Loading...
HomeMy WebLinkAbout97-00799 -'jl- " ~ , , ,. ~ . ~ ~ t:' <J' ~\ ~ 0 ......;... ~ CD I . 0 Z \f,j,j '. l.~ .,. r t.:) <,,Stale oJ _",_,~.",__-'-_,. c" al,fQ kllown as __m'____ PETITION FOn l)nOUATE and GRANT (W LETTERS No.. 0< /. (i~L._1 q Cj __. To: . , ' C',\ Register of Wills for the I) I (' Illy I' ,:",.,I",i"11\\1,'1 111 the' ______~n_~~_._._. ., ,(-'('('(1.\'(,(, .01.1 0 ._____,._.___~.._.~_.~_ Social SeclIrlty No."",LU_~ll')_""lQ.uO C'onlmonw('ulth of Pennsylvania The petition of the undelsigned respectfully represents that: Your pelitloner(s), who is/me IH years of age 01 older an the exeeul.J.)J.'_.,.__."_.._.,,,.___,_ nal1Jed In the last will of the above decedenl, dal('d ____-'c,.I.JT'.LU~"',, 2-J____...,,' ".____ n_____' 19...'2;L.., and codicll(s) dllted _____._", _"""_.____.. ,"... .._"_'_'___.____ -~--..-+.-...~~--.~-.------- ---.,.------__. u, . '___"__..m ......___. ....._..______._..__~_..~_ -.--..~--..-.. . ..__.'h._____. .. .._--~--------,...,--~.- .....-------.--..--------- -,...----._ .~..._.________. n__..",._. ,"________ ...~______"'_.__~_.__...~.......,_ hlatt' rl'l(~vant c1p':lIIllSlalll:CS, e.g. rCIlUlIcilllloll, dClllh of C.I(CCUlor, CIC,) Decendcl1l was domiciled al (kath in-_,S:_lIIJl,'.'.x:J:tnrl_:____""----:::_.r.__ County, Pennsylvania, with ~~ "-13 (!~I:s,t;fanlilrr~Uln~LIkL;idel~e~.at::_~_' 1~~~(==::~{='=:~~lt . ~~_~~" " llfJ. n 1. 0 ,'j ) l\ llT , -- (l1>{ streel, nllmber and lllunclpalltYl De~5'n~cnl" thL',1I ~ .~2.0,._ :__no__. ~cars.of age, died --~-~-~.Lt2.!.'-:l.:n..r~-----1D.Ju__-;-.._.-----t J 9..5)1--, at .. f () 1 -\~,.uJ..~lJ.i.. _1.'.l;JJl-L-L1.'.l.._--(j.LuJ.p__l...J..ll+-....run.1H..L~~l\lJ.Ull,O""" , Excepl as follows. decedenl did not Inarry, was not divorced and did nOI have a ehild born or adopted after execution of Ihe will ofkred for "Iobale; was not the vietim of a killing and WllS never lIdjudicated Incompelent: .m"___,,. .. ......_____.._.___ ..., .__'_...._,.,,__.._.., ...__....__,___.______,_. Decendent 1lI death owned properly wilh estimated values as follows: (If domiciled in Pn.) All personal properly (If not domieiled In I'll,) Personal properly in Pellnsylvania (II not domiciled in 1',1.) Personal property in Couuty Value of rcal eslate in Pennsylvania situated as follows: _.._.._.~...__~_~.....'"__~._.....______ __.___._.~_g~~_.._.__ $ _200.LOOO. 00 $ L $ -~---_.,_._... ~~...._-----_..-.._--~------_..._--_.. -~----...__..-.-_.__.. . ._..~_...._-------_.... ..._--~~~----- WHEREFORE. pctitioner(s) re'pectfully requesl(s) the probate of the last will and codlcll(s) prrsented herewith and the granl of Ic[ters_._,___,--'!:L'_:'I~'.9..!ltf\l',;y._~__, (t~$llHnentary: admlnistrlllion c,La,; administration d.b,n,c,t.a.) theron. . .". e ..~ 'O~ I:I::,.~, 19 ~J! .".~ ~ 0 a Iii ~._-,.~~. , \-=-- 0, J'ack En;}o., _2~. lli)'~ t.) o. ;;:;.:1( 0 11sf ~:~=:::~: ])1.1.1fJ1"I.["" 1\\ 1""(11') ------..W-~..~__._____:.J_~,__-'~_.__._ ----.-----------.------.. ~---_._~--~.~- ._~_.,_._..~-~--~.,_..~. -----'_._----.,,"---~-._._-_... , ----.'--'---,-.-- ,_. "-_.-..._--_......._-,-~._---...- -. - --...._,._~--_..._---_....._-~~,---~-_._~...,_..---------------, .-- OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } S8 COlJNTY OF _.2_.'~__~__2:_1_~_..___,.._..__. u The pctitione\'(.I1 ahLvc-narnod swear(n or affinn(s) Ihat Ihe statements in the foregoing petition arc true lInd correct 10 the bcq llf Ill" knowledge and belief of petitioncr(s) and Ihal as personal represen- tative(s) of Ihe aool'e deeedenl p~litloner(s) will well and l':".I,~admini,~ter th~te according to law. Sworn to 01' affirmedttand ,;ub'eribed ,~:7.\ ~,-_L_~~'----' ~ ~ef re me. t.hi' ._..",.Q!i .' '____"'._._... _. day n.f j ...__../-__.___.______ ~ .. t iliLl._ 19' ,'. .. '1/). (I. ';ri:t,~~'}_~Z'iZ-:-'SiL::: I:I~===~_==_=:~_=___=-=-==-. ~ 1/).- d- b S-- / () J [l, (.."rO Rt'~isl""______.._____ B: Dollars to lily n100e, (mACg I\OSli:R. (b) I l~:I.ve and bequeath tho sum of l~ive Iluhdl'ed (l!l,OO,OO) Doll.o.X'fJ to my gl'oabniooe, CINDY KO[l!i:H 1I1m'l'WJJ:dK. (0) :c g1 ve find bequeath t;ha (Hun of ]i'1 va llundl'ed (l~500. 