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No, 21.80 3f;l~
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
WILLIA~l W. KINER
, deceased.
MARY C. LEWIS
To ~~If~lfi Register of Wills for the County of Cumberland,
in the Commonweolth of Pennsylvania.
IS
Petitioner(1l ~ the execut nt' named in the Lost Will and
Testament of WILLIAM W. KINER . _ dated July 21. 1978
Decedent was a citizen of the United States and a resident of
n;();~~
Borough, Cumberland County, Commonwealth
_Mechanicsburg
of Pennsylvania,
Decedent died on
Sunday
the
25th
day of
May
A. D. 19---EIL, in the County of r.l1MT1ERT.ANO , State of
PENNSYLVANIA at the age of 7B years,
Iot.s :10m ~mr
Decedent has not been married and has not had children born to him
since the execution af the above described Will.
Decedent was possessed of personal property to the value of
Unestimated and of real estate to the value of
l1nestimated as near as can be ascertained; said real
estate situated as follows Borough of Mechanicsburg and East
pennsboro Township
~
Therefore, your petitionerr.l respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon,
Dated May 30, 1980 2 '
Name and address ' (l iA..rl / 0'\ .: 1JjI/Jfj/U )
f P t't' e ( ) Janlt'E. Davidson, Trust Officer
o e I Ion r s //
CCI'<B BANK, N.II.
p_ u. !lOX 308
2101 Market Street
Camp Hill, Pennsylvania 17011
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
JANE E. DAVIPSON, TRUST OFFICER
named in above application, being duly
say(s) that the statements set forth in
RWorn according to law
this petition are true to the
best of
her
knowledge and belief,
and subscribed before
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Sworn
me gay 30 19 80
~
_. Register
MARY c. LEWIS
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June 3, 10;80
Attorney: SNELIlAKER, McCALEB & ELICKER
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
This......,...... ......,..,.. }r;,i.ll......, , ......' ......, ........,...., dllY of, ......""".. ..,.......l::~,~..,.."......"......, ......,..' A,D" 19,~Q.."
Mary C. Lewir;
before me a:wL. A W, A.18., ';01., Register for the Probate of Wills and grunting letters of Administration
in and for said County of Cumberland, in the Commonwealth of PennsylvlInia, personally came ..............
RICHl\RD C. SNEI,Ill\KER and Jl\NE'l' ~1. FORRY
...........................................".......................,................................",....................0...................................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and
Testament of """"""',..~~!:!:Ul.t:\,,~..,',!S,W,J?,1,~ ..'"", ","'" .,.' """,""','" ..""" ".." Dated ",.llllY, "?-l..,l.'J,7,6...."..,,.
lateof........,........,..l).9.r.m)g.i!...9.f...~~Rj),1!,I).:i-,RR!mXg.....,..,..."............,.........., Cumberland County Pa" deceased
who being duly ......,~~.9,r,r:\........................, according to law, depose and say, that ..t,hllll..Wg,I',~....,...............
present, and saw and heard the testal;Ol:..........,.....,..,.....,. W.u.r.J.AM..W,....KINEll............,..,.........................,.
sign, seal, publish. pronounce and declare the said instrument of writing as and for hia............ Testament
and Last Will, and at the time of so doing ........,.....,!:!'!....,..........,.............,was of sound and disposing mind
memory and understanding, to the best of ........,thai.I:..,........................knowledge, observation and belief.
..~.r&l,,/"'tf"(<...m..........
.IJ;~..".h1,;,\:;;I.,~"..,',....,',..,...
,................R~.9,r,r:\................... and subscribed before
~.~~..~~,~........................
MARY C. LEWIS,
..................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA t ss:
COUNTY OF CUMBERLAND \
.............:,......................,"~~~J?,'~,:.,'~~~.~P,~.~~.'...~,~,~.f?, ~.,9F.,~!.,c;,~,!:,"',:,..,',..,"',..,....,",..,......,.,..........,being duly
......~~.<?,r,\!............................... says that as nearly as can be ascertained the said decedent ..........................
...............,",..,",..,",..""..!'!I~~~i\t1,.!'!",..K~Np.g",,',....,..,.""""""",.."""..,..,.."",.,',.............".. "...,..."..,....,died on
..,Jl\!nl!-il-Y............................... the .....~.~,hh...................day of ..............M€\lI................................, A,D" 19,1l.0..,
at or about ........................................., o'clock. ....M.
Sworn d b 'b d th'
....................................................an su scrl e IS
--I
...........................}g,~b........... day of .....~,<;-,y.............
19, ~Q..... before
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"".",., ;,-, :X<<.)..;'..." ,'..1...." i:.. ,< ;,.,jJl. ,/r.J::n)..,..,..",....
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MARY C. LEWIS,
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA} ..
COUNTY OF CUMBERLAND SS:
Before me, the ReJ.:istel' for the Probat.e of Wills and J.:l'llatinJ.: of Letters of Administration in and for
JANE E DAVIDSON THUST OFfICER
the County of Cumberland, personally came ""',.."....,',.:............"......,~........"......"..,."...."..""............"..........
I b' 'd I swol'n I es d ." d ' t.I' t ' the executor
W 10, clng U y ....."..;.................., (0.......... cpose dn ~tlY '(1 ns................................................................
of the last Will and 'l'estament of ......,W~M1,~f.I,~..W....,!~,~,~,~.!L............................................................,deceased
.......,~,~~~.........., will well and truly administer t.he goods and chattels, rights and credit.s of said deceased
according to law, And also will diligently comply with the provisions of the law relating to Transfer
Inheritances, ....,~\'?~,~,I)............. and subscribed
before me,
May 30 80
........................................................ A, D" 19............
~~,~i~~d,.",,""",.,.,.,"
Mary C. Lewis
"""',O-ffr.Ci)",\.a~",,{J.dI~v.I1J..,"',..,',..,.,.
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..................................................................................
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DECREE
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Be It remembered that on the ....,................... day of ................................................, A, D" 19 ..!?O.." there
was probated and recorded the last Will and Testament of ....,~~~!1,~,~LW....,~,~,~,I!:~....................................,.
late of .....~Q~R,l),G,I;I..,Qf.,Jg):l!..,NI~~!!,l),~W..................... Cumberland County. Pennsylvania. Deceased, Letters
.,"'~~~:.F~,~~f!~~.,..."......".."...... were granted to ..,"~~~,~,..~,~~~,~" ~,:,~:".."..,"',.,"',."...... "....",..",..,....".....
Witness my hand and official seal the day and year aforesaid.
......,9lZa~...e..... ~~,
m~~. Register.
Hary C. Lewis
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PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION
1. PERSONS RESPONSIBLE FOR RETURN
Section 701 of the Inheritance and Estate Tax Act of 1961 provides tliat the following persons shall prepare and file
a return:
a, The personal representative of Ihe estate of the decerlent as to properly of Ihe decedent adminislererl by him
and such additional properly which is or may be subject to Inheritance Tax of which he/she shall have or
acquire knowledge;
b, The transferee of property upon the transfer of which Inherilance Tax is or may be imposed by Ihe 1961 Statute,
including a trustee of property transferred in trust, provided that no sep<lfate Ieturn need be made by llie transferee
of property included in the return of a personal representative,
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2, PLACE FOR FILING
The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided.
3, TIME FOR FILING
The return is due nine months after the decedent's death, unless an extension for filing has been applied for and
granted by the Secretary of Revenue within the nine-month period,
4, FAILURE TO FILE RETURN
Section 791 of the 1961 Statute provides that" , , ,any person who willfully fails to file a return or other report
required of him, , .shall be personally liable, , ,to a penalty of 25% of the tax ultimately found to be due or $1,000
whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by
law,"
5. TAX RATES
Inheritance Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife,
son, daughter, grandchildren, grandparent, son-in-law and daughter-in-law and at the rate of i5% as to all others,
6, PAYMENT OF TAX
The tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death. Interest
at the rate of 6% per annum accrues thereafter until payment is made, All payments received are first applied to any
interest which may be due with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE
DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED,
All checks should be made payable to tile Register of Wills of the county wherein the decedent resided and are
received subject to the final determination of the Department of Revenue,
7, FAILURE TO PAY
The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until
the taxes and interest nave been paid in full. The taxes may be sued for against any real property in the decedent's
estate or against any property belonging to a transferee liable for the tax,
8, FI L1N GO F FALSE RETU RN
Any person who willfully makes a false return 01 report required of him shall, in accordance with Section 793 of the
1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding
$1,000 or undergo imprisonment not exceeding one year or both,
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INSTALLMENT SALES AGREEMENT
ARTICLES OF AGREEMENT, made the 7- ? ;'1 0/ day of
August, A. D. 1974, by and between \'lILLIAM \~. KINER and
ETHEL R. KINER, his wife, of the Borough of Mechanics-
burg, County of Cumberland and State of Pennsylvania,
parties of the first part, AND KIRK R. HASSINGER
and SANDRA E. HASSINGER, his wife, of the Township of
East Pennsboro, County of Cumberland and State of Penn-
sylvania, and RANDALL C. HASSINGER and MARGARET E. HAS-
SINGER, his wife, of the, Township of Upper Allen, County
of Cumberland and State of Pennsylvania, parties of the
second part.
