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HomeMy WebLinkAbout80-00395 , .;.,.. '. '\,,' .";.,'. .',',' '," "",'~,.. " ,'.' "'..' . ",,'; '.": '" ""1,' "'. .f,: \"" /.: ~ "" '." ,',' ." ,.' ,1,' ;".'p ''''''';,,' ,,,...,,...-'I,e "'\i{,~~~;b~, ,. r"w",N\ }j':..i'. 'i',: ::"" ~;, : " ;:?~ :~>~',' ,,, . 1 ., ':, ~!';' . . " - ',<0 1'ii,:,,)?z: ,'('. ..~ a I ; II o ~ E-l ; I I I oi ~ .... ~ 0 " 1 - IIU - !: . ,LLI "'" . 1M ~ ~ - ( B i iii ~ e .. No. 21-80 :.\95 PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of S. Louetta Ernst , deceased. To MARY C. LIlWIS , Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania. *11 Petitioner(s) are the executro; named in the Last Will and Testament of s. Louetta Ernst dated --1:8-75 Decedent was a citizen of the United States and a resident of Township eor~IIi, Cumberland County, Commonwealth East pennsboro of Pennsylvania. Decedent died on Tuesday the 6th day of Mav A D. 19.1liL-, in the County of Cumberland State of pennsv1 vani a at the age of 81 years. lh'IXll ~ her Decedent has not been married and has not had children born to hOrn since the execution of the above described Will. Decedent was possessed of personal property to the value of $5,000 and of real estate to the value of None as near as con be ascertained; said real estate situated as follows apply Therefore, your petitioner(s) respectfully CXpoP!X<<l for the probate of the said Last Will and Testament and f/,Letters Testame tary thereon. Dated June 10, 1980 I ~ ' C Name and address _ Commonwealth National Bank of Petitioner(s) 10 South Market Square Harrisburg, Pennsylvania 17101 ':ile ,eft ,/. t:l/vv.j;("- DonaHI R. Ernst 4239-E Will iamsburg Drive Harrisburq, Pennsylvania 17109 COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND named in above application, being duly sworn according to law say(s) that the statements set forth in this petition are true to the best of their _ swo rn and subscribed before (; Blc me June 10 1980 11~to q.;flA4 t2 . ,X;w..;.J. -- f / Register Patricia A. Raudensky, Trust Officer Filed: June 11, 1980 .:21-fo - 31S" ('} ...-/ J (,. ',+ c.t(( Itl"( M,l' c. (.','-.vl Donald R. Ernst Attorney: M K g$1 li~prge ~. ~I\.,e IfJf; C)),"h~ ~1JW\f~lLGl. I?/o/ III 0 l!: .. E-< :J .: 'E (/) g . 0( . z ~ z " cr: III o 0( . fil iii [ ~ . ..... rz. ~ III . ~ E-< ~ ~ z 0 u o Z ~ :E z w . .. . 0 . p 3: ~ Cl S III 2 ~ ~ " m . 0: ~ !!! (/) o ' 0: · 0: III 0( ~. I " . --t V1 , .' . ., LAST WILL OF S. LOUETTA EHNST I, S. LDUETT A EHNST, sil1gle woman, who now livc at the Grayco Apartments, 115 North Street, Harrisburg, Pennsylvania, hereby declare this to be my Last Will and revoke all prior Wills and Codicils. 1. I bequeath all my savings at the lime of my decease in the First Federal Savings al1d Loal1 Association of Harrisburg, including my silver certificate No. 5383 for $3, 000. 00, to LAKESIDE LUTHEHAN CI-IUHCH, which is now situate at No. 245 Division Street, Harrisburg, Pel1nsyIvania. 2. I bequeath all my furniture, household goods, jewelry, persol1a1 effects and tal1gib1e personal property of like nature to my nephew, HAROLD L. ERNEST, JH., of Kl1oxville, Tennesee. 3. I devise al1d bequeath the residue of my Estate of every nature al1d wherever situate to THE COMMONWEALTH NATIONAL BANK, ha ving offices ill Harrisburg, Pennsylvania, to be added to al1d thereafter treated as a part of that certail1 inter vivos trust created by me today, January 8, 1875, but executed before this Will, of which The Commonwealth National Bank is Trustee, to have and to hold, IN TRUST, for the uses and purposes and subject to the terms and provisions thereof, including any alterations or amendments thereto, or any other inter vivos trust which may hercafter be substitutcd therefor. 4. I appoint THE COMMONWEALTH NATIONAL BANK, having offices in Harrisburg, Pennsylvania, guardian ~f.any property which passes, either under this Will or othcrwisc, to a minor al1d with respect to which I am authorized to appoint a guardian and ha va not otherwise specifically done so. Such guar'dian shall havc the power to use principal - 1 - .' ~ ~ '. as well as income from time to time for the minor.ls support al1d educatiol1 (including college education, both gr'aduatc and undergt'aduatc) without regard to his or her parent's ability to provide for such support al1d education, or to make paymel1t for these purposes, without further responsibility, to the minor or to the minor's parel1t or to allY person taking care of the millar, or to the educational institution the minor may then be attending and to make distribution to the minor upon his or her attaining the age of 2 I years. 5. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estatc. 6. All interests hereul1der, whether principal, income or remainder, while undistributed and in the possession of any fiduciary named herein, and even though vested or distributable, shall not be subject to attachment, execution or sequestration for allY debt, contract, obligation or liability of any bel1eficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. 7. My personal representative, guardian, al1d their successors, (fl shall have the following powers in addition to those vested in them by law and by other provisiol1s of my Will, appEcable to all property, including property held for minors, whether principal or il1come, exercisable without court approval, and effective until actual distribution of all property: (a). To retain any or all of the assets of my estate, real or personal, without regard to any principle of diversification or risk. (Il). To invest in all forms of property, including stocks, common trust funds al1d mortgage investment fUl1ds, without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA 1 ss: COUNTY OF CUMBERLAND r This ................................