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HomeMy WebLinkAbout79-00452 ~\ I (;,' j-", /. '.,: " '-- /' ,~," "; " ( p , .~ , .~ ." i;:l " II ., ~ ~ "'~ ~ ,; " , '" @ ., .~. I3C ! I " ~ ~. ~ "',' ,. . .~. ) ,~ '" -".. .... N .~. '8 , '" ,,~ ~o' Hi '\-; 1(" " ,. " I" 'I " , ,. 1\,., , , ~ '.' i 'Ii I;" (, " ,. I"; , , ..', ,. ,. ,', '1 " .;" ". ,", '. '-, ." ",' ,', " " , " ,. , " ,. ., '." [, rq , ,. ,. Ii.; ;1 "t, t. ~ ' " I;;, '/- , '-;ji 'l, , ,'/- ", " ., " '", " -"!' I " ." ,f ;i 1; ,), ", '" l" .' ~ 1'- I;' ,-" -' 'I " 'I. ,. No. 2'i19 4,.r.> " .,,.,, PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of ___.....Ernost.J2..1ill.lrnloll...."........ _ ._......._.________, deceased. To Richard E. Anderson, Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania, 15 Petltioner(s) are the execut..Q.r.~l . . _.. named in the Lost Will and Testament of _KrDJiHL:LP.. Jj~l!T!~ (JJL___.___ _, .."._ dated.r\!'l}~_1!!.l.-_!9Jl. Decedent was 0 citizen of the United States and a resident of TO'Nnsl-.ip Borough, Cumberland County, Commonwealth J:l.!lW Cumber.la)'ld of Pennsylvania. Decedent died on Weqnesday . the.,_.____Lrj;Jl.__.. day oL.illJ..v. A. D. 19 79 , In the County of __Il!!!:'l,.l.:ng~Q!L_________.,,"_____, State of ~W Jers!!Y.__,__.._________._._._.._._ at the age of _..29...._ years. ~ ~~K ~ Decedent has not been married and has 110t had children born to him since the execution of the above described Will. Decedent was possessed of personal property to the value of _$10.000 _____ and of real estate to the value of ..$.10.000________ as near as can be ascertained; said real estate situated as follows ..? 6!.L..l'J-L- ThJ.rd s t .-'_HarrJJ;!lllL~l....P_a_'___._~ apply Therefore, your petltloner(s) respectfully M~J{lt~ for the prabate of the sold Last Will and Testament and for Letters Testamentary thereon, Doted Julv 20 , 1979 Name and address of Petitloner(s) ~IDaup,~1::.D9Po.Pt~t"B.~~ Trust CO,,, Trust Off:\. cel' -)/.r t~,t'Jid;,. ,\ f J) ~~.'fF .''''cJt).:J! N...."""."'/',.,:;./:,, L../f . /0,~ r-f/ . 'w_ · ( c. COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND PhYllis G. Helmiok an~auDhin Dep'osit~~a~ On. named In above application, being duly _. ____0 according to law say6t;) that the statements set forth in this petition are true to the best of their sworn and 20 knowledge and bel ief. !lA LI PI."N D L ""I' ,T I) (i}J! subscr bed before ()Y~Jn~r~(2--\..\~ 'f:~, , -~/7'/i:' //27/U/ -/' ,~"~;~~~Ll...;l')((.lt v me, July ',,' Richard E. Anderson. Register ,~I . ~'(,/"~mm._ . ..... _._0____ ~,' (',('/.IlH..;IC. rVI\AI'~ i' 1r:I\, '7 "",,,1<o.J N. i\IA"tf""-' ~:'''''''''l , I-If\flfl!: at.'No p". Flied; July 24..1979 Attorney: ;-",r" Q IA.'.""" )\"",. rh ' . . OATH OF SUBSCRIBING WITNESS ,. . . I COMMONWEALTH OF PENNSYLVANIA } 8S1 COUNTY OF CUMBERLAND This ...........................20.tn....,.................................., day of .,....,.............J.k\~y........................................, A. O,t 19...7..9., before me ..............................R.tQ.hn.,~~..Aml",r.\'\\l,n..............................................., Reg ISler for the Probate of WHls snd granting letters of Administration In and for said County of Cumberland, in the Commonwealth of Pellnsylvanla, personally came ,."tl,~,~,'!;IJ,..k..,..A~l~D.,. ,~!:\:1,..W.U',~.t~)!l,"~.'...,~,~~.~,~,~"'~.!:',~. ,. ,..,.. ..",.,.."""..",..,.... ...,........",..".".., ............................................................"..,......."...................................................,..,................................................................. the subscribing witnesses to lhe foregoing instnunent of writing purporting to be the last Will and Testament of ..,.......,.....,. ..,.,Ernll,E\ t.. 0." ,lill lro,l. Q.It".."....,...".."...,..", ..,..,..,...,.,.."..,'.....,...,." Dated ,\1',\\ !:l,~", ~!f.,\",,~ ,9.,7, ~,......,',..., late of ,....1'!.Il~..Q,~ml?,Il.r.:J.~P..~I......,",..,"",...."....".....,....,....,"',.....,.",..".",.."........, Cumberland County, Pa" deceased who being duly .......f!l.l'f,9,r.n............................... according to law, depose and say, that ......tb.flY................................... . " present, and saw and heard the testatQ.t:............................., ..............................,............................................................... sign, seal, publish, pronounce and declare the said instrument of writing lIS and forh..t\'\.........., Testament and Last Will, alld at the time of so doing ......h.~....,................................................., was of sound and disposing mind, memory and understanding, 10 the best of ......,;!;.h~Ar........................................... knowledge, observatJon and bellef, .......,............~~~,7.~............"......., a subscribed before "',..,.).U,..,L,...~.........,....,',....,., ~~,....,.~"..":.,.,..~,,..,",..,..,'~,..~,..," .' ."- /" .....................................................~:...............~.................. , AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA } ~~: COUNTY OF CUMBERLAND ".liea:th..L.,."A1J.lln..,and...W,111illJJl".1t".,Ml~ lfl.r.,..y.);;.,.......,..,..,..",....".......",..,...."".."..""........~"., beln8 duly ...,.............................................. says thai as neArly as can be ascertained the said decedent ..!r.n~,B,'I;".Q"................... .. .He llo.1. ok............. ................" ............ ............. .............................'.." ...... ........... ....."......... ........ ..... ..........." ........... died on ,W.e,d.t111,ad.l\y............. the ........!t,1ib....................,.. day of .............,!!.hl.~Y.............................................. A. D" 19,2,~.., at or about .......................~.!,9,9..............., o'clock, ,1?, M, ........................!!!o:!9,!=:r......................, and subscribed this .............................f.,9"th.............., d of .... ,~~..~,y........., 19"I~.., )~ ).., ~." ~~ / ,.,',........,",..,.,.,'....'...7........'............,.........,;........ Register, OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA~ 55: COUNTY OF CUMBERLAND Before me, the Register for lhe Probale of Wills and granllng of Letters of Admlnlstralloo in aod {or the County of Cumberland, persollally came J~~\!l....y',\....I;{f!.X\l).~..U,/..,J',f.Y./l:l;..O.f.f.i.QB,J:,Jl.f..;.Da.UtlhJ.n..Depo.lil! t and Phyllis O. Helln!HR ana TruB~ Oompany who. being duly.........".......,......,..... do ..........., depose and say that as ".Ell',eo,u,tor.s..............................................., of the last Will And Testamellt of ...............,!!1.r.n,~,fJ.~...Q,t..,J:{ll,l,{tlJp.lt..;........................................',............. deceased ............,..,..........,~..........,... will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And also will diligently cpmply with the provisions of the Jaw relating to Transfer Inheritances. ........,~~~!:,~.."...... and subscribed before me, J ~'~'" d~ :l ~-~ ';/.?; -'- >,..r ~ / , .' ".. ' ..fti(;~~'" ..,'~. .."..,;:Uif!3!t:-t. ..,.......................H....... .;lh~..'5)...4~....1(:;......~........"'..................... Register 1 IJ.. tl 0 ... ~ ; :1 ~ .J ~ .J . . A ~ I - E-l ~ ~ ~ 00\. ,a \0 ....... l 0 I .., - d r...... ~ ~~ J t ~ 1 DECREE ~J ... ,..,. N ~. " ~ late of ............,~~,~..,9.);\~,~~,~,f.~.'.'!~....,.."..........."....',................, Otmberland County, Pennsylvallla, Deceased. Lttters Testamentary Dauphin Deposit Bank & Trust Co and .................................................................. were granted to .. ......''''~ny'r.1.r8.''G.~...~1e.1.m.rcik..'1 ,,,...t........,,............. .... Wilness lOr hand and official seal the day and year aforesaid, . . . ; Register, . ',OMMONWroAUtl OF PF.tWIYLV^NI^ 1-'["^IlTMENT OF IH'vt:NLJf IlJlIE^U Of ,',I)Ulny C()LLECTIOIH APPLICATION FC'r~ AND CONSENT TO mANSFEf/ SECURITIES REGISTERED IN THE t~AME OF A RESIDEH r DECEDENT ~~~ {'....,' I . V~ '\ .:"s'/~',i APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Appllcallon is horeby modo for calsonlto tho tmnsfor of !ho following socurltios 01 a Ponnsylvonlo Corpolullon or 0 Notional Bonking Assoclnllon locolod In Ponnsylvonln: DATE <0_ 2/12/~O.....__.__ (at._."2L_____..jb).,,. NIILI !llllll COil t rllll:'lllllllr:ln!onCn~'I)~. . _ ".__ "__,,. (c).Y"mlnoIYn . "_.._.'''_._..__ (tlOTE: In doscrlblng socuritios onlor In (el), ob 0/0, oithor tho numbor of shoros of slack or tho loco amounl 01 roglslorod bonds, In (b). Iho nomo ollho Issuing company and In (c) Iho closs 01 slack or tho stotod Inlorosl rata and mqlur;ll.Y de~t9 ai' roglSIPlrod h,andt',), /7' 3/2\ 731,-'17 73,111 :i/rlJ,:J 1 .1 1/15/75,6/20/79, "" r,{ j-.O ISSUED ON__u._."_...._.._,,..._._...__, OilCl haVing 0 TOTAL MARKET VALUE OF $,.;1...1"",,, ...._,.__.._.___.__ (Dulo) as of Iho data 01 doolh 01 Iho docodonl, _.__Lrnu~L-U.._l1dmlck__.._...___.__, on__Jf!!D.9._.,_____ (Nnmo of Docodnnl) (Dolo of doalh) who was Iota of .J2':? II~Ll.s.!.<!n-')~'.L,:,,(!_.. "l>I()\"..0.',!!lho}'c1nl1'L._ ..._".._.. Clllnh,!rJ.~111~L_u!),(l.'-'-Il.~y.}~.n.I1~Ln___ ($t,uol and t~uf1lh(lr) (Po., Of II co) (County) (SI~IO). .-/' ( ).. I h I II " . ,.11_ ',' I ' I ' To socurltios oro roglslorod os 0 ows:_,_..J2L,..I~l:n~!it Jl.JI"lmlel(..., "____..__,,____ (Namo 0' namot In which corllflcalOl aro fool.lurod) ~MtNl5:r<N)\Jr.On) Dauphin DCql()AJt Blink & 'l'ruAt Co, P.O. Box 2%1 IlarrJshul'r" Ponna, 17105 EXECUTOR )___ou "--"'-iNo";~)- ...,._.__u_.._.___.... un - .-.. (Add;~-~;) .nU___ ---...,-.------- NAME OF APPLICANT DauphIn ll<qHlHJt Bank & 'l'ruAL Co. . l'.;O.)\ox 2961'.'-""".' -. ...---._,,_....-- COUNTY FILE NUMBER.9J,2t.,~:d::-._ ADDRESS OF APPLIC^N~'~1:l'_~I,,~yr,'.I~n:..17)J._7_1____._ BUREAU FILE NUMBELu___,.............SIGNATURE OF APPLlCANT~~r&o,,- -.'L..l+,=g~ NOTICE, IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS AP LICATION, IT WILL NOT Be, .\1, ;~','r." CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. ,,~,.' t~l. I~I ''"\If,w -,.. -. - . COMMONWEAL TH OF PENNSYLVANIA - DEPARTMENT OF REVENUE f_ONjENLT()_T~M~~F~~.S.~s:.~~_IJI.t:~ DA TE -7~.L9TL~"RcJ I horoby consonl to Ih~ Irons for of Iho ohovo socurilios now roglstorod In Iho noma of Iho of or os old Docedont and walvo Iho filing of 0 cortiflclllo cOrlifylng 10 tho poymont of Iho Ironsfor Inhorilunce tax 10 which tho proporty of sold Docodont Is modo sublocl pursuanl to Iho provisions ollho Act of Juno 20, 1919, P.L. 521, as amondod and tho Acl of Juno 15, 1961, P.L, 373, as omondod, This is 0150 In occordonco wilh the provisions 01 tho Acl of April 9, 1929, P,L. 3~3, This Consonllo Tronsfor Iho horoin doscribod propOrly oporolos only in roforenco to Iho oslalo ollhe abovo-namod Docodonl, '.-.. , Signo f r Ih ocrulary of Rovo lle ~- t 'l"'- .,," ,1i~'11~;,(~~,'" !\i\ . \... (1'.0""''''') ^b- I' J ,,,...,~/"'.' (,1('1 ,~':::~~..',L" lv~' \..\'" -/ltv'll . ~'\I'"I")~ '- { IC"."", '\ COMMOIIWL.\LlII 01' PEIH1,YlV^NI^ Dr.';'J,h,..,fi:tH OF Rf:VEHUr: IIUHE^H 01' CO\JNTY CQLl.ECTIOll1 - AI'I'UCATION Fl'F: AHD (ONSEHI TO TRAHSF EI: SECURITIES REGISTERED 11< THE HAME OF A RESIDEltT DECEDENT \ ~r~~ 4":"'1'tl '~~l/<'I:'., t\ '.... ~I\:' .'" '~"J"~''''' DATE 2/12/B'O_...__.,._ APPLICATION (MUST BE FILED IN TRIPLICATE) . - TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: App\lclltlon Is horoby modo for c onsonllo Iho Ironsfer 01 \ho following socurltlos of 0 Ponnsylvonlo Corporotlon or 0 Nollonlll Bon~lng Assoclollon locotod In ponnsylvonlo: (oL..l? ~t'f1.,--...(b) _.~CNl\ Cor\'., .... . u . ........- u .._.d"'_ . (c)..c;()ll\~\O'!..---.._----~.~._._- (NOTE: In do scribing socurllles onlor In (0), rIb 010, ollhor Iho number 01 shoros of slaCK or tho loco onlollnl of roglslored bonds, In (b), tho nomo 01 the Issuing cOlnpony ond In (c) tho closs of stoCK or Iho slolod Intorest roto ond moturlly doto 01 roglslorod bonds,) ISSUED ON .,.__JI7.h/I0....-.., !lnd hoving u TOT AL MARK ET V AWE OF $ .2.J.~.:.-:-::..-.....-.----- (O<lh1) os of tho dote 01 dooth of tho docodont, .n..!::!.(1~l!,.!:._~-:.--I.1.'C.l.I1\!:.CJ'..--.-..-.-..-...-..---, ol,-,..7jll!1.?..----- IN""'. "f Duc.donl) ID.,. .1 du.'hl who WItS 10to of __._77:.5..1.U1..1fl.l dl'l)rlvl'. __~-,,\~_~:~l1nborl (1'!".-.-.. ._..__"c\lm\l.l\E.l~lnd.., _.P.O'1\.'.!!.Y}Y.'!.'::!-~- (,,,..1 nn.\ Numb.') (P.,' Ollie.) (C.unly) ("ala) Tho socurltles oro rogl storod os lollows: .._...!~:~l1o."_t.l).- .:IL.lm.lck . .-..' ._n ..--' _d' ... - ........._~--- (HorllO or narnol In which cOlllflcCllOl 010 Wlllstufod) M)h\\l'/.I~:m~U~P4!)-,\ '\Pl1I,l1n!)"\,OHlt,._1\'~11\'....~__:ry'I~B.t...C[), ..L 1',. ().~ 1\0.1' _:!9,~1 .. .11nr.E.tf\.1"IJ:~".l'[!.,..E\Q ~ -- EXECUTOR) (Nam.) I^dd..,,) NAME OF APPLICANT !In''I,I1I11 !leno,;] t 111111k /, TPIHI;.. Com"lll1" r ,0, 1\0' 1')61 . - - ..."en" ,-,. ')./ 71 y.{'2. JlnrrLlI\lllrp" 1'e 1111 1\ , 1'/'\05 COUNTY FILE NUMBER..:. ..~ .._~__ '... ...- ADDRESS OF APPLICANT .' .~. ' .. - "7' .___n~--'-"- j! , ,,- .. BUREAU FILE NUMBER.- ......u_.SIGNATURE OF APPLICANT .vd:r,.",.../Jl'. .. . - l'lOTICE: If you rAIl. TO PROPERl.Y fll.l. IN Al'lY POR1'ION Of THIS AP l.ICATION, IT WIl.l. NOT ag',n i,\, I'(JI(I') CONSIDERED COMPl.ETE AND WIl.l. BE RETURNED TO YOU fOR COMPl.ETION, ASbl';lulIl JrU:l\ C'lllcoJr . ,.-.---...----...--.. _~_~~. __..__ _0--' o ____~_....__ _____._u._________._._.__ ..--- __..______.__...__.___.. _0 _" ___. . - - ..- _._n' .--- . -- COMMONWEAL T~0~~~1JrJ.~~A~~~iRD~;~~lI\:~~r OF REVENDU:T7lPt",- LtJ~8:) I horoby consont to Iho Ironslo! oltho obovo socurltlos now roglstored In tho nllmo ollho of or os air Docodont and wolvo tho IIllng 01 0 cortiflcoto cortlfying to Ihe paymont of tho trons!or Inhoritonco IllX to which tho proporty of soid Docodonlls 1\10do sublect pursllont to Iho provisions of tho Act 01 Juno 20,1919, P,L, 521, os amendod and Iho Act 01 Juno 15, 1961, p,L, 373, os amondod. This Is olso In,occordunce with tho provisions ollho Act 01 April 9, 1929, P,L. 343, This Consont to Trunslor tho horoln doscrlbed property operolos only In roloronco 10 tho ostoto 0\ tho obovo.nomod Decodent. ~rB~~!t ~ ~j'l~il A ", . 1.l..:1"'V' . ~, okr.~.. (;.'i' \,~ SignO~I.f1r tho socro.~.~ry 01 Rovonuo '----':l .. \... ,,\,~B':~'~~'."j'~!~ ~~~~...- ~ (\~. N f>..Vt4L.1i1 W ~,~ ~ tWn " \1,,)' '-\ '~5"''''t\) . '\ -. CLlMMONWEAL HI OF PWNSYLVANIA DEf'ART,\IENT OF nEVENUE IlUnE~U OF COUNTY COLLECTIONS " ' APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT ~, ..____ -__....0. ...__ __ .__....~--- ----_.~---~-_. ......._--+-- .-'" ~._- DA TE _____y2J~8,,~.n_._.____ APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application Is herohy mode for calsont to tho transfer of tho following securltlos of u Pennsylvonlo Carporotion or 0 Notional Bonking Associallon locotod In Ponnsylvania: (0) 2 7 Sll~:..._(b)___~_::~~~~""~-,,n~:.I~..!~.::{l:lc.inl-.C,,~rp,-,~'ll~_iol~_".___. (c) ___comm~~~_-- (NOTE: In doscribing securities enter in (a), ab 0/0, elthor the number of shores of stock or the foce omount of reglstorod bonds, In (b), tho nome of tho Issuing compclny ond In (c) tho closs of stock or tho stated intorest rote ond maturity data of registered bond~,) 1 12/7 70,3/21/73,517173,3114 75, ISSUED ON.!'J2(~/79.!."l]Y7~._, and hovlng 0 TOTAL MARKET VAtUE OF LflC:.IY___ (Oat.) . I I] t I 7/4/79 as of the date of death of tho decedent, J\rnont l. J o_":'I1l~c~u_-___' on (Namo of Decadunl) (Dot. af d.oth) who wos late of~?~__llt..!~ls~do ...E.:.~:-'(l____~~n.~tJ~I!'.(l~_]:~nd __.,,9_~lmborland Ponnsylvania (St,..t ond Numb.,) (Po.t Offleo) (County) (Stol.) The securities are registered os followsl__.~~g,:!'.ostJ~~__1!e..!!n.!,9~---,-,,_._-- (Nomo or namea In which cortlflca'.. ure roglltored) lWl1JMm~lVPO~) Dauphi n DoposI~ank _L~_ CO 'L!:.!..Q...J!o.~_29f11__~E.':j,~l?urgl_Penl1a. " 17105 EXECUTOR )-- (Nomo) (Add,...) NAME OF APPLICANT lJallph.jrrJ!".p"QJl_LLJlanJ< & TrllAt ConlPnny 'I}" .' 1',0. IJox 2961 COUNTY FILE NUMBER..... - '1-- 4.s ')-- ADDRESS OF APPLlCANT_.J.I~_\TTi~b_\lrg 'u~.!'_!..-_,.! 7105 JJ{1. L~. - /~ BUREAU FILE NUMBER______SIGNATURE OF APPLICANT _______-P--<---.,q,a-:-- . 'f-oI-1<.. NOTICEI IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL N,.., '~'~ "" M. fl.'\(" CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION, I. lIll lillSl Jtf,r;er ----~-----_.~~._._._-_.~._---~_._---_..-------_. -.-------..- .._--.-_._..------_.__.~-_.--_...- .~-----_._----------_...._-~--_. .....-------.-------..... ------ .---------------.-------------- COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES' )V) 'J "I III (','I DATE .-.! !~~..l.,...U' II I heroby consent to tho tronsfor of tho obove securities now registered in the nomo of the of ores old Decedent ond wolve the filing of 0 certificate certifying to the paymont of the transfer Inhoriton~e tox to which the propnrty of sold Decedent Is made subject pursllont to the provisions of the Act of June 20, 1919, P,L, 521, as omended end the Act of Juno 15, 1961, P,L. 373, os omended, This is also In occordanco with the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Tronsfor the horeln described property operates only In reference to the estote of the obove.nemad Decedent, + ~~~ Slg31:]. ad. f r the S retory of Rovonue ,(' \. h "-L By '. I' --..::..-.11) <. <' - (,'/l'\~ '. \ (~lgnOIU'~ ~ ^ (' lV(,ltif. / ,,1.vnb.'::, \\"~,__~JW.l;.1L__\_Iu".. ~~ /(11 . "~ (TII).) \ \ (CofnIY) \ . v"\ COM::ONWI^LTII OF PENNIYl.VMIiA O!:P^f~TI\r.NT OF Rl:VfNUE nUllE:A'" ':of COUNTY COl.l.ICTlONS APPLlCATIOtl F(lr~ MW COI,SEIH TO TRANSFEI~ SECI)f~ITIES I~EGI5TEI\ED II~ THE NAME OF A RESIDENT DECEDENT p', ~~~I'~,~~frJ Ilk\~(,,(fJ"'\ "~~J~;ll c. DA.TE,_YP{~'__~_~~~ APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Appllcullon is horouy modo for cooson\ to tho trunsfor 01 tho (allowing socurltlos 01 a Ponnsylvanla Corporallon or 0 Nullonal Banking Assoclullan loculod In Ponnsylvonla: (a )__c_ .~~!2:",__Ju ).___~II t I"IH\lu~:u_nt~n:l..1111~lln~~j_al_Corp.u ._u______... (c) ___C~~n~~.~,_. n________ (NOTE: In dosc,lulng sacurlllos onlo, In (uJ, au 010, 01 tho, tho nllmuor 01 shcllos 01 stock or tho luco amount of rogistorod uonds, In (u), tho noma of tho Issuing compuny unci In (c) tho c1uss 01 stock or tho stotod Ii,terost rata and maturity dolo 01 roglstarod uonds,) ISSUED ON..!..2/7(.~___________, and having 0 TOTAL MARKET VAtuE Of $..______,,________---- , (D...) as 01 tho dato 01 doalh 01 tho docodont, _" Dr, gr!~at,_~lll)nl~cl~uu_c_________' on_._.J.L!./79 ______ (Harno (:If Dllcodolll) (Dnlo of dtto'h) I I 725 IlIllsJdu ndvu Now Cumberland Cumbllr1nnd l'onnsy1vanl,Q who was Iota 01__,______.__________________.._____,_"..,.._.._._______..___...___..-..--'''-- ' (St..., .nd Numh.,) (P..t Offl,.) (Cou"'y) (5t.t.) Tho so. ,lilies ora roglstorod as lollows: __~-'_ Jo:rno6tc!)-,__I!".:lmick .c__.._u..._.._... __ .. _...__"".____ (Helme or namo' In which eotllflClllot aro tflgltldrod) A'lmt~f'tyoq~JPt~'m ~_\1:.!.~~~Yel'c':l1_~.~.:'k &_..:!:.:I_~~_~"-"ul".9:ull~x.. ~,961. ~I~:i.~:~:.~_! ..!'a. 17105 Il- EXECUTOR) (N.m.) (Add....1 NAME OF APPLICANT P>'?gp'.1~AgxD2~6~itJInn~u~ _TruRt Co, ~ I . 1l'lTri.aburg, Pannn, 17105 COUNTY FILE NUMBER~_",-'Z2::.'1_i'2:::-_ ADDRESS OF APPLICAN1.____._c____, ----r) . " /1(,. 1(") /. BUREAU FILE NUMBER __~__...._.... ._.__..,._~___ SIGNA TUR E OF APPLICANT _______.______.__~_______~':.__ .. . of' " NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOTre.ii":'I'~ ., ,. , CONSIDERED COMPLETE AND WILL [IE RETURNEr, TO YOU FOR COMPLETION, A:.:.,:.l.lrll TI." .':". ______0._. ___ _______,___..._.___~____~u____._..____~___~._______._.________.._.___ .._.0________ _ .__.... _~_____......._~__ ,___ __,..\.. -.-u--.-u-------CO-MMONWEALT~o~~tJ~~~1i!~~J~Ei~~~~~~B~\~I~T OF.REVE:~~:~-_=--_~( '_, t 1{~ -. I horoby consont to tho transfor ollho ouovo socuritios now reglstored In tho narno of IhOeld Docodont and wolvo Iho Illing 01 CJ cartlllcoto cortlfying to tho ['oymont ollho tronslor Inhoritonco tax 10 which tho property 01 sold Decadont Is modo suuloct pursuant 10 tho provisions of Iho Act 01 Jllno 20, 1919, P,L, 521, os amended ond tho Act 01 Juno 15,1961, P,L, 373, os arnondod, This Is 0150 In accordonco with the "rovlsions 01 tho Act 01 April 9, 1929, P,L, 34'3, This Consent to Transler tho horoln doscrluod proporty oporatos only In toforonce to tho ostato of thl' auovo-named Docodont, \)., 9J ,1j;;,....0 ~" "('fir). "\j i"~ t~~,~t.i.J\ "",,- ',,10;1).,. SI.,9 n~.d .1. or tho.. socr.o.tcrl' 01 R ~o. yo. I ~. J By -~:!4Uu/!::-,-;,~../... :(,C"-r::.~~__._ ~' /.) (Sl."ol~.' / .' '.. / . . ~ ~.d.c;..:,...t,{,)... LI( IJ~c6~1.l~!<..(~. (/1") (CountY) ,. I V'.llIJ !lI./U) C.Ohv.\ONWEAL HI OF I'ENNSYI.VANIA OEI'AllTMENT OF REVENUE IlUHEAU OF FIELD OPE RATIONS INflEHITANCE TAX SECTION OFFICIAL NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX Ie? ;15"'1-.2. 10, ______ DATE, //-~/-Ito ESTATE OF'__mL/~A/~-S'T D. JJ4"/.....,'<:I(-- FILE NO, J..L - e..2. - "I~;.z COUNTY OFI_~ L! .',/>, "",n /19,4'/ DATE OF DEATHI_ 7- ~- 7? ---'~---------------------------------------------------------------------------~--------- /.. DETERMINATIONI I. Taxablo ..toto baaod uponl _ Tho L1nltad Stat.. Eatate Tax R.tuln (F.rm 706) Th. communication from the F.doral Government conllrmlng the acceptance of or chang.. to tho Fodoral Eatat. Tax Return 2. Amount of cr.dlt f.r Stat. d.ath taxea (ao vorlllod) :\. Ponnaylvanla Inheritance tax a......d (o.cludlng any dlaoount and/.r Interott) ,I. Normol Inh.rlt.n.e tax paid t. othor Stat.. or Torrltorl.. .f the L1nltod Stato. (..cludlng any dl.count and/.r I ntore.t) [j, Totol Inh.rltanc. tax cl.dlt. (line Item 3 plu. line It.m 4) ,\, Tutal liability fa, Pann.ylv.nla e,tat. ta. (line Item 2 mlnua IIn. It.m 5) $ -(1''- $ 0- $ -,,;t.... $ -<<='''''' $ CJ- $ - cf)- NOTEI C.mpl.t. line Item. 7 and 8 ONL Y when det.rmlnatlan la ba..d on Federal Cla.lng Lett.r 7. Amount of P.nn.ylvanla ..tat. tax a......d an d.t.rmlnatlan dated Addition (Ieductl.n) to Pennaylvanla ..tat. to. (IIn. Item 6 mlnua IIn. It.m 7) D.t.rmlnatlan pr.paled bYI Oat., -<.0 ~..: J(-"V-,N $ $ B. , ~ ~~~; ..- - - ..._- - ---- - -------- -------....---- ---- - -- --- -- -- -- --- ---- - -- ----- --- - -...-- ..' -- --- --...- --- --... B, ASSESSMENTI 1. P.nn.ylvanla Eatate Tax lefl.ct.d .nl IIn. It.m A (6) IIn. Item A (8) 2. LOBI crudlhl Q~.TE-Qf PAYMENT AMOUNT PAID $ 3. Balance of P.nnaylvanla ..tat. tax duo INTEREST ($ ) ($ ) ($--)' CREDIT = = = - $ Intar..' I. duo at tho Illt. of al. (6) p.rc.nt p., annum fr.m t. tho dat. .fpaym.nt. A.....m.nt pr.par.d bYI , AOf!NT FOR THE COMMONWRAL. TH Oat.l_ SEE REVERSE SIDE FOR INSTRUCTIONS INSTRUCTIONS To Insure proper credit to your account, the name of tho estato ond fllo number should be clearly prl nted on the check or money ardor. This determination and assessment Is made In occordanco with Section 421 and Section 732 of the Inheritance ond EstlltO Tax Act of 1961, 72 p,S, 2485-421, 732, Thosstate tax Imposod by Soctlon 421 Is duo ot tho dote of tho decadent's doath but shall not becomo delinquent until the oxplratlon of olghteen (18) months of tor e/ocoe/ont's e/eath provided that any estoto tax occaslonod by a flnol chongo In tho Fadllrol raturn or of tho tox duo thoroon sholl not become dellnquont until the oxplrotlon of ana (1) month of tor tho parson Ilablo to pdy tho tax recelvos final notice of tho Incrooso. Calculote Intorost from the dollnquent dato shown on tho faco of this form to tho dote of payment using tho following Interost toblo: ----.