WITNESSETH, that the said parties of the first
part, for the consideration hereinafter mentioned and
contained, agree to sell and convey unto the said parties
of the second part, their heirs and assigns, the following
. real estate: .
ALL THAT CERTAIN lot or tract of land situate in
the Township of East Pennsboro, County of Cumberland
and State of Pennsylvania, bounded and described as
follows, to wit:
BEGINNING at a point in the Northwest corner of
the intersection of North Enola Drive and Perry
Street; thence ,in a Westwardly direction along the
North side of Perry Street, one hundred forty (140)
feet to the intersection of Perry Street, with a
twelve (12) foot wide alley; thence in a Northward-
ly direction along the East side of said twelve (12)
foot wide alley, forty (40) feet, more or less, to
lands now or formerly of Florence Jones; thence in
an Eastwardly direction along lands now or formerly
of Florence Jones, one hundred forty (140) feet to
North Enola Drive; thence in a Southwardly direction
along the West side of North Enola Drive, forty (40)
feet, more or less, to a point, the place of BEGIN-
NING.
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HAVING thereon erected a two and one-half (2~)
story frame dwelling house known as Numbers 101,
101~ and 103 North Enola Drive, Enola, Pennsylvania.
BEING the same premises which Charles E. Crouse
and Sara E; Crouse, his wife, by their Deed dated
July 28, 1962, and recorded in the office of the
Recorder of Deeds in and for Cumberland County, Penn-
sylvania, in Deed Book "Po, Volume , at Page 112,
granted and conveyed unto \~illiam W. Kiner and Ethel
R. Kin'er, his wife.
II: CO:IS IDEPJI.TIOt: ~'1P.EP.EOF, the said parties of the
second part agree to pay to the said parties of the first
part therefor, the SIl.":l of '.!'h"E~:TY-SEVE:; THOUSJ.~:n ~ID 1:0/100
($27,000.00) DOLLJ..RS as follows: FIVE THOUS~:O A.'~D nO/lOO
($5,000.00) DOLLhP~ upon the execution of this Agreement
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of Sale, ~he receipt whereof is hereby acknowledged by the
parties of the first part, and the balance of TWENTY-TWO
THOUSAND AND NO/IOO ($22,000.00) DOLLARS in monthly in-
stallment payments as follows: The parties of the second
part shall pay to the parties of the first part, monthly,
at least TWO HUNDRED FIVE AND 07/100 ($205.07) DOLLARS,
commencing on the first day of October, 1974, which pay-
ments shall include interest at the rate of NINE AND ONE-
HALF (9~%) PER CENT. per annum, as well as principal, the
interest to be deducted first and the balance applied to
principal. Said installment payments shall continue until
the unpaid balance of principal has been reduced to such
an amount as can be borrowed by the parties of the second
part on a conventional type Mortgage loan from a Banking
institution in the State of Pennsylvania, at which time
the said parties of the second part shall then pay to the
parties of the first part the remaining balance in full.
In addition to the said installment payments on
account of purchase price and interest thereon, the said
parties of the second part agree to pay the taxes, water
rents, insurance premium, sewerage rentals, and make all,
necessary repairs to the premises to keep the same in good
condition. Taxes for 1974 shall be pro-rated as of Sep-
tember 1, 1974. The parties of the second part shall make
no major changes or improvements to the property without
the written consent of the parties of the first part.
Upon compliance with the foregoing terms and
conditions, and payment of the said purchase price in full
by said parties of the second part, the said parties of
the first part will', at their own proper cost and charge,
make, execute and deliver to the said parties of the second
part a good and sufficient Deed for the proper conveying
and assuring of the said premises in fee simple, free from
all encumbrances, dower or right of dower, such conveyance
to contain the usual covenants of general warranty. At the
time of conveyance of the title, each party hereto shall
pay one-half the total transfer taxes.
, It is elso agreed between the parties hereto
that possession of the said premises will be delivered to
the said parties of the second part on the first day of
September, A. D. 1974, and that said parties of the second
part shall be entitled to receive rents,issues and profits
therefrom from September 1, 1974, subject to the conditions
herein set forth. The parties of the first part shall have
the privileQe of encumbering the premises which are the
subject of this Agreement by a Mortgage or otherwise, pro-
vided, however, that at no time may any such encumbrance
exceed the unpaid principal balance under this Agreement;
and if the parties of the first part should default in mak-
ing any amortized payments which may be required in connec-
tion with such Mortgage or other encumbrance, the parties
of the second part shall have the privilege of applying any
sums payable under this Agreement to such encumbrance holder.
In the event the said parties of the second part
shall fail to make said monL;ly payments as aforesaid, for
the space of thirty (30) days after the same shall have be-
come due and payable by the te~s hereof, or if a breach of
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any of the other foregoing conditions be made by the parties
of the second part, then and in such case, this Agreement
shall become null and void and the 'said parties of the se-
cond part shall forfeit all moneys then paid as liquidated
damages.
If default shall be made in the payment of any
monthly installment as aforesaid, or a breach of any of the
conditions of this Agreement shall be made by the parties
of the second part, the entire principal sum remaining un-
paid shall become due and payable at once and may be col-
lected by suit or otherwise: and the Prothonotary or any
. Attorney of any Court of record of Pennsylvania, or else-
where, is hereby authorized and empowered to appear for and
confess judgment against the said parties of the second
part and in favor of the parties of the first part for the
whole amount of said principal sum remaining unpaid, together
with interest, costs of suit, release of errors, Attorney's
commission of five (5%) per cent., and waiVing inquisition
and exemption.
Upon the breach of any of the covenants or condi-
tions of this Agreement, or upon its termination by forfei-
ture, the Prothonotary, or any attorney of any Court of re-
cord of Pennsylvania, is hereby authorized to appear for and
to confess jUdgment in an amicable action of ejectment against
the said parties of the second part and in favor of the said
parties of the first part for the premises herein described,
and to direct the immediate issuing of a Writ of Habere Fa-
cias Possessionem with clause of Fieri Facias for costs,
waiving all irregUlarities, without notice and without leave
of Court. '
Acceptance by the parties of the first part of any
of the aforesaid monthly payments after the same shall have
become past due and in default, Qr any failure to enforce
any of the rights herein reserved to the parties of the
first part, or any of the penalties, forfeitures or condi-
tions herein contained, shall not in any wise be considered
a waiver of the right to enforce the same at any time with-
out any notice whatsoever. If the parties of the first
part shall by one proceeding pursue a remedy on account of
default on the part of the parties of the second part, this
shall be considered an election of remedy by the parties of
the first part and a waiver of the right to enforce any of
the other proceedings herein contained, except that if the
parties of the first part elect to keep moneys then paid as
liquidated damages, they shall also have the right to a con-
fession of jUdgment in ejectment and the i~mediate issuing
of the l'1rit of Habere Facias Possessionem.
The parties of the second part shall have the privi-
lege of paying as much more than Two Hundred Five and 07/100
($205.07) Dollars required monthly as they desire, and nothing
contained in this Agreement shall be construed to limit them
to said a.":Iount.
It is understood and agreed that this Installment
Sales Agree~ent shall be binding upon the parties hereto,
their heirs, executors, adninistrators, and assigns.