~~.~~..................................... day of ...............~!J.~.<<:!............................................. A. D,. 19.~g..., before me ..................J:~~EY....~.~...~~~!.!!................................................................. Register for the Probate of Wills and granting letters of Administration in and for said County of Cumberland, in the Commonwealth of Pennsylvania. personally came ....~~~!).~... f.:...~.~.!:~.~~...~.~.~..~~.9D!~..~.:...~c.~~~............... ............................... ............. ................. ............ ..................................................................................................,..,.,...........,.........,.,.,.............................,.................................. the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of .?:...h.9.~.~g~...;.!:~~~.............................................................. .................................... Dated ..Jl?m................................ late of .....~~~.~...~~~~.~.~.?:.~..!.9.~~.~~.~P.................................................................... Cumberland County, Pa.. deceased who being duly ..~.~?:.~...................................... according to law. depose and say. that .................................................. present. and saw and heard the testa.tr.i.~........................... ...............S.,..J!?g~Ui!..Ir.n~!;,............................................ sign. seal. publish. pronounce and declare the said instrument of writing as and for hJ~.L.......... Testament and Last Will. and at the time of so doing ..............~.h~.............................................. was' of sound and disposing mind. . memory aod understanding, to the best of ..........~h~J.:........................................... knowledge. observation and belief. ..................~.~.'?!:.~....................... and subscribed before .........'3lJ~...e...,.O;'~..... Register. .....\f.'~'lo-(,.11.!....s,?:.~.lt.LI:k:Jj,f?,4:.............................. oY?t:2pf>1'f~t-mmm__- ............................................................................................ AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA 1 ss: COUNTY OF CUMBERLAND r Patricia A. Raudensky, Trust Officer . ............................................................................................................................................................................... being duly .~~~.~.~....................................... says that as nearly as can be ascertained the said decedent ............................................ S. Louetta Ernst .........................,......................................................................................................................................................... died on .I~~.~.~.~.Y..................... the ....~~~............................ day of ...~~>.'............................................................. A. D.. 19..~.~.... at or about ................................................ o'clock, .~.. M. .~WQ.m.............................................. and subscribed this .....................~.~!:~....................... day of ..J~.~.~........... 19.~.9..... before .........1l/4.:1AI...(l..,..ft.~J........ Register. ~16~~;;------ c ,./) (. -;- (.'1' (' 1'- J/' [. 't /(,/., Donald R. Ernst OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENN5YLVANIA~ 55: COUNTY OF CUMBERLAND Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of Cumberland, personally came ..p.atdc.ia..A-..R4Udensk:Y...&..D.Qnald..R....Er.nst.....................''................ who, being duly ......!!I1!?.t!\............., do .........". depose and say that as .....~~!l.~.~.t.9.r.L......"....................,,"............... of the last Will and Testament of ..........~:.".~.~.~.~.~~.~...~~~.~~.........".....".............".."...."............................". deceased .......................................... will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances. ~WQX'.u...u..."......"... and subscribed ...............~.~~!...lQ............................... A. D., 19..~.O.. ~ . {! Yom.,:".J R~:~t~........:..vF.:::;7C................................... 4i-,.t! .m~.m.'" ..... before me. (! , ,'l C::' r .......'.~.~~.~.!..~Er..I..:.:....c..-.~.~?~~.<:.!-:if::................................. .,; 0; " ~ ~ .... " irl 0 IJ.. 0 ttl: Q)\ .....; =ll=i ...I VI: -" lI'J ll\ c: ~ ~: ....: ~ "'. ...I LUl ~i ttl: 1'0: ::l eli M I; - .....: ~ .! 0: ~ .....; u; ~\ Q); ." ~\ I: ::l' .S .-4: 0: .2 N: ....Jj .,; .-4; .: " I 0 ~: "E 0: - Z ~ ttl: N =11=: .!l ~ .,; 0 ::l .,; .!l Z Ir.l c ii; " DECREE Be it remembered that on the .........P:~~...u.. day of ........~~m!l..."...................................... A. D" 19.~Q.... there was probated and recorded the last Will and Testament of ......~.,...~9.M!l.tJ~..Jr)').~.t."......................"........".............". late of ......f,!!l!~...e!!.nnl!!?.9.!:9..J9X1.D.~h.iP....................."..............., cumberland County, Pennsylvania, Deceased. Letters ..~~.~.~~~~~.~.~EY....................................... were granted to .. ......