- ------...-- --------------....... --- ----- ....---- -.- -....-... ........-... ----.... --.... ---- --- ---- -........ ---........ 1 month .005 4 months .020 7 months .035 10 months .050 2 months ,010 5 months .025 8 months ,040 11 months .055 3 man Ihs .015 6 months .030 9 months ,045 12 months .060 _~--o_. ._.._.____~_....__._.._.__~,...._ 1 day .00017 11 doy s .00106 21 days ,00352 2 day s ,00034 12 days .00203 22 days .00369 3 days .00051 13 day s .00220 23 day s .00386 4 days .00068 14 days .00237 24 days .00403 5 do y s .00085 15 days .00250 25 days .00420 6 do ys .00101 16 days .00267 26 doy s .00437 7 doys .00118 17 day s .00284 27 days .00454 8 doys .00135 18 days .00301 28 days .00471 9 days ,00152 19 doys .00318 29 doys ,00488 10 days .00 1 ~9 20 days .00335 30 doys .00500 .-------------....-------------------------------------------------------------------- Any party In Intorost, Including tho Commonwealth and tho porsonal represontotlvo, not satisfied with the ossossment moy oblect theroto within slxly (60) days aftor receipt of this notice os provided by Section 1001 of the Inhorltance and Estate Tax Act of 1961 (72 P.S. ~ 2485-1001) Make check or money order payablo tal "Roglster of Wills, Agent" Moll to tho oddress Ilsled beloWI " 'j; .'1 'j' ,i i~ I ~I i ~ : ' :~. 'II !'~! ! : ~ i. ~i '! i j' : ..... Ii; ,,: l!'l : ....~: :~:... ' I C, "...:t 1 t, 0, ~'.N: ... j" Ul: :0: CO;::;: : g ol/:,. m. ...., e . Jl!. (,l: Ul:t: : ~~ ~ ~B Ii; Ii H J .. F ~ <! 'i. wi I ! . ~ I r ;, i' " ,. , ,. ;'; '..! i,,, k ~ i: .~ I"., l)CII ..;I,~ ,t . ! ". ml ' n'l ~ Vl .. . ',.' "1 ..:. "'6 '-....,J ;:~'t'1 . . "T ''0'" '-ir:; ('oJ ,It) "":" \ ~< '~..., 11 -.1 .1. ~ I ,~ ~ ~.~ ~ "6}8~tf fiL'd<(.J~ f~bW". . 1~~~~~ I ,~ i ~ ~. ~ 'c.!9i.$lIl ~ ~. ~ ~ ~ I" j' ij " ,';"/-77-1{ 5;), D.te,! (l i\?;i j,:k,4 Socl.' Seourlty 0' r.ll1ployer Idol111110atlon NUll1herl 23~6693576 T.~ Ye.r Ended .nd Deflolenoy, C E R T I FIE D ~-1 Decci'nber 31, 1980 $133,480.00 I> Ernest D. llo1mlck 'rill Davld IXxld, S'ubstituted 'Prustee 3810 Markot Street Ca&np HUl, l?Al'IOU DP.ar Mr. Dodd I Pe"on to Contactl HCMard W, Rw.i.tkay Contaot Telephone NUmber: (215)597-2076 We have determined that there is 11 deUoienoy (inorease) ill your illoome tax as shown nbove. This lettsI' is a NOTICE OF DEFICIENCY sent to you as required by law. The enolosed statement shows how we figured the defioienoy. If you wnnt to oontest this defioienoy in court before mnking any payment, you have 90 days from the nbove mailing date of this letter (160 doys if addressed ~o you outside of the United States) to file a petition with the United States Tax Court for a redetermination of the defioielloy, The petition should be filed with the United States Tax Court, 400 Seoond Street NW., Washington, D,C. 20217, and the oopy of this letter should be attaohed to the petition. The time in whioh you must file a petition with the Court (90 or 160 days as the oase may be) is fixed by law and 1h.\l. Court Qn!lJl9.! oOllsider Y2l!I Qflll.!! if :lQ1!I 12etition !" 1:J)eg llli!!, If this letter is addressed to both a husballd and wife'Jand both want to petition the Tax Court, both must sign the petition or eaoh must fil~ a separate, signed petition, 'Iou Dan get a oopy of the rules for filing a petition by writing to the Clerk of the United States Tax Court, at the address shown in this paragraph, If you deoide not to file n petition with tns Tax Court, we would appreoiate it if you would sign nnd return the enolosed waiver form. This will permit us to assese the deficiency quiokly and wlll limit the acoumulation of interest, 'rhe enolosed envelope I::J for YOUI' oonvel\ience, If you decide not to Rlgn and return the waiver and you do not timely peti),ion the Tax Court, we wi 11 llssess and bill you for the defioienoy after 90 days from the above malling date of this letter (160 days if this letter is addressed to you outside the Ullited States) . If you have any questions, please oontaot the person whose name and telephone number are shown above, Sinoerely yours, Enolosures: Copy of this letter Statement Waiver - Form 870 Envelope Mld-Atlanllo Region Appeale 0<<100 800 Arch Strent. Room 4464, Pllllarlalphla. PA 19108 Roscoe 1" Elgg'er I Jr. Oommi~ioner By.ij ';-, 11' i'-/. :';;::':"'/"'('1 I~,~ 41 'I "Ii I~ I'" - I Ass()Ciate Chief, Appeals ofHce Letter 894(RO) (Rev, 4-82) '. " No. 21-19-452, Letters Testamentary have been ijsued to Phyllis G. Helmick and Dauphin Deposit Bank and. Trust Company as the Co-Exeoutors named in Item F'IFTH of the Will. A copy of Decedent's W~ll is attached hereto as Exhibit A. 3. Deoedent and Petitioner executed an Agreement of ~l'rust dated JUne 14, 1971, together with Iln Amendment, dated February 4, 1975, to said Agreement of Trust. The preamble of said Agreement of Trust, as amended, llamos Dauphin Deposit Bank and Trust Company (then Dauphin Deposit Trust Company) as Trustee of the Trust established by said instruments. A copy of pecedent's Trust, as amended, is attached hereto as Exhibit B. 4, The address of Petitioner is 213 Market Street, HarriSburg, Dauphin County, Pennsylvania. 5. The Estate of the Decedent is insolvent in that Federal Inoome Tax liens greatly exoeed any assets of the Estate and/or of the Trust. As revealed on the Federal Estate Tax Return, Form 706 (a copy of which is attached hereto as Exhibit C), Income Tax liens of tho Internal Revenue Servioe exceeded $550,000 at the time of the Decedent's death, since then, extensive litigation has uocurred before the United States Tax Court which has substantially incr6ased said Federal Inoome Tax liens. 6, The Federal Estate Tax Return, For.m 706, of the E$tate of the Deoedent is being audited by the Inter.nal Revenue Servioe. 1"..,,10 t ,"J '11/ .1....\/1'111 -2- '\' .. :)d,') 12. Petitioner has reo~ived repeated demandQ from the benefioiaries of the Trust (or of the .retirement plan) that distribution of these funCls be made to them. 13. Representatives of the Internal Revenue Servioe have advised Petitioner that Deoedent made many unroported tFansfers to family members, of which Petitioner has no knowledge, and that Decedent's taxable estate at death was far greater than petitioner has been able to ascertain from informution available to it. 14. Petitioner has boen advised by counsel that it could conoeivably face serious exposure to colleotion efforts by the , Internal Revenue Sorvioe as a result of existing and potential tax liens against pecedent'aEstate and Deoedent's Trust, should petitioner make improper distribution of funds in its possession and control. 15. Beoause of the existing Federal Inoome Tax liens and , the anticipated substantial Federal Estate Tax assessment and the potential exposure of its own assets, Petitioner has declined to make any distribution of funds in its possession and oontrol. WHEREFORE, petitionor requests that YO\lr Honorable Court issue a Rule to Show Cause why the fundo in its possession and oontrol should not be paid into your HO~Drab1e Court, and why the Court should net determine and direot the distribution of such funds. petitioner further roquests that it be ruleaeed'from , ., .,1/ f I', -; ~ I t .', J , HI'- 1)1..) I ~4- over to sa.Ld b0ne:i:.Lcim:y in accordance ~d.th tho provisions of said t!:uot. l' 0 URTIIl In the ev"mt that my wifo, Phyllis G. llGlmiclt, predeceases me, I nElmG my duugh.t.er, ]\my L H('Jlmicl~, as guardiun of the persons of any mj.nol:' ch:Lldron who IJlll:vj,ve me. FIFTHI I appoint my wife, Phyllis G. Helmick, and Dauphin Deposit Trust Compqny, Harrisburg, Dauphin County, pennsylvania, as Co-Exoouter13, and direct that they serve \dthout bond .in any jurisdiction in which they are ca11(3,1 upon to act, In the event t:hat my wife, Phyllis G. nelmick, is unable or um-lilling to. serve, I direct that Dauphin Deposit 'l'ruat Company serve alone aa my Executor, and tha1 it serve without bond in any jurisdiotion in \~hich it is oalled upon to act. ~1!1 I give to my Executor and to my Trustee, her'ilinaiter ro.ferrad to in the singular neutor gender, tho following po\~ers during the administration and until tho oompletion of the distri- bution of my estate, and until the termination of all trusts I oreated hereunder, in addition to, and not in limitation of, any I\uthority given it by 1m'/l (a) To rotain any property of any kind of whioh I may die possossed! (b) To invest or reinvost in st10h stocks, 1:.onds or. other property, oi ther rOEll 01: parson~l, as it, in its sole dis- oration may deom ,'liso, without boil19 limitod to \'/hat are lmown as "lognl invos'l:mentsl" npd to dl!lposit: ancl maintain, in its sole discrotion, funds in such amountsnG it dGOr.1G proper in banks of ita ohoioo! c:' --,\ I' . ,,;> '--j' ."(~,^-L_.I ~.... ., .' , i I 'I . .' f .r: ('. '~e..(..y,-. r;', t -4- . bondu or o-:hor illVost~l.;l:lts 7 <mc1 to jo.i.n in <'my plnll of lGCHJs, .- - '''~ l1ny opt:ion~l to ~;ubuc.d.bEl for. stocks, r.lOr.tgngo, 'C()~lfJol i.elation, n;:chang'Q, r.aOl:Sfanl;~a'l::lon or foreclosl1l"e', of any co:z:por.,ltion in IIhich my 0Ututo tlnd trl1sts may hold stooka, bonds or other socl1ritiao; (d) To sell, trD~sfor, Convey, mortgage, pledge, lease or t;llcchi.1l1ge any property, 'real or personal, which at any time mOlY form part of my estOlto, for the payment of debts or t~ces, or for any purpose of administration or distribution at oither public or private sale, for Such pricGs and upon such tOlT.lS as it, in its sole disorotion may deem \dse, and to cl:acute and daliver deeds of conveyance or transfer thel'eof, w.ithout any liability on the part of the purchasel" or purchasers, or anyone else dealing \dth it , with respect to my said property, to see to the proper application of th~ purchase money or proceeds; (0) To renel" notes or debts of mine, and to borrow sums of money, giving SUC!1 security therefor as it, in its sole discretion, mOlY dt;lem to be for the bt3st interosts of my s.aid estate and trusts/ as it, in its sole discrotion may deem wise, \~ithout the nt;lcessity (f) To maJtt;l Battlements and compromises on such terms of obtaining any court approval thereof/ kind. as it,. in i'l:s absolute disart;ltion, deems wise; (g) To make distriblltion ht;lr,ellnder either in cash or in (11) In its discretion, to clri\ort:l,:::o El-am inoome prllmiWns paid for investments \'ll1ioh are oallable, or have a fixed maturity, .:.J I K.. ,~ ~ ~', . I " I ,,' , , ':~:'..... ^'.. ' -: / .'1. "~"""""1.'C / M~-1,.ot."""" 'f..,'[ -5- .e.l':"m~r.l'rl; I diroct tl1ntthlo r,;.wt 1'1J11 ilncl '.l'untllwmt control tho d:LfJtr:lbution of my p:r.oport:y :l.rroupc;cl:.i.v,-', 0(' IJhlJtllLH' thoro are cl1ildrCJI1 horn to ma or adoptCld by mo fJubrJOquQl'lt to th,) execution of t~is Lust Will and Testament. EIGIl'l'H; 'J.'ha \~orc1s "ifJOUG" and "childron" whc;movGr used in thill Last Vlill and 'J.'es.tnment shull inolude adoptod children, NIN'l'HI No intorGst of Elny boneHcinry "lIldo.!,' thiG l'lill or any Codioil hereto shall be aubjaot to anticipation or to voluntary or involuntary alienation. TENTH I 1\11 estate, inheritnnc(~, Ilucoesoion and other del!\th taxes impolled or payable by reason of my death and interest and penalties thorl3on ,."ith respect to all property comprising my gross olltate for death tax purposes, whethor or not stIch prppr:l:I;ty passes under this Hill, shall be paid out of the pri,ncipEll of that portion of my general estate "Ihloh does not constitute part of tho mad.tal deduction, all if such taxoll \'IGre o>tpenses of administration without apportionment or right of rGimbursoment. I authorize my Elceoutor and '~rllstee t:o pay all such t!L"es at such '. time or times as deemed ac.lvi.sable. IN \'1ITNESS IvHEREOF, I haVG set my hand and seal on this my Last Hill and Testament this/Vct~ of ().0"-""(' .., ,~971. C;~" ~ "'-;l'If, i{ /. ,/' ./J:,.-1.'h f"l"; .. ( L~.,:''''''H:LL(SEAL) '-'-!!:RNEST D. lIEWICK SIGNED, SEi\LED, PUBLISHED and DECLARED by Ernest D. Helmick, <IS and for. his Last ~'1ill and Testament, on the clay and year last aboVG \Iritton, in tho prosencn of tIS, \Iho, at hin raquGst" in his praSCll1CC, cmd in the prasonca of c<lch other,. all being present at tho sama '.::i.me, have har.ounto subscr:l.becl our names ao witnesses: I~~ {, )d~~_ "..,..,,- .....,.---..-.- ' "".~. .... ~..".., ......r*I'--;.".j ~'-";//," .'" ~ .<" /---" .'--;,"".,~",~'.,. /'/.' ,...., "--.-1 ,--,.,. ~ .:,,-- ,..... .... ~ /, '.. -"L .0;.'.... ,...,. /-:-,"L.- <!--c.~"':"l- .'''~ " .' ,;.-- L. ......11<:_..... '-) J/ / 1 ~ -;_..~ ,t.!.' /, /.." /. / .' 0<.-"':" _- .,/ I ~' ~ :;;,-:-_.~.--~ " ,/ "":"' ",,' .>1." " . .' .. '.... -6- . , '. TWO, ,B!!lVOClI'l'ION OR Al4ENDHEN'l' OJ)' 'rRUS'i'.. The Settlor reserves the right to amond, modify or revoke this truet in whole or in part, . at any time or times, by notice in writing delivered to the 'l'rustee, and such amendment, modifi- cation or revocation shall be effectivo immediately upon delivery of said notice to the Trus'l:.ee, e)CCept that changes in the Trustee's duties, liabilities or compensation ahall not be ef:i:ective without its consent. THREE: DISTRIBll'l'ION OF PRINCIPAI, Al~D INCOI<1El, The Trustee shall hold', manage, invest and reinvest all property aoquired hereunder during the lifetime of the Settlor for the exclusive benefit of the Settlor, paying to the Settlor all net income, and paying to the Settlor such principal as he may from time to time request in writing. Upon the death of Settlor, the Trustee shall hold, manage, invest and reinvest all property held or acquired hereunder, as follows: TRUST A If Phyllis G. HelmiCK, hereinafter referred to as Settlor's wife, survives Settlor, and for purposes of Trust A she shall be deemed to havs survived him, unless it appears unmistukably that she predeceased him, the Trustee shall set aside from the assets that it holds or that arc payable to it at the death 9f the Settlor, as Trust 1\., such amount llS will, \~hcn added to the value for Federlll estate tax of all other. items in Sottlor's gross estate ,~hich qUlllify for the mnximum maritlll deduction allowable in determining Federal estate tax on Settlor's estllto and pass or -2- havo pa,,!'''!ed to 8ettlor1a \~ifo by will. or othorwise, equal said ma>timum marital deduction. '1'he final detorminations made in the prooeedings to file the liability of Settlor' 0 estute for h'ederal estate ta>t purposes shall be concluoiVG as to the total value of Trust A and as to the value of assets nllocated thereto by the Trustee in kind. U0\1Gver, should the Trustee allocate asset,s to Trust 1\ in Jdnd, the Trustoe shall not ullocuto any assets with respect to which no marital deduction would be allowed if such aasGts had.passed from Settlor to Settlor's \'Iife frGe of trust. FurthGrmore, the' asseta so allocatGd shall have an aggregate fair market value fairly representative of the approciation or dGprecia- tion in the value to the date, or datGs, of distribution of all assGts then available for distribution. '1'he Trustee shall paY the net income from Trust A to Set'tlor' s wife at least quarter- annually, or, upon her request, monthly, and shall puy to Sett,lor' s wifa such sums from the principal of Trust A as \dll pGrmit her to maintain a standard of living comparable tu that enjoyed by her during the Settlor's lifetime, including medical care. In addition, the Trustee shall pay to Settlor's wife such sums from the principal of Trust 1\. as she may from time to time request in writing, Upon the death of Settlor's wife, the, Trustee shall pay the pl:incipal to such person or persons, including her estate, in such proportions, in ouch manner and for such estates as she shall specifically appoint by he,1:' Lust Will and Testament. In dofuult of such appointment, either in \~holo or in part, the 'l'ruatoe shall payout of tho ullappoin\:ed principal of Tr.ust A nl1Y increase in the Foderal estate twt on the ostate of Sattlor' s -3- I \~if(3 resulting from her posooas:l.on of the powor of. appointment , , over tho prinoipal of '.l',rl.lst 1\, and shall aCId the balanoe of 'l'ruat 1\ to 'l'rust B, 'l'RUS'l' 11 The 'l'rustee shall set aside all other assets that it holds or that are payable at the death of the Settlor', or at any other time, as '1'rust BI (a) '1'0 pay the net income, at least quarter-annually, in such proportions as it may determine, i11 its absolute discretion, changing said proportions from time to time, to any or to all of the following peraons: Se'l:,tlor's wife and Settlor's issue. 111 addition, the 'l'rustee, in its absolute discretion, may at any time that the principal of 'l'rust 1\ has been exhausted, invade the pl-incipal of 'l'rust B to provide for the proper and adequate support of Set'l:.lor' s wife and may at any time invade the principal of 'l'rust B to provide for the proper and adequate support: and education, including higher education, of Settlor's issue. Proper' and ade- quate support and eClucation may include such items as medical .care, foreign travel and instruction in athle'tic or. cultural acti vi ties, (b) It is Settlor's intention to give broadest dis- cretionary power with regard to income and principal to the Trustee without need for equality of distribution between or among h.i.s beneficiaries and without recognition of intestacy proportions, for the Settlor anticipates that the '1'rusteo will attempt to handle Trust B in the manner that Settlor would recommend if physioally prosent, ...4- ; (e) 8 t31.:'\:lor J:Clcor(ull~nds, vlithout roatriccing th<:il absolute discrotion of t110 TruEltOt3 in any wuy, that, should Settlor's l'life be no longer living., or flhould Oh0, in thG opinion of the TrustGe, be adequately ,provided for by the remaining as sots 0;;: 'l'rust 13 and othor r0sources availablo to her, tl1t3 Trustee give consideration to distdbutiJl<;J to 0ach child oi: Settlor approJtimatCilly ono-third (1/3) of that portion of the principal o:~ Trtlst B which the Trustee anticipates will ultimately De paid to such child when the child reaches twenty-one (21) years of age,approJ<imatelY one-haU (1/2) of the remaining port.i.on l'lhen the child rOQches twanty-:I!iva (25) years of age, and the rsmainder when the child reachGs thirty (30) years of ago. (d) When 8 Gt1.:10r 's VlifG is no longer living, and Vlhen all of SGttlor's living childrGn have reachsd the agl::l of thirty (30) YGars of ago, the Trustes shall terminate this trust and maJ((' distr;i.bution to Settlor I B iasuo, per stirpos, without adjustment for any distribution during tho courSG of: Trtlst 13 that has been other than per stirpes, Any share of Trust 13, in corns or principal, which becomes (:'\:I.s- tributablG at tGrmination to a m;i.nor, shall be held in trtlst by the Trustee during minority. Tho Trustoe 8h.111 apply such amounts of income and principal as it, in its sole discro'cion, deems proper for the support, education and \'Iolfaro of: such m:l.nor, and shall acoumulato .my unm;ponded balance of income, Such t\mounto ma~' be applied directly or may be paid to the porsoh Vii tll \'Ihom such minor reaiC\as or \'Iho has tho caro and control of such minor, \'Ii th- out the intCilrvention of a guardian. Tho 'l'ruoteo shall, not J)l!l -5- ; .' It is tho intent of! the parties hereto that the! Tr.UQtoa shal.l reoeivo only the prooof.lllfJ poyablC;l at tho death of tho insured (01: upon the deuth of the primary benefioiary, should the Trustee be entitled to prooeeds upon the death of the pr:l.mury bcmefioiary) , subjeot to all loans and oharges against suoh prooeeds us may have aoorued during the Settlor's lifetime, and that the Settlor shall, during his lif.etime, retain all oth13r oontraotual benef.its, powers and options under said polioies. The Trustee shall be under no obligation, during the lifetime of the Settlor, to pay any ~remiums, assessments or other oharges neoessary to keep the polioies in force, nor shall it be under any obligation to asoertain whether the same have been puid, or to notify the benefioiaries hereunder of the non-payment of premiums. The Trustee shall keep safely any and all polioies deposited \~ith it, and shall, at the request of. the Sottlor, exeoute suoh releases and other instruments as shall be required to permit the Settlor to exeroise any options, priviloges or powers reserved to him hereunder, Upon the death of the insured (or upon the death of the pri- mary benefioiary, should the Trustee be entitled to prooeeds upon the death of the primary benefioiary), the Trustee shall make all reasonable efforts to oolleot suoh sums of money as shall be due it under the terms o~ said polioios of life insuranoe, inoluding double indemnity benefits, and hold the same in trust for the uses and purposes hereinafter set forth. '1'0 faoilitate the reoeipt of suoh sums of money, the Trustee ,shall have the power to execute nnd delivor reoeipts and other instruments, to dompromiGe or adjust disputed olaims in such manner as in its sole discretion -8- ~' " t' (b) To invent and reinvest all or any part of the Trust Estate in such stocks, bonds, securities or other property, real or personal, as it, in its disoretion shull deem proper, without regard to statutes limiting the property which a fiduoiary may purohase, provided, howevlilr, thut no investment shull be made in the securities issued by regulated investment companies or mutual funds! (0) To sell, transfer, exchange or otherwise dispose of, any part of the Trust Estate, for cash or on terms, publicly or privately, or to lease, ~ven for a term exceeding five (5) years or the durution of this trust, without liabil:Lty on. the purchasers or lessees to see to the;, application of the proceeds, and to give options for those purchases without tho obligation to repudiate them in favor of a higher offer! (d) To execute and deliver. any deeds, leases, assign- ments or other instruments as may be necessary to carry out the. provisions of this 'trust, (e) To borrow money, inoluding the right to borrow from itself, and to mortgage or pledge as security! (f) To loan to and purchase assets from Settlor's estate or the estate of Settlor's wife, even if it is also aoting as an Executor or Administrator thereof, (g) To assume continuanoe of the status of any bene- ficiary with regard to death, marriage, divorce, illness, inca- pacity and the like in the ubsenoe of information deemed reliable without liability for disbursements mado on such ass~mption! -10- ; fllIi: :tNSUR1\NCm ON L:tVES OF O'l'HEHS. With respact to any life ins\1rnnca policies hold by tha Trus- tee on the lives of other thnn Settlor, the Trustee is authorized: (a) To apply any dividands or sharGs of surplus recaived by it on account of such policies in par'\:. payment or abatement or premiums thereon or to collect such dividends or shares of surplus in cash and to di,strib\li:e same as income, (b) To pay all premiums on such insuranoe (or any bal- ance tha'\:. may remain after application of dividends or surplus as aboVG authqrized) from the p,rincipa1 hereof; (c) To permit the proceeds of or any amounts available under any Buch policies to remain with the i8suin~ insurance com- pany for the benefit of any income or principal beneficiary herlil- under, under any of the optional methods of settlement provided in said policies or allowed by the issuing companies (including spe- cifically installment or annuity options resulting in encroat~hment upon the principal of ouch proceeds or amounts); (d) To exercise any and all rights, options, benefits and privileges vested in the owner of any such policies, including without limitation, those enumerated in Section ~~o herlilof, and, in addition, the following: (i) To elcchange such poJ.icies for paid-up or extended insurance; (ii) '1'0 convert to any other form of i.nsur- ance; (iii) To apply the cash values under any option permitted on the policy; -12- " . . " SCHEOULE A . . . .Primal:'Y Insuranoe Company The' Equi tab1eL.i.fe Assuranoe Society of th61United States' New ~ork Life Insurance' Company New ~ork Life Insurance Company Ne\~ ~ork Life Insurance,. Company POlloy Nurnbor AmOUnt 62 202 825 $ 50,000 27 402 193 50,000 27 40,2 194 16,000 23 190 391' 24,000 !' " ConUMent . ~ National Servioe Life Insurano.e I, V916...77..S3 1'0"000 Al1IoJNOHEN'l' '1'0 'l'HUS'l.' 1\GR8EI1E:lIT D1'.T~lEEN ERNEST-D. ImIJuCl(, STiTTr.cm, AND DAUpflJ.N impQsI'I' 'l.'RUST cmIPAlrz-;-TRUST.EE, DATED JUNE 14, 1971 KNON ALL MEN BY THESE PREsmNTS, that, in consideration of the mutual covenants of the pnrties heroto, this Amendment is.entered into this 'I.... day of r;'If',1~f ' 1975, by and betweGn ERNEST D. HEL!UCI<, of 275 Hillside Drive, New Cumberland, Cumberland County, Pennsylvania, Settlor, and DAUPHIN DEPOSIT TRUST CO!1PlI.N:l, I 213 Market Street, Harrisburg, Dauphin County, Pennsylvania, Trustee, as follows: 1. The Trust Agreement is amended to include the fallowing paragraph: ELEVEN: QUALIFIED EHPLOYI1ENT BENEFIT PLAN PROCEEDS. NotWithstanding ctnything in this Trust to the contrary, in the event that any proceeds from a qualified employment benefit plan are received by the Trustee, said proceeds shall be held separately to implement the distributive provlsions of Trust B, and the Trustee shall in no event use any of said procoeds to pay any debts or claims against Settlor or Settlor's estate, nor any taxes or similar charges against Settlor's estato. 