HomeMy WebLinkAbout03-0414Register of Wills of: "m County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of ~ B. [GQ~S'Z~-"~"r]~ No. ~/_~,~ . ~"? .z?'
also known as
, Deceased Social Security No. 189-07-939~
Petitioner(s) who is/are 18 years of age or older, apply(les) for:
(COMPLETE "A" OR "B" BELOW:)
[~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execute oz' named in the last Will of the
decedent, dated ]~cem~er '7.9,1999 and codicil(s) dated none
( State relevant circumstances, e.g. renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the
documents offered for probate; was not the victim of a killing and was never adjudicated incompetent:
[] B. Grant of Letters of Administration
(d.bn.c.ta.; pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Wilt and was survived by the following spouse
(if any) and heirs:
Name Relationship Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary
Decedent was domiciled at death in ~ County, Pennsylvania, with his/her last family
or principal residence at Church of God Home, 801 N. Hanvoer St., Carlisle, PA (list street, number, and municipality)
Decedent. then 94 years of age, died April 26 ,20 0~
Decedent 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
._ , at Church of God Home
(Location)
$_ 950,000.00,'
$
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant
of letters in the appropriate form to the undersigned:
I Typed or printed name and residence J
Elbert S. Kerstetter
207 Fairway Drive
Mechanicsburg~ PA 17055
snace/WillsPetGrantLt/2001
Oath of Personal Representative
Commonwealth of Pennsylvania
County of York
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 or Petitioner(s) and that, as personal representative(s) of the
Decedent, Petition(s) will well and truly administ~r~C~ze/ecz~te
before me this ~.~'~-//--/~ day of
Elbert
D.
Kerstetter
20 ~
,,,~¢_~¢~,~,~2 ,~¢~,~ Register
No. 21-2003-
Estate of ANNA B. K~RS~ Deceased
Social Security No.: 189 07 9391 Date of Death: April 26, 2003
AND NOW, ,20 03
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters [~ Testamentary [~ Of Administration
are hereby granted to RT,R]~'T
, in consideration
d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate
in the above estate and that the instrument(s) dated December 29, 1999
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters ............ $
Short Certificate(s) ~. . .$
Renunciation ....... $
Affidavits ( ) ....... $
Extra Pages f..~') ..... $
Codicil ............
JCP Fee ...........
Inventory ........... $
Automation Fee ..... $
Other .............. $
TOTAL ........ $
snace/WillsPetGrantLt]2001
Attorney:
I.D. No:
Address:
Wm. D. Schrack, III ( //~J~~;~/
15893
P. O. Box 310, Dillsburg, PA 17019-0310
Telephone: 717-432-9733
his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
No. ~~ Date
Local Registrar
MAY 0.5 2003
COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEAL?H * VITAL RECORDS
CERTIFICATE OF DEATH
,. Anna L. Kerstetter , ,. female 3. 189--07 --9391 ,.Apr.26, 2003
,. 94 v~ i ct28,1908,
~ Cumberland ~. Carlisle ~Church. of God ~ursing H~. [~~.~.. ,
,,. house~l~e I,h.omemak ~ng ,a.
Church of God Nu,Hm.
,~ Carlisle, Pa. 17013
~r*~*o~ Frank Brosious Adelaide M Ellis
~. Elbert Kerstetter ~. 207 Fairway Dr..Mechanicsbur~.Pa. 17055
~ ~ ~ ~" ~ ~ ~ ~1 ~'' ~'~'~m~ .... ~ ~nbury,Pa. 17801
,~~~ ~ ,~pril 30,2003 ,l~omfret Manor Cem. .
m ~~~~~ L~.OIO 186 LIn,.Blank F~eral ~.,S~buryPa,17gO1
~ ;
OF
ANNA B. KERSTETTER
BE IT REMEMBERED, that I, ANNA B. KERSTETTER, of the Woods Retirement
Center, Camp Hill, Lower Allen Township, Cumberland County, Pennsylvania, being of sound mind,
memory and understanding, do make, publish and declare this as and for my Last Will and Testament,
hereby revoking and making null and void any and all Wills and Testaments and writings in the nature
thereof by me at any time heretofore made.
ITEM 1: I direct that my hereinafter named Executor pay all my just debts, my funeral
expenses, and the expenses of the administration of my estate. With this direction, I authorize and
empower my Executor to expend for my funeral expenses and interment such amounts as he may
consider necessary and proper, without regard to any limit that may be prescribed by a court of law.
ITEM 2: I direct my Executor to pay all inheritance, estate, succession, and legacy taxes
of whatsoever nature and kind, to which my estate, or the transfer of any property passing hereunder
or otherwise passing by reason of my demise, may be subject, and to charge such taxes against my
residuary estate. It is my intention that none of the aforesaid taxes, either federal or state, on any
property required to be included in my gross estate, under the provisions of any state or federal law
now in force or hereafter enacted, shall be prorated among the persons interested in my estate to
whom such property is or may be transferred or to whom any benefit accrues.
ITEM 3: I give and bequeath the sum of Ten Thousand Dollars ($10,000.00) unto
HELEN KERSTETTER, widow of my brother-in-law, Forest Kerstetter, of 403 Williamsburg
Road, Sterling, Virginia 20164-3433, provided that should she predecease me, I give and bequeath
said sum unto her daughter, ELAINE WOODBURY, also of 403 Williamsburg Road, Sterling,
Virginia 20164-3433, or her issue, per stirpes by representation, should she fail to survive me.
ITEM 4: I give and bequeath the sum of Five Thousand Dollars ($5,000.00) unto my
niece, JUDY BURKltART, daughter of my brother-in-law, Kenneth M. Kerstetter, provided that
should she predecease me, I give and bequeath the same unto her issue, per stirpes by representation.
ITEM 5: I give and bequeath the sum of Five Thousand Dollars ($5,000.00) unto
JAMES KERSTETTER, of 320 Farrington Road, Franklin, Tennessee 37064, son of my brother-in-
law KENNETH M. KERSTETTER, provided that should he predecease me, I give and bequeath
unto his issue per stirpes by representation.
ITEM 6: I give and bequeath the sum ofTen Thousand Dollars ($10,000.00) unto my
brother-in-law, ELBERT S. KERSTETTER, of Mechanicsburg, Pennsylvania, provided that should
he predecease me, I give and bequeath said sum unto his issue, in equal shares per stirpes by
ITEM 7: All the rest, residue and remainder of my estate, of whatsoever nature and
wheresoever situate, whether it be real, personal or mixed, including property over which I have a
power of appointment, I give, devise and bequeath in equal shares to the following twelve (12)
charitable organizations:
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
The American Cancer Society of Cumberland County, Harrisburg, Pennsylvania;
Bethesda Mission of Harrisburg, Pennsylvania;
The American Heart Association, Wormleysburg, Pennsylvania;
March of Dimes, Harrisburg, Pennsylvania;
The Salvation Army, Harrisburg, Pennsylvania;
American Red Cross, Harrisburg, Pennsylvania;
Volunteers of America, Harrisburg, Pennsylvania;
West Shore Public Library, Camp Hill, Pennsylvania;
Tressler Lutheran Services, Mechanicsburg, Pennsylvania;
The Tri-County Society for Children and Adults, Harrisburg, Pennsylvania;
American Lung Association of Pennsylvania, Harrisburg, Pennsylvania; and
Arthritis Foundation, Camp Hill, Pennsylvania.
2
ITEM 8: I nominate, constitute and appoint my brother-in-law, ELBERT S.
KERSTETTER, as Executor of this my Last Will and Testament. Should my brother-in-law,
ELBERT S. KERSTETTER, fail to qualify, or cease to act, I nominate, constitute and appoint
PENNSYLVANIA STATE BANK, as Executor of this my Last Will and Testament.
ITEM 9: I direct that my hereinbefore named Executor shall not be required to give
bond for the faithful administration of the duties required in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this~_~r-~. ?fff"day of
ANNA B. KERSTETTER
The preceding instrument, consisting of this and two (2) other typewritten pages, was on the
day and date thereof signed, sealed, published, and declared by the Testatrix herein named, as and for
her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the
presence of each other, have subscribed our names as witnesses hereto.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF YORK
SS.
and
, the Testatrix and the witnesses, respectively,
whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last
Will and Testament, and that she signed willingly, and that she 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 witnesses, and that to the best of their knowledgez.the Testatrix was
at the time eighteen (18) years of age or older, of sound mind, and under no constraint or undue
influence.
SWORN TO AND SUBSCRIBED
BEFORE ME THIS'~~AY
·
/
· Notarial Seal
;udy N. Schrack,.N .o~a_ry Public
Di,sbur~ Bom. vom.uoun,~ ,,~,o
i,,; :,m~mission Expires dune ia, ~uuo
'., ,. ,,-..~,:van a Association ot Notaries
ANNA B. KERSTE~TTER
'0] t~l~T 15 ~B :05
ANNA B. KERSTETTER
WM. D. SCHRACK, III, ESQUIRE
124 West Harrisburg Street
Post Office Box 310
Dillsburg, Pennsylvania
17019
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:
Date of Death:
Estate No.
To the Register:
ANNA B. KERSTETTER
APRIL 26, 2003
2103-0414
I certify that Notice of Estate Administration required by Rule 5.6(a) of the Orphan's Court Rules
was served on or mailed to the following beneficiaries of the above-captioned estate on
May 30, 2003
manle
Helen Kerstetter
Judy Burkhart
James Kerstetter
Elbert S Kerstetter
The American Cancer Society
Bethesda Mission of Harrisburg
American Heart Association
March of Dimes
Salvation Army
Address
403 Williamsburg Road
Sterling, VA 20164-3433
3215 Brighton Avenue
Walls, NJ 07719
320 Farrington Road
Franklin, TN 37064
207 Fairway Drive
Mechanicsburg, PA 17055
3211 North Front Street
Harrisburg, PA 17110
1500 N Second Street
Harrisburg, PA 17102
1019 Mumma Road
Wormleysburg, PA 17043
160 S Progress Avenue
Harrisburg, PA 17109
1122 Green Street
Harrisburg, PA 17102
Kerstetter Estate
May 30, 2003
Page 2
American Red Cross
Volunteers of America
West Shore Public Library
Tressler Lutheran Services
Th-County Society for Children and Adults
American Lung Association
Arthritis Foundation
1804 North Sixth Street
Harrisburg, PA 17102
2112 Walnut Street
Harrisburg, PA 17103
100 North 19th Street
Camp Hill, PA 17011
960 Century Drive
Mechanicsburg, PA 17055
2930 Derry Street
Harrisburg, PA 17111
6041 Linglestown Road
Harrisburg, PA 17112
17 South 19th Street
Camp Hill, PA 17011
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except none.
j
QUIRE
124 West Harrisburg Street
P.O. Box 310
Dillsburg, PA 17019
(717) 432-9733
Counsel for the personal representative
IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE
ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE.
Whether you will receive any money or property will be
determined wholly or partly by the decedent's Will.
If the decedent died without a Will, whether you will
receive any money or property will be determined by
the intestacy laws of Pennsylvania.
BEFORE THE REGISTER OF WILLS OF CUMBE~ COUNTY, PENNSYLVANIA
In re:
THE ESTATE OF: ANNA B. KERSTETTER
ESTATE NO. 2103-0414
To:
Helen Kerstetter
James Kerstetter
The American Cancer Society
American Heart Association
Salvation Army
Volunteers of America
Tressler Lutheran Services
American Lung Association
~udy Burkhart
Elbert S. Kerstetter
Bethesda Mission of Hbg
March of Dimes
American Red Cross
West Shore Public Library
Tri-County Society/Children
And Adults
Arthritis Foundation
Please take note:
The Decedent, ANNA B. KERSTETTER, died on the 26th day of
ADril, 2003, at the Church of God Nursing Home, Carlisle Borough,
Cumberland County, Pennsylvania.
The personal representative of the Decedent is:
Elbert S. Kerstetter
207 Fairway Drive
Mechanicsburg, PA 17055
(717) 766-0451
The Decedent died Testate and the Will has been filed with the
office of the Register of Wills of Cumberland County. A copy of the
Will is enclosed. An additional copy of the Will may be obtained
by contacting the Register of Wills and paying the charges for
duplication.
Kerstetter Estate
May 30, 2003
Page 2
Register of Wills of Cumberland County
1 Courthouse Square
Carlisle, Pennsylvania 17013
(717) 697-0371
Date:
~~CHRACK, III, ESQUIRE
124 West Harrisburg Street
P.O. Box 310
Dillsburg, PA 17019
(717) 432-9733
Counsel for Personal
Representative
SCHRACK & LINSENBACH
LAW OFFICES
124 W. HARRISBURG STREET · P. O. BOX 310
DILLSBURG, PA 17019-0310
PHONE (717) 432-9733
FAX (717) 432-1053
May 30,2003
Register of Wills
Cumberland County Court House
Carlisle PA 17013
Re:
The Estate of ANNA B. KERSTETTER
Date of Death: 04/26/2003
File No. 2103-00414
Dear Register:
I enclose one copy of the "Notice of Beneficial Interest in Estate", accompanied by my
"Certification of Notice Under Rule 5.6 (a)", that was issued to the beneficiaries of the decedent,
Anna B. Kerstetter. Please accept this filing and make it part of the estate administration file.
Thank you for your attention to this matter.