00) Donars 'co my gl'ontnlooa, lUll BAIl1 LIIJr.fGY. (d) I L';lvo find hoqvoath all the l'ost, r081uuo and 1'l.lllltd.nd(Jl' of lilY ont;f\to, oJ' 1</hf,l1;noovol' rlntU1.'O and \'Ih01'01l00vorbho same lImy be situate, to my noph014, C. ,TACE, lWSI;;H, my n10oo, D1!:VEnLY EOS1!IT( DAIH . and to ImSLgy mn'l'lm ['IJU'I'IlODIS'I' GllUnCIl, shara and share nliko, with the st1PUltlt1011 hON<lVOr, j;lwt tho shClJ'o of \'IlUSLli:Y. UNI'.l'JW l,lE'1'110DIS'I~ Gmman be used fol' tho lfInlnteno.nce o.ndup!woP oi' tho church building and its !\cceSsol'l.(lS,. ao fI,om t11lle to time may become neoessary. LAS'l'LY. I nor,llnu to, cons t1 tuto IJ.nd appoint my nephe\~, a. JACK lWSEH, Exeoutor of thIs my J>ast \'Jill and 'l'ootament, and in the event that my suld nepho14 Bboulc1 predocenoe me, 01' should he be unable 01' umr:tll:l,nr; to neI'VO 1n Bitch capaoity i'0I' any 1'oason, thon in ouch event, I lIomLnato, oonot:l.tuto unl1 appo:l.nt my nieco, Bli'VEHLY l\OSJi:H BAIH, Ji:xeouLrJx of thIs my Lnnt vlill and 'reot!llIlo.nt, in his pluco and stoad, I1nd in oither instun06, I dIrect that my suid pOl'nonal reproDentativeB he oxcused from post:Lng bond 01' other socur:\.ty :('01' the faithful pel'formanoe of tlleil' du'b:tes in any jurisdlotlon. -3- f\ /U' _'I Gi! (~'" L~- " ~ r;] ,-~\ .--:t, [., (J) "'1 (;-1 - .n ,n ffi ! ~ ~ ~ ~ I I ..:: ~.a . ~~~~ 1 $p~ 8 \ ~ !~ ~ -. ~ Fil CJ) o 1-,1 j.q 0) 1~:1 "-'I rX'1 o . ,,-I ,- ~ , I~ ,-, H ,-. ,___, H Ii.' '0-,1 o ;~.~ ~j 1:-' 'Il -" ;-'\ II .~--::::.-..:-- .4 " 21w97-799 , '" ~ R1VoIlOO IX. 1',9'1 ~~,~ v I~) ..lOS - /C! ('--' fOR DAIIS 0' DIAlHAnlR 12/31191 CHICKHU. II A SPOUSAL . . POYUlY CUDIT IS ClAIMID LI 'Ill NuMn.. ;> 1- 'J'{ - 07 99 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEAlTH 0' PINN""^'''' (TO BE FILED IN DUPLICATE OEMR'MENIOf REVENUE H^,".lrJ:.u~n1'iI"..o'OI WITH REGISTER OF WILLS) COUiHYCO!'Eym y!.^~_OO'L2't!iU-'!!.~~ DC IJfN' :'W.M1'jTHi~"i'iRi.}JiiiMliiIili"liifii^(I--- . -- '" --~-- ->---- ---jj)f(flj;m'lrOMlItHfAi'lIiRm---------------- 1.01mn, lInolld Il. ;'?1 \'10rl!; 11,lIn dt, film ~5cl~tm:\l~"YNUMiill: I jfi"'fWf\fAIII IOA!fOf8I1WI r10cllnl1tonb\nl~, PA 17055 hl _ 1 09-()()-1 of ,0 <)/][1/')'( 1',/1, /(1'( ("",,, <:11l~bol'l find ...._,__~._u '" .:""<"UO"""''''.o~.; 11-.'" '''" "..' """''''','' """'" 1''''''' '''OJ'''' tHlM" , r^MV"'" ",mi" I'" 'N,j,,,ciIOi"1 _ _ _ _-~_~~_,~~ ~ IJiJ 1. Original R.turn ! 1 2, SUpplflfTlfUllol Return [-_I 3. Rem(llrld.r Return is\:! Ilor dol.. of deolh prior 1012,13.821 !w 1-] 4. LImited E'la'. I I 40. Futuro 11I1'lfe,1 Comprotlllso [J 5. federal ealal. Toll. Rllurn Rlqulred ::I llor dul", of dflolh (Ifter 12.12.821 '") to,;.. ~ 6, Deced.nl Died h,'otD [ I 7, (JltcDdnnl Mc,lnlolnfld Clllvlnu Trull ,.~,:. e, Tolal Number 0' Safe Depo,1t BOKe' _,__..____.. IAllach copy 01 Willi IAlloch capy of Trull) ALL COAIlIIPONDINCI ANifcONfiiDENTlALT"X INpORMATiii~nH(:')ULDBE'DliiiCTlD TO, ch"- NAMr---oa.......-.--.--- -..- . -.------rC6M;;lfif.i,\^TiliiO.AOOiins-----..---~- ~I ,T. !'~ollr'l.'1; :.\ 1;/llt.Cf'fll' , t\t;t,y. flnl'knt r\qUB1'() nldC;. _ Bf _ ~1:~f3"lUL""1[c(2::26JJ"d .. ~--"-,,~.=_7,,I,I~~OlIUI~:Oti\~lll.g,_.P~_~~~-~~._.===== 1. Reol Ella" ISchedul. AI II I 2, Slock! ond Bond. ISchedule B} I 2 I _ 3, Clollly Held S'ock/Parlno"hlp In'ere.' (Schedule C) 13 I A. Morlgogft' and Nol.,I Receivable (Schttdule 01 14 I . 5, Coah, BCII\~ Oepo,lu "" Mltcellofl8ol11 Penonal Properly 15 I ISchedul. E) 6, Jolnlly Owned Properly ISchedule f} 7, Tronsle" ISchedule G}ISchedule q 8. Tolctl Gron Anell 1'0101 Unes 1.71 9. foneral E:~penu.., Adnllnhlratlvo Co,I:I, Miscellcm80uI I q, _ hp.nle, ISchedllle HI 10. Dobh, Morlgage lIuhllllie., lions (Schedule I) 11. T 0101 Oeducllons (10101 Line, Q & 10) 12, Nel Value of hlole (line 8 mlnu. line II) 13. ChorUable and Governmenlul BequeslI (Schedule JI l~~~Va~,:~Ji~l!!clIO T~~J!.