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" Schedule of ~",I\NCi:1 FINANCIAL
Direct '< ~ PUBLlSHII~G
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Reduction COMPANY
R2 Brookline Avenue
loan Boston, M.1SSilchusctls 02215
(617) 262-4040
ANNUAL % RATE PAYMENT $ LOAN $ TERM: YEARS MONTHS PERIODS
9.500 205.07 22,000.00 20 240
INTEREST PRINCIPAL BALANCE PAY'T INTEREST PRINCIPAL 8ALANCE
PAYMENT PAYMENT OF LOAN NO, PAYMENT PAYMENT OF LOAN
1 17'1.17 10. '10 ? I, (iI,'). 10 (\ 1 c,r; .41 ','1.6'.1 19.5flH.67
2 173.92 31.1'> 21 ,93" .9~'1 t;'J 1 ~5 .Ofj 49.99 19,538.68
3 1'73.68 31. '19 ;> I, <:06. <,t 1-' 1 '>4.6[\ '''(\.'~ ') 1<),488.29
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4 173 .43 31.M ?1.P.74.'lt (;4 ] 'ilt .2'1 SO. 7'J 19,437.50
'5 173.18 ':>, 1. R9 .~]. :'(,':>,.03 ." 1"~ .K'l "1.ll 19,386.:11
t:.1
6 172.92 32.15 2l,UU.i,\ II, 11)3.1,7 ',] . s ) 1 <),334.71
7 172.67 32.40 21. 77P .I,R Ie 7 1',1.07 ~;,~ .on 19,282.71
8 172 .41 3?.66 21,74';.!j2 Ie, ';/""0 '~:'?6~) 52.42 19.230.2<)
9 172.15 32.92 2],712.90 69 1 'i? .24 "?f\ 3 19,177.46
10 171.89 33.1'\ 21.679.72 70 1':>1 "::2 ';1.25 19,124.21
11 171.63 'n.44 2I,/-'46.2R 71 I 'i \ .1, () 1',3.67 1<),070.511
12 \11.37 D.7\) n ,h17 .',e 7? 150.')fj ~111 .O:j 19,016.45
13 171.10 33.')7 2\,"7B.61 B 1 ~'O .'15 54.S? 18,961.93
14 170.83 34.24 21,",44.37 74 1 SO . L' 74.1S IlJ,906.98
15 170.,6 )It .SI 21,1{;9.[jh 7r; lit 9 .hR :~?.'1 '1 18 ,851.59
16 170.29 3/,.78 21,47".liR 7(, 1 {1'1 .21, r:,5.P3 18,795.76
r 17 170.01 3~; . O~) 21.'.40.02 77 14fl.Pi) <-i6.27 HI,739.49
18 1&9.73 35.34 21,401,.1\3 7P 1"" .35 c,(,.72 1~,682.77
19 169.45 35.1,2 2l,3b9.06 7'1 Iltl .11 ')7.1'> 13,625.61
20 169.17 35.90 21,~;33.ln PO 11,7.4') 57.1,2 1 a ,56 7 . 99
21 168.89 36. HI 21,296.ClR E1 11,7.DC) 'iF.07 IH,509.92
22 168.60 36.47 ?l,?I,f).'>] PZ l'1t . ')ti [::)8.51 Ifl,451.39
23 168.31 36.76 21,223.7') f\'~ l"tl-, .07 ':>'l.ll'] 18,392.39
24 168.02 37.05 ?1,IB6.70 E4 I 45 .6 1 59.'i (, 18,332.93
25 167.73 37.3r, 21 , 14 <) "~6 foS 1. '6.14 "9.93 18,273.00
26 167.43 37.6l, 21,111.12 81, l11y.6f) 60.'11 18,212.59
27 167.13 37.94 21,073.78 f7 11,4.ld >',(l.g9 18,151.70
2B 166.83 38.24 2l,('3'i.~4 flr: lld.7\) 61.37 13,090.33
29 166.53 38.54 20,997.00 119 143.22 61. fl ') 18,028.48
I 30 166.23 38.84 20,95fJ .16 90 142 . 73 62.34 17,966.14
31 165.92 39.15 20,Q19.C'1 91 11,?23 62.84 17,903.30
32 165.61 39.46 20,f'79.55 9? 11;1. B 63.34 17,B39.96
33 165.30 39.77 ;:O,P39.7R q 1,,1./:\ b3.B4 17,776.12
34 164.98 4r.09 ?O,799.()9 94 140.71 64.3!1 17,711.78
35 164 .66 '10.41 20,759.?B 'Ie., 140.22 64.f)') 17,646.93
36 164 .34 40.73 ?O,71B.'>' tii.' 13') . 7ll 65.37 17,5fH.56
37 164.02 41.05 20,C77.')0 q 139.19 6" .flR 17,515.68
38 163.70 41.37 20,631\.13 9' 1,'1.67 !,() .1, 'J 17,449.28
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39 163.37 41. 70 20, :,<)11.1,3 99 jli1.14 f,f) .9, 17,382.35
40 163.04 42.03 20,:157 ,liD 1(\(\ Hr .61 67.4'> 17,314.B9
41 162.71 42.16 n,~,1I)'D4 101 1-\7.0:\ 67.99 17,246.90
42 162.37 42.70 20,,467.04 102 ] ,,> . '>4 6R.53 17,178.37
43 162.03 43.04 2'1,424.30 I r~\ I'? .1)0 r,9.n7 17,109.30
44 161. 69 43.3'1 2),',PO.'12 l(A U'>.4':> 1:>9.r,2 17,039.68
45 161. 35 43.7? 20.337./e 10'> 1 ]I; :"1 7n.17 16,969.51
46 161.00 1;4. (17 20,20'"1,.13 1 (1 (~ I V; .)', 70. n 16,fl98.7f1
47 160.65 '1.'.t.4? 2i1,:>I~r. 71 107 1 '3 .7c'. 71 .2'l 16,827.49
48 1&0.30 lil,.77 ?(),iO~.9~ 1(:P n3.?? 71.';5 16, 755.6~
49 IS9.95 4') .12 ?U,I~~A.;-~2 ] (.C; 1\?6~) 77. .112 16,683.22
50 159.59 4'). 4~J :>1,113.31; 1 ]0 1'12 . I) j~ 7? ')') 16,610.23
51 159.23 4'5..';4 2;1,PI.7."D 111 111 .sn 73 .',7 16,536.66
52 1511.B7 I;n. ;>0 ~;), 021 . '\,~ 1I? I ,r). 9:' 71; .1 'j 16,462.51
53 ElK.50 46.57 p,971;.73 In liD .13 74. "', 16,387.77
54 158.13 46.94 l'I,Q?7.79 114 in.74 77.n 16,312.4~
55 157.76 47.31 1'), foHn .I'<if: II " In .11; 75.'1l 16,236.'>1
56 157.39 47.611 1 q , f'3 2 . hi: II (, I2K. ~)l1 7h.51 16,159.?g
57 157.01 I,p. no 19,7f,I..74 1 1 7 1?7 .93 77 .1/t 16,Ofl2.84
58 156.63 48.44 1'1,736.30 lIP 127.32 77. 75 16,005.09
59 156.25 48.82 1 '1,t--P, 7 .I,R 119 126.71 78.36 15,926.73
60 155.86 49.21 lo,/38.?7 12() 126.09 7g .91'1 15,B47.75
" ' Schedule of ~i'NC0 FINANCIAL
Direct '< ( PUBLISHING
. ,
Reduction COMPANY
loan
ANNUAL % RATE PAYMENT $ LOAN $ TERM: YEARS MONTHS PERIODS
9.500 205.07 22,noo.OO 20 240
INTEREST PRINCIPAL IlALANCE PAY'T INTEREST PRINCIPAL BALANCE
PAYMENT PAYMENT OF LOAN NO, PAYMENT PAYMENT OF LOAN
121 12,>.41J 7')." 1 1 c) , 7"8 . 11'1 lul .".~n 121.77 '>.636.12
122 121i .[\3 ea.24 ll.}. '-,I;, 7. elr: H'? 76 .2 '! l?p.n 'I, 'iD 7 .5~
123 124.20 Rf.J.R7 1r;,lrn.(j"j I (;. ~ 7~ .n 129 .~,l 9,317 . 5~
17.4 123.56 ~ 1 . 'i 1 I!), t",t' '1 . ~)2 11'.4 71, .:'1, lID. '\ 5 <) ,2Lt6. 71
125 122.91 82.16 b,443."j( j I ':. n .?J Dl.'~ 1 9, j lit, [l~
126 122.26 ~2.B1 l'i,lHl.r;'i 11\(' 7:> .Ib 132.)1 B.981.9~
127 121.60 R3.4l 1 S,?77 .en j P-' 71 .11 11"5.'11, R,HLt7.'!7
128 120.94 84.13 1'i,111?,9'i If'''' 70,OS 1 Vj .n? d,7l?9'>
129 120.28 [l4.79 lS,U1P,.16 11/1 6:\.'1'1 Dh.0) R ,:' 76.86
130 119.61 ~15. 46 1'>,0(2.7IJ 190 67.'10 117.17 e,439.69
131 118.93 86.14 1/<,'''/'.';(, 1'i1 1,(,.1l1 I"Jt1,26 R.Wl.lt)
132 118.25 Bh.R2 Iii ,F4'), 7/, 1<12 1,').7? 1:\9.31 R.162.08
133 117.56 87.51 14,7f.2.2\ 1'i3 64.62 140.1, :,i 8,021.63
134 116.87 P,Il.20 14 ,/']4 ,(1~i 1 nl. (,3. ';if) 1/,1 ,? 7 7.flRO.Ob
135 116.17 B8. ')0 14,~,HS.LJ IC)S 62.JR 1/12.6'1 7.737.37
136 115.47 [\9.60 14,1,()C.,"'3 1% I,I.?'; 143.~2 7.593.5,
137 114.76 90.31 11" 4 (Ie.; . 22 ]'.7 f,O .l? 1/,4.'1'i 7.4ItB.60
131l 114.04 91.03 1 ~ , ?-11, .1') 11)1' <,'I. ') 7 1 'iD .IJ "7,302.50
139 113.32 91.75 14 ,?i'2 .',1; 19') "'7 . ill 14 "1.26 7,155.24
140 112.59 92.',P, 14.]{9.CJh 200 t)~) .6~ 1 ItR.~ ? 7,006.82
141 111.86 93.21 14,f'3f).7') 201 55,il1 11,9.'),) 6,857.22
142 111.12 93.95 1.\,Q4?t.,O '10') l1(i .29 lS().7~ 6,706.44
r.. ~ (
143 110.38 94.f,'I n,1'4R .11 203 C;,'1.09 151.qij 6.554.46
144 109.63 95.1<4 13,7')2.(,7 2 n', Cd .:19 1 r':J.1 '\ 6.1.t01.28
