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HomeMy WebLinkAbout02-0722 LAST WILL AND TESTAMENT 21-2002-722 I, MARY E. WRIGHTSTONE, of the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all former wills, codicils and other testamentary dispositions by me at any time heretofore made. 1. I direct my Executrix, hereinafter named, to pay as soon as practicable after my decease all my legally enforceable debts and the expenses of my last illness and burial. 2. I give, devise and bequeath all the rest, residue and remainder of my Estate, whatsoever and wheresoever situate, unto my sister, Ruth N. Wrightstone, providing she shall survive me by sixty (60) days. 3. Should my said sister, Ruth N. Wrightstone, predecease me or die on or before the sixtieth (60~") day following my death, then and in that event, I dispose of my estate as follows: A. I give and bequeath ten (10%) percent of my distributable Estate, before payment of Federal, State or other death taxes, unto St. Paul United Church of Christ, of Mechanicsburg, Pennsylvania. B. I give, devise and bequeath all the rest, residue and remainder of my Estate after payment of all Federal, State and other death taxes as follows: (1.) Eighty (80%) percent thereof I give, devise and bequeath to my brother, Ralph H. Wrightstone, and my sister-in-law, Barbara Wrightstone, as Tenants by Entireties. (2.) I give, devise and bequeath twenty (20°~°) percent thereof to my nephew, Craig R. Parker. 4. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary Estate as a part of the expense of administration of my Estate and shall not be paid from the bequest to St. Paul United Church of Christ, of Mechanicsburg, Pennsylvania 5. I hereby nominate, constitute and appoint my said sister, Ruth N. Wrightstone, Executrix of this my Last Will and Testament. Should my said sister fail to qualify or cease to act as Executrix, I hereby appoint my brother, Ralph H. Wrightstone, Executor of this my Last Will. 6. I direct that my representative, as well as her successor, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, MARY E. WRIC~HTSTONE, the Testatrix, have y~ hereunto set my hand and seal to this my Last Will and Testament on this to day of ~.~,a,2~y~y , 2002. _y1?,~,,=r~~~;' ~' ;~ (SEAL) M~:R~NE. WRIGH TONE Signed, sealed, published and declared by the above named MARY E. WRIGHTSTONE, as and for her Last Will and Testament in the presence of us, who at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto. ., Witness ;;,,~~/,~~~~!!' ~, Witness COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, MARY E. WRIGHTSTONE, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. ! Sworn to°acknowledged before me by MARY E. WRIGHTSTONE, the Testatrix, this ~' `"~ day o ~~' ~ ~ ~"u ~ ~- ~ ~ , 2002. ~ /~ .L~:~~ c~i (SEAL). N - r~ :-~~. Notarial Seat C rl Guerriero, Notary PubtiC eehanicsburg eoro. Cumber~and County My Commission F,xpirws May 18, 2002 Member, Pennsylvania Association of Notarwe ~- COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. W e, , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present anti saw the Testatrix, MARY E. WRIGHTSTONE, sign and execute the instrument as her Last Will„ that she signed willingly and that she 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 or more years of age, of sound mind. and under no constraint or undue influence. Sworn to and subscribed before me by Z~Aw.~ ,J S~~ti~~~ and, ~ L~, L, S ~~a _, witnesses, this ,~ day of ,-- ~ , 2002. Witness oC'G- ,~'u~Z ~iti~~- ,Wi ss -i' Not~ria e9t Charlyn Y. Guerti ro, Notary Pt'blic Mechanicsburg Boro, Cumberlamf County My Commission Expires May t8, 2002 Member, Pennsylvania Ass~xiation Ot Notaries ~ ~ CERTIFICATION OF NOTICE UNllER RULE 5.6 a Name of Decedent: Mary E. Wrightstone Date of Death: July 31. 2002 21-02-0722 Will No. 2002-00722 Admin. No. To the Register: I certify that notice of (UeneGcial interest) estate administration 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 September 25, 2002 Name Address Ruth tv. Wrightstone, 126 W. Portland Street, Apt #1, Mechanicsburg, PA 17055 St. Paul's United Church of Christ, 626 Williams Grove Rd., Mechanicsburg, PA 17055 Ralph H. and Barbara Wrightstone, 317 Arbys Road, Harrisburg, PA 17109 Craig R. Parker, 3154 Harshman Dr., Reynoldsburg, Ohio 43068 (SEE OVER) Notice has now been given to a{{ persons entitled thereto under Rule 5.6(a) except, NONE Date: September 25 2002 Signature~/~ ;,~, ~ y~~~ Name William L. Sunday Address 39 W. Main Street -Suite #1 Mechanicsburg, PA 17055-6230 Telephone (71? 766-9622 Capacity: Personal Representative X Counsel for personal representative Shane Parker, 1144 Kay Parkway, Ann Arbor, Michigan 48013 Linda L. Penny, 2700 Cumberland Boulevard, Camp Hi11, PA 17011 Barbara J. Roberts, 360 Harris Hill Road, Shavertown, PA 18708 Inventory of the real and personal estate of Mary E. Wri~htstone deceased SUMMARY Real Estate Personal Property TOTAL PROBATE ESTATE ~ 139000.00 131745.53 ~ 270745.53 Inventory of the real and personal estate of Marv E. Wriz;htstone deceased Brought Forward 101642 32 Other Property 5. Educational Travel Experiences, Inc -Refund 6. The Sentinel -Subscription Refund 175 00 7. Cash on possession 80 35 $. PA Blue Shield-Dental Claim (12/10/01) 238 00 9. Coins found in residence 24 00 10. (2) $20. Travelers Checques 41 36 11. Patriot News -Subscription refund 40 00 12. The Lorenz Corporation -Magazine refund 91 65 13. Household good, furniture and chattels sold at Public Sale Valued at Sale Price 25 95 14. 1993 Dodge Dynasty Sdn @ Public Sale price 5788 00 15. Additional coins and currency found in residence 4000 00 16. The Bon Ton Gift Certificate for $ 115.00 162 28 17. Death benefit under Flexible Premium Deferred Annuity # GA277877 issued by Glenbrook Life 115 00 and Annuity Company on July 21, 1999 to Mary E. Wrightstone as owner and annuitant, having a Payout Start Date as the later of Annuitant's 90`x' birthday or the 10`h Anniversary of the issue date, and named the estate of Mary E. Wrightstone as the primary and sole beneficiary. Date of Death Value 18. St. Paul's United Church of Christ -replacement check for (2) uncashed pay checks 16598 53 19. Nationwide Mutual Insurance Company -Automobile Insurance cancellation credit refund 462 04 20. Partial Set Sterling Silver $ 200.00 110 10 Odd Sterling pcs 60.00 Asst Comm Coins 150.00 Asst Coins 90.00 134 Plates 300.00 Valued (a~ Appraisal 800.00 21. Clothing 800 00 22. Verzion -Credit balance Refund 3 00 23. TV Guide 2 42 24. Refund Due - U.S. Income Tax 34 61 1310 92 TOTAL PERSONAL, PROPERTY 131745 53 3 Inventory of the real and personal estate of Mary E. Wri~htstone deceased Brought Forward , 1185 ~ 27 3. Stock and Bonds (continued ) Brought Forward $ 7315.50 Number of Bonds Date Issued Number 2 9/12/00 R164455630EE $ ;108.56 9/12/00 R164455631EE 108.56 2 10/11/00 