2. In all other respects, the Trust Agreement is ratified and shall remain in effect in uocordance with the terms of the Trust Agreement dated June 14, 1971. IN.lVITNESS NHEREOE', the Settlor has hereunto set his hand and seal, and the Trustee has caused these presents to be ol(eouted by ,; r",", 706 (JIllv JM1,1'1I1)) D'flUI/Mlnl ollh. r""UfY' I Alllntl 11'~'nut S'/vlu United States Estate Tax Return Ectnto 01 cillzOIl or rosldellt 01 tho Ullitod Stntos (soo sopolrillo Instructlolls) Dor.odont's first nnll10 llud mlddlo InUllll lJoc(ldnllt'~ lil!it Ililllltl l)ntn of (loath ERNEST 1>. IIEJ,fIICK .1uly I,. 1979 ___________.____.. .._.....___...w'., " ....,,_~ __..n._____._~____ ____.... .__......__ __ D0fl11cii~'ni Urnn of c10nth YOM dornlcilu olit.lhll!llllld Docodent's socIal security number l'ennllylVII\2.!:!.\ ___ .__~. ....______...._.m__._.__?:li!:::\.O'~.1~~._.__ Nomo of ^dclros~ (Num!lul' fllld stroot Including nplHtrnnnt number or _---E2~~l1nl roprosontative ~._ _-.!~~~~~.:.l.!!'!.. town o~.?!jt offlco, Slatn nnd ZIP coda) I>ElUI~n Deposit !lllnk [, Trt\Ht.~~_.__._ 1'. O. lIox 7.%l,--.lliu:L!.!.!.~l!.!:1\, PA lL105 N'n;;;;;-;;i"'loc,,tj;;',; 01 cOiiri whe,. will wno p'~b'.t';j(j;;-;;-;'iiii. .dmlnl.torod Cn.. numbor- 11!~'.~~111 ~\:U~~~!~tlL Co~.r:.!:..l>.f..J,(!!@!.'!.!l ]I 1 e.!J~!__..___.... ___.n. docouent dloo tastilta cluck haro ~ Ix IIlHlllltnch n cortlfled C(IPY of tllo will. Authorization to ,ocolvo conlldentlal tn. Inlormatlon und., 26 C,F.I1, 601.602(c)(3)(1I) II rolurn pronarod hy nn ottornoy f.r the per' sonal roprosnntAtlve: I declMe lhllt J I'lm the I'Illn'ntty of toetttd tor HUl PlllIOllill r<<lp.",.ollhllvl't bolor., Iho above court nnd IH'\IlHnll thl. tel urn lor the I'ftllonlll ren,.ltnt. alive, I nm not UIl fir 1\"IIII/1,lon nf dllh.rm.ml ',om p,,,cllcn bllf"ru the IlllArMI Ihlvomle tJllrvlc" find nm llth'llllilld 10 p'o'lcth::l'lln the Sate "hown below- -----No';~~;,-~.iio-;-~~i----:--~f-StR'-;;--E -^~jd~... 0~ml;~~.nd ';~~~t;--~ity, 'si~i;n~d-ilr cocle'----= ComplltulIon of TUK 1 Total urooo ..tnt. (from R.capltulotlon, p.uo 3, IIn. 10) 2 Totc'll nllowablo dodllctlolls ((rom RccllplhJlntlon. pnno ~J, line 29) . 3 Tl1I<nule estnte (slIbtrnct thE' amount on IIno :! from tho amount on linn 1) 4 AlIlustod t.x"bln IIllls (total '''DOl",t 01 I"x"hlo gills (within tho Illennlnll 01 s(Jctlon 2ii03) Ill"do by doco. clont nftor Docomber 31, 1976, othor tlwn nifts which nre Inclucllhlo 111 ducodont's cross ostate (floctlon 2001(h))), SIlO losl,uctlono . 6 Add tl10 amount on Iln" 3 ond the olllount on IIn. 4 6 Tontativo tnl( on tho nnlount on IInu!:i from Tl'Iblo ^ In tho r,opnrl'lto IIl!ilrucUnns . 7 ^rmrogatn nUt t<lXr'lS paYllble with rO!lpor.t to nlfts by decedent flflor Docornbor 31, 1976, Includll1El gift tfll(CS pnld by docedent'g "jlollse for split E:ll~fi (liocUan 2tH:i) If decedent wns tho donor of slIch ulfts llnd they ore Includible In eJocodont's "rosa astc'lt!), Goo Inr.tnlCtlons . 8 OroGS astuto to)(, Suhtract the omollnt on IIl\e 7 Iro'fll tho nmt1unl all IhlO 6 . 9 Unlflod credit ltllillnst cJstnto tax from Tl1hlo II In tho r.OPMc'lto InstructlonQ. 10 ^rlJufltrnont to unified crodlt. See Illstrllr:tinns . 11 ^llownhlo unlllod crodit (subtrtlct tho Olllount 011 linn 10 flOrn tho I111\OUllt onllno 9) , 12 Suhlrl1ct ttll! nl1101lnt on llno 11 frol11 tho fllllOUllt 011 Ilno B (but not loss thall 1.oro) , 13 Crncllt for Stilto dOilth taxes not to oKcuod tho amuunt onllf1n 12i 500 Tnhlo C In thQ separato Instnlctlons orld nttnch crNlIt llvldonco . 14 Suhtract the o1Jlount on IIno 13 from lho ilfHollnt 011 line 12 . Hi Credit for Fodorul ((1ft tOKOS (non soctlon 2017. IIrld nUnch cOlllputatlon) . 16 C,.r1it ror lorollln "o"th tilX.. (I,orn 8<:1""lulo 1'). (Forrn '/O(iCE I. ,oqulrod) . 17 Crp.dit for tox on prior trlltlsfors (frolll hc:hodulo Q) , 18 Totl,t (u(ld thu nmounts un Iinos Hi, 16, n!lcl 17) , 19 Not ostata titX, Subtract the omount on IIno In from tho nll1011llt on lIno 14 . 20 Prior payments. [xplnln In itttnchod sl.,tltlllonl: bill! II1!.itructloll ti . 21 Unltocl Stiltns TromHlry honds rodoemodln pnymont of nstl1to tOK . 22 Tot"l (ndd tho 01110UI1t UIl IIno 20 l1nd tho 111110llnt 011 linn ~1). ~~-1!fllll nco d~t~!l!!!.rllc~J.!lo llmO\lnJ-p.!!.l.1D.E.?:?"J~9..!.tl.~I.~~_1~D.l~U~!:~.L~...:..-~ Nohu f'/OilSft llfl.1<:1I llle IlI)C(l~!jltfy !'1u/1/1lnllwlltil' (/(\CIIHlOlll!i,'Soo Inr.lrur:tion li. Under lI.nllli" III t....rjlJry, , d~tllr; thl' I /,h' tll;~jn"l t;;'-.,~'inclU!lln' Iccnnjp~I'1Inl Hh~,II,I" .nd ,tlhm.nU. I/ld ,,, Iht but I'll m1 .n""/IlI'd" .nd hll.l, II h tlu.. torrnl, .nd tt)m~l.t.. nltllf~IHln 01 111'11"" (Ith~, !lun Ih. !\IIII(lnll 1~llr".nl'IIYf l'" I'UIII tin III hllalm.l'on 01 'tlhlch ~"~IIII h.. In, klloflllt<l,.. Illll\phln neposit lIlIl\k II\\<\ TrUlll COtllplll1Y, !,~k(,el\t"t' 5Ii.n'"tij'''~'I'i,..iio"ii'i.p;''iinlili;.'''''''''''''...........,....",.,.................................,........................................... ............b...,............. ........)\y..................................................V.lr;Q..l!.J:J:JU.lUflll.t........................................................ ............................ ..L ...(O.t.9.It.l.,?'t.... 2- 72).:166. All ...!... .........:-.9.:-............ 4 6 -- .......................... .J!............................. : b%J.~~:~~~~ ...L. o B}!:.;~ .......................... ~0i#: 11 -~.......................... 13 14 ~}...::...........:....::::::::::::.rj.......................... -it. ~dffi ... II,-~,'l/; 10 19 '120 'L' . . . . ';:/Xj .......................... . .2i- .......................... ~~~J~ . __ . ~i.;.:..~{~ 22 23 -0.. S!t'~"lu'I~'~;' pi;;..;i,. ~irl;; 'ti;i~ .~i"I~.n.il. j;p;;,;"~i"l;;,j.'" '~d~i;i; .iir;J 'ii,i .~~J~i'''''"'.'''.'.'''''''' ............o.it'............. rorl1l 106 (nIl\', 1..701 Estate of: 'ImNES'I' D. 1I1,LHICK _._~------ General Information -----_.._---_.._._~----;-_.__. ._-'-.-.~-----~--------_-...._------_. 1 Add,oss of docodont ot tlmo 01 (Ioolh (lfllmbor .nd strool Includilli .parlmonl numb" or n",1 '01110, clly, town 0' PO.'1 ollico, SI.I. end lII' cod.) __~.Z5__J.LLtLH J(L'LD.rlYft.Jl.mLflJ.lJ\h.m~l(ll1!1......flL..J. ZtlW ___ 2 Placo of doath, If dlftoront than docodent'. odd,o.. (o,y" namo of ho.pltal) 3 Cau.o or deoth _ Skull I'rnc\:urf\ 6 Decodont's phy.lclans Nllml'l -I I 4 Longth ollaat IlInes. !I.ili!.'..!!!....tNurnhllr ftnd ,tre't. city, Slat'l .nd lIft nodo) 6 0.10 an,l pia co of birth -1~n ~ t II L"f\J.l~___._..lruJJlll.G-Z.6. 1923 7 Oocodent's bu.lnoso or occupation, If rotlrod chock here ~ 0 and stato docodent'. formor IJUsl"es. or occupation ~,..... ......... __.__ ___'_ Opthul11l1l1CJgJHt o Ma,!tal etatu. of dooodent at time cf doath . [!f Marrlod-Dato of marrlago to .urvlvlny .pouoa ~ ...'......'~!!J.~.l}..f;l...P.:...P!!~.I.gl\.~!:".~.y'............................................................... -Domlcllo at tlma of marrlana 10- ..............................................,..................................."........"..........,.."".............."........ (] Widow or wldowor-Nama and dato of doath of docoa.od spouoa 10-...."..""........."......"..".."...'''......................."...........''''.... lJ Slngla [J Logolly .op8ratod.-Narna' of logally sopnratod spouoo a.. ........"...........".......""....,,,...,,,,,,.,,..,,..................,.....,,..,,.........."........... _!J..E!.".orc-,,-,i::=~ato dl~:.:o doC-'~~..!.'.".:.a.'.'~~~'.!:_________ 9 Did tllo por~onill roproscntntlyc mnke 0 dll1iJont find caroful [,onrch for proporty I ) _~~i..~y~~ry_~!~~_~.!L~,!.!!~!..Q.~~Od~.~l.Lfor ~!lOSt~~lJ~~U!~s ro~!~Ls flIadl '__~1.-..:-.!..-'- f,::il~?yO~!!O~~ ' 10 n~Y.!!~!..~~~~l.J.1!~..~'!~~!.!'!!nto _":~~~~.!!~~l.!:.~_I!!~~~.J-'-l Illst-!~!_~__!..IonJ.~.1_~.~ ' . , . .~-.!...._:.. IINo," hox I'or , oac 1 ques r on 11 Do you oloct thn spoclol v"luotlon oxplolnod In In,lruetlon 131, . , . , , , , . . . If IIYcS/1 nUach tn thIs rolLlrn II !itatoment tlwt includes tho followlnR lnformntlrm: (I) Tho ,olovant 'Iuollllod uso: (/1) Tho 1101115 of roal proporty shown on tlin ostato tax rolurn to bo spoclally valuod pursuont to tho oloctlon (Idontlfl.d hy schod. IIle lInd Itom numher); (ill) Tho flllr l11o,kot valuo 01 tho r",,1 p,opo,ty to bo .poclolly valuod undor soctlon 2032A and It. vallla b."od on 110 <lunllllod lIS0 (bolh volllo' doto,mlnod without ror.Md to tI", a'/I".tlll"nt. p((lvldcd by section 2032A(b)(3)(fl)): (Iv) Tho adlu.tOd valllo (as tlollnod In .octlon 20J2A(b)(3)(U)) of 011 roal proport)' which Is uood In 0 <lu811f1od usa ond which pn:;sos from t 1e decedent to 11 qUilllfiod hair: (v) The !turns of porsonnl property shown on tho catnto tax rotLlrn that P,)S9 from tho doemlont to n QlInllfiod heir nnd Mn IILod In n qllnllfiod U50 wldor sectloll 20,12A (Idolltlllod by fichoclulo nnd 1t(l(11 numhor) nnd tho total Yaluo of such porsonlll proporly aelju.tod a. provleloll lIndor soetloll ?032(A)(b)(3)(1I): (vi) Tho l"lj'lfototl valllo of the uress (,.Ioto, 0' dollnod III SOCtlOll 2032A(b)(3)(A): (vII) Tho mothod 1Isod In dotormlnlng tho special value based on uso; (viII) Coplo. of wrltton opp,al.al.; (Ix) Tho cllIto on which the docodont (or n rnoll1hor of his or hor filtHIly who hold tho propnrty boforo tho docedent) acqtllrod the proporty nnd on which he or nhe or n mombor ofilia or hor fj1flllly cOlllflloncod tho qualified lISO (If dlftoront from tho dAto of nc. qulsltion); (x) Any poriocls followln" commencelllont of tho quallfloclll80 durlnu which tho docodont or II mombor of his or her f.,mlly dId not own tllo proporty, uso It In II quallller! uso, or fTHllorlnHy pilrtlclp.,to In th!! or>ortltlon of tho 'c'UIll or other busIness within tho moan. Ing of soctlon 2032A(o)(6); alld (xl) Tho nrllll0, nddrossl toxpayor IdontlflC:lltlofl numher, nnd relntlonshlp to tho dec:odont of uclch poraon tnklng nn Interest In oach Item 01 speCially valued proporty, unci the yolun of tllD property Interosts Ihl9slng to oncn such perSOIl b."ed on ~oth fair rn.ukct Vclluo nnd Qll.,lIflOcl Usn, Also ntt<1!::t1 to this roturn nn ogroomrHlt to nxpress cOI1!1ont to pnrsonill IInLJlIlty undor soctlon 2032A(c) In tho ovenl of certAin cnrly dlsposltlonn 01 tho property or oarly CO!istltJon of the qunllfJocl use, Tl10 nnr{lolllent must he o.ltocutod by nil pnrtl(!~ rncol....lnp, ony Interest In tho property belnu y.,luel! bil!HHJ on It5 qURllflod use, Tho ilgrOOf1l0llt Is to be In n form Ihi'lt Is blndlnll on nil parties undor npplic,1hlo loculli1w, It must dcSlnl1l1to 1111 ngont for tho pilrtlos for nil donllnss with tho Intnrnol Hoyunuo Servlco on mattors urlslng umler soc:tlon 20:i2A, Include bolow, tho nornot IdontlfylnR numhor, relntlonshlp, nnd lHldroS9 of nil partlos receIvIng ony Interest In tho speCially YBlued proporty. for I'Prlvilcy Act I notlcn, seo tho Form 1040 Instructions, ""..,...,..".,'..,..,....",.',.'."......,.,.."..""'".....,..",..,..".,,,,,.....,,,,,.,.,,......,,..,,..,,.",......,..",...",...,..,..,.,,,,,,,,....,,.,,,,.. Yos --Ijo X , -~.X -- - X- . . Nnmfl IdllnlHylns numb", t HIlIi\llonAhlr Add,.., (It motn 'P,",CfI I. IInd,lI, fIltlch f1t1ctlllonal lihuh of '1m. "I",) Page 2 "(lflll 1~1(1 (lh1'l, I. "/~I) Estate of: ""'1 l'Iumhtl ...................... ...... .... ...'1.9..5.9.9...0.0.... ....... ...... ....... ........ ........l..!..?.l.,. ~.9..... ................ ...... ...... ........J.J.?9.,.<..9.... ............................ ....329..31Cl~61.... ............................ ....263.8112~11.... ............................ ......21..685..00.... EIU1EH'I' n. 11I';LfIl CK necnpitulalioll Orouulalft AlIulUl. ",Iut 1 2 3 4 Sc.h.lltrlo A--llool Eoloto , Schedulo U--Sto(;ks LInd OOllds . Schodulo C---MortUilgos, Notos, nnd Cnsh Sohedlllo D-Insllrnnoo on Docodonl's 1.110 S"horJlllo E-Jolntly Owned Proporty Sohedlllo F--Olhor Mlscollllneoll. Proporly Schedlllo (l-T",nsfe,. Dllrlnll Docodonl'. Lifo Schedlllo II-I'owe,. of Appolntmonl Schodllle I-Annultl.s , [1 Ii ./ o 9 ----..---..- V,lu. tl tlllt 01 duO.. ..... .....~...".............. ...~......u..........~..... lI.m numb" ...!..Q....Iolnl n!2.~~~.i'!dd Ilnos I throURh 9). Enter horo nnd on pORn I , IIno 1 "-'- O.,Jutllonl ~..~}W_%A 18.6711.75 W~~. ............................ ~fI~~!~,~4~~ .......55.0.75..39.... ~..}..ffd'W1&:~~ 64n 61.6 ' I. ~}17'E'~~J'" -........ ......1.- .iW~%.";f~ .....7.2.:J..}Hl...(l.8.... ~.~)2~W,i~,%,;;41 723 366, 88 ~;~1lf'~%~dJVt1 ...........1................ il#~"..")ii./,)"0,{~ ~$~~~';;~:./:.~)i'/?/:iA?A ................... .... ..... ~,;.r:?'1~,?'/.x<<",../iyl'/~;''l,C2 {/M@;7/;~.:X%':" /f>~:';';:>>' - 0--_ ~#..w&W;::X"~';;;::-;;~ 723.366.88 Totnl (If Itollls 15 through 17. . , . . . . . . I . . I . , . I . . . . . , . W..},:....;...'...,...'...). Schedulo M-..lJoquests, ote" to SlIlvlvlllll Spouso . .....~.Z.~.t,Q!L?,.t?... ~;r?!~!J/,~;s~;/~:,' ': ':~~ Acljustutl Uro~5 cstnto (500 lIoto I) . -0- 7~/' /?:/"/.:" ,', :; -.----'--.- r}if(::).~>..r", '/, A nro<ltor of (I) $250,000 or (II) otlo.hnlf of Mllount on 11110 20 ($00 nnto ') W)/~lHl,.O(JO..Qp:d'~ if%#-;{}:1:/:: "/: 'A W/{;/f"f>/>,?/ ~~;;:%,:?,{~) /,/~J,'.{~-;;/;' ,', ; ^unror,.1tc rd nlft tnx I11mlt,ll duductloll nltowed to elocatlont ~.(;;N/ij/"j. ,'/of' ~J:f, :-,t~'?;',o/Nj" /;~, ;:; . . y>>;6:/j:/;?:~"/ /y/: 'l,';,''r.('' ~'/::'%'//. /;.;;.;.'~'/~?'; /' 0: wUh rO~ip(!cl to Wfts 11111<10 IIftur ()ocollllmr 3C 1976 (0)(' ~r:;:0:"Z"/;W?/ ..:'f)':,?-/i ~/";;*1;!,{~;-'h~'l."o / ?.. ';' eludo elny r,lft which Is Includlbh. In tltu gross 05tlitO of ??@;(o:t%-'/;~~,~~1;-{~:;: ~%/~~J~{1{;::r',':- E tho <Iol1or hy rOelson of suctIon 203ti (Ccllliln Wits within ~\'17' /:f1&:,:;::"~-,vJlf:::;~ ff;f::;;f{~~f;';" ~~ 3 yO"" ()f (Ie"ll,)) - , -'//. f.1I/:/,/,'; /, Z..Q'{ '~,'l." <:/~ ">>/'';'/; 'if ;/..~' ~, i: " U.,.,..,.,., I . ............................ ~ :;/;-:, , /;:/d;..;:.;r;Y;';:/:'1 //.;'h ~/-/.~..%", " mF~;! ~'~k0~i;~,:%*Jta lfgt;;??~%0 /1,'/'..... ~ j Asmrot'lnte of [lift t;:u< nwrltl1l cloductlon which would hnv~ '?~:}:~0f:%Yhtff:1?j;:~ ~;:%'f:*%f~~;:-;/; :~i boun nllow.lhlo to dncodollt with rur.poct to nlftfi requlrod r%i:~{'0;A}0%Jf/kg.if!:; ~1~0/z }/1~:''':~ to bn IncluclocJ In 0 r,lft tnK rotlJrfl rllndu nftm Docom. ~~2~:;*0.~/~~ff~/'/~1: wrd{f?.$J$1";'-"';~:''''~ hor :-n, 1076, If tlio llrllOU1l1 c1oductlulo with I05pOCt to %y'~fl%/-o::\"?.?u/>>i'l;}'iq; ~~f?%{:;:1!0'~~f: -'~ nny nUt WOrD !JO porcont of lis Vllluo (cxr.ludo illlY wH ;rt?~k?:;,;;H>;>if?;~d;r:J ~~~%~r%'::,~p; ~..:fl. which IS Inclucllulo In the nro~9 [!~telln of tho dOllor by WM,~;'iA:;}~~I/~~y.:, 1t-U'fi.?'~;{;.)f/g(~n;;.. ,;, lOOSOI1 of soctlon 2035 (cortaln r:lfts wIthin 3 yonr& 0' _ ;;~{>t~(%;'~::~y/:/,:;.);'~ki ?;jjlrq;,{!?i;l"~J;?;,';.~/:,..> ,51 I II )) ""',!@z'''ix'/''X'%;W' "%i@h~yW/" 'w/"" '1 (011 1 ,~,.,.."",.,.. __..____.__ v,~......:7'...y/,<<;.?:;;?;'./;j%w///;,:~~/;;;;?/.0'>>/-;:*..-'{'/....~;_o:..~"~ i'//;~/.:I:%',y/: /',;/;..: , ~ Ualancc (subtract tho nmollnt on IIno 23 frolll the nrnollnt an IIno 22). , , , . ------- f~1~JiafJ;t;{/~ Dnll,nco (subtrnct tho amount 011 line 24 from tho lImOl/nt on IIno 21 (but not _ f.....if4]Jt:~;~ffi lous thall lO,O)) . . . ........................... ~if.% II Seh.dul. J-Fullo,al Exponsos nnd SUbJ.ct to 0101111. Schodulo I<-[J.bts 01 [Jeco,Iont , Schodulo .(........MortuaflO& ond Lions Total of Items 11 through 13 , Allowable 111l101Hlt of deductions frol11 Itom 14 (Boa nota ') Schodule L-,.Not 1.0S50S Durlnn Admlnlstr.1Uon . Schodul. I.-!;xpensvs Incllrrod In ""mlnlslorln6 I'ropor1y Not Subject te OI.lms 701,9id..7/. Amount I ...n....................... ............................ '/23.366.88 Totnl nllownblA c!OclllctlOI\S (ildd illllountr. on IIn05 \fl, 2u, 27. lllle! 28), Entor hmo nnd on pnp,o L line 2. I Noto,-Soe pnrnfir"ph I of the Instrllcllons for tile Reenpillllntion In the sop"'n!o Instrllctlons, . Nole,--Enlor nt It.m 20 the .xc... of Itom 10, Totnl [Ira.. oRlote, over Itnrn 18, If tho deeodent nnd .u,vlvlng spollRe nt no limo hnld propor1y n. community property, If ["operty IOns over held ns cornmllnlty property compulo Itom 20, Adlusted lIfOIS o.t.,'., and tllo roduc(1(! $250lJOO IlInll.1tlon at Itorn 2 In nCCOrc1clllCe with tho soparato Instructlon9 lor tho Rocap1tullltlon and attach un oddl, t!CHhll shuet sllOwlnn Buc.:h computation, Expense. Incllrred In Admlnlst.rlng Proporty 12 13 14 Ifi Iii 17 10 19 20 21 22 23 24 25 26 Arnnllnl 01 morltol deduction (smaller 01 (i) omollnt on linn 19 or (II) omollnt onllno 25) . 27 Schedule N-Orphnns' D(I(lucllon . 2!!.... ~~I~._g-Oho~abl~, Pllbl'S..,!!~~~nll'l':.~lfls nnd 1!!9.~IO.ts 29 Page 3 rur," 706 Innv. 1..'1{)) Eslllle of: lmNgH'l' D. llgLHICK SCHEDULE B-Stocks and Bonds (For jointly oIVnod flroporly which Intlst bo ellsclosod on Schorlll/o 1':, SQO tho sOflilrlllo Instrtlct/ons for Sellae/ule E.) lhm O.mlpllon In~l\ldln. lace .mollnl 01 ~ondl or "umll" III .h~ttl and 'T lain 1I1\Ilvallla ^1It1n.l~ Alltlnlt. vllul V,llll.I dill 01 duth "11mb., whm "udld lor Idlnlllle..1l1on. and ,101lk CllSIP nUm~.t II Aulab . 'illUlllondat. 1 72 Sha. CCNU Corporation 12 864.00 2 27 Sha. National Central Finundal Corp 22.50 607.50 j' " n 'I . , TOTAL, (Also ontor under the Reoopltulotl6n, peRO 3, Item 2,), . '. .,. ur more .nlloo I. "tad,tlll. IUIIClh n~dIUDnal.hll'" uf um. ,l"e,) 1,471.50 Schedule B-Pltge 5 . Form 706 (tlov. 1-7nl Estato of: ImNER'I' O. lIELHlCK ------...-..,.---f"'..-- .___nn.__________~__~_.____,_____.__.~_. ....____.______ SCHEDUl.E F.-Jointly Owned Properly 1 Old tho docodont, nl tho tln'o of doolh, own ony pronorty os 0 Joint tonont wllh rluhl 01 survlvorshln or os a tonDnt by thn ontlroty? . . . , . , . . .. ,..,., I. .. [J YOI 0 No " "Yos," "010 lho namo nod add,oss 01 oaeh nurvlvlna co,tenont. " Ihoro /lIO mora Ihan 3 surviving co,lonollls list Ihe oddlllonal co. tonants on nn nft/lellod sl1eot. --------_._~._-_._--_...._--_._-----_.._._-------~~--~--.--..---......- Nama Addross (Number and stroet, clly, Sloto, nod ZIP code) A, Phyllis Helmick 27'; IH.11wlrln nrhlo, Npw (1Ipnheu41nu,:1. PA ] 7070 D, 9.:-._ 2 If tho onnwor to question I Is "Vas," hos the full voluo of tho properly boen Ineludod III tho gross ostotel ~ VOl 0 No . " "No," soe tIl. oono,ole In.llUetloIJ. '0,11111 sehodulo nncl submlllho 1l0~.l'J'.!!'0', 3 1)0 you ollet to valu. tho Intorest 01 doeoclont'n spouso In 0 farm or closoly hold buslnoss In occorclollco with soo, tlon 2040(c)1. . , , . , I . . . , . . . . . . . t . . . . , . . . . . I . . I 0 Yoa IKJ No " "Yos," Includ. on this sch.clulo thl numb., ollaxablo Y.MS In WhiCh thO d.c.clonl'. SnOllSO molorlally pa,t/clpalod In tho op.ra. tlon 0' th. 'arm 0' tho closaly h.ld buslno.., . lI.m rntu ltlh, b.Ullptlon .nd .lo~k CUSIP IIlJmbtr If .nHablt Alttrn"J AllulI~l. valli' v~'u. ., d.U 0' dUlh numb., 'o,eo.t.n.nl v~ru.IIDn .1. I II Relll Est:nte locntad 275 Hillside Drive, No\~ Cumberland, PII 250,000.00 , 2 ^ Household r,ontonta 13,842,17 TOTAL, (Also 6nlor undor tho Roeopllulnllon, p"nO 3, Itom 0,), , , , , , , , , (If more 'PIIC,O 1& "OOlled, ""4th lIddlUOnlll,hOllh or IIImo lire,) 263,8112.17 Schedule E-page 8 'n,m 70(, (rfe~, l..lll) [61~te of: EHNES'I' D. IlIcLfllCK .-.-._,.-~+._.--- ,.,.- - - ..- -- --+~.--...... ...-.__..__~_..H_"'.____~_.,.<._ --~-~......-_..H______nn._. .__._."U__..__.. ._..__._________ SCHEDULE F-Other Misccllnneous Properly Not RoporlnlJle Under Any Olher Schedule (For Jointly OWIlIle/ propo,ly wlllc" must bo e//sclosod on SCllOdulo I:, SilO Iho sopora/o IIl~truclions for Schee/ule E,) ------.------ -_._--~----_._-.-..--------~-----. :-- -:'- ..YE!. ...fu>. 1 Did the docodent, nt tho time 0' dOi'lth. own IlFlY Int<lrost In a pmtnofshlp or unlncorporilttld lJu81f1(l$s~ , , , . X ""Yos," ful/ clot(1}!~1!:~~!.'!.!l!!~~.!!!.!~+.!Ch~cJu/o, ;.~ ~ - ---- ' ~ z , 2 Old tho doeedont, nt tho \lmo of (Innth, own (lny nrtlelns or colloctlons hovlnp, oltllo, nr\lsllc or Intrinsic vnluo, such .s X lowolry, hm\, plIlfltlllUS, nntlquos, raro books, coins or stnmpsl , , . . . . . , , . . . . , . . " IIY05," 'ull c1vflll1s mu.!.t bo subm/ttad o.!U!!~~~'.!..~.<!~lo. -----... ------ ~ ~ 3 Wns Ihoro nny Insurnnco which tho docodont ownod on Iho 1110 of nnolhor which Is not Incllldod In tho roturn os a port of tho 0'065 ostnlol , . , . . , . , . . . . . . . , . . . , . . . . . . . . . X " /lYos," full defalls fJ1llst be, sUbmitfocl on fills scheclule. ~ ~ 4 Hns tho decedont's ostate, spouse, or nny othor porSOIl, rocelvod (or wIll rocolvo) nny bonus or nWlucI 08 a rosult of X tho doC'edent's omployment or ultath1 . . , , . , , . . . . . , , . . . , , -:--;-. . . I I ~ Wi. ~Xo,." ,,,11 ~olnl'. mt/st bo submlttod ~!!J.I!I!..s.cllcdulo, - B Old tho docodont nt Iho time of doath hovo a sofo dopo,11 bo.l , , , , , . , . . , , . , . . . I " "yo,," slnlo locotion, alld IIl1eld In }o/llt namos of decodonl .nd irnother, stato name nlld ro/ationsh/p 0' /o/nldepo,lto,. m ~*~ . ~ 'f eny of Iho conto,nls 01 the sare deposit box ero omitted I,om the schedul.. In this roturn, o'pl.ln lully Why omitted. I ~ I I ~ 0!i?:i I - 11 6 Old Iho docodont, nl tho tlmo of dooth, own any othor rnlocollanoo"s proporty not roportnblo IIndor any olher sohodt/lel , X " "Yo.." full dot all, must bo subrrllttod on till, ,chodll/O, W~~ lI.m ('l~mfptlon AII.,n.le AII.,I1.,. Vllu. V.lut., dtl. of dUlh numb" nlll.lIon d.ll -- - .