145 10il.S8 96.19 l~,('J,.y~ 2C';' 'i:J.'>\ 1 ",I, .3) 6,246.R9
146 108. 11 96.96 11.",59.')2 2f\6 it\} ,(1? 1'i'i.61. 6,0'11.27
147 107.35 97.72 l.l,',b1./iO 207 4'.l.?2 156.eS 5.934.42
148 106.57 98.50 1\.363. VJ 20H 4~ . :);3 15f\.09 5.776.33
149 105.79 99.28 U.?61,.02 209 16.73 15'-1 ,v, 5.616.99
150 105.01 100.06 13.163.96 2 III 44.47 160.6J '>.456.39
151 104.21 100.8f> 13,06"" . 1 0 <'11 4 '1 .:~ 0 11,1.1\1 5.294.52
152 103.42 101.65 12,961.1,') 212 41.91 1':; 3.1/) 5,131. ,6
153 102.61 102.46 l?P58.9') 2ll ;n .eZ 164 ./i 'i 4,966.91
154 101.80 103.27 12,7':>5.72 2h '19.-';> ](,5.7'i 4.801.16
155 100.98 10Lt.09 12.6')1.1,"" 21" 'lR .01 1/) 7 .D6 4,634.10
156 100.16 j04,91 1;>, "411 .72 {]I 16.69 16d. '9 4.465.72
157 99.33 105. ll, 12,4I,(\,9h 217 3S. ::3'3 161J.72 4.296.00
158 98.49 106.'18 12.'134.',0 21R ~4 .01 171.06 4.124.94
159 97.65 10?42 1(,226.98 219 ~2 . (~r1 172.111 3,'152.53
160 96.80 108.27 12 ,11f',. 11 22(; ::31 ,79 173.7\ 3,773.75
161 95.94 109.13 12.('()f),",n 221 2'1.92 175.1 'i 3,603.60
162 95.08 10') .99 11 ,P.')9.',Q n? 28.5 J 176.">1, 3,427.06
163 '14.21 11 0.86 11, "If,? n 273 27.n 177.')!, 3,249.12
164 93.33 111. 74 11 ,/-,76,'19 i (1'1 ?5.72 179.3'i 3,069.77
165 92 .44 112.63 11 ,rr I, .Y, "'l?~ ?4 . jJ I P'). 77 2,889.00
r.(
166 91.55 113.52 11 ,I, ')lI. F I, '.1" 22. fJ,1 lR? .n 2,706.80
( L!)
167 90.65 1Vi.4? 11, 3V .1,2 ?n '1 .41 103.6', 2.,23.]1>
166 1:\'1.75 11 '" .17 11,7?1.1r1 72" 1'1 . '):\ 1."5.0') 2.338.07
169 Sfl.83 111) .2~ l1,1[;4.tif 22r; 1'\.S I F\~,,;)" 2.151.51
170 87.91 11 7. If) ]i1,tlP,7.70 ? ?,(\ 17. f13 1 hP . ')'. 1.963.47
171 86.99 11 'i. ~It\ l..l,FI,1l .(.2 (: ~~ 1 ]; .SL, l'n.'iI 1,7B.94
172 86.0'5 119.CI7 J:1,7"(1.(,() ("'"' 11, . f]~ 1'11.0\ 1,582.91
. .,(
173 115.11 11'). fl6 1,l,nn.f'L, ? jj P.::;1 1 ')2.'-)::' 1.390.37
171, 84.16 120. '11 jll,'O<i.B ?31, 11 ':11 1)4. i1" 1 ,19b.,1
175 83.20 121.'l7 1~1.~j:~7.P.( ? ~,r_. ).47 I'il)."1 1.000.71
176 82.2Lt 1 J) ~n lil,?6Cl.03 2 ')1 7. 'I? 1 'Il . 1" i\03.5h
......1-.....-.
177 81.26 123.''.1 P,141,N 2 :.;7 (). j':) 1 'i~.71 (,01,.8,
17fl BO.ze 124.79 1 :) , r'lI' , 4 "J 21". 4. 7 ,) ~OO.2'~ 1,04.'>7
179 79.30 125.77 9.1''10.1,6 239 "3.20 201.11 7 202.70
180 78.30 126.77 9.763.fJQ 21,1' 1.(1) 202.10 .00
F J :JAI P f.VI1F.~H: ?04. ,0
TOTAL INTEREST:
?7216.03 TOTAL r~l~GIP!L:
SlW fiF ""'LA1ICES:
22000.0:1
3'-i37Ql0.R2 02
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No".) No
2. Did decedent, within two years of death, transfer property from himself! herself to himself/herself and another party
or parties (including a spouse) in joint ownership? (Answer "Yes" 01 "No".) ....Na-
3, If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable, provide the fOlloWing
information:
a, Age of decedent at time of transfer.
b. Copy of death certificate.
c, Affidavit by the attending physician indicating the state of decedent's health at time of transfer,
d. All other information supporting nontaxability of transfer.
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".) No
a, Was there any possibility that the property transferred might return to transferor or hiS/her estate or be subject
to hiS/her power of disposition? (Answer "Yes" or "No".) No
b. What was the transferee's age at time of decedent's death?
5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her
death:
a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".) ..1h.-
b, The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No" ,) No
6. If the answer to five b, above is "Yes," state whether the right was reserved in decedent alone or others,
7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No",) Nn
8. Did decedent, at any time, transfer property. the bElleficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No".) No
9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved
in the decedent alone or the decedent and others? (Answer "Yes" or "No",) Nn
'.,"
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
Schedule "E" must include all property, real and personal, owned by the decedent jointly with another
party or parties as joint tenants with right of survivorship, Both tangible and intangible property are to be
included, List real estate first,
. :
1, Describe all real property as indicated in the instructions for Schedule" A", Describe all personal property
as indicated in the instructions for Schedule "B", Include the name, address and relationship to the
decedent of the co.owner (s) and the date the joint ownership was established,
2, Indicate the total market value of the jointly owned property,
3. Indicate the percentage of the decedent's interest,
4, Indicate the market value of the decedent's interest,
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GENERAL INHERITANCE TAX INFORMATION
....
Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estate.
In addition to debts incurred by the decedent or estate, other items are claimeble including the cost of administration,
attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grove marker,
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed, Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this schedule,
A family exemption of 52,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania,
If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption, In the event there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent, The family exemption is
allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws,
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent, Enter "family exemption" in the remarks column and the amount claimed in the amount column.
2, Assign consecutive numbers to each item listed,
3. Enter the date on which each debt was incurred and/or paid,
4, Enter the names of each payee,
5. Provide a brief explanation in the remarks column for each debt claimed,
6, Enterthe amount of each debt being claimed,
7. The form must be signed by the person who has assumed the responsibility for paying the debts,
GENERAL INHERITANCE TAX INFORMATION
'.
Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estate,
In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration,
attorney fees, fiduciary fees, funeral and burial expenses including the cost of a blJrlallot, tombstone or grave marker,
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is fiied, Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this schedule,
A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania,
If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption, In the event there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent, The family exemption is
allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws,
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1, If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent, Enter "family exemption" in the remarks column and the amount claimed in the amount column.
2. Assign consecutive numbers to each item listed,
'3. Enter the date on which each debt was incurred and/or paid,
4. Enter the names of each payee,
5. Provide a brief explanation in the remarks column for each debt claimed,
6, Enter the amount of each debt being claimed,
7, The form must be signed by the person who has assumed the responsibility for paying the debts,
. ,
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I.
J
55:
.}L.J_a!,.e_E~_~ayi.tl.son ,-~ru~~ Q!Li~e" .CG~B .B.a~ls.,_N..~-,- __.__________
being duly _S.l'LO.IJL...__ ..._...._ according 10 law, deposes and says Ihals he _.is-Exec.uto!:..-_. --.-
_.__.....__..._.____....._.._ __._........__._. .... 01 Ihe Estale 01 ----Willl!llll...lJ Kinnr
lale 01 Mechanicsburg , Cumberland Counly, Pa" deceased and that the
within is an invenlory made by .....CCNB_Bank._N.A~_..._.__ ____, the said Executor
ollhe enlire eslale 01 said decedenl, consisling 01 all the personal proparly and real estale, except real eslale outside
the Commonweallh 01 Pennsylvania, and Ihallhe ligures opposite each ilem ollhe Inventory represent it's lair value
as ollhe dalo 01 decedent's dealh,
()PT~ .
.-;)..
1910
CCNB nk, N.A., Executor
Est te of William~) KinEJr
!.kdLV1..E..w/~~st
E,ecutor . ~JO>>*XIOX
Officer
t;$rlll'a. IJ
and subscribed belore me,
~~< J. *1,,_ J
PHYLU$ J. R0S:;, Notuf'tl r ~cn::
CMllp Hill, CumbMIMld t;.,., ~'...
My Ct.f.,r7':i~~io" &-.'p:r.;: JtIt 5, j'ja,
2101 Market Street
__.Camp.. Hi ", Pnnns.ylJzaniJLl.2011
Address
Dale 01 Death ____fA....__._
Dey
Ma2'.
Month
1980
Year
INSTRUCTIONS
I, An inventory must be Iiled wilhin Ihree months alter appoinlmenl 01 personal representalive.
2. A supplement invenlory must be filed wilhin Ihirty days 01 discovery 01 additional assets,
3, Addilional sheels may be allached as 10 personalty or really
4, See Arlicle IV, Fiduciaries Acl 011949,
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Invontory of tho rool and personal .stoto of
"lilliam-W-.-Kiner
docoasod,
REAL PROPERTY
l~ Story, Frame with Aluminum Siding, Single Family Dwelling
Situated at 305 South Washington Street, Nechanicsburg, Pa.
Agreement of Sale
Dated August 24, 1974
Between William W. and Ethel R. Kiner (Deceased)
and Kirk R. and Sandra E. Hassinger
and Randall G. and Margaret E. Hassinger
2~ Story Frame Dwelling
Situated: 101, 10l~ and 103 North Eno1a Drive, Eno1a, Pennsylvania
Date of Death Value
Payment Received Prior to Date of Death
PERSONAL PROPERTY
Jewelry - One Diamond Ring
INA Six-Shot .32 Caliber Handgun
Miscellaneous Coins and Currency
Household Goods and Furnishings (Proceeds From Sale)
Automobile: 1969 Ford Station Wagon (Proceeds from Sale)
Cash on Hand: Found in House
Found in Safe Deposit Box
Cash in Bank:
CCNB Bank, N.A.
Certificates of Deposit:
#15059, 7.50%, Due 9/16/82
Accrued Interest to Date of Death
#19583, 7.25%, Due 7/19/83
Accrued Interest to Date of Death
#19588, 6.50%, Due 8/30/82
Accrued Interest to Date of Death
#16334, 7.25%, Due 7/15/81
Accrued Interest to Date of Death
#15063, 7.50%, Due 10/1/82
Accrued Interest to Date of Death
#15064, 7.50%, Due 10/1/82
Accrued Interest to Date of Death
Checking Account:
#474-880-1 (Closing Balance)
Harris SavinRs Association
Certificates of Deposit:
#4-16-000989, 10.40%, Due 7/3/82
Accrued Interest to Date of Death
#4-16-001912, 10.40%, Due 7/7/82
Accrued Interest to Date of Death
Cumberland Valley Savings & Loan Association
Certificates of Deposit
#6685677, 7.50%, Due 7/3/82
Accrued Interest to Date of Death
#6689766, 7.75%, Due 1/27/82
Accrued Interest to Date of Death
Savings Passbook Account
1/152232, 5.50%
Accrued Interest to Date of Death
U. S. Series E Bonds - Date of Death Value
CCNB Bank, N.A.
Interest Due 4/16/80 & 5/16/80 for C/D #15059
Interest Due 4/19/80 for C/D #19583
Interest Due 4/30/80 for C/D #19588
Interest Due 4/15/80 & 5/15/80 for C/D #16334
Interest Due 5/1/80 for C/D #15063
Interest Due 5/1/80 for C/D #15064
Nationwide Insurance Co. - Annuity Payment Before Date of Death
Bell of Pa. - Refund
Refund - internal Revenue Service
Daniel R. Tepsic - Reimbursements:
City and Township - Real Estate Tax 9/24/80 - 12/31/80
School Real ~state Tax 9/24/80 - 6/30/81
JOINTLY HELD ASSETS
None
l
32,000 00
19,230 29
205 07
500 00
55 00
904 35
4,001 13
410 00
242 23
421 .00
5,000 00
8 33
1,000 00
7 \ 05
1,000 00
4 33
10,000 00
18 13
5,000 00
23 95
5,000 00
23 95
\11,575 42
20,000 00
139 09
20,000 00
139 09
20,000 00
100 24
10,000 00
51 79
53,437 08
1,132 05
36,061 .87
62 50
18 12
5 42
120 84
31 25
31 25
201 7':>
2 14
2 07
20 00
198 07
0-
"58,384 85
\
RCC. 3 ('.601
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITAI~CE TAX
(Act of May 28, 1956, P.L. 1757, and Act of June 15, 1961,
P.L. 373, os amended)
r+-
~
COMMONWEALTH OF PENNSYLVAN'A
DEPARTMENT OF REVENUE
BUREAU OF COUNTV COLLECTIONS
Application is hereby filed lor the approval
of an exemption from Ponnsylvonia Transfer
Inheritance Tax on the transfer of the property
described below:
1. Bureau File Ii .____2l~8().'.,.368.__._.
2, Dale af Dealh __. May 24, 1980.
3, Date af Appraval _..J~t_:._J_d...t..()
,
4, Name al Decedent William W. Kiner
5. The Commonwealth's approised value of the property for which an exemption is claimed is $ 5.000.00
(Note: Where the property is other than a specified amount of cosh, the exemption cannot be approved until the value of
the property has been established by appraisal by tho Commonwealth, except in those cases where the amount of the gift
or bequest represents 0 stated fractional or percentage portion of the entire estate or the entire residue. In those cases
enter such fractional or percentage amount above).
6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the tronsfer, unless
such material has been previously filed.
WILL Ii;
DEED 0;
TRUST INDENTURE L7;
SURVIVORSHIP 0;
OTHER 0;
(II ather, expluin)
~
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME
Rt .Tnhn'!=l T.llthpl"~n r.hnrrh
B
I
-
ADDR ESS
') South Eberly Avenue, Shiremanstown. Pennsylvania 17011
-g
l.oJ
.
00
8. I c~rtjfy that the information contained herein is, to the best of my knowledge and belief, true and correct.
CCNByBa k, N.A., Executor of the,
Esta e f Wi1~iUJll\l.W, Kin.f1~ .J
Signature al Applicant By: ~tL VJ- /j,J,IIf{IL.h)
Address al Applicant 2101 Market Street, Camp Hill, Pennsylvania 17011
Official Title -Asc::lt- \Ti t"'P 'Prpc::l; npnt 1\. TT'I1c::lt Off; I"pr Date
Al1gW::t 11, , qRO
This form must be completed in triplicate and 011 thre(> copies delivered '0 the Register of Wills for the County In which tho decedent
resided, or in which lotters were issued for a non-resident decedent's estate. If tho decedent was a non_resident of Pennsylvania and
letters were nDt issued by a Pennsylvania Rogister of Wills, deliver 011 three copies to the Director, Bureau of County Collections,
Pen no. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po.