~!?!!'!TI9.nW!l.~J.~h..~.~.t!.Q!)!!.l...~!!nK..9.n!!..Q9.D.~J.9."R....~ rn s t Witness my hand and official seal the day and year aforesaid. '~ ..........ii..2llf:!:jl.....~.:..;j4.~:d...R~~;~;~;,..... -, --.., - cC'~~,~$lfl~~i!,f;;r,,;yt"r,\r/ri;?C'O'MM().NWE'AL TH".OF. PENNsvt VANIA'" .. " :,~i't~i!:~~t~I~IAiiR~6~ipT ~'~E~~~~[~;~~i~;~~~~,~c~,.~_~D .~~T~!E .TA~", e RECEIVED 'II From: -~ . . . dress M '\ ____________________MIMITY-rOUR DOLLARS-------------- HUDmBIILnYB -- dollors representing PennsylvanIa Inheritance or Estote Tox due 'rom tho lollowlng estote: ~~~.ltb ~.tiO".l 10 II. ..ark.to IIq1lara 21~ Tall on $ s HUriabulC9' Pa. 17101 6%Tallon $ s File No. 21-80-395 Dole of Death 5-6-1980 15'li., Tall on $ s Nome 01 Decedenl S _ LO-""'" lfANAT 70 Tall. on S Estate Toll., Act of May 7, 1927 s Dole of Payment AUVIl.t. 4, 1980 $ -u PAID OR ACCOUlll'1'- TOTAL TAX CREDIT Less five percentum of tox if paid within three months after dote of death Plus interest at the role 01 _%from 10 s 9.900.00 Counly CWIlberland Remorks: $ 495.00 s lJOO~[?[L~@ffilYrn SEA L TOTAL AMOUNT PAID s 9.405.00 NOTE: Thl, Triplicate Receipt to be retained for audit purpole', Received by NOTE: In occepllng the Honsler inheritance to~ on luture utalu. prior 10 the dealh 01 Ihe lile lenont or t.nonllor yeorl. 01 evidenced by thll receipt, II h underlt,ood Ihol Ihe Commonwllolth iholl " not be prllduded or prevented from hereoller oueuing oddlllonollnherltonCll lo~ 01 Ihe deolh 01 Ihe Ill. tenant or tenonl for yeori whenever 11 appeorl Ihol luch oddllionollo~ may be legolly due and collecUblelor \Iriy '80lon wnolsoever, .----.-------,---------.---------.- --, --- --.--------- COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND '1 J 51: The Commonwealth National Bank and Dr. Donald R. Ernst being duly sworn according to law, deposes and says that they, thp cn_PXPclltnr<; 01 the Estate 01 5 Louett~ Ernct late of East Pennsboro township , Cumberland County, Pa., deceased and that the within is an inventory made by..the_Cammonwealtl1 N.tiona1 .BanJ<.Jd1r:_Jkl1...alcjRth.E;a~at cn_~xeclltnrc of the entire estate of said decedent, consisting 01.11 the persona' prop.~ty and rea' estate, except real estate outside the Commonwealth. of Pennsylvania, and that the figures OPPosi~e e ,-Hem of the In zen ry represent it's fair value es of the date 01 decedent's death. ~' /' (/ ,oj (' [u(A":"u....{/ (j , .tUt..~ec~~ 0tUOf<..n and subscribed before me, ommonwealth National Bank O 01 By: Patricia A. Raudenskv. Tr~ Officer I It, f<L~ D.J.A. 19 0:.) <1 G) C:r.os~.~)tc:; Adm;~~".r ,) {/Jl,U'u"t~ '1, Y'?1iZ,/ Ji!u--AJiU1 (l i3~lI6.vi/ Dr. Donald . Ernst , I 4239 - East Williamsburg Drive KATHlWI C. BROBST, NOTARY PUBLIC Harri <bllrg. PA 17109 H!.~Ri5BURG, OAUPIlIN COUNrI Add.... MY COM~~ISSION EXPIRES J!.II. 10, 19lJ Member, Prnr.l)'!I'an~1 Assj}ciii:i~n 01 Nolarj~s Date 01 Death -- 6 May Month 1980 DIY v.., INSTRUCTIONS I. An inventory must be filed within three months alter appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to persenalty or realty 4. ~ee Atli~ IV, ~iJ_uciaries Act of 1949. to,: .. 0::";. ~.. N f~,.._. s~ 0.. ~:) i:, t.. ;.ceo., c. 0 <z 6>'1< -. ~.=:: WILl ~-! C>'- 1; on. ~tfl % I uJ oCj ::s::~ ~lI.I o::::=:> ~~ ~ dU >- -0 " ~ w ~ ~ < ~ w .. 0.. l- +' u a 0 III .. 0 w W III C '" ,.. :r '" c: '" <U a I- 0.. U- s.. ~ 0.. <U c Z I- -' W "" ~ <( 0 0 U- ...J 0.. U :l: W 0 <( w ~I >- :;: ,I > z '" - < Z 0 c ~I C II ~ 3 r III Z 0 0 '" U z II w <( ~I ... <U 0.. -a Cl c s.. ~ 0 il Ill' - " OJ , 0 .. t!l I -" Ii I .. E -a ... I - ~ .!! 0 '" 0 -' U u:: CD Inventory of the reo I ond personol e,'ole of S. Louetta Ernst deceased. Real Estate NONE Tangible Personal Property 1. Jewelry, appraised at 2. Household goods, from apartment, appraised at Intangible Personal Property, 1,545 413 00 00 3. Retirement allowance from Commonwealth of Pennsylvania Public School Employees Retirement System for 5/1/80 to 5/6/80 35 87 4. Retirement allowance from Commonwealth of Pennsylvania State Employees Retirement System for 5/1/80 to 5/6/80 55 54 5. Death benefit from Social Security 255 DO 6. Refund from Blue Ridge Haven West 1,127 78 7. Cash 115 08 TOTAL PERSONALTY 3 547 27 I \ .--,-.- ..-.....,..--------....-----.-. .-. --,_.,..-- ._._--'~ _. .._.. ~_.. .,...__.___..u___..__.__. COMMONWEALTH OF PENNSYLVANIA t COUNTY OF CUMBERLAND J 5S: The Commonwealth National Bank and Dr. Donald R. Ernst being duly sworn according to law, depose! and says that 1he y the co-executors of the Estate of S. Louetta Ernst late of Borouqh of Camp Hill , Cumberland County, Pa., deceased and that the within i. an inventory made by The Commonwealth NatioJ)c!'Uank , the said co-executors of the entire estate of said decedent, consisting of all the personal proporty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. . comn~ Nation yBank ~: ~.tu<<--' Executor. Administrator Patricia A. Hindermyer, Trust Officer ''-. 9J"",,"'R.v tfi. ;:5,."/d/T Dr. Donald R. Ernst 4239 East Williamsburq Drive Addr'l5 Harrisburg, Pennsylvania 17109 Sw Ofl-D, JfJ_fhem1vL _._KittJ.J.o./f.I.J}. MlO LAic KATlil[EII C. 6RCGttfciARV PiJilliC HARRISBURG, DAUPHI:I COUlm , 1.1': COMMISSION EXPIRES JAU. \0. 