~_12 min~llIne 131 15. SpolI,ol Trana'ors llor dole' of doath alter 6.30.94) SlIe Irt,'rucllons for Ar,rlicable Percenlage on RI'IVene Side, llndode value. rom Schedule K or Schedule M.I 16, Amount of line 14 taKable nt 6% role Ilnclud. valu", from Schedule K or Schedule M,I 17, Amounl of Une 14 I",table 01 15% Hlle (Include volu., from Schedule K or S(hedule M.I 18, Pilnclpallo, due IAdd 10' from lIno, 15, 16 and \7,1 19, lledlh Spousol PO"'llt)' Credil Prior Po6menh Dhcounl Inlero" n__~O_,Q.o_~ + J_2.J_9...Q._QO+~_600._00 -___mQ..Q9_ 20, If line 191. greoler Ihnn line 18, enler Ihe differ.n" on line 20, Thl.l. the OVIRPAYMENT. m[1 ~ I ~ I g 161 171 o 00 ..li.'I_,2()Q:2? ......._O_.O(J IDo JUj~g:W __m_Q..Q.Q dU_....(J ..OQ 227,389. 2.~_ 1101 . 17,367. :n ""-'---".""'----."--'-' 157.58 ( 8) (111 (121 (13) (14) 17,524.89 --- 209,86!~ell.O --~ 75.1 9)7 :-~7 . _ ~13,906.(J3 0.00 0.00.,_,.. 1151 ---------.- 1161____.__.____~ChOm(). ,06.. (171 ... .~}1..~96._[l~. 15 .. _________m__O...'O_Q.. 20,On6.02 -_._-_._-,--,-~-_._--_.. 20,006.02 1181 119) (20) 12 600 00 ..__._..___._.__._.J.:___.___.._f.__. __ 0.00 ('U'{~ 11I'r(' II YOII (ltl' Il'qul'\llnn fI rt'lulul o' your overpnyrnt>nt 7,1,06.02 ....O~OO- _...~-==--=T!}i06-:U2-~ 21. If line 1811 9roaler IlInn line 19, enlt., 111ft dHforence on line '21. nl,l, Ihe TAX DUE. 121) A. Enler thelnl'Hell on ,he balnnt:e dlJe on Une 21A (21AI R, Enler Ihelolol 01 line 21 and 21A on line 21B, Thll II Ihe BALANCE DUE, 121B) __ Mo"!~".!~~_".V~b.I!.!.!!_~!J!I"!~~III~,.A~e"'_m_ .. _ .______._ _ _. rFri",' . , __~_~ - II SUR!.. to ~t:l_~~.II~_~~~~JS~I~t:l~_o.ll.R~y~~!I_S!Il~ AND TO!ICHICK MATH Off(;c"". ____ Under Plnahl., cI pnrjury, I doclme Ihat I hove OKomlnf'd Ihl, reluln, lndudlng <lccomponying 1chodulel and Ilolfunenh, and 10 Ihe bell 01 my knowledge and belle I ill. hue, correcl and complelft. I dedorelhnl 011 reol ellote hnl been reporled c,llrufI mmkel volue. Declaration 01 prepOfflr olher thon Ih. p.rsonal repr."nlallvl i' ~1~~~;~~~~-~;i~o~s~i~~,:z"1.~fj~\rr.. kno.ii~::~i2 (j~ . nlll; no j;. yH6i\(\ .- _n__________ iiW--------- .. - - ~~~6~~"r.N. }_--mmAO",f5' HHf;~\?\~~~\a!:~--MJ~(L-. u -.... ____u.._.____ of.~-=L~ '/7 ~V/.Au' ~ [,lncho,llJ..C_1l11)11'L; J .1'^ ."tl.95.5__..._____.u_. .L2.-=..L!.l:-:':1.L .. REV.!lOl"+ {',161 " (!I, ,9. 'f ~r COMMOUWEI\lIIl or r~NNS'flVAUIA INII!RII^"e. lAX RflIIRN _UlllENl DECEOEN1 nTAfi'o~'-'-'-'''===='"~~~'='-'-='-~=---~~'='-"-' NAOi1I M. IIOStm ________u._ ..n m ... ...n...... n.... uuun_ .... .u._.._._.____---1.cri7-00'/99 ,All prop.rty 101.Ily.own.d with RighI of Survl.o"hlp mUlt b. dloclo..d o. S,h.dulo F,) ~__..,"., _~~._~_m.'_'~" ._.___.____........m..m_._'.____ -.-----.,,-.--...----------~--...-~...~--~-----.. - ~~--..;.--- II~M NUMBfR 1. 2. 3. SCHEDULE B STOCKS AND BONDS jiiUNUMBER 2197-0'799 I>~SCRIPllO'~ VALUE AT DATE OF DEATH .,. .. ."__n__..___.. ,.......~___.___ __._._......_..________._.._~.~______~___._.__.._,._ --,.---.....-----.-.- -'.--.----------~ .....--. LHx ((J) 11\1,000.00 denomInation, SeT'lea '1l1I U. s. Savings Bonds, all iasued Aprll 1900. 1f,I,OOO.OO denollllnntlon, Sal'lOll g, U. S. Savings Bonds as follows: 1~(~12170729m iOllued September 197(1. M212170'7)Om lasued September 1970. M212170'731lTI :I.osuod Septembol' 1970. M2121'70'732m issued September 1970. M212170733F. lssued SeptombOl' 1978. 112121'70'7)I~m iasued Sept;elllhel' 1978. M21217f373SB isaued SeptembOl' 1978. M2121'78'7)6m :termed Sept<mber 1978. M212170737B issued ileptembel' 1970. 1~212170'7)Om Issued September 1970. M212178'139g lssued September 1970. M21217!371,.Om issued Septembor 1970. 112121707J~lm is sued Septembor 1978 $50.00 denominRtion, Serles B. u. S. Savings Bonds as fol10wsI $ 6,000.00 2,76'7.60 2,767.60 2,767.60 2,767.60 2,767.60 2,767.60 2,767.60 2,767.60 2,767.60 2,767.60 2,767.60 2,767.60 2,767.60 21[6.44 211,6 .Itl[ 21[6.44 246.11-4 21f6 .44 247.02 211.50 211.96 211. 