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Home My WebLink About04-0634Estate of Ruth V. Stouffer also known as PETITION FOR PROBATE and GRANT OF LETTERS DJ- o q- Deceased. Social Security No. 162-22-0856 No. To: Register of Wills for the County of Ctwnberland Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut rex in the last will of the above decedent, dated July 7 and codicil(s) dated NONE in the named ,19 95 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Ct~nberland County, Pennsylvania, with h er last family or principal residence at 1000 C]nroynont Dr'_ MiHHI~-~ ~Pc'~rneh~p, (list street, number and muncipality) Decendent, then 98 years of age, died March 30 , I9¢ 2004 , at Claremont Nursinq & Rehabilitation Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: NONE Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: 1,300.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testama~nt-ary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. '-, (~arn~ M5 1 1 PA 17011 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF OJlV~E~ The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing !petition are true and correct-to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the abo~e decedent petitioner(s) will well and truly administe_r the estate according to law. Sworn to or affirmed 'and subsa'ibed before me this ~ day of ~r ~g'(~'.~-x Register -- u Estate of Ruth V. Stouffer , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~:~o~ the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated J,,] y 7~ ] 995 described therein be admitted to probate and filed of record as the last will of Ruth V. Stouffer and Letters Test~nentary ~ b~.__., in consideration of the petition on are hereby granted to Hazel A. Lambert FEES Probate, Letters, Etc .......... $c-.~-~ Short Certificates( ) .......... $ Q .ih_-') , TOTAL ~ $ ~ - ~ ~i~a ..D. :. ~.-. ~ e p~ ............... Debra K. Wallet, ESq. (23989) ATTORNEY (Sup. Ct. I.D. No.) 24 N. 32nd St., Camp Hill, PA 17011 ADDRESS (717) 737-1300 PHONE 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 ~ling. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 ocal 'l~egistrar Cumberland DEC£DE. NT'$ USUAL OCCU p~rlON Carlisle, Pennsylvania 17013 COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH t~um ;~touller t,' rema,e Ia. 17- I~. Agriculture ~ ~ ~ .... ~'~ I ~ ~d, ~'~'~ Cumberland John M. Cameron Hazel Lambert [] 20O4 FD-014318-L tMonm. Day, Year) UOTHER'SNAME{F.~t ~Joie. k~ia(2111,~4~) Mary Stoner ~m~~rs3~l~Ja~l~'ct%~'~l~llh Pa. 17011 · Longsdoff Cemete~ ~Hew Kingstown, Pa. 17072 }M.E ~,4~:)~r~er~o~e, Inc. 37 East Main Slreel Mechanicsburg, Pa. 17055 4o LAST WILL RUTH V. AND TESTAMENT OF STOUFFER I, RUTH V. STOUFFER, of Carlisle, Cumberland ~.0untyj. Pennsylvania, being of sound and disposing mind, memory,cand understanding, do hereby make, publish, and declare this~-]to be my Last Will and Testament and hereby revoke all other Wills and Codicils that I have made, including the Will dated December 27, 1966. FIRST: All of my Estate, of whatever nature and wherever situate, I give, devise, and bequeath in equal shares to those of the following who survive me by thirty (30) days: A. One share to my daughter, HAZEL A. LAMBERT, of Camp Hill, Pennsylvania. Should my daughter fail to survive me by thirty (30) days but be survived by her spouse, then this share is to be given to her husband, ROBERT B. LAMBERT, so long as he shall survive me by thirty (30) days. B. One share to my son, DONALD J. STOUFFER, of Mechanicsburg, Pennsylvania. Should my son fail to survive me by thirty (30) days but be survived by his spouse, then this share is to be given to his wife, DOROTHY READY STOUFFER, so long as she shall survive me by thirty (30) days. C. One share to my son, ROBERT L. STOUFFER, of Derwood, Maryland. Should my son fail to survive me by thirty (30) days but be survived by his spouse, then this share is to be given to his wife, SANDRA STINE STOUFFER, so long as she shall survive me by thirty (30) days. D. One share to my daughter, HELEN STOUFFER NACE, of Carlisle, Pennsylvania. Should my daughter fail to survive me by thirty (30) days but be survived by her spouse, then this share is to be given to her husband, CHESTER NACE, so long as he shall survive me by thirty (30) days. E. One share to my daughter-in-law, MARIAN STOUFFER, of Carlisle, Pennsylvania. With respect to any of the