- 1 Office Equipment 2,285.00 , 2 Survival Action Cloim (Totol Hrongful !lenth Cloim & Survival Ac Uon flettlomEll1t $25,000, of whieh $758.51, pOYllblo to decedent's oath to) 25,000.00 3 1967 CUl)leru> 100.00 I, RCA Color TV 300.00 , , , I , . , , , , . - TOTAL, IAlso onter undar the Raoanltlllallon, naRC 3 Item 6.) , 27,685.00 , , . . , . . - '{,j ~ I I (If mart 'paotlt n..dld, flllach ftcldlllOnnl theell of "IF", Iln,) Schedule F-Page 9 I'M/" lor, Ill.:.... '..'1'.1) Eslillo of: ImNES'l' Do IlJ.:LH leK SCHEDULE G-Transfers During Decadent's Life 6 .... .,__ .. ...,n ..__._____._~___..__. ..._______._._.._. ~_ __ _.___ __ .___._____.. _.__________.__u_ __. ...._____~_...___..~__. ._,...._ _._ ...____.~___~~ ~..__. DId tho. tlm.('clo"t l1li1ko 1lI1Y trllllsfor duticrlbod In tho flrtit ptlrMlraph (Inclucl1nll tl10 nix 5ubpnragr,'ph!l) of tho sOJlllrnte ~_. No ..-!!.!~t! .l!~ t.L O!~~ for J!l!.~...!!E.'.l!~d u !~!_ ~_~____L__.!.__~_.":""'_!--!.-__!...-!_~':".....!.....-~_'___ 0 0 , , . 0 . - -- a Old tlw docodont, lit ony ""W, nlllku n tr.lll'Jfllr <"t"or thon nil outrl(1ht trlll1!tfur flot 111 tnll.\) without un adoqulIto nnd full cOllsidorntlon In Illoney or nlClllf'~'fI \'Iofth, hut not hollovlJd to 110 Includlhlo III tho (truss 05tOto as Indlcatod In tho first parnurnph (Includlnc till' nix 511lfllHl1Urllpha) of tho fiOplHl.lto hllitnlctlol1G for this flchndulo7 . . . . . . I m WI " "VOS," turnlsh tho tollowlnu Itltornwllon: ----~--.-I----..- ,..n.. ....-....... -I' .....__....._n.._~_....___.. -- I b Unto 2c Amount or V<lluo 2d Chllrllctor of trnn!lfor 1.~ ~1J "0 D1{lii,~-'(i~;~o~~~t, bOfOrOJI;~11111lyl-I--i~'i7;i~-~a;tJWlthln ~iyo-;r$l7mm;~lliltOIYf,"t;CO<llnu doattll makQ;ny transfer of Wf~ ~ proporty without nn ndequnto arIC fu I connldorutloll In mOl1ny or monoy'u wort 11 , . , . , . , . I I . I If "Yas," Dnd such trDnsfers hllVO n Vllluo of $1,000 or (fIoro furnIsh tflO fol/ow/nll intormlltlon: [~ ~ =r-..--.--.-'... __1......._......__._._._...____.._.__ rI b .IJoto 3a Amount or volua 3d Chnroalor 01 tr<lllBlar ,~ /di% I -_._._-_.~ ----.--.--.-----. ~ a Motlva which aetualod doeadont In moklnR lha lran.for ~ I -~.- .. I I , Nama. and addr..... of ho.pltal>In which doeodont wao conflnod within 3 yaars of doath I --- ~.......~._-_..------------.~- -- Woro !!~l!J!!E~~~~~~_~J.!!.~_~~f!.~!~ent..:.~illl.!!.!!}!_!~~'.!ts cr<tiltnd by t!!!codent elurlno docodotlt's Ilfetlll1ft1 . ~_. a H(lve Fodorlll ({1ft tax raturns OVOI boon lIIod7 , , . . , , 0 0 . 0 0 0 . 0 If "Yos," ploosa oltneh coplas of tho lot urns II ov.lloblo alld furnish tha fallaw/nB 1n'almallon: W@. ~ ----..---=r--~~--_.-----~ -_. /~~i1 ~ ~ b Porlod(o) cownod Ur. .Intorool Ravonuo offleo(o) wholo fllod W,$ 07- lltm Omrlptlon frHt ,IQt.kC\J!-lH'numhulflYllI,bl, Alt.,nll. "'ltrhltenlLl' V,lllI.1 dill 01 dul~ numbt/ ~Ihlolthlll d,tfl ~---_._-----_.~--~--.....-- A. Tran,'or. tJy doeoll.nt olter I).eornbo, 31d 1976, and within 3 yoar. of 1 du.th unlo.. axeoplnd u~dor .netlan 203 (b)l NO INFOl\HA'l'lON AVAll,AIlLE AS '1'0 'l'RANSFEl\S , Girt lox pnld b~ docadant or n.tola for nbava ~Irt. mndo by doead.nt or .pou.a artar aeambor 31, 1976, nod with n' 3 yaars 01 daeudont'. doath . . . , I . . . I , . I I I I -. , . I . j x X X X X X X X X X .............".......... Bo atha, tran.farol I , . -- -.--- --- TOTAt" (AI.o ontnr unllor tha flor.nhIWlntlon, pOlla 3, Itori! 7,) 0 0 . . . , (It rfl('tr., fil'llcft 1\ nGOued, ntlllch ntJtlltlnllal .huh 01 """,. II~Ct,) Schedule G-Page 10 1 2 2 3 3 - 3 3 4 6 , farm 10e. (/111'1, 1../9) Eslnlo of: !';HNEHT D. III':Lt-t 1 (:1\ ~-_..~ _._---~_..,.._._......_...~_._.- SCHEDULE H--Powers of ^ppolntment . ..-..--'.... ......_. .... .. ... ~__ ... __....... . d... ......... ...___...._,,_....._u._ .x(!'.I..N.~ .1 !'_ ~~ i!L J I_I C!.! I ~5,_f~ ~1.~I~L- n.t....J .I.~ {J ., 1~t!)_(~ -2.'. _~!.<!.~~~! ~,_ . P 9 .!~.~~: ~ f~ JI. WlJ .1.~1.r ~'L l.J~.'l.Y.o r . ~ L!!l ~I!~!lll!~! '. ?!l ~ . ~ r.l!.~ ~.~~.( L I~ ~ t _f!.r-':!_~J 2Jl_t~~Ji!l. J2..1.?: ? _.:.... .._~- .. --_~__ .U~....~!!.. P!.J!-l_llE!!l_.P.~~!!..._t!~.~_~._--,--__.!., _!_ ._~.~--.!. ~._ _ _'_.._~ . _, ."...!__._!-........!...._..t_ ..~_ _...._._L_-.'__.~.~.'-..!..__~_.....!...h.!.._!-_~ -1-.;....-'----1- _~. X_... 2n Did tho <lcclldontj nt nny \lmo, by will ur othOfWIGUt oxorclso or roloMu (to nny oxtont) it COlloml powor of appointment ~-E!.~1.~~(J. i!.!~!~C_()~tot_l.f.!~.-Z.tJJ.1KL_~.~..~....1..--!.-~~_..!.._..~._...!.,._~-+:-...'.-~~!_!...-!---' -.!._-!....-!.... ---- ~-- g.!!.J?D_~!J.IE.~9.!.<<l..~.H2.t!.E.~t!!]~...'--!.._._.....-l....-~~--'-_.~'.__".....!__.~--!-~.~~_.'_~__"-__.!-...!._!__~_.!.-":'--~.__~.~~!-_.~ K_~ 3 Wcru thoro In oxltatunco at tho tlmo of tho c1ocudont's c1(ltlth uny truutG /lot crontod lJy docodont undor which decodont --I)oGsn"~u~ powor. honoficlnl Inturost, or trustooshlp? K 111m P I A!lorn.1t I V I I d h numb., .." pilon ....tuulon dlle AII""III~' UI I UI lid_I. 0 ..t 1 NONE TOTAl.. (Also .nto, under thu RAaa"ltu.!.ntlnn. eag. 3, Itnm 81., S.CHEDULE I-Annuities 10 Wus tll. dneud.nt, IfIl,n.dla\nly hofo,o dnath, ,ocolvlnA on annuity a' doscrlb.d In po,oA,aph 1 of Iha nopo,at. _lns~.!!~!~OtHi for t~lfi schedule? ~__' . ,~_~_~_ . , . Ib If "Yo,," w.. thnt annuity pnl<1 pu,nuont tn 611 npprovod flloll"S do,crlll.d In pllroaraph 4 of tho ,.pnrnt. In,tructlons for this schedulo? . . , . . . . . . . . , . . . . . . . . . , . . . . . , . . ., X ___~_______~.~_____.._._,__.________~___.__,._~~____u__ ~-..- """""r, ~ Ie If the antiwer to "1b" 1& "Yos," fltAto tho Hltlo tlf tho thlCodlllltts contrihutlon to \(10 tolnllHHchoso prlco of tho nnnulty. !.r{~~ :,:,.-~:;.~~ p___~_____._'_______'~'.___."___' ~_'__'__'__...___H'_____.__H________________________ rM~ n~;~::~ Yo. No -=:-L 20 If Ih. dne.d.nt wn, amplny.d at til. tlO1. of dnnth, dl<l 1111 nnl1ulty uS d..crlhod In purourl1ph 3(d) of tho 'nporot. __J!!!!.r~_~tlol.~~iJ~ls 5c.!!~~I~~1~s~n+!~J!~~'l!>l~J~_~_r_'Y.E_~~!'JJ~!I.~J2Y--!_~.!!~~'!.EL~I.l!l_t~~.'!.~!!EJ~.'Y..li_~!.rvlvlt1f1 tllo cloco~€!.~ mn-r "rrJX 21> If "Yes," stllto tho mtlo of tho (\t1co(l,'nttn contrlbullon to tho totnl purclwsu prlcD of tho nlllllllty. ~Jj~ g~:~~ _____,.___~._~_.________.._._.__._.._'_._.______.___.___~,______..__.__._____ ~y;' r:1;U 3a Did nil nnnlllty undor nn Indlvlduill rollrurnont nCCullllt, rmnulty, or hond All duserlbod In soctlon 2039(0) become X. .-.J!..l.1.!'.~.J~_ to ~.~X_~~ _n_f!.U~_~!...ry~.l.oE~~"_2_L!!!.C!._!~~~ oflc.~~ry~~.'!:.~~~!.lfL~L~_~I~:_~~!~.~~.!L_~ .__~_ ~_~_~_~.":""_:'_..'. ~.~~~~.!~~:l!.~~~!.!.~~I~E!~_to tll~_bolle!!El!!..ryJ2!.!!f~~.~.!...t~.~~.J~st ~1~J!.!.{~~1.!!!:!JE'_~I,~_wlfllt~~Qotlon~(!~~~!.... ,~ "_~,,, 3e If tho answor to 30 Is "Yest" stole tho wtla of thQ amount paid for tho Individual rotlromont necount, annulty, or bond t{.;~;.f/ ';:~:V!i w,~'.'% ", '/.-,.~ which was not nllowablo as an Income tClx cloductlcHl under tioctlon 219 or 220 (other ttltllll'l rollover contribution) to the kCi;0 :t;;1.::;~ totel! amount pnld for tho accol/nt, annuity, or bond. 9-i;yi) :';;-.'.u ____._.________~___.____~_______... ~~_____ ::::'{,<;" 121fJ 40 no you oloct to oxcludo from tho docodont's gross ostate thr. yaluo of 0 hllnp,sul11 distribution doserlbad In section _203f:l.(f)(2.t1 . .-'--.-'---'----'-----'....'-_,.._c_-'-_, 4b If "Yo,," havo you ottoch.d tho w,ltton .Ioctlon by oocll r.elplnnt1 ". , Ine/uclo tile n<llne, IcJ(lntlfylnfl numbor, and address of (loch oloctlng roclplont ~n thIs SCllfJdtllo. for "Privacy Act" not/co, ..0 Ilia form J040 In,lructlons. --'- ~;;;; '~J]~ r~.:-t~/; ;;~f~ firf)! *T{~ 111m number btUflpllon AII"lIlte Vllu,Uoll d~l. , Altt,n,lty,IUI V.lut _Idl" of d.Uh 1 Eroest D. lIo1111ick, H.D. - I'oosion 1'10n 165,899.10 --IOTAL. (Aloo onlor ullllol' tho nocnpltulntlon n. 3, Itnlll O. . , (II 1I10re 'P~O' I. IIUDthul, "IIM:h uddltlOMI .heots of &tIllle .111I.) Schedules 1-1 nnd I-Poge 11 '-MllI 7(l(, (1111"', l..l!)) Eslillo of: EnNEST D, IIEJ.fIlCI( SCHEDULE P-Credlt for Foreign Death Taxes I.Ist oil fellolun cOOlltrlea to which lIe.th toxos hove beon p.ld onll for which crelllt la cl.lmoll on this reto,n, ,. ,_... i;' c;~(ii;' i~' 'ci;;li;i~a' i~;' 'ei~',;ii;' i~x~'~' '1;.'lci' i~' ;;;~'r'~' 'tl;;I'~' .~~~.. i(;;~iiJr;'~~,;~i;Y: '~~',~i;lli~ 'tl;~ 'c;~'elii' i~; i'nx~~' i;ni,; 'io'~~e'~o\;~i;Y'o;; this sheat onll ottoeh 0 sep.rote copy of Schellole P lor ooch 01 the othor coonlrles. Tho crullit compot.d on this sheet Is for .............................................. ./.....1..... .......... ..j........................ ....................... (I.'M 0 dnlh tn Of lUll ............................. ... ........ ........................... ............. I HI posod I t1 ........:....................... (t(I,n.' 01 'co.u.n',yj..................". .......... ~ Credit. Is compoted onller tho .......................................................1.......... ..,...... ......,........................................................ (nlt,l "l/lIb' or "llIlull') , Cltlzonshl. (Natlonolltv) 0' lIocod.nt at \lmo of lIo.th ...... .. ..... . ., .... ",-=.' ..................... .......... ...... (All omoont. ond volo.. .hown h.reondo, mo.t bo elltorollln United State. men.y) 1 Amoont of estoto, IlIherltonco, legacy anll socc.s.lon t.xe. Imposollln tho above coolltry oU,lbotable to property sltu.tod In th.t coontry, .nd sobjectell to .och tax.., ond Inclodollln tho (lIO," estoto (OB lIollnoo by statote) , 2 Volue of tho fiross o.tBte (odlostod, If lIecess.l)I, III nccorclonce with UIO separ.te Instructions lor lIem 2) . 3 V.lue 01 propo,ty sltu.t.d In th.t country, ond .objectell to dO"l11 t.xes Imposellln that coontry, ond Incloded In tho cross ost.to (adjosted, If noc....ry, In aCC'Jroanca with the Beparato IlIstrocUon. 'or Itom 3) . 4 Amoont of tox Imposod by seclloll 2001 redoced by the total omoullt 01 tho cr.ellts clalmod und.r eectlons 2010, 2011, .nd 2012 5 Amoont of Feder.1 ost.te t.x ott,lbot.blo to proporty .pecllled .t Item 3 (proporllon of Item 4 thot Itom 3 Lear. to Itorn 2) , 6 Crodit for doath tl'lxQ~ Imposod In tho nbove country (Horn 1 or Itolll fi, whlchovor In tho 5111.:1l1or). Also ontor on _.l!.!!.8!?..l.~JI.flo 10 . :..~.~_.._~__.~_!._~__'-~'_..n~__'__!..._..:...._~.'-._!__~~.~. SCHEDULE Q-Credit for Tax 011 Prior Transfers Nemo of transforor 0.'0 ollronsloror's d..th Internal Bovonuo Sorvico offlco whero prior return WC1S flied Trunsforor's BOC. GOO. no, Check ho,. ~ I.] If ooctlon 2013(1) (npoclol volililtlon 0' fOlm, olc. ronl prope'ty) ancl/or s"ctlon 2013(g) (uenorotlon.sklpplng tronsfers) "dlur,tment. .ro oppllc.blo to tho compotation 0' tho croellt und show tile comput.tlon 01 tile crodlt ,in on .ttachod shoot. PART I-T,ansferor'. Tox on Prior Tr.nsfor. 1 Not vnluo of trllllBfors , 2 Voluo of trons'eror'. estoto (odJu~toel In .ccord.nca Willi lho soporat. Inntructlon. for Itom 2) , 3 T.x on t,an.loror'. estnto (aclju.tocl In .ccorll.nco with tho Beparato Instroctlon. for Item 3) . 4 Trans'eror's ta. on prior t,ons'er. (proportion of Itom 3 whlcllltem 1 bonrs to Item 2) . PART II-Transforao'o T.x on Prior Tr.noforo B Transforno'g nctunl tax boforo ollowanco of crodlt for prior transfur tax I 6 'Transforno's reduced cross ost.,to . 7 T,.nsl.,eo'o c1oductlon. (ocllo.tod In accorllanco with tho ooporato Instroctlons lor Itnm 7) n Trans'croo's reelucod taxable ostato (subtract amount 011 Hom 7 from llInOLlnt on HOI11 G) . 9 Entor amount of adjostoll t.xable nllto Irom Ilno 4, poge 1 10 Add nmollnt on Itom 0 and omount on Itom 9 , 11 Tax on amount on Item 10 . 12 Entnr .moont from line 7, pono 1 . 13 Subtract lunount an Itorn 12 from 11r1l011nt on It om 11 . 14 Amount of unified creem plus credits for State de.tll t"X, [jilt tox, nnd foreln" c1ealh tll, , 15 Subtrilct nmollnt on Itom 14 from amollnt on Itom ]:~, 16 Subtmct amollnt on Item Hi from amount on Itom U , PART III--Credlt Allow.ble 17 Ml1xhnum rHllount bolaro application 0' pnrcontiJRO roqulromont (It om 4 or Itom 1 Gt whlchevnr Is flfllnller) . 10 Percont nlloW/lblo Is .....",,,,,,,,,,,.,,,,, 19 Credit ;,Ilow,ihln (mUltiply amount orlltom 17 hy nfllcHlIlt on HemIn), Also ontor 011 pilgo I. linn 17 , ,'r u.s. [iOVr.lI'l"'INPIIINIIIlO (,Hlerl 1I!I-O'2u.al.~ Schodules P and , . , , , , , , " - , , ~;;';'-~;;-1{';:::~"~';~>>y',Y/f{~ :%.-',.';;;','/,";;'.~':;fi'///'%i'...~ -0- Q.-Pnge 16 -----J' '-nUll 668 ::::~:.:=--- District Oop,ullllunl "j Iho lltHt,ury InllJlnitl 'lo'Il)JI!/oJ !JHUil:n Notice of Federal Tax Lien Under Internal Revenue Laws . rld1adel;::hi:\ I-'a ]' arlo' Nunibur 2:3 ..._--- For Optional 11'0 by Roco,dlng Olllco ~1..l'(t3i. As provided by .ectlono 6321, 6322, ond 6323 of tho Intornol Rovenuo Codo, notlco 'A olvon thalloxes (Includlno Inloroel and ponalllo.1 have hoon o.seesod ooolnsllho lollowlno,nomod 'oxpoyer, Domond for paymonl of Ihls 1I0blllly hs. boon m.ds, Ilul II ro,"olne tlnpnlel. Thorelo,e, Ihe,e Is n lion In lavor of Ihe Unllod SIol09 on 011 properly olld rlohls 10 p,oporly bolonolno 10 Ihlo tnxpoyor lor Ihe amounl of Ihe.o to,o., and addlllonol ponalll.o, inlerest, and cosls thai may occruo. Name of taxpayer J",",",t#~ 1: llolJll1c:k ("I'rullt) Ftll81donoe iJl,W: Co 't't:ill (, 11 1U :29bl. 11tlrrb i'a 1'7J.05 IMPORTANT RELEASE INFORMATION - Wllh roopeello oaoh aSgessmonlllol bolow, unleS8 notloo 01 lion 'S rellled hy tho dolO given In coltlmn (e), this notloe ahall, on Iho doy followlno otloh dolo, operato as a cortllloato of ralease aa dellned In IRC 6325 (a). Tax Period Dale 01 Lael Day lor Unpaid Balance Kind 01 Tax Endad Identifying Number Asseaement Rellllng of A88e88ment (a) (b) (0) (d) (a) (f) 1041 05 12-,31-7C} ~'16 1)-,)1-6:2 6-~ :DJ'15.~ 1041 ()~ 1:......,)1-81 " '~ 1J-5-8S 91. . '.0 ........... . ". . '.. ~..,~ ... Placo of filing rro\:.l1aDo~ oL D#\lph1n CiNDt.1 ~Ili\bift Co\lllt1 l.o~hoUtl. 1!.&rr1.4l~ 1"0 17101 Tota' . 33.612.'13 Th,s notice was pro pared and aloned at a.28 'lAl.tmto ;;t J llurioburn l'a 17100 ,on lhls, Ihe 7t.h day 01 HGJ'Ch R3 .,19_ " fill! rcl't'J p. "'Ill1Lt I ~~ CtliCU' (Not.1 CorllflcCllo 0' ll(fl,,,r au/ltorlroo by Inw let tu10 utknowll'dO~''''1f''''IlI~ 110t ostenllnl '0 Iho volldlty o( Nolle" nl Frderal Telll lien a.eM ,MI9, 1950. I. C.O. m.) " J)" .'_.....IlMlIlt. l~tllf 'O"~ 886.W IRlV. M~V 19tH.1 PISTRIBUTlOH OF IlEHEFICIARIES' SHARES OF IHCOME AHP CREDITS SCH[OU\.,. ,..0. :l- TAXADkE VEA" 19110 OI.f1A"TMENT 0' "t1! nUAl>UflV. INT!"N"\.. AEV!HUl!: 1i1""lct .... HAMil 0' FIDuCIARY Ernest D. Helmick, TA . INeo",. TAXABLE TO DOMIUTIC CIVIDIND' NAME AND AOOflllS1 0' EACH I!IEN!FICI~RY PENlfllCIA hl!S LESS QUA~IPYINa fin.. "'ORTION AI!: PORTtD IN EXCL.UIION II' COLS 13''''61 '''Ie I.. 121 III Phyll10 O. Helmick I 615 Third Strest $11 ,818.00 . . ~:\ A. tlew Cumberland, PIl. 0 .'- .. . . ~ B. ! " . . .t .. , . C. : 'r \ D. . .' E. . . . ,. Fo , Go , . v. // Kif-,/)! H,T~AL /\ . ,- HE'f $tIORT.TEAM . f.Hn LOHO'TE~~ ~~oM5 A~C I'>RO"T5 TAXES 1 . (,A PITA L. ..0 A IN CAPITAL OAIN ( 0 '\, P"'ID T A FO~EION COUNTRY '4\ \~I OR U. S. POSSES$ION I~l , 17\ . A. I I . ...._."..-.. __.~-" _.__._ ._~._~~._.'_ ..._...,,_...____...,.~~__, .____..._._..___,. .._. "R . 8, I I ; C. I p, - E. . p, G. \ ~ H. TOTAL , i \ I '0." 886.W 'PE". ,.". pogo_ " .. CD ; F.rneet II. Form 1041 2/1/83 1I01micll, 1'1 A 801? F.112231 J.W.C. 8 ~ Interest Income $ 7,565.27 The pen'!.ion plan for E.' D. Helmick, M. D. Corporation WRe terminatad in 1~79. . .: There apparently was some confueion AI to the diHpoa I t ion of the proceeds :re.eeived from the pension plan. The proceeda from ths phn Ilppllcablft to Dr. Ernut D. Helmick were received by Phyllis O. lIetmick and Ernut n. 1181mick, Jr. The total lImount was $180,899.00. $15,000.00 WAB rutnined by Phyllia IIl'Ilmick. The balancfl ' , ($165,899.00) was invested in the Honsy Market." with IlIOche, lIalsey, Stunt, Shielcle.>- Incorporated, in the name of rhyll is G. lIelmick, and Erneet D. lIelmict<, Jr.,' ill December, 1979. Tha Money Market Funda earnad $7,565.27 interest to '(;1./20/80. The $165,899.00 waa withdrawn from the Honey Markets, and the check W89 endorsed to Dauphin Deposit Barlk for the trust, Ernest D. lIelmick, T/A. The interest "arned on the Money Markets ($7,565.27) WRS pRid to Phyllis O. lIelmick in March, 1980. Dauphin Deposit Bank wae issued a Fo'rm 1099 for $180,899.00 for 1979, by the trustee of the pension plan, Ernest D. lIe1mick, Jr., for Ernest D. lIelmick, TI A. This amount WBB not reported as income by the trust, because it was not received by .. the bank in 1979. Acc:ording to the beneficiary designation for F.rnest D. lIelmick, ono"thii:d of the proceeds from the retirement investment fund were to be paid to Dauphin Depo\lit Bank f or the trus t. The balance (two-thi rds) wan t.o be di vi ded into f1 Ve equal parts and paid to his wife, Phylli~ and their four children. Form 1041 for the trust for 1979 WRS examined, and the proceeds from thu pension plan ($60,300.00) attributable ,to the trllllt waB charged llH additional income to the truet. Sue the Revenue Agent's ropor,t d/lt.I\(1 1/26/82 with respect to the trust. 1110 interea\: Income with respect'to till! 1'lcJII',y Marketn pAid to Mrs. Phyllis G. Helmick In March, 1980, waB not reported IIn Inoome by MrH. lIelmick Dr t.he trJst in 19RO. . SInce there Wlle a groa,t dl,al of uncurtHlnty with respect to the proceeds from the peneion trust, I.t has bl,en determinod thllt t.he $7,565.00 (tho IntereHt. paid on the Money Murket" oncJ received by MIll. Ilolml"lIll1 ~11I1('h, lC)fJO) wll] bc, conaidol'lld aD pan of Mrs. Helmick's aherl! of the amount 1:0 which ahe was entitled from the pension trust, thus the total amount that Mra. Helmicll t'('colvod was $22,565.00 ($15,000.00 received in 1979 and $7,565.00 received in March, 1980.) In accordance with the beneficiary deelnRlltlon dated 7/16/75, the proceede ($165,~99.00) received by t.he truet an Februory 20, 1980 ahould be as follows; Intereat Income 7,565.00 E. D. lIelmick Tr\lRt, T/A 60,299.00 Phyllis G. lIelmick 1,555.00 Ann D. lIelmlck 24,120.00 Amy 1. J-lcCllnt.ock 24,120.00 Gail Sweet.on 24,120.00 trnut D. 1I01mick, .Ir. 24,120.00 Tot.al $ 165,RQQ.OO V' I 1~e additional interoet income received on the Haney Markets is therefore considered interest income tD the tr1l8t. .. \ / .' ,,' 1:1'111>1'\ n. 1"1" III lll'I\ ? II/II'I 1I1.\",lo.k, T/A 11012 r. 112231 Computation of Illtllrollt ItWUIIII' '''Irlll>l' 1111 l'ulIlll.." lrllnl prOCIHHln I , 1.w TlI\l totlll procII"(\. from thu Ilttll/llnll trllol IIAII $1110,899.00. J"W..c. (f; 2.M According to the hentIClolllry Iloo I IlIl.U"1I , lh, I'roo..edll lIere to be diBtdbuted ap fol10wo I , , . 'Ernell,t D. 1I111mlok, '/'/ ^ Phyl1h a. IIlIllniok Ann Il. IInlmlok Amy I. McOllntock GRil 8w..tol1 Ern...t D. 1I01.lIIluk, .lr. Total 60,299.00 211,120.00 24,120.0Q 24,120.00 24,120.00 24,120.00 180,899.00 '. , . .. ~ . . I . .I 3.M Mra. Phyllh 1Ielmiok nIHth,"1 $l!l,OOO.OO In 1979. l'hu balance ($165,899.00) wu invented in Money Marketo, which oArnel1 $'1,565.00 to 2/20/80. The interest income eppUoabh to th.. bendlclllrlu ill compllted 118 follollPI Ernellt D. lIe1.mlok, ,/,/11 . 60,299 r 165,699 lC 7565 .. $ 2,750- Phyl1i. Cl. llt.llnlel, <l) 9,120; 165,699 lC 7565 .. 415- Arm 11. 1Ielmick 24,1201' 165,899 lC 7565.. 1,100- .- luIIy I. MeCltntock 24',120 r 165,899 lC 7565.. 1,100- (1nll Ilwut..n 2/;,'120';' 165,899 lC 7565.. l,100M IIrMnt Il. lI\llmick, .lr. 24,120.;'165,899 lC 75'65 .. ' ~.100..:. lutnl $ .565- (l) 111f! procoo,l<< from tho plHlllion trust to be distributed to Hrs. l1elmick and the four chlldrlln wen $24,120.00 each. but MrR. 1Ielmlck received $15,000.00 in 1979, theroforl', hl!r ohllr.' Ilf thlt hll1nnce ($165,899.00) 10 $9,120.00. 4.- Altltr 2/20/80, th... truet rucolved the following interest income with reopect to the $165,899.00 roeolvad frolll tha !,!lOSiOll truatl Date Amount 37I?T80 $ 968.15 3/27/80 1,107.38 4/28/80 2,456.02 6/27/80 3,643.75 7/29/60 1,166.28 10/1/80 1,368.11 11/3/80 1.644.20 12/1/80 1,753.11 Total $14,127.00 .beneficiarios of tho penpion trust proceeds The lntorll~t inaome applioablu to the is computod AI fol1owa I ErOllnt Il. IIlllmtek I 'r/ A Phyllin O. 1I01.lIIlok (1) 6~:~~6: . 63,049+ 165,899 x 14,127 . 1,555- 415M . 1,970 ~ 165,899 x 14,127 = 24,12()M 1,100-. 25,220~165,899 x 14,127. ~'I,1.26M 1,100w . 25,220~ 165,899 x 14,127 = 24, 120- 1 100- ~- wi:ioii. Ann Il. IIltllnlck , . luIIy 1. Hcr.:ltntClck Clnll ~Wlt"tllll tr1\lIht 11. 1I1,1mte", 1'otnl ..Jr. . 25,220~ 165,899 x . 25,220' 165,899 x 14,127. 2148- 14,127. 2148M $ .!..4-;1TI- 5367- 168- 2148M 2146M .. f...,,,.... , I I f.- . ,--- .. .~. Doportmullt of 1110 TrUll~Urv Form 668.A .(Rov, February 1981) To Notice of Le Dauphin Depoait Bank 21:; rMlrket Street Harri~bur9, PA 17101 Inlarnul f{uvllnuo SOrvICI! Tho tuxpayer named at the bottom of this noticll owes the United States ~ $ 890,005.02 Soe Pert [i-Instructions for responding Date \)/4/83 Originating District ..!hiladelph1a Kind of Tax Tax Data of Taxpayor Unpaid Statutory Parlod Ended A..a..mont Idontlflcatlon Balanco of Total Numb.r A.....m.nt . Addition. 12/31/67 10/13/76 $ $ $ 1040 2340-30-2260 17,602.43 26,004.36 43,~6.79 1040 12/31/69 10/13/76 " 58,818.\)7 43,816.99 102,635.06 1040 12/31/70 10/1y;,6 " 48,694.96 37,704.52 86,399.48 1040 12/31/71 8/9 77 " 60,571.56 43,305.32 103,876.88 1040 12/31/72 8/9/77 II 33,557.39 25,128.10 58,68\).49 1040 12/31/73 8/9/77 " 35,901.61 29,920.05 65,821.66 1040 12/31/74 8/9/77 " 14,766.58 12,156.84 26,923.42 1040 12/31/75 3/31/81 " 141,678.57 M,731.02 196,409.59 1040 12/:>1/76 4/13/82 " 22,689.29 5,034.11 27,923.40 1040 12/031/77 4/13/82 " 13,432.93 3,102.47 16,535.40 1040 12/31/78 4/13/82 " 30,14\).63 6,486.80 36,632.43 Chaptar 64 of the I nternal Revenue Code provides a lien for the above tax and statutory additions, Demand has been made on the taxpayer for the above amount, The taxpayer has neglected or refused to pay, The amount Is stili due, owing, and unpaid, All property, rights to property, money, credits, and bank deposits now In your possession and belonging to this taxpayor (or for which you are obligated) and Signature ~~ I f~'j Terry Shutt ~,.{VJ 11 t '1.{.q;2 Title ( ./ / \ Revenue Offioer Name and ad dr... of Taxpaye, r: Brnest D. & Phyllis Helmick 275 Hillside Dr. New Cumberland, PA 17070 L Total amount due .. S P all money or other obligations owing from YOIJ to this taxpayer, are levied upon for payment of the tax plus all additions provided by law. Demand Is made on you for the amount necessary to pay this tax liability or for any smaller sum that you owe this taxpayer, to bo applied as a payment on this tax liability. Checks or money orders should be made payable to the Internal Revenue Service, Office Address P.O. Box 670J. Harrieburg, PA 17108 Telephone Number ( 717 ) 782-3491 Certificetion of Service I certify that thl. notlc. of lavy wa. .ervad bV dollverlng a copy of It to tho elton named balow. . , .J Dopllrtmunl (If till! TlUa~urv ~~ Inlornal fll!Vlltl\lO [I lIrv it: Il Form 66&A N tl f L (Rev. February 19B1) 0 ce 0 e To Dauphin Deposit Bank 213 Market Street Harrisburg, PA 17101 /'1) , , - .~.,) ~ ( " '. TalC " Data of TalC~ayar Kind of TalC Pe,lod Ended Assenmant Idantl loetlon Nu b., 1040 12/31/79 4/13/82 167"40"0256 ! ~>-' : Chapter 64 of the I nternal Revenue Coda provides a lien for the above tax and statutory additions. Demand has been made on the taxpayer for the abova amount. The taxpayer has neglected or refused to pay. The amount Is stili due, owing, and unpaid. AI property, rights to property. money, credits, and bank deposits now In your possession and belonging to this taxpayer (or for which you are obligated) and Signature i' Terry Sh&tt '~.