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HomeMy WebLinkAbout80-00080 PETITION FOR PROBATE and GRANT OF LETTERS No. To: 21-80-0080 Estate of William R. Mark also known as Register of Wills for the , Deceased. County of Cumberland in the Social Security No. 188-10-0677 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitionerQS), who is/;me 18 years of age or older an the execu~r in the last will of the above decedent, dated January 3 and codicil(s) dated none Dorothy H. Mark, Executrix. passed away on 6-15-95 Forrest H. Mark is the alternate executor named under the Last Will and Testament of William R. Mark (state relevant circnmstances, e.g. renunciation, death of executor, etc.) named ,19~ Decendent was domiciled at death in Cumberland h is last family or principal residence at 605 East Orange Borough. Cumberland County. PA. (list street, number and muncipaJity) County, Pennsylvania, with Street. Shi~pensburg Decendent, then 67 years of age, died m Dauphin County, PA Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: none Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: January 22, ,19 80 $ 130,000.00 $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters TE 5T AME NT AR Y (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. ""' ~ <I) <.) c: <I) ~3 <I).... Ill: <I) c: -g.g C':S'= 3~ <1),- ;';0 <;j c: 00 en V' ;,1-tLtttd1J7Mt'aL Forrest H. Mark 2833 Sinks Canyon Road Lander, WY 82520 0071 332-3977 STATE OF WYOMING OATH OF PERSONAL REPRESENTATIVE mMM9NWICMG~~ } S8 COUNTY OF /'-l 0 The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. ~W/:1t~ j> - c;" ~. ::s ~ .... s:: ~ ~ I 5 - I 0 l - q 0-1 ~ ~ e e. \ 0 J.~ q I ~ 4 "J~C '-.J .() __ d '~(rC ~ No. 21-80-0080 Estate of William R. Mark , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW MA Y 9. 19--1L, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, lT IS DECREED that the instrument(s) dated January 3, 1980, described therein be admitted to probate and filed of record as the last will of William R. Mark and Letters Testamentary are hereby granted to Forrest H. Mark Will Book # Page tUfAIg!&r~w,fJm(]P1)p . Registe~ of Wills MARY C. LEWIS FEES Probate, Letters, Etc. ......... Short Certificates(;l) . . . . . . . . . . ~g~~ciation ................ $ 25.00 $ LJ' DO $ I~.UU $ TOTAL _ $ 46.00 MAY 9, 1996 .................................. . Jerry A. Weigle, Esquire - # 01624 ATTORNEY (Sup. Ct. 1.0. No.) MARK, WEIGLE AND PERKINS 126 East King Street ADDRESS Shippensburg, PA 17257 (717) 532-7388 PHONE Filed Letters and order given to attorney on 5-9-96. This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Statistics in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953 (Fee for this certificate, S3.00) WARNING: It is illegal to duplicate this copy by photostat or photograph. I , JAN 26 '''''. t.,. ~ i~()J 37'0 ~~ ~fI~ Charles Hardester f State Registrar Date No. PRIMARY DIST. NO. c<l..? 9'/'< -~ ~ ~ COMMONWEALTti OF PENNSVLVANIA DEPARTMENT OF HEALTH VITAL STATISTICS CERTIFICATE OF DEATH 003572 STATE FILE NO. Nemeof deceaoed State 0< fo<e i gn count<y of bi <th 6efenna. not eitherl give street Oate of death (Ma.,Oav, Vr.) (Flrot) (Middle) (La.tl 1. Race - (e.g., White, Bleck, American Indian, etc.) 4. white County of death Agela.t /'. blrthda"". SA.IVro.) 5B. City, Boro, or Twp. of deoth Robert If under 1 doy Hours I Min. MARK 11. Where did deceased octuolly live? 15. 7 A.Dau hin 7B. Derr 1\ 7C. Mailing Address (Street or RFD No.) (City or Town) (State) (Zip Code). 605 East Orange Street, Shippensburg, Pa. 17257 8. Citizen of whet count<y? Wos decedent ever in US A<med Fo<ces? Socia' Security (jmber U.S.A. !!tfes DNo Serial No. 188-10-0 77 .12. 13. a. State Pennsy:hania. Did deceased live DYes, deceased lived in C b I din c township? . Sh b . b. County um er an iK}No, deceosed lived within actuollimils of ippens U!,g Merlta' Statu. 9. married township. .ci ty or borQ. Father., name (Firu) George (Middle) ( Le.l} 1'1a 1" k Mother'. maiden n.",. (Fi"tl Mary . (Middlal ( Le.l} Nickles 16. L' ~. fftform.ent'. Mailing eddre.. 1B8. 17. (Street or RFO No.! 605 E. Orange St., (City or Town) . (S~te) Shippensbu..""g'. Penna. (Zip COd.) 17257 Neme of c4!l:meterv or cromatorv Spring Hill Cemetery 19C. Locetion (City. _1'0, tWIl.' (Stat.) Shippen.c:;burg, . Pennsylvania liD. Mervin O.Fogelsanger Funeral Home 112 W. King St., ShiPpenSbY7257Pa. 20B ph 717-532-2211 E ..~ OJ c c Q.>.O E:!:: c 8.. .. ~u eY_ CD )0 )0 {:.CDf On the basis of e"aminatlon end/or invenigetion. in mv opinion. death occurred . at the time, deft and ple"e aM due to tha cau..<O)oteted. Hour of Oeeth 23C. A.M. P.M. 24. 26. 22C. P.M. 23B. Nam,and Ad~r...of certifier (Physiciln, Medice' e",.,,~n.r 0< Coroner) (print or typel 1'-kA~IU_v ~~u...<..c / L0v~,+-Q.\,'- catherine 11.Scho:H. Immediate cau.e: Enter only one ceu.. per line for IA) (B) and (C) c.Cl..-\..Acc Part I I InwrYe' between I on..t end duth (C) cu:ktLc, C <."L-L~~/\A.L,--, Part If. Other Significant Conditions - Conditions contributing to deat Was case referred to Medical Examiner or ~ron.r1 28. 0 Yea [!J No I Acc.,Suicide,l:Iom...Undel. Date of injury (Mo., Day, Vr.J Hour of or Pend. Invest. (specify) Injury 29A. Injury at warkif o Ve. 0 No 298. Place of inJ ury A.M. P.M. Describe how injury occurred 290. Location (Street or RFO No.1 (City, Boro, or Twp.) tate 29G. . . LAST WILL AND TESTAMENT I, WILLIAM R. MARK, of 605 East Orange Street, Shippensburg, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore made. FIRST. I order and direct the payment of all my just debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give, devise and bequeath all of my estate, real, personal and i I, ~ MARK ,I I I mixed, whatsoever and wheresoever situate, to my beloved wife, DOROTHY H. absolutely. THIRD. In the event that my said wife predeceases me or fails to survive me by sixty (60) days, I then give, devise and bequeath my said estate to my three children, W. ROBERT MARK, JR., FORREST H. MARK and STEVEN E. MARK, in equal shares, absolutely. I I , I , FOURTH. I I I I I I I , I I i I r i Ii I, i, II I H I: I) I I I nominate, constitute and appoint my wife, DOROTHY H. MARK, to be the Executrix of this my Last Will and Testament; and if she be unable to fulfill the duties of Executrix, I then nominate, constitute and appoint FORREST H. l1ARK to be the Executor of this my Last Will and Testament. I further authorize and empower my said Executrix or Executor to sell any or all of my estate at either public or private sales, and to deliver good and sufficient deeds and documents of title without the necessity of any formal adjudication of court. IN WITNESS WHEREOF, I, WILLIAM R. MARK, have hereunto set my hand and 3t!