96 211.96 211.96 192.90 179.78 179.70 176.60 176.56 170.:'2 170.52 170.52 170.52 143.12 11[3.12 173.50 173.58 133.01f 359.52 L7911,.39227ill issued August 19'10. JJ79363Ij.J52F. lellued September 1970. L796029396B Issued Ootober 1970. L796703355E issued Ootober 1970. L800n6533'{I~ Issued November 19970. tOoh03530gE lsaued Deoember 1970. Lo065303168 Issued January 1971. L00653$2'72E lsaued FebruRry 1971. LOI101032(18 lsaued Maroh 1971. L8123351821 lasued April 1971. LBlh0135102E issued Hay 19'71. LI0670$2105E isaued April 1974. L20l0:l:)~~216E I.ofluod January 1976. L201835$251R tsaued February 197b. L20359'73101E tSl1nol} June 19'16. L20359'f3131rE Issuod August 1'176. L20b'7951,621R isaued July 19'('7. L2067954667E issued September 1977. L20b7951~60B issuod September 19'/7. L20679546901 iasued Octobel' 199'7. L209/.j.62102lTI: issued Mal'ch 1970. L2091~.62'l0If5F. lasued Apl'i1 197(\. I,2067954:,10E lasued lolarch 19'77. L206n51~S19m lsaued Maroh 19'77. IJ20b79!>11501,m issued Juno 19'1'7. 4. $100.00 denoml.nntlon, SerIes E, U. Savings Bond ______ . .__~?_~u_CJ.~O'Q.~(W. 6~6EL1_s fl.1JO(U~.o_qe'~lbo!'_l9'7.2 · . T()T.ALV'I.? OI,~..,.o"-II... 2.,_Rt~~rJI."'2"0.L__,____ s 11,7,26 () . ~ 2 lNI50.flt+(2."1 tf~;~ SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY . n_ ~=PLo2IO P!~~~_~!!r_P.!_~="" filE NUMBER 21-97-0799 199'1-00799 ...,. _. ._...__.".....__,.__~_____,'-...l.J...__.~____~_~~~ COMMONW'AlTH OF PENNSYlVANIA INUUITANCI 'A,I( ItUUItN ..~n!.DIN' DICIOI!4'___ . ..-._.. ..,_~.."'_._ ESTATE OF - ..~.__.. ..---- --..- __.._._--------O:===._~ HMWI II. I\DSlm ITEM NUMBER (AU p~!!'.!~,~. 1.~~~t~~~.~.~~~.~.._~.I.~,~!~_!.~_~g!!_~_.~~!~I_~.~_'_~_hl,)__ ~~~t__b~ ,,~i.(lo..d on Scltedui. ~!_ DESCRIPTION VALUE AT DATE OF DEATH 1. NemhOl'S 1st Fedoral Grodlt Union, aecounts as fol10\~s : 2. 3. 4. 5. Share SRvings Acoount No. 177-00. Interest accrued to 9/18/97. Investment Savings Acco1ll1t No. 177-05 Interest accrued to 9/18/97. Hallon Bank, N. A., accounts as folloHs: Ohecking Account No. 142-10B-~~62. Guaranteed Hone y l'larlwt Checl,1 nr: Account No. 085 000- 31+30. Interast accrued to 9/10/97, Statement SavlnRs Account No. 00355-015422. Intorest accruod to 9/10/97. Certificate of Doposl t No. 111,-MI,9225-C. Interest aocrued to 9/18/97. Oertificate of Deposit No. 11.-A61631-0. Interest accrued to 9/18/97. PNC Bank, N. A., accounts as follows: $ 3,572.33 5.81 4,917.53 8.1~9 1562.61 91,361013 21.2.88 1,271.91. 1004 10,000.00 19.38 20,000.00 39.67 Certificate of Deposit No. 21001011425. Interest accrued to 9/1B/97. Certificate of Deposit No. 21001012387. Interest accrued to 9/10/97. Certifioate of Deposit No. 21001012461. Interest Rccrued to 9/10/97. Checking Acoount No. $070092492. Interest accrued to 9/18/97. Savings Account No. 5030109600. Interest accrued to 9/1B/97. Cash looated in deoedent's Safe Deposit Box at NechanicabUl'g Penns7)'lvanla Office of PNC Balik, N. A. Net prooeeds from salo of personal household items to FisRel & Co., 1)02 N. 3rd St., Harrisburg,. PA 17102. 10,925.28 22.74 $,000.00 12.74 $,000.00 11.13 1,337.$7 0.0$ 24,7$2.73 2.78 2$3.00 800.00 __-.!~,!~!J~lso onlor on IIno 5, Roc~J.I~all~L ~____100, 120.77 lAUnch ndrlltJonal BY," )( 11" IIl1telt If more 'pace II needed.) Ill',qm t~. InO) . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS" EX.P_E~~ES__ "uo_ ,,_ Ptoalo Prln!..~~..!r!>o ,,"-:-~~=]:j[f ~~.::ER ~~~~~;~:~~;_____ DESCRIPTION AMOUNT COMMONWEAl"l OF PENNSYlVANIA 1t41lfRlfANCf lAX RETURN RBIDfI~' OECWHH ESTAtE ojf~"'====='=---=co'~,., PAOj,j'[ 11. )w:mH ITEM NUMBER __~__... ..... ..._.___ ."_...___~_ ____M'._.~.."___.___ A. Funoral bponlO.. 1. B. 2. 4, C. 1. 2, 3. 4, 5: 6, 7. 8. Nono - Prepaid. 'I' " 0.00 1. Admlnlstrallvo Co.II, P.rsonol R.p....nlatly. Commh.lon. O. Jaok Koser, ]l:xecutor -I ,201f - 26 - 8100 Social Securlly Number 01 P."ona Repr...nloliy", ..._,--,-_....,- Year Commi..lons paid ___uu",_,_'u____ 8,000,00 Atlorney F... J. Hobert Stauffer, Esq., attorney's fee. 8,000.00 3, Family Exemption Clalman' "..",_H/i1_", R.lallonshlp -----'__, Addr... of Clalm"n' 01 d.ceden"s dea,h S'r..' Add.... .... ._,--_..-..~._----.- ",._.,-----------_._-_...,.~-- Cl'y ..,u,__uuo '" ___""",......