shares described above, should neither my child nor his/her spouse survive me by thirty (30) days, but be represented by children then living, these children shall take, per stirpes, the share to which my child or his/her spouse would have been entitled if then living. SECOND: All interests of any beneficiary in the income or principal of this Estate, while undistributed and in the possession of my Executor, even though vested and distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary and, furthermore, shall not be subject to pledge, assignment, conveyance, or anticipation. THIRD: All inheritance, estate, and succession taxes (including interest and any penalties thereon) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. FOURTH: I nominate, constitute, and appoint my daughter, HAZEL A. LAMBERT, as Executrix of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability of my daughter to act for whatever reason in this capacity, then I nominate, constitute, and appoint my son, DONALD J. STOUFFER, as Executor. In the event of the renunciation, death, resignation, or inability of my son to act for whatever reason in this capacity, then I nominate, constitute, and appoint my daughter, HELEN STOUFFER NACE, as Executrix. In the event of the renunciation, death, resignation, or inability of my daughter to act for whatever reason in this capacity, then I nominate, constitute, and appoint my son, ROBERT L. STOUFFER, as Executor of this, my Last Will and Testament. I direct that no representative named above shall be required to post security for the faithful performance of his/her duties in any jurisdiction insofar as I am able by law to relieve him/her of such obligation. Any of my representatives shall be entitled to reasonable compensation for the performance of the duties set forth here. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of July, 1995, on this, the third of three typewritten pages. I have also signed the left-hand margin of the first two of these pages for purposes of identification only. RUTH V. STOUFFER~ SIGNED, PUBLISHED, and DECLARED by the Testatrix, RUTH V. STOUFFER, as 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 hereunto subscribed our names as witnesses. AFFIDAVIT Commonwealth of Pennsylvania County of ~u.~.b&~t&~ We, Debra K. Wallet and ~ ~. ~~ , the witnesses whose names are signed to the attached instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that RUTH V. STOUFFER executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that, to the best of our knowledge, the Testatrix was at that time 18 years of age or older, of sound mind, and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by ~__--~J~ ,~, ~C~// and ~f J//~__ witnesses, this ~ day of /~//. , 1995. Notary Public NOTARIAL .~EA~ oA K. WASS, Notary Public ro, Cumberland Country, Pa. My' Commission Expires Sept. 19, 199~ ACKNOWLEDGMENT Commonwealth of Pennsylvania County of Cumberland I, RUTH V. STOUFFER, Testatrix, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. RUTH V. STOUFFER ! ! Sworn or affirmed to and subscribed before me by RUTH V. STOUFFER, the Testatrix, this ~//~ day of ~/~/~/ 1995. {- - Notary Public ~1~%"~oro, Cumberlsnd County, Pa. Commission Expires Sept. ]9, 1994 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 004475 LAMBERT HAZEL A 3819 CHESTNUT ST CAMP HILL, PA 17011 ........ fold ESTATE INFORMATION: SSN: 162-22-0856 FILE NUMBER: 2104-0634 DECEDENT NAME: STOUFFER RUTH V DATE OF PAYMENT: 10/06/2004 POSTMARK DATE: 10/06/2004 COUNTY: CUM BERLAN D DATE OF DEATH: 03/30/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $46.51 REMARKS. HAZEL A LAMBERT TOTAL AMOUNT PAID: $46.51 SEAL CHECK# 0992 INITIALS' SK RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS REV - 1500 EX + (6-00) 0 r~z O0 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 1712~0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Stouffer, Ruth V. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 03/30/2004 11/02/1905 IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) FILE NUMBER 21 COUNTY CODE OFFICIAL USE ONLY 04 00634 YEAR NUMBER SOCIAL SECURITY NUMBER 162-22-0856 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER [] 1. Original Return [] 2. Supplemental Return [] 3, Remainder Return (date of death prior to 12-13-82) [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after 12-12-82) [] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach of Will) copy of Trust) [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between qAME Debra K. Wallet [] 5. Federal Estate Tax Return Required 0 8. Total Number of Safe Deposit Boxes [] 11 .Election to tax under Sec. 9113(A) (Attach Sch O) :IRM NAME (If appli~ble) Law Offices ofDebra K. Wallet TELEPHONE NUMBER 717/737-1300 COMPLETE MAILING ADDRESS 24 North 32nd Street Camp Hill, PA 17011 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) [] 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) None None None None 1,607.45 None None 574.00 13. Charitable and Governmental Bequests/Sec 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) 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) (8) 1,607.45 (11) 574.00 (12) 1,033.45 (13) (14) 1,033.45 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 x .00 (15) 1,033.45 19. Tax Due 20. [] x .045 (16) 46.51 x .12 (17) x .15 (18) (19) 46.51 Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: ISTREET ADDRESS 1000 Claremont Dr. CIT~ Carlisle, STATE PA ZIP 10713 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 46.51 Total Credits (A + B + C) (2) 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 theOVERPAYMENT. (4) Check box on Page I Line 20 to request a refund 5. if Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is theBALANCE DUE (5B) 0.00 0.00 46.51 46.51 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ............................................................................. ~ ~ 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 secudty 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. 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 preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FiLiNG RETURN ADDRESS H~z~ A. Lambert ,~ DATE SIGh,~'~O~"E (~RSO~I RESP~I~'S~lc~ )t(YR¥1~j~-~TURN ADDRESS 3819 Chestnut Street Camp Hill, PA 17011 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS DATE Debra K. Wallet DATE - . 24 North 32nd Street _ , . . ~ ~ ,'~. ~ CampHill, PA 17011 tOlYlo,,/ 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) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statutedoes 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. COMMONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Stouffer, Ruth V. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21 - 04 - 00634 Include the .proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION Claremont Nursing Home account Blue Cross refund Checking Account TOTAL (Also enter on Line 5, Recapitulation) VALUE AT DATE OF DEATH 522.00 367.32 718.13 1,607.45 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Stouffer, Ruth V. FILE NUMBER 21 - 04 - 00634 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. 1 FUNERAL EXPENSES: James R. Gingrich Memorials (headstone) ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid Attorney's Fees Debra K. Wallet, Esq. Family Exemption: (If decedenrs address is not the same as claimant's, attach explanation) Claimant Street Address C~ty Relationship of Claimant to Decedent Probate Fees State ~ Zip Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs Postage, copies, mi]cage, etc. TOTAL (Also enter on line 9, Recapitulation) 95.00 350.00 99.00 30.00 574.00 REV-1513EX+(9~0) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCETAXRETURN RESIDENT DECEDENT ESTATE OF Stouffer, Ru~ V. SCHEDULE J BENEFICIARIES FILE NUMBER 21 - 04 - 00634 NUMBER II. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outdght spousal distributions) Hazel A. Lambert 3819 Chesmut St. Camp Hill, PA 17011 Donald J. Stouffer 15 Skyport Rd. Mechanicsburg, PA 17050 Robert L. Stouffer Box 5550 Derwood, MD 20855 Helen Stouffer Nace 548 D St. Carlisle, PA 17013 RELATIONSHIP TO DECEDENT Do Not List Trustee(8} Daughter Son Son Daughter See Continuation Schedule(s) attached Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet / NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE !B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS AMOUNT OR SHARE OF ESTATE 1/5 of residuary estate of residuary estate of residuary estate 1/5 of residuary estate TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEEl COMMONWEALTH OF PENNSYLVANIA INHERITANCETAXRETURN RESIDENT DECEDENT ESTATE OF Stouffer, Ruth V. SCHEDULE J BENEFICIARIES continued FILE NUMBER 21 - 04 - 00634 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS Sec. 9116(a)(1.2)] Marian Stouffer 1 Bentley