HomeMy WebLinkAbout97-00802
"
, ,-
~
~
~
rJ
~,
\
'1'
~
\
.......
~
d
Z [,
I)ETITION HHt It'WIIATE and GRANT OF LETTERS
I1'slall' (d CO.lr. J L., Vane,. s from N<I. I;) I " <; 7 - ~O.;l
also kl/all'lI ale"'..... 1... IIOl"loe"s.trom I,,:
S"daISI'(,I/I'i!yNo,
I "en'o'j'{/
J'10-11o - 08.:t1O
1{"visl"1 <II Will, 1'.11111',' . I
('''"1111' "I Cwnbe.,. arlCf. 111 tile
('nllllIlOIlWl'allli 01 Pcnll~yl\'alliu
Till' 1ll'lilioll 01 fill' IItHil',,>iglll'd Il'<'Pl'l'tful!\, II.'Ptl''.l'lIl'l tl1al:
YOlllIH.'liliolll'r(-.), \dlll hall' 11'1 ~'t'.ll'" (If ;q!l' (ll' tlldel lilithI.' l'\l'l'uIAi)(
11\lh('III'llI'ill ,,111I('III1I01T d"'T,klll. dlll,'d M (.4.'1 'I
and l'odkilhl dUll.'lI
____._.-,.__ nu!t)cd
.., 1'I.Cf~...
(\Iilll' fl'll'\ill\1 ,'ill'llllhLllIl'l'" t'r (L'IlIIIl,-ldli;lll dnlll Illl'\l'l'IlIlll', ell' I
I>e,'(' ",k II I It,,, dOIl1;,'il,.,1 al dealll;1I Cl.lmbe.r-1 and
his ... 111'1 111111 ill' '" plilll'iplllI,',;d"""l'II! :2./'SfD yale
..CAmp H,'''
111',1 ,lll','1 1\\llIll1l'l ,llId IllIlIkq'alll\)
_ __ _ COllnty. Pl'I\Ilsyl\'aniu, with
,q lI~n t..,( e..... .............
1>""I'Jllklll,IIIt'1\ . "(8 \'1"11' "I ",gl' , dlt'I.1 Se p n:mld,~ lfin. 1'1_'1.7___,
all1o/"Y f.,PIi<tf'l" ffosP,rA-I.. I C~mp 1+,<-<-..........
r\i.'l'!,l :I'> 1(\110\\ ", dl'L'l.'lkl\l did lloll\l,lII'Y, wa... !lol di\'ol'L'l'd ,II HI did llolluIVt.' a i.'hild h01'1I m adopted
,uftL'r L'\l.'l'Uli,1I1 of till' \\ill oflvt'l.'d rill' prohall..': wa... IIOllhl' \ !dilll oj a ~illillg and WitS Ill'Vl'f adjudkalcd
ilH.:nllqwll!l)I;
Ih'l'L'I\(k'nl ,Il death 'lwl\cd j"'IIIIK'rt\ \\ill1l''Itillli.ltL'd valucs <l\ follow,;;
(If dnlllii.'ikd ;111';1.) All pL'r",ollal pl'Opl'rl~'
(If not dOlllidll'd 111 Pa,) Pl'I''''lll;al property ill Pellllsyl\'ania
(1111111 dOlllidlnl ill I'il.l I'l'r"ollal propl'l'ty ill C\lUIlIY
\'HlllL' \II' I'L'al ,,'',(,IIL' ill Pl'nll..,~'hwlia
sitlllltl'd "... lollll\\\:
$ .-S;-QQQ..,..~ ,
$
$
L
\\ IILKU(IKL. 1'1'1;t;olH'llsI 11"l'l'c.trully lequ"'tl') th" p,ohall' or Ih, lusl will and codidl(s)
pl't,,~"'l'llll'd ilt'I'I.'Wllh and I Ill' gJdtlt \.\1' klll'r'i.__3g_~"--''''-f'(,L~__~~'L~______
, (ll'q;l!ll~'llliH\: <ldll1illl\lla~1l ~'.Ll\.; lldll1illi~truliOI1 d.h:I1.I;'<Lil.)
Ihl'IOll.
~.:~V.L..I.. . .L......
~.- .'~' .. .
~ " l . Reweod
i~ . ,'9G.n+cwnWV:;'f.'S!:E
.JUdi+h V. Men~hQj"\
01;
7
- ---------------~
....-----.--..-..
OATH (W PERSONAL REI)IU;SENT ATIVE
COI\IMONWEA.I.TlI OF I'ENNSYI.V ANIA l HH
CO\NH or Cum BE'f?LAAiD ( ..
rill' !1..'tillOlll'l"("J ithOVl,'-n:lliwd ',\',l'ar-b) or allillll(\) that till' "latL'IlH.'1I1\ inlh..' foregoing petition arc
tru..' lI111I....11llq'l ({'] Ill..' hl..'''lllllhc kilO\\Il'dgf..' und hclid of I''lf..'lilinll'n(;.,) and IIHlt as personal rcprcscn-
tdll\f..'(') l'l 'Ill phll\f..' df..'ll'dUll pl'11I11l11l'I(<.,) \\111 \\{'"_,II~d tllllv ddl1\llll',t~t II,l' eslate C1:t'( rdlng, to Inw,
S\\nlll (II 01 Iltll~ll'd1~ld 'lJh<"l'llhl'll~I-~7--'" y. M. ~_~ It
hel{lll' ll\~ 1111' \.".:IIt ~1 d,l\ 0 _J. ~
l ~~f'u;.," q~ . '. 1<),:l...7.. "1--- ~
,fYkt,it (f. ,)1:i""J, f"fI'. ('.It.. c1 L. ".1i(-"O ~
I ~/- :} o~- }3 1/ 'Jl.L. if" I fi II..I:/I!/'I .2
il
21-Y7-H02
1\," i'lIIIII'llih 11l,1I III ildullll,lllllli hl'I\' !',i\,'I) h 10111,,111' \ilI1j(.,III"ln ;ili 1\l11',III,d "'Ilrlll Ii<
lill',d ){('!',I\(Lll, I'hl' (lligill~d 1,1'ni!it,1JI' \\'111 Ill' 1'\I\\',mlt'd III 1111' 11.1(( \'ild !(l'{,iltL (11111>' !,o[
,1 { ,CJ 'r J 'I 'i
"I ,11',1111 ,hill Id,d \\1111 !lit ,I',
1\\,'111),11\1'1\1 lilIIH',
WARNING: It Is Illegul to dU[Jl\ollto till" copy by photostat 01 photo(papl1,
4564844
p!i""'''''''''''.,
,,,,,: ~\'\I Of Pri.'