_____,5'0'. ___.. Zip Cod. Probal. F... flegister of Wills of Cumberland Oounty, Letters Testamentary. MII.ollan.ou. bp.nlOl' Oumber'land LaN JOUl'nal, Eatate Notioe. 270.00 60.00 14.67 11. 33 Bell At;lnntl.c, September 1997 telephone. Penna. Power <'< TJlght 00" Septembor 1997 electrio. Donald I,. \'Ioods, flnal rontal for apartment at 221 w. Hain St., j.]ochanlcsburg, PA. Haste l1ana!',oment of Oontl'ul PA, refuse, etc" in cloaning out Penna. Po~101.' [,: Llc;l1t 00., f:l.nal 310.00 500.00 5.10 53.94 1.27 dumpster service aplll'tment. oleotl'lc bill. for The Sentinel, Estate Notice. Bell Atlantic, final '''C_~__'__'''' ._____..___.___~~___. TOTAL (Also el1lo, oniln. 9, Recapltulallon) S Carr-led Forl1ar (If mo" Ipa.o I. n..dod. Ins..t additional .h..ta ollomo 1110.) aUREAU OF INDIVIDUAL INHERITANCE lAX DIVISION nrPT. 260601 11ARAISIUAO, PA 17126-0601 lY;':l(),,'i-IC) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * TAXES NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX U~.\I.I ,. ,,, IU..'. J ROBERT STAUFFER AT TV MARKET SQUARE BLDG MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN NAOMI 03-23-98 KOSER 09-18-97 21 97-0799 CUMBERLAND 101 t~.~c~~=,_~:~~~-:~~;il_t~d~_:":j MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ R iV: iS47" iie "A j: ji- io,": 9rl"tjiificE" 'OF" "iNHEiii f AiicE "'fAx - 'A"PPRA i SiifENT -; -Ai. DiwANC E. iili - - - -- - - - - - - - - -""" DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX NAOMI M FILE NO. 21 97-0799 ACN 101 ESTATE OF KOSER 03-23-98 DATE ATTACHED NOTI CE TAX RETURN WAS I I ) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Roo1 Eltoto ISchonu10 AI 2. Stock. and Bondi (Schedule 8) 3. Cloa.ly Held stock/Partnership Inter'I't (Schedule C) 4. "ortvag../Notaa Receivable (Schedule DJ S. C"h/Bank Dapoltta/Hilc. Parlonal Property CSchedule E) 6. ~lointly Owned Propart)t (Schedull f) 7. Tranaflre {Schedull OJ I, Total Ansi. ( X I CHANGED SEE .00 47.268.5Z .00 .00 180.120, 77 .00 ....Q].. 181 11) 121 (51 (4) (5) (6) (7) NOTE I To insure proplr cradit to your Iccount, submit the uppar portion of thtl forM with your tax ply..nt. 227.3B9.29 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Fune,.al Expens../Ad.. COlts/H110. Explnll. ISchedull H) 10. Dobt./Hortgogo Llobl11tlo./Llonl CSchodulo II 11. Tot.l Deduction. 12. N.t V.lu. of Tlx Return 15. Charlt.bla/GoYlrn..nt.l alqUI.ts; Non~.l.et.d 9113 Tru.tM (Schedull J) 14, Not Vo1uo of Eltoto Subjoct to To. (9) nO) 17 .367.31 157. 58 Cll) 1121_ 1131 U41 17.~'4 AQ 209.864,40 72,457.57 137.406~ will NOTE I If an a.....m.nt wa. i..ued previou.ly, lin.. 14, IS and/or 16. 17 and 18 r.flect figure. that include the total of ~ return. aa.e..ed to date. ASBESSMENT OF TAXI 15, A.ount of L1no 14 ot Spou.o1 roto USI_ 16. Allount of Lin. 14 tll<lblfl .t Un..l/CII.. A r.t. Uti} 11. Allount of Lina 14 taxable .t Co11.t.,.11/C1... 8 ,.at. (17) 18. PrincipII Tlx Due ,DO X .DO, ,00 X ,06, 137,406.83 X .15, U81 ,00 ,OD 20.611 ,02 20.611 ,02 TAX CREDITS I -----l--------- PAYHENT RECEIPT DATE NUHBER 11-05-97 AA242432 12-16-97 AA242567 DISCOUNT It I INTEREST'PEN PAID 1-) 631:58 394.00 --_.~-~ AHOUNT PAID 12.000.DO 7.486.02 PAYMENT MUST BE MADE BY 06-19-98M. TOTAL 'TAX C-REDI-~~~=_=-20.511 ,60.- 8I~~~C:~:~:~~X~~i~E~_==__ ::: :~ IF TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REqUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR I. YOU HAY BE DUE A REFUND. SEE REV~RSE SIDE OF THIS FORH fOR INSTRUCTIONS. I . If PAID AFTER DATE INDICATED. SEE REVERSE fOR CALCULATION OF ADDITIONAl. INTEREST, M .. -'"---.-' --.------...-..-:-.-- -'~ -,""_.-" .. ,,"' " I.:'. \;\10 _;:~t...l\g.'.'\'()r.-".. -,,- I w do 0'0' .~d ,.~\ ,h.1 \1.,-......----'"..- . ...,.dI.' ,. .' p . ,,"'''';_'i.X'"'''r.....-.-..- ...- 01 11\0 ",Ial. 01 . ,_' - -- el el ~d ,h.' ,h. . C.....I..d c.o"" p." ...... · ','eO""'""",,,,,,,, ," 'el 'l':,~r..OO1).~',Q).~-'----'- ",,18 ,a' -.----..~.--~-.- I." ., " ,1 ",," ;:, ,_" "r . .' ." "\' ., .... p' ".1 ....,. .."d' o lohl' " .. '" ..'.' ..d. b, d . ..:.h "., ;, .", ,. .......1 p..p;',\~ "~, .;;. ;;,:.:~" "p...... w. I." .."' .1 oh. .."" ..,... .1 .." d.;. 