Da nat write belaw this line. Far Ollicial Use Onl
Appraved: Far the Secretary al Revenue
Referred to Bureau Headquartors
Appraved 0
For Secretary of Revenue
d
Denied' 0
(Initials al Register al Wills)
(Autharized Signature)
&(11,
(County)
(Title)
(Date al Relerral)
(Date 01 Actian)
* See revers. side for reasons
MUST BE FILED IN TRIPLICATE
RCC" :I {1"6'il1
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU.OF COUNTY COLLECTIONS
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act or Moy 28, \956, P.L. 1757, ond Act of June 15, 1961,
P.L. 373, os ornended)
*
Application is hereby filed for the approval
of an exemption from Pennsylvania Transfer
Inheritanco Tax on tho transfer of the property
described below:
1. Bureau File 11___<1.1,:80,:368
2, Dote 01 Death _.l1lly24, 1980. . ..__.._..
3. Dote of Approva I __ tJ1J.::6.:...1--J.S2Q
/
4, Name 01 Deceden t William W. Kiner
5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 5 ,000,00
(Note: Where tho property is other than a specified amount of cosh, the exemption cannot be opproved until th" voJUf' of
the property has been established by appraisal by the Commonwealth, except in those cases where the amount of tho gift
or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases
enter such fractional or percentage amount above).
6. Check the manner in which the transfer was effected and submit a copy of tho document authorizing the transfer, unless
such material has been previously liled,
WILL Xl;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If other, explain)
NAME
Chestnut Grove United Methodist Church
g
6
7. Correct Business Name and Address of Charitable Organization receiving property:
.
I
....
ADDRESS Chestnut Grove Road, R. D. #3, Di11sburg, Pennsylvania 17019
-,;r
"'"
....
......
8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct.
CCNB Bank, N,A., Executor of the
Esta. f Willi W, Ki r '~/
'4'!".j
Signoture of Applicant. --4'-/4,-
Address 01 Applicont
2101 Market Street. Camp Hill. Pennsv1vania 17011
Official Title Asst. Vice President & Trust Officer Date
Au!\ust 13, 1980
This form must be completed in triplicate ond 011 three copies delivered to the Register of Wills for the County in which the decedent
resided, or In which lotters wero issued for 0 non-resident decedent's estate. If the decedent was a non_resident of Pennsylvania and
letters were not Issued by a Pennsylvania Register of Wills, deliver 011 three copies to the Director, Bureau of County Collections,
Ponno. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po.
Do not write below this line. Far Official Use Only
~roved: For the Secretary of Revenue
~,
".'c~;~
m /1.4-
. ~(S~not 01 Reg}st 01 Wills)
I:4,U?,:t-u.f-d /11A -
//1 (County)
(Yet, ~ /CJiO
(Date 01 Approval)
Referred to Bureau Headquarters
Approved 0
For Secretary of Revenue
Denied' 0
(Initial. of Register 01 Wills)
(Authorized Signature)
(County)
(Titlo)
(Date of Relerral)
(Doto of Action)
* See reverse side for reasons
MUST BE FILED IN TRIPLICATE
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*
COUNTY FILE NO: ;) ) - ;; U . ~:C.;;:,;1
TO: ~ Gv..J. '15 ~ (j^}.,~J fOA :", T::vvJ/-. 0141 1./),,,
LC~I ~..m!:: h
..:i / oj VYln~)~~ /~,
L-~a \(jjll \~~ . I '') u I I
Appraisad Valua ~\Estats: '
Real Estate
DATE
,/O 0, d,l/- 19,:?-u
, . '1/.. l)
Vj IXy^(,,,, ^I. .:;-,,,,,0,
, '. ....'''---''
ESTATE
FILE NO, .;() -f;) . .$ b )/
COUNTY ~J1J1 ~ """
, /,
DATE OF OEATH:l.l:F'tl d ~. I q YI)
Personal Property
a 5 J .<'/- ~I) , :~~
+,\0"', 91/9, If~
,
Jointly Held PropertylTransfers
+
-
Less: Approved Charitable Exemptions
aOl.0: :~tl.J, 1!5'
/
. J.~ SOl, 91
a'),,3) :12;)" [('7
,
)u 6 C\U, 00
~
'7,7
a~J,{ Ii' X~ /)
Total Gross Estate
Totsl Approved Deductions
Cisar Valus of Estats
Clear Value of Estate Subject to Tax
Amount Taxabls @ 6% Rats
a
t8lC due
$
Amount Taxabls @ 15% Rats
d..;J, J l< X'~ ,)(7
/
tax due
.33 .;{ J'~
#
$33 ~7~, '-13
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
'* . '* . . '* A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
,
AMOUNT PAID OISCOUNT INTEREST TAX CREDIT
s;)~5'OO .CP + aISOO, OJ. $ = $ 3CL 06D.()0,
3 ~.P'd.f..:j + = J ~~d,1,.l3
+ =
I~l 33 Cl.,gd...I/.3
/
f-~ J - /(()
J ~ _aW_ [('()
Interest accrues at the rate of six (6) percent per
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by
annum
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
aW~~A'Y
~ \,-
~ ~ .
As.s..sdby: Ill] , ,... ^ ,
Aentt, Com nw.. "Qv'I:lIl;J;I'
..,.-----.- ~~iL 7 ~
is
INFORMATION
To insure proper credit to your account, the name of the estate and file number should be clearly print-
ed on the check or money ordor.
This assessment is made in accordance with Section 708 of the Inheritance and Estate Tax Act of
1961172 P,s. 9 2485.708),
To the extent that inheritance tax is paid within three (3) months after the death of the decedent. a
discount of five (5) percent is allowed (72 P.S. 9 2485- 716).
Inheritance Tax, other than tax on a future interest. is due at the date of the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedent's death (72 P,S. 9 2485-711). Inheritance
Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P,S. 9 2485- 712). Calculate interest from the delinquent date shown
on the face of this form to the date of actual payment using the following interest table:
------------ --------.. - -------- - -- - ---- --------- - - - -- - --- --- ----- -- - - - - - -- --
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 months ,015 6 months ,030 9 months .045 12 months ,060
1 deys .00017 11 days .00186 21 days ,00352
2 days ,00034 12 days ,00203 22 days .00369
3 days ,00051 13 days .00220 23 days ,00386
4 days ,00068 14 days ,00237 24 days .00403
5 days .00085 15 days .00250 25 days .00420
6 deys ,00101 1~ days .00267 26 days ,00437
7 days ,00118 17 days .00284 27 days ,00454
8 deys .00135 18 days .00301 28 days ,00471
9 days ,00152 19 days .00318 29 days ,00488
10 days ,00169 20 days .00335 30 days ,00500
-- --- ---------------- --- - --- -- --- -- - - ---- -- - --_._---- - - - ---------- ----.....
Any party in interest, including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (601 days after receipt of this Notice as provided by Section
1001 of Ihe Inheritance and Estate Tex Act 011961172 P.S, 9 2485-10011.
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
HEV-463 (6"76)
COt.'MONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA /I-,t 6' - 7'
ESTATE TAX
DATE: ".:1-/9-3/
ESTATE OF: /11,"1//".,1"'1 J4/, ~;V.....~
FILE NO: ,:z 1- J"tJ - 3,,-1f
COUNTY OF: C v,,", tF'1C I",,.,.,/'
DATE OF DEATH: $'- ~ 'f-.f(l
TO:
---.-------------------------------------------------------------------------------------.
P. DETERMINATION:
1. Taxable estate based upon:
~The United States Estate Tax Return (Farm 706)
Tho communication from the Federal Government
confirming the acceptance of or changes to the
Federal Estate Tax Return
2. Amount 01 credit lor State death taxes (as verified)
3. Pennsylvania inheritance tax assessed
(excluding any discount and/or interest)
4. Normal inheritance tax paid to other States or
Territories 01 the United States (excluding
any discount and/or interest)
5. Total inheritance tax credits (line item 3 plus line item 4)
6. Total liability lor Pennsylvania estate tax (line item 2
minus line item 5)
NOTE: Complete line items 7 and 8 ONLY when determination
is based an Federal Closing Letter
7.
Amount of Pennsylvania estate tax assessed on determination
dated
Addition (reduction) to Pennsylvania estate tax (line item 6
minus line item 7l
8.
Determination prepared by:
Date:
$ ~.z/,J>7j,.J7
$ /7..tS. ().f
$ .l:L f( J'.t. '1.3
$ -0-
$ .5'3. ./lJ>..? +'.5
.
