HomeMy WebLinkAbout02-0985Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate®f Phyllis H. Fluman No. 21^0,1-9$'S
also known as Phyllis L . Fluman
,Deceased Social Security No. 195 -16 - 7594
Willmore Fluman, Sr.
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut or named in the last Will of
the Decedent, dated 04/20/2000 and codicil(s) dated None
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:
none
B. Grant of Letters of Administration
(c.t.a.; d.b.n.c.t.a; pendente liter durante absentia: durante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and
heirs:
or principal residence at 120 S. Ridge Road, Monroe Township, Boiling Springs, PA 17007
(list street, number, and municipality)
Decedent, then 78 years of age, died 05/14/2002 at Pinnacle Health Hospital, Harrisburg, PA
(Location)
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 $
situated as follows:
200,000.00
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 a ro riate form to the undersi ned:
Si nature T ed or rinted name and residence
``7~ `~/~ ~ (' Willmore Fluman, Sr.
~~1~d1.f;,~.~f ,-Jdfe;t~~.a~i?.~il ~~; 120 S. Ridge Road, Boiling Springs, PA 17007
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Prepared by the Pennsylvania Bar Association
Copyright (c) 1996 form software only CPSystems, Inc. Form f~W-1 (1991)
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last family
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of
the Decedent, Petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and suUscribed - ~ ~~,~ ~,~~VZ~,~~
Willmore FrlurKan, Sr.
before me this 4th day of
NOVEMBER L002
~ For t".' i~sgi er
No. 2' ~~
Estate of Phyllis H . Fluman Deceased
Social Security No: 195 -16 - 7594 Date of Death: 05/14/2002
AND NOW, NOVEMBER 4 , 2 0 0 2 , in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~ Testamentary ~ Of Administration
(c.t.a.; d. b.n.c.t.a.; pendente life; durante absentia; durante minoritate)
are hereby granted to Willmore Fluman, Sr.
in the above estate and that the instrument(s) dated .04/20/2000
described in the Petition be admitted to probate and filed of record as the last Will of Decedent
FEES
Letters .$ 2 3 5. 0 0
Short Certificate(s). $ 36.00
Renunciation. $
Affidavits ( ) $ I.D. No:
Extra Pages ( ) . $ 1 $ . 0 0 Address:
Codicil . $ _ Camp Hi 11 , PA 17011
JCP Fee . $ 1 Q , 0 0 Telephone: 717/73 7 - 3405
Inventory. $
filed 11-4-2002
Other........... $ mailed to atty in camp hill 11-4-02
TOTAL. $ 2 9 9. 0 0
Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, I nc.
Form RW-~ (1991)
21458
Saidis, Shuff, Flower & Lindsay
2109 Market Street
his is ~o c~ rii,r that the uat~rmation here givers is correctl~r copied tiom an t,riginal eerrihcarr <!t ~iearh duly filed ~~ith me as
Local Registrar. The origins; certificate will be fo1-w~arded ro tie Sratc Vitai Records Office for permanent filing.
ONARNING: It is illegal to duplicate this copy by photostat or photograph.
F~~c for this ceu.iicare. `x'.00 ~~-
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Dace
H705.,d3 Rev. 2/87 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TINT CERTIFICATE OF DEATH
NAME OF DECEDENT IFlrst. Mitltlle. Lag) STATE FILE NUMBER
IEN7 SE% SOCIAL SECURITY NUMBER DATE OF DEATH;MCnm. Day, 'rear)
INK ,. ~ ~Jt'S ~'~]U-/vt~-c~A.K.A. Phyllis L. Fluman :. ~ ,. jq5 - j(p -75~
AGE (Last Sirtntlay) U R, YEAR UNDER t D/B' DATE OF &RTH BIRTHDLACE (Ci ~ e ~ I ~ ~ I C
Manms . Days Hours . Mlnules ( Nand PLACE OF DEQH (ChepF Only one - vee instructrorg on odrer sMe)
r.' r Month. Day, V r) SIaIe ar Faregn Country) HOSPIUL:
lJY OTHEq:
Vn. r Q IL.I- 3 Inpati.nt utpatient Nurei
' s. ) g, ~ ,.Wi 11 i amsport, PA ~ ~ Ewo ^ DDA ^ Hemn°g ^ ReaWnu ^ so .M ^
• COUNTY OF DEATH CfTY, BORO, TWP OF DEATH FACILITY NAME (It not in3iNtion. give sweet antl number)
~ WAS~-DEyCEDENT OF HISPANIC ORIGIN? RACE-American Indian, 8leck, Wh%e. etc.
t ~ /~ No L7 Ve° ^ S yw, speedy CuDen, (SpecMl
eb, ill /1 x. I vYl S (v,~. ee. ~jt/4`~et (X.~ ~ I '~ ~ f~11 t ~ M..i~an. Puerto Ripen. a~. Cif-l4'a ~Cra-~-.
DECEDE 'S USUAL OCCUPATION KIND OF BUSINESS! DUSTRY WAS DECEDENT EVER IN DECEDENT'S EDUCATION a ia-
(Givekmtldvrakdonetlun most MARITAL STATUS-Martietl SURVIVING SPOUSE
of workstg Fla: do rid use rued) U. S. ARMED FORCES? S i onl hi hest atle com ed Never Mauled, Widowed,
ElementerylSeconeary College Diwrcatl (SpeciN) pl vole. g,ve ma,den name)
• „a. Homemaker Home Y°`^ "° 14,2) (t<«5~)
"b '_~ '3' 12 ,+. Married ,,. Wi 11 more F1 omen
DECEDENT'S MAILING ADDRESS (Street CiN?own, Salle, Zip Casa) DECEDENT'S rtpn~
r~ I~ ACTUAL ,7e. Blare PA dream ,7a 1d1 Yee, decedent liwel MnnrnP ~.
120 S. Ridge Rd. RESIDENCE
Boi 1 i rig Springs, PA 17007 o~ln~ da'; " I~.ma
1°- iTD. coon Cumberland C o townanipT No, decedent live
FATHER'S NAME First, Middle Last) 17e.^ within actual limes of
MOTHER'S NAME (First, Midtlle. Maitlen Surname) cnYAOro.
1e Guy Hester ,,, Florence Hefner
INFORMANT'S NAME (fypa~Pring INFORMANT'S MAILING ADDRESS (Baser. CiN/TOwn, State, Zip Code)
,a. Wi 11 more Harmer
METHOD OF DISPOSR 20D. -
l~Q-Ny DATE Of DISPOSITION PLACE OF DISPOSTION- Name d Cemetery, Crematory LOCATION - C lTOVm, Stets. Zp Cods
Buna1N1) Cramalpn ^ Removal aom Stele ^ (Month, Day, Year) or O1he! Place
• IJOnatpn^ Other (Speciryt
• 27i' ^ 1, b. Ma 18 2002 z,c. „ . Montoursvi 11 e, PA 17754
N EOFFUNERAL EN OR PER A INCAS H LICENSE NUMBER NAME ANDADORESSOFFACILRY 7 er Unera nC.
2,b. FD 011609 - L YId.733 Broad St. P.0. BOX 147 Nbntoursville PA 17754
Complete Hems 23aa only when urt irg To tM Dear of my krrowletlge, death occurred at the time, tlate and place stated. UCENSE NUMBER
physician s rid evaiWble at time o/ oath to (Signature and Title) DQE SIGNED
ceniN cause of oath.
(MOnm. Day Pearl
Y7e.
Items 21-28 mtret W completed W TIME OF DEATH DATE PRONOUNCED DEAD Month. Da Year) Y7b. 2SC.
• person wfn pronounces oath. ( Y, WAS CASE REFERRED 70 MEDICAL EXAMINERICORONERT
z.. 4:05 P M. :s. Ma 14 2002 Y°a ^ „°~7
27. PART I: Enter me tliseases, injuries or camplicatwns which caused the deem. Do rot enter the motle of 7e.
Liss ony one muse on each line. dying, such as caroiac or respiratory arrest, strock or bean leisure. r Appmaimate PART II: Omer si aeaM wnSieons oontri
interval Wtween 9nI Dutirg to aath, Du1
j not rasuking in dte urWerlying cause given in PART I.
