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HomeMy WebLinkAbout80-00730 .. " '~ . ~ ~ , : ~ :.:: I:) .r", H -,-.~ . ~ ~ o1:l -,'-', , Z r<1 :; ',.~ 0 ~ H I - - ,. ~ .. . ~ fa en = ~ ~ ~ 0 ~ :J: Z .) ,-~ ~,-" ',1: o ',,", ",~. Q - e,'oo' . 0 _. ',' roc ta) . 11 lP. 0 - \0 Z all ,. ,10' ,-.' ,~,9D 21-80 730 No. PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY In the Estate of Walter W. Weibley , deceased, To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania, Petltloner(s) is (are) the execut ors named In the Last Will and Testament of Walter W. Weibley dated January 3, 1975 Decedent was a citizen of the United States and a resident of North Middleton Township Township (Borough), Cumberland County, Commonwealth of Pennsylvania. Decedent died on Friday the 7 th day of November A.D. 19~, In the County of r."mhp,.l Anrl , State of PA at the age of 2L years. Decedent has (has not) been married and has (has not) had children born to him (her) since the ex- ecution of the above described Will. Decedent was possessed of personal property to the value of unestimated and of real estate to the value of unestimated as near as can be ascertained; said real estate situated as follows Therefore, your petltioner(s) respectfully apply(ies) for the probate of the said Last WI11 and Testa- ment and for Letters Testamentary theron, Dated Nov. 14. 1980 Name and address of Petltloner(s) Gladys Weibley and Farmers Trust Company P.O. Box ,9<l)carlisle, PA 17013 / ,b COMMONWEALTH OF PENNSYLVANIA l COUNTY OF CUMBERLAND l ss Dennis C. Caverly, Senior VI' & TO Farmers Trust and Gladys Weibley named in above application, being duly sworn ccording to law say(s) that the statements set forth in this petition are true to the gest of heir l' , I)' 1 " ---Sworll-_ and subscribed before ,~ "it. , /. ~ /' - /il-:;L/&l,/ me. __ Nov. 14 19~_ ~u /)9!-l ,) _If< _-z.~,----c.:.~. e.(Q--...:t.-! (/ eglster Filed: November lB. 1980 Attorney ~lcNees, Wallace & Nurick ,-1 'j /:/ 'il I, ~__ /.j .., ~ I~fd - ;1.30 / /-155'- .;(., 12 ~710 12/30/74 .,', ,. WILL OF WALTER W. WEIBLEY I, WALTER W. WEIBLEY, of Carlisle, pennsylvania, declare this to be my will and hereby revoke all prior wills and codicils made by me. 1. I bequeath all tangible personal property which I own to my wife, Gladys Weibley, if she survives me, except such property as may be of an income producing nature. If she does not survive me, I bequeath said property equally among those of my children, Vance, Carl, Gwendolyn, and Diane, who survive me. If my children are unable to agree as to the manner of division of said property, I direct that choices be made by them in rotation, with each item chosen being valued for the purpose of the division at the value at which it is included in my estate for federal estate tax purposes. 2. My wife and I are now joint owners of a residence in Carlisle, Pennsylvania, which is our usual home. If, however, my wife survives me and at my death our usual home is held in any manner which will not result in passage of full title to him by operation of law, I bequeath and devise my entire interest in said home and its contents to her. 3. All the rest of my property, of whatsoever nature and wheresoever situated, but not including property over which I hold a power of appointment, shall be divided into two parts. One part, which shall be known as Trust A, shall consist of such fractional estate passing under this paragraph as may be needed ,.-;;}J (/ //(j f?:: Ujh I . (,J)!,.j/j!,. u / rr-,~"~ ......'\0.. '-. _......1- . .~ .,' . ,,' to obtain the maximum marital deduction in determining the Federal estate tax of my estate after taking into account all other items of my gross estate, whether passing under this will or otherwise, that qualify for said deduction. In determining the fraction referred to in the previous sentence, the final determination of value of assets in the Federal estate tax proceeding shall control and only assets that qualify for said deduction shall pass to Trust A hereunder. The other part, which shall be known as Trust B, shall consist of the remaining portion of my estate passing hereunder. I bequeath, devise and appoint the entire property passing hereunder to my trustees to hold in trust in accordance with the following terms and conditions: (a) To pay the net income from Trust A and Trust B to my wife, Gladys Weibley, for her lifetime in such installments, but not less frequently than quarterly, as they may determine, (b) To pay to my wife such sums from the principal of Trust A as she may from time to time request in writing. The right of my wife to make such requests and the use to which she may put any funds requested shall be without limitation of any kind, there being no duty to the re- maindermen in connection with any such funds distributed and no such funds being impressed with a trust of any kind. (c) To payor apply to the use of my wife, from time to time, such sums from the principal of Trust B as may be necessary to enable him to maintain a standard .tii1/3,ng app,ox'=tely eq~l .. that ='ntained by ')l~ frUJ 0t I/t-; o-i (1)1d~ .27 - 2 - .' ~ " us during my lifetime and to meet needs of an emergency nature such as those arising from serious illness or the like, taking into account such other sources of support as may be available to said wife. My wife shall not participate in any decision as to the making of an invasion under this paragraph. (d) At the death of my wife, to distribute the total sum then held in Trust A as she may appoint by a will executed after my death which makes specific reference to the power of appointment created herein. The power to make such appointment, the conditions to which it may be made subject, and the permissible bene- ficiaries, which shall include her estate, shall be without restriction or qualification of any kind. The power of appointment shall be exercisable by my wife along and in all events and there shall be no power in any person other than said wife to appoint any part of the property passing hereunder. If my wife should predecease me, or in default of effective exercise of his power over any part of said trust proceeds, the portion of the property passing under this section, or the property with regard to which such default occurs, shall be added to, considered part of, and administered and distributed in the same manner as the property held under Trust B. (e) At the death of my wife, or at my death if she should predecease me, the total property held in Trust B shall be distributed equally among my children, Gwendolyn and Diane. If any of my children 0hl/7( q~ '~,~~/ - 3 - does not survive my wife or me, as the case may be, his share shall be distributed per stirpes among those of his issue who are then living or, if there are no such issue, shall be distributed per stirpes among those of my issue who are then living. If any beneficiary under this paragraph is under the age of twenty-five (25), his share shall be retained in trust by my trustees for his benefit until he reaches said age, and during the period of said trust there shall be distributed to or applied for the benefit of such beneficiary such portions of the income or principal of his trust as may be required for his support and education, taking into account such other sources of support and education as may be available to him. 4. If my wife and I should die under circumstances which make it impossible to determine which of us died first, she shall be deemed to have survived me for all purposes hereunder. If any other beneficiary should die within thirty (30) days after my death or after the death of any person on the survival of whom his taking is contingent, he shall be deemed to have predeceased me for all purposes hereunder. 5. No interest of any beneficiary of my estate or of a trust created herein, either in income or principal, shall be subject to anticipation or to pledge, assignment, sale or transfer in any manner, nor shall any such interest be liable on account of the debts, contracts, torts or other engagements of any beneficiary. 6. Any amounts which are payable to a minor or incompetent or any trust created herein, may at the discretion 00 Is-d;~( ~~' 0 ' 0' ,', oJ. !:" J d/Z( ;J)f:. c:tf,L~~-:/ - 4 - of my fiduciaries be paid to the parent or guardian of such minor or incompetent, to the person with whom such minor or incompetent resides, or directly to such minor or incompetent, or may be applied for the use or benefit of such minor or incompetent. 7. In the administration of my estate and the trusts created in this will, the fiduciaries named herein shall have the following powers, in addition to such powers as they may have by law: (al To retain all or any part of my property, real or personal, in the form in which it may be at the time of my decease, including any business owned or controlled by me, or any closed corporation, partner- ship, or family enterprise in which I have an interest, as long as in the exercise of their discretion it may be advisable so to do, notwithstanding that said prop- erty may not be of a character authorized by law, and to operate any such business as a sole proprietorship, partnership or corporation. (bl To invest or reinvest any funds in my estate or the trusts created in this will in any property, real or personal, even though such property would not be considered appropriate or legal for fiduciaries apart from this provision, it being my intention to give my fiduciaries the same power of investment and reinvestment which I would possess if present and acting. (cl To sell, convey, exchange, partition, give options upon, or otherwise dispose of any property, real or personal, at any time held by them, at public or private sale or otherwise, for cash or other consid- eration or on credit, and upon such terms and for such price as they may determine. (dl To borrow money for any purpose in connection with the administration of my estate or the trusts created in this will, to execute promissory notes or other obli- gations for amounts so borrowed, and to secure the payments of such amounts by mortgages or pledges of any property which may be included in my estate or the trusts created in this will. (el To make loans, secured or unsecured, in such amounts, upon such terms, at such rates of interest, and to such persons, firms or corporations as they may deem advisable. (f) To renew or extend the time for payment of any obligation, secured or unsecured, payable to or ~~Y, es~ate or the trust, for as long a period or periods {~!E Of; , flfid. '0/cdh 0)/ , ) '?