HomeMy WebLinkAbout09-17-08 (2)j~~' C ~J
15056041125
REV-1500 EX (06-05)
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN 2 1 8 7 1 1 6 8
_ Harrisburg PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
2 0 1 1 6 0 1 4 4 1 2 2 2 2 0 0 7 0 8 0 1 1 9 2 5
Dec;edent's Last Name
K A R P E R
Suffix Decedent's First Name
B E R T H A
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
Spouse's Social Security Number
FILIL IN APPROPRIATE OVALS BELOW
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
MI
L
MI
O 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
0
6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
I V O V OTT 0 I I I 7 1 7 2 03 3 ~~ 4~ -
~ -`~
Finn Name (If Applicable) REGISTER 4~-,
IESx1SE ~Y
M A R T S O N L A
W
O F F I C E S _
-' ."' ~ ~
~_r``j~.~ '
_
First line of address ~ _J; , ~ ~
1 0 E A S T H I G H S T R E E T `'f j,
- --~~ -
Second line of address _
--;-~ _--
~~ ` `
.._3
State ZIP Code DATE FILED
City or Post Office
C AR L I S L E P A 1 7 0 1 3
Correspondent's a-mail address: iotto~martsonlaw.com
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'irue, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SI NATURE F PERSON RESPONSIBL FOR FILING RETURN DATE
~,p ,~ q _ ~ 6 -„'
ADDRESS
928 Possum Hollow Road Shippensburg PA 17257
SIGN ` RE A OTH `~ HAN~EPRESENTATIVE GATE
,~/ Y-l~--f ~,
10 EAST HIGH STREET CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
15056041125
Side 1
15056041125
15056042126
REV-1500 EX Decedent's Social Security Number
decedent's Name: BERTHA L. KARPER 2 0 1 1 6 0 1 4 4
RECAPITULATION
1. Real estate (Schedule A) ........................................ 1.
2. Stocks and Bonds (Schedule B) .................................. 2•
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4.
........................
Mortgages & Notes Receivable (Schedule D)
4. 1 2 6 4 9 3, 7 9
2 8 0 1 , 4 9
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ....... 5.
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 1 0 7 0 8 , 0 9
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
arate Billing Requested
^ Se
h
l
G
S
d
7
.......
p
u
e
)
(
c
e .
8. Total Gross Assets (total Lines 1-7) ........................... 8. 1 4 0 0 0 3, 3 7
9. Funeral Expenses & Administrative Costs (Schedule H) ................ 9. 8 0 2 5 , 0 5
10.
9 9 ( ) ............
Debts of Decedent, Mort a e Liabilities, & Liens Schedule I 10. 2 6 3 8 , 9 9
1'I. Total Deductions (total Lines 9 & 10) ........................... 11. 1 0 6 6 4 , 0 4
1:?. Net Value of Estate (Line S minus Line 11) ................ .. .... ... 12. 1 2 9 3 3 9 , 3 3
1 <!. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ......... .. .... ... 13.
1 2 9 3 3 9 3 3
14. Net Value Subject to Tax (Line 12 minus Line 13) ......... .. .... ... 14. ,
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
1;i. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
0
0
0
15
0
0
0
(a)(1.2) x.o _ . .
1 i6. Amount of Line 14 taxable 1 2 9 3 3 9 3 3 5 8 2 0 2 7
at lineal rate X .045 16. .
17. Amount of Line 14 taxable 0 0 0 0 0 0
at sibling rate X .12 1 ~. .
16. Amount of Line 14 taxable 0 0 0 0 0 0
at collateral rate X .15 1 g .
19. Tax Due ................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056042126
Side 2
5 8 2 0. 2 7
15056042126 J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number
21 97 1168
DECEDENT'S NAME
BERTHA L. KA.RPER
STREET ADDRESS
210 Bi S rin Road
CITY
Newville STATE
PA Zlp
17241
Tax Payments and Credits:
1 • Taut Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments 4,500.00
C. Discount 236.84
3. InteresUPenalty ifapplicable
D. Interest
E. Penalty
(1) 5 820.27
Total Credits (A + 8 + C) (2) 4,736.84
(3)
Total Interest/Penalty (D + E )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
(5) 1,083.43
(5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 1 083.43
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred : ...................................................................... ^ Q
b. retain the right to designate who shall use the property transferred or its income; ............................... ^
c. retain a reversionary interest; or ................................................................................................
d
i
th
i
f
lif
f ^ 0
. rece
ve
e prom
se
or
e o
either payments, benefits or care? ....................................................... ^ 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .......................................................................................