IMMEDIATE CAUSE (Final 7 I onset and oath
disease or oontlilion ~ .t~/ ~ _ I ~'A ~ l
ewlhng in Beam) -~ ~ ~-} _ V
r ° DUE TO (OR ASACON~$E UENCE OF):
Sequentially list wneniona D. / ) r
' deny, leading to immediate DUE TO IOR ASA CONSEQUENCE OF): I
cause. Enter UNDERLYING
• CAUSE (Diseaseainjur l.. ~ v I
Y c. I
• mat initiated events DUE TO (OR ASACO SEQUENCE
restFDrg m deem) UST
d. I
• WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH DATE OFIWURV TIME OFIWURY IWURY AT W'ORKT DESCRIBE HOW IWURV OCCURRED.
PERFORMED? AVAILABLE PRIOR TO (MOnm, Oay, year)
COMPLETION OF CAUSE
OF DEATH? Natural ~ Hamicia ^
~s-/ Accident ^ Pending lnvesligalion ^ Vas ^ No ^
Yes ^ No LYJ Yea ^ ty ^ Suicide ^ Could trot De determined ^ ~ 70D. M. 3gc- ~-
,\ PLACE OF I W URY - AI home, farm, street hdory, olHCa LOCATION (Street, C~Nrtown, Stare)
gw- 2eb. Y9_ building, etc. ISpeaty)
CEITTIFIER (Check only one) 30e' ~Of.
'CERTIFYING PHYSICIAN (PhysKlan cerstyin9 cause of tlealh when anomer physician has pronounced deem ono com SIGNATURE AND LEO RTIFI
pleletl Item 271 ^
To the Wet of my krrowNdge, death oceurred due W ma cause(s) arq manner as stated .....................................................
a,b.
'PRONOUNCING AND CERTIFYING PHYSICIAN IPhyslnan DOIh prOnounun death and cent LICENSE NU ER DATE SIGNED m, Day, rl
9 Nang to cause of deems ~ /' L . ~ 7
To ma best o, my knowtedge, deem occurred at me time, Bate, and place, and due to the caux(s) and manner as stated .......................... ~ J1c. V ~ ~j ~,d, / U L
• ~~~"'III NAME AND ADDRESS OF PER ON WMO COMPLETED CAUSE DEATH
(Item 27) Type a Print n / •~// ~
• 'MEDICAL EXAMINER/CORONER ~~If~A ~ ! (J~ ,~~ ~~
On the baala of asaminetlon and/or Investigation, in my opinion, death occurred at the time, date, and place, and duets the cause s and 1! J-/
manner as orated .......................
.................................................. ^~z. ~I~na~~P a 7`"
REGISTRAR'S SIGNATURE AND NUMBER
DATE FILED (MOnm. Day. Year)
as ~~'~-z~ ~~.a/ `,l / 3 ~ d' -7v, ,~ _ _„
LAST WILL AND TESTAMENT
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SAIDIS,
SHUFF &
MASLAND
ATTORNEYS•AT•I.AW
26 W. High Street
Carlisle, PA
OF
PHYLLIS H. FLUMAN
~! - Oa. - 4~'S
I, PHYLLIS H. FLUMAN, of Monroe Township, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory
and understanding, do hereby make, publish and declare this as
and for my Last Will and Testament, hereby revoking all other
Wills and Codicils heretofore made by me.
FIRST
I direct the payment of my just debts and expenses of my
last illness and funeral from my estate as soon after my death as
conveniently may be done. Further, I direct my personal
representative to see that my body is interred in my cemetery lot
at the Montoursville Cemetery, Williamsport, Pennsylvania.
Further, I authorize my personal representative to expend
funds from my estate, in such amount as my personal
representative shall consider necessary and desirable for the
purchase, erection and inscription of a suitable marker for my
grave.
SECOND
I bequeath my automobiles, household and personal effects
and other tangible personalty of like nature, not including cash
or securities, together with any existing insurance thereon, to
my husband, WILLMORE FLUMAN, SR., if he survives me by sixty (60)
days. Should my husband, WILLMORE FLUMAN, SR., not be living on
the sixty-first (61st) day after may death, then, I bequeath such
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SAIDIS,
SHUFF &
MASLAND
ATTORNEYS•AT•LAW
26 W. High Street
Carlisle, PA
tangible personalty and insurance thereon to my children,
WILLMORE FLUMAN, JR. AND CANDACE L. FLUMAN, to be divided among
them by my personal representative with due regard for their
preference in as nearly as equal shares as practical.
THIRD
MARITAL DEDUCTION
If my husband, WILLMORE FLUMAN, SR., survives me (and I
direct that for the purpose of this Item of my Will, he shall be
deemed to have survived me unless it appears unmistakably that he
predeceased me), and if the federal estate tax due because of my
death will be reduced by making this gift for his benefit, I
devise and bequeath to my husband, WILLMORE FLUMAN, SR.,
~ absolutely, the least amount (based upon values as finally
determined for federal estate tax purposes) as shall be needed
for the federal estate tax unlimited marital deduction to reduce
the federal estate tax to the lowest possible figure after full
use of all other deductions and credits allowable in calculating
the federal estate tax, except that such amount shall be
calculated without regard to the augmenting of my taxable estate
by reason of generation-skipping transfers and without regard for
any credit for state death taxes that would not otherwise be
payable. Accordingly, I direct that:
(A) If the marital deduction, or any similar benefit, is
allowable with respect to any property, including property held
by entireties, which my husband has received prior to my death or
at my death will receive otherwise than pursuant to this
Paragraph Third, the value of such property shall be taken into
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consideration in calculating the size of the gift under this
Paragraph Third.
(B) No property ineligible for the marital deduction, or
any similar benefit, shall be distributed to this gift for my
husband, WILLMORE FLUMAN, SR., pursuant to this Paragraph Third.
(C) Either cash or investments or both may be allocated to
the gift under this Paragraph Third.
(D) Any property allocated under this Paragraph Third, in
kind shall be valued at the value at which it is finally included
in my gross estate for federal estate tax purposes, provided that
the aggregate market value thereof on the date of allocation
(plus the value as finally determined for federal estate tax
purposes of all other property qualifying for the marital
deduction) is at least equal to the dollar value of the marital
deduction as finally determined for federal estate tax purposes.
(E) If any provision of my will shall result in depriving
my estate of the marital deduction for federal estate tax
purposes, such provision is hereby revoked and my will shall be
read as if any portion thereof inconsistent with allowance of the
marital deduction for federal estate tax purposes is null and
void.
FOURTH
SAIDIS,
SHUFF &
MASLAND
ATTORNEYS•AT•LAW
26 W. High Street
Carlisle, PA
RESIDUARY
I give, devise and bequeath all the rest residue and
remainder of my estate of every nature, and wheresoever situate
to WILLMORE FLUMAN, JR. AND CANDACE L. FLUMAN, per stirpes.
FIFTH
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All federal, state and other death taxes payable because of
the my death on the property forming my gross estate for tax
purposes, whether or not it passes under this Will, shall be paid
out of the principal of my probate estate so that the burden
thereof falls on my residuary estate. This provision shall not
apply to generation-skipping transfer taxes.
SIXTH
I direct my Executor to exercise any options available in
determining and paying death taxes in my estate in such a way as
reasonably may be expected to achieve the greatest overall tax
savings for my family, without regard to any effect upon the size
of the marital deduction and without requiring adjustments
between income and principal.
SEVENTH
SAIDIS,
SNUFF &
MASLAND
ATTORNEYS•AT•I.AW
26 W. High Street
Carlisle, PA
I authorize my executor or any other fiduciary acting under
this instrument:
(A) To retain and to invest in all forms of real estate
and personal property, without being confined to investments
authorized by a statutory list, without being required to
diversify and regardless of any principle of law limiting
delegation of investment responsibility by executors or trustees;
(B) To compromise claims and to abandon any property
which, in my Executor's or my Trustee's opinion, is of little or
no value.
(C) To sell at public or private sale, to exchange or to
lease for any period of time, any real or personal property, and
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SAIDIS,
SHUFF &
MASLAND
ATTORNEYS•AT•LAW
26 W. High Street
Carlisle, PA
to give options for sales or leases;
(D) To join in any merger, reorganization, voting-trust
plan or other concerted action of security holders, and to
delegate discretionary duties with respect thereto;
(E) To borrow from anyone, even if the lender is an
executor or trustee hereunder, and to pledge property as security
for repayment of the funds borrowed;
(F) To make loans to, and to buy property from, my
spouse's executor or administrator;
(G) To employ and to rely upon advise given by investment
counsel, to delegate discretionary authority to make changes in
investments to investment counsel, and to pay investment counsel
reasonable compensation in addition to any fees otherwise payable
to my executor and my trustee;
(H) To employ a custodian, to hold property unregistered
or in the name of a nominee (including the nominee of any
institution employed as custodian), and to pay reasonable
compensation to the custodian in addition to any fees otherwise
payable to my executor and my trustee;
(I) To hold two or more trusts hereunder as a combined
fund (allocating ratably to such trusts all receipts from, and
expenses of, the combined fund) for convenience in investment and
administration; provided that any combination of trusts for this
purpose shall not alter their status as separate trusts; and
(J) To distribute in cash or in kind.