R164656791EE 108.16 10111/00 R164656792EE 108.16 2 11!13100 R165919042EE 106.88 11/13/00 R165919043EE 106.88 2 12/11/00 R166132508EE 106.56 12/11/00 R166132509EE 106.56 2 1117/01 R166427149EE 106.16 1/17/01 R166427150EE 106.16 2 2(12/01 R167157874EE 105.84 2/12/01 R167157875EE 105.84 2 3/14/01 R167360928EE 105.44 3/14/01 R167360929EE 105.44 2 4J13/O1 R167554808EE 105.12 4!13101 R167554809EE 105.12 2 5/23/01 R167807735EE 104.00 5/23/01 R167807736EE 104.00 2 6/14/01 R168600765EE 103.60 6/14/01 R168600766EE 103.60 2 8/08!01 R169571010EE 102.96 8/08/01 R169571011EE 102.96 Total Stocks and Bonds $ 9642.06 9642 06 4. LIFE INSURANCE PAYABLE TO ESTATE 1. Office of Federal Employe es' Group Life Insurance - Group Policy # 1 7000-G $ 9500.00 2. The Prudential Insurance Company of America Whole Life Policy # 63 602 578 603Ei5.29 3. The Prudential Insurance Company of America Whole Life Policy # 22 228 767 20949.70 TOTAL Life Insurance Payable to Estate $ 9081.4.99 Carried Forward I 101642 132 2 Inventory of the real and personal estate of Marv E. Wriqhtstone deceased REAL ESTATE: All that certain house and lot of ground known and numbered as 309 South York Street, Mechanicsburg, PA Tax Parcel No. 20-24-0785-383 Valued @ appraised value .................................. 'Total Real Estate ............................................. PERSONAL PROPERTY: Partnership Property 1. 7.23% ownership per schedule K-1 in a partnership know as HRIC, a partnership, an investment club organized by some members of St. Paul's United Church of Christ, of Mechanicsburg, PA. Stocks and Bonds 1. (135) shs Prudential Financial, Inc-NYSE @ 32.505 $ 4388.18 2. (1) $50.00 Series EE US Savings Bond in separate name Month Issued Date Issued Number 11/99 11/2/99 L 579539424EE $ 28.20 3. (48) $200.00 Series EE US Saving Bonds Number of Bonds Date Issued Number 2 8/12/99 R157892102EE $ 114.08 8/12/94 R157892103EE 114.08 2 9/15/99 R158125845EE 113,68 9/15/99 R158125846EE 113.68 2 10/14/99 R159191367EE 113.28 10/14/99 R159191368EE 113.28 2 11112/99 R159428092EE 112.80 11/12/99 R159428093EE 112.80 2 1.2/13/99 R159697783EE 112.48 1.2/13/99 R159697784EE 112.48 2 1/13/00 R160924599EE 112.08 1113/00 R160924600EE 112.08 2 2/14/00 R161153575EE 111.68 2/14/00 R161153576EE 111.68 2 3/13/00 R161365930EE 111.36 3/13/00 R161365931EE 111.36 2 4/11/00 R162482411EE 110.36 4/11100 R162482412EE 110.36 2 5/10/00 R162710907EE 110.00 5/10/00 R162710908EE 110.00 2 6/13/00 R162952344EE 109.60 6/13/00 R162952345EE 109.60 2 7/14/00 R163171116EE 109.28 7/14/00 R163171117EE 109.28 2 8/09(00 R164260336EE 108.88 8/09/00 R164260337EE 108.88 (Carried Forward) 7315.50 Carried Forward $ 1185.E 1185. 27 COMMONWEALTH OF PENNSYLVANIA '~ ss: COUNTY OF CUMBERLAND )~ Ruth N Wric~htst®ne ______ _ being duly sworn _ according to law, deposes and says that she _ is the Executrix of the Estate of Mary E. Wrightstone late of ~i?e--$osQU_gh.__o£_Mechan_i_cshurg_ -, Cumberland County, Pa., deceased and that the within is an inventory made by ._ her - __ -_ ,the said Executrix of the entire estate of said decedent, consisting of all the personal property and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. sworn to , ^ and subscribed before me, Executrix E~~afiat= ~9ie'~i;tFafb~ 126 West Portland St., Apt 1 Notarial Seal Mechanicsburg, PA 17055_ Gail P. Minnich, Notary Public Address Medianicsburg Bono, Cumberland County My Commission Expires Dec. 9, 2006 Aember, Pennsylvania Association Of Notaries Date of Death 31~t -~T~.LV--- 2(102 Day Month Yeer INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. f~ N ~ ~ ~ -IJ ~ ~ I N o N ' I O ~"' Z ~ > . Z W ~ LL O d ~ 4. ~ Z O ~ W .I Q ~ o L O ~ ~" ''~ ~+ 3 w Z ! ~I `^ ~ Z Q . ~I ro~ E i ,.,~ m M O s..~ N y Q N ~ U ~ 7 m ~ 6:. \ ~~ ` ~ ~ ~ N O ~~ Q~ C N ~ Crl U 41 ~ o v ~ '~ ~ `"* ' a -o ~ ~~~ ~ + ;, ~ m ~ l .~ ~ ~ ~ ~ U - ii °° 3 . I141PORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE. Whether you will receive any money or property will be deter- mined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or prop- erty will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA In re Estate of Mary E. Wrightstone ,deceased, Estate No. 21-02-0722 2002-00722 (Name and Address) TO: Ruth N. Wrightstone 126 W. Portland Street, Apt. #1 Mechanicsburg, PA 17055 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Mary E. Wrightstone day of July 2002 , at Cumberland County, Pennsylvania. The Decedent died testate (with a Will); or ). The personal representative of the Decedent is (name, address and telephone number). died on the 31st Ruth N. Wrightstone (717) 691-3665 126 West Portland Street, Apt #1 Mechanicsburg, PA 17055 If the Decedent died testate, the will has been filed with the Office of the Register of Wills of Cumberland County, 1 f'ourthouse Square, Carlisle, Pa.r 17013. Phone No. 717-240-6345 Itxkt~c8~x~tA2xa~erd~tamt~rxce~cx~#~e~t~~~t~fanac~X~axaac6ck~xsc~akx>SSlcsraoQx~~Ya~i~x~tia~.kacx}fix~c~&~tne 1~C~i~tgi~ca~k~}s~fexb~utr~~x~cX~~altaaa~t3cae~s~rntbs}e~cRxx$St9t~f~cc~cl~xR1*~$96~~3t4t<x A copy of the Wi1lbxReait~xnFny~eb~cai~e~i~~Caamta¢xiang~can~ii~ibt~cx~m~cco$xa~st~t~o~tixxtuxx is attached hereto ~ d°' ~!' Date: September ~`~ 2002 Signature: ~l ~v Name (print) William L. 5 daV Address 3~ West Main Street -Ste 1 Mechanicsburg, PA 17055-6230 Telephone (71~)- 7h6-9622 Capacity: F~~xr*~p~ Counsel for personal representative IMPORTANT NOTICE • NOTICE OF ESTATE ADMINISTRATION TIiIS NOTICE DOES NOT bIEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FRONT THIS ESTATE OR OTHERWISE. Whether you will receive any money or property will be deter- mined wholly or partly by the decedent's will. If th~° decedent died without a will, whether you will receive any monf;y or prop- erty will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA In re Estate of Mary E. Wrightstone ,deceased, Estate No. 21-02-0722 2002-00722 (Name and Address} TO: St. Paul's United Church of Christ, Mechanicsburg 626 Williams Grove Road Mechanicsburg, PA 17055 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Mary E. Wrightstone day of July 2002 , at Cumberland County, Pennsylvania. The Decedent died testate (with a Will); or i ou a 'll). The personal representative of the Decedent is (name, address and telephone number). died on the 31St _ Ruth N. Wrightstone (717) 691-3665 126 West Portland Street, Apt #1 Mechanicsburg, PA 17055 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 he forwarded to the State vital Records Oftice for permanent filing. WARNING: It is illegal to duplicate this copy by phoi:ostat or photograph. Fee for this certificate, $2.00 P 8483086 No. rl lu. :aJ Rev 2'B] TPE PHINi H VERMANENf Ul ACK IIIK Local Registrar , -~'~"7 Date COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIF{CATE OF DEATH STATE FrIE NUMBER -..~..~. ___-_ .-____r~.- -_.-_.~-~._ NAME OF DECEDENT IFnv Mgob. Lavl _-... __ ...