3. Did decedent own an "intrust for' or payable upon death bank account or security at his or her death? ......... ^
^ Q
X^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................. ^ 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
(72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent:, or a stepparent of the child is zero (0) percent j72 P.S. §9116(x)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. §9116(1.2) [72 P.S. §9116(x)(1)].
(4)
0.00
0.00
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(x)(1.3)]. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1507 EX + I;6-98)
COMMONWEALTH OF PENNSYLVANIA
INHh_RITANCE TAX RETURN
RESIDENT DECEDENT _
SCHEDULE D
MORTGAGES & NOTES
RECEIVABLE
ESTATE OF
FILE NUMBER
BERTHA L. KARPER 21 97 1168
All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Burkholder Mortgage/See attached Note 126,493.79
TOTAL (Also enter on line 4, Recapitulation) $ 126,493.79
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHf_RITANCE TAX RETURN
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
BERTHA L.. KARPER 21 97 1168
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property IoinUy-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Cumberland Valley Memorial Gardens, 2 burial plots 500.00
2. Green Ridge Village, refund
2,301.49
TOTAL (Also enter on line 5, Recapitulation) I $ 2,801.49
(If more space is needed, insert additional sheets of the same size)
REV-1509 EX + (6-98)
SCHEDULEF
COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
BERTHA L. k:ARPER 21 97 1168
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVI`JING JOINT TENANT(S) NAME I ADDRESS RELATIONSHIP TO DECEDENT
A. Shirley F. Karper
B Julie L. Kuhn
C Darinda k:arper-Smith
.i[)INTLY.OWNED PROPERTY:
2134 Harpo Way (Daughter
Manchester, TN 37355
9284 Possum Hollow Road (Daughter
Shippensburg, PA 17257
94 Naugle Road I Daughter
Shippensburg, PA 17257
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT DESCRIPTION OFPROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENTS INTEREST
1. A, B, C; 10/10/06 M&T Bank Checking 9842435035 1.06 25. 0.27
2. A,B, C 10/10/06 M&T Bank Savings 015004214183052 ($42,800.38 + $30.89 42,831.27 25. 10,707.82
interest)
TOTAL (Also enter on line 6, Recapitulation) I $ 10,708.09
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (12-99)
SCHEDULE H
FUNERAL EXPENSES &
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
BERTHA L. KARPER 21 97 1168
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. American Legion Post 223, Nevwille, PA, funeral luncheon 165.00
2. Julie Kuhn reimbursement of funeral expenses 325.94
3. Darinda Smith, reimbursement of funeral expenses 534.30
4. Shirley Karper, reimbursement of funeral expenses 72.00
B. ADMINISTRATIVE COSTS:
1, Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2 Attorney Fees Manson Law Offices (estimated) ~ 6,490.00
3, Family Exemption: (If decedents address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Cumberland County Register of Wills 310.00
5 Accountants Fees
6, Tax Retum Preparers Fees Accounting Associates, 2007 personal income tax returns 105.00
7, Cumberland County Register of Wills, filing fee, Inheritance Tax Return 15.00
8. Certified mailing, Department of Public Welfare 5.31
9. Cumberland County Register of Wills, copies 2.50
TOTAL (Also enter on line 9, Recapitulation) I $
.OS
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INhiERITANCE TAX RETURN
'RESIDENT DECEDENT
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES. & LIENS
ESTATE OF FILE NUMBER
BERTHA L. KARPER 21 97 1168
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Darryl K. Guistwite, D.O., account payable 28.48
2. Newville Community Ambulance Co, account payable 660.37
3. Mobile X-Ray Imaging, account payable 46.38
4. Philhaven, account payable 18.21
5. Continuing Care RX, account payable 237.14
6. Newville Community Ambulance Co., account payable 660.37
7. Cumberland-Goodwill FireRescue, account payable 144.37
8. PEBTF, account payable, health insurance premium 523.68
9. Consolidation Collectionn Services, account payable 251.99
10. 2007 PA40 personal income tax 68.00
TOTAL (Also enter on line 10, Recapitulation) I $ 2,638.99
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (4)-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
BERTHA I.. KARPER 21 97 1168
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. Julie L. Kuhn (1/3 Sch F assets + 1/4 of estate residue) Lineal 33,227.18
9284 Possum Hollow Road
Shippensburg, PA 17257
2. Shirley F. Karper (1/3 Sch F assets + 1/4 of estate residue) Lineal 33,227.17
2134 Harpo Way
Manchester, TN 37355
3. Darinda Karper-Smith (1/3 Sch F assets + 1/4 of estate residue) Lineal 33,227.17
94 Naugle Road
Shippensburg, PA 17257
4. Richard E. Karper (1/4 of estate residue) Lineal 29,657.81
3127 Doran Road
Three Springs, PA 17264
* Estate expenses in excess of Schedule E assets were paid from
Schedule F assets
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE
1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
F ~fILES`DATAfILE`Estate Plamm~g~l'_118.1 will
LAST WILL AhiD TESTAMENT
I, BERTHA L. KARPER, of Newville, Cumberland County, Pennsylvania, being of sound
and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and
Testament, hereby revoking any and all former Wills or Codicils made by me.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all death taxes (whether such taxes may be payable by my estate or by any recipient of any property)
shall be paid from my residuary estate as soon as practicable after my decease and as part of the
administration of my estate. My Executrices shall have no duty or obligation to obtain
reimbursement for any such tax so paid, even though on proceeds of insurance or other property not
passing under this Will.