1" d ,,,. .,. ",.... .",,,,,. ... · ". c..~"" .1" .1 P. ..~, ." ,,' .. ; .. ...,. d." ......d..'. .. . ..' .. ~ ,-' ,'~, ' U\'lo!,n .~d \ub,c.\bod b.lol. ",0, \ eltc._i-J~~~;;:-r-"I=1'---"C>~- -------.--..- .. . . ........ . .....--' r)" "0': '\\to::ll)!"T 1 ,u,no , W " , ' ;.>' ' '1'101') ~~:u----===-==- \D"~~':=:~-=:::' ,\\ _./.5~1,:.mb~1~~----- .... .I'''oh .-' .....' ,,;_. .- .,/ ..... co","'014v.1'~\.'tt\ Of 'i1414!o'(\.V ~141~ CO\l14't'( Of C\l","\l.\.~140 \ \ ," \.~. ,I \,', 1'''OUOt' n\l()l,n b.I~9 dul~ " I14!o,\l.UC'I014!o " ...'" . ". ."......., .1 ,......1 "~......,,.., \. ;..~ \~..II'OI~ ",u'\ b. \l1.el wll\llll \ .;. "" ,,,,,, d.,..1 dI......' .1 .dd",...1 ....'" ;.. ,uFPI."'.~\ 1".."\01~ "'u" be II 0 w" I II" '1. L. II h d .' '0 p."o~o \~ 01 I.. , ~. ;..dd\\\O~.1 ,h.." "'o~ ". 0 .0 · ~u ;"1\lcl. W, flducl.,I.' ;..c\ 01 \q4Q. 4. ' 1 1-, r\ I\l i~ "., r t rt~ ,0 U ~\ \ ~ 0. 4(. (Il .. \LI~~ 0 I) 0. ,> 0 ~\ w\ . ell 1. ~ 0. ~ "" r\ .. .Ii (~ 01 0. ~, '6 ~ 0 I' t 0 " 1-. \....\ 0 \.I.l ,,' I\l ~ u> "6 \~ . -' .,. , ' I.A , ' \l_\ 0 , ... \ H c: ~ ,:' .. " ,.\ '0 -t: 1 0 \ 'i ..,t\ , 3 it 1'1 \ (1 ) ( 2) ( ,) (4) (;> ) Inventory of tho roal and pomonal oslate of __~._, r~"__'" J1. ~~~H~~,I__J tt. ___~~l_: )J;;n._____ .-..~-... deceased :~.:.~__-.t":':~--;;-,,=-_~~,::_._~_.=--;-;~'~.":~:~.~:;::,.::::'~";,,~~~C~....~..,.~_:;;t"~~-'.,":':~~;,1r:;::=~:::::'---~""'"'7':::"'~::::::- (6 ) (, :i.l,OOO.OO c1onomlnatlO\1 t\(Jl.'!DfI liifll. i", :3nv1.nf!,tl IhndJ3. 13 (1;1,000.00 d€l\1o;,d.nrd;l.on c)Oy'\'Ofl j,: Ii. iJ. :Jllv.i,nr;fi 1)(lnc1,n. 1 :1;100.00 ,1onmnl.nntton 11(;1'lon n: U. :l. Llf;\vlnr,o f',one!. 2:' qrSO.OO denol!l'lnntlon nud.on 1\ n. ". :'LlVlrl!;;fJ Bond.'l. g"mbfH'S lot F'odorn1 U1'o([11, \ln1,on, i\ocoun't;n (HI .fol10l'TSI Share SavinEB Aocount No, 177-00. rntorant R06ruod to 9/18/97. Invostrnont SuvlnL!,[J AGcount. 110, l'n-O~. Intorest rUlor'uod to C)/lO/')? Hollon Banlc, H. A., Aooountn [HI :follov/Ell Checking Account No. 1~2.10n-55~2. Cluarc,ntood 11onoy Haricot Acoo\'-nt j.lo. iHl~-OOO-31+38, Intorost accrued to 0/10/07. Stf,tI1\nent So,vinp;s Acconnt Fo. ()035~;~O:).~:I~22 lutaraot aocruAd to 9/18/97. Cerl.,li':I.Cc\te ]:0. 1I1~A'!,9221:'-C. lutoront Bccrued to 0/1D/0'(, 00rt1f1cnto No. 1.~~^6]631-a. Intoroflt nccr1\0c1 to 9/10/')'7. PHC Bunlc, H. A., 1\cconnt:D aB fo 1.10,m: Cortiflcn to Eo. 21.a01011lf5. Interost accrued to 0/1L/97. Certificate No. 210.0.10.12307. Inter""l t flccr'ued tl) 9/10/97. Oertiflcnte No. 2Ia010I.2~61. Interest accruod to 9/16/97. Checting Aooount No. 5070.0921192, Interest accrued to 9/1D/97. 3avlngs Aooount No. ;:a30109(,0(1. Interost ncorued to ')/1r./97. . .. Ot\sll. 100atod 1.n decedent' D ~\n.fe ))opor;it BoX at PNC Bank, Net prooBods frorn sa10 of houschold furrtlBhlngs, "I (" (Joa 00 ill ;-:6, ;_~;~U ()O y/) I.") ..Ie._ " 1"0 ;~o LI, iU '\ "T' 33 ...,..-l (.. (' liI ) I {)'L''( ~; J \, .' (I II') () ';1\2 I,l C)l,3(,1 13 'l) 'J [18 C..'- 1., ;~'( 1 C))I 1 011. 10,00 00. IC 3[1 20,0.0 00 3 67 10,')2' 2t3 'l' '(I., ,- S,OOI 00 1'- 711 5,0.0. 0.0. 1 13 1,33" 57 0.5 21 'IS 7TI - t' - 7 1 00. 0.0 ( 7 ) ( il) ( 9) rroto:14 ,',... ..qj HI 'rm~ UOI)l1'1', (JIo' U()1i[,DN PLP:;\i) o.fi' UmrrHi)/(I,AIID UOUH'l'Y, l'mllfSYI,vANIA. n-O'l.2.2_<2.!3l11A1,~ . C:Otnl'l' l~hVI:.f!J!.!i!..~___~_-,-.__ _____ Ji'IlW'j' Alm jl'1NA]" AUCOU1!'J' OF' O. SAUl; KO:JI!:n, !.':Xli:OU'j'on W 'J'JU\ [,AS'1' I'/I[,[, AIlD 'l'l'1S'I'Allli:N'J' ell" PAD'rl: : I, I;OiHI1, T.NI'Ii: CJl" 'I'!I,P: DOHOUOI! 0Ji' lmOlIMII U,lL1\JIW, COUII'l''! Oli' GUilUl':liT,i\l!JJ 1\1f)) iYJ'I\'l'l~ OF' PJi:t11WYT,VANIA, nmOJDf\.r;gJ) . Dato of Doathl Llopt01l\bor 10, 1()97. Date S elf I\.d VOl't:t S 01l\0nt of r,el; tOl'S 'l'es 1;t\lne nta1';'/'I In the Ctllnbel'land Lml J01.tl'no.l1 OotobOl' 2)~ o.nd 31 and Novembex' '7, FJ97 , 1n Tho Sentlno11 Oobobol' 1(" 2) nT1l1 30, 19n. -.----.------- rnlliOUAL AC:OOUH'[' ~blt!!. AooountlJ.nt ol\ll.l'C;on hlrMle1f ',IUh tho folJ.oHtnr'. pl'lnoJ.pal RSSetS and receipts, of deoodent's oStato, oonslstin8 entirely of personalty, as i'ollOlw, to \,rlbl " tl?7. 