These authorities shall extend to all property at any time
held by my executor of any fiduciary and shall continue in full
force until the actual distribution of all such property, except
as otherwise specifically stated. All powers, authorities, and
discretion granted by this Will shall be in addition to those
granted by law and shall be exercisable without court
authorization.
EIGHTH
I appoint my husband, WILLMORE FLUMAN, SR., to act as
Executor of this my Last Will and Testament. Should my husband,
WILLMORE FLUMAN, SR., fail to qualify or cease to act as
Executor, I appoint CANDACE L. FLUMAN AND WILLMORE FLUMAN, JR.,
Co-Executors of this my Last Will and Testament.
NINTH
SAIDIS,
SHUFF &
MASLAND
ATTORNEYS•AT•I.AW
26 W. High Street
Carlisle, PA
I direct that no personal representative, guardian, trustee
or other fiduciary appointed under this instrument shall be
required to give bond for the faithful performance of their
duties in any jurisdiction.
IN WITNESS WHEREOF, I, PHYLLIS H. FLUMAN, have hereunto set
my hand and seal to this my Last Will and Testament, consisting
of six typewritten pages, the first five of which bear my
signature in the margin for identification, this Zv ~'~ day of
f~ ,~ (Z[` 2000.
f }
Phyl3is H. Fluman, Testatrix
Signed, sealed, published and declared by the above-named
Testatrix, PHYLLIS H. FLUMAN as and for her Last Will and
Testament in the presence of us, who have hereunto subscribed
our names at his request as witnesses thereto, In the presence of
said Testator and of each other.
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ADDRESS GAO ~'`~ /~~'~ (~-~(/~ ~ ~
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~'(~Id, ~~, r~flJ7~/L ADDRESS ~~p (~ ~,ST ,f/ N
COMMONWEALTH OF PENNSYLVANIA:
. SS
COUNTY OF CUMBERLAND
WE, PHYLLIS H. FLUMAN, Robert C. Saidis AND Teresa M.
xoover the Testatrix and witnesses, respectively whose
names are signed to the foregoing or attached 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 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 witness and that to
the best of their knowledge the Testatrix was at the time 18 or
more years of age, of sound mind and under no constraint or undue
influence.
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Phyl+/lis H. Fluman, Testatrix
Robert C. Saidis Witness
Teresa M. Hoover , W1tneSs
SAIDIS,
SHUFF &
MASLAND
ATTORNEYS•AT•LAW
26 W. High Street
Carlisle, PA
Subscribed, sworn to and acknowledged before me by PHYLLIS
H. FLUMAN, the Testatrix, and subscribed to and sworn or affirmed
to before me by Robert C. Saidis and Teresa M. Hoover
witnesses, this ~(J day of ~~~,~~ 2000 .
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otary bl'c
KANq L LEA. NOTARY PIJeUC
C~1PNJa1.E YORO, JIB OOiA~tfY
-~ ~ FEBRUARY 20, 2001
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REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFICATION OF NOTICE UNDER RULE 5.6(A)
Name of Decedent: Phyllis H. Fluman
Date of Death: May 14, 2002
Will No. 21-02-0985 Admin. No.
To the Register:
i certify that notice of Estate Administration required by Rule 5.6(a) of the
Orphans' Court Rules was served on or mailed to the following beneficiary of the above-
captioned estate on November 20, 2002.
Name Address
Willmore Fluman, Sr. 120 S. Ridge Road, Boiling Springs, PA 17007
Willmore Fluman, Jr. 132 Orebank Road, Dillsburg, PA 17019
Candace Fluman 45 Impala Drive, Dillsburg, PA 17019
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
none
Date: •`~ .~' [~ ~ '%~
Ro rt C; aides, sq 're
2109 Market Street
Camp Hill, PA 17011
(717) 737-3405
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Capacity: Personal Representative
X Counsel for Personal
Representative
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
DISCLAIMER
RE: THE ESTATE OF PHYLLIS H. FLUMAN,
a/k/a PHYLLIS L. FLUMAN, No. 21-02-0985
Deceased .
The undersigned hereby renounces and disclaims all of her right, title, and interest in and
to all property as a beneficiary of the Estate of Phyllis H. Fluman, deceased.
The undersigned's interest in the above described property arises out of the Last Will and
Testament of Phyllis H. Fluman, dated Apri120, 2000, and offered for probate on November 4,
2002, in the Court of Common Pleas of Cumberland County, Pennsylvania.
This disclaimer is made pursuant to Chapter 62 of the Probate, Estates and Fiduciaries
Code and shall be irrevocable.
Date: ~~~~~ C i~ _ fl~`~'t~~ ~~,ti.~zze`.(SEAL)
f• Candace L. Fluman
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
DISCLAIMER
RE: THE ESTATE OF PHYLLIS H. FLUMAN,
a/k/a PHYLLIS L. FLUMAN, No. 21-02-0985
Deceased
The undersigned hereby renounces and disclaims all of his right, title, and interest in and
to all property as a beneficiary of the Estate of Phyllis H. Fluman, deceased.
The undersigned's interest in the above described property arises out of the Last Will and
Testament of Phyllis H. Fluman, dated Apri120, 2000, and offered for probate on November 4,
2002, in the Court of Common Pleas of Cumberland County, Pennsylvania.
This disclaimer is made pursuant to Chapter 62 of the Probate, Estates and Fiduciaries
Code and shall be irrevocable.
Date: _ L•- t 3 -C ~ l ~, ~~
Willmore Fl an, Jr.
LAW OFFICES
SAIDIS, SHUFF, FLOWER & LINDSAY
A PROFESSIONAL CORPORATION
2109 MARKET STREET
CAMP HILL, PENNSYLVANIA 1.7011
JOHN E. SLIKE TELEPHONE: (717) 737-3405 -FACSIMILE: (717) 737-3407
ROBERT C. SAIDIS EMAIL: attorney@ssfl-law.com
GEOFFREY S. SHUFF www.ssfl-law.com
JAMES D. FLOWER, JR.
CAROL J. LINDSAY
KIRK S. SOHONAGE
THOMAS E. FLOWER
LINDSAY GINGRICH MACLAY
JACLYN M. SMITH
February 24, 2003
Register of Wills
Cumberland County Courthouse
Carlisle, PA 17013
Re: The Estate of Phyllis L. Fluman
File No. 21-02-0985
Dear Ladies:
CARLISLE OFFICE:
26 W. HIGH STREET
CARLISLE, PA 17013
TELEPHONE: (717)243-6222
FACSIMILE: (717)243-6486
REPLY TO CAMP HILL
Enclosed please find an original and three copies of an inheritance tax return to be filed in
the above estate, along with a check for the filing fee. Kindly return the time-stamped copies of
the return to our office in the envelope provided.
Thank you.
Very truly yours,
SAIDIS, SHUFF, FLOWER & LINDSAY
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Shelby L. ~mgl~(rig, Estate Paralegal
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Enclosures
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REV-1500 EX + (6-00)
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME{lAST. FIRST, AND MIDDLE INITIAL)
F1uman Ph 11is H.
DATE OF DEATH (MM-DD-YEAR)
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
195-16-7594
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
DATE OF BIRTH (MM-DD YEAR)
05 14/2002 08/14/1923
IF APPLICABLE SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL
F1uman Sr., Willmore
X 1. Original Return
4. limited Estate
X 6. Decedent Died Testate
r>
OFFICIAL USE ONLY
21-02-0985
NUMBER
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
(Attach copy of Will) (Attach copy of Trust)
D 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit D 11. Election to tax under See, 9113(A)
(date of death between 12-31-91 and 1-1-95) (AttaCh Sch 0)
tHlSSEC1'JON MUST BE COMPLETED. ALL CORRESPONDENCE & CONFIDENTIAL TAX INFORMATIoN SHOULP.EDIA~
NAME COMPLETE MAILING ADDRESS
Robert C. Saidis
FIRM NAME (If Applicable)
2.
4..
7.