$ -~-
j~.
..2 -/?-,f/
$
$
~
~-----------------------------------------------------------------------------------------
B. ASSESSMENT:
1. Pennsylvania Estate Tax rellected on:
line item A (6)
line item A (8)
2. Less credits:
DATE OF PAYMENT AMOUNT PAID
INTEREST
(S )
.IS I
- (S )
3. Balance of Pennsylvania estate tax due
Interest is due at the rate of six (6) percent per annum from
Assessment prepared by:
Date:
$
CREDIT
=
=
=
$
to the date 01 payment.
AaENT FOR THE COMMONWEAL. TH
SEE REVERSE SIDE FOR INSTRUCTIONS
,1(1' '" if \ ^.. ~~ " .
. '
, ' '
COMPOSITION OF NET BALANCES
PRINCIPAL
Mortgages and Notes
Kirk R. and Sandra E. Hassinger Sales Agreement
Cash Equivalents
U. S. Treasury Bills, due 7/23/81
Trust for Short Term U. S. Government Securities
Cash
TOTAL PRINCIP A1
INCOME
Cash
TOTAL INCOME
TOTAl PRINCIPAL AND INCOME
2
Lldlk E.3 tii~L ,..:lJ~
$ 18,625.61
130,404.90
29,124.00
1,654.30
$179,808.81
$ 12,932.89
$ 12,932.89
$192,741. 70
,
InvcnlOf)' or lhe r,.,,1 one fIe! !tonal eS'cle of
"'Ul.1<1m-li .--I:1ner-
docoos.cd.
REAL PROP.ERTY
l~ Story, Frame with Aluminum Siding, Single Frunily Dwelling
Situated at 305 South Washington Street, Hechanicsburg, Pa.
Agreement of Sale
Dated August 2~. 1974
Between William W. and Ethel R.,Y~ner (Deceased)
and F'~rk R. and Sandra E. Hassinger "
and Randall G. and Margaret E. Hassinger
2~ Story Frame Dwelling' ,
Situated: 101, 101~ and 103 North Enola Drive, Enola, Pennsylvania
Date of Death Value
Payment Received Prior to Date of Death
ERSONAL PROPERTY
J.,....elry - One Diamond Ring
lNA,Six-Shot .32 Caliber Handgun
Miscellaneous Coins and Currency
Household Goods and Furnishings (Proceeds From Sale)
Automobile: 1969 Ford Station Wagon (Proceeds from Sale)
Cash on P.and: Found in Bouse
Found in Safe Deposit BoT.
Cash in Bank:
CCHB Bank, N.A.
Certificates of Deposit: .
C15059, '7.50%, Due 9/16/82
Accrued Interest to Date of Death
019583, 7.25~, Due 7/19/83
Accrued Interest to.'Date of Death
019588, 6.50%, Due 8/30/82
ACcrued Interest to Date of Death
e1633~, 7.25%, Due 7/15/81
Accrued Interest to Date of Death
015063, 7.50%, Due 10/1/82
Accrued Interest to Date of Death
t'1.506~, 7.50%, Due 10/i/82
Accrued Interest to Dat" nfn"">h
I'
32,000 00
. ,
19.230 ,29
205 107
i
,
500 I
100
55 ' 00
90~ 135
~,001 113
I
~10 100
242 123
, I ~2l 00
,
5,000
8.
1,000
7
l,ODO
4
10,000
IS
5,000
23
I 5,000
00
33
00
05
00
33
100
13
00
95
00
lnvcnlor)' of the 1l'":l1 ane pel~Dnal eS'ole of
J.
1,'1.1.1-1..,,1>"'\) .-I:in~r
dccoo!. ed.
REAL PROPoERTY
lis Story, Frame with Alumimnn Siding, Single Family nwelling
Situated at 305 South ~aGhington Street, I'lechanicsburg, Pa.
Agreement of Sale
Dated August 24, 1974
Between William ~. and Ethel R.. Kiner (Deceased)
and Y.irk R. and Sandra E. Hassinger "
and Randall G. and Margaret E. Hassinger
2~ Story Frame Dwelling. .
Situated: 101, 10l~ and 103 North Enola Drive, Enola, Pennsylvania
Date of Death Value
Payment Received Prior to Date of Death
ERSONAL PROPERTY
Je-walry - One Diamond Ring
INA,Six-Shot ,32 Caliber Handgun
Miscellaneous Coins and Currency
Household Goods and Furnishings (Proceeds From Sale)
Automobile: 1969 Ford Station l<agon (Proceeds from Sale)
Cash on Rand: Found in House
Found in Safe Deposit BoT.
Cash in Bank:
CCirn Bank, N.A.
Certificates of Deposit:
015059, .7.50%, Due 9/16/82
Accrued Interest to Date of Death
019583, 7.25~, Due 7/19/83
Accrued Interest to 'Date of Death
019588, 6.50%, Due 8/30/82
Accrued Interest to Date of Death
016334, 7.25%, Due 7/15/81
Accrued Interest to Date of Death
015063, 7.50%, Due 10/1/82
Accrued Interest to.Date of Death
015064, 7.50%, Due 10/1/82
Accrued Interest to Date of peath
Checking Account:
. 0474-880-1 (Closing Balance)
Harris Savin~s }~sociation
Certificates of Deposit:
04-16-000989, 10.40h, Due 7/3/82
Accrued Interest to Date of Death
04-16-001912, 10.40%, Due 7/7/82
Accrued Interest to Date of Deatb
Cumberland Valley Savings & Loan Association
Certificates of Deposit
176685677, 7.50%, Due 7/3/82
Accrued Interest to Date of Death
96689766, 7.75%, Due 1/27/82
Accrued Interest to Date of Deetb
Savings Pessbook Account
0152232, 5.50Z
Accrued Interest to Date of Destb
U. S. Series E Bonds - Date of Death Value
CClil! Bank, li.A.
Interest Due 4/l6/8D & 5/16/80 for C/D t15059
,Interest Due 4/19/80 for C/D t19583
Interest Due 4/30/80 for C/D 019588
Interest Due 4/15/80 & 5/15/80 for c/n t16334
Interest Due 5/1/80 for C/D {.15063
Interest Due 5/1/80 for C/D #15064
Natiomli.de Insurance Co. - Annllity Payx:>ent Before Date of Death
Bell of Pa. - Ref=d
Refund - Internal 'Revenue Service
DanielE.. 'Iepsic - Re1JDbursements:
City and 'Iu.~hip - Real Estate Tax 9/24/80 - 12/31/80
School Real Istate TB% 9/24/80 - 6/30/81
llrrLT m:LD ASSETS
lione
. . I'
U~U~ H3 i'ii~l ~o~,
l
32,000 00
"
19.230 , 29
205 I 07
i
500 i
100
55 ' 00
904 135
4,001 113
I
410 100
242 123
, I 421 00
,
5,000 00
8 33
1,000 00
7 \ 05
1,000 00
4 33
10,000 ,
100
18 13
5,000 100
23 95
5,000 00
23 95
I
IU,575 42
20,000 00
139 09
20,000 00
139 09
20,000 00
100 24
10,000 00
51 79
53,437 08
1,132 05
136,06] '37
62 50
18 12
5 42
120 S4
31 25
31 25
201 75
2 14
2 07
20 00
198 D7
I 0-
j r58.3B~
..~ cCi~iOt~\';'(/..L'ij-i 0;: f'[';!~S),L\'/..!~l:"
COUJ;TY Or CU!,~~:r.L!,IID
!> ~:
I, .1a:1!~ !:. !J:~...i{~[;{Jl:1 ';';u:.t n:fi<..:cr, CC::I. r..mL, 1:./..
bt,jng d"ly
.!)',,'orn.
flcc(.1f'oing ie, L-,,,,,,
,
0': pC"l'~
"nd "')" thats he JlLEY.""-utoL_______
of tn( bi,dc of _._J~_ill.i.llIn--l-1 JPin"T
I~t(' of __-2'~~:11~r.jC~~b.\:x~.
/"'"'
.t;:,_L!_______._~.~_._.__.~, 19
L'
"--'-'-"--'-
Cumberl"nd County, P." dece^,ed and ihai ih.