Sincerely,
WDS/jns
enclosures
REV-1500 EX + (6-00)
D
E
C
E
D
E
N
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 2806O1
{ARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
~gRSTJS'J.'f~JJ< Anna ]3.
DATE OF DEATH (MM-DO-YEAR) I DATE OF BIRTH (MM-DD-YEAR)
0~/~)03 I 10/28/1908
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
1.
cAPB 4.
HpRL
E=iO 6.
'~ ES
OFFICIAL USE ONLY
FILE NUMBER
2103 - 0414
COUNTY CODE YEAR NUMBER
SOCIAL SECURITY NUMBER
189-07-9391
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
Original Return ~:~ 247!
Limited Estate ·
Decedent Died Testate
(Attach copy of Will)
(d.a
Supplemental Return ~ 3, Remainder Return pn
~p~Pl~r~[§~~ Compromise (date of death after12-12- 2)8~ 5, Federal Estate Tax Return
Beqebledt Maintained a Living Trust 8, Total Number o4 Safe Depo
(~'tt~3J~opy of Trust)
Co"
S T
R
E
C
A
P
I
T
U
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A
T
I
0
N
C
O
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I
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N
I--"--]9. Litigation Proceeds Received[-~ 10. Spousal Poverty Credit [~ 11. Election to tax under Sec. 9
(1(~8¢0f death between 12-31-91 and 1-1-95) (Attach Sch O)
ETED; ALL CO
.......... ~ ~ MAILING ADDRESS
NAME
~m. D. Schrack III Esq.
FIRM NAME (If Applicable)
Wm. D. Schrack, III Esquire
TELEPHONE NUMBER
717/432- 9733
1Real Estate (Schedule A) (1) OFFICIAL USE ONLY
2Stocks and Bonds (Schedule B) (2)
3Closely Held Corporation, Partnership or (3)
Sole-Proprietorship
4Mortgages & Notes Receivable (Schedule D) (4) None
5Cash, Bank Deposits & Miscellaneous Personal Property (5) 480,538.31
(Schedule E)
6Jointly Owned Property (Schedule F) (6) None
~.]~eparate Billing Requested
7~nter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 300,000.00
(Schedule G or L) (8) 1,301,436.81
8.Total Gross Assets (total Lines 1-7)
9Funeral Expenses & Administrative Costs (Schedule H) (9) 50,556.35
10;)ebts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 329.57
11Total Deductions (total Lines 9 & 10) (11) 50,885.92
1;INet Value of Estate (Line 8 minus Line 11 ) (12) 1,250,550.89
13:haritable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) 1,220,550.89
made (Schedule J) (14) 30,000.00
l~.~et Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
150,mount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116(a)(1.2)
160,mount of Line 14 taxable at lineal rate
17Amount of Line 14 taxable at sibling rate
80,mount of Line 14 taxable at collateral rate
124 W. Harrisburg Street
Post Office Box 310
Dillsburg, PA 17019-0310
None
520,898.50
None
X .0 0 (15) 0.00
0.00 X .0 45 (16) 0.00
20,000.00 X .12 (17) 2,400.00
10,000.00 X .~5 (18) 1,500.00
1Stax Due (19) 3,900.00
.:~ ~ ..,.::~ · ~: ~BE SURE TO,ANSWER AL ............................................................................
Form REV-1500 EX (Rev. 6-00)
Copydght (c) 2000 torn software only The Leckner Group, Inc.
Decedent's Complete Address:
~REETADDRESS
Church of God Home
801 N. Hanover Street
CITY STATE ZIP
Carlisle PA 17013
Tax Payments and Credits:
1.'l'ax Due (Page I Line 19)
2Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
0.00
3,200.00
168.42
(4)
Total Credits ( A + B + C ) (2)
3interest/Penalty if applicable D. Interest
E. Penalty
Total Interest/Penalty ( D + E ) (3)
4Jf Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT,
Check box on Page 1 Line 20 to request a refund (4)
5Jf Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (SB)
3,900.00
3,368.42
0.00
0.00
531.58
0.00
531.58
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1Did decedent make a transfer and: Yes No
· retain the right to designate who shall use the property transferred or its income; ...........
c. retain a reversionary interest; or ....................................
d. receive the promise for life of either payments, benefits or care? ...................
2If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ................................ I I
3Did decedent own an "in trust for" or payable upon death bank account or security at his
or her death? .............................................. ~ ~
4Did decedent own an Individual Retirement Account, annuity, or other non-probate property
which contains a beneficiary designation? ................................ ~ ~-~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN,
Under penalties Of perjury, I declare that I have examine~ this re'~urn, including accompanying schedules and slatements, and to the best of my knowledge and belief, it is true,
correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
:~~NR~~RETURN Elbert S. Kerstetter / ,~'~//~'
, . __ _2_9 7_ _F_ a_ _r_w_ a_ y_ p_r_ y_e_ .............................
Mechanicsbur~, PA 17055 '
SIGNATURE OF PREPARER OTHERTHAN REPRESENTATIVE Wm. D. Schrack, II I Esquire
124 W. Harrisbur.~ Street
- - : - - - o o ...................
For dates of death on or after duly 1, 1 ~4 and before January ~, 1~@5, the tax rate imposed on the net value of transfers to or for tho use of the
surviving spouse is 3% [72 P.S. gl 16 (a) (1.1) (i)].
~or dates of death on or after January 1, 1 @@5, the lax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[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 0% [72 P.S. 9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2)
[72 P.S. 9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(a)(1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV- 1500 EX (Rev. 6-00)
REV-1503 EX + (1-97) SCHEDULE
B
COMMONWEALTH OF PENNSYLVANtA STOCKS
&
BONDS
INHERFrANCE TAX RE~JRN
RESIDENT DECEDENT FILE NUMBER
ESTATE OF
Anna B. KERSTET]TER SS~ 189-07-9391 04/26/2003 2103-0414
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
VALUE AT DATE
ITEM DESCRIPTION UNIT VALUE
OF DEATH
NUMBER
1 2,776.967 units Scudder Investment Capital Growth - 34.055 94,569.61
Class AARP [Nasdaq symbol ACGFX]
2 45,694.415 units Scudder Investment Managed Municipal 9.33 426,328.89
Bond Class AARP [Nasdaq listing AMUBX)
TOTAL (Also enter on line 2, Recapitulation) 520,898.50
(if more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, inc. Form REV-1503 EX (Rev. 1-97)
activityI detail' Coatinu ,i
]z4_z4_R~ InVest~ent~ Procjrarn iI ·
w=. SCUDDER INVESTMENTS
January 1, 2003, through ~eptember 30, 2003
Page 3 of 6
Ma-naged Muni BOnd~:ClaSs'AARP, Continued
Fund-account number: 166-00005024277
Beginning market value 01/01/03 $310,743.44 $9.35 33,234.592
01/27/03 Income Reinvest 1,275.68 9.24 138.061 33,372.653
02/03/03 Shares Purchased 10,000.00 9.23 1,083.424 34,456.077
02/13/03 Shares Purchased By Wire 99,400.00 9.24 10,757.576 45,213.653
02/24/03 Income Reinvest 1,291.75 9.27 139.347 45,353.000
03/25/03 Income Reinvest
1,529.04
9.24
165.481
45,5
18.481
~ 1,641.46 9.33 175.934 .. 45,694.415
05/23/03 Income Reinvest 1,756.93 9.53 184.358 45,878.773
06/24/03 Income Reinvest 1,586.32 9.42 168.399 46,047.172
06/27/03 5hares Redeemed By Wire -432,382.95 9.39 -46,047.172 .000
06/27/03 Income DIV Cash - Wire 277.00 .00 .000 .000
Investment gain/decline 3,158.33
Ending market value 09/30/03 $.00 $9.31 .000
Capital Growth-Class AARP
Nasdaq listingi ACGFX
Beginning market value
$.00 $62,805.57
+.00 +10,000.00
-.00 -82,221.28
+.00 +9,415.71
:$.00 :$.00
Additions
Purchases and other credits
Reductions
Withdrawals
Investment gain/decline
Ending market value 09/30/03
Fund-account number: 198-00005024277
Your dividends are reinvested.
Total $.00
Average cost per share $.00
Total cost basis $.00
This value represents the average price you paid for
the shares you currently own, including any purchases
made through relnvesttd dividend~ and capital gains
diu~ributions. If you are using this for tax purposes,
pkase consult your tax advisor.
°41300'
~04047 61~2'/'1 · 4 0010 04 01a~4041. 000~ OL.s4T · ! O0001l~
January 1, 2003, through September 30, 2003
Page 2 of 6
dividend summary
Tax-exempt $9,358.18
asset allocation summary
Tax-free 'income
Managed Muni Bonds-Class AARP 166-00005024277
30 day net annualized SEC yield on 09/30 was 3.58%
Growth
C__9.pital Growth-Class AARP 198-00005024277
.000 9.31
.00 .00%
.000 37.30 .00 .00%
$.00 100.00%
Total value
activity detail
Managed Muni Bonds-Class AARP
Nasdaq listing: AMUBX
Beginning market value $.00 $310,743.4.4
Additions
Purchases and other credits
Fund-account number:. 166-00005024277
Your dividends are reinvested.
Tax-exempt $9,358.18
+.00 +109,400.00 ~
Reductions
Withdrawals -.00 -432,382.95
Reinvested dividends +.00 +9,081..8
+3,158.33
=$.00
S277.60
Investment gain/decline
Ending market value 09/30/03
Dividends taken in cash
+.00
=$.00
$.00
37153
Average cost per share $.00
Total cost basis $.00
This value represenu the average price you paid for
the shares you currently own, including any purchases
made through reinvested dividends and capital gaim
distributiom. If you are using this for tax purposes,
please comult your tax advisor.
\~e~nanCe - Charts Page 1 of !
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;?/?-?:7::':%:;?':-~.:r:'~%-%:::'~"~?i~ ;i~.5~-:'%:'i;~::'~:i"?~<:':-~,:':,:':'~' C:'~:':'~.T:; ....... 25.-..5':_-:'..h;!'i~:~5~?-~-%'"~::;:~5~i~[~i- ~?'-'"'::.:,::m:'-':.:::-:::.:-~-r'-''?'.'.~ ............ ~ ~:~-'-~:-.'::.~.:::'~ .............
.....~ ............................................................ ~i.~...~.:...~~,t ......................................................................................................................................... ~. ................... ~:.~-,~: ....... ~ ..................... i~ .............................................. ~-~ ............ ......................................................................... ~~ .....
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9.48 · +0.01 (+0.11%)
as of 01/14/2004 at 06:00PP1 EST (NASDAQ)
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ii-..-...: ......... .* ....... ~ ........................--------i---~ -~ ....... : ......... .~ ................ -: ~ ~-~
~:~ ....... ~ ......... ~ .......... ~ .......... ~ ...... .~:-~ ~ ........... ~. ........... .~ .......... ~ ........... { ........ ~, ........... ~....{~g~
...... ~ ......... ~ .......... ~ ........... ~....~_...~-: ....... -~...~ ........... .......... .......... .~ ........... ~ ......... ~ ........... :::::::::::::::::::::::::~..,..~::~
....... .......... .......... ...........
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~: : : ~ ~ ~ E E E E ~ ::::::::::::::::::::::::::::E
1~o $~0 6Ho OHo ~ lYf ~ SYr 10Yr
Notic~ & Terms Confirm nil data with your broker or financial advisor
b,fore t~ding.
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REV-1508 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
Anna B. KERSTETTER SS# 189-07-9391 04/26/2003
Include the proceeds of litigation and the .date. ~e.proceeds were received by the estate. All I~roperty jointly-owned with the ricjht
survivorship must be disclosed on =cneaule r.
FILE NUMBER
2103 - 0414
VALUE AT DATE
ITEM
XIUMBER DESCRIPTION OF DEATH
244.88
1
2
3
4
5
6
7
8
9
Blue Cross/Blue Shield refund
Church of God Home - refund
Fulton Bank - CD# 000-0122966
1,890.00
119,872.70
Pennsylvania State Bank - checking account #10120095
Pennsylvania State Bank
Pennsylvania State Bank
The Church of God Home
checking account #26012856
CD #40753
refund
Waypoint Bank - CD# 400002358
Waypoint Bank - CD# 8000038043
TOTAL (Also enter on line 5, Recapitulation) $
6,103.77
22,376.23
103,700.09
5,253.27
100,471.23
120,626.14
480,538.31
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-I$08 EX (Rev. 1-97)
CAPITAL DIVISION · LANCASTER/CHESTER DIVISION
DROVERS BANK DIVISION · GREAT VALLEY DMSION
(717)291-2437
June 11, 2003
Schrack & Linsenbach
124 W. Harrisburg Street
P.O. Box 310
Dillsburg, Pennsylvania 17019
Dear Mr. Schrack:
RE: Anna B. Kerstetter, deceased April 26, 2003
In response to your recent inquiry concerning the accounts maintained in the name of
the decedent, please be advised that the following accounts were open at the date of death:
CD # 000-0122966, open 5/16/2000, matures 8/16/2003, balance
$112,230.46 and accrued interest $7,642.24; paying 6.95%. Elbert
S. Kerstetter and Kent Kerstetter as Powers of Attorney.
If you should have any further questions, please do not hesitate to contact me.