9/1() 9/18 9/10 9/1e 9/1fJ 9/1() 9/18 9/18 9/1[\ 9/10 9/1fl 9/18 9/10 Six (e,) r!a,ooo.OO donollltnntlon, Sories lIB/I! u, S. Savings Bonds. [11 Thirteen (13) ~l,OOO.OO SerieH E, U, S, Savings Bon,]s, Twonty-five (2~) ~~O.OO Sarios E, U. S, Savings Bonds. Ono (1) :;;JOO,OO ;;oriofJ E, U. ii, "l\vinGs Flond. OaBh located tn docodent's Safe Doposib Box. 1I0110n Banlc, 11. A" prOCf)(H]O of Clual'unteod 110noy 1101'l:ot Ohoclc:1.ng Aocount 110. nG~-000-3)1.3G. Hollon Dllnl" n. 1\., 1'.1'0000<113 of :Jtl\tolllont Sllvl.n[js I\. t JT o()~r".' 0] r:/ "" cconn.o. '.J,1 ',- ~ ...J -1.Ci-, Hollo\] Bllnk, n. 1\., pl'oOo(),ln of :lnool<1(\ G01."ttfionte Po. lll.-AII.92;:~-U. 110110n Ban]:, n, A.. ]'Poooolln of Inoo'lIo Oertl.f- I.onto Uo. })I-A(,1631-C, Hellon Bunle, ]!, A., l'rocoods of Gheoklng Acoount No. 111.2-10[',-);;(,2. rHO nanl:, l". 1\., Pl'OOO(1(]o of OOl't:Lf Leate of DoposIt Uo. 21001011'1.;~;;. Pl1G !lu\]l:, l1. A" 1'1'0080(11'1 of COl'tlfl.ollbo of DepofJlt No. 2100101230'7. PJW J1l\nk, lJ. 1\., proooods of Oortlf1cC\te of DOl'GDlt Mo. 21001012461. -1- 6,000.00 35,978.80 11,,930.20 359.52 253.00 91,361.13 I, 271. 9L~ 10,000.00 20,000.00 562.61. 10,925.2() 5,000.00 ;;,000.00 9/lCl 9/).8 9/10 9/1(J 9/18 9/111 9/10 9/18 9/1(J 11/7 11/25 12/13 1998 yrr- 1/23 3/13 PH lIWIP'H, AUOOlJWr }Jol~lli PliO, Bank, H. A., pl'OlJOOd/.l 01:' Ghooltl. np; J\ooount No. 507009;~11()2. fp PI1C 13anlc, H. fl., pI'ocnedu of r:nvIngs Acoount 1'0. ~;QJ0100()("" llelllbol's lot ji'odnpnl Gl'o(11 t 'Jn10l1, jJrocoods of Shapo :-~tl.v1.ngn Aocount lTo, 1.'1"1-00. HOlnbol'f1 11:1\: Ji'o,lorf.ll (Jl'ollLt lIl'J'I,'ll'l, rr'ocoodfl of InventllJon1.1 i,;nvln!'.n Accollnt 1'10. 1TI-05. Flasol ~ Compooy, not proooodn from solo of deocdooto fllrnloh10{',9. '1'ho 80n1.11nol, l'ofum1 on nOlropnpor Duhsoription. P1'OOOOdf.l or l1noMd\od 1iIl/l! I\ood i.nl;o1'ont ohoclc. P1'oooodn of ohoc1c of 1'00n 'J'l'Ol.\t~y Lifo Insuranoe OOIII]1nn:;, l'ofunrl on Iho'[: in['; Ilome Cm'e In01.ll'fl,nCO Pl'flllJlull1. - P1'ooe()(l~ f1'om nt.1lnel'OlHl unoalJhoc1 modIcal oxpense ohooks in GeooJont'n POBBoBo1an at data of dOl1th. ji'odoval U:mployoes Gl'O'.lp T.:i.fo Insuranoo PIlJ.n, Lifo TnSt\l:'llnOO payment. Fodeval 1i;Jnploiroos 1l0tlromont Plan, Doath l1enofIt pHJ111ont. UnItod Soourity Assuranco Company, mediool expense l'el1nbm'IJomont. UnItod Secn1'lty Assurance Company, modioal exponse 1'0 Imblll'lJomont. Unitod lJocHvltil i\ssuranoo Company, mediool expenlle ro1I11bur~emf1nt. Internal 1l0venuo SorvIoe, refuod on 1997 pOl'sona,l Incomo 'Tux. GT'O''-S Pl'J]!CIP^] ANSI"'rn ^ '11) "("'C"'[]'T" ()!" }''''P \'1']1] ,I, \ '-' \.'. '1\.J IJ.. "!'..0 1\1 _ 1 t!'.J/!J. ..) ,I ,hi.),) ~..........~ I'nllTOI PAL, AOCOUlIT Ov011ts Aooountt\nt IJ.sks crodl.t :('01' tho follbHinC; IJ.lnounts paid out of p1'i ndJ1(tl 1n tho udlninis tra!;ion of decedent' a estate, to Hitl l'm 1011 10/10 10/10 10/10 nO[Sistel' of Hills, T,o\;\;OI'[I 'TostAl1Ientary. Cumhorlnnd LaN ,Jo\n'onl, Entnto UotIcs. Moffit, POBSO ~ Llm AssocIatoD, balance duo for modloal sorviceD of ~/14 and 6/11/97. Dell Atlantlo, Sopteniliov 1997 tolophone. ...2... 1,337.57 211.,752.73 3,;;72.33 h,9l7.;.3 000.00 3.40 100.00 123.10 269.8'1 2,757.23 0:37.06 278.89 170.58 119 . 25 1\26 . 00 232,188~ * 270.00 60.00 3.40 It,.67 10/10 10/l0 10/lO 10/10 10/l0 10/2l 10/21~ 10/26 10/26 1. 0/2(', 10/29 1. 0/20) 1l/1~ n/6 11/6 11/111. 11/22 12/9 12/15 12/15 12/23 1908 mTf PHnlO:C P1\ T, ACOOIJWll U 1'..0...t1J.J;!!. 110]:,1" I3pi.l'lt Jlo(I)J!,1;fll, bnll1l'1oe ,lito 0\1 DOl'v1oea of (1/11 f.\11(1 5/n. $ J(J.lm01' li;;10 AUfI()[JlntoiJ, 1)(\111\100 cluo f01' oyo oxnmlnf.\UOll of 1.1!?7/n. 1'onno.. 1'0\'/01' r.: T,lf-:\I1; Co., Au[!,ust o,n(1 [joptomber 199'1 01001;1'10, P1nnuo10 11'11\1I:h 110.11'1\'.11.1, bf.\lnl100 duo for mod1onl oorv1oou 0\1 11/11/06. Donald L. \!oo(lll, (Jo1;ohol' 1')')'( fil'llJ:'tlllont pont/1l rdj ??l '''ont 'In.