Place Carlisle, PA 17013 [include outright spousal distributions, and transfers under RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Daughter-in-Law AMOUNT OR SHARE OF ESTATE 1/5 of residuary estate Page 2 of Schedule J LAST WILL RUTH V. AND TESTAMENT OF STOUFFER I, RUTH V. STOUFFER, of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this to be my Last Will and Testament and hereby revoke all other Wills and Codicils that I have made, including the Will dated December 27, 1966. FIRST: All of my Estate, of whatever nature and wherever situate, ! give, devise, and bequeath in equal shares to those of the following who survive me by thirty (30) days: A. One share to my daughter, HAZEL A. LAMBERT, of Camp Hill, Pennsylvania. Should my daughter fail to survive me by thirty (30) days but be survived by her spouse, then this share is to be given to her husband, ROBERT B. LAMBERT, so long as he shall survive me by thirty (30) days. B. One share to my son, DONALD J. STOUFFER, of Mechanicsburg, Pennsylvania. Should my son fail to survive me by thirty (30) days but be survived by his spouse, then this share is to be given to his wife, DOROTHY READY STOUFFER, so long as she shall survive me by thirty (30) days. C. One share to my son, 'ROBERT L. STOUFFER, of Derwood, Maryland. Should my son fail to survive me by thirty (30) days but be survived by his spouse, then this share is to be given to his wife, SANDRA STINE STOUFFER, so long as she shall survive me by thirty (30) days. D. One share to my daughter, HELEN STOUFFER NACE, of Carlisle, Pennsylvania. Should my daughter fail to survive me by thirty (30) days but be survived by her spouse, then this share is to be given to her husband, CHESTER NACE, so long as he shall survive me by thirty (30) days. E. One share to my daughter-in-law, MARIAN STOUFFER, of Carlisle, Pennsylvania. With respect to any of the shares described above, should neither my child nor his/her spouse survive me by thirty (30) days, but be represented by children then living, these children shall take, ~er stirpes, the share to which my child or his/her spouse would have been entitled if then living. SECOND: All interests of any beneficiary in the income or principal of this Estate, while undistributed and in the possession of my Executor, even though vested and distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary and, furthermore, shall not be subject to mpledge, assignment, conveyance, or anticipation. THIRD: All inheritance, estate, and succession taxes (including interest and any penalties thereon) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. FOURTH: I nominate, constitute, and appoint my daughter, HAZEL A. LAMBERT, as Executrix of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability of my daughter to act for whatever reason in this capacity, then I nominate, constitute, and appoint my son, DONALD J. STOUFFER, as Executor. In the event of the renunciation, death, resignation, or inability of my son to act for whatever reason in this capacity, then I nominate, constitute, and appoint my daughter, HELEN STOUFFER NACE, as Executrix. In the event of the renunciation, death, resignation, or inability of my daughter to act for whatever reason in this capacity, then I nominate, constitute, and appoint my son, ROBERT L. STOUFFER, as Executor of this, my Last Will and Testament. d-_ecu that no representative named above shall be required to post security for the faithful performance of his/her duties in any jurisdiction insofar as I am able by law to relieve him/her of such obligation. Any of my representatives shall be entitled to reasonable compensation for the performance of the duties set forth here. IN WITNESS WHEREOF, I have hereunto set my ha~d and seal this %~ day of July, 1995, on this, the third of three typewritten pages. I have also signed the left-hand margin of the first two of these pages for purposes of identification only. 'RUTH Vi STOUFFER SIGNED, PUBLISHED, and DECLARED by the Testatrix, RUTH V. STOUFFER, as 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 hereunto subscribed our names as witnesses. ,'9 AFFIDAVIT Commonwealth of Pennsylvania County of ~u~,.b&rl.d~f. We, Debra K. Wallet and ~ ~. E~ · the witnesses whose names are signed to the attached instrument· being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that RUTH V. STOUFFER executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that, to the best of our knowledge, the Testatrix was at that time 18 years of age or older· of sound mind, and under no constraint or undue influence. rn or affirmed to and subscribed, to before me by ~ ~f"~/~,, ~C~~ / an d ~c~/</~, £L ~/' ~,~~ , witnesses, .his ~r day of //~.d~F~// , 1995. · ,,. ,.. . ~ /. Notary Public NOTARIAL .