Supplemental Return
Future Interest Compromise (date of death after 12 12-82)
o
Decedent Maintained a Living Trust
Saidis, Shuff, Flower & Lindsa
TELEPHONE NUMBER
2109
Camp
Market St.
Hill, PA 17011
R
E
C
A
P
I
T
U
L
A
T
I
o
N
73 - 3405
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation. Partnership or
Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities. & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(1)
(2)
(3)
None
291,636.. 70
None
(4)
(5)
None
None
(6)
None
None
29,110.19
None
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116(a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20.
262,526.51
0.00
x
X
X
X
.0 0
.0 45
.12
.15
3 date of death
. Remainder Return prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
OFFICIAL USE ONLY
(8) 291,636.70
(11) 29.110.19
(12) 262,526.51
(13)
(14) 262,526.51
(15)
(18)
(17)
(18)
(19)
0.00
0.00
0.00
0.00
0.00
D OF AN OVl!RPAYMI1NT
ON RI1VI1RSE SIDE AND TO RllCHECK MATH < <
~'t1:j;.i;nj<
Copyright (c) 2000 form software only The Lackner Group. Inc.
Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
,
STREET ADDRESS
120 South Ridpe Road
CITY I STATE I ZIP
Boilinp Snrinps PA 17007
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
0.00
0.00
Total Credits ( A + B + C) (2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( D + E) (3)
4. If 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)
5. If 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 + SA. This is the BALANCE DUE. (58)
Make Check Payable 10: REGISTER OF WillS, AGENT
0.00
0.00
0.00
0.00
0.00
'.:m~:r:~~~i~:~~~!~~:,+~:~"i~~rr~!;~~'i:~G~~+~~~~~y 'PI.ACING"AN "X"
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred:
b. 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?
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .
3. Did decedent own an "in trust for'" or payable upon death bank account or security at his
or her death?
4. Did 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.
IN THE APPROPRIATE BlOck~"
Yes No
~~
o
o
o
~
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, It is true,
correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN
Willmore Fluman, Sr.
.. .120 South. Ridge. }~,?,,?........
Boilin S rin s, PA 17007
Saidis, Shuff, Flower & Lindsay
2109 Market St.
- ~~ ~ - -~ - -- - - - - - - - - - - - - - - - -- - - -- - -~ - -- - -- --- -- - -- - - --
earn Hill PA 17011
DATE
;::;::r.r./; 15; .:2,fd
DATE
For dates of death on or after July 1. 1994 and before January 1. 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P,S. 9116 (a) (1.1) (il].
For dates of death on or after January 1. 1995. the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 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 PiS, 9116(aXlIj.
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.lnc Form REV-1500 EX (Rev. 6-00)
REV-1503 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
FILE NUMBER
Phyllis H. Fluman
SSI! 195-16-7594
05/14/2002
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
"'1
2
;43
-.'4
,lJ5
',(,6
""7
.~ 8
"9
",10
-,11
_,12
(c13
DESCRIPTION
Series E and EE Savings Bonds (see list attached)
1585 sh. AT&T Corp., common stock (dir. reg. & cert.)
93 sh. Avaya, Inc., common stock
2532 sh. Bell Atlantic (now Verizon), common stock
1410 sh. BellSouth corp., common stock
1124 sh. Lucent Tech., Inc., common stock
54 sh. NCR Corp., common stock
1788 sh. SBC Communications, common stock
90 sh. AT&T Wireless, common stock
558 sh. Qwest Communications, Inter'l, common stock
390 sh. Vodafone Air Touch, Plc, common stock
12 sh. Agere Systems, Cl A, common stock
297 sh. Agere Systems, Cl B, common stock
UNIT VALUE
13 .61
6.90
41. 79
31.10
4.78
38.73
32.89
7.99
5.35
15.73
4.08
4.18
TOTAL (Also enter on line 2, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
Copyright(c) 1996 form software only CPSystems, Inc
21-02-0985
VALUE AT DATE
OF DEATH
42,358.89
21,571.85
641.70
105,812.28
43,851. 00
5,372.72
2,091.42
58,807.32
719.10
2,985.30
6,134.70
48.96
1,241.46
291,636.70
Form REV-1503 EX (Rev. 1-97)
REV-1511 EX + (1-97)
..
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
05/14/2002
ESTATE OF
Phyllis H. F1uman
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
ADMINISTRATIVE COSTS,
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) / EIN Number of Personal Representative(s)
Street Address
City State Zip
B.
2.
3.
4.
SSfI 195-16-7594
FILE NUMBER
21-02-0985
DESCRIPTION
AMOUNT
FUNERAL EXPENSES,
Spitler Funeral Home, Inc.
Montoursvi11e Cemetery Company, lot
Shultz Memorials, monument
Funeral meal
7,754.30
700.00
7,100.00
1,154.00
Year(s) Commission Paid:
Attorney's Fees Saidis, Shuff, Flower & Lindsay
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Willmore FIuman, Sr.
Street Address 120 S. Ridge Rd.
City Boil ing Springs State PA Zip 17007
Relationship of Claimant to Decedent spouse
7,030.00
3,500.00
Probate Fees
Register of Wills
299.00
5. Accountant's Fees
7.
6. Tax Return Preparer's Fees
Other Administrative Costs
Cumberland Law Jounal, estate notice
The Sentinel, estate notice
Register of Wills, filing fee for tax return
75.00
132.89
15.00
TOTAL (Also enter on line 9, Recapitulation) $ 27,760.19
(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)
REV-1513 EX t (9-00)
COMMONWEALTH OF PENNSYLVANIA
. ,INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Phvllis H. Fluman
SSfl 195-16-7594
05/14/2002
FILE NUMBER
21-02-0985
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
NUMBER
I.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS (include outright spousal distributions. and
transfers under Sec. 9116(a)(1.2)]
Willmore Fluman, Sr.
120 S. Ridge Rd.
Boiling Springs, PA 17007
spouse )'(entire estate
1
Willmore Fluman, Jr.
132 Orebank Road
Dillsburg, PA 17019
son
See disclaimer
attached
2
Candace L. Fluman
45 Impala Drive
Dillsburg, PA 17019
daughter
See disclaimer
attached
*Note: Candace L. Fluman and Willmore
Flumanr'jesidual heirs, renounced and
disclaimed their entire interest in the
estate. See copies of Disclaimers attached.
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
II, NON- TAXABLE DISTRIBUTIONS,
A, SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON- TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
Of more space is needed, insert additional sheets of the same size)
Copyright (c) 2000 form software only The Lackner Group. Inc.
0.00
Form REV-1513 EX (Rev. 9-00)
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SAIDIS,
SHUFF &
MAS LAND
AlTO!tNEYS-AT.LAW
26 W. High Street
Carlisle, PA
LAST WILL AND TESTAMENT
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OF
PHYLLIS H.
FLUMAN
02./ - 0:2. - 9'iTS
Monroe Township,
Cumberland
FLUMAN, of
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PHYLLIS
H.
County, Pennsylvania, beins of sound and disposing mind, memory
and understanding, do hereby make, publish and declare this as
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and for my Last Will and Testament, hereby revoking all other
Wills and codicils heretofore made by me.
FIRST
I direct the payment of my just debts and expenses of my
last illness and funeral from my estate as soon after my death as
conveniently may be done.
Further,
I direct my personal
representative to see that my body is interred in my cemetery lot
at the Montoursville Cemetery, Williamsport, Pennsylvania.
Further, I authorize my personal representative to expend
funds
from my
in
as
my personal
such
amount
estate,
representati ve shall consider necessary and desirable for the
purchase, erection and inscription of a suitable marker for my
grave.
SECOND
I bequeath my automobiles, household and personal effects
and other tangible personalty of like nature, not including cash
or securities, together with any existing insurance thereon, to
my husband, WILLMORE FLUMAN, SR., if he survives me by sixty (60)
days.
Should my husband, WILLMORE FLUMAN, SR., not be living on
the sixty-first (6lst) day after may death, then, I bequeath such
tangible personalty and insurance thereon to my children,
WILLMORE FLUMAN, JR. AND CANDACE L. FLUMAN, to be divided among
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them by my personal representative with due regard for their
~ preference in as nearly as equal shares as practical.
