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PETI1'ION .'OR PROBATE and GRANT 0.' U~TTERS
/fIE'state of ,-"-"-'!lIl-"'-D.1X'.JI~JHer.___,._~.. No, -.3.J..':.'j~CJ!l-!la_.._
.J/ also known as ..J!.'!.'Lf.L..lhli8eL.~______ To:
.----.--'.-'m.._._...____m..~..,..,_ Register 01' Will,s for the
---.--.-'---...-.-,~'..'-_4 Deceased, County 01' .!illlll!i.JLunnd In the
Social Security No, ...l1l2=_10."J'l/i.'i.........__.. Commonwealth of Pennsylvania
The pelltlon of lhe undersigned respeclfully represelllS thai:
Your pelltloller(s), who is/ure 18 yellrs of uge or older 1I111he execulrix-_p, .._.'_'_._______. named
In the lasl will of lhe ubove decedellt, d91ed .<>.('t~llcrJZ-'-1'l.lJJ____...___._7--, 19_
and codlcll(s) dal,ed .~-.f1!_Jl:ld ,J,.N1h'-f,,-y.);.2fl"'(JL.LL=_h.LL' <'
.....J...h.i1.l.(~._ J.0:lL,..dL,....d--.t-'-4.,...j.i'jj,L_..2.~.~I,'l;l.._....__~____.
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hi all' rt.'ll'vIIIlI cirCIlIllSllIl1t'C_~, C.M. rl'lltllldilll01l, dClIlh uf cxr.ctllor, etc,)
Decedenl 11'11' domiciled lit dl'lIlh in -,Cwnhe.rllllliL.....__..__._.._._._, Counly, Pennsylvania, wilh
hi R _Iasl family or prlnciplll rcsidence at ...&~~iah-\lillnga.,_LOD,_Mt All pn nri uP,
Mec hanic s II \lliL..ClIlw,e r Alll'..Q,..I\;'n., L"...rA....lll)~~..
Olst !itl'l~('l, numh!'!", TW(l, (II' 1101'0,1
Decedcnt, thl'n ..._,..,89..,_ Yl'ars of lIge, dil'd ...-..-,JJ.ac.emnar....5+---_, ,19-9.L_.
at _Messiah Vi llUOlll._.___..__..,___....___, ,
Except as follow" decedenl did nol marry, was nOl divorced llnd did not bllve a child born or adopted
after execullon of the will offered for probale; was nollhc viclim of a killing and was never adjudicated
Incompetenl: ll!'~~_ _ ___~_"h___,__,_,___..
Decedel1l al dealh owned propcrty with c,Slil1l1l1ed VII lues us follows:
(If domiciled In I'a,) All personal property
(If not domiciled In Pa,) Personal properly in Pennsylvllnin
(If nol domlcllcd in Pll,) Personal propeny in COUlIly
Value of real estate In Pcnnsylvllnia
sltullted as follows: _.lIilll~_._.._._
$. 144.1it.6....00
$
$..
$
----~---------
WHEREFORE, petllloner(,) respcclfully rcqucst(s) lhe probate of tbe IllSl will and codlcll(s)
presented herewith 1111l11he gral1l of ICllers_,_..testnmentary
(1"'8"""'8IY; mnrinmratiorn.~"1IlImiT<hITlltion~"_r
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OATH 0.' PERSONAl, REPRESENTATIVE
COMMONWEALTH 01<' PENNSYLVANIA }' !:IS
COUNTY OF CWY1!3 ~ R,I.I\N D
1.5-.;:)./ g -.;:.'-..
The pelilloller(s) above.named swcar(s) or affirm(s) lhat the slalements In the foregoing pelitlon are
true and correcl (0 the be", of lhe knowlcdge llnd belief of pelltloner(s) and that as personal represen.
tative(s) of lhe abovc deccdenl petllioncr(s) will welli/2-UIY l~dmlnlsleCe est:te acco!dlng to law,
Sworn 10 or affirmed and subscribed 1 ~ ' .<-4- ~,,::~--=.<-.(A..( ,,, ~_. ~
b I' tb' (I T II d 1" / 00'
e ore me 's __~,__.___. llY 0 ~
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46B8087
DEe U (I 1997
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COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH' YITAL RECOROS
CERTIFICATE OF DEATH
NAMEOftl~CEnEUlir".1 ~t.,kl'" 1,"11 .._~--~-~--~
I, Ben Huifier
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'MEDICAL IX,,"MINEJIICORONEA
On Iht b..11 of ,..mln.Uun .ndlol InvuUIl.UOIl, In my Opltl(lln, dulh ll<l~\ollld tl Ihl 11m" dtl., .,Ill plt~., _IlU ,,", 10 lilt Q,,,..(IllllU
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ptOCeedD aB foltowsl
1. t give and bequeath unto my daughter, SYLVIA ANN
CM1LKINS, Forty (4070) per C(Jnt of tho ren\aindor of Iny (Jstate,
. pol' stirpes,
2, 1 give and bequoath unto nlY grandson, EDWARD 1"
CAULKINS, Ten (1.0%) per cont of tho re\nuindor of my OBtato,
per stirpes.
3. I give and bequeath unto my granddaughtor, SHERYL
CAULKINS PETREQUIN, T(,n (l07,) per cent of the rema inder of
my estate, per stirpes,
4. 1 givo and bequeath unto my grandson, SCm'T A.
CAULKINS, Ten (LO~,) per cont of the remaindor of my estate,
per stirpes.
5. T give and bequeath unto my sister-in-law, ARVILLA
M. OBERDORFF, Ten (lO1.) per cent of the remainder of my estate.
In the ovent that Bhe prodocenBoB mo, then thts gift to her
shall bo divestod and I then dtroct that i.t: bo placed with the
remainder of my ostste and bo divlded in (our (4) equai shares
between my daughter, SYLVIA ANN CAULKINS, my grandson, EDWARD L.
CAULKINS, my granddaughter, SIUlRYL cAULKINS PETREQUIN and my
grandson, SCOTT A. CAULKINS, pel" st i.rpeH.
6. 1 give nnd bequeath nnto my ,listor, 1\1ANCllE E. WATTS,
Ten (1070) per cont of the remaindor nl' my estato. In the
event that she pl"tHlecea""" m", thon thi" gift to hor shall be
divestod and 1 th"n direct Lhot il be !,Iacod wi.th the remainder
of my estatl1 and be divided in (ollr (4) equal shares b(,twoen my
dnllghter, SYLVIA ANN CAULKINS. my grandA"", ImWAHD I.. CAULKINS,
my granddau~hL"r, SlUmYL CAUl.KINS PE'I'RF.QIIIN antI my gl,andson,
SCOTT A. CAULKINS, per stirpes.
pago twO of four pages
-................,
6B::
Power of
Attorney
CA SH 9954085
General Accident
4M WlllIlIl........ I'hlt1lll4pNa.'A 111M
IUIOW AlL 11.11 IY THE IE PIlUENTI, 11\11 \!lit OI!NEIW. ACCIOIHT IHSUAAHCI COM'AHY 01 AM/!I\ICA, I "'""I~INI OOI1lOlMlOll hl~inO III
pltftcipIlofllc"'''''''dllp/lll,I'tMe~'''lIdoMhlrwIIy_,COMllluleandlflllOlnl Shari Weathafllr, Deb... L. McClain,
Debbie K. Grove, Sandra Pinckney, Debby K. Whary, Kathy Bnyder-------------------------------
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II MIClIllll.. any IUd II bondIand ~ of 1lM'IlytNp, .nd 10 bOnd ... OI!NEIW. ACCIOIHT INSUlWlCt! OOW'fW'( 01 AM/!I\ICA hI,.a,y
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IDENT INSUIWICE COMI'fW'( Of AMERICA, and 1CI<i>WI~DI11IIII hI..1ClMd Ind MlIolIdIllt fooltDClinO
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51 (1)) 01 tilt by,1awI of... ~ny tnd tilt rHOIutlOn .. tonIl _ I" .tIlI in !vi lot.. Ind .1IICl.
