HomeMy WebLinkAbout97-00939
COMMONW(lAI.TH.OF Pl!NNSYLVANIA I 9S,
COUNTY OF ADAMS r
Nanav.....!u. Hllichal'C .__., bulllu duly sworn, 011 _t1Qr oath dOlh doposo alld
say thai Adam~ 90untv National Illlllk ,Iho IIbovo potltlonors, II." corporation orlan.llod andexll!lnl under
the lawlof Penl1sylvania __ and duly authorlled 10 nCI \11 a fiduciary
undor tho laws of Iho Commonwealth of Pennsylvanlal' HUll arnant Is tho Trust Of.ficer
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of said corporation and as SlIoh has authority to fllo the ahovo potltlon and to make this affidavit' In Its behalf'
that tho matt,ors and thln81 set forth In Iho forololnl Ilotltlon are true to tho bost of herkhowledle
and hollof and that as personal reprosonlullvo of tho abovo dooodont 'pollllollor will well and truly admlnlllor
Ihe cst ate aooordlnl to law,
Sworn to and subscrlbod before me Ihls
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DECREE OF PROBATE AND GRANT OF LETl'ERS
AND NOW,
NOVEMBER. 26.
19 97 ,Inconsldoratlon of tho Petlllon 011 tho revone .Ido
horeof, satlsfaotory proof 1lIIYlnl boen ,Noluntc,j boforo mo,' IT IS DBCRBED that tho liI.trllntellt(l),
dated Octoboi' 3, 1972
desorlbod thoro,11I boadmlltod to probato and flied of rocord ll$ tho last will of Ima R, Shaffer
and Lettors or:, TlC\m1niBtration C,~',fI,
aro boroby aranled to Adams County Na Hanal IlII nk
Letters mailed to attortiey on 12-2-97,
'jJ1.~rejg.;')f...t~. '"
.. .., RIIIs/" 0/ WII/J .'
MARY CLEWIS ' ..
HW',!l;>IHN 11111I\
H'HfOllllll!i
{;f'I!IlII(~^IH pI,(l!
WARNING,! IT IS ILLEGAL TO AL'nm 1'Hltl COpy OR
TO OL!PllcATE BV I'HOTOSTAT on PIiOToanAPH.
pOMM~mW"AI~ll! or: rF,Nt/HYLVAt/'A
OF.I'^"TMlit/T 0/' tWAllI! VII AL' nuoOl/Ou
LOCAl:. 'REGISTRAR'S CERTIFICATION OF OI,A TH
CERT, NO, 3 5 5 4 318
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fJ~tttJIIUll'\lI'hl'(;"I\ll!U.t!..."
Ii,
Ima Roam
Numu of Dooodont,,~.... ..>pm. n.~ """".-__'~___.m""'~d'_,
c.. -. . -.j,'~l - 1,I,u'l
fOl\lalo" " i . I 99.07.420S.
Sax ~'_'_'_...___n_~,._ Soqlal S€I,ullly No. ......---.-.,..-...-- ""---cP',
Dato of Birth .m2:.2.~:!.~.~L+_.__.__ Blrthplaoa . A.~a~~a.~~IIn.~X,.~o~~ay,tv~nla____H"""'''''~H._~~n._....u..
P'laco .of' D aa III ..~~~~SI!-.~~k_~{o_allh_:.o.n'.or.........._CUI1~~~~~~~':o.~~~~.__._ Carlisle ,_.,.,.~ ,.._.._.__~+___..._..""pe!ml!Yl~gnl~
,. ; I'JL"il; '.rtll'~ " (;':i'"I; C;I"llr"i"jQh I.t ft,....,',I,,!
Whilo . Sor.rolaty . '. . No
RI1Cll~..."_.,._..,,~~_ OOCUPfll!(H1 ........ _._H'_mm..'....____..___..... ......... ^'lllOrI fOlc.os? (Yos or No) ......
Marltl,1 Slalus _.~!~.~~cd_.__.'n. ~~~~~e~t~~rees 700 Walnut Boltom Road, Carllslo, PA 17013
,- ,;:!f7.If,~;ii~---.---.."-..iilM.i.~...............+~'-
. Ronald K, Roam M, Loa OUlla" .
Informant _".._._h..~..,.,...... . .......'.'....'H~...m. FUllOral Olroolor... ... n 'n_. ". ..... .__'~n'+n_._._.____.".......
Name und Address of Dusan Funeral Homo {no. Bonderavlllo pA 17306
Funeral ESlabllsl1ment d_m_...__..'..."..,~~._"h'_.".......~:..'C"'m. ,. ....... n, "", .".. __, ......"
Shall'er
'--.'--'---.~l-;;r~-.' w~,_.~_u_._.__,.,.....~~
Dalo of Death ..~!'MUS\ 30, I~~?....._...............,
I
I Interval Salween
: Ollset and Doatl1
: 1 Weok
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(d)__. .__n.......m....,_______..__""m......."........ .__.....m_........._:...
Parll!: Otl1erSlgnlllcanlCondlllons , ' ,
-................--1!rAclw:cd.hlp........~.____.~__....:_,_.....H"'~, "n' ......._..__........;....,~..,.~
Manner (Jf Death DO$orlbo how Injllry oooun'od:
Natural t'R . Homicide [] ....~., ...", .. ..._..."nmm._.._.'-_"..h._____~....
Aooldent [] l'endltlglnvosl!gl1l1on LJ
Suicide [I Coulc) not be 'Dolorrnlned []
Part I;,
Immedlato Couse
Pneumonia. ,
(a)..,~___.._....,...'.'..'_h..__......,..m.......'H._,_.'_..._, .
(bl___........__.
(0)
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OeorllO P. Bransoum, M,D,
Name and Tlllo of Cerlfl'lr_,,~~_...._,_~_~~.____~_..'h___._., ... _"'_"~._......__ ____m'
. .. 8$0 Walnut BoltomRoad, Curllslo, PA 17013 (M.D" D,O" C(Jronllr, M,E.)
A~dras~__---,...______.._,n-_;-.~....-..'c__,__......,..-.--...--__~_,,,... ___... ....., .........',,"....-..._.____.__
This Is to cortlfy Ihat Iho Informolion 110re given Is oorrectly coplod from an original oertlflcale
of death duly flied with mo 09 Looal Registrar. Tho elllglllnl <'Ollllicnlo will be forwarded to Ihe
Slate Vllal Reool'do Office for pell11anellt 1111nll. ~/'I //) ,
'::~~1e .._o..~:OIO ~""".'
AUll~r:;.~,'l:~~"""',.c. ..-.- -------..H~}~!,~? ~~JJ\I.!!l~.ryll1a, p~,..'!~~~ 1"''''''0
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LAFYr WII,L ~ T!1ST >>IE1ft'
I,IlIIa R. Shllti'8l', prell.ntl)" ot L.timore Townahip, AdamI Count)'; Plnn-
'flvania, hll'eby naak8.,~d PUbli.lh l1l1.L....tWi.ll and, '1'e.ltllllent, l'eYok1n1 and ~ald.n,
nun and void all1 othor Will. or writing. in the naturl thereot by.' at aor tillll
hlretotore Illade. ' .
IHm--.l1 .All lll1' jUlt obligationl IIhall be paid II loon a. .ay oonvlniently
be doni atlii'ii1.death" inolud1ng .1111 tuneral, bur1al,' l1lllmor1al, hOlp1 tal, MI110al !
and nun1na: expenllls and all tranlli'er 1nhel'1 tanoe, utat. and othlr dlath tax..,
all ot lIh1 oh ~al1 be pai d i'l'om thl r..1duu of 1111 u 1;& te . ' ,
, ~t AlltM rut, ruidueand ,l'ema1nderof \lIT ..'\;ate, otwhateyer
natura an4~"er .1tuate, I hereby g1ves davllle and bequeath unto rq hu.band,
Jam.. D. Sl\II.fter, pl;'Ov:l.ded that he lIll:l.v:l.ng on the thirt:tet.h dq alter th, dq
ot 111 d.. th . ' ,
,1a.\'IL3' In t.he ,vent t.hat l1l1 hUllband t&1111 to 110 euMive 1lIll, I d1reot
that lll1 Exeou1iOi' IIhall.
, (a) 13811 11M tranll.teX' the unu.l8d burial 'epao'l (1t aror, but pl',.,ntl1
appearing t.o be two rema1nina: atter the burial ot lll1 hUlband and rqlelf)
in Lot 71-B at Oak Lawn MelllOX'1al Gardenll along the 1.1nooln H1ghwl1 in
OunIberland TOwnlhip, Adams Oounty, Pennl)'lvan1al and
(b) Deliver baok to~\U\tington OOll..e, of Huntington,Ind1ana~ aIV
bond. ot that inllt1tution Whloh I may hold at \lIT death, a.'aglft therlto
Whioh bequut I hereb7 make. .
~em U !fr husband failing to 110 lUl'Viveme, I hereby give, dev:Lee
and bequll. un rq IIhtel', Bernioe.o. Reams prov1ded that IIhe 111 llving on the
tMl"Ueth day atter the day of \lIT death, all the followlng property, and/or all
\lIT1nterelt theX'em.
(a) I give and dev:l../Je untol\e7:' the Elite"' l!nd 07:' lide 01' \lIT
appl'oximatelY 7 1I0re and 86 peroh traot of 7:'ee1denoe real eltate :\,n '
Lat:l.lilore Town~ip, Adamll Oount7, P,.nnila'lvania, on whloh 1M pr"'ntl1
iIl,.l1v1ng in her mob11e h011le the7:'eon, be1ng the Eaetel'n end or 11de
of all tholl t'ltf\), traotl p7:'lIIent11 owne.d by lll1hulIband and lll1le11' bydeld
'lilted Api!1l 3,,1946, reoo7:'dld in Adllllll Oount;r Deed Book 172 at paSI 461,
lll1 laid approximately 7 aor8 and 86 peroh traot 01' land to bll d1vid,.d .0
that the lilla of I11Vi"ion ill looated approx1l1lat.el)' tive 00 t"t E"/ltlrl1
trom1ihe hedge lunol at or near the publio road along the E..t.rn lida ot
'lilt d7:':\.vew81, wploh line of d1v:1.aion "ha:).l b. approximate17 pel."pend1oular
to TownlhipRQadT-609 and approldmatelYp.l'all411 ~th the Eaetel'n bOundar;y
of' 'lilt 7 aol:'. and 86 peroh ~aot, the adjoine1'8 to lIaid traot., Of land
hlll'eb7 denlld being .aid TOWlllh:\,pRoad on the Nort.lntellt, o18l1181 W. Sm1th
on .th, N07:'thealt, Frank BretlZman em the Southeallt (07:' rear) and thl
re,1due of' 1II1tl'aot 01' land on the Southwelt.
(b) M,y b..t automoblJ,. and 'lilt Lowl'7 eleotrlo o7:'<<an,'
'(0) A I\llIl of lIlonl7, not to .xolllldOne Thou.and F1.VI Hundred <$1,,00.00)
Dolla7:", wMoh, when added to the amount delivel:'ed \1I1to her undel' a like
,beq,u8lt in the W1l1 of' \!l7 '!lid hUlband, lIhall equal the IUI1I ot One Thbuland
Five H\U\dred ($1,,00.00) Dollar, in the aggregate f'7:'om both the estate!)t
.lll1 hUlband and 1II1lel1'.
~te~/. All the l'eat; rlllidueand remainder of lll1 eet.ate, , not otherw1".
dilpoeed 0 a ve, but 1nolud1ng 8I\Y lapsel, I direot to be lIoldand, oon'9'llrt.ed into
oa'h whioh I hereby glVe .and bequeath al follows.
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, (a) Ono-Mlt ot laid ouh ru:l.d\lll it hereby SiV' , and boqueaW\IOto
1!If two /llIt.r. and b:rothllr, namelrl KarB~.t ft. Y"ingets Mal7 R. Ji\y'll1'1I
and. John D. Rtaml and IUIto my hlllband I. tather! 1111'117 J. Shatter"lU\d 1!If
hu.band', tin brotho%,,, and Ihtorll, nlllllely,ohnrlu D. Shatter, Mary S.