-1.n ~)t., ifnchanlcnllllp[jt Pa. \':Lnnnolo lJon1th 1I0o)Jtt,Ql, l;nlnnoo (luo .1'01' \~o(l1cnl f10)''1J.COll on O/13/')? 11off:L1;, 1'OI\UO ,'; T,:t\~ !,[J:1oo1l.lI:o[J, bnlnno(J duo for 1ll0cllo(ll flOl'vJOO[J on ')/13/')7. Qunn1;um Inlr,\f:;:iXlL (': 'l.'h"1'u1'outl.o AnoDo:Lates, bnlnnoo duo ['oJ' lnocli.on1 nel'vleoo. l'ulmonnpy nn(l 01'Hlo1.\1 Glll'O ;;ocHoal Asno1atos, bl11nnoo duo fop mo,Uoul no\'vloon. HUflto l'lnl1ft{;omont of Cent pal l'onnfl:rlvl.\nla, dumpl.ll;sl' l'ol1tlll ufloc1 In o1GF.\lilnl'>; o.pUl'tmon'b. Ponna. PONO\' E; l.1g111; Go., final bll1. Pi nnne10 Ilou11:11 HOD pi tal, lJulHnco due for mDdlonl flol'vleon 0\1 3/0/')'1. . TIoglotor of Wlllfl, Agont, rn~"ont on nooou\1t of' PontlElylvnnlH Inhol'.i.t:unoo 'J'ux. Tho Sontinol, Estnto Notloe. Bell l\1;lant10, f1nal bill. l'inno.clo Het\ltll Jlospltal, hnlflnoe duo for med:Lcnl oOl'vi,eOfJ on (',/22/9'{. Good Ho1'o )i'nli1.l1y Pllyn:J.elnno, buln.noo due for medlenl OOl'V iooo of ()/12/lJ/151HJ/n. rNO Banle, n. A" ohlU'go I'D)' nOH ohook book. nogtstOI' of' H111s, fD.tn[, Invonto1'Y nnd 1'onnsyl- vuni.f.\ 1nho1'1tnnoo 'l'ax 1101;1\rn. Hoelotol' of' l/ll1,D, Agont, pn~'l~ont on account of' Pennsy1vanla Inhel'lt/lnco 'l'ax. TIec:t.fJI.Ol' of \1:1.118, ncJlHtlot101 p.l'obnte fee. Hogintol' of \'1:i.lln, ligon!;, ])n1n11ce due on Pennsylvania Inho.l':Ltnnoo Tax. O. ..Tack l\onol', ]i:xncutor1 n .foo. J. nobor!: f,to.u.f.'fol', EIHj., nttol'110Y' [J foe. neeloto.l' of WIlls, fll:1.ng uooount. Gush, vOflorvo~ to f:l.nnl sottlement; prepar~tlon of f:tnul !;f)X l'ot\lI'110; nnd contlngollcles. 'rO'PAI. Pl1.T1roI PAL Ji;Xpr!;NDI~r\JI1W.J...........................$ -)- 2;;.00 10.135 25.24 25.00. 310.00 25.00 5.97 7.19 5.q7 500.00 5.10 25.00 12,000.00 53.94 1.27 7.48 16.72 30.25 25.00 7,517.54 35.00 <)9.42 8,000.00 8,000.00 116.00 400.00 11..1-621.01 1997 10/10 10/10 10/10 10/10 10/10 10/10 10/10 10/10 10/10 10/10 10/10 1.1 /'1 12/5 12/9 1998 'V9 2/,6 3/10 11/10 JI/I0 515 GHOSS :f.lld0!11U MOQlIN'l' Dobita Hollon Bank, 11. A., fln!\l 1nto1'ost on l1anny It/\l'\wt Aooount 110. [\[\t;-()()O-3113[\. lIollon nnnk, fl. A., fLnu1 1nl;o.l'orrt on ;Jtatemont lJo.Vlll[';CI Aoco\1nt 110. n()3~:~.:-()1'~11.?2. 1101.1on 1\(lI1\e, ll. [I., rLnnl 1ntol.'on[; on U01'\.:tf'- :1.olJ.te of lJo1'on1[; Po. lll-AII()2?':-U. 110110n Ban1e, 1,). A., finlll J.nLoY'ont on OOl't:tf- :1.0/',\;0 of' 1!oJ1onlt lTD. lll-A(,l(<31-U. PIW ])l\111e, N. A., flnnJ. ln1;o)'(JDt Dn COl'\;U.toute 0:[' Doponl1; No. 2100l0nI12',~. l'NO Ban):, JI. A., 1'1,n[\l 1n\;o1'on\; on Co~'tlf'10ute 0:[' Deponit 110. 21001012307. PHO J\unlt, If. A., flnnl lntol'oB\; on G01'tH'10nte of DepoB 1.1; 110. 21001012l,f,l. PHU Banle, ll. A., f1nal lnto1'oot on Choeldnc; Aocoun t 110. ~:()'1009211.();:;' P1l0 Bank, N. A., final 1n\;0r'oiJt on ijavlngfl Aecount Po. ~030100600. lIombel'fl In\; Fodo1'nl Cl'ot11b Union, r1nu1 :l.n1;o1'ont on :J\1l1l'0 ~,avlngfl AooDnn\; 110. 177-00. HOllllJOPf) l[lL )"0,10)",'\1 Cl'o(1i,t; Union, 1nto)"00t on I.nvosl;\nonb Savl.ll/!;rl Aocoon1: !10. 1T1-05. PHO Bon)e, H. A., ;.ntol'O[lt on Ent,nl;e Chooking Acoonnt No. 1;000062236. Homb!Jl:'f1 1st Fo(lo1'nl C1'ocHt Un10n, fInal :l.nto1'osL on JnvontlI10n\; :\avlnCo Acoount No. 1'l7"0~. PIW Banle, N. A., InbeX'ont on ]';stato Ohecldng Aocount 110. SOOO[',()2236. <I. 'l' rHO BC\l11c, n, 1\., 1ntol'ollt on F:stnto Ohoo\dng ACC01l)lb lIo. l~onOr.(;?216. PIlG Ban]e, H. A'" lntIH'(1iJt; on EeJtnt;o Oheclclng Aooount No. 5000062?36. PJ.lG non1e, 11. A., .1. nto1'l)l:l; on '[':otnte Chocld.ng Aceount; 1)0. r;000I162?3(,. PHO ]JemIe, N. 1\., In\;o1'onl; on :::1.1,0,000.00 Hondy Aceono Coptlfion\;o No. 31'100112976. PliO Bonlt, )T. A., 1n\;o1'on\; on :j:2,2()().(,O Hondy Aoooon OOJ"tificn1;o !10. 31'100121n'l6. PHO Bnnle, JI. A., into1'oot on :::v.;O,OOO.OO Heady Accoon 001't1f'lcn1;0 110, 31'!00107092. Ill001'111:. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . "... . . , . . . . .:1\ "'~- 5~9. 34. 2.3Q 19.30 39.67 52.6ll 26.l1f 2~.77 1.20 61.17 9.69 1l!.16 184.lf6 2.2~ '19.66 25.61 7.1~ 1.09 'f~l. 78 5.10 3.%0.12 5 ,~10. 76