1983 Membtr, Pennsylvania A5ScciJlien of tlom,ies and .ubscribed before me, 19 lro Date of Death 6 May Month 19BO Vur Day INSTRUCTIONS I. An inventory must be filed within three month. after appointment of personal repre.entative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached a5 to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. ~ ~ ro >- ...; U5 .. ~ w '" ~ <S-- ~ 0- W ~ W ~ " '- "-' "- 4- " &'1' 0 0 III 0 " .. w w c r--' '" ... J: 0:: .s= ~ .. I- "- "- c 0- -' LL .. ~ Z <( 0 ; ::> ..... OJ 0 LL .J "- ...... I W < w 0 ~~ 11\ 11 > 0 Z 0:: l- ,;. j 0 - u Z 0 c '" c ::E: " 4 1\ - III Z 0 0 0:: U Z w <( .... 3: "- -0 c OJ ~ I 0, - -;:: l- -', 0 , " 0 .l> t/.,i " E ." ... OJ - ..! 0 '-" ! I ~ " 0 ..J U u: CD Supplemental Invontory of tho roo I and porsonal 05tolo of S. Louetta Ernst docoo.od. Intangi bl f: Personil" PI"operty 1. Accrued income from S. L.ol'.ette. Ernst. TIA #12233003 with The Commonwealth National Bank 2. Accrued income from Lou Ernst Creamer TIA #08505000 with The Commonwealth National Bank, S. Louetta Ernst income beneficiary 3. Accrued income from Joseph Creamer TIA #08504003 with The Commonwealth Niltional Bank, S. Louetta Ernst income beneficiary TOTAL PERSONALTY ,!" 03 ONVlo3BWnJ '10:: S,k'~'H,f~lD R ~~3':) ',V: (.Id I. l J3U 08. " ,:,ISI;)30 .', :, i.:i,'('V.JOoOJ3o 2,623 91 550 64 ~ 45 I I 3,671\ 00 I I I , I I I II II I I i I I I PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION 1. PERSONS RESPONSIBLE FOR RETURN Section 701 of the Inheritance and Estate Tax Act 01196\ provides thnt lhe following persons shall prepare and file a return: a. The personal representative of the estate of the decedent as to property of the decedent administered by him and such additional property which is or may be subject to Inheritance Tax of which he/she shall have or aCQui re knowl edge; b. The transferee of property upon the transfer of which Inheritance Tax is or may be imposed by the 1961 Statute, including a trustee of property transferred in trust, provided that no separate return need be made by the transferee of property included in the return of a personal representative. I I I \ \ I 1 1 \ I I i ! \ The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided, 3. TIME FOR FILING 2. PLACE 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 01 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 15% 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 the 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 plOperty, which lien remains in ellect until the taxes and interest have 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. Any person who willfully makes a false return or report required 01 him shall, in accordance with Section 793 of the 1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shail be sentenced to pay a line not exceeding $1,000 or undergo imprisonment not exceeding one year or both. 8. FILING OF FALSE RETURN REV.4S1 (i.eol COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "6" PERSONALPROPEATV '* (Jnstrtlcdons an Reverse Side) Estate of S. Louetta Ernst 1 ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION I NO. VALUE VALUE (OFFICIAL USE ONL YI I I Tangible Personal Property I 1. Jewelry; appraisal attached 1,545.00 I 2. Household goods; sold at 192. 60 ! , Intangible Personal Property 3. Cash 115.08 4. Refund from Blue Ridge Haven West 1 ,127 .78 " 5. Retirement allowance from The Commonwealth of Pennsylvania Public School Employees Retirement System for 5/1/80 5/6/80 91. 41 6. Refund unused portion from Bell Telephone Co. .23 7. Accrued income from The S. Louetta Ernst Inter Vivos Trust Account No. 12233003 with The Commonwealth National Bank, Trustee 2,623.91 8. Accrued income from the Joseph G. Creamer Intel' Vivos trust account no. 08504003 with The Commonwealth National Bank, Trustee 496.45 9. Accrued income from the Lou Ernst Creamer , Inter Vivos trust account no. 08505000 with The Commonwealth National Bank, Trustee 550.64 TOTAL THIS PAGE 6,743.10,1 (;7'13.10 JJgIJ. QUESTIONS CONCERNING PROPERTY TRANSFERS 1. Did decedent, within two years of death, make any transfer of any material part of his estale without receiving valuable and adequate consideration? (Answer "Yes" or "No".) No 2, Did decedent, within two years of death, transfer property from himsel f/ herself to himsel f/hersel f and another party or parties (including a spouse) in joint ownership? (Answer "Yes" or "No",) -1liL 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. N/A 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".) N/A b. What was the transferee's age at time of decedent's death? N/A 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 fOI 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" ,) ~ b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer "Yes" or "No".) Yes 6. If the answer to five b. above is "Yes," state whether the right was reserved in decedent alone or others. Decedent Alone 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".) No 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".) Yes 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".) decedent alone 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 "Bu. Include the name, address and relatiol1sl1ip 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 decedel1t's interest. t'" '" " n ~ M ;l> :;: z ;l> 0 0 <Jl V - C"l n c:: v -l Z ~ Z l"' M M ~ Z ::<J >- 9 - 9 l"' Z Z M -l M -l ~ 9 9 -l ><: <Jl M IJl Z 0 <Jl 0 .., 9 "1 'Tj ::<J ~ ~ 0 'Tj - 'Tj 0 - z n - >- l"' c:: <Jl M 0 Z ><: ><: ~ ~ M M >- >- ::<J ::<J File Number [NHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) 21-80-0395 REV."U EX+ te.-llO) Estote Name Louetta S. Ernst [] Original o Supplemental o Remainder Social Security Number May 6. 