2.
I give, devise and bequeath all of my estate, both real and personal property, unto my
children, JULIE LOUISE KUHN, SHIRLEY FAYE KARPER, DARINDA KARPER-SMITH and
RICHARD EZRA KARPER, in equal shares, absolutely.
3.
I nominate, constitute and appoint my daughters, JULIE LOUISE KUHN, SHIRLEY FAYE
KARPER and DARINDA KAR.PER-SMITH as co-Executrices of my estate. In the event any of my
said daughters shall be unwilling or unable to so act, then my remaining said daughters} my act as
co-Executrices or sole Executrix of my estate.
4.
I direct that my Executrices shall not be required to file a bond to secure the faithful
performance of their duties in any jurisdiction.
5.
I authorize and empower my Executrices, in their sole and absolute discretion. to purchase
or othencise acquire and retain any investments of~~~hich I die seized or any real or personal property
of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in
regard to any or all property of any kind forming a part of my estate for such terms and such pric4s
~ ;~-
.:.~ .
[Initials]
Page 1 of 3 Pages
as they may deem advisable; to borrow money for any purposes connected with the protection and
preservation of my estate; to mortgage or pledge any real or personal property forming a part of my
estate or to join in or secure the partition of same; to compromise any claims or demands of my
estate against others or of others against my estate; to make distribution in kind and to cause any
share to be composed of cash, property or undivided fractional shares in property different in kind
from any other share; to employ agents, attorneys and proxies and to delegate to them such power
as my Executrices consider desirable and to pay reasonable compensation for such services as may
be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as
may be necessary to carry out any of these powers. In addition, I direct that my Executrices shall
have the power to conduct an inventory of any safe deposit box necessary to the administration of
my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this day of
~.
Bertha L. Karper ""`~
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
Page 2 of 3 Pages
COMMONWEALTH OF PENNSYLVANIA )
. SS.
COUNTY OF CL~IBERLAND )
We, Bertha L. Karper, No V. Otto III, and ~;' ,the Testatrix
and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the Testator signed and executed the
instrument as her last Will and that the Testatrix has signed willingly, and that the Testatrix executed
it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in
the presence and hearing of the Testatrix, signed the Will as a witness and that to the best ofhis/her
knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
Bertha L. Karper, Testatrix ~"
Witness
Witness
Subscribed, sworn to and acknowledged before me by Bertha L. Karper, the Testatrix, and
subscribed and sworn to before me by No V. Otto III and ! ,the
witnesses, this day of I
Notary Public
Page 3 of 3 Pages
PROMISSORY NOTE
$125,000.00
Shippensburg, Pennsylvania
September ~ j~_, 2006,
FOR VALUE RECEIVED, WALTER S. BL'RKHOLDER and iV1ARY R.
BURKHOLDER, husband and wife, (hereinafter, whether one or more, called "Obligor") promises
to pay to the order of BERTHA L. KA.RPER, of Shippensburg, Pennsylvania, (hereinafter,
whether one or more, called "Obligee"), his heirs and assigns, in lawful money of the United States
of America, the sum of One Hundred Twenty-Five Thousand ($125,000.00) Dollars, (and any
additional moneys loaned or advanced by any holder hereof as hereinafter provided), as follows:
together with interest at the rate of five (5%) percent per annum on the unpaid principal and
interest only shall be paid in semi-annual payments commencing on L~ , 2007, and
continuing for ten (10) payments (5 years). Commencing on (~ , 2011, there
shall be annual payments of principal of Twenty-five Thousand $2 ,000.00) Dollars, plus interest
at the aforesaid rate, which shall continue for five (5) years. And the entire outstanding balance of
principal, to ether with accrued and unpaid interest, shall be due and payable in full on or before
. ?,•~ , 2016.