Very truly your_s,
Credit Inquiry Processor
ONFIDENTiAL
'~ infc,,rm.~m i~ fur,~t~ ss a m~r o~
~nswer to yr~f ~qu~'y, :¢~d ~ for y~ur confidential
responsibility ~ assumed by th~ bank or any of its
~, oo,nion herein e×Dressed is subfectto ch~n~e withou4
P O Box 4887 /ancoster, PA 17604
www. fultonbank.com 1-800-FULTON-4
ESTATE OFANNA B KERSTETTER
ACCOUNT NO
16120095
26012856
40753
TYPE OF
ACCOUNT
OR CID
CHECKING
SAVINGS
CD
DATE OF DEATH
04/26/03
BALANCE ON DATE OF DEATH
PRINCIPAL
ACCURED INTEREST
$6100.69 $3.08
$22366.02 $10.21
$103,467.93 $232.16
SOCIAL SECURITY NUMBER
189-07-9391
NAMES ON ACCOUNT
ANNA B KERSTETTER
c/o
ELBERT KERSTETTER
ANNA B KERSTETTER
c/o
ELBERT KERSTETTER
ANNA Bo KERSTETTER
c/o
ELBERT KERSTETTER
DATE OPENED
10/19/98
10/19198
07/10/02
SAFE DEPOSIT BOX
AND LOCATION OF BOX
DEBITS: TYPE &
BALANCE DUE
SAVINGS & LOAN OR
BANK STOCK
JOINT OWNER(S)
wag
LOOK FOR US. W6'LL G6T YOU TH6RE.
06/10/2003
SCHRACK & LINSENBACH
124 W HARRISBURG ST
DILLSBURG PA 17019
The information which you requested on the account(s) of ANNA KERSTETTER
(Social Security Number 189-07-9391) is/are as follows:
Account Number 400002358 8000038043
Class of Account CERTIFICATE CERTIFICATE
Date Opened 04/17/00 11/12/97
Principal Balance 100000.00 120060.311
Accrued Interest 471.23 565.76
Balance at Date of 100471.23 120626.14
Death
Account Ownership SOLE SOLE
Name of Joint
Owner, if any
Date Ownership
Was Established
Account Number
Class of Account
Date Opened
Princioal Balance
Accrued Interest
Balance at Date of
Death
Account Ownership
Name of Joint
Owner, if any
Date Ownership
Was Established
Additional
information -
Requested
S~).c. erely, , /
SENIOR SERVICES REP.
RO. Box rtl I. HARRISBURG. PENNSY'O/ANR 1710S-1711
Toll Free I-~66-WAYPOINT (I-Ei66-~)29-7646) · In YORK AREA 717/BI5-4500 · W~NW. wagpointbanlccom
REV-1510 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Anna B. KERSTETTER SS#
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
189-07-9391 04/26/2003
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is es.
FILE NUMBER
2103- 0414
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1510 EX (Rev. 1-97)
DESCRIPTION OF PROPERTY %OF
ITEM IN~UDE ME NAME OF ME ~ANSFERE~ THEIR DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE
RE~SHIP TO DECEDENT AND THE DA~ OF TRANSFER.
NUMBER A~A~ A C~Y OF ME DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF ~PLIC~LE)
1 One Life Gift Annuity to 100,000.00 100,000.00
The American Red Cross of
the Susquehanna Valley
(effective 1/01/2001)
2 One Life Gift Annuity to 100,000.00 100,000.00
The Bethesda Mission
(effective 1/01/2001)
3 Single-Life Gift Annuity to 100,000.00 100,000.00
The Salvation Army
Eastern Territory
(effective 1/01/2001)
TOTAL(~soenteronline7, Recapit~Eafi~) 300,000.00
'AMERICAN RED CROSS OF II:I.E SUSQUEHANNA VALLEY
Prepared for:..
Mrs. Anna B. 'Kerstetter
February 1, 2001
Deduction Calculations
Taxation of Gift Annuity Payments
12 % Charitable Gift Annuity
ASSUMPTIONS:
Annuitant
Date of Gift
Principal Donated
Cost Basis
Annuity Rate
Payment Schedule
[10/28/1908] 92
2/1/2001
$100,000.00
$100,000.00
12%
quarterly
at end
CALCULATIONS:
Charitable Deduction
Number of Full Payments in First Year
Days in Payment Per/od (1/1/2001 to 3/31/2001)
Days in Credit Period (2/1/2001 to 3/31/2001)
Annuity
Quarterly Payment
First Partial Payment
BREAKDOWN OF AaNNUITY:
Tax-free Ordinary Total
Portion Income Annuity
2001 to 2001 8,126.30 2,840.37 10,966.67
2002 to 2004 8,892.00 3,108.00 12,000.00
2005 to 2005 3,448.70 8,551.30 12,000.00
2006 onward 0.00 12,000.00 12,000.00
$61,749.00
3
90
59
$12,000.00
$3,000.00
$1,966.67
After 4.3 years, the entire annuity becomes ordinary income.
Prepared by: Jim Heckman
IRS Discount Rate for 12/2000 is 7%
These calculations are illustrations only, not professional advice. Ple~e consult your own professional. The Red
Cross u~es the highest IRS Discount Rate to effect the highest charitable deduction.
2
FIRST PERSON
Anna Ketstetter
AGE 93
GIFT AMOUNT
CHARITABLE DEDUCTION
ANNUITY OF 12.00%
TAX FREE
EFFECTIVE ANNUITY RATE
$100,000.00
$62,520.40
$12,000.00
78.10%
19.0%
Ordinary Income
Capital Gain Payout
Tax Free*
ANNUITY AMOUNT
* Tax Free Until 2005
INCOME TAX INFORMATION
QUARTERLY
PAYMENT
ANNUAL
TOTALS
$657.00 $2,628.00
$O.oo $o. oo
$2,343.00 $9~372.00
$3,000.00
$12,000.00
May 03, 2001
Page 4 of 15
This educational illustration is not professional tax or legal advice; consult a tax advisor about your specific situation.
'~ :cERTIFIcATENO'' '1008
Gift Annuity Agreement
INCORPORATED 1917
611 REILY STREET, HARRISBURG, PENNSYLVANIA 17102
Hereby does agree and bind itself and its successors to pay Anna Kerstetter
residing at Woods @ Cedar Run, 824 Lisburn Rd. Room 226, Camp Hill, PA 17011
for the term of her life, an annuity or annual sum of twelve thousand dollars and no
cent s ($12,000.00) in quarterly payments on the first day of March, June, September,
and December in each year, commencing with a first payment of three thousand dollars
and no cents ($3.000.00) to be made on September 1, 2001, and payments &three
thousand dollars and no cents ($3,000.00) thereafter. The obligation to pay the
annuity shall terminate with, and no amount shall be payable for, the period subsequent
to the last date for payment mediately preceding or coincident with the death of
Anna Kerstetter at which time it is expressly, agreed that Bethesda Mission shall be
discharged and forever released from any further responsibility or obligation
whatsoever~'which may have been assumed bY it under this agreement. This annuitY is
nonassignable.
Bethesda Mission hereby certifies that it is organized and operated exclusively for
religious, educational, and social rehabilitation purposes. In,consideration of the
execution of this Gift Annuity Agreement, Anna Kerstetter has this day contributed
and voluntarily given to Bethesda Mission a check for one hundred thousand dollars
($100,000.00) at the time of the transfer, receipt of which is hereby acknoWledged, for
its general uses and purposes.
IN WITNESS WHEREOF, Bethesda Mission has caused these presents to be
signed by its Executive Director and its corporate Seal hereunto affixed this 1st day of
June, 2001.
ONE LIFE GIFT ANNUITY
PREPARED FOR
Anna Ketstetter
AN EDUCATIONAL SERVICE PROVIDED BY
David G. Bugher
Bethesda Mission
611 Reily Street, PO Box 3041
Harrisburg, PA 17105
717-257-4442 x228 FAX 717-257-5486
bethesda-adv@paonline.com
Reaching Out...Touching Lives
Providing hope to our neighbors in need since 1914
Crescendo Software by Crescendo Interactive, Inc. Version 2001.1 Copyright (c) 2001
SalVation Eastdrn?Territi i?i'
~}~i~10.we~t Nyack ~ W~t ~& NeW ~0~ l~-"Ph~ne (9!41
Donor Information
Gift Agreement Information Report
Gift Information
.Anna B. Kerstetter
c/o E.S. Kerstetter
207 Fairway Drive
Mechanicsburg, PA 17055
B'eneficiarv Information
Date: January 2, 2001
Type: Single Life Gift Annuity
Amount:S100,000.00
Agreement No.: 2001-02
'Primal3,
Anna B. Kerstetter
c/o E.S. Kerstetter
207 Fairway Drive
Mechanicsburg, PA 17055
Date of Birth: 10/28/08
Social Securitg No.: 189-07-9391
Relationship to Donor. Serf
Financial Information
Survivor
Date of Birth:
Social Security No.:
Relationship to Donor:.
Rate of Return: 12.0% - $12,000.00 Payment Frequency: Monthly
Payment Schedule: $1,000.00 on the first day of each month
Date of First Payment: February 1, 2001 (pro-ram) Amount of First Payment: $967.74
Taxable Nature of Annual Income (Gift Annuities Only) AFR% 7.2 - November 2000
2001 to 2001 0.00 7,951.61 3,016.13 10,967.74
2002 to 2004 0.00 8,700.00 3,300.00 12,000.00
2005 to 2005 0.00 4,211.39 7,788.61 12,000.00
2006 onward 0.00 0.00 12,000.00 12,000.00
Charitable Contribution Income Tax Deduction: $61,737.00
Designated Salvation A.rmv Use of Terminated Balance: for use in Harrisburg (Citadel), PA
Planned Giving Bureau Salvation Army Endorsement,
Gift Cultivated/Closed By:
Joseph F. De~nlnger - Eastern PA/Delaware Division
Approved By:
j~ynn Drigant, Planne~3~ixTi~g ~oordinator
Date: January 2~, 2001
~-15. EX + 0-97) SCHEDULE H
FUNERAL EXPENSES &
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF
Anna B. KERSTETTER SS~; 189-07-9391 04/26/2003
FILE NU;~?~-R
2103 - 0414
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
Bo
1
2
3
4
5
6
DESCRIPTION
:UNERALEXPENSES:
Church of God - reimbursement for cost of food at funeral
luncheon
Church of God - honorarium to Minister
Church of God - gift to Ladies Auxiliary for help at funeral
luncheon
Total of Continuation Schedule(s)
~,DMINISTRATIVE COSTS:
3ersonal Representative's Commissions
Nameof Personal Representative(s) Elbert S. Kerstetter
Social Security Number(s) / EIN Number of Personal Representative(s) 207 - 07 - 8904
Street Address 207 Fairway Drive
City Mechanicsbur~ State PA Zip 17055
Year(s) Commission Paid:
Attomey's Fees Wm. D. Schrack, III Esquire
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
Probate Fees Register of Wills
Accountant's Fees
Tax Return Preparer's Fees
Other Administrative Costs
Cumberland Law Journal - estate advertisement
Fulton Bank - wire transfer fee
Register of Wills additional short certificates
Reimbursement to Elwood Kerstetter for paper supplies
The Patriot News estate advertisement
U. S. Postal Service - postage paid
TOTAL (Also enter on line 9, Recapitulation)
AMOUNT
136.15
150.00
44.92
4,457.14
25,000.00
20,000.00
549.00
75.00
20.00
6.00
9.63
87.91
20.60
$ 50,556.35
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc, Form REV-1511 EX (Rev. 1-97)
Estate of: Anna B. KERSTETTER
Soc Sec #: 189-07-9391
Date of Death: 04/26/2003
Continuation of Schedule
(Funeral Expenses)
Item Description
Amount
5
Funeral expense
Sunbury Monumental Works
grave marker
4,352.14
105.00
4,457.14
REV-1512 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Anna B. KERSTETTER
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, AND LIENS
SS# 189-07-9391 04/26/2003
FILENUMBER
2103-0414
Include unreimbursed medical expenses.
ITEM
NUMBER
1
2
3
4
5
DESCRIPTION
Brockie Pharmatec last illness
Orthopedic Institute - last illness
Pinnacle Health - last illness
Pinnacle Health - last illness
West Shore EMS last illness
TOTAL (Aisc enter on line 10, Recapitulation)
AMOUNT
231.28
9.76
20.60
17.93
50.00
$ 329.57
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97)
REV-1513 EX + (900)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Anna B. KERSTETTER SS#
NUMBER
2
4
II.
