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HomeMy WebLinkAbout80-00504 ~~ [', r_\ _; _ '" ~;~ G :l~~ .. ~ ~ : 5: . 1~ ~; ~;; ~ !.. e- n ~. '92;; FE;' 20 p .~ " \: .:J~ ':) :: ~ L: :''' . "::' C;8:~f ~-', (, 12 r -, "-0. , ! i , i ! I , J -I I "'1 ~I I ~I , ,..t 1 'j ~,I i . I i ...:, I 'I I I I I I I , I I i 1 I i ! 1 , , : ! i I ,..., 1 I ~: i 21 -I I I i i , 1 i , I t , t O. ." , ::J , c ,~ , :1 v. v' 'J o ~ ~ c;: g ~ I -i ,c.! c -I , 1 I I , I , i " r. ~ ~ 0-:: _, c_ ,... .~ ." ;::....., '''-:::': ::J ,~ is .- J". _ g ~ _ r, ~ ..:, :z.-." :'-:-:; :5...;' :: :,! - . ~~ 0::' :::-~ ~ n ,:, c :.: ::J *~ :O;-::J C Q" t~ a m _ 0'0 ~ 3 = 0" to'- ~g .:q ~t5 c __ ~,.. ::r 1~ -, J _ s:::' _0 r, :- B ~ . ~ ~ ~i '"' .~ DETACH AND RETAIN THIS PORTION FOR YOUR RECOROS 506392 AlCNAME TR U/W OF VERNIE M BRINTON DATE AlC NO, REMITTANCE AMOUND 51 0 5/9 2 INCOME PRINCIPAL .~ 1204207721 DISP 20 OFF 49 $65.73 FOR PAID TO ,lli L - ,IUN 7.6. REGISTER OF WILLS, AGENT CUMBERLMW COURT H(JU.SJ.. CARLISLE, PA 17013 RE: VERNIE M BRINTON. TRUST U/W ,FILE NO,21 BO-0504 ..__'-.,,)2-': D Dauphin ~sit Bank crod lust Carpa'l'( ","""",,'DIe ~BANK()f E:9~~~~ -,~ INTEREST DUE ON REMAINDER PA INHERITANCE TAX RETURN a'_'l"'.'><...&....:.'~-~....-.. " }So/I 21.80 SOil No. PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY In the Estate of Vernie M. Brinton , deceased. To Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania. Petltloner(s)Jl'9((are) the execut ors named in the Last Will and Testament of Vernie M. Brinton dated April 25. 1980 Decedent was a citizen of the United States and a resident of Lower Allen Township ~RKqll'l), Cumberland County, Commonweaith of Pennsylvania. Decedent died on Friday the 18th day of Julv A.D. 19-1!.Q...., In the County of Dauphin , State of PA at the age of -B.Lyears. Decedent has (has not) been married and has (has not) had children born to him (her) since the ex. ecutlon of the above described Will. Decedent was possessed of personal property to the value of and of real estate to the value of N /A as near as can be ascertained; said real estate situated as follows N /A Therefore, your petltloner(s) respectfully apply(ies) for the probate of the said Last Will and Testa. ment and for Letters Testamentary theron. /;~.^ -; ---- / ~/ j'l~ /-L~ ~phin Deposit Bank an Name and address 2] 3 Market Street of Petitioner(s) Harrisburg, PA 17101 t JI)lt.;-d-'1 /1.j:'-1..t~..,-- /M'arYf.J1.-:-iil:Dkle 1141 Columbus Avenue T.pmnyn",. PA 17043 COMMONWEALTH OF PENNSYLVANIA ) ~ ss COUNTY OF CUMBERLAND I } Brenton Dauphin Mary tl. Dated July 25, 1980 Trust Company M. Hake, Assistant Trust Officer of Deposit Bank and Trust Company and l1inkl.. named in above application, being duly "wnrn according to law say(s) that the statements set forth in this petition are true to the best of rh",j r knowledge and belief. Sworn and subscribed before me, July 25 1980 -21.' fur ---' - / /P / ' L_, k~ ~egister 6u./dn. -)?L .Lj ~(' t Brenton M. Hake . . /jJ /f. f,e:f!;:-//', Lh..e!...- Mary 8'. Hinkle Attorney: Paul E. Clouser, Esquire /.i111 ?u.. 3", x (((.u ~ . .,fp,rv-I '$ J;,"Vfr. ' 7Q. / 7/d g Filed: July 28, 1980 II-/eo --.;L i 1 iS~ LAST WILL AND TESTAMENT OF VERNIE M. BRINTON I, VERNIE M. BRINTON, presently residing and domiciled at 1141 Columbus Avenue, Lower Allen Township, Cumberland County, Pennsylvania, declare this to be my Last Will and hereby revoke all wills which I have previously made. ITEM I: I appoint Mary B. Hinkle and Dauphin Deposit Bank and Trust Company as Executors of my estate. ITEM III: I appoint Dauphin Deposit Bank and Tru t Company as the Trustee of any trusts created by this Will. ITEM III: My testamentary concern is to primaril benefit my close friend, Mary Bigler Hinkle ("Mary"), with whom I have lived for a number of years, and my sister, Ruth B.Mendenhall ("Ruth") . ITEM IV: My body shall be interred in my plot i ~ ~ ~. :~ ~ t ~ \ Shoop's Church Cemetery in Lower Paxton Township of Dauphin County Pennsylvania, beside the grave of my mother, Sarah E. Brinton, and a marker similar to my mother's shall be placed at my grave. I give the residuary ownership in my cemetery plot in Shoop's Church Cemetery to my sister Ruth provided, however, that upon the death of my sister-in-law, Eva B. Brinton, her body may be buried beside the grave of her husband, Myrl William Brinton. ITEM V: I make the following specific bequests ~R4 ~ ~. ~ ~ t r , . of tangible personal property: A. I give my diamond ring to my niece, Jeanne M. Lutz, of State College, Pennsylvania. B. I give my platinum bracelet with chipped diamonds to my niece, Kathleen E. Brinton, of Alexandria, Virginia. C. I give my china, silverware, furniture and household furnishings to Mary and if Mary should predecease me I give the same to her daughter Luella Jane Howard and to my niece, Jeanne M. Lutz, to be mutually divided between them as they express their respective desires to my Executor. The Executor's decision shall be final and conclusive. D. Except as otherwise mentioned in this Will I give my jewelry, clothing and purely personal belongings to my sister and if she should predecease me this category of property shall b given to my niece, Jeanne M. Lutz. ITEM VI: I give the sum of $1500.00 to my sist r Ruth if she survives my death but if she should predecease me thi gift shall lapse. ITEM VII: I give the residue of my estate, of whatever nature and wherever situate, to Dauphin Deposit Bank and Trust Company, in trust, in accordance with the following directi A. The Trustee shall distribute the entire net income in 2 ~ 0\ ~ ~ ~ ~ ~ ~ ~ equal shares for the benefit of Mary and my sister Ruth. B. Upon the death of Mary and/or Ruth the income benefits shall continue for the survivor. C. The income benefits may be distributed directly to the beneficiaries or applied on their behalf. All shares of principal and income hereby given shall be free from anticipation, assign- ment, pledge or obligations of the beneficiaries and shall not be sUbject to any writ of attachment or execution. D. I specifically direct that if, during the continuance of the trust, the death of my cousin Kathryne M. Frick should occur, the Trustee shall distribute the amount of $1500.00 from principal for her funeral and burial expenses. Kathryne is presently residin at the Edith Rudolph Home, 3827 Powelton Avenue, Philadelphia, Pennsylvania. E. Following the death of both Mary and my sister, Ruth, the remaining values in the trust shall be distributed in manner fol- lowing, with the specific cash bequests having a priority over the charitable residuary gifts: 1. The sum of $1500.00 shall be set aside in a separate trust to be applied to the funeral and burial ex- penses of my cousin Kathryne M.Frick should she have survived the termination of the trust. 2. The sum of $10,000.00 shall be distributed to my brother, James W. Brinton and his wife, Queenie M. Brinton, or the survivor of them, who are presently residing at 1225 Martha Custis Drive, Apartment 518, Alexandria, Virginia. 3. The sum of $5,000.00 shall be distributed to my niece, Jeanne M. Lutz of State College, 3 ~ t. ~ r. r Pennsylvania. 4. The sum of $5,000.00 shall be distributed to my niece, Kathleen E. Brinton, of 1225 Martha Custis Drive, Alexandria, Virginia. 5. The sum of $5,000.00 shall be distributed to Luella Jane Howard, Mary's daughter, presently residing at 11524 Kingsland Street, Los Angeles, California. Should any of the designated beneficiaries (excepting Kathryne M. Frick) predecease the date of death of the last to die of Mary an my sister Ruth, that share shall lapse and shall fall into the cha~ab1e residuary gifts hereinafter set forth: One-third (1/3) thereof shall be distributed to the Community General Osteopathic Hospital of Harrisburg, Pennsylvania, to be used in such manner as the governing board of that institution so directs. One-third (1/3) thereof shall be distributed to the Camp Hill United Methodist Church to be used in such manner as the governing board of that congregation so directs. One-third (1/3) thereof shall be distributed to the United Methodist Home for Children, R. D. #3, Mechanicsburg, Pennsylvania, to be used in such manner as the governing board of that institution so directs. ITEM VIII: If Mary and I shall die under such cir- cumstances that the order of our deaths cannot be established, it shall be conclusively presumed for all purposes of this Will that I survived her. ITEM IX: 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 III m Z 0: g ~ z r- t; ~ z ~ 2 ... <( 0 I- 0: Z . t E-< ell ~ ~ In ~ Z 0: ~ ~ c , H z .. ;J .....l p:: l1J ~ ~ 0 .. >- ;: III CO III u !;l .. z :l .J .. .. o Z "" o < ~ % lQ W 0 :E: ..I z Z I- ei II. 020: 0: ~ .. 0 0 a: c5 . :q z H :! 0: Z ..I ... :J .J 0 p:: w If i! m g; III ~ .. 0: 0 0: ..I <( 5 J: :..' :. '., ..' ,. OATH OF NON-SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } 55: This, the 25th day of July 80 1:!ar'y_C;_J~w.!~~___ A. D. 191-, before me, ~ Register for the Probate of Wills and Granting Letters of Ad ministration in and for the county of Cumber- land, in the Commonwealth of Pennsylvania, personally came Brenton M. Hake who being duly sworn according to law deposed and say that they are well acquainted with the handwriting of Uprnip M Rrinrnn whose name is attached as 7 i.d;;.-'r '(' i:l- .... to an instrument of writing purported to be the Last Will and Testament of Vernie M. Brinton late of Lower Allen Townshio cumberland county I deceased and that the said signature is true and genuine, and that the saie! Vernie M. Brinton is now deceased or absent Sworn nnd subscribed before me, this 25th day of u..ui~J0!.~d~k.71u:.-li~~. Brenton M. Hake .in1 y A. D. 19J' 80 ........................"..................... eg ister Mary C. Lewis per Deputy Register I' ~ .. OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA! ss: COUNTY OF CUMBERLAND \ This........................................,.,....?:it.l:\................ day of .......;r~ly............... ................................... A.D..19.~.Q..., ~a.ry .C-,- ~el(lis before me ~Xbb. 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 .............. ...................................................................p.J1..1J),...!;;......c;:),R.\ll>!;!.l;'......~~.~..!?;.............................."..................... the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of ...... .Y.lfU;J.lJ~. ..M.,...!t;j,n :1;..9.11......................... ............................ Da ted l'!P.+.~J... ;1.~.,,, .J.?i! .9......... lateof....HR~!'l*...f}),..J.!'lD...r.g;I:(!lR.I:\~P....,..................................................... Cumberland County Pa., deceased who being duly ......sl>'.arn.......................... according to law. depose and say. that ....~~...~e.~"..................... present. and saw and heard the testa.u!:.i->t......................, ........y.~E.~:i:-.~...~.:...~.;:~~.~~~......"".................... sign. seal. publish. pronounce and declare the said instrument of writing as and for re.t:......."". Testament and Last Will. and at the time of so doing ............................,She..............was of sound and disposing mind memory and understanding. to the best of .................................hi,S......knowledge. observation and belief. ..........9.W9.r.I1.......................... and subscribed before ...........r;:;'::<:l..~...:.~~~Y............... Paul E. Clouser R~=~:..Re~:.~........,............ .................................................................................. .................................................................................. AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA! ss: COUNTY OF CUMBERLAND \ Brenton M. Rake Assistant Trust Officer of Dauphin Deposit Bank and Trust company and Mary B. Hinkle ......................................................................................................................................................."......being duly ........!?WQJ;.!l............................. says that as nearly as can be ascertained the said decedent ""...................... ....... ........... )/'.fi\l;I).~ I':..k! t... .!i't1:.i...I:\ 1;9.1:\................................ ......................................................... ...""......... .died on ......E'r.iday............................. the ....l.8.th...................day of ..J.1Jly......................................,," A,D., 19...e.O., at or about .......................................... o.clock,~,..M. .......s.worn.................................and subscribed this ............Jk..'--!A::-li.~7!..'-..l::I4................... Brenton M. Rake ...................2.5.th.................... day of ...J),1.J.}!............ 19, ..e.n.., before . ~;; If/'j' /' //"/.-:Z+ ' 'jif);-'7.~,j.u-~e Mar}\'jB. Hinkle J?1~~,;.Rei~~~.................... OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA} COUNTY OF CUMBERLAND SS: Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for Brenton M. Hake Assistant Trust officer of the County of Cumberland. personally came p.~.\U?):1.~r....p.~J?~~j,..L~.~r.!.:..~...?:!.,'!:?~...S~.:...~.~?...~!1:~.1:n~ie who, being duly ......sworn............ do .......... depose and say that as...Ex.e.cu.tor.s......................................... of the last Will and Testament of ..............y!?mJ.~..!1,....J;l.~;i;!:I.t:gJ.1....................................................dcceascd .......j;.l:I~y......... 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 Trllnsfer Inheritances. ....Sw.Ol:n............ and subscribed before me. .........J:uJ.~...2.5............................... A. D., 19..aa...... .......921(?.~rj...a.;... ~.. ld:(.1:::f~,................ 1Nf.mmhl~i~iKNI, Re~; ............&(Air.:~<...A..lil~,............... I . Brenton M. Hak~ ...........4.21.;l,7..';(/.!~:!;.~Sm............... Mary BI/ Hinkle :..0 oi :Ql :~ lXI: ;~ '" :Ql iP u... z: I"l: 0: 0 ~i lXI: ~ =IF: 1-1: ~ 0 PI: ~ -I Ill! 0 In 0 0 -I .: ~ CO; III - I - :I:! - .: ~ 0 ~ lXI ~ rat: u: >i I 1-1: ~ ~\ ~: ~ ~i .~ ~I <:) N 'tl 00 ~I Ql 0 'tl ~: I Z .. lXI: - 0 N i u \D: ~ =ll=' 0 'tl ~ al '" ~ " - Z I";l:l .~ .. Cl.. ~ DECREE Be it remembered that on the ......J~~~...... day of .................~.~~X......................, A. D., IlP.Q....., there was probated and recorded the last Will and Testament of ......Y.~.~~!.~...~.:...~.~~~.!:~~..............................., lateof...........~~~~...~.~.~~~..!~~~~~P...................., Cumberland County. Pennsylvllnill, Deccased. Letters .....................~.~~!:~.~~~.~9.'...... were granted to ....................~:~~~~..~~~~~~.~..~.~~~...