-.~~ ~_ SEK SOCIAL SECURITY NUMBER DALE OF UEATH:MCnrn. Day. gnarl , Mary E. Wrightstone _ _ __ =Female 3 165 - 26 -_ 5232__ ' X~]_.,~Q02~_ _ AGEllasl U+m°ay) UNDERI YEAR VNDERIDAY DATE OF fBRTH BIRTHPLACE:C.ry and Momtu . Days FlotKa . Mnuw Monm. DaY 'reed Staley rcreynCwnlr Yl PIACElK DEATH ICneca ivvy me--.ee msnw:l~urn nn inner :'owl NOSPITAL - ----- OIHER~ --- ' -~( InpalNVN ^ ERIgApatrem U DOA ^ /,Onw ^ Rssaferrw L'J $peca LJ 70 Y" ,. 9 22 1931 ~a9 Aa. yl ... COUNTY OF DEWH CITY, BORO.TWP OF OEATN FACILTTV NAME pl nul instMtrun. one sbeel and numberr ECEDENT OF HISPANIC ORIGINt YNS D RACE-Amencan lndan.84CK, NTM. etc. ~ pp No LAl M ^ K Yea, sPecAY GU°an ISPra:ayl Cumberland b. .eMechanicsbur ad.1 West Rutland . : aa"a° P"'r'°Rr"°'"` ,9. White _ ___ DECEDENT'S USUAL OCCUPRN7N n x l k d mop S W ~I' KWD OF BUSINESS/INDVSTRV YMS DECEDENT EVERIN US.ARMED FORCES? OEC NT'S EDUCATKMI S ml n adec eu MAWUL STATUS~MasnM Nav"MarlrO. WidDwd. SUPVWING SPOUSE III We. ;-w nra~namel uv O wp e o e r ~g 'ol wPLerq Yw;mna use rented) lB l:7 " Y EwmamarylSeconOary C"ISW Divorced ($a hl Or anist n.. g • Church " ° nB. ,z. 'D'z' 2 "'°'6" u. Never Married ,.. ,a. ___ DECEDENT'$MAIIINGADDRE551SIrM.Cay/TO+wySla,a.ZpLoate) DECEDENT'S peons lvama 11'C. ACTUAL ,]a. Staw___~ -- Drd ^ Ws,dK'edaM lived in N9 309 South York Street RESIDENCE d.c.d.rv LruClrmf awe n a Mechanicsbur PA -17055 p'~ dn" e Mechanicsbur Cumbe la "°°' d '°""""°' °" i°'°' m.. ~ g, ,~ g____,~,y,,,,° r n ,Td.EL. Inla, .ma .Ia " ,>e.Dean _ i FNHER'S NAMEIFr9. Mr10w Lavl MOTHER'S NAME tfrsl. MdQe. Marten Swname) ,.- Ral H. Wri htstone ,.. ~[ r~ M. Fink INFORMANT'S NAME (TypNPrax) I l NFORMANT'S LWG ADDRESS,Stra". CAyy,ors'n. 51"a. ZP Cadal „~ Ruth Wrightstone ,9,12b W. Portland Street A t. 1 PA 1 METHOD OF DISPOSITION GATE OF DISPOSITION PLACE OF OISPOSRION ~ Name olCsm"ery, CrenM[ory LOCQNNa -Coy/kwt, SWe. Zrp Coy BurW® Crerrla°an^ R alp"n 51MS^ 1MOnm. Da Y. War) or OtB"Plau • ,°aia'°"~~ O1"•"$peC"' ^ ,,,. Au st 2L 2002 :,Mechanicsbur Cemete z,.. ' SIGNATU UNERAL C NS FOR RSON ACTING AS SUCH LICENSE NUMBER NAME ANDAODRf:$S OF FACILITY • „a. :~.. FD-0014889-L n 1 zzi 8 Mar1~t Plaza , A~ 17055 Comp+w Dory ceR b,Ils G" ul my 4rowwOge. deatK occurred at tM ume. date arM Baca waled LICENSE NUMBER DATE SIGNED pnyseun n"avaeaDN Irma Ol Oealn (Srpnalure arrd Tilb) ( MOtW.. DaY Warl ' candy UuY pl deatK z=.. =w. zx. pema 1a~2B must M comported W TIME OF DEATH DATE PRONOUNCED DEAD IMunm. Day. Year) WAS CASE DEFER RED TO MEDICAL EIUMINERICORONER7 • person rvlq pronounces death. July 31 , 2002 „ 6:30 P Yes^ No~ _ M ,,, ,., ]T. PRAT I: EmerIM OrSeaass, rnlurws"conrpFCatpts wlucn carrsedlM dealn Do rotemer lne nwde al Oyrny, such ascardac or respnalay arrest. slack or Man laYwe ~Apgoaunata PART II: ONar arpnr! ant °°rWIY°na oonUl°ulwgwdaalK.°ut list Dory cane cause On eaU ww. I imerval °"rreen n" rewltrn9 n dw Wtdarryrny uuN 9ivM w PART I. t Doe" and a"n WMEMATE CAUSE IF.wI /~ / ,{ny r /_PCa S'7 ~~NC F {0 3}a ~. ~-~ L /a ~~ a ` yy 5 t '-- - . ar ar,w ,K .. __ . . _ S! -- -- -- D,aE ro Kx, As A coruEOUE NcE a): I --~ - t e aa, r dmu ~ S ° --~--- an eRuwu y m - Aaryy leadrnq to rmmedaw -' ---- ~-- ~ .. - - -- - - ----~----_'-_" DUE ro(OR ASACONSEOUENCE OFy. ~ I _ cause Emer UNDERLYING U CAUSE 111n dsew,n 1 t- ` _ _-_ A Y u • ew vwawd nvnms ___. - __-....,_ -J. -- OUE roIOH ASACONSEOUENCE OFf: I ~ wrrKl m rwaaq cast WAS AN AUTOPSY WERE AUTOPSY FINDINGS WNNER OF DEATH DATE OF INJURY TIME OF INJURY IWURVQMK)RKy DESCRIBE HOW INJURY OCCURRED. PERFORMED? AM\IUBLE PRN7F1 TO fDMPr. FTK1N DF r111KF OF DEATN? / Natural LV) Ibm~cga fLf~~11I Accdem ~_~ Peravg lnw"rgatan t_J {MOrNn. Oay. Wm) Yw LJ No t~~ ~~ J We ~-~ No lYl Yaa ^ No ^ rt Suc'ga lJ GouM nd Da OnlarminW ^ ]W. ]OC_ M. )pL. _ _ ]Bd. _._- .__ PIACE Of INJURY-AI HOma. latm. alls".lanorp. olfica LOCALIONISaa". Gly/kr+n.SWml owarq..a15Lwcn.1 , Tee. ssn. r. aa. =a~ CERTIFIER I.re.:M Oruy noel SI ,RUBE AND TITLE OF CE IFIER 'CERTIFYING PHYSICIAN Vnysw dn.;rn'ry'n. W - 'y w d 1:11 To caw WMOf ml hrwrled9e, death occurredd b1K ( ) rrd I lb ..... ... .... ~. 1 ,p. 1/-.., _ tl~Y.. in.-p C J~(~ . tl AND CERTIFYING PNy51CIAM fY - .t ' I ON NCIN - d ' M NUM R DATE SIGN[EDILkArn U ritarl l 7 - l a . e . J PP DU G r~ Y 4 l I da l and due to INe ceuu/e) arW man +r as a atad IK t E wd d tK c d t W Um d e ' T ° f ° ~~ ~,. ~ t, C j ~ l1d V ~t 1 1- .___ --_ _.----- --------- ... _ ..... _ rww 9. ea curre a e, e, a p ac , a e+ o O o mY NAME ANO ADDRESS OF PERSO~ WHO COMPlETEO CAUSE OF DEATN (Item ZT) Typo or Print ' ~ 'MEDICAL E%AMINER/CORONER ~ z: C~~{ ~L- ~~ l On the °salst„~ smmation anal OT mveaHgavon, m my opinion, de"N occurred at INa,Ime. tlata, and place, and duo Io Ine eauu(s) and ^ mann aaa ~ l1 1 Z ~ L- r ,,L (r ~ 444 t.~ .... ........ .. .. .. .... .... .. J. er <. I r( fx. aw- Hll'.ISI /Rap55lGN TUBE AND NUMBEN E >zl ~ a r I / 1 ~ GATE iFILED IMOnm OaY Warl ' . . ~ h(~{ f ~) I /a r J ', ` ~ Td _- --L.~-~.~ > 1LY4.1.c.~~.-L6~.-.`:14,-a v^ _-~---- ~ ~ a (v (l ~' 3I. ~(Y ~,._, 7 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Mary E. Wrightstone also known as Deceased. Social Security No. 1 tiS-~F-S~'~~ No. y?~-~.2 ~ 7~ To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(9~, who is/H>~c18 years of age or older an the execu~t rix named in the last will of the above decedent, dated FPhr„arv~ , j~~2 and codicil(s) dated None (state relevant circumstances, e.g. renunciation, death of executor, etc.) DeceQdent was domiciled at death in ~'tunherland County, Pennsylvania, with h er last family or principal residence at 309 South York Street 1Mechani_cGbtr~, PA 17055 (list street, number and muncipality) Decexdent, then 7g years of age, died aul~~i , ~$t2002 , at 126 W G o 1 and Straa~,~~, M ham b ~ cr, PA 17055 ~orroc~~ , 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: No?xoPnt; onG Decedent at death owned property with estimated values as follows: Undetermined (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ N/A (If not domiciled in Pa.) Personal property in County $_ N/A Value of real estate in Pennsylvania $ Undetermined situated as follows: BnA ~nu1-h Vork St-mat-, MP~hani rGh»rg, ~A 17n5~ WHEREFORE, petitioner(7t) respectfully request(s) the probate of the last will ~c~~}p) presented herewith and the grant of letters tesi=a;nenta~, (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. v .~~C :° v ~ Zli~ ~ K Ruth N. ri ht one ~° 126 W. Portland Str -Apt 1 ~0. - Maehani c~churcY, PA 1 7n5~, 4. ~ o a oq OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ S3 COiTNTY OF CiiMB .R .AND 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 above decedent petitioner(x) will well and truly admin~~ter the estate according to law. Sworn to or affirmed and subscribed ~ ~~- i before me this ___12th day of _ Ruth N. Wright one do Au ust 2002 126 W. Portland St. -Apt 1 Mechanicsburg, PA 17055 R ister -.