Slayta\l&. hi Pau1.. ^.' Shatter., Ruth S. Lan. dilN\d EIther S. Iloopert. S.hOu1d
l1I1 hU/lband'll tather tail to l\U'vivCl me, hi. Il\ar. IIhall b. dlltributed
amqnS thll'818ht, (8) other above.named le~atee/l, or their oh:l.~dren or 11l1Ue,
taking IIQua11r but by reprllllentat10n or per Itirpe..;It ~ ot the
other eight legatee I taill to II\I1'VivII me, hh or her la1dehareeha11 be,
l1iv:j.ded eQually &Illong h:1.8 or her oh:Udren ell' heuI, takil'\B lIquallr but by
rlp~llntation or per stirpes, and in detault ot lIuoh ohild1'en 01' :\.111I18,
toh.n \IOto the other dghtabove named legatllU or the1,r oh:l.1.drlll'\ or 1!IlIUCl,
tak1ng 11'1 the lI1anner'ato:rtsa1d.
(b) The other one-halt thereot \IOto thl following ohuroh 1nlt1tut10ne'
(1) Twenty-~ve (2~%) pllroent ot laid ent:l.re o.lh rlllid~e
)lf1to Idav:\.lle 1,Jn:l.ted Brethren :l.n Ohrillt Ohuroh, or itll ,uOOf.lBlKlr,
tor un in i1;l ollpi tal building l\Ind.
" (2) Twelv.l\lIdone-haU (12.~%) peroent thereot unto the
Parent BOllrd ot M1ea:l.onll Qt the Ohuroh ot tho Un1ted Brethren :1.1'1
Oh:r:l./lt, or 1t/l I\IOOe8S0r, the.preeent headquarters of whioh are
looated in lI\1Otington, Indiana.
(3) ,The remaining twelve and one-halt (12.$%)' peroentthereot
,unto the Wo~enll Misl:l.onar.y Aesooiation ot the Ohuroh ot the ,United
llrethren in Oh~1et, or 1tslluoo8ssor, the present headquarters ot wh10h
are looated at Huntington, Indiana.
In the event ot anylapseot (b)R(l), (2) 01' (3) above, not otberwise provided
tor. b1 reaSon ot no 8\100ee80r, /luoh lapsed bequest ehall be divided among the
othe~ above n&llled ohuroh inilti tut10ne in the:l.r'respeotive proportions ae above
proVided. '
Xt: 6. I herebiappoint anll oonstitute my said husbl\lld, Jama. D.
Shatter, AI eelutor hereot. In the event he tails to qua1i1.'1 a8 1\10h within
thirty (30) da1e /lJ'ter my death, I oopetitute atldappoint OUlltberland OO\U\ty
National Ban~ and Trust OOnlpllny, ot Mt. HoUr springs., O\lDlberland County, penn-
sy1vlln1a, a8 Exeoutor hereot. M;Y Exeoutor 8hall not be required to. 1'Urn1sh bond.
IN W1TNlllSSWHIDRI!XlF, I, Ima R. Shattn, have ,to ~h1s my Last Will and
Testament sublor:l.bed my n&lllll and a.ttixed IllY seal in the, presenoe ottllO 1fi~esees,
Who, in my preelilnolj and 1n,'the presenoe oteaqh other, eubeoribed their nlllllel in
atteatation hereot th18 ,';,;, 'i( day ot (?i' {, f, ',' , 1972.
Signed, ..aled, deolared and publ:l.ehed
, b1 Ima ~. Shatter as and tor her La8t
W111 and Testament in our presenoe, and
we, .at her request .and 11'1 b!Jr presenoB,
and in th.' presenoe ot eaoh' other, have
hereunto flUbeor1bed our name,S as 1fitnllellee
on the day and year lallt above wr:l..~ten.
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1I)'1'far,u., ha\'a'll1 1'QalcII "I'll. pv.b:J.111l lOt !Jaa"- W13.1. an~ ttat\'amant, \'nCl~1\1l .na ,.&ld.nl
1\1l1'.\. I~ ...o~e!. an;r otl'n" W111a or wn~1nll 11'\ 1111. nl\'uu \hll'eot b7 lilt ..t, al'O'll1mo
har.toto"a ~.4.,
fiIl!LlI .,Ul Iflt ~ult oll').h..M-on. IhllU \la 'Pull. III 1001'\ .. 1lIa7 0~nn1l10n~l!
bo lSollO 1ffiilii1 4,&t,h, 1nol,,~nlll1l f\1Mra'l., \l\l1rl...:L, 1Il\l",qrUl, hq~1t,a1, Mdl.o&1
&I'I1l. nurlS.nl a~na", IUI~ e;I.',\, ilune:t'er S.nha""tMoa, ..\.at. ..ml ot.hol' d.oatn \l:IIeI,
..3.1 of wiU,eh ah..:L'l. bl pd.d rrOlft \,h8 r.ai~UI ot 1111 ,.\.ate. ' '
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, :tt..m_Z.t' '~ thO rut, "..S.d",a and remu.ndor ot 1117 oat.l/.t.., at ,,'\littyill'
I\o.t..lrl Mcl~ver 1r11.\1..t.ol.1. 1l1l'abt ~"., d.o'f'l" anll.\lIq\llla\,h \).lIt/) IlI1hUO"lnd,
4~a 1), 'hartell', pro'rl.ll.acl tl1a~ ho -$,a H,Tinl on t.ha ilnl.rt1.at.n rJR -.Ita\' \:)Is ~'I
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, Itlll1L3.' 11\.' t.hl ,'''I\t\hr.tmt \1Il8bt.M tanl to 10 iNmTl, lilt, :I: cl.l.root
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(a) St3.1 al'J! llll'..nahl' tile IltIIIU4. bu.ri.al ap:looolJ o.t 1olV', 'but pl'a..nt3.7
a'PP...rlnl \1;1 'llo wo r.....~1 altAIII' tIl. bv.r1(1.l ot 1ft l\IIa~4 ..1\4 rq,,:I.f)
in Lot '1:1.-:8 lot o.\< 1>all1l M,l1lOr1a). O",da"a ..:Loll8 tllo H1,,00:l.n lI1ChWa:r ~
Ol#IIIl,l'le.nd TOW\'l,h1p, Ad8l1l' Clo\U\~Y, Pefll1ll1'1o".n1.., art'd.
(b) D,UTlrbIlO\C to 11l1l\t.1nston Oo).lO.li ot lI\U1U\\BtOtl, :r.l\lUana, al'l1 ,
"pond' ot llblot i",.1;i.\,,,t.lol~ ,1\\:\.0\1 :t Ill'" \IoU ..t 'tn1 ,d..~, .. .. 11ft t/l"'t.o
vllioh beq""t :t h01'll\:'I lIIaka.
I.1l0l'lJl.I Mr nul""Dd. tai1:l.1\1 to.o ~.t 1M, :tnerebt ~"" d.nae
and baqU"~o fit( os..t.u, ll.rniea O. I\alllll, 'Pl'orl.d.lcl \.hat ena 18 U'r:\.nl ontho
tl1i.1'\.1athll.a1 "'"1' tIlo cl~ of I!l;1' dutil, aU \:)Ie toUc:t\l11\1 JlllOpal'W'., IInd70r&:l.1
'"" 1ntaralt thordnl ' '
, ,(e.) X I~" IIn4."'e'rl.oe \ll\to hU' tho :mlUta~ end. 01' a1d. 01' If'If
IIPPro~at'lT 7 aora and 86 ~'l'oh traet at l'aetl.c1,l\O' "lilt uw-te 1\'1
t.at,~Qre TO'Wl\alI1p. Adl,llla Oo1,lnt7'. l'aMfI1)."ap.a, on w~oh aho pl'",n"""
ia .UTl.rII in har 11'R1>5.le hOlll' \llarool\, b011\1 till J!:a.\.fI1'I\ one!. or etl.41
of 'Ill',\,' t1\olle two \",ota pl'lIa1\t'l.1 o\l'llal1 bT .,., llII.1lf.nd Mel '/IO'"U Il7 d.,.d
d&t.ed A~1 3, 19461 rooorded in MI,IlIII Oo\ll)~. Do.dllool1. 172 lot pall 46'l.,
Iflt aud appllOll~at~ , aor. .nd 86' 'PellO" vaoll ot l.M. to \Ie d3,'f'l4ed. eo
that tha '-111I ot d.l.'ri..10n ill ;l.oeatA~ ,aPP1'O~aw1Y fi,.,. (S) !lat Jlaeterl1
tl'o~ t.bl htl160 tonoe at or nilIS' tlla publ10 road a'lol'lll, \:)Ie :mut'lm a1.411 at
'trIf d.l'i"IWa:r, whloh 1.s.n. 01' d.l.. rl.as.ol) eh&1). be aP'PI'!)'/dJlIf.te1'1.' pO*'Pllnc:l.1oll1a.r
to 'rolln.nip ~"d T~09 alld ap'pIIO~.t'l1P.J'e:uel wj.th \hO, Salttrn ~\llI"'at'1
ot 'Ift/ 'I aol'. ..ncl 66' pallOn tl'Al;lil t~ ac:l.,1ol.naro to ..:1.d t:r.e b of ).e.ncl
haraW dey.l..,cl '1101\\1 ..1el To,,".hip ~4 011 tll, NonhWut, 01'" "'. Smj,th
on the Nonhtaat, 'ralll< Bret.I,.." on tho Boutn....t (01' roll') .lId tho
rllidl,ll of ~ tl'f,ot of 1.nd. on thl lIout.hwolt",
(b) Mt bill. &utO!llO'ol'll and",' t.01i,.r""l.II~I,I"$.O')l'BJ'"
(e) A I\llII o.flllonq, !\ot, t,o p:ont1 ano' 'l'l'tolll&l\d. n.,a IlWI4:ro'" (.lJ~OOIQQ)
poi1n.. 'Imh\\, .,,\\on o.d,docl 'IA) t,I1' 1l1l0lll\t 4a~1.,1'I11 v.l\to h,r "OJIdl1' II lUto
". ol\Ull'to 1" th~W:l.:l.l ot ~J' ,~I.l h\\ubll~, a\\!l).1. ,<tu'). thO '\:Ill ot Ono T\lOI1Ie.nti
11,ve \\1Il\4red: $1,6001(0) \)(lu.r. 10 tbo 'BIl'",1:.1 tl'Ol'l bOth t:,\la nt.t. ot
'/10' Meband al'I ~..:Lt,
,
nel/Lt. ,U1. t.h..'l'a,t., l'eitl.due .1Id. l'a\'4ainc1,r of lIlT ..t.l/.ta, 1I0\' otl1eS'lfl.aa
4S.1PO'0d. oraGOTa,bl1\ 1nOl\,1c:1.1llll Illlt 'uP....! X c:I.1root. to tie aold a.lId OOl\T8l'te. d 11'1.0
auh w\l;l.oh :r. l\.te~ 11'f1 and boll.ueat.h la tol101lal "
~~""~'-1'1 'li" ~J.-01"if~ J.
~l\Ia , ".ft er
..','
",',~O--'."
.... . ,..,,,'...iII"I....,'_...1 ~ J ~
(a) One~halt ot laid oash residul!I I hereby give and bequuth unto
my two "iIlte~1l and brother, nlllllelyl Margaret R. Yeingst, M&X7 R. Mrers
and John B. Ream, and unto my hU8band IS father, llen1'1 J. Shatfer, and ary
husbanll'l fin brother. and liBtBre, DlUIlelYI Oharlu D. Shafter, Mary S.
Sla7baUlh, Paul A. Shaffer, Ruth S. Landi8 and Eather S. lloopert. Should
m:r hU8band'. tath.r faU to aurvive me! hia ahare /lhall be .di/ltribut"d ,',
'aJilonS t~e eight (6)0~her abO'V, i'llllll8d legatlu, or" their ohU~r8n or haue, '.
tak:Lng'eClUally but' by repreeentation or per atirpes. It ant of the , '
othlr eisht legatees faill to ~ve me, his or her laid "hare /lhall be
divided equall1lU1long hia or her ohUdren or haue, taking equally but \))"
representation or per BUrpe", and in default of suoh oh:\.ldren or iSIl\18,
then unto the other eight abovs nlll1\sd legat"B8 or their ohildren or iSSUll,
taking iuthe manner a.t'orOllaid,
(b) The other ons~half thereof unto the following ohuroh ,inatitutionlll
(1) Twenty~five (2~~) peroent of said entire oash reeidue
unto Idaville United Brethren in Ohrist Ohuroh, or :\.ts luooelllOr,
tor U8e ill its oapital building fund.