\/-h.A<?,y - ,/ - 5 - . , . " ..: ,.,. of time, and on such terms, as they may determine, and to adjust, settle and arbitrate claims or demands in favor of or against my estate or the trust created in this will. (g) To hold, manage, and develop any real estate which may be held by them at any time, to mortgage any such property in such amounts and on such terms as they may deem advisable, to lease any such property for such term or terms, and upon such conditions and rentals as they may deem advisable, irrespective of whether the term of any such lease shall exceed the period per- mitted by law or the probable period of retention under this will, to make repairs, replacements and improvements, structural or otherwise, in connection with any such property, to abandon any such property which they may deem to be worthless or not of sufficient value to warrant keeping or protecting, and to permit any such property to be lost by tax sale or other proceeding. (h) To employ such brokers, banks, custodians, investment counsel, attorneys, and other agents, and to delegate to them such duties, rights and powers as they may determine, and for such periods as they think fit. (i) their own or in the the trust To register any securities at any time in names, in their names as executors or trustees, names of nominees, with or without indicating character of the securities so registered. (j) With respect to any securities forming part of my estate or the trust created in this will, to vote upon any proposition or election at any meeting of the corporation issuing such securities, and to grant proxies, discretionary or otherwise, to vote at any such meeting; to join or become a party to any reorganization, read- justment, merger, voting trust, consolidation or exchange, and to deposit any such securities with any committee, depository, trustee or otherwise, and generally to take all action with respect to any such securities as could be taken by the absolute owner thereof, 8. I direct that all estate, inheritance and succession taxes that may be assessed in consequence of my death, of whatsoever nature and by whatsoever jurisdiction imposed, shall be paid out of the principal of my general estate to the same effect as if said taxes were expenses of administration, and all property includible in~ (J' " "./6 )) ?lJl " . estate for federal or state tax purposes, whether .:51/',.,,- ,'?\i. /~ .</,j/I.. ~ ...- /r , 'JJh-< -A!_~~~ - 6 - '.' or not passing under this will, shall be free and clear thereof, provided, however, that no such taxes shall be paid from Trust A created under paragraph 3 of this will. 9. I appoint as executors and trustees hereunder, my wife, Gladys Weibley, and Farmers Trust Company, Carlisle, Pennsylvania. If my wife is unable and unwilling to serve, a successor shall not be appointed to serve in her place. Farmers Trust Company shall serve as the guardian of the property of any minor or incompetent beneficiaries under this will and in any other situation in which the power to make such appointment exists under the law of pennsylvania. My wife shall not be required to furnish bond or other security for the proper performance of her duties. IN WITNESS WHEREOF, I, WALTER W. WEIBLEY, herewith set my hand to this my last will, typewritten on seven (7) sheets of paper, including the attestation clause and signatures of witnesses, upon , each one of which I have also written my name this j'/Zt'day ofJ;,v<"",r, 1975. On the day of , 1975, WALTER W. WEIBLEY declared to us, the undersigned, that the foregoing instrument was his last will, and he requested us to act as witnesses to the same and to is signature thereon. He thereupon signed said will in our presence, we being present at the same time. We now, at his request, in his presence, and in the presence of each of us, hereby subscribe our names wi tnesses. Each of us further declares that he believes this te a~r to be of sound mind and memory. ,:~7 {}7 Vi" " :/ /, /(/:/ ,1)---: ):/ C( residing at 'i f' (1 'I J.i,-,-J . f(;lC~ I Lc /1 ' 1 1 :u,JJ_I,jlc /) ~J-' residing at U /1 //~j,o-~ I -I ( '. "-//0,-J:. /' i residing at " ./.24]' " 1 / ((-<.. - 7 - .~ - .... .... LJ.._ ~ ... L;' ... II) Ld~": ?< u:;: >< .'(, Q i;:.... ~ ,~ .. " hi La-I~~ H hi ~ Oi;.-.. a:l ... a: . 6Q:~ H .... .. ~ ~ wuJ -- ~ ~ r.:: Ul .; Ct:; S";2 ::: . 0 - hi 0 a: 0:_ - Z . ~ oc, r.:: ci ">u, ~ ii: II) We: 0 ::: H " Ul c: ~ ~~ H i:'"t> 0 it ::: p:; . 0 a: ~ '.l\ < E-4 ... X ~ ... ?< .{, - .... ~ ....1, , ~ . . , OATil OF SUIISCIUIIING WITNESS COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND ( This 14th day of November A.D.,19 80 , before me, Register for the Probale of Wills and granting lellers of Administralion in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally eame Dennis C. Caver Iv and Jane F. !lurke the subscribing witnesses to lhe foregoing instrument of wrilir,g purporting to be th~ last Will and Testament of Walter W. Weibley Dated January 3, 1975 late of North Hiddleton Township Cumberland County Pa., deceased who being duly sworn according to law, depose and say, that they were present, and saw and heard the testa tor Walter W. \~eiblev sign, seal, publish, pronounce and declare the said instrument of wriling as and for h is Testament and Lasl Will, and at the time o~'doing he was of sound and disposing mind memory and understanding, to the best of ~,eir ~ knowledge, observation and belier. (/' - 0~ Sworn and subscribed before /I/.t?/U ~ j '~Ii\ I;. LJJf PAl (J. ,y/p<d Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA t ss: COUNTY OF CUMBERLAND ~ Dennis C. Caverly, Senior VP & TO Farmers Trust Company being duly sworn says lhat as nearly as can be ascertaineclthe said decedent Walter \~. Weiblev died on Friday 7th November 80 .D,,19_, day of the at or abou t o'clock, _M. /' /'ACJ /J /';;;",t.'L"W~ Sworn and subscribed this November 14th day of 19.80~ore ~ / d7 r:!" ~/'?A') Register OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of Cumberland, personally came Dennis C. Caverl Senior VP & TO Farmers Trust Co. and Glad s Weibley who, being duly sworn , do depose and say that as Co-Executors of the last Will and Testament of \lalter W. Weibley deceased they 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 Transf r Inher' ijCes. Nov. 14 .0., 19~ c.1(/, ... . l.~ - :..; 0: :1t <g; :os :.. ...." ~~ :<.J :.. '" ; ".:,.:...... :~ "- ~ c: , ('-. !:l" (,!')~.. ,., .:-::~ ~;. U. <1': <;; "<I' ~~, OJ: Cl-:. - 0 ~: Ll.1~'~ :~02 0>- > "'." ~ Ow >0: ce8 0 ~'" oJ: .><: ,., CZ:l: .-J ,.J: 0 ~c:: .... c!:> ,...~ "" 0 f'o, I ~ --Iu .-J H' ~ . co: 0 u oJ: ..- U: ....j .,.: ..- OJ - -: .~ E-t: I S ~ r>l\ .: .... :3: l'l >: N 0: 0:: ,~ N: Z\ oJ 't:l 10: Q ~ .. 00 ~ 't:l M: ... ~F\ . ;;: 0 - <.J N S ~ ~ 1l 0 n 't:l ..- Ul l'l os .~ Z fil os ~ ~ DECREE Be it remembered that on the 18th day of November 80 ,A.D,,19_, there was probated and recorded the last Will and Testament of walter W. Weibley late of North Middleton Township , Cumberland County, Pennsylvania, Gladys Weibley & Farmers Trust Co. Deceased. Letters Testamentary were granted to Witness my hand and official seal the day and year aforesaid. ~ / (i!, ~ / Register . '3'70 COMMONWEAL TH OF I'[NNSYLVAtll:. DEPARTMENT OF REVEf-lIIE TRAIlSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT ~. ,~~)l~ ",u.~~1i~ . ,', :~i~?.;p-:; <-:,:.J- -. REV-457 EX+ (7-eO) IilORIGINAL o SUPPLEMENTAL File No. 21-~9.:Q7~L___ Estote of Walter W. ~~i,!:lley_________________ Coun ty C\.mlberl~,_____________________'_- Dote of Death _~9~r 2, 1980 In the event thol any futUftl intclt!:ot in this estato is hU:'IsfcurcJ In possession or enjoyment to collateral heirS of the decedent ofter tho explrotlon of cny OS tote for life or for year~1 lilt: Conunonwcalth hur"hy expressly reserves tht'l right to appraise and ossen transfer Inheritance taxes at the lawful collateral rote on (lny such futuro Interest. - - PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY I HE COMMONWEALTH ._~_..._-'- --------------- ASSET SUMMARY DEPARTMENT'S APPRAISED VALUE 1. Total Real Property _ SCH. "A". . . . . , $ ~one 2. Total Personal Property - SCH. "B".... $ _413.997.16 3. Total Jointly Owned Property - SCH. "E" $ None 4. Total Tronslers _ SCH. "C". . .'. . . .. $ None Unreported $ Unreported S Unreported $ Unreported $ S None $ 413,997.16 $ None $ None S DUFE ESTATE DANNUITY TOTAL GROSS ASSETS DREMAINDER ~-------.-.-.__._-- TOTAL VALUE s I do hereby certily thot the ouove appraisement is made in conformi with Pennsylvonia low and has been Filed this doy with the Register of Wills. APPR SE~ September 18, 1981 DATE 1 ~ .~ ~ ! ~ ~ ~ -< [j Z ><-l ~ ..... dP 0 >- ... j ~ \D ><-l :;l CIl ~ ~ Q) ~ ;:l ~..... ,.l . -< :;; ~~! - ~ u z ..... tn - ;q~ .-l tn (.>. 0 '" ..... N (.>. - .-l a ~ 0 ~ '" :;; .-l ~ ~ t-'< 0 i:. I- 0 Vl 0 z d CIl '-" >- '"' 0 - I>l Z ~ ><-l I- ><-l Z Z ,.l d - d ~ z ~ ::;: c:l ><-l ><-l ,.l Z Z i-' ;:l U " - ~ <Fl ~ 0 0 -< z :;: I>l U 0 p,. :i REV-CU EX. tHOI INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) o Original o Supplemental o Remainder FII e Number 21-80-0730 Estate Name Walter W. Weib1ev Date of Death Novenber 7, 1980 Social Security Number 171-28-5722 REPORT OF INHERITANCE TAX APPRAISER I, tho undonlgnod duly appalnt.d Inherltanc. Tax Appral..r In and lor th. County 01 Cll~bel'~rt Pennsylvania, do rosp.ctfully report that I have appral..d tho real and p.rsonal property as report. In t . aregolng retum at th. valu.. s.t forth oppaslt. .ach It om In th. 'oll column to Ih. r ghlln Sch dul.s "A", "B", "C", and "E" Datod: ~tJ'J1ber 18. ] 9Rl INVENTORY INH ADJUSTMENTS REMAINDER APPRAISEMENT CODE VA~UE AS APPRAISED CODE (HARRISBURG USE ONLY) S None 00+ 92+ 413 10+ 20+ None 30+ 413,997 16 40- 93- Roal Property (Schodul. A) Penonal Property (Schedule 8) Jolnt.Hold Properly (Schodulo E) Transfer. (Schdule C) TOTAL GROSS ASSETS Le.. O.bt. and Deduction. (SCH EDULE F) CLEAR VALUE OF ESTATE o Llf. Estat. o Annuity RATE FACTOR PRINCIPLE VALUE CODE FOR USE OF REGISTER ON~ Y Tax on $ gmg, COMPUT A TION OF TAX S S S S 6!-O Tax on $ 15~~ Tax on $ Tax on $ Tax on $ s Exemptions Total Estate TOTAL TAX INTEREST FROM BALANCE TO s S 5 Leu Credits DATE OF PAYMENT AMOUNT PAID TAX CREDIT S 5 INTEREST FROM '!. ,'i'.'( l,liOl-' '-'01< MW CONSENT I, jF: "W.F i-I~ SECURITIES iILl'!) II:i<ED Ii', lHE 14AME OF A RESIDENT DECEDENT *, COMMDHW[/.l_ll ~ .' OEI'!.Fn',..l:.: ' '&Uf\E/,U (jl' :l> l,f; , :. I,"~ DATE AEE.!:-IC AT.!OI~ (i.\'I\ 1 W- i'll.FG 1I~ TlilPLlO TE) TO THE PEN~;:;,(I_'1^IH/, Di?pt.ldMun OF REVENUE: l~r,r'!:(~.ll("l is ~l',;rdli' f!'!lcJC for COlscnllo the transfer of thc following securities of a Pennsylvania Corporation 01 U ~bli')Il(d E"nLiq~l /\s::;:;ciolioll locufco In Pcnnsylv~ni{]: (aL~QO___, (',)j. Pennsylvania Power & .Light CO.___,(c) common (NOTE: I" doouibi"g ,cculilic,; e"'e' j" (0), ab OJO, either the l1umber of shares of stock or the face amount of registered oC\1ds, i'l ,::1), :ilf~ nOll'e of tL,,-.' i"~ll1ir:J compony and in (c) the class of stock or the stated interest rate and lIloturi,y dUll' ot fC'(;i5tCI(:U b(.'-.~~~,., 6/9/74; 6/10/77; 4/22/60 ISSUED Otl ~d_4/23/80 , 'Ii,d haviog 0 TOTAL MARKET VALUE OF S2t850.00 r'.ln',_) os of ,he date of ,I(.ath d thc dece,!e.,t, ____ J~alt\lr_W._~l!ibley (NO"H' of (>.:ccdunt) _ , onNovember 7. 