~ E>,' oA K. WASS, Notary Fublic to, Cumberland County, Pa. My Commission Expires ,Sept. 19, 199~J ACKNOWLEDGMENT Commonwealth of Pennsylvania County of Cumberland ~ RUTH V STOUFFER, Testatrix, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and subscribed before me by RUTH V. STOUFFER, the Testatrix, this ~/? day of~,.~/~/ 1995. f- - Notar~ Public J -~ce~e~-'Boro, Cumberland County, Pa. J My Commission Expires Sept. 19, 199~ Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of Stouffer, Ruth V. also known as , Deceased Hazel A. Lambert No. 21 - 04- 00634 Date of Death 3/30/2004 Social Security No. 162-22-0856 The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedenrs death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Personal Representative Attorney: Debra K. Wallet Signature: ",~:~(g_.o-.a~) ~. Hazel A. ~m-'b~r{' I.D. No.: 23989 Signature: Signature: Address: 24 North 32nd Street Address: 3819 Chestnut Street Camp Hill, PA 17011 Camp Hill, PA 17011 Telephone: 717/737-1300 Personal Property Claremont Nursing Home account Telephone: 717-737-1378 Dated: Blue Cross refund Checking Account Total Personal Property 522.00 367.32 718.13 $1,607.45 (Attach additional sheets if necessary) Total Personal Property and Real Estate $1,607.45 BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYLVANIA CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Ruth V. Stouffer Date of Death: March 30, 2004 Will No. To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on October 5, 2004. Name Address Hazel A. Lambert 3819 Chesmut Street Camp Hill, PA 17011 Donald J. Stouffer 15 Skyport Road Mechanicsburg, PA 17050 Robert L. Stouffer Box 5550 Derwood, MD 80855 Helen Stouffer Nace 548 D Street Carlisle, PA 17013 Marian Stouffer 1 Bentley Place Carlisle, PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: Debra K. Wallet, Esquire 24 N. 32nd Street Camp Hill, PA 17011 (717) 737-1300 Counsel for personal representative Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 10/05/2004 WALLET DEBRA K 24 N 32ND ST CAMp HILL, PA 17011 RE: Estate of STOUFFER RUTH V File Number: 2004-00634 Dear Sir/Madam: It has Come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANs, COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans, Court his/her Certification of Notice. This filing will become delinquent on 10/18/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Personal Judge Representative GLENDA FARNER S~ Clerk of the Orphans, Court Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 10/05/2004 LAMBERT HAZEL A 3819 CHESTNUT ST CD24p HILL, PA 17011 RE: Estate of STOUFFER RUTH V File Number: 2004-00634 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5 7 (a) in the above captioned estate. · As per the AMENDMENTS TO SUPREME COURT ORPHANS, COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his Counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans, Court his/her Certification of Notice. This filing will become delinquent on 10/18/2004 Your prompt attention to this matter will be appreciated. Thank You. CC: File Counsel Judge GLENDA FARNER STP~ASBAUGH Clerk of the Orphans, Court BUREAU OF ZNDZV/DUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG, PA 17128-0601 CONNONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRA/SEHENT, ALLOWANCE OR D/SALLONANCE OF DEDUCTIONS AND ASSESSHENT OF TAX REV-l;47 EX AFP (09-04) DEBRA K WALLET D K WALLET LAW OFFICES Zq N SZND ST ~ * CAMP HILL P~!ZT011 DATE 11-Z9-ZO0q ESTATE OF STOUFFER DATE OF DEATH 05-$0-Z00~ FILE NUMBER 21 0~-063~ COUNTY CUMBERLAND ACN 101 RUTH V CUT ALONG THIS LINE ~ Amount Remitted MAKE CMECK PAYADLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF STOUFFER RUTH V FILE NO. 21 O~-06~q ACN 101 DATE 11-Z9-ZO0~ TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks end Bonds (Schedule B) (2) $. Closely Held Stock/Partnership Interest (Schedule C) ($) q. Mortgages/Notes Raca/vable (Schedule D) $. Cash/Bank Deposits/N/sc. Personal Property (Schedule E) ($) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G} (7) 8. Tote1 Assets APPROVED DEDUCTZONS AND EXEMPTZONS: 9. Funeral Expenses/Adm. Costs/Hisc. Expanses (Schedule H) (9) 10. Debts/Nortgaga Liabilities/Liens (Schedule Z) (10) 11. 