1
2
3
189-07-9391
SCHEDULE J
BENEFICIARIES
04/26/2003
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
'AXABLE DISTRIBUTIONS [include o~dght s~usal distdb~ions, and
trensfem under Ss. 9116(a)(1.2)]
Judy Burkhart
3215 Brighton Avenue
Belmar, NJ 07719
Elbert S. Kerstetter
207 Fairway Drive
Mechanicsburg, PA 17055
Helen Kerstetter
403 Williamsburg Road
Sterling, VA 20164-3433
James Kerstetter
320 Farrington Road
Franklin, TN 37064
Do Not List Trustee(s)
FILE NUMBER
2103- 0414
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
OF ESTATE
Niece
Brother-in-Law
Sister-in-Law
Nephew
5,000.00
10,000.00
10,000.00
5,000.00
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 181 AS APPROPRIATE! ON REV 1500 COVER SHEET
NON-TAXABLE DISTRIBUTIONS:
~,. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
CHARITABLE ANDGOVERNMENTALDISTRIBUTIONS
American Red Cross
1804 North Sixth Street
Harrisburg, PA 17102
American Heart Association
1019 Mumma Road
Lemoyne, PA 17043
American Lung Association
Total of Continuation Schedule(s)
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET
101,712.57
101,712.58
101,712.57
915,413.17
$ 1,220,550.89
(If more space is needed, insert additional sheets of the same size)
C_,op~ght (C) 2000 form software only The Lackner Group, Inc. Form REV- 1513 EX (Rev. 9-00)
Estate of: Anna B. KERSTETTER
Soc Sec #: 189-07-9391
Date of Death: 04/26/2003
Continuation of Schedule J, Part II-B
(Charitable and Governmental Bequests)
Item Description
Amount or
Share of Estate
4
7
10
11
12
6041 Linglestown Road
Harrisburg, PA 17111
Arthritis Foundation
17 South 19th Street
Camp Hill, PA 17011
Bethesda Mission of Harrisburg
1500 N. Second Street
Harrisburg, PA 17102
March of Dimes
160 S. Progress Avenue
Harrisburg, PA 17109
Salvation Army
1122 Green Street
Harrisburg, PA 17102
American Cancer Society
3211 N. Front Street
Harrisburg, PA 17110
Tressler Lutheran Services
960 Century Drive
Mechanicsburg, PA 17055
Trt-County Society for Children and Adults
2930 Derry Street
Harrisburg, PA 17111
Volunteers of America
2112 Walnut Street
Harrisburg, PA 17103
West Shore Public Library
100 North 19th Street
Camp Hill, PA 17011
101,712.57
101,712.58
101,712.58
101,712.58
101,712.57
101,712.57
101,712.58
101,712.57
101,712.57
915,413.17
OF
ANNA B. KERSTETTER
BE IT REMEMBERED, that I, ANNA B. KERSTETTER, of the Woods Retirement
Center, Camp Hill, Lower Allen Township, Cumberland County, Pennsylvania, being of sound mind,
memory and understanding, do make, publish and declare this as and for my Last Will and Testament,
hereby revoking and making null and void any and all Wills and Testaments and writings in the nature
thereof by me at any time heretofore made.
ITEM 1: I direct that my hereinafter named Executor pay all my just debts, my funeral
expenses, and the expenses of the administration of my estate. With this direction, I authorize and
empower my Executor to expend for my funeral expenses and interment such amounts as he may
consider necessary and proper, without regard to any limit that may be prescribed by a court oflaw.,.i~:--:-~.~::
ITEM 2: I direct my Executor to pay all inheritance, estate, succession, and legacy taxes ..... [-'~
of whatsoever nature and kind, to which my estate, or the transfer of any property passing hereunder . .
or otherwise passing by reason of my demise, may be subject, and to charge such taxes against my
residuary estate. It is my intention that none of the aforesaid taxes, either federal or state, on any
property required to be included in my gross estate, under the provisions of any state or federal law
now in force or hereafter enacted, shall be prorated among the persons interested in my estate to
Whom such property is or may be transferred or to whom any benefit accrues.
ITEM 3: I give and bequeath the sum of Ten Thousand Dollars ($10,000.00)unto
HELEN' KERSTEITER, widow of my brother-in-law, Forest Kerstetter, of 403 Williamsburg
Road, Sterling. Virginia 20164-3433, pro,,'ided that should she predecease me, I give and bequeath
said sum unto her daughter, ELAINE WOODBURY, also of 403 Williamsburg Road, Sterling,
Virginia 20164-3433, or her issue, per stirpes by representation, should she fail to survive me.
ITEM 4: I give and bequeath the sum of Five Thousand Dollars ($5,000.00) unto my
niece, JUDY BIJRKI~ART, daughter of my brother-in-law, Kenneth M. Kerstetter, provided that
should she predecease me, I give and bequeath the same unto her issue, per stirpes by representation.
ITEM 5: I give and bequeath the sum of Five Thousand Dollars ($5,000.00)unto
JAMES KERSTETTER, of 320 Farrington Road, Franklin, Tennessee 37064, son of my brother-in-
law KENNETH M. KERSTETTER, provided that should he predecease me, I give and bequeath
unto his issue per stirpes by representation.
ITEM 6: I give and bequeath the sum ofTen Thousand Dollars ($10,000.00) unto my
brother-in-law, ELBERT S. KERSTETTER, of Mechanicsburg, Pennsylvania, provided that should
he predecease me, I give and bequeath said sum unto his issue, in equal shares per stirpes by
ITEM 7: All the rest, residue and remainder of my estate, of whatsoever nature and
wheresoever situate, whether it be real, personal or mixed, including property over which I have a
charitable organizations:
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
...... L.- ....... Arthritis Foundation, Camp Hill,- Pennsylvania.
The American Cancer Society of Cumberland County, Harrisburg, Pennsylvania;
Bethesda Mission of Harrisburg, Pennsylvania;
The American Heart Association, Wormleysburg, Pennsylvania;
March of Dimes, Harrisburg, Pennsylvania;
The Salvation Army, Harrisburg, Permsylvania;
American Red Cross, Harrisburg, Pennsylvania;
Volunteers of America, Harrisburg, Pennsylvania;
West Shore Public Library, Camp Hill, Pennsylvania;
Tressler Lutheran Services, Mechanicsburg, Pennsylvania:
The Tri-County Society for Children and Adults, Harrisburg, Pennsylvania;
American Lung Association of Pennsylvania, Harrisburg, Pennsylvania; and
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF YORK
SS.
/ ~/~Z//~/~~/ , the Testatrix and the witnesses, respectively,
whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last
Will and Testament, and that she signed wSllingly, and that she 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 witnesses, and that to the best of their knowledge:.the Testatrix was
at the time eighteen (18) years of age or older, of sound mind, and under no constraint or undue
SWORN TO AND SUBSCRIBED
BEFORE 5IE THIS :- .?'%g'~DAY
~'~ ".~-"~ , /' / 7 ·
No~ ~
J~y N. ~m~ N~ ~c
Dills~ ~, Y~ ~
.d': Commission ~res Ju~ 13, 2~
...~,-~.~:'~=-,?ys/an~ ~at~ ~ N~s
ANnA B. KERSTETTER- '
SCHRACK & LINSENBACH
LAW OFFICES
124 W. HARRISBURG STREET · P. O. BOX 310
DILLSBURG, PA 17019-0310
PHONE (717) 432-9733
FAX (717) 432-1053
july 16, 2003
Register of Wills
Cumberland County Court House
Carlisle, PA 17013
ae~
The Estate of ANNA B. KERSTETTER
Date of Death: 04/26/03
File No. 2103-0414
Dear Register:
I enclose Check No. 1007 issued payable to your order for the sum of $3200.00 as
prepayment of inheritance taxes on the above noted estate. Please accept the payment and send the
receipt to me at the address noted on this letterhead.
Thank youfor your attention to this matter.
Sin cerely,
· WDS/jns
enclosure
WM. D. SCHRACK, III
ATFORNE~Y AT LAW
124 W. HARRISBURG STREET
P.O. BOX 310
D[LLSBURG, PA 17019-0310
REGISTER OF WILLS
CUMBERLAND COUNTY COURT HOURSE
I COUR[qOUSE SQUARE
CARLISLE PA 17013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 002816
SCHRACK & LINSENBACH
124 W HARRISBURG ST
PO BOX 310
DILLSBURG, PA 17019-0310
........ fold
ESTATE INFORMATION: SSN: 189-07-9391
FILE NUMBER: 2103-0414
DECEDENT NAME: KERSTETTER ANNA B
DATE OF PAYMENT: 07/17/2003
POSTMARK DATE: 07/1 7/2003
COUNTY: CUMBERLAND
DATE OF DEATH: 04/26/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $3,200.00
TOTAL AMOUNT PAID:
$3,200.00
REMARKS: ELBERT KERSTETTER C/O
SCHRACK & LINSENBACH
SEAL
CHECK# 1007
INITIALS: SK
RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OFINDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-11 62 EX(11-96)
CD 003477
SCHRACK WM D III ESQ
124 W HARRISBURG ST
P O BOX 310
DILLSBURG, PA 17019
fold
ESTATE INFORMATION: SSN: 189-07-9391
FILE NUMBER: 2103-0414
DECEDENT NAME: KERSTETTER ANNA B
DATE OF PAYMENT: 01/26/2004
POSTMARK DATE: 01/23/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 04/26/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $531.58
TOTAL AMOUNT PAID:
8531.58
REMARKS' ELBERT KERSTETTER
SEAL
CHECK# 1 O24
INITIALS: AC
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Anna B. KERSTETTER
Date of Death: 04/26/2003
Will No. Admin No. 2103-0414
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the above
captioned estate:
State whether administration of the estate is complete:
Yes [[~. No [ ]
If the;~nswer is No, state when the personal representative reasonably
believes that the administration will be complete:
If the answer to No.1 is Yes, state the following:
Did the pers rep file a final account with the Court? Yes [ ] No [X]
The separate Orphan's Court No. (if any) for the personal rep's
account is:
Did the personal rep state an account informally to the parties in
interest? Yes [ ] No [X]
Copies of receipts, releases, joinders and approvals of formal or
informal accounts may be filed with the Clerk of the Orphan's Court
and may be attached to this report. Date:
s{gnatur'-~ .....
Elbert $. Kerstetter
124 W. Harrisburg Street
Dillsburg,PA 17019-0310
717/432-9733
Capacity:
Personal Representative
Counsel for personal representative
~.BUREAU OF INDIVIDUAL TAXES
v
INHERITANCE TAX DIVIS[ON
DEPT. 280601
HARRISBURG, PA ]7128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRA[SENENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCT[ONS AND ASSESSHENT OF TAX
WILLIAM O SCHRACK III ESiO~
19
126 W HARRISBURG ST
PO BOX :510
DILLSBURG PA 170~t~;I,~C i:"
DATE 05-22-2006
ESTATE OF KERSTETTER
DATE OF DEATH
FILE NUMBER 21
:4~COUNTY CUMBERLAND
ACN 101
Amount Remitted
I
REV-IS47 EX AFP ¢01-05)
ANNA B
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF MILLS
CUMBERLAND CO COURT HOUSE
CARLISLE,.PA 17015
CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS -~
REV-1547 EX AFP C01-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KERSTETTER ANNA B FILE NO. 21 05-0616 ACN 101 DATE 05-22-200~
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
l. Real Estate CSchedule A)
2. Stocks and Bonds (Schedule B)
$. Closely Held Stock/Partnership Interest CSchedule C)
4. Mortgages/Notes Receivable CSchedule D) C~)
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5)
6. Jointly O~ned Property CSchedule F)
7. Transfers CSchedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule
lO. Debts/Mortgage Liabilities/Liens CSchedule I) ClO)
11. Total Deductions
12. Net Value of Tax Return
520~898.50
.00
6801558.51
.00
· 00 NOTE: To insure proper
credit to your account,
submit the upper port/on
· 00 of this form ~ith your
tax payment.
500~000.00
(8)
50,556.55
13.
14.
NOTE:
1,501,656.81
(15) .00 x O0 = .00
(1~) .00 x 065 = .00
(17) .00 X 12 = .00
C18) 50,000.00 x 15 = 6,500.00
c1~)= 6,500.00
DISCOUNT
INTEREST/PEN PAID C-)
168.42
.00
AMOUNT PAID
5,200.00
551.58
NTEREST IS CHARGED THROUGH 06-06-2006
AT THE RATES APPLICABLE AS OUTLINED ON THE
TOTAL TAX CREDIT
BALANCE OF TAX DUE
REVERSE SIDE OF THIS FORM INTEREST AND PEN.
TOTAL DUE
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
ASSESSMENT OF TAX=
15. Amount of L/ne 1~ at Spousal rate
16. Amount of Line 1~ taxable at Lineal/Class A rate
17. Amount of L/ne 14 at Sibling rate
18. Amount of L/ne 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
07-17-2005 CD002816
01-25-2006 CD005677
3,900.00 J
600.00
6.69
606.69
c IF TOTAL DUE IS LESS THAN 91, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
Charitable/Governmental Bequests; Non-elected 9115 Trusts CSchedule J) Cl$) I ,220,550.89
Net Value of Estate Subject to Tax C14) ~0,000.00
If an assessment uas lssued previously, lines 14, 15 and/er 16, 17, 18 and 19
reflect figures that include the total of ALL returns assessed to date.
529.57
(11) 50.885.92
C12) 1,250,550.89
REV-1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG~ PA 17128-0601
DECEDENT'S NAME FILE NUMBER
Anna B Kerstetter 2103-0414
REVIEWED BY ACN
Deborah Washington 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
J A2&3 Changed tax rate from 6 percent to 15 percent since a sister-in-law and brother-in-law is
a collateral beneficial.