~..~~~.~.~..::? & Witness my hand and official seal the day and year aforesaid. ........:?l~~:...:t~ l~~l_ , RegIster. RCC~72 1;-681 APPLlCA TION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT '* .f.-"io\MONWEAL TH OF PENNSYL VANtA . OEPARTMENT OF REVENUE BU.REAU OF COUNTY COLLECTIONS ;, DATE 9/30/80 APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby mode for crosent to the tronsfer of the following securities of 0 Pennsylvania Corporation or 0 Notional Bonking Associotion locoted in Pennsylvania: (a) 90 Shs. (b) Provident National Corp. (c) Common (NOTE: In describing securities enter in (a), ob Ole, either the number of shores of stock or the foce omount of registered bonds, in (b), the nome of the issuing company ond in (c) the closs of stock or the staled interest rote and maturity dote of registered bonds.) ISSUED ON8/14/69 , and having 0 TOTAL MARKET V A'LUE OF $ ~ .)~~~v. r).'O (Date) os of the dote of death of the decedent, Vernie M. Brinton , on 7/18/80 (Name of Decedent) (Date of death) h I t f 1141 Columbus Avenue Lemoyne W 0 was a e 0 Cumberland Pennsylvania (Street and Number) (Past Office) Vernie M. Brinton (County) (State) The securities ore registered os follows: (Name or names In which certificates are registered) ~) Dauphin Deposit Bank & TRust Co., P.O. Box 2961 Harrisburg, Pennsylvania Co-EXECUTOR) (Name) (Add,ess) NAME OF APPLICANT Dauphin Depesit Bank & Trust Company '" r;. A /~ 1/ P.~. B~x 2961 COUtny FILE NUMBER~ ADDRESS OF APPLICANT arr sburg, Penna. l719? BUREAU FILE NUMBER SIGNA TURE OF APPLICANT L~ 1 II / NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WIL~<.:J~-.t.7,-4f;r.~ CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. --. tU"t Ohic; COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE&t. ~ .I tjf1J I hereby consent to the transfer of the obove securities noW registered in the nome of the aforesaid Decedent and waive the filing of 0 .:ertilicate certifying to the payment of the transfer inheritance tox to which the property of soid Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, os omended and the Act of June 15, 1961, P.L. 373, os amended. This is also in accordance with the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estote of the obove.named Decedent. .~~, ,~'\ Sigrle~ By J#, (County) -; .- ,,00" rC'n ,...: .."...C .'.0 'C....C"...'UIlC.. ClOCI'l Dauphin Deposit Trust Company ,fS! . ,." MAIN orrtCC: 213 MARKeT SYREtT. HARRISBURG. PEUNSYlVMHA 17105 717/ Z55-21~1 M,trnbftr r"d"r41 DD{IOsIt 1t1~ur4(lC" COrpartJtlOt1 September 30, 1980 Re~jster of W.Uls ' Cumberland County Court House Carlisle, Penna. Gentlemen: This company has qualified and is acting as of the estate of Vernie M. Brinton a resident of Cumberland County. Co-Executor , who died 7/18/80., The Co-Executor is desirous of securinG a ~Iaiver to cover 90 Shs. Provident National Corp. , Common Stock . The estate is not yet in a position to file the Penns.Ylvania Inheritance Tax Return. The proper forms will be filed in due course, and whatever Pennsylvania Inheritance Tax and Estate Tax is ultimately found to be due will be paid. If requested by the Department of, Revenue, \'Ie will file a bond in a form sa ti s factory to the Department of Revenue. Please mail the I'iaiver to us ~Ihen ready for del ivery. Si~cerely yours, / ~ / j)1'CVlk~ 77c. H.U~ Brenton 14. flake, Trus t Offi cer. " .. REV.~~~ (1.80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS - -. ------- tf.~~'4~?;:-'~),\ ~ ~:""""'K','" I~ .. .' rile No, ,;J./- ';D ~ 'itA Estate of Vernie H. Brinton Date of Death July 18, 1980 WHEN CLAIMING THE FAMilY EXEMPTION, COMPLETE THE FOllOWING: Claimant Relationship to Decedent Claimant's Address ITEM NO. DATE NAME OF PAYEE REMARKS AMOurJT w Testamentar J~25 Mar C. Lewis Re ister of Will tion 18.00 45.00 Au. 7 Bronstin & Jeffries 7 Communit General Osteo athic Hos ital Professional services on Institutional 5/30/80 ef ries A raisal of ersonal ro ert Professiona se i es n 6 80 I s ae 078 Du licate marker for Vernie Brinton P e i ervices on 7 80 om an Advertisin and Proof of Publication 72.03 RESERVE TO PAY THE FOLLOWING: Dau hin Deposit Bank and Trust Executor's fee 7,083.87 Paul E. Clouser Attorney's fee 4,250.00 Cost of filing 200.00 TOTAL THIS PAGE $ 15,198.20 I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts. funeral elll!,enses and .ellp'enses of admini$tration sl(bmitted to tbe-.esta as deductions for Inheritance Tax DUfooses. f V i Ll BrH B. Hl.nkle and Dauphl.n Deposl.t Bank ana Tr t Com any. t;xecut s ot the t;s lite 0 ern e ". nnton . B : . Trust Officer !/-26 {;/ l-1ary B. H~nkle SIGNATURE OF ATTORN -=.Y/FID ClARY DATE' OFFICIAL USE ONLY DEBTS AND DEDUCTIDNS ARE ALLOWED IN THE SUM OF S /5 J'1 t. :< 0 / AT /~~J PE RCENT. J /-5-1'/ : ~ I DATE 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 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. . C ." " () > !Tl > ~ > 0 0 " '" " Z C') () c: " ;;! z :: z t'"' t"l t:l ;>; Z ;::l 9 Z 9 t'"' Z -' Z t:l ..., t:l t"i P 9 ..., 0<: '" - '" ")-, Z 0 '" 0 ..., ~ 9 ." ." ;::: Q... ~ ~ 0'0 I~' "; 0 ,;, n t""' ~ <: ." Cl: ~)u - .. C I1l ~ I1l 0 .". ,~ :i~~ a a ..,. ... - t". . N 0- 0 ~ ::> Z () ~. "F ~~ I1l '< ..... - 0'- N ... ::> n I1l > L:.;\i.! Q c.::ci ~ I1l 0 t'"' 0:.- c.. Ol~ ll> . ~ ?= c: o:::(~ c: 'lD ::> c ciZj ~:i: ... 'tl g. '" <'>w ""::> :J> '" !Tl ~a: - ~<.> c ... 0 50 '" ..... u ~ ::> Z .... ~ ... ~ 0 0 0<: 0<: ..,. I1l ::> w ::> !Tl !Tl ~ c > > .. ;::l ;::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. ~. 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. .;~ Inventory of the real and personal estate of .y', Vernie N. Brinton deceased CASH AND CASH ITENS: Policy cancellation refund from Combined Insurance Company of America Interest Check on Dauphin Deposit Bank and Trust Company, Savings Certificate /I 15-06-008420 Interest Check on Hamilton Bank, Savings Certificate /I 6199122108 Interest Check on Hamilton Bank, Savings Certificate /I 6199037518 Pennsylvania Blue Shield - Hedicare Benefits, 7/17, 18 Pennsylvania Blue Shield - Medicare Benefits, 5/22 Pennsylvania Blue Shield - 65-Special Benefits 5/22 Pennsylvania Blue Shield - 65-Special Benefits 7/17, 18 Pennsylvania Blue Shield - 65-Special Benefits, 4/7, 5/8, 5/12, 6/6, 6/24 Refund - Capital Blue Cross (Contract Canceled) Claim payment from Hedicare Cash from Safe Deposit Box Uncashed Distribution check - Dauphin Deposit Bank and Trust Company American Express Travelers Check 8 66 137 50 62 90 154 22 66 40 28 00 7 00 16 60 19 96 36 70 79 84 300 00 500 00 200 00 SECURITIES: Dauphin Deposit Bank and Trust Company, Savings Account /I 15-1-0282, Accrued interest Dauphin Deposit Bank and Trust Company, Savings Certificate /I 15-05-018420 Accrued interest First Federal Savings and Loan Association, Savings Certificate /I 17-620381 Accrued interest Hamilton Bank, Savings Certificate /I 6199122108 Accrued interest Hamilton Bank, Savings Certificate /I 6199037518 Accrued interest Hamilton Bank, Savings Account /I 6161643273 Accrued interest State Capital Savings Association, Savings Account /I 001-00-00546 Accrued interest First Federal Savings and Loan Association, Passbook Accrued interest Vanguard Wellington Fund /I 17803600-1 $10,000. U.S. Treasury 8.375% Notes due 8/15/81 Accrued interest $10,000. U.S. Treasury 7.375% Notes due 2/15/81 Accrued interest 25,291 02 72 80 10,000 00 18 35 20,000 00 64 10 1,000 00 1 33 4,000 00 155 03 9,563 43 107 39 26,229 10 68 20 10,820 81 330 17 15,308 86 9,974 90 355 88 9,937 60 313 50 ~ i': ". ~ t ,II: , -?: .' -. :, I , ~ ., . . I I 'f I .' I , I ,. .' . . " ~ ~ ~.!!-~.!..~-'-'-~!. C'.' C:-, !;i . 'r, N ~~' - .' *:. c'!!' ii ",'~''-~'';R:'~-Er~:' ,/' ~\\ ..,)'llw_ -.. ,.....r, ~., .... , ~ ''I. ',: ( I'f)-' -'-~~.-".Jj:;:, I}I'., , " V N \ ,,-1:" . I 0) " <'I ~ ;; v.. I ~j., ~ / I)'~I/ ./ - "--.' ~ \ ., f ~. ~ \ . ... " ~ : ;:. :} . , ~ ~ C o CD =i: "'0 on o..~ Q)u O~ c"" ._u J::C 0..0 ::J o o @ '} '" lJ) " ~ 0 ..c ., ... 1 " 0 ~ U M lJ) ,.., "l"'lCtl~O ~ ,....{ .u r--. ~ QJ M C r-t 0-:1""" ~ 0 <: \'t) . U u.... p.. O'tl >. c . ... ..... '" .."',.., ,.., ~ .u .... lJ) lJ) '" "" . "" .0 ,.., lJ) Oll a ... ... '" " .. ::;:0::'" u i'l :; ~ ~ ~ > ~ z z w ~ ~ ~- " m ~ " '" ;l .. . Inventory 01 the real and personal estate 01 .. ~,. i SECURITIES (continued): 90 Shares Provident National Corporation Accrued dividend MISCELLANEOUS: Household Effects - Appraised Value Jewelry - Appraised Value Various Coins - Appraised Value . Vernie M. Brinton deceased 2,559 38 54 00 2,215 DO 2,035 00 3 00 152 096 63 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I. J 5S: . . , ~, Hary B. Hinkle and Brenton N. Hakc, Trust Officer of Dauphin Deposit Bank and Trust Company being duly sworn according 10 law, doposes and says Ihal :b we RTP Executors of Iho eslate of Vernie N. Brinton Iale of _.1o.W.(!.t:..AllelLT.ownship .-'. . --......__== ' Cumberland Counly, Pa., d.c....d and that the Dauph1n Veposit BanK and Trust Company within is an inv.nlory mad. by _andJJar)(....B~.~ ._ ., the said EX"~lItOTH of Ih. entire eslalo of said d.c.d.nl, consisting of alllh. personal properly and r.al .stat., .xc.pt r.al .stal. outside Ih. Commonwealth of Pennsylvania, and Ihat the figures opposil. .ach it.m of the Inv.ntory r.pr.s.nt it's fair valu. es of tho date of d.c.dont's death. Nary B. Hinkle and Dauphin Deposit Bank and f' (- Trust C pany, Executors of he Estate of ~!.::::.:;. ,/ " and subscrib.d before m., Vernie Brinton By: / '. . . C. ~>'l. .'.~c. "") (', 19.c/' (.~'>; C/ ). ~. -,('.L~.';" /, ,.,~/, ;/- /~.::LL.-.L.....(., \ ,~,/ Elizabeth J. n.n~:' ~tary Pubr" My Commiuion bpi,c) Aptil 16. 19U Ilalliabur", PI. Dauphin Ceunll. Trus t Of ficer I Nary B. Hinkle 211-Market Strp.et. Harrisbur~_ Pennsvlvania Addr... 171 0 1 Oat. of O.alh 18 Day July Mo"th 1980 Yur INSTRUCTIONS ,. An invenlory must b. filed within three months after appointm.nt of personal r.pr.s.ntative. 2. A suppl.ment inventory must be filed within thirty days of discovery of additional ass.ts. 3. Additional sheets may b. attached as to ~ersonalty or realty 4. See Article IV, Fiduciaries Act of 1949. ~ ~ .... ..c: -ci >- c Ul 0 $ .. I- W ~ 0< I- '" .. I ~ w ~ C 0 .. 0.. .... E-< u G <::l 0 '" .. 0 w VI '" C C '" ,... 0.. 0< w .. G ..... I 0.. QJ D. c I- ..J U. o-i ~ I Z .. 0 <( 0 :<: o-i D. - U. ..J ..; :I: w 0 <( w QJI ,;. <( > Z 0< 'gl '" - Z 0 QJ c C :> ~ ,; VI Z 0 0< gj 0 U Z w ..; ...:II "" 0.. "D c .. I - 'i: 0 .. ..0 "D .... .. E 0 - ~ ..! 0 .. ..J U u: ISI -- ~- ~- -- "'-'" -- ..--- .it & 'l'rUlt Co. ..-..... -- ""''''' "- flEV.Uel EX ~ COMMONWEALTH OF PENNSYLVANIA 4 HoK 29482 DEPARTMENT OF REVENUE . . OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX I oil . 'II II = II ~ . RECEIVED FROM ,. t ADDRESS j PI. 17105 .------- --- ------- ------------------- ESTATE INFORMATION: DATE OF DEATH ul 18 1980 FILE NUMBER 21-80-504 A U 7 1981 DATE OF PAYMENT NAME OF DECEDENT ni. M Br inton COUNTY Cumber land ~-------------------- ------ --------- . ., POSTMARK DATE I ".~" .PAID ON ACCOUH'r" SEAL TAX AT 6% TAX AT 15% TAX AT_% ESTATE TAX m - m RECEIVED BY REGIS1ER OF WILLS " _w -.q.-1lfW'U T_ ~a ~ TOTALTAX CREDIT f2. 903 .89 LESS DISCOUNT PLUS % INTEREST (FROM TO_I TOTAL AMOUNT PAID to) Qn'1 ~Q , f.- /' . J ---:,.',/- I._/.f I I i/-. /1 /~/ /.,'1'..~ , '/ - / SIGNATURE~/ -' \REV. 483 EX (12-86) cOMWo,-v.'E:'lll1 OF p[h't;Sn"'I.~IJ, NOTICE OF DETERMINATION AND DEP~""EN' D' R'.,,,, ASSESSMENT OF PENNSYLVANIA BUI:I.EAU 0' '1\OI\'lOUI.. U.)(E~ P,O. OOx om ESTATE TAX 8ASED ON FEDERAL Hl.RR1SBUIl;G, r;. 1710!l.S327 ESTATE TAX RETURN DATE ESTATE OF BRINTON VERNIE II FILE ND. 21 80-0504 DATE OF DEATH 07-18-80 COUNTY CUMBERLAND NDTE: TO INSURE PRDPER CREDIT TO YDUR ACCOUNT. SUBMIT THE UPPER PDRTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE REGISTER DF WILLS DF THE ABDVE CDUNTY. MAKE CHECKS PAYA8LE TO: "REGISTER OF WILLS, AGENT." PAUL E CLOUSER POBOX 1164 HARRISBURG ACN 201 17108 i PLEASE RETURN THIS I PORT ION TO REGISTER OF ! WILLS IF PAYMENT DUE I IAmount Remitted to Register of Wills <,:;'=!! AL9~~ _ !HJ~ _L!f.!.E_ _ _ _ _-::_ _ _ _I!.EJ~~N_ ~9~~~ _PP_R!~O_N_ ~9~ _Y_O_U_R_ ~I~~~ _ _ _ _ _~ _ _ _ _ _ _ _ _ _ _ _ REV. 483 EX (12-86) "NDTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED DN FEDERAL ESTATE TAX RETURN" ESTATE OF BRINTON VERNIE M FILE ND. 21 80-0504 ACN 201 DATE 04-20-87 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified .00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interestl 4.976.71 3, Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest! 4. Total Inheritance Tax Assessed .00 4.976.71 5, Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER INTEREST (-) AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE I (IF BALANCE DUE IS LESS THAN S 1 OR IS REFLECTED AS A "CREDIT" I CR), ND PAYMENT IS . IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST .00 .00 .00 .00 REQUIRED) D Dauphin Deposit Bank and Trust Company MAIN OFFICE: 213MARKET STREET. HARRISBURG, PENNSYLVANIA 17105 717 255.2121 August 27, 1981 Mrs. Mary C. Lewis Register of Wills Cumberland County Court House Carlisle, PA 17013 Dear Mrs. Lewis: Re: Vernie M. Brinton, Co-Executor Enclosed is our Trust Funds check in the amount of $2,096.17 representing Pennsylvania Inheritance Tax on jointly held property of $2,050 and interest to date of $46.12 in the above estate. LAH:b enclosure 'VI 'r:? (J '~ (If Very truly yours, ~. ,I -I- ,~ C/. ~'?\<<Z-J<-- La'try 11.. Hartman Vice President - Trust Officer ...-.....- -- ~ -""- -- -""- -~ -~ -:-~ - --a ___ " REY.1162EX ,. ~ 'c. " ,," '. ' COMMONWEALTH OF PENNSYLVANIA 4 NO.K'297 46 ' DEPARTMENT OF REVENUE , , ". .' OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX l . If II = ~ U ~ TAX AT 6% TAX AT 15% RECEIVED FROM t OOo\T_% ADDRESS 213 Market st. ESTATE TAX .' R.rrieburq '--ESTATEmFORMAT~N:-------------------------- DATE OF DEATH TOTAL TAX CREDIT 9::1, nq6 17 DATE OF PAYMENT 21-80-504 Au at 28 1981 FILE NUMBER NAME OF DECEDENT Vernie M inton ill m LESS DISCOUNT PLUS % INTEREST (FROM TO_I COUNTY Cumberland TOTAL AMOUNT PAID Il::l nq6 17 POSTMARK OATE REMARKS: J Q "PAID ON ACCOUNT" SEAL RECEIVED BY / , I HEGISTER OF WILLS - - - - - - - - - -- - - - - - - -- -- - - - - - - - - - - - - - - -. ...... ~-;:;~~---~...; IN RE: ESTATE OF VERNIE M. : BR~ON, LATE OF, LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY, : PENNSYLVANIA, DECEASED. : IN THE COURT OF COMMON PLEAS OF CUMBER-AND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-80-504 ORDER OF COURT AND NOW, September 22. 1982, the within account is confirmed and distribution directed in accordance with the schedule. By the court, tdlJ-*,l.Ar I .J. ilCGK :i.