_. ._ .__._.__., ihe .aid Executor_
t-'~r~r.~..)1 pr(Jp~rty .1nd real C'state, except real estate ouhide
cF;'uiil' C'llch item of the Inventory represent it's fair value
CC:;B !Jank, !l.A., Executor
Estate of William W. r~ner
iiv: L~~'// (Al Cl&kv.t.4~(;rrust Officer
'.-'-'7 Eut~ta; .~~
(
.:nm. l!ark'lt Street
I
I
;
I
,
J
_.J:mnp_Jlill...J'.ennsyb"ni" 17011
Addre..
within is !HI in.cn!cf)' rr..lol by c:::~r) r-:::l:, 1~.1..
c! lhc tniirc. u~;dC' elf !.,!;d c( elocI,r.l, c.aniding c.! ..d! ~hc'
tne COIT;mo~{\.H..)IiL 01 rt'nr1~y1"ilnii;, i;r,d H",~ the. jisurt'~
a~ of tht, a,1h: 01 r:1!>c.{:~;: r~~\ ,;t il~h.
..... -."
<_._~!...:...!._'..;.',1.1
, , " " ,
,we ~w:'~~r;t",!:c brTOft' me,
iJ':; ": '~r~~;~-) ;/L.<=e___
.?HYLUS J. ROSS. t~:!t1f)' rOJi:..:i:
Cllrr.p Hil:, C!.:~,~lr:i~ru:~ c:. h..
My C:;~;~,;\!jo" ~ ;,;,{>: J::r '5, 1;'21
Dale of Death .______
2!;_.
Dl'I)'
1:(1;-
.-.----.-- -...---------
1980
1.I,Or.!h
rur
INSTRUCTIONS
I. An inventory must be filee .....i~hir: thre!'.' months after appo:nfment of personal representative.
2. A supplemcni inventofY mus~ bE filed within -thiriy day~ oj di~covery of additional assets.
3. AddHional sheets. may be aHiichcd a~ io pc':-~or,t1Ity Of fe:alty
<. See Article IV, Fiduc:idric~ Ad of 19,,9.
I
I
!
[i ..,;
Ii >-
I f- CJ <
I: >- '" f- I ~
'"' < e.;, <,
co: ~ e.. f- u
0 ..., <, c
'" II 0 CJ V> ,",' " D '" >-
w
M I '" c;! -, ~ c
II ~ e.. -, e.. c
'I f- ..J u.. <:1 t'l, ~
0 z < 0 .... u, < 0
",,' I, u.. ..J :..: ...., e.. :l:
.i! I: UJ 0 < '"' '" >.
> z '" ., S, -<
N !! Z 0 ~I
I " D , (J;
d ! V> Z 5 ..Cd' 0
'" U
Z CJ < t:' ,.:...: ...
" .....
I' e.. ."
.....' C
I; ...... ~
:I .,.;' 0 -
'I ::< 0
I: JO " -"
< E ~ 0
, ~ U u: 0
..J '"
lbi.R
~:.",. I .
~v hi:,t
::..:bJ
Jewelry - Diamond Ring
Proceeds $1,000.00
Inventoried at ____500.00
6-27-70
7-23-80
.32 Caliber Handgun
Proceeds $
Inventoried at
7-23-80
PRINCIPAL CONVERSIONS INTO CASH
Gain
Loss
$500.00
55.00
55.00
Miscellaneous Coins & Currency
Proceeds $1,134.00
Inventoried at 904.35 229.65
9-29-80
Real Estate at 305 S. Washington Street
Mechanicsburg, Pa.
Proceeds $32,000.00
Inventoried at 32,000.00
TOTAL
$729.65
Net Gain Tramsferred to Summary
$729.65
4
I
I
I
I
,
:,
"
I'.
lidL~
H8 r{l~[ ':';(j,'
6-6-80
6-6-80
6-6-80
6-6-80
6-12-80
6-12-80
6-16-80
6-16-80
6-16-80
6-16-80
6-16-80
6-17-80
6-25-80
6-25-80
7-3-80
7-25-80
8-5-80
8-5-80
8-14-80
8-14-80
8-25-80
9-3-80
9-5-80
9-15-80
9-29-80
9-29-80
9-29-80
9-30-80
10-2-80
10-3-80
10-31-80
12-23-80
12-31-80
2-13-81
4-14-81
4-14-81
4-16-81
4-16-80
5-21-81
6-4-81
PRINCIPAL DISIlURSEMENl'S
Pennsylvania Power & Light Co. - service to 5/19/80
Mechanicsburg Water Company - service to 5/20/80
Bell of Pa. - service to 5/19/80
Register of Wills - Short Certificates
J. T. Carpenter - Appraisal of Jewelry
Nationwide Mutual Fire Insurance Co. - Premium on Homeowner's
Policy #58MP448-657
Hoffman-Roth Funeral Home - Funeral Expenses
Jack Gaughen, Realtor - Appraisal
Lester G.Connor, Realtor - Appraisal
Commercial Coin Co. - Appraisal
Zep1in's Lock Service, Inc. '- changing locks at 305 S, Washington
Street, Mechanicsburg, Pa.
Paul E, Jenkins, Jr, - Lawn Maintenance
Pennsylvania Power & Light Co. - service to 6/18/80
CCNB Bank, N.A. Mortgage Department _
Amortization Schedule for Agreement of
Ilorough of Mechanicsburg - Trash Collection
Pennsylvania Power & Light Co. - service to
Snelbaker, McCaleb & Elicker _
Reimbursement for Letters Testamentary & Short Certificates
Cumberland Law Journal -
Legal Advertising
West Shore Times - Legal Advertising
Register of Wills, Agent
Pa. Inheritance Tax - Gross
Less Discount
Register of Wills - Filing Inventory,
Statement Debts & Deductions, RCC
Pennsylvania Power & Light Co. - service to 8-19-80
Paul E. Jenkins, Jr. - Lawn Maintenance
Mechanicsburg Water Co. - service to 8-29-80
Gingrich Memorials - Inscription on Grave Marker
Pennsylvania Power & Light Co. - service to 9-18-80
Daniel R. Tepsic - School Real Estate Taxes - 7-1-80 to 9-24-80
1% Realty Transfer Tax
Claude C. Wolfe & Associates - Commission on sale of Real Estate
Pennsylvania Power & Light Co. - Electric Service - Final Bill
Mechanicsburg Water Co. - Water Service - Final Bill
Register of Wills - Certified Copy of Will
Register of Wills, Agent - Pennsylvania Inheritance Tax
Internal Revenue Service - Federal Estate Tax
Herald Mail Co. - Legal Advertising
Internal Revenue Service - Federal Income Tax
Pennsylvania Department of Revenue - State Income Tax for
Year Ending 12-31-80
Pennsylvania Department of Revenue - Fiduciary State Income Tax for
Year Ending 12-31-80
Internal Revenue Service - Fiduciary Federal Income Tax for 12-31-80
CCNB Bank, N.A. - Service Charge for assisting in preparing State
& Federal Personal Income Tax Returns for Year Ending 12-31-80
Wildeman & Obrock - Tax Preparation Fee
Sale
& Sewer
7/l8/80
Rental
$30,000.00
1,500.00
5
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$ 14.75
19.21
5.78
5.00
30.00
112.00
2,523.00
150.00
150.00
18.08
28.80
20.00
15.15
5.00
36.60
15.13
52.00
18.00
22.00
28,500.00
9.00
3.36
25.00
16.79
65.00
2.57
257.24
320.00
640.00
.97
5.61
4.50
3,282.43
17,576.00
27.44
4,639.00.
119.00
15.00
612.00
50.00
145.00
PRINCIPAL DISTRIBUTIONS '1'0 BENEFICIARIES
- 0 -
NONE
Total
- 0 -
PRINCIPAL INVESTMENTS
06-12-80
$135,000 U. S. Treasury Bills,
due 4/23/81 at 93.72
$126,520.00
04-23-81
$135,000 U. S. Treasury Bills,
due 7/23/81 at 96.60
$130,404.90
$ 54,611.00
06-19-80
Trust for Short Term U, S. Government Securities
PRINCIPAL CAPITAL CHANGES
Kirk R. Hassinger and Sandra E. Hassinger Sales Agreement, Dated 8/23/74
07-16-80 Inventoried at $ 19,230.29
07-17-80 Principal payment received 52.83
19,177.46
07-17-80 Principal payment received 53.25
19,124.21
10-03-80 Principal payment received 53.67
19,070.54
12-17-80 Principal payment received 54.09
19,016.45
01-16-81 Principal payment received 54.52
18,961. 93
05-22-81 Principal payment received 55.39
18,851. 59
06-02-81 Principal payment received 55.83
18,795.76
06-08-81 Principal payment received 56.27
18,739.49
06-16-81 Principal payment received 56.72
18,682.77.
06-24-81 Principal payment received 57.16
$ 18.625.61
7
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