ROW Page 1
BUREAU OF TND/VZDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
COMMON#EALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF DETERHINATZON AND
ASSESSMENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
ESTATE TAX RETURN
WILLIAM D SCHRACK II'~ES~~ 26 All :J8
12q W HARRISBURG ST
PO BOX 510
DILLSBURG
DATE 05-22-2004
ESTATE OF KERSTETTER
DATE OF DEATH 04-Z6-2005
FILE NUMBER Z1 05-0414
COUNTY CUMBERLAND
ACN 201
I Amoun~ Rem J.'l:~ed
ANNA B
HAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUNBERLAND CO COURT HOUSE
CARLISLE, PA 17015
NOTE: To insure proper credi~ ~:o your account, subm/~ ~he upper portion of ~his form wi~:h your ~:mx payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~
REV-483 EX AFP (01-03) ## NOTICE OF DETERHZNATZON AND ASSESSHENT
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN ~
ESTATE OF KERSTETTER ANNA B FILE N0.21 05-0414 ACN 201 DATE 03-22-2004
ESTATE TAX DETERHZNATZON
1. Credit For State Death Taxes as Verified .00
2. Pennsylvania Inheritance Tax Assessed
(Excluding D/scount and/or Interest)
3. Inheritance Tax Assessed by Other States .00
or Territories of the UnAted States
(ExcludAng DAscount and/or Interest)
4. Total Inheritance Tax Assessed
5. Pennsylvania Estate Tax Due .00
TAX CREDITS:
4~331.58
4~331.58
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUEI .00
INTEREST AND PEN. I .00
TOTAL DUE I . O0
~ZF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUIRED
FOR CALCULATION OF ADDZTTONAL TNTEREST. ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT" (CR), YOU HAY BE
DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR ZNSTRUCTTONS.)
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
PENALTY:
INTEREST:
To fulfill the requirements of Section Z140 (b) of the Inheritance and Estate Tax Act, Act ZS of ZOO0.
(72 P.S. Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the
reverse side.
-- Make check or money order payable to: REGISTER OF RILLS, AGENT.
A refund of a tax credit may be requested by completing an "Application for Refund of Pennsylvania
Inheritance and Estate Tax" (REV-X313). Applications are available et the Office of the Register of Hills,
any of the 23 Revenue District Offices or from the Department's Z4-hour answering service for forms ordering:
1-800-362-ZOS0; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 (TT only).
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 by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. ZSIOZX, Harrisburg, PA 17128-1021,
--eXacting to have the matter determined at audit of the personal representative, OR
--appeal to the Orphans' Court.
OR
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601,
Phone (717) 787-6505. See page S of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-IS01) for an explanation of administratively correctable errors.
The 152 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
For dates of death on or after 10-$-91, Pennsylvania Estate Tax based on the Federal Estate Tax
return becomes delinquent at the expiration of nine (09) months from the date of death.
For dates of death prior to 10-~-91, Pennsylvania Estate Tax based on the Federal Estate Tax return
becomes delinquent at the expiration of eighteen (18) months from the date of death.
Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (62) percent per annum
calculated at a daily rata of .000164. Al1 taxes which became delinquent on or after January 1, 1982 wiXX bear
interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA
Department of Revenue. The applicable interest rates for 1982 through Z004 are:
Interest DaiXy Interest Daily
Year Rate Factor Yea~ Rate Factor Year
1982 ZOX .000548 1988-1991 llX .000301 2001
1983 162 .000438 1992 92 .000247 ZOOZ
198q 112 .000~01 1993-1994 72 .000192 2003
1985 132 .000356 1995-1998 92 .000247 2004
1986 102 .000274 1999 72 .000192
1986 10Z .000274 ZOO0 82 .000219
--Interest is calculated as follows:
Interest DaiXy
Rate Factor
.000247
.000164
.000137
.000110
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELTNQUENT X DATLY TNTEREST FACTOR
--Any Notice issued after the tax becomes delinquent 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.
ENCLOSED FOR YOUR ACTION
Date March 29, 2004 File No. 21-03-0414
Re: Estate of Anna B. Kerstetter
Enclosed you will find Executor check #1040
Inheritance Tax due.
for the s~nof $604.69, which represents addeitional
[] Please review and call with any questions or changes
[] Please call to make an appointment
[] Please sign and return
[-1 Please sign, have your signature notarized and return.
[-
REGIS~ OF WILLS
TO CARLISLE, PA 17013
[_
SCH ACK & LINSENBACH
LAW OFFICES
124 WEST HARRISBURG STREET
POST OFFICE BOX 310
DILLSBURG, PA 17019-0310
(717) 432-9733 · FAX (717) 432-1053
~-~EAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
'04
WILLIAM D SCHRACK III ESQ
124 W HARRISBURG ST
PO BOX 510 Lj!~i:
DILLSBURG PA 17~[~Ti~ ~.:~ i"~
· ; DATE 05-22-2004
A ESTATE OF KERSTETTER
DATE OF DEATH 04-26-2005
FILE NUMBER 21 05-0414
IlAR 30 :06 COUNTY CUMBERLAND
ACH 101
ANNA
Amount Remitted
HAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA I7015
CUT ALONG THIS LINE
RETAIN LOWER PORTION FOR YOUR RECORDS
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KERSTETTER ANNA B FILE NO. 21 05-0414 ACM 101 DATE 05-22-2004
TAX RETURN WAS: ( ) ACCEPTED AS FILED ¢ X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
I. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) (2)
5. Closely Held Stock/Partnership Interest (Schedule C)
~. Mortgages/Notes Receivable (Schedule D) (4)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G) (7)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g)
lO. Debts/Mortgage Liabilities/Liens (Schedule I) (lO)
Il. Total Deductions
12. Net Value of Tax Return
.00
520?898.50
.00
NOTE: To insure proper
credit to your account,
submit the upper portion
.00 of this form with your
4807558.51 tax payment.
.00
500?000.00
C8) 1,501,456.81
50,556.55
329.57
ell) 50.885.92
(12) 1,250,550.89
1~.
1~.
NOTE:
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate ClS)
16. Amount of Line 14 taxable at Lineal/Class A rate C16)
17. Amount of Line 14 at Sibling rate C17}
lB. Amount of Line 14 taxable at Collateral/Class B rate C1B)
19. Principal Tax Due
TAX CREDITS
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID
07- 17-2005 CD002816 168.
01-25-2004 CD005477 . O0
Char/table/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate Subject to Tax Cl4) 50,000.00
If an assessBent was issued previously, lines 14, 15 end/or 16, 17, 18 and 19 will
reflect figures that inc/ude the total of ALL returns assessed to date.
.00 x O0 =
.00 X 045 =
.00 x 12 =
50,000.00 x 15 =
Cl9)=
INTEREST IS CHARGED THROUGH 04-06-200~
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF.THIS FORM
AMOUNT PAID
5,200.00
531.58
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
1,220,550.89
.00
.00
.00
4,500.00
4,500.00
3,900.00
600.00
4.69
604.69
( IF TOTAL DUE IS LESS THAN ~l, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR}, YOU MAY BE DUE
A R~FUND. S~ R~V~RSE SIDE OF THIS FORM FOR INSTRUCTIONS.~
SCHRACK & LINSENBACH
LAW OFFICES
124 WEST H^R~ISBUR6 STREET
POST OFFICE Box 310
DILLSBURG, PA 17019-0310
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
8..~IREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
CD
REV-1162 EX(11-96)
003739
SCHRACK WM D III ESQ
124 W HARRISBURG ST
P O BOX 310
DILLSBURG, PA 17019
fold
ESTATE INFORMATION: SSN.' 189-07-9391
FILE NUMBER: 2103-0414
DECEDENT NAME: KERSTETTER ANNA B
DATE OF PAYMENT: 03/30/2004
POSTMARK DATE: 03/29/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 04/26/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $604.69
REMARKS:
.... SEAL
CHECK//1040
TOTAL AMOUNT PAID:
$6O4.69
INITIALS' JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVTDUAL TAXES
THHERTTAHCE TAX DTV'rSI'OH
DEPT. Z8060].
HARR'rSBURG, PA 17].Z8-0601
COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
REV-160? EX AFP
WILLIAM D SCHRACK III ESQ
12q W HARRISBURG ST
PO BOX $10
DZLLSBUR$ PA 17019
DATE 0q-26-200~
ESTATE OF KERSTETTER
DATE OF DEATH 0~-26-Z005
F'rLE NUHSER 21 03-0~1q
COUNTY CUHBERLAND
ACN 101
q Amoun'l:
ANNA B
HAKE CHECK PAYABLE AND REHZT PAYHENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credi~ ~o your account, submi~ ~che upper portion of ~his form wi~ch your ~ex payment.
CUT ALONG THIS LXNE ~-- RETAIN LOWER PORTXON FOR YOUR RECORDS ~
REV-1607 EX AFP (01-03) ~ 'rNHER'rTANCE TAX STATEHENT OF ACCOUNT ~
ESTATE OF KERSTETTER ANNA B FILE NO. Z1 03-0~1q ACN 101 DATE Oq-Z6-ZO0~
THIS STATENENT ZS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NANED ESTATE. SHO~/N BELO#
ZSA SUHNARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYNENTS, THE CURRENT BALANCE, AND, ZF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSHENT OR RECORD ADJUSTHENT: 03-2Z-200~
PRINCIPAL TAX DUE: ...........................................................................................................................................................................................................................
PAYHENTS CTAX CREDITS):
q,500.O0
PAYHENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) ~
07-17-Z003
01-23-Z00~
05-29-200q
CDOOZ816
CD003~77
CD003739
168.~2
.00
~.16-
IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1,
NO PAYNENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"
AHOU.T
3, Z~O:~ 00
60q.69
TOTAL TAX CRED'rT
q,500.53
~ALANCE OF TAX DUE .53CR
INTEREST AND PEN. .00
TOTAL DUE .53CR
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.
PAYMENT:
Detach the top portion of this Notice and submit with your payment made payable to the name and address
printed on the reverse side.
-- If RESIDENT DECEDENT make check or money order payable to: REGTSTER OF NTLLS, AGENT.
-- If NON-RESIDENT DECEDENT make check or money order payable to: CONMONNEALTH OF PENNSYLVANTA.
REFUND [CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an
"Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications ara available at
the Office of the Register of Hills, any of the 25 Revenue District Offices or from the Department's IS-hour
answering service for forms ordering: 1-800-S6Z-ZOSO; services for taxpayers with special hearing and / or
speaking needs: 1-800-667-30Z0 (TT only).
REPLY TO:
guestions regarding errors contained on this notice should ba addressed to: PA Department of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. ZSO6gl, Harrisburg, PA I71ZS-060I, phone
(717) 787-6505.
DISCOUNT:
If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (SI) discount
of the tax paid is allowed.
PENALTY:
The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period.
INTEREST:
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day free the date of
death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of
six (6Z) percent per annum calculated at a daily rate of .000166. All taxes ehich became delinquent on and after
January I, I98Z will bear interest at a rate which will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for I98Z through ZOOq arm:
Interest OalZy Interest Daily Interest
Year Rate Factor Year Rate Factor Year Rate
198Z ZOZ .OOOSq8 1988-1991 llZ .OO030l ZOO1 9Z
1983 16Z .000638 199Z 9Z .O00Zq7 ZOOZ 6Z
1986 112 .go0301 199S-199q 72 .OOOlgZ 2003 52
1985 132 .000356 1995-1998 92 .000267 2006 6Z
1986 lOX .000Z76 1999 7Z .000192
1987 9Z .000Z67 ZOOO aZ .oaoz19
Daily
Factor
.OOOZ67
.000166
.000157
.O001lO
--Interest is calculated as follows:
TNTEREST = BALANCE OF TAX UNPAI'D X NUMBER OF DAYS DELI'NI;IUENT X DA/LY :INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent 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.
c: \myfiles\est~tes\Kerstetter\Recei pt, ETCGsg)
'~:__1
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'..
IN RE:
ESTATE OF
ANNA B. KERSTETTER,
DECEASED
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLV ANlA
: ORPHANS' COURT DIVISION
: NO. 2103-0414
\
. , ~)
:-- -1
-,)
RECEIPT, RELEASE, REFUNDING AND INDEMNITY AGREEMENT
CONCERNING INITIAL DISTRIBUTION FROM ESTATE
'^;/~;<
THIS AGREEMENT, made this ~ day of
~~ L;-
(
,2003,
based upon the following circumstances:
1. ANNA B. KERSTETIR died Testate on April 26, 2003.
2. Decedent's Will, dated December 29, 1999, provided for various specific and general
bequests, and designated Elbert S. Kerstetter, as Executor.
3. Said Will was accepted by the Register of Wills of Cumberland County for probate
on May 16, 2003, and steps necessary to complete the administration were
undertaken by the Executor.
4. The beneficiaries desire that the distribution of the assets of the Estate be made
without the formality of an Accounting in the Orphans' Court Division of the
Cumberland County, Pennsylvania Court of Common Pleas, and the Executor is
willing to make this distribution upon the execution of this Agreement
5. The beneficiaries desire to forever settle and compromise any and all claims and rights
which they may possess, now or hereafter, in the Estate and to confirm their
"'~60~
,
acceptance ofthe sum of SIXTY THOUSAND DOLLARS ($60,000.00) as a partial
distribution in advance of an informal settlement of the Estate.
6. The beneficiaries wish to release the Executor and to indemnifY him against any and
all claims that may be asserted against the Estate with the Executor after the date
hereof.
7. The Executor is willing to make a distribution in advance of informal settlement ofthe
Estate in consideration of the indemnification and agreements hereinafter provided by
the beneficiaries.