1960 (Dote of death) who wos lote of __ 1919__ }l.aple\<iood DE_"---,__C~_rl1s~e.!_~~~_l!l:~and, PA 17013 (Sltr'cT .lIll1 NUl'"lnerl (PO",t Office) (County) (State) The securities ore f('{jic;ti.!rcd {~: {ollo'",s: Walter W. We1bley +--.. - .-..... ---..-- (t~l1mc or nOnlcs in which certificatos arc roglstered) AEDXIE^C1NUITSTO~"A101')) Fapaers_ Tr!lat Co. and(;l,!1.dY~ WeJ:)l_l~Y-,Y..!_Q. \:--',1Ir,,1 NAME OF APPLICANT COUNTY FILE ~ll;I',RER .11- ~J-_?3J_ ADDRESS OF APPl.ICANL Box 220. Carlisle, PA 17013 (Addrcu) Farmers Trust Co. P.O. Box 220, Carlisle, PA 17013 BUREAU FILE tJUMBER_____m_ __SIGNATURE OF APPLICANT 'ilL NOTICE: IF YOU FAIL TO PROf'ERL'I FILL IN :'1~Y PORTION OF THIS APP ICATlON, IT WILL NOT BE CmlSIDERElJ COMPLETE AND WILL BE RETUf/NED TO YOU FOR COMPLETION. UP.rTO _______.__.___~__.______.._ . 0--- ____.."_'.. ...--------- COMIWtJIYEAL TH OF PENNSYLVANIA - DEPARTMENT OF REVENUE COtlSEiH TO TRANSFER SECURITIES ~ ~ DATE ~, I hereby COl1cent 10 the transfer of Ihe above securities now registered in the nome 01 the loresoid /9'~ Decedent and waive 'he filing of 0 certificate certifying to the payment of the transfer inheritonce tox to which the properlY of soil Oocc'oent is mado subiect pursuont to the provisions 01 the Act of June 20, 1919, P.L. 521, os amended and the ACT or .11111: 15,1961, P,L, 373, as omended. This is also in accordonce with the provisions 01 the Ac! nl April 9, 1929, P,L, 3<'13. T~is Consenlle Transfer Ihr, heroin described property operates only in reference to the estate 01 the nbo"'c.nar~1t~d Dect.'d(:.lt. \,,, ~, "':, ~ I'~f,:i:~t\ ['_,..j~.~i1}i .r;"~."'c...rlJ.),.'" Signe~d for the Secretory of Revenue ~. ~.j By_ ILL ~ . :? ",~ 4 (~;g~ ") ! ' n. _ ~~tz.-t.., &&2.1..&:.t~,e<l " (County) CC,l,\MuNwr:.Ll : i',; r~': 1; Dr i"'j,"" ." '8UREA~ Of ~-l.i;j', I M'Pt. Ie A T ION FlW AND CONSENT II !(J H'I,HSFcr;: SECURITIES i<U;IHEREO Ir~ THE NAME OF A R~_~~~~NT_ DE~~DE~T___J '* \il):4',) DATE I'JOV ~: 1ClRn fPPLK!.TIO_~ (lWST :,X l'ILEf) It,l ,'('PLICATE) TO THE PENNSYLVAtl!<\ DEPARTMENT OF REVENUE: Appiic"llon " iJ,,,cby moue for consonl to Ihe transfer of the fallowing securities of a Pennsylvania Corporation or 0 N'1ti\iiW! Banking ,\:;socialioll localed in Pennsylvania: (0)_240, _______,(l,)_. _ __.,__Farmer!l__T.11IS~__.~..__ ________ (c) COIIDIlOD (NOTE: In doscribi,1g ~."cu;ities enlor in (0), eb Ole, eilher 11,0 number of shores of stack or the face amount of regislered bond" in ,il!, the 0(1,1'0 of :he' issui"9 company and in (c) Ihe class of stack or Ihe stated interest rate and maturily dote of registered ;'on:is,) 7/12/63; 8/27/63; 4/15/66; ISSUED ON _1.9/1/70;, 1l/1517.L, nnd huving a TOTAL MARKET V A.LUE OF S 6.720.00 (Dak! as of Ihe dale of d"",;, of the decedent Walter W. Weib1ey Ih._._.____ (Homo of Decedent) , on November 7. 1980 (Date of death) who was late of __~?l~!h1P~=..ood_~~:!- ~r~~~~='__.l:~erland, (Str{~et end Nl'm~Jl'f) (Po~t Office) PA 17013 (County) (State) Th" seourities are registered a' follows:_~_ Wa~~~~_w. Weib1ey (NOIlte or names in which certificates ara registered) ADMINISTRATOR) EXECUTOR ~.O. Box 220, Carlisle, PA 17013 (Address) NAME OF APPLICANT Farmers Trust CO. COUNTY FILE NUM8ER_<Bi.t'L:X~_ ADDRESS OF APPLICANT P.O. Box 220, Csrlisle, PA 17013 f' .1). "P BUREAU FILE tW!.\BER_,._~_ SIGNATURE OF APPLICANT 'Lt.' j{U o. V J. TO NOTICE, IF YOU FAIL TO PROPERL Y FILL iN ANY PORTION OF THIS APP ICATION, IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURnED TO YOU FOR COMPLETION. FIl~!!_r!l__TJ:'Ust Co. ~~~!.sdys Weible:t. (Num'~) COMMOtjWEAL Td OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSE~lT TO TRANSFER SECURITIES ~ ~ ---- DATE~ I "erehy consent to the Irons fer of the o~,ove securities now registered in the name of the foresaid Decedent and waive Ihe filing of a certificate certifying to the payment of the transfer inheritance tax to which the prapert;' 01 said Docedenl is made subject pursuonl to the provisions of Ihe Act of June 20, 1919, P.L. 521, as amended ood the Act of June 15, 1961, P,L. 373, as amended, This is also in accordance with the provisions of the Act of A~ril 9, 1929, P.L. 343. Thi, Consenl to Tlansfer the herein described property operates only in reference to the estate of the above-named DQccdcnt. to~~~ I'lj-/jJ;J )\ _:1'0'.._......,--" '''''{,!b''-' ;J jeJ$J ~iovember 18. 1980 Register of Wills Cumberland County Court House Carlisle, PA 17013 Gentlemen: This letter will certify that all taxes and expenses in the estate of Walter II. Weibley have been amply provided for. Very truly yours, ~u-j&~ Jsne F. Burke Vice President and Trust Officer hoveTwer 18, 1980 Register of Wills Cumberland County Court House Carlisle, PA 17013 Gentlemen: This letter will certify that all taxes and expenses in tile estate of Walter W. Weibley have been amply provided for. Very truly yours, qw~J;';ULl Jane F. Burke Vice President and Trust Officer ~t 't ,.,.~. ~:. "t. ~!: ."l,~ ~;~ ,;".' >.. '~' -~f. .~: .....'.,....'.. ~- -------------------.-------------- .~_.... -- -~ - -- -- ""'- ..... --......... ~- --. dAlv.,UltEXO ' , '~'",'" .";' , ' ',COMMONWEALTH OF PENNSYLVANIA ! 4 ,NOI;!,';',29!99: DEPARTMENT DF REVENUE I ,~fW , :" OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX I'!""'" I <II , If , Of ! II , a 1)1 1\ = FUllen Truet Co. Ii M ~~g~vED" Dennie C. Cavuly 11 A) ADDRESS 1 w. Hi h st. I' !l I Ir \ - TAX AT 6% TAX AT 15% TAXAT_% E5TA TElAX culiel., .~ 17013 $6,105.22 TOTAL TAX CREDIT '--~f~~T~[~~~ATioFH~-;;;b~--7:-i;80------ FilE NUMBER 21-80-730 lESS DISCOUNT PLUS % INTEREST (FROM TO_I DATE OF PAYMENT ~uquet 7, 1981 walter w. Weibley m m TOTAL AMOUNT PAID $6,105.22 NAME OF DECEDENT COUNTY culllber1anc.'l -------------------------------------------- POSTMARK DATE I REMARKS: ~ "'~ID ON ~CCOUNT" /, -// . j ///::-L-{(4 C." /)itu--u/ (/ SIGNATURE / RECEIVED BY SEAL REGISTER OF WilLS \." c.' " '.). ...' N ,~ '-' 0- c \:;.::'t: ~~{-' ~ ...., ~-=; c:JC' '"'" :r:::t 0(':: - ll.....J W"-' 8: a.:.,. c.... Ow 0:'" 0- ex:: I ", UCl :C:;c ....W - 0::::> <<"" 50 ~U u " p.. gl H< E-< :<lH '" o "'~ [:l E-< "?Ji filE-< 8tlo:> C E-<'" ~~~:~ ~I z ~~ ~6~gffi c > 1<0 ~ oJ. oz ~U filp., 0 )0'1 0 '...:I M Z.... O::H !i! "~l"l " .... "., ~i ~~ zq 0t10::~~ 0 Z.. U,.;lfil ~ CO W . coE-< ~.... "Jl E-<H!;;JI!;O .-l . a ~~ ;;::U '" ::q~ w. '" ~ ~O! ;;l:ll H!;;J , ~w ::;, l"lE-< Eo-<< .~z 0 HO z ii II: !;;JH gl"'fil!j C ~! fil u ~~~~i E z '" U p.,H 1<0 fil U fil :>: ... . ~ .... PARTIAL DISCLAIMER OF INTEREST IN MARITAL DEDUCTION TRUST BY THIS INSTRUMENT, executed on /JPI'U;" f ' 1981, GLADYS WEIBLEY disclaims any interest she may have in Trust A created under the \>Iill of her husband, \,ALTER W. WEIBLEY, to the extent such interest would exceed the maximum amount necessary to reduce the federal estate tax in the Estate of Walter W. \>Ieibley to zero, taking into account all credits and deductions which may be available in the computation of the federal estate tax of said Estate. The intent of this Disclaimer is that Trust A under the Will of Walter W. I<eibley be funded only to the extent required to reduce the federal estate tax of the Estate to zero. With respect to the property interest being renounced pursuant to this instrument, Gladys Weibley disclaims any interest in either income or principal and any other interest with respect to such property insofar as the property would otherwise have become part of the principal of Trust A, including any rights she may have had to appoint said property if it were a part of Trust A. The property interest being disclaimed shall pass in accordance with the remaining provisions of the \>Iill of Walter \>I. I<eibley. Gladys Weibley and Fanners Trust Company, of Carlisle, Pennsyl- vania, join in this Disclaimer as executors and trustees under the lUll of \>Ialter W. \>Ieibley in order to indicate their joinder in the Disclaimer and UClj~ ~L~~ l':'l~ :00 , j i ,1_._....., .' . .. their agreement to administer the property being disclaimed in accordance with the remaining provisions of the Will of Walter W. Weib1ey. This Disclaimer shall be effective as of the date of death of Walter W. Weib1ey. The Disclaimer is being made under the provisions of Section 6103 of the Probate, Estates and Fiduciaries Code of the Common- wealth of Pennsylvania and Chapter 62 of said Code. IN IUTNESS WHEREOF, this Disclaimer has been execu ted the day and year above written. WITNESS: GL~/ W~ WITNESS: ESTATE OF WALTER W. I<EIBLEY AND TRUST "A" UNDER THE WILL OF WALTER W. I<EIBLEY ~ W.tU~~ GLADYS W. IBLEY, Executor and T stee Under the,.-if'y.1 of Walter W. Weib1ey TR~CO .'~: ':. . .-." .,:;,:,;".-,', F 1& t. . , ~ ~1~,~'::~:';';:''',~.1'/:::.. A~$-'f""'" ,,1..\,.,:;, . /~~('!;:::~' '~~~:~" "',.,.~~'::';-t:~~<h<)~{ .. . r \.~.' '1,_: I ., .,"".,,- ... - 2 - , , ~"uK .LL',J I ~j" , . ~ , .....u~..a: REV-449 EX. (3.80) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT AFFIDAVIT OF FIDUCIARY (Instructions on Reveue Side) *' l Cl rv) {STA TEl Date of Death November 7, 1980 Soci 01 Secu rity No. 171 28 5722 Bureau File No. 21 80 730 Cl.IPI County File No. 21 80 730 Estate 01 Walter W. Weibley Lost Address .JJ19 ~ple'ia()d Drive Carlisle, PA 17013 I I I I I \ I I I I I I I I \ I \ . : I. Decedent died: ( ) In testate (without a wi II) (X) Testate (leaving 0 last will--copy attached) 2. Is the liling 01 0 Federal Estote Tax Return required lor this estate? Yes~ No 3. (X) Executor/Executrix ) Administrator/ Administratrix Name Gladys Weibley and Farmer. Trn'" r.nmp~ny Address P.O Rnx ??O, Onp. Wp.-=.t- High C;:t-,...,:Iof- Carlisle, PA 17013 (CITY) 1ST ATE.I IZIPI 4. All correspondence should be mailed to ( Attorney ( X) Fiduciory. 5. If on a!!orney is representing the estate, indicate: Address Arthur L. Berger, Esq. McNees, Wallace & Nurick 100 Pine Street Nome Harrisburg, PA 1710R (CITY) (STATE) (ZIPI List 011 safe deposit boxes registered in the decedent's individual namer or jointly with, or os on agent or deputy 01 another, or in decedent's individual nome with right of access by anolner os agent or deputy. Include the nome and address 01 the bonk or other institution where the sofe deposit box is located, the nome (s) in which the box is registered and the relationship 01 the joint holders to the decedent. NAME AND ADDRESS OF BANK OR OTH ER INSTITUTION IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX NAME OR NAMES IN WNICH SAFE npOSIT BOX IS REGISTERED RELA TlaNSHIP OF JOINT HOLDERS TO DECEDENT One West High St., Carlisle, PA 17013 Walter Weible OR Gladys I. Weibley souse Farmers Trust Company Under penalties of perjury, I declare that I hove examined this return, including accompanying schedules and statements, ~nd to the best 01 my knowledge onl,_belief ~ true, >cor~'t on~~ll,'pI7}e. -rt~I~~J /",~..Ic.. 4:.!t~I"C:~(f~ '< [){ftj~,'I/ Jllj,/LJ.t~ SIGN.CrURE OF FIOUCIARY 71t:;/J;/ , DATE i , I I I I \ I . ! PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION 1. PERSONS RESPONSIBLE FOR RETURN Section 701 of the Inheritance and Estate Tax Act of 1961 provides that the following persons shall prepare and file a return: a. The personal representative of the eslate of the decedent as to pluperty of the deccdenl administered by him and such additional property which is or may be subjccllo Inhcril;1I1Ce T;)x ot which he/she shall have or acqui re knowledge; b. The transferee of property upon the transfer of which Inheril;)nce TilX is or lIIay be imposed by the 1961 Statute, including a trustee of property transferred in trust, plOvided th;)luo sepi1rate letulIl neel1 be made by the transferee of property included in the return of a personal representative. 