~f-.~ NO. z1-2002-722 Estate of Mary E. Wrightstone Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW August 12th ~~2002 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument( dated ~Ahr,~a ~~., ~nn~ described therein be admitted to probate and filed of record as the last will of Mary E. Wrightstone ; and Letters Testamentary are hereby granted to Ruth N. Wrightstone FEES Probate, Letters, Etc.......... $ 235.00 Short Certificates(4) .......... $ 12.00 Renunciation ................ $ x-Pages (2) $ 6.00 JCP TOTAL $ 5.00 Filed .AUgust.l.2tb,2002....$. 258.OA . Register of Wills Y William L. Sunday~G-6354 ATTORNEX (Su . Ct. LD. No.) 39 West Main Sit. -Ste 1 Mechanicsburg, PA 17055-6230 ADDRESS (717) 766-9622 PHONE MAILED LE`I'~1 ERS 'ZLT"~ A'I"I'ORNEY ON 8 / 12 / 200 2 i '``~ IMPORTANT NOTICE • NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE. Whether you will receive any money or property will be deter- mined wholly or partly by tl~e decedent's will. If the decedent died without a will, whether you will receive any money or prop- erty will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA In re Estate of Mary E. Wrightstone ,deceased, Estate No. 21-02-0722 2002-00722 (Name and Address) TO: Ralph H. Wrightstone and Barbara Wrightstone 317 Arbys Road Harrisburg, PA 17109 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Mary E. Wrightstone day of July 2002 , at Cumberland County, Pennsylvania. The Decedent died testate (with a Will); or Th•, r,,...,. ~ i • ....., i...:.i.~... ,. urn. The personal representative of the Decedent is (name, address and telephone number). died on the 31St Ruth N. Wrightstone (717) 691-3665 126 West Portland Street, Apt #1 Mechanicsburg, PA 17055 If the Decedent died testate, the will has been filed with the Office of the Regiister of Wills of Cumberland County, t ~ Courthouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345 ttxbt~c~~exaR)~M~taca~~ee~cxa~ac~fanx~x~nxxat~t)tia~cxxkxias~rat~oaxaaaag~nta[1cx+~x~tacAfR~c~6ckpe l~tpcva~akxvf~[~sxf~cbaxr~xX~x>ay~c~t~2af4~exee~~atbsfe~t~xx$R9t0~can~tio~x~~g49~~~t9fx A copy of the WiltbxRaaitacffiebl~aai~e~d~~tgamta¢~tixi~~t~o~~i)~m~taog~x6ox>~}ecyt~txtt is attached hereto ~ Date: September ~'~ 2002 Signature: ?~~~~ ~t~v Name (print) William L. S day Address 3~~ West Main Street -Ste 1 Mechanicsburg, PA 17055-6230 Telephone Q17) _ 766-9622 Capacity: ,~~it~~ Counsel for personal representative z IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION TIlIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE. Whether you will receive any money or property will be deter- mined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or prop- erty will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA In re Estate of Mary E. Wrightstone ,deceased, Estate No. 21-02-0722 2002-00722 (Name and Address) TO: Craig R. Parker 3154 Harshman Drive Reynoldsburg, Ohio 43068 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Mary E. Wrightstone day of July 2002 , at Cumberland County, Pennsylvania. The Decedent died testate (with a Will); or Tt,e n,..~,~~... a:.,,~ :...,...... „ ~...:.~..~..... ~xrn, The personal representative of the Decedent is (name, address and telephone number). died on the 31st Ruth N. Wrightstone (717) 691-3665 126 West Portland Street, Apt #1 Mechanicsburg, PA 17055 I~the Decedent died testate, the will has been filed with the Office of the Register of Wills of Cumberland County, 1 courthouse Square, Carlisle, Pa_ 17013. Phone No. 717-240-6345 >Xxtxec8>~rr~bexaatbc~t~x~~txce~g~~~oc~facx~x~mxa~s6cl~~cx~akxi~s~rsciomc~x~te~icwitia~tkacAfRa~c~~c~t~e 1~t~trtrx~xV~a}~at~a~~cs~exlnxr~~x~cx~xlax~xce~c~thsle~cRxx~Sk~D~cco-~t~x~>it~49d~~~9~c A copy of the Wi]l~oxR~iti~e~o;~cnia~e~~~t$amtx~tiaa~~cbk}d~i)m~Og~y~a is attached hereto ~ Date: September ~`~'~ 2002 Signature: ~ ~~ Name (print) William L. S day Address 3~a West Main Street -Ste 1 Mechanicsburg, PA 17055-6230 Telephone f717) _ 76h-96 . Capacity: 1~*~p~ Counsel for personal representative r IMPORTANT NOTICE ' ~ NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FRONT THIS ESTATE OR OTHERWISE. Whether you will receive any money or property will be deter- mined wholly or partly by tl~e decedent's will. If the decedent died without a will, whether you will receive any money or prop- erty will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA In re Estate of Mary E. Wrightstone ,deceased, Estate No. 21-02-0722 2002-00722 (Name and Address) TO: Shane Parker 1144 Kay Parkway ' Ann Arbor, Michigan 48103 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Mary E. Wrightstone day of July 2002 , at Cumberland County, Pennsylvania. The Decedent died testate (with a Will); or ,ce,i :.,.o,..,., ~ •.i ~xrtn The personal representative of the Decedent is (name, address and telephone number). died on the 31st Ruth N. Wrightstone (717) 691-3665 126 West Portland Street, Apt #1 Mechanicsburg, PA 17055 If the Decedent died testate, the will has been filed with the Office of the Register of Wills of Cumberland County, 1 ,Courthouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345 rlxkret~i~exa~~t~tpmtgaxoe~cg~.tdga~famc~~C~naxaa~cl~tcsc~akxitsx~omc~nx~ntacicx~~acAf&a~c~~C~tne >Pl~i~t~l4}t~f~Q~ac-xl3eicbcutrX~waxoy~tk~:o~2aid~x~cae~c~tbsle~c~xx$R~>~c~t~x~i~g41~~~4~t A copy of the Will~oxRatx~x>ae~cnidie.~i~~tg~nx~tian~~cbf~bts~re~~mg~ycf~a is attached hereto ~ a' Date: September ~`~ 2002 Signature: ~ ~v Name (print) William L. S day Address 39 West Main Street -Ste 1 Mechanicsburg, PA 17055-6230 Telephone (717) _ _7hh-9622 Capacity: ~4C$4iD4j{~K~i4C~4d~s'?~J~CX Counsel for personal representative "~ IMPORTANT NOTICE NOTICE OF ESTATE ADIVi1NISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE. Whether you will receive any money or property will be deter- mined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or prop- erty will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA In re Estate of Mary E. Wrightstone ,deceased, Estate No. 21-02-0722 2002-00722 (Name and Address) TO: Linda L.