(2) Twelve and onl~hulf (12 ,!)%)"n)~Oefl1\ therllof unto the
parent Board of Kiasion80f the Ohuroh of t.he United Brethren in
Ohr18t, or its BUooel80r, the pre8l1nt headquarters of which are
located in H~tington, Indiana,
(3) The remaining twelve and one~half (12.~%) peroent thereof
unto the Women's MiallionaX'f A8800iation of the Ohuroh of the United
Brethren in. Ohrist, or ita SU0088aor, the presentheadquartlre of which
are looated at Huntington, Indiana 1
In thl .vent of aDT lapse of(b)~(l), (2) or (3) above, not otherwi"e provided
forb1 reason ot no suocesaor, Iluoh lap8ed bequellt shall bl dividld ..ong the
othilr above nlll\ed ohuroh inatitutionll in their 1'espeotive proportiona aa a'oove
provided.
It; 61 I hers\))" appoint and oonstitute 'lrl1 said hUll'oand, JanIlls D. .,
Shatte1f', as eoutor hereot. In the event he taila to qualify as BUch w:\.th;l.n
thirty (30) dqI atter 'lrl1 dellth_ Jj oonetitutl and appoint .o,.blll'land Oounty
National Bank andTrl1st OOlllpllll1s of Mt. Holly Springs, OUlllberland Oounty, Penn"
,ef.l.vania, as Exeol1tor hereot. Mr Exeoutor shall not 'oe required to ,t'urnillh \Jond.
, '
IN WIMI38 WHEROOF, I, :tIna ~, Shatter, havl to this lIl1 Laet. W:Ul and
TestalUlnt su'olori\:led ~ name and affixed I~r III11I.'L in tJ\e prel'el\oe of two w:\.t.nUSIIl,
who, in 'lrl1 presenoe and in, tM j)reoenoe of IlIllllh uthel',subilori'oed their n8llll. in
,attutation hereot th:l.ll :,:",.( day of ,?'I',"I,., ,1972. '
, S:l.gnld, lIallds deolared and publiehed
\))" I." R. Shatter 1\8 and tOl' her Last
Will and . Testlll\ent in our prllleno,e, ud
we, at ber request and in herpl'uenoe, "
and inthepre8enoe ot eaoh'other, have
hereunto IlIlbsoribed our names as witneesee
on the day and year laat above writ.ten.
&t..,....""........
Ima R.
r . \i!' ~~
~. ' .~-\;\...-".f.'1 "
after' .
..J2-..., ..~ ~> ~ ,(:~ .--~..;;- '.
~,
U~J!.I..C1."
L,' ,
C;" $/~Irfrv-'-'
1,"
L~W OffiCES
'I'llllTllR, TIlIlTIlI~ & TllllTIlR
, 100 Wf~l MIl>I"1 SINf[l
OflIVlIIURQ, I'INNIVI"~N'^ 17321'2104
",
t)^NHI E. Tllll M lI9\1.lv"OI ltltlqlONl
ROUlRIQ,TII1IN ~ (717)33' 219
S^",Ull E, Tttl[R ", S
O~O...,';! 99' ' (()J IP 'f1]Y " "";",,,
7'0 the Residuary Beneficiaries of tbe L!lSt Will and Testan/e/It of IIna R, Sh4ferl
As you may know, lma R, shaffer died In enrly Septembor. You al'o a beneflclnry under Mrs,
sh\\ffer's wl\l (a copy of which Is enclosed) .nnd are entitled to the percentage shown on the
~ttached hand.wrltten sheet listing all of the beneficlaries, It is anticipated that Mrs, Shaffer's net
distributable estate will totl\l approximately $85,000,
As youwll1 note from the wl\l, PNC Bi\nk (fol'morly Cumberland County National Bank and
'frust Company) Is named as e)(ecl,\tor, You ml\Y atso,~now that for the past two years Ad\\ms
CountyNationat Bank has been servlniu\sguardll\n of Mrs, Shaffer's financial affairs by court
appointment In Incapl\clty proceedings, PNC Bank has Indicated Its wllllngness to renounce Its
right to serVe In favor of Adams County National Bank since it Is famlllar with Mr.s, Shl\ffer's
flnnnclal affnl ~s and Is a logical choice to \\dmlnlster Mrs, Shaffer's estate, '
Under Pennsylv'\l1ialaw, if I'NC Bank renounces the right to serve as executor, all of the persons
listed on the attached beneflclary pl\ge~have the dght to serve as admll1istratorof the estate, Ron
nnd Sharon Ream did not feel that any beneficia des would be interosted In serving \\S
administrator but the Cumberland CO\lI\ty Register of Wllls is reqlllring thnt you .be notified of
your right tb serve, Assuming thnt none of you wish to serve, Adams COllnty National Bnnk
plans to make nppllcntion to be appointed \\dmlnistrator of Mrs, Shaffer's estate on or after
October 30 unless one or more of you indicate that you desire to \ldminlster the est\\te inste\\d of
Adams County Nntlonal Bank.! should indicate, however, that PNC Bank Is stepping aside
solely because it declined to serve as Mrs. Shaffer's glll\rdll\n during her llfetime and .feeh that
, courtesy dictates that It nllow Adams County Nadollnl Bank to continue its service if the,other
beneficiaries desire a bank as the adminlstrntor, .If,pne or more. of you decide that you would like
to servo as admlnistl'ator, PNC Bank may decide that it should not renounce as el'ecutor,
If you do not wish to serve as administrator of the est\\te and are willing to have Adams County
National Bank serve asadmlnlstratbr, you do not. have to respond to this letter, If, however,you
wish to serve :as administrator, you n)f1st write a letter to the Cumberland County Register of
Wills, Cumberland County Courthouse, 1 Courthouse Square, Carlisle, PA 17013.3.387 within
2.0 days of the receipt of I' his lettel' indicating youI' desire to serve as administrator, 'fhe let~or
should simply say "lam a I'eslduary billlutlciary under the La~t Will and Testament of lml\ R,
Shllffer, decellsed, It is my desire to sel've ns administrator of her will if PNC Blink (successor to
CCNB Bank) renounces its right to Serve as executor," It might be II good Idea to send a copy,of
this lette'r along, PI~ase send a copy of your letter to me, liS well.
t^W O/'fICtS
TUUTIlII, TIlIlT/llt & TllllTlll1
loa WISI MII'llIl SIHIII
OllIYSIIl/HlI, I'INNSYIVANIA 17.12S'~194
IJANIII f, 11111"<< IIU1'.IU'1iI
HOIII HI 0,'11111<<
SA'll/II f.1'iIIlH'
September 12, 1997
Donna Otto
Office of the Register of Wills
Cumberlnnd County Courthouse
.1 COUl'thollse, Square,
Carllsle, FA 17013-3387
rile No, 4965
Rei Estate of [ma R, Shaffer. deceasea
, ,
{jJ cu.JJ...M.~
b \, () /\t"".)
'~.^ " .I,!' (\)\)
(j'/':{''' ,-
'~ ~~L)
lllll'III1NI
(7 I n a3 4,2195
rA~
(717) .lH,2913
'-j.
Dear Donnal
, You may "ecall our telephone cOnference on September 10 concerning the lmn Shaffer estate, As
I Indicated to you in <;lur convel'SRtlon, Mrs, Shaffer was previously a resident of Adams County
until HI health required her l1omissi<;ln to a nursing home in Cumberland COlllity in 1995. Mrs,
Shaffer was a widow and a legal resident.of Cumberland County at her death about 10 days ago.
I enclose a copy of Mra, Shaffer~s October 3, 1972 will, Item 6 appoints CCNB Bank, now PNC
Bank,as execlltor, PNc wishes to renOllnce in favor of Adams County National Bdnk, which
wR$ appointedguardianpf Mrs. Shaffer's estate on May 31, 1995 in incapaclty proceedings In
Adams County.
Under the PEP Code, the residuary benefi~iaries in Item 5 would have the right to be appointed
administrators C, T,A. if they 50 desired, Unfol'tllnntely, all but two of the persons named In Item
5(a) are'now decensed and they are elderly. Tlw decea~ed residuary beneficiaries are survived by
, about 25 decedents to w!iom their shal'es pass by representation, Two of the Qhllrltable
beneficiaries in Item 5(b) appear to b., c from Indiana and are therefore unllkely.candid.R tes to se.rve
as ndministrators C,T.A. The other beneficlary, IdavHle United Brethren in Christ Church,ls
located in Adams COllnty but it is unlikely that the church. itself desires to serve as administrator
C,T,A,
I pose the following questionS!
1. Will YOllr office require renunclMlons of the residuary beneficiaries In order' to have
Adams County National Bnnk appointed AS administrator C,T,A,r Perhaps the
renuncintio,ns of the two living beneficiaries inltem 5(a) would be sufficient if they are'
competentr Adams COllnty Nati6nnl Bank Is the logical choice to serve as administrator
rind iSn ,,(it person" in the priority of npplicams under the PEP Code, It is my hope that
' your office wHlnllow fhe bank to be nppointed without renunclnt/ons and then simply
SCe if any re~iduary beneficiary steps forward to suggest that he or she should be appointed
in pll\ce of the bank, Based Upon my conversi\t!ons with several famllymembersi I db not
believe any residuary beneflcinries will want to serve l\sadminlstrator.
H
p, 3
, (a) OnQ..holt or add oauhl'odduI 1 hereby SiTO and lleq~oath unto
"I lllf.two'ohtlX'1 lI/'Icl brother, nem,:I$1 Hlr,/IJ'. ,tn. 111$..nget, MarT". 1 M,ylrll
and John ll. Rum, and unto ~.I1Ulbancl" II ,!.'athort IIeJUT J. flhat!'lll', andl1l1
hUD\'lllnd" tive ll:l'othoX'1l IInd e1otlll'lI, nMlQ~1 l;Jhnl'lu TJ, ahllrtor, ~ a.
a"a1t\a\lih, PaUl A. Shattorl Ruth B. J..arld11 and It,thal' a. '. '. lOOP'. ",t. $ho\l.'l.d
mr huoblnd'lI lathor ta~ to au>>vivI m':I. hi, ,haro"ha11 bo d$.ltl'lbutod
PJ1\lIns thll. I:l.RIlI; ,(6) othor above .nlll1llld. Isate"'! or tho$.l' oh:l.1d7len or 1I1IU8,
taking oquClllr but b1 l'eprllllntfot1on Ill' per It I'POI. If ant ot tho
other e:l.,ht 11,,,tlu :Co:I.11 ,to ~ve mo, h:l.e or her .a~d "hare eha;!.l \lll
d:l.\1,d,d.oquDl3.1 BllIongh1e Ill' hel' ohUdren or 1uu'l t-'<:I.ng ,q\IA:U.)' \lI,\t b1
rll~"..ntf.t1.on or pOl' Dt:l.rpGll, lII\d'$.n dotll\l1t 1)1: I\lull uh:l.1dron Qr :I.IlI\ll1,
thon \IIIto th.O c;lthllr oight abovo nll/lllld lega~o" or thoil' ohilcl.rlln or illI\Io,
\;4ld,111 111 the mannoI:' IItol:'ou:l.d. '
(\1) '!ll. othll&'. onll"l1a1t theraot unto tho tll13.01of1ns 6h\lroh :l.not:l.tut:l.onll
(1) 'l'Wontf...r1.YIl (2~") poroont ot la:l.d ont:l.rll oaoh ruiduo
unto Xdav1l1. Vnit.~ Brothron in Oh~et Ohlll.'ah, I'll.' ~tp O\lllaelaOl's
tOl' U88 :l.n ;\. tp oap;\.tfol \luUdinl tunll.