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'I) MARITAL DEDUCTION
i If my husband, WILLMORE FLUMAN, SR., survives me (and I
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SAIDlS,
SHUFF &
MASLAND
AITQRNEYS-AT.l.AW
26 W. High Street
Carlisle, P A
direct that for the purpose of this Item of my Will, he shall be
deemed to have survived me unless it appears unmistakably that he
predeceased me), and if the federal estate tax due because of my
death will be reduced by making this gift for his benefit, I
devise and bequeath to my husband,
WILLMORE FLUMAN,
SR. ,
absolutely, the least amount (based upon values as finally
determined for federal estate tax purposes) as shall be needed
for the federal estate tax unlimited marital deduction to reduce
the federal estate tax to the lowest possible figure after full
use of all other deductions and credits allowable in calculating
the federal estate tax, except that such amount shall be
calculated without regard to the augmenting of my taxable estate
by reason of generation-skipping transfers and without regard for
any credit for state death taxes that would not otherwise be
payable. Accordingly, I direct that:
(A) If the marital deduction, or
any similar benefit, is
allowable with respect to any property,
including property held
by entireties, which my husband has received prior to my death or
at my death will receive otherwise than pursuant to this
paragraph Third, the value of such property shall be taken into
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SAlOIS,
SHUFF &
MAS LAND
ATIORNEYS'ATlLAW
26 W. High Street
Carlisle, PA
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consideration in calculating the size of the gift under this
Paragraph Third.
(B) No property ineligible for the marital deduction, or
any similar benefit, shall be distributed to this gift for my
husband, WILLMORE FLUMAN, SR., pursuant to this Paragraph Third.
(C)
Either cash or investments or both may be allocated to
the gift under this Paragraph Third.
(D) Any property allocated under this Paragraph Third, in
kind shall be valued at the value at which it is finally included
in my gross estate for federal estate tax purposes, provided that
the aggregate market value thereof on the date of allocation
(plus the value as finally determined for federal estate tax
purposes of all other property qualifying for the marital
deduction) is at least equal to the dollar value of the marital
deduction as finally determined for federal estate tax purposes.
(E) If any provision of my will shall result in depriving
my estate of the marital deduction for federal estate tax
purposes, such provision is hereby revoked and my will shall be
read as if any portion thereof inconsistent with allowance of the
mari tal deduction for federal estate tax purposes is null and
void.
FOURTH
RESIDUARY
I give, devise and bequeath all the rest residue and
remainder of my estate of every nature, and wheresoever situate
to WILLMORE FLUMAN, JR. AND CANDACE L. FLUMAN, per stirpes.
FIFTH
SAID IS,
SHUFF &
MASLAND
AlTORNEYS-AT-LAW
26 W. High Street
Carlisle, PA
All federal, state and other death taxes payable because of
the my death on the property forming my gross estate for tax
purposes, whether or not it passes under this Will, shall be paid
out of the principal of my probate estate so that the burden
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thereof falls on my residuary estate.
This provision shall not
apply to generation-skipping transfer taxes.
SIXTH
I direct my Executor to exercise any options available in
determining and paying death taxes in my estate in such a way as
reasonably may be expected to achieve the greatest overall tax
savings for my family, without regard to any effect upon the size
.J
of the marital deduction and without requiring adjustments
between income and principal.
SEVENTH
I authorize my executor or any other fiduciary acting under
this instrument:
(A) To retain and to invest in all forms of real estate
and personal property, without being confined to investments
authorized by a statutory list,
without being required to
diversify and regardless of any principle of law limiting
delegation of investment responsibility by executors or trustees;
(B) To compromise claims and to abandon any property
which, in my Executor's or my Trustee's opinion, is of little or
no value.
(C)
To sell at public or private sale, to exchange or to
lease for any period of time, any real or personal property, and
II
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SAlOIS,
SHUFF &
MAS LAND
ATTORNEYS'AT-LAW
26 W. High Street
Ca.rlisle, PA
to give options for sales or leases;
(D) To join in any merger, reorganization, voting-trust
plan or other concerted action of security holders, and to
delegate discretionary duties with respect thereto;
(E) To borrow from anyone, even if the lender is an
executor or trustee hereunder, and to pledge property as security
for repayment of the funds borrowed;
(F)
To make loans to,
and to buy property from, my
spouse's executor or administrator;
(G) To employ and to rely upon advise given by investment
counsel, to delegate discretionary authority to make changes in
investments to investment counsel, and to pay investment counsel
reasonable compensation in addition to any fees otherwise payable
to my executor and my trustee;
(H) To employ a custodian, to hold property unregistered
or in the name of a nominee (including the nominee of any
institution employed as custodian),
and to pay reasonable
compensation to the custodian in addition to any fees otherwise
payable to my executor and my trustee;
(I) To hold two or more trusts hereunder as a combined
fund (allocating ratably to such trusts all receipts from, and
expenses of, the combined fund) for convenience in investment and
administration; provided that any combination of trusts for this
purpose shall not alter their status as separate trusts; and
(J) To distribute in cash or in kind.
These authorities shall extend to all property at any time
SAIDlS,
SHUFF &
MASLAND
ATIORNEYS-AT-LAW
26 W. High Street
Carlisle, P A
held by my executor of any fiduciary and shall continue in full
force until the actual distribution of all such property, except
as otherwise specifically stated.
All powers, authorities, and
discretion granted by this will shall be in addition to those
granted by
and
be
exercisable
without
court
law
shall
authorization.
EIGHTH
I appoint my husband, WILLMORE FLUMAN, SR., to act as
Executor of this my Last Will and Testament.
Should my husband,
WILLMORE FLUMAN, SR., fail to qualify or cease to act as
Executor, I appoint CANDACE L. FLUMAN AND WILLMORE FLUMAN, JR.,
Co-Executors of this my Last Will and Testament.
NINTH
I direct that no personal representative, guardian, trustee
or other fiduciary appointed under this instrument shall be
required to give bond for the faithful performance of their
duties in any jurisdiction.
IN WITNESS WHEREOF, I, PHYLLIS H. FLUMAN, have hereunto set
my hand and seal to this my Last Will and Testament, consisting
of six typewritten pages, the first five of which bear my
signature in the margin for identification, this
20 'vA day of
APR-r,--
, 2000.
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l~-;1/ '/ /,' ---; ~.~ r'", _ ,_ _
Y.."lZ~t'4(/ ''/'?,J:'//ZbZ/V
Phy11is H. Fluman, Testatrix
Signed, sealed, published and declared by the above-named
Testatrix, PHYLLIS H. FLU!0J1~ as and for her Last will and
SAIDIS,
5HUFF &
MASLAND
AlTORNEYS-AT.LAW
26 W. High Street
Carlisle, PA
Testament in the presence of us, who have hereunto subscribed
our names at his request as witnesses thereto, In the presence of
said Testator and of each other.
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ADDRESS
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ADDRESS
COMMONWEALTH OF PENNSYLVANIA:
SS
COUNTY OF CUMBERLAND
WE, PHYLLIS H. FLUMAN, Robert C. Saidis AND Teresa M.
Hoover ,the Testatrix and witnesses, respectively whose
names are signed to the foregoing or attached 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 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 witness and that to
the best of their knowledge the Testatrix was at the time 18 or
more years of age, of sound mind and under no constraint or undue
influence.
Robert C. Saidis
, Witness
,--~'-rrl_ .~
Teresa M. Hoover , Wi tness
Subscribed, sworn to and acknowledged before me by PHYLLIS
H. FLUMAN, the Testatrix, and subscribed to and sworn or affirmed
to before me by Robert C. Saidis ,and Teresa M. Hoover
witnesses, this aOfr-day of AtJi'.,./ , 2000.
, ~,,d(p~
I KANDlL~~~1UIUC
(:AAUSlI! IlORO
l "YOOM~~COIJNTY
'-'0- . .. _ .... . FEBftl.W:rf 20, 2001
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA
ORPHANS' COURT DIVISION
DISCLAIMER
RE: THE ESTATE OF PHYLLIS H. FLUMAN,
alkla PHYLLIS L. FLUMAN,
Deceased
No. 21-02-0985
The undersigned hereby renounces and disclaims all of his right, title, and interest in and
to all property as a beneficiary of the Estate of Phyllis H. Fluman, deceased.
The undersigned's interest in the above described property arises out of the Last Will and
Testament of Phyllis H. Fluman, dated April 20, 2000, and offered for probate on November 4,
2002, in the Court of Common Pleas of Cumberland County, Pennsylvania.
This disclaimer is made pursuant to Chapter 62 of the Probate, Estates and Fiduciaries
Code and shall be irrevocable.
Date: '& 13 -{)3
z:J~~
Willmore FI an, Jr.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
DISCLAIMER
RE: THE ESTATE OF PHYLLIS H. FLUMAN,
a/kJa PHYLLIS L. FLUMAN,
Deceased
No. 21-02-0985
The undersigned hereby renounces and disclaims all of her right, title, and interest in and
to all property as a beneficiary ofthe Estate of Phyllis H. Fluman, deceased.