- seal to this my Last Will and Testament, this day of January, 1980. eLl/'Ll, / 'vii- l~/27~f${ . (SEAL) MARK AND WEIGLE Attorneys at Law Shippensburg, Pa. -1- This instrument was by the Testator, WILLIAM R. MARK, on the date hereof, signed, published and declared by him to be his Last Will and Testament, in our presence, who at his request and in his presence and in the presence of each other, we believing him to be of sound and disposing mind and memory, have hereunto subscribed our names as (' , /)2 ~ rU7....J COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, WILLIAM R. MARK, the Testator whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. C2 .. .(' / {titt~/M' ,atult-A~ ",. Sworn or affirmed to and acknowledged before me by WILLIAM R. MARK, the Testator, this 3rd day of January, 1980. -, ,.C.1___. / ,,)))6Juj v ')(JR~ Mary E. Slavers, Notary P!lblic ShippembunJ, PA Cumberland County t My Cammi$sion bpi... JJllv 27, 1981 .. ti H " t! 'i t. MARKANOWEIGLE Attorneys at Law Shlppensburg, Pa. r! II COMMONWEALTH OF PENNSYLVANIA I: II i I I I I I I I ! SS. COUNTY OF CUMBERLAND We, Jerry A. Weigle and Nancy J. Mann the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will; that he signed . -2- .,t3'. '.;s-. ;J .. ," willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; and that to the best of our knowledge the Testator was at that time eighteen (18) or more years of age and of sound mind and under no constraint or undue /,/ / Sworn or affirmed to and subscribed before me by Jerry A. Weigle and Nancy J. Monn witnesses, this 3rd day of January, 1980. /lJ{Uuj C~ ~~ Mary E.Is'~avers, Notary Public $hippensburg. 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"00'_ .._m _.._.__.__ _.......................... who, being duly _.__.~~~~J:1.....__________, do .~~___.m depose and say that as __m.Exe.c-utrix...........................__...____........._.. of the last Will and Testament of __.________..___.~.~~~~~~..~:...~E~.............mmm...............................m........._.. deceased _......_~~~........____._...m____.... will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances. Sworn to and subscribed before me. ...~:~!:~':':~y.........~.!................__.___........__ A. D., l~Q..... ~'i?~c.:cJ,.~,....l'.eJ?\l!-y Register V ./ / /' . . 1__..._~i.---~'--(.~-:-C./.'-/..;;J/.......)/).(.~.:i.,.,A~=..... o 00 . - N --d Q) VI ..s Q) u Q) 0 IJ.. 0 ~ .J !-I 0 ~ 00 .J . I ~ 0 - S co I ~ C1l '..-1 r-l r-l N r-l ...-1 :3 ci Z 01 ~ - N: co: =#=! .8 CJ 8 Ii:1 I'i ~ ~: ItS: ::s: ~: ..0: Q): Ii:.f~ -. ''''''''.... iY"" \.,..:.... ...Iod o o ~ - ~ ci Z q~ ([)k 'rItL~ ~ - 7J.Lu..Xt. .iA.Jl~{l.J.. mL 5-'-'114. Be it remembered that on the ______......?~?....... day of ......n...........~.~~~~.;y......._.........., A. D., 19~.~..., there 2 ..s ..... VI ~ "'0 Q) "'0 .... o u 2:: 0'\ N M =#= Q) ~ 0.. "'0 Q) - ~ "'0 c::: ..s was probated and recorded the last Will and Testament of ..mW~_~_-h~~!l?___~~...~~J5._.........._.._........................................, late of ..~~_~_._~~:r;!?t,l:g~..~.~...~_~~p.p.~_~~~g~g...m.....____....m_______.., Cumberland County, Pennsylvania, Deceased. Letters Testamentary d Dorothy' H Mark ........__.__........... ...______........__....................... were grante to.. _______......_.__. ..- .-.~.- -.................--..........--... ..............................--.. Witness my hand and official seal the day and year aforesaid',,1 I "-.n'ffIl,,;J~~.,~<;.y;'.~......n.~"l'\lloY . ~ ~~~ 33,2 ~. ; ilj RECEIVED ~j '''li ;: ~1' :~ '" ~. I ~~--~~---~-----~~~~IXX 'IIIOUlAIID ~~-~----~-~~~-~~~~~ dollars ,ddress representing Pennsylvania Inheritance or Estate Tax due from the following estate: From: 2 <J~ Tax on $ $ ... 17257 6% Tax on $ $ File No. 21-80-10 Date of Death 1-12-1'80 15<J~ Tax on $ $ Date of Payment Apl'i1 21, 1.80 % Tax on $ Estate Tax, Act of May 7, 1927 $ ~ Name of Decedent WlLLIM a. IIAJtIt $ County c.1:Mt1'1aad TOTAL TAX CREDIT less five percentum of tax if paid within three months after date of death Plus interest at the rate of _ % from to $ 6.315." Remarks: $ 315.71 -.AJD OIl .IaCOUft- $ lJOO ~ [p [L~ @illlJ~ SEA l TOTAL AMOUNT PAID $ 6,000.00 NOTE: This Triplicate Receipt to be retained for audit purposes. D I I 1! Received by NOTE: In accepting the transfer inheritance tax on future estales, prior 10 Ihe death of the life tenont or tenont for year., os evidenced by Ihis receipt, it is underslood thot the Commonweallh sholl not be precluded or prevented from hereafter assessing addilional inheritance lox 01 the dealh of Ihe life lenonl or tenanl for years whenever it a-!,pears Ihat such addilional lox moy be legally due and collectible for any reoson whatsoever. " " t i , i 'I 'I . ~. , ,) i :i ( . ' , ! ,'- .~~: \1/ .. ;'-~.'1 ~~ I ,j . ) ;::: I I , '~ ) : .) I': if . I , ,. . I. { :. '+ 1 1 . \ I 1- I j . ,"', ' ,: " , ,! I ,. ! ,I '!- ,,(5.II}t '/ , ') 'I ' " ,i.( (. (j ,) i ') . ' ' (,! i- I ) . '( , ') I ') . ,', " ' . -r '( ,! " . j )~ i J >: ") ': I). I, ;" ,S I I; . " "j + ,1'1 ' " I,)' iJ 'J -1- . ( , ;~ )~ .' . I.' ": ( , i I. ,,' , ,,) {- ., . " i : ~~~' ,'-'--- ',' I -j .. -', .' "" "- ' ". ";':, ':-.: '\_~ _./_./" , I " . ~ ", '.'~ Ii:. . .' .' ) J'-": ). J I 'I. , I, f /: . ' + 1 .J . ; J )... ,~ ~ ,(. I /" \) u. ) j + i . )- q ') . 1 No. 21-80 PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of William R. Mark , deceased. Harold B. McLane, Deputy To R;d 101 J C. A,IJ~13('11, Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania. IS Petitioner(s) <XU the executrix named In the Last Will and Testament of William R. Mark dated January 3, 1980. Decedent was a citizen of the United States and a resident of ~ Shippensburg Borough, Cumberland County, Commonwealth of Pennsylvania. Decedent died on Tuesday the 22nd day of January A. D. 19 80 , In the County of Dauphin , State of Pennsylvania at the age of 67 years. hif.bSx: ~tix J5lftx Decedent has not been married and has not had children born to him since the execution of the above described Will. Decedent was possessed of personal property to the value of $130,000.00 and of real estate to the value of None as near as can be ascertained; said real estate situated as follows Japl~ Therefore, your petitioner(~ respectfully appl ies for the probate of the said Last Will and Testament and for Letters Testamentary thereon. Dated February 6, 1980 Name and address r. 7:::--7'~~ ____ /) -)1 )./) ~>- c~~ of Petitioner(s) Dorothy H. Mark 605 East Orange Street Shippensburg, Pa. 17257 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND f ss Dorothy H. Mark named in above application, being duly sworn according to law say(s) that the statements set forth in this petition are true to the best of her knowledge and bel ief. Sworn to and subscribed before & /. /0 r".' -< ~~ .