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HomeMy WebLinkAbout10-06-10 150561D140 RE1/-150 °` ro+-'°' PA [~airiiaait d RsrMaue OFFICIdL TINE OILII 9asaau d MttNMdual Ts~ws Casn~r Code Year'.. Fb INrn~lier ho ttlc~oc 250801 ~~~ T/1X 2 1 1 0 0 1 8- 0 tMaNllirn. M-1~~~8-oeol RESIDENT DECEDENT t=xrr=~ o~etr Nl>!t011MAT110N sROw Sociat SecirrNy Number Dale of Dsallh i~iooYrYr Dale of BiM i~oOmrY 1 5 5 0 7 1 8 1 5 0 2 0 3 2 0 1 0 0 7 3 1 1 9 2 0 Dsoedsral's t.aalt Name SuRbc DsoedsM's First Name NN H A S K E T T A L I C E A (E APPS) Ertrr DwvWit~ 3poutes htlormatlon Below Spouses t.ast Name Sullbc Spouses Feat Name NN Spo use's SodN SscaxNy Number THIS RETURN ISUfT BE FlL.ED IN DUPLICATEIY~lITM THE RE~3ISTER ~ WILLS FILL M APPROPIIIAIE OVAtis BAY ® 1. C~ripiraal Retum ~ 2. Supplsnasratal Rstum ~ 3. RentaN~dtrl (dale of deakh 4. L1rriNsd Estate [~ 4a. Fu4xe trllerest ComprorrNN (dale of l , ~ 5. Federal Tax Rslarrn Rsquirad ® 8. Dsoederat Died Testate ~ deadh aNer 12-12-82) ~ 7. DeoedNrt ~M>t~ISd a LMnp Triatit 8. Total of Sake DspwR Bootee { (/Wad1 Copy d 1Mq (111tach Copy d Tnasy . 9. Litlpetlon Procasds ReoNvsd ~ 10. Spousal Poveet)- Craft (deft of dsMh ~ 11. ENWon b under Sea 9113(A) between 12.31-W and 1-1~t1) (~ttaaia ) - TINS S1D7110N MIST BED. ALL COMEMOMOBNCE AID OOI~DEtIITML TAX SMaOI Naraw Daytlms T~ W I L L I A M A D U N C A N 7 1 7 horle~Nunaber 2'~9 77x0 Iwus u~t6oaa~Y ~ ~_ A First time d address > ~ o -~- - 2 . t~ n raj ~~jj 1 I R V I N E R O W ~-~ ~ ~~ ~' `-'` Seoaad line of addtss ~ cr> i~ ~ r ~ rC4~~~?, jam-) .~ ~, ' .:a Cahn ar taost OAioe Stale ZJP Code FAD W _ C A R L I S L E P A 1 7 0 1 3 ~ ~ ~'~ CeaaaapoatdtatCs e~waaN adalraae: tMader paraMa d pNJrry, I daalew that i hNS awrnYiad thk nlrm, YidudlnY aooomprrtYp adaedd~s and ateMnrw~, and b tbe, m'r,b~ga and tlaeN, R Y tnw, oorwat and conpNle. DacleaaMon d dear than the paraorwl rapasearNeYne k twsd on M hbmisMon d which fw anlr IaiowMdpa. SlttllNTiNlE OF ~ F'OR REnMtN ~ ADDIIE88 35 ROL G .RIVE CARLISLE P''17013 tiKit111 1}i11t1 ~SENTATiVE a~,FwlrE usE oRIC~IIIA~. Folml oar L 1505610140 std. ~ 15056101H~ J~ J 3~51~5630240 REV 1500 EX o.adsrrCsNrne: ALICE A- HASKETT Deosdsnl's Social Security Number 1 5 5 0 7 1 8 1 5 RECIIPITIILJ-TtON 1. RsalEwb (Schsdub A) .......................................... . 1. 2. stocks acrd Bards (Schedule s) ..................................... . 2. 6 0 5 7 5 4. 0 9 3. Ckrssly MkW Corporafbn, Partnership or Sois-Proprbtorship (Schedub C) ..... 3. 4. Malpapss and NWes Reosivable (Sc2tsdub D) .......................... 4. 5. cast,, sank oepoails arrd MbosNarrsous Personal Properly (Sclrsduie E)....... 5. 3 0 ', ~ 3 b 0 . 9 7 6. ,loirrtly owned Property (Sr~rsdub F) ^ Separate eiMirp Requested ....... 6. 3~ b 6 2. 7 8 7. Inter-VNos Tarabrs S MtscNbrrsous ~~ (Schedule G) S eparals ~9 Requswd ....... 7. 8. Tod Oroes Aseebs (btN Ltnes 1 thrarpfr 7) ........................... 8. 9 3 '1, 7 7 ? . 8 4 9. Funeral Expsrrses and Ades cow (Sdbdub hn .................. 