The undersigned's interest in the above described property arises out of the Last Will and
Testament of Phyllis H. Fluman, dated Apri120, 2000, and offered for probate on November 4,
2002, in the Court of Common Pleas of Cumberland County, Pennsylvania.
This disclaimer is made pursuant to Chapter 62 ofthe Probate, Estates and Fiduciaries
Code and shall be irrevocable.
Date: ~d/113-
k?' ~
. Hil.:laa, 04'/U~ (SEAL)
/' Candace L. Fluman
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Date Open High Low Close Volume Adj.
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May-I 5-02 4.15 4.33 4.15 4.25 56,100 4.25
May-14-02 4.10 4.30 4.05 4.25 112,100 4.25
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Start I May ..:111412002
End: IMay 1I~12002
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Ticker Symbol: lagra
Date Open High Low Close Volume Adj.
Close*
May-15-02 4,15 4,25 4,08 4.16 2,626,300 4.16
May-14-02 3,96 4.21 3,94 4.15 5,020,900 4.15
Downto~d Spreadsheet Fonnat
. adjusted for dividends and splits please see F AQ,
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Start IMay .:1[1412002
End IMay ilf~12002
~ Daily
r Weekty
r Monthly
r Dividends
Ticker Symbol: lav
Get Data I
Date Open High Low Close Volume Adj.
Close*
May-15,02 6.73 6.90 6.63 6.64 1,128,300 6.64
May-14,02 6.83 7.00 6.80 6.83 966,400 6.83
Dm\'mQ!!'tSpre!!!IsbeetFQJ'!!Hlt
. adjusted for dividends and splits plea,ses"" FAQ.
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As of May-15-02
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Start IMay ~~12002
End I May ...::Ifi"S]2002
\0 Daily
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r Monthly
r Dividends
~."~ I"' i\ [1I J A" "1'" E [) .I'N"
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Ticker Symbol, lawe
Get D. ta ,I
Date Open High Low Close Volume Adj.
Close'
May-15-02 7.73 8.15 7.66 7.94 19,967,600 7.94
May-14-02 8.20 8.20 7.77 7.88 16,271,000 7.88
Qm,,)!lo,ad Sprel!dsheetF()rmat
* adjusted for dividends and splits pleaSe see F AQ.
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As of May-15-02
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Start I May jJ1412oo2
End I May ]ff'i512002
(i Daily
(' Weekly
(' Monthly
(' Dividends
Ticker Symhol: jq
.. .@I!lt Oatil .1
......,.~
Date Open High Low Close Volume Adj.
Close*
May-15-02 5.30 5.55 5.27 5.39 6,138,100 5.39
May-14-02 5.21 5.60 5.10 5.50 9,507,000 5.50
'.
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* adjusted for dividends and splits please see F AQ.
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As of May"15-02
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Start I May .J!fiLi-]2002
End I May J:ffi"5"12002
(0 Daily
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Ticker Symbol: Ivod
. 'Cl€itfDI\~al
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I GRADUIt\TED IN:
Date Open High Low Close Volume Adj.
Close'
May" 15"02 15.97 16.48 15.80 16.36 8,356,600 16.22
May"J4"02 15.79 15.90 ]5.55 15.63 4,094,300 15.50
Download Spr~aJlsheet Format
* adjusted for dividends and splits pJea~e~ee I'A.Q.
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As of May-15-02
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Start IMay ~~12002
End I May j/115']2002
<- Daily
(' Weekly
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(' Dividends
Ticker Symbol: ISbc
Get Data
~
\
lJR/\[)Lll\TED IN:
Date Open High Low Close Volume Adj.
Close'
May-15-02 33.05 33.86 32.88 33.41 9,148,300 32.70
May-14-02 32.95 33.23 32.55 33.04 8,595,300 32.34
Dowftload Spreadsheet Format
* adjusted for dividends and splits pleas~see FAQ.
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As of May-15-02
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Start /May A114]2002
End I May ~~12002
(i Daily
r Weekly
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r Dividends
BECOME A
STATE FARM
AGENT.
Ticker Symbol: Ibis
~et lJ<lia J
Date Open High Low Close Volnme Adj.
Close *
May-15-02 30.67 32.14 30.63 31.76 5,337,200 31.26
May-14-02 30.50 31.84 30.36 31.09 6,742,000 30.60
WE LIVE WHERE YOU LI\
l,)ownJoad Spreadsheet Format
. adjusted for dividends and splits please see FAQ.
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LIKE" GOOD I':HGllBClR & ST.~TE cARl
IN -,"~ I....... I
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Start I May .:1F-4!2002
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i (:iRl\L)lJATED IN:
Ticker Symbol: lvz
Get Data
Date Open High Low Close Volume Adj,
Close *
May-15-02 42,15 42,74 41.87 42.20 4,783,100 41.29
May-14-02 41.51 42,24 41.33 42.16 6,001,400 41.25
Download Spreadsheet Format
. adjusted for dividends and splils please see F AQ,
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As of May-15-02
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Start: IMay tiliIl14 12002
End I May .:.1[1512002
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(" Weekly
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! (iRli\[)Li/\TED IN:
Ticker Symbol: /Iu
Ge.t Datal
Date Open High Low Close Volnme Adj,
Close *
May-15-02 4.85 4.86 4.70 4.72 19,347,900 3.85
May-14-02 4.75 4.90 4.66 4.86 27,926,400 3.97
Dow-,!ll!3!lSl'rJ'J1!lsl!~~tJ'ormaJ
. adjusted for dividends and splits pJeaseseeFAQ.
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Start; I May .ilflT12OO2 (' Weekly
End; I May .dfl5""12002 (' Mnnthly
(' Dividends
Ticker Symbol; lncr ~.~t.$il.t~;i:l
,.....<.......,..,..:....._,
Date Open High Low Close Volume Adj_
Close*
May-15-02 38.85 39.50 37.91 38.41 505,200 38.41
May-14-02 38.40 38.75 38.15 38.70 501,300 38.70
Dowl)load Spreadsheet Format
· adjusted for dividends and splits pJease See F AQ.
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Historical Prices - T (AT&T CORP)
As of May-15-02
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Start I May btfi'4]2002
End IMay 3ffi5"12002
(e Daily
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(' Dividends
Ticker Symbol: /t
I GRADllATEDIN
Date Open High Low Close Volume Adj.
Close*
May-15-02 13.40 13,68 13.30 13.51 15,931,800 13A7
May-14-02 13,73 13,85 13.36 13.56 19,962,500 13.52
J,:I.QwnloadS preadSheel Format
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'5'
AVAYA INC.
c/o THE BANK OF NEW YORK
CHURCH STREET STATION
P.O. Box 11033
NE"' YORK. NY 10286-1033
1-866-22AVAYA (1-866-222-8292)
WEB~3ITE: http://stockbny.com
Email: avshareholders@bankofny.com
DIRECT REGISTRATIOtHBANSACTlON ADVICE
,..,;:;'-- ------- ---------..
~~-l!:1is advice as a record of your owners~ip)
Transfer Agent: The Bank of New York
Transfer Agent Account Number:
0.0.0.610.820.3
~........*.AUTO..S-DIGIT 17007
PHYLLIS L FLUHAN
120 S RIDGE RD
BOILING SPRINGS PA 17007-'712
Record Date:
0.9/20./0.0.
Shares of Record:
('- v' 0ifr)
1124.0.0.0.0.
Rate:
0..0.83333333
1."111".111",11",1",11.1,,1,,,1.,,11,,1.1,,1,111,",1,,11
Direct Registration Shares Issued:
i ------,
( 93.0.0.0.0.---,
Total Shares':
93.0.0.0.0.
0.9/30./0.0.
Transaction Date:
'Totai Shares identifies the total number of common shares
reflected in the indicated account number.
Direct Registration Advice Number: DRS
'" FOLD AND DETACH HERE ....