~ig ,. 59~ 'i ';{G ~~r','" ;LI :'r:.l / ll': ::,',,'..- ,:l<;~'-l'{ ,. ". C" U.\' Cc UL" ~L:~ " I :~;' . I \ b~v; '.1. :J :\()~.. i..;';: '( ': ~ , i"--~' ~ "';;,'( ~r? :; . ~. t: ,., ., :'} ;., [',\. 'r '~'. ';!. :~. 'f 'C :-',,' . ~f.f r I i~, :1f' ~)~\ ''\fI.1 d.; L '...; ~J~'::,. , , ....... -:: :r.. "" "" N ~. N fO ".' \r.<;..' .:,.1.' ..' ~', .'..1 r ,,> \'. , ' !! ' , ~.~'LL ,-:11'..', " .' '. d. " ; . " ~ ~'I , ;.:i;':ij ; ! ~ ~; "'!' " t...,~'J.1..; ,', :, " .\ \\.' ,',' :'. ';.r;n,'-':J, ~. ,'vI,:: .'" J; ", ;". 'j':"":l~.r- t. : ;~ :\ ',,' " .,t' . , . . We hereby certify that actual notice of the time of presentation of this Proposed Statement of Distribution an or the character thereof has been given to every unpaid creditor who has given written notice of his claim to the accountants and to every other person of whom the accountants have knowledge or notice who claims an interest in the estate as beneficiary. DAUPHIN DEPOSIT BANK AND TRUST COMPANY and ~mry B. Hinkle, Executors of the Estate of Vernie M. Brinton By: Ii I , J" ~-1' /A ~ - ;/. rlZ.-!-<? ~ , Trust Officer By: /l' " " I J ,J/ '~ .r ~rY ,/J . /.' , / ,/ ./ / '.I. 1\- /} ._ J B'. Hinkle !.,/(~':---'.,,_.. <"'::- BeOK w t ~'.'. ..a.,..._. Ii,. . ~ .--' ,., COMMONWEALTH OF PENNSYLVANIA ) ) SS: ) COUNTY OF DAUPHIN " I hereby certify that on this / / r. '. ~. , day of'(, ,"., " Ic I c' 1981, before me the subscriber, a Notary Public in and for the said Common- wealth and County, personally appeared Brenton M. Hake, Trust Officer of Dauphin Deposit Bank and Trust Company, the above named accountant, who, being duly sworn according to law, deposes and says that the foregoing is a true and correct account of all the rights, goods, chattels and credits which came into the hands or possession of Dauphin Deposit Bank and Trust Company, Co-Executor as aforesaid, or into the hands or possessions of any other person or persons for them. The affiant further says that no person claiming to be interest in said estate, whether as creditors, legatees, next of kin or otherwise, gave written notice of such claim to Dauphin Deposit Bank and Trust Company, Co-Executor as aforesaid. Ar i' I -/;7-. );c Ii L~ I Trust Officer Sworn to and subscribed before me this /7 c/, day of '/L ,)j.;, /;:, 1981. ---':' , . . . . . . .; . ; . '/ ' : ~. . . '. . . . " '. -, J . .","."., 1. :'" . .'. ~ "J. < ....'-".. .', L", ""0', ,"J.." ,.~: -,\" ItJ' ''('". ~/V' ;',1.- .'~" . '<,". ....:.. '. : . . \...: ,. ;..... '0': . l' -'Q .........' 0...,.' F _. ,~ J Bc~~-;; n;l'r~1 rl;,r~ .....: .ff: . ..' ":'.'!).,~:.,. '.~....v. ':r J." (:H:1:1I,1~.C~ E{~~I~~.", ,:; vl''; 1.\' (/.i-': ranilbalO. Pa. .... '1.1.,."..'~.:. .' ..,,' .... '....' 1- r' \l \. ... ......".......... j {('. (/' , " " t ." . . . {. C.,. .(( / (Ndtary Public' b~OK ........ -LU.__ .. . .f/' ,'J:: .' .' STATE OF PENNSYLVANIA ) ) SS: ) COUNTY OF DAUPHIN I hereby certify that on this 17th day of November , 1981, before me the subscriber, a Notary Public in and for the said State and County, personally appeared Mary B. Hinkle the above named accountant, who being duly sworn according to law, deposes and says that the foregoing is a true and correct account of all the rights, goods, chattels and credits which came into the hands or possession of Mary B. Hinkle, Co-Executor as aforesaid, or into the hands or possessions of any other person or persons for them. The affiant further says that no person claiming to be interested in said estate, whether as creditors, legatees, next of kin or otherwise, gave written notice of such claim to Mary B. Hinkle, Co-Executor as aforesaid. " /i I ' / I 'I' ' / /. /' / I 't / :.../. Mary B'. Hinkle 'j 1/ ;,; '\-"- I, ".(/, <'::/__'_ Sworn to and subscribed before me this 17th day of November , 1981. . . , I /~'/ . l;::' '" ~.,'<.....::,~~c:.....,t"i. 1(...<--(:(; / v.....: _,.J"~,..l Notary Public' ' """:':'";''''' ./ c. " c\" j-~~\,':;" N~I~\yi';(,ti< ." ..'~ ":I:"'~"'; 1?~ Mv Comrry,ll,Ga .E~~CJ' '~:.:~ ......; Harrhburg, P,,:-:'~ ./.,,~;~l~;.l\i~:~~ ...: -, ;.~ 0 ;: ,\;.f:i5::.. : . p' ',,' :::"",,";~,'. .',' :. "1 ....,.J....q.',.),."'.'......:J;k"'r~ '., \...~.::~j.t.:~...~~.,~ ..~/ ". l'" t1\\t;\.\ .....( ......,..."....,.".. ~UCK .' '. -t...,::.... ,. '!.) .-----. ________,..._..___~__......~_ .;_.. ~.. ..~...._~~....'.:.1-':L'1I.o.~J.;.~~.:J.:.....wy,~.~:~\'~l'~.:. LAST \HLL AND TESTA[~EN'l' OF VERNIE M. BRINTON I, VERNIE M. BRINTON, presently residing and domiciled at 1141 Columbus Avenue, Lower Allen Township, Cumberland County, Pennsylvania, declare this to be my Last Will and hereby revoke all wills which I have previously made. ITEM I: I appoint Mary B. Hinkle and Dauphin Deposit Bank and Trust Company as Executors of my estate. ITEM II: I appoint Dauphin Deposit Bank and Trus Company as the Trustee of any trusts created by this \'/ill. ITE~l III: My testamentary concern is to primarily benefit my close friend, l~ary Bigler Hinkle ("Mary"), with vlhom I have lived for a number of years, and my sister, Ruth B. Mendenha 1, ("Ruth"). ITEM IV: My body shall be interred in my 'plot iri ShooP's Church Cemetery in Lower Paxton Township of Dauphin Count~, Pennsylvania, beside the grave of my mother,SarahE. Brinton, arid a marker similar to my mother's shall be placed at my grave. I give the residuary ownership in my cemtery plot in Shoop'S Church Cemetery to my sister Ruth provided, however, that upon the death of my sister-in-1m'l, Eva B. Brinton, her body may bc buried besido the e;rave of .her husband, Myrl \H.lliam Brinton. ITElfJ V: I make the following specific bequests I ---_#...-..-------.. ..--- _._._-.~. ----- --- '. semi-annual or more frequent inntallments to or applied for the benefit of Mary. .B. Following Mary's death, if my sister Ruth is still living, the entire net income shall be distributed to or applied f'or her benefit. ;~ C. I specifically direct that if, during the continuance of the " ~ trust, the death of my cousin Kathryne M. Frick should occur, the Trustee..shall distribute the' amount of $1500.00 from principal for her funeral and burial expenses. Kathr:{ne is presently residing at the Edith Rudolph Home, 3827 Powelton Avenue, Phi~a- .: delphis, Pennsylvania. . D. Following the death of' both Mary and my sister Ruth, the remaining values in the trust shall b~ distributed in manner f'ollowing, with the specific cash bequests having a priority over the charitable residuary gifts: 1. The sum of $1500.00 shall be set aside in a separate trust to be applied to the funeral and burial expenses of my cousin Kathrync: M. Frick should she have survived the termination of' the trust. 2. The sum of $10,000.00 shall be distributed to my brother, James W. Brinton and his wife, Queenie M. Brinton, or the survivor of them, who ore presently residing ~t 1225 Martha Custis Drive, Apartment 518, AlexanuI'ia, Virginia. 3. The sum of $5,000.00 shall be distributed to my niece, Jeanne M. Lutz of State College, 3 " -. ., 1; ~, I~' )7 ,. , " 1.,1' ,. 'f 'j {'.; " ," I: .' . ... " .,., " '- ~ .~ .' c, -' " c ';J .. ~, " ~~ ~ '" c E " " '" '" ~ .5 0 '" -0 ~ ~ " 2 u " <- '- ~ .. -" - '" c. :;; Q., ::; :J ,- ;; ..:"1 '" ~ '" " B 13 '2- " f .C -5 - E - .. " " :.- " 9 ~ - ~ " ;:; ~ C"") o:l c .- :; j <.:!.~ ",:0 ;:; E ~. 8 '" - " :- " 1_-:-u ,.,,~ ~ ,.. " .~ ~ '"g " ~ " <:;.. qo ~~ " ~ ~ -= 0:" 7.: C .:.: .~ ~f~ ,-~. ",::0 'r, '" .. if; .) :: ::~ --10 C :s " .. ;:: .. ;=':':'-J ",." ~ .:;: :.:2 :!: c .'-9 .3 .. ~ :;; :; y.;: "-J ." ., ;,j " ~ ~ ..h ..:", '-:.'I " C " " " ~I O<? ~ E 8 :- '" .. .. "1 .. 'H .~ - C' ;: n -~ .. .. "- " ...' '0 t ~ .. g " E .'", r. c .~ d: " .. OJ .., " ~ ::> } .. a .. c: -" u ~ c .- '0 C'. 'h E .. v; :.-. !: <, ., -0 ] .J .;:: .~ .;:; '" :-::: ;! -" -" >:: c c :.-. U 't; ;! ; ... .. ... '" " c a .g u ... ~. ~ u ~ OJ :.- ... OJ U c " c ~ " .5 E OJ :g " ~, u - .. 'C S :.- c. r/l .. :.- .<; " - c ~ oj .. OJ " .~ ';: .~ g .c c u -" ~ c ~~ ~ S " < - ';: "" ~ .c ~ c a c .. ~ .: - c ~ 0; " ;;! ... '" .s - t.t"!; 'E c ;; '5 c ~ 0 :;:; " ;:S ~ ''0<''- '" ~ rz. " " ~ 0 P< .c " C H '" - .- ~ 110 fil :>= H ~. ~ " 0 ~ CIl .,:; C :;; ~ ~ .~ E-< ~ 0 " ~I ~ Eo< :z: '" " - ~ ffi '" 0 0 H .~ <::I fil Eo< H ~ ~ - ';: c C I') 8 z ~ c .S Po< fil H ffi :;;; i':i .,:; ~ 0 c ~ \ . '" ~ fil ~ '" ~ ~~ en ?:: '" fil \;0 " c " ~ 110 <: S .;:: ... :i OJ ~ ~ ~ 0 fil ;: ~ "- :a~ 0: to ~ ~ !i! 0 fll fil ~ fil fil ~ " \ to H ~ ::c ~ SJ '" .. ... 0 Eo< ~ to J .. " ::J "- ~ ~ H '" ,J ';: . '" "r g; ~ " ~! ] .. 8 fil ~ ~ :.-. .<J ] i':i 1<< :-::: ';: 0 fil R. >:: .' - '\\ fil '" .. '0 :z: fil ::c fil 0 OJ :i " ,:; Q . u 15 H ~ Eo< !;! Po< 0 ~ ... , " " g ~, " :J ;g 15 :z: H .c :J u to H Po< OJ .~ .' " ..c " " .., ~ ..... - " .. " " , " .. ."~ . . IN THE ORPHANS' COURT OF CllfffiERLAND COUNTY, PENNSYLVANIA FIRST AND FINAL ACCOUNT OF ~~RY B. HINKLE AND DAUPHIN DEPOSIT BANK AND TRUST COMPANY, EXECUTORS OF THE ESTATE OF VERNIE M. BRINTON LATE OF LOWER ALLEN TOWNSHIP, CllfffiERLAND COUNTY, PENNSYLVANIA DECEASED DATE OF DEATH: July 16, 1980 DATE OF ISSUANCE OF LETTERS: July 28, 1980 DATES OF ADVERTISING: ATTORNEY: Patriot EveninR News August 5, 12 and 19, 1980 Cumberland Law Journal August 8, 15 and 22, 1980 Paul E. Clouser 112-114 North Second Street P. O. Box 1164 HarriSburg, Pennsylvania 17108 BOOK ll/:' ..: ;,~~ ,,~ i FIRST AND FINAL ACCOUNT OF MARY B. HINKLE AND DAUPHIN DEPOSIT BANK AND TRUST COHPANY, EXECUTORS OF THE ESTATE OF VERNIE H. BRINTON LATE OF LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY, PENNSYLVANIA DECEASED PRINCIPAL RECEIPTS The Accountants charge themselves with the items as per the Inventory and Appraisement as filed: $152,096.63 ALSO WITH THE FOLLOWING: 1980 Oct. 8 Gain on sale of 1,480.547 shares Vanguard Wellington Fund, Incorporated Realized Carried at $ 15,397.68 15,308.86 88.82 1981 Feb. 17 Gain on maturity of $10,000. U. S. Treasury 7.375% Notes due 2/15/81 Realized Carried at $ 10,000.00 9,937.60 62.40 $152,247.85 TOTAL PRINCIPAL RECEIPTS PRINCIPAL DISBURSEMENTS 1980 July 25 Mary C. Lewis, Register of Wills - Cost of Probate Will, Letters Testa- mentary and 15 Short Certificates $ 68.00 31 Cumberland Law Journal - Cost of Advertising and Proof of Publication 18.00 Aug. 7 Bronstein and Jeffries Professional Association - Professional services 45.00 BeOK l' 'i'. ".. ",d. .J. 1981 Aug. 7 20 Sept. 17 Oct. 14 15 16 Nov. 25 1981 Jan. 29 March 23 April 21 Community General Osteopathic Hospital - Institutional care to 5/30/80 $ 88.00 Betty Smith - Fee for Appraisal of Personal Property 45.00 Bronstein and Jeffries Professional Association - Professional services 95.00 Community General Osteopathic Hospital - Institutional care to 7/80 12.00 R. J. Romberger and Sons - Duplicate marker 595.00 Loss on sale of $10,000. U. S. Treasury 8.375% Notes due 8/15/81 Carried at Realized $ 9,974.90 9,612.50 362.40 30 Dr. J. E. Hummel - Balance due for professional services 25.30 Charles Myers, Ronald Hall Funeral Home - Funeral expenses 2,601.00 Patriot News Company - Cost of Advertising and Proof of Publication 72.03 Loss on sale of 90 shares Provident National Corporation Carried at Realized $ 2,559.38 2,523.02 36.36 Cumberland County Register of Wills - Cost of filing RCC, Inventory and Debts and Deductions 11.00 22 Cumberland County Register of Wills - Pennsylvania Inheritance Tax 2,903.89 26 Cumberland County Register of Wills - Balance due pennsylvania In- heritance Tax 2,050.05 RESERVE TO PAY THE FOLLOWING: Dauphin Deposit Bank and Trust Company - Co-Executor's fee 7,083.87 4,250.00 Paul E. Clouser - Attorney's fee Reserve to File 200.00 $ 20 ,561. 90 TOTAL PRINCIPAL DISBURSENENTS OGGK 'J. . ..L '.~~ :'., 1,_ s5 2 INCOME RECEIPTS .!W1. Aug. 15 Interest: U. S. Treasury 7.375% Notes due 2/15/81 $ 55.25 15 Interest: U. S. Treasury 8.375% Notes due 8/15/81 62.87 Sept. 10 Interest: First Federal Savings and Loan Association, 6.50% Certificate of Deposit due 8/8/81 186.17 22 Interest: First Federal Savings and Loan Association, Passbook Savings Account 102.71 22 In teres t: National Central Bank Savings Account 83.38 24 Interest: 1)auphin Deposit Trust Company, 5.5% Golden Passbook Account 260.59 24 Interest: Dauphin Deposit Bank and Trust Company, 5.5% Income Certifi- cate due 4/6/81 99.29 25 Interest: Hamilton Bank, 5.5% Big Saver Certificate due 7/10/81 11.25 25 Interest: Hamilton Bank, 5.75% Big Saver Certificate due 11/27/80 42.64 25 Interest: State Capital Savings and Loan Association, Savings Account 262.43 Oct. 1 Interest: U. S. Treasury Daily Repurchase Agreement 224.16 8 Interest: Vanguard Wellington Fund, Incorporated 168.21 16 Interest: U. S. Treasury 8.375% Notes due 8/15/81 141.10 Nov. 3 Interest: U. S. Treasury Daily Repurchase Agreemen t 1,216.16 5 Dividend: Provident National Corporation 54.00 Dec. 1 In teres t: U. S. Treasury Daily Repurchase Agreement 1,446.05 1981 Jan. 2 Interest: U. S. Treas ury Daily Repurchase Agreement 1,772.36 Feb. 2 Interest: U. S. Treasury Daily Repurchase Agreement 1,934.57 17 Interest: U. S. Treasury 7.375% Notes due 2/15/81 368.74 March 1 Interest: U. S. Treasury Daily Repurchase Agreement 1,772.99 19 Interest: National Central Bank, Savir,gs Account .30 April 1 Interes t: U. S. Treasury Daily Repurchase Agreement 1,861.00 May 1 Interest: U. S. Treasury Daily Repurchase Agreement 1,616.68 3 . ;(I~ DeOI< :C ' d' ...._. I. ..J'~ 1981 June 1 Interest: U. S. Treasury Daily Repurchase Agreement $ 1,949.29 July 1 Interest: U. S. Treasury Daily Repurchase Agreement 2,189.76 Aug. 3 Interest: U. S. Treasury Daily Repurchase Agreement 2,248.86 Sept. 2 Interest: U. S. Treasury Daily Repurchase Agreement 2,248.03 Oct. 1 Interes t: U. S. Treasury Daily Repurchase Agreement 1,744.63 TOTAL INCOME RECEIPTS $ 24,123.47 INCOME DISBURSEMENTS 1981 Aug. 26 Cumberland County Register of Wills - Interest on balance of Pennsyl- vania Inheritance Tax $ 46.12 27 Mary B. Hinkle - Distribution on account of income 17,000.00 Dauphin Deposit Bank and Trust Company - Service charge for preparation of Individual and Fiduciary Income Tax Returns 75.00 Dauphin Depcsit Bank and Trust Company - Commission on Income 1,051.95 TOTAL INCOME DISBURSE~rnNTS ~ 18,173.07 SUMMARY TOTAL PRINCIPAL RECEIPTS TOTAL PRINCIPAL DISBURSEMENTS $152,247.85 20,561. 