9. 2 2' 0 4 4 . 8 3 10. Debts a Dsosdsrd, I-Aortppe Uabilitlss, and Lbws (SGrsdub 1) ............. 10. 5 b 0 . 0 5 11. Twl Deductlons (total Lines 9 and 10) ............................... 11. 2 2 ' b 0 4 . 8 b 12. Net Vatw o/ Eadle (Urre 8 minus Una 11) ............................ 12. 8 8 q 3 7 2 . 9 8 13. Charilsble and God Bequesb/Sec 9113 Tnrsb for which ~ ebclton to tax has not been made (Sdrsdrde .n ...................... 13. 14. Net Vaiiw Sutl jsd b Tart (Line 12 mirnrs Line 13) ....... .......... ... 14. 8 a ~ '' 3 7 2 . 9 8 TAXCALCULATION - 8EE Il~TRUCTIONS FOR MPLICABLE RATES 15. Amount a Line 14 ta~oebie at the spousal tax vale, or trarrsfsrs under Sec. 9116 (axt.2) x.o _ 0. 0 0 15. 0. 0 0 18. Amamt a tins 14 taxable at lineal role x .a15 8 8 9 1 7 2. 9 8 t8. 4 0 1 0 1 2. 7 8 17. Amount a Line 14 taxable at eiblirq rile X .12 0. 0 0 17. 0. 0 0 18. Amount a Line 14 tsxsbb at ooNaleral tale X .15 0. 0 0 18. ' Q~ 0 ~ 19. TAX DUE ...................................................... 19. Z0. FOL. IN THE OVAL tF YOU ARE ~ A REFUND OF AN OVERPAYMENT mod. z L 3505610240 4 0!01 2.7 a 150563024DI J REV 1500 EX Paps 3 Decedents Compls~e Address: FMs NraalNr 21 10 0180 oECEOE~rs wu~ ALICE A• HASKETT sTREET~noRESs CHAPEL POINTE AT CARLISLE t:rrr CARLISLE PA 17013 Tax Payments and Cndi~s: 1• TaK Due (Page 2, line 19) 2. C~ A. PAP 36, Ooo . 00 B. Disoorxd 1, 5b 3.4 2 3. IrMerest (1) 40,012.78 TotalCredlla(A+g) (~ 37,583.42 (3) 4. M Line 2 is greater Mean lkre 1 + line 3, enbr the dlferenoe. This id the OYERPAYIIEKT. FlII M anal on Pe0•>; tin bb regrreat a refwrd. (4) 0.00 5. M Line 1 + Line 3 is greater Mean Line 2, enter Mrs dlferenoe. Thin is Mrs TAX DUE (~ 2 , 4 2 9.3 6 INaice diledc pay~le to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE f~Oll.O'WINa 4UESTIONS BY PL14CIN6 AN "X' IN THE APPiR{~RIATE BLOCKS 1. Did deoederrl nreke s beneter and: Yep No a retain Mrs use ar inoonn d Mrs propeAy trarreferred : ...................................................................... b. reta(n Mrs right b designate who itrall use the property barreferred or Ms income; ............................... c. retain a rerersiorrary irMereet; or ................................................................................................. d. reoeiMe Mrs pnxrise for Nle d eiMrer payrrrer~ts, berreAb ar care? ....................................................... 2. M death occurred attar December 12,1982, did decedent trarrater property wiMrin one year d deeMr wNtrout receiving adagrrate aorwideraMon? ................................................................................. ...... 3. Did decedent own an'irr bust for• or peyabiwpoo-dealh bank aoDOrmt ar searrNy at hie or her dealh~ ......... 