1980 195-07~9214 Date of Deolh REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser In and lor the County 01 Cuier1~nPc Pennsylvania, do respectfully rapart that I have appraised the real and personal property as reparte In t e aregaing return at the values set forth opposite each item in the last column to the right in Schedules HAil, 118", IIC", and fiE" Dated: 2/26/81 -I1/fYt/" )-/?/JoAa"j ) INHERITANCE TAX APPRAISER ADJUSTMENTS REMAINDER APPRAISEMENT CDDE INVENTORY VAl.UE AS APPRAISED CODE (HARRISBURG USE DNl.Y) Real Property (Schedule A) $ None OD+ 92+ Per.onal Property (Schedule B) 10 10+ Joint-Held Property (Schedule E) None 20+ Transfers (Schedule C) 78 145 20 30+ TOT Al. GROSS ASSETS _a.~,.B88 ____ _30 Lou D.bts and Deductions 40- 93- (SCH EDUlE F) Cl.EAR VALUE OF ESTATE o Lila Estate RATE FACTOR PRINCIPLE VALUE CODE o Annuity FOR USE OF REGISTER ONl. Y Tax on $ !;'lli COMPUTATION OF TAX S S $ $ $ 6%__ Tax on $ 15% T ox on $ Tax on $ T ox on $ Exemptions Total Estate TOTAL TAX INTEREST FROM BALANCE TO $ S S Less Credits DATE OF PAYMENT AMOUNT PAID OISCOUNT INTEREST TAX CREDIT S + $ S = I + = BALANCE s INTEREST FROM __ TO ~ ~ ~ ~ .... VI Z ~ ~ c 0 ... ~ UJ ~ LJ') Ul . -c ~ ;:I Vl C III oil ~ III ~ .... ... '" - .... QJ U ~ QJ .0 - :> E ~ 0 :> ~ N ~ - ~ U ~ "- oot 0 ~ g --- ... ... 0 ... 0 ~ 0 Ul ~ ~ ... 0 - ~ Z Z ~ r.>:I Z :l d S1 g :.: r.>:I r.>:I Z ... ~ u ~ i ~ Ul 8 0 Z r.>:I 0 ::l I I . , I I INFORMATION To Insuro proper credit to your account, the name of the estate and file number should btl clearly print- ed on tho check or money order, This assessment is made in accordance with Section 708 of tho Inheritance and Estate Tax Act of 1961 (72 P.S. ~ 2485.7061. To the extent that inheritance t8X is paid within three (3) months after the death of the decedent. a discount of five (5) percent is allowed 172 P.S. 9 2465.71 6), Inheritance Tax, other than tax on a future interest, is due at tho date of 1ho decedent's death and becomes delinquent at the expiration of nine {Sl 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, S 2485- 712), Calculate interest from the dolinquent date shown on the face of this form to the date of actual payment using the following interest table: _______M_____________ ---------- - -- ---- ------- -- - - - -- - --- -- ------ -- -- - - - -- -- 1 month .005 4 months .020 7 months ,C35 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 ,. I! 1 days ,00017 11 days ,0016S 21 days .00362 2 days .00034 12 days .00203 22 days .00369 3 days .00051 13 days .00220 23 days .00386 4days .00068 14 days .00237 24 days .00403 5 days .00065 15 days ,00250 25 days .00420 6 days .00101 16 days ,00267 26 days .00437 7 days .0011 6 17 days .00284 27 days .00454 6 days .00136 16 days .00301 28 days .00471 9 days .00162 19 days .00316 29 days .00468 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 (60) days after receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961172 P.S, 9 2485.100l}, Make check or money order payable to: "Register of Wills. Agent" Mail to the address listed below: ~ 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, funerai and burial expenses including the cost of a burial lot, tombstone or grave marker. GENERAL INHERITANCE TAX INFORMATION 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 $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. t'" '1:l 1:1 n ~ t:l ~ !l z > 0 0 ~ Z Z t:l Cl n ~ 1:1 9 es 9 t= t:l ;>:; ~ Z Z t:l .., z 9 -l 0<: t:l ... 9 rJl rJl Z 0 rJl 0 .., 9 ." ." :ll ~ ~ 0 ... ." 0 ." ... Z n ... > !" c::: rJl t:l ~ 0<: 0<: :< t:l t:l ~ ~ ~ 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. '': hEV.4S5 E~+ 13.'01 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS Estate of S. Louetta Ernst Date of Death 5-6-RO WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: File No. Relationship to Decedent Claimant ITEM DATE NAME OF PAYEE REMARKS AMOUNT NO. The Commonwealth National Bank Co-executor I s fee 1,000.00 . Closinn Costs 200 .00 ". ,. , . - ' . TOTAL THIS PAGET 6.366.15 Claimant's Address I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral expenses and e~penses of administration submitted to the estate as deductions for Inheritance Tax purposes. Dr. Donald R. Ernst The Commonwealth National Bank '". L_- Rj" ,("",>,' J~/,.._,'"" Estate Tax Man~\lPr',l ICV"; SIONATURE OF ATTORN~Y/FIOUCIARV DATE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S If: jJ Ir t, . /j)" / AT /6 PERCENT. i rl~ ~ -'I':PI DATE .. GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by the decedent prior to his/her death ere 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 burial lot, 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 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 $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. c "" " n ~ t'l ~ :s ;l> 0 0 " Vl Z Cl n c " ..., z 3: z I= t'l t'l ;:-: Z ;z:l ~ !:l - !:l z Z t'l ..., t'l Z !:l !:l ..., -< Vl t'l - Z 0 Vl 0 ~ !:l "1j "1j ;z:l ~ ~ 0 - "rl 0 "rl - Z n - ~ t"' ,. .. c C' ,.:\.'.. Vl t;.!. r'-. '_J t"l ~; <:), t.n~.) 0 ... . 'J \.J,..L: ~~~ Z CI~, tr' ~ 01;; ~ S;;":j -< <- LI.il"'; :z ~ c:1- oL~ t'l t'l o:VJ -=: ;l> ;l> 0- .1...c.:J u'" ~_. ;z:l ;z:l ........ o:~ 0::0: ~ u,'" iC -'u u 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. COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. of ESTATE OF S. LOUETTA ERNST, DECEASED LATE OF EAST PENNSBORO TOWNSHIP FIRST AND FINAL ACCOUNT OF THE COMMONWEALTH NATIONAL BANK AND DR. DONALD R. ERNST, CO-EXECUTORS DATE OF DEATH: May 6, 19BO WILL NO.: ~ETTERS GRANTED: June 11, 1980 FIRST COMPLETE ADVERTISEMENT OF GRANT OF LETTERS: Patriot and Evening News - July 7, 14, 21, 1980 Cumberland Law Journal - July 11, 18, 25, 1980 ACCOUNT STATED TO: April 15, 1981 PRINCIPAL SUMMARY AND INDEX PAGES Rec~ipts Net Gain on Conversions Adjusted Balance Less Disbursements Balance Before Distributions Distributions to Beneficiaries Investments Capital Changes Principal Balance Remaining 2 2 4 4 4-5 $ 24,518.50 28.30 $ 24,546.80 17,679.21 $ 6,867.59 6,867.59 $ -0- INCOME Receipts Less Disbursements Balance Before Distributions Distributions to Beneficiaries Income Balance Remaining Combined Balance Remaining 6 $ 291. 35 6 18.94 $ 272.41 272.41 $ -0- -0- lIBlR 89 F~GE 540 PRINCIPAL RECEIPTS Balance per Inventory attached Subsequent Receipts $ 7,218.27 Transferred from S. Louetta Ernst Trust Under Agreement #12233-00-3 with Commonwealth National Bank, per Item I E of Agreement 17,300,00 6/5/80 Bell of Pennsylvania - refund .23 TOTAL PRINCIPAL RECEIPTS $ 24.518.50 CONVERSIONS INTO CASH NO GAIN/LOSS 7/9/80 5,000 units Commonwealth National Bank Common Fund A-2 $ 5,000.00 7/15/80 6.19 shares Money Market Trust 6.19 7/16/80 117.40 shares Money Market Trust 117.40 7/25/80 56.91 shares Money Market Trust 56.91 7/29/80 5,637 shares Money Market Trust 5,637.00 12/26/80 1,875 units Commonwealth National Bank Common Fund A-2 1,875.00 4/15/81 4,862 units Commonwealth National Bank Common Fund A-2 4,862.00 CONVERSIONS INTO CASH Gain .~ 7/15/80 Household goods Proceeds $296.30 Account Value 268.00 $ 28.30 $ NET GAIN AS SHOWN ON SUMMARY SHEET $ 28.30 $ -0- USER 99 PACE 54ti 2 . PRINCIPAL DISBURSEMENTS 6/2/60 Harry M. Wimer - appraisal of household goods $ 40.00 6/2/60 Professional Pharmacy - ethical drugs 53.47 6/2/60 C. William Fellows - professional services 40.00 6/2/80 Gilbert W. Parthemore Funeral Home - funeral expenses 3,286.05 6/3/60 Cumberland County Register of Wills - probate costs 20.00 6/12/60 Vital Statistics - death certificate for Lou Creamer 2.00 6/12/60 Patricia Raudensky - reimbursement of additional probate costs 5.00 6/26/60 Donald R. Ernst - reimbursement of mailing costs 4.69 6/26/60 Baker and Price - jewelry appraisal 42.40 6/30/60 Cumberland Law Journal - legal advertising 18.00 7/2/60 Vital Statistics - additional costs of death certificate for Lou Creamer 1.00 7/14/80 Commonwealth National Bank - registered mail charges 6.19 7/15/80 R. J. Romberger and Sons - grave marker 350.00 7/15/80 Harry M. Wimer - commission on sale of hcuseho 1 d goods 103.70 7/24/80 Patriot News Company - legal advertising 56.91 8/8/80 Cumberland County Register of Wills - Pennsylvania inheritance tax 9,405.00 6/8/80 Blue Ridge Haven West - medical supplies 7.28 11/6/60 Cumberland County Register of Wills - inventory filing fee 3.00 lI~LR 99 f~uE JJO 3 ;, '" "->.< U. Z L.lJl..L. 0:2: o 0 V10 ~ t-4 c:x:: I-m I- en> V) we... z: Vl c::(l- l-t U.......::>-I Z WZ:> LLJ:I:OOo:::( c::: -J=:lc:(1-t ClV)c:::UZ L1J a..O_C lJ... ZQua UZ 0 ...:=:m<(..... z cr;t-4- I-OVl I- c::: 00:>0::: Ot..LJVH-z-lc:(O :::::Z-f::> 1-:<:: zc:x:zzc ~c:(>-O c(C:::LLJLLJZ C:X:...J O--fVlU I-L.l.J:CQ.,_:I: c:( UC:::Z V) f- L1-1- z: wz- UJc::( I- ...J 0 I u.c::ClLJJV) 1-u..V10c:t c o:;:::a..z 1-0<(ZLJJ => II:( tJJ l.LJCX::~ I-U :CO::>1.LJ z 0::: c::: a..z 01- 1--0 CI => c::: _JC:X:: Vl::E: o 0 ..-l c::::;::: U ~O Vl "-u '~d .:r ,,~S'.t 7 woo. 'As 'oClvlnr . p.t;Ul/tJI'O:l lunO:-:l"7nn- ? ~ 30'" C' >170 (sf o I-- ...... 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" 0 '" c: OJ ~;v r~fTl w OJ ... .. ;; i:i;;:J; ",0 '9 " u ,~ ..c '" " 0 ti _.~o - '0 ..c ril '" ' '= r.n:O C !: .~ ~ E ... >. 0 'OJ :;ul::'l ,- '.'10 :e c: -g - ..c..c '8 -0 j_::n i"~rq " t::'u ..c 'OJ "> '"1:~ N . ~ ~., " ;: " ~~ 1J E " - '" J>. ..l'~ " C C '" ... C- u " " " ~ ~ 0 '1':':,1 >. OJ E U " '" " C ~.~ ~;. '.'.! C .;:; 't:; .D '" :g ~, '0 ~ ril :: ?- s;- .,'; " . oj :: .t:; - " 0:1 I:: ~;, i"'l l<: " -;:: .' ..c U '" ~ " on -0 C T'". Z ..c C '.~ S " -" I Z .. ~ ''::.. Q <( al i.l. 0 0 I- .J 0 Z w :J <( <( <( V! - ~ >- al l- I- ..J <( '" <IJ Z I- a> l: " Q V! l- V! " w - ... I- ::J W <( W U B u. I- 0:: :J w al w .n ... 0 V! <( I- 0 ::;; 0 N ~<( U. V! Z 0 Z ..J 0 :J 0 U. U . ... ~ <( <( III U. J: 0 W :l W V! 0 V! . ..J . l- e I- 0.. Z - Cl 0..>- > ..J <( '" :l I- w <( w U. ..J :t <( a> <( 0 ..J W 0 > - ZZ :J W e V! .J r~ O::J I- == . z 0 . " >- l- ll> ::;;0 " W Z 0:: ... 0 == V! " Wo.. ::;;U<(:J.... J: 0 LU a> ..J 0 Z 3"- ::J u 00-00 U ::;; 0 - l- I- Z ,. 0 ~l5 uz~u V! ::;; Z '" I- w ij U 0 ::J 0 0.. '" u.<(>- 0 u w 0:: ~~ O..J..JV! W LU >- V! 0 til o::>-z V! W LU " . al >- z I- LUV! <( 0 J: I- <( l- V! I- 0 <( O::lIlzJ: 0.. l- V! :J V! Z Z :t ::J:2 z 0.. . 0 ::J Z Z Z :J W 0.. O::Jw"o " >- 0:: <( " w 0 ..J 0:: uuo..OZ 0.;, al I- .., W 0.. U U. 0 t.:lJ: ~ '. ',. , '-.. : COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVAN IA ORPHANS' COURT DIVISION TRUST ESTATE UNDER FUNDED REVOCABLE DEED OF TRUST OF JANUARY 8, 1975, OF S. LOUETTA ERNST, LA TE OF EAST PENN SBORO TOWNSH IP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED PROPOSED SCHEDULE OF DISTRIBUTION 1. To Lakeside Lutheran Church, of Harrisburg, Pennsylvania, Assignee of Dr. Harold L. Ernest ($3.002.48) and of Dr. Donald R. Ernst ($1,501. 23). under their Assignment of April 4, 1981, hereto attached 2. To Dr. Harold L. Ernest, 2/3 share of remainder of said trust, being his own share and that of Clever Ernst, deceased, who died on July 14. 