Obligor shall have the right to prepay all or any part of the principal hereof at any time
without penalty.
This Note shall evidence any future loans or advances that may be made to or on behalf of
the Obligor by any holder hereof at any time or times hereafter and intended by the Obligor .and the
then holder to be so evidenced as well as any sums paid by any holder hereof pursuant to the terms
of any collateral or security agreement and any such loans, advances or payments shall be added to
and shall bear interest at the same rate as the principal debt.
In case default be made for the space of 60 days in the payment of any installments of
principal, or interest, or in the performance by the Obligor of any of the other obligations of this
Note or any collateral or security agreement, the entire unpaid balance of the principal debt,
additional loans or advances and all other sums paid by any holder to or on behalf of the Obligor
pursuant to the terms of this Note or any collateral or security agreement, together with unpaid
interest thereon, shall at the option of the holder and without notice become immediately due and
payable, and one or more executions may forthwith issue on any judgments obtained by virtue
hereof; and no failure on the part of any holder hereof to exercise any of the rights hereunder shall
be deemed a waiver of any such rights or of any default hereunder.
The Obligor hereby empowers any attorney of any Court of record within the United States
of America or elsewhere to appear for the Obligor and, with or without complaint filed, confess
judgment, or a series of judgments, against the Obligor in favor of any holder hereof; as of any
term, for the unpaid balance of the principal debt, additional loans or advances and all other sums
paid by the holder hereof to or on behalf of the Obligor pursuant to the terms of this Note or any
collateral or security agreement, together with unpaid interest thereon, costs of suit and an
attorney's commission for collection of ten (10°io) percent of the total indebtedness, on which
judgment or judgments one or more executions may issue forthwith upon failure to comply with
any of the terms and conditions of this Note or any collateral or security agreement. The Obligor
hereby forever waives all right to request judgment be stricken or opened as well as the necessity of
filing any affidavit of non-military service. In addition, the Obligor waives all notice of levy as
well as any right to request a release from levy from any and all real and personal property levied
upon or attached. The Obligor waives all defects or irregularity in any writ of execution, levy,
foreclosure or service as well as all legal and equitable grounds for stay or setting aside of
execution or foreclosure. In addition, the Obligor waives all notice of sale and all rights to petition
to set aside any Sheriffs or executing officer's sale and waives all rights to make exceptions to any
Sheriffs or executing officer's distribution. The Obligor further waives the benefit of all
appraisement, stay and exemption laws and all bankruptcy or insolvency laws now in force or
hereinafter passed, any law, usage or custom to the contrary notwithstanding.
This obligation shall bind the Obligor and Obligor's heirs, executors, administrators,
successors and assigns, and the benefits hereof shall inure to the Obligee hereof and their heirs and
assigns. If this Note is executed by more than one person, the undertakings and liability of each
shall be joint and several.
Witness:
f
,
1
~
_ •
~~%~-' ~~~ (Seal)
WALTER S. BURKHOLDER
/ 7 eal)
Y .BURKHOLDER
2
1~~TBank
499 4tuchell Road.'vtillsboro. DE 19966 ~4aii Code DE-MB-i2 Phone 1888) 502-4349
Fax 1302) 934-2955
Januar~~ l6, 2008
1~lartson Law Offices
Attorney s At Law
10 East High Street
Carlisle, Pennsylvania 17013
Re: Estate o„~ Bertha Louise Karper
,Social Security: 201-16-O1;t4
Date of Death: December 22, 2007
Dear Sir or Madam:
Per your inquiry dated January 1Q 2008, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the following:
1. Type ofAceount CheckingAeeount
Account Number 98~t2435035
Ownership (Names o~ Bertha Louise Karper, Shirley F Karper
Julie L Kuhn, Darinda Smith
Opening Date 10/06i 06
Balance on Date of Death ,~ 1.06
Accrzred Interest $ 0.00
Total $1.06
2. Type ofAccount Savings Account
Account .Number 01500~Z14183052
OK~nership (:~"ames ofj Bertha Louise Karper, Shirley F Kai per
Julie L Kuhn, Darinda Smith
Opening Date 10'0606
Balance on Dute of Death 5~2, 800.38
Accrued Interest 8 3289
Taal S~'..431.? "'
Please be ad~is~d, there ~~as no satie deposit box found for the above decedent. * If upon reviewing the information
above, you believe there are additional accounts not referenced, please provide us with an account number and,br
name of any possible joint account holder. For any additional information on the above accounts, including
ownership and anv changes, closures and.~or reimbursement of funds, please call the Walnut Bottom Office # ',1''-
~~32-2414.
S~incerel~,
\iancy Clagett
Records Management