-Penny 2700 Cumberland Boulevard Hill, PA 17011 Please take notice of the death of decedent and t}1e grant of letters to the personal representative(s) named below. The Decedent Mary E. Wrightstone day of July 2002 , at Cumberland Cuunty, Pennsylvania. The Decedent died testate (with a Will); or The I~`i^°`1°^r .7: ,I ..a,...a., r t \xT111 ~:r-rcnvvr~TR.'r The personal representative of the Decedent is (name, address and telephone number). died on the 31St Ruth N. Wrightstone (717;1 691-3665 126 West Portland Street, Apt #1 Mechanicsburg, PA 17055 If the Decedent died testate, the will has been filed with the Office of the Register of Wills of Cumberland County, 1 Courthouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345 IxxkrecB;~Zxa~~t~#amel~ce~cxda~ac~fat~c~x3~axaat6tl~a~sc~okx~xiomc~xx~tarkx~~dkacAt'iK~c~6ckne 1i~trtxV7~a}~txJ~r[>~cmxr~~axoy~cx~xfcau~e~gxtxce,~c~sle~cgxx~5k6r~~D~x~sr"~g9dj~~~9~x A copy of the Wi11~oxRediti~x>x>~b~0ai~e~i~~tgaox~tian~~cbf~iblsexrd~m~ga~tyci~i~y~~ is attached hereto ~ d"' Date: September ~'~ 2002 Signature: ~( ~~ Name (print) William L. S daV Address 39 West Main Street -Ste 1 Mechanicsburg, PA 17055-6230 Telephone f71'7) _ 76ti-9622 Capacity: 1~~4$~~~di~X Counsel for personal representative IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION TIIIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY 1V10NEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE. Whether you will receive any money or property will be deter- mined wholly or partly by the decedent's will If the decedent died without a will, whether you will receive any money or prop- erty will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA In re Estate of Mary E. Wrightstone ,deceased, Estate No. 21-02-0722 2002-00722 (Name and Address) TO: Barbara J. Roberts 360 Harris Hill Road ' Shavertown, PA 18708 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Mary E. Wrightstone day of July 2002 , at Cumberland Cvunty, Pennsylvania. The Decedent died testate (with a Will); or The personal representative of the Decedent is (name, address and telephone number). died on the 31st Ruth_N. Wrightstone (717) 691 3665 126 West Portland Street, Apt #1 Mechanicsburg, PA 17055 If the Decedent died testate, the will has been filed with the Office of the Register of Wills of Cumberland County, 1 Courtii6use Square, Carlisle, P ; 17013. Phone No. 717-240-6345 Itxt~et8~exx~eat~{qce~txoe~cx~~exi~xot~fanx~sX~axaacl}ci~se~sc~afcx~xzcrdaaxx~ea~nte~icx~~tcaAf~~c~~C~t~e l~~c~txix~xva3a}~xvfxlccac>~xl~uaak~~;oxixcc~cx~xfax~e~~s}e~cgxx$5k~)~4c~r~ci~x~lc'~g9d#~~~4c5c A copy of the Will~oxRetita~~tneao>~oni~e,~i~~gamtt~o~~ilm~ccog;d~x~s~a is attached hereto ~ ~~ Date: September ~'S'~ 2002 Signature: ~ ~> Name (print) William L. S day Address 3~ West Main Street -Ste 1 Mechanicsburg, PA 17055-6230 Telephone (717)_?hh-96 . Capacity : l~~c~g* ~ p~~ Counsel For personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 001779 WILLIAM L SUNDAY ESQUIRE 39 W MAIN STREET MECHANICSBURG, PA 17055 fold ESTATE INFORMATION: ssN: 165-2s-5235 FILE NUMBER: 2102-0722 DECEDENT NAME: WRIGHTSTONE MARY E DATE OF PAYMENT: 10/29/2002 POSTMARK DATE: 00/00/0000 couNTY: CUMBERLAND DATE OF DEATH: 07/31 /2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 537,795.88 TOTAL AMOUNT PAID: REMARKS: RUTH N WRIGHTSTONE C/O WILLIAM L SUNDAY ESQUIRE CHECK# 23 SEAL INITIALS: SK RECEIVED BY: MARY C. LEWIS REV-1162 EX(11-96) 537,795.88 REGISTER OF WILLS REGISTER OF WILLS 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 N0. CD 002489 SUNDAY WILLIAM L ESQUIRE 39 WEST MAIN STREET MECHANICSBURG, PA 17055 fold ESTATE INFORMATION: SsN: is5-2s-5235 FILE NUMBER: 2102-0722 DECEDENT NAME: WRIGHTSTONE MARY E DATE OF PAYMENT: 04/25/2003 POSTMARK DATE: 00/00/0000 couNTY: CUMBERLAND DATE OF DEATH: 07/31 /2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 52,948.86 TOTAL AMOUNT PAID: REMARKS: RUTH N WRIGHTSONE C/O WILLIAM L SUNDAY ESQUIRE CHECK#1030 SEAL INITIALS: AC RECEIVED BY: DONNA M. OTTO REV-1162 EX~11-961 52,948.86 DEPUTY REGISTER OF WILLS REGISTER OF WILLS ~`/ ` ~l -3 COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 28D601 HARRISBURG, PA 17128-Obol NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 ER AFP (O1-OS) DATE 07-14-2003 ESTATE OF WRIGHTSTONE MARY E DATE OF DEATH 07-31-2002 FILE NUMBER 21 02-0722 -~~ j i'~ ~ j ?; COUNTY CUMBERLAND WILLIAM L SUNDAY ACN 101 39 W MAIN ST MECHANICSBURG PA 17055 ~, _ .. ~ Amount Remitted =t. 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 1 ---------------------------------------------------------------------------------------------------------------- REV-1547 EX AFP (01-031 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WRIGHTSTONE MARY E FILE N0. 21 02-0722 ACN 101 DATE 07-14-2003 TAX RETURN WAS: (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)_ 139, 000.00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2)_ 9, 6 42.06 credit to your account, 3. Closely Held Stock/Partnership Interest [Schedule C) (3)_ 1, 185.27 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4)_ .00 of this fora with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)_ 3 0, 1 03.21 tax payment. 6. Jointly Owned Property (Schedule F) (6) 109, 627.79 7. Transfers (Schedule G) (7)_ 86, 803.47 s. Totai Assets (g) 376,361.80 APPROVED DEDUCTIONS AND EXEMPTIONS: 25, 424.19 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 949.51 11. Total Deductions (11) 26.373.70 12. Net Value of Tax Return (12) 349,988.10 13. Charitable/Governmental Bequests; Non-elected 9113 Tru sts (Schedule J ) (13) .00 14. Net Value of Estate Subject to Tax (14) 349,988.10 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: 15. Amount of Line 14 at Spousal rate (15) • 00 X 00 _ . 00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 X 045 . .00 17. Amount of Line 14 at Sibling rate (17) 325,473.83 X 12 39,056.86 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 24,514.27 X 15 - 3,677.14 19. Principal Tax Due (lq)= 42,734.00 TAY CREi1TTSe DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 10-29-2002 CD001779 1,989.26 37,795.88 04-25-2003 CD002489 .00 2,948.86 TOTAL TAX CREDIT 42,734.00 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.) RESERVATION: Estates of decedents dying on or before December 12, 1982 - if any future lnterest in the estate is transterrea in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140). PAYMENT: Detach the top portion of this Notice and submit with your Payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: REGISTER OF NILLS, AGENT REFUND (CR]: A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an ^Application for Refund of Pennsylvania Inheritance and Estate Tax^ (REV-1313). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 [TT only). OBJECTIDNS: Any party in interest not satisfied with the appraisement, allowance, ar disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet ^Instructions for Inheritance Tax Return for a Resident Oecedant^ (REV-15017 for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%l discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same Wanner 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: Interest is charged beginning with first day of delinquency, or nine C9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6%l percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 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 2003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20% .000548 1987 9% .000247 1999 7% .000192 1983 16% .000438 1988-1991 11% .000301 2000 8% .000219 1984 11% .000301 1992 9% .000247 2001 9% .000247 1985 13% .OD0356 1993-1994 7% .000192 2002 6% .000164 1986 10% .000274 1995-1998 9% .D00247 2003 5% .