( ~ t- ( Title Revenue Officer Name .nd ~ddr." of TAlCPAY.' \ rarneet D. & Phyllia Helmick 275 Hillside Dr. New Cumberland, PA 17070 L Part 1 - To be returned to Internal Revenue Service Unpaid Balanoe of Au.umant $ 108.965.17 Tho tuxpnyor namou at the bottom of this notlco owes tho United Stetes ~ $ 895, !JO~) .02 See Part 6-lnstructlons for responding Date 5/4/83 Originating Dlstrlot P i de \ io Stlltutory Additions Total $ $ 21,039.75 130,004.92 - Total amount due ~ $ 895,505.02 all money or other obligations owing from you to this taxpayar, are lavled upon for payment of the tax plus all additions provided by law. Demand Is made on you for the amount necessary to pay this tax liability or for any smaller sum that you owe this taxpayer, to be applied as a payment on this tax liabilitY. Checks or money orders should be made payable to the Internal Revenue Service. Office Address P.O. [lox 670, Ilurrisburg, PA l'Il0El Telephone Number ( 717 ) 782"3491 -, .J Certification of Service I cort '" that thl. notice of Iny WI' .erved by dallverlng a copy of It to tho ."on named b.low. . Nama Tltla Date and Time Slgnatura of Ravanua Officer Dr S.Nlca Reprasentatlva Form BB8.A (Rev. 2-81) . . 1lT.l\I56,3116 . ~ . Sl:NllfH,; " n " ("llflll'llIl'llfIlU I, ',111J J, Adll PtUl tlklUl" tn lb. "~\tl1IHN TO".&(4 on l\'\IlIrte. :~ 1. 'I'!~~ rllllllWlrJj; 3GlVlce Is "'<lut'ollt,1 (I~hfr;k OliO,) 60 o ,~now III whom ftlut dil10 tle~\.rrJ...,........_. o Shuw In wll(1,". d.l10 and I\.khcn of 'MlvI'IY..._ '* o /{I'STlUCTlJll1l'l.IVI!RY ShtlW I;"! ",llum alld UilllI tMlvolcJ. ..~.........._ 4- o /{I'SlllIC'll.Dl1r.uVrRY. Shnw 10 \oI;hulO, dltlC,llnd 14\11"M of daUnry,$_ ;1 " -. y, (CON::lll.T I'OS IMASTER POR HIiS) I , 2. AH'ricLEAPoH~Si,oTO-;---.~' '-_0- ,. James W. Ca~' 2 Internal Re~~~ SeIVice ~ P. 01 Box 670 .. Harr !,Iburg, PA 17108 ~ 3:-~ARTlci.riu'.::'~'"wr.'ii'ijl --- ~ t\I!GlhYbAID NO. Cl:AflrIQD Nu. f'MiUHIO ~O. ~ #5231572 ~ ~ " .r:! ~ '" S ~ e ... ..:; m L UHAM.1l 'l'G DlIllVlln 1181U1UU;1 ~ ~ ,r tAl"'.." C')t'l~ln slgnlUure 01 MJdr..... 0# .",n lluve rctet'ty,d 0 art1:.Jo dOtc1lbtd .bove. ltoNATU". \d.... OAdllxlMd ..,.1 -..~. DAYAPR'tn983 ... AOOfllisa tc:~ ofdy U' ........U ,'f. ::.-., ,. /" ',(.i '/~ n ,- ,- K" "",' ~ \, ',' \\.)- l' \, ,\,:\Q"'~...~ I'~. ... I,U \ ~\... ," . QUAK" IHlTtAUJ P'OI1t~f11 . - . ... ~ . . . . , , . HIJV56,346 '.'. .~... .... ..... ...... . '-'. -..,.,...... Ji . Sl':NI)F.RI ,. fl Crlmpl't. il~m.l. 2, .lId 1, ,,\1(1 ynur J,Mr'" In Ch, "RE'MJRN TO" Jplla on fHI'Ht. !~ I. Tho following BtlrvlclIls fll'qllluud (check one,) 60 o Show to whom anI.! dale dcllvtl(ed.,.........._~ o Show Il] whom, dlllll' 'In.,] ed.bOll 01 d"Uve!')'.. ,__ 4: o RESTlllCl'!'D DF.LIV~aY Show In wll,-,," anJ date tlolivefoo.. .........._. o KI~Wf(I(' I ElJ l>ELIVEltv. Shnw to ",Iwm. <1;\111, In,1 ,1.I,h,* ot dellvef)'.S_ ~ ,.' ~ '0 (CONSUl:' "0&') ;1,\S'I1:11l'llR n~,) .--.-----.--.-.---.---. ,,~ ~AMib~J;!'~}~~t., Ch:Lef Counsel ~ ~wrbl'/3nt of Revenue c 032 Strawbeqy Sauare ~ ~ arrisburg, PA 17127 :n \!l "i"-At\ T10LEOP.JCK'P-T10NI .,; f1I:QldYf-AEll"iJ'l (;tnTlfll'~NO. ~JhED"O, ~ #5231569 " E! --tAi;-;Y;C;'i;!;ln~~r;. of Mid,"," Of' 1000"d 4.1 ------------~- ~ I ~y. ~1ViC'lIlhe :UU~l11 dur.ribed abCMl, .~ _II ~TUAII r. ~~,:~~'~,..,~~lhOflUd~t--,:.. " ~ J. ,QlQd:ql:l-~, ':'~. I I " ~ ATI 0,. DlllVfnv 3 ' Ai}~"1C ~___..__JlPRJ 116" )Ii')\ "I, ;:;'" A""....ln_,....."Iy"_lodt~1 '/ ~ u'- "".<) ~ G. ......Aill.. TO'DMUV"ft UIltlAUS.1I CLWAK'. o tHlTtALI . ?; ltON t1ltv4trO,,,,,, .. -I., , , 11I1I/56,346 iX . U;NlJl\HI C:OI11f'II~ 111m. 1t ], Inll l, ;r Adll rour .d.luIl1n lhe "ltl-nJk.N TO" Ifl~ u D ,.VClne, 1. The following Wlylco 1.1 (0(1I1Ut.hl (ehf.;k one,) 60 o Shaw In whom .nd data llul'/ofed............_tt o Show 10 wi 10m. dato anti addt~'Io' of dolJV1lry..._4 o Rl!STltlCTW Ill! llVI!RY Show 10 whllm IInd dJ.lO dfllivfret.lu.........._. o l\P.sTi'ICTEl> Llt.LIVLRY. Show to whom, ~bIC, Ilhl..i,lro.u of dflllYery.S_ ,.. ~ g (CONSULT pOsnt,\ST[R 1'01\ PF.ES) .~ ~~'i~D~~~jOI i ~~rnal ~Vel)ue Sern.ce 3 Cl)estnut street P ladelphia, PA 19106 ~ 3. Aiif,c.LIOiiCriIPTk:JNI Q AQQlaTlRIO NO, CIiIRTII'1I0 "0. .~ #5231571 I ~Atwry. obt.in UynllUrtl 0' addf..... Of 19M1d I hive received tho Irlk:l. dCl(libtd abO"io. IIQNATUAI DAddl'.... OAuuuwUed -1'1'1 . ~ I., DATI OPD&Llve.RY !l .-/1- '::J I L ADD"ln .Oompt4M ont;' U ~I e :l i" UNA.OLU TO Dlll..lV"A auCAU1I1 .J 'NlUfllD NO. f'OITMARt( CLERK'S ~T,^l-I ROI'O I 117'l4(\0,"'''! - ..-, ,.,r',_'~'" "0" ...._". ...,.,___........___..r-...,.___).,., . -. '.... . 'Hi:JVS6',j'4'6" '" ..... -- . ... . - - ~ - ....., ,,-- --. . i'! . SEHOtJI, S_' ~ l. COlnplllt' him. It 3, .IIJ J, ~~lMU uld,... lnltl. "RE'nIRN TO" "'..... on .. .~ on .. Th" (ollo...lna IdMco Ir requeW5l1 (ctt.r.k one,) o ~h()w hl whom .nd due delivrro,l 60 o !'II. u............-.... O . !lOW III whom, di'lfft wd IJ"'~~I M delivery.. '_4 RP.sT1\IC1T:.D Dr.t./ytRY [J Show 10 Wht1m anJ date dtll'..,l.'ted............._. IlllSl1UCl ED llF.LIVt:RY. Show In WhOlnl tlltl" and 0\1.11\'" ('If d~ltvef)',J__ \ _ (r;o":.t!l.l'.I.:':'I/,IASIJ.1: HJll I'n.,) ~~ty''ltOD~I\''&t''tTO' '.' -"- i" pnteI10 'Ial ~'lanue Service . 1 Box 670 Hari:' Bburg, PA 1710B .. 5 rA'RTICl:rDiScR.iffiON, -- ~ RIOIIYlRII. HD. I ClAn..." HO. I INWA.O ~D.' ~ ~#5231570 g tAI\lfey. ab-Mh, t40.llllff' of .,ddt'..... Of .~;t) ~ 1 hive ~('etvt' the IUkle dlJ.lCrlhed .bOVll, - .S IMNAfUR. 0,.\ .... OAUlhwbed ...... ~ .. .. & 5 S ::l .... a e.. UNA.IIL. To DIl.Wln IICCJ\Uill ~ .. f I op'oit.';vi-fiv- APR 1 a. "Oo"'a (Com,... nn" I .........., ., -(-... . ~.f ".(l~ -\,)- . " .' '\ 'j'o:' ~ ~'. '.t. '..SY'~/ CL AK''; tNfTlAU *QIO I "nh10004<$1 , , ,',.., -, . .. -..-". . .',"" . - ...._<-....... ,.,;) ) IN ~iE COURT OF COMMON IN REI ElSTATE OF ) PLEAS OF CUMBERLAND ) COUNTY, PENNSYLVANIA ERNElST D. HELMICK ~ ORPHANS' COURT DIVISION Deceased ) NO. 21...79-452 ANSWER. TO PETITION ll'OR PERMISSION TO PAY TRUST FUND INTO CaJRT AND FOR DISCHARGE OF DAUPHIN DEPOSIT BANK AND TRUST COMPANY AS OO...mXECUTOR AND TRUSTEE TO THE HONORABLE, 'I'IIE JUDGI!1S OF SAID COUR'l': AND NOW come Phyllis G. Helmick, Amy I. MCClintock, Gail L. sweeten, Ernest D. Helmick, Jr., and Ann D. Lefevre and make the following Answer to the Petition of Dauphin Deposit Bank and Trust CCJnpany filed in the above matter I I. Denied as stated. section 3184 of the Probate, Estates and Fiduciaries Code provides for the discharge of a personal representative upon confirmation of his final account and distri... bution to the parties entitled to distribution. There has been no account filed in this matter and the respondents joining in this Answer "ppose the discharge of Dauphin Deposit Bank and Trust c~\pany. It is admitted that this court has jurisdiction, 2. Admitted. 3. Admitted. 4. Admitted. S. It is admitted that the Decedent's estate is ihsolvent. The federal estate tax return, Form 706, attached as E~libit C to Petitioner's Petition is not accepted by Respondents or admitted by them to be true and accurate. 6. It is admitted that the federal estate tax return filed by the Petitioner is under review by the united states Internal Revenue service. Any statements made to the Petitioner as part of that review process are not known to the Respondents and proof of suoh statements and their aocuracy is demanded at hearin9. 7. It is admitted that a notice of federal tax lien was filed and that Petitioner's Exhibit B is a copy thereof., 8. Admitted. 9. Admit ted. 10. Admitted. 11. Admitted. By way of further answer, Respondents state that $165,899.00 were delivered to Dauphin Deposit Bank and Trust canpany by Ernest D. Helmick, Jr., acting as administrator of the pension plan for the professional corporation owned by Decedent and that Ernest D. Helmick, Jr., was actin9 under the instructions of trust officers and employses of the petitioner at the time he made such payment. Respondents further state that the payment was made in error and, when the error was discovered, Ernest D. Helmick, Jr., and the other Respondents supplied the Petitioner wi th full and accurate proof that the funds. had been paid by mis... take to the Petitioner and requested that those funds be returned. Peti tioner has refused to return those fUnd'S) to the pension plan administrator for distribution in accordance with the pension plan and with the law. 12. It is admitted that Ernest D. Helmick, Jr., as admini... strator of the pension plan has repeatedly requested and demanded - 2 - that Petitioner return t)1e funds to him which he mistakenly paid to Petitioner.. By way of furtneranswer, it is stated that Peti- tioner has failed and refused to return those funds to the pension plan administrator for pr.oper distribution and has failed to give a satisfactory explanation for its refusal. 13. Denied. ~1e Respondents are without knowledge of state... ments allegedly made by "representatives of the Internal Revenue Service" to Petitioner and denies same and demands proof of same at hearing. 14. Denied. Respondents are not aware of any advice given Petitioner by Petitioner's counsel and denies same and demands proof thereof at hearing. By way of further answer, Respondents deny that they have ever requested that Petitioner make "improper distribution" of any funds in Petitioner's possession or control. 15. Denied as stated. It is admitted that Petitioner has refused and declined to make any distribution of funds within its possession and control. It is denied that Petitioner has any , good or valid reason for fai1i.ng to make such distribution and is averred, on the contrary, that the pension plan document, the trust agreement and document, and the laws of the ccrnmonwealth of Pennsylvania require distribution which has been improperly refused by Petitioner. WHEREFORE, Respondents pray this Honorable Court to grant the request of Petitioner Dauphin Deposit Bank and Trust company to be removed as co-executor of the will of Ernest D., Helmick, sr., deceased, and as trustee under the agreement of trust between . '~...~ '., " ;1\ "1 ~ . ~ ~~ ~ . , ~I ~~ ",~ ~ ~I i~i rg ~r~ ~,~ ~ I fiJP~ 6 ~ .m z J:>~ E-l U ~~;:i ~ p ti~ ~~2~ :!tJ I , o [;< ~ ~~ ~~~~ ~;~~ ~~N fiJ ~ ,p ~~ '~ ~ ~ ~ ~ ~~. ~ r"I g;~~ ~rg . ~ "I '" 0 ~ ~ ,n ~ p u~ ill g .. 8 ~~I~ gj I ;~g~ ,[;< , ~,~ ~ ~B!~~ , , , - . .. , . . , . IN REI ESTATE OF ) ) ) ) ~ Ut TH1ll COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYINANIA ORPI~s' COURT DIVISION NO. 21...79-452 ERNEST D. HELMICK, Deoeased PETITION FOR APPOINTMENT OF SUBSTITUTE, TRUSTEro TO THPJ HONORABLE, THE JUDGES OF SAID COURT I AND NCM oome Phyllis G. Helmiok, Amy I. MCClintook, Gail L. SWeeten, Ernest D. Helmiok, Jr., and Ann D. Lefevre, Petitioners herein, and petition the Court for the appointment of a substitute trustee to serve under a trust oreated by Ernest D. Helmiok, Settlor, based upon the following: 1. Petitioner, Phyllis G. Helmiok, is an adult individual who resides at 615-A Third Street, New Cumberland, Cumberland County, Penneylvania, and is the widow of Ernest D. Helmiok, deoeased. 2. Petitioner, Amy I. MCClintook, is an adult individual who resides at 119 Green Lane Drive, camp Hill, Pennsylvania, and who is the daughter of Ernest D. Helmick, deceased. 3. Petitioner, Gail L. SWeeten, is an adult individual who resides at 290 Bradley Cirole, New Cumberland, Pennsylvania, and who is the daughter of Ernest D. Helmick, deoeased. 4. petitioner, Ernest D. Helmick, Jr., is an adult individual who resides at R.D. #1, BoX 541, York Haven, York County, Pennsyl~ vania, and who is the son of Ernest D. Helmiok, deoeased, 5. Petitioner, Ann D. Lef~vre, is an adult individual who .. _l, .!- .: ~,; ; ';';(,) I: ') . I h} ~ ~esides at 3120 DicKinson Avenue, camp Hill, Pennsylvania, and who is the daughter of Ernest D. Helmick, deceased. 6. Petitioners herein are all of the heirs of Ernest D. Helmick, who died on 4 July 1979. 7. Prior to his death, Erneat D. HelmicK created a truat by virtue of a trust agreement between himself, as settlor, and Dauphin Deposit Trust CctTlpany, now Dauphin Deposit BanK and Trufjlt CctTlpany, which said trust agreement is dated 14 June 1971. A copy of that trust agreement is attached to a Petition for Permission to Pay Trust Fund Into Court and for Discharge of Dauphin Deposit BanK and Trust company as Co-Executor and Trustee filed on 6 APril 1983 to the above-captioned matter. The terms and provisions of that trust agreement are incorporated herein by reference. 8. Petitioners herein are all of the beneficiaries under said trust agreement. 9. Since the creation of the trust, various propel"ties and assets have come into and under the control of Dauphin Deposit BanK w1d Trust company, serving as trustee of said trust. 10. Certain and various disputes have arisen between the Petitioners herein and the said Dauphin Deposit BanK and Trust company in its. service and performance as trustee under the afore- mentioned trust agreement and, by a Petition filed 6 April 1983, the said Dauphin Deposit BanK and Trust CctTlpany has petitioned this Honorable Court for discharge from ita duties and responsi- bilities as trustee under said trust. \.'''.~'' .' ,~; ;",\[l( ..._~ \.J ")(' \ I ,),~ ... 2 - 11. As part of its aforementioned Petition, Dauphin Deposit Bank and Trust CC1l\pany has asked for author! zation to pay all funds now held by i.t as trustee and as co...executor of the last will of Ernest D. Helmick, deceased, into court and has asked that it be Clischarged and released from all further duties, respon- sibilities, Obligations, and liabilities as trustee and co-executor. 12. paragraph Nine of the trust agreement dated 14 Juno - 1971 provides for the appointment of a successor or substitute trustee by a court with jurisdiction over the Trust Estate and provides that such successor trustee shall succeed to all the duties and powers, i.ncluding discretionary powers, granted in the trust agreement to the original trustee. 13. The trust is currently engaged in complex negotiations and an audit procedure with the united states Internal Revenue service and requires the service of a competent and informed trustee to conclude those negotiations and that audit procedure. 14. The assets of the trust are such that they require active management and careful supervision so that the assets will not lose value and will continue to be productive for the benefit of the beneficiaries of said trust. 15. The payment of the trust assets into court will frustrate the purpose of the trust in that the assets will become unproCluctive and will pass from the active and competent management of a trustee and the trust will be without the guidance and control of a competent trustee to resolve the problems involving the trust and its assets. 16. Dauphin Deposit Bank and Trust company has not filed . ',~ ;':.ld i.:' ,1 I),.".,; - 3 - any Account or formal or informal statement or explanation of its se~vices as trustee of the aforementioned trust or as co~executor of the estate of Ernest D. Helmick, deceased. 17. Dauphin Deposit Bank and Trust ccrnpany has offered no full and complete explanation to the Petitioners herein of its disposition of the trust assets or the assets of the estate of Ernest D. Helmick, deceased. 18. The beneficiaries request that Dauphin Deposit Bank and Trust ccrnpany make a full. and formal accounting of all assets received by it both as Go-executor of the estate of Ernest D. Helmick, deceased, and as trustee of the trust created by the aforementioned trust agreement and present such accounting to court for review by petitioners. 19. Petitioners request that this Honorable court appoint David R. Dodd, Esquire, an attorney admitted to practice before the bar of this Honorable Court with offices for the practice of law situate at 3810 Market street, camp Hill, cumberland county, Pennsylvania, to serve as substitute or successor trustee of the trust created by the aforementioned trust agreement dated 14 June 1971. 20. Petitioners request that this Honorable court not discharge or release Dau~1in Deposit Bank and Trust company from the performance of its duties as co-executor of the estate of Ernest D. Helmick, deceased, or as trustee under the aforementioned trust agreement dated 14 June 1971 until such time as a full and formal Account: has been prepared, submitted, reviewed, and con... firmed by this Honorable court. "! "'I' ;,.n'.1 , dld , ) t ),~ - 4 - COMMONWI!lALTH OF ~rE~NSYLVANIA COUNTY OF CUMBERLAND ) ( Ss.: ) ANN D. LEFI!lVRE , being duly SWQrn aooording 'to law, deposeEl and says that the faots set forth in the foregoing instrument are true and OQrt"act to the best of her knowledge I information and belief. s/.. .(i/J. ,#u ~ ~D'L- Yr. (. . .... S.w,orn to and subso:r;ibed before me this 2"~ day i;lfM~ ' 1983. NObal1~~b~ , llaW,/~\,b\\O. . ~'11111 \(\llllc~~~lla,\.a" co~J:"6, ,qaA \e",bVau, \IIloa ~~~\le' It4 Co",'" , ' . '-.13 <,<,I 'n r"1 . '("1 d , 'j' ': ,,\ ' .. ~i i~ ~ z i!5 \ 5] ~ ~ ~ ~-~ ~ -'2 , ~ tJm ~~ ~ ~ ~ :a r.... 814 ~~ ~ c< ~S~~m o E-<N fij ~~ E-<1~1 r>1 j5i~~ . \ f3 8m Q I<!:Ii:J 8 . r; fij OUl II ~ ~Ulrl .. 1i:J~ ~ ~": fiJ ~, ~~ ~~@l~ ~ , "',', . . .. ~ ES~'I\TE Of' ERNE:S'I' D. IlEU\ICK, Deceased IN ~'lm COlJH'l' ()JO' COM./10N J1LBIIS 01' CUMBli'IU,l\ND COIJN~'Y, PENNSYINJlNII\ ORPHl\NS' COURT DIVISION NO. 21-79-452 ORDER OF COURT AND NO\'!, this 30th day of ,Tune, 1983, tho parties and their counsel, Samuel L. Andes, Esquire, and JameR B. Reid, Rsquire,for the hoirs and beneficiaries, Ileath L. Allen, ESCJuire, for Dauphin Depo,lit. Bank, ,TulliR Sheridan, Ea~uire, for the Pennsylvania Department of Revenue, and Mark G. Gellar, Esquire, for the m,ited staten, having appeared and the parties and t.heir counsel having agreed and stipulated, it is hereby ordered as follows I l. Dauphin Deposit Bank and Trust company is nermitted to withdraw as co-executor of the Estate of Ernest D. Helmick, deceased. 'It is relieved from future liability for administration of estate funds but its discharge from prior actions ahall be determined by its account as filed and confirmed by this Court, subject., however, to vali~ claims, if any, by the Internal Revenue Service relative to said prior actions. 2. David R. Dodd, Esquire, is appointed co-executor of the Estate of Brnest n. Helmick, decoasod, subject to the duties im90Qed by law. He ahall, within thirty dnys, post a hand of $2,470.71 to secure his faithful performance of these duties. He shall make no disbursements of estate asaetE! or funds without the prior \'lrJ.tton consent of the District Director of tho Internal Revenue Service. 3. David R. Dodd, Esquiro, shall prepare and file a Pennsylvania ,Inheritance Tax Return on or before I\uqust 15, 1983. 4. Dauphin Deposit Bank and 'rrust Company iA ~)ermittodto withdraw as trustee of the truat cronted by tho agreoment of trust dflted Juno 14, 1971, as amended on FebrUAry 4, 1975, between Brnest D. Holmick and Dauphin Dopo~it Bank and Trust CompAny. It is relieved .! ~ (J ;'.\ ~f I ," , t,l i"" NO. 21-79-452 from future liability for administration of the truit funds, but its discharge from prior actions shall be determined by its account as filed and confirmed by this court/ subject, however, to valid claims, if any, by tho Internal Revenue Service relative to said prior actions. 5. David R. Dodd, Esquire, is appointed suocossor trustee of the trust created by the agreement of trust dated June 14, 1971, as amended February 4, 1975, between Ernest D. Helmick and Dauphin Deposit Bank and Trust Company. He shall invest and manage the assets of the trust in accordance with Sections 7302 et. seg. of the Pennsylvania Decedents, Estates and Fi.duciaries Code and the duties and limitations set out therein. He shall make no disbursements of trust'assets or funds without the prior written consent of the District Director of the Internal Revenue Service. He shall, withi~ thirty days, post a bond in the amount of $219,895.30 at the expanse of the trust to secure the faithful performance of his duties. 6. Dauphin Deposit Bank and Trust Company shall deliver the funds ,and assets of the Estate of Ernest D. Helmick, deceased, to David R. Dodd, 'co-executor, within thirty days after he posts the bond provided for herei.n. 7. Dauphin Deposi.t Bank and Trust company shall deliver the funds and assets of the trust created by the agreement of trust dated ,June 14/1971, a amended February 4,1975, between Ernest D. HelmiCk and Dauphin Deposit Bank and Trust company to David R. Doddl Esquire, within thirty days after he posts the bond previded for herein. il.,.'" ( ""11 11,')) '.':.) ill' \JI'_J I I I ' , , I ~ (lOURT OF COMMON PLEAS OF CUMBIlRLAND, COUNTY, PENNSYLVANIA O~PUANS' COURT DIVISION No. 21.79- Estate of ERNEST D. HEUfICK,. Deceased Late of New Cumberland Da~e of Deathl July 4, 1979 - I I FIRST AND PARTIAL ACCOUNT OF DAUPHIN DIlNsIT BANK AND 'fRUST COMPANY,1'RUSTEIl Stated from July 24, 1979 to July 7, 1983 , . Dauphin Deposit Bank and Trust Company, Trustee undB~ " Agreement dated June 14, 1979 and Amend~d February 4, 1975 By Sl.1MMARY AND INDltl( - PRINCIPAL -..-- PaRee Receipts Less Distribution to Beneficiarea Principal Balance Remaining 2 3.6 , $238,899.09 , "72,7.!i~,l.!i I,." . . INCOME Receipts - Pens'ion Plan Trus t B $166,139.85 7...8 6-8 Lese Disbursements Income Balance Remaining 9 1$ 75,336,58 10,715.93 , $86,052 .51 29,258,48 COMBINED BALANCE REMAINING 56,794.03 ~~22,933.8~ L!~Li iOG "1M: 114 9/05/79 9/10/79 9/27/79 10/03/79 10/18/79 10/26/79 11/01/79 11/12/79 Many - Lifa insuranQo premiUm for Phyllis G. Ils1mick $ 1,525.70 395.00 76.53 1,467.00 159.37 100.05 117.40 148.00 433.00 1,000.00 1,200.00 1,735.68 124.00 162.7'2 3.65 62.22 978.00 683.4Cl 124.00 76.00 216.97 103.0Cl 261, 53 25.20 344.98 1,594.08 32.10 337.03 Rolling Graen Memorial Park - Memorial New Cumberlsnd - Sower and 'frash SBA - Mortgage payment for 2612 North 'l'hird Str.eet Pennsylvania Power and I.ight Company - Ill.eotdc Capital Blue Cross - Premium Peders Flowers - Flowers CONB - Master charge Nationwide Mutual I'ire Insurance Company - Ilomeowtlera Mrs. Phyllis Helmick - Living expenses Universal Pool Sales - Repairs tq pool Dauphin Oeposit Bank and Trust Company - Mortgage payment UGI ~ Gas service Philadelphia National Bank - Viaa Hess'a 'Ilxxon - Balance due SBA - Mortgage payment Ilrnsst Helmick, Jr. - Reimbureement for pool OOVer UGI ~ Gaa UGI - Gas Pennsylvania Power and Light Company - Illectric Nationwide Mutual Insurance - Premium West Shore Country Club - Balance due CONB - Master charge Philadelphia National Dank - Visa West Shore School D1atr1.('t - Real Ilstate Tax City Cleaners - Balanoe duo Wrightstono lilectric Ineorpornted ... Purohase of I'rigidniro lYli.11 .l,()~'J j't\[;l tJU 3 11/29/79 l2/03/79 l2/lO/79 l2/l2/79 1/03/80 1/04/80 1/16/80 1/17/80 2/06/80 Ghent Collection - Balance Phyllis Helmick - Reimbursement for HestShore \~age Tax snd ' Pennsylvania Income Tax ,Rollin~ Green Memorial Park - Balance due GE Service G. H. Brosius Excevating - Inatalling sewer New Cumberland Bo rough - Real Es tate Tax E#th Seipe. Tax Collector - Personal 1'ax for Erl1sst Helmick Rolling Green Memorial Park - Balance due on marker Edith Seipe, Tax Collector - Plnsonal 'fax for Phyllis Helmick I Phyllis Helmick - Reimbursement for Franklin Mint hill D. S. Seiverling. Treasurer - Real Estate Tax - County D. S. Seiverling. Treasurer - Real Estste Tax - County at 2340 Grsen Street City Tteasurer - School Tax for 2612 North Third' Street City Treasurer - School 'fax for 2340 Green Street Pennsylvania Power and Light Company - Electric Nationwide Mutual Insurance Company - Insurance premium J. C. Penney - Balance due Exxon - Balan ce due Pearlers flower Company - Balsnce duc Hest Shore Country Club - Balance due Highland Gardens - Balance due Schleisner's - PurchasB Yvonne of Camp Hill - Purchaees Phillis G. Helmick - Reimbursement for Wilton Armeta.la bill SBA - Mortgage SBA - Mortgage Hess' Ei - Balance due t,!'I, _~.:', r'lJd 1t8 5 $ 630.00 492.92 750.00 52. .53 614.35 651. 