4. Did deoederR own an brdivklual rerrenrerrt aaoouM, amuily a otter na~probete property, which oorrtairrs a berrelfciay deeignetion~ .................................................................................................. ~II ^ ~ THE ANSrYER TO ANY OF THE A80VE QUESTIONS f8 YE8, YOU MUST COI~LETE SCFIEDULE 0 ANO FN.E R ~ PART OF THE RETURN Far dales oidearr on a aAer July 1,19®4, and before Jan. 1, 1996, rte ~c tale irrpoeed an the net value of trarrafers b ar tat rte use of the aurvivirg apaies 3 peroerd [12 P.S. §9116 (a) (1.1) (i)j. Far dabs of dean on or albr Jan.1,1996, the tax tale inrpoeed on rn net value of transfers b or for the use of rte axvivirrp is 0 peroerrt (72 P.& §9116 (a) (1.1) (iijj. Ths statute doss not exempt a transfer b a surviving spouse front tax, and the staiubry npuirs~ diedoerrre of assets and filing a tax retrrm are s• erjrprcable even if rte srrrviuirrg spouse is the onhr berreraery. Far dales of deem on a alter Jay 1, 2000: • The teat tale imposed on rrs net value of tranakrs from a deceased d~ld 21 years of ape a younger at dean b or brrb ube of a natural parent, an adoprve perorrt ar a sleppere,rt of rn ohrd is 0 percent [72 P.S. §9118(ax1.~]. • The tax refs irrrpoeed on rn net value of translixs b or br the use of the deoedenCa Nneei Denerciariea is 4.5 peroent, ezbelpt ae rested in 72 P.S. X116(1.2) [72 P.S. ~118(ax1)]. • The tax tale inrpoeed an rte net value of transfers b ar fat rte use of rte deoedenCa sbirrgs is 12 peroent [72 P.& ~116KaK1.3)~ A ~9 is derrrsd, undo Becton 9102, as an irrdlviduat who has at Isast one pereM in aorrrrron wiry the decedent, whetter by blood or adoprom. REV-1503 EX + (~8) co~oNwEA~TH of PENNSnvANU- N~MIER<TANCE TAX RETURN RESIDENT DECEDENT ~CM~~l.E e STOCKS ~ BONDS `v"" ` ••r FLE Ml~ER ALICE A. HASKETT 21 1D 01a0 A• PbiNa ~oi~awMll wM rf~Mt d wMMO~Mip wit 0~ ielo~M a~ SoMdii F. ITEM ~~ VAUJE AT DATE DESCRIPTION OF DEATH ~. ORRSTOYN FINANCIAL SERVICES -IRA ACCOUNT 14,627.1D [SEE ATTACHED DOD INFORMATION? 2- ORRSTOYN FINANCIAL SERVICES -INDIVIDUAL ACCOUNT 591,126.99 [SEE ATTACHED DOD INFORRATION] TOTi4L (Abo enle- an NIIe 2, Recapihrfe~on} ( : 6 0 5 , 7 5 4.0 9 REV 1500 EX a (8-08) '` ~N~/~t~iLE E ~ ~TM ~ ,,,,~ CASH, BANK DEPOSITS, ~ MISC. ToE~cEOENT PERSONAL PROPERTY ESTATE OF FN.E NVI~ ALICE A• HASKETT 21 10 0180 Mlnduderie of ~ a~da dwrie ~ a ~ s a iF. tTEIYI VALUE AT DATE NUR DESCRIPTION OF DEATH t. PROCEEDS OF O RRSTOWN BANK ACCT• X106005478 297,b01.32 [SEE DATE OF DEATH LETTER ATTACHED] 2• MET LIFE ASSI STED CARE 02-10-10 - 01-03-10 REFUND ' 519.00 3• PA TAX RETURN REFUND 932.00 ToTA~ (A~o enter an one s. ~l ~ = 2 9 9 , 2 5 2 . REV-1500 EX+ (01-10) Pennsylvania ~~ N~NfmTANCE TAX PErII<M! RESAHIT OEC®ENT scNEOVCE F ,a~NrLY-ovrNEn P~oPErm carwrc ter: RICE tNlM~R: ALICE A- HASKETT 21 30 0180 ~ an amt was In~de JoNNrh- owned rlltll~Il oM ~r of tlIe degdnlCs dM~ of daR~ ik ~ be npolhd oII $Chednie Q. slx~vnrMC3 .a~+r TEt1ANT(~ ~(S1 ADDRESS REUnoNSHn+ To DECEDENT ~. VIRGINIA H- SUTER 35 R0LL2N6 1DRTVF ~-u~~u•rre CARLISLE, PA 17013 s. c. .ioiNr~r-orrNr~n Pao~~rY: RBI Fpt JOMf 1aM0~E iNCatIOE NAIE OF FRWIC111L ~ I D BAN(AOOOIMT NICER pt 9NO~/IR QI1TE OF DEATH '~p~ QATE aF DEATH MA~t TENANT .IOMfr pBlIFYNG MNrBER ATTACH 0~ FOR JOMRLY~ELD REAL ESTATE VAUlE OF ASSET ' NR!EREST DECEOEIrr'S 0~3T ~. ~A. I11/01IS0VEREIGN BANK ACCT-X2891043464 ~ 7,725.55' S0-~ 3,862.78 TO?AL (Nso solar an tines, Recapi~laEion) I ! = 3 , 8 6 2.7 8 REV-1511 p(+ (10-0e) pennsyivania SCHEDULE H °~,"~°~"~ FuN~R~L ~NSES a~w M~RBiITMICE TAX RETURN ADMINISTRATIVE COSTS RESIDENT OEC~ENT ESTATE OF FILE Ml~ER ALICE A• HASKETT 21 10 0180 oeoederrh deea ~c e. repaad on 8dredrra L ITEM NUMBER ~~ AMOUNT a FUNERAL mss: ~. H•T• LAYTON FUNERAL HOME - SEE ATTACHED BILL 2,034.08 2• REIMBURSEMENT FOR KANDLE FAMILY-TRAVEL >i RELATED EXP 5,b80.34 3• REIMBURSEMENT FOR SUTER FAMILY-TRAVEL K RELATED EXP 1,781•?5 4• CHAPEL POINTE RECEPTION 1,796.69 5• STATIONARY - THANK YOU NOTES 53.98 6• ERIC L• SUTER - TRAVEL TO FUNERAL 173.15 7- CRAIG M- SUTER - TRAVEL TO FUNERAL 371.30 8• GUY Y• SUTER - TRAVEL TO FUNERAL 690.10 9• MISCELLANEOUS EXPENSES WEEK OF DEATH 240.00 B. AoMINISTRAnvE cosTS: ~. Persalai Repleselltarir~e C.amrNesions: d persorrsl Rep~eeerrawe(e) s>test Address ~r sal. zip Yeegs) Cansnieebn paid: 2. A~Fse~ DUNCAN >< HARTMAN, PC ?,000.00 3. Famlf- Ezerrprar: (If deosderks address b not rie serve as deknenCa, sltsdr srplsrreron.) CMsMrrerR Sbset Address ~b sate zip ReMiadrip d Clsirrerrt b Deoederrt 4• protraleFees: REGISTER OF PILLS 642.50 5. Aaoorararrt Fees: s• TarcRsbmpreparerFees: COHICK S ASSOC--2009 TAX PREP 582.00 7. CUMBERLAND LAY JOURNAL - LEGAL NOTICE 75.00 8- THE SENTINEL - LEGAL AD 176.92 9- SHORT CERTIFICATES 32.00 10• REGISTER OF PILLS - FILING FEE 15.00 11• HELD IN RESERVE 500.00 TarK ~u enter on idle s, Recapi1111~Iiofl- I I i FtEV ~s~s oc• ~~s-oe~ Pennsylvania ~~ IlNEPITANCE UU(RETIXiN RES~ENTDECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LUBILITIES, ~ LIENS w~n~cvr F~~~ta ALICE A• HASKETT 21 10 0180 t~ac a.be. ~.a b~rrn a.a~nt p~orb a.wh ~ rise uepdd ate d~ls ad..r~, bclydM~ ~ idled ap«ass. ITEM VALUE AT DATE ~~ OF DEATH t. CHAPEL POINTE - FINAL BILL 516.98 2- MILLENIUM PHARMACY 43.0? TOTAL (Abo erMar an Line 10, Recapi~ulatloki)j ~ s k mole soeoe b neeaee, rneert eaawW alNeb d he aeme alas. i NH/--1513 EX~ (01-10) Pennsylvania ~~ oe+~~r~xairnxai ~sioENr oECEOirrrr SCHEDULE J BENEFlCWRIES ~ r- ALICE A- HASKETT 21 10 0180 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not LNt Tna~looa) OF ESTATE I. TAXABLE DISTRIBUTIONS Andlude dlerbulore and traimbis under Sec.911-6 (e (1 1. VIRGINIA H• SUTER Lineal 35 ROLLING DRIVE 50,000.00 CARLISLE, PA 17013 >i 50Z SHARE 2• FRANCES H• KANDLE Lineal 7900 LAS CRUCES AVENUE 30,000.00 BAKERSFIELD, CA 93309 sii 50Z SHARE 3• ERIC L• SUTER Lineal 1501 FARM CROSS YAY 1,000.00 BAKERSFIELD, CA 17404 4• CRAIG h• SUTER Lineal 61285 BROOKYAY DRIVE 1,000.00 SOUTH LYON, MI 481?8 5• JASON K- SUTER Lineal P.0• BOX 105 '1,000.00 FRANKLINTOYN, PA 17323 6• GUY Y• SUTER Lineal 839 PEST HURON STREET '1,000.00 ANN ARBOR, MI 4x103 7• KIMBERLY K• STANLEY Lineal 1513 LEAF CREST LAND 1,000.00 BAKERSFIELD, CA 93312 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LNt£S 