90 $ 24,123.47 18,173.07 $131,685.95 TOTAL INCOME RECEIPTS TOTAL INCOME DISBURSEMENTS 5,950.40 $137,636.35 RECONCILIATION ACCOUNT Balance as per First and Final Account $137,636.35 LESS ADVANCED DISTRIBUTIONS: Kathleen E. Brinton - Bequest in accordance with Item V Paragraph B of the Will, consisting of: Jewelry - One platinum bracelet with chipped diamonds appraised at 500.00 Dt;:.;K " .I.......... .' .,,"; J. 4 Ruth B. Mendenhall - Bequest in accordance with Item VI and Item V Paragraph D of the Will, consisting of: Principal Cash Balance of Jewelry appraised at $ 1,500.00 335.00 $ 1,835.00 Jeanne M. Lutz - Bequest in accordance with Item V Paragraph A of the Will, consisting of Jewelry - One diamond ring appraised at 1,200.00 Mary B. Hinkle - Bequest in accordance with Item V Paragraph C of the Will, consisting of: Household effects appraised at 2,215.00 $131,886.35 BALANCE CONSISTS OF THE FOLLOWING: PRINCIPAL Cash: $125,932.95 Miscellaneous: Various Coins appraised at 3.00 $125,935.95 ' INCOME Cash: 5 ,950.40 $131,886.35 Exhibited in the Office of the Register of Wills in and for the County of Cumberland this /7/-L day of ~',i"Zlt,/)_d(,'L. ' 1981, by DAUPHIN DEPOSIT BANK AND TRUST COMPANY and Mary B. Hinkle, Executors of the Estate of Vernie M. Brinton By: iltl~-/;;~ -)2 _ ~ / Trust Officer By: ( ) .,/ ./', ,I, / , I .-, , ,'/ /, ,'il J, II ,,'. )",,1/. . / " / ( I I .',-."1 Mary ~ ; ,Hinkle I. j; C~' - BOOK J:,.' ....' " . Q )., 5 We hereby certify that actual notice of the time of presentation of this Account and or the character thereof has been given to every unpaid creditor who has given written notice of his claim to the accountants and to every other person of whom the accountants have knowledge or notice who claims an interest in the estate as beneficiary. DAUPHIN DEPOSIT BANK AND TRUST COMPANY and Mary B. Hinkle, Executors of the Estate of Vernie N. Brinton By: A'U.'1..it~^- -)/( - dL, , Trust Officer By: ( , /.'/~ ,.. 4" I' /',~ J / " /1, I' ,\ J'" . - ,- ___ I' (--~ -: /' - Mary/B. 'Hinkle , / ....... ,~l /' ....-,;: -.-..--.., . /: !/i'it..! bOOK J.:: :.' ,I. c :~ ,.)- COMMONWEALTH OF PENNSYLVANIA ) ) SS: ) COUNTY OF DAUPHIN I hereby certify that on this /.... --, " d of I, ". A .. _,' :'. J , . ay . of, .,.4___.... . ,~,~~ 1981, before me the subscriber, a Notary Public in and for the said Common- wealth and County, personally appeared Brenton H. Hake, Trust Officer of Dauphin Deposit Bank and Trust Company, the above named accountant, who being duly sworn according to law, deposes and says that the foregoing is a true and correct account of all the rights, goods, chattels and credits which came into the hands of possession of Dauphin Deposit Bank and Trust Company, Co-Executor as aforesaid, or into the hands or possessions of any other person or persons for them. The affiant further says that no person claiming to be interested in said estate, whether as creditors, legatees, next of kin or otherwise, gave written notice of such claim to Dauphin Deposit Bank and Trust Company, Co-Executor as aforesaid. gUt--67~ )'1L cdL. . Trust Officer Sworn to and subscribed before me this .I r cl, day of )(..", "" t " 1981. I'....::.::....... ~,.., ~ ... 00.1" .J.. ''-'" ..~....;..'...:. ". <"":". . ..... . ~, .' C.. ,... '.0: '". /i/':'~'" ..\~<-:~\ .,: _' : -n "', () F ~. : "A ~ ~.....'~~ tl"- ",: ~''',: ':: ", ,', "., ,,~. ..".: . .... "(""l"~" ,( - ". ro "'j. . . 1 . ,0" . , ~'''''1tl.~r\l''~N \\.~ ..... '- "': "I ,,-', ,,:/ (0:11;1\;::;00 [xj:ifd'.A,lf"i~I.('.(,. 1:;:.ni:b.Jr~. P.. O'I~111:n Cc.Ll~!' l .,.( 'j (. C{ 'I j' L '-.. r I' l', , . "!otary Public ~," "J , ~ /. .,....... I, 0[;01: STATE OF PENNSYLVANIA ) ) SS: ) COUNTY OF DAUPHIN I hereby certify that on this 17th day of November , 1981, before me the subscriber, a Notary Public in and for the said State and County, personally appeared Mary B. Hinkle, the above named accountant, who being duly sworn according to law, deposes and says that the foregoing is a true and correct account of all the rights, goods, chattels and credits which came into the hands or possession of Mary B. Hinkle, Co-Executor as aforesaid, or into the hands.or possession of any other person or persons for them. The affiant further says that no person claiming to be interested in said estate, whether as creditors, legatees, next of kin or otherwise, gave written notice of such claim to }mry B. Hinkle, Co-Executor as aforesaid. / ) )j' .f 7 .J), / / /j/!--. , /. ,/(~ L f ./ '/.-/r7}-1I11//',__ }mry B~ H'inkle ' Sworn to and subscribed before me this 17th day of November 1981. /'/' '---j '...L., '~. ./-~'i 7-''''/.-1.-1 / /_'~,\"}'~:'.:I " -' _ /' /'0..... ...J(.. 't"" I Ill'~,:'. Ii/Notary Public /~\'''>, ". " ,I....:;.... ..' '", -,. '. ',' I" ", (,..;\', 1/ , :.,' ",.' ..... ", '~'" .' .:."J,~S~.tl'l'ry ~,Ji:;.'. :;<', .'.'{ (:'Ill1m:~...OrT flC 'C:. '~o'" g, !~.t ~ ; Iia'b p ,-n F '''',' ,.. If" ~'I:. . ....'; f" .: '~.: :. ", '/', ."t'..; . '\" . '(' '.\ ,..... ',. '. j'I"'" ....-:1... ". _, " - I I' ,\ ~.~' " .';\. " "'..~ '" i' P \\ \' ....--'. .. ,., """""",':~'GCK lv;:,., " , -'1 ~ I') I CO) ~ \ "- '''( '\l. "'tJ' CD IVQl'tJ.c EQ,tlV., 1>. t'fi >. ;:('Jwm "'ll o 'C. UCG.lJ: o (,1 ~ . c:w R ~ ~ :J 0 -~ 0:9' ... 111 g.;; Q..c <t.~.c c: "O~.2 "D c' ; ,_ C. "J """-J 10 c: ._ \,)0- >. It: .~ . 'ai'O' C'6 .. C "tl '" ~ u-L: '1'0 (. O-rJt "'i!] ~ _~"'il ClfIO-:J CJ ..: H ~ rz.:> 0...:1 E-<1;; gjiia 0<<1 Up.. . ..: E-< H rz. gJ rz. p..'~ o ~ 0 H:> E-< :rl...:l ~ A ~ ~>< 8~~ ~~~~ U ~ <<IZ p.. ":~~~<<I~~ .fil ~~0l:l!~"'...:I~'" Z....E-<p.. '~Z;;'j t-I=H~~::C:: ~U ~ 0000 P=:OW . OU <<I <<IU ~ ~"'liJ "'H;3: ~><A ~~8~ E-<'!IZ !:;~~...:I gJ~!i:! f;l Oel ~ ~ X <<I~ ..: <<I !;;;s ~ ...:Iu "'~ ~~ li!8 O~ ~~ zel ....~ U '_= .... t:: 0'- .... <U 0 ,,;:,.g 5 ~ ~uVuUOu C'1 s.. ,C) ~ u r.n <U ";:: o.E'- g ~ ';::---02, Q "0 """' C Co) ..... ...... ... s.. t: ~ ..!: 0:: oag.8::o......t) CJ U.~ l4 ...., <U U CJ s.. CJ .... (OJ '- ~ CJ ;: :.. c..!: 0'.5 --= C) CJ ;::...... . .... --OOe:::: - cU 0 :.::: ..... .... '_ :& aCi'::oB~t)...... ~ ....."C........ >:: CJ 0 ~ .t:CJ';:>'h.Os.. .... ... :: C': ~ Vl ~ :;: n ~, j~-: p, ~ ~ ~.; ~ K".J:~~~]l~~~ :-::: c: - _ '0 .g _'~ 1:~'-"',-~:;",u 8 g 'G 0 :; 5 >. ? ~J ~ :-: c s.. ~ ~ \:'v i:i ~ o H H ..: ~ ....... ...... s: o 8 c - ~ c 0 f:: < /1 <lJ Vl ~] -- - ...-..: -- ~ .~ ,. ::] .. '.J C"l cD n::;:; ",:0 S:n ~ M~ .......... ~O r-- ~.... ~ ~,~., ~/'l:O .+--to t:'~:~ f"{1f'1'1 N ".9 -- -.- ~ :~\ -, "., -= .....;; ~ C r-..~ ~~ ~[ .; ~~ ,") c,s: .;:::)1 'rl ...." 0- ""'::2 ~8 o . , l!l -. . . NOTICE OF INHERITANCE TAX IASSESSMENT APPRAISEMENT. ALLOWANCE OR OISALLOWANCE I CONTROL NO. 101 OF DEDUCTIONS. AND-ASSESSMENT OF TAX iOATE 06/16/82 .;... _..--...-~.---...~ 'ESTATE OF Brinton, Vernie M. FILE NO. 21-80-050~ OATE OF DEATH 07-18-80 COUNTY Cumh,'rland NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO REGISTER OF WILLS. AGENT.. IF TAX PAYMENTS ARE MAOE WITHIN 3 MONTHS OF THE OECEOENT'S OATE OF DEATH. A DISCOUNT OF Sl' OF THE TAX PAID MAY BE DEDUCTED. REV. 1547EX (1-82) I \ BUREAU OF EXAMINA liON PENNSYLVANIA DEPARTMENT OF REVENUE P.O, BOX 8327 HARRISBURG. PA 1710S Paul E. Clouser, Esquire P.O. Box 1164 Harrisburg, PA 17108 PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE 9~~~9~Q_!~~~!~~_______________________________________--------------- NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF OEOUCTIONS AND ASSESSMENT OF TAX ESTATE OF Brinton, Vernie M. FILE NO. 21-80-0504 ACN 101 DATE 06/16/82 TAX RETURN WAS: ) ACCEPTED AS FILED ( X ) CHANGED APPRAISED VALUE OF ESTATE: 1. Ro.1 es~le (Schodule A) 2. Slock. ond Bonds (Schedulo B) 3, Clo.oly Held Stock/Porlne"hip Inleresl (Schodulo C) 4. Mortlllgos ""d N'Otos (Schodule D) 5. Cnh & Miscoll.noous Perso",,1 Properly (Schodulo e) 6. Jointly Ownod Properly (Schodulo F) 7. Tron.lers CSchodulo GI 8. Total Gross Assets III ( 2) ( 3) ( 4) ( 51 ( 6) ( 7) .00 .OQ... . .00 .00 00 .00 .00 ( 8) , f3 -2 _..?J ...'(T1 -:.'-7> . ~ ':"., , '.~OO .~ '. APPROVED DEDUCTIONS AND EXEMPTIONS: \.. 9. Funeral Expenses/AdministratIVe Costs/Miscellaneous expon.o. (Schodulo H) 10. Dobll/Mortg.gos/LlOns (Schodulo II 11. To~1 Doduclions 12. Nol V.luo 01 est.to 13. Clwi~lo Boquosls (Schodulo J) 14. Not Voluo Subjoct to T.x ( 91 11 OJ .00 .00 (111 (12) (131 (14) .00 .._----"-_..... .00 .00 $ 150,732.66 ASSESSMENT OF TAX: 15. Amounl 01 hno 14 IIxablo .1 6'1\ role 16. Amount of line 14 t~xable .It 15% rate 1'7. PrinCipal Tax Due TAX CREDITS: (151 .00 X,06= -If(161$33,178.07 X,15= (1'/1 .00 .....L4...n.E.71 ~ ,9'1l'.:.!: L PAYMENT DATe ReceiPT # DISCOUNT (+1 INTEReST l-l AMOUNT PAID 04-27-81 029462 $ 7.56(-) $41.96(-) /.;4~ t!-~ $ 2,903.89 $ 2,096.17 ~."7 ~.;4. TOTAL TAX CREDIT $ 'i?71..'7/f --'-T-."-' _.~~ ..... , ..~AL_ANCE OF...!~~~~.L__.. ~._. ,~a t:1f' {If 8alanc~ Due I:; 1(155 ttliln 5100 I1U p;I\'n't".: " 'pr." 029746 .; 'JI'~o THIS ASSeSSMENT IS BAseD ON: Original NO INTEREST 15 DUE IF PAID BY 08-28-81 IF PAID AFTER DATE INDICATED see REVERSE FOR INSTRUCTIONS ~ "T. ..J~ ~ RETAIN THIS PORTION FOR YOJR RECOR::lS ~ ~ ~--.c..- J'...t." ~ REV.1470 EX l11-en -.. COMMONWEALTH OF PENNSYLVANIA _ Dl!PARTMENT OF REVENUE . ' BUReAU OF EXAMINATION P. O. BOX 932~ HAflRISBURG,PA 17105 . . "J'~ :::t , . r: ~.]. ~'I '\i', '.~ ~-l.,;" f,~ J ';:1 ~ ., ':...~" H 1,- ,.~ ~~ 0" it'l'-" ,,,...,,;,. ""~ ......, .'- ','.' l'J:<(: '.' l~l}.:, '<\jJ,~';: 7"oIi1J";,: ~ .. ~.; '" " ,l /"';.-: L:~ .~~I ;,..., -'." :.,".. .: -.'j.'\:",',.';: DECEDENT'S NAME "ITEM' SCHEDULE' NO.. .,,' k' ':,>~'" .:,' .:!~ f,:)\L:J:. ..,.;,~'tJ . ~ , ". 'I'. J' i, .1 t~t ':: .. . ,''''!- ~.: " ~ ';:.?i~~:~> . , i/',~~~:~~\,;.).' <'":;;: .~. .', . ."" .. ;'~ ..:.}'.;:"'~':; .,. ..-,!...'; ~!r:!~?,: "..J' 1....,s _0 ;-~:};::;;.';;~:;;J ~tiW.r, !i'i~".-:,..".:.,\ ..'\ ",j,tffi,!!i" ,'" ""':~:; ~:";" " ".-,"'1': ., "I'~~""X,. ."..~,l.".."', 'd..' .'" ..,.;r'll'i"~'-' ~;~}--"~ .,::.~~~7 -;".(~ !f~rtf.~~~ ~~" '. " ~ N.,Jit!" "i' .1.:.L:.......~. ~,,(. -i",~! l\:r..i"rol.';' ~,~",,,,:-",~r'_.,,,, " ...:..jcl:..-':r.", ~ ,.' ',"~,1--t'~''''''' ...." ,'" "'~'i'.J.t. I~' :S;j~r~r;.:l:f'!,:~tB , ,'J.,.."..;:,.. ,''',' ,"":~ '!~,';,"i~,'~,''r' . .'~~~fJ'1~'~~~" /,':~ i~f.~i~~ 'f ;,'t...,b:~ .,~ iSh.~:, ~~'1f'\: ~ .\f!~: '\ .:.1 ,) A '. .. <:J - '" ':"1'" ,',' . ".\'. ;::..'~ ,:~:\~./t~~\ ....-....:.,..;\, '''.l '. ,... ',. .~ : '. . . " ,.~. .~~;~t;:} "t:lJ~ k' ..~-~ "'2f;:';-~".:': , /. :.t\',~"~~j~,: ;',3. .,.......... .' '~ -. , ..",J ......' '.' ".. . ~~:J....:{>>:: '.f:'" .': ~" ., ;~ .., .,';:. ,.''l' . . ~: ." ,,'! INHERITANCE TAX EXPLANATION OF CHANGES EXPLANATION OF CHANGES ,./~ / I .. e,,I',.',:'-/ ., / /' I. ~ flcy tc;-. /' ;.1".-. . ~ 1'.1 #'f~ /",,. >.> 1"- - 7' ';ll /.- ; I . .. TAX EXAMINER:, .{,;'? :H' / ,tlt-r--, -, .. // . /~~ /. ;t1lt.//C)-''':1/' .y' /,7 ,;;/' ',1-." '* FILE NO. ',"- <' / '_' I 'f' f' I co' ( . ,. , '/. ,. ~.. " , ,- " :,. 'J ." --I.. -:.:.;, I i'.., ,',,":.-,/ ./', ....~" . . .. /~. , ./'.' '.'f ~) )',.., /. r"'_ ., / .; ," //,1. . J . PAGE REV. 1547EX (1-B2) BUREAU OF EXAMINATION PENNSYLVANIA DEPARTMENT OF REVENUE P.O. BOX B327 HARRISBURG. PA 17105 v'vJ NO~CE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR OISALLOWANCE OF DEOUCTIONS. ANO ASSESSMENT OF TAX ASSESSMENT CONTROL NO. 101 OATE 06/16/82 ESTATE OF Brinton, Vernie M. FILE NO. 21-80-050~ DATE OF DEATH 07-18-80 COUNTY C"lImhp,.,land NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO REGISTER OF WILLS. AGENT." IF TAX PAYMENTS ARE MADE WITHIN 3 MONTHS OF THE DECEDENT'S DATE OF DEATH. A DISCOUNT OF 5% OF THE TAX PAID MAY BE DEDUCTED. Paul E. Clouser, Esquire P. O. Box 116~ Harrisburg, PA 17108 PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE CUT ALONG THIS LINE ----------------------------------------------------------------------. ESTATE OF NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ACN 101 DATE06/16/82 Brinton, Vernie M, FILE NO. 21-80-050~ TAX RETURN WAS: I ACCEPTED AS FILED APPRAISED VALUE OF ESTATE: 1. Real Eslllte (Schedule Al 2. Stocks and Bonds (Schedule Bl 3. Closely Held Stock/Partnership Inlerest {Schedule CI 4. Mortgages and Notes (Schedule D) S. Cash & Miscellaneous Personal Property (Schedule E) 6, Jointly Owned Property (Schedule F) 7. Transfers (Schedule Gl 8. Total Gross Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funsril Expenses/Administrative Costs/Miscellaneous Expenses (Schedule H) 10. Debts/Mortgages/Liens (Schedule Il 1 t ,Total Deductions 12. Net Value of Estale 13. Charitable Bequests (Schedule J) 14. Net Value Subject to Tax ASSESSMENT OF TAX: , 5. Amount of line 14 taxable at 6% rate 16. Amount of line 14 taxable at 15% rate 17. Principal Tax Due TAX CREDITS: PAYMENT DATE RECEIPT n DISCOUNT (+) INTEREST H 0~-27-81 029~62 0297~6 $ 7.56(-) $~1.96(-) 08-28-81 THIS ASSESSMENT IS BASED ON: Original NO INTEREST IS DUE IF PAID BY 08-28-81 IF PAID AFTER DATE INDICATED SEE REVERSE FOR INSTRUCTIONS. ( )( ) CHANGED (11 ( 2) ( 3) ( 4) ( 5) ( 6) ( 7) .00 .00 .00 .00 .00 .00 .00 ( 81 .00 { 91 (101 .00 .00 (Ill (12) (13) (14) $ .00 .00 .00 150,732.66 (15) (16) .00 X.06= $ 33.178.07 X.15= (17) .00 S ~.976.71 ~.976.71 AMOUNT PAID $ 2,903. 89 $ 2,096.17 TOTAL TAX CREDIT $ ~,9S0. S~ BALANCE OF TAX DUE 26.17 (If Balance Due IS less than $1.00 no payment is reQuired) RETAIN THIS PORTION FOR YOUR RECORDS INFORMATION This document is the Notice required to be given under Section 709 of the Inheritance and Estate Tax Act of 1961 (72 P.S. section 24B5). If the tax is paid within three (3) months after the decedent's death, a discount of 5% of the tax paid is allowed. Inheritance Tax becomes delinquent nine (9l months after the decedent's death. Interest is charged at the rate of six 161 percent per annum on the amount of unpaid tax. ISEE EXAMPLE BELOWI EXAMPLE: If a balance of tax due of $2,000.00 is in a delinquent status from 3-3-80. and payment is made on 5-23-80. the interest is calculated as indicated below: STEP 1 Oetermine the rate of interest from the table below. STEP 2 Multiply the balance of tax due by the rate of interest. STEP 3 Add the interest to the balance of tax due. 2 Months = 20 Days = Rate of interest = .010 + ,00335 ,01335 Balance 0 f tax due Rate of interest INTEREST $2.000.00 x .01335 $ 26.70 Balance of tax due $2.000.00 Plus Interest to Date of Payment 1+) $ 26,70 TOTAL tax and interest to Date of Payment $2,026,70 Interest from 3-03-BO to 5-23-80 Results in: --------------------------------------------------------------------- 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 day .00017 11 days .001B6 21 days .00352 2 days .00034 1 2 days .00203 22 days .00369 3 days .00051 13 days .00220 23 days .003B6 4 days .00068 14 days .00237 24 days .00403 5 days .000B5 15 days .00250 25 days .00420 6 days .00101 16 days .00267 26 days .00437 7 days .00118 17 days ,002B4 27 days .00454 B days .00135 1 B days .00301 2B days .00471 9 days .00152 19 days .0031B 29 days ,004BB 1 0 days .00169 20 days .00335 30 days .00500, --------------------------------------------------------------------- Any party in interest. including the Commonwealth and the personal representative. not satisfied with the appraisement and assessment may object within sixty (60) days after receipt of this Notice as provided bv Section 1001 of the Inheritance and Estate Tax Act of 1961 172 P.S, sec. 24B5 - 10011. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF Wl~~S, AGENT" DETACH THE TOP PORTION OF THIS FORM ANO SUBMiT WITH YOUR PAYMENT TO THE REGISTER OF WILLS FOR THE COUNTY SHOWN ON THE REVERSE, SEE THE INHERITANCE TAX INSTRUCTION BOOK FOR ADDRESS, .'fv.UlHX+ (t"11 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "K" LIFE ESTATE/ANNUITYI TERM CERTAIN ESTATE OF B ( I I FILE NUMBER l'ifll,foV/ verll\' gl(-f3o-"So This schedule is to be used for all single life, concurrent single life. term ce"all'1, and joint or successive life estates when no election is filed to prepay future interest taxes. Spocial factors to calculete the Interest Involving more than one life can be obtained from the Director of the Bureau of Examination, 6th Floor, Strawberry Square, Harrisburg, PA 17127. ~WIII o Deed of Trust D Other Specify D Life Estate Name(s) of Life Tenant(s) Date of Birth Presant Age Term of Years Life Estate is Payable /' ~ ).,. . fie. 1. Value of Fund from which Income is payable. . . . . . . . . . . . . . . . . . .. $ 2. Lifa Estate Factor (see Instructions) .......................... / 1~ /t:..!>, ~S- , /0'5? 7 I~ bJ/. /J 0 (Include on Ree.pltuletlon. IIn. 15 or 18) 3. Value of LIfe Estate (Line 1 times Line 2) . . . . . . . . . . . . . . . . . . . . " $ o Annuity Name(s) of Annultant(s) Date of Birth Present Age Term of Years Annuity is Payable 1. Value of Fund from which annuity Is payable. . . . . . . . . . . . . , . . . " $ 2. Frequency of payout ................................... 3. Annual payment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ 4. Annuity Factor (see instructions) .. . . . . . . . . . . . . . . . . . . . . . . . . , 5. Adjustment Factor (see Instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 6. Value of Annuity (line 3 times lines 4 and 5) . . . . . , . . . . . . . . . . . .. $ ." ............,. (II mor. -pot. I, r't.eded lr't,.rl '>ddlllonol .h..11 01 lam. I.r.) (Include on AecaphuloflOft. IIn.. 15 or 16) 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 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 3 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. r- .,; " n > tT1 > ~ z > 0 0 " tFl " Cl n c: " ;;! z :::: z l"" tT1 ~ ;:>:: Z ::0 9 - 9 l"" Z Z tT1 -l tT1 -l Z 9 9 -l -< tFl tT1 Vi Z 0 tFl 0 -l C:~ 9 "':1 "':1 " " ~ ~ c. 0. ~ 0 c:<: :.' ~ Z~ n t'" .... <: - "':1 ~... <= rD .... rD 0 "':1 z... a a .0- ... - C) N ..1.:::: cT 0 .... " z n c,.. N =< rD '< ,... - "'-, ... " n rD > Lu' . 0- eeu: .... rD 0 l"" 01 C.- '7'll.1 ~ . .... :3: Q:'(.~. cc " <= c: 0-' ~lD u"~ -..- '" ." a Vl WLU a=S > cT '" tT1 a:C:: ~ ~L'l <= ... 0 fC Ol ,... '-' .... " z " ~ ... l"" 0 0 -< -< -< .0- rD " ..., " tT1 tT1 ~ <= > > rD " " 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. ',' , .. RE \'-44D II-eO) COMMONWEALTH'OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT AFFIDAVIT OF FIDUCIARY (Instructions on Rovorse Side) *' Estote of Vernie M. Brinton Dote of Deoth Tilly lR, lQRn Lost Address 1141 Columbus Avenue Social Security No. 172-01-1353 Lemoyne. PennsYlvania 17043 Bureau File No. (CITY, (STATE) (ZIP) County File No. ~/-.fcJ -.~('J~ J. Decedent died: ( ) 'ntestate (without 0 wilf) (X ) Testate (leaving 0 lost will --copy aftoched) 2. Is the filing of 0 Federal Estate Tax Return required for this estate? 3. (X ) Executor~l"1i"'''1I1Ui1: ( Administrotorl Administratrix Yes-L No Name Dauphin Deposit Bank and Trust Companv AND Nary B. Hinkle Address 213 Narket Street j-l:i' t~'? 1141 Columbus Avenue H,qr,..i ~hll"'g J ppnn~yhl,!lni,q (CITY) (STATE) 17101 (ZIPt Lemoyne, PA 17043 4. All correspondence should be moiled to ( ) Aft~rney Fiduciory. 5. If on attorney is representing the estote, indicate: Nome n ~ n~ _ ;::0:::0 C:::O rTJ~ ~~ :za 20 ~2 :g "::;?:5 );:=0 N :";~~ Harrisbur2. Pennsvlvania 17108 i3~ N _,,~ (CITY' (~TATEI (ZIP' C"'-:." c..,V' ~ co) . ~l ~ r. List all safe deposit boxes registered in the decedent's individual namer or jointly with, ot;;os an,,-a,gent or deputy of onother, or in decedent's individual nome with right of occess by another os ogent or depii.ty. I'nrlude the nOm" and address of the bank or other insti tution where the safe deposit box is loco ted, the name (s) in which the box is registered and the relationship of the joint holders to the decedent. P,qlll R r.lnllClpr Address 112-114 North Second Strper, P.O. Rox 116~ NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX NAME OR NAMES IN WHicH SAFE OEPOSIT BOX IS REGISTERED RELATIONSHIP OF JOINT HOLDERS TO DECEDENT e os it Bank nd Tr st om an _ o fhl :::mn p,qrk nffi "'13. \ \ 'r:-.. 'r penalties of perjury, I declore that I hove exomined this return, including occompanying schedules and nnts. aDd to the best of my knowludge and belief it is true, correct and complete. H. Hinkle and Dauphin Deposit Ban and Trust Company, Executors of the Es ate of Vernie N. on U?.-t:-c ~_/( ~ ([~ Trust SIGNATURE OF FIDUCIARY Officer .dry B. Hinkle 't'iJ.~-Y/ -.. "- . REY.4~ EXt (tHO>> COMMONWEAL TH OF PENNSYLVANIA . DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY " n nn ITEM DESCRIPTION ESTIMATED DEPARTMENT NO. MARKET VALUATION VALUE (OFFICIAL USE ONL Y/ NONE TOTAL NONE (In.truel/on. on Reverse Side) ESTATE OF Vprni" M Rri t ~~/L, If additional space is necessary, use BY.1" x 11" sheets., ," .~E.y"4~' EX+ (8.110) COMMONWEA~ TH OF PENNSY~VANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE "B" PERSONA~ PROPERTY (Instructions Oil RevlJrsa Side) Estate 0 f Vernie H. Brinton ITEM NO. DESCRIPTION UNIT YALUE CASH AND CASH ITEMS: Policy cancellation refund from Combined Insuranc Company of America Interest Check on Dauphin Deposit Bank and Trust Company, Savings Certificate n 15-05-008420 Interest Check on Hamilton Bank Savings Certifi- cate 0 6199122108 Interest Check on Hamilton Bank Savings Certifi- cate n 6199037518 Pennsylvania Blue Shield - Medicare Benefits 7/17 and 18 Pennsylvania Blue Shield - Medicare Benefits 5/22 Pennsylvania Blue Shield - 65-Special Benefits 5/22 Pennsylvania Blue Shield - 65-Special Benefits 7/17 and 18 Pennsylvania Blue Shield - 65-Special Benefits 4/7, 5/8, 5/12, 6/6, 6/24 Refund - Capital Blue Cross (Contract Cancelled) Claim payment from Medicare Cash - Safe Deposit Box Uncashed Distribution check - Dauphin Deposit Ban and Trust Company American Express Travelers Checks SECURITIES: Dauphin Deposit Bank and Trust Company, Savings Account n 15-1-02823 Accrued interest Dauphin Deposit Bank and Trust Company, Savings Certificate 015-05-008420 Accrued interest First Federal Savings and Loan Association, Savings Certificate n 17-620381 Accrued interest TOT AL $ If odditional space is necessary, use B%" x II" sheets. '$" '. ESTIMATED MARKET VALUE DEPARTMENT VALUATION (OFFICIAL USE ONL Y/ $ 8.66 137.50 62.90 154.22 66.40 28.00 7.00 16.60 19.96 36.70 79.84 300.00 500.00 200.00 25,291.02/ 72 . 80/ 10,000.00/ 18.35/ 20,000. oo~ 64.10"'" 57,064.05 I. R...V....~I t::,;+ rll~~M COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONALPROPERTV (Instructions 0" Reverse Side) Estate of Vernie M. Brinton ITEM NO. DESCRIPTION UNIT VALUE SECURITIES (continued): Hamilton Bank, Savings Certificate # 6199122108 Accrued interest Hamilton Bank, Savings Certificate # 6199037518 Accrued interest Hamitlon Bank, Savings Account # 6161643273 Accrued interest State Capital Savings Association, Savings Accou t # 001-00-00546 Accrued interest First Federal Savings and Loan Association, Pass book Accrued interest Vanguard Wellington Fund # 178036000-1 N9t:. . ?.< $10,000. U.S. Treasury 8.375% Notes due 8/15/81 Accrued interest $10,000. U. S. Treasury 7.375% Notes due 2/15/81 Accrued interest /0.3-f 90 Shares Provident National Corporation Accrued dividend HISCELLANEOUS: Household Effects - Appraised Value Jewelry - Appraised Value Various Coins - Appraised Value TOTAL $ If additional spoce is necessary, use 8\," x 11" sheets. ~~ ~~~~~ ,~.~.*- ~~~ ":~:':'i.t~" ESTlMA TED MARKET VALUE DEPARTMENT VALUATION {OFFICIAL USE ONL YJ $ 1,000.00'- 1.33..... 4,000.00..... 155.03 ..- 9,563.43-- 107.39..... 26,229.10""'- 68.20""'- 10,820.81..... 330.17...... (15,308.86) /.5; 'r7~.O'if 9,974.90 355.88 9,937.60 313.50 2,559.38 54.00 2,2l5.0Q/ 2,035.00/ 3.00 95,032.58 /5.2..<,:,$. f:{..$- .".' . \ ".', ) ...~ ........ rnrn~~w ~IOOU~lII Phono 566.2057 Estate and Insurance Appraising Antiques 114 East Main Street Hummelstown. Pa, 17036 APPRAISAL OF PERSONAL PROPERTY IN THE ESTATE OF VERNIE 11. BRINTON AT 1141 COLUfmUS AVE., LE~~YNE, PA. (AUGUST 16, 1980) Chippendale style love seat $ 100.00 I 500.00 v 1,200.00 .; 200.00 oJ 159.9Q 50.00 J 40,00 " 10.00./ 25.00 J 5.001 50,00 I 25.00 -I 5.00 v 50.00 J 40.00 " . 15.00J 1,600.00 J 35.00 60.00 35.00 35.00 20.00 25.00 Pla.tinum bracelet Kith sm. diamonds and sapphires Diamond ring, tK, with six 15 pt. stones 3 pc. bedroom suite YM.ele t9F etaflr! AJ......( I't'ot'b"~ c-;:' V'trl\VI&" '-~I:IL'rtJ~ Singer sewing machine and bench Upholstered chair and ottoman 2 sm. lamps 10 prints Brass fza.me Kneehole desk Set of china for 8 Odds and ends of. china and glass 40 pes. fostoria Partial set of Noritake china Kines crown creareer Service for 8 Gorham sterling, 83 pes, Costume jewelry ~. round cameo Smaller cameo Smallest cameo lavelier Cultured pearls Gold bar pin . ~ '1 .....-.2 " '-AUgust 16, 1980 Est... te ( l, Vernie ~,,-'~rinton "') Antique bar pin $ 10.00 50.00 50.00 15.00 Gold sunburst pin Gold sunburst lavalier White gold with blue stone pin ---------- total. ... . . $4,400.00 Appraised by /~ ..,/f" - ........-r , ~ ~I . r2 ~...:Jell7 / Betty Smith . STATE CAPITAL SAVINGS ASSOCIATlON m . JOY Dunkle Dauphin Deposit Bank and Trust Co. 213 Market street Harrisburg, Pa. DATE: September 24, 1980 DECEDENT: Vernie Brinton D.O.D.- 7-18-80 * 00],...Q9- 00546 BALANCE AS OF DATE OF DEATH $ '6. :;>?'L ]0 ACCRUED INTEREST 6R.?0 DATE OF DEATH VALUE $ 26.297.30 DATE ESTABLISHED MATURITY DATE ACCOUNT TITLE Vernie Brinton *--- BALANCE AS OF DATE OF DEATH $ ACCRUED INTEREST DATE OF DEATH VALUE $ DATE ESTABLISHED MATURITY DATE ACCOUNT TITLE *--- BALANCE AS OF DATE OF DEATH $ ACCRUED INTEREST DATE OF DEATH VALUE $ DATE ESTABLISHED MATURITY DATE ACCOUNT TITLE #_-- BALANCE AS OF DATE OF DEATH $ ACCRUED INTEREST DATE OF DEATH VALUE $ DATE ESTABLISHED MATURITY DATE . . ACCOUNT TITLE THE PENALTY ON PREMATURE WITHDRAWALS OF TERM INVESTMENTS IS WAIVED PRIOR TO THE INVESTMENTS RENEWAL DATE. TO ACT UPON ACCOUNTS HELD IN AN ESTATE WE REQUIRE A SHORT CERTIFICATE'OF CURRENT DATE; A DEATH CERTIFICATE ON JOINTLY HELD ACCOUNTS. CONTACT US FOR ANY FURTHER INFORMATION. "'" 1 I /' --.1, :.\/ . ~.' ,./ t:. BY: / // , ,.t..: '-IL "1--.(._< j ,/,- . / . ,0._... -'"" ,..(.(';......:.-::"r " .... __ ,..J.... ,.._._ ...... , .- '-:=-' 0; 'I"" _.', ~c..l.., . "-l._-c~,-.." ~... ~. '; 108-114 NORTH SECOND STREET. RO, BOX 1001, HARRISBURG, PENNSYLVANIA 17105 (7171238-8252 ~~~~~I D Dauphin Deposit Bank and Trust Company MAIN OffiCE: 2/3 MARKET STREET, HARRISBURG, PENNSYLVANIA 17105 717255.2121 }larch 20, 1981 Trust Department Attn: Joy Dunkle Re: Vernie M. Brinton July 18, 1980 Deceased Dear Ms. Dunkle: In regards to the above mentioned, we submit the following information as of the date of death: Checking account #17-84-6757 opened 11-4-71 balance as of 7-18-80 $10,585.14 (Joint with }Iary B. Hinkle) Savings account #15-1-02823 opened 11-5-73 balance $25,291.02 interest $72.80 (In the name of Vernie only) certificate of Deposit #15-05-008420 opened 4-7-76 balance $10,000.00 interest $18.35 (In the name of Vernie only) If we can be of any further assistance, please do not hesitate to contact us. Very truly yours, ~~.~ / [/~;::rt Barry L. Elliott Assistant Vice President .. BLE/1f Dauphin Deposit Bank and Trust Company 213 Market Street Harrisburg, PA 17105 Dear Jay Dunkle, "UJ... -. .......-. ;':"~_1' ,...; -.~ . t,~. i'" ~, ,-,,' HAMILTON BANK Post OHleo Box 3959 Loneastor. Ponnsyl..nla 17504 (7171 569,8731 March 9, 1981 In response to your letter dated March 4, 1981 about Vernie M. Brinton Estate. The Certificate of Deposit with the number 6199122108 had a balance of $1000.00 and accured interest of $1.33 as of July 18, 1980. Certificate of Deposit number 6199037518 had a balance of $4000.00 and accured interest of $155.03. Regular Savings number 6161643273 had a balance of $9563.43 and accured interest of $107.39. If you have any futher questions about these accounts or my figures please don't hesitate to call. Sincerely, ~~ Ylv.-i-i/cdL Lisa Mitchell Time Deposit Bookkeeping .. .),V'~"':::~.,.; i,' C?D[;3 S'1[ , , ;ic:'!!" ~EDEB~I!. ", Sa ". :~.;;'J',' '. vlngs & Lo.ln MSOClllllon of Harrisburg March 9. 1981 Joy Dunkle Dauphin Deposit Bank & TrUGt Co. I'. 0.. Boy. 2961 Harrisburg, Pa. 17105 Dear Ms. Dunkle: Re: Account # 117-620381 Estate of ~ernie H. Brinton This is to verify that the balance in the above account on July 18th. 1980 was $20,064.10. If there are any further questionE concerning this matter, please feel free to contact me at 232-6661. Sincerel:r, (#cdC/% cJ~tC,~ Rhoda L. Zollers Savings Counselor . 234 NORTH SECOND STREET, P.O, BOX 1111 ' HARRISBURG, PA 17108 ' (717) 232.6661 --",rom -,-r'~"r' "I"" .~ . ~ . ' iF~r', ~~~ 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 "Ves" or "No".) NO 2. Old 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" or "No",) -.lliL 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 timeof 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".) NO b. The right to designate the persons \\110 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," was the right reserved in decedent alone ( ) or decedent and 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 "Ves" or "No".) NO 8. Did decedent, at any time, transfer property, the bllleficial 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 decedent and others ( ). , . \ I I , I , i , , i " .. ..~_.( -...-',"" ~. semi-annual or more frequent installments to or applied for the benefit of Mary. .B. Following Mary's death, if my sister Ruth is still living, the entire net income shall be distributed to or applied for her benef'it . rl ; ;:. C. I specif'ically direct that if, during the continuance of the IN" E trust, the death of' my cousin Kathryne M. Frick should occur, the Trustee shall distribute the' amount of $]500.00 from principal for her funeral and burial expenses. Kathryne is presently residing at the Edith Rudolph Home, 3827 Powelton Avenue, Phila- .. delphis, Pennsylvania. A D. FOllowing the death or both Mary and my sister Ruth, the remaining values in the trust shall be distributed in manner following, with the specific cash bequests having a priority over the charitable residuary gifts: 1. The sum of' $1500.00 shall be set aside in a separate trust to be applied to the funeral and burial expenses of my cousin Kathryn(, M. Frick should she have survived the termination of the trust. 