. . (R) TltolvlI an~ ohe~ha3.t,(12.11lC) }'llrolnt t.horeot \Into thl
Parent SOlrd of Hi,piono ot thll Ohuroh of th8 Un:l.ted Brothren in
Qhrlllt, or UP IUOO..IOr, the pl'OIent he.dCjIl/lJ'tel'l ot 'IIh1dh are
:Lol'l/ll;pll in H\l(ltinllton, Im\:I.anll. ,
(,) Tho romainiO~ twelve and one~h.lt (12.~lC) ~eroent thereot
until tho ~omon'I,Kioo:l.on'rr A,ollo;\.at$.on ot tho Ohuroh 01 tho Ul1:1.tod '
Brethrln in Ohrilltt.or;\.tO.ttoo8I1DOr, tho pre pent hoadqu&rterp of whioh
lire louatld at Hun inston, :tncl.:l.ana. '
:to tllo o\l'ontot 1fl1 ;lap eo ot (b)M(l)l (2) Qr (,) l\bOVlll nct othe~1Ill prcvided
.tor b1 reason ot no lIUoo\llOort o\lllh lllpped \loCf",,,t oha;!.], be div:l.ded MlO"" the
other above ntuned oll\l1'oh :l.net tut:l.one in the:l.~ rupeot:l.vo p~oport,ionl U I\bOVO
provided.
.ttO/ll.6..X hO:l'obr appQint Md oonolrl.t\lt.e lI11~a:l.d h\lobanlt, "'.., !l.
Shottll', oii1iiOutol' horeot.Xn the ovent he tailp to Cfua1ity'al lUoh ~thin
thirty (30) dqo uttel:' '"" death, :t QonoUtuto Mid eppll;l.nt O\llllbllrland 00","111
" Nat1.,ono1 Bonk o"d Tl'Illlt llomp/lll1, ot Mt. 1I011y I3pr.l.nll, Ounsbor11ll1d 00\1ntff Pfl!1n"
1I11Vlln:l.a, u ~ooutor horoot. loft Ib:eoutor ohall not be required to .furl118h bond.
, "'. . "-.1 '
XN WIMIilS WIlEI\l!t)F, I, Ima R. 13hlltter:l. have to th:I.Q l1l7 l.ast WU1 and
T8pt,ement ellb,or1bud l111 namo am\ ai'.r$.:lCod 1Il1.u :l.n thll prllenoe 01: two WitA\oIlDOB,
who, :In "" pJ'e8e\'lo8 and :1.1), the pl:"lOlllle ot lIa9h other, eubllor.l.bed tl\lIill' nlll'tu ;\..n
attutation hereof' 'lih:l.a .!"i'I.l d.ay ot , l.r 1.(.;11.1 , , 1972.
e~aned, o'aledt deo1o.red end p~bl1Bh.d
b, 1m' R. Shat~8l' .1 an~ tor her ~aet
W:l.ll and Toetamont 1n our prelenoe, ,end
W~I at her r8Cfu"t ~d ;\.n,hQr prealnoo,
llnd in the prueM8.ot uuh othur, hBn
hereunto lI\Ibooribed our namOD u witneulllI
111'1 th8 (la1 and yelll." lut"bovo IIl."1.tton.
. "
~ f~t~
b... . ..... ti/
" '1!1 R. ~a!' II
(SEAt.)
~,r""~"f".~.1 f'....c?,~.~...~~".
fl, 0" M (i '\I.. i I" ,
lAW OFr,CCS
, TI!IITIlI\, TIlIlTIlI\ & TllllTlll\
106 WI" MIIlI>!1 SIRlIl
Cillly,n\IRO, I'INNSYIVANIA 17315,1104
PANHI n, TtnrK '.IlJ'l.pJlJOI'
RORIRtO, THTIR
SAMlIllt.TltlIR
Octobel' 7, 1?97
T II IFll()NI
1717)H4,210S
FAX
(1171<334.2013
To the RlIslduary Beneficlarlos oftlie Last Will and Tostamellt oj'fma R. Slia/Jcr:
As you may know,lma R. Shaffer died in cm'ly Soptember, You are II beneficiary under Mrs.
,Shaffer's will (a copy .of which is enclosed) and lIre entitled to the percentage shown on the
attached hand,written sheet listing all of the b~neficlarles, It is l\lItlclpated that Mrs, shaffer.'s net,
distributable estntowill total approximately $85,000. ' ,
As you will note from the will, PNC Bank (fol'merly Ctlmberland COt1nty National Bank and
Tl'ust Compl\ny) Is I)l\med liS executor, You milY 111so know that for .the past two yeal's Adams
County.Nlltional Bank has been 5el'ving as guardian orMl's, Shaffer's financial affairs by court
appointment in incapacity pl'oceedil1gs, PNC Bank has Indicated its willingness to renounce its
right to serve In favor of Adams COllnty National Banlt since it is famlllilr with Mrs, Shaffer's
financial affairs and is a logical choice to administer MI'S, Shnffel"s estate. '
lIndeI' PeriilSylvanin law, if PNC Bank I'enounces the right to serve I\S executor, all of the persons
listed on the l\Hrtched beneficiary page hnve the right to sel've aSlldministl'ator of the estnte" Ron
and .Shl\ron Ream did not f(lel thllt any beneficinries would be interested in serving as
administrator butt he Cumberlnnd Count;, Hngister 01' Wills is I'equiring thllt you be notified of
your right to serve, Assuming that Ilone of you wish. to serve, Adllms County National Bank
plans to make Ilpplication to be appointed adminimatol' of Mrs, Shnffer's estate on or after
October 30 unloss one or more of you indicate that you desire to administer the estl\te instead of
Adams County National Bank. 1 should indicate, howevor, that PNC Bank is stepping aside
solely beclluse it declined to serve liS Mrs. SI111ffel"s gual'dhln during her lifetime Ilnd fools thl\t
courtesy dictntcs rhnt it nllow Adlll11S County. National Bl\Ok to continue its,service, if the other
beneficlrtl'ies desire a bank as the adOlinlstratol', If one or more of.you docide that you would like
to serve ilS Ildminlstrator, PNC Bank ml1Y docide thnt it should not ronouncq as executor,
If you do not wish to serve as l\dministl'ator of the estate and are willing to have Adams County
Nl\t1onal Bank servo as Ildministrator, you do not hl1Ve to respond to this lotteI'. If, however, YOII
wish to serve as administl'ator, YOtl mllst write a letter to the.Cumborll\nd County Register of
WlIIs, Cumberland County Courthouse, 1 Courthollse Square, Carlisle, PA 17013-3387 within,
20 days of .the I'ccelpt of this lettel' indicating YOllr desit'e to serve l\S administrlltor. 'rhe letter
ShOllld simply say "111m a I'esidullry bencflcinry undol' the Last Will and Testament of Iml\ R,
Shnffer, deceased. It is my desiro. to sel've liS ndministrlltol' of her will If PNCBank (successor to
CCN~ Bllllk) renounces its l'lght to servo as executa I', " It might be II good idea to send II copy of
this lettel' along, Ploilse' send a copy ofl'oll'.' .loltt1r to l11e I\S woll, '
, ,
Puge I of EXHIBIT A
Nnl110 of Decodentl 11l111,)t Shllffcr
Dnte of Del\t1u Augusl 30, 1997
Estl\te No, :U.97.0939
To lhe Reglsler:
I certify thai notice of bunet1clllllnlerest required hy Rule 5,6(11) of lhe Orp\1l1ns' Court Rules was
served on or 1\1l1l1ed,tolhe following benet'lclhrles of lhe IIbove-Cl\plloned estnle on 12/4/97:
NJmW.
Address
RUlh Ll\ndls
Esther Hooperl
2S Horseshoe Rond,ClIrllsle, PA 17013
959 Pine Rond, Cnrllsle, PA 17013
[Note: The,wltwailallles were errolleollsl,V olllltted 011 the /1st attached to lilY D/!celllb~r 4. 1997
Certltlcatf! of Notice VllderOrphans' Caul" Rule 5. 6 (A)}
NOllce hns now been given 10. all persons cntlllcd thet'clo under Rule 5,6(n) except: None.
TEETER, TEETER & TEETER
It'I '5 C'E
~.I!l \"i
.- n
(U [t.. tI. " t
JY:'t Q
:1, ()
C"~.O dO
-j- '-.' ... .I
5' ,
; j n'} ~ 'I
t.J -v~ .~~
~~ ~
2.' ,
" /7 /
'// '/ ,~'
HY:i;/t&wl:,>/:f./ ~~
. Robcrl G. TeeleI',
Coullsel fol' PersQnal Represellfatlve
108 West Middle Slreel
Gettysburg, PA 17325
(717) 334-2195
1)lIled: Mny 8, 1998
I ~
/6-<>U6'- 1/
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
aO~~ONWI~LTlt or PINNIY~V. ~N'~
OIP~Nl~INT OP NIVINUI
aIPMIlItO!
Il~RRllnUNa, P~ mIR,lItOt
I
(laC, a,' nl( I, IR8.ANUMiOOln'NlIlAll
8HAPPI!IR,lma Ro
OClO'~l SnCURltYNUMOIR
"An or 111 Ull
OAte Of PHAlli
1110\17004.0'
01/30117
07/n/1t
il' APP~IOAIIUI'~"VlVlml'POO'''' HAMil IlA", fI"" AAD 1.lI(lOl.I INITlAll
I;' 8upplemenlol Rllurn
o ~a, Fulura Inl8rell CamprOml18
(for d81el of dealh nller 12,lHI)
o 7. cecodenl M;lnlalnod a ",vlng Truol
(AIIoch co of Truol)
OR aATU Of alAlIt APteR tV'IIOI alllaK IlSRI
f ~ 'POU'~l
OV.RIY CRlalT II C~A'~BO CI
21087,ue
OU TV OODS VBA
NUMBSR
pornt P.rk Hullh O'Dt,r
700 W.IDUt Bottom Ro.d
0.,11.1" FA 1701$ ,
c~'"" OUMBBRLAND
AMOUN1 RSCn'VOn 18an 'N811'U01,ONO)
3, Rom.lndor Rltu'n
..i!l!r dllGl of doelh prior 10 11.U.82)
W 8. Fodoral altolo TaK
Rolurn Requl,ed ,
_ 8, Tolll Numbor 0181fa Depooll 80KOI
AllINO ADDReBS
TeBTER, TeETBR & TeBTBR
1.08 Weat Middle Slr..t
Getty,burg, PA 17328
1, Rill s.t.,. (Ioh.dul. AI (1) NONE
a. lIo.k. .ad aond.ll.h.dul. e, III NONE
3. OlolllyH.ld Slo."'P.rtn....hlp Inl.r..t (S.h.dUI. 01 (II NONE
"
~. Mortg.gll .nd Nol.. R...lv.bl. (S.h.dU" 0) I~) NONE
e, OMllIJMn~ i,'PO.II. & MI.o;lI.n.o~. P;rBon.1 Prop.rty (II 9a,888,~8
8, ~olnlly Own'd Prop.rty (8.hldltl. P) (8) 118.4a
7, Tr.n.,.... (Soh.dul. 0' (Sohldule L) 111 NONE
8, TOI.I Oroll An." (lol.llIn.. 107)
e, &~p'~~.',\%\'1,\~~'IlJ'lnl'lr'lIVe 00.1., MI...II.n.ou. (9) 140990,88
10, D.ble, Mortolo' LI.bllllll, LI.nl (S.h.dule,) 1101 101.18
11, ToI<I1 P.du.llone (IOllllln.. e & 10)
1~. N;I V,IU, of allll. IIInl s mhluellne 11)
13, Oherlllble Ind Oovernm'nl.1 a.que'" (8oh.dUII J)
1~, N.t V,lu. 8ubJeo\ 10 TIM (IIn, 11 mlnu.llne13)
I
lB. 1~.~,I~k~'~~Zft~~rl~'+lRPHl~R4"~R~~Y'~~ 11S1
1S, ~m?.IIl'~ e"~\ l'0W-KI~/t.ft~t:-\(t\l'8.hldule M,) (1B)
17, ~m?.IIl'~ ~"~WoIt.Klk/t.ft~ll~ WI.h~dule M,) (17)
18. PrlOOlpl1 tal du. (Add "K Irom IInn1B, 18 .nd 17,)
11. or.dll~ Bpoll"1 POV.rty oredlt. Prlarl~lrdll,n,: P!Nf.NSI , Inl..,,1
aID" "lilt]
1. ""n, 181.. grllllr th.n lIael8, .nle, Ihe dlll...n.1 on IIn. ai, Thl.I.lh. TAX OUII,
A. Snl..lh.lnllrnl on Ih. bl'_n.' due on line alA,
B, Bnler Ih. totll of IIn. a1' .nd I1A on IIn. 21B. Thlelelh' aALAN08 PUS,
i~
('",
~ ,if~
(9) ;: 92,701\~~;;
cb c
.\
;'.!