23 11.00 400.00 1l,00 307.00 185.33 97.54 736.16 387.43 76.20 93.70 UO.75 15.20 l82.56 45.54 55.67 l25.00 568.00 ,656.92 1,89.00 489.00 1,7.69 2/07/80 B r in'ton llro thera - Balance due 2/27/80 Phy11h O. Illemick - Maintenance 3/14/80 SBA - Mortgage 4/15/80 Phy 111a O. lIe1mick - Main t en an ce 4/16/80 SBA - Mortgage 4/23/80 l'hyllia O. lle1mick - Main tnnan ce 4/24/60 Heaa I a - llal.ance due 5/16/80 SBA .. Mortgage 5/l9/80 Phy11ia G. Helmick - Maintenance 6/09/80 PhY11ia O. Helmick - Maintenance 6/24/80 SBA - Mortgage 6/30/80 Phy111a O. Helmick - Main tenanco 7/07/80 Phy11ia G. Helmick - Maintl1llance 7/18/80 Phyllis G. lIe1mick - Main t on an ce SnA - Mortgage 8/13/80 Phyllis G,' llo1mick - Main tellance 6/28/80 Phyllis O. Helmick - Main tenance 9/24/80 \less's - lla1ance due RESERVE TO PAY TilE FOLLOWINO: $ 70.05 3,000,00 489.00 2,500,00 4 ~9, 00 1,000.00 445.08 4&9.00 2 , 000 . 00 2,500.00 489. 00 5,720.00 2,000.00 1,500.00 489.00 1,000.00 1,100.00 55.88 Regiater of Wills - Fi1ing,Account Dauphin Deposit Bank and Truet Company - Executor's fee Keefer, Wood, Allen and Rahe1 - 1,ega1 services TOTAL 1'1UN,ClPAL DISBURSEMENTS 300. 00 5,500.00 4,000.00 '- 72;759.15 INCOME'RECEIPTS ~ 8/08/79 Intersst I U. S. Treaaury Billa $ 8.1.4 1.0/03/79 Interest: Dauphin Deposit Maeter Ssv1,ngs 65.:31 10/18/79 Interestl U. S. 1'reasury nil1adue 10/18/79 1,323.03 1l/02/79 IntereStl U. S. Treasury Repurchaae Allreemant 232.10 12/03/79 Intereatl U. S. Treasury Repu rchaae Agreement 584.62 1/03/80 Intereatl U. S; Treaaury Repurchase All reemen t 372.50 UtiLi .LD~) I'M,I .U~) 6, 2/CJl/80 Interes t I U. S. Tr.ellsu~y Repurchllse Agrecment $ 367.82 3/04/80 Interest I U. S. Trl,Hlsury Repu!:,chsse Agreement 336.83 Pens ion Plan Mr.a. Helmick 3/12/80 Interestl GMAC 14% COlllllle reial l'apLlr $ 968.15 3/27/80 Interestl GMAC 16% COlluue reial PAPcr 1,107.38 4/02/80 Interest I IJauphin Doposit Bank and '1'!:'ust Company, Master Savings $ 20.13 In teres t I U. S. Troasury Repurchase Agr.eement 353.97 4/26/80 In teres t I GHAC 16.50% Commercial Paper 2,.456.02 5/02/80 In toreet I U. S. Treasury Ropur.chase Agreement 376.89 6/03/80 Interest I U. S. Treasury Repurchase Agreoment 252.40 6/27/80 Interest I Hanufaeturer of Hanover 13.25% pertifi- eate of Deposit 3,643.75 7/0J./60 Interest I Dauphin Dopos it Bank and Trust Company, Has ter Ssvings 29.12 7/02/80 Interes t: U. S. Treasury Repurehsso Agreement 148. 50 7/28/80 In tares t I Girard Banks 7.75% Certificate of Depos it 1,101.15 8/04/80 In teres t I U. S. 'frellsury Repurchaso Agreoment 238.51 9/02/80 Interest I U. S. Trellsury Rapurehlls e Agreement 1,219.35 1l0.66 1O/0J./80 Interest I ll. s. Trollsur>, Repurehllse Agreement 1,406.10 127.84 11/03/80 In teres t I U. S. Trellsury Ropu rehas e Agreement l,644.20 149.49 12/01/60 Inleres t I U. S. Treasury Ropurchaso Agreement 1,753.11 159.39 1/02/81 In teres t I U. S. Treasury Ropu rehas e Agreement 2,193.69 199.44 2/02/81 In teras t I U. S. Treasury Rcpurehaso Agreement 2,392.71 217.54 3/01/61 Interest I U. S. Trellsury Repurchase Agreement 2,133.14 193.94 4/01/61 Interest I U. S. Treasury Ropurehosc Agrcoment 2,099.69 190.90 5/01/61 Interest I ll. S. Troosut.y Ropurchoso Agreemen t 1,817.26 165.22 6/0l/81 Interest: U. S. 'froosury RopurehllHe Ag roe,mon t 2,617.99 238. 03 l::I\_1< ~ , . i'i,LI 1"'0 J.J'I.-I - I.' 7 Pension Plan Mrs. Helmick 7/01/81 Interest: I U. S. Tressury Repurchsse Agreement $ 2,406.25 $ 218.78 8/03/81 Interestl U. S. Treasury Repurchsse Agreemen t 2,614.49 237.70 9/02/81 Interest I U. S. Treasury Repurchsse Agreemen t 2,662.03 242.02 10/01/81 Interestl U. S. Treasury Repurchase Agreement 2,334.45 212.24 11/02/81 Interestl U. S. Treasury Repurchase Agroemen t 2 ,246,,~.7 204.21 12/01/81 Interestl U. S. Tress ury Repurchase Agreemcnt 1,943.95 176.74 1/05/82 In teres t I U. S. Treasury Repurchase Agreement 1,855.96 168.74 2/02/62 Interest I U. S. 'fressury Repurchase Agreement 2,011..36 183.14 3/02/62 Interest I U. S. Treasury Repurchase Agreement 2,146.66 195.35 4/05/62 Interest I U. S. Treasury Repu'rchsso Agreement 2,303.66 209.44 5/03/62 Interest I U. S. Treasury Repurchase Ag reemen t 2,294.80 208.64 6/01/62 Interest I U. S. Treasury Repurchase Ag roemen t 2,210.64 200.96 7/02/82 Interestl U. S. Treasury Repurchase Ag reemen t 2,072.39 168.42 8/02/62 Interest I U. S. Treasury Repurchsse Agreement 2,002.76 162 . 06 9/01/62 Interest: U. S. Tressury Repurchase Ag reeman t 1,435.20 130.49 10/04/62 In teres t I U. S. 'freasury Repurchase Agreement 1,439.62 130.69 11/01/62 Interest I U. S. Tressury Repurchase Ag reemen t 1,516.22 137.66 12/02/62 In teres t I U. S. Tressury Repurchsse Agruement 1,446.72 131. 72 l/03/63 Interest I U. S. 'J1roasury Repurchase Ag reemen t 1,451.98 132.01 2/ll2/63 Interest I U. S. TreaBury Repurchase AS re emen t 1,424.89 129.55 3/01/63 Interest I U. S. Trsllsury Repul:'chaae Agrcement 1,275.71 115.99 4/0J./63 Internst I U. S. 'rronsu ry Rcpurchase Agreement 1,434.79 130.45 5/04/63 Interest I U. S. Tressury Repurchase Ag reomen t 1,390.97 126.47 6/01/63 Interest I U. S. 1'roasury Ropu rchaB" Ag reemen t 1,416.05 1?A.CJ3 7/ll1/63 In teres t I U. S. Troasury Repurchase Ag reemen t _1 ,436. 03, 130.57 TOI'AL INCOHIl RIWIUpTS $ 75,336.58 .Un, 715.93 'f)", h\l.! ii' ~ ~. < :' \ ., .1,111_1 ...,.~J. 8 , , " SCIIWOULE ^ r.rii1\ary , Polioy ! naurn nooComE!!!l. Numbor ^mount 'rlw Equitablo Lifo Mauran,oo 62 Sooiaty ot tho Unitod Statoa 202 825 $ 50/000 NaW York Lifo II1B'Urnnoo " 27 402 193 50,000 Company Nt,lw York Lito ,nauranao Company 27 402 194 16/000 Na\~ Yor), Lito Inauranou Company 23 190 391 24,000 Continqont i~.tional aorviaa tHo 'nBuran~. V916-77-83 10,000 .. COURT OF OO~ION P4EA~ OFOUMBERLAND OOUN,TY, l'llNNSYLVANIA ORPIIANS I COURT DIVISION No. 21-79-452 Estate of ERNEST D. Ill~LMIOl<, Deceased Late of New Cumberland FIRST AND PARTIAl, ACCOUNT OJ,' PHYLLIS G. IIELMICK AND DAUpHlN DIWOSIT BANK AND 'fRUST COMPANY. EXECUTORS 'STATr~~N.'LOF PROPOSlm DISTRlBUTION Balanoe for Distribution consist~ of the followingl ~ 72 Shares OONB Dat. of, Death Value ' $ 864.00 Julyi, 1983 Value $ l,OQO.OO 18 Shares Oorestate l'inano1al Oorporation, Preferred Series A 390.37 4111.00 12 Shares Oorestat. Financial Oorporation, Common 258.79 753.00 Misoelleneous . ' 300.00 300.00 100;00 100.00 615.02 ' 615.02 $ 2,528.18 $ 3.262,02. TV Csmero Cash TOTALS Olaims from the fol1o~ing are reco8ni~edl Chubb and Aseoo1ates Internal Revenue Servioe Phyllis G. Helmiok, Co-Executor DISTRIBUTION TOI Phyllis O. Helmick, Co-Executor and David R. Dodd, Esquire, Supcessor-Executors to pomp lute Administration of Estate. . /1 I " , \ ~Jh(J\lld thu i'Lol'~Hl(d.d bUqlluul l,:o UllUllhin 1)(11)(l(ltt 'I'rullt COlllptlllY, CII!! [t)l: .\11)' ~'OtHIOIlI I, \livo.1 c.1lwiU() llnd uoquunt.;h 1111 tJlo '1It'Uo\:oOI l'(JU~ onel t'OllW!lHlot' ()~ ,oy abt<<to, t'olll, IJOt'l:JOlltll (IOU mtaad, to my ... . .' ,~ ',I, ' Ilifo, Phl'ilio U. lIelnlich. antl CQ I\\Y i..uo, ill the intost.~e proportions p.ovi<lo<l b:( tho laws of tho cOl1\l1\ollwealth oC Ponnnyl- \'nll.{ n t /j11(Juld lIoiL/wr \'111'0 Ilor iflflll~l IIll1.'vivn 1111), 1 (jiv(), duVino 'nnu I.hJqHvClt:.h tIll. oj! IlIi' flAl:H{;.o" rlJLll, lJlH'oolln! CHId m.tHOll, tin 1.'olJ.O\',/S, . ., . (Ill 1"i Lty poreonl: ( 5~n~) to my Iwlt'a-a t..luVl, (b) f'LCty pl)rCnnt ( !)(J(~) to lilY ~'d.f:oln ha.i.ru"'r1t...low, '1'lllIWI Ie Il"~ btJllof.ioie.ry lIIH,JUt' the UOQonu ~r tll it'd 1)'1):0- rJl:flphA or ,1tQIn UJ,:;CtJHD io lllldor l:hil.'ty '(30) YOhra 0(' n~Jo, I d,i.i'l:)cJt I;.h{\~hin ':intot'out bo hold ill It:'IlIlL by IJtlUpl1111 /)opoult'!').'uu\: UOI,llH'n~J, li~l'fJirl';IJ:'COl.' (l(l.t1ud 'l'l'llllLeo, lllltLl ulwh UOllQU\':illry t"t:.'lIchos thil:ly (30) yoarn or lUjU. Ily 'rL'Unl;oo uhall l1pply ouch amoullts QC illClorno i'II!'.! lH'iW::11'Cll llO .I 1:, ill ita Dalu cliaCl'OtiQl1, llr.Hlillll prOplll' COl' I~ho AUP1)Ol't, oc.luootion llnd \Voli'llro of Ouch UOIIOficiCl)."Y, lint! I,'fl~' iloCUnlllltlto l\ny ullo':pondurl b111nncQ of income to tho oxtont pormittod l.~y 1m.... Suoh UIAO\ln{;o may bo c.ppl:lod (lil.'otl~ly or mny bd [lLl~(l 'to tho btJnoi.'lcinr.y OL' to tho porson with whom ollch bonafioillry t'aoidOH , , 01' 1/110 hoa tho onro oml cOlltrol' oC Duell bOlloUcint'y, \...!thoul: 'tho intorvontion of n <jlH\rc11,llll. Ny 'l'rustoo nllllll no!;, be oblj,~ocl to nupt'u'vi,no or illquirrJ into t.hu opplicLltioll o~ f1lhJh ('ImOulltn vy lJuch paroon, CIII(l' thl' ),'(Jcoipl: oC Qlwh P01"DOfl Dhll.ll 00 0 comploto roloano or my ~{rU,~l:.O'I). Hhoulu tho uhnrQ oC <l uOlloJIicirll:Y, 1n t;ho sola <;Jp.l.l,ion of my '11 rl1 0 to\l , bo Or bGcon\o too f1Iooll 1.;0 Wort'ollt cOlltinuill\j \" \,. f'-( r. I { ( ,''', l\"l t' ./" . l,.l' h..\\:..1. ../ ..2- ,', " ',: \.~., j I"r , '.' I , ;" . "" " \, ~--' " ,...- f.111llh );ull<.1 11\ "I,\!lt'" UL' uhml.ld tLfI ildmi.IIL ..L"nL.lull bo ol' 1.>00011\0 ill\- lll'nol:.icul ~(JL' 011'1 otlltlL' L'Ol\H()II, lilY 'l't'UHl:.uo, 111' itu nolo Cti.lll:kotiolll nltrY poy ,,1\luh OhL\t"O, L\bflulutul~', to tho bUl\otioinry, to tho poront', or o\:hor parDon ,"oin\:uinin~ o~iij 'bolla Cioiot.y . or moy dopooit Duoh ahQt'Q in tho b~nafiQiary' U "hmo, in Q oQv-incJu, noaount iu Q onvinc.J1l 1110(,1\:11\:101\ or l\:fI ohooDing. poy.bio to \:ho \]olloCioinry n\: moj'ority. . liltO\lld (' hOllrJ luiill'Y diu pL'loL' Lo rO(lchlny tho tl.<Jo of thirty PO) YLltlL'n \ooVill~ !'uuuo, hiu intoruul:. flhull be nllOGnl:.ud omolHJ .tnouo by nl\(\ .. ill auld slliel O\y Il'J:'lw\:.ua hold tL'uut for isauo, subjoct to Lho fltl!nU l:.l.'\\ut pt'oviDiona of thin \'1111, but: ol.\bjoot. to l.hCl ~ldclitiollnl (lUll1i~Jcntion tllnt eillUl diotributiull ~o ~Q~~ to oae},' onid innuo \lpOn 1\10 c~Qchin9 tl,o UUO oC tWOlltY-OI1Q (21) yonra, or to hiu oot[\to ill tho avant oC hil:l <.IenLh. Gh0111(1 t'l bt.lllOricillry dla cdl;c,H' ranChing tho .;)CJl.'\ or l\'lOnly- Dill' (21) yoora' but pL'ior to rouohj,n9 tho "90 of thirty PO) yaors lr"lvin<1 no .1011\11.', h.ln ll\torcul:. !'ll,lnll PO tli::d:.t:ibul;or.l flf\ 110 IlIny , . 'lI,m:i ricl"lll'y dJrc(~\; .1.1\ a vlllid IJt1ut;. \'1111 nod '1'01l\:.UII10I\l. Unlu~lI, <"'l1cJh npuclt'in dil'fJc.Jtion is lMldo, tho 1111.:.01:001.:. or u bUt1uCicinry \'11\0 Li.ii.Jn nt OilY 0')0 prior to rO"c,lhin~ tho QCJa ~c thb:ty (30) yeorn lonvinq no innuo ohall be divldod urnon~ 1I1s brothot'o nntl biotura find tho iOL1\tc or doconocu lJrothl.n:n anuaintcro,por ut.lrpoD, or, l!: nona axintn. nmonr; my iaouu, par stirpua, or, if nona oxiat.o, ifH\Ull(j t!l(l l,fJrnOlln olld in tho pL'ol'ortiono Hot rorth in the thiL't.l lJ:1l'iif,l1:ilplt 01; 11:11111 (liWO(lD, pl.'Cl\'I,~lo(l 1.;11Clt, [II')' p~'Jrl.J.oll (JI: O\lOhillt:.l1- /:1-lUl;. pfl:/.:lblo 1.:0 1I pC1l'UOIl who ill tho bOllofioJ,ury o( t, 11\1IJl'.liut:.il"lY tr\wl:. UIiUOl.' this '\vitl nhull ba uul10d tCJ nn.1.Ll l:r\\lJl:., L\llc.l lw lHli<.l .,,\ . 'iJ1" / ,- "J ".1'" , I I'.' ." .' t-' .i, ~ I 1" --+---~-. . , /, / , . ..1- ......-... -- ...-.-.....-.--.,......- ~ LLi '~I ::1:1 n~rl~ ,.," " ~, \ " , " J. hereby certify thnt wrlttulI 1I0tlco of tho fll/1I8 of thlt Stntelnent of i'ro~II)Sed D1Htrlhutloo. IIlId of tbe dMe, time nnd pltlce when the 8nme will he prellilnted to. tbe COUI'f, for conflrmatfoll IInd 0/ the Inst day to file written uh)ectlooB to seld StlHemell1 of ProlK-.! I)fstrlhutloll. hilS heon given to oVor~' nn'lnld <'IAlmlln1 and to oyery other Ill'I'HOII knowo 10 tlw IICClIltlft4<n1 to hllYe 01' dnlm IIn Intcrcslln the t<8tHte 88 CI'l'II",,,,. honcllcllll'l'. hell' or Ill'XI of kin, i'~J .~ ;, '" (-f 1- . o gJ It~, ; .~ tJ 'tJ ~~~~ ~ ~ ~ @tJ~B tIl ~ Ql ~~ ';:i 0 ~J~ III ~!>!~~ i5z =!~ 8 tIl N na\~ 0'10 ~ ~ In ~ ~ ~ . P<H 1~ ~ i ~ i t;~U ",f;; ; H m ~~~~ i~ , 8 0 ~ ~ ~ u ~ ...J aj ~~z P< tIl~ tIlO f.Lo ~ H N .... ~8~8 O~~A .; .... 0 l:l . ~ !:i Z 0 III H~~ III j 8 tiS ,. jQP< tIl nl ~ ~ ... ~ ~ ~ P< A -" , ~ " OOURT OF' COMMON PLEAS 01' OUMBEnl,AND COUN~'Y, PENNSYLVANIA ORPIIANS' COURT PIVISlON No. n-79-452 Estate of ERNEST P. IlELHICK, Deceased Late of New Qumbel'lsnd FIRST ANn PARTIAl, AOCOuNT OF PHYLLIS G. llEl,MICK AND DAUPHIN PEPOSIT BANK AND TRUST OOMPANY I EXECUTORS Pate of Deathl July 4, 1979 Letters Grantedl July 24, 1979 Firet Complete Advertisement of Grant of Lettersl Account Stated to July 7, 1983 ' Cumberland Lsw Journal ~ August 31, 1979 Patr.iot News ,Oompany, - AUllust 23, 19711 SUMMARY ANP INDEX Pagas PRINCIPAL Receipts Net Gain on Conversions Adjusted Balance Less Diabursements BalanclI bef.ore Distribution Cap Hal Changes 4 $ 82,676.52, 11,215.00 $ ~3, aOl. 52 92.361.37 , $ ,1,530. :).5 " 2 3 3.,4 P rinc1.pal Balance Remsining $ 1,,530.J5 INOOME Receipts Loss Disbursements 4-6 6-7 $ ,'2,369.38 --1.371. 35 lncome Balance. Remaining 998.03 oo~mINEP BALANCE REMAINING $ 2,528.18 , , " PRINOIPAL'OONVERSIONS INTO CAS Il Q!!it! Loss '7/20/Bl 2612 North Third Street Inventoried at $ 76,500.00 Sold B7 , 7lhQQ $ 11,215,00 Office Equipment Inventoried at $ 2,2B5.00 In .kind 2,2B5.00 ............ NET' GAIN ON OONVERSIONS $ ll,215.00 $ 0,00 7/23/79 I 8/17/79 10/03/79 2/15/BO 3/04/BO 4/2B/BO 7/09/80 7/30/BO 10/OB/80 12/05/80 2/1O/Bl 7/21/B1 l'RINCIPAL DISBURSEMENTS Register of Willa - Letters and Short Certificates Oumberland Law Journal - Advertising Letters Patriot News Oompany - Advertising Letters Register of Wills- Short Certificatas Notary fees Joseph McGraW - Apprisal of 275 Hillside Drive Olaude O. Wolfe Associates - Appraiaal of household goods Register of Wills - Short Certificates Registor of Wills - Short Oertificates Villa Tereaa - Storage of TV SBA - Mortgage payment UGI - Gas service Psnnsylvania Power and Light - mlectric $ 33,00 IB,OO 73.11 2.00 4.00 200.00 195.00 1.00 3.00 lll.00 1,467.00 , 103. 72 150.54 Kesfer, Wood, Allen (. Rahal - Fee allowed from sale.of Real mstato by IRS 3,000.00 SllA - Mortgege payoff Real Estate - Sales commissions Resl Estate Transfer Taxes Real Estate Tax adjustments 3 '41,015.77 9,000.00 l,BOO.OO 1,005. !lB 7/ 10/80 5/13/83 Poat Inspection $ 35.00 3.00 ]" 7 50.00 3,OOO~00 29,390.35 ,$ 92 ,361. 37 NotQry 110,e Rent Rebate DQuphin Deposit Bank and Trust Oompany - Fee allqwed by IRS from sale of Real Estate In temal.Revenue Service TOTAL PRINCIPAL DISBURSEMENTS CAPU'AL CHANGES 1 Share Natural Oentral Financial Stock Dividend $ 0.00 12104 Shares Cor,estates Financ.ial Corporation I Oommon 18.06 Shares Cores tate Financial Oorpor.ation, Preferred Sedes A Exchanged for 28 shares of National Oentral Financial' Oompany 1/21/Bl Dividend I 2B Shares National Central Financial at .37$ $ 10.36 1/30/81 Rent - Dr. A. Nordenberg 250.00 2/26/ Bl Rent - Dr. A. Norrlonberg 250.00 3/l7/Bl Dividend I 72 Shares OONB at .219 15.12 3/31/Bl Rent - Dr. A. Nordenberg 250,00 4/21/Bl Dividend I 2B Shares National Cdntral F1nanc11,11 at .37$ 10,36 4/29/Bl Rent - Dr. A. Nordenb\,rg 250,00 I 5/26/Bl Rent - Dr, A. Nordcnberg 250.00 6/16/B1 Dividend I 72 Shares OONB at .21$ 15.12 6/30/Bl Rent - Dr. A. Nordenberg 250,00 7/21/Bl Dividend I 28 Sheres National Central Financial at .399 10.92 B/03/B1 Interest I U. S. Treasury Repurchaee Agreement 5.14 9/02/ Bl Interest I U. S. Treasury Repurchase Agroement 15.60 9/l6/BI Dividend I 72 'Shares OCNB at .219 15..12 10/01/81 Interest I U. S. Treasury Repuchase Agreement 13.53 lO/21/Bl Dividend I 2B Shares National Central Financial et .39$ 10.92 11/02/Bl Interest I U. S. Treaaury Repurchase Agreement 12.93 l2/01/Bl Interest I U. S. Treasury Repurchaee Agreement, 13.68 12/16/Bl Dividend I 72 Shares CCNB at .219 19.44 1/05/82 Interest I U. S. Treasury Rcpurchaa e Agreemen t 23,12 1/21/B2 Dividend I 2B Shares National Central Financial at .39$ 10.92 2/02/B2 Interest I U. S. l'reasut'y Repurchase Agreement 24.36 3/02/B2 In.terest I U. S. Treasury Repurchase Agreement 26.55 3/16/B2 Dividendi 72 Sharoa CONB at .219 15,12 4/05/B2 Interest I U. S. Treasury Repurchase AS reemen t 2B.21 4/21/B2 Dividendi 2B Shares National Central Financial at .399 10.92 5/03/B2 Interest: U. S. Trcasury Ropurchase Ag reomol1 t 28.21 5 , . 6/01/82 In teres t I U. S. Treas\lry Repurchase Agreem~n t $ 27.84 6/16/82 Dividendi 72 ShareB CONB at .219 15.12 7/02/82 Interest I U. S. Treasury Repurchase Agreement 25,81 7/21/82 Dividendi 28 Shares National Central Financial at .399 10.92 8/02/82 In teres t I U. S. Treasury Repurchase Agreement 24.66 9/01/82 Interest I U. S. Treasury Repurchase Agreement 17.52 9/16/82 Dividend I 72 Shares CCNB at .229 15.84 , 10/04/82 In teres t I U. S. Treasury Repurchase Agreement 17.43 10/21/82 Dividendi 28 Shares National Oentral Fi~ancia1 at. 399 10.92 11/01/82 In teres t I U. S. Treasury Repurchase Agreemen t 18.18 12/02/82 Interest I U. S. Treasury Repurchase Agreement 17.85 12/16/82 DividendI 72 Shares CCNB at .229 20.88 1/03/83 Interest I U. S. Treasury Repurchase Agreement 19.00 1/21/83 Dividend I 28 8hares National Central Financial at. 399 10.92 2/02/83 Interest: U. S. Treasury Repurchase Agreement 18.21 3/01/83 Interest: U. S. Treasury Repu rchee e Agreemen t 16.68 3/,16/83 Dividendi 72 Shares CCNB at .229 15.84 4/04/83 Interest: U. S. Treasury Repurchase Agruemen t 18.71 4/20/83 Dividendi 28 Shares National Central Financial 10.92 5/04/83 Interestl U. S. Treasury Repurchas e Agreement 18.58 6/01/83 Interestl U. S. Treas ury Repurchaae Agreement 18.86 6/16/83 Dividend: 72 Shares OCNB 15.8'. 7/01/83 tntereatl U. S. Treaaury Repurchese Agreement 18.88 TOTAL INCOMl~ RECEIPTS $ 2,'369.38 INCOME DISBURSEMENTS - 10/10/80 Pennsy1venia Department of Revenue . 1980 Income Tax $ 2.00 12/29/80 Dauphin Deposit Bank and Trust Company - Commias ion on Inoome 5.56 7/21/81 Refund of Rent - Dr. A. Nordenberg per settl~ment sheet 1,250.00 . .. , cd '_'J :-:,m ~ ,') "''-'.1 " J hel'eby certl(y thllt wl'ltten nntlce of the fIllnll of' thla Account. fnu of thc dnte, time und plncc when \ho ~l\mc will he 11I'I,wnle(\ to the Courl (or confirm. 1\,.Ii111 !lnd n( the I,,~l dfty to file written obJection. tll ',\ili '/\ccollnt, 111\" 1,,~ulllllven tn evel')' unllo\d chlimlllll '.',! ~o every olh"I' ,'crson kllown to the neeOltlllllll1 ," have ill' clllhn "II Int~e~t In the e~tllto, 1\11. cl'edlt(lr. ''''I\cflclllr , hell' or 1l0xt ol kin, i--.J "" H !!) ~ tf 0 ~ ~ 'lj ~eH tl~, ~ .8 ~ '. ~ gj . ~i11 'i1 8ti~~ N III . & s ~ '" Aal~ ~ i8h ! ~.~~~ HI J;~ .... H l(j U I ~ ~ ~ >-l . H ~ N IllZ "'Ill t:l Il< 0 . .... ~.~ ~ ~ ~ ~~. :2 .... 0 0 III . '!'!! III ~ 8 ~ j;J ~Il<~ jJ III 41' ~ ~ ~ , COURT OF OO~ION PLEAS O~' OUMIlERLANP OOUNTY, PENNSY4VANIA ORPHAN8' OOURT PIVISION No. 21-79-452 Estate of ERNESt' D. HELMICK, Deceased Late of New Cumberland FIRST AND PARTIAL ACOOUNT OF PHY4LIS G. HELMIOK AND DAUP~IN DEPOSIT BANK AND TRUST COMPANY, EXECIITO~S Date of Death I July 4. 1979 Lettars Grantedl July 24, 1979 First Oompl.ete Advertisement of Grant of Letters I Oumberlend LaW Journ~l - August 31, 1979 Patriot News Company '7, August 23,' 1979 Account Stated ,to July 7, 1983 SUMMARY AN.,], INDEX ' 'PaRes PRINOIPAL Receipts Net Gain on Oonversions Adjusted Balance Less Disbursements OOMBINED BALANOE REMAINING 2 $ 82,676,52 3 11,215.00 $ 93,891.52 3-4 92,361.37 $ 1,530, i5 4 $ 1.530.15 4-6 $ 2;369,38 6-7 1,371,35 998.03 $ 2,528.18 Balance before Distribution Capital Ohanges Principal Balance Remaining INCOME Receipts Lesa Disbursements Income Balance Remaining .' , \ 2/12/80 7/02/80 6/08/83 7/05/83 COMPOSITION OF NET BALANOES Stook!! 72 Shares CONB 18 Shares Oorestate Financial oorporation t Preferred Serills A 12 Shares Oorestate Finsnchl Co rp'oration , Oommon Misoellaneous TV Oamero ' oash TOTA4 PRINOIPAL REOEIPTS Inventory , 2612 North Third 'Street I Harrisburg, Pennsylvania 72 Share~ OONB , 27 Shares National Oentral Financial Oorporation Dauphin'Deposit Bank and Trust Oompany - Checking Account Oash (Travelers Ohecks) Office Equipment Survival Action Chain (wrongful death~ 1967 Camero RCAOolor TV To adjust Checking Aooount $ 2,526.46 352.59 balance of Dauphin Deposit Inventoried at Actually received this date $ 864.00 390.37 258.79 300.00 100,00 615.02 $ 2.528.18 $ 76,500.00 864.00 607 . 50 2,526.46 600.00 2,285.00 758.54 100.00 300.00 -2,174;87 Travelers Ch~oks "306.00 Sale of .04 Share Oorestate Financial Corporation 2.43 Sele of .06 Share Oorestate Financial Oorporation, Prefs!:red Series A 1.46, TOTAL PRINOIPAL RECEIPTS 2 $ 82.6'/6.52 7/23/79 8/17/79 10/03/79 2/15/80 3/04/80 4/28/80 7/09/80 7/30/80 10/08/80 12/05/80 2/10/81 7/21/81 PRINOIPAL DISBURSEMENTS Register of Wills - Letters and Short Oertificates $ 33.00 18.00 73.11 2,00 4.00 200.00 195,00 1.00 3.00 lll.00 1,467.00 103. 72 Oumberland Law Journal - Advertising Letters Patriot News Oompany - Advertis ing Let.ters Register of Wills - Short Oertificates Notary fees Joseph McGraw - Apprisal of 275 Hillside Drive 01aude C,' Wolfe Associatea - Appraisal of hou~ehold goods Register of Wills - Short Oertificatee Register of Wille - Short Oertificates Villa ,Teresa - Storage of TV SBA -.Mortgage payment UGI - Gas service Pennsylvania Power and Light - Electric 150.54 Keefer, Wood, Allen & Rahal - Fee allowed from'sale of Real'~ytate by IRS 3,000.00 BRA - Mortgage payoff 41,015.77 Real Estate - Sales commissions 9,000.00 1,800.00 Real Estate Transfer Taxes Real Estete Tax adjustments 1,005.88 3 ~ .. Internal Revenue Service $ 35.00 3.00 1,750.00 3,000.00 29.390.35 $ 92 ,361. 37 Post Inspection Notary Fee Rent Repate Dauphin Deposit Bank. and Trust Company ~ Fee allowed by IRS from sale of Real Estate' TOTAL PRINOIPAL DISBURSEMENTS OAPITAL CllANGES 7/10/80 5/13/83 1 Share Natura~ Central Financial Stock Dividend $' 0,00 12 ;04 Sheres Corestates Financial Oorporation, Oommon 18.06 Shares Corestate Financial Corporation, Preferred Series A Exchanged for 28 shares of National Central Financial Oompany INCOME RECEIl'T~ 3/18/80 Dividendi 72 Shares CONB at .21Q $ 15.12 4/02/80 Interest I Master Savings 1. 