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. CC:~MDNNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280681 HARRISBURG, PA 17128-0601 REY-1545 E% ~FP (09-00) INFORMATION NOTYCE FILE N0. 21 02-0722 AND ACN 02147558 TAXPAYER RESPONSE DATE 11-13-2002 RUTH N WRIGHTSTONE APT 1 126 W PORTLAND ST MECHANICSBURG PA 17055 TYPE OF ACCOUNT EST. OF MARY E WRIGHTSTONE ^ sAViNGs S.S. N0. 165-26-5232 ® CHECKING DATE OF DEATH 07-31-2002 ^ TRUST COUNTY CUMBERLAND ^ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth or Nennsyivania. questions may oe answered by calling C7i7J 787-8527. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5070087036 Date 01-30-1970 "- To insure proper credit to your account, two Established C2) copies of this notice oust accompany your Account Balance 3,114.65 Payrent to the Register of Wills. Nake check payable to: ^Register of Nills, Agent^. Percent Taxable X 50.000 Amount Subject to Tax 1 , 557.33 NOTE: If tax payments are made within three (37 months of the decedent's date of death, Tax Rate X , 12 you nay deduct a 5% discount of the tax due. 186 88 Any inheritance tax due will become delinquent Potential Tax Due . nine (9) months after the date of death. PART TAXPAYER RESPONSE A. ^ The above information and tax due is correct. ' 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, ar you may check box "A" and return this notice to the Register of C 0 N E ~ Wills and an official assessment will be issued b y the PA Department of Revenue. BLOCK B. ® The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N LY to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART 3^ below. PART If you indicate a differen relationship to decedent:_ TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due please state your OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 - 6 7 X 8 PART DEBTS AND DEDUCTIONS CLAIMED a DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are true, correct and nplete to the best of n!y~-kn~o-w-ledge and belief. HOME C 7f~ ) ~iy/y.~~o~JFI J~// _ l~ c.~a_.~lz%~c2-L/~~cr~-' WORK ( ) /~o~f ~- ~%~ TAXPAYE SIGNATUR TELEPHONE NUMBER DATE GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based an information submitted by the financial institution. 2. Inheritance tax becones delinquent nine months after the decedent's date of death. 3. A joint account is taxable even though the decedent's name was added as a matter of convenience. 4. Accounts (including those held between husband and wife) which the decedent put in joint names within one year prior to death are fully taxable as transfers. 5. Accounts established jointly between husband and wife more than one year prior to death are not taxable. 6. Accounts held by a decedent "in trust for" another tlr others are taxable fully. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLDCK A - If the information and computation in the notice are correct and deductions are not being claimed, place an "X" in block "A^ of Part 1 of the ^Taxpayer Response^ section. Sign two copies and submit them with your check for the amount of tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. 2. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance Tax Return filed by the decedent's representative, place an "X^ in block "B" of Part 1 of the "Taxpayer Response" section. Sign one copy and return to the PA Department of Revenue, Bureau of Individual Taxes, Dept 280601, Harrisburg, PA 17128-0601 in the envelope provided. 3. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check block "C" and complete Parts 2 and 3 according to the instructions below. Sign two copies and submit them with your check for the amount of tax payable to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Enter the data the account originally was established or titled in the manner existing at date of death. NDTE: For a decedent dying after 12/12/82: Accounts which the decedent put in joint names within one (1) year of death are taxable fully as transfers. However, there is an exclusion not to exceed 53,000 per transferee regardless of the value of the account or the number of accounts held. If a double asterisk C^*) appears before your first name in the address portion of this notice, the 53,000 exclusion already has been deducted from the account balance as reported by the financial instituticn. 2. Enter the total balance of the account including interest accrued to the date of death. 3. The percent of the account that is taxable far each survivor is determined as follows: A. The percent taxable far joint assets established more than one year prior to the decedent's death: 1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF X 100 = PERCENT TAXABLE JOINT DWNERS SURVIVING JOINT OWNERS Example: A joint asset registered in the name of the decedent and twtl other persons. 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 = 16.7% (TAXABLE FOR EACH SURVIVOR) B. The percent taxable for assets created within one year of the decedent's death or accounts owned by the decedent but held in trust for another individual(s) (trust beneficiaries): 1 DIVIDED BY TOTAL NUMBER DF SURVIVING JOINT X 100 = PERCENT TAXABLE OWNERS OR TRUST BENEFICIARIES Example: Joint account registered in the name of the decedent and twtl other persons and established within one year of death by the decedent. 1 DIVIDED BY 2 (SURVIVORS) _ .50 X 100 = 50% [TAXABLE FOR EACH SURVIVOR) 4. The amount subject to tax (line 4) is determined by multiplying the account balance (line 2) by the percent taxable (line 3). 5. Enter the total of the debts and deductions listed in Part 3. 6. The amount taxable (line 6) is determined by subtracting the debts and deductions (line 5l from the amount subject tc tax Cline 4). 7. Enter the appropriate tax rate Cline 7] as determined below. ~ DatB 3f Death Spo~sa L".Heal Sioiing Collateral 07/01/94 to 12/31/94 3% 6% 15% 15% 01/01/95 to 06/30/00 0% 6% 15% 15% 07/01/00 to present 0% 4.5%* 12% 15% n amyuseu on cna Hat vague or iransrers trom a tleceasetl ch11tl 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%. The lineal class of heirs includes grandparents, parents, children, and lineal descendents. "Children" includes natural children whether ar not they have been adapted by others, adopted children and step children. "Lineal descendents" includes all children of the natural parents and their descendents, whether or not they have been adopted by others, adopted descendents and their descendants and step-descendants. "Siblings^ are defined as individuals who have at least one parent in common with the decedent, whether by blood or adoption. The ^Collateral^ class of heirs includes all other beneficiaries. CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions are determined as follows: A. You legally are responsible for payment, or the estate subject to administration by a personal representative is insufficient to pay the deductible items. B. You actually paid the debts after death of the decedent and can furnish proof of payment. C. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use plain paper 8 1/2^ x 11^. Proof of payment may be requested by the PA Department of Revenue. CDMMOAIMEALTH OF F°_NNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE FILE N0. 21 02-0722 BUREAU OF INDIVIDUAL TAXES AN D DEPT. 28D601 ACN 02147559 HARRISBURG, PA 171z6-Dbal TAX PAYER R E S P O N S E DATE 11-13-2002 REM-1545 E% AFP (09-007 RUTH N WRIGHTSTONE APT 1 126 W PORTLAND ST MECHANICSBURG PA 17055 TYPE OF ACCOUNT EST. OF MARY E WRIGHTSTONE ^ SAVINGS S.S. N0. 165-26-5232 ® CHECKING DATE OF DEATH 07-31-2002 ^ TRUST COUNTY CUMBERLAND ^ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. 4luestions may be answered by calling (7177 787-8327. COMPLETC PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account N~~. 5070117688 Date 07-06-1993 To insure proper credit to your account, two Established (2l copies of this notice must accompany your Under penalties of perjury, I declare that the facts I have reported above are tru//e, correct and rsonplete to the best of 2ny~knowledge and belief . HOME ( ~] / 7 ) (~i ~~ ~ .~(o ~~~. ~~ l~~~i.~~ti:LCH-~_,,~ WORK ( ) j1,.,7~ ` G~ ~ TAXPAYER SIGNATU TELEPHONE NUMBER DATE DATE PAID PAYEE DESCRIPTION AMOUNT PAID GENERAL INFORMATION FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information submitted by the financial institution. Inheritance tax becomes delinquent nine months after the decedent's date of death. A joint account is taxable even though the decedent's name was added as a matter of convenience. Accounts (including those held between husband and wife) which the decedent put in joint names within one year prior to death are fully taxable as transfers. Accounts established jointly between husband and wife more than one year prior to death are not taxable. Accounts held by a decedent ^in trust for" another or others are taxable fully. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE BLOCK A - If the information and computation in the notice are correct and deductions are mat being claimed, place an "X^ in block "A" of Part 1 of the ^Taxpayer Response" section. Sign two copies and submit them with your check for the amount of tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance Tax Return filed by the decedent's representative, place an ^X^ in block "B^ of Part 1 of the "Taxpayer Response^ section. Sign onE copy and return to the PA Department of Revenue, Bureau of Individual Taxes, Dept 280601, Harrisburg, PA 17128-0601 in the envelope provided. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check block "C" and complete Parts 2 and 3 according to the instructions below. Sign two copies and submit them with your check for the amount of tax payable to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. TAX RETURN - PAitT 2 - TAX COMPUTATION LINE 1. Enter the date the account originally was established or *.itled in the manner existing at date of death. NOTE: For a decedent dying after 12/12/82: Accounts which the decedent put in joint names within one (1) year of death are taxable fully as transfers. However, there is ar exclusion not to exceed 53,000 per transferee regardless of the value of the account or the number of accounts held. If a double asterisk (ewl appears before your first name in the address portion of this notice, the 53,D00 exclusion already has keen deducted from the account balance as reported by the financial institution. Enter the total balance of the account including interest accrued to the date of death. The percent of the account that is taxable for each survivor is determined as follows: A. The percent taxable far joint assets established more than one year prior to the decedent's death: 1 DIVIDED BY TDTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF X 100 = PERCENT TAXABLE JOINT OWNERS SURVIVING JDINT OWNERS Example: A joint asset registered in the name of the decedent and twc other persons. 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 = 16.7% (TAXABLE FOR EACH SURVIVOR) 8. The percent taxable for assets created within one year of the decedent's death or accounts owned by the decedent but held in trust for another individual(s) (trust beneficiaries): 1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT X 100 = PERCENT TAXABLE OWNERS OR TRUST BENEFICIARIES Example: Joint account registered in the name of the decedent and two other persons and established within one year of death the decedent. 1 DIVIDED BY 2 (SURVIVORS) _ .SD X 100 = 50% (TAXABLE FOR EACH SURVIVOR) The amount subject to tax (line 4) is determined by multiplying the account balance (line 2) by the percent taxable (line 3l. Enter the total of the debts and deductions listed in Part 3. The amount taxable Cline bl is determined by subtracting the debts and deductions (line 5) from the amount subject to tax (line 4). Enter the appropriate tax rate (line 7l as determined below. Date a~ Deieti~ Sp~~;ss L3nnai Siiaiing Coilaterai 07/01/94 to 12/31/94 3% 6% 15% 15% 01/01/95 to 06/30/00 0% 6% 15% 15% 07/01/00 to present 0% 4.5%* 12% 15% ^ine tax rate lmposeo on the net value of transfers from a tleceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adaptive parent, or a stepparent of the child is 0%. the lineal class of heirs includes grandparents, parents, children, and lineal descendents. "Children" includes natural children whether or not they have been adopted by others, adopted children and step children. ^Lineal descendents" includes all children of the natural parents and their descendents, whether or not they have been adopted by others, adopted descendents and their descendants and step-descendants. "Sibling s^ are defined as individuals who have at least one parent in common with the decedent, whether by blood or adoption. The "Collateral^ class of heirs includes all other beneficiaries. CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions are determined as follows: A. You legally are responsible for payment, or the estate subject to administration by a personal representative is insufficient to pay the deductible items. B. You actually paid the debts after death of the decedent and can furnish proof of payment. C. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use plain paper 8 1/2" x 11". Proof of payment may be requested by the PA Department of Revenue. f. COMHDNWEALTH OF PENNSYLVANIA ' DEPARTMENT OF REVENUE INFORMATION NOTICE FILE NO. 21 02-0722 BUREAU OF INDIVIDUAL TAXES AN D DEPT. 280601 TAXPAYER RESPONSE ACN 02147557 HARRISBURG, PA 17128-0601 DATE 11-13-2002 REV-1543 E% -FP [09-00) ** RUTH N WRIGHTSTONE APT 1 126 W PORTLAND ST MECHANICSBURG PA 17055 TYPE OF ACCOUNT EST. OF MARY E WRIGHTSTONE ^ SAVINGS S.S. N0. 