.i\~\:, 'iJr(;-,
',,~,.' ".J,',
i~~' 'iii' ;:\\
."''''! .. .:"'Iolo'~' .'. ,1/."'1
Ili:l "':'1. .i.'t
il,.. . _,il
It ' '4' ,'" ,I'
,.''it. i!:-i/
\'% ""/'
',,!I,\ffNl II" ~~"'"
"'!~';";'f"lill!'L'_1
()-n>>t-J A1. ~'4~,A/~
IT!' ';11 dll\ (l'lt;jk.lIi.', ,!"I_,O{l
1,,\,t1I{q'.I,{),11
SEP I 8 \991
[l;l[C
COMMONWEALTH Of PENN&'ILVANIA . DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
COlI
" Carl
llllll~
BIAIIfill MJl,I.IR
iOI:!A~~ECUf\iNt1U,"IIHI
I,
.1Il1Hrl.ACltCty.....1
'llIllIorfOloy1L'U,.-.",l
"
~:,."r]
RAC(.AI'IItl>CMIoIIiIn,IIK~,WIwIf_
I~:l*~fl
v.
~J~,:,=::;'.1.:1
lndustrial ~ ineer
OIOIOIHl""-"'lHO,t,OOM"(Ilr_~, ....,I~C<lcIIlI
2156 Yale Avenue
Camp Hill, PA 17011
st Pennsboro
_ ~M!~Y
Air Conditioning
,. White
SUAVlV~ SPOUIII
i11....,..,jo............'Nl~1
OIe'OIN1
ACTUAl
"'IIOfHCI
ISoM......~
on"'eocMl
l-J;aint'pr
Vsnerstrom
~lOihsn
'"....._P.ennaybmnia.-- Dlcl
-
....
.........' n.,~ =h,,~:::of
uaTHEIUNAU(IF_..llIdd11 "'''*,S.~n''UI
Fllith A11l'a Johanson
INf'OAWA,,"'WJUHQAOOflU$Isn.tC.tyrro..ll.~ l~C'_1
19 Jlarewood, t<brqantCMn WV 26505
~ 015 Il:lt4.N_ofc.m.ltry,C,..,...1Orf LOCAJlON,Cqlllwn,II""r",CqdI
OI01,*PIK~
..-.--._____1'"1>
'"
Currl:1erl
_Ga!!iP- l!iP
,tC1IHOAlIUCH
.Con-o-Ute Crermtor .l3ox 387 SchaefferstC1o<lTl
-...,,,,,,,,..,,,,,",,~,,y PartheHore \''unor1l1 Ik'Ire Inc.
P.O. Box 4~lL NeW curroor. ana PA 1/670
LICENSE NUIA8~A O"fl $lQN(l)
iM.>Nl,o.v_l
P
-...
~._'"
lIlliftI_ofe.tlh
...... ...........Icl"W lME RH 0..11 OUNCEDOEAL'lii:i,..", D.,.....)
-...-- : d~ /qi/1
II ....""_....,~...,,~Il_"NtIlOlllMltthld..IM OOlnolll~"lhllI'llIM "1"'II_t<.o:~..,ii"''tCOII''P1Ii,ry.tr_lhO<_OIt.rt'r'iklr. Wlu"nl"
LiIl......__onNl'/l..-. 1 "".,-;alMf'.-n
ri;' lo)nMIlowl..llh
=~~-=\Ij I. ~ .aJ~~~~~~&_.sLJ~.:r:..t!~__t~~~:r- _._~L-~
ClUI lO(Ofl AS ACOh$EQlJlNCE Of1 I
I r,'-PUllOlcj1iIcCiNSiwi'NCf(j)"--'.--..--......--......-...- --- ---~-~~
I DOClOIOll"'''COOUQl)tNCl(ifl-~----~' i
,
~...~~[~Jt~C...;::[..I....~...~..:.~~rl~ ::-;-'~'~':I: :~~~'~~i_~~.:~_-:i~~::.;__~J;"~~'~~ ~~ '~'~"~u.,,~ ___.._.
CooAdMl III ..linn....... '. I'lACf or I!-UWI'. AI ~ 111m, ~'..., I~, 011\(1 lOCllrlQf\j I~,II"" CiJI#""" ScalI'
b"'l<Ik>9."~ "pee",l .
III, IlII1'h(."'.(Il'tI,~:'" . I~ .IGNAfUIlJ:AN. U...I.".!'.'~C1tlf..!~It;...:.."-~.;~.-_~1..._" /;;L
'CUlfWY....""'I'.ICI,t,f.II'!IJIo<;.-nCltw,ol\Q~"'_"'..~ 1VI11L..."ll,ItPlWO"r.:..I,I..", ~M~'."IJO'.I""o JJI L ...
f........'lIIr~"'......,.."'lIC.WfM..........UUW(.ttNII"'."...'...I.I.. ..,..., "'" ,..,.",....., [J u..~.~ ..-L.. 4'
. ~~~.ilio-~R-~-j1 '_-~' O~::K)~~:~ 1/~.17'....;;--'i'.~:-.:-._.