2. PLACE FOR FiliNG The return is to be filed in duplicate with tile Register of Wills of the county wherein the decedent resided. 3. TIME FOR FILING The return is due nine montlls after the decedent's death, unless an extension for liling has been applied for and granted by the Secretary of Revenue within the nine-month period. 4. FAILURE TO FILE RETURN Section 791 of the 1961 Statute provides that" . . ,any person who wi IIfully fails to file a return or other report required of him. . .shall be personally liable. . .to a penally of 25% of the tax ultimately found to be due or Sl,OOO whichever i~ the lesser to be recovered by the Departmenl of Revenue as debts of like amount are recoverable by law." 5. TAX RATES Inheritance Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wi fe, son, daughter, grandchildren, grandparent, son-in-law and daughter.in-Iaw and at the rate of 15% as to all others. 6. PAYMENT OF TAX The tax assessed on the transfer of property reported in tlTe return is due 9 months after the decedent's death. Interest at the rate of6%per annum accrues thereafter until payment is made. All payments received are first applied to any interest which may be due with any remainder applied to the tax, IF TAX IS PAID WITHIN 3 MONTHS AFTER THE DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED, All checks should be made payable to tile Register of Wills of the county wherein the decedent resided and are received subject to the final determination of the Department of Revenue. 7. FAILURE TO PAY The taxes imposed, together wilh any interest thereon, are a lien upon real property, which lien remains in ellect until the taxes and interest have been paid in full. The taxes lIlay be sued for against any mal property in the decedent's estate or against any property belonging to a transferee liable for the tax, 8. FILlNGOF FALSE RETURN Any person who willfully makes a false return or report required of hilll shall, in accordance with Section 793 of the 1961 Statute, be guilty of a misdemeanor and, on convictionlhereol. shalll1c sentenced to pay a line not exceeding $1,000 or undergo imprisonmenlnot exceeding one year or 110Ur. INSTRUCTIONS FOR COMPLETING SCHEDULE "A" Schedule "A" should include 0 detailed description of 011 real property located in Pennsylvania and held salely by the decedent ar held jaintly with another individual (s) as tenants in common. List the decedent's percentage 01 ownership and the estimated market value of the decedent's interest. (Property held os joint tenants with the right of survivorship or tenants by entireties should be reported on Schedule "E".) All real estate located in Pennsylvania should be described by lot and block number, street address, number of acres and general descriptian of land and buildings. Also, include the book and page number in which the deed is recorded and the exact ti tie os indicated on the deed, If the property has been sold, attach 0 copy af the settlement sheet. If the property is subject to 0 mortgage encumbrance, include the nome of the mortgagee, date, rate of interest and the outstanding balance on the dote of death and attach a statement from the mortgagor verifying the outstanding balance. Property taxes and interest on mortgages os of the date of death, assessments and other encumbrances should be listed on Schedule "F". Do not deduct them on Schedule "A". ..-., .. \ OFFICE OF RECORDER Of DEEDS Of CUMBERLAND COUNTY CARLISLE. PA.. ~l!;:X ....., R.cei".d for R.cord Mortgage ;; ...../~ ,: , givon by ~ POQO~fff. ~X Carl n. Weibley and Lois A. Weihle)', his wife, to Wal ter W. Weihle)' , for $ 100 ,oon. no County, PA '~. . . ,'" .,. - . ~ ~"~loi ~ '."f'o " ~':~~;;~:r. \.: . .~ ~ 1; r. r '" j ~ _r i ...., ~";'~I:'. '.':: ";~:r:- " /. .\pril 2~ 19 ~R :r... .... "" "-' en N ~ -, -,., :r.- . . .' on premise. situated West PC'IUlshorb Trn,115hip, ('\u!lherl;lIld => ~,.~~~~ , ..I.,f..' ,I , . . .,.: -.:,~ JL ,'. t.'- " 1: . ~: ~;t ~ ... r .,. .1'';'. . R.cord.r of D..els ; \ i~l '" O::D;;' ~"'.., ....,Zo_" ,....'D......=' ::rf9'l~f?I ;.I:.J.J~""I t/'l..-,..... ~:; %J;~ ..~........, ::. ~~ ~~;,~,: 10.:;;::.0 .....CJ" -<V,-.. .. ... "'. rJ,;~:~. . , ',', ,0- ~'. 7:t" .' . ~.: r :' . ~-'. i , i., ' I,' . " LA"" O""CUI l.AHO'. . aLACIIt tlu.l.... ........yLV..NIA ^~lT"rr m? S1l1\OP.nINATI<r.-l of'Wi'Il'rr.fII':r nus Ar.Rt'BI!'NT. r1...\d~ th,~ 28th day 0 f ^pril. 1 Cln, h~t'he.~n \iAI.1T;R W. v,r:In1I:Y of 191~ ~~"lple\"C',...l :'rlve, [:ar11..1", r'pnn~v1v'!1i;', ;,a1'tv r,'- "", flr!t part, A .. , l' !1AtlPHDI Im1'OSlT PN;;( A':n '1'\1<:'1" r(~II'WlY of th(' 11,01'''''''.'' ",' 'Hli<", ('" '-cl'11J\d County, l'eMsylvan!n, ht'rl'lnnfttJr call,'<i !1anl-. WIiNF.<;~!'TI1 : lIllFRFAS, Walt!.'T \~. Wel1":ley now olms 1m,! "''''tt~ th" foI1o',o/;1l? mrtpge and to"e bond or note secure.-' there1":y: Mortgage dated April 28, 1978, mAle t-y rar1 Tl, ',,('Il-,l e\' :10<1 1.015 ~.. .' Weibley, his wife, to 1'I'alter ,~. Wei1l1ey in t!w ~lrincil'a1 '1\"" of "'rw 1~.ll1c1red Thousand t);)l1an ($100,000. CIa) and recont",1 in th" r)Hlce of the Pl1c"lrcier of Deeds for Cumherlo.nd County, Pennsylvania. coverlnr. 1'1'(',,15115 situate In "'l.st Pennsboro Township, QJ!nherlan'! County, Pennsylvania; an,1 W11F.llf.AS, the Bank now hold! a prim' mortp'a~,. l>v thl' 5~,iJ l:a1'1 n, \':cibley and Lois A. l'1eibley, his wife. to said ranl in the' 1'~ iT'c iI''' 1 ~'"~ of THO I~U\dred Fifty-C'le Thousand Fivll fWl,lre,1 no'llar~ (;"51, 5f:",n"1: :In I \\1IFRFA'> , the Bank will ht! rol<i.nR fllDlre ;!,kl~C('<' ~1 the qiej '''"rl fl. '(ciblcy and 1.Dls A, Woibley, his wife, fUT tr,c 1'lrCr :<!n:' of !"'ul:ry f.-Ol~ tiloc to time; and 't-IflF:RFAS, the Bank will be er.teTln~ of rccon1 j', th~ Prothonotary's Office of r.tmnerlllnd r.olUlty cf'rtain proml~~ory n<1te~ to ~ecll1't" ~ni(l ,-,.,nltry advancements\o11~n said advnncements arc MB<1,.: ~\I,1 WllF.RfAS, tl-te Rnnk tlesires to hol,1 1 ii''' priori:y (')','er the rortgage herein above descri'lcrl from r.llrl n, Weibley and Lois~, ":('i"1ey to '':Rltf'r h', ~:elhley for said future advancr.ments. , ..... " ~ ., O',.ca. J&. aLACK ~."''''.'''"VAHI''' \ m~ 'IlIr:'lU1RlRn. in consideration of One !Ullar (~1.00) to him in Iumd paid by the ~a id 'Rnnk. the receipt 1>dlereof h herehy ncknowl oo~e<I. IInd for p.ood and other valtlllble cOIl5iclerntion, Walter 11'. Ne:lhlP.)' <loe~ herehy lI~e(l to suber- din&te_~~e mort!!sge, in his fs\'or R! descrihed a foresn Id and said n~lrtglll:e Is and I shall be herehy i by Rnnk B!lnin5t I represent f\nh!s 51l1'or,llnntr'<1 in n05:1t:\ol1 of 11':11 t" ,",',' :1:1\11'" ill"'''"'''lr~ 'mt!!r~d C~rl T). "I("n'l~y ~nd l.o1~ ^. ".'('il1lpv. I.',~ './1 !"l~t ~~~'~rl~ .,.,~I\':m"ntc; nl!v:t~1C"\~ teo ~'ir~ ~ni.' Carl f'. '.', ;' !." ! ,I T,'I; <; -' ''': I pllrcha,... of l")"ltr\', j IT p~ kn"l'I:".~.LY ^r,PIT" mc\ lm<1C'f51nnd ~,..t'. "....11 . ,'1,,1 IT,' ""IJT" ',:'.'f'i~l(l'Y I that this lIf':re'~l1ent !';hall nllton,:.tlcallv ! "~'-'n"~" ,... 1 -","" r'd 1 -'1'1 "<lid upon I the full S:lti5fnctif'1I "f t'''' "'f','tr.nr.(' Mi'..~.. I,., ',,: " '" ill"" :~:,' '()~ '; I" I We:lbley. his wi fe, to !1:t';k, I TN wr~:rss \\7U'l'''OI', the pllrtip~ h<:,p'to. i"!,,,',lj..,. -.. "I' 1('\:"11y !m1l11c1 herehy, have' !1<:'Telmto Sl't tlJf'i I' h;m':\!l /lnci ~"11,,_ :'l.'\'~~1f'r~ 'iT'....)~rl. H"!~: t~,1f)l1)Jl(,:; O"',T^.~N nv , . " , .~-----.---l\~i-ft (.;,: i.'.- '~'l\:}1;k'; - 2- . ~ /NIl/! of 011" dollar in specie, Il'ell allll /I'II/!! ,){lid 10 tI.e soid JlOl't ie5 uf 'h" IiI'", 1",,'1, /':1 /h,' ""id Ilart Y of the sroolld part, at alld before thl' CII.'..IIIiIl!! IlfId dc/il'a!l 'If""'''!, /I,,' ,-,',','i,1I "f toltirh one clnllcu' i.'f /Jel'eh!! ar/;71l1tf,ln11l1 d. have f/l'llJl/f", hart/ni,,,''', ;;,,1.1, rdf'fISt'" ,,,/ll /"'"1- fi'~lIerl. 11",1 "ll till'"" /""'S"II/S do (/1'011/, 11111'(/11;/1, "1'1/, !'ell'lI.</' IIlId I,,,"fi..,,, "1ft,, 1/11' 11"id I,art y of tllC Sl'I'olld 1'0,'1, his hdl',. al/ll II..Sill1l", M.l, See Attachment. " I'd Iii' r; 111 ,\" ,I L. i I'; , . TOGtTHER 'Ulilll all .ultlsi11(1lllar the bui/dill(1s. i",,.I'''''(',,,''"I,.. ".""d,.. ,"1I1/S. ri!l"f.<. liI,.,1'I;, ". privileges, IlCrc<iitall"'III,< IIwl IIPPlldCIIIIIl,'IS III /IIc Sllll/l' hr/lIlI!lillll. ",' ill "";/1I'is., III'f"T/llillill!l. und the rel'cr.o:ion ami J"I'l'('I'.':;lIw;:, ,.nl/(Ii'lIlc,..~ (III" rc1PHli",(II'.... rrnts, -lSSlIr.': o/l,i lll',,}i!:; tllt"'l'llf. '/'o Have awl tn 1/o1d tile said l/cn'ditnmf'nl:.: an,i pri"'IIliscs "V"f'j' uranfrrl, ,ll" ;1/'t1l'/,"! So fo III', wilh /h,' appurt"""I1CCS. Ill1lo /11., ,<lIid pnrl y IIf III,'sI'CIIlI" I'"r!, hi" /" iI', ""'! ,,".<;'/IIS fa/','ver. ANI> it. i.~ {urtlu', lIllt/n's/om' "tld "01"1'1',1 tlint tltl'.o.:a;11 /l",.til"; ,d 1/11 /;,....1 Jdlrf. tlll'ii heirs u1lcl C1.....<:iun.~. 10il1]II1:1 t:lll,I.I....q. 1I110Iir;I'f1/ o.'1::r,o:.'inlf'1I'.o.: (lml r1WI"fJf':-I ""1"11 fillll' '1/ li,,1I "...',U.<;,;.'/ (lgnillst a" IIJ1I111 slIid ,,,,,r!!/(I(I"" /,,'''IIl;,''s l",.O,,,'it/I "./"" 1/11' .<111"" /"".",,,,, ",,, "",/ ;'" ,q"". ".,,/ tllilll:cCl' tilt' buihfi1l!1s (l'I'cf,.t! II/WI/ Olf' sa;.! Ii/"~ m;,'1I'O: ills/II,,'d in .';IllI/" W"JlI 0':,1 /"11111"/" 1',." ill- SlIrU7Irr ram I'll" ?I or cOIII/HEni,'.'; lict'll.'wd fo Ir,uliWd ,,,,~i/ln::-: ill 11/,' ('0111111'11111'1""'1 (If f'U/II.'lI/'. l.'(lIIill. ill tI". 1111101111/ of III {I'II.<I 01ll' Ihu\llrc,\ Tholl":Iml IQllll,lIllll.III1}"- -, -.. --... - --,-- _ _, u _ _ __ _ _ _ _ __ _, __ u _ _ __ _ __ _ _ __ __ _ _ _ _ _ _ __ __ _ _ - - -- . - - - - - - - - - - - -' - ,- -, .- - - - ' [JIIII,"'S. luul shall la/:,' uo ill.'~lInl1l('I' II/HlU ,~flid '",il,[;1I0''1 nof 11111r1,','" {(I" U" 1Ii,,,,'fi/ll{ fI/I' .\lI,rtllt/!I'I', IIIId IlIe lJOliry or ,wlidrs, with (l }Inl/J(~r 'mnrtUlI!!"" 0" I(}.'.:.~ }Ifl!luhlt' dflH."" flU,"'IIt'd, ,-:1,,,// 'I{' ddin'''' Ii to and hdtl. by the ,~flitl Jlcut Y of tile s('rnWI]Hlrt. his 1'.r('(~ut.r'l".'i w/lJlil/isll'"IIII'S (.r tlS.'1i!JII'i, u.os ('nUal.r.Tnt scrJtrity for OIl' 1Hllllllt!111, of tnnm'JI,'{ Sr.f:"""" III/',./,!" alld in t"IS" Sflid 11111'f it'S ,d tile first 1mrt. their "dl's or fl"~"f1'un,of, :~hllll nrflkd to 111'''('11,.,: :Wdl i'l-'of,,,.'ltlrl'. 0" sll,,!1 nl!lkf'l to 1)(1V sllifl ta:r~H, n1wl;f.i,W1 a,of.'u',<fRnu'ntR all,[ rhU1'{1(',~ fortl",.;11t 1('111'11 thr. ,'WUI" 111"'/1111/: dill' (l)l,l }Juyal1le. Ihr .