0.0.436757
COMPLETE THIS FORM ONLY IFYOU WISH TO AUTHORIZE THE BANK OF NEWYORKTO ADD/CHANGE BROKERlDEALER INFORMATION OR TO
ELECTRONICALLY TRANSFER YOUR DIRECT REGISTRATION SHARES TO THE BROKER/DEALER YOU DESIGNATE. DRS 0. 0.436 7 57
o Add to/change my account to reflect the 0 E~ectronical!y transfer (by indicating below) '3.0000
following Broker/Dealer Information: Direct Registration Shares from my account to the
Broker/Dealer and related Broker/Dealer Customer Account
Number designated on my account, as follows:
Broker/Dealer Name
Brok:er/Dealer Participant Number
ITIIIIJ
Indicate number of shares
If there is no number of shares indicated,
all shares will be transferred
Broker/Dealer Customer Account Number
Signatures: The instruction(s) given above must be signed by all registered holders{s).
If held in joint name, Doth owners must sign. All slgnature(s) must be guaranteed by a participant In the
Medallion Signature Guarantee Program.
Medallion Guarantee Stamp
Signature
Date
Signature
Date
Make no markings below this dotted line
SEE REVERSE SIDE FOR ADDITIONAL INFORMATION
8267
1001
0006108203
2
00000000001
........Foiji--ANO--OETAci".:fHERE .
TRANSACTION REQUEST FORM - PLEASE KEEP THIS FORM FOR FUTURE REQUEST (SEE REVERSE SIDE FOR PROPER ENTRY INSTRUCTIONS)
DRS 0.0.436757 93.0000
Box #1 0 Issue a certificate from my Direct Registration share position Box #2 0 Issue Direct Registration Shares from your certificated shares:
(Please choose one option only):
ITIIIIJJ
(Indicate number 01 whole shares) OR
All shares Icheck herel
D
ITIIIIJJ
Ilndicate number of whole sharas) Pleasaenclose yourcerlificaf e(s)
A Direct Re~istration Transaction Advice will be issuedan~ mailed to you
80X#3D S II .. d h
, e my certificate s ares:
ITIIIIJJ
llndicafenumber 01 whole shares)
Box #4 D Sell my Direct Registration Shares:
ITIIIIJJ
{Indicate number 01 whole sharas) OR
All sharas(chackhera)
D
Please enclose your certiflcate(s) if selling certificated shares. Shares will be sold subject to the terms and conditions outlined In the Direct Registration brochure enclosed with
this advice.
Box #5 D Change my address - Mark this box and complete the other side of form.
I Signature
1 Sioo"""
MAKE NO MARKINGS BELOW THIS DOTTED LINE
l~ate
I
I , .
j(aytlmereYhoneNO
All Relluests musl be signed
bvallrellfsteredowners
8267
1001
0006108203
2
00000000001
Vodafone AirTouch Pic
c/o THE BANK OF NEW YORK
CHURCH STREET STATION
PO BOX 11022
NEW YORK, NY 10286-1022
1-800-233-5601
DIRECT REGISTRATION TRANSACTION ADVICE
c1'i~ihisadviCe as a record of your ownerstif[j
Transfer Agent: The Bank of New York
Transfer Agent Account Number:
0000699686
CUSIP Number:
92857Tl07
Record Date:
09/30/1999
00063207 0000699686
PHYLLIS L FLUMAN
120 S RIDGE RD
BOILING SPRINGS PA 17007-9712
Record Date Shares:
78.0000
4 ADDITIONAL FOR EACH RECORD SHARE
Rate:
Additional Shares Credited:
312.0000
~
10/01/1999
Total Combined Shares":
Transaction Date:
Direct Registration Shares Issued:
312.0000
Total Combined American Depositary Shares (Shares) identifies the number of
your Record Date Shares plus the additional Shares credited to your account Direct Registration Advice Number:
in Direct Registration form. Any transaction posted to your account after the DRSS 00063207
Record Date will not be reflected in Total Combined Shares. .... FOLD AND DETACH HEAE ....
COMPLETE THIS FORM TO AUTHORIZE THE BANK OF NEW YORK TO ADD/CHANGE BROKERlDEALER INFORMATION OR TO
ELECTRONICALLY TRANSFER YOUR DIRECT REGISTRATION SHARES TO THE BROKERlDEALER YOU DESIGNATE.
D Add to/change my account to reflect the D E~ectronica~ly tra~sfer (by indicating below)
following Broker/Dealer Information: Direct RegIstratIon Shares from my account to the
Broker/Dealer and related Broker/Deaier Customer Account
Number designated on my account. as follows:
BrokerlDealer Name
BrokerlDealer Participant Number
DDDID
Indicate number of shares
If there is no number of shares indicated,
all shares will be transferred.
BrokerlDealer Customer Account Number
Signatures: The lnstructlon(s) given above must be signed by all registered holder(s).
If held In Joint name, both owners must sign. All slgnature(s) must be guaranteed by a participant in the
Medallion Signature Guarantee Program.
Medallion Guarantee Stamp
Signature
Date
Signature
Date
_f!J1~~e. .n.? .r:n.~.r.ki~gs_.b,~,I~~ ,Ih,i_s_ ~(ltt~~ ,l,ill~...
DRSS 00063207
312 . 0000. . .. ... ~~~_~~.~~S_ES_I(l~_F()~J,~~.I!lP.f':l~~.~N.~(l~~!~O.~...
2190
1001
0000699686
6
00000000000
J;. FOLDANDDETACHHERE ...
TRANSACTION REQUEST FORM - PLEASE KEEP THIS FORM FOR FUTURE REQUESTS (SEE REVERSE SIDE FOR PROPER ENTRY INSTRUCTIONS)
P1x 8 Issue a certificate from .my Direct Registration share position Box 0 Issue Direct Registration shares in place of the attached certificate share(s):
L.:J (Please choose one option only): #2 LJ
ITIJIIJ
{Indicate number of whole sharesj
ITIJIIJ
!l!1 All shares (check here) D
(Indicate number 01 whole shares) Please enclose your certilicate (s).
A Direct Registration Transaction Advice will be issued and mailed to you.
~~x [J Sell my Direct Registration shares:
ITIJIIJ
(indicalenumberofwholesharesj
If there is no number of shares indicated, all
Direct Registration shares will be sold.
~x Q Sell my attached certificate shares:
ITIJIIJ
(Indicate number of whole sharesj
Please enclose your certificate(s) if selling certificate shares. Shares will be sold subject to the terms and conditions detailed in the Systematic Investment Program (the "SIP Brochure").
~x D Change my address - Mark this box and complete the other side of form
All Requests must be Signature I Signature
signed by all registered
owners I
Make no markings below this dotted line
DRSS 00063207
312.0000
Date
Daytime Telephone No.
( )
2190
1001
0000699686
6
00000000000
Owesl Communications Inlernationallnc.
c/o THE BANK OF NEW YORK
CHURCH STREET STATION
P.O. BOX 11002
NEW YORK, NY 10286-1002
1-877-268-2263
CUSIP Number:
DIRECT REGISTRATION TRANSACTION ADVICE
C:~lS8dVice as a record of vo_~~e~!
Transfer Agent: The Bank of New York
Transfer Agent Account Number:
0005904891
749121109
Effective Date:
06/30/00
Shares Exchanged:
323.0000
PHYLLIS L FLUMAN
120 S RIDGE RD
BOILING SPRGS PA 17007-9712
Rate:
Direct Registration Shares Issued:
Total Shares':
Transaction Date:
558.0000
07/26/00
'Total Shares identifies the total number of common shares
reflected in the indicated account number,
Direct Registration Advice Nu~~~:
... FOLD AND DETACH HERE ....
COMPLETE THIS FORM ONLY IF YOU WISH TO AUTHORIZE THE BANK OF NEW YORK TO ADD/CHANGE BROKERlDEALER INFORMATION OR TO
ELECTRONICALLY TRANSFER YOUR DIRECT REGISTRATION SHARES TO THE BROKER/DEALER YOU DESI~ATE.
D Add to/change my account to re~lect the D E~ectronically tra~sfer (by incK&t~ng bSIBM8412 ~5B. 0000
following Broker/Dealer Information: Direct Registration Shares from my account to tne
, Broker/Dealer and related Broker/Dealer Customer Account
Number designated on my account, as follows:
00368412
BrokerlDealer Name
BrokerlDea!er Participant Number
ITIIIIJ
Indicate number of shares
If there is no number of shares indicated,
all shares will be transferred
BrokerlOealer Customer Account Number
Signatures: The Instructlon(s) given above must be signed by all registered holders(s).
If held in joint name, both owners must sign. All slgnature(s) must be guaranteed by a participant in the
Medallion Signature Guarantee Program.
Medallion Guarantee Stamp
Signature
Date
Signature
Date
Make no markings below this dotted line
SEE REVERSE SIDE FOR ADDITIONAL INFORMATION
1645
1001
0005904891
6
OOOOO[JO[JO[Jl
.... FOLD AND DETACH HERE ...