.~IMQAHO",.'''.,IHO'"'fjC;I.u!II''\k...\I......''''<lllf>I;''''Ilu.<I'''",''',..'''''''''kro:."Woll''''...\ '"rM ",ru _ ~..oI! __ L "1
,........""~......,.....M.IIII...M.........'".lN......,.....IIl...,..U\lMll'"IlOl"'"Nl....tlll... (,'" n'MfAitD.AliOfl..l'O~$ONi'ii1-l-~--lil~b~;;iJii(~.1H-/.-,#- _.(.. .--..
111,,"'U1TypilOlPnnl, .. -" t ~, C........
...ote...L..........."'CQMOHI''' I .,.. I"?n, ~r .. -- ." ..
11.r.:::~~~::=,~~~~~..,~~~~~~I.~I,~:~~.'.~:~~~I~~~~~f.~~~~~~~I~~,.~~.~:~~.~I~~:.~~,~~~~~~~~~~~~).~~ r,~ !!.__ __ou. 2.~~~~~/;:d ~~-';f,*i '-'- 'IC'C
n~' IIONAfllNANO"'U...n ' [)Alr'lllolt,4,;,~, l-'~, """ ,.'
~/.I!lL!".J
-.
;.;,;;II"
1)" MIl olll'l'/ UwMlIdQI. <Malh 0<<tIl1-.d t.lfIt I'IN, IMII 6I1d plK' '11''''
,llrdl_1
......'CA$(..HI!Rfl[OT
...lJ
Ql 1QI\,1\o:...~COtlI'WW"l9lOdMIIlbIA
1'o04""'''''lll\lfIt~~'''''''''''II\PAA11
~"
IF 1..7.'; '?
'-,'
,
"
.~ .~ ~ ~
-= e ;Il ;Il
as ~~~
I ~~!
.~ &]~I ~ -
~~ 13~
..t;" ~ ~~p
tQ) ~ ~~ o~~i~
eQ .
.. .0 . ~ O~
~ ..:!Ul..:! ;;J ~ .";:l:
M ~ . t: l!l ...
~ ~ ~ f!i<i'1 ~
~'t)
S ~
~ j , ~
"
, ,
,
;0. ' .
'j -,-" ('-
j"
. :
'21;'97-802
.
.'
,
,
h"~.._."__~,.""W';"""'--:'P'_"'"".",,,,,,,,,. -.::I,;~..,.J..."f --<*'f-J.I 7'
,,2 / '/ 7- So J..
-
.----.., ,
POWER OF A TTORNEY OF /)ONNA P. V ANERSTROM
I, DONNA P V ANERSTROM of Cumbcrland County, Pcnnsylvania, hereby appoint.,
my husband CARL L. V ANERSTROM of Cumberland County, Pennsylvania, as my Attorney.in.
fact (hereinafler referred 10 as "my attorney") my attorney lor mc and in my name and place to
Iransact all my business and to manage all ,my propcrly and amlirs as completely as I myself might
do if pcrsonlllly present, including but not limited to, exercising the fc,llowing powers:
I. Ew?clltion of Contract,~. To enter into, perform, modify, eXlend, cancel,
compromise, enforce, 01' otherwise act with respect to any contract of lIny sOli whatsoever ._
including but not limited to, leases lInd mortgages -- and to pay any money 01' to transfer title and
possession to lIny real or personal property that may be requirl,d to be pllid 01' transferred by any
<:ontrllct or in the performance of lIny obligation entered into or incurred by me or on my behalf.
2, Inl'e.~tmetlt.~, To invest in all forms of real and pers<mal prope/1y without any
restriction whatsoever as to the kind of investmcnt, including, but not limited to, United States
Treasury Bonds which are redeemable at par in payment of lederal estate taxes.
3, Rel!i~tratitJ/l (If Pro/Jertv. To hold property unregistered or in the name of a
nominee,
4, Per.flmat PrO/lertv, To buy or sell at public 01' private sale for cash or credit or
partly for each, exchange, pledge, lease, give or acquire options for sales or exchanges or leases,
01' by ally other means whatsoever to acquire, dispose oC repair, alter or manage tangible or
intangible personal property or any interest therein; and, without limitation, with respect to any
securities, to comply with any securities laws or regulations, to execute indemnity agreements, to
purchase insurance and to pay commissions or discounts required by any underwriting.
5, Reat Pro/Jertv, T~ buy or sell at public or privatc sale fbr cash or credit or partly
for each, exchange, mortgage, encumber, lease for any period of time, give or acquire options for
sales, purchases, exchanges or leases, dedicate, or by any other means whatsoever; to acquire or
dispose of real property or any interest therein; to partition and subdivide real property; to
manage real property; to repair, alter, erect, or tear down any struclurc or part thereof; and to file
such plans, applications, or other documents in connection therewith and do such other acts as
may be requested by any government or other authority having or purporting to have jurisdiction,
6, S('curitie.\', To vote in person or by proxy at any meeting, to join in any merger,
reorganization, voting-trusl plan or other conccr1ed action of security holders, 10 make payments
in connection therewith, and in general to exercise all rights of a security holder.
7. In.\'IIfl/nce. To procure, alter, extend 01' cancd insurance against any and all risks
aOccting properly and persons, and against liability, damage or claim of any sort.