~Cli,i part y of Ilw ,~,.rn"d 1,nJ'I, his ,'.ra/dlll's. WI"';lI;..:II'II/I.,.....II1' fI".;~~;!I"s, /I/fU!"/:.' md .':urh llO!i/'V nr 1JOlirit's ill his men ,wnrc . ("'11 nlllll 1tf1!, :.:/Irlr la.:.f....... 1II111/;riJHI' 1I........,.....~IIIf'Il:.-: un,1 r'HIr!], s, and tllr 11,.n"ill1n nf J/I'/'miuw.'1 1111;11 t"""I' (III', /tlld t IIf' S1I1!1 II" SIIIl!'f ]llli,' fll" SIII'/, [II.'" .:. JnllJJir1'l'nl ass{',o;.'HuNlf." 1:"'/ ('IHlr!l":{ 0;: o(o/".:://i./. sl.'ull '1(I,,..i,,II.,./,:>I {rouI lilll. (If 1111,lIIl/tU, 1~lId I". "'["f'l! tll aud rollrrtuf liS /Ir!d Ilf fhl' ,<:(li'; Ilril,ri!HIJ S1'III"1I" ill tf" ,0:/1"1/ IIlflll'l ". Awl it i,-: .111,./111'1' "'11'1"'/ tlJltj //wk,.s!"n,l, f"flf ill ((f," ,f,';,liI!f 1" 1I'I,d, "I OJ'" fi,.", ii' :"'1 7Ir1yn1f'1I1 nf I.hf' 7,rillcil"'! d,'l,f tiT tltI!' i"..:1a!l)llrti! fir 1".j"li!"" d,,1,t II! i"f'l" :' 'I ';'1' II"'.' 1!tf'l'rn{, Ill" II( OliN /a.rl',';, /I' IIlil'ipl,t f1..;gl'S,"I):I'II"'. "/III1'!"': 'I" :11', II","I'.~' /1,' '11.')1"'1.'/" /./,,/,' ,~"",,'. F,.,. d(/!I~ "Or" ;II,' .":1"1/' foil,.; I!/!, II,'; "(11"1-"11;,1. :J., /"1111,', ,d ,1;/,' .':0;'/ ,1,10/ ,111'/ '"r,,.. cflld "drli/;pu;-: II".,.,'!" /IS "(,,,,',o::I;11 :O'//frlf. ,,~ 11/1 nil!""") {Ii 1/" -:lIi"I/I"" y .d.'}. "'I'i.l J"'/". ~\ i' ".l'('f'/lI(H'.~', (Jt/.mi'ji..:lJ'/llfln~ "" f1,.;:-:i!pl,'l, ''''t.,,,,,( d:,,' IIJI" 1}II!lal"r' (/I,I'/1'lI'i;:..: I:.,.f /Iu '/ill"'" II"., I! I'; 'n(Jl"t!I(f~11' (11I"'f'/IlS/II" ,": lilliI' /11"1;';"1',.' '." IJ,lln,~.'d/'lItJ;" 1'1"/11'1,'""..: "':.1 .'::1 I" 11 :,~', i",'~, iPldll~'1'1'{', Ill' ,dlll'l' t1I"lr""I':rrt/' prnr"."ri"!!!-', 1/11/1' 111';" /'I"fi.,' i,,.,..:,..';I., .11. / ,'.. '. ",r." .! '/11' '11, {'I rtlmmrnr~""n"'Jl'fI""'f'l.f{.{f"JII"fll1l,!!t"""I"I'"'I" "I/I!.,d,'. {." ,:" ,..,/'..I;'iI"'; II" ,;/lI!",' ".' ,.;,,/ IIf tile ..-:oid ,]",,, fl;l,' illl, /,1 :~I r,'mllini"!! 101.;..;i.1 i,lIl' filII' ,.,.iil' flU :,r. " ;;:",' IIi i;. 111"1"'. ". { I'!i f".""":. ,,,lIl1i";l1n! "::"I'~"':I"'I"!.~' (flit! r}lnr:.Ir.~, "'1,( ,t/I In~. "II.~'" 1,,1,1 / .'1" IJ",..' I'.' ::'1';' ;'1'11"" If,WI I,,' rhdiltlf nf!fWI/,'!",';; l"II/1lHl i"si/lll Of ,il'f IJfT I'. /It. ".. Ih,' .1lri",'ij",t .':111,1. .., H'! on . /,/'",;,' " ,'lIi; '1' I,,' ,- illf1~. 10('1 fill'l' 1/.::1, 1111 .-:lnll o( ".' I\ff'm1J!;IIPl l"""l (..,'/ 1'111;1111, n/',' '1,'"s;oll ,,( f;III" "'" i'll If"" IIf 1'./,,' ", ,.J'~jl 'II' ,'Jr"l'll ";1 ((,"I A,'f "I' :\r!.'1 III A.':"""IIII/.' !'fllI' in (lIfl'!. ",. wl,i,'" III"!' /H' ,,It/I'/'',,I It, ,.,,,.f. ", ur,' //f'rt"?1 lnn'J'rr 1I'flil'('f1 tin,! I'drll31'd. PRO'-IDF.Jl ..\1,11'.-1 )'S. NI,;l'l,nr"I';/,/';S.<; 1/"" if ,"" ""id ~l"rll:"l'.''''';, 1",.-1 ;,,:: (,I' the fiT5! paTt. thci /' 11f'i/".~. 1'.I'c(,lIt(Jr',~, nd",;nislm/o1',-: 1/1' m;s;!llI,~, 11II I1ml ..dill!! /1'1'11 aH,[ !n,!!1 W'!,. or r,I/IS' fo "" ]I'lid unto Ihe snir/"nrt y o( tilt'! ~t'rnntl1)(11'1. hig 1'.rrt'llf(l"~, tfllmilli3t1't'fllf..... Ill' t/.':"!1H.':. tllcI,r",.,"nid""',1 0.',</,'11"( One IIWltll'cll'1110l15:lJld llol1:lr~ tSl\lIl,llIIO.IlIl)---------.--- ,,11 till ,Iii!' S ant! ti"". s Ilf'rtin/H'fm'(' ""'IIfjll?lnl (//111 (//'1"';111," j(l/' tI/(, 111'11,,,,.,11 "/"1'1'''(, Ifl- ar/Ilf/' )l'ifll hl11'''1I1 id"'.t..-:! ((I)' tilt' ,~tr",(', "lid fI/{' 7IJ'I'nlilml.': Ilf i"":1I1'1111"" of'I}','sf/;,I, tll."'-.,'. 1//"I1;,.j. 7ml (I.O':Sf.'.~,"n1(';lf;~ 01lr! dl(lI'fl('S, in like 1Hm;q/, 111 fI,,' 11'1'11 111'" IHII/Il1I'" l,t'1"rilllJ","J/'" .'-:/II'I'lli,'" "" 1'1- ((11',. 11'il1l",11 anll (,.tlll.! Ill' f/lJ'lh,'r dr/tl1, fln'/ ,,'ithnut (II'" If,'dll('fioll, rJ,'frrlrllfi01I 1'1' ,,/m!, "11'11' ;,, 'It' mnri,. ((,r fir ';u I"'......'ll.rf l'lf O"~I to,rrs: r},n"!1i'~ 'n,. US';('''~'':l1l1'''''{ H'I/1I!...:'" I',,.. fI"" (f'1 II. "HI/ "/'flllI fI/llIl'f'(urtl', 'J.~ wdl 01;,": 11,,,,-:('lIt Il1IlcntuJ'f', nnti till' 1'.0:/,,1,' }j' 1', /ltl !'l'lIlIf.,!. (I." tll" .000IIi., 1I1./i!',f'i'dl "'UII'" r"I';''''', s'mll rcfl....".. 1/1'1,.,.'" i,l" ('IId 11.'rll11l1' rt".-:ulllf,/'1 ",", "",1 l'"i,1 'n dl j,l!"j/.., 111,.1 ",.1'. 111',;:",~, anldllin[1 I" rl'i1tlll'fllr,' rtlH,oinf't! tn tilt! rnt/fn:I'!f ",,'''''Id ;11 (tlll,wi,':" illlt".it1.';~fffildl'I:!, IS l\'/7';\,F.SS II'H/';UI';OF'. IIle mid)",,'1 i('~ "f /I". .".'sl 1"'1'1 11:1\" j,,'," ..,,1 ~,., thc-ir /i.l1/d s Ilwl ,~C(ll:;. fi'l' dllu allti ?fI'f/r (i".':f 1/11/11'" /l'rifl"l,. . S";:1r~. J!.rOllrl'l :In''' tlrlilltrr:' in lilt prrSrl'ff r.t ) 0\ ' , I J " _...;~..( ..J '.' ,/ .- ...... .. , "'-~ !), \';c..-' i l' 1 ('\' ~, ( ~I':..\J, I:!lrl /."""'" (~'ltA I:" ,. r,l // , '/ . / /.k/1"'i/_ / It<"'r(" :{', I - /, -:,:t~' .... .?' ~ f ~I:,'I,' / 'I 1.0 i ~~ .. .. "~_. {,., \, I::,., i!, ll'\ ~, '/!-oI'U,' \,.- do IIt'f'd,]/ ri"rtif,ll tlwf lht 1)1'(,'risf ,.,..,irlt'llrf: ,,1/11 r.llIll'ft:/r IIf /I", w;lhin nlllll(./.'fllrlfl"Yf' i.. 1~11~1 ~bl'lc"'o(Xlllri\'(', C;lrl j,;It'. 1'\ I""~' t IJ f"~ r', ;-:'1'1.":", ".1.' (, '.' ^. 'I )' ;'tlr1 ...~ J 1978 /~/.. / ~ - . // 7~ /-,.::/" , /,' ~ .,f.'@1C?/ :y'4:1ft Attorn'1/ for #2&e'~'c: I'!IIJ.', (; 111 !,It l i;) " . , c , Slate of \ PCIU1~Y 1 van ia }SB' day nf Apri J . 1!l 7':'.. III'fllft' mo', COlllltll of Cumher latlll On Ihi." the 2Rth the lInll('t'.~itlll('d fI.tlil~,'r.11l ,.sollollll OI'/llffrl'd r~'rl 11. t\'(.jhle:; :1l1ll J.l:i~ \. h\'ihll~::, J,j:-; h'ifC', kn()lI'n III Ill" (ell" satisjad.orily 1"'111'1 H) III be tlu' I'1,,...:fl/l ~ who.';,' mUll" art' witllin itltftnlUl"uf.. (uul ".~/m(tH'/n/[,('d that t hl'~' 1'.r,'f/II,'d .~'("'/I' jr!f' fill' rim/ail/I'd. In ,'l'itIlC:J.lf wh''l"I:oj, / h,'r. lIut" :)1 t 111:/ luwd und "l!iria! s'~1l1. Stat" of .'whsnilJ' d /1) 'h,' /H1l"/IfI,'1t'Jl. f}ltw,.d!1 .... '. -.1 ~---",;,: . '. 811"''''' 0' ,.::J " I:"'i....:.:.. ,:1 ,,<.- .~.::.. ., .~ J.::r...1 .'< , , Tille 0; nOir,'r. ~ I . . )...,1.' ,'i" l ~.'. I COIIl/ty uf 0" tH" the , 111 . 1H'.fnr,' HlI', day of the lmder:-:i!111Cd offi,r.cr, 1JCrs,mallu (lppfarf'd whose name .~H"sr;ibf(l fli Ow e.rcclltrrl RnflU: for fhe 1"".P()Sr'.o; fllf'I'!'ill /mo1<'n to mc (or sati..faclori/1I1lrOVell) tn be Ihe pcr.''''L withilL i'18/l'IInlent, and oeknowledgcd thot contlli111.tl. In witness whereof, 1 herl'ulltn sd 111)/ ha'L,t 0,,,1 oDidal seal, ~ ~ ~ ~ .... ~ ....................... ~ ._..1 I!;&AI. \.7'r'J ................ . Tille of OOirer, I: ," ~ c ... ~- 'J ~ 2 '" '" ~ If)....-l '--../ c:: ~-~ ....CJ:'- 0:>- C :'. '..= ~ ~ 'J'J::t-: '" ::::.cc... :;.... ~ ~:J ..Jo"-' Ulrl Ul "".... 1'1~ ... '" u :.- ;.- ~ ~ ~ r.c: - - ;:,: '" .::='U~ c:: cO c. --:-: :-- ~ "" - ~ o 1- ~ <.J Ul B -' p,:; 1::; ::t. ~ COMMONWEALTH OF pgNNSl'LVAN/I\, } /' ) '. / SB. County of ..~_~.t:.u-'~t!."'"r.(.'~,.....,{....,",, .......'....'''. ... 't: RECORDED on thi3 .",..::.!..:'..~.......".., day of .. ' ".. ./ ...n..V~..l'..,.......-.... /' A. D. 19..~...., in the 1/1'corder'" nl/ice of said C",,,,t?l, in Mortoo(l" /lonk Vol. :,' -:'-:'.:..:. . POfJC ........~~:':...~_':...-.. (;;1'1'11 lint/a lIlil/Wlld o/ld th.'~<i~~ '~~~lI'ri/l"I/' ... _.. ............... ...._.. .. ... .. . Rrr.nrdf'r. I'IU': r;lll 1!.l.ll,W \ u.cr-wort..... Don&_lndlvld'lal to Indlyldu.al H_n", Hall. Ine.. JrnUUa, Pa. - IHI 1Sno\t1 aU _en bp tlJese ~re5ent~? TH.4T c,\IlL 11. \In!\L!')' and LOIS A, \\1'1111.1')', hi" ,,;ifc, or \\,"'1 1'"",":k1" I,,, ;,'1111', Clunhcrland CmUlt)' , 1\'llnsylvania, an' held all,l !irmly'''''''''/ ,,::1,' liAI:1'ER Ii, liFl!\L1:Y of 1\11\) ~Iaple\,oo,] 1I,'iI'l', ("II'I isl" Pennsylvania, ill Iht 8"'" o! One Ilundl'l',l111ousand l10llars (SlOU,oun.nO)'---,..,---,.---.-------- ._.. ..__........ ..___ __.. ___ __.._.. __.. ___.... _.._..... lau'/ul1l/1I1lf!l (If Ihr f7"itt'fl ....,'f,r/r.o{ fI{ Aml","Il, to be paid to tile .o:aid ohliacr his l'.rf'l'lltflr~, (u(m in i.'d rll 101','1 fit' ns.<;ifl"~' III H'}'if'1, IWYIIlI'ILI !l'dl and Ir.<l1/ 10 br. mat/c, we dll hi,,,{ our III'i,." f'zccu/o,.s umi ndmwis/1'utor,i, IIml l'l'l'I"Y 0.' them, Jin,,/u "!I Ihl'St' 1'1"1':;('1/1,,>, ."', fl/l'II with nul' "ai, Valrd Ihe 28th rillY IIf Apri 1 ill (/", W",. "f ,,"r l.r,,.,f 0"" thollsanrl ..jllr. h,mdr...1 sevent)'-eight TUr; CO;\'DIT/ON or TIllS Om.IGA 1'JO.\' IS SUCH, I/wl if Ihl' ,,"id ,,',fio"r~, thci r hcir3, e.recutors or admilli::tmfClrfl, or (frill 0/ t1{f~m, .~hilll and do lI'tlJ ow! In/", }lf1v, fir l"flmU' It} br paid unto tile said abUt/fl' his c.r(r"t()rs,admini..~tral..l"s nr HSi'iiuu.o..: th,' slim of One Ilundred 1110usand 1'ol1ar5 ($100,000 ,nO). 1 m,fu I moner, ten (1(1\ rears from the date hereof, together Idth intel'est therron at the rate"r ~ix I'cr('('1I1 ((,':,) per annUJ1l, An initial pa~'l1lCnt of interest only shall he IIIade t>" the fi 1''1 anni- versary hereof. Suhscquent pa)'I11ent:; of inten'~t only shal i he malic ~;cmi-ann\lally through and includin~ the :;eventh anniversary hereof. On III<' ri}~hth an,1 ninth alUliversaries hereof, principal pa)"1cnts of Thirt)' T},.,\Is:\lld \\'11:lrs (,~rl,(lIl(\,IlI\) each, with accrue,l intC'rest thC'reon, shall bC' l!lade, and Ill,.' ", "lil1in~~ 1,,-il','ip:\1 halance of Fort)' Thnu."md 11011a1's ($,1",000,(1(1), Inget},.,r "i'h :I<','r",'\ inl.'n'st, shall he finall)' due :Ind payahle on the tenth "nnivl'r~""'Y h",-(.)", No pro\'ision herein shall he constnl,',l to I imi! Uhl il~()!'s' . i,'.hl :" pre'!':" \\itllC'ut penalty all 01' anr portion or the total prinei]'al '",,-,'in sl"'cifi..":, ,.-hich right to prepay \dthClut penalty shnll inuJ'e to th(' h"l1efil or "Idi',.''-';' wit/Ullit flll:1 fraud (I" ,furth!" rldfl!l. ""d 01."11 {r"HI lillI, !" , /H". I/JIII II' I'/! '/111 ,/1:" i"!/I I' I,t IIf 0/1' ....UI" Ilt';lI('iJHtl ....Idll .'I! 11:1//1<-. I:S /I(H/'I ""'/, 7."r( l' .'III' 1."i!,luI'1 ;nl "'.'1''}1' ,r ".,i I!:'; :,/"1 !~I'I!J" 1u:-'/(""'! '11" till' llt'l,,',flt.1f th, mllrl!.',,!,"'" . 111 ."dlll" f:,,,.j tilt., /'j!ir1i,!. r!, 1/," "'/,'" ,'"./',r ('fI"ll'(/Jjij'~ liCfU,<;,'d I" fl'l/I,.l/1't 11/"-;1/n.,,-: i~, th, (\l1iUI/III,l/',,~',lh 1'~'l"III,."."r"r'l(ld, i., 11, ;(,1 Irrr," 0)1e IhuHlt'('(\ Thtl"~nn,1 nollar,; 1~,lnl),II(l",llIlI .-,-' --. -., ,.-- "",/ /a/,'/' IIl1t 110 i".':,/I"/ll", 11/1 ,q,il! ',"il.fill!. I i/l/,I/d /I,I''''""!},,, "I' {"..::' ,',If /11/,1,. ,f", ' ' ,- ". ./." 1"""';:1'" .1I1l'[if'hl"lt,":;r'I'~ 1If!,.l,'j" 1.1",',lrll" _,:..'/, :11', ;"./.!I/II.',' "","1'/'/' ,/, i,..,I.'}I.," fI,,!it'i,:-: I rid, 1!f'Pt~l tll.' St~1I1I' ", 11l1'....' 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" '" N o M ;;: ~ N .; ~., '" " , -',.' 2 " r, ..-, .:', , .'': . ~ i ~ ~~; ~ l ~~ ~o~ J: ~ ~ , " .....'.).. ~ \ , .,' -"'.'.' ~ , " ,', , 'C 0 N 'C C ., . a.. < c ~ 0 ~ " ~ ,- < , . ~ E a> . U . . ;; ;; ~ , ., '~ ; " 0 .z:. E , '5 z c ~ c , , , <t ~ :J I . , " . 0 0 . IE m E . :Ill Z E n_ o-" 0 " . : . ;:: . . ~ , ~ a.. 0 o . \ CONNECTICUl GENF.:RAL LIFE INSURANCE COMPANY U." ~ ulhflPllil\l'\ i,uhf"t",j Ihfl Que~linn'\ h"~'J"". rrl,':., to Ihe I\nnull.lll!. IIdi/'j,Jllot '",.;"fJ!