15 TIiR011GH 18 OF REV 1500 COiYB{t ; ~ AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBl1TI0NS UNDER SECTION 9113 FOR WHICfI AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARRABLE AND GOVERI~MtFMAL DISTRIBUTIONS: 1 TOTAL DEPART II -ENTER TOTAL NON-TAXABLE DISTRIBIJTpNS q~ Liles 13 OF REV-1500 COVER SPIFFY N rrerxw Rnar» La rrwrlivl ~nen arirYNneAI chaete of reanar n1 fM aanen nine Contltwat~on of REV-1500 Inheritance Tax Return Resident Decedent AucE a Irr 21 to 080 oc.aenl"s N~rns ~. , Flls Nun~bsr 8c1~duN J - rNs -1 NUMBER NAt+E AND ADDRESS OF S RECEIVING PROPERTY TAXABLE DISTRIBUTIONS cwt ~po~~ I ~~SeG 9ti8 ( ty 1.21.1dlwlbulo~ro ane tane~eia under 8• JOSEPH C• KANDLE 1550 EDDY STREET *520 SAN FRANCISCO, CA 94115 Not Uet - OF ESTATE Lineal ~1, 000.00 LAST WILL ~c TESTAMENT OF ALICE A. HASKETT, of 770 South Hanover Street, Carlisle, Cumberla~ ICounty, Pennsylvania, being of sound and disposing mind, memory and understanding, do hi'~eby make, publish and declare this as and for my Last Will and Testament, hereby revoking an~+ land all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my esltate as soon after my death as practically and conveniently may be done. SECOND. I direct that my remains be interred within my family's burial plot~i~ accord with my expressed wishes. THIRD. I authorize my personal representative to expend funds from my ese, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I give and bequeath the sum of One Thousand ($1,000.00) Dallairs{ to each of my grandchildren, Eric L. Suter, Craig M. Suter, Jason K. Suter, Guy W. Suter, ~intberly K. Stanley and Joseph C. Kandle, who survive me. FIFTH. I give and bequeath unto my daughter, Frances H. Kandle the follov~i#~g jewelry; yellow gold diamond engagement ring; platinum diamond ring; pearl necklalce and gold bracelet with the initials AA inscribed thereon. SIXTH. I give and bequeath unto my daughter, Virginia H. Suter the follawik~ jewelry; gold wedding ring; Nana Ayares' yellow diamond ring; gold locket with the initials inscribed thereon and pearl bracelet. SEVENTH. I give and bequeath unto my daughter, Virginia H. Suter, the ~~ situate in Ontario, Canada, including the furnishing and contents of the house and boat house and all other personal property at the premises. EIGHTH. I give and bequeath unto my daughter, Frances H. Kandle, the sufi,of Thirty Thousand ($30,000.00) Dollars, in consideration of the above bequest to Vvginia H'~. Suter. NINTH. I give, devise and bequeath any and all tangible personal property owed by me at the time of my death not specifically devises above unto my daughters, V'Ugi~a!H. Suter and Frances H. Kandle, in equal shares, per stirpes. TENTH. I give, devise and bequeath any and all real estate owned by me alt the time of my death not specifically devised above, unto my daughters, V~rgiinia H. Suter and Frances H. Kandle, in equal shares, per stirpes. ELEVENTH. I give, devise and bequeath all the rest, residue and remainder of