8. 1,()(In,~. To borrow monl'y in such amounts Ic)!' such pcriods and upon sucb tcrms
as my attorncy shllll dcem propm' and to Sl~Cllle any loan by thc mortgllge 01' plcdge of IIny
propcrty, and I specifically authori/'c my attorneys to borrow money IInd to plcdgl' property as
collllteral fIll' the purpose of purchasing IInited States Trl'aslll'Y Bonds which arc redeemablc lit
pilI' in paymcnt of fedcral cst ate taxes
,I
9. Blink AC('/J/lnt.~ To sign checks, limns ali(I othcr instruments or otherwise make
Withdrawals Irom any checking, savings, transaction 01' other dl'posit account in my Illune, IInd to
cndorse checks payable to mc and rcccive thc procecds thereof in cash or othclwisc; to opcn and
close chccking, savings, transaction or other dcposit accounts in my name; to purchase and
redeem savings certificates, certificates of deposit or similar instrumenls in my nllmc; to exercisc
and deliver receipts for any funds withdrawn or ccnil1catcs redeemed; and to do allllcts rcgarding
any checking account, savings account, savings eertiticatc. certificatc of deposit or similar
inslmment which I now have or may hereal\er acquire, thc same as I could do if personally
present, Any financial institution Illay continue to rely on this power of attorney until it receives
written notice from me that this power of attorney is rcvoked or actual notice of my death and
shall be indemnified and held harmless by me and my cstate, personal rcpresentatives and heirs
against any liability or loss, including lawyers' Ices, costs of suit and claims of third partics, which
it might incur by relying on this power al\er termination or revocation but before it receives such
notice, or any time bccause of wrongfcll acls, omissions or represcntations of my attorneys with
respect to transllctions covcred by this powcr of attorney My attorneys shall be subject to
whatever bank rules and regulations I would be subject to.
!
I
I
10. Imtil'ittu(lt Retirement Accollnt. To request and receive distributions !i'om any of
my individual Retirement Accounts; to give instructions fClr the purchase and sale of securities in
those accounts; to execute on my behalf any powers of attorney or, other instnnnents needed fbr
those purposes; and to endorse notes, checks, dral\s and bills of exchange, and to make
contributions to those accounts,
'J
11. Safe De/1o.~it 1I{).I:t.'.~ To have access to and control over the contents of any sate
deposit box rented by me, to rent safe deposit boxes in my name, to close out and execute and
deliver receipts for safe deposit boxes in my name, and to do all acts regarding any safe deposit
boxes in my name, which I now have or may hereal\er acquire, the same as I could do if
personally presem; provided that illY attorneys shall not deposit or keep in any such safe dcposit
box any property in which my attol'lleys have a personal interest. Any financial institution may
continue to rely on this power of attorney until it recdves written notice from me that this power
of attorney is revoked or actual notice of my death and shall be indemnified and held harmless by
me and my estate, personal representatives and heirs against any liability or loss, including
lawyers' fees, costs of suit and claims of third parties, which it might incur by relying on this
power after termination of revocation but befcl!'e it receives such notice, or at any time because of
wrongful acts, omissions or representations of my attorneys with respecl to transactions covered
by this power of attorney My attorneys shall be subject to whatevcr bank rules and regulations I
would be subject. .
2
".~(i:i;
12. RereltJt,~ antt Al1l1rt/l'tlt Orlk('(I(IIII,~ To rel'cive II paymelll of any kind, including
II bequest, dcvise, gill or other trllnsfbr of rcal or pers(lIH11 property to mc In illY own l'ighl or as II
fiducillry fClr IInofher, IInd 10 givc fl/II rccl,ipt IInd IIcquittllnce thl,re!fll', or II refunding bond
therefor, 10 approve accounts of any busincss, l'slate, trust, partnership or olher transal,tion
whatsoever in which I Illay have any inlerl,sl of ilny Illumc whlltsoever, and to enler into IIny
compromise IInd release in regard thercto
I
I
I
I
13. Comtmm,;,\'e antt Arbitflltion o/'C/ttllll! To compromise 01' arbitrate any claim in
which I may bc in any manner interest cd, IInd fClI t hat purpose to enler inlo agreement to
compromise or arbitrate, and either through counsll! or othcrwise to carryon such compromise or
arbitration and pel'thrm 01' enforce any IIward entercd ill ilrbilration.
14. In,\.tltlltion IIntt Defen.\'e of Chlilll,~. To institutl\ prosecutc, defend, compromise,
or otherwise dispose of, and to appear Ihr me in, any proceedings at law 01' in equity or otherwise
befhre any tribunal for the enforcement or Ibr tbe defense of any claim, either alone or in
conjuilction with other persons, relating to me or to any property of mine or any other person
(including the authority to sue if this power of attorncy is not honored), and to retain, discharge
and substitute counsel and authorize appcarance of SUdl coul1selto be entered for me in any such
action or proceeding,
15, TlIXe,~, To prepare, execute and l1Ie in my name and on my behalf any return,
report, protest, application for correction of assessed valualion of rcal 01' other property, appeal,
brief, claim thr refund, or petition, including petition to thl' lInited States Tax Court, in
connection with any tax imposcd or purported to be imposed by any government, authority or
agency, 01' claimed, levied or assessed by any governmenl, authority 01' agency and to pay any
such tax and to obtain any extension of lime for any of the foregoing; 10 execute waivers of
restrictions on the asscssment and collection of deficiency in any tax; to execute closing
agreements and all other documents, instruments and papers relating to any tax liability of mine of
any sort; to institute and carry on either through counselor otherwise any proceeding in
connection with contesting any such tax or to recover any tax paid, or to resist any claim for
additional tax or any proposed assessment or levy thereo!~ and to enter into any agreements 01'
stipulations fhr compromise or other adjustment or disposition of any tax
16. Create a TruM, To execute a deed of trust, designating one or more persons
(including my Attorneys-in-Fact) as original or Successor trustee(s) and to transfer to the trust any
or all property owned by me as my Attorneys-in-Fact may decide. The income and principal of
the trust may, bulneed not, be distributed to me or to the guardian of my estate, or be applied for
. my benefit, and upon my death, any remaining prinl'ipal 01' unexpended income of the trust may,
but need not, be distributed to my estate. Furtlwrl11ore, this trust or deed of trust may be
amenable or revocable at any lime by me or my Attorneys-in-Fact, or the trust or deed of trust
may be irrevocable by me or my Attorney-in-Fact.