2. The sum of $10,000.00 shall be distributed to my brother, James W. Brinton and his wife, Queenie M. Brinton, or the survivor of them. ,~ho are prer.ently residinG at 1225 lfJartha Custis Drive, Apartment 518, Alexandria, Virginia. 3. The sum of $5,000.00 shall be distributed to my niece, Jeanne N. Lutz of State College, 3 . ~. ", i . I , ~: .' Pennsyl vania. 4. The sum of' $5,000.00 shall be distributed to my niece, Kathleen E. Brinton. of 1225 Martha Custis Drive. Alexandria, Virginia. 5. The sum of' $5.000.00 shall be distributed to Luella Jane HO\1ard. lfJary I s daughter, presently residing at 11524 Kingsland Street, Los Angeles. California. . Should any of the designated beneficiaries (excepting Kathryne H. 'Frick) predecease the date of death of the last to die of' Mary an my sister Ruth, that share shall lapse and shall f'all into the chantable residuary gifts hereinafter set forth: One-third (1/3) thereof shall be distributed to the Community General Osteopathic Hospital of Harrisburg. Penn'syl vania, to be used in such manner as the governing board of that institution so directs. One-third (1/3) thereof shall be distributed to the Camp Hill United Methodist Church to be used in such manner as the governing board of that congregation so directs. . One-third (1/3) thereof shall be distributed.to the United Methodist Home f'or Children, R. D. 113, Mechanicsburg, Pennsylvania, to be used in such manner as the governing board of that institution so directs. ITEM VIII: If' Mary and I shall die under such cir7 cumstances that the order of' our deaths cannot be estaLlished, it shall be conclusively presumed for all purposes of this Will that I survi vetI her. i I f l [ r I I ~" . ;:Wfii~:~"i"n~l,.;r~,~;""",.>J:'\r.;v~~~~'"f~~'iT""~"~'1 ,"'r"::"~":~""'''''::''"-;'~I!~'~~~' "J~ ,,::,,\1~r~}lft?f ,? .':,~: '.I~'::",:-.',--" ;. ~ :-,:"'~_;.,I,'~)!""1": ':\.'. ',' ".: '. '~f ;.--.", ::". ',.:', ,'" j ", .. '. '. ,'. .... > \.,:;, ~":", '. ,.~_,:~~.:.~. ITEM IX: I direct that all taxes that may be assessed in conscquence of' my death, of whatever nature and by whatevcr jurisdiction imposed, shall be paid fr'om my l'esiduary I , I. .. ./ :~ r I 11 f , , ' I I , , ! REV0453 EX. (3,eO) COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "0" BENEFICIARIES '*' (Instructions on Reverse Side) Estate of Vernie N. Brinton BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY DECEDENT BIRTH Jeanne N. Lutz Niece Yes n Ring nnrl S5 000. Snecific re- State Colle~e PA. mainder benuest Kathleen E. Brinton Niece Yes Platinum Bracelet 1225 Nartha Custis Drive, Ant. 51 with chinned diamonds Alexandrea, VA and $5 000. snecific remainder benuest Narv Bipler Hinkle Friend China silverware 1141 Columbia Avenue furniture and house- Lp.mo"ne PA hold furnishin~ life tenant Ruth B. Nendenhall Sister .Jewe'rv. clothinn and ~?? Morth SMonn ~treet "nn u___< _, .~n "A ,,, ~nn life tenant Dauphin Deposit Bank and Trust Residue of Estate to Company Establish a Trust. Community General Osteopathic 1/3 Remainder interest Hospital - Harrisburg, PA Camp Hill United Methodist Church - Camp Hill, PA 1/3 Remainder interest The above beneficiaries are living at this time except for the following: NAME DATE OF DEATH REV-453 EX'" (3,80) COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE "0" BENEFICIARIES '*' (Instructions on Reverse Side) Estate of Vernie 1-1. Brintnn BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DECEDENT DATE OF BIRTH INTEREST OF BENEFICIARY United Methodist Home for Children R.D. 1/3 Mechanicsburg, PA 17055 Kathryne M. Frick 3827 Powelton Avenue Philadel hia PA Cousin ecHic rem James W. and or ueenie Brother and remainder M. Brinton 1225 Martha Custis Drive Alexandria, VA sister-in- Louella Jane Howard 11524 Kingsland Street CA 5 000. s ecific emaind be The above beneficiaries are living at this time except for the following: NAME DATE OF DEATH ::l i:l:: ",I ..: Ql J-'l J-'l " ;.. ;.. " <= Ql .".' 0 ~ 0 .... <= ..... .... tIl ... " <1l '" ~ <: .... .... ." <= . " a <1l ::<: ..... > 0 Ql .... ..... Ql U " ... >> z .... Ql tIl e ..... iill ~ <= 0 .". <= - ~ ..... " Ql !< ..... ~l u .... i:l:: ~ ~ 0 E- o '" 0 z 0 '" '" ;.. E- o - J-'l Z Z E- J-'l E- J-'l Z ...:I 0 - 0 ~ i:l:: Z ~ J-'l J-'l ,..;: Z ;:;: Z 0 ;:l u '" z ~ 0 '" ~ 0 0 ..: :J ..: J-'l u Q .... '~saJa~u! s,~uapaoap a4~ !O anle^ ~a)!JBW a4~ a~eo!pul '17 '~saJa~u! s,~uapaoap a4~ !O a6BwaOJad a4~ a~BO!pU I 'f: 'AlJadoJd pauMO AI~U!o! a4~!o anle^ ~a)!JBW IBlOl a4~ a~eo!pul '2: 'pa4s!lqe~sa seM d!4SJaUMO ~U!O! a4~ a~ep a41 pUB [5] JaUMO-OO a4~!o ~uapaoap a4~ O~ d!4suo!~elaJ pUB ssaJppe 'aWBU a41 apnloul ,:8.. alnpa40s JO! suo!~onJ~su! a41 U! pa~eo!pu! se A~JadoJd leUOsJad lie aqposaa ,:"1.. alnpa40s JO! suo!~onJ~su! a4~ U! pa~BO!pU! se AlJadoJd IBaJ lie aq!Josaa 'L 'ISJI! alBlsa IBaJ ~s!l 'papnlou! aq 01 aJe AlJadoJd alq!6uelU! pUB alq!6uel 4~08 'd!4SJO^!^JnS!O ~46!J 4~!M slueua~ ~U!O! SB sa!UBd JO A~Jed Ja4~OUB 41!M AI~U!O! luapaoap a41 Aq pauMo 'IBUOSJad pUB IBaJ 'AuadoJd lie apnlou! ~snw ..3.. alnpa40s ..3.. 31n03HOS DNIJ.31dIfllOOl:lO:l SNOllOnl:llSNI REV.51B FO (7~80) ~~ COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS NOTICE OF FILING OF APPRAISEMENT Brenton M. Rake, TrUBt Officer Dauphin Deposit Bank and Trust Company 213 Market Street Harrisburg, PA 17101 Mary B. Hinkle 1141 Columbus Avenue Lemoyne, PA 17043 RE: Estate af County of File No. Vernie M. Brinton Cumberland ;>1-80-00;04 Dear Mr. Rake and Ms. Hinkle: You are hereby notified that the original appraisement in the estate of Vernie M. Brinton has been filed in the office of the Register of Wills of Cumberland County on May;>], 19 Jll... Said appraisement reflects the following valuations: Real Es tate Personal Property Jointly Owned Transfers Total None 152.263.85 ';;.!;!;7 01 Nnn#J< 5165.930.86 As fo such tax that is paid within three months from date of death, a five (5%) percent discount is allowable. As to any tax that remains unpaid after nine (9) months (fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when death occurred prior to December 22, 1965) from date of death, interest at the rate of six (6%) percent per annum is charged, Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tox Act o' 1961,72 P.S, 2485-1001, P.L. 373. Dote Signed ~G'h'//;/r ;r/ J~Ift"jflJ...j ) . Ma.y n. 1q81 Title Chief Appraiser NOTE: This is not a bill, I j. REV-4117 EX+ (7-eO) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX E EDE T ~ ~tt..;.';;:.2?'"'i .,.. ~" , ,:~L . ,..,...,.~"" ~\,.,,(~...,~~~,.t. INHERITANCE TAX APPRAISEMENT 00RIGINAL o SUPPLEMENTAL File No, ...2l::.80::.0~ Estate of VArni" M. Brinton Coun ty Cn",h~""Rnd Date of Death July lB..-J,gBo In tho ovent that any future Interost in this estate Is transfllffed In pOlSesslon or enjoyment 10 collateral holn of tho decedent after the expiration of any ..tate for life Dr far years" the Commonweohh hereby expressly ruerves the rlghf fo appraise and 0111111 transfer Inheritance taxes at tho lawful collatoral rate on a(l such futuro Interelt. PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH ASSET SUMMARY DEPARTMENT'S APPRAISED VALUE Total Real Property _ SCH. "A" . . . . ,. $ Total Personal Property _ SCH, "B". . . . $ Total Jointly Owned Property - SCH. "E" $ Total Transfers - SCH. "C",. ,.,. , " $ None lo;2.26~.8r; 1;,667.01 Unreported S Unreported S Unreported $ Unreported $ $ NnnA $ ....l52,26~.8c; $ '3,~1';7 m $ NQnA $ 165.930.86 Nnne LIFE ESTATE DANNUITY TOT AL GROSS ASSETS DREMAINDER TOTAL VALUE s I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day with the Register of Wills, . I ,(// , IP" j' ---"'-f~~.1' ItI ) - It'lt.fi J(r,' / APPRAISER OS/21/81 DATE CIl ~ ~ a * ~ ~ ~ CIl .g ..... > z ~ ~ < 0 ..... ~ m ~ VI ~ ~ ;:l . ..:I :0: ..... < 0 CIl - ~ 0 .:: U Z ..... 8 N - ~ :1 ..... ~ 0 ..... ~ - ..... 0 !d: ..... - !:l: ~ ~ 0 [-0 0 VI 0 Z 0 VI - I:l VI >- [-0 0 z ~ I:l [-0 I:l Z Z ..:I 0 ~ 0 p:: 13 ~ ~ ..:I Z Z Cl U ~ I:l - ~ VI ~ 8 0 z ~ ~ Cl :l . _ _ _ __ _ _ __ __ __ _ __ __ ___ n__ ____ ___ ,___ __ ._~~ __ --..- ---- -- - AEV.1162 EX ~--' ~ 1 COMMONWEALTH OF PENNSYLVANIA NO L04 96'~ DEPARTMENT OF REVENUE . "'b'l!FICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX ill G AMOUNT ACN Assessment Control No. qECEIVED FROM: Pl'91:aate $26.17 . , -D8uphin-Elepo&!~-B.nk I P. O.-IOX-2961---._u.- _HEr.1abuxg. PA.17105-- "l L ~ ESTATE INFORMATION: FILE NUMBER NAME OF DECEDENT DATE OF PAYMENT POSTMARK DATE T . t :DUNTY "ATE OF DEATH , ~TOTAL AMOUNT PAID $26.17 REMARKS SEAL , ~ J/' ,) ~/ /, . / J' . ~ , '~~~}Y~AT E' ftN.;l. RECEIVED BY -- .,. --, _L ....-_.~ ---- w,. ~ '" --- .~- ____ _ _ ___.__ _ ___~____._ __._ ___ _u_ __ __ --.- ---- - - - --- - --- ~; I i ---_J!' ,- - - - - -- - - - -- -- ..- -- .... REV.110Z EX COMMONWEALTH OF PENNSYLVANIA NO L04965'a DEPARTMENT OF REVENUE , o'J!FICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX .' '. - - ~- '- . '-' '. '. ',CEIVED FROM: Dauphin Depodt Bank ____I 213 Market: Street HarriabuJ:Jl_!,~___l ?1()1.. L ESTATE INFORMATION: FILE NUMBER NAME OF DECEDENT DATE OF PAYMENT POSTMARK DATE ~OUNTY DATE OF DEATH REMARKS SEAL .... 21-80-504 BRIIll'1'ON VBRblIB ifu5f. 8. 19IA~T Jul 7. 1982 CUD1berllUl4 July 18, 1980 -~ -- = o ~ m AMOUNT ,--.-------- - - - -- -~ ---- -- --- -- - - -- - ---- --- ------- Assessment Control No. Probate 1.35 .J M. MI ~TOTALAMOUNT PAID ~ 1.35 I JI III fI S ---_JJ ' RECEIVED BY -"~. ' , ,~ "L .-- ---.... -- .... - ~ .........-- .-- .t:.......-........~~Jl'i""'~~~,--'~ .,.- ~.~" co', .~~. o Dauphin Deposit Bank and Trust Company '~:'~'::'~~-'~'.::~'-~:"l;-':~:-"~;' '~~ ,.... t.UCi-3'32 - ~/. :~: ~! '. )- ,.,', -., ,. \, .... ,'," i.' c . /\;:... ';:"1 ,. ;:! .:...:;. ( ~ P.O. BOX 298' HARRIS8URG, PEN"SYLVANIA 17105 MRS. MARY C. LEWIS REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE CARLISLE. PA 17013 " , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION FIRST AND FINAL ACCOUNT for Trust Under the Will of Vernie M, Brinton, Deceased Stated by Dauphin Deposit Bank and Trust Company, Trustee PROPOSED DISTRIBUTIONS TO BENEFICIARIES Current Value 11/27/91 Fiduciary Acquis i tion Value -------..--....- To: Mary B. Hinkle Estate - Accrued Interest to Date of Death 09/19/91 Income Cash 883.46 883,46 ------------ ------------ 883.46 883,46 ------------ ------------ To: Neill Funeral Home - Funeral and Burial Expenses of Kathryne M. Frick as per Item VII C of the Will (Kathryne M. Frick Died 03/09/88) Principal Cash 1, 500 . 00 1,500,00 ------------ ------------ 1,500,00 1,500.00 --------- ---- To: Queenie M. Brinton - Cash Bequest as per Item VII D 2 of the Will (James W. Brinton died 10/06/86) Principal .c Cash 10,000.00 10,000,00 ------------ ---....------- 10,000.00 10,000.00 ------------ ------------ {"i" '1 ':.','.. "'Ie 98'-) . ...' . _ A t.. I, ..... . . . To: Camp Hill United Methodist Church - 1/3 residue Principal Cash Income Cash To: United Methodist Home for Children - 1/3 residue Principal Cash Income Cash 37,867.37 37,867,37 140.38 140,38 ~---_.._---- ------------ 38,007,75 38,007,75 37,867.36 37,867,36 140,38 140.38 38,007.74 38,007.74 --------- ------ 141,406,70 141,406,70 ------------ --- U3iR 124 p~,r,r 287 .. AFFIDAVIT Dauphin Deposit Bank and Trust Company, Trustee under the Last Will and Testament of VERNIE M. BRINTON, deceased, hereby declares under oath that said Trustees have fully and faithfully discharged the duties of their office; that the foregoing Account is true and correct, and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Trust have been paid in full; that, to their knowledge, there are no claims now outstanding against the Trust; and that all taxes presently due from the Trust have been paid. By: Ab-....,u'" #. //?I-'l<~. ~",,/?.r rO. Dauphin Deposit Bank and Trust Company Subscribed and sworn to by b.f.<< m. "',.&.tt....y .f Jio,,(ic<> '" -'- W/// {/~~6~/rf /.Jr.x/ #" Notary Public NolalinI SaaI ~<n,~ My~=Ocl.:Jl, 19l14 . of t.t,.'n~oor, ", -'. ........ " " f'" ,,\..' . '~. , j' " \ .... " L6l~ 1~~4 p~r.: 288 \0 ~: ) ~ "~l , "C) .:::1 :n " f"' .' , 1 '0 , EC"oElD,!:: -"""7 Q)!' c: _ CO ij CD E-'"C:E.c.c. .. ~ c: ,,__ ~ , 10 ".9 E.!! S . _u-CDu ~ ~~~ '} ~~j; 'IJ ~ ~ ~ ....<Il~ J C ~~~ 0" :I r 0 ~ ~ :il ra.2S f i CO I>< .... ~~~~ 1 ';it: s-l ~I i ~ tIl .... S ::> ~"dl I 0' =" . is I I>< ~!!l1"" "':) <Il . ~ ~ ~~ fil ~ lol ~ ~ !. '''11 tJ ~ S ~u ~ rol~Iol:C~ ~ c,,~cj I c~ 0 c ~~~~JIJ :c~ S tJ tJ S:;;!:llolf;j '-.I ~O<ll""J:l ~ . tJf:l~i;il ---,? Hl:,. J 0. 8 tIl ::J ~ tIl J:l .!:l IS> 8 ~ fil z ~ fo< .";) ..~ I I) ~ ~ ~~~o '~ oSi! faji .il C ~ i!l . " c~8 ' ~ fo< .. 1 S-If ~.tCD'" ,,"0 =oSocti:S~4( . , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION FIRST AND FINAL ACCOUNT for Trust Under the Will of Vernie M, Brinton, Deceased Stated by Dauphin Deposit Bank and Trust Company, Trustee Vernie M, Brinton, Died Mary B. Hinkle, Died Ruth B. Mendenhall, Died Date of Trustees' first receipt of funds Accounting Stated for the Period: July 18, 1980 September 19, 1991 May 13, 1986 March 25, 1982 March 25, 1982 to November 27, 1991 Purpose of Account: The Trustee offers this account to scquaint interested parties with the transactions that have occurred during their administration of the Trust, It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Dauphin Deposit Bank and Trust Company 213 Market Street Harrisburg, PA 17105 (717)255-2230 L~3~~~ l~~lt r.',!.;[ :~~ti~2 0,00 94,512,57 8-16 0.00 ....--..--....-...... 94,512.57 10,812.37 17-18 ----------..-.. 83,700.20 82,395.59 19-21 --.....----..oo--- 1,304,61 22 141,406.70 - - PRINCIPAL Receipts: Balance of Prior Account This Account 0,00 127,180,43 16,490,81 Net Gain (or Loss) on Sales or Other Disposition/Principal --------......-- 143,671,24 Less: General Disbursements Fees 300. 15 3,269,00 3,569,15 Balance before Distributions Distrib. to Beneficiaries -------------------------- 140,102,09 0,00 Principal Balance on Hand ---..---..----.. 