NOW, THEREFORE, in consideration of the foregoing and intending to be legally bound
hereby, jointly and severally, the Beneficiaries do, for themselves, their heirs, personal representatives,
successors and assigns, agree as follows:
A. Represent and warrant that they have read and they understand this Agreement and
confirm that the facts set forth above are true and correct, to the best of their
knowledge, information and belief.
B. Declare that they have sufficient information to make an informed waiver of their right
to a formal accounting with the Court, and do hereby waive the filing and auditing of
said formal accounting.
C. Acknowledge that the distributive share or amount set forth on the "Schedule" shall
be in partial satisfaction of their respective entitlements under the Will.
D. Release, remise, quitclaim and forever discharge the Executor, his heirs, personal
representatives, successors and assigns, from and against all claims that they, as
residuary beneficiaries of the Estate, had, now have, or may in the future have in
connection with the Estate.
E. Agree to refund, on demand, all or any part of their proportionate share of any
aforesaid distribution, which has been determined by the Executor, or by the Court,
or by any court of competent jurisdiction, to have been improperly made.
I
F. Agree to indemnify and hold harmless the Executor, his heirs, personal
representatives, successors and assigns, from and against any and all claims, loss,
liability or damage (whether or not related to the negligence of the Executor) that may
hereafter be asserted against the Estate or against the Executor.
G. Agree to execute such additional documents as may be necessary to effectuate the
agreements set forth herein.
H. Acknowledge that this Agreement shall be governed by and construed in accordance
with the laws of the Commonwealth of Pennsylvania.
I. Consent to the Court exercising personal jurisdiction over them in any suit or action
arising out of the enforcement of this Agreement.
IN WITNESS WHEREOF, the beneficiaries have set their hands and seals to the Consents
attached hereto, to be effective as of the date first above written.
CONSENT TO RECEIPT, RELEASE
REFlJNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, HELEN KERSTETTER, a Beneficiary of the Last Will and
Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which has been
provided to her. The undersigned also acknowledges receipt of her share of the Estate, as more
particularly described in the aforesaid Agreement, including the Schedule of Distribution, subject to
all the terms and conditions specified therein.
.f:j~fo.)'L },{mO:b ilit-.
HELEN KERSTETTER
.sfiA f(. or H u( 1'} CI /J C/
EOMM6N'NEAL TII OF PENNSYbVANtA
Cd-~ .
€DUN Y OF BCt 1ft lno/'"'&
SS.
Urt) I b
On this, the I day of -=-e.. tilt ct ry , 2004, before me, a Notary Public,
f
the undersigned officer, personally appeared HELEN KERSTETTER, known to me to be the
person whose name is subscribed to the within instrument, and acknowledged that she executed the
same for the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
0dAt~_ h1dtc
NOTARY PUBLIC
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, JUDY BURKHART, a Beneficiary of the Last Will and Testament
of Anna B. Kerstetter, deceased, hereby consents to the Receipt, Release, Refunding and Indemnity
Agreement Concerning Distribution From Estate, a copy of which has been provided to her. The
undersigned also acknowledges receipt of her share of the Estate, as more particularly described in
the aforesaid Agreement, including the Schedule of Distribution, subject to all the terms and
conditions specified therein.
~
COMMONWEALTH OF J>>
COUNTY OF ~ -<~
SS.
On this, the
,~!j day of
I
, 2003, before me, a Notary Public,
the undersigned officer, personally appeared DY BURKHART, known to me to be the person
whose name is subscribed to the within instrument, and acknowledged that she executed the same
for the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
. CJIIIlICW,IEAL
ALICE A. fARR.f,.EONARD
..-MUC-IBBi!IJEt
_c.a",1J.14alO7
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, JAMES KERSTETTER, a Beneficiary of the Last Will and
Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which has been
provided to him. The undersigned also acknowledges receipt of his share of the Estate, as more
particularly described in the aforesaid Agreement, including the Schedule of Distribution, subject to
all the terms and conditions specified therein.
(1 ~
_\)~ .
.(A}iES KERSTETTER
Ttn /ltl-S5LR-
COMMONWEALTH OF PENN8YL-yYANIA
COUNTY OF V4lJI-isvrJ
SS.
On this, the {)t>; it, day of
\1;{/r
,2003, before me, a Notary Public,
the undersigned officer, personally appeared JAMES KERSTETTER, known to me to be the
person whose name is subscribed to the within instrument, and acknowledged that he executed the
same for the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand a d ~.o~ i Seal.
............. .
~~....; BOSHg....#.
~.. ~~ ...... i$.lo' .
.t (j .... .... v " i '/___
I ... NOTARY... '\ " vt
f l PUBLIC ~ .~OTA Y PU LIe
-C). AT .~. .
\~..... LARGE ../~/ /J? /I) CP'}tlI}1IC;)( M P'tJJI JU'J
""& .. ..A':; I ....r r .
~.....f!A;.co\i~~~~~"Jt1 /y XJ ~t?oS---
..............
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, ELBERT S. KERSTETTER, a Beneficiary of the Last Will and
Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which has been
provided to him. The undersigned also acknowledges receipt of his share of the Estate, as more
particularly described in the aforesaid Agreement, including the Schedule of Distribution, subject to
all the terms and conditions specified therein.
~~f3 1~~"
ELBERTS.KERSTETTER
COMMONW EAL TH OF PENNSYL VANIA
COUNTY OF
yo(C~
SS.
On this, the~\.....- day of ~~ ,2003, before me, a Notary Public,
the undersigned officer, personally appeared ELB~T S. KERSTETTER, known to me to be the
person whose name is subscribed to the within instrument, and acknowledged that he executed the
same for the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
NOTA~~-
NOTARIAL SEAL
CHERYL R. DOWNS, Notary flubHc
Carroll T"!Jl., york County
. My Commission Expires March 18. 2007
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, AMERICAN CANCER SOCIETY, a Beneficiary under the Last
j S
Will and Testament of ANNA B. KERSTETTER, deceased, hereby consents to thi Receipt,
Release, Refunding and Indemnity Agreement Concerning the Distribution From the Estate. The
payment to be made is a second distribution totaling $15,485.23. It is understood that the remaining
$1,000 will be distributed when all claims of the Pennsylvania Department of Revenue and the
Internal Revenue Service have been satisfied, or if claims are asserted, their proportionate reduction
in that $1,000 distribution might be realized.
THE UNDERSIGNED, also acknowledges receipt of an accounting, and a schedule of
distribution.
ATTEST:
! LM~#~f!~
1/ i..
AMEROCAN CANCER SOClliTY
ji
By:
, 1').",-
David Ehrlich, Chief Financial
Officer
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
On this, the c2LL day of _Eabr.l1R ""y , 2004, before me, a Notary Public, the
undersigned officer, personally appeared David Ehrlich. Chief Fi~ancial Offcier
of the AMERICAN CANCER SOCIETY, a nonprofit corporation and that, as such officer, being
authorized to do so, executed the foregoing instrument for the purpose therein contained by signing
the name of the corporation as said onker.
IN WITNESS WHEREOF, [ have hereunto set my hand and Notarial Seal.
NOTARIAL SEAL
Jean A. Salamon, Notary Public
DerryTownsbip. Dauphin County
L,ly Commi..ion Expira Apr. 50 2l?O4
,/\ /! /-
,. {-/
'.," ;; / /
\/ji vt-/ ,.f _ /(k~ W"__
N01!ARY PUBLIC
l~,'
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNINGf>ISTRIBUTION FROM ESTATE
1%fIA/...
THE UNDERSIGNED, THE AMERICAN CANCER SOCIETY, a Beneficiary of the Last
Will and Testament of ANNA B. KERSTETTEaR,e. sed, hereby consents to the Receipt, Release,
t0i: - . Ja;,,^"W ~
Refunding and Indemnity Agreement Concernin ,. ist tbution From Estate, Cl c~py ofwhic~ has~~r
()../ ~0.4.eJ tlJAlttv-a cU;UhM; .'
provided to it. The undersigned also acknowledges receipt of its htlFe of the Estate, -as ffl()fe X
~iCtlltlrly a€lseriben in tb6l11f-ore~ft'l(.rtt;-if.}clll(iif1g thp! ~"'l,(l8td€l ofDi~tdndiofl, llY8jeot to.
, ~ZJ-'
J..
all tllv 1v11l1~ (lIId G6Haiti(Jn~ .'lpC.Cif-iC6 thercitr.--
ATTEST:
THE AMERICAN CANCER SOCIETY
\t1L&J1~
By:
il v'" Ih-A"
David Ehrlich, Vice President-Finance
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF .I'>~
SS.
On this, the if day of ~ 2003, before me, a Notary Public,
the undersigned officer, personally appeared ~ ~'X , VUe f!u~"."t- !'6~
of the AMERICAN CANCER SOCIETY, a nonprofit corporation, and that, as such officer, being
authorized to do so, executed the foregoing instrument for the purpose therein contained by signing
the name of the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
! "\
"" .------
( /
,/
NOTARIAL SEAL
Jean A. Salamon, Notary Public
OerryTownship, Dauphin ColI1M)'
My ComlllisUoR P.xpiru Apr. ~. 2004
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, AMERICAN HEART ASSOCIATION, a Beneficiary under the
171(5 JJ
Last Will and Testament of ANNA B. KERSTETTER, deceased, hereby consents to~ Receipt, ~
Release, Refunding and ineig~n;ty-Agreement Concerning the Distribution From the Estate. Thp--'2
po (-tw I c~
payment to be made is a second^distribution totaling $15,485.23. It is understood that the remainin~
$1,000 will be distributed when all claims of the Pennsylvania Department of Revenue and the
Internal Revenue Service have been satisfied, or if claims are asserted, their proportionate reduction
in that $1,000 distribution might be realized.
THE UNDERSIGNED, also acknowledges receipt of all II I }wntino, !SMa a schedule of
distribution.
ATTEST:
tf/L////&~~q
T ASSOCIATION
COMMONWEALTH OF PENNSYLVANIA
CO UNTY OF {/JI fl7 UOc/ LVlt.L:iJ
NOTARIAl. SEAl
SHARON H LNfERlY
Notary PublIc
CIlY OF lfMOVNE. CUMBERlAND COUN1Y
My Commission Elq::lRa Sep 3. 2007
"\
On this, the ~ /tS~ day of , 2004, before me, a Notary Public, the
undersigned officer, personally appeared , t:!I:aJ bt N.I.JA }
of the AMERICAN HEART ASSOCIATION, a nonprofit c ration and ~as such officer,
being authorized to do so, executed the foregoing instrument for the purpose therein contained by
signing the name of the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notari~i S~':al
-~B~~
. I
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING~ISTRlBUTION FROM ESTATE
!, InitiClI
THE UNDERSIGNED, AMERICAN HEART ASSOCIATION, a Beneficiary of the Last
Will and Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which has been
~ the ;I'\'jt/~1
provided to it. The undersigned also acknowledges receipt of its share of the Estate. as I+l@J:4)
!\~r a pc,rhal ad..t'/I)l:e
particlll::lrly rJ..C'r-r;h",...l ;~ +he aforesaid ,^>"greement, including the Sehedl::ll@ of Distribution, subject to
aU t88 hmRE and conditiQAfi E}?@-;iuiQ then1in.
ATTEST:
....~ ~
b", )>1 ~... 4,.
~~~~~N~~Agr~~~~~~,T~~~ B,c.Di~' b
a
--
By:
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF ~
SS.
On this, the C, 'tJ" day of ~ ' 2003, hefore me, a Notary Public,
the undersigned officer, personally appeared 11 tc f r he Z ~, (-I... , c. <. 1\ t( - c..I \"d(-
of the AMERICAN HEART ASSOCIATION, a nonprofit corpohtion, and that, as such officer,
being authorized to do so, executed the foregoing instrument for the purpose therein contained by
signing the name of the corporation as said officer.
IN WITNESS WHEREOF" I have hereunto set my hand and Notarial Seal.
.Ll.C
NOTARIAL SE.t..L .
SUZANNE r,. BAOWN, Notary Public
t.emovne f,'llO., Cumberland County, PA
My Commisshn b:pifes May 21, 2006
-...-......--.....----
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, AMERICAN LUNG ASSOCIATION, a Beneficiary under the
Last Will and Testament of ANNA B. KERSTETTER., deceased, hereby consents to the Receipt,
Release, Refunding and Indemnity Agreement Concerning the Distribution From the Estate. The
payment to be made is a second distribution totaling $15,485.23. It is understood that the remaining
$1,000 will be distributed when all claims of the Pennsylvania Department of Revenue and the
Internal Revenue Service have been satisfied, or if claims are asserted, their proportionate reduction
in that $1,000 distribution might be realized.
THE UNDERSIGNED, also acknowledges receipt of an accounting, and a schedule of
distribution.
cZ:
I ./.1 / I~,o/(/~
/
-
IL
COM1\'IOl'iwr:>lTH OF P~,NNSYLV ANlA
COO NTY OW'--oil /;1~~({ {<..tOI....;( ...;,
C , i
On this, the / (/~~ay of ",-__",h,(J.l. /'['1-.(,(, , 2004, before me, a Notary Public, thr
uo(lcrsigned officer, personally appeared fnl( L.lM1~ /+. Ltt~,) , C-t\-lt ~ t,J/A {, ,'pl>., olJ1(j/L.
of ti,e AMERICAN LUNG ASSOCIATION, a nonprofit corporation and that, as such officer,
being authorized to do so, executed the foregoing instrument for the purpose therein contained by
signing the name of the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, AMERICAN LUNG ASSOCIATION, a Beneficiary of the Last
Will and Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which has been
provided to it. The undersigned also acknowledges receipt of its share of the Estate, as more
particularly described in the aforesaid Agreement, including the Schedule of Distribution, subject to
all the terms and conditions specified therein
ATTEST:
(~~ Li~ it.
j6/), .
