1:: .." < '.:',.\": 'r-" ",1'" " ; '. . '\ '..: : . ' '. 1'.1'-,,:." :' ,4200 . . ANDRew KAIITZIR 11 BEAVER AD OAMP HilL. PA 11011 .' . I -',t '. . . , . ,. ..' \' " , , ., , , 100'2731313 '01 , ~ ' Pf.YTOT E. . QRDERO J::::.,;t 71b"~- ~c~~~-o/#-~~'- :tf?:P~ rSl '" PrIority 'JdJ !(IM .)!,.J- c?~t9Y r "':0 ~ ~ ~ ~ 2 7 ~a.: 10 200 110 5 ~1000 ~ Saloquo 0,1: .:l .,91 " , I $ I r ~ .If;;'"' jj;::::.1II F:5l.":" :i' 1: ~: . W ::, .lWUIGl. ,;. r i' 1114-114 Il:~. 11101/96 0,0.8 INSUR^NCE COMP^NY N^MB """"'......... POLICV NUMBER ,j;\~~__.n, 114.01 U6T ROt'S115. 1Ul.. ROBERT KREITZER 1 14 1 6TH STREIT NEW CUMBER ~A 11070 . t l'lEDICARE It BLUe: CROSS 36 I All. COLLER DANIEL PL::.ASE RETURN THIS PORTION WITH YOUR PAYMENT, I !lMOUNTOF I. P^YMENT :23C;;'ip-:.:\t .-;~ -!CSP'T,~L ;:Ei=l,IiIC::::S 3E:;\.:C2 ~.:- ',L ::37 :81,gRAG2 ~S7 ':C'/S~vOE 1ST. :OVERA08' :5T ~OVeFt"'Ge ~ :::JAYMENi .:::-!<.\,RGS5 NS. ;8,'~O. ! NS, ";0, \10. : NS, CO. ,~O_ 3 ,NS, "::0. NO. ~ AMOUNT ."..... .......;: UMMARY OF CHARGES 9NF-SKI 30DAYS~ 165,00 LABORATORY a9 MED SUR SUPPLIES SPECIAL CARE UNIT 4950.00 407.40 1267.90 31.52 4950.00 407. ",,0 1267.90 31.52 UB-TOTAL OF CHARGES 6656 , ae 6656 . ae IS SILL MARKS THE DELETION OF ALL DETAIL CHARGES DATED PRIOR TO 06/30/97 QUAR RELATIONSHIP: Ace-DATE: z SEX: M nME: GUM NO' 230046 PLACE: EMPL REI.: TYPE: .bISCtJunieJ IkHlnT"" FtJII'" :!'"1.1V\e.: /.!iO, VII ~-l /leel Mc.iilJ.,.'t ~ i~ ,,~ .~,~Y!~0 \J'~ ~~ i I. It7U;36 e , . : ~=:;.:< -,J J~"':"17 1 '. .:'~~":~=;{~,:,:~7': ~~::(,~: \C:;:T'r.~AL .""i'SNT 3IL_" i 'AAy ~E j ,':::;:'31'""'( ~:"1 "'.'" - ~_ GT "J03T:!:J ."':, ':-1$ lit.. ..3 '=,' ._,:.;,1 ,_? 1ft TH 1, ~~S..~,.:..~j(;3 ;,~ ~ ", .:... ,C - . '. I ',If! ~ ~~... :;: "'~-jE :,MC'..:'C; ,:.j-; ",'~I ";NC:=R 3STI~t\ATa:: ,NSLi~ANC:: ;:;'laRAOE. ,.~- .-, ~1'10UNiT "t f. '/ ~ "-- ..-- ..--. --~ ..... HAR'USBUIUJ. 'A 717 130-3717 ~II. '5-'771644 PATIENT NUMBER 130046 -774' .... ROBERT KREITZER 114 16 TH ITRIIT NIW CU"DER 'A 17070 ...... ADD.... . 17101 IIRTH-DATI 071' 171'17 I~osp NO I AOMISSION OATE DISCHARGE OATE OAY~ 11/011'" 071'01/7 14 C.0.8 INSURANCE COMPANY NAME GAOOP.......... POLICY NUMBER 1 "EDICARE I aLUE CROSS 361 1741011t6.T Roe9S1711 NIEl. PLEASE RETURN THIS ?CRTICN WITH YOUR PAYMENT I "MOll~T 0F ,. ,".)AYMENT ~ .OT":'l ~i-' "'POE 3 660.00 .:(0:;;,.16- 5....25 CHARGES :5r.';OVEF~..