-/; ~ 0 )/ /'.) 'oj c> .,1 ./ro . . - I me February 6 1 9 80 , ~~ l1m~~rster t C;b Filed ~ eX (-~o '-fro February 7, Attorney: \5- \0\ -9 .~ Jerry A. Weigle, Esq-L~ WILLIAM R MARK DECEASED THE REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLANIA ESTATE NO. 21 - 80 - 80 ORDER OF THE REGISTER OF WILLS AND NOW this 9th day of May 1996 Letters Testamentary are being issued to Forrest H. Mark on the estate of William R. Mark. On February 7th 1980 Letters Testamentary were granted to Dorothy H. Mark. Dorothy H. Mark has died and new Letters Testamentary have been issued to Forrest H. Mark. It is hereby ordered that Letters Testamentary issued to Dorothy H. Mark are hereby revoked. OYl /j);;C' ) -/I(Ur-~.7'Z~ Mary C. Lewis Register of Wills I-,;{o-I/ " RE V-449 (1-80) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT AFFIDAVIT OF FIDUCIARY (Instructions on Reverse Side) . Estate of William R. Mark Date of Death January 22, 1980 Last Address 605 East Orange Street Social Security No. 188-10-0677 Shippensburg, Pa. 17257 (CITY) (STATE) (ZIP) Bureau File No. County File No. ,;; j- ,') :(' , ,;;/C 1. Decedent died: ( ) Intestate (without a will) ( X ) Testate (leaving a last wi II --copy attached) 2. Is the filing of a Federal Estate Tax Return required for this estate? Yes-X- No 3. (X) i~Executrix ) Administrator! Administratrix Name Dorothy H. Mark 605 East Orange Street Address Shippensburg, Pa. 17257 (CITY) (STATE) (ZIP) 4. All correspondence should be mailed to ( X) Attorney ) Fiduciary. 5. If an attorney is representing the estate, indicate: Name Address Jerry A. Weiglp, F!'lql1;rp 115 East King Street Shippensburg, Pa. 17257 (CITY) (STATE) (ZIP) List all safe deposit boxes registered in the decedent's individual namehor jointly with, ,or as an agent or deputy of another, or in decedent's individual name with right of access by anot er as agent or deputy. Include the name and address of the bcnk or other institution where the safe deposit box is located, the name (s) in which the box is registered and the relationship of 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 WHICH SAFE DEPOSIT BOX IS REGISTERED RELATIONSHIP OF JOINT HOLDERS TO DECEDENT The Peoples National Bank of Shippensburg William R. Mark and Dorothy H. Mark Wife E. King St., Shippensburg, Pa. 17257 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct and complete. 10'- ~q 7-tf ~ li1l JJ1Lh ~ SIGNATURE%~ FIDuCIArly 12/23/80 DATE '.~ REV-450 EX+ (3-80) COMMONWEAL TH OF PENNSYL VANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE II A" REAL PROPERTY (Instructions on Reverse Side) ESTATE OF William R. Mark ITEM ESTIMATED DEPARTMENT NO. DESCRIPTION MARKET VALUATION VALUE (OFFJCIAL USE ONL Y) NONE TOTAL THIS PAGE NONE AI ", ~ '" R~V.451 EX+ (3-80) COMMONWEAL TH OF PENNSYL VANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT Estate of ITEM NO. 10 11 12 13 14 15 16 SCHEDULE "B" PERSONAL PROPERTY (Instructions on Reverse Side) William R. Mark DESCRIPTION 1 440 Shares The Peoples National Bank of Shippensburg - common stock 2 236 Shares Emhart Corporation common stock 3 225 Shares Science Management Corporation common 4 36 Shares Katy Industries, Inc., Class B Pfd. $1.46 Sere Conv. 5 4 Shares Gulf & Western Industries, Inc. common 6 28 Shares The First National Bank of Shippensburg (now Commonwealth National) common 7 $5,000 Bond Red Lion Municipal Authority, York County, Pa. 3-3/4%, Sewer Revenue Bonds, 39 years due 11/15/03 Interest Accrued from 11/16/79 to 1/22/80 Five $1,000 Bonds, St. Johns Lutheran Home of Mars, Pa. 9% Serial First Mortgage Sinking Fund Series I Bond 18 years, due 8/1/91 Interest Accrued from 8/1/79 to 1/22/80 ~~Shares Chincoteague, Inc. common stock 90 Shares Orrstown Bank, Orrstown, Pa. common stock 8 9 The Peoples National Bank of Shippensburg, Checking Account No. 37-211-0 Notes Receivable - Mary Lou Rosenberry, Shippensburg, Pa. - Judgment Note #136, dated 2/4/76 1979 Ford Thunderbird Insurance Premium Rebate - Bertholon-Rowland, Inc. Interest in the Law Partnership of Mark & Weigle Solicitors Fees from The Peoples National Bank of Shippensburg UNIT VALUE ESTI MA TE D MARK ET VALUE '* DEPARTMENT VALUATION (OFFICIAL USE ONL Y) I tJ.{), 44,000.00 JO. I ~t;- (7,965.00) 1/ () r I so .J. '} 3 7S- (900.00) P 1> S; '1 'I-' ..go I (1,084.50) I,'RO.OO IF, f7.r 75.50 ~~, 616.00 IJ,fD7' I ()-l), 3,800.00 70.84 3,500.00 42.80 (2,735.00) 9,000.00 8,392.60 3,800.00 6,000.00 96.66 50,000.00 675.00 TOTAL THIS PAGE 6142,753,90) t:l...1~S::LO J'f I, riO. 0 'I- ~ ~' REV.0452 EX+ (3-80) COMMONWEAL TH OF PENNSY L VANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT ESTATE OF William R. Mark SCHEDULE "c" TRANSFERS '* INSTRUCTIONS: 1. Answer the questions on reverse side. 2. If the answer to any of the questions on the reverse side is uYes," provide a description of the property transferred per Schedules "A," liB," or liE," its estimated market value at date of death, dates of transfer, to whom transferred and relationship of transferees to decedent. Attach a copy of any trust deed or instrument relating to the transferred property. ITEM ESTIMATED DEPT. VALUATION NO. DESCRIPTION MARKET VALUE (OFFICIAL USE ONL YJ NONE TOTAL THIS PAGE NONE /\/IYYI g -l ~ '" . REV.453 (1-80) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "0" BENEFICIARIES '*' (Instructions on Reverse Side) Estate of William R. Mark BENEFICIARI ES AND ADDRESSES RElATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY DECEDENT BIRTH no . 1-1 M.q.,.1<- 605 E. Orange Street Shippensburg, Pa. 17257 Wife Yes ~- The above beneficiaries are living at this time except for the following: NAME DATE OF DEATH .,. . , , 'BEV-454 EX+ (3-80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT (Instructions on Reverse Side) SCHEDULE "E" JOINTLY OWNED PROPERTY Estate of William R. Mark P TOTAL E VALUE OF DEPARTMENT ITEM R NO. DESCRIPTION MARKET <i DECEDENT'S VALUATION VALUE N INTEREST (Official Use Only) T NONE TOTAL THIS PAGE NONE AI~o/ ~ Fil e Number INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) 21-80-0080 m Original o Supplemental o Remainder REV-484 EX+ <WO) Estate Name Wi 11 i am R. Mark January 22, 1980 Date of Death Social Security Number 188- 10-0677 REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Cumberland Pennsylvania, do respectfully report that I 'have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A", "B", "C", and "E" Dated: March 16, 1981 .Jlb l.)f 14) If' / 1'.It. 0 iff) ) INHERITANCE TAX APPRAISER ADJUSTMENTS REMAINDER APPRAISEMENT CODE INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY) Real Property (Schedule A) $ None 00+ 92+ Personal Property (Schedule B) $141,880 04 10+ Jolnt.Held Property (Schedule E) None 20+ Transfers (Schedule C) None 30+ TOT AL GROSS ASSETS $141,880 04 Less Debts and Deductions 40- 93- (SCHEDULE F) CLEAR VALUE OF ESTATE o Life Estate o Annuity RATE FACTOR PRINCIPLE VALUE CODE FOR USE OF REGISTER ONLY CODE COMPUTATION OF TAX $ $ $ $ $ Tax on $ 6% TOTAL TAX INTEREST FROM BALANCE TO $ $ $ Tax on $ 15% Tax on $ Tax on $ T ox on $ Exemptions Total Esto te Less Credits DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST + $ $ = + :;: BALANCE $ TO $ $ TAX CREDIT $ $ INTEREST FROM BALANCE DUE REV.5I8 FO (7-80) ~'. ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS NOTICE OF FILING OF APPRAISEMENT Dorothy H. Mark 605 East Orange Street Shippensburg~ PA 17257 RE: Estate of Wi 11 i am R. Mark County of Cumberl and File No. 21-80-0080 Dear Mrs. Mark You are hereby notified that the Original appraisement in the estate of William R. Mark has been filed in the office of the Register of Wills of Cumberland County on March 16 , 19 81 . Said appraisement reflects the following valuations: Real Estate Personal Property Jointly Owned T ran s fers Total None J1415880.04 None None $141,880.04 As to 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 Tax Act of 1961,72 P.S. 2485-1001, P.L. 373. Date March 16, 1981 Si gned ~~//J Jif!l'AdJt'J) Chief Appraiser Title NOTE: This is not a bill. . . REV.457 (l.BO) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT '*' Estate of William R. Mark File No. 21-80-0080 County Cumberland Date of Death Janua ry 22, 1980 PROPERTY REPORTED BY THE ESTATE DEPARTM ENT'S APPRAISED VALUE None 1. TOTAL REAL PROPERTY - SCHEDULE "A" . . 2. TOTAL PERSONAL PROPERTY - SCHEDULE "B" 3. TOTAL TRANSFERS - SCHEDULE "C" . . . . 4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E" 141 880 04 None None TOTAL REPORTED PROPERTY $141,880.04 PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH TOTAL UNREPORTED PROPERTY TOTAL GROSS ASSETS $141,880.04 LIFE ESTATE OR ANNUITY CALCULATION I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day with the Register of Wi lis. _$-I~:AAftflj,I1NJ ) APPRAISER 3/16/81 DATE Inventory of the real and personal estate of William R. Mark deceased. Personal Property 440 Shares The Peoples National Bank of Shippensburg - common stock 236 Shares Emhart Corporation common stock 225 Shares Science Management Corporation common 36 Shares Katy Industries, Inc. Class B Pfd.$1.46 Ser. Conv. 4 Shares Gulf & Western Industries, Inc. common 28 Shares The First National Bank of Shippensburg (now Commonwealth National) common $5,000 Bond Red Lion Municipal Authority, York County, Pa. 3-3/4% Sewer Revenue Bonds, 39 years due 11/15/03 Interest Accrued from 11/16/79 to 1/22/80 Five $1,000 Bonds, St. Johns Lutheran Home of Mars, Pa. 9% Serial First Mortgage Sinking Fund Series I Bond 18 years, due 8/1/91 Interest Accrued from 8/1/79 to 1/22/80 100 Shares Chincoteague, Inc. common stock 90 Shares Orrstown Bank, Orrstown, Pa. common stock The Peoples National Bank of Shippensburg - Checking Account No. 37-211-0 Notes Receivable - Mary Lou Rosenberry, Shippensburg, Pa. - Judgment Note #136, dated 2/4/76 1979 Ford Thunderbird Insurance Premium Rebate - Bertho1on-Row1and, Inc. Interest in the Law Partnership of Mark & Weigle Solicitor's Fees from The Peoples National Bank of Shippensburg TOTAL 44,000 00 7,965 00 900 00 II Ii Ii II II Ii il Ii II I. I I I I I I II I 1,084 50 75 150 i I I 616 100 I I 3,800 100 70 ,84 I I ! 3,500 iOO 42 180 2,735/00 I 9,000 100 i 8,392 .160 I I 3,800 100 I I 6,000 100 I 96166 Ii I :1 II II 50,000 00 675 00 142,753 190 i TAX AT 6% TAX AT 15% TAXAT_% ADDRESS ESTATE TAX '1aQr1r~~"'u9, M. 171S7 ESTATE INFORMATION" ........ ------------ DA TE OF DEATH "-IY II, lt10 NAMEOFDECEDENT 1fJLLIAII a. .... COUNTY c~..laIIlI m m TOTAL TAX CREDIT tI3.00 ~ LESS DISCOUNT PLUS % INTEREST (FROM TO_I TOTAL AMOUNT PAID 113.00 FILE NUMBER 11-10-10 .,..-.,.,. 10, 1181 DATE OF PAYMENT POSTMARK DATE :EMARKS MID os 8/0 SEAL RECEIVED BY "//~/,. ~ ./ . / / I/~ . ~U2/ JIaIy. SIGNATU ...18.... willa ~ REGISTER OF WILLS ,. REV-455 E><+ (3-80) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS Estate of William R. Mark Date of Death_ 1/22/80 WHEN CLAIMING THE FAMILY EXEMPT/ON, COMPLETE THE FOllOWING: . File No,,2/'.&:J--8C) Claimant Dorothy H. Mark Claimant's Address Page 1 of 2 Relationship to Decedent _ Wife ITEM NO. 605 E. Orange Street, Shippensburg, Pa. 17257 1 NAME OF PAYEE DATE 4 5 6 Mervin Fogelsanger Funeral Home Funeral Cemeter Mo Advertisin Letters Testamentar Advertising Letters Testamentary Letters Testamentary & Short Certif. Transfer of automobile title 8 9 10 11 12 13 14 Ro A. Knox CPA Cumbo COunt Re ister of Wills Real Estate Ronald F. Kum Real Estate Hale Real Estate Mar E. Seavers Cumbo County Register of Wills 16 17 8 19 20 21 22 23 of Wills and Dickinson School of Law Gulf Oil Citibank Valle o. & Coolin REMARKS AMOUNT 2,220.20 15.00 18.00 67.00 39.00 131. 00 1 500. 14.00 225.00 Return raisal 1 Notar Filing and Certified Co Filin ill POsta tylt~ling Credit card balance Installation of TOTAL THIS PAGE ,ereby certify that to the best of my knowledge and beHef the foregoing is a just and true statement of debts, fune", Denses and expenses of administ"tion submitted to the estate as deductions for Inheritance Tax purposes. / <-- 'a 12/23/80 DATE OFFICIAL USE ONL Y TS AND DEDUCTIONS ARE ALLOWED IN TH E SUM OF $ a(' dl. tJ 3? "'.6 AT / h PERCENT. 0;~'~;L~l(e ~ ) .s:9-;?6-?/ DATE 'P'. - REV.455 EX+ (3-80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS Page 2 of 2 Estate of William R. Mark Date of Death 1/22/80 WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: File No. Claimant Dorothy H. Mark Relationship to Decedent Wife Claimant's Address 605 E. Orange Street, Shippensburg, Pa. 17257 - ITEM - NO. DATE NAME OF PAYEE REMARKS AMOUNT 24 Milton S. Hershey Medical Cente Medical expense 57.15 25 J. Paul Fogelsanger Ins. Insurance Premium _ 113 E. Kin2" St. 143.00 26 Borough of Shippensburg Real Estate Taxes - 113 E. King S to 234.04 27 Borough of Shinnensbur2" Real Estate Taxes-113-115 E. King St 313.24 28 Dorothy H. Mark Family Exemption 2.000.00 29 PennsYlvania Vital Statistics 3 death certificates 9.00 30 .Tn},n (' Rptd T,ih "HTV Annra; SHl 175.00 ':11 M<I...1r J;. T.J", -: 0-1 '" , p",,,, 3 500.00 <;T Checks Written bv ~ 1 <In" ~1 1 ",.j!'