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
~~i~
COMMm4WfMlH Of PHnl"YiVM>lII\
IJ[PARTMfNf Of IU'lfNUl
tlfrl.'lIlO{)ol
IMRRISIIURO, I'A 11I'/II.OM!
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IIIIlSEI\, Ill';N 10', iI/k/1l IlEN,IM1IN ji,
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[Xl l. 0,191n<l1 Relurn [J 2, SUjlJllolIUtnlul RolIHll
[) A. limited Ellul. [ "I 40, f\Jlllrft Inlo,oll Cnnlpfnmhfl
If or doltlt of dllfllh ullnr 12.12.021
[] 6. De<edenl Oled Tellol. [ I 7, Oll(odenl Muinlfllne,j (l living 1,11"
(Allor.h copy 01 Will) IAtloch copy 01 Tru.tl
-----"--.- ALL CORRESPONDENCE AND CONFIDENTiAL TAX INPOR'M-AiToNSHOUi'[,'iifoIRI!'CTiDTO,
~i N~~;.l ia:'~-. yoc::------------.n...-...- n~____..__._"" CbMriH~(~~'l'tlr~~~~t~\.-- Bt l'ee t
El~ m'PiiO""'uMii'--'.'--------- Cump 11111, I'A 17011
.,.-...--..--. ~J,~l-~,~J-....7~~-:..~~~L~"",~ ."" _...._,_ ..., ,...__._.,_""'--C.-=."-'=--- -,~==,_-,__,___=_~~-,c"..~.,,~_="".
I!!
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I. R.ol EllUl. IS,h.dol. AI
2. Slocks alld Bonds ISchedule Bl
3, Closel)' Held Slock/Purlnershlp Inlere,t IS(hedule q
.4, MortgageJ and Noles R'3celvnblo (Schodulo 0)
5, Cash, Bank Deposlh & MIscelloneout Ponanul Propelty
ISch.dol. E}
6, Jointly Ownod Proporty ISch.dul. FI
7, Ironll." ISch.dul. O)ISch.dul. 1I
G, Tolol Groll AISOIS (totallinfu 1.7)
9, Funeral ExpllJISet, Admlnlstrallve Colll, MllCellollltout
Expen", (Sch.dul. HI
10. D.hh, Mortgog. Llohllltl.., li.". ISch.dul. I) (l0) _......,'__..____'_,....,___,.__ ,...___
20,886.55
II. 10'01 D.ductlo", Itolol lln.. 9 & 10} (II) ____,__
12, N., Volu. 0\ Ello" llin. 8 .,inu. L1n. II} (12) ..__!,~_6.\.~,!2.~.7,9...,..,___,__~,.
13. Choritobl. ond OO'.'""IOnlol 8''lu''''ISch.dul. )) II 3) ..__l~L(i,~ L,,99,_____._.__
\4, N.t Volu! Suhj'" to 1~,~.\~I~_..._IL~Ii.'!.u~_~~_".1.3J..__.____._,__,_.._~_,________.,_,_,.,_J~~_::. _II!, 597. 80 ,_____~
15. Spousal Twosf.rs (for dotes of dealh nher 6.30.9.41
S.e Inslrudlons for Applicable Per(enloge on Rev~He
Side. Ilndude values from Schedule K or Schedule M.I
16, Amounl of Line 1.4 lall,oble at 6% raIn
llnclude values from Schedule K or Schedule M.)
17. Amount of Line 14 10Jlloble 01 15% rale
llnclude voluel from S(hedule K or Schedule M.l
18, Princlpol'o. due IAdd '0' ',om Lin.. 15, 16 ond 17.1
19, Cr.dlts Spousal Paver I)' Credil Prior Payments
I
'"
z
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5
E
~
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51
...
~
~
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...
-~---~~~_. +
..._,8. Tolul Number of Sole DepollI BOil..
III --
(2)
(31
141
15)
00.00
11,7, 106.34
( 61
171
( 8) _HILL 06 .1IL....___~_
(9) __
20 ,IUt6. 52___
1151..._,~~_,__.~, ,._ ...._...._..._. ..____.... ~,~.._=
_OQ.,QQ_,_____
116) __'2~....y7 5.82 ___,m'
(17}_.__1~,...&Jl...,2JL~"._~.- .
,06 =
6,058,51.
---~ ------_._-~~-
.15 = __-.-1~JJ!2J...2 9__ _m_...._..
118) ._-...L.~~5...l....a;L..
Dh~oun'
+._39.L).L
Interest
1191
1201
__._~9l..22__ '. .
20. If lIne 191J grealer Ihon Line 18, enler the difference on Line 20. This Is Ihe OVERPAYMENT.
Ii! 0
21. If Line 1811 greater lhon Line 19, enlor Ihe dllloronce on lino 21. Thh is Ihe TAX DUE.
A. Enler Ihe loterelt on Ihll balcln(o due 00 L1no 21A.
8. Enler the 10101 of Lilllt 21 and 21A on Line 218. ThiS is Iho BALANCE DUE.
~~..!. Ch_!.':.~.~_~V_~_~~!_!~.I. .~.!.~~'_~~!~~~_ _~!_~~~__~g.nt
C l(!(k hure If you tHe requostlng tI refund 0 your bvnrpnymol1t.
_.___,1..554.24,
00,00
.,.,~..,.I,5...5IiL2.IL_ _______
Pi}
121A)
1218)
____...__~~XSU~E Ti[AN~~~~-ALI.~l!mic>.i{f~"N.-R~VER1fSiliii~A}ji>To-_~~CBE~~_-M~!ii_n~_:O<n ..,..~.. ,...
Uncler penohlftl of perlury, I dedore tho I I have IUHlminod this relurn, indudinq occompt'lrly'in\1lcheclulot and I'olem.nls, Clnd 10 Ihe besl of my knowledge and bell.f,
it Is Irue, corrflcl and comple!e. I dedmfl Ihol all rool ElUale hOJ bOlJn raportod at Irue mClrkel vullle, Dedorclllon of preparclf other Ihon the perlonal reprelentallve I.
based on olllnlormallon of which preparer hen on)' knowledge.
:, :;~~Z;;~;~l~,;-I~~~~:i::)~I;ll~;~:-;:.;:~,~~;,..~;~~1~_~;I~-;I,-::111~':'-'~;;;I;;~-==
'jJ dl,,;..jl+7::...l......___ 30Q.l...Nllr~!,--~ StroH!..L CnmP....!!IlLLJ~"-_L70JJ___~,,_.._,_
D~lI-~~---~~.-
.;-dl~~<J8
5;(ii"-------.-_.. -.-------~
)-2L1 - 1f{
SCHEDULE H
~@;~ FUNERAL EXPENSES,
WMMm'WIAlttlor """",vANIA ADMINISTRATIVE COSTS AND
"",,,ITAN"! lA' ",1I"N MISCELLANEOUS EXPENSES PI.as. Print a' Typ.
I'umHU !HCWf HT
IltA'T"Of"'--'''-' .."~,,~~=,-,~~,"--."_...",_..,~,,--.~-..=~.--c-~FltfNtiW(ilrR-"' ,- ""- .u___.. ---,
.."__~IE~~"_~_~U':ISEI~, a/k/a 1l1':N,JMllN F. UEIHEll i.21~97=0975_________..___,
UI/.""U+I'UI
ITEM
NUMBER
-.---.--....-..- -.--...--.-. ---.