\GE 3ST .;OVER.'\Oe ;:3T (;OVe~AOC: r;ST:;O'tERAoe .'IS.~:J '10' ~s:c '10 ~ ,NS;O ,'10 ~ ~IS :0 ~IO_ ~ P""YME"1i \MC~~jT 660.00 ;l L"~ I !';- .....25 9/t-JIG 9//..'16 QUAR RELATIONSHIP. ACC-DATEI DSCH/FINAL DIAgNOSIS. AD".. DIAGNOSIS. z SEX. ," TJ"E. TYPE' 436 ' 780.3 i B'(I/cd I .1) I tvle!d I hid (3 ;J,J't.t;.IJ , I I I 7/:.-' 711 lyli \ '=!.;:':".'S;S i~eF:;:R -OJAT:ENT ,'llJ.IABEP. '~~"LL "fCJ:~.15S I~NO ':;CRRES?ONCENC::. GUAR NO. PLACE, 130o.t6 E"PL REL' . ~\ . . ~~y ~ ~ Ii , LY\ \ ~ ~~1 !~\- ~'rr /u~, ;7'17 tit., [/1,) ~ -- '(il I ! , I {(.;L 7, f 11) ..CC:7-:'~AL '47!S\jT 3ILk.,'lO ',lA'I 3E! .;'::::;:,'~ .' :'~,1 ,,;1,' ::~,.p.c:~; .c- ~~:~w-:::: ,Vf-<C:.'I -'..l's 31l!.. 'NAS ;lQE.:J'\R!:J )R iF' HSL?4NC~";APQ:E?G :0 ."OT ~.,\y ~NY ""RT ~.':: ~.,:: ,',lCUNfl ~HC'/IN ')NDER ~STJMAr!;O ~JGU,~t.~JC.~ -::J\/~~A.G2 PAY I THIS A"OUNT I ~/"'/'" ('i PINNACLE HLTH HOSP HARRISlUR~. PA ..< COMMONWIM 11101' I'ENNSVI VANIA DII'ARlMEN I 01 fllVINlJl BUREAU 01' INQIVlllUAllAMUS Pl:Pl.2110flO' HAlllllfmlJI1C1. PA '"/I:I1\.(j(\()1 - RECEIVED FROM: 1 ROBERT D KREITZER 114 16'fH STRIHeT NEW CUMBERLAND, PA FClOll[l1l PENNSVLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT *\' . , ~ NO. IV' 2 4 2 433 ""."""",,, - ~ AGN ASSESSMENT CONTROL NUMBER AMOUNT lnl ..., I !'I;>8....b1L. 1'70'10 FOlDtlERE __at~199'rOt1'l1 NAMr or orcl;urNl n Mil) eeN l711-E!I~"la(1t1 1"'1811 IMII _wI<R!;;jTi?.I,';P f\NRf1EW I.~ DAn: 01' PAYMENT u_.U/O~/l(197 POSTMAI~K (JATI w9!QQ IQQ~I~) COUNTY nn.nCUMfJERl.AND PAl[ 01 PI AlII .__nBL.!l~/.! 9'17 .... REMARKS ROI3EIH 0 KRE 11l.'f!:f'( SI. <,CHECK" l~r~(Je TOTAL AMOUNT PAID .7,528.1>0 __,~... ~_. _~_ .__--c,. _.~~. ",~m..~--c_ _~~~ , SK (I,. . I.... ' REOEIVED 6Y lJ,/I.~'.' L: '.' (.,'~. -1i.,1 l- e . i .. I /)J\//c/7...' t~ARY . ~ . IS <:/1/1.</ ,111" .- REGISTER' F' WILLS. ' IIIUI(', 1 [II 01' Will '5 ...-----,--. .........--.--. ...-....-....-.,.. -....."'f-;-;-~~-..!----,- "-'1 I .' ,. ,..--. -.,- ~.\~ .\...~ r" ~_.._-_."' :.........".....JJ