+-~~ ...:l~~+-"t.. 32 Valley Forrel'lr ff1t..r:; '1'",11 _ 1 Dues 1 1 ()() 11 ot Lebanon 2 ') 7 ')() T.._.._ M"'n~ c... .__ ('1 . . 34 Masland Associates M~rl-:_.,l "hill 1') .00 35 Department of Revenue (Pa.) P.<I T. '1'<lV _1070 I. fin ()f"l 36 n. ~. ~ 1 _ - 1 T. .- 'T'''''''_10iO ? f"lf"lf"l f"lf"l . - H (' P A M_...:l.o____ T..~ D_ --:,~ 'lL: 1 n TOTAL THIS PAGE I $ 22,036.05 I he,eby. ce,tily that to the best 01 my knowledge and beliel the Imegoing is a just and hue statement 01 debts. lune,al expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes. / t ) ~- /~/Fo DATE OFFICIAL USE ONL Y DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $ .;(.:( ;).3/;/~ AT ./ t PERCENT. ~ a~ '/ "'G';T. "'W'L" 3-d?5-P DATE 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. QENERAL 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. Ii 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. l' "'0 C; (") 6 ~ ~ ~ - >- 0 0 r;Jl Z C') (") C C; ~ z 3: z ~ tT1 tT1 ~ Z ::0 >- 0 - 0 Z Z tT1 ~ ~ ~ z 9 9 ~ -< r;Jl tT1 - r;Jl Z 0 r;Jl 0 ~ 'Tj ::0 0 'Tj -- ~ 0 "'f1 ~;~; ("'-,-- '-. ..~ - "'f1 t.f} 0 - ~." Z (") .. L., ~~i - c' C >- c.},j N l' b.JL' ;;z t.- _",) C at- -0:' 0:: (/; -== Oi.W r;Jl 0(5 ...., I cx; ~ (.)w ;:~::!: 0 ~o:: - " ::J 50 Iju z u ~ -< -< tT1 tT1 '-'" >- >- ::0 ::0 \ 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" . .~ REV-455 EX+ (3-80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE #IF" STATEMENT OF DEBTS AND DEDUCTIONS Page 1 of 2 Estate of William R. Mark Date of Death 1/22/80 WHEN CLAIMING THE FAMilY EXEMPTION, COMPLETE THE FOllOWING: File No,;; ) .~;/'.;)2' Claimant Dorothy H. Mark 605 E. Orange Street, Shippensburg, Pa. 17257 Relationship to Decedent Wife Mervin Foge1sanger Funeral Home Funeral Cemeter Mo Advertisin Letters Testamenta Advertising Letters Testamentary Letters Testamentary & Short Certif. Transfer of automobile title Claimant's Address ITEM NO. DATE NAME OF PAYEE 1 4 5 6 8 9 10 11 12 13 14 Ro A. Knox CPA Cumbo Count Re ister of Wills Real Estate Ronald F. Kum Real Estate Mar Cumbo County Register of Wills 16 17 8 19 20 21 22 23 Dickinson School of Law Gulf Oil Citibank Valle o & Coo1in REMARKS Return Notar Filing and AMOUNT 2,220.20 15.00 18.00 67.00 39.00 131.00 1 500.00 14.00 225.00 10.00 9.00 25.00 4.36 450.00 74.00 TOTAL THIS PAGE I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes. ~ A.~~/J/ /J2c.u-Jf /12/23/80 IGl'JATURE OF ATT RNEY/FIDUC ARY"""'- DATE OFFICIAL USE ONLY Certified Co ill Filin Posta Credit card balance Installation of h DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $ alc1. tJ.3~. tJ6 AT / PERCENT. qll~/LE~ ~-;(6-1/ 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. The family exemption is allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws. L' '"t:I t;I n ~ t'i1 ~ !l - >- 0 0 r.n Z () n c::: t;I ~ Z ~ z t:: tTl tTl :r:: Z :::0 0 - 0 . Z Z tTl >-l ~ >-l Z 9 0 >-l -< r.n tTl - r.n Z 0 r.n 0 >-l 0 "rj "rj ~ >- - 0 (") UlO\ :e:; ...,;j "rj - C ::To 1-" 0 "rj g. 1-'.1.J1 I-' - '0 I-' Z ~ ro 'Ot:r.:l 1-" - ti ro . III >- I-' :;j S t"'" III 000 c::: :;j O"ti :::c 0.. C III . r.n ti:;j ~ QQQQ ~ 0 ~ ro ti Z '"'dUl ?;" t"'" Illrt -< -< -< . ti '-" ro tTl tTl ro >- >- I-'rt :::0 :::0 '-l N I.J1 '-l INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column. 2. Assign consecutive numbers to each item listed. 3. Enter the date on which each debt was incurred and/or paid. 4. Enter the names of each payee. 5. Provide a brief explanation in the remarks column for each debt claimed. 6. Enter the amount of each debt being claimed. 7. The form must be signed by the person who has assumed the responsibility for paying the debts. - .. ~ ~ REV.455 EX+ P-gO) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS Page 2 of 2 Estate of William R. Mark Date of Death 1/22/80 WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: File No. Claimant Dorothy H. Mark Relationship to Decedent Wife Claimant's Address 605 E. Orange Street, Shippensburg, Pa. 17257 ITEM NO. DATE NAME OF PAYEE REMARKS AMOUNT 57.15 143.00 234.04 313.24 2 000.00 9.00 175.00 3 500.00 24 25 26 27 28 29 30 Milton S. Hershe Medical Cente Medical ex ense J. Paul Fo er Ins. Insurance Premium - 113 E. Kin St. Real Estate Taxes - 113 E. Kin St. Real Estate Taxes-113-115 E. Kin St Penns 1vania Vital Statistics Famil 3 death certificates Doroth H. Mark Checks Written b 34 35 36 32 TOTAL THIS PAGE $ 22,036.0' I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes. / OFFICIAL USE ONLY DEBTSANDDEDUCTIONSAREALLOWEDINTHESUMOF $ ;(~ ;)...5&, tJb AT ) ~. /~/Jll DATE & PERCENT. tJ4 (! ~ - . ~ "'G';H .O'W'LL> 3-d?s-tf/ 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. The family exemption is allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws. t'"'" .." 0 (:) G tTi 6 !J - :> 0 0 r:J} Z ~ (:) e: 0 ;: Z ~ Z t""" tTi tTi ~ Z ~ 0 - 0 t"'" Z Z tTi ~ ~ ~ z 9 0 ~ -< CIl tTi - CIl Z 0 CIl 0 ~ 0 "I'j "I'j ~ :> -- 0 ~, ~ "!j - i......;.. ("'r (.J 0 "!j (/:; ~,: ~. - -- -" Z (:) ',y .,. - i.",. ~~~ :> c,. 0 0,1 N ;T:,,~ t"'" l..t.JI",.- W- e: 01- 2 n::ct 0::0', c:c Ol.u CIl 0<'5 --;, 10:: tTi :c~ Q!L1 rr: -- 0 ~Q:: - i..J:..l Z SO ....JU U t"'" -< -< -< tTi tTi '-' :> :> ~ ~ I I 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 ENNSYLVANIA DEPARTMENT OF REV NUE BUREAU OF EXAMIN ION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT '* /' " ESTATE , J' <.>" . /'__ V '/: ,.- "__/ ~ / / l,(/~.~' ''-'" ,./ (.~, / '1? / l ./ ,'" '~ r-h .1" i"., , "/ .' /" ~.. -' , jr A,//.I/~7 /)' -;% <;.0 COUNTY FILE NO: ./1! ,:{d - ,Y (/ DATE TO: (/ I FILE NO. ,..il '? /1 _ , ..?\/- t/ (./ - ("1" C/ , ,/' JJ" <(A>',,""~' ./J'1/"" 74. '7 ... /" " , I ,. l ' /~J;l /'-7 / 1'".....1 / . COUNTY "0 0r 1/" "" - _ t" ~' f.:.tA,')/' :_/'&~~ DATE OF DEATH,' ',.h4Z-7 eX?;{ ~/r / /15tJ Appraised Value of Estate:' Real Estate Personal Property $ + /"1/ ;-?,'?d, () I- " ----- Jointly Held Property /Transfers + Total Gross Estate $ / ~I Z/ F tJ, 0 I- , Total Approved Deductions ;J') tI :j(P. l/:) I Clear Value of Estate $ /1'1 i?L/3 99 .I Less: Approved Ch"ritable Exemptions Clear Value of Estate Subject to Tax $//;//'1391 ~ Amount Taxable @ 6% Rate $ //e; (;'1:3 71 .I tax due .r; "., ,," $ ~/900 J Amount Taxable @: 15% Rate tax due _ / /. TOTAL PENNSYLVANIA INHERITANCE TAX DUE.. $ ~ / ~ ~ l~ ? dVLI /'7::".,..#- i)" '-:/fJ. ,. y /.l"I,/v(;-4"'f-'<'\ / f")~ (Jt;ud- --I7;-~('7~~-e..- U'/l..r;1yJ /{)-C:?;l-50 - 1-~(}-cl /(!~'i;- ",po:r- 1-' ''''''./ ---'-_. - ~ T /I -7 o' 2.1 J.- * * * * * * A five percent discount totaling $ ,4;;{ d.:J I"":;; , / will b. granted if the Inheritance Tax is paid by Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT if /;' ~ 7 - .:/../- )(,) / - j /) - ? / , / $ f..