(' A"""i1fl Al'l,liruliml a fll~l N:mll' \1,.1.11../,,111111 /,<l~' SUIIII 'j), ~: (~I hl.( 'I /'I'!J C I\~L h. H"c-l'oTI1-0f'CU'--- ICf b <~ f I..' Y /1 J/(' C/Ilw1!l Slll~' ( Ujll 6( AO L 1\,. -v I'/J, '3. -Date Of - ~\llI/;tll .'IiIY )',.ar' I: Birlh ., . ) ~ _ '''''0 ii,--PlolC8 ofBlrtt"i I,'ily- e n t L I SU c.. 'Soci3i seC'll(II~' Number . . -"irat'fi'let ."'uml'jt C:/Ji.'ll~l ( lIJ'I'.~J,. 1'7ol'~ I c, So; 'j r, II M ^r:" n'~;lr~~11 t)lrln~dV -"'fll,. /)1), ("~l""rll LJ, <),/1, 11 :'- 1-[ftJ-1 {""7 ." L/ i. -Amoori'orAiinuit~IIlt'1 CSlilT1.1-t.,tl 1.;011- meonln' 31 It'!tlfCIlWlt frorn all """ree. ,?t>(' ,/,( S{~[ (0,,'/7/ ..1~'Bonohciary --. /-',rii:,'(iin, .\f,dtifl' '"lhlll "j;;..., ,\'~jmr' G t.11 J)Y <: :1' L.i..'1?/..(: y - I c: l~ tho 110111 to t:h':.illll;,ltlt'- - .".. -" hurlllIICI,U"( 'os(~l\'t"LII" thu OWI,..I? (ChN"k (lIl\~) ,X 'r I~S _ No .. \l11!,itt /""1111 t.l."s.lIIi. .. II -AIJI:al1onshfp'iu -Anni,.t31l1 - /IJCTH O? ~. O~'ne;lf- .. "r-Ird -,".J:'l(' othoc thall Annu'la"l k' /1 '-- T ( "- ~.', "c' / (, c')< U:-HUS;liin-co'---- .. -"',cd ~I;~a :\"11111/,,-, (',t,; /'1 It! j/:/lf'}C l.:l"fl [;/,', ('t'):,,';L.(~ -_.- ---i:.'IJI1t,i!.'--" -SIIIII'- l!l' I '"II. . J. LJ..I11t'",:/.''-- A,~,:R'd (/1, 1 '7 t/'5 c. Social Security I I I I I NumbNofO."o:, 1'71 - ;>-l - ~;'l)). ,~'-~..iavc+fu'ndsi~illlrrtl.:JSC 111'1$- Anll~lliy r.On1~"" Yes {f~.I,t.1I11 '" (Olllal ks) as prOC(!cds 01 a life IIlSUlJru:n Polll:," .......'<No --w'lifThls-vii+;i.lh1c- Anlllllly Icplace any v3.fiablu or fill. uti dollar annuity or oUler Insurance Policy? 1.--1SA'lnUiiant'~ h'cJ.l!ti-s~dl ;lS to warrant Iifo? -Yes (il-.;,iaulTOfCin;1r!.;.!'I) -x No T,pe O-;.R:,-O---- B Pens,on TruSl IRA ~I reas'onit;ln-CIII'O-ctaiion-'o( ...~Ycs No o Tatt- Oelene'd-'r-OAj------ ;a Non.Quallfl(!d _ '- 10. 10111\ Pll'I!J(!'C Clu1!r'!!l;lh," (Jt:Io'f,t',ll.lfll AI',o'II:. fOI l.'U H~'~ ((:"1,'" 'In") Mu: :11'\ C"'I.II" Sllltl!!' C;nl1lrll,ultl,n [)r~!"I'I:,11 d.! ,\rHIL)'!',!, ' L'{I (lfiil(f lHJll lUll;) M(,nlh.. CI!I~.I"l S1I1Clh! Cunlllbrll1'jll 1!l11ll1:lllal'l L,lll 'It I' I' :. Sin'llr. Contl'tHlll/lIl InlrT\"!II..lllllk ""\I'lI':, f,." '? > F l~'O 11m (I'rlcll' 0Ilf') f\~'JI\~h.. C, ':,1111 Sir'IJlu Cunlllhut1un I'umf'd,.l~" Jo,nl .1f1 Anllu". Wilh \'1/,,:,' '1-'. AIIIlOllclls'inc,'lld,r1f1 (:PPI,.',.II'lJr'Il!l~.(.I'S :,tl"~llll 1,1' !'I~nltll~ AnllUltant XO....~1t'1 Olhl~r (~t~'IW r\;1l11" .1'1'1 ,llhl!l';.'; In R'''l1Jlk!,) 12:1. Amount of COfrtrlbU!lm1 $ IDC' eCL' I SCr11IJ",tlllJI ()~lar'''' . YSI'If1h' .'Hlllr.11 f..1'1':!hh 12b PI!r.:C'p!,l'/"(' ".T' ~l . O,~,<.lun ,~_. L' .AI' SLf''-J'" r:('f; ,"', "" l?l Ctlf1tl t'l,:: 'l::JrC:'-I-: ....,. par' {,', r.t't:,I'H~I~ Un'!l~r l"d": :.... :,:'0: (.J ',I>\'lr'l~. .'(1....-."'..(:.. t;;"c ,,' . ::,. ~"'~. d: ~'.. \.,. ...: : '.' . ..\" 1;'lu C(,IW~I.'L,:,t;~ !,.(, " \, \' POll on rh~(j,"l~! Un'if!' P'l" ~ -lJ~ Al1m'l~i" Pcllll\tm! Date f'" ")5< ,0 ' ':..". 0 UOO, r.,." ':. I , (l ,",', So 000.' : ,- ':',', ~ I Jh'II,,; /Jclj/ 'Y"u (~ I ')(.:":';"- 14"-A6mif~',h---- - 1..~/ll-1(::A' t.. ,.:..,/,/.'.'///..1'1/:,.1/:,.'.....0 J)k'. (/,^'L, ,>L (' , 1,11:, I")::'.'; , ,s.--Hofl100ff:CI)- chan'ce5 -(H C'\l~~~ci"lons- -.' 'It.,jUITY PAYMENTS AND OTHER BENEFITS PROVIDED BY THE CONTRACT BEING APPLIED FOR, V,'HErJ BASEO G~I ;~'JES ~I.lr-N i p PERIE~~CE , A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOI.LAR AMOl"H "'r:1 acknowledge 1l1e receipT ol COlllt};]'lICr-t Fl,<na, Ir.c prc~r ~c;:us, Comptlnlon InCOrT'1? Fund l('Ie "r~,~~er' ~'; il' -: :.'(. S': ." ,"\,' .~~ .-':.. . ., ,'.. r.c. ,-,: "", I 'j (' ospCC1US, \o'/e) agree ttlall',('O .1t:JO..'l' answers arc .:.ornjl'e!l' .w,O Hue Iii It~c toC5! (.1 my (Out! lono....lpdge an..1 b.~I,('t ,'(Ie ~,~.1':' ." ,~! I"', -(',"'1\' ',', .,,: "'I"('L'I' \d lhat no warver or fT'lGIjII.C31Iun sr,:lll b,nO !t-l' c: ,:-mcany t:n',.:ss In wlrTI"Ig 'lnd srgned l.Jy lhe Pres'dcn! (IT ,] ','(," ;"'::' ';': '- ~ :V'i '(".jr', ~. ,\;,", ',! \.: ~crelary . any chonges or correCl'ons are rnatJe by the Cornoaoy a.,d are no:eO in Item 15 above. aceeoln.,c!:' by :t1(: 0....,... 0' c1 co":rJ':::8 II~ :.;~ '1.....1, ,-,I Ill'S .p!lcallon so mOOlllcd if. anact,ed NllITaTlty S....C'1 cr"lnges or terrect,.,n!.; exceotthat in those Slales .....Mcr~ ...."..p.. C~~ ',r."l ,<, 't'L:,,'!f~~:' S~d:'..~'-' ';' '-S"ft\:'C" ~Dar1ment regulallon any amlmdmenl a~ I') arnnl.l"l. classLllcal1o", age allssuc or benelll!>> wll' te l'!'i1ce on';' Vv ~~ 'n, 0/.' "f'5 ". ..~... ,;C....<., . FUi ;~ :) Ym 'led at., ..C'/] r.' /../ :,L('" I !-1-) . Ct!1I J' StilI, . Ci~ <,.L (" te. -1_ "Ii' ~ .L U'ltlll'U . to . i. G, ",.J. L.'. --1-<'7,' { ~ is d'rl',~ . '8 Po. / J' (I on, 19 r(,~' :I1Url!h [1.1:. -r /"';'. Wi) ~.,' ~'. ,J!U'~ ','- ..\, ,.1..::.....( ;,:':' ';i .,'L_~ .-' It. ' ,.., ,..: l, ,.<1/ .":~rr;H<l!;;.' ",f I I..,..'" If !.'i',' :I"J'. A.IPl",~'ulld IiI 1):"'5'"'7 ,...,) '. ?'~)5.11 QUESTIONS CONCERNING PROPERTY TRANSFERS 1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving valuable and adequate consideration? (Answer "Yes" or "No".) NO 2. Did decedent, within two years of death, transfer property from himsel fl herself to himsel f/hersel f and another party or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) ~ 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 indicatinR 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".) b. What was the transferee's age at time of decedent's death? 5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her death: a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".) NO b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer "Yes" or "No".) NO 6. If the answer to five b. aixlve is "Yes," state whether the right was reserved in decedent alone or others. 7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit or care of transferor? (Answer "Yes" or "No".) NO 8. Did decedent, at any time, transfer property, the bBleficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Yes" or "No".) NO 9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved in the decedent alone or the decedent and others? (Answer "Yes" or "No".) . ' . . REV-4!l4 EX.. (3.80)" COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT OECEOENT SCHEDULE "E" JOINTL Y OWNED PROPERTY '* (In.tructions on Reverse Side) Estate of Walter W. Weibley ITEM NO. TOTAL MARKET VALUE \ T DEPARTMENT VALUATION (Offlciel Use Only) VALUE OF DECEDENT'S INTEREST DESCRIPTION 1 House and Lot located at 1919 Maplewood Drive, Carlisle, PA Assessed at $6,920 .00 30,000.00 2 Houshold furnishings 5,000.00 .00 Items 1 and 2 owned jointly with surviving spouse, Gladys I. Weibley TOTAL THIS PAGE .00 tJO INSTRUCTIONS FOR COMPLETING SCHEDULE "E" Schedule "E" must include all property, real and personal, owned by the decedent jointly with another party or parties as joint tenants with right of survivorship, Both tangible and intangible property are to be included, List real estate first. 1. Describe all real property as indicated in the instructions for Schedule" A". Describe all personal property as indicated in the instructions for Schedule "B". Include the name, address and relationship to the decedent of the co-owner (s) and the date the joint ownership was established. 2. Indicate the total market value of the jointly owned property, 3. Indicate the percentage of the decedent's interest. 4. Indicate the market value of the decedent's interest. C ." 0 n 6 Vi ;... :g ;... 0 ~ " Z ~ C1 n c:: v -l Z ;= Z r-< t"1 t"1 ;>; Z ;::l > 9 9 r-< Z Z m ..., r.1 -' ~ 9 -l ~ r:i 9 en CIl Z 0 en 0 -l 9 "r1 I ." ;::: ~ . i >- 0 or -l "1 k :), 0 "r1 , ri =: ~'~2 Z <. s: I, (.:.~ . "" ::~ :~.' r-< C)'~: ~ ;: . ., ~: c:: LLl.I, fiiit 0'- - CIl 0::.") J , uj t"l 0-- ~.:e C'.J~ ~.c... 0 ~o: ~ ",=> Z p:l -'u r-< u -< -< -< ~ t"1 m >- ;.- ;;:J ;;:J I I - 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 grove marker. GENERAL INHERITANCE TAX INFORMATION All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liabilitY for the debts being claimed should be attached to this schedule. A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania. If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of the same household can claim the exemption, In the event there is no such spouse or child, the exemption can be claimed by a parent or parents who are members of the same household as the decedent. The family exemption is allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws. C "to " n > t"l > ~ > 0 0 " tIl 0 Z C'l n c: " -l Z ::: z t'" "., t"l ~ Z ;::: > 9 - 9 t'" Z Z t"l -l t"l -l Z 9 0 -l -< tIl t"l - tIl Z Q tIl 0 -l 9 ." ;::: -, ~ ~ 0 - .., 0 .., - z n - > t'" c: tIl t"l 0 Z -< -< ~ t"l t"l ~ > > ;::: ;::: \ \ 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. INSTRUCTIONS FOR COMPLETING SCHEDULE "F" , , IlEV.4S5'E>:i 13.HO) COMMONWEALTH O~ PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT --- --=t:""-=~'" .----.:-..r~=_=__::__,.:.....,......;~~_~ . " . , , ,.... '\ SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS Estate of Walter W. Weibley Date of Death 11/7 /80 WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: Fde No, 21 80 730 Claimant Relationship to Decedent _. Claimant's PO.ddress ITEM OATE NAME OF PAYEE REMARKS AMOUNT NO. I Rese _ved: Glad s 1. IfeibIe Co-Executor's fee ~rs Trust Co. Co-Executor's fee McNees, Wallace & Nurick Attorney's fee 10 Closin and Filin Costs TOTAL THIS PAGE 26 056.23 I hereby certify that to the best of my knowledge and belief the rorego.ing is a iustJ.'r.'d true sta!J.rent of debts. funeral expenses and expenses of administration submitted to the ~te as deductjpp..s f ;nhm::tJX purpos s, 79'';2,1-<<) ":1 t'~Z;7lt.h -113 fl ./ SIGNI\TURL: OF ATTOI1NEY/flDUCIAIlY DATE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S .:{ t, , tJ 1-Jt,,;:?:3 AT / G PERCENT. '~aJ tf-:?3-fl 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 52,000 may be claimed by a spouse of a decedent who died domiciled In Pennsylvania. If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who Is a member of the same household can claim the exemption, In the event there is no such spouse or child, the exemption can be claimed by a parent or parents who are members of the same household as the decedent, The family exemption is allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws, r- "" 0 ("l > m > ~ z > 0 0 0 Vl Z 1:1 Cl ("l c: 0 ~ ::: z t"" ,'. m ;>; Z ::0 0 Z 9 t"" Z Z m .., m -l p 9 -l -< Vl m - Vl -,' Z 0 Vl 0 .., ~ 0 ":1 ." ::0 ~ ~ ,-. 0' 0 .. c::c ":1 '. ," - 0 ":1 t. "..-. Z - .-: (. ~ "'" :~~~ ("\ i:f ~c:;: - ~ > ui\'; ;~~ t'" o. . :5 1:J~ 0:;;('- J c: OG '", :-c:..- VI Uw r:.:.":'" trl ~a: ~ Lu::J 50 -,U 0 U Z t"" -< -< -< m m ~ > > ::0 ::0 INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column. 2. Assign consecutive numbers to each item listed. 3. Enter the date on which each debt was incurred and/or paid. 4. Enter the names of each payee. 5. Provide a brief explanation in the remarks column for each debt claimed. 