A. Pun.ral bp.ns..'
I. NlIRselmll1\ FIII\~ral 11011I1', 11\". il\d I\dll\l\:
(a) Service, trnI\R!HII'tntiol\, "anket, ollter blldnl. "ol\tainer,
flowers, deatl, <:crtJ.ficlltcH l'lld grave and CCllletery
chnrges _ _16,696.00 ($300.00 refllndDd to pny other ex-
pensos). . . . "" I . ., ... , . . . f." . . . ...... . .... . . . . .. . I . I . t" I
(b) 11iniAt.er.............................. I . ... . . .,. . . . . . .... .
(c) Orgl1nlst............... I . .., .. . . ... . . . I ... . . . . t. . .. . I .. I . .
1d) HealH - Crnckl~r Borrel.......... . . t.. I' .. . . . . ... ... . , . "'"
c) Messiah Vl1111nC 1I0mo. I I . . .... I . . .... I' . ... . . I'" ., . . . . I . ..
. A mlnlstrallve COShl
B.
4,
C.
1.
2,
3,
4,
5,
6,
7,
8,
DESCRIPTION
I.
Personol Reprelelllalive Commllllons 172 -
Social Securily Number of Personol Roprelentallve: ---'
Yoar Co",mllllons pold -.B<'.!~e._I'.!.IJ.Q._-_
30 - 0201
2,
Allornoy FOOl . I . I . . I . . . . I . I . . . . . . ~ fl. . . . . . . . . . . . ~ . . . . . . . . . . . . . I . . . .
3,
Family exemption
Clalmanl ____.___..____ Relationship
Add,e" 01 Claimant al decedenl's doalh
SIre.1 Addro" _'__'
4_~-~-----
-_._.--,_.._-~-
City ._-_______._____.._SIa.e ___ Zip CodL..,_,-,
Probole Fees and short certificates
Cumberland County Register of Wills............,................
Mlse.llaneous Expense..
Hesniah Village (Hcnior Cithen lIome) - room and board And
phl\rn18cy, . " . . . . . . . . . . . . . . . . . f . . . .. . . . . t t . . t . t . f . . . . . . . . . . f . . . . . "
General Accident Co. - Executrix l'erfonnancD !lond
(Executrix is a li'lori.da resident)......."..,. f.....'..... ~....
Estate Advertising - Patriot-News Co....,....."......",.,.,..
EstElta Advcrti.slng - Cumberland Law .Journnl.. I..'...,.....,.. I'
County Inventory nnd Inheritance Tax - FiUng Fees,............
Reserve for Accol\ntant's Fees, Fllll\l\ Fees, and Contingel\cies..
AMOUNT
$ 6,396.00
100.00
150.00
74.91
50.00
6,884.25
279.00
4,705.20
1 ,081. 00
61,19
60.00
25.00
1,000.00
_____~._._.~.~_-.4_4...._._._---~.-..-,.---.-----...,---.._,-'~'-- '-'--_.'-_._-'~
TOTAL (Also enler on IIno 9, Recopilulatlonl
(II mar. spac. Is n..d.d, Ins.,t additional ,heeh of sam. sl..,}
S 20,886.55
[;41
flLlSLlI,flU~ F.
3" HOI. L '(HOCK COlJln
1I(i1'/IOSA:;~,A, I" /. ::444fi
Ct;PI\ U'llled Methudl"l I'CIJ
Acc()1.I11 I If '.~41
f)hiH (~ Lcdr.;c/"
Pf'o>,jow: Od1,111(;() - 1(;71.1)1
YTI) [11','1<11'/1(/ ::; "1.',1;'
---.--.----.-'-'-.......--.--.--.,--...-.--..-.~.--,--_.OM.
Dale j fJ II i (j III j
OI/OZ/96 j ll~. IJ!) t
07/01/J6 j 1(;,1)4 f
01/01/,<7 'I 1'1, In j
07/01/97 . 17, ni;) 1
01/01/98 1 21,1 D? .
01/16/98 .1 1[Hl,~:7 f
01/16/iJt) 'j *
01/16/98 I f:
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f T r II II r,:(I c( i 01'1
'OJVIOENn 00,OOEIB45102
'DIVIIIENI) O;:.,OlAIU?(J(JOI'
'DIVIDEND U~.UIA184GIUJ
ID/VIDEND 02,01A1817001
fD/VII)UIU O;?,rj2AIIl4711l:>
I () i Iii: GT OU,IOi; I T .'j)t.'(ITdIt /~(j"A),,(''r'' CII(,yk,
,Ol/JrOT W1THDnAWAl
tDIRECT WITHDRAWAL
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1:1;'41 ~l" uplt ftf" 101 "
JUII 6 19/1 _ ,
L.,J,12 Coua 4~2:2.11Ha
l> Un1Leel '111')0),0/;1cI\1 :>!l'Iinnry
lOW Harvard nlvel.
Day \.00 , 011 L~I~o6
" ,
" . Qentlemenl- ".
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, ' Op'tbe balh or your stltement and the inronnation recently
, .,,' Bul:mitted regardinll tbe adrahdonl poUcy or )'tlur iOBtitution,
':' ' and 'the pubUch.inll tbereof, and \litb tbe underlltonding that Bucb
T' policiea vill remain in erfect, \10 confirm the exempt statuB of
'" , your institution under Internal nevenue Code, &ction 501 (a), III
,,:.', an orgallbation described in SecUon 501(c)(3).
. , ' - , I
" .:'.' :, Tbh contir1ll&t1on doee not preclude a reevaluation of your
, , : e.dmise1onl Policy at. a later date. It alBO doee not. preclude
liD examination of the operations of your inlt.itution to determine
, 1f tbe pollcy 8S described in your eta\.ement. is being implemented.
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CJ2~ tl afI~
District DirectOr
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_ OCT.U_197'L--L..1':HS:F.O:R:1-2
Council on Finunc-;-~~CAd;~.rnistr~
tion of the United H~th'Jrlist
,I>, Church, alk/a the Unite'.!
Methodist Church and Ita
Affiliated Organizationo
1200 Davis Street
Evanston, Illinois 60201
Attention: R. Bryan Brawner
Dear Applicant:
This refers to the informatiot1 submitted for use in
determining your status and the stat~5 of your affiliated
r.eligious organizations, on the list you submitted, as
being exempt from Federal income t~c "nder section SOl(c)
(3) of the Internal Revenue Code.
For the pm:poses of this group ruling, your affiliated
religious organizations include The General Conference,
Judicial Council; General Agencies, Commissions, Committees,
their divisions and departments thereof, and, other related
organizations j Jurisdictional Confe:ences and Affiliated
Agencies, Commissions, &1d other organizations; Annual
Conferences and divisions and depart:;;ents thereof; Al'lJ.1ual
Conference Agencies, Commissions, Co~ittees, and &:filiated
organization; Local Churches and LO::'3.1 Church Agencias,
Cotmllissions, Cotmllittel~s, and other affiliated organizations.
Based on the information supplied, we rule that you
and your affiliated religious organizations, on the list
you submittedl are exempt from Federal income ta.'t under sec~
tion SOl(c)(3; of the Code. .
VIe have further determined that: you and the affiliated
religious organizations you operate, supervise, or control,
and which are covered by your notification to us, ar:a not
private foundations ~mthin the meaning of section S09(a) of
the Cod'=! , h;3Ca1.:S,~ yell .:>nel YOl"r a.:filiated religiou::l o;'6anL:a-
tions are or~anizations d~s'::.ribad in s~ction3 170( b) (1) (.t.) (i)
and S09(a)(1) of the Code.
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Council on Finance and Administration of the
United Het.hodist Church, a/k/a tha United
Mathodist Church a...d It.s Affiliat.nd Organiza-
tions
i
Organizations that are not pdvate formdat.ions llre
not subj ect t.o the e~cise taxes under Chapter 42 of the.