>; ;''-1'1-0. fro J + $ 3//./- FJ - $ = $ ~'.p1!.i-'71 ~ 12' '1, ?Ld + = 'I ,y.:J' iff) + Interest accrues at 1he rate of six (6) percent per annum on the unpaid balance of Inheritance Tax from to date of payment; Interest due if paid by is BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE Assessed by: See Information on Reverse Side Agent for th REGISTER OF WIL.LS ~,-- -~~;~ ...... . ..,_4. __...,...,... ...' ~""'.....".........-~~'.~...,~, ( CUMBERLAND COUNTY , CASH RECEIPT CODING FORM ~1,.:J/~o Date 'I } Fund ,!;/~. :.D.e..sc....r.iPti~... ,e_'i" ~. J:JdL, ". ~'. ~r.___ ; ": .' .,~>;".J4 U_. tedo..l:L- K' N,Mt.. II. . /flU- *., ' .~ ,-">) _J"~ .:.... ~>..'~'/ A . ~ ' ~.., ~ , '1( "__. ' '" "" 1 .> ~ '-,\ ACCOUNT NUMBER Fund Dept Detail / 0100 ~ [ill]fl ~ G/L Cash Account ( ~..~ AMOUNT I; () 0 0 b 0 Total Cash ~ ./ /. Prepared by: ~S' . . u. ~'h,~.'L..,.;. - .:.',,;, .,"~ V' . WHITECOP'I'-Tr_rer:aCoclv,.,. YEU.~~-panlrol_ .' P1NKCOP'I'-OlficeCoclv .' .,;,' :i~.':'~~:'l;~~~,i~~_~;';-:~.:f~.:: tlWtm;~;~::':,,:;;; ~:;..;.:~'~~,:"~~~~., -. '''". . 't-.. ,. . ',' ',' --....'..".. '. ",,' . ~'";:~ " ... .. , I . .~.. ., -. '~.!e"',.. ~ ~ .; ..' " 't, .~~:~;';"~:1~~ ".. r";"!- " 5. " .Ilcc .D t-l':> '.-E) ~II,:: }'/r u .~ '~ . '4 i-/7 i ';ilz-z; /D ' Z-/ .+ ,:vt (' ! (}C j(}: J C' / .,~;.~> ;~: ~.',.... ' ,"t ,"';.'<,:~~'7" ... > ;"::::'~~~',',:~~!, .. ~~~~ ~~\i2;; ,~ ::"''';:t,..- -W7~ ~~'"~ t:t~~\ r~tt~Z~ ~~~t " %,' ~~f?~; : W~~~~ , l:{"("- ~i:':' "(~/'-~' 'r ' .'.-",,:" '. .' ~ ~I ~.):" ~ i:. ~~~:. ;.. If:;' J -; ~. l -1 I ~~ .;. ~:".:"'t .' . ":.. -.." -, :." ,-. .....:,,:-. .':'~ ~~.:::.~~.~:-~ '.. '~~'~J~i-~;~~:~'~~'~~~~~~~ .'.~. . ~'-.. -:.,. ~~. "'-.. ." . ,:' -;":' -, :s~ ~1~ '? ~~ ':(:;:'~'-~~~::~'-'~'I;:J~ir ,:' ..~.' ~;' .-:- , . t ,._,~, 40.....' .', ,.. .-; ~:~~,~._~,:.~ . ' '.~ l ~ GS 46 N .).-.r: ~: :. ~., BF&R 4> Docket No. 1- 1.,)41 IN RE: 1st. of wfl1t8m A. Mark C&eerl..,d Count, DorothY H. Maf1c.f E*lCUt,hc PETITION FOR RtFUND OF Iransfer Inheritance Tax. AND NOW TO WIT A. D. 19 , I certify that the following is the action of the Board of Finance and Revenue of the Commonwealth of Pennsylvania in this matter: "And now to wit June 24. A. D. 1981 , tI A refund f. her., ,rented t n the 8IIOUnt of $95.28." BY ORDER OF THE BOARD OF FINANCE AND REVENUE State Treasurer, Chairman Auditor General Secretary of Revenue Attorney General General Counsel Secretary of the Commonwealth ~''"'' !? _r .~/. ""'...C' ,,;.I._,......-t...~ , i 6/ o inance and Revenue ATTEST: Secretary, Board Mai 1 ed to: Merk S. Wet gl. Attorneys 8t Lat 115 E. Kfng Street Shtppensburg, PA 17257 Attn. Jerry ~.tgle on f~Tf I jcs REV-807 EX (<MIO) INHERITANCE TAX REFUND CALCULATION SHEET ESTATE OF uJ I LL / A ~ r< (Yl A ttK COUNTY OF (1, I fVI t)F ILL A tJb STATE FILE # ~I ~() - {)()&() DOCKET # { &3LlI DATE OF APPRAISEMENT 3~SlI REAL PROPERTY $ _0 - PERSONAL PROPERTY { '-{ I . 88o.0l{ TRANSFERS -,0 -' JOINTLY HELD PROPERTY - .. - GROSS ASSETS I 4 ( I 8 &0 .0 'l/ LESS DEBTS AND DEDUCTIONS ::l:J. 0 3G:, .OS I CLEAR VALUE $ I , q . ~4.~.Cj9 TAX@6%L 15% LESS 5% DISCOUNT ON $ {r;>:3 (S 7 '1 I PLUS 6% INTEREST FROM: /6/L"Z)'i() TO: I /:J.O/'(I .014" t 1- I I $ 7, {'70,(q1./ .3 ,s- 79 1:J-87 REFUND DUE $ (n ~ 87. 7 .2 I (0 /1 8' 3 _ (X) 9 s. :2.8 NET TAX DUE LESS TAX PAID CALCULATED BY: C' uJ-'L~ REFUND CLAIMED: $ q:5 _ {I..f DATE: <;/27/8/ I I REFUND DETERMINED: $ q S. :1'i? " :) REV. 483 EX (12-86) COMMONWEALTH OF PENNSYlVANIA. DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES P.O. BOX B327 HARRISBURG, PA 17105-B327 NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN ACN 201 ESTATE OF MARK DATE OF DEATH 01-22-80 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE WILLIAM R DATE 04-13- 7 FILE NO. 21 80-0080 COUNTY CUMBERLAND UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT CHECKS PAYABLE TO: "REGISTER OF WILLS, AGENT." JERRY A WEIGLE 115 EKING ST SHIPPENSBURG 17257 I PLEASE RETURN THIS I PORTION TO REGISTER OF . WILLS IF PAYMENT DUE Amount Remitted to Register of Wills CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR FILES -- ------------------------------------------------------------------------ REV. 483 EX (12-86) **NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN** ESTATE OF MARK WILLIAM R FILE NO. 21 80-0080 ACN 201 DATE 04-13-87 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified .00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/ or Interest) 6,874.85 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) 4. Total Inheritance Tax Assessed .00 6,874.85 5. Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT RECEIPT INTEREST (-) AMOUNT PAID DATE NUMBER " 00 ("')' ::0::>:1 C,.., -..J ,..,~ 3;::>:1 aJ~ :J:>> ~o !..J0l ::0 rr1 ~J -0 -~CJ p?~ '::0 :n rTl - ::CW:!: N ?~ 1" N " ::s: ~ TOTAL TAX CREDI.T .00 BALANCE OF TAX DUE .00 INTEREST .00 TOTAL DUE .00 (IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED) * IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST 21 - 80 - 80 . . BOND REGISTER OF WILLS OF CUMBERLAND COUNTY BOND AND SURETY FOR PERSONAL REPRESENTATIVE KNOW ALL BY THESE PRESENTS, That Forrest H. Mark as principal(s) and Westorn Suroty rompany 1601 Market St., 16th Floor Philadelphia. Pa. 19103~2316 as surety (sureties) are held and firmly bound unto the Commonwealth of Pennsylvania in the sum of One Hundred Sixty Thousand Five Hundred Sixty-Six dollars ($160,566 ) to be paid to the Commonwealth, for which payment we do bind ourselves, jointly and severally, our heirs, executors, administrators and successors, the condition of this obligation being that if Forrest H. Mark as (state fiduciary capacity) Administrator C.T.A. of the estate of William R. Mark , deceased, or any of them, shall well and truly administer the estate according to law, then this obligation shall be void as to the personal representative or representatives who shall so administer the estate and his or their surety or sureties; but otherwise it shall remain in full force. Signed and sealed this ?firn day of Apr i 1 , 19 q fi , each intending to be legally bound hereby. (Seal) (Seal) POWER OF ATTORNEY Kno!" All Men by These Presents: . (I rrevocable) BOND No. R- 4~51 \.9 5 5 That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired. That Western Surety Company, a corporation, does hereby make, constitute and appoint the following authorized individuals: in the City of <;, 1-4 I P PEN <;, B II P (; ,State of PEN N S Y l V 4 N I A ,with limited authority, its true and lawful Attorney(s) in fact with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, one of the following bonds. An