44 6/17/80 Dividendi 72 Shares OCNB at .21Q 15.12 7/02/80 Interest I Master Savings .87 7/22/00 . Dividendi 28 Shares National Csntral Financial at .379 10.36 9/11/80 Dividendi 72 Shares CCNB at .219 15.12 10/02/80 Interest I Master Savings 10.09 10/21/80 Dividendi 28 Shares National Central Financial at ,379 10.36 11/03/80 Interestl Master Reserves Trust 4.39 12/01/80 Interest I Master Reserves Trust 9.57 12/16/80 Dividendi 72 Shares CONB at .26Q 18.72 1/02/81 Interest: Master Res e rves Trust 11.26 Interest: Master Savings 5.90 4 1/21/81 Dividendi 28 Sharas National Central Financial at .370 $ 10.36 1/30/81 Rent - Dr. A. Nordenberg 250.00 2/26/81 Rent - Dr. ,A. Nordenberg 250.00 3/17/81 DividendI 72 Sharee OCNB at .210 15.12 3/31/81 Rent - Dr. A. Nordsnberg 250.00 1+/21/81 Dividend I 26 Shares lIa tional Oentral Finanoial at .370 10.36 4/29/81 Rent - Dr. A. Nordenberg 250.00 5/26/81 Ren t - Dr. A. Nordenberg 250.00 6/16/81 DividendI 72 Sha res GCNB at .210 15.12 , , 6/30/81 Rent - Dr. A. Nordenberg 250.00 7/21/81 Dividend I 28 Shares National Central Financial at .390 10.92 8/03/81 In tereat I U. S. Treasury Repurchase Agroemen t 5.14 9/02/81 In terGet I U. S. Treas u ry Repurchaee Agreemen t 15.60 9/16/81 DividendI 72 Shares CONB at .210 15.12 10/01/81 Interest I U. S. Treasury Repuchase Agreement 13.53 10/21/81 DividendI 28 Shares National Central Financial at .390 '10.92 11/02/81 In teres t I U. S. Treasury Repurchase Agreemen t 12.93 12/01/81 In tsrest I U. S. Treasury Repurchase Agreement 13.68 12/16/81 Dividend I 72 Shares OONB at .210 19.44 1/05/82 Interestl U. S. Treasury Repurchase Agreemen t 23.12 1/21/82 DividendI 28 Shares National Oentral Financial at .390 10.92 2/02/82 In terea t I U. S. Treasury Repurchase Agreemen t 24.36 3/02/82 Interest I U. S. Treas u ry Repurchase Agraemen t 26.55 3/16/82 Dividend I 72 Shares CONB at ,210 15.12 4/05/82 Interestl U. S. Treasury Repurchase Agrsement 28.21 4/21/82 DividendI 28 Shares National Central Financial at .390 10.92 5/03/82 Interest I U. S. Treasury Repurchase Ag raemen t 28.21 , ,> 9/31/81 Pennsyl~an~a Dapartment,of Revenue - 1981 Income Tax $ 3.00 12/31/81 Dauphin Depoait Bank and Trust Oompany M Commie s ion on IncomB ' 84.27 lO/Q6/82 Pannsylv!IIlia ,Department of Revenue'" 'l982 Incoma Tax 7.00 12/29/82 Dauphin Dspoait Barlk..and Truet Oompany - Commission on Income 19.52, TOTA4 INCOME DISBURSEMENTS ,$ 1.371.35 7 II [.,< 12 l'1 ro . ~ ,I rl ~ ~A f,l m ~ ~~ '~ ~ ''I ~ ~ . ~ i ~ I~ ~ M 8 ~ ~ . ~ ::J:!j (l) I! ~ 't. ~ 0\ ~i uut:.\ u .0 rl , H<)jl ".. ~ ;~~!: , ~i~M m , ,~ rJ~ll.. ~~ ~ ....1 ~ "l ~ ~ Q N , ~, ~ .:s~ ~ :>i 8 ~, P< , B , t~ ,U ~-:- ~ t:l,l.!J r:l r:l ~~ A ~ <ll W~ ~ ~ ~,~~ '!Xl [il ~ ~ el,' OJ::;:, ~ 'ffl ,,' l~ ~ .J 8 ~ ~ '[:;'-j k 'il: ~ ~ ~I pj ,= ~ ['1 1t1 0: 0 ~ ~' - 2i CD ',f!j C1 'J,l., /Pj', u , , RtVl'lOOIJo::I I"WII ~ j ~ " INHEIlITANCE TAX IlUUIlN rO,l,V.\{ltiWl"-llIl , f'ItHl~YlV^,lI" I'ESIDENT DE('.",[lE.NT IlOIA~IMII/I 01 RrVlt~tJt 1 J; 'UlltAlt 0 IlCAMINATION t: II N I tIAA'~I'~\IRg)(lr~21/110~ ,'ll IlIlllUr... _,~='-~ ===,~=-~",,,,,,,,,,,,=,~,,,,::-:,,,:.-,-,'''''':'-~;''''-~'''=-''''_'''-''_='';;co="""'" ~...., 'c--='o-__=~"'.'''_'''''''l"';r,...,_ Oor.od,nt's Numo I LOlt, P11S1, ond Mhhllo Inltlol1 UocOIlont's AddrolS ~ECEAS~O ~~nc~:\I~'0~=~l:;:lhorErI1L'8_lJ~~~O~~~~:-:='-. ._ _~, ::.~ ~T~.~~~~I~~_~' j ~ ~ CHECK 1. Orlglnol ROlurn [XJ 2, SUlllllomonlol Roturn [~J J, RomolOdor Roturn 0 4, L110 Estoto [J 6, rodoTIII Estoto TOK [ ] Roltirn ROClulrod, = BLOCKS 0, Oocodont dlod tostoto 1'-1 7, Oocodonlmolntolnod 0 living D [l, Totol Numhor of sofo ___ _JAtt'E!' copy of Will! .._._._.... ....___~S!jAI.'!!ch cO!'Y!!..trustl_"._.________ <loflosll IIoxos II1V1Jf\lorlo<l All corrosllondonco ond confldontloltoK Informotlon should bo dlroctod to: CORRE. _._.~_._. _.___'___'_ __.'"'_..,____...._m'__~- --..."'.. " ---.---.-- SPONOENT Nomo AMrm__2.flLt!,! ..L2..t;Jl.Jlt- . --. Samuel. ]~. Andes, I\tt,orney at: Law P.O. Box A168 ,-~_.._.._.-~~--- -.--~~,----.- --.- ---.------ Tolophono No, ... --- .-._~.-_..-_._-- __. j~L11J~~c"'-=~L-:~5 3 6_1 .'.__~'=~"~~=~- ~~y ___~_J~,!.l1}tlY!15.'b~=StAto P A Roc.pltulotlon 1, Rool Estoto (Schodulo A) 2, Stock. .nd Bonds ISchodnlo 0) 3, C1osoly Hold Stuck/Porloorlhlplnlorost (Schodulo C) 4, Morlgogo. ond NntllslSchodulo 01 6, Co.h & Mlscollonoous Porsonoll'roflorty ISchounlo E) 0, Jointly Ownod Proporty ISchodulo rl 7, Tron.fmlSchodulo 01 B, Totol Oro51 A5Iotlltotol Ilnos HI 9, Funerol EKpon.OI Admlolstrotlvo Com/Mlscollonoous EKpoo.oslSchodulo HI Oobts/Mortgogos/L1ons ISchodulo II Totol Ooductlons Itololllno.9 & 101 Not V.luo of Est.to IIlno 0 minus IIno (1) Chorlt.blo BOCluOltl (Schodulo JI Not Voluolubjoct to 10K IIIno 12 minus IIno 1~) APPRO, PRIATE RECAPIT. ULATlON AND TAX CALCU. LATION Comput.tlon of TOK 16, Amount of IIno 14 tOKohlo ot 0% roto Ilncludo v.luos from Schodulo KI 10, Amount 0111110 14 tmblo ot 1ti% ro" IIncludo valuos from Schodulo KI Prlnclilol tOK duo (odd tOK frnmllno 16 plus tOK Iromllno 181 T018ll'rlor poynlOnts: (01 Amount Paid Ihl Plu.Olscouot Ic) Mlnu.lntoro'I.... 19, Ool.nco Ouolllno 17 minus IIno 10) M.ko Chock Poyohlo to: Roglstor 01 Wills, Agont ... PLEASE RECIIECK MATH'" 10, 11, 12, 13, 14, 17, 10, 21-79-0452 ./h-~":'751i".-~~ .1_ Zip 17043 111_ 76 ,_~~O. 00 (21 1,471.50 ( 31 ----2/28 5 . 00 I 41:-u5l11J5. 93 ( 6) _.__.__!L~B 5.....Q.Q.__ I 01 - I 71 ~=-~~_l[;-oo Q..!.Q 0 t') /'; :','(;1 :uffl 1'1l"") t.)n .,',:,., 1 f~1 II!:~ . /, 1 "1 ~ "0 .. .~. ~:' :' "- :.6 I:':',:; ..- ~ I ' -.. w 1 " ., , .\ I 81 ..L.L~)_/ 717.43 , , I 0) __..2:.~J?2~_~~_ 1101 __93.JlJ.1.!Ul_...4.lL (Ill 954,963.21 1121 (761,245.78) (13) 0 1(4)___t761.l.245.78) 116) o K,OO- 1181______.,,0 x,16- (17)_ o (181 ___.._... o (19) _ .~,_._~_.,__.._. ...___._~_~___".~. ___,___'_..d.._______~________.___ Undor ponaltlos of porjury, I docloro Ihot I hovo nKomlnod this rOlurn, Includlnp or.componylng sehodulos ond stotomontl, .nd to tho bost 01 my knowlodgo ond bollof, It Is trtlO, corroct, ond cOlllploto, Ooclorotlon nf prop"olllthor th.n tho porlonlll roprosont.tlvo Is hosod on .lIlnlormotlon of which proporor has ony knowl.d'o,' 'I' I ~' , ( 1 A / / "-.. /.,: (if.. ..'/. '(/;'" 615-1\ 'l'hi.rc1 Stn'ot/ New Cllmbor.t1nd, P 32284 SIGNA UAE Oi>'FefisoNAL"nlipfli1. E~TATfVEjiji ADDI1ESS nm..._....,_'"'_ -" ---[JATE-- SI0NB;6~~~TII~PI\ESINT^TIVI r~" Ll~~':1LI: y-~. =~~I.~L~'it;.=~= Rtv.1.'105 EX. 11.831 Ernest D. Helmiuk SCHEDULE "C.l" CLOSELY HELD CORPORATE STOCK INFORMATION REPORT '-_._-_.'_..'-~.~"fijLi. NUM.I".' 21-79-0452 COMMONWEALTH OF PENNSVLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT iSfAT!! .Of I. NamlofCarparallon Ernc,st D. _~~c'.l!1.liuk,.J1~.!2.:~C. _ Statlof Inc, Addroll ..3..~!_?:__l>!.,-_,~~~_~!,-d S!:_'----!~il_rr isbur_'l!.__!:lI ___ Doll of Inc, Pennsylvania Unknown 2, Fldorol!. 0, Numbor.. Unknown (A. por Form 1120) TYPlofBu,ln....J2rof:essienal medical" Product l."lWporati:cm Bu,lnl" Rlportlng Voor. Tatol Numbor of Sharohaldl" N/lI One' 10 3, 4, mediual Sl!rViClH3 [- ---J--. ITOC~ TVP' --- . .....- Common X - - -. ---- --- !!.!f!~!~ n . . .......______._" ._________' ,._ .___,______ ~,,,..~,',!!!"Olld Volul_!1L!!.~cldlnt/. Inltr..t _~8M!!t~~~4~__~!,,~~LU' n'_~I!'~rm_'~~___._.....u.~T VA~~.~.____ __~~~L Unknown Unknown lmtir" Unknown $ 2,_285.00 ._~-~=~=~~~--~-~ --- ~~.=-~-- .------ -. --_.~~.~._~'~.__.:~~-~=-=.-~~~ ~~~-~-~~~~==~~~~=~~-~---- - Provld. 011 rlohlo and r..lrlcllon. plrtolnlng to loch clo" of .tack, Wo. dlcldlnt ImploYld by Ihl Corporollon' KJV.. oNo If Y", Po.lllan professiQ]1al Annuol Solory S Unknowl1,__ Tlml Dlvotld 10 bu.lnl,,_.mJ1tiro Amount and tyP" 01 compony Ind.blldnllllo docldonl at dot. of dlolh, S Un known Wo. thoro IIfl In,uranco poyobll, upon dlolh of docldlnl, 10 tho corporallon' I[)V.. oNo If y", Ca.h Surrlndor ValulI S Unknown N.I Procood. Poyoblll S..2.Q.L 326. 38 Own f Policy Dauphin .Deposit: Dan~_and 7'rust company (polioy was assigned to Daup'{1~n Depos~t Dank and Trust company to secure payment of mortgage) Did tho docldlnt lOll or tranofor .tack of thl, compony within only"ol prior to doolh If thl dolO of dloth wa. on or akor 12/13/82 or whhln Iwo Y"o" If Ihl dati of dlolh wo. prior to 12/13/02.0 VII [j No Not to t,he knowledge of the oo-cxeout- "p" ~:'-'~J-~'~".'."""".'~~~r - -~-~ I _ ... j"" Old thl corporollon hov. an Int"..I In athor corparallon. or portnl"hlp.' ov.. DNa Not to the knowlodge of the If Y'I, r.port the necluary lnformallon an a .eparate ,h..t, Including Schedule IIC.1" or "C.2" for lach Inter..t. co-executr ix Wo. thoro 0 wrlttln Ihoroholdor', ogroom.nt In .ff.ct 01 thl tlml 01 Ihl d.cldonl', dlalh. OV.. oNo Not to the knowledgo If Y'" ollnch copy of agroomonl, of the oo-oxeoutr Ix Wo. tho dlcldlnl" ,tock .old! OV.. 0No If Y"/ provld. 0 copy 01 thl osrolmlnt of 'Oil, Ilc, WO'lho corparollon dlnolvld or IIquldolOd ollor Ihl dlcod.nl', dlolh. Oh.. DNa If y", .p,rotvldoio bllokdown 01 IIquld.'otlon dl.lrlbuIIQn". ltc, 'I'he se' Ii. terns ~\re not known to the uo- eXecu"r X and arc all .to ~n~~xtc~t_t]cy ~Xlst wit~in,the possus5io~ PllolO.ubmltth. fallowing Informallan, 6f the co execUt.or / Ddupnl.n LJepos~t BanK. ana Trust, Co. 6, 7, S, 9, 10, 11. 12, 13, 14, A, A dltollld d..crlpllon .hawlng Ihl mol had of compulatlon utlllud In Ihl voluatlan of th. dlcld.nt'. 'tack, None of the's,-' itums /In' wIUlin the possc,ssl.on O[ the' UO-l'xecutrix / but 8, Campllt, copl~. 01 f1nqnclal,lnllm.nll or cQ.mpllloco'fll, QI Ih. Fldorol To. Rlturn. (For," 11201 for thl YOQr 01 doolh and 4D!ocodlng yoo", aro onl.Y ln tlw POSS('SSlon 0 .tl1c' uo-eXl-'cLltol', DaL\pnll1 DC'POSIt, Bank C, A ,Iotomlnt of dlvldlnd, pold loch yoar, LilI thalO doclorod and unpaid, and Trust company. D. UI' Name. 01 Offlclrs, Salorl... Bonu.., and any other ben,fU, r.cllvld from Corporation. E, If Ihl Comp'any ownld Rlol Ellatl, furnllh 0 lI.t .howlng thl compllll addron/.. and 1I1Imotld Fair Morklt Valul/., II Rool ellato Apprallals have b..n ..cured! plea.. allach copll'. F, lI.1 principal IIockhold." ot doll 01 d.alh, number of ,hor.. h.ld, ond ,"Iatlanohlp 10 docodlnt, 15, ALL OTHIR INfORMATION RELATIVE TO AffiXING THE TRUE VALUE Of THE DECEDENT'S INTEREST SHOULD ACCOMfANY THIS SCHIDULI, \ \ \ \ \ \ \ \ \ \ '- f?CH~EPULm I. 20. Internal Reven ue Servioe-fe0eral. inrJomr! tax owec1 ,by $ 331,754.61 decedent for 1962-1970 21. Internal. Revenue Servioe-fGderal inoome tax owed by 66,480.00 decedent for 1.971-1.974 , 22. Interna1. Revenue Service-federal. income tax owed by 105,346.66 decedent for 1.975 23. Internal Revenue Servide-penalty due for 1975 return' 51,628.33 24. nitfJrnal RGlvenue Service-estate taxeS owed by est,ate, 231,596.98 inc 1uding net estate tax plus penalty for failur~) to file return Total $ 938,288.46 NOTEI The Internal RevenUe Service ,has not been abl.e to co11eotthe income taKeS due which are listed above. Nevertheless, they are lawful. debts of the deOc;ldll.nt at the time "of hie death and areo1aimed as dedu"tions. ' , j" I . .- .. .... ~. \, or. ::r I..~, l.." ~ , ',' " ~, ... '.1 ". I rL i ~" ,. (I: F~ 111.1 LId ,. f: I ii' g}1!! ~f: "_~ 1;;-,.1 ",'" F6 1.1(., ,,\::!i!:i ...1 t.:" - ~vt/'-(tk . . ~.. Internal Revenue Service [)opmtmont of the Treasury ~ Dalll 1 ~ APR ':nn4 C E R T I FIE D ~~ Social Security or Employer Identlflcetlon Numberl 23-6693576 TeM Velr Ended end DeficlencYI December 31, 1980 $133,480.00 I> Ernest D. Helmick 'riA David Dodd, SUbstituted 'l'ruEltee 3810 Market Street Camp Hill, PA 17011 Dear Mr. Dodd I !'tl'lon 10 Oonllcll HCMard W. SWitkay Conlact Telephone Numben (215)597-2076 We have determined that there is a defioisnoy (inorease: in your inoome tax ae shown above, This letter is a NOTICE OF DEFIOIENOY sent to you as rsquired by law, The enoloeed statemsnt shows how we figured the defioienoy, If you want to oontest this deficienoy in court before making any payment, you have 90 days from the above mailing date of this letter (150 days if addressed ~o you outside of the United States) to file a petition with the United States Tax Court for a redetermination of the defioienoy, The petition should ba filed with the United St!\tes Tf\X Court, 400Seoond Street NW" Washington, 0,0, 20217, and ths oopy of this letter should be attaohed to the petition, The time in whioh you must file a petition with the Oourt (90 or 150 days as the oase may be) is fixed by law and 1M Cour1 Q!lll!1Q1 oonsider :i!ll!J: Q[lse if :t.Ql!r net.JJJ.Qn l~ filed JJl1Q, If this lettsI' is addressed to both a husband and wifs~ and both want to petition the Tax Oourt, bQ1b must sign the petition or eaoh must file a separate, signed petition, You oan get a oopy of the rules for filing a petition by writing to lhe Clerk of the United States Tax Oourt. at the addrese shown in this paragraph, If you deoide not to file a petition with toe Tax Court. we would appreoiate it if you would sign o.nd return the enclosed waiver form, This will permit us to aseese the defioienoy quiokly and will limit the aooumulation of interest, The enolosed envslope is for your oonvo~ience, If you deoide not to sign and return the waiver and you do not timely peti,tion the Tnx Court, we will assess and bill you fo!' the defioienoy after 90 days from the above mailing date of this letter (150 days if this letter is addressed to you outside the United States), If' you have any questions, please oontaot the person whose name and tehphons, number are shown above. Sinoersly yours. Enclosures: Copy of this letter Statsment Waiver - F\:),rm 870 Envelope Mld.Atlentlc Reglen Appllela Offloe 800 Arc/1 Street, Roonl 44114, Philadelphia, PA 19108 Roscoe L. Egger, Jr. oomml~ione.r DY~' ") II) !y/?(,.;~1,11 /...;ll.{'{'7(:.~ Associate Chief, lIppeals office Letter 8M(RO) (Rlv. 4-82) ~~-'If ......-., ,.....----r- 1 h'/"1~1l1Ikf"(.UI ~~ '. ,','" , 'COMMOHWI 11I1 III (f :ltltIHl......'lIA. Illl'''.lMINIOf Ill... tWl W.....u 0' UAMIHAlION I' 0 .O~.HI IIAUl\ClllIO ,....1110\ INHERITANCE TAX nETUnN I1ESIDENT DECEDENT Fllo Numbor 21-79-0452 CHECK O.cod,nl'l Name IllIl, FIlii, Ind Mlddll Inlllall . "~ac";::; Addr.n Ho1micl>.L-Ernust I!...u_Sr. _ 275 Hillside Drive Soclll S.curllY Number ~.ta 01 D.llh New Cuooer land / 1'1\ 8/4/79 ------- --- I. Orlglnll Aelurn lD 2, SUPJ,I.mel1lol AOlum 0 3, Almllnd" Allum 0 DECEASED APPAO. PAlATE BLOCKS 6, Fodor.1 EII.IO TaK 0 AelUm n.qulred, 5, O.codonl dl.d IUlIIIO 0 7, O.cOd.I1II11.llIlOlnod. living 0 8, To"" Numhor of 101. IAIl.ch cOPV of Willi.. \lUll IAIl.ch COI'V ollrulll dopOlIIIJoK8IInvontorlod All correlpOndelltllnd conlld.nllllloK Inlormlllon Ihould b. dlruclod 10: Nom. ot _L.j,.1\ddren Samuel L. Andes, Attornoy u T.I'I,honl No, (717) 7~1-536l Clly I/emoyno, 4, L110 Euo18 I J conAE, SPONDENT 525 N. 12th st. P.O. Box 1\168 Sill. 1'A Zip 17043 Rlc.tpltulltlon 76/500.00 1, R..I Euete ISch.dul. Al ( 11 2, Stockllnd BondllSchedule 01 ( 21 1,4'11.50 3, Clolely Held SIOcklP"lnmhlp IntmBl (Schldule CI I 31 2,285.00__ 4. Mortgegel end Notol (Sch.dule 0) ( 41 53 , lJJi.' 93 6, ClIh & MilClllllleoul Penooll Property (Scheaule E) ( GI_~85.00 RECAPIT, 6, Jointly Ownld Proporty (Schadule FI ( 51 ULATION 7, Tranllert ISchedul. G) ( 7) 56,000.00 0, TOI.I Oroll AII.lI hOlel IInll 1.71 I 8) ....LlU., 71 7 . 43 AND O. Funeral bplnlol Admlnlllrollve ColtllMllcellao,oul EKp.nuslSchodula H) ,( 01 16,674.75 TAX 10, 0.bllIM.1I0eooeILl.nl (Schedul.1I 1101 '938.288.46 11, Total D.ductlonlllol.lllnIlO & 101 (111 954,963.21 \2, N.t Valu..f Elt>>tellloo 8 mlnullln. 111 (12) (761/245.78) CALCU. 13, Choritebll D.quolIIlSchedulo JI 113) 0 LATlON 14, Nel ValulIublect to tOK 1II0e \2 mloullloe 13) (141 (761,245.78) Comput.t1oo of Tu 16. Amounl ollln. 14 IOKebl..1 6% ret. (16) 0 K,OO' (Include "luOllrom Schedule KI IS, Amouol olllne 14 IOKable el 16% rete (18) 0 K,16' ~ (lntlude veluOllrom Schedulo KI 17, Prlnclp.II.! due (edd "'K from 110.16 plUIIOK from line 161 1171 0 10, Tol.1 Prior pevmenll: (I) Amouot Paid (b) Plul Dllcount -- (el Mlnue Il1tBrlIl 1181 19, alllOCI Due (IInl 17 mlnulllnl 18) (19) 0 Meke Chock PIV.bll to: Algin" of Willi. Aglnl ... PLEASE RECHECK MATH .. · Und" peolltlll of perjurv,l decl.re thot I hm IKemlned Ihll roturn.locludlno or.compenylng IchldulBI lod 1,.,emIOU, Ind to thl bBlt 01 my knowlldOI Ind belief. It II t.lIe, correcl, end complete, Oecl,,"lIoo of prep"" olher Ihlll tho pOrlonel reprOl"ntetlve II bmd 00 IlIlnlormltlon 01 which prlpOl" hit Iny kntz.old 'f''!t' ,..>,' /;{;' t ~ (_ ~r{.', C' ,', ~"..(", 6l5-A ThIrd street, New cumberland, PA 3/22/84 ...... ...... -(. I ~J..-' ~.//([' .s"iG'NATURE Oli' I:RSONALREPAESENTATIVEISI ADORESS OATE ________..____. .._~...u____~____ _.. ..___m_______~__....___._ .---.----.. . .-...----....-------- UV.IW ,<+ 11,111 COMMONWEAlTtt Of PENNSVLVANIA INHERITANCE TAX RETURN R~SIDENT DECEDENT SCHEDULE "C_llt CLOSELY HELD CORPORATE STOCK INPORMATlON REPORT PILI NUMliR :H,'79-0452 5lat. 01111<, Daft 01111<, Pennsylvania Unknown 2, .ull.... Ropartlnu V...r Tolal Numb.. 01 Shar.hol." N/A One f.d..all, D. Numb., (AI pet form 1120) 3, Type oI'udlll" pro fessional medicatl Produd _medioal serv ices ooqJora :ton !lllmo ed olu. 01 UN" YALUI Unknown 10 4, t/ I ,;~ - ~&NIfW eo- ){ Unknown Unknown I'rokm4 Provide all rlghtl and ,.ItrIcIlonl pertaining to oach do.. 01 Itodt. 6. Wal dectdtnI _played by I'" Corporallon' KJV.. DNa If Y". 'olltlon ..E!:Q.~ssional Annual 5alary $_ Unknown Time Dtyoted 10 bUlln... 7, ^mounl and typo 01 company Indebledn... 10 dtctd.nt at dot. or dtoth. $.J.!n.lill.ill:ill- I. Wel th...1l1t InMance payabl., upan dtalh 01 dMedtnt. 10 Ih. corporallon' lKlv.. DNa If Y". COlh Surrend.r Valut. $ Unknown Ntl Proctlch payablll $ 76,326.38 Own.n/PollN Dauphin Deposit Bank an~'rust Company (polioy was assigned to Daupnln Deposit Bank and Trust Company to socure payment of mortgage) 9, Old th. dICed.nt ..II or tronlltr dock 01 thll company wllhl11 on!.1tor prior 10 dtoth If I'" date 01 dtolh WOI on or oh.r 121\31'2 Of wtlhln two ytoU H Ih. date of dtoth wal prior 1012113112.0 V.. U No Not to the knowledge of the oo-elCeout -' If Y'" l'ilC . O' IHAID TaAHIPIIII 01 .UICHAS.. AMOUNT DA1I .AI YALUI · MlUamt'D TOTAL Entire Unknown $ 2,285.00 Entire 10. Old.... corporatlon hay. an Inl.r"l In olhtr corporallonl or partn.uhlpI' OV.. DNa Not to the knowledge of the If y... roport tho ...."ory Informat"'" on a lIporat. ....... Including Schedul. "C. I " or "C.2" lor lOch Int...II. co-executr ilC II. WOI thoro a wrlrt.n "'ar""old.r/I aur_enl In tiled all'" tlm. ollh. dICed.nt'I dtolh' oVtI DNa Not to the knowled,ge If y". o"ach copy 01 our-...., of the co-elCecutr ilC 12. Wal .... d........'. IIode \Old' ov.. WNO If y... "",...... ci copy 01 t'" aur_ 011010. tlc. 13. WOI Ih. corporation dlllol.ed or IIquldat.d ah.r Ih. d......nt'I d.ath' ~V.. DNa If Y". prq'lldt, a brtokdown olllqulclaUon dlllrlbutlqnl, .Ic, The se ~tems i\,re not known to the co- ' elCeCutrlX and are al16 to tne extent t ey exist within the possession 14, !'too.. ..bmlt ",.loUowlng Information. f the co-elCecute , paupnll'l Deposit BanI\: ana Trust CO. A, A dotalled d.ocrtptlon Ihowlng Ih. mtthod 01 compulollon ulllllld In tho yaluo"on of Ih. dICed.nl'I Itock. None of, these items are within tho possession of the co-exeoutrix, but I, r_plottcopl41 aI flnqndal IIoll...nll or _plot. cool., .!Ih. 'od,,'al To. Rotu'tn, (farm 11201 fot tho Y"'Il 01 dtoth,and A oro<.dIan ng ~ are on y in tne possesslon ot: t.he co-elCecu or, DaUpnin ueposlt Banl( C, A .tat_ 01 dl.ld.ndl paid oach ytor, UII tho.. dtdored and unpaid, and Trust Company. 0, UII NO"'I 01 OIflceu. Salorlol. Ionu"I and any oIher beno/III r.ctlytel from Corporallon, e, ".... C"I"l!any owned Rtol Ellol.. lumllh 0 lilt "'owing.... c....plot. addr."I.. and ,"lmattel Fair Marletl Vaklt/I. " flool e... ApprollGl. have b_ .....,teI. plIO" o"ach copltl, f. UII principal IIodehold.u at dol. 01 dtoth. nurnbtt of Ihortl h.ld. and r.latlonlhlp to decedenl. \5, ALL OTNn INI'ORMAnON fl.LATIVI TO A'PlXING TNI TflUI VALUI OF TN' DICIDINT'SIN1IRIST SHOULD ACCOMr'ANY THIIICHIDULI. 1l,IY'II01IX~,'("'I) , , . COMMONWEALTH OP PENNSYLVANIA INHERITANCE TAX RETURN RESIUENT DECEDENT ESTATE OF SCHEDULE "0" MORTGAGES AND NOTES Ernest D. Helmick, Sr" 1"" p,op.,v 'olntlv<ownod with Ill..,. of Iu..lvonhlp mUll bo dlocloood .,~~ "~"I PILE NUMBER 21-79-0452 ITEM NUMBER 1. ,I DESCRIPTION Balanoe owed on an installment sales agreement for the sale of real estate owned by the decedent at the time of his death and situate in Newberry Township, York County, Pennsylvania, the balanoe owed AS at the decedent's death ~ein9 VALUE AT DATE OP DllATH $ , " '. :,1 " " I , ." " TOTAL (A11O Inter on 11M 4. Rtctpltulltlon) . 53,175.93 IU!V.1I11 ,IEK_ 174>' COMMONWEAL TH OF PENNSVL VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "H" FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ITEM A. 1. Ernest D. Helmick, Sr. FILE NUMBER 21"79-0452 DESCRIPTION Fune,.l bjlll1...1 Rolling Green Memorial Park, burial plot and memorial Pealers Flowers Myers-Hall Funeral Home B. Admlnlttrltlvt COital 1. 2- 3. PlrlOl1ll Rlprlllnlltlvt Commllllon,. Not Claimed 800111 Security Number of I onll RlprlMntltlvll lIRknown V.., Comml.lone ,..Icl The oo-executor, Daup n Depos Bank & Trust Co., paid a tee at sometiMe unknOwn to oo-exeoutrix Attorney FI" Goldberg, Evans & Katzman-attorneys Re I Federal Income Tax Return Flmlly EKlmptlon Clllmln!. Phyllis D. Helmici'l.lltlo",hlp Spouse Addr... of Clllmlntet dtctdent', d.ath 275 Hill side 0 rive , _New Cumber land, PA . c. 4. Probell F.., 1. MllOIlllnloo' EMpln1l1l Register of Wills-filing fee Cumberland Law Journal-advertising Aooount filing fee Notary fees, short oertifioates, etc. Claude C. Wolfe, appraisal of personal property Joseph McGraw, apraisal of real estate John c. Chubb, accounting fees Clfmo,. _I. n_od ,__ Oddltlo...1 "'_ 01.."," .,..1 AMOUNT $ '1,S45.0~ 117.40 2,250.35 . , " '. " was 4,000.00 4,000.00 2,000.00 33.00 18.00 250. tIl0. 6.00 195.00 200.00 2,060.00 16,674.75 , , , .' H~V.lI1k'IK. 17-131 COMMONWEAL TH Of PllNNSVL VANIA INHERITANCE TA,)( RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "I" DEBTS OF DECEDENT, MORTGAGE LIABILITlES, AND LIENS Ernest O. He1miok, Sr. FILE UMBER 21-79-0452 ITEM NUMBER DESCRIPTION 1. Small Business Adminiatration loan 2, Sears, Roebuok & Co. 18. 1979 real estate taxes " ' AMOUNT $ 48,372.10 295.81 114.17 636.26 292.03 158.37 36.93 17.19 366.01 239.21 55.00 70.24 151.00 272.00 639.95 114.87 76.53 3,167.07 96,40,7.14 ....-:' 3. E. a. Hoover & Co. 4. Philadelphia National Bank (VISA oard) 5. Hels's Department Store 6. West Shore Country Club 7, New Cumberland Borough 8. At1antio Riohfield oredit oard 9. PP&L 10. Sohleisner's 11. Riohard J. Habeeb 12. Bell Telephone Co. 13. Esther Hempt 14. Brinton Bros. " 15. CCNB Masteroharge 16. UaI gAB bill 17. New Cumberland Borough trash oolleotioh bill 19. Dauphin Deposit Bank and Trust Company-mortgage on 275 Hillside Drive residenoe (Continued on attaohed sheet) : TOTAL (Allo Inllr on IInl 10. RlOlpllUll\lonl . , . STATEMENT Phyllis D. Helmiok, who has signed this return, and Samuel L. Artdes1 who has prepared it and signed it as the preparer, state that they do not have oomplete knowledge of all of the assets or debts of the decedent or his estate and that they have completed this return in order to comply with the direotions of tha commonwaalth of Pennsylvania's Department of Revenue in a good-faith effort to disclose and report all assets owned by the decedent at the - time of his death. An attitude of distruat, bitterneSS, and susp,ioion has existed between the co-exeoutrix and the co-executor for several years and has prevented oomplete 9r meaningful oommunication. As " a result, Phyllis D. Helmiok and Samuel L. Andes have had to rely largely upon information from the co-executor's First and Partial Aocount and the Federal estate tax return prepared and filed by the co-executor during the time it was actively involved in the administration of the estate. Acoordingly, the undersigned oannot assure or guarantee the acouracy or completeness of this information, but have submitted all the information within their knowledge and control. 22 Maroh 19~ l~1 Samu 1 L. Andes ~dt~d-~q~yJ/ Phy~[s D. 'lie miok 19 -- - REV' 1~47t>: 101-06 I ~ 'ti.