Code. However, they are not aut.0matically exempt from
ot.her Feceral e~cise ta:<es.
You a...d your affiliated religIous orga...izat.ions are
not required to file the Ret.urn for Organizations Exempt
From Income Tax, Form 990, as YOll come within the excep-
tion contained in section 6033(a)(2)(A)(i) of the Code.
'lou and your affiliated religious orgal1izations are
not. reaui::ed to file Federal income ta."< returns unless
you are subj ect t.o the ta."'< on unrelat.ed business i.neome
under section 511 of the Code. If you or your affiliated
religious or8ani.~atj,ons ar~ subject to t~is ta."":, you must
file a.."'"1 incoT.e t.a.'t return on F'Jrm 990-T. In this lette.r
we are not det.ermining whether any of your present or
proposed act.ivities, or those of your affiliated religious
organizations, is unrelated trade or business as defined
in secti.on 513 of the Code.
'lou and your affi.liated religious organizations are
not liable for social secu'!:ity (FICA) ta:~es unless you
file a waiver of exempti.on certificate as p"ovided in the
Federal InsUra!lCe Contributions Act. You and your
affiliat.ed religious organizations are not liable for the
taxes ir.;oosed under the Federal Unemj?loyment Ta;.; Act
(FUTA). .
Donors may deduct contributions to you and to your
affiliated religious org~.iz~tions as provided by section
170 of the Code. Bequests, legacias, dev-ises, transfers,
or gifts to or for your use, or to or for the use of your
aHili.?ted rf!lii;ious orga..'"\bations, ~xe daductible for
Fa.J '1 ~.. .. t... .1 0'; 1:. t::'\.,. I . 1-"' .. tl. . l'l"": ..J - - ...... 211 ' ).
_r..l.l.;r_J. es 3.t.f1 une. 0....... '::.... p....:._~J.J_.) u...,\I~.:,.J.. seC!...lO.l JJ ,
2106, and 2522 o.e the Code.
If you change your purposes, character, or method
of operation, please let. your key District Director knol"
5(1 he may <;:.onsidel: the effect on your exempt statuS. Also,
please keep him J.nformed of any chaIlg~s in your name or
address.
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Council on Finance and Administration of the
United Methodist Church, a/k/a the United
Methodist Church and Its Affiliated Organiza-
'tions
You should advise each of your affiliated religious or-
ganizations of the provisions of this ruling, including the
requir~ents for filing Federal t~~ returns.
Each year, within 45 days after the close of your
annual accounting period, please send the following to the
Director, Internal Revenue Service Center, 11601 Roosevelt
Boulevard, Philadelphia, Pennsylvania 19155, Attention: EOR
Branch:
1. A statement describing any changes during
the year in the purposes, character, or
method of operation of your affiliated
religious organizations.
Z. Lists of the names, mailing addresses, in-
cluding Postal Zip Codes and emoloyer
identification numbers, of your'affiliated
religious organizations that during the year:
a. changed names or addresses;
b. were deleted from your roster; or
c. were added to the roster.
3. For affiliated religi.ous organizations to
be added attach:
a. a statement that the information
upon which your present group
exemption letter is based applies;
b. a statement that each has given you
,.;dttan authorizatlcn to add its
name to the roster;
c. a list of those to which the Ser-
vice previously issued exemption
rulings or deternlination letters; and
d. a statement that none of the
affiliated religious organization
are private foundations as defined
in section 509(a) of the Code.
.
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vfoaoodo un followal
1. t lIivo RIIlI b(llluualh UIII:O lilY 1I1IUllhluL', BYLV'lA,MIH
CAUL,KING, Fo\'!:y (1107.) pOI: cuut of Lho 1:(III,ol.ullol: oC Illy aolale,
1'01' aL iq1O".
2. {, lIivo nud hO(IUOUlh ulILo lilY 1I1'lIllllflOIl, Iw\;AI\I) I..
. li~'U\.lII(','l", "10/\ \'011' F"""'''' ':" .,' ':
.! ~:. m, ,i?! (l.t,~1 ~t"i,!IIf -~ ,.,-I:,,:~:~_I, '-'
': ".1" ": '.' :.\' I" '." ' rAULKINS, 'I'UII (107.) pOI: COllt of tho tOIllU illdol: of 11I.1 08Late,
pOL' at 1,\'(100,
J. I Ilivo nllll horluM!:h UIILO illY Ill'nll\ldnughlo\', SIUllLYL
CAULKINS l'B'l'lU~qUIH, '1'011 (l07.) pOl' cOllt 01' lho \'ollloilldol: of
11I.1 ostaLo, 1'01' aLll'p09.
'.. I glvo nlld boquellLh Ulltu lilY (ll'lIlIdnOIl, scon A.
CAULKINS, '1'011 (10"1.) pOI' COliC oC tho L'olllailldor oC 11I.1 ootato,
pOl' stirpos.
5. I givo alld b"quonth ol\Lo IllY sinlor-ill-law, AI\VILU\
H. OBII1UlOIU'F, '1'01\
I , l""'....."'\l\.":.'~\i*".,",..",:-,",lll .I:ho ovo III: Lllu I:
~"_"I' ,~,'.I";' r.'~I"":' q.. ..", '
i"'" ,>'" ". ."',' shll11 bo divesLod
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(107.) 1'01' cel\l: of tho rOIll1\illllllL' oC lilY OOI:ULO.
flho pl:odo<,01l600 IIl0, I:holl I:hls 1.\1f1: Lo hOl'
nnd I thou dl.roct thnt 11: bo plncod witll the
L'Olnnillllol: of lilY ostate alld bo dlvidod 111 foul' (II) oqllal OhllL'OO
betwoon illY dHUlllll:or, SYLV!J\ ANN CAULKltW, lilY I\l'nllllr.oll, ~;\JWAl\lJ L.
CAULKlHS, lilY llralld~lulllJhtor, SIUlllYL Cl\ULKW:; l'Il'1'IUlQUlll Rnd illY
llL'lIl\llaol1, SCal"l' A. CAUI,KllIll, pOl' al irpus.
6. I glvo nlld IJo<1"oULh 1I11to my slule.', IllANCIUlIl. WA'l"l'S,
'1'011 (l07.) pOl' COllt of Lho rOlllllllldor of lilY Olllllle. III lhe
.",:::" .'.,'".1' J, ;.\
evulll: L11111: slle I'l'odoconson mo, LloolI lId.s g1(t 1:0 Itor ohll11 be
(,1(, \") whu h,l,.H Ili:I"~~,~;'" ,,",',,",';
'~\ '",',Ib(\ vt(':~'\I'h"l
~'~:'i~:~~~;;~.:~~:::,,~i~: '. ,1:;'./, ~t~.""
dlvuoted RII" I tholl dil'ocl Lhlll it 1m plllcod wHh lhu l'olllilindol'
l: f li"., p ,i: . ~\"! ',1 'I \, "
;of my ostnlo lInd hu dlvid,,,1 J.1l [Olll' (II) "'1',,\1 6hlll'OS bolwoollmy
llHlIlllltul', SYLVIA AIIN cAlILKlIW, illY !\I'HIllIIlUIl, liIl\;AItIJ l.. CAlll,KLNS,
lilY 1l1'lllllh'HlIllhlol' , B IUII\Y I, CAlILKlIW l'I\'l'I\I';QlIlIl "'"' lilY lIl"lIl1doOIl,
sca!"l' A. CAUI,KIW;, 1'01' ,Cll'il'i'oo.
.