12. 15. NOTE: .0O 1~607.~5 .00 .00 .00 NOTE: To /nsure proper .00 cred/t to your account, .00 subeit the upper portion of this form with your tax payment. (8) 57~.00 .00 Total Deductions (11) Nat Value of Tax Return (12) Char/table/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) Nat Value of Estate Subjec~ to Tax Zf an assessment was issued previously, 11nas lq, 15 and/er 16, re~lect figures that lnclude the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line lq a~ Spousal rata 16. Amount of L/ne Zq ~axable at Lineal/Class A rata 17. Amount of Line lq at S~bl/ng rata 18. Amount of L/ne lq ~axable at Collateral/Class B rata 19. Principal Tax Due TAX CREDTTS: PAYMENT RECETpT DTSCOUNT BATE NUHBER INTEREST/PEN PAID (- 10-06-200q CDOOqq75 .00 ZF PAID AFTER DATE ZNDZCATED~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 1,607 57~.00 1,033.q5 17, 18 and 19 wlll (15) .00 X O0 = (16). 1,033. q5 x Oq5 = (17) . O0 x 12 = (is) .00 x 15 = (19)= AMOUNT PAID .00 1,055.q5 .00 q6.51 q6.51 .0O .00 q6.51 TOTAL TAX CREDIT { fi6.51 BALANCE OF TAX DUEl .00 INTEREST AND PEN. .00 TOTAL DUE .00 ( ZF TOTAL DUE ZS LESS THAN $1.~ NO PAYMENT IS REI~UZRE". IF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR)., YOU MAY BE DUE A REFUND. SEE REVERSE SZDE OF THIS FORM FOR ZNSTRUCTZONS. RESERVATION: PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 12, 1962 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years) the Commoneealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lamfu! Class B (collateral) rate on any such future interest. To ~ulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of ZOO0. (72 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Nills printed an the reverse sidm. --Make check or money order payable to: REGISTER OF N/LLS, AGENT 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 online at eww.revenue.stete.oa.us, any Register of Hills or Revenue District Office, or from the Department's Z4-hour answering service for forms orders: 1-800-$62-Z050; services for taxpayers with special hearing and/or speaking needs: 1-B00-447-3020 (TT only). Any party in interest not satisfied with the appraisaent, allowance or disallowance of deductions or assessment of tax (including discount or interest) es shown on this Notice may object eithin 60 days of the date of receipt of this notice by filing Dna of the following: A) Protest to the PA Department of Revenue, Board of Appeals. You may object by filing a protest online at wmw.boardofappeals.state.pa.us on or before the expiration of the sixty-day appeal period. In order for an electronic protest to be valid, you must receive a confirmation number and processed date from the Board of Appeals website. You may also send a written protest to PA Department of Revenue, Board of Appeals P.O. Box Z81021, Harrisburg, PA 17128-10Z1. Petitions may not be faxad. B) Election to have the matter determined at the audit of the account of the personal representative. C) Appeal to the Orphans' Court. Factual errors discovered on this assessment should ba addressed in eriting to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Raviam Unit, P.O. Box 280601) Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. Xf any tax due is paid within three (~) calendar months after the decedmnt's death, a five percent (51) discount of the tax paid is allowed. The 157. tax amnesty non-participation penalty is computed on the total of the tax and interest assessed) and not paid before January lB, 1996, the first day after the and 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. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the data of death) to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (62) percent par annum calculated et a daily rate of .000164. All taxes which became delinquent on and after January 1, 19BI 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 1982 through Z004 are: Interest Daily Interest Daily Year Rate Factor Year Rate Factor ~ ZOZ .000548 ~'8-1991 117. .000501 1983 167. · 00043B 1992 97. . 000247 1984 117. .000301 199~-1994 77. .000192 1985 1~;7. .000556 1995-199B 97. . 