my estate unto my daughters, Vuginia H. Suter and Frances H. Kandle, in equal shams; per ~P~• TWELFTH. I direct that ~y and all Inheritance, Estate and Transfer taxes] unposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. THIRTEENTH. I hereby nominate, constitute and appoint Virginia H. Suter and Richard A Suter as Co-Exeartors of this my Last Will and Testament. I hereby rslibve my Executors from the necessity of posting security in connection with their duties,. aa', such, in any jurisdiction in which they may be called upon to act insofar as I am able by law to old so. In addition to the powers conferred by law, I authorize my Executors, in their absolu~e~ discretion, to retain in the form received, and to sell either at public or private sale airy real orlp~sonal property owned by me at the time of my death. FOURTEENTH. I have made, or may from time to time make, a written rbe~norandum expressing my de~re to give certain items of personal property to specific persons. I urge my Executor and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this Will. IN WITNESS WHEREOF,1 have hereunto set my hand and seal to this, my Last Will and Testamert, consisting of two typewritten pages this J? day of January, 2002. ' ALICE A. HASKET'f Signed, sealed, published and declared by the above named Testatrix Alice A. Hdskett as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence and in the sight and presence of each other, have hereunto subscribed our -~ames as witnesses. G~ COMMONWF,ALTN OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. I, Alice A. Haskell, Testatrix whose name is signed to the attached or foregou#g instrument, having been duly qualified according to law, do hereby acknowledge that I signed i and executed the instrument as my Last Will; that I signed it willingly; and that I signed lit as my free and voluntary act for the purposes therein expressed. ALICE A. HASKETT ' Sworn or affirmed to and acknowledged before me, by Alice K. Haskell, this ~Qc~day of January, 2002. N O T A R i A L i! A L N THY L YUIItiEAT MOTAAY PU9UQ CRY ~ CAR~.ISIE, ~~r ,AND 00,, M 11Y COAIdIISS10N EXryAp Not lic COMMONWE,4LTH OFPENNSYLVANIA ; SS COUNTY OF CUMBERLAND We, ~~ 11 r ~` ~~. / nc~~ N~c~ vS~ ~ ~~- the witnesses whb$e names are signed to the ed or foregoin instrument, being duly qualified according >bo, law, do depose and say that we were preseirt and saw Alice A. Haskell sign and execute this hnstrument as her Last Will; that she signed willingly and that she executed as her fi~ee and volt~dtary act for the purposes therein expressed; that each of us in the hearing and sight of the Tie~tatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix. was at that time eighteen (18) or more years of age, of sound mind and under no constraint or u#idue influence. Sworn or affirmed to and subscribed before me by i~1~ //i,~ii ~, ~,,~r c a r/ and L'y,~~,~ ~ ~~ 2 ~ ,witnesses, this3<<lday of January, 2002. o lic MOTARfAI SEAL IUTHY L rU1111ERT, NOT!!.?Y ; ~: ~ ~ ; ; CITY Of CAI1(Ia1,E. CUlA2cR~_.