.1'1180 1:140 of fOUl' 1'"800
COMMONWIALTH OF PINNSYLVANIA
COUNTY OF CUMIIRLAND
III
being duly .,
Sylviu Ann.Cuulkins
_ .ccordlng 10 l.w, dopa.", .nd ..y. Ih.I,Ahe tfi.tllQ ~x\tcutr.ix
01 Iho E.telo 0/ UenF,lle!..a"r, n{klnl1e,11Jumin F.Ue:L.8~r
1.1.01., Lower Allen TownshJ.p ., Cumb.rl.nd Counly, P." d'C'Oled .nd Ih.I the
within I. en Invonlory m.do by her -~, the ..ldEKe_c:\\trJX,
01 Ihe onliro e.tele of ..id decedenl, con.l.ling of .11 tho po..on.1 propdrly .nd re.1 o.I.to, e.c.pl r.el e.t.to oullld.
Ih. Commonwo.lth of Ponn.ylv.nl., end Ih.I the flguro. oppo.lI. oMh lIem of tho lnvontory repre.ent 11'. f.lr v.lu.
.. of the d.lo 01 decodenl'. do.lh ,
ffl~9.rn
._ .nd .ub.cribed before mo,
,PyI~
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~ C-~-<--W-~ I ty. '-4 ",'I'/..
Sworn
\
Eueutor . Admlnhtr.tor
___Ee j, 1b2.LJ;---il!::L______19 2.,fL~_
t).,~tt~~"~, _ ~j<;7::~ ~~--
Iii iN ',I{,[ ~,r:'.\ 1
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. ""1" ',1\',_ - C', LIiI\t\Hnl,'JI\' 't(i.mtv
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SylvJ.u.,A!,n CaulkIns
39 Hollyhock Court
llomos8"sa ,_Flu, ' 3~~~~_
Add""
Oat. of D..th .,.,
5
12
.-~._----- . .--_.__._-~-_..__..............-,--,..- ---'
1997
DIY
Month
Vu,
INSTRUCTIONS
I. An Inventory mu.t be fll.d wllhln Ihr.e monlh. ./tor appolnlment of pe..onal r.prOlentallv..
2, A suppl.mont Inventory mu.t be flied within Ihirty d.y. of dl.covory of .ddltlonal ....Is.
3, Addiilonal .heels mey be att.ched a. to po..on.lty or r.alty
4. See Arllcl.IV, Flduclarl.. Act of 1949,
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Inventory of the real and personal estato 01
Jl~~~.lIe!.~r:L.(~L~!~lluI\Jllmln II. 11,,1 fler
deoeased
-".._--._-
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I'NC IIANK CEil'!' I J::.L~~~~!J:uJlEI'OflIr
l. U21001017063......... ..... .f.f .... . , .,..... .t.. .11...... ,.... 26,336 3/,
Interest to D,OIJl. . ..... .. 1.1. ,...., II'" O,litl' .. ..... 647 40
2. 1/3l400031487..... . ...... ,.. ...... ..., ... ... .... 10,80/, 63
IntereRt to 0.0.1),. I...... .. fIIIO" ....'111 ,... .,., 26 67
3, //3150003 I 37 l. .. . . . . ..,. ., .. ... .. ,..,. f'I' tl.1 .... .... IO.82B 15
Interest to \l.O.D. .. ..1. ... .... ... .... 26 73
4. 1/3190003 I 6 76.. , . . . .. .... ,.1. ... ....".. .... ... I'I'! 10,828 15
Intereet to D.O.D. ...... .. ... .... ... ,.., ....... .o...tll ..... 25 16
5. //3190003 I 679 . . . . . . .. "'l .. tll' .. .1" t'" ... ..... I 0 , BOIl 63
Interest to D.O.D. ..... .... ..... ....... ....,... ... ,'lllf 26 67
6. 1/31200031463...... ..... 0'" ... .... .. ..... ..... 10,804 63
Interest to D.O.n. .... III' .. ,.... "111 26 67
I'NC !lANK CHECKING ACCOUNT
7. 1/5140027902. ....... ., ..,... ...... ....,.,,, II" II.. 18,941 87
Interest: to D.O.D. . ...... ....,. .... .... .... .. ..., 1 65
I'NC BANK SAVINGS ACCOUNT (Money Market)
.
8. 1/5080031335. ............ .... ...., ... .... .. ..... 411,019 17
Interest to D.O. D......... . ... .. .,. ... ......... .... ,. ..... 11 53
9. CEl'A United Methodist: FB(.lerHl Cl'edH IInion
Principal....... t..... ... ... .... t...,.,..... .. ....,. l,739 47
Dividend to n.().D....................... . ... ............ .. ,.... 18 55
Death Bene f i. t s. . . . . . . . . . . . . . . . . . . . . . . . . . ... ............ .. ...,. lRB 27
10. Two Promissor Notes ($500.00 e/lch) redemption
Central Pennsylvania Con f e rence - United Methodist Church. . .,',..... 1,000 00
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147.106 34
[~~:,,"A.O:I,~R,~l~I.L""j
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ..
REV: iicjf - EX -Ai' p - i (iif: 97-; "iloi'"i c r "oF" i"N'Hi:ii if ANC!' i'" AX - A'piiii A'i sEMiil'r; - Ar.rOWANC E - b-Ii -", - - - - - - - - - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
!!STATE OF HEISER BENJAMIN F FILE NO. 21 91-0915 ACN 101 DATE 05-18-98
,
/) -II ~
aUREAU Of INDIVIOUAL TARES
IfilttfMIUNCt 'AIC DIVISION
tlI::PT, Zl0601
tlARRISIlUMG, II" 11lla-06ot
COMMONWEALTH OF PENNSYLVA~JA
DEPARTMENT OF REVENUE
,l"d
NOTICE Of INHERITANCE TAR
APPRAISEHENT, ALLOWANCE OR DISALlOWANCE
Of DEDUCTIONS AND ASSESSHENT Of TAR
WILLIAM A YOCUM
3001 MARKET Sf
CAMP HIlL
DATI
ESTATE OF
DA TE OF DEATH
FILE NUMBER
COUNT V
ACN
05-18-98
HEISER
12-05-91
21 91-0915
CUMBERI.AND
101
PA 110 n
TAR RETURN WAS I I X) ACCEPTED AS fiLED
) CHANGED
RESERVATION CONCERNING FUTURIl INTEREST - Sill RIlVIlRSE
APPRAISED VALUE OF RIlTURN BASED ONI ORIGINAL RETURN
I. Roal E.tato ISohadula AI ell
2. stock I and Bondi (Schedule 8) (2)
5. Closely Held stock/Partnership Inter'lt (Schedull C) (31
4, Hartg.g.a/Hot.. Rlclivable (Schedule OJ (4)
S. C.ah/O.nk n,pol1tl/l1hc, p.,.lon.1 Property (Schedull E) (S.
b, Jointly O"nad Propar\Y ISohadula f) (61
7, Tr.nlf.,.1 (Sch.dull QJ 171
I. Tot.l An.t.
.00
,00
,00
,00
147.106,34
.00
,00
(8) __
APPROVED DIlDUCTIONS AND IlXIlMPTIONSI
" Fune,.el E~pan..*/AdM. Costs/Hisc, Expan.as ISchadula H)
10, OabtI/Hort,.,a Llabllltla./LI.nl ISohedul. II
11. Tot.l Deduction.
12. Hat Valua of Tal< Raturn
1S. Ch.rit.bl./Qov.rn~ant.l a.qua,ts; Non-.lactad 9113 Tru.ts (Schadule J)
I~, Nat Valua of [ohta Subjaot 10 lax
20,886,55
(9)_
nO)
(I
'*
tn-I'd"". 1t.,.'1
BENJAMIN
F
HOTEl To insure proper
cr.dit to your account,
sub"it tha uppar portion
of thil for" with your
tax p6ly...nt.