17, FIII/(t tile l'r1w, To add at any time, any or nil of the property owned by me to
3
r->-oiHW-f,\. - -.,
.Hi .~'.:."
lIllY trust ill existence Ill!' my Iwndit when this power WIlS created. The ineollll' alld Ihe prillcipal
orthe trust may, hut need 1I0t, bc distrihulahlc to ml' or to the guardian of my cstale 01 Ill' applicd
for my benellt during my lili,tlmc and upon my death Ilny remaining prindpal alld IIIwxpended
income of the tJ'llst, May, hut nl~<'d not, he distrihuted to my estate
If!, (,'/1 11fI1I11I/,\h ill, "lIISlIant 10 I'l'nnsylvania Consolidated Statutes litil' 20, Section
5604 (c) (2) or the wITl'sponding provisiolls of any subsequent state law, il' mCllpacity
proceedings 01' my person are hl'reallcr commenccd, I herehy nominate, constitute and appoint
the above-described Atlorney-in-lilct as the guardian of my estate and my person II' and in the
event that my Attol'lley-in,filcl predeceases me, or does not complete the duti<~s of my true and
lawftll Attol'lley-in-fact, tben and in slIch event, I nominate, constitute and appoinl the above
described Successor Attorncy(s)-in-til(~t as the guardian of my estate and my person
19. Di,~c1aill/('r To execut<o, deliver and llIe or record disclaimcrs of any part or all of
any property, power or interest Pllssing to or for me under any will, decd or trust or otherwise;
and to direct my spouse's executor to elect to qualify or to elect not to qualify 1'01' the marital
deduction any portion or all of a marital deduction trust created for me by my spouse
20. Enlll/ovmellt of Other,~ To employ accountants, attorneys-at-law, investment
counsel, custodians, agents, servants, and others, and to delegate to them, to remove them, and to
pay them such remuneration as illY attorneys shall deem proper,
21. E:l:ec/ltiot/ of /)o(,"/lwnt.~ To execute, deliver, file for record, cancel, modify,
endorse, acquire or dispose of any instrument including, but not limited to, stock and bond
powers, vehicle registrations, Ilnancing statements and related tiling documents, reports of any
sort to any government, authority or agency, as required or permitted by law, deeds with or
without covenants or warranties, and any other document appropriate fhr carrying out any of the
foregoing powers,
22 Limited (,'ift Mllkin/! I'ower.~. To make limited gills, as set forth below, either
outright or in trust or, in the case of minors, in accordance with the Uniform Gills to Minors Act
and, for gifts made in trust, to MY CHILDREN, including my Attorneys-in Fact, as original or
successor tnlstees, This power include[; the right to make additions to an existing trust and does
not require my Attorneys-in-Fact to treat the donees equally or propOl1ionately and Illay entirely
exclude onc or more permissible donees The pattern followed on the occasion of any such gin
(or gifts) need not be followed on the occasion of any other gill (or gills), The power to make
gifts shall be limited to my spouse and CHILDREN and any organization described in IRC
Section 501 (c) (3), My Attorneys-in-Fact and the donee of the gift shall be responsible as equity
and justice may require to the extent that a gill made by my Attorneys-in-Fact is inconsi.stent with
the prudent planning of my probable intent with respect to the disposition of my estate The
ability of my Attorneys-in-Fact to Illake gins of my property shall be limited by and shall only be
made in conformity with my prenuptial agreement, if any such agreement exists
23. GOl'ernmentllt /Jenent,~. To exercise complete dominion and control over any and
4
I#<H
CAB
H P L
E P 0
C R C
K 0 K
P S
J\
1,>)0 I)
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
Judith V, Monlhnn
19 Haro;lOod Drlvo
M(;ri~nl:(;Wn, wv '21;'';05
Sald!s, Shuff & MaRland
2109 Markol Stroet
(;;;"'r;" iii II ,PA' . i lellJ
RfW -lS00fX 1("1.9")
COM MI!/!i1.~~M fW,'il\!tWiJ~r ANIA
HAHAlsR~~t, rW~~'l8 .0601
D
E
C
E
D
,
R
E
C
A
P
I
T
U
L
t
o
N
~
C
o
M
C
I
T
o
N
+
+
DEC[OENT'S NAME': H.AST, FIRST, AND M100LE INITIAl!
V t!.!~o,' !-l.~~!!L_g.f~ I I ::.....~__T__...._ .____~.. ._._..._____
S,OCl.o\l ~;ECUFlITY NIJMBEfl ]lA1 t OF DEAH-I ~:JAn: OF' iIlFHH
170-16-0826 09/15/97 OB/28/IY
County (;umbC11"Julld
II' 'PPLIC~'BLEI S::NG "f'~U"~JAM~~;-I;;'ir^N~_Mll;;~~'-i:~I~_:,J:~~;~_t:~'~1-;NI;~~-;;-I~o~;;r RE~E1VI'IJ I SEE INS1RU:;~'~~1
X 1. Onglnal ROlllfll --rrZ. Sllpploroont,ll nOlllrl1 IT3. Romalnder Rotu-;;------
1Ii. llmllod EShllo D 4a, Future lntoro~l Comprom!<,o (for d(lta~ of doath prior 10 12 13 82)
_ (for dale!; of death altor 1212-82) 05, Foderal Estato Tax Return Required
[]J 6, Decedent Died Tostala [J 7. Docodont Maintilined il Living Trwit 8, Total Number 01 SaIl) Deposit Bo)(os
(Attach copy 01 WIll) (Atli-Ich 11 copy 01 Trust)
C P ALL CORRESPONDENCE AND CONFIDENTliiLTAX INFORMATION SHOULD liE DiRECTED TO:--------------
ReNAME . - .M_ ~;;MPL8E M^ILi~Hl A{;DRES;----
R D .10hn E. SlIk" SlIl.dls, Shuff & MaslHnd
E E -----,-, ----
S N TH<PHONE NUMBER 21 0'1 Markot Stroot
T 717 737-31.05 Garn) Hill PA 17011
1. Real Eslate (Schedule A) 1 01'10
2, Stocks and 80nds (Schedule 81 (2) ____~'-"
3, Closely Held Stock/Partnership Intere'l (Scheclulo CI (3) Nono
4. Mortgagos IInd NOles Receivable (Schedule 0) (4) Nono
5. Cash, Bank Oeposlts & Miscellaneous Personal Properly (Sch EI (5) ____ B ,16!!.., 35
6, Jolnliy Owned Proporty (Schodule FI (6) Nono
7. Transfers (Scheclule GI (Schedule LI (7) None
8, Total Gross AS:'iOts (total lines 1-7)
9. Funeral Expen!if.ls, AdministratIve Cost~, Miscellanoolls
E)(pensos (Sc:lOdule H)
10. Dobis, Mortgage liabilities. Liens (Schedule I)
11. Total Deductions (tala I Lines 9 & 10)
12, Net Value 01 Estale (Une 8 m'nus Line ill
13. Charitable and Governmenlal8equests (Schedule J)
14. Net Value Subj!ctlO Ta' (Line 12 minus Line 13)
15. Spousal Trilnsfers (tor dales 01 doalh after 6-30-94)
See Instructions for Applicable Porcentago on page 2,
(Include valuos from Schedule K or Schedule M.)