~ ~ ((,Ill' "~,I;; 1. [I,'.. .:', . t~.:~,~.2tt,,~~:' NOTler: or JNHCRJ1AN:;( 1M.', I 1'11t.1'1~'1I I< I' , ,.. !l .,- -:-"l IACN . ,,,,," ", .,; ,,' ~\ .:,~'i,l;::' :'1 . APPkAI HMtNl, ALWWANCE Of< 01 SM LOWANCE . :;;,,',::',,,',.",, "'" h or DEDUClIONS, AND AsseSSMENT or TAX IOAH Februnl'V 20 19!1(, ESlAl E' or ....,. ki;'iiiicC' ti'rlp,'sl b~'::.i;:'"'''' '" , ',q ..,. ."", ril.r"'N~" '21':79~04S2...._.L." PAH or DE AT/:! , ,OJlM01~79 '.. ..,H._(;OUNTX..Clllll!lor..la.nd NOTE: TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUPMIT THE UPPER PORTION or THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER or WIL.LS Dr THE MOVE COUNTY, MAKE CHECKS PAYAPLE TO "REGISTeR or WILLS, AGENT" , lDl Samuel L. Andes 525 North 12th Street p.O. Box A168 Lemoyne, PA 17043 . "PLEASERfTl.iRNT",.iTs'--' "-I PORTION TO REGISTER OF I i WILLS IF PAYMENT DUE ~-'A:rn-ourl-I" Homli"iedtt, Replll 1(1'-'OT~W'HG..,j I':"''-~,:'''''''':,=,'~=,,:,",c==-=='==='"':'I ,.._--_._--..._._---~~-....__._._- C;:l,l~ .AL9t"G" ~HJ~ .L]NE. . .. . .-:--. .R~T ~1t'l_l"q~EF\ f'()~TI9t'l_ ~o.R. .,.()~~ ,RE.cofl~~ . -:C. . _ _ _ .. _ " . " " " _ _ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV, IP47EX 101.e&1 es_!.AT~~. HelmiCk..!. Ern~st.J2.u2r.. FILE NO, nM79-04Ji.?__._.ACN J.QL DATE 2-20-86 _.____.__T..^'. RETUR~.~~~,-.L_L~CClLP.IfD AS FILED__.J.K.LCH^.NGErJ Ill; fi~ R.Y~1l9J'LP'QNQm!ltiU UTJ!1!.Ll!l!!tR~j.L::...&U...M_V J;.BU. APPRAISED VALUE OF RETURN eASED ON: 1. Re.' e.t.le (Schedule AI 11 76,500.00 2. Slock. .nd Bond. (Schedule 81 ( 21 1)fJT;bll- 3, Cion I,. Held Stock/p.rlne"hip Inle'o&l (Schedule CI ( 3) '-2_,'285: 00-- 4, MOrlR.,a./Nole. Receivable (Schedule 01 ( 41 -53,175.93 6, C..h/B.nk Depo.Ii./MI,c. f~e"on.' Properly ISchedule EI ( 61 ~',:pl1l.1lU----" 6, Jalnti) Owned Properly (Schadul. FI' 1 61 7, l..nole" (Schedule G) ( 71 ~.JOOO.!.OO_. &, TOI.' Auet> fel ,193.7]7.43 APPROVED DEDUCTIONS AND EXEMPTIONSI 9. Funeral E)(PflnSes/AdmlnlstrativfI Couts/Mlscollaneous eKpen... (Schedule H) 10, Oebls/Mortg.ge Li.blllli../Liens ISchedule I) 11. 10t,I Daductlon. 12. Net V"ua of 1., Return 13 Ch,'Ii.blt/Governmental aeque"o (Schadult JI 14, Nel Vllue of E,tate SUbject 10 11>. NDTE: If on ......ment wu luu.d p~.vtou,ly, !tne, 14, la .nd/o~ III .nd 17 will r.lloct ItlJu~81 th.t InClude tho tot. I of.ill r.tu~n, UD8uod to dote, ASSeSSMENT or TAX: '5, Alnounl 01 hrw 14 18>:abl, a\ 6% rate 16, Amounl 01 line 14 t...ble " 16% r~lt \ 7, Pril1C'lpal Tal<' Due I 91...J,9..H1...75 _ (101 93!l.,288.46 " 1\1) ( 12) (131 1141 954.963.21 . _?Jil.24s.71L- 761. 245.78 (161 ...Jii.!l.QQ.."QP.__x'06'_J.l60. 00 (161 X,15- 1171 3,360,00 TAX CREDITS: [-...."......--1--------- PAYMENT RECEIPT DATE N _._-~..__.__.__.. ......-.------.---- l__ ..-.J______ DISCOLJNT (tEf .----~MOUNl P~ID . INTEREST (-)' . ._....._----~-, -~ ----~--..n"--'~---~.T01AL1AiCRiiD,T "l · If PAil) ArlER lHISDAH SEt REVERSE For. CALCUlA1ICIN F~-~\~t;~i~~J:.~:~ =-i~~~l~"'.~'~=~ OF ADDITIONAL INTfllt S 1 .__..,._.........._ ,.....___,___u.......J_ ""_,_..____,, (Ir llALANCF our IS LESS THAN ~ I OR IS RtrLECTW AS A "CREDIT' (CRI. NO PAYMENT IS REQUIRWI I I' I ESTATE Oll' ERNEST .D. HELMIQK, SR., Deoeased ) ) ) ) ) ) ) ) IN THE COURT OF COMMON PLEAS Oll' CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS COURT DIVISION NO. 21-79-0452 IN REI APPEAL OF INHERITANCE TA~ ABSESSfoENT AND NOW oomes the Estate of Ernest D. Helmiok, Sr., and objeots to the inheritanoe tax assessment made by the Commonwealth of Penney 1 vania, Department of Revenue, Bureau of Examination, based upon the followingl 1. The Estate of Ernest D. Helmiok, Sr., filed a inheritanoe tax return whioh listed the total gross assets Be $193,717.43 and the total deduotions as $954.96,.21 leaving a total net value of the estate as a negative $761,245.78. 2. The COlllllonwealth of Penney1 vania, Department of Revenue, Bureau of Examination, determined that the items listed on Sohedule D were taxable in that they were transfers made within two years of the date of death of the deoedent, Ernest D. Helmiok, Sr. 3. The value of those transfers equalled $56,000.00. 4. On the inheritanoe tax return, those transfers were listed as an asset of the estate in the amount of $56,000.00. 5. The COlllllonwealth of Pennsyl vania; Department of Revenue, Bureau of I Examination, in their notioe of inheritanoe tax appraisement, inoorreotly listed the asset inoluded in Item 7 and on Sohedule Q in Paragraph 15. 6. Paragraph 15 is used for the oomputation of tax if any is due and owing. The oomputation is determined by deduoting the approved deduotions and exemptions from the total assets and arriving at a taxable amount. .1' "GL~ .1.. 't P~~l :3 . " " , 'i 1 ,,-, v. 1.1 ~ \rX III ~ . ~ (0: .. Cl ~ ~ 1 l;l ~ .-1 ~ l ~ ~' .. ~ ~ ~ ~ \ uq ~ ., ~" " .; " t-- 'Il ~ ~ . 0; . ~ III 0 rJ A ~ 0 " ~ Ii: .. " ;.. ~N 0 ~ .' , . . . , to be held by Dauphin Deposit Bank and Trust Canpany, and invested and re-invested, from the date of that Order until this dato and now amounts to approldmately $ jtf7;.QQQ: \.'lO _' 2. David R. Dodd, as Co-executor of the Estate of Ernest D. Helmiok deceaSed, and as Trustee of a Trust created by the Agrf3ement of Trust dated June 14, 1971, and as amended February 4, 1975, between Ernest D. Helmick and Dauphin Dopusi t Bank and Trust Company, is hereby exoused from posting any bond to secure his filithful performance of his duties as Co-exeoutor and Trustee, as such bond was required in the Order of this Court dated June 30, 1983. 3. Dauphin Deposit Bank and Ttust Compnny, who served as Co-exeoutor of the Estate of Ernest D. Helmiok, deoeased, and as Trustee of the Trust created by Ernest D. Helmiok by an Agreement of Trust dated June 14, 1971, and as amended February 4, 1975, prior to the Order of this Court dated June 30, 1983, is hereby authorhed and directed to transfer to David R. Dodd, as Successor Co-executor and Sucoessor Trustee, all funds and assets now in the possession of Dauphin Deposit Bank and Trust Canpany belonging to said Estate and Trust. Suoh transfer shall be oanpletec1 as soon as possible after the filing ot this Stipulation and Order. 4. From the funds rec!! i ved by him as Co-executor and Trustee, David R. Dodd, Isquire, shall make the following payments, distributions, /lnd disbursements in the order that follows I A. The sum of One Hundred Th i rty Thousand Four Hundred Ninet:y~six Dollars anr,1 J)'if'tY~Two Cents ($130,496.52) to the Internal Revenue Servioe as payment: of the federal estate tax ".. r.',:, 'J ~ lJ PIf" C) I)' r:.) ~ . . - ,i. . - f','.. 'l l. liability (whioh includlils interest and statutory additions to August 31, 1986) due. fro~ the Estate of Ernest D. Helmiok, dlilOeasecl, In addi tion thereto, all statutory addi \:ions, if any, and interest which accrue on said faderal estate tax liability fran August 31, 1986 to the dete of payment, B. The sum of Seventy-Eight Thousand might Hundred Seventeen Dollars and Seventy-Seven Cents (.$78,817,77) to the Internal Revenue Service as payment of the income tax liability (whioh includes interest and statutory additions to August 31, 1985) due fran the Ernest D, lJelmick, cl<weased, Trust for the calendar year 1980. In addition thereto, all statutory additions, if any, and inter.est which acorue on said income tax ,liability from August 31, 1986 to the elate of payment. C. The sum of Nine Thousand Six lIundrad Forty-One Dollars and Seventy-Five Cents ($9,641.75) as payment of the inoome tax liabilities (Which include interest and statutory additions to August 31, 1986) due from Ernest D. Helmick, Jr. and Dorothy .1. Helmick for the calendar years 1979 and 19AO. In addition thereto, all statutory additions, if any, and interClst which accrue on said income tax liabili ties fran August 31, 1986 to the date of payment. O. The sum of Ten ThOusand Three Hundred Eighty-cne Dollars and Two Cents ($10,3Sl.02) as payment of the income tax, liabilities (which inolude interest and statutory additions to August 31, 1986) due from Gerald K. Sweeten and Gail [" Sweet:en for the qalendar' years 1979 and 1980. In addition thereto, all !' '" ",'" '. ", () '-I'"~ ',.cl.,,, J.j '1 r "C'. , ,) J , , , , , Helmiok and Ernest D. Helmiok (deceased) in inoome tax matters before the Internal Revenue Service. (4) Five ThoUBI\~ Dollars ($5,000.00) to Samuel r.. {\ndf;!s, Esquire as Attorney for tho hei rs Clnd benefioiaries of the ,Estate of Ernest D. Helmick, deceased. (5) Olle Thousand Dollars ($1,000.00) to David R. Dodd, Esquire for services as Trustee a~ Co-executor of the IlJstate of Ernest D. Helmick, deceased. David R. Dodd shall make such diSbursements, first, from fu~s on hand in the Estate and, after the estate funds have been exha'usted, shall make the balance of such payments, distributions, and disbursements, from the funds of said Trust. 5. Following payment of all the disbursements and payments set forth in the proceedIng paragraph, David R. Dodd, Esquire shall make the fallowing distribution to the beneficiaries of the Trust, from the said Trust fu~: A. To Ernest D. Helmick, Jr., that amount equal to the d i f ference between Twenty-Four Thousand One HUndred Twen ty Dollars ($24,120.00) and the pa~nents to tho Internal Revenue Service provided for in Paragraph 4 (C) above. It is the intention of this StipUlation that the total distribution to Ernest D. Helmick, Jr.., including the amounts paid to the Internal Revenue Service on account of the income tax and interest due, shall be no morEl than Twenty-Four Thousand One Hundred 'lWenty Dollars ($24,120.00) at this time. n. To 'Gail Sweaten, that amount eqUal to the difference ~ ,. '., '1; / I,~' .(},-)' ,n, I 't . ,-, J " 'i batween Twenty~ll'our Thousand One Hundred Twenty Dollars ($24,120.00) and the payments to the Internlll Revenue Service provided for in Paragraph 4 (D) above. It is the intemtionof this Stipulation that the total distr.ibution to Gail SWeeten, including the amounts paid to the Internal Revenue Service on account of income tax and interest due, shall be no more than 'JWentY-E'our Thousand Ono Hundred ~wenty Dollars ($24,120.00) at this time. c. To Ann Lefevre, that amount equal to the difference between Twenty-Four Thousand One Hundred Twenty Dollars . (1;124,120.00) and the paymelllts to the Intern,,1l Revenue Service provided for in Paragraph 4 (E) above. It is the intention of this Stipulation that the total distribution to Ann Lefevre, including the amounts paid to the Internill Revenue Serv ice on aocount of income tax and interest due, shall be no more than Twenty-Four Thousand One Ilufldred Twenty Dollars ($24,120.00) at this time. D. '1'0 Amy Ensminger, the sum of Twenty-Four Thousand One Hundroo Twenty Dollars ($24,120.00). 6. David R. Dodd shall retain any funds oolong ing to the Trust created by Ernest D. Helmick by an Agreement of 'rrust dated June 14, 1971, and as amended fl'ebruary 4, 1975, between Ernest D. Ilelmick and' Dauphin Deposit Bank and Trust C01\pany until further. Order of Court. He shall invest and manage the. assets of the Trust in accordance wi th Section 7302 et seq. of the Pennsylvania Decedents, JJ:states and Fiduciaries Code and the duties and limitationo Bet out herein. He ~, ; /t i-le! ~lrsB IN RE. ) IN THill COURT OF COMMON, bF ) PLEAS OF CUMBIllRLAND ESTATIll ) COUNWY, PENNSYLVANIA ) ERNEST O. HIllLMICK, SR, , ) ORPHANS COURT DIVISION O.~oe!\Sed ) ) NO. 21-79:",0452 APPLICATION FORLIllAVE TO WITHDRAW .AS COUNSEL OF RECORD FOR RIllSPONDIllNT AND NOW, oqmes Jeffery S. Snavely, attorney for tha Commonweal th of Pennsylvania, Department of Revenue, Respondent in the above-oaptioned appeal, and applies for le~ve to withdraw Karen L. Stevens as oounsel of ie~~rd for Respondent and in support of said applioation, states as follows I I 1. Karen L.Btevens was an Assistant Counsel for the Department of Revenue, Commonwealth of penn,sylvania, and is Counsel of reoordin the above-captioned Aotion. 2. Karen L. Stevens resigned her position as Assistant Counsel effeotive November 4, 1987, at the olose of busine~SI an,g will no longe'r represent thE;l Department of RevenUe, Commonwealth of Pennsyl van ~a. IN REI ) IN THE COURT OF COMMON ) PLEAS OF CUMBER4AND ESTATE OF ) COUNTY, PBlNNSYLVANIA ) . ERNlllST D. HlllLMICK, SR., ) ORPHANS COURT DIVISION Oeoeased ' ) , ) NO. 21-79-0452 \', ClllRTIFICATE OF SlllRVICE I, ~effery S, snavely, attorney of reoord for Respondent1 Commonwealth of Pennsylvania, Department of. Revenue, oertify 'that I oaused a true and correct copies of the fore~oing . Applioation for Leave to Withdraw as CounSell' of Record for Respohdents to be served this date in the following mannerl service by first class mail, postage prepaid! Samuel L, Andes l\ndes & Vaughn Attorheye at Law' P.O. 130)( 168 Lemoyne,PA 17043 Dat.d1 November 13, 19B7 , JefferJ!#v:1!lY ';~f , I~ ; ,J ! 03 ,j ~I ~ t /11 I'r1l , , .\1 il:~ gjCo:! <ll 00 H !:l~ .~~ III ~~ i ~Ul ~p:: sa , 0 M 15&1 iZi . ~r., Ql 0 p:: 0 Ql Vl lI'\ 11 1-1 CIl ><llO " ::l c: c: 0 CIl tl:5 . c: 0 ;J .... o . ~ , 0 t>< Ql '>"10 r-- U>< t.: U U ,~i"!t'H t> Vl U M r..~ l:I u :5~ . Ql Ql Ql '>"1 H ~ :. ~ ~ ~ .~,'tj ><ll 00 N 3 r., ~i ~ LI'\ r.. ';\ c: ::l4-< Q'," "" ~ 'ljI [l:J iZiO -Ul80 ar-- t:> 0 0 p:: .-.. >Ii to' 8 I H...:! 0 ..j.J III M Ol '" r.. . HCo:! r.. .j.JC:H4-< I-l r-- 00 6Ul c:: Ql 0 >Ii ::l ~ I :a ...:! ~.1l.El!ti Ql S ~ Co:!r.l M r.lH HI:l Co:! ~! N !g~ /0010 Ul Ql Vl I-ll.< () ,'" ~u iZi 44..... rtJ Q) of"'! . J..I li! . 1ri~ ~ 8 \I.lVlAlC::4-<OI-l ~u 0 ><ll~ Ql ~ Ql Ql 4-< . III 0 iZi Co:!Co:l U I':lO('!)O~1Il IN REI ) IN THE COURT OF COMMON ) PLEAS OF CUMBERLAND ESTATE OF ) COUNTY, PENNSYLVANIA ) IllRNES'f 'D" HElLMICK, SR. , ) ORPHANS COURT DIVISION Deceased ) ) NO. 21-79-0452 PRAECIPE FOR APPElARANCE The undeuigned hereby enters his appearance on l;>ehalf of the Pennsylvania Department of Revenue. The Clerk and all parties are hereby directed to send all pleadings, , notioes, and correspondenoe to him at the below-listed address I Jeffery S. Snavely Assistant Counssl Pennsylvania Department of Revenue Offloao! Chief Counsel P.O. Bolt 1874 Harrisburg, PA 17105 Telephonel (717) 787-1382 Datedl NoVember 13, 1987 ~~-J. ' Jeffe~ S. Sna~lY ,.., ,);- :'~~ ~i 1 . 0> '_1 .'1.;0 '-~;~~ ld(_-., :;\ i:_;_~ llll '-'; ", ", "'-" -,-. 011 ~.,~ ~ U ~ ~ . t;:1 ~. P<t/l es~ . ~ r-1 ~ . ~ Q) t}3 Q) 00 U"I if.\< H Ii PC: !3 0 tIl c: 0 .... 8' E . ~ 0 ..... ," 4)'1"'10 .... tj 0 U ~. rll> lIlU .... r.J (;\ r.. Q) Q) aJ'<"i H W ,~ I> III . I> 'H ot:> N 3 w tIl III I:: '<"i Q) 011 ~8 ~ U"I i:'< ~ . I:: ::111.. !:l'<"i "" Il, "" [ll H -,t/lOO 0.... 0 u ~ ,U >< co. ~~ ,8 . I ~ -t, ,j.l III r-1 0\ !l\ r.. . r.. '.l\.l c: ~"-I' ~ ..... 01:1 1::. Q) 0 >< ::l ~' ~ I p.,. ..;! t;' 11lj3 r-1 0 .0 .... ~!ri w ,,1-1 III QI ~ 00 N t/l Q) III .~ ~. t) .<"i Z "-I'M ~ QI'<"i . ~ ~e ~ , !ri~ 8 "-I III C:"-I 0 ~ 0 QllIl ~.Q)"-I . III iz: ~w U to) 1<11 .t!J 0 P<tIl IN REI ) IN THE COURT OF COMMON ) PLEAS OF'COMBERLANO ESTATE OF ) COUNTY, PENNSYLVANIA ) ERNEST 0; HELMICK, SR., ) ORPHANS COURT DIVISION Deoeased ) ) NO. 21-79-0452 APPLICATION FOR LEAVE TO WITHDRAW AS COUNSEL OF RECORD FOR RESPONDENT AND NOW, oome~ Jeffery S. snavely, attorney for the commonwealth of pennsylvania, Department of Revenue, Respondent in the above-captioned appeal, and applies for I leave to withdraw Karen L. Stevens as counsel of record for Resp~ndent and in support of said application, states as follows I 1. Karen L. stevens waa an Assistant Counsel for the Department of Revenue, Commonwealth of Pennsylvania, and is Counsel of reoord in the above-oaptioned Aotion. 2. Karen L. Stevens resigned her position as Ass[stant counsel effective November 4, 1987, at the oloee'of business, and wi,ll no longer rep,resent the Department of Revenue, Comm~mwea1th of Pennsylvania. to be held by Dauphin Deposit Bank and Trust Company, and invested and re-invested, from the date of that Order ~til this date and now amounts to approximately $-7- i1..~Hau .""" " 2. David R. Dodd, as Co-exeoutor of the Estate of Ernest D. Helmlok deceased, and as Trustee of a Trust created by the Agreement of Trust dated June 14, 1971, and as amendod February 4, 1975, between Ernest I). Helmick and Dauphin Deposl t Bank and Trust Company, is hereby excused from posting any bond to secure his faithful performance of his duties as Co-executor and Trustee, as auah bend was required In the Order of this Court dated June 30, 1983. 3. Dauphin Deposit Bank and Trust Company, who served as Co-executor of the Estate of Ernest D. Helmick, deceaSed, and as Trustee of the Trust created by Ernest I). Helmick by an Agreement of Trust dated June 14, 1971, and as i'lfOended February 4, 1975, prior to the Order of this Court dated June 30, 1983, Is hereby authorized and directed to transfer to David R. Dodd, I.\S Successor Co-executor and Successor Trustee, all funds and assets now in the possession of Dauphin Deposit Bank and Trust Company belonging to said Estate and Trust. 'Such transfer shall be completed as soon as possible after the filing of this Stipulation ilOd Order. 4. ,From the funds recei ved by him as Co-executor and Trustee, David R. Dodd, Esquire, shall make the following payments, distributions, and disbursenents in the order that follows I A. 'rho sum of One Hundred Thirty Thousand Four Hundred Ninety-Six Dollats llnd Fifty-Two Cents ($130,496.52) to the Internal Revenue Serv Ice as payment of tho federal satata tllX "1 \ l I" 'I I): ;';1 . -( j' ."..1' ~ liablli ty (which includes interes t and statutory mlrl I tionll tJo August:. 31, 1986) due from the mstate or mrnellt I). IIa1mlqk, deoealled. In add! tiorl thereto, all statutory ad\l I Hons, I f I1~Y, 'and Interest which <ICorus on said Codata1 r~stat:e tax lil1bllt ty from August .31, 1986 to tho date of payml;lnt. B. The sum of Seventy-Eight Thousnnd might Hundrer1 Seventeen Dollars and Soventy-Sovon CentFJ ($78,817. TI) to the Internal Revenue Servioe as payment of I:he income tnx llllblli ty (whioh inoludes Interest and IItatutory additlonl3 to Tlugust 3l, 19a6) due fran the l!)rnost D. lIelmink, deoeased, 1'ruFlt for the calendar year 1980. In odditlon thoreto, all .tatutory aqditions, if any, and interost whioh I1carue on silicl inoome tax liability from August 31, 1986 to tho date of payment. C. The sum of Nine Thousand Six lIul1<1r~l Irol:t:y-One Dollurs and Seventy-Five Cants ($9,641.75) as l'>l1ymont: of tho income tax liabilities (which include interost antlstlltut,ory IIdr1it:lons to l\ugust 31, 1986) due from Ernoet D. Helmick, .Jr. l1l"Kl Dorothy J. Helmick for the oalendar years 1979 Rnd 1900. In addition thereto, all statutory addl tlone, if IIny, Qml inter.l3st whioh aoorue on said Income tax qabilitlos fr.om Tluyusl: 3l, 1986 to the date of payment. D. The sum of 'Pen Thousnnd 'Phr!)/) Hundr.od mtghty-onu Dollars . and Two Cents ($10,391.02) nB pn~'"")nl; of the Inoome tax liabilities (whloh inolude inl:er.ent; II1\d st:ntul:ory nddltlons to August 31, 1906) due fran Oor.llld K. Swool:(o)n nl)"1 01111 L. Sweeton for the oa1endar yuorll 1971J and 19110. In I1ddll:inn theroto, all , ' I ! 'I 1)( ,,, l" I I, ,I , )1 j between Twenty-Four Thousand One Hundred Twenty Dollars ($24,120.00) and the payments to the Internal Revenue Service ptovided for in Paragraph 4 (D) above. It is the intention of . this Stipulation that the total distribution to Gall SWeeten, Ino1uding the f.lI11ounts paid to the Internal Revenue Servioe on acoount of income tax and interest due, shall be no more than 'l\'Ienty-Four Thousand One Hundr.ed 'lWenty I)ollars ($24,l20.00) at this time. c. 'ro Ann Lefevre, that amount equal to the difference between Twenty-Four Thousand One Hundr.ed Twenty Dollars ($24,120.00) and the payments to the Internal Revenue Service provided for in Patagraph 4 (E) above. It Is the intention .of this Stipulation that the total distribution t.o Ann r,efevre, Including the amounts paid to the Internal Revenue Service on account of income tax and interest due, shall be no more than Twenty-Four Thousand One Hundred 'fwenty Dollars ($24,120.00) at this time. D. To Amy Ensminger, the sum of Twenty-Four 'l'housand One Hundred Twenty Dollars ($24,120.00). 6. David R. I)odd shall r.etain any funds belonging to the Trust oreated by Ernest D. Uelmick by an Agreenent of Trust dated June 14, 1971, and as amended February 4, 1975, betweon Ernest D. Helmiok and Da\.1phin Deposit Bank and Trust Company until further Order of Court. He shall invest .dl1<l manage the assets of the Trust in accordanoe with Seotion 7302 et seq. of the Pennsylvania Decedents, Estates and v'iduclaries Code and the duties and llMitations set out herein. He . ~ ._;! . . . .fJ , ()"f' .. \ l)\) <U Q .... iJ '" ~ , <U ~ ~ 0:: CIl 01.... ]11 ~ ~ 0 .... ;>, '" '" IS g g 01 ~ ~ W I g 01'''' . III U C:~m ~ '" '" ,~ B .... ., III 01 ~ , ~ ~ I-< ~ ~ d U ~'r-4 g . .,~ ., " cds ~ .... " '" q 0 o ;:l ., <I ! 8 M ('oj e .... ~ il d . ., ;:llf'l 0 ~ ~ 0: g M 0 <t Isl =' '0 U I M o ~ '" .... III ;J' " .JO '" U "'.... 0 'tl III = Ii! ..... I ~ 01 M ~.... " 01 % ~ '5 1ll,J:l N ~ ., <U Z ;;1 ~ 0 ., 0 HU ~ ;l I~ U 'n ~ ..,1- "J::l1; e:.rT1 :i?!' 'i18 OS" en r11 " ,.~ i;;:o ;.(,\.,' (._ ~' I .-'f(~ ~ " :,~ ..... fl,ltT) :J":.' ,it- ",' W -:"I c.1 ; ,,'-; ... q-l'l " i!l.l ~l: :!J . - r:~ :' r-, - U)O 0, "'1 PAYMENT, Dfl.oh Ih. lOp porllon of thla Nolloe end aubmlt wilh your p.ym.nl m.de p.y.bl. 10 Ih. name ,.nd .ddreaa printed .on Ihe rev.... aide. '. Allp.vmenle recelv.d .h.1I flral be.pplled 10 .nv InteruI which m.v be due wllh any re,nllnder Ippll.d 10 Ih. IIx. REFUND (CRI: A refu~d of I Ill< c,odlt. whloh WIG nol reqUealed on Iho TIX Return. mlY be requealed by compl.tlng an "Appllolllon for R.fund at P.nnavlvlnll I~herltlno. Ind Eal.t. TIX" IREV- 13131., Appllo.llona are ,v'lllb.le .1 the Office of the R.gl'ter at Willi. Dnvot the 24 Revenue DIDltiOI Offloes. cr from Ihe Depmmen\'a 24-hour Forma Ordering lelephone Iln.. In Harrleburg - (717) 787-8094. In Phllldelphll - (216) 560- 2066, or In PlIlsburgh - (412) 665- 3601. RIiPLV TO: QuestIons regarding errors contained on this, notice &hould be addresssdto: PA Dopartmenl of Revenue, Bureau of Indlvldull T.xea. ATTN: Posl A....em.nl Review Unit. Dept. 280601. Harrlaburg. PA 17128-0801. 17171 787-6605, DISCOUNT; If Iny IIX due la plid within Ihree (3) cllendar monlha Itler Ihe deoadent'a dellh, I five perc.nl 16%) dllcounl of Ih. IIx plld la .1I0w.d, INTEREST: Intereal 18 chorg.d beginning Wllh tiral dlY of delinquency. or nine (91 month. Ind one (11 d.y from Ihe dlle ot de'lh. 10 Ihe dlle of Plyment. TlxeD which bec.me delinquenl betore Jlnuorv 1. 19S2 bear Intereal II the rat. of aix (6%) perc.nl per Innum clloullled II I dlllv rate of .000164, All I.xea which b.clme dellnquenl on Ind .fter Jlnuary 1. 19S2 will beor Inlereol .1 I rale whiCh will vorv from cllendor vear to cllendl' ye.r wilh ,lh.1 rate ennouno.d by Ihe PA DePlrtment of Revenu.. The IPpllolble Inleresl ralea tor 1982 Ihrough 1989 Ire; .Y.!!L Inloreal Rile Dlllv Inlereal FIOlor .Y.2!!. Interoal Rill Dilly Intereal Flctor 19B2 20% .000648 1986 lOr. ,000274 1983 16% .00043B 1987 9% ,000247 1984 11% .00030 I 1988 11% .000301 1986 13% .000366 1989 11% .000301 1990 11~, .000301 --Inl.rlll la oalcullted la followa: INTEREST' BALANC! OF TAX UNPAID X NUMBeR OF DAYS D!LINQUeNT x DAILY INT!REST FACTOR - - Anv Nolloe lsaued Itler Ihe I.x becomea dellnquenl will rnfleel or, inlereal clloulllion 10 flUeen 1161 diva beyond Ihe dlle 01 Ihe Ineumeh\. If plymenl IS mlde IUer Ih. Inlereal OOmPUIIIIO" dll. ahown on Ih. NOllte, Iddltlonll Inloreal mual be Olloul'led,