+ ;0 w , ~` ~ YYCOY1113310NEXPIAElAUGUST ~t ~~:~ _T FIRST CODICIL TO LAST WILL AND TESTAMENT OF ALICE A. HASKETT I, Alice A. Hackett, of 770 South Hanover Street, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be the First Codicil to my Last Will dated January 3, 2002: ITEM I: I do hereby amend my Last Will and Testameirt dated January 3, 20102, by adding the following specific bequests: 1) I give and bequeath the sum of Fifty Thousand (550,000.00) Dollars unto any daughter, Virginia H. Suter. ITEM II: In all other respects, I hereby ratify, confirm and republish my Last 1VViIl dated January 3, 2002, together with First Codicil, as and for my Last Will. IN WITNESS WHEREOF, I have hereunto set m hand and seal this ~~ Y ~y of July, 2002. ALICE A. HASKETT' Signed, sealed, published and declared on the date above specified by the above' dated January 3, 2002, in the presence of us, who, at her request, in her sight and presence land in the sight and presence of each other, have hereunto subscribed our C C%(~` ~G ~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND : I, Alice A. Haskell, Testatrix whose name is si having been duly qualified according to law, do her ackno ~ e that ~~o instrument, executed the instrument as the First Codicil to my Last Will dated Jan 3 end signed it willingly; and that I signed it as my free and volun ~Y ~> that I expressed. Lary act for the Purposed therein ~.~z--« u .~~,.st ALICE A. HASKET~' Sworn or affirmed to and acknowledged before m b Alice K. Hackett, this ~ZY of July, 2002. ~` ~I~J No Public COMMONWEALTH OF PENNSYLl~A1VIA Nc77AR1A~ SEAL Cynthia !_. Dan , `Jotary Public South Middleton Twp., County at Cumberland My C-~rr;r~is:its~~ Exu:;QS Aug. 14, 2004 COUNTY OF CUMBERLAND : We, W ~ ~ (c a „, (.~ ~ 4 n/andStcS4 n ~ i~r ~Q ~ the witnesses whas~ names are signed to the attached or foregoing instrument, bein depose and say that we were g ~ qualified according tv ~aw, do Present and saw Alice A. Hackett sign and execute the instrument as the First Codicil to her Last Will; that she ~gned wi and voluntary act for the purposes therein ll~Y ~ that she executed psi her free the Testatrix signed the will as ~ that each of us in the hearing alnjd Wight of v~-itnesses; and that to the best of our knowledge, hhe' ~'estatrix was at that time eighteen (18) or more years of age, of sound mind and under no cor~traint or undue influence. Sworn or affirmed to and subscn~ed be me by ~i //~ Qnt /`1-~Gt7C Q/J c~t~~~•/. ~q ~fi~to ,witnesses, ~-J y bf J_ulY, 002. ~ N~ Public r~,~ ~OTARUL SEAL Cyf'1lhN 1. ~ r,•r, Notary Publiey ~a41h IYti~dNbn t......_ -,'nh of Cumbier~ ~QFAfl!MRMr} ~ '. r , ~ .. Aug. 14 _ _ _r Sovereign Bank ESTATE OF Alice A Haskett SOCIAL SECURITY #: 155-07-1815 DATE OF DEATH: February 3, 2010 Account #: 2891043464 Type Checking Open date: 11 /26/2001 In the name of: Alice A Haskett or Virginia A Suter Date of Death Balance. $7,725.38 Int.