16. Amount of Line 14 I,Hable at 6% rate
(Include values from Schedule K or Schedule M,)
17. Amallnt 01 Line 14 ta)(able at 15% rale
(Include values Irom Schedule K or Schedlllo M.)
18. Prlnclpalta, c1l1e (Add tadrorn line 15.16 and 171
19. Credlls/Sp Poverty Prior Payment5 Discount
20, II Lino 191, greal~r than line 18, enl~r the dlllerenee on lin~ 20 Thislslhe OVERPAYMENT.
~ 0 ~heck here If you ere requesting a relund 01 your overpayment.!
21. II Uno 181s groator than Line 19. enter tho diflorenco on Line 21 This i~ the TAX DUE.
A, Entor Ihe interest on the balanca due on Line 21A
B, Enler thetolal 01 Line 21 and 21A on Line 218. This I' the BAt.ANCE DUE,
Make Check Po able to' Re Ister 01 Wills, A ent
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH . .
un:crer penll!Uesof per/my, I declaro thai I hav6e~amlnod lhls roturn, Including IIccllmpanylng schodlllas and s!illoll1oni!i~ and to Iho best of my knowlodge and bollel, It IslfUO,
cOfreclllnd complele, declaro tho1lall real osllltfl hc1!l baen reported altruo l\1arkol value. Oflclill<lllo,; of prop<lrer olhor lhan the por~onill fflprml6nlallve Is bil!md onalllnfolmallon of
whIch preparer ha!lllny knowledge.
---
SIONATUPE OF PEASON RESPON~ilBl. E FOR FlUNG RETURN
,j\_~c.. . L
j"Ofl OA! r~1 or lirA! H A.rn:n ';!1]\191 CHFCK HEile:
11- A ~if'OU';^l. J"~l
f:C).Yrill.LQfJ.IJJlli~~LN~JJ1_, __ ___.___._~___
FILE NUMBER
2197-0802
COlHHVCOO[
YEAR
NUMBER
[H':CH)ENT"~; COM/'LEI L ^ntH1r:!;~;;
/:]r}(J Yu-Io AV(]IIlW
CHillI' H II I, "^ 1'70 II
(9)
(8)
2,897.0n
3,5711.09
(111
(12)
(13)
(14)
0,00 X
150 . 00 X .06 '
0.00 X .15 '
(18)
Interest
9.00
8,16i1.35
(10)
6,471.09
1,693,26_
1,693.26
(15)
0,00
(16)
9.00
(17)
0.00
(19)
(20)
0.00
0.00
(21)
( 211.)
( 21B)
9.00
0.00
9.00
~~rl.., I 'Its
~~
i~5/U
Form (RflV~1.'H)
06-22-98
VANERSTROM
09-15-97
21 97-0002
CUMBERLAND
101
[~~~~~~:~~~~~~~~t~~-,- 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 ....
iiE'v:U4,-iiCAFP-i' OQ-:97Y-iiiirlCr-OF-YNHEiiii'ANC'E""fAi1" AP PRAisiHiiir;-AiXowANci-iiiim..m--.......
DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
CARL L FILE NO. 21 97-0802 ACN 101
If .n ....D.M.nt w.. i..ued pr.viously, lines 14, IS .nd/or 16, 17 .nd 18
reflect figures th.t include the tot.l of ~ returns ......ed to d.t..
ASSESSMENT OF TAXI
IS, AMount of L In. 14 .t Spoy.al ,..t. (1&)
16. AMount of Line 14 t.~.bl. at Lln..l/Cl.~s A rat. (16)
17. AMount of Line 14 taxable at Collateral/Clals 8 rat. (17)
la. Principal Tax Due
TAX CREDITS I
PAY"ENT
DATE
04-15~98
IS .At:,>~) -/3
IUNEAU Of INDIVIDUAL TAMES
l..ltUI,AHet 1A)( PIVISlott
lM]ll, ~ft0601
....""'s.U'tu. "A l1ltft-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE Of INHERITANCE TAK
APPRAISEMENT, ALLOWANCE OR DISALLDWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAK
JOHN E SLIKE
SAlOIS SHUFF HASLAND
2109 MARKET ST
CAMP HILL
DATE
I!STATE OF
DATE OF DI!ATH
FILl! NUMBI!R
COUNTY
ACN
PA 17011
I!STATE OF VANERSTROM
TAM RElUNN WAS, (X I ACCEPTED AS ElLED
I CHANGED
RESERVATION CONCERNING FUTURE INUREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1, Reel Estete (Sohedule A)
2. stocks and Bonds (Schedul. 8)
3. Clo..ly Hald stock/Partner.hip Interest (Schedule Cl
~. Hartgage./Note. Receivable (Schedule 0)
S. Caah/eank Daposita/Hiac. Peraonal Proparty (Schedule El
6. Jointly Owned Property CSohedule FI
7. Tranafars (Schedula G)
B. Totel Assets
CU
C~)
13)
(41
151
(6)
cn
,00
,00
,00
.00
8 .164 , 35
.00
.00
CBI
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funeral Expen.a./Ad~. Cost./Hisc. Expanses (Schedule H)