1977 , under the terms of said trust, bein'g $50,792.08 less $3,002.48 assigned by him to Lakeside Lutheran Church, by Assignment hereto , attached $4,503.71 47,789.60 3. To Dr. Donald R. Ernst, 1/3 share of remainder of said trust, being $25,396.04, less $1,501.23 assigned by him to Lakeside Lutheran Church 23,894.81 Total for Distribution, as per Trustee's First and Fil1al Account $76,188.12 I, Edward A. Kramer, Senior Trust Officer of The Commonwealth National Bank, Trustee and Accountant, hereby certify that the above proposed Schedule of Distribution is ill accordance with the Funded Revocable Deed of , Trust of January 8, 1975, of S. Louetta Ernst, Settlor, now deceased, and with the Assignment of Dr. Harold L. Ernest and Dr. Donald R. Ernst. of April 4, 1981, copies of said Deed of Trust and Assignment beil1g hereto attached, and that the facts set forth in this proposed Schedule of Distribution aloe true and correct to the best of my knowledge and belief. Written notice of the filing of the First and Final Account of the Trustee and of the annexation thereto L!DtX H9 fAGE 596 . . .. ., of the First and Final Account of The Commonwealth National Banl( and Dr. Donald R. Erl1st, Co-Executors of the Estate of S. Louetta Ernst, deceased, covering their admil1istration of said Estate. in accordance with Section 7188 of the Pennsylvania Probate, Estates and Fiduciaries Code, and notice of the filing of this proposed Schedule of Distribution. al1d of its call for audit has been given to every unpaid c1aimal1t who has given notice of his claim to the Trustee or its attorney of record and to every other person known to the accountant to have an interest in said trust estate. A copy of the Last Will of S. Louetta Ernst is also attached. There is no balance for distribution in her Estate, distribution having already been made therein as shown by the annexed Account of the Executors of her Estate. Since there was 110 savings of S. Louetta Ernst in the First Federal Savings and Loal1 Association of Harrisburg at the time of her decease, the legacy to Lakeside Lutheran Church was not paid out of her Estate but the remaindermen of the trust assigned part of their \ , I \ , I I I I \ , ,! I I I ! shares in said trust to said Church. Sworn and Subscribed to before me this ,[).!i!.o day of \' .'Cc..... , 1981. , ) ) ) ) ) ) ) ) ) ) J:~vd II. ~ Senior Trust Officer of The Commonwealth National Bank, Trustee under Deed of Trust of S. Louetta Ernst of January 8, 1975 ~I\";'\~':}' '. . \ fj ,\"\;I~!tl., _ ., J:: 1:;." I ""\i\\:~~i.. ' . , . Ii I., ,. / , ,~~l;r."^'''' ,,,.' P bl';' /' _,",.. Tli.~,,"....... ~A' _ ....,a,ry u I\.. ;..... :. -,;) /(!;"'''''' lir<j!A ~~"UGHlIN. NOTARY PU6lIC ..~ '~~(\'~~ ..,~'f' T = ., ". ~l". . \!1I"ttmURG. DAUPHIN COUN Y a,..4 ~:n~:~Lri,V ~~I~N EXPIRESFEB 18, 1985 ~ .t-'o; ~/'.~.M,~.I'~j!"",' Assoc"tion 01 Notall's \ o'..:J,'s~.'~'I'. ' -5' .< 1'-' . u. ", -,r",.,.o" l'~.," ".,.(~l' V\l....',. . ...".,..,. lIBlR B~ rACE ;:,91 " . :i.~ l(}~f. Account C~""I,med \-l.~'"'''''''' .~..,~ 'b ,Ion decreed _.._ .' dl tn U ebsO ilt~I'( Sind 5 osttd 5ched- \,. a C:'l,ctar.,~e w,tn ~ro:wtth BY' the , Ot :~ib..':n "er ~ j l u. ,<;1 a.t.1-.S.lJ-lj I''''~ ()oU1t' - f~' iF' ou. 1~:" j, 1Il i~."i:i . ,,~ >- fill. I- W,.zZ li:'O::l ''''0 I- "", 0: i'(:;; U <(::l.... %,0 -00 ,j',:'UOz ,I".\' z<(U 9:,U. <( >- :,;:.0..1..111I ro.,:.'".O:: Z \:', L.. W >- -- JJ.~ r (/)...... 1.00ellZ:t: ::l:;;zll. O::l wO: 0 UUll.OZ z Q !!! > - o . ~ Z <(0) ellu. u...I0 0<(1- 1-511I z-::l ::ll-O: 0<(1- uZu. U:t:O <(I- u. ..1..100 __<(w ...... w UJ .. ?:==o~ u.Zu.'" 000- :;; . Z:;;w>- <(owo: l-ul-<( III 1II::l o:W::lz _:t:0:<( u.1-1-.., . 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LOUETTA ERNST TRUSTEE UNDER AGREEMENT DATED JANUARY B, 1975 FIRST AND FINAL ACCOUNT OF THE COMMONWEALTH NATIONAL BANK, TRUSTEE ACCOUNT STATED TO APRIL 30, 1981 SUMMARY & INDEX PRINCIPAL PAGES Receipts 3 $ 90,804.71 Net Gain Per Conversions 4 3,741.B9 Adjusted Balance 94,546.60 Less Disbursements 9 22,429.97 Balance Before Distributions 72,116.63 Distributions to Beneficiaries 9 2.00 Investments 9-12 Principal Balance Remaining $ 72,114.63 INCOME Receipts 13-14 $101,503.41 Less Disbursements 16 94,332.22 Balance Before Distributions 7,171.19 Less Distributions 17 3,097.70 Income Balance Remaining 4,073.49 Combined Balance Remaining $ 76,18B.12 ;, LmlR .99 FAGE o'/u " ': :, " )1 , ,., ., COMPOSITION OF NET BALANCES PRINCIPAL Commonwealth National Bank Common Fund A-I Cash TOTAL PRINCIPAL INCOME 3,500 units Money Market Trust Cash TOTAL INCOME TOTAL PRINCIPAL AND INCOME Account Market Value Value $ 67,870.00 $ 67,870.00 4,244.63 4,244.63 72,114.63 72,114.63 3,500.00 573.49 4,073.49 $ 76,18B.12 3,500.00 573. 49 4,073.49 $ 76,18B.12 lIm: 99 FAGE 51v 2 '. Conversions Into Cash (continued) 12/26/78 51B units Commonwealth National Bank Common Fund A-I 518.00 12/27/78 911 units Commonwealth National Bank Common Fund A-I 911.00 1/10/79 114 units Commonwealth National Bank Common Fund A-l 114.00 1/23/79 Harris Building & Loan passbook 10,336.27 1/30/79 Certificate of Deposit with Harris Savings Association 5.25%, 2/16/79 5,000.00 ",,: 3/12/79 387 units Commonwealth National Bank Common Fund A-l 387.00 3/22/79 2 units Commonwealth National Bank Common Fund A-I 2.00 3/26/79 41 units Commonwealth National Bank Common Fund A-l 41. 