6. Enter the amount of each debt being claimed. 7, The form must be signed by the person who has assumed the responsibility for paying the debts, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION COUNTY FILE NO, ,J, ,', {/- 1~\ I' TO: / , ..,.:' ,', A.//j:.;.. i.I ,)) ,; ./',' ", :...J " !'rJ ,./:(/),LI ,/,,(/J-;/r:-" " . ' , - P ~-/. '~,/.J../l // /I"_::~U~'(J(-" .-, ~ ;/ Appraised Value of Estate: Real Estate Personal Property Jointly Held PropertylTransfers Total Gross Estate Total Approved Deductions Clear Value of Estate Less: Approved Charitable Exemptions Clear Value of Estate Subject 10 Tax (.(' (. ..,,1 / " / '-,/' " I ",1/ OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT *' DATE I ;'-;';: ) ,-, ,('j{-'i' I.i /.1";-'//c' L/_._ .f'..r .I /J' /.Z; ,) ) / I ,; -I~/A_~/'(./('/ /f. L.u,..I;.L:-/ /j (,1 ESTATE FILE NO, .~ / ".' /;~...l ,>, ' - ,- / / - / ) (,) COUNTY . !. ~ .. -', .~.,.. ,,/ ,,'d ~ /. ..,j.,'n/1L- DATE OF DEATH , / )! /1./>1 ,./ /,., ///;;)/_.rlr:.~ ;/'U ! -' s --------- + ,//:j' II' ")' 't: ,,- " '1',' " . / . -..---.---- + s ,/ /:- /} / /(~ - '-':/' ,.::/j', j';/ '-,' ..., " / . ." ".-::/", $</"'1_~J. Ii 'i. J(J , $ /: '/,....:/ ,.-,' 1-; I j <: _.; /j , <" '1/ . , ",;'I}'/. :'.:) 6.'// '/ '-'-;6 Amount Taxable @ 6% Rate " / $ "I) :<)' .ii J/,'" '.I , tax due Amount Taxable @ 15% Rate tax due TOTAL PENNSYLVANIA INHERITANCE TAX DUE S .. * .. .. .. .. A five percent discount totaling $ will be granted if the Inheritance Tax is paid by Less Credits: DATE OF PAYMENT A"-5-fl/ y,//.?; AMOUNT PAID S ;" :j'kJ (."0 + ,-If__ , , , It)' , ": + + DISCOUNT Y '" S/' ~'__:' INTEREST TAX CREDIT I ;/. - $ /~/ ,~"'/,/;' / () , S = = " I{~~, ;; .~: / = Interest accrues at the rete of six (6) percent per annum on the unpaid balance of Inheritance Tax from to date of payment. Interest due if paid by BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE is // S l I{, ' -' "" ..-/; IV -//.v- :i,i: I: :,1): . I, ~',/ .i I f.:? Agent 10' e Comrno'nwnlth . / ,) .'C1 i;;"r;:J ./ 7' / I J/ _.-t:..d-/" Assessed by: See Inlormalion on Reverse Side INFORMATION To in.ur. prop.r crodit 10 your occount, Ihe nomo of the ..,ato ond liIo numbor .hould bo cloorly prinl- ed on the check or money order. Thi. a....sm.nt i. mod. in accordance wilh Seclion 708 of Ihe Inh.ritance and Estate Tax ACI of 1961(72 P.S, ~ 2485.708), To Ihe .xl.nt lhol inherilance lax is paid within thr.o (3) months after Ihe doath of the decedont. a discount 01 fiva (5) percont is allowed (72 P,S, ~ 2485.716), Inheritance Tax. olher than tax on a fulure interesl, is due allhe dale of Ihe docedont's dealh and become. delinquenl al Ihe expiration of nine (9) monlhs after Ihe decode nt's dealh (72 P,S, ~ 2485.7111, Inheritance Tax on a fulure intero.1 is poyoble wilhin Ihree (31 months afler the tronsler takes effecl in possession and onjoymenl and i. dalinquant thoroaflor (72 P,S, ~ 2485.712), Calculale intoresl from Ihe delinquenl dale shown on Ihe fece of Ihis form 10 the date of eClual payment using the following inlere.t lable: --------------------- ---------- --- ------------- - - --- ---- -------- -- -- -- - -- -- I month ,005 4 months ,020 7 months ,035 10 monlhs .050 2. months ,010 5 months .025 8 months ,040 11 months .055 3 months ,015 6 months ,030 9 months ,045 12 months .060 I deys ,00017 11 days ,00186 21 days ,00352 - 2 day. ,00034 12 days ,00203 22 days ,00369 3 days ,00051 13 days ,00220 23 days ,00386 4 days ,00068 14 days ,00237 24 days .00403 5 day. .00085 15 days ,00250 25 days ,00420 6 day. ,00101 I /; days ,00267 26 days ,00437 7 days ,00118 17 days ,00284 27 days ,00454 8 days ,00135 I 8 days .00301 28 days ,00471 9 days ,00152 19 days ,00318 29 days ,00488 10 days ,00169 20 days .00335 30 days ,00500 ------------------------- --- ----- ---- - .-- ----------- - ----------------- Any party in intorest. including Ihe Commonwealth and Ihe personal represonlative. nol satisfied wilh the assessmenlmay objecl Iherelo wilhin sixty (60) days after receipl of Ihis Nolica as provided by Seclion 100101 thelnherilance and E.tale Tax ACI of 1961 (n P.S, ~ 2485,1001), Make check or money order payable 10: "Register of Wills. Agent" Mail to lhe address listed below: t:l <<l '" o I'< liH~ I'<H E-l ~::> 01<1 <<l:;! S~ t:lH Bt:l '" : . "" CJI'< < Q,lH en H t:l:= I>: ~ '" 0 ::i ci~~ B ~~ ;lE-<0~!:l o5iis HZE-<<<<l ~lil~ ~~8~8 ia H ....1U< ~::~ ~8~!i!:: E-<t:l I>:H O<<l SSE-< ~:>::;;Ju;l :>:O<>::O~:=ZE-lH )::U::;:)M<E-!Htn~ o 0....~<>::~3~ ueu 0- ~ 0 ~ Zt:l E-l . [:;)~u,"'o~~",H 1>:~.-l~0 1>:'" ~<<l:a"'E-< E-<(;!l>< ::>el'< .~~gJ~~ OSI>:O"'<H<~ UUOZ<<l~~~t:> . N .... ..... . .... :> ... ~ ~ .. t:> ~ ~ ~ H A ~ ~ ~ o 0 ~ <<l !;l :;: A t:l -0 ~ 'OG~ ." ~ '"' ~ v; 1lI ~ ~ C. -:: C ~ '" '"' c.. ~ 'C? ~ - " ~ '"' .. ... -:: " '"' "'6 ~ oj .:!! -'" :- ~ e; ~ ~ '" ~ C. 'f. -".' ,g " H ~~ V; ~ -5 .~ r. ~ - ~:J eel ," ",'" ,.':1:' N ,."ITI "" L.~g ~:J ,.,:0 :J .C-~ " I .,:J ,'.) " , ~ , '" '" ,.~ ;.. ~ .gc ~.'~ ~'- ,-,-.g c ~ C "':--QOu :: .....~~g~ ~ - " ..... rJ U ;: r" 3 ~ ~ -- r:.. tr.I liJ -:;'l c: ~.. ::J (I \.. S! .; ".":;J C/) rJ 6 .... d .~. ....j .;:; r:.....:.;a ti ~;tt)....tf: vi p ~ ~ 0 _ ;." 0 53 .... r:: ~ "Ei ~ __ ~ e.l 'Jl .... ~I C e> E ;.()c.';~~ --- j~ ~ t1 ~ ~ .-9 e .~ th C 'M S! ;;.~ -~ ft; J I.. ~ ~ ~. 0 ~j _ t.; c.J't; ;...-. o .... ..... c.. -' t1 'cj c; "0 ,.d ~ t,.I gS~<: 1;: :.~ ~: '- :g ~ t !":: ~ .; :.3 T; ~ .:: ~'F; -' ~ .~ o .~ D 'J G0 .;:: ,.j I , STATEMENT OF TilE REASONS FOR TilE PROPOSED DISTRIBUTION The above distribution is proposed in accordance w.ith the terms of the Last / Will and Testament of Walter W. Weibley, late of North Middleton Township, Cumberland County, Pennsylvania. Dennis C. Caverly, S and Trus t Of ficer , " ;'! " , I '/ \\//1 ,~-At...(.. 1: Gladys 1. wetbley COMMOW,EALTH OF PENNSYLVANIA: COUNTY OF CilllB ERLAND Vice President n . , . ) . 1 . \-->) (/. ~d:..t:c: ~'7 - (/ Dennis C. Caverly, Senior Vice President and Trust Officer Farmers Trust Company and Gladys 1. Weibley, being duly sworn according to law, depose and say that they the ( , /:Ji. :t..l{ J:/ Gladys 1. \,eibl.ey '.! c' ,,',:v .i;..,. lI~tr: ..... - ;)'71 P!:G~ Vice President '=") ;;t/lJA<:7 C/ I I I -1 , COURT OF CO~mON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-80-730 ESTATE OF WALTER W. WEIBLEY, Deceased Late of North Hiddleton Township FIRST AND FINAL ACCOUNT OF FA~lERS TRUST CO~WANY AND GLADYS I. WEIBLEY, CO-EXECUTORS Date of Death: November 7, 1980 Letters Granted: November 18, 1980 First Complete Advertisement of Grant of Letters: December 12, 1980 Account Stated to April 2, 1982 SUHHARY & INDEX Pages PRINCIPAL Receipts Net Gain on Conversions 2 2 413, 997 .16 8,427.96 422,425.12 56,400.84 366,024.28 127 ,408.78 Less Disbursements 3 Dis tributions to Beneficiaries 4 Capital Changes 4 Principal Balance Remaining 238,615.50 INCOME Receipts Less Disbursements 4-5 5 37,572.33 10, 911. 24 26,661. 09 23,946.05 Distributions to Beneficiaries 5 Income Balance Remaining 2,715.04 g=~~h~~g=~~ Combined Balance Remaining 1 , , i I .~ O.~ Pl.f'" r;6:; ~;~:~;', ..l. ..... I .--~... V IJ 11/18/80 1l/21/80 11/24/80 12/4/80 12/8/80 12/11/80 12/15/80 12/22/80 12/29/80 1/5/81 1/14/81 1/30/81 2/5/81 3/3/81 3/9/81 4/15/81 6/2/,f81 6/26/81 7/13/81 7/22/81 8/7/71 PRINCIPAL DISBURSEMENTS Register of Wills, Letters Testamentary Cumberland Law Journal, advertising Letters Testamentary The Evening Sentinel, advertising Letters Testamentary Notary fecs Carlisle Radiology Assoc., P. C. balance due Chase Manhattan VISA, balance due United Telephone Co., service Pennsylvania Power & Light Co., service BMC Pharmacy, balance due Community Ambulance Fund, balance due Carlisle Hospital, balance due BMC Pharmacy, balance due INA, premium for homeowner's policy Gladys I. Weibley, Family Exemption The Bon-Ton, balance due Pennsylvania Power & Light Co., service United Telephone Co., service Hoffman-Roth Funeral Home Carlisle Suburban Authority, service Agway Petroleum Corp., balance due Pennsylvania Power & Light Co., service United Telephone Co., service Agway Petroleum Corp., balance due Register of Wills, partial Pennsylvania Inheritance Tax Pennsylvania Power & Light Co., service United Telephone Co., service Agway Petroleum Corp., balance due Register of Wills, filing Disclaimer Register of Wills, Certified Copy of Will Gladys 1. Weibley, co-executrix fee Register of Wills, filing Debts and Dcductions Internal Revenue Service, Federal Estate Tax due Chemical Bank, handling charge ~illnhattan Fund, Inc. McNees, Wallace & Nurick, reimburse for expenses McNees, Wallace & Nurick, partial attorney fee Register of Wills, balance Pennsylvania Inheritance Tax Reserved: McNees, Wallace & Nurick, balance attorney fee Farmers Trust Company, commission Closing and Filing Costs 87.00 18.00 18.00 15.00 58.00 121. 96 48.99 48.74 64.97 35.00 63.00 31. 26 163.65 2,000.00 26.00 38.57 58.71 2,125.00 60.45 145.45 32.60 47.24 175.96 16,000.00 15.53 12.99 102.14 2.00 2.00 2,592.70 6.00 2,574.43 3.00 37.75 4,200.00 6,105.22 5,800.00 12,963.53 500.00 Total Principal Disbursements g=~g'!'~22,;.~~ 3 I . . l-r"" ::-p .~: j#1 fH r " _II.", . .\J.:'. ",C_ ,J - , " PRINCIPAL DISTRIBUTIONS TO BENEFICIARIES Variable Annuity, Connecticut General Life Insurance Co. Policy 17002547 to Gladys I. Weibley PRINCIPAL CAPITAL CHANGES Nuveen Tax Exempt Bond Fund 34-S 100 units Inventoried at 2/5/81 Received Return of Capital 100 units 8/4/81 Received Return of Capital 100 units ========== ,'. Nuveen Tax Exempt Bond Fund Series 31-S 100 units Inventoried at 1/30/81 Received Return of Capital 100 units 7/13/81 Received Return of Capital 100 units ========== Nuveen Tax Exempt Bond Fund Series 32-S 7/13/81 I/D/82 11/24/80 12/15/80 12/15/80 12/22/80 1/23/81 3/16/81 4/16/81 5/18/81 10/19/81 2/1/82 3/11/82 100 units Inventoried at Received Return of Capital 100 units Received Return of Capital =!~~=lm~1E~ INCOME RECEIPTS Interest, Savings Acct. I 39874 Cumberland Valley Savings & Loan Assn. Dividend, Delaware Fund Dividend, Sun City Industries Interest, Judgment Note of Carl D. & Lois A. Weibley Reinvested Delaware Fund dividend Dividend, Delaware Fund Interest, Carl D. Weibley Hortgage Dividend, Bancshares NC, Inc, Interest, Carl D. Weibley Mortgage Interest, U.S. Treasury Notes 15.875% 7/31/83 Interest, Carl D. Weibley Mortgage Dividends, Pennsylvania Power & Light Co, 1/5/81 to 1/5/82 Dividends, American Telephone & Telegraph Co. 4/1/81 to 1/6/82 Dividends, Nuveen Tax Exempt Bond Fund Series 42 Dividends, Nuveen Tax Exempt Bond Fund Series 32 Dividends, Nuveen Tax Exempt Bond Fund Series 31 \ ,4 .-" ..... .. J" """,- .,r. .. i.. .....,. .1_'..L: ;.>: vL,;J ~=l~Zd:~~~=Z~ 6,708.00 287.83 6,420.17 10.15 ~==g,!.~!~~~~ 8,178.00 198.53 7,979.47 575.54 ~==Z,!.~~~=~~ 7,455.00 352.22 7,102.78 994.48 ~==g,!.!~~=~Q 14.14 I,012.83 31. 