10. Debts/"ortgege Lisbilities/Liens (Sohedule I)
11. Totel Deduotions
12. Net Value of Tax Raturn
13. Charitable/GovernMent. I Bequ..t., NonR.lected '113 Trust.
14, Net Veh,. of Estete Subjeot to Ie.
(91
1101
2,897.00
3.574.09
CllI
Cl21
Cl31
(14)
(Sohedule JI
NOTEl
1, 543.26
150.00
,00
K .00.
K .06.
)( .15:
(lBl
NECEJPI
NU"BER
AA269968
DISCOUNT C+)
INTEREST/PEN PAID 1-)
,00
9.00
A"OUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
(~
*
L
. IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN '1, NO PAY"ENT IS NEQUIRED,
FON CALCULATION OF ADDITIONAL INTENEST, IF TOTAL DUE IS REFLECTED AS A "CNEDIT" (eR), YOU MAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS,)
~._. ...r'
UY-,IU111'" ....."
CARL
DATE
06-22-98
HOTE I Tu insure prop."
credit to your acoount,
subll! t the uppar port ion
of thh for.. with your
tax pay".nt.
8 .164,35
6.471 09
1,693.26
.00
1,693.26
will
.00
9.00
,00
9,00
9,00
,00
.00
.00
'(1 ,~n
..0
lit) .
~
'b..
i" i.:(
';-Jci:;
i':
f.:l
I i,-),
t~
''''j
:'l
d ~i)
ala::
a::
~
\I
- "
.illS
1...)(,)
OESEOVAHOtlI Eot.t.. of d...d.n" d.ln. .n .1' I>of.r. D....b.r 12. 1962 u If "IV futuro lnt.r..t I" tho ..lot. I. tron.f.".d
In p......I.n .1' ",j....,,! t. CI." . (..U.I.r.ll b.".II.I.rlo. .f Ih. d...d."t .ft.r tho .,plr.tI"" .f on. ..hi. f.r
IIf. .1' for ......, tho C....I1M..lIh hor.b. .,pr...I' 1'.'.1".' tho rlOhl t. .ppr.I.. .nd ...... tr.".f.r Inh.rJhn.. TI'"
at. the lawfUl Cia" ! (oollaterell rate all anY luch future Interest.
PURPnsE Of
NOTICE I
To fulfill tha requlre.ants of S80tlon 2\40 of the Inherit"no.. Bncl t:st,ftt. Tax Act, Aot 21 of lCJ%. cn P.S.
Saction 91401.
D.t..h tho t.p p.rtlon of thl. Hotlo. .nd ."b.1I with '."1' p....nl to tho O..I.t.r .f WUI. prlnt.d on tho 1'.'.'" .1110.
-~"ake chlok or .on.y order ,Iayable tal REGISTER OF' MILLS, AGENT
A r.fund .f . t., .r.dll. .hl.h w.. not r.q"....d .n tho T.' ..t""" ... b. r.qu....d h. ...pl.tln. ." "Appll..tI.n
for RefUfld of panneylvllnl" InherltanolO and Estate 1al(" (REYMl1111. Appllcationll .1'. available lit the Offlee
of the Reghter of "11111, any of tt\41 23 MevllnulI Dhtdot Dffloes, M' by callIng thll special 24-hour
anlwedno ..rvlo. nUllbe,. for for"s ord-..dngl In Plllnnll'ilVllInh I-ftOOM362-Z0S0. ouhlde Penn.Ylvanla .nd
within looal Harrhbul'lI ar.a (117) 7&7-80lf4, TDOll (7171 712~22S2 (H.aring l.pllired Only),
An. p.rt. In Int.r..t not ..tI.II.d with Ih. .po',.I....nt. .U...... .1' dl..U.w""'o .f d.ductlon', .1' ........nt
.f tIM lIn.'udln. dlo....nt .1' Int.r"" .. .h.wn .n Ihl. Hotloo .u.t obj..t withIn .1,lY '6" d..' .f r...lpt .f
thh MoUee bYI
--wrltt.n prote.t to tho PA D..ort..n' .f R..enu" 60.,d of Apo..h. D..t. 201021. tI."I.b"r., oA 17120-10?1, OR
-MgleoHon to hav. the .aUI" datar.tned 8\ audit Ilf the account ('f the person.l rapr..antativI, OR
-.appeal to the Orphans' COllrt.
PAVMENTI
REFUND (Cftl I
CtIJECTlOHS I
AIlHIM
lSl'RATlYE
CORRECT lOHS I
Factual error. dl.oovered on this a.......nt should he addre.l.d In wI'itlng to: PA Dapart..nt of Revenue,
luraau of Individual TlIICU, ATTNl POlt ....u..nt Havl.w Unit, Oapt. 280&01, ttllrrhburlll, PA 17128-0601
Phon. (717) 767-650S. SIl' paga S of the booklet "Instructions for lnherltanu laIC Return for. Re.ldant
D.oadent" (REY~1501) for lIn explMnatlon of adainiattativ,lY corractable errors.