140,102,09 For Information: Investments Made INCOME Receipts: Balance of Prior Account This Account Net Gain (or Loss) on Sales or Other Disposition/Income Less: Disbursements Balance Before Distribution Distributions to Beneficiaries Income Balance on Hand Combined Balance on Hand L15t, 124 pm 263 -2- . . Page 3 4 5 5 6 7 .. ~~ RECEIPTS OF PRINCIPAL Description Cash: 1982-03-25 Vernie M, Brinton Estate Principal Cash 1982-09-23 Vernie M. Brinton Estate Principal Cash Mise, Personal Property: 1982-09-24 Vernie M, Brinton Estate Various Coins Total Receipts of Principal I lId' I') t1 !'IJ,f :2fit\ .3. Fiduciary Acquisition Value 100,000,00 11.00 27,169,1.3 'n...__..._. 127,169,43 11.00 .... . ................ 127,180.43 .. ,. . . GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS/PRINCIPAL Gain Loss 1983-04-08 Various Coins Net Proceeds 11.00 Fid. Acq, Value 11.00 0,00 0.00 1984-05-03 5 units Municipal Bond Fund Ne t Proceeds 51. 73 Fid, Acq. Value 49.50 2,23 0,00 1988-04-04 138 units Municipal Bond Fund Net Proceeds 1,500,66 Fid, Acq. Value 1,377.90 122.76 0,00 1990-10-02 745 units Municipal Bond Fund Net Proceeds 8,009,90 Fid. Acq, Value 7,438.65 571,25 0,00 1990-11-02 742 units Municipal Bond Fund Net Proceeds 8,002.93 Fid. Acq. Value 7,408.70 594.23 0,00 1991-10-03 11,099 units Municipal Bond Fund Net Proceeds 123,186.90 Fid. Acq. Value 110,820.92 12,365.98 0,00 1991-10-04 1,008 units Common Stock Collective Investment Fund Net Proceeds 18,823.88 Fid. Acq. Value 15,989,52 2,834.36 0.00 Total Gains and Losses/Principal Less Loss 16,490,81 0.00 0.00 Net Ga!n 16,490,81 --------- LI'-O 1'"' 44""G< 'JGr.::) =,tt. _.....:.t.r I II '.. ~_ ),_ . . .. DISBURSEMENTS O~. PRINCIPAL General Disbursements: 1984-03-05 Internal Revenue Service 1983 Fiduciary Income Tax 56.00 1984-03-05 PA Department of Revenue . 1983 Fiduciary Income Tax 30.00 1984-12-03 PA Department of Revenue . 1983 Fiduciary Income Tax Balance 3,36 1989-04-10 PA Department of Revenue . 1988 Fiduciary Income Tax 2.16 1991-04-09 Internal Revenue Service . 1990 Fiduciary Incomo Tax 83,63 1991-11-26 Bucbannan Ingorsol1 - Attorney's Fee 769.00 Buchsnnan Ingorsoll - Balance of Attorney's Fee 2,500.00 Reserve for Cost of Filing Account 125.00 Total Disbursements of Principal li,lf: j'-?/i pnF 2RG -5- . . 3,569,15 3,569,15 I ! ! ; ,. PRINCIPAL BALANCE ON HAND Cash: Uninvested Temp Funds Muni Fund 1.13Ef~ 1:24 pm 267 -6- Current Value 11/27/91 2.09 140,100.00 Fiduciary Acquisition Value 2.09 140,100.00 ------------ ------------ ---- 140,102,09 140,102,09 INFORMATION SCHEDULES..PRINCIPAL Investments Made: 1982.04.15 10,100 units Municipal Bond Fund 1982.10-13 2,629 units Municipal Bond Fund 1990-10.03 501 units Common Stock Collective Investment Fund 1990-11-06 507 units Common Stock Collective Investment Fund I"" 1 "',1 ..'tr. . ..':..,~ P.I,GF 268 -7- 99,999.09 27,096,58 7.998,74 7.990.78 'I'. I i . , RECEIPTS OF INCOME Interest: 1982-04.05 U,S, Treasury Daily Repurchase 224.38 Agreement 1982.05.03 U.S, Treasury Daily Investment 566 , 53 Agreement 1982-10-04 U,S, Treasury Daily Investment 44,61 Agreement 1982-11-01 Market Square Cash Manager 1 87.25 1983-08-02 Temp Funds Muni Fund 5.67 1983-09-01 Temp Funds Muni Fund 3.25 1983-10-03 Temp Funds Muni Fund 5.95 1983-11-01 Temp Funds Muni Fund 7.23 1983.12-01 Temp Funds Muni Fund 3,23 1984-01-03 Temp Funds Muni Fund 6,55 1984-02-01 Temp Funds Muni Fund 10.67 1984-03-01 Temp Funds Muni Fund 3.13 1984-04-02 Temp Funds Muni Fund 6.35 1984-05-01 Temp Funds Muni Fund 9,90 1984-06-01 Temp Funds Muni Fund 3.79 1984-07 -02 Temp Funds Muni Fund 7.07 1984-08-02 Temp Funds Muni Fund 11.41 1984-09-04 Temp Funds Muni Fund 4.13 1984-10-01 Temp Funds Muni Fund 3.93 1984-11-01 Temp Funds Muni Fund 8.38 1984-12-03 Temp Funds Muni Fund 3.50 1985-01-02 Temp Funds Muni Fund 7.61 1985.02-01 Temp Funds Muni Fund 12.12 LI,U: 1 ~)J. PisE 268 ..-.... 1985-03-01 Temp Funds Muni Fund 3,75 1985-04-01 Temp Funds Muni Fund 6.61 1985-05-08 Temp Funds Muni Fund 10,15 1985-06-04 Market Square Cash Manager 1 2.91 1985-06-04 Temp Funds Muni Fund 0.69 1985-07-02 Market Square Cash Manager 1 8,04 1985-08-02 Market Square Cash Manager 1 13.29 1985-09-04 Market Square Cash Manager 1 3.93 1985-10-03 Market Square Cash Manager 1 6.63 1985-11-05 Market Square Cash Manager 1 8.36 1985-12-10 Market Square Cash Manager 1 4.64 1986-01-07 Market Square Cash Manager 1 9,17 1986-02-05 Market Square Cash Manager 1 13.82 1986-03-04 Market Square Cash Manager 1 4.66 1986-04-04 Market Square Cash Manager 1 8.64 1986-05-05 Market Square Cash Manager 1 12.47 1986-06-03 Market Square Cash Manager 1 3,52 1986-07-03 Market Square Cash Manager 1 7.32 1986-08-05 Market Square Cash Manager 1 11. 02 1986-09-03 Market Square Cash Manager 1 3.19 1986-10-03 Market Square Cash Manager 1 6,02 1986-11-05 Market Square Cash Manager 1 6.58 1986-12-02 Market Square Cash Manager 1 3.25 1987-01-05 Market Square Cash Manager 1 6.90 1987-02-02 Market Square Cash Manager 1 10.18 1987-03-03 Market Square Cash Manager 1 3.09 1987-04-03 Market Square Cash Manager 1 6,31 1987-05-04 Market Square Cash Manager 1 9.36 11,t~ 1'24 pm -~'70 . . fl' .. 1987-06-03 Market Square Cash Manager 1 2,71 1987-07-03 Market Square Cash Manager 1 7,19 1987-08.03 Market Square Cash Manager 1 11. 09 1987-09-02 Market Square Cash Manager 1 3,77 1987-10-01 Market Square Cash Manager 1 6.86 1987-11.02 Market Square Cash Manager 1 5,77 1987-12-02 Market Square Cash Manager 1 3,17 1988-01-04 Market Square Cash Manager 1 7.16 1988-02-01 Market Square Cash Manager 1 10,13 1988-03-02 Market Square Cash Manager 1 2,97 1988-04-04 Market Square Cash Manager 1 1.14 1988.04-05 Temp Funds Muni Fund 4.29 1988-05-03 Temp Funds Muni Fund 12,05 1988-06-01 Temp Funds Muni Fund 8.25 1988-07-01 Temp Funds Muni Fund 10.80 1988-08-01 Temp Funds Muni Fund 14.08 1988.09-01 Temp Funds Muni Fund 9.18 1988-10-04 Temp Funds Muni Fund 11.43 1988-11-03 Temp Funds Muni Fund 11,38 1988-12-05 Temp Funds Muni Fund 9.27 1989-01-05 Temp Funds Muni Fund 13,98 1989-02-03 Temp Funds Muni Fund 17.42 1989-03-02 Temp Funds Muni Fund 9.28 1989-04-05 Temp Funds Muni Fund 15.30 1989-05-03 Temp Funds Muni Fund 19.21 1989-06-05 Temp Funds Muni Fund 11. 64 1989-07-07 Temp Funds Muni Fund 14.19 1989-08-02 Temp Funds Muni Fund 17.69 1.~~4 P~GE -:J.p,- 1.13E~ 2.1 1989-09.05 Temp Funds Muni Fund 9,75 1989-10-05 Temp Funds Muni Fund 11,75 1989-11-02 Temp Funds Muni Fund 11,35 1989-12-04 Temp Funds Muni Fund 9.66 1990-01.04 Temp Funds Muni Fund 12.54 1990-02-05 Temp Funds Muni Fund 16.31 1990-03-02 Temp Funds Muni Fund 8.28 1990-04-04 Temp Funds Muni Fund 13,02 1990-05-02 Temp Funds Muni Fund 16.96 1990.06-04 Temp Funds Muni Fund 9.79 1990-07-03 Temp Funds Muni Fund 12,42 1990-08-03 Temp Funds Muni Fund 15.71 1990-09-06 Temp Funds Muni Fund 9.49 1990.10-04 Temp Funds Muni Fund 12.10 1990-11-02 Temp Funds Muni Fund 12,89 1990-12-05 Temp Funds Muni Fund 11,10 1991-01-03 Temp Funds Muni Fund 13,07 1991-02.04 Temp Funds Muni Fund 13,99 1991-03-04 Temp Funds Muni Fund 6.58 1991-04-02 Temp Funds Muni Fund 9.94 1991-05-01 Temp Funds Muni Fund 11.65 1991-06-04 Temp Funds Muni Fund 6.81 1991-07-02 Temp Funds Muni Fund 7.97 1991-08-02 Temp Funds Muni Fund 10,39 1991-09-04 Temp Funds Muni Fund 6.10 1991-10-01 Temp Funds Muni Fund 8.32 1991-11-01 Temp Funds Muni Fund 421.15 ------------- 2,221.63 l.I~tf' 1.'24 P.\Gf r;n~ r.. , 1_ -11- : Other: 1982-05.07 Municipal Bond Fund 784,14 1982-06-04 Municipal Bond Fund 756.05 1982-07-07 Municipal Bond Fund 742,31 1982-08-05 Municipal Bond Fund 789.12 1982-09-09 Municipal Bond Fund 848.16 1982-10-05 Vernie M, Brinton Estate - 310,44 Income Cash 1982-10-07 Vernie M, Brinton Estate - 10,38 Income Cash 1982-10-08 Municipal Bond Fund 745.87 1982-11-04 Municipal Bond Fund 1,013,16 1982-12-07 Municipal Bond Fund 778.07 1982-12-08 Municipal Bond Fund 150.47 1983-01-10 Municipal Bond Fund 958.90 1983-02-03 Municipal Bond Fund 988.14 1983-03-02 Municipal Bond Fund 927.42 1983-04-05 Municipal Bond Fund 926,46 1983-05-04 Municipal Bond Fund 881,29 1983-06-01 Municipal Bond Fund 909.44 1983-07-06 Municipal Bond Fund 877 . 68 1983-08.02 Municipal Bond Fund 881. 08 1983-09-06 Municipal Bond Fund 844.72 1983-10-04 Municipal Bond Fund 878.72 1983-11-02 Municipal Bond Fund 867.97 1983-12-05 Municipal Bond Fund 862,79 1984-01-04 Municipal Bond Fund 867.83 1984-02-02 Municipal Bond Fund 852.78 1984-03-02 Municipal Bond Fund 842.26 -12- i U5i.!': .\..,1. ?!.r.f 273 .1.. ~,l,.. I Ii .......-:.. , 1984-04-03 Municipal Bond Fund 846,15 1984-05-02 Municipal Bond Fund 859,66 1984-06-04 Municipal Bond Fund 848,77 1984-07-03 Municipal Bond Fund 844.08 1984-08-02 Municipal Bond Fund 845,43 1984-09-05 Municipal Bond Fund 841. 21 1984-10-02 Municipal Bond Fund 865.26 1984-11-02 Municipal Bond Fund 862.02 1984-12-04 Municipal Bond Fund 864.35 1985-01-02 Municipal Bond Fund 868.59 1985-02-04 Municipal Bond Fund 872,62 1985-03-04 Municipal Bond Fund 862.48 1985-04-02 Municipal Bond Fund 866.67 1985-05.09 Municipal Bond Fund 861. 37 1985-06-05 Municipal Bond Fund 838.19 1985-07-03 Municipal Bond Fund 831. 99 1985-08-05 Municipal Bond Fund 821,25 1985-09-05 Municipal Bond Fund 841. 75 1985-10-07 Municipal Bond Fund 851.35 1985-11-05 Municipal Bond Fund 874.62 1985-12-04 Municipal Bond Fund 861.11 1986-01-07 Municipal Bond Fund 865.47 1986-02-04 Municipal Bond Fund 859.68 1986-03-05 Municipal Bond Fund 847,24 1986-04-02 Municipal Bond Fund 820.80 1986-05-02 Municipal Bond Fund 836,86 1986-06.04 Municipal Bond Fund 826.74 1986-07-07 Municipal Bond Fund 826.44 -13- d '~I 2'7.i 1I3l? 3 -',e P~r.E . ..... I ,I. L '. '. 1986-08-04 Municipal Bond Fund 839.72 1986-09-03 Municipal Bond Fund 826.69 1986-10-02 Municipal Bond Fund 802,49 1986-11-04 Municipal Bond Fund 820,90 1986-12-03 Municipal Bond Fund 785.54 1987 -01-06 Municipal Bond Fund 791.80 , I 1987-02-04 Municipal Bond Fund 791,64 i I \. .. 1987 _03-04 Municipal Bond Fund 773.14 l":.. , 1987.04-06 Municipal Bond Fund 772.90 \ I 1987-05-08 Municipal Bond Fund 797,08 1987-06-03 Municipal Bond Fund 795.67 1987.07-02 Municipal Bond Fund 819,39 1987-08-04 Municipal Bond Fund 779.22 I I 1987-09.02 Municipal Bond Fund 788.62 I 1987-10-01 Municipal Bond Fund 774,30 \ 1987 -11-03 Municipal Bond Fund 784,22 \ 1987-12-02 Municipal Bond Fund 783,12 1988-01-05 Municipal Bond Fund 777 ,63 \ 1988-02-02 Municipal Bond Fund 781.14 1988-03-02 Municipal Bond Fund 774.25 I 1988-04-04 Municipal Bond Fund 775.21 i , 1988-05-03 Municipal Bond Fund 767.60 1988-06-02 Municipal Bond Fund 765.52 1988-07-05 Municipal Bond Fund 774.97 1988-08-02 Municipal Bond Fund 775.69 1988-09-02 Municipal Bond Fund 770.10 1988-10-20 Municipal Bond Fund 762.71 1988-11-02 Municipal Bond Fund 763.09 11,[~ 1 ?/t ?loGE 27514- 1988-12-02 Municipal Bond Fund 766.96 1989-01-04 Municipal Bond Fund 764,76 1989-02-02 Municipal Bond Fund 759,90 1989-03-01 Municipal Bond Fund 763.68 1989-04-04 Municipal Bond Fund 767.83 1989-05-02 Municipal Bond Fund 752,39 1989-06-02 Municipal Bond Fund 762.75 1989-07 -05 Municipal Bond Fund 764,44 1989-08-02 Municipal Bond Fund 757.99 1989-09-05 Municipal Bond Fund 758,89 1989-10-03 Municipal Bond Fund 762.98 1989-11-02 Municipal Bond Fund 757.35 1989-12-04 Municipal Bond Fund 758,37 1990-01-04 Municipal Bond Fund 759.82 1990-02-02 Municipal Bond Fund 757.46 1990-03-02 Municipal Bond Fund 756,42 1990-04-03 Municipal Bond Fund 760.69 1990-05-02 Municipal Bond Fund 750.20 1990-06-04 Municipal Bond Fund 751.16 1990-07 -03 Municipal Bond Fund 753,70 1990-08-02 Municipal Bond Fund 755,02 1990-09-05 Municipal Bond Fund 753.46 1990-10-02 Municipal Bond Fund 759.87 1990-11-02 Municipal Bond Fund 706.55 1990-11-06 Common Stock Collective 24.98 Investment Fund 1990-12-04 Municipal Bond Fund 662.96 1990-12-05 Common Stock Collective 79.99 Investment Fund 1I,[~ 1'24 p.',r,r 2'76 -15- 1991-01-03 Municipal Bond Fund 665.80 1991-01-04 Common Stock Collective 72,04 Investment Fund 1991-02-04 Common Stock Collective 50,11 Investment Fund 1991-02-04 Municipal Bond Fund 663,77 1991-03-04 Common Stock Collective 80,18 Investment Fund 1991-03-04 Municipal Bond Fund 660.38 1991-04-02 Municipal Bond Fund 661. 26 1991-04-03 Common Stock Collective 69.33 Investment Fund 1991-05-02 Municipal Bond Fund 657.79 1991-05-03 Common Stock Collective 57.24 Investment Fund 1991-06-04 Municipal Bond Fund 654,50 1991-06-06 Common Stock Collective 93,56 Investment Fund 1991-07-02 Municipal Bond Fund 653.26 1991-07-03 Common Stock Collective 46.81 Investment Fund 1991-08-02 Common Stock Collective 43.96 Investment Fund 1991-08-02 Municipal Bond Fund 657.93 1991-09-04 Common Stock Collective 82.87 Investment Fund 1991-09.04 Municipal Bond Fund 659.16 1991-10-03 Municipal Bond Fund 658.29 1991-10-04 Common Stock Collective 49.98 Investment Fund ----..-------- 92,290.94 .................. .......- Total Receipts of Income 94.512.57 ---------- liSt;? t ~.~,1 p~r,[ 2'7'7 -16- DISBURSEMENTS OF INCOME 1982-09-07 Dauphin Deposit Bank and Trust Co. - Commission 1983-05-24 Dauphin Deposit Bank and Trust Co, - 1982 Fiduciary Income Tax Return Preparation Fee 1983-10-06 Dauphin Deposit Bank and Trust Co, - Commission 1984-02-10 Dauphin Deposit Bank and Trust Co. - 1983 Fiduciary Income Tax Return Preparation Fee 1984-05-24 1984 Personal Property Tax 1984-09-05 Dauphin Deposit Bank and Trust Co. - Commission 1985-04-24 1985 Personal Property Tax 1985-06-07 Dauphin Deposit Bank and Trust Co. - 1984 Fiduciary Income Tax Return Preparation Fee 1985-09-05 Dauphin Deposit Bank and Trust Co, - Commission 1985-10-01 Dauphin Deposit Bank and Trust Co, - Commission 1986-06-16 1986 Personal Property Tax 1986-06-25 Dauphin Deposit Bank and Trust Co. - 1985 Fiduciary Income Tax Return Preparation Fee 1986-09-29 Dauphin Deposit Bank and Trust Co. - Commission 1987-04-23 Dauphin Deposit Bank and Trust Co. - 1986 Fiduciary Income Tax Return Preparation Fee 1987-09-29 Dauphin Deposit Bank and Trust Co. - Commission 1988-07-20 Dauphin Deposit Bank and Trust Co. - 1987 Fiduciary Income Tax Return Preparation Fee U3E~ 124 pm 278 -17- 443,13 85.00 889,41 88.00 6.80 848.06 6,80 82.00 348.17 551,78 5.16 88.00 868.15 85.00 1,184.13 85.00 I ~ . . I , . DISTRIBUTIONS OF INCOME TO BENEFICIARIES 1982-05-03 Mary B. Hinkle - Income 224.38 Distribution 1982-08-02 Mary B. Hinkle - Income 2,849.03 Distribution 1982-11-03 Mary B. Hinkle - Income 2,392,70 Distribution 1983-02-02 Mary B. Hinkle - Income 2,900.60 Distribution 1983-05-04 Mary B, Hinkle - Income 2,842.02 Distribution 1983-08-02 Mary B. Hinkle - Income 2,583,41 Distribution 1983.11-02 Mary B. Hinkle .. Income 1,737.21 Distribution 1984-02-02 Mary B, Hinkle - Income 2,619.04 Distribution 1984-05-02 Mary B. Hinkle - Income 2,472.57 Distribution 1984-08-02 Mary B. Hinkle - Income 2,556.57 Distribution 1984-11-02 Mary B. Hinkle - Income 1,731.69 Distribution 1985-02-04 Mary B. Hinkle - Income 2,618,19 Distribution 1985-05-01 Mary B, Hinkle - Income 2,605.33 Distribution 1985-08-01 Mary B. Hinkle - Income 2,471.34 Distribution 1985-11-01 Mary B. Hinkle - Income 1,638,25 Distribution 1986-02-03 Mary B, Hinkle .. Income 2,623.37 Distribution 1986-05-01 Mary B. Hinkle - Income 2,554,84 Distribution 1986-08-01 Mary B. Hinkle . Income 2,420.19 Distribution -19t13l': 12.i P.