AMERICAN LUNG ASSOCIATION
i J i
/1[.( i iL Iii" I,,~ _.
By,{n\.J:-<, ~ ~ Wrr; G f 0
COMMONWEALTH OF PENNSYLVANIA
COUNTYO~~~
SS.
On this, the c;( Cf day of ,2003, before me, a Notary Public,
the undersigned officer, personally appe ed , c... F 0
of the AMERICAN LUNG ASSOCIATION, nonprofit corporation, and that, as such officer,
being authorized to do so, executed the foregoing instrument for the purpose therein contained by
signing the name of the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
NOTARIAl SEAL
CINDY NEIDIG KILUNGE.~. Notmy Public
Camp Hill Boro. Cumberland COUnty
My COmmission ExpIres AprIl 20. 2006
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, AM ERICAN RED CROSS, a Beneficiary under the Last Will and
Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning the Distribution From the Estate. The payment to
be made is a second distribution totaling $15,485.23. It is understood that the remaining $1,000 will
be distributed when all claims of the Pennsylvania Department of Revenue and the Internal Revenue
Service have been satisfied, or if claims are asserted, their proportionate reduction in that $1,000
distribution might be realized.
THE UNDERSIGNED, also acknowledges receipt of an accounting, and a schedule of
distribution.
ATTEST:
AMERICAN RED CROSS
BY:-&....~ ~
r"Yh .Upy
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF ~Cll'ifhin
On this, the ~ ~ day of Febll,^-4.f::.c:t ' 2004, before me, a Notary Public, the
undersigned officer, personally appeared ]'a rn-e,g f-(eLkmq h , j)lllec~~ of ~~~'
of the AMERICAN RED CROSS, a nonprofit corporation and that, as such otIker, being
authorized to do so, executed the toregoing instrument tor the purpose therein contained by signing
the name of the corporation as said officer
IN WITNESS,WHEREOF. I have_hereunto set my hand and Notarial Seal.
r- .....,''"",,1 Seal:
I .."Hr'"otary P, ,hi,. .
I < .'<)"~p~:'<, .~ ;-vh 0,..,. /
L~':: . .,. : A~' II- L.1?uvv
NO ARY PUBLIC
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, AMERICAN RED CROSS, a Beneficiary of the Last Will and
Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which has been
provided to it. The undersigned also acknowledges receipt of its share of the Estate, as more
particularly described in the aforesaid Agreement, including the Schedule of Distribution, subject to
all the terms and conditions specified therein.
ATTEST:
AMERICAN RED CROSS
~AUiYh . 0tu-
By:
tYr~
U
(~
v
COMMONWEALTH OF PENNSYL VANIA :
COUNTY OF ~ uphi h
On this, the ?xJ~ day of .J'2I ~ ' 2003, before me, a Notary Public,
the undersigned officer, personally appeared ~ f'n{?S HecK.rhQ h , ~~/rbTf1>lfR~
of the AMERICAN RED CROSS, a nonprofit corporation, and that, as such 0 lcer, bemg
authorized to do so, executed the foregoing instrument for the purpose therein contained by signing
the name of the corporation as said officer.
SS.
IN 'VITNESS "'HEREOF, I have hereunto set my hand and Notarial Seal.
~~Yh'~
NARY PUBLIC
Notarial Seal
Janie M. Crow, Notary Public
City of Harrisburg, Dauphin County
My Commission Expires Apr. 4, 2005
Member, Pennsylvania Ag.C:;OClatlOn at Notaries
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, ARTHRITIS FOUNDATION, a Beneficiary under the Last Will
and Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning the Distribution From the Estate. The payment to
be made is a second distribution totaling $15,485.23. It is understood that the remaining $ 1,000 will
be distributed when all claims of the Pennsylvania Department of Revenue and the Internal Revenue
Service have been satisfied, or if claims are asserted, their proportionate reduction in that $1,000
distribution might be realized.
THE UNDERSIGNED, also acknowledges receipt of an accounting, and a schedule of
distribution.
727:
Ai ~:t 0 'Ihcff
\.J
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ..-:\-:>r:>u P\-'N
On this, the ~ day of Lt. u , 2004, before me, a Notary Public, the
undersigned officer, personally appeared vii \ fl. AJ, O'r+lCf" rYl/t,V4jFR.
of the ARTHRITIS FOUNDATION, a nonprofit corporation and tnat, as such officer, bemg
authorized to do so, executed the foregoing instrument for the purpose therein contained by signing
the name of the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
;:/ ~ c:==-"' {J
~~~~~~/ja
r A f:. '(i}~j:,-'-'--~~ I
i ~3RAC;E E. SP~T"'-\-!.">'::"'~~~"';-} ;-.'L::);',.~ i
I ~ ,'. -,,", C'.< l
~USQLkHIc1I,'(':, .'.... ...... .
L~~!:_~~~~~?<~~:~~~.~..~-~ _,.~~; ,_,,~i~2.~:~~Ct'~J
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, ARTHRITIS FOUNDATION, a Beneficiary of the Last Will and
Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which has been
provided to it. The undersigned also acknowledges receipt of its share of the Estate, as more
particularly described in the aforesaid Agreement, including the Schedule of Distribution, subject to
all the terms ~nd conditions specified therein.
ATTEST:
11/7(),
... >//0 . . .~
c.
ARTHRITIS FOUNDATION
By:j~~ ((~~
.' v I
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF {!umB~~/V".2:>
SSe
On this, the :;<t3 day of ( / tI' ~ ' 2003, before me, a Notary Public,
the undersigned officer, personally appeared r.J vz>/ -W ~tY ~
of the ARTHRITIS FOUNDATION, a nonprofit corporation, and that, as such officer, bemg
authorized to do so, executed the foregoing instrument for the purpose therein contained by signing
the name of the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
..---.-- NOTARIAL SEAL
JAMES E. GREEN, Notary Public
Camp Hill, Cumberland County
My Commission Expires June 6, 2005
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, BETH ESDA MISSION OF HARRISBURG, a Beneficiary under
the Last Will and Testament of ANNA B. KERSTETTER, deceased, hereby consents to the
Receipt, Release, Refunding and Indemnity Agreement Concerning the Distribution From the Estate.
The payment to be made is a second distribution totaling $15,485.23 It is understood that the
remaining $1,000 will be distributed when all claims of the Pennsylvania Department of Revenue and
the Internal Revenue Service have been satisfied, or if claims are asserted, their proportionate
reduction in that $1,000 distribution might be realized.
THE UNDERSIGNED, also acknowledges receipt of an accounting, and a schedule of
distribution.
ATTEST:
DWL'1l ('. totu~
BETHESDA MISSION OF
HARRISBURG
By: ,~p (d,~
COMMONWEALTH OFPENNSYLV ANIA
COUNTY OF j~ll f/?I'11
On this, the I'd t:} day oLi.;;t l L&..fl-~1.---' , 2004, before me, a Notary Public the
undersigned officer, personally appeared 7(;1 ,~s.(J 6. J 1 JE{;j in t1 /7 , Ik Ue J ol-'11Jeiif ~t '(ee-k;e..
of the BETHESDA MISSION OF HARRISBURG, a nonprofit corporation and lhat, as such
offIcer, being authorized to do so, executed the foregoing instrument for the purpose therein
contained by signing the name of the corporation as said officer.
IN WITNESS \\-'HEREOF, I have hereunto set my hand and Notarial Seal.
t-~~(,)T/\?:/\L 87/\L
,'-l~';~L.L~":" ~ ~. ~)'-"', ~;...
N,f::.1':;:n~' ;':":~':'~:;J
I City of Ell!ntt<>t..::'Q,
. My Comrni;;sion E::'cpi:c.3
.t, , . ..... '. .', '. .... _~.....' .. ,._ '. .... "'."" ."".... .,'
CGU~":ty
02,2005
LL If C;-r' f'
JC/{.l.e.A_,? (~, /L~ h /
NOTARY PUBLIC
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, BETHESDA MISSION OF HARRISBURG, a Beneficiary ofthe
Last Will and Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt,
Release, Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which
has been provided to it. The undersigned also acknowledges receipt of its share of the Estate, as
more particularly described in the aforesaid Agreement, including the Schedule of Distribution,
subject to all the terms and conditions specified therein.
ATTEST:
BETHESDA l\fISSION OF HARRISBURG
;t . /7A~
" //'
t~~ /J' / /~ vi-
By: ~Q. fG-
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF AJG1L~~U
t~
O~ this, the ~ g- day of 9-uL~ " 2003, before me, !l Notary Pub!ic,
the undersigned officer, personally appeared ~t.I,u;ti tl. K N..V ,%J;.t~~ ~L!.r;6~
of the BETHESDA MISSION OF HARRISBURG, a nonprofit corporation, and that, as such
officer, being authorized to do so, executed the foregoing instrument for the purpose therein
contained by signing the name of the corporation as said officer.
SS.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
. r
CUCGftL.> ,,'i< ~ft [j
NOTARY PUBLIC
NOTARiAL SEAL 1
HELEN l. DiEHL -
Nota:v Pub:jr~
, ~~"C~ of ~lli?USbUi~. F,?rry CC1Jnty I
" :~_':._.?omnltSs~c'n E%p:r~s ~AQ~l n21 21:~15 i
' --~-_._. ....-,. "...", '. . "" - ,....~.1
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, MARCH OF DIMES, a Beneficiary under the Last Will and
Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning the Distribution From the Estate. The payment to
be made is a second distribution totaling 'j; 15, 485.23. It is understood that the remaining $1,000 will
be distributed when all claims of the Pennsylvania Department of Revenue and the Internal Revenue
Service have been satisfied, or if claims are asserted, their proportionate reduction in that $1,000
distribution might be realized.
THE UNDERSIGNED, also acknowledges receipt of an accounting, and a schedule of
distribution.
MARCH OF DIMES
~,\, (.--..;"\
By: ,~~ ~~--\
\
U.11L~
.A11l1lil1~.III1a~:r
IIInlh d DImes BIrth Def8cl8 FolrIc:fIlIoft
s-rATF" OF New Yo~K
COl\ll\lONWEALfH OF PH'iNSYLVANiA
COUNTY OF We.stch~-k/""'
On this, the 2 ~t' day of Fe..brll.O.'1 ' 2004, before me, a Notttry Public, the
undersigned officer, personally appeared Li<;n Bf'JI5R.~ ' !1SSrs-fu.f1t J;r(t9!cv...
of the MARCH OF DIMES, a nonprofit corporation and at, as such officer, being authorized to 1
do so, executed the foregoing instrument tor the purpose therein contained by signing the name of
the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
N DEERE
STATE Of fEW VORl
NO.01DE6032608
Ol1Atm IN WESTCHESTER muN1Y
COMMISSION EXPIRES NO~ 1. 20 ~
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, MARCH OF DIMES, a Beneficiary of the Last Will and Testament
of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release, Refunding and
Indemnity Agreement Concerning Distribution From Estate, a copy of which has been provided to
it. The undersigned also acknowledges receipt of its share of the Estate, as more particularly
described in the aforesaid Agreement, including the Schedule of Distribution, subject to all the terms
and conditions specitied therein.
ATTEST:
MARCH OF DIMES
xi C/.A dA (i.
,
,r'" ~
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By:
" '\.' ,
,:~~, .
t.,':)" ./1
, 1
,
:~_ r~."~' I "'~
~J t.. uJ Y Q~Jc
COMMONWEALTH OF PENN8YLVA~1A
SS.
COUNTY OF
I.LJlS +c k.e S t~A
On this, the --!/-lL day of J.L L ,2003, before me, a Notary Public,
the undersigned officer, personallyappeare ..I, G .Jl111u:z I Ct54- <.4
of the MARCH OF DIMES, a nonprofit corporation, and that, as suc officer, being authorized to All
do so, executed the foregoing instrument for the purpose therein contained by signing the name of
the corporation as said officer.
y
l~o..triil,
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
~ MAAre MASoN
--;r Public. State of New-. .
~o. 495170S
"--._-::~. h Bronx Countw
-''''1IAIOtl ExpIres May 30. 20 JJ.:l
//ftuu. ,~
NOTARY PUBLIC
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, SALVATION ARMY, a Beneficiary under the Last Will and
Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning the Distribution From the Estate, The payment to
be made is a second distribution totaling $15,48523, It is understood that the remaining $1,000 will
be distributed when all claims of the Pennsylvania Department of Revenue and the Internal Revenue
Service have been satisfied, or if claims are asserted, their proportionate reduction in that $1,000
distribution might be realized,
THE UNDERSIGNED, also acknowledges receipt of an accounting, and a schedule of
distribution,
-The. SALVATION A
By Richard D. Allen, Asst. loetCretary
-
~td tt ot~ tJe~v 'loR K
COM1\ION\VEALTil OF rEN'S"'J.'L.,.>Ai~iA
COUNTY OF -.Y\O e k.11Ln ('1
On this, the ~ day of Fe.hru flJZ~ ,2004, before me, a Notary Public, the
undersigned officer, personally appeared .AllOt II!'!) V.Ne.G~ ' . SECPJrrARY.'
of the SAL VA TION ARMY, a nonprofit corporatIon allermat, as such officer, being authorized to
do so, executed the foregoing instrument for the purpose therein contained by sijg'ning the' n~me of
the corporation as said oflicer. .