If on. tIM d'" h p.ld within "".. (31 ,.I.nd.r .onlh. .ft... tho d...d..,I'. d.eth. . fl.. p"..nt 'SX> dl..ount .f
the tll( paId I' allowed.
Th. ISX t., _o.t. non-p.rtl.lp.tl.n p.n.lt. I. .o.p"t.d on 'h. l.k.1 .f the t., ond In..r..t .......d. Ind not
p.ld ..f.re Jenu." 10. I.", Ih. firs' d.. ."" th. end of tho t., ..,...lY porl.d, "01. n.n-portl.lp.tl.n
p.n'It' I. oop.el..1o In tho .... ..nn.' .nd In tho .ho .... tI.. p.r lod .. ,." w.uld .ppo.' the tIM .nd Int.r..t
that hall b..n .......d .s lndlont"d on this notlcll.
lnt.r..t Is .h.r..d 1...lnnln. .lth flrsl d.. of d.llnqu.n.., .r nln. ,.> .onlh' .nd .n. III d.. fl'.. tho d.t..f
...th, t. tho d.t. .f p....nt. ,.," .hl.h b..... d,'lnquont h.f.ro Jan".r. 1, "0' ".1' Int.r..t .t tho ret. .f
IiIC (6:<) peroent par .nnUII oaloulated at 8 daily rate of ,000lM, All \lIl<es whioh bllcMla deUnqutnt on and after
JanuarY 1, nl2 w1ll bur lnbrut at II rlllte which will Vdr!ll frail calendllr year to cal.mdflr y.ar with that rat.
announo.d by the PA nIlP"rt.lInt (If RlIYlIn"lI. Tho tlPpllcabh int.r.st rat.!! f(lr 19&Z through 19CJ& .re:
't!!!!: Int.rllst RDtll Oalh Interest Fl!lct(lr ~ Intllrut Rato DallY Intllr.st FlIotor
l'Je~ 20i: .000S48 1987 CJi: ,000247
1'1113 16i: .0004311 1*';1&8-1991 Hi: .000301
111M 11i: .000301 1991: 9i: .000247
1985 Ui: .0003S6 19CJ3.1994 7i: ,000192
1986 10i: .000274 lCJCJf,-1998 CJ;( ,000247
~-lnt.rll.t is oalculat.d .. folloWII
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
"RAny Nottoll Itl.....d litter ttlll t.x b..COMS deUnq"ent will rllfllllct an lnt.r..t cl!lloulaUon to fUt.en (lfl) d8Y.
blVond the date of the .n.....nt. If p8y..nt 1!. .ada aftllr tho interllst OOllJlutat1on dat_ .holm un the
MOUOll, ftddltlonal lnt.r..t BU.t be caltlulatllct,
DtSC~l;
PENALlVI
IH1ERESll
STATUS REPORT UNDER RULE 6.12
-----------..-----,-.-..--..-.--.'-.---------.--
Name of Decedentl__...1Ldner S /- r Olrl C QC.l--'= .
Date of Death ,_~T];'Y_lMW-..j!;;f_L 997
Will No, IqCf '7 - OOB.o':&'._H._.-- Admin, No.
BD:2.
Pursuant to Rule 6.12 of the Supreme court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estatel
1. State whether administration of the estate is complete I
Yes _*, No _._~.___
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I ---.----
3. If the answer to No. 1 is Yes, state the following I
a, Did the Fersonal representative file a final
account with the Court? Yes___ NO~'
b, The separate Orphans; Court No. (if any) for
the per~onal representative's account is:
c. Did the personal representative state an
account informally to the pilrties in interest? Yes*, No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attaChed to this report.
o.~
I:;"/()~l/CJ("
/ I
"'"
(") !iC[
~ "
0... ,.
- ()
\
',. I " \)
....._-:-......~.,A- !.-....
(51gnatJure
\J. ~ 'l f L ....', 6.:--.--<
Datel
.1' ,.
C\ ~;,
'n.'C
o ~,..j)
U(1)
&0:
>.
~
I;
rR'>f3
dd
ri
...J (lei ,. T J-! _ V. i\!\ E;J; HH /oJ
Name (Please type or print)
I L'\ f..-\ ~W'.llU C,J( JC\
AddreSS\1l(lICjOi d<:A '-', \ lAJ V .Q.~~oS
e_n~~ ~" f ' (,.. ,
,...1'-' I) Cj 4." '3:l,J, ( )
Te I, No,
",
0-
~
('
Capacity: ~::.:..._per5onal Representative
Counsel for personal
representative
( MAH :rmf/ AM3 )
l,., ~...
. j :~~g'. X{~~ ~
:;~i~^~
'. a;:;-'-
~ ~1t! ,I
:1';): ., ,..1
" ..
~~~:1! ~ ~
~,~~: g:
,\, ". ,:;2\, ' <C
~
..~
'.. r1
"'J
".... ...,
III .J
III .;J'
... MIl
~..
....
-,.
-"
...
~.
.....
--
-&:I
-r:=
",:"'~", ~ -, .
:'<-rt.
~ \..v ..
',,~ ~~ ~
,~ .~ j( ..p
t ~~':
~ 11-;-..;.....
~ ~;f...
A 'll
~~~"'"
~;.l W
p _:1(>
(:.,-1_'
::;'"
....
....
....
....
....
.. ..
....
....
.....
....
....
.. ..
III ..
.., II
.. .
.' ..
~, ..
..
'..
..
..
....
.....
...... ....
1'. :, ..
.-1 ..
....
....
r- ..
....
....
...
~..
Pc ...
',j,.
,'.I, ..'
,f
", j...
....
.~
Lt') ~
..... II"
00
0\
0'
......
...
..
..
..
..
..
.
~
Q...
I
05
c.!)
0::
:J
l1
c..l
-
ex::
ex::
<C
J:
"
.i)
(.'
"
"',...
'2)
~,
"-
~
I'
"
. ~
(~ ~
~ ,
'~
,il