\Gf 280 , . .., ". 1986-11-03 Mary B. Hinkle. Income 1,620.98 Distribution 1987-02-02 Mary B, Hinkle T/A . Income 2,414.97 Distribution 1987-05-01 Mary B. Hinkle T/A - Income 2,272.26 Distribution 1987-08-03 Mary B, Hinkle T/A . Income 2,431. 40 Distribution 1987-11-02 Mary B. Hinkle T/A - Income 1,179,73 Distribution 1988-02-01 Mary B. Hinkle T/A . Income 2,361.07 Distribution 1988-05-02 Mary B. Hinkle T/A . Income 2,349.13 Distribution 1988-08-01 Mary B. Hinkle T/A - Income 2,172.19 Distribution 1988-11-01 Mary B, Hinkle T/A - Income 1,182,60 Distribution 1989-02-01 Mary B. Hinkle T/A - Income 2,329.44 Distribution 1989-05-01 Mary B, Hinkle T/A - Income 2,333.41 Distribution 1989-08.01 Mary B. Hinkle T/A - Income 2,314.24 Distribution 1989-11-01 Mary B, Hinkle T/A - Income 1,034.18 Distribution 1990-02-01 Mary B, Hinkle T/A - Income 2,309.09 Distribution 1990-05-01 Mary B, Hinkle T/A - Income 2,301.80 Distribution 1990-08-01 Mary B. Hinkle T/A . Income 2,169.23 Distribution 1990-11-01 Mary B. Hinkle T/A - Income 1,150,86 Distribution 1991-02-01 Mary B. Hinkle T/A - Income 2,249.38 Distribution 1I5ti~ 1.'24 pm 281 I -20- t; . .- - '--- . .. .. . 1991-05-01 Mary B. Hinkle TIA - Income Distribution 2,189,31 1991-08-01 Mary B. Hinkle TIA - Income Distribution 2,189.59 ------------- 82t395.59 Total Distributions of Income 82,395,59 ------ liSt': 1'~4. PI,r.E 282 -21- \, ~, .. Cash: Uninvested Temp Funds Muni Fund INCOME BALANCE ON HAND Current Value 11/27/91 4,61 1,300.00 . .. . Fiduciary Acquisition Value 4.61 1,300,00 1,304,61 1,304.61 ------------ ------- 1.13ER 12/),. pm 283 -22- : I l,i ". .' . ~. . AFFIDAVIT Dauphin Deposit Bank and Trust Company, Trustee under the Last Will and Testament of VERNIE H, BRINTON, deceased, hereby declares under oath that said Trustees have fully and faithfully discharged the duties of their office; that the foregoing Account is true and correct, and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Trust have been paid in full; that, to their knowledge, there are no claims now outstanding against the Trust; and that all taxes presently due from the Trust have been paid. .,., . /7 ';;;.' fi?.-nA." ;<./ C./-:>t4<<"A-;1C. . ,.4 ,~.p of' 1:(7. Dauphin Deposit Bank and Trust Company Subscribed and sworn to by before me this d!i-day Lt(!l.~-299 L ,0' .,.......,.~:71,~... ,,' .~\1..,\!>Jf:........ "tt,1'tt...ir,. i'...'I,...... -/"Q..~"..........:.....I...,...... :-'):"1(.;.........,.. .......:....:,....... "~:'" . .....,." ,,-? (1~{(;V,~/:;;~.,j;:.~) .' ..,.\ ,....."W.'./~...;j.: -... "::.....,.:t~:.:~--. ; ...~~."';:tt.li ". v." .,./l~".' ,"'. .....'.(~..........<:>v,/ .....:' 1'. p\l ,....' .....,..,..".... Ncl2IialSeal M3IY AnnArdelSOll, NolaJY Nlic Hart.sbullJ, O""","Jn COuntY My CommisSiOn Elt;jms Qd.30, 1994 Aambl", . """"y,vw,i.AsSCCialiOO 01 Notal1oS 1.13l" 1.24 Phr.[ 28'~ -23- I I ~"c:'tJ-~ E S Q) 'co ~ ... ~ c:::= ~-.$! o .;: c c u u m .- ~ \~ f) 1 ~ I ...... ~ ~ ~ ~ o-l ~ 11< l>< ... ~ ~ E ~ II Q ~ ~ ~ H U C,) ~ ! ~ ~ fol ~ i!l ~ 0 "" .!! Co;a I! .a '5.8Oil1 . lij ;'S=! ''''jSI ill"ll imd 1IIIIj II I! I~ .I, 'I lit I!i ~~ ~ ~~~~ 1 ~~~~ ~ ~!m~ ~~~i~J HI'li!l~ <I.l . ~i!l!t;~ ro.=~ ~"i ~ 0 J", 1'lC,) ~ ..r~ ?7' au).(s '4P,M9.19lt UOllnqIJlr;n~ JO 91" ..~4:>s p~OdOJd 4lJM aOUOpJo:;t,:>g UI ~~09p UO!mqfJ~SIP pue ~~I~ ,""W',..,O:J lunao:>" ~6'IC-1 :-_ r :- ,- f-:<_ , >d - '" 'r', 'n ';n ..,. r.... = rr! :-0 ""1 :~-l '.0 " - w ." -0 ':) ,; '.~ -.' I ~ c: o Cj)a:l ro :!::~ (;-.) 0 8. u, a.~ '-' Q)l:) 0.: Q11; --loi ~ " c: C\~ :E >l "M a. 0 ..~ ::J '" 8 <c. ~~ " ~ ~ ~ ~ .. .~. . -. . -. }?ECEi\,.'2D :.",. ." . ; 'Jr:? F:'?-~vQ)'M ,., '~J If COMMONWEALTH OF PENNSYLVANIA OFFICE OF ATTORNEY GENERAL ERNEST D. PREATE, Jr. ATTORNEY GENERAL January 9, 1992 Reply To: Charitable Trusts and Organizations Section 21 S. 12th St., 3rd Floor Philadelphia, Pa. 19107 Telephone: (215) 560-2402 ~ Evelyn S. Harris, Esquire BUCHANAN INGERSOLL, P.C. 30 North Third Street Eighth Floor Harrisburg, PA 17101 Re: Estate of Vernie H. Brinton, deceased Trust under Will Dear Ms. Harris: Receipt is acknowledged of your recent notice regarding the charitable gifts in the above matter. I have reviewed the Account and other material submitted and, on behalf of the Attorney General as parens patriae for charities, would advise you that this office is without objection to confirmation of the Account as stated. ~ ve~ ~rUIY yours, /~ ~/~// ./'~/ /' ~~~ ;A~~ Charles E. Donohue Deputy Attorney Gen~fal CED: jak REAPPRAISAL DUE TO DEATH OF MARY B. HINKLE, LIFE TENANT,ON 9/19/91. I flU NUMBIR //-/CJO-.;L.. INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) .lV.I~OO fir. (,.';OJ 9..~_ .~ 1ft. 4.,,, ~- ..". COMMONWf...tH~ Of P[NN5't'l"'ANI'" D[PAfI:'~EN' Of REVENUE POST OffiCE IOk 8321 HARRI5IUII_G. P. 1110,Un7 DECfOfNI'S NAME (lAST. fIRST. AND \lIOal( INlIlAlI 21-80-0504 .. z .. Q .. U .. Q YEAR NUMBER BRINTON, VERNIE M. SOCIAl SECURity NI.lMIU 114J COLUMBUS AVENUE LEMOYNF., PA 17043 /C,,'" CUMBERLAND IX) 3, 05. jOAfE Of OEAfHjOA'f Of BIRTH I 7-18-80 I U 2. Supplemental Return 172-01-1353 o I. Original Return o 4. limited estote .. .. ~S'" u"'.. .....u :00 v"'... ..... ... C Remainder Return (for do.., of dea.h prior '012.13.82) Federal eSlate Tox Return Required Totar Number of Saf. Deposit BOKes o Ao, Future Inter.s, Compromise (lor da'e, of dea,h aher 12.12.82) 06. Decedent Died T.,'ale 0 7. oeceaenl Maintained 0 Li\'ing Tru.' IAl/och copy of Willi (AI/ach copy of Tru") ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME DAUPHIN DEPOS IT BANK & TRUST COMPANY COM"" MAILING 'DD'E s ATTN: DENNIS H. ANSPACH, AVP & T.O. P,O. BOX 2961 ""HONENUM'" HARRISBURG, PA 17105 _8, I .. <II:! .... "'Q "'z 00 v... 255-2230 1. Real e"o'e (Schedule AI ( I) 2. S'ock, and 80nd, (Schedule 8) ( 2) 3. Cla,ely Held S'ock/Parln...hip In'ere" (Schedule C) (3) 4. Mor'gage, and Na'e, Receivable (Schedule D) ( 4) 5. Cosh, 80nk Deposits & Mi5Cellaneous Personal Property( 5) (Schedule EJ 6. Join'ly Owned Properly (Schedule F) ( 6) 7. Tran,fe.. (Schedule G) (Schedule l) ( 7) 8. T otol Gross Auets (rolallines 1-7) 9. Funeral Expenses, Administrative Com_ Miscellaneous ( 9) EApense' (Schedule H) 10. Deb". MOrlgage liabili'i.., lien, (Schedule I) (10) II. T 0'01 Deduclion, ('0'01 line, Q & 10J 12. Net Value of Enate (line B minus line 111 13. Cho.rj.oble and Governmenlal Bequests (Schedule JI t.4. Net Value Subject to To:.: Iline 12 minl.is line 13) 15. ArJlount of line 14 taxable of 6% rate (15) (Include value, from Schedule K or Schedule M.) 16. Amounl of line 14 laAable a' 15% ralt (16) (Include ...alues from Schedule K or Schedule M.) 17. Principal lax due (Add lax from line 15 and from line 16.) 1 B. Credirs Prior Po)'menh Discount '" i'l ",-J ~ . . ,-:" j;-) -:-_, .., N , 0 .' , ., ., .. r'-I ., ., 143.496.09 z o ;: c oJ ::l .. i: C V .. '" (8) 141.496.09 (11) (12) 141.496.09 (13) --116,996.09 (14) 26.500.00 x.06 = 26,500.00 3,975.00 z o ;: :! ::l ... ~ o V )( :! X .15 = (17) 1. 97~. 00 Interest + (I~ 19. If line 18 is greoter than line 17, onter the difference on line 19. This is the OVERPAYMENT. (19) a:JIlIf:r.r.:l~".I".I_'l.'ll.'U"'~.I'I'I~""h.'.'.Inr.r.Ir.'I_.1ol'I_'.""'!.I.~.-""(>l'1~ 20. If line 17 is greater than line 18, enter the difference on line 20. This is ,he TAX DUE, A. Enter ,he interesl on Ih~ bolonce due on line 20A. B. En'er 'he '0101 of line 20 and 20A on line 208. Thi, i, ,he BALANCE DUE. Make Check Payable 10: Revl,ter af Will.. AvenI (20) (20A) (20BI 1.97~.00 .. ..BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH... U~der penoW" 01 perjury, 1 declare 'ha' I hove ..om;ned 'h;, return, ;nclud;ng accompony;ng "hedule, and .,'.IOmenh. and '0 'he be" 01 my knowledge and bel;ei; " " !rue, correcl ond complele. I dedare .ho' all reol e"o'e ho. been reported a' 'rue mor.., volue. Oeclaro".n 01 preporer o.her ,hon 'he p....na' repre,en'a'ive i, baled on all information of which prepare, has any knowledge. ~ W 'D~PW;Yi"'<<~ ''1;' ''t~B~i.lU~., T~'ll'~IfEE P.O. BOX 2961 D." ~ ,;Jot: HARRISBURG, PA 17105 2/3/92 IG~A UR , PR ARE HER THAN R PRJS N ... IV ADORn DENNIS H. ANSPACH, AVP & T.O. DATE v , .. , REV-1547 EX AFP (1-91). CDfOtONWEAL TH OF PENNSVLYAHJA OEPARTHEHT OF REVENUE . BUREAU OF IHDIVIDUAL TAXES DEPT. 2110601 HARRISBURG, PA 17128-0601 ACN 102 NOTICE OF INNERITANCE TAX APPRAISEMENT, ALLOWANCE OR OISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX DATE 04-27-92 ESTATE OF FILE NO. DATE OF DEATH 07-18-80 COUNTY CUMBERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS, "AKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT" REMIT PAYMENT TO: DAUPHIN DEPOSIT BK & TR C C/O DENNIS H ANSPACH PO BOX 2961 HBO PA 17105 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Allount RI..ltt.d CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .... REV=is'4j-EX-AFP--n:'-9'ir-rioi'icE-iiF'-iNHERYfANi:€-i'iii-APPRAYsEHEN;:~nALLoIiANc€-ijii'n_--_______m__- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BRINTON VERNIE M FILE NO. 21 80-0504 ACN 102 DATE 04-27-92 If an assessment was issued previouslY, lines 14, 15 and/or 16 and 17 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 taxabl. at 6~ rat. 16. Allaunt of Line 14 taxable at 15% rate 17. Principal Tax Due TAX RETURN WAS: I X) ACCEPTED AS FILEO RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: REMAINDER RETURN 1. Rool Est.t. ISchodulo A) (1) 2, Stocks .nd Bonds (Schodul. B) (2) 3. CloSlly Hald Stack/Partnership Int.r.st (Schedule C) (3) 4. Mortgag../Not.. Rlclivable (Schedule DJ (4) 5. Cash/Bank Deposita'Misc. Parsonal Property (Schedule E) (S) 6, Jolntl~ Oonad P.opo.t~ (Schodulo F) (6) 7. Transfers (Schedule G) (7) 8. Totel As.ets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expense./Administrative Costsl Hiscallaneous Expense. CSchedule H) (9) 10. Dobts/Ho.tg.go Llabl1ltl.s/Ll.ns (Schodulo I) (10) 11. Total Deductions 12. Net Value of Tax Return 13. CharUabl./Govarnlllent.l Bequasts CSchadule J) 14, Not V.lu. of Est.t. Subjoct to T.x NOTE: (15) (16) TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT I') INTEREST (-) 02-20-92 677175 64.43- ( I CHANGED ~.- ; ~ ,-', . DO' 143.496.09. .00 .00 . DO' .00 .00 (8) ~ I --.J 143.496.09 ,DO . DO Ill) (12) (13) (14) ,00 143,496,09 116,996,09 26,500.00 .00X,06= 26,500.00 X.1S = (17) .00 3,975,00 3.975.00 AMOUNT PAID 3,975,00 INTEREST IS CHARGED FROM 02-21-92 TO 05-12-92 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM,* TOTAL.TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 3,910,57 64,43 1.30 65,73 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONA~ INTEREST, IF TOTAL DUE IS lESS THAN $1, .NO PAyr,ENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YOU MAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS,) ,.. ., RESERVATION: Eltatel of dle.dent, dying on O~ before Oecl.bar 12, 1982 -- If any future Inter..t In the ..tata 1. tran,farr8d In poI.I.lion or enjoy.ant to Cia. I 8 (collateral) banafielarl.. of thl decedent after the Ixplration of any ..tata for 11f. or for y..r., the Co..onw..lth hareby expressly rl.lrVI. the right to apprals. and ."0" transfar Inharltanc. Tax.. at thl lawful t1a.. B (collatlral) rat. on any such future lnter..t. PURPOSE OF NOTICE: To fulfIll thl requir..ants of Slctlon 174Q of the Inheritance and E,tat, Tax Act, Act 255 of 1982. 72 Pa. C.S. Section 1740. Detach thl top portion of thl. Notlel and sub.it with your pay..nt to the Register of Will. printed on thl rIver.. .1~. --Haka check or Rnlll order p8yable to: REGISTER OF MILLS, AGENT All pav-ant. rlceivld ,hall first be applied to any Inter.st which .ay b. dug with any r..alndar applied to the tax. REFUND (CAh A refund of a tax cr.ctlt, which was not r.qu..t.ct on the Tax Asturn, HY be requesbtd by cOlIPlat1ng en "Application for A.fmd of Penn.ylvanla Inheritanc. and Estate Telt" (AEV-1313). Applications ar. avallabl_ at thII Offlu of the R.gist.r of Will., any of the 24 R.venu. District Offlc.s, or by calling the .pecial 24-hour answ.rlng 'Irvic. nuab.r. for far.. ardlring: HEW in PENNSVLYANIA 1-800-362.2050, outsld. Pennsylvania and within local Harrisburg araa (7171 787.8094. PAVHENT: OBJECTIONS: Any party In Int.rl.t not satisfied with the appraise.ent, allowanc. or dl.allowance of d.ductlons, or a......ant of tax (Including discount or intlr.st) as shown an this Noticl ~.t obj.ct within .iltty (60) days of r.ceipt of this Notlc. b~l --wrltt.n prat..t to the PA D.partslnt of Rev.nu., Board of App.als, DEPT. 281021, Harrisburg, PA 17128-1021, OR -.Ilectian to havI the .att.r d.tar.inad at audit of the account of the plr.onal r.pr..antativ., OR nappeal to the Orphan.. Court. AIlIIlM ISTRATIYE CORRECTIONS: Factual .rror. di.cov.red on this a.......nt should b. addr....d in writing to: PA Dapart.ant of R.VInU., Buraau of Individual Talt.', ATTH: Past A.......nt R.view Unit, DEPT. 210601, Harrisburg, PA 17128-0601 Phon. (717) 787-6505. S.. pag. 3 of the booklet "Initructions far Inh.rltanc. Talt R.turn far a R.sIdant Dec.dent" (REY-lS01) far an eltPlanatIan of adainI.tratively corr.ctable error., DISCOUNT: If any tax due 1. paid within thr.. (3) calendar eonths aft.r the dacadant's d.ath, a five p.rcent (S~) discount of the tex paid is allow.d. Int.r..t is chargld beginning with first day of d.1Jnquanc~, or nln. (9) aonths and on. (11 da~ frOll the data of death, to the data of payaant. Ta~.s which bac... dalinquent b.for. Januar~ 1, 1982 baar inter.st at the rat. of silt (6Xl p.rcent p.r annua calculat.d at a dally rata of .000164. Ail taxa. which baca.. dllInquent on and aftar Januar~ 1, 1982 will b.ar lnt.r.st at a rate which will vary fro. calandar ~aar to callndar y.ar with that rat. announc.d b~ the PA Dapart..nt of Rav.nue. The applicabl. Int.r..t rates for 1982 through 1992 ar.: IHTEREST: '!!!r Int.n.t Rat. Daily Inter.st Factor ~ Intarlllt Rate Dally Int.rnt Factor 1982 20X .000548 1986 10:C .000274 1983 16:C .000431 1917 .. .000247 1984 11:C ,000301 1911.1991 U:C .000301 1985 In .000356 1992 .. .000247 -"Int.r..t is calculBtltt .. fallow.: INTEREST = BALANCE OF TAX UNPAID X NUNSER OF DAYS DELINQUENT.X DAILY INTEREST FACTOR -"An~ Hotic. I.suad aft.r the talt baco... delinquent will raflsct an lnt.r..t calculation to fiftean (15) da~s b.~ond tha data of the a.......nt. If pay.ent i_ aade aftar tha Intarl.t ca.putatIon data shown on the Hatic., additional Intarest .u.t b. calculated.