(YTD) from 1 /1 /2010 to 1 /7/2010 '$Q.06 Accrued interest to date of death: $0.05 Other Info: Closed 3/4/10 Page 1 of 1 \ ~ ~. -r S NSNp~ ~0~+ d O O~~ W ~~ ~ O~ p A N N N •-• C~ N O n _O O_ O ~ O C `"~ ~... .r ~ O O O O ~• ~ N a J ~ ~ ~ O N ~a~R~; o o a o 8~ s' ~O a ~ °~,,° Gd o p w x ~ ~ ~ ~. ~ ~ N ~+ CI O ~~ y p ~ ~ ~ r+ ~° a .~ A ~. Q Q ~ 'T1 ~ '-~ O N! ... tJ~ ""' .r ~ O ~ ... ~• ~.~ ~ J a J ~ "~ ~~'~ O O -x v ~' ~ ~ d0 a r~ d, v N ~.".. O N ~ ~ N ~ ~ N NI ... ~ O N~ ~h N N ~ 8 ~ S. n _N _O ~ J ~I 'd ~1 ~ ~ O ~p ~-t,+ al p~ N ~ ~ Cl N O ~ ~ ' ~ n a• ° ~ a ~ ~ a ~ trf ~ ° v ~~~ y ~. ~ O x o ^~ ~' iii i •LwJ ~VU ~ uuc, t„ nullle QL l,I'e1111aQ011 J@1PV1Ce , 102 South Main Street ~, Woodstown, NJ 08098- (856)7b9-1515 February 26, 2010 Mrs. Virginia H. Suter 35 Rolling Dr. Carlisle, PA 17013- The Funeral Service for Alice A. Haskett We sincerely appreciate the confidence you have placed in us and will co ti i ' n nue to ass st you irY every way we can. Please feel free to contact us if you have any questions in re d t thi gar o s state ment. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES FACILITIES AUTOMOTIVE , , EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. I. PROFESSIONAL SERVICES Basic Services of Funeral Director and Staff , ~ S 1795.00 ~ Embalming, 5895.00 Dressing, Casketing Bt Cosmetizing ~ 5323.00 II. OTHER STAFF AND RELATED FACILITIES Funeral Ceranony, 5595.00 Other:Sheltering Q590/day x 7days 5630.00 III. TRANSPORTATION Transfer of Remains to Funeral Home, ~ 5325.00 Hearse . 5393.00 Flower Car(s) , S323.00 Other:Additional mileage to Carlisle ~ 135 miles x 53.00 per, 5403 ~ FUNERAL HOME SERVICE CHARGES SELECTED MERCHANDISE: 55690.00 Casket 54393.00 Outer Container 51395.00 Register Book SSS.00 Nameplate, ~ ~ ~ 545.00 1.Lettering of Stone ~ ~ ~ 5323.00 2.Cemetery Equipment 5393 00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE . THAT YOU HAVE SELECTED 512300.00 Cash Advance Cemetery/Crematory . ~ 5950.00 Todays Sunbeam ~ 5334.30 Certified Copies of Death Certificate 5223.00 Clergy/Church. 5200.00 Hairdresser, G t i i T l S4S.00 ra u t es, o ls, and Tips ~.~ Other: PA Funeral Home . . • ~ ~ S 100.00 TOTAL CASH ADVANCES AND SPECIAL CHARGES . . , , , 52114.50 CONTRACT PRICE S14414.50 History 0212012010. Payment -Check 5-1569 50 02\2612010 Paymrnt -Check . 5-12370.42 02/2612010 Discount Received , 5-474.38 EEB 2 5 PAID ~l0 Alice A. Haskett ~Y~ ' ~~ Page 1 a ~G ~~ w ~ S U R E T R U S T *-~ C CES NEW J E R S E Y P R E P A I D FUNERAL TRUST FUN D Account Disbursement Statement Alice A Haskett C/O Virginia Suter 35 Roliing Drive February 23, 2010 Carlisle, PA 17013 Consumer Ac~cdunt # : 8000010207 This statement is to confirm the disbursement of funds from a prepaid funeral account fbr the benefit of Alice A Haskett General information Funeral .Recipient Alice A Haskett Purchaser Alice A Haskett Taxpayer 33N 155-07-1815 Agreement Typs REVOCABLE Disbursement Information Previous Balance ~ $12,370.42 Amount o1 Disbursement ~ $12,370.42 I New Balance I 50.00 I