Box #1 EI Change my address" Mark this box and complete the other side o11orm.
TRANSACTION REQUEST FORM - PLEASE KEEP THIS FORM FOR FUTURE REQUEST (SEE REVERSE SIDE FOR PROPER ENTRY INSTRUCTIONS)
I rt'f' t DRS D,00368'it 12 h 55.8.0000
Box #2 n. .. ssue a ee I Ica e fFom my Ireel RegiS rallOn s are position
~ (Please choose one option only):
DIIIIIJ
(Indi~alenum~rofwholeshares) OR All shares (chackhare) 0
By requeslinQ a physical slock certificate the shareholder bears r esponsibility for safekeeping and any future costs
assoclatedwllhreplaclngtheirstockcertificate(s).
IS;'O"""
MAKE NO MARKINGS BELOW THIS DOTTED LINE
All RlIqueslsmusl be
signed by all reglslered
owners
Signature
I;:
I
l~aytimeTelePhoneNO.
! ( )
1645
l[J[Jl
[J0[J59[J4891
6
[J[J[J[J[J[J[J[J[J[Jl
:OY:OICIII.;)
agere
CHURCH STREET STATION
P.O. 80x 11082
NEW YORK, NY 10286-1082
1-866-AGEREIR (1-866-243-7347)
WEBSITE: www.stockbny.com
EMAIL: agrsharesvcs@bankofny.com
-.. .--.. .. .....-.-. '" ........ ---.. .... ..-..---. .-.. --... .-....
(ifetilil\his advice as a record of your ownershiri)
Transfer Agent The Bank of New York
Transfer Agent Account Number:
0004314696
PHYLLIS L FLUMAN
120 S RIDGE RD
BOILING SPRINGS PA 17007-9712
Record Date: 05/03/02
Lucent Shares of Record: (l...i:JC.Gur) 1,124.0000
Rate: .010779464
Direct Registration Shares Issued: ~
Issue: Class A common stock 1001
Distribution Date: 06/01/02
Direct Registration Advice Number: DRS 01728102
1",111",111",11",1",11,1"1",1,,,11,,1,1,,1,111,",1,,11
.... FOLD AND DETACH HERE ....
.------------------------------------------------------------------------------------------------------~-----------------
.. ~OLD AND DETACH HERE ..
TRANSACTION REQUEST FORM - PLEASE KEEP THIS FORM FOR FUTURE REQUEST (see reverse side for proper entry instructions)
NOTE: THIS TRANSACTION FORM IS FOR SHARES OF CLASS A COMMON STOCK ONLY.
f7J Issue a certificate from my Direct Registration share position
~~x 0 Sell my Direct Registration Shares: Box #2 L6J (Please choose one option only):
ITIIIIJd. f h) OR All Sharas (cMckhere) 0 rnTI'ID(indiCa"",mb'OO,wh".,hm'l OR All Shares (check here] 0
(in lcatanumbero Wholes ares ,~
By reguesting a physical stock certilicale the shareholder bears responsibiltlylor salekaeping and any future costs
assoclaledwlth replacing their stock cartlficate(S).
Box #3 0 Box #3 Change my address. Mark this box and complete the other side of form.
A
01728102 12,0000
See reverse side lor instructions
to move shares to your broker.
AIfRequeshlmPlIbe Signature Signature Oate Daylime Telephone No.
signed by all regl$lered ( )
owners
MAKE NO MARKINGS BELOW THIS DOtTED LINE
------------------------------------------------------------------------------------------------------------------------
8269
1001
0004314696
8
00000000001
systems
agere
c/O THE BANK OF NEW YORK
CHURCH STREET STATION
P.O. Box 11082
NEW YORK, NY 10286-1082
1-866-AGEAEIR (1-866-243-7347)
WEBSITE: www.stockbny.com
EMAll: agrsharesvcs@bankofny.com
DIRECT REGISTRATION TRANSACTION ADVICE
(Retain this advice as a record of your ownersh.IB"';'
Transfer Agent: The Bank of New York
Transfer Agent Account Number:
0004314696
Record Date:
05/03/02
PHYLLIS L FLUMAN
120 S RIDGE RD
BOILING SPRINGS PA 17007-9712
Lucent Shares of Record:
1,124.0000
Rate:
.264563010
1",111",111",1'",1",11,1"1",1",11,,1,1..1,111,,,,1,,11
Direct Registration Shares Issued:
C 297. 01iO}D
C(fssue: Class 8 comn"inn Iilacl. ~
1002
Distribution Date:
06/01102
Direct Registration Advice Number:
DRS 00447636
.... FOLD AND DETACH HERE ....
---------------------------------------------------------------------------------------------------------~-----------~-~
.. FOLD AND DETACH HERE '"
TRANSACTION REQUEST FORM - PLEASE KEEP THIS FORM FOR FUTURE REOUEST (see reverse side for proper entry instructions)
NOTE: THIS TRANSACTION FORM IS FOR SHARES OF CLASS B COMMON STOCK ONLY.
B#~X 0 Sell my Direct Registration Shares:
[mJ OR All Shares (check here) 0
{Indicate number 1I1 whllle shares)
Box #2 r::::?I Issue a certificate from my Direct Registration share position
li::J (Please choose one option only):
~ OR A1'Sh""'C",okh"'~ 0
By requesti(\~a\lllys(ca( stecK certlfica.te \he shareholder bears responsibility for safekeeping and anylulure costs
assoclatedwlthraplacingthelrslockcertillcale(s).
00447636 297.0000
See reverse side lor instructions
to move shares to your broker.
B
Box #3 cg] Box #3 Change my address - Mark thiS( box a.nd complete the other side of form.
All Requestsmuslbe. Signature Signature Dale Daytime Telephone No.
signed by all reglslerell ( )
owners
MAKE NO MARKINGS BELOW THIS DOTTED LINE
.-----------------------------------------------------------------------------------------------------------------------
8269
1002
0004314696
6
00000000001
~~ ~ COMMONWEALTH OF PENNSYLVANIA
DuREau OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
DEPT. 280601 NOTICE OF INHERITANCE TAX
HARRISBURG, PA 17128-0601
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX ~FP (/1-037
DATE 04-14-2003
ESTATE OF FLUMAN PHYLLIS H
DATE OF DEATH 05-14-2002
FILE NUMBER 21 02-0985
COUNTY CUMBERLAND
ROBERT C SAIDIS ACN 101
SAIDIS ETAL Amount Remitted
2109 MARKET ST
CAMP HILL PA 17011
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~
----------------------------------------------------------------------------------------------------------------
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF FLUMAN PHYLLIS H FILE N0. 21 02-0985 ACN 101 DATE 04-14-2003
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
1. Real Estate (Schedule A) (1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) (2) 291,636.70 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00 tax payment.
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (81 291,636.70
APPROVED DEDUCTIONS AND EXEMPTIONS: 27,760.19
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 27.760.19
12. Net Value of Tax Return (121 263,876.51
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (141 263,876.51
NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: 263 876.51 00 _ .00
15. Anount of Line 14 at Spousal rate (15) ' X -
16. Anount of Line 14 taxable at lineal/Class A rate (16) •00 X 045 = .00
17. Anount of Line 14 at Sibling rate (17) • 00 X 12 . 00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) •00 X 15 .00
19. Principal Tax Due (19)= .0 0
1 AA Vt~GYi 1 V
DATE
NUMBER
+
INTEREST/PEN PAID (-)
AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (6-88)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
INHERITANCE TAX
EXPLANATION
OF CHANGES
DECEDENT'S NAME FILE NUMBER
Phyllis H. Fluman 2102-0985
REVIEWED BY ACN
John Kuchinski 101
ITEM EXPLANATION OF CHANGES
SCHEDULE NO.
H Total on Schedule H was not correctly carried forward to recapitulation page.
Row Page 1
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Phyllis L. Fluman
Date of Death: May 14, 2002
Will No. 21-02-0985 Admin. No.
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:
1. State whether administration of the estate is
complete: Yes X No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No X
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes X No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Clerk of the Orphans' Court and may be attached to this report.
~~ ~ ~~
Date: "_ ~'~~„ /S i,sv`~
,/ S' nature
Name: Robert C. Saidis, Esquire
I.D. No. 21458
SAIDIS, SHUFF, FLOWER & LINDSAY
2109 Market Street
Camp Hill, PA 17011
(717) 737-3405
Capacity: Personal Representative
X Counsel for Personal
Representative