141.106.3i
,00,
elll
112)
eUI__
11~1
'0. AAt. Ii~_
126,219,79
i2.'62I ,99
II3,597,80
If an .a....m.nt was iaau.d pr.viou.ly, lin.. 14, IS .nd/or 1&, 17 .nd 11 will
r.fl.ct figur.. th.t includ. the tot.l of ~ r.~urn. .......d to d.t..
ASSESSMENT OF TAX I
1&. Alllount of Una 14 at Spou..l rata US)
1ft. A"ount of Una l't ta)(.bl. .t Una.l/CI... A r.t. (6)
17, A"ount of lina 14 t.lC.abla at Coll.t.r.l/Ch.. 8 r.t. (17)
18, Princlp.l Tax Du.
TAX CREDITSl
. ~_..~--_._~~._~. ----~_._..~---_.~-
PAYHENT RECEIPT
DATE NUHBER
02=24-98 '----AA26918S---
NOTE I
,O~R'OO=
100,975.82 R .06=
12,621.98 R ,15=
CUI
.-.-- .~....-----------
OISCOUNT C' I
INTEREST/PEN PAlO (-)
391,59
AHOUNT PAlO
-----<---"7-;554 :-24--
,00
6,058,54
1,893,29
7,951,83
"'" '" .'....1-- -"~
BALANCIl OF TAX DUll .00
- -~~---
INTEREST AND PEN. .00
~ -----
TOTAL DUll .00
-_._-~.---
If TOTAL nUE IS LESS THAN .1, NO PAYHENT IS REQUIRED,
If TOTAL DUE IS REflECYED AS A "CREDIT" (CRl, YOU HAY BE DUE
A REfUND. SEE REVERSE SlOE Of TNIS fORH fOR INSTRUCTIONS,)
. If PAID AFTER OATE INDICATED, SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST,
ff lif (~~
H' , $ ::"='\
{i~ '0 {1
r::; (l)
Ii , a
N
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, t!:J <-,,(!
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:08 - wg
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\0
AF.SERVAfJOM, E.~.t., of dlald,n"dy!nt Qn or bllar. Olo..blr 12, 19.2 .- If tnv lutur. lnt.r..t in the ..t.t. I' t'ln.f.rrad
in pa.....Jon or ,njov..n' to Cl... . (col1at.ral) bln'flat.rl,. 0' ,hi decedlnt .,t.r thl IMPlre'ton of 'nv ..t.t. far
11ft or 'or y.,r., thl COIlItOn"".Uh hlrebV IHPr...h r...rv.. thl rilht to IPprah, and u.... trans'I" Inherlt'not taM"
at thl JftWful Cl,.. . (ooll.'.rel) rat. on 'nv luoh future lnt.r..t.
PURPOSE OF
NOTICE I
PAYHENT I
REFUND (CR)1
OBJECTIONS,
ADMIN
ISTUHVE
CORRECTIONSl
DISCOUNT I
PENALTY,
UlTEREST I
To fulfill thl r.qulr...nt. of Slctlon 2140 0' thl Inh.r't~CI' and E,t.t. 1.1( Act, Act 21 0' 1995. (12 P.S!
Section 9140).
O.tlch the top portion of this Notice IInd .ubllllt with your paYlIent to the Reghte,. of WUlI prtnted on thl rlv.r.. lia..
." ~"eke cheClk or lIIoney o,.der paYlbh to r REGISTER OF HILLS I AGENT
A refund of e tlM ClredJt, which WB' not rlqua.tld on thl TeM Return, .Iy bl rlque.ted by co~letlnA en "ApplJcltJon
for Rlfund of Plnn.Ylv.nle Inherltancl and E.tat. r.M" (REV-Ill!). Application. ar. .v.ll.ble at the Offlc.
of the Regl.ter of Wlll~, any of the 23 R.venue DJ,trlct Office., or by c.lllng the lpIClI.1 Z4~hour
"",wiring .ervlc. nu~b'r' for farM' ordlrlngl In Plnn.vlvanl. 1-800~362-2050, out,ldl P.nn.~lvanl. Bnd
within 100.1 Harrl.burg .re. (111) 7a1~a094. roo. (117) 772-2252 (H.~rJng I.p,lred Only~.
A,lY p.rty In lnter..t nut .ethfl.d with the app,.eh..ent, al1owanc. or dhaUowlnce of deducUon., at ........nt
of t.M (Including dl'count or Inter..t) ~. .hown on thl. Hotlc. .u.t obj.ct within .IMty (60) d.y. of rlcllpt of
this Hottel bYI
~-wrltt.n prot..t to the PA Dlpa,.t..nt of Rlvlnul, loard af ApPlal., Dlpt. 2.1021, H.rri.burg, PA
-~II.ct1on to hlvl thl lI'U.r dlterllJnld It audit of the account of the par.onel rep,....ntatlv.,
--app.,l to the Orphans- Court.
17128-1021,
OR
OR
F.ctual error. dl,covered on thl. ........nt .hould be .ddr....d In wrJtlng tOI PA aepart.lnt of Revenue,
Bur.au of IndIvidual TaMe., ATTNI Po.t A.....~.nt Revllw UnIt, Dept. 280601, Hlrrl.burg, PA 17128-0601
Phone (111) 781-6505. s.. p~gl S of the booklet "Inttruotlon. for Inhlrltano. TaM Return for a Re.tdlnt
DYOld.nt" (REV-ISOI) fa,. an IMplanatlon of IdIlJnl.tratlv.ly corr.ctabll error..
If anY tftM dUe I. paid ~ithln thr.. (3) c.llndar .onth. aftar the decedent'. death, I flv. perclnt (SX) dltcount of
the taM paid 11 allow.d.
The 15" hM """..b non-pa"Uclpatlon penalty it (lo.putld on thl total of the tlM Ilnd Inter..t .......d, and not
paid bafor. January 18, 1996, the fJr.t d.~ .fter the .nd of tha taM a.n..ty period. ThJ. nan-partioipatlon
p.nalty J. app.alable In the ta.. .anner and In the the .... tl.. plrlod a. yoU would app.al the taM .nd Intere.t
that hll b.ln .......d .. Jndleatld on this 1"l0t1Qe.
Intar..t I. charlld beginning with flr.t day of d.lJnqulncy, or nln. (.) lonth. .nd Qn. (I) day fro. the date of
d.ath, to the dati of p.~..nt. TaMa. Mhlch b.ca.. dlllnquent blfore January 1, 1'12 b.ar Interl.t at the rlta of
.1M (6%) p.reltflt per .nnu. Cllcuh\.d at a dalh rut. of .00016(,. All taM" which blc... dellnqu.nt on and Iftar
Januery 1, 1.82 will b..r Int.r..t at a rate which will vary fro. callndar y..r to (;allndar year with that rat,
Innol,"eAd by the PA aepart.ent of Rev.nue. Thl appllcabll Intlr..t rat.. far 19a2 through 1996."'1 .
'!!!! tnter..t Rate Dally Inter..t Factor !!!r InUr.1t Rat. Oalh Int.r..t Factor
1912 20)( .00054a 1917 ,;.: .0002"1
1915 16)( .000433 19aa~I'91 11% .000301
1.14 11)( .000301 1992 9% .000247
1985 13" .!l005S6 1993-1994 7;': .000192
1916 10" .000274 1995~199a 9" .000241
~-Inta,...t II calculatad .. followlI
INTEREST . BALANCE Of TAX UNPAID X NUNBER Of DAYS OELINQUENT X OAILY INTEREST fACTOR
.~Any Notice 1..u.d .fter thl tlM bleo... d'llnquent will refllct In Inter..t ealculatio" to flft..n (15) day.
b.yond the date of the ........nt. If pay..nt I. .ade .ft.r the Int.r..t cO'putatlon dati .hown on the
HottCll, IddlUon.1 Intlr..t lIU.t be calculat'd.
COMMONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
BUREAU OF INDIVIOUAL TAMES
INIII:RllAHC[ TAl( IlIV1Sl0H
flU", IftObOl
ItAIUusntJRO, I'A 11IU-Of.ol
NOTICE OF INIII'RI1ANCr lAM
APPRAIf>f.HHII, ALLOWMI<:f UR DIHLl.OWMICI
Of DEDUCTIONS AND ASSESSHlHr or tAX
05-18-98
liE! SER
12-05-97
21 97-0975
CUMBERLAND
101
\~:~~,:~:A,~:~')~~~~"~~~~IO(.~~~j
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT IIOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS ~
rEV: i. 54-" - EX -A F P - i ii9= <i'i Y. NOW cr. n~."i NHi;iii;: A Me P. - TAX. APPR iil S F Mf' NT"; -Ai. i-ow AN6 f, - OR -. - - - - -.. - - - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
BENJAMIN F FILE NO. 21 97-0975 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
WILLIAM A YOCUM
3001 MARKET ST
CAMP fll L L
PA 17011
ESTATE OF HE I SER
TAX RETURN WAS: I XI ACCEPTED AS FILEO
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..I E,tat. (Schedule A)
2. Stockl and Rondl ISchedule 8)
~, Cla..ly Held Stock/Pllrtnerlhlp Inhrl.t (Schedule C)
t" Harty_ges/Noh. Rlol1Yebll ISchedule DJ
S. c..h/Bank neposHs/Hilc. PlrlOnd Property (Schedule E)
~. JoIntly Ownod Proporly (Sohodulo Fl
7. Tr.nll..1 Ctchodul. G)
8. Totol Alloll
APPROVED DEDUCTIONS AND EXEMPTIGNSI
,. F\.Inlral El<pan.../AdM, cOlts/Mile, Explnllll (Schedule H)
10. Dobh/Horlgogo Lloblll Uoe/Llonl CSohod"lo 1)
11. Total Deductions
12. Nat Velu. of 'aK R.turn
13. Charitable/Govern"'lnt.l Bequuts, Non-al.ctad 9113 Trulh
14, Not V.luo of Eliot. Subjocl to To'
NOTEI If an aBBeBBllIent was iBBued prBviously, lines
reflect figures that include the total of ill
ASSESSMENT OF TAXI
15. Amount of Llno 14 ot Spou..l rolo 115'
16. Amount 01 L1no 14 Io.obl. 01 L1nool/Clon A rolo 116'
11. A,"ount of Una 14 b)(Bbla .t Colhhrll/Cl... It I,.t. (17)
18. Principal T.~ Du,
TAX CREDITS I
PAYHENT
DATe
02-24-9'0
.__.._._._~_H_~__~'_
) CHANGED
11)
(2 ,
13 ,
(4)
IS)
161
In
.00
.00
.00
.00
11,7.106.34
.00
.00
(8)
RECEIPT DISCOUNT 1+'
NUHBER INTEREST/PEN PAlO C-)
AA269'liiS--- ----.-397."59- -----7;'554.24
191
110)
20.886.55
.00
ClI ,
112'
113'
1141
,~~lL
1~<Vf.~'
UHH' U '" nt.'"
BtNJAMIN
f
C5chlduh J)
DATE
05-10-98
HOTEl To inJurl proper
credit to your Iccount,
lubmit thl upper portion
of this forn with your
hl( paynlnt.
147.106,34
?O.886 ~~
126.219,79
12.621,99
113.597,~
14, IS and/or 1&, 17 and 18 will
returns aBsessed to date.
.00 X .00,
100.975.02 X .06,
12,621,98 X .15,
1181_
.00
6,058,54
1,8~3,29
7.951.83
AHOUNT PAID
- ~:;::.~;::~:;:~~ -7~'" .:: _j
_~_"H'____'..'_~ ._~~._---
TOTAL DUE ,00
-. ~--
. IF PAlO AFTER DATE INOICATEO, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
If TOTAL DUE IS LESS WAN U, NO P~YHENT IS REQUIRED,
IF TOIAL DUE IS REFLECTEO AS A "CREDIT" tCR), YOU HAY BE DUE
A REfUND, SEE REVERSE SIDE OF TIllS FORH FOR INSTRUCTIONS,)
, 0-
~
t.
~
..
...
.
\
I
\
. I
I
I
1
tlIST WILl, ANIl 'n;S'I'Mumr
OL~
:' '.
1l~;NJMIlN I'. 10\ lSliR
I, IlIlNJI\HIN 1'. I\JHSllll, of tho.llorough of Now Cuml>edlllld,
~~~Ji;~~lj::,(:'- County
i
of'Cuml>edand and Stute of l'ollnuylvunlo, I>olng of soulld mInd, "\Omory
and undol'stnndillg, do herol>y mako, pul>lish and declare this as and for my
, !
i'
Lalit Will and Tostament heroby revoking llnd 1I~11d.ng voiu any and all olhcf
Wills I>y U\O at any tlmo heretofore I\lade.
1.
I direct that my Executrix, hereinafter na\l\Od, shall VUy
all my just uel>ts and funeral eKpenses IlS 60011 as convenienlly, Inay I>s dol\e
aftof my docea60.
i II.
I
L,.I"j'""".",.,,,,,,.,, I""., AU tho rost, rosldllO and rO\ll11inuor of my ostllte, whethor
lf~,:',-: .' ';, ;. t,;.' !i:',' " ,t, ' . ,;. ,\' ' t ~ '. " '>,' , : ' , ' ..' ' , ' .
i" real, porsona1 Or I\lixou, and whoresoovor sltuato, I horoby give, uovlse and
I>oqueath unto my wife, H!lllIlL 1. IUnSIlR, if sho !lul'vivos mo I>y a period of
thirty (30) days. If she doos not survlvo mo I>y n podou of thirty (30) days,
thon lhis gift to hor shall be dlvestou alld I thon give, devise and bequeath
my ontiro ostato, whother roal, porsona1 Ol' mixod, anu wherosoever slluate
as follows:
cAULKINS, my small coltage 10calou 011 Lot No.5, n[\mou 1l1l'l'IIIlL,
c: ~',,,t\,\, t 1:,/..1 ',!J.\o I' ~'\",l\.; -: I' , ',' '
~.." 'r
~':,C:,:'::', ,,:"',: ,':":::;(". In:Contral Oak lI,lil\hts, in tho Township of Kelly, County of
'''~_I'' ,;U.,> " ~"'," , j" ,. ...., .1I,l 'i" ,,' "
~"tr..',:1'~;':'f'~~:--i.,~;\,l":'Io/;'~;\-' ~ ' :_ '.~" I.'~l ",,' ~ ,"'" " f~' "', {',', '. ','\ '
. ....~tr'/ }:r-~~TJl.ti\'-~t{"..,\~., ,'." ' ,
" '..' :~<I~(~i;~~~;\\~,:{:,~.';~~s;:,;}::~,I,\~:B):ly,.~,I!\I,~.,:,a,I~~ ,~\~tS~,~WSl1vorwaro Dorvlce for o~~~~~. (B~.
(a) 1 glvo and boqueath unto my uaughLor, SYLVlA ANN
.II'" t" "," ",
(b) I dlroct my IlKllClltl'lK" herolnaftor nomod, to soli
all tho roat, rooidllO and l:o\ll"i\l(lor of illY oatale, whothol' real,
porBonal Ol' \III.Ko<l, n\l(l whorosoovor situaLo and lO uivido lho not
,_' '" ",'f '.1'1
, )1,
, ,
"
'i\hY," '; ;'t'. I~ \, 1.,',,1- . , '
'-: 0'" ..,........_..,..~....._...;7.-,...'.".,....'~":-,.,..""..,.......-..,,; :-',
PNClBANOC
SI\VlNGS ACCOON'J.'