00 3/27/79 55 units Commonwealth National Bank Common Fund A-I 55.00 3/30/79 28 units Commonwealth National Bank Common Fund A-I 28.00 4/2/79 5,000 units Commonwealth National Bank Common Fund A-I 5,000.00 4/4/79 1,790 units Commonwealth National Bank Common Fund A-I 1,790.00 5/1/79 5,000 units Commonwealth National Bank Common Fund A-I 5,000.00 5/7/79 820 units Commonwealth National Bank Common Fund A-I 820.00 6/S/79 1,118 units Commonwealth National Bank Common Fund A-I 1,118.00 11/8/79 200 units Commonwealth National Bank Common Fund A-I 200.00 lIBlP. ~9 fAGE ;)8.:., 7 ',' ., Pri nci pa 1 Investments (continued) 4/22/75 1,500 units Commonwealth National Bank Common Fund A-I 1,500.00 5/12/75 4 units Commonwealth National Bank Common Fund B 33.65 7/3/75 2,000 units Commonwealth National Bank Common Fund A-I 2,000.00 10/20/75 2,000 units Commonwealth National Bank Common Fund A-I 2,000.00 11/13/75 704 units Commonwealth National Bank Common Fund G 7,099.34 2/23/76 2,005.39 units Commonwealth National Bank Common Fund A-I 2,005.39 6/4/76 8,000 units Commonwealth National Bank Common Fund A-I B,OOO.OO 7/12/76 9B6 units Commonwealth National Bank Common Fund G 9,996.55 8/10/76 1,395.34 units Commonwealth National Bank Common Fund A-I 1,395.34 8/27/76 2,000 units Commonwealth National Bank Common Fund A-I 2,000.00 10/7/76 96 units Commonwealth National Bank Common Fund G 992.13 1/10/77 Reinvestment of interest Harris Savings account 242.07 1/25/77 1,000 units Commonwealth National Bank Common Fund A-I 1,000.00 3/10/77 800 units Commonwealth National Bank Common Fund A-I BOO. 00 5/3/77 664 units Commonwealth National Bank Common Fund B 5,919.94 , I i i lIgL~ 99 fAGE :)8 i 10 " .. Principal Investments (continued) 2/8/79 2,000 units Commonwealth National 8ank Common Fund A-I 2,000.00 4/5/79 520 units Commonwealth National 8ank Common Fund G 4,996.68 5/4/79 523 units Commonwealth National Bank Common Fund G 4,999.51 6/29/79 7,000 units Commonwealth National Bank Common Fund A-I 7,000.00 4/10/80 .27 shares Money Market Trust .27 4/11/80 800 shs Money Market Trust 800.00 4/16/80 484.68 shs Money Market Trust 484.68 5/7 /80 7,712.89 shs Money Market Trust 7,712.89 5/19/80 2,350.08 shs Money Market Trust 2,350.08 5/30/80 23.87 shs Money Market Trust 23.87 6/6/80 14,595.66 shs Money Market Trust 14,595.66 6/11/80 36,757.50 shs Money Market Trust 36,757.50 6/17/80 448.84 shs Money Market Trust 448.84 7/9/80 10,487.01 shs Money Market Trust 10,487.01 7/16/80 444.07 shs Money Market Trust 444.07 11/10/80 66,870 units Commonwealth National Bank Common Fund A-I 66,870.00 12/3/80 1,000 units Commonwealth National Bank Common Fund A-I 1,000.00 lI~lR 99 fAG[ db9 12 .' " INCOME RECEIPTS 10/27/76 - 2/28/77 Interest savings account #61-98009995 with National Central Bank $ 221. 91 ..., 4/26/77 Interest U.S. Treasury Series E Bonds 1,767.31 " 8/19/77 Interest Certificate of Deposit with Harris Savings Association 7%, 8/13/77 1,366.19 8/31/76 - 8/25/77 Interest on Certificate of Deposit #195079214 with Dauphin Deposit Trust Co. 176.50 8/16/77 - 12/7 /78 Certificate of Deposit with Frist Federal Savings & Loan 7.5%, 12/6/78 1,050.15 3/15/77 - 1/12/79 Prudential Insurance Co. dividends 41. 26 1/10/77 - 1/30/79 Interest from savings account with Harris Savings 1,303.54 1/30/79 Interest Certificate of Deposit with Harris Savings Association 5.25% 2/6/79 3,636.80 6/5/77 - 1/24/80 Pennsylvania Blue Shield - reimbursement Medicare and 65 Special 3,111. 60 4/9/80 Gift from Elizabeth K. Longdorf 15.00 8/20/76 - 4/22/80 Income from Lou Ernst Creamer T/A #08505-00-0 13,322.25 8/20/76 - 4/22/80 Income from Joseph G. Creamer T/A #08504-00-3 18,947.38 Commonwealth of Pennsylvania School Employees Retirement Fund: 9/13/76 - 5/5/80 ' Fund 61 $ 10,408.19 Fund 62 8,069.85 18,478.03 9/13/76 - I 5/5/80 U.S. Treasury - Social Security monthly payments 11,634.10 I 1 , I , i i i lI~U\ 9::.l fAGE J:Jv i ,I 13 I " . .' Income Disbursements (continued) 3/30/79 - 4/4/80 Professional Pharmacy - ethical drugs 562.84 1017/76 - 4/4/80 C. William Fellows, D.O. - professional services 3,198.80 4/15/77 - 4/11/80 Pennsylvania Department of Revenue - income tax 499.00 10/20/76 - 4/20/81 Commonwealth National Bank - compensation on collected income 3,102.72 cO:: Net Transfers to principal for reinvestment 14.687.41 TOTAL INCOME DISBURSEMENTS $ 94.332.22 INCOME DISTRIBUTIONS 12/8/76 Amy Ernst Chri stmas gift $ 10.00 12/8/78 Christmas gift 5.00 12/11/79 Christmas gift 5.00 $ 20.00 Donald R. Ernst 12/8/76 Christmas gift $ 10.00 \ 12/15/77 Christmas gift 100.00 12/8/78 Christmas gift 10.00 12/11/79 Christmas gift 10.00 130.00 \ Marion Ernst 12/8/76 Chri stmas gift $ 10.00 12/8/78 Christmas gift 5.00 , I 12/11/79 Chri stmas gift 5.00 20.00 \ Cleaver Ernst 12/8/76 Christmas gift 10.00 Harold L. Ernst Jr. 12/8/76 Christmas gift $ 50.00 12/8/78 Christmas gift 10.00 12/11/79 Christmas gift 10.00 70.00 Fred Ernst 12/8/78 Christmas gift $ 10.00 12/11/79 Christmas gift 10.00 20.00 L1~lR !:l9 fAGE J93 16 " . .. Income Distributions (continued) Harold L. Ernst III 12/8/78 Christmas gift $ 10,00 12/11/79 Chri stmas gift 10.00 20.00 12/8/78 Jody Ernst Christmas gift $ 5.00 12/11/79 Christmas gift 5.00 10.00 S. Louetta Ernst 2/24/75 - 7/23/76 distributions $ 2,708.95 12/8/78 Chri~tmas gift 50.00 2,758.95 Lakeside Lutheran Church 12/14/76 Pledge 38.75 TOTAL INCOME DISTRIBUTIONS $ 3.097.70 INCOME INVESTMENTS 2/20/81 2,000 units Money Market Trust $ 2,000.00 4/14/81 1,500 units Money Market Trust 1.500.00 THE COMMONWEALTH NATIONAL BANK By: ~a,~ Trustee Under the Agreement for S. Louetta Ernst L1BlR 99 fAGE '-'84 17