ORIGINAL bond required by Statute, Decree of Court or Ordinance for: (A) ADMINISTRATOR REFEREE IN PARTITION EXECUTOR COMMISSIONER TO SELL REAL ESTATE PERSONAL REPRESENTATIVE TRUSTEE OR RECEIVER - In Bankrnptcy (Exclnding Chapter II) GUARDIAN OF INCOMPETENT CURATOR CONSERVATOR OF INCOMPETENT/CONSERVATEE COMMITTEE OF INCOMPETENT SALE OF REAL OR PERSONAL PROPERTY- When this company has qnaIifying bnnd nr when it is a separate bond fOT accounting of proceeds of sale only. MAXIMUM PENALTY $ 500,000 (E) COST ON APPEAL (EXCLUDING OPEN PENALTY. STAY, SUPERSEDEAS OR GUARANTEE OF A JUDGMENT) $ 10,000 $ 50,000 $ 100,000 20000 $ 2,000 $ 25,000 (B) (C) (D) GUARDIAN OF MINOR OR CONSERVATOR OF MINOR NOTARY PUBLIC RECEIVER - (In State Court Only) PUBLIC OFFICIAL AND DEPUTIES TRUSTEE - (Testamentary Only) PLAINTIFF'S COURT BOND - Banks, Savings & Loan. and Trust Companies (Except Restraining Order and Injunction) - All Others. except bonds prohibited by "NOTE- below (Fl bonds are authorized where the state of LICENSE AND PERMIT EXCEPT BONDS WHERE THE UNITED STATES OF AMERICA. A FEDERAL AGENCY. OR A STATE IS THE OBLIGEE (G) $ 10,000 SPECIAL FUEL USERS $ 2,000 (H) ANY BOND OR INDEMNITY provided there is attached to this Power of Attorney. written authority in the form of an endorsement. letter or telegram, signed by the Senior Underwritin~ Officer. Underwriting Officer, President, Vice President, Assistant Vice President, Secretary. Treasurer or Assistant Secretary of Western .suret~3ifTJ'5arY 31r-88~gai:.r s~~mOB~~~~a ~ts execution. For confirmation of the necessary written authority, please contact our Underwriting Department at EDEAS.olj.. OPEN PENALTY OR STAY BONDS ON APPEAL OR GUARANTEE OF JUDGMENT OR BAIL BONDS OR CONSTRUCTION BID OR CONTRACT SORBONP~'ROR DEFENDANTS OR UTILITY DEPOSIT BONDS OR SITE IMPROVEMENT BONDS ARE NOT AUTHORIZED BY THIS POWER OF ATTORNEY. ,.' ex~e"\~~l'rpyid<;d ill5!:ction (H). ~T!3R~<SURETY <;OMPANY further certifies that the following is ~ true and exact copy of Section 7 of the By-Laws of Western Surety Company, duly a.l!~i?ted ~nd now in force,:to+wit: "Section 7. All bonds, policies, undertakings. Powers of Attorney. or other obligations of the corporation shall be executed in tJiej:Qrporate name of the Cqmpany by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board <lI' J:)jfectors may authorjze: the President, any Vice President, Secretary. any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who sllall'have lUlthority to issue ~nds, policies. or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, :::r:l::~~:~;::~::::::rlnge~0 er Obli(]ti s .of the corporation. The signature of ;y ~U~h;f~ce~ a~d the corporate seal may be ~r~te~ b; f~S~il~" ATT'E:S'r Assistant Secretary By ~~~0JJ.:rH DAKOTA 1 y OF MI~NEHAHA SS l'ilth day of eli! 994. before me. D. Krell. the undersigned officer. personally appeared JOE P. KJR A. VIETOR who ackno ledged emselves to be the President ta ive!y:, of Western Surety Company, a corporation, and that they, as such officers being authorized to do so, executed the regoi g instrument for the purposes ~ ~~~f'"~~ ::;":;;;~~ :.,'",m~':::"," """" A. ~ Notary Public, South Dakota :p(:..:;Western Surety Company, a stock corporation of the State of South Dakota, do hereby certify that the attached Power of Attorney is in full force and effect ~rtn.ore, that Section 7 of the By-Laws of the company as set forth in the Power of Attorney, is now in force. any whereof, I have hereunto set my hand and the seal of the Western Surety Company this" _ day of WESTER COMPANY .IMPORTANT: This date must be filled in before it is attached to the bond and it must be the same date as the bond. By '. , , FAMILY AGREEMENT THIS AGREEMENT made this --... eLl; "7) ( L day of April, 1981, BETWEEN DOROTHY H. MARK, sole legatee under the Last Will and Testament of William R. Mark, late of the Borough of Shippensburg, Cumberland County, Pennsylvania, AND DOROTHY H. MARK, Executrix of the Estate of William R. Mark, deceased, \\THEREAS, William R. Mark died January 22, 1980, testate, and under his Will left his estate to the party herein; and WHEREAS, Letters Testamentary were granted to Dorothy H. Mark on February 7, 1980, by the Register of Wills of Cumberland County, Pennsylvania; and WHEREAS, all the assets of the late William R. Mark have been liquidated or distributed and all his debts paid in full, and further the period of four months having terminated since the first advertisement of the issuance of Letters to the said Executrix, the said party hereto desires to waive the duty of the Executrix to file a First and Final Account with Proposed Schedule of Distribution for purposes of confirmation by the Court of Common Pleas of Cumberland County, Pennsylvania, AND FURTHER desires that a Family Settlement be executed, which Family Settlement will be duly recorded among the deed records in and for Cumberland County. NOW, THEREFORE, WITNESSETH that the party hereto, in consideration of the premises above stated, and of the Accounting and Proposed Schedule of Distribution attached hereto and made a part hereof, and the receipt of her distributive share as therein shown, does mutually bind herself to the said Distribution and Accounting as set forth and further releases Dorothy H. Mark, the Executrix, from all claims and demands whatsoever arising out of the settlement of the Estate of William R. Mark. MARK AND WEIGLE Attorneys at Law Shlppensburg. Pa. L.J~k 1.08 r liVe 2:14 -1- IN WITNESS WHEREOF, the party has hereunto set her hand and seal the day and year first above written. Witness: ~ ' /,/)' ~ '-=-:L.c.1 . .'J, ') ) a..-L/<,--- Dorothy H. Mart - / (SEAL) II J MARK AND WEIGLE Attorneys et Lew Shlppensbul1l. .... L"l.~; 108 t~u( 2,*0 -2- COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND On this, the QCJti day of April, 1981, before me, a Notary Public in and for said County and State, the undersigned officer, personally appeared DOROTHY H. MARK, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. m~ C. vbv?i.V>4J Mary . Seavers, Notary Public Shippensburg. PA Cumberland County My Commission Expires JulV 27. 