~\.
':)(11)
\1
)? f~ 111)
(13)
(1~)
[:318,OGf;f3'
f.J 77,81:f.?toA
-.j
38,748038
38,884,78
00000
)C '.......... 0.00
K ,OB . 0.00
K ,18 . 8,829.72
.
(18) 8,829,72
(18) 4,~OO,OO
120) 0,00
(a1l 1,329.72
(alA) 0.00
121P) 1,329.72
00,00
38,884,78
In comp et..
.,
"
OOJo\Jo\ONWI~~ TII 0' PINN'VW~NI~
INHIPIT~NOU~~ pnUPN
'PIIIOINT OIOIOINT
ITeM
NUMSBR
1,
J,
3,
,I' ~,
a,
8,
IMA .R, 8HAPpeR
SOHeDULe E
OASH, SANK DEPOSITS
AND
MISCELLANEOUS
,.PER8C:>NAL PRC:>PBRTY
ue
De8CRIPTION
Adtme County Nttlontl aankl gUlrdlanehlp looount
U,S, Tre..uryl loerued dividend to dt,e dt detlh ,
,Pre'~Vltrltn Hom..,lno.1 rlt~nd ot nurelng home ..pen..
U,S, Tr..IUryl1Ge7lnoome tt~ rttund
PA BIUt 8hleldl medloel ~en.ml
Two Olkltwn Memorlel Otrdenl Oemetery ~url.llote
Plo..a Print or TVpo
TOTAL leo enter on line 8 ReOI Ilullllon
,(MIIOh IddlllonIl81/J" 111" ehlt" " more eptoel, ne,ded.)
R
VALue AT
DATB 01' DBATH
88,8a~,ae
381,08
1,384080
1,8~~,00
~~,JO
worthl..e
a 888,48
OOMMoNWa~~ 11\ Of paNNIY~vANIA
INI18nlMN081AK nnUnN
nUl08Nl0aOaOSNl
SCHeDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MiSCeLLANEOUS 'eXPEN$1!8
Pl.... "rlnt or T I
IMA R, SHAPPIR
21 ,87 . 838
ITIM
NUMBBR
A,
DSSORIPTION
AMOUNT
1,
punlr.IBKpanll,1
Dug.n Punlr.1 Hom.,lno.1 IUl1lraleKpenu
4,177,50
B. Admlnll\ratlve Qo""
1, P.rlonal R.pr..ent.tlve,Oommlulonl
B,I',N, 01 PI,.on.1 Rlpreunlitlvel 2300581350 4,188,00
Yur OommlUlonl p'ldl 1888
2, , Attorney Feu. Teot,r, Tllter II Tllter 4,780,00
. "
POlt.g. relmbu,.emlnl 51,78
Notlry llIrelmburtlmenl 3,00
3, P.mily BKlmptlon
Olllmanll R'latlonalllpl
Addreu 01 Olalmant II d.oedlnt'l duth
strllt Addrou,1
OltYI Stat" Zlpl
,
"
4, prob.te Fell 517,00
0, MI,olilaneoul BKpenlll1
1, Oumblrland Lew JoUrnllllegl1 Idvlrtlllng 50,00
2. Tho P,trlot N.welllgal edvertlllng 155,04
.. 3, M'ro~endlllrl Idv.rtlllng oemltery Ipaool lot IIle 2,00
4, Thl <llllYlburg Tim.., Idvertlllng Oemltery IpaOIl lor "Ie 2U3
5, Notary III an two aoaollntl and two Itatlmlnts of "ropoleddlltrlbUtlOI1 8,00
"
1488o.aa
(II marl '"lcIII nlldld; Inurt Iddltlonallhutl of uml Ilu.)
L^W OI'fICU5
Tlltl'l'lll\, Tll"IlTIII\ ~ TIIIlTIlI\
loa WI'S I'MIIHHI 51 HII I
OllIVSIIlIHll, I'IN,NSV'VAN'A 11315,2104
DANltI a, HIHH 1'''10\99111
RdPIHl'O, TIt,IlH'
5M,IUII a, T1.llIH
"
TIIII'II0NI
(711)334'~ 195
, fAX
(7171334,~913
June 4, 1998
,.
Donna Otto
Office of the Register of Wllh
Cumperland County Courthollse
1 Courthollse Square ,
Carlisle, pA 17013-3387
PlIe No, 4965
Rill Estate of 1m a R,Shaffer,docoasod
Dear Donnal
I enclose thlllnventory and InhorltanC,e tax return in the'abovcocaptioned estllte for flling together
with a check In the sum of $25,00. I also enclose a check for the Pennsylvanll\ Inhel'itance tl\1<oS
[nthe sum of $1,332,69, PleaserelUl'n the money receip~ in the enclospd cl1vclope. Thlll1k you,
Very trlllyyouJ'S,
T ..........E. ....~.....T. .'.,.'. ,T. .EETE.R. &:.TEE.'V'.E.' R
,.' '...~--'-
ptdd?#~
Robert G. Teeter '
,I
ROT/law
encls.
i~ .~ (~,W
(r' - ; !J1, (i
\ ~: (,1 (\,
,-, f;>
I:' I 1";
co
I
~~l r.3 . .~~ I
, ,.j
(, 'I.-:
~ .; (-.j VI Q,
;:1 ~
IS ~,:).I 5 - II
BUREAU OF INDivIDUAL TAMEB
INHfAIT~HCE T~X OIYIBI~
DePT. 210601
I~AAIBIURO. p~ 11121-0601
OOHHONWIALTH OF PINNSYLVANIA
DIPARTMINT OF RIVINUI
Q....
*'
NOTICE OF INHERITANCE TAX
AFFRAIBENENT, ALLOWANCE DR DIBALLOWANCE
OF DEDUCTIONS AND ASSESBHENT OF TAM
.IN'"'' u~ u,.",
ROBERT B TEllTER
TEETER TEETllR AND TEETE
108 W MIDDLE ST
GETTYsaURll PA 17325
DATI
ISTATI OF
DATI 01' DIATH
FILl NUHIIR
OOUNTY
AON
08-17-1998,
SHAFFllR
OB-llO'1991
21 97 - 0959
CUMBERLAND
101
A.e>un. R...H.~d
IMA
R
HAKI CHIOK PAYAILI AND RIHIT PAYMINT Tal
REBISTllR OF WILLS
CUMBllRLAND CO COURT HOUSE
,CARLISLll, PA 17015
OUT ALONG THIS LINI ~ RITAlN LOIIIR PORTION FOR YOUR RIOORDI ....
~W:II\"'i'lf';,~"'rn':m"I1&'ftDi""cS'.INHi~lUN'cSI.YAil'A'IS~~AliiWA'~..;,t1."oQAW..oll'.................
D!BAL~OWANOI OF DIDUOTIONB AND ABBIS8HBNT OF TA~-
IBTATI OF SHAFFER IMA R FILl NO. 21 97-0959 AON 101 DATI 08'17-1998
TAM RITURN WAS I (X) ACCIPTED AB FILID () CHANGID
~1.IRYAl'ION OO~qIIlNING PUTURI ~NT~RIST . III RIVII~81
APPRAI8ID VALUI OF RITURN IAIBD ONI ORIIHNAL RllfURN
1, R..l I.t.t. ISe>h.dul. A) ,
a, Itook. and Be>"d. (Se>n-dul. I)
a, Cle>..ly H.ld Ste>e>k/F.~.".~.htp I"t.~..t ISDh.dul. CJ
~, HD~ta.ge'/NDt.. R'D.tv.bl. (Soh.dul. D)
,. C..h/B'"k D.pe>.tt./Ht.e>. P'~.o".l F~e>p.~ty (SDh.dul. E)
6. Jot"tly Ow".d F~op.~.y ISoh.dul. F)
7. .T~"'.f.~. (,,,,,.dul. ol
S. To..l A.....
(1)
(21
(I)
(~)
ISl
(6)_
17)
.00
NOTE I Te> S".u~. P~op'~
o~.dlt to yoij~ ae>Dount,
.ub.tt the uPp.~ po~tlD"
e>f .ht. fe>~. wtth you~
t.. P.y.~t,
.00
.00
;'OQ
92.&88.45
116.42
.00
APPROVID DIDUOTIONS AND IXIMPTIONSt
9, Funa~.l 2.p'""'/A~. Co.t./HS.., E.p."... (Soh.dul. H) 191
10, DlIb"/No~tll'II' Ltabl1tU../L't.". (SOhlldul. II (101 101,18
11. Te>tal D.duo.le>". (Ill
12, N.t V.lu. e>f T'M R.tU~n 112)
18. Ch.~ttabl./Ooy.~IlII."t.l a.qu....' NO"-1I1'Dt.d 911S T~u.ta CSDh.dul. J) UI)
l~, N.t V.lUII of ht.t. SUb".Dt te> T.. U~) 58,864,7B
NOTlI If.n "". ,....IIl'nt w.. h'lI.d PI'.v:L(lU.ly, Un.. 14, liS '~d/~r 16; 17 .nd II W:L11
'r'fl.a:\! f:l,lIlIr.. that :Lnol11d. th. total of AJ.J. r''l:llrn. .......d to d.t..
ABSIISMINT OF TAXI
U, A.e>Ullt.af Lllllll~ .t Ipe>u..l ~.t. UI) ,00 H' 00. .00
16, AaC>Ul\t of Ll". l~,...lIbl. .t Lt"..l/Cl... A ~.t. ll61 .00 M' 06. ,00
17. Aaolmt of Lill. 1~ t...bl. at Ce>l1...~.l/Cla.. B ~... (171 5B,86q,78 H'lS. &,829.72
IS, P~l"Dlp.1. T.. Qu. , llSI & ,1129.72
TAX ORIDnl1 '
PAYHENT RaCEIPT
DATE NUHBaR
(8)
92,70Q.B7
1Q,990.5S
'R.nQ17~
17,615,14
311,7Q8.56
DISCOUNT (+)
INtlREST/FIN P,\fD (.)
AHOUHT PAID
06-0B-1991
AA2701B9
,
2.96-
'TOTAL TAX ORIDn
BALANOI OF TAX DUI
INTIRIST AND PIN.
TOTAL DUI
5,829.75
.01CR
.00
.01CR
· IF PAID AFTeR DATa INDICATED, sea REVERse
FOR CALCULATION OF ADDITIONAL INTfiREaT,
I IF TOTAL DUE IS LESS THAN .1, NO PAVHENT 18 ReQUIRED.
fF TOTAL Due %$ REFLECTED AS A "CREDrt" (CRl, VOU NAV BE DUE
A REFUND, SEe ReVERSE aIDE OF THIS FORN FOR INSTRUCTIONS, I
lJ"\ t'J..t
.Q i'l ~~
;'!1, CI
, ~';':
00
.-
" \~ "
f;~ ,~L' ~~
~"1} ffl
'. n::
Rlhll'/ATlllHl Utol.. .1 dtoldtll'- dVlntl on 0'. !HoIQU P........, II, I'" .. "..,VIUIU'.. Int.,..1 In t... "101..1' I,..,.""..,
, In po.....lon ." ",JDv_t to,OI'" I looll.t.'ol) """1101.,1'..1 Ih. lIto_t ,111.. tM ..pl,.1 on 01 ..,w ..t.to 10'
tU. D'"fo, iI..", tM O_'IIh ...,.~w ."",...IV .....y.. Ihl ,Iflhl to ""prol" ~ ...... tron.I..Inh4l,lt"",o To."