'5000031335
000 Balance:
Mabel I. lI",ise~ or Ben F. lIeiser
$44,019.17 'f' $11.53 acc~ued inte~est
Established 12/26/96
Sincerely,
~!L~~ ~..
1-000-7G2-1775 (ff3)
000,., f ~ ~ ~.. ~ 0 II ~ f ,..
o.()O ~,
"
2G,33G'34 +
6117'40 +
HltC:04'63 +
2G'67 +
10,E2()'15 +
26-73 +
.1O,C28'15 +
25.16 +
I 10,C04'63 +
26'67 +
Hh804 '63 +
26'67 +
1(',<;'41'87 +
1.65 +
(14,01\)'17 +
11'53, +
01G'~t1~.'ne.....
.11,1,,100'05 *
Page 2 of 2
Feu
[,41
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KNOW ALL MEN UY TIIESE PRESENTS. that SIlER YL CAULKINS I'ETIUlQUIN, a
benefioiary in the Will oruEN Ii, IWISER alk/aIJENJAMIN Ii, (lEISER, deceased, hereinal\er
rerelTed to liS UEN F, !lEISER, of Upper Allen Township, Cumberland County, PA, docs hereby
acknowledge that iishehas had and received orand from SYLVIA ANN CAULKINS, Executrix
of the Estate ofl3EN F, !lElSER. deceased, the lilllowing: $14,902.16 (Fourteen Thoussnd
Nine Hundred Two Dollars and Sixteen Cents)----------------------------------
She
It hereby accepts the above in full payment, settlelllent and satisfaclion ofils share inlhe Estate of
Bhe
BEN Ii, HEISER. deceased, In consideration of said payment, it docs hercby release, el\onerate
and discharge the above nallled SYLVIA ANN CAULKINS, El\eculril\, her heirs, executors and
administrators or and rorthe payment albresaid, and or lInd 11'0m any and all other accounts, suits,
reckonings, claims and demands whatsoever on account of or by reason or the administration or
the Estate of BEN F, !lEISER, deceased, or of any olher cause matter or thing whats~~;ciJ:) the
dale of these presents, ~(f/ tJ ({uJ4-tA'~ M~~
IN WITNESS WHEREOF, I have he,:eunto se~:hand luubmtll\ll~AGNE~~ or /
"~j~ Ii'l COMMISSION ,c'O"56'11
? 'b EXPIRES JUN 26, 2000
C:ldo'0er 7 ,1998,. ,~ BONDEDTHRU ,
,f..-"::.f '.1', ANTIC ~ONDINGCO-, INC.
~ O. UX''C''\j?/V (SEAL)
'~~-k(r-..J (omee or position)
Of (lrr)'\j)~ ~9. C\lr.lO
STATE OR COMMONWEALTH OF )
)
COUNTY OF _ )
On this the Day of , 1998, before me a Notary Public, the undersiglled
officer, personally appearcd Sheryl Caulkins Petrequin Known to lIIe to be the person whose
name is subscribed to the within instillment, nnd ncknowlcdged that executed the snmo for the
purpose therein contained, and had authority to do so,
IN WITNESS WHEREOF, I hnve hereunto set my hand and Notarial senl,
Nolary Public
RELEASli
KNOW ALL MEN BY THESE PRESENTS. that AD OF PENSIONS of the Central
PA Conference of the UNITED METHODIST CHURCII, a beneHciary in the Will of BEN F,
HEISER alk/a BENJAMIN F, HEISER, deceased, hereinafter retcrred to as BEN F, HEISER, of
Upper Allen Township. Cumberland Counly, I'A, docs hereby acknowledge Ihat it has had and
received of and from SYLVIA ANN CAULKINS. Executrix ol'the listatc ofllEN F, HEISER,
deceased, the following: $6.380.56 (Six 'I'housllnd Three Hundred Eighty !lollars and
Fifty Six Cents---------------------------------------------------------------
1\ hereby accepts Ihe above in (hll payment, selllemenl and salisfaction of ils share in the Estate of
BEN 1", HEISER, deceased, In consideration of said payment, it does hereby release, exonerate
and discharge the above named SYLVIA ANN CAULKINS, Executrix, her heirs, executors and
administrators of and for the payment aforesaid, and of and from any and all other accounts, suits,
reckonings, claims and demands whatsoever on account of or by reason of the administration of
the Estate of BEN F, HEISER, deceased, or of any other cause matter or thing whatsoever to the
date of these presents,
IN WITNESS WHEREOF. I have hereunto set my harld and sealthis)7 Day of
(L<--'-S,.L}::,
,1998,
'k~ }1u, J)~AL)
\:~'o.LJ __(office or position)
Of
STATE OR COMMONWEALTH OF )
P~,.vAiw' )
COUNTY OF i)"'r"'" .----- '. )
On this the t-l Day of It"ilr ' 1998, before me a Notary Public, the undersigned
officer. personally appeared J),~ J j" 'l Known to me to be the person whose
name is subscribed to the within instrument. and acknowledged that executed the same for the
purpose therein contained, and had authority to do so,
IN WITNESS WHEREOF, I have hereunto set my hand and Nota 'al
!ll\.Yill.Sll
KNOW ALL MEN BY THESE PRESENTS. that ALBRIGHT COLLEGE, a beneficiary In the
Wl1I of BEN fI, HEISER alk/a BENJAMIN fl. HEISER, deceased, hereinafter referred to as BEN
F, HEISER, of Upper Allen TownRhip, Cumberland Couoty, PA, doeR hereby acknowledge that it
has had and received of and from SYLVIA ANN CAULKINS. Executrix of the Estate of BEN
F. HEISER, deceaRed. the following: $3,190. Z9 (Three ThollRund O\\e Hundred Ninety
Dollars and 'I'well ty-N ine Cen ts) -------------------------..------..----------..---
It hereby acceptR the above in full payment, Relllement and satisfaction of its Rhare in the Estate of
BEN F, HEISER, deceaRed, In consideration of said payment, il docs hereby release, exonerate
and diRcharge the above named SYLVIA ANN CAULKINS, Executrix, her heirs, executors and
administrators of and for the paymenl aforesaid, and of and from any and all other accounts, suits,
reckonings, claims and demands whatsoever on account of or by reaRon of the administration of
the Estate of BEN F, HEISER, deceased, or of any other cause mailer or thing whatsoever to the
date of these presents,
"A
IN WIJNESS WHEREOF, I have hereunto set my hand and seal this.>i'1 Day of
/!vG-IJS"- , 1998, /)
~l
Paul Oil. zer
Jl~9n\lUV9 'l
.(SEAL)
doffice or position)
/k.~R/tM{ ~I-efJE
.~}~ 00~ ~O~~~~f:ALTH OF .
COUNTY OF i f\e r II. c;
Of
)
)
)
On this the'J..1'~ Day of I-IJ'l..J ~+ ' 1998, before me a Notary Public, the undersigned
officer, personally appeared p~, u \ 6 cl <.1.e n"o:J'c Known to me to be the person whose
name is subscribed to the within instrument, and acknowledged that executed the same for the
purpose therein contained, and had authority to do so,
IN WITNESS WHEREOF. I have hereunto set my hand and Notarial seal.
Nota~~/3'E~() Q~
Notanal Sual
Kalh~ l. Calonc9111. NotAry Public
A..cling. Berks County
My Commi8slon "'pires May 1,2000
Momhp.r Pllntl~lJhl,1fllfl AlIq(lf1litllnn of Nntarlas