000247 1986 107. .000274 1999 77. .000192 1987 107. .000274 ZOO0 72, .000192 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID Interest Daily Year Rate Factor ~ 9Z .000247 ZOOZ 62 .000164 2003 57. .000137 2004 42 .000110 X NUHBER OF DAYS DEL'rN~UENT X DAILY 'rNTEREST FACTOR --Any Notice issued after the tax becomes delinquent wil1 reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date sheen on the Notice, additional interest must be calcuZated. STATUS REPORT UNDER RULE 6.12 Name of Deced~nt: Ruth V. Stouffer Date of Death: March 30, 2004 Will No. 2004-00634 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 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informal.ly 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 Cerk of the Orphans' Court and may be attached to this report. Date: 10/31/05 4J..w...~. W~ Signature Debra K. Wallet, Esq. Name (Please type or print) 24 N. 32nd St., Camp Hill, PA 17011 Address (717) 737-1300 Tel. No. ",.,q1 ';)'v\.i{, Capacity: Personal Representative X Counsel for personal representative .e_ ,. .' "' ", :, .' ,;', .,.:,' ",; ,"",r"',' L-'"'\(":"~".',,-\ (MAH: rm. _ f/AM-3,}.~.J'j-~'--'-' ,::_'.J J'~~\:-j\'~) \.~- ~-,> ~~ PHONE: (717) 737-1300 .1!aw DfficH of DEBRA K. WALLET 24 N. 32nd STREET CAMP HILL, PA 17011-2917 Email: Walletdeb@aol.com FAX: (17) 761-5319 I I October 31, 2005 Glenda F. Strasbaugh, Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Ruth V. Stouffer Will No. 2004-00634 '*", Dear Ms. Strasbaugh: Enclosed for filing are the original "Approval of Account, Waiver, Receipt, Releas , and Agreement of Indemnity" and a Status Report Under Rule 6.12 for the above-captione case, along with the filing fee of $5.00. I have also enclosed two copies of the front page of each of these documents to be clocked-in and returned in the enclosed self-addressed, stamped envelope to my office. As always, should you have any questions about any of these documents, please fe I free to telephone my office. Thank you for your assistance. Sincerely yours, \.Q~~.....~ Debra K. Wallet DKW/rnrnl Ene. cc: Hazel A. Lambert, Executrix . # v IN THE ORPHANS' COURT DIVISION OF THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF RUTH V. STOUFFER, DECEASED No. 2004-00634 APPROVAL OF ACCOUNT, WAIVER, RECEIPT, I RELEASE, AND AGREEMENT OF INDEMNITY The circumstances leading up to the execution of this instrument are as follows: I 1. Ruth V. Stouffer died on March 30,2004, leaving a Will dated July 7, 1995, n~ing . I Hazel A. Lambert as Executnx. I 2. Letters Testamentary were granted to Hazel A. Lambert by the Register of WiU~ of I I 3. It is the desire of the Stouffer heirs that the Estate be distributed without the I formality of a court proceeding in order to save the expense, publicity, and delay incident tf : such court proceeding, and the Executrix is willing to make such distribution upon the I I I Cumberland County on July 8, 2004. execution of this instrument. .-) i ~1 4. An account of the administration of the Estate of Ruth V. Stouffer has been J i-I .J i I prepared by the Executrix. A copy is attached hereto as Exhibit A. 5. In consideration of the foregoing, each of the undersigned hereby: I I I knowledge, information and belief; I B. Dectares that helshe has examined the attached account of the administrtion of the Estate and the attached schedule of distribution; that he/she finds them to be true anq I I I I A. Represents and warrants that he/she has read and understands this instrument and that the facts set forth above are true and correct to the best of his/her -1- ~ correct in all particulars; that he/she accepts and approves them as if they had been duly filed, audited, adjudicated and confirmed absolutely by the Orphans' Court Division of the Court of Common Pleas of Cumberland County, and as if the amounts shown as distributable had been duly awarded to him/her; C. Waives the filing and auditing of the account of the administration of the! I Estate in the Orphans' Court Division of the Court of Common Pleas of Cumberland County, and agrees that the Orphans' Court Division of the Court of Common Pleas of Cumberland' County may by its decree confirm the account and approve the schedule of distribution; D. Requests the Executrix to make distribution of the principal and income ~n I accordance with the schedule of distribution, and effective upon delivery to him/her of the amounts shown as respectively distributable, acknowledges receipt of such property; E. Agrees to refund to the Executrix any amount which may at any time be determined to