.1 Iho 1,",IUl 01... I (D.U.t...ll .oto on ,,"V 'UGh'IUluro Inlo'..!, . " ,"
"-III'
HOTloa, 'T. fulfill I'" ,.....1._10 .1 "oUon lUO .1 lho InhI,II.... ~ hl.l. T.. ADt, ADt II 01 1991, 17'P,I,
lOolhlri 9l40h ' . .'
, PAVttlHTI
Oolo;ft IhOIop po.tlon 01 Ihl. H.llol ~ .ublII .IIh w~r p.woonl I. IhO P.ol.t.. .1 Hili. p,lnl'" on Iho ..y.... .Ido,
--HoIl. oMok d' .....w o,llI. pow.1I I., RIIOX8TBR OP MXL1.8, AOBHT " .
~D ICll/l A ..fUnd 01 . I.. .....It,Whloh ,W" nol ro......lod on 1M T.. P.tu.n,..~ b. ,.......Iod .hW.....I.tt.. 01\ ~Af>lIIl..tlon
, I.. N.I~ .1 p~.Wlyonl. 1nh4l.lt.... ond E.I.to T.." IPEY'ISII), Appll..tlon. ... .v.ll.bl. .1 Ih' DIIt..
.1 lhO ROII'I.' .1 HII1./ onw 01 lho 'IR.v.nu. PI.t.lol 0111.... ..'bV ..Illnl lho .pool.1 '4-nou,'
ontWt,lnu ..,vlo. ~.,. I., I.r.. ..do,lno' In P.nn,wIY..,I. 1-.00-16.-.010, .ul.ld. Ponn'Vly..,I.~'
.IIMh 1."1 H.rrlOllUro .ro. 1717) 767-0094, TPP' (7171 77,,"",(lI...lno l.p.I..d Onhlo "
OI,lllOTlllHll AnV i>..Iv In 'Inl....I nOt ..U.fI.d .IIh Ih. .PP..I.....nl, .uo...,.. D' dl"U..ono. .1 dodu.Ilon.' d' .......ont
.1 I.. (Inoludlno dl.o.~I ., Inl.,..I,.. .no.n on thl. H.tl.. ou.I .bJool .IIhln .1.Iw (60) IlIV' 01 ,oo.lpl 01
IHIo HoUo. bWI ' , , . ,
-...111011 p.ol..I I. 1M PA Dop.rl..nt 01 P.Y.nuo. '..r,d .1 App..l., P.pl, .SIO.l. H."I.bU... PA 171..-10.1. OR
...I..Uon I. h.y. 1M ..U.. d.I...ln.d .1 Midlt .1 tho .......1 .1 1M po""",,1 rop,..."I.Uy., OR"
'-""P..I I. 1M OrPhon.' O~.t,
AlIHlH
lITPATlYl. .
O~eTIOHt, faotllll ",0,. dl.ooY"od On thl. ........nt'.nould bo Odd,"'od In .,IIlng 101, PA Dop..Ioonl 01 P.y~1
Iu._ 01 IlIdlyldlJll T'.',', ATTN' pO.I A........nl R.yl..'1lI111iDopt. 18;601, H...II~u.g, PA ',17I1I-D6el
PhDno (717) 717-6101. 1... POO' 1 .1 tho bookl'I "In.I'UGtl.n.I.. 1nh4l.ltono. T.. R.IU.n f.. . R..ldont
~t" (RlV-laOl) far an 'Mplln.t.~n 0' ~lnt.tr.tlv~'~ oar~,atabl. error'i
If thy I.. ~ I. p~ld .Ilhln Ih... (I) ..Ilndar ..nlho .11.. lho d'.adonl'. do.lh, . Ilv. p.,oonl (SX) dl.oount 01
lho I.. P'I~ h .U....." ' .,
Tho laX,t.. .....twnon.p.rllolp.Ii~PIh.IIV I. Oooputld on tho tot.lol tho t.. <rid Int.,..I ......Id, ond not
pOld ilIIo,' JOI1\II,V II, 1994. lho fir" illY lill,. tM '1Id .1 tho 10. _ltw ~..IOd!Thh non-portlol..tl""
panolty h lflt>iI.lIibl. In I'" .... 'OhIWI' ~ In Iho tho .~ \I" p..lod .. w.u ..~Id lflt>iI.l,Iho I.. ond Intm.t
th.t hot bHn ......1eI .. Indlo.tld on thh noUOII ' , ,
PIIIC\lUHTl
PINAL TV,
IH~PTI
In,.r..t h one'god boOlmlntl ~lth fin, d.V of dollnquoMw, .. nl". (9) .onth. ~ .... Ul dow f.oo Iho dOl. 01
dtlIIh. 10 tM d.t..I'P.y.ont, To... whloh.m_ doUnqUont bol.,,'JOIlIllrv I, 19U.b..r Int....t.1 1M r.I.,.'
.1.16X) po,oM.t Pi' onnuo o.I.UI.tld .t. d.I1V r.t'.1 ,000164. All t.... ""I.h.b..... dolln~t.n ond 'It..
J'hUorw I" l.a. .111 bo.. Int.,..t .t . ..1. ""I.h .111 Y"W I... ;.I.IId.. W'" t. ..Iondo' Vol. "IIh thol..t.
onnounold bV tho PA '...rl..nt of P'v'nul, Tho oppllo.bl. Inl....t "1'. f., 1'1' th,.ugh 1995 .,.,
; lut tnter..t R.t. D.Hv Int.r.n'~tDr xur Jntir.tt 8A1I D.11" Intere.t 'aator
1'" lOX ,uoa,s 19S7 'X .000'47
1m 16X ,000'11 19tH"1 m .ooosll
19" l1X ,ObOlOl 199. 9X ,oomt
1.11 m ,000116 ' 19"-1994 7X ,00019'
1911 lOX .00017' 1991-1..I.X ' ;0001.7
.'lnt','.I I. o~loul.tOd .. '0110."
XHTlRBBT . 'A~AHC8 OP TAK.U",AXD K NUN_BRDF DAYS DBlIHqUBNT K DAl~Y I"T88118T FACTOR
-.1.tIv IIoU.. I....... .fter 1M t.. boo.... IItUnquonl .Ill nll.ot 1IIl: Int....1 ..loulotl.n t. flItoon nil d.lt.
bovQnd t... d.l. 01 1M ......oont, If P.voonl II ..do .ft.. tho lnt....t '....ut.tlon dot. ohownon t",' Hollo., .dcUllbh.l Int....1 Iou.t bo ..I....l.l.d, ,"
12/05/95 Teoter, Teoter /3{. Teeterl counsel fees for. rual estatos.lle 320,00
12/05/95 Lori A, Whlttlngtolll notary fee 01) de(.d 2,00
12/05/95 Betty H, Pitzer, Agent; 1% re.llty tfl\tlsfel' t.IX " 810,00
12/07/95 Presbyterian Homes, Inc.; December nursing home expense 3,651,00
12/08/95 Cllrl,le /3{. Hecht Oral /3{. Maxillof.lclalSurgeons, P.C, 100,00
12/13/95 Adams COllnty NatloOllI Bank; gllardh,nshlp fees 1,166,95
12/15/95 Jeff Stambaugh; refrigeratol' remov'll 30,00
12/20/95 Sharon A, Reaml reimburse~nent for boots and Cllt food 44.09
12/26/95 Met.Edlelectdc account 27,63
01/10/96 Presbyt'erian Homes, InCol January nursing home expense 3,843,50
"
01/31/96 Sharon A. Reaml reimbursement for Cllt food .md miscellane.ous 52,11
02/06/96 Presbyterian Homes, Inc.; Febl'lhll'y nlll'slng home expep$e 3,656,25
02/19/96 Sharon A, Ream; reimbursement for cat vcterinal'hm bill 29,00
03/01/96 Sharon A, Ream; reimbursement for,cat food 19,60
03/08/96 Presbyterian Homos, Inc.; March nursing home expense 3,844,00
03/12/96 Adams County National Bank; gll\lrdlan~hlp fees 1,260,33
04/04/96 presbyterian Homes, Inc,1 AprU nursing home, expense 3,710,00
05/09/96 Sharon A, Ream; reimbursement for cat food' 39,20
05/13196 Emerald Drugl unrel1nbursedmedlcal expense 24,02
()5/16/96 Presbyterian Homes,lnc,l May nursing home expense 3,899,00
05/20/96 Emendd Drugl ul1feimbllrsed medical expense 34.27
05/29/96 Paul J, Creeden, D,P,MoI medical services 36,00
06/06/96 Sharon A, 'Reamj reimburse'ment for cat food 19,60
I' 06/10/96 Presbyterhltl Homes, Inc,l.lune nursing home expense " 3,718,00
06/14196 Adams COlll1tyNation.ll Blmkl gll\II'dhlt1Ship fees 771.99
06/21/96 Peggy.l, Bl'eighner, Clerk; certified ~opy of gUI\rdianshlp' 6,00
06/26/96 Paul.l, Creeden, D,P,M,lmedkal services 18,00
J
07109/96 Presbyterh\n Homes, \nc.; July nursing home expense 3,833,00
07/19/96 Sharon A, Reaml reimbursement for, shoes and cat food 34,59
1'.8; (, of ACCOl\Il\
, 08/12/96
,08/16/96
08/28/96
09/13/96
09/20/96
09/24/96
09/24/96
10/03/96
10/03/96
10/03/96
. 10/04/96
10/09/96
10/14/96
10/:211'96
11/01/96
11/01/96
11/01/96
11/12/96
11/22/96
11/27/96
12/09/96
,!
12/09/96
,
12/09/96
12/10/96
12/19/96
12/23/96
01/06/97
01/06/97
01/0.6/97
, Presbyterian Homes, Inc,1 A\lgust nursing home expense
Emerpld Drugl unrelmbursed mediCal expense
Sharon A, Reaml reimbursement for cat food
presbyterian Homes, lnc", September nursing home expense
Emerald Drugl \tnrehnbursed medical expense
Paul J, Creeden, D.P.M,I medlcalsel'vlces
Adams County NatlonalBankl guardianship fees
CSAI withholding of health Insurance premillm
P.!.T.I withholding on CSA annuity
"
P,!'T'I..wlthholdingon CSF a,rtn\lity
Teeter, Teeter &; Teeterl counsel fees
Sharon A,Reaml reimbursement for'c1othing and Cilt food
Presbyterian Homes, lnco! October nursing home expense
Emerald Drugl.unrelmbursed medicl,1 expense
CSAI wit!1holdlng of health insurance premium
p.!.T.1 withholding on CSA annuity
P.!.T'I,withholding on CSF anmtlty
3,876.50
24,12
19.60
3;734.00
18.45
18.00
692.96
46,50
32.00
207.00
140.00
190.56
3,833.00
31.81
46.50
32.00
297,00
3,720,00
19.60
18.77
46.50
32,00
207,00
754.84
3,833.00
18;77
46.50
.210,00
33,00
presbyterian Homes, Inc,; Novembernursipg home expense
Shar.on Reaml reimbursement for cat food
Emerl\ld Druglunreimbursed medical expense
CSAI withholding of, health insurnnce premi\lm
F.I:r,l withholding onCSA annuity
P.tT.1 withholding ort CSF annuity
Adams County National Bankl gllardianship fees
Presbyterian Bomes, Inc., December nursirtg hpme expense
E.tnerald Drugl un reimbursed medical expense
, '
CSAI withholding of he.alth lnsurap,ce prelrilum
fl.t.T.l withl1oldirt& on CSF artnuity
fl.LT.l withholding on CSA annuity
" ,.,
" l';lg~ 7 of AccolII\\
01/07197
01/13/97
01/15/97
02/03/97
02103/97
02/03/97
021 14M
02/18/97
02/21/97
03/03/97
03/03/97
03/03/97
03/11/97
03/12/97
03/21/97
03/26/97
04/03/97
04/03/97
04/03/97
04/16/97
04/21/97
05/02/97
05/02/97
05/02/97
05/12/97
OS/21/97
06/03/97
06/03/97
06/03/97
p,\\ll j, Creedel1, P.P.M'lmedlcn\ services
Presbyterlnn Homes, Inc,l jnlllHII'y nursing home expense
Shnron A, Re.lml reimbllrsement for cnt vetertn"rlnn bill
eSAI withholding of henllh inS\lr,IIlCe premium
P,!.1'.; withholding on eSA ,mnulty
F,!.T,; withholding on eSF "nnulty
presbyterl"n Homes, InC.1 Februnry n\\fslng home expense
Emernld Pruglunrclmbursed medlcnl expense
Emer"ld Pruglunrelmbursed me~lcn\ expense
eSAI withholding of henlth insllmnce premium
F.!.T,; withholdl~gon esp .lIlnulty
F,!.ToI withholding on eSA "nnulty
Presbyterln" Homes, InCo! Mnrch nursing home expense
Adnms COllnty Nndonnl Banlq gunrdh\l1shlp fees
Emer"ld Pruglunrelmb\\fsed medlcnl expense
,
Pnul j, Creeden, P,P,M.lll1edlcnl services
CSAI withholding of henlth InsUfl\nce prell1l\11l1
F,I,1',; wIthholding on CSA nnnulty
P,I,T,1 withholding on eSF nnnulty
Presbyt,~rinn Homes,lnc,; April IHlI'Sing home expense '
, EmcrnldDruglunrelmb\\fsed medicnl expense
eSAI withholding of henhh insurnnce premium
F,!.1',1 withholding on CSA.nnnuity
F,l,T.; withholding on eSF "nnulty
Presbyterl,," Homes, Inc,l MOlY nursing home expense
Emer.Ild Pntglunl'eill1b\lrsed medlc.II expense
CSAI withholding of henlth Insur.\I1ce premiunl
p,!.T,; withholding on C$A nnnulty
F,!.T,; withholding on CSF .\tlllulty
18,00 '
4.146,00
'101.00
44.94
33,00
210.00
3,976,00
21.82
43,32
44.94
210.00
33,00
4,633.75
781.25
10,18
18.00
44,94
33,00
210.00
4.662,75
27.97
44.94
33000
210,00
4,140.75
22.35
44,94
33,00
210,00
I'~". 8 of Acco\lOI
,
08/03/95 V.,S, Tre~sllrYI dividend .52
.08/03/95 " U,S, Tre~surYI dlvidond 219,19
08/03/95 U,S, 'I'reilsurYI Sochlt Secudty 226,00
09/01195 U,S, TreilsurYI SOCI~t Security 226,00
, ".