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
INCA" .....
llalllrPubllD... of....VaII
... Ottw[l8UH
OJl"hd.~"=()7
CDmtr II I Ian ...............
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, SAL VA TION ARMY, a Beneficiary of the Last Will and Testament
of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release, Refunding and
Indemnity Agreement Concerning Distribution From Estate, a copy of which has been provided to
it. The undersigned also acknowledges receipt of its share of the Estate, as more particularly
described in the aforesaid Agreement, including the Schedule of Distribution, subject to all the terms
and conditions specified therein.
SALVATION ARMY
r'\
By: ~
SS.
COUNTY OF
On this, the j f\-th day of J LlI Y ... ,.2003.., before me, a Notary p... ~blic,
the undersigned officer, personally appeared Ib~, SE.CIE'4J'O
of the SALVATION ARMY, a nonprofit corporation, and that, as such officer, being authorized to
do so, executed the foregoing instrument for the Purp9se therein cont5line~ by signing the "name of
the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
tY' C\
LiliUJDOG. /t J
NOTARY PUBLIC - -,. l~
.~I
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, TRESSLER LUTHERAN SERVICES, a Beneficiary under the
Last Will and Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt,
Release, Refunding and Indemnity Agreement Concerning the Distribution From the Estate. The
payment to be made is a second distribution totaling $15,485.23. It is understood that the remaining
$1,000 will be distributed when all claims of the Pennsylvania Department of Revenue and the
Internal Revenue Service have been satisfied, or if claims are asserted, their proportionate reduction
in that $1,000 distribution might be realized.
THE UNDERSIGNED, also acknowledges receipt of an accounting, and a schedule of
distribution.
ATTEST:
~-/-///-L
( ~\, r?< ~,\'~L;.A'~- l~
TRESSLER LUTHERAN SERVICES
t I " , ,,,,--.
By: (.f.,~\.,\.A.Lll\ {jfl.:t LI.--L-U-,,-, ~-
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF 'L<2.,^\.~\.
On this, the ~ day of '\-e.Iu.'-lc~-J.",. , 2004, before me, a Notary Public, the
undersigned officer, personally appeared %\i'~ C li'C; \i,~(.-. ~: , \~~. \iP
of the TRESSLER LUTHERAN SERVICES, a nonprofit corporation and that, as such officer,
being authorized to do so, executed the foregoing instrument for the purpose therein contained by
signing the name of the corporation as said offIcer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
~.;..,;......,'~.....~...,...
I NotarIal Seal
Carol S. Sm\~, Notary Public
! South Whiteilfl!!!v/\t l.ehlgh County
! MV C'xnmi"s~(,!l. <::,<pll'&-'; June 28, 2004
'--_.._..~-...,. ."-"- ~l:;:.:~;:l1ltl)n of Notaries
~.,
\ '. C' <--.
'.,.J -". .. q~, .
71' i . ,.\ ,'" ---
Y-~._~...}:, ,~~V
NOTARY PUBLIC
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, TRESSLER LUTHERAN SERVICES, a Beneficiary of the Last
Will and Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which has been
provided to it. The undersigned also acknowledges receipt of its share of the Estate, as more
particularly described in the aforesaid Agreement, including the Schedule of Distribution, subject to
all the terms and conditions specified therein.
ATTEST:
TRESSLER LUTHERAN SERVICES
0'-. ,-. t~ ,.... Ai./P'l---~--->
/ r,.. v
"1
By: /f~~<'7~~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C'u,nbtr\t-wJ
SSe
On this, the .$ 0 1~ day of 3" vtl , 2003, before me, a Notary Public,
the undersigned officer, personally appeared R \cJ'AlLJ. .iI',. BA~.I"~'\.. , he<'.:T.--e \ip( eFe
of the TRESSLER LUTHERAN SERVICES, a nonprofit corpo~ation, and that, as such officer,
being authorized to do so, executed the foregoing instrument for the purpose therein contained by
signing the name of the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
?~~lkjf~
NOTARY ~BLIC
, Earl W. = ~ PubIlc
i Mechf.'.nk:sbu'1! Born. Cumberland Oo:.w'
My Commission Expires Mar. 23 20Ci
. .~P'."'...-,.i- f)......
'.",;tari-GJ
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, TRI-COUNTY SOCIETY FOR CHILDREN AND ADULTS,
a Beneficiary under the Last Will and Testament of ANNA B. KERSTETTER, deceased, hereby
consents to the Receipt, Release, Refunding and Indemnity Agreement Concerning the Distribution
From the Estate. The payment to be made is a second distribution totaling $15,485.23. It is
understood that the remaining $1,000 will be distributed when all claims of the Pennsylvania
Department of Revenue and the Internal Revenue Service have been satisfied, or if claims are
asserted, their proportionate reduction in that $1,000 distribution might be realized.
THE UNDERSIGNED, also acknowledges receipt of an accounting, and a schedule of
distribution.
ATTEST:
(//~\ -
) ',J~ C"\,\ "'~.
. \\ '\ 0i'J'-
'~~r"'.( \) \~ : J
~
TRI-COUNTY SOCIETY FOR
C:~REN. AN.. n :n.D.!!.U.., LL~ ~.~/A'/ .V. ....-
~#/.ej
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF 1],1v.,<JA I/\,.'
I
"( ~).
. On this, the ~ day of (~.I;~tc"1. '~~,200;, before me, a No.tary Public, the
~~~:;~g;~_~~~~i~e~~~~I~T~~e~r~dCH ICD R~~j~~~ i~ L TS, a non~ro~:]c~~~'~;ati: and
that, as such officer, being authorized to do so, executed the foregoing instrument for the purpose
therein contained by signing the name of the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
;'--'--"'--'''';'!OTARIAL SEAL
i 1\!AfJ,~." L BRESKi, Notary Public
! Susquri;2'ina TCHmship, Dauphin County
t~t.~:1:y:r';:;c:':::) Expires March 15,2004
.'. .....----.----
7~ ~~
NOTA~LIC
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
Tne undersigned, TRI-COUNTY SOCIETY FOR CHILDREN AND ADULTS, a beneficiary of
the Last Will and Testament of ANNA B. KERSTETTER, Deceased, hereby consents to the Receipt,
Release, Refunding and Indemnity Agreement Conceming Distribution from Estate, a copy of which has been
provided to it. The undersigned also acknowledges receipt of an initial distribution of SIXTY THOUSAND
DOLLARS ($60,000.00), which is a partial distribution of its entitlement of the Estate, as more
particularly described in the aforesaid Agreement, including the Schedule of Distribution, subject to all the
terms and conditions specified therein.
A1T~a{1w
TRI-COUNTY SOCIETY FOR CHILDREN
;:~~
/
(
COMMONWEAL TH OF PENNSYL VANIA :
COUNTY OF D AUf 14 ,,0
SS.
On this, the q-t~ day of SePTE.I\'l~6E:R ,2003, before me, a Notary Public, the
undersigned officer, personally appeared 1>2:..~ tV I S \V. FE: L. TY ,
f ~, t>~T of the TRI-COUNTY SOCIETY FOR CHILDREN
AND ADULTS, a nonprofit corporation, and that, as such officer, being authorized to do so, executed the
foregoing instrument for the purpose therein contained by signing the name of the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
~d~
NOTARY P BLIC
NOTARIAL SEAL
NANCY L. BRESKI, Notary Public
Susquehanna Township, Dauphin County
My Commission Expires March 16, 2004
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, VOLUNTEERS OF AMERICA, a Beneficiary under the Last Will
and Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning the Distribution From the Estate. The payment to
be made is a second distribution totaling $15,485.23. It is understood that the remaining $1,000 will
be distributed when ail claims ofthe Pennsylvania Department of Revenue and the Internal Revenue
Service have been satisfied, or if claims are asserted, their proportionate reduction in that $1,000
distribution might be realized.
THE UNDERSIGNED, also acknowledges receipt of an accounting, and a schedule of
distribution.
ATTEST:
~t1lej C'
~~.~,
_Va.(./
d
VOLU~T~ERS OF AMEpCA
BU~~<<=.ruu~
'. "---
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF --:Dt.X.v fh,1\J
On this, the yn day of f~bn'>Ct"l-'1 ' 2004, before me, a Notary Public, the
undersigned officer, personally appeared (4u+tJ 'R G(t{<.IVC~ , F'f'<'sde,J 'f ([" c..')
of the VOLUNTEERS OF AMERICA, a nonprofit corporation and that, as such officer, being
authorized to do so, executed the foregoing instrument for the purpose therein contained by signing
the name of the corporation as said officer.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
F-'___..
~ma.~:'!\~J~~~.'~.'~~. "a.~'.-.' ...._~..~
~~~.. ':''''''''',![I~
~ oo~; I
- _~_~. i
-.~~~
--------..------
. , -----a?tf.u..{
NOTARY PUBLIC
L'~
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSI GNED, VOLUNTEERS OF AMERICA, a Beneficiary ofthe Last Will and
Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which has been
provided to it. The undersigned also acknowledges receipt of its share of the Estate, as more
particularly described in the aforesaid Agreement, including the Schedule of Distribution, subject to
all the terms and conditions specified therein.
ATTEST:
--yt"
-\ C. . t
. ,) ~:t!::::u::{ C.
( l, _ ',' ',Ji l L (
VOLUNTEERS OF AMERICA
By: aJLler~
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF lj{~\ (I {(P ~
On this, the ,~Cf 1/v day of 9 "-'{~t ' 2003, before me, aN otary Public,
the undersigned officer, personally appeared \"\'---~, \~ ~" (~"n.. \C V\ .c'r ,V '(' ,-<' c~ .
of the VOLUNTEERS OF AMERICA, a nonprofit corporation, and that, as such o~cer, being
authorized to do so, executed the foregoing instrument for the purpose therein contained by signing
the name of the corporation as said officer.
SS.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
Notarial Seal
Frances M. Emerick, Notary Public
Centre Twp., Perry County
My Commission Expires Feb. 20, 2006
Member. Pennsylvania Association Of Notaries
~ '6""
~~... '
.., . r .,' . _.' " "'...... , _.- .'./
" . UK U .:J ~ ,v fLLCccC
" OTARY PUBLIC
CONSENT TO RECEIPT, RELEASE,
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, WEST SHORE PUBLIC LIBRARY, a Beneficiary under the Last
Will and Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt,
Release, Refunding and Indemnity Agreement Concerning the Distribution From the Estate. The
payment to be made is a second distribution totaling $15,485.23. It is understood that the remaining
$1,000 will be distributed when all claims of the Pennsylvania Department of Revenue and the
Internal Revenue Service have been satisfied, or if claims are asserted, their proportionate reduction
in that $1,000 distribution might be realized.
THE UNDERSIGNED, also acknowledges receipt of an accounting, and a schedule of
distribution.
ciESl; (
. ,. UtUwt{0 /J.
~
WEST SHORE PUBLIC LIBRARY
I
By: (\ ,I.. .~MAii. :: ~~
COMMONWEALTH OF PENNSYLVANIA
CO UNTY 0 F Cu.J(f\ '!)fa/\'(J..rY;A....
q-ll- ~
On this, the --=------ day of W.~W~ ' 2004, before me, a Notary Public, the
undersigned oflicer, personally appeared . ~b.t...~..\rJ ~ n:t'.t--JL. , tJu.. v k)p.lA', tJ t? f1)..
of the WEST SHORE PUBLIC LIBRARY, a nonprofit corporation and that, as such oflicer, being
authorized to do so, executed the foregoing instrument for the purpose therein contained by signing
the name of the corporation as said oflicer.
IN WITNESS WHERWF;Chl;lve hereunto set my hand and Notarial Seal.
({U.ldt J</fiti
NOTARY PUBLIC
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THE UNDERSIGNED, WEST SHORE PUBLIC LIBRARY, a Beneficiary ofthe Last Will
and Testament of ANNA B. KERSTETTER, deceased, hereby consents to the Receipt, Release,
Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which has been
provided to it. The undersigned also acknowledges receipt of its share of the Estate, as more
particularly described in the aforesaid Agreement, including the Schedule of Distribution, subject to
all the terms and conditions specified therein.
ATTEST:
WEST SHORE PUBLIC LIBRARY
Cleve J. Fredricksen Library, its successor
By: ~~. t ~~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF tu...m.hu~
SS.
<;, r- '"""'\'
On this, the 31 day of ...Ju.~ ' 2003, before me a Notary Public,
the undersigned officer, personally appeared ~ b.tr~ bre~ , \5 '\ ~
of the WEST SHORE PUBLIC LIBRARY, a nonprofit corporation, and that, as such officer, being
authorized to do so, executed the foregoing instrument for the purpose therein contained by signing
the name of the corporation as said officer.
IN WITNESS WHEREOF, 1 have hereunto set my hand and Notarial Seal.
~tU ;<j~
NOTARY PUBLIC
~-