have been an erroneous distribution to him/her, regardless of the cause of such erroneous distribution, even if attributable to negligence, and agrees that any period for the , limitation of actions for the collection of any erroneous distribution shall commence only at such time as the Executrix shall have obtained actual knowledge of such erroneous distribution and that in no event shall the period for collection of any erroneous distribution be less tham. two years after the actual discovery thereof; F. Absolutely and irrevocably remises, releases, quitclaims and forever discharges Hazel A. Lambert, individually and in her capacity as Executrix, from any and all actions, suits, payments, accounts, reckonings, liabilities, claims and demands relating in ~ny way to the administration of the Ruth V. Stouffer Estate; -2- II G. Agrees to indemnify and hold harmless, to the extent of the funds received by him/her hereunder, Hazel A. Lambert, individually and in her capacity as Executrix, from and against any and all claims, loss, liability or damage (including legal fees and costs in connection therewith) which she may suffer or to which she may be subjected by reason oflher administration of the Estate, the settlement of her Executrix's account and the distribution M the assets of the Estate without having the formal approval of the Orphans' Court Division of the Court of Common Plea8 of Cumberland County, including, but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other death taxes, together with I interest and costs incidental thereto, relating in any way to the Estate; and H. Declares it to be his/her intention that this instrument, consisting of thr* pages, shall be governed by the law of Pennsylvania and shall be legally binding as an agreement under seal upon him/her and upon his/her heirs, executors, administrators and assigns. Executed on: (Jjd I(~- DATE / ~{.;(-,<:.- (- ~ -'-> H~A~E~~ 0)<!,?_~LCi ~O .~~ft;ulfG D J. ST0 ER (Seal) (CUt /3- ;( OOS;- DATE (Seal) fP~f- "Z.-3 I ~OO r' DATE (Sean C/l~ ,;2 s: ;l~ DATE / ~~ ~ b-Pk'(- 1&( 9_ HELEN STOUFFER NACE '7J/~'h/h~~ MARIAN STOUFFER I (Seal> CJ:::.- t \:J 7/ ,;{ 0 ~ :) DATE (Seal) I -3- BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYLVANIA No. 2004-00634 FIRST AND FINAL ACCOUNT OF HAZEL A. LAMBERT, Executrix For ESTATE OF RUTH V. STOUFFER, Deceased Date of Death: March 30, 2004 Date of Executrix's Appointment: July 8, 2004 Accounting for the Period: July 8, 2004 to October 7, 2005 PURPOSE OF ACCOUNT: Hazel A. Lambert, Executrix, offers this Account to acquaint interested parties with the transactions that have occurred during her administratiop. The Account also indicates the proposed distribution of the Estate. It is important that the Account be carefully examined. Requests for additional information or questions or objections can be discussed with: Debra K. Wallet, Esquire 24 N. 32nd Street Camp Hill, PA 17011 I.D. #23989 (717) 737-1300 EXHIBIT A Proposed Distribution to Beneficiaries PRINCIPAL Receipts Less Disbursements Funeral Expenses Administration Expenses Federal and State Taxes Fees and Commissions Principal Balance on Hand SUMMARY OF ACCOUNT Page Current Value Fiduciaqr Acquisit,on Value 4 $987.89 2 $1,608.40 3 3 3 3 $95.00 129.00 46.51 350.00 $620.5l $987.89 RECEIPTS OF PRINCIPAL Assets Listed in Inventory: (Value as of Date of Death) Cash and Bank Deposits: Claremont Nursing Home Account $522.00 Checking Account 718.13 $1,240.13 Refunds: Blue Cross refund $367.32 TOTAL ASSETS LISTED IN INVENTORY: $1,607.45 Receipts Subsequent to Inventory (Valued When Received) Claremont Nursing Home Account $0.95 TOTAL RECEIPTS OF PRINCIPAL: $1,608.40 2 DISBURSEMENTS OF PRINCIPAL Funeral Expenses: James R. Gingrich Memorials (headstone) Administration Expenses: Probate Fees Postage, copies, mileage, etc. Reserve for Filing of Account Federal and State Taxes: P A Inheritance Tax Fees and Commissions: Debra K. Wallet, Esq. - Attorney's fees $95.00 $84.00 30.00 15.00 $129.00 $46.51 $350.00 3 PROPOSED DISTRIBUTION TO BENEFICIARIES TO: Hazel A. Lambert 3819 Chestnut Street Camp Hill, PA 17011 $197.57 Donald J. Stouffer 15 Skyport Road Mechanicsburg, P A 17050 197.58 Robert L. Stouffer Box 5550 Derwood, MD 80855 197.58 Helen Stouffer Nace 548 D Street Carlisle, PA 17013 197.58 Marian Stouffer 1 Bentley Place Carlisle, PA 17013 197.58 TOTAL PROPOSED DISTRIBUTION TO BENEFICIARIES: 4 . $987.89