09/07/95 U,S, Trel\surYI dividend 1.95
09/07/95 U,S, TreMllrYI dividend 187.85
09/26/95 Members 1st Fedel'~l Credit Unionl dividond 9.10
09/26/95 Members 1st Fedel'~\ Cl'edit Unionl dividend 9.43
09/26/95 U.S, Tre~surYI CSf ~nnuliy 1,120,00
09/26/95 U ,So TreasurYI Soci~l Sec\lrity 226,00
09/26/95 Members 1st Fedml Credit Unionl dividend 2,14
10/03/95 U,S, 'I're~s\tfYldivldend 2,54
10/03/95 V ,S, Tre~SllfYI dividend 158.06
10/03/95 U ,S, Tre~S\tfYI Soci~l Security' 226,00
jl 11/02/95 U,S, 1're~stlrYI dividend 3.10,
11/02/95 U ,S, Trc~Stlry; dividend 152.92 i'
11/06/95 U .5, Tre~surYI Soci~\ Security 226,00
12/01/95 U ,5, 'I're~surYI Soci~\ Seclirity 226,00
12/04/95 U.S, Tre~surYI dividend 2.78
12/04/95 U,S, TreasurYI dividend 158,55
12/12/95 Metnbcr~ 1st Feder'Il Credit Unionl dividend 9.46
12/12/95 Members 1st Fedcr,II Cl'edlt Unionl diVidend 9,18
12/12195 Mel\1bers 1st Feder~t Credit Unionl dividend 9.23
12/12/95 Members 1st Feder~\ Credit Union; dividcnd 9.51
12/12/95 U.S, 'l'rensurYI'CSF 'Innuity 4,480,00
12/12/95 Members 1st pedenl\ Credit Vnlonl dividend 4,19
12/12/95 Members 1stFederrt\ Credit Unlonl dividend 10,33
12/12/95 Members 1st Federllt Credit Union; dividend 13',93
12/12/95 Members 1st Feder~l Credit Union; dividend ,
16,85
01/03/96 U,S, TrertSury; dividend 2.73
01/03/96 U.S, Trensury; dividend 417.19
,
1'.~. 10 of A.coUlIl
05/02/97 U,S, 'rrellSlll'YI CSF Ilnnulty , 1,3%.00
05/02/97 V,S, Trellslll'YI CSA Ilnnlllly 883,00
OS/28/97 U,S, 'I'I'cIIsurYI1996lncol11.o hlK I'ofund 3,496,00
06/03/97, U,S, 'I'rclIsllrYI dlvidond 2,11
06/03/9'1 U,S, 'r1'CAS\lI'YI dlvidond 41(,,98
06/03/97 U,S, 'I'I'ellsul'YI Sodlll SecllI'ity 244,00
06/03/97 U,S, 'I'rqllslu'YI CSP 1\llnllllY 1,396,00
06/03/97 U,S,l'rcAsul'YI CSA IlnnuilY 883,00
06/20/97 Membcrs 1st Fed01'111 Credll Uniolll dividend 2,98
07/02/97 U,S, Trel\surYI dividcnd 7,74
07/02/97 U,S, TreAsuI'YI dlvidcnd 404,90
07/02/97 V,S, 'rrellslIrYI CSF l\I1nuity ., 1,396,00 '
07/02/97 V,S,TrellsurYI CSA Ilnnulty 883,00
07/03/97 U,S, TI'clIsurYI Soclnl Security 244,00
07/10/97 Membcrs 1st FcderAf Credit Unionl dividend \,49
08/04/97 U,S. TI'eAsul'YI dividend 10.98
08/04/97 U,S, Tl'eAsul'YI dividend 410,66
08/04/97 V,S, 'I'1'cnsurYlSocill\ Scclll'llY 244,00
08/04/97 U,S, Trc~sllrYI CSP annuity 1,396,00
08/04/97 U,S, TrcIIslIl'YI CSA IInnuity 883,00
08/11/97 U,S, 'rrcIIsllrYI dlvldond 37,19
09/11/97 U,S, Trei\SUrYI dividcnd 4,31
TOTAL INCOME RECEIPTS ' 65,395,98
1"'8.'14 of Accoun'
PRINCIPAL RECEIPTS
A,dam~ County National Bankl transfol' of guardianship account
(Cash $88,591.80, Members 1st Fe~eral Cre~itUnion f\CCount 1/9660,00
$108.65, Members 1st Fe~eral Cre~lt Union account 1/9660.05 $124,21)
U ,5. Tre,\SurYI accru~~ ~lvl~end to ~ate of.~enth
presbyterian Homes, Inc,l ref\lncl of nursing home expense
pA Blue Shieldl benefit payment
FEGLlI del1th benefit
U,S, Treasllrn Civil Service ~eath benefit
,. U,S, Tre~surYl1997 hlcome tl1X refund
2 Oakll1wn Memorial Gardens Cemetery buriallotsl unsalable
TOTAL PRINCIPAL RECEIPTS
PRINCIPAL DISBURSEMENTS
11/14/97
11/18/97
11/18/97
11/19/97
11/19/97
11121/97
12/05/97
12/08/97
12/12/97
12/30/97
0.1105/98
04/01/98
,04/03/98
,06/04/98
06/04/98
08/31/98
08/31/98
88,824,66
391,09
1,384,50
44~20
2,500,00
838.06
1,944,00
~
95,926,51
Betty I-I, Pitzer, Registert fee for swearing in I1dministt'ator
Cumberland County Register of WlIIsl probl1te fees
Dugan Funeml Home, InC,1 funeral expense
Symphony Mobilexl \I",'eimbursed medical expense
Presbyteril1n Homes, Inc,llate pl1yment charge ,
Cumberland County Register ()f Wills, AgentlP A inherit~nce taX
Cumberland Law Journal, legal advertising
Teeter, Teeter /3(. Teetert partial counsel fees
presbyterian Homes, lIw.llate payment c11111'ge
Pl1tient Acco\lnting Services, InColllnl'eimbursed me~ical expense
The Patriot Ncwsllegl11 adver~ising
Merchandiserl advertising cemetery spaces
The Gettysbur~ Timesl advertising cemetery spaces
Cumberland County Register of WlIIs, Agent! P A inheritance tl1X
Cumberland County Register of W\IIsl probilte fees
Teeter, Teeter /3(. Teeterl bl1lance of counsel fees
Adams County National Bankl executo!"s commission
4.00
250,00
4,577.50
29,30
13,84
4,275,00
60,00
1,323.78
13,84
44,20
156.04
2,00
23,23
1,332,69
25,00
3,531.00
4,796,00
l'OR; 3 . Account
08/31/98
08/31/98
08/31/?8
" 10/02/97
10/02/97
,
..' 1 1/04/97
11/04/97
12/02/97
12/02/97
12/02/97
12/02/97
12/22/97 '
W23/97
01105/9.8
01/05/98
01105/98
01/05/98
01/13/98
01/21/98
02/03/98
02103/98
03/03/98
03/03/98
04/02/98
04/02/98
'05/04/98
Lad A, Whlttlngtonll1otnry fees, ,.
O\Hllbednnd Coltni:yReglstor of Wlllsl.Rccdllllt filing fee
Reserve for income tRX returnpl'epRrntion, fldllclnry income tRX,
nnd mlscellnl1eous expenses '
'rOT AL PRINCIPAL DISBURSEMENTS
? 1 ,502,42
INCOME RECEIPT'S
U,S, 'frllRsurYI diVidend
U,S, 'freRsurYI dividend
tj,S. 'freRsllrYI dividend
U.S. TrensurYI dividend
U,S, Trens4rYl dividend
U,S, Tl'eRsurYldividend
U,S, TreRsurYI dividend
U:.S, TreRsurYI dividend
Members 1st FederRI Credit Uniolll dividend
Members 1st FederRICredit Unionl dividend
u .S, TreasllrYldividend
U;S, T~eRsurYldivldend
U,S, TreRsllrYJ dividend
V,S, 'freRsurYI dividend
FEGLI,i!1terest on deRth benefits
U,S, 'l'reRsurYI dividend
U.S, 'frensurYI divicJQnd
U,S, 'freRsurYI dividend
U:S, 'TreRsurYI dividend
U,S, TreRsurYldlvidend
U,S, TreRsurYI dividend
U,S, TreRsurYI dividend.
U,S, 'l'reRsurYI dividend
" J'
19,76
390,66
20,86
405,36
9,46
386.69
,03
3,05
,62
,89
,47
117.64
255.59
,93,
4,1.09
,35
2,61
374.64
4,27
340,58.
6.34
381.05
7,84
!'-'
PAR" 4 ' AC<OIIlIl
4,00
241.00
800.00;
.