25 690.48 1,326.67 609.00 3,000.00 10.00 3,000.00 3,968.75 3,000.00 1,108.00 2,613.60 1,486,22 880.78 1,000.89 " Dividends, Nuveen Tax Exempt Bond Fund Series 34 Dividends, Farmers Trust Company 1/30/81 to 1/29/82 Interest, Certificates of Deposit Farmers Trust Company 2/4/81 to 3/16/82 624.85 540.00 Total Income Receipts 12,654.87 g=n",m,;,~~ INCOME DISBURSE~mNTS 3/16/81 4/13/81 8/10/81 1l/17/81 12/23/81 3/29/82 1980 Computax fee Commonwealth of PA, 1980 income tax due Internal Revenue Service, 1980 income tax due Accrued Interest U.S. Treasury Notes 15.875% 7/31/83 Chase Bank, VISA, balance due Chase Bank, VISA, balance due Commonwealth of PA, income tax due Internal Revenue Service, income tax due Farmers Trust Company, income commission 30.00 38.00 147.00 215.68 409.80 123.76 554.00 7,079.00 2.314.00 g=~2",~~h~~ Total Income Disbursements INCOME DISTRIBUTIONS TO BENEFICIARIES 12/21/81 1/5/82 Gladys I. Weibley Gladys I. Weibley 5,000.00 18,946.05 Total Income Distributions {' .' / i,'1/ Ii, ~ll t(.t' & \.. Dennis C. Caverly, Senior Vice President and Trust Officer g=~~",~~g,;,2~ (I ~ J . "I lkJill/ Gladys I. Weib1ey o }',fI/l \..../ t(1 f'-t..-.(..'J::.CC./ ./ COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUHBERLAND Dennis C. Caverly, Senior Vice President and Trust Officer Farmers Trust Company and Gladys I. Weibley, being duly sworn according to I i depose and say that the Account as stated is true and correct and that the G ni of Letters and the first complete advertisement thereof occurred more than four (4). m lh's befo]:'e ?J:he f' ing of the Account. "7 ;(,1~ ',,/ ,/'{ . Dennis C. Caverly, Se ior Vice President and Trust Officer j , ; , , i I I I I ...":"...........11..... .....;..l /;, , ". ...."" ,:. . :,'~ ': ,I '.'.;'" ", . . ~ ,'J.Lri...lt..// Gladys 1. Weibley (I , , \, , \~: , /I .1 [{),Z'vt:--L'-<1 / 0:".:",.', .":":ti:T, f.!0TI.RY PU811C ',\ r, '. '::~~~L'\t:? CCU~~W I.'.; :_. .. ".' 'S: . :..,,, ::~ i.;;,~. 15, 1~2.2 t,~c;",'~ ~:. Pe:-,il'." ".l~l:J. f.:..wci:::i:ln of NNri~s .~ : \'i r:j ."" w ''':'. .LU_:" nGE J ~..j . "" < al ~ gJ H t:l:= 0 ~ .~ ~ ~ ~~g;t:l~ [:;)~OZ :::ZE-l~<<l Z ~O!!l I ~lil~ t1o~8 ~ H . ....:10< ~.:> ~ t:l "'!i! . I'<~~ O<:~<O~ SSE-< ~ ~u;l :>:O<>::O~:=:zE-lH ~Ul::)C""t<liE-lHcn~ o o....~<>::f<o3~ ut:lU 0- ~~. al[:;):Z:~E-lH ool~""'<<l[:;) ga", !;;!el:aN:;:<<l~~~ ::>S~ci~:;:H<~ 8uoz<<l~f<o~t:> . Hw . t. 7'\5 arC:> 81.n ^eI 04l!M8194 uOllnqlJl~IP JO 91" .pa4::>s pssodoJd 41'''' aJuepJo::>~g Uj p3<U::>E'p uonnQ1Jl,SIP pue ^lalTll.~ . paw'll.'::> luno"'''...''el'bT'fr..h7:1Uf.. N o CO CO a> a> ..... ..... , 0 :.,j -I ~ ..... :D .~~ :-~ ;; g t=: ~ :,.J :J .::_.~ ~ -5 ~ "';.:, - '0 " := ;; 0 ~J ,'j ::) :"1 ," " ,... ..... ...~ ," .... -. o <= .. OJ . :> r;"6i, ~.; c:: .J (OJ " .~! q u ;1 0- -~.. ...........: 8 ;: 0 g >. 8 g'"g 8 ~ u :; ~ ~ i- ... ...... -... c;;: ~ :-:: -'" ~ - :) .- OJ :::.::: ~ .... g.= ~ ..\<I..... ::Xl'O t3 ~ ~ t.. d ~ 8,'':'''' ~ :. a ... " 0 ,'. .... .5 1-4 - 0 r- '5 _.d C u ~_ " " '" 0 ~ ~ :~ ~ ~ .-. ~~ 2 ., eel .-:C; ",'" ~;~.. N ITIIT1 :.~~~'~ "'" :.,2 ;n~ '0 ~.,,=, :";) ::~? .11"11 I '.'I:? .'~ :~ N "._1 ;~l ,., ~. ,', ~ " : , " ~ :z: '" CIl CJ ~1- ~~~ ffi ~~ CIla: ~iS: ~ oJ , >'l ..'" ZCl z': .. " ".x we oJ:II ::;, 0: c U r.\l I..... 1.':1 U-' '-" -. .... oM o ~ 0% ...... ", :::; . . N .... ..... ..... :> ... ~ ~ .. .. t:> ~ i::l ~ :::1 t:l ~ ~ ~ o 0 <<l <<l :;: :;: t:l t:l " 1: .2 d ::s U U 0 .S!, ~ g Ul _":) 'ct d e:J o So Co) .s ... - ... r=S .g ::: on ..... t:' B ~ :-. {l ;:: > ~.~ .~.8'H~ ~..c,3 ~ ':: ~ ~ 0 PURPOSE OF NOTICE: PAYMENT: REFUND ICR): 08JECTIONS: ADMIN- ISTRA TIVE CORRECTIONS: INTEREST: To fulfill the requirements of Section' 745 (bl of the Inheritance and Estate Tax Act. Act 255 of 1982 (72 Pa. C.S. Section 1745), Detach the top portion of this Notice and submit with your payment to the Register of Wills. --Address information is listed on page 13 of the booklet, "Instructions for Inheritance Tax Return for a Resident Decedent" --Make chec~, or money order payable to: REGISTER OF WILLS. AGENT, A refund of a tax credit. may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (Form REV-1313). Applications are available at the Office of the Register of Wills. any of the 24 Revenue District Offices. or from the Department's Forms Service Unit 24 hour Forms Ordering telephone lines in Harrisburg - (717) 233-3443. In Philadelphia - (215) 351-2065 or in Pittsburgh - (412) 565-3601. Any party in Interest not satisfied with the assessment of tax as shown on this Notice may object within sixty (60) days of receipt of this Notice as follows: 17105-8480 OR OR --by written protest to the Department of Revenue. Board of Appeals. P.O. Box 8480. Harrisburg. PA _ -by election to have the matter determined at the audit of the account of the personal representative _ -by appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed In writing to: PA Department of Revenue. Bureau of Individual Taxes. P.O. Box 8327. Harrisburg. PA 17105. ATTN: Post Assessment Review Unit (717) 787-6505. See page 3 of the booklet "Instructlons for Inheritance Tax Return for a Resident Decedent" for an explanation of administratively correctable errors. Pennsylvania Estate Tax based on the Federal Estate Tax return becomes delinCluent at the expiration of eighteen (18) months from the date of death. 5/27/43 10 and including 12/31/81 1/ 1 /82 10 and including 12/31/82 1/ 1/83 to and including 12/31/83 1/ 1/84 to and Including 12/31/84 111/85 10 and including 12/31/85 1/ 1/86 to and including 12/31/86 --Taxes that became delinCluent on or dehnCluent balance IS paid in full. --Taxes that became delinCluent on or after January '. 1982 are subject to a variable interest rate that changes each calendar year. --Interest is calculated as follows: Interest IS calculated on a daily basis at the DelinQuent Date follOWing rales: Interest Rate Dailv Interest Factor 6% 20% 16% 11% 13% 10% before December ,000164 ,000548 ,000438 ,000301 ,000356 ,000274 a constant interest rate until the 31. 19B1 will maintain INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes dehnCluent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment If payment is made after the interest computation date shown on the Notice. additional interest must be calculated. J REV, 736 EX (03-86) ~~~. CCI,l"O~""'E:'LTH o~ PEIoINSVL.'t,t>lt. , . ""l~ 4 . _. ~~ 1 NOTICE OF DETERMINATION AND ACN 202 DEPt.R.HlENl Of REVEI'oiU!: :.;<It.~;;- ~ ASSESSMENT OF PENNSYLVANIA ~~~E~~xO~~~;l~IO:":'~ T:.xH """....~."""" \ ESTATE TAX BASED ON FEDERAL H.:.QRI$9URG. p,t. 17105 I CLOSING LETTER DATE - 3- ESTATE OF WEIBLEY WALTER W FILE NO, 21 80-0730 OATE OF OEATH _ 7- COUNTY CUM" D NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SU8MIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY, MAKE CHECKS PAYABLE TO: "REGISTER OF WILLS, AGENT," FARMERS TRUST CO PO Bm: 220 CARLISLE PA 17013 I PLEASE RETURN THIS i PORTION TO REGISTER OF : WILLS IF PAYMENT DUE iAmount Remitted to Register of Wills ~l,!'I .A.!-9t'1~_'IHJ~ _L!~E_. _ _ .~. .. -"!.E.:r~!.N. !:-<?~;~ .p_O!l.:r~O~_ ~<?~ _Y.O.U!l. ~I!:-~~... - -~.. -... -. - - -- REV, 736 EX (03-S6l --NOTICE OF DETERMINATION ANO ASSESSMENT OF PENNSYLVAIA ESTATE TAX BASEO ON FEOERAL CLOSING LETTER-' ESTATE OF WEIBLEY WALTER W FILE NO,21 80-0730 ACN 202 OATE 11-03-86 ESTATE TAX DETERMINATION 751.29 1, Credit For State Death Taxes as Verified 2, Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 3, Inheritance Tax Assessed by Dther States or Territories of the United States (Excluding Discount and/or Interestl 4, Total Inheritance Tax Assessed 22,947,32 ,00 22,947.32 .00 5, Pennsylvania Estate Tax Due .00 6, Amount of Pennsylvania Estate Tax Previously Assessed Based on Federal Estate Tax Return 7, Additional Pennsylvania Estate Tax Due .00 -. TAX CREDITS: PAYMENT DATE INTEREST (-) AMOUNT PAID RECEIPT NUMBER TOTAL TAX CREOIT , BALANCE OF TAX OUE INTEREST TOTAL OUE .00 .00 .00 .00 . IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST (IF BALANCE DUE IS LESS THAN 51 OR IS REFLECTEO AS A "CREOIT" (CRI, NO PAYMENT IS REQUIREO) PURPOSE OF NOTICE: PAYMENT: REFUNO ICRI: OBJECTIONS: ADMIN- ISTRA TIVE CORRECTIONS: INTEREST: To fulfill the requirements of Section' 745 lb) of the Inheritance and Estate Tax Act. Act 255 of 1982 (72 Pa C.S. SectIOn 17451. Detach the toP portion of thiS Notice and submit with your payment to the Register of Wills. --Address Information IS listed on page , 3 of tne booklet. "InstructIons for Inheritance Tax Return for a Resident Decedent" --Make check or money order payable to: REGISTER OF WILLS. AGENT. A refund of a tax credit. may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (Form REV-1313l. Applications are available at the Office of the Register of Wills. any of the 24 Revenue District Offices. or from the Department's Forms Service Unit 24 hour Forms Ordering telephone lines in Harrisburg - (717) 233-3443. In Philadelphia - (215) 351-2065 or in Pittsburgh - (4121 565-3601- Any pa~ty in interest not satIsfied With the assessment of tax as shown on this Notice may object within sixty 160) days of receipt of this Notice as follows: by written protest to the Department of Revenue. Board of Appeals. P.O. Box 8480. Harrisburg. PA by election to have the matter determined at the audit of the account of the personal representative by appeal to the Orpnans' Courl 171 05-84BO OR OR Factual errors cilscovered on this assessment should be addressed In writing to: PA Department of Revenue. Bureau of Individual Taxes. P.O. Box 8327. Harrisburg. PA 17105. ATTN: Post Assessment Review Unit (717) 787-6505. See page 3 of the boo\l;let "Instructlons for Inheritance Tax Return for a Resident Decedent" for an explanation of administratIVely correctable errors, Additional Pennsylvania Estate Tax assessed as a result of a change based on the Federal Estate Tax closing letter becomes delinQuent at the expiration of one (1) month from the date the final notlce of the Increase In Federal Estate Tax IS received. Interest is calculated on a dally baSIS at the following rales: DelinQuent Date Interest Rate Dallv Interest Factor 6" " 20% 16% 11% 13% 10% December ,000164 ,000545 ,000435 ,000301 ,000355 ,000274 constant interest rate until the 5/27/43 to and including 12/31161 1/1182 to and Including 12/31182 1/11B3 to and including 12/31183 111/84 to and including 12131184 111185 to and including 12/31185 111185 to and Including 12/31185 Taxes that became delinQuent on or before delinquent balance IS paid in full. Taxes that became dellnauent on or after Januarv 1. 1982 are subject to a variable interest rate that changes each calenaar vea!". Inlerest IS calculated as follows: 31. 1981 will maIntain a INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS OELINQUENT X DAILY INTEREST FACTOR __ Any Notice Issued after the lax becomes dellnauent will reflect an Interest calculation to fifteen (15) days beyond the date o~ the assessment. If payment IS made after the Interest computation date shown on the Notice. additional interest must be calculated.