1982 MARK AND WEIGLE Attorneys at Law ShlppensbUI'l. Pa. L J~K 10B f ~UC ~'lti -3- 1.0,><-:::, ~ IN RE: ESTATE OF WILLIAM R. MARK, late of the Borough of Shippensburg, Cumberland County, Pennsylvania IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Date of Death January 22, 1980 Dates of Advertisement of Letters News-Chronicle Cumberland Law Journal February 14, 21 and 28, 1980 February 22 and 29, March 7, 1980 FIRST AND FINAL ACCOUNT of Dorothy H. Mark, Executrix PRINCIPAL ACCOUNT DR. The Accountant charges herself as follows: 440 Shares The Peoples National Bank of Shippensburg - Common Stock @ $100 236 Shares Emhart Corporation common stock @ $30.125 $ 44,000.00 7,109.50 885.94 1,080.00 75.50 616.00 3,800.00 70.84 225 Shares Science Management Corporation common @ $3.9375 36 Shares Katy Industries, Inc. Class B Pfd. $1.46 Ser. Conv. $30.00 4 Shares Gulf & Western Industries, Inc. common $18.875 28 Shares The First National Bank of Shippensburg (now Commonwealth National) common $22 $5,000 Bond Red Lion Municipal Authority, York County, Pa. 3-3/4% Sewer Revenue Bonds, 39 years due 11/15/03 Interest Accrued from 11/16/79 to 1/22/80 Five $1,000 Bonds, St. Johns Lutheran Home of Mars, Pa. 9% Serial First Mortgage Sinking Fund Series I Bond 13 Years due 8/1/91 Interest Accrued from 8/1/79 to 1/22/80 3,500.00 42.80 200 Shares Chincoteague, Inc. common stock 13.676 2,735.20 90 Shares Orrstown Bank, Orrstown, Pa. common stock 9,000.00 The Peoples National Bank of Shippensburg - Checking Account No. 37-211-0 8,392.60 Notes Receivable - Mary Lou Rosenberry, Shippensburg, Pa. - Judgment Note No. 136 - dated 2/4/76 3,800.00 1979 Ford Thunderbird 6,000.00 MARK AND WEIGLE AttorMYI .t L.w Shlppenlbul"tl. P.. -4- L. "..k 10e t i<uC ~1) Insurance Premium Rebate - Bertholon-Rowland, Inc. $ 96.66 Interest in the Law Partnership of Mark & Weigle 50,000.00 Solicitor's Fees from The Peoples National Bank of Shippensburg 675.00 Dorothy H. Mark - Contribution in Cash to take securities, automobile, judgment note, and partnership interest in kind 12,159.83 Income transferred to Principal Account 701. 96 TOTAL DEBITS $154,741. 83 CR. The Accountant credits herself as follows: Mervin Fogelsanger Funeral Home - Funeral Cumberland Law Journal - Advertising Letters Testamentary $ 2,220.20 3,000.00 l5.GO 18.00 67.00 39.00 131. 00 1,500.00 4.00 225 . 00 50.00 125.00 10.00 9.00 3.50 I Wayne Seylar - Cemetery Monument If II II II II II II !i ii j! Ii II I: I ~ I I: Ii Ii I' I: II I' Ii II il I II News-Chronicle Company - Advertising Letters Testamentary Cumberland County Register of Wills- Letters Testamentary and Short Certificates Pennsylvania Department of Revenue - Transfer of Automobile Title Roy A. Knox, CPA - 1979 Tax Return Preparation Roy A. Knox, CPA - Federal Estate Tax Return Cumberland County Register of Wills - 4 Short Certificates Fogelsanger Real Estate - Real Estate Appraisal Ronald F. Kump Real Estate - Real Estate Appraisal Hale Real Estate - Real Estate Appraisal Mary E. Seavers - Notary Fees , Cumberland County Register of Wills Filing Inventory, i! Appraisement and Statement of Debts & Deductions i! I' Cumberland County Register of Wills - Certified Copy of Will MARKANOWEIGLE AttorneYI at Law ShlpPlInlbul'll. Pa. L J~;\ J..Uv f>JvC ~/ib -5- Cumberland County Register of Wills - Filing Family Agreement Mark & Weigle - Postage - Stock transfers and mailing Federal Estate Tax Return Form 706 Carlisle Radiology - Medical W. Robert Mark, Jr. and Steven E. Mark - Travel expense to attend funeral Dickinson School of Law - Pledge to Library Advocacy Center Fund - made prior to death Gulf Oil Corporation - Credit card balance Citibank Visa Credit Co. - Credit card balance Valley Heating & Cooling - Installation of heating system contracted prior to death Milton S. Hershey Medical Center - Medical Expense J. Paul Fogelsanger Insurance - Insurance Premium - 113 East King Street Borough of Shippensburg - Real Estate Taxes - 113 East King Street Borough of Shippensburg - Real Estate Taxes - 115-117 East , King Street Dorothy H. Mark - Family Exemption ; Pennsylvania Vital Statistics - 3 death certificates John C. Reid - Library Appraisal Mark & Weigle - Attorneys' Fee Valley Forrest #145 Tall Cedars of Lebanon - Dues Lyons Mens Store - Clothing Masland Associates - Medical Bill Department of Revenue CPa.) - Pa. Income Tax - 1979 U. S. Internal Revenue Service - Federal Income Tax - 1979 H.C.F.A. Medicare Insurance - Premium TOTAL CREDITS MARK AND WEIGLE Attorneys at Law Shlppensbul1l. Pa. l. J~K J.UU hwt ~/'lti -6- $ 25.00 4.36 390.00 ,450.00 .500.00 164.50 158.46 3,774.00 57.15 143.00 234.04 313.24 2,000.00 9.00 175.00 3,500.00 13.00 257.50 15.00 400.00 2,000.00 26.10 $ 22,026.05 RECAPITULATION TOTAL DEBITS $154,741. 83 TOTAL CREDITS 22,026.05 BALANCE FOR DISTRIBUTION $132,715. 78 INCOME ACCOUNT DR. The Accountant charges herself as follows: Gulf & Western Industries common stock - Dividends Science Management Corporation common stock - Dividends $ 14.26 141.60 11.26 13.14 319.20 202.50 $ 701. 96 Emhart Corporation common stock - Dividends Katy Industries, Inc. common stock - Dividends The Peoples National Bank of Shippensburg common stock - Dividends Orrstown Bank common stock - Dividends TOTAL INCOME ACCOUNT DEBITS MARK AND WEIGLE Attorney. .t L.w Shlppen.bu.... P.. L .)i..~; .luG ft,,,C ~5u -7- IN RE: ESTATE OF WILLIAM R. MARK PROPOSED SCHEDULE OF DISTRIBUTION Your Accountant proposes that distribution be made pursuant to Paragraph Second of the Last Will and Testament of William R. Mark, late of the Borough of Shippensburg, Cumberland County, Pennsylvania, a copy of said Will being attached hereto and made a part hereof. BALANCE FOR DISTRIBUTION . . . . . . . . . . . $132,715.78 Your Accountant therefore suggests that distribution be made as follows: TO: DOROTHY H. MARK In Kind: 440 Shares The Peoples National Bank of Shippensburg - common stock 236 Shares Emhart Corporation common stock 225 Shares Science Management Corporation common stock 36 Shares Katy Industries, Inc. Class B Pfd. $1.46 Sere Conv. 4 Shares Gulf & Western Industries, Inc. common 28 Shares The First National Bank of Shippensburg (now Commonwealth National) common $5,000 Bond Red Lion Municipal Authority, York County, Pa. 3-3/4% Sewer Revenue Bonds, 39 years due 11/15/03 Interest Accrued from 11/16/79 to 1/22/80 Five $1,000 Bonds, St. Johns Lutheran Home of Mars, Pa. 9% Serial First Mortgage Sinking Fund Series I Bond 18 years, due 8/1/91 Interest Accrued from 8/1/79 to 1/22/80 200 Shares Chincoteague, Inc. common stock 90 Shares Orrstown Bank, Orrstown, Pa. common stock Notes Receivable - Mary Lou Rosenberry, Shippensburg, Pa. - Judgment Note No. 136, dated 2/4/76 MARK AND WEIGLE Attorneys at Law Shlppensbul'\J. h. L J\.i'i lUL,. hll,JC ,,;,!;jJ. -8- $ 44,000.00 7,109.50 885.94 1,080.00 75.50 616.00 3,800.00 70.84 3,500.00 42.80 2,735.20 9,000.00 3,800.00 '. " 1979 Ford Thunderbird $ 6,000.00 Interest in the Law Partnership of Mark & Weigle 50,000.00 $132,715.78 THIS EXHAUSTS THE FUND. MARK AND WEIGLE Attorneys at Law Shlppensllu.... Pa. L. ..n.R 10S f;,ut 2b~ -9-