1, IlIa R. Sbatter, p.....ntl.r ot Lal,illo... TCl1flIolI1p, MlIII. Oolutr. Penn.
ql.,alda, hor.br .we. &QII pIlbU.h rq La.t \l1:l:J. anll T..\.&II.nt, ...,o\d.nl 4n4 .ald.nl
nUll ani! .,0111 anr ot.ller \lill. or mUnl" in the natlU't thor.ot. b, .. at aIV' U...
h.1'<I toto... .ad.,
naJ.I AU rq ~1I.t obUpt1on. olIall b. p~1I II lOon II .., oon"lli.htl.r
bl 40nl affii'iij'lIlath, 1nolll4inl1ll t\lll.l'alrblU'1al, ",ol'1al, hOllp1t.al, ..di~
anll II1\I'lI1nl txp.nlll, "'II all t1'anltll' inl1'l'1tanol, ...tate anll oth.r lleath talt..,
all ot 1Ihioh olI~l bl p~1I tI'o1I the r..U\lt ot !fo1 ..tah,
, ItlllL1.' AU th. n.t ...Iilllll ",II \'I1Ilwcler ot rq ..tatl, ot w\ilt,e"r
natlln anll"'iliii'i.,11' l1t.ut',,1 hl...br ri", IIlrtll "'II blq\ltath \IIlto "1 hlllbanll,
J,,"I P, S1\ltter, pl'Ortllell th.t hI ie linns on thl thirtieth clq altel' thl clq
a!rq~ath. I ,
Xt..--.31 In thl ...nt that l\lf hll.band :r.u. to 10 eur'l"in lilt, 1. direot
~hat rq ~~Ihall'
, (a) SIll aM tl'aMtel' thl \Im1lld bllM.a1 IIp&o,, (it aIV', bllt pr...ntlr
applU'ins to bl tn l'e1Il&~nE at tel' thl Imriel ot lIf hUlband and1l1..~t)
in'Lot 71.B at Oak Lawn MlMOl'ial (Iardlnl aloP. thl Linooln llillhwA1 in
OlJIlbll'llM TOWIlIhip, Adal&1 Ool\lllt,. p'IUl'flnldal and
(b) poli.,.r baok to llutit1llton (loll..., ot lluntl.nston, Indiana. ant
boml ot th.t inlt.l.tlltion lIItioh 1 .a, bOlU at 111 duth, II a sitt thlreto
'I\Iioh "eqllaat 1 h'''''oT 1Il8k., '
, . I
It1.-4, II;r l\\llband tlil108 t,o "" ",~nvI -" 1 hi"'" sive, dlrtl.
and blquu'tli'\iMo III niter, hl'llioe o. Ile,u, pl'ondldthat Ihl il 11.rtns on the
th1rttlth da, attar th. clq ot rq death, 011 \;hl tollClllinl proplrtr. ,andlol' ~l
III isltl...lt th....isI. '
. '
(a) 1 Ii" ~od dirt I, ,\II\to hII' thl' Eaetal'llllld or Iidl ot M1
appl'oltlJlat.:!.T 7 .01'1 and B6 plroh t1'aot ot I'.n.-noe real ..t.h in
Util101'1 TollIUllip, J.dUI O~llnt" "Innm.,alda. 011 wllich Ih. pl'u.n~
11 Um, loll, 11.1' .abUI 1Iu.. tlllnon, beinl' thl k'tel'll Ind 01' lid.
ot all tbq.. Wl1 t~ote pl'l..ntl, own.d 'oT lIf hlllb"'d ",d rqllU '" 11..11
datell "pm ".1946.1, 1'<1002'11.111 in Ad... OOlllltlr IlIIII B.ook 172 atp... 1!61,
Wf .lill approjcl.aate~ 7 aol" and 06 p.roh t1'aot ot 1",11 ~ bl,dinlllll 10
that th. 1!ll. ot diTl.lio1l1a looatell approldA.te~ fi.,. (~) t..t Zlatar~
frOM thl h.ql tlnol at 01' 1\111' the pIIllUo I'oall alonl thl Intel'll nil. ot
Wf clrl'\'l'lfA1, wtIioh lUll ot din.ion ahall "" IPII\'OltI>>tll, pll'plndiolll.lI'
to T_bip I\oall T..609 anll appl'OldA.tI~JUa:u.l \liththl E8IM"" bollJlcIuT
ot It( 7 .01'1 ~ 86 peroh t1'.otJ tbl .1I~oin.:ra to ,tiel t.I'Iot ot 111I11
h.r'll1 d.rt..II11.illl .aU T.Cl1flI. 'hip Roall 011 the 1I0rtlnl..t, '. J.... \I, hi~h
on th. 1I0rtblatt, hank 8I'lt~ on thl lIouth...t (Dr l'Iar) and thl
1'1I111UI otWf ,raot ot lan4 on th. IIollthw..t.
(b) ~ b..t ,alltO)iobUI and !fo1 Lowel'T .iilotl'io or,an.
, '
I (0) J. I\I!i ot .0MT, not to 'lCo..d On. Thou,,,," Fiv, H\lIlcll'<lll (.l/~OO.OO)
lIoU.I'I, whioh, whln alllllll, tothl &lI\o\lllt 1I11~"'l'ed IlIlto hII' IlIld.1' . loUtI
".qullt ill tb. \lill ot ., .lid. hUI"anll, Ih~l .aqltal tbe "" ot. One ThOluanll
Fi." H\IIlcll'ld (.l,~OOIOOI PoUu, in the a'lll'llatl troll both thl. .."t. ot
Wf hltlballd. ...ei WfH1t" .
%__11 .w. thl I'I.t, 1't1l1d.1\I 1n\II'I1'Alindlr ot M1 ..tatl, no~ I>th.MI.
cI!*pollll o~. 1 .,1 J bUt islolllt\inl anr 1.P..../ 1 direct to b' .0111 and. oo.nrtad into
o&lh wtIiOh 1 h'1'<I~ Ii.,a anll b141l..th It, rullO""
EXHIBIT 1 ,:,). .. " " I,: ~. L J I~ t/
a& n. ~hllrrer h
'I
f:
\"~
'fol S~orrr LI LlIndol' . 11288 slll\ro pOI' Itom !I(II)
Cnsh ' ' ,
'r01 DlIvld Mr\ll's, 1/28R sh~reper ~(il)
ClIsh
'r01 Lorrie L,' HenneOllln . 1/96 Shlll'OP~I' Item 5(11)
ClIsh
TOI Vernon J, ReAm. 1/968hllro pOl' l1wn..5(II)
ClIsh '
'roIKennothRellnl. 1/96 shMe pOl' ltl1l11~(II)
ClIsh ,
'r01 ROI1l11d .Rollm . 1/96 shllre pOl' Item &(11)
ClIsh "
1'01 Wendell R, ROllm. 1/96 shllre per l1wn..5(n)
Cnsh
TOI Sharon Rellm . 1196 shnre per Ite.~11 5(11)
Cllsh
'r(11 MlItthew Shaffer. 1/8Q ,shllre pe~ Iwn.5.(n)
Cllsh
'r01 Chnrlos Shllffer .1/80shllre per Item 5(11)
Cllsh . ,
Tal Shorl~hllf{or ~ 1180 shllre per Item !I(II)
Cllsh
TOI , Emmn A. FlIlIor.' 1/80 shdl'e per ltllnU(lI) ,
Cllsh
TOI MnrgnrotKlmmel . 1/80 shllre per ltiun.S(II)
Cllsh
TOl Arlene. Knight. 1/16 slli\rllper Item !I(II)
Cnsh
TOI 1,0ls KUykendllll . 1/16 shllre per Iteq, 5(11)
Cllsh
TOl " 1\uthS, Lnndls . 1/16 shllre pOl' Jtem .'1(11)
Cllsh '
TOI Esther ,S., Hoopert . 1116 shllreperltlllu..i(II)
Cash ..
To'l Idllvllie United Brethren In Christ Church .1/4 shnre pefltem1i(b)(I)
ClI,sh
TOI "Women's MlS$lonlll'y Assoclntlollofthe
U~ltlld Brethren In Christ Chu.rch . 1/8 shll~e per Item ~(h)(2)
Cash
TOI Pnrent BOllrd of Mls$lons of the
United Brethrel1ln, Christ Church. 1/8 shitro per Item 5 (b) (3)
Cash ,
"
TOTAL DISTRIBUTIONS
BALANCE FOR DISTRIBUTION
BALANCE REMAINING
1"8; 4 or S,a\;llI,n\ nll'rnl'o..d Plsirlhlllloll
;,.....,.'"
272,59
272,59
817.76
817.76
817.76
817.76
817,76
817,76
981,32
981.32
981:32
981.32
981.32
4,906.58
4,906.58
4,906,1I8
4,906.58
19,626,33
,.
9,81PS
9,813,18
$ 78,505,33
" 7S,!l0&.3~
0.00
THE PATRIOT NEWS
,THE SUNDAY PATRIOT NEWS
prootot Publication
Un~.r Aot No, 587, ApprQv.~ ,May 16, 1029
Oommonw.alth of P.nn.ylvanla, OounlV of Dauphin) ..
Fr.nkJ. Spl,r be\ng duty Iworn accordinG to low, doposes and saYII
That he II Ihe Oontroller 01 THE PATRIOT.NEWS 00" a oorporatlon organlloJd and exlltlng under Ihe law. 01 this
Oommonwealth 01 Penn.ylvanla, wllh Its prlnolpal olfloe and plaoe of buslnaes at 612 to 616 Mar~.1 alr..I, In the
City of Harrllburg, Oounty 01 Dauphin, Stat. 01 Pennsylvania, owner and pUblisher 01 THE PATRIOT.NEwa and THE
SUNDAY PATRIOT.NEWS n.w.papere of general olroulatlon, printed and pUblished at 612 to 616 Markel atr..t, In
the Olty, Oounty and atste aloresaldl thllt THE PATRIOT.NEWS and THE SUNDAY PATRIOT.NEWS were eetablllhed
Maroh 4th, 1B~4, and September 16th, 1949, reepeotlvely, and all hava beon oontlnuously published ever Ilnoel
That the printed notloe or pUblloatlon whloh Is soourely attaohed herolo Is exaotly as printed and publllhod In
their regular dally and/or aunday and Metro editions/Issues whloh appeared on Ihe 10lh, 17th and 24th daY(I) 01
Deoember 1997, Thai neither he nor laid Oompany.ls Interested In the .oubleot matter of said prlnled notloe or
advertising, and thaI all of Ihe allegatlonl 01 this, .tatement as 10 Ihs time, plaoe and oharaoter of,publloatlon are
, Iruel and
" Thai he hf,ls personal knowlsdgo of tho faols aforosald and 10 duly aUlhorlled and empowered 10 verify thl.
alatemonl on behalf 01 The. Palrlot.News 00. f,lloresald by virtue and pursuanllo a reoolutlon unanimously passed and
adopted severally by Ihe etoo~holder. and board of dlreolora 01 Ihesald Company and subsequenlly duly reoorded In
the oltloe lor the Reoordlng of Deede In end for said Oounly of, .Dauphln.ln Mlsoellaneous Book "M",
Volume 14, Page 317,///" g''''...''
PUBLICATION 'C:,..;;:::~'~({~:":'e ~- .;~Z'" --:.------"'----~T------
COpy sw .' s i1elor:bllre tI s 241h da}.Qf ege!Jll:ler 1997 A,D.
'TOrryl,R~~Ogl,NOWYI'~ 1I0/,' /. ",>
HSII~~urQ, o\lphll\ oounlr.li~ /.~ A ./ (" -'I ,~
"" OQn\ml!Mn ,.p~08 JUl10 " . '/(", -, / '.
" a^,,~1jOf\ , N TAR PU \.10
My commlss/r;ln' explrell Juri, (I, 1998
TEETER, TEETER & TEETER
108 WEST MIDDLE STREET
GETTYSBURG, PA. 17328
~ ,'~ L j ,
- ;,
To THE PATRIOT.NEWS CO.. Dr,
For publlahlng Ihe nollos at publloallon attaohed hereto
on Ihsabove stated dales $
Proballng aame (1) Notary Fee(s) $
Tolal $
165,04
1,00
188,04
publ:Lahe:r.o' a Rede:Lpt for Advert:Ldng Oo.t
THE PATRIOT.NEWS CO" publisher of THE PA'1'RIOT.NEWS ond THE SUNDAY PATRIOT.NEWS, newspapers elf general
olroulallon, he (,by aoknowledge reoelpl 01 the IIfelresald nolloo and publloallon oosle and oertlfles that the Iiams have
bBen duly paid, THE PATRIOT-NEWS CO,
By" ""'''' It' .....1\11 Ill'. ....",. '" IIII.HIHI""'.... ,111.11111
EXH/BIT.J
! ""rc\byotlrtltvthllt wrlllun I1nl.lllU ollhnlllll1\l uf lhlu Still", '
Propllood Distribution, ond 011110 d8lo. Ilmound pluc" 'I'
!>,,[fIU wllJ.ba prahol1tod 10 tile Courl for 'oonflrll1lHilHI iF
, I'WI day 10 flhl wrltlon ohlnntlons 10 s81l1 StQt"'1I01.t ,
,(I Dls\rlbutlQI1, hilS boon glyon to ovary UflPllhl IJlflllwl1
"d/!'y Qlhtll puruon known to tho OQomlrtlllrtl 10 1111'"
, IIn IntllroHlln tho astute ns orlldllor, bunuflohll'l. I.."
,J kin.
"I &Ald Stlltllmllnt was Inoludlld v.:llh tho nOllo\),
,
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