165-26-5232 ^ CHECKING DATE OF DEATH 07-31-2002 ^ TRUSr COUNTY CUMBERLAND X^ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has provided the Department with the information listed below which has bean used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. 9uestions nay be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 21001010936 Date 07-05-2002 To insure proper credit to your account, two Established C2l copies of this notice must accompany your Account Balance 16,882.30 Payment to the Register of Wills. Make check payable to: "Register of Wills, Agent^. Percent Taxable X 10 0 . 0 0 ND'iE: If tax payments are made within three Amount Subject to Tax 16,882.30 (3) months of the decedent's date of death, TeX Rate X , 12 You may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 2, 025 • 88 mime C9) months after the date of death. PART TAXPAYER RESPONSE ::: .:::: ~: ::::::; :::s :i€:: . ;€ ...s:: _ is ,: ;~;::: ~€~: .:::iii; , ° ;~ . €:~;: ; . ;::~;~~~° ii _° :: ~; ,. :.:.:~I.#......~.°1`.....1....AI~....#~ ~~.~~~.....``.~#~~....~ik~~, r~l~~!I; I:.:.:~{~4,~~..~..1.1:;~:.:: `'~'1.:1.~ :.....:........................................ A. ^ The above information and tax due is correct. 1. You nay choose to remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or you may check box ^A" and return this notice to the Register of 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue. C B L 0 CK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N LY to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART 3^ below. PART If you indscate a dsfferent tax rate, please state your ~s~ €ii iii:;z~isi€~ss~ : : : : : ,.:.:.:... ~_:: ~°~°~°~ ~~ °~°~ •° l~~~~~:~i1~; ;:~:~~f~€?~s. ~. :::::: : : : : : : : : : : ::~::,::::::::::::::::::::::::::::::::::::::::::::::::: :: 2 "onshi to decedent: relatl p : : : : : ::::::::::.:::::::::::::::-::::::::::: ~?':s':siE`~is `i : : : : : : : : ~ : ~ ::-::::-:::::::-::-:::::::::,:::,:,:,:,~:::-° ,~;-,:::::°-::::::°:::::::-°'_~iii~_iEiEiii€ is~~~s~is~~~i€iii€i AX - OF POTATION RETURN COM ~~ ~ / C TS NT TRUST A COON 7AX ON JOI :~` ~ €s~~?i~~~~~~~~~~~~~~~~~~~€~€ €~~~~€~€~€~~? LINE 1. 1 Date Established '°~'~;`;_[_~ '(~~~~~s~isiis~Ss~s~~~~~~'~~~'~'~''`':~~~i~i 2. 2 Account Balance s=~~~€€€~€€€~~€ ~€~~~`s[is~is°If°ss~ss~EE~~€~€~~~~`s~~~~s 3 . 3 Percent Taxable ?i~ €~€~ ~ ~ ~ €~~ €~ X €~ €~ €~ €~€~ €~~€ ~ ~" ~`'~~ i~ sib ~i~ €isii€ s~ €~€s~€`€ ~~€€ 4. 4 b 'ect to Tax Amount Su J ?~s!~~~~ ~~~~~~'~~~_'~[~<j':•1s~S~I~~~~~~~~~~°'_' 5. 5 Deductions Debts and - i~i~?;s?i'i~i ~i~€€~€~ i~€~€~€~i~€~ss~€~~~ ~€~€~~€~~i~~~i~i~ii~€`~ ~ s_ 6. 6 Amount Taxable s[~Eit 7. 7 Tax Rate ~~'~~~ X ~~~~~~_'~j~~~~I~s[~s~~'':s9~~z'z~'~_~° 8. 8 Tax Due ......................................... ................................................................................... . PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above//d~are true, correct and cgnplete to the best of ny knowledge and belief. HOME C 7/ ~ ) 67/x-~(e~c.7 ~~ ~ y ~~~~ y~ GC..' _~ n r. i .qxF WORK ( ) /1-.~-~ - C oZy TAXPAYER SIGNATU TELEPHONE NUMBER DATE GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based an information submitted by the financial institution. 2. Inheritance tax becomes delinquent nine months after the decedent's date of death. 3. A joint account is taxable even though the decedent's name was added as a matter of convenience. 4. Accounts (including those held between husband and wife) which the decedent put in joint names within one year prior to death are fully taxable as transfers. 5. Accounts established jointly between husband and wife more than one year prior to death are not taxable. 6. Accounts held by a decadent "in trust for^ another or others are taxable fully. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE BLOCK A - If the information and computation in the notice are correct and deductions are not being claimed, place an "X^ in black "A^ of Part 1 of the ^Taxpayer Response" section. Sign two copies and submit them with your check far the amount of tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance Tax Return filed by the decedent's representative, place an "X" in block "B" of Part 1 of the "Taxpayer Response" section. Sign one copy and return to the PA Department of Revenue, Bureau of Individual Taxes, Dept 280601, Harrisburg, PA 17128-D601 in the envelope provided. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check block "C" and complete Parts 2 and 3 according to the instructions below. Sign twc copies and submit them with your check far the amount of tax payable to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EXl upon receipt of the return from the Register of Wills. TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Enter the date the account originally was established or titled in the manner existing at date of death. NOTE: For a decedent dying after 12/12/82: Accounts which the decedent put in joint names within one (1l year of death are taxable fully as transfers. However, there is an exclusion not to exceed 53,D00 per transferee regardless of the value of the account or the number of accounts held. If a double asterisk (~*) appears before your first name in the address portion of this notice, the 53,000 exclusion already has been deducted from the account balance as reported by the financial institution. 2. Enter the total balance of the account including interest accrued to the date of death. 3. The percent of the account that is taxable for each survivor is determined as follows: A. The percent taxable for joint assets established more than one year prior to the decedent's death: 1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF X 100 = PERCENT TAXABLE JOINT OWNERS SURVIVING JOINT OWNERS Example: A joint asset registered in the name of the decedent and two other persons. 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 = 16.7% (TAXABLE FOR EACH SURVIVOR) B. The percent taxable for assets created within one year of the decedent's death or accounts owned by the decedent but held in trust for another individual(s) (trust beneficiaries): 1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT X 100 = PERCENT TAXABLE OWNERS OR TRUST BENEFICIARIES Example: Joint account registered in the name of the decedent and two other persons and established within one year of death by the decedent. 1 DIVIDED BY 2 (SURVIVORS) _ .5D X 100 = 50% (TAXABLE FOR EACH SURVIVOR) The amount subject to tax (line 4) is determined by multiplying the account balance (line 2l by the percent taxable (line 37. Enter the total of the debts and deductions listed in Part 3. The amount taxable Cline 6) is determined by subtracting the debts and deductions (line 5) from the amount subject to tax (line 4). Enter the appropriate tax rate (line 7) as determined below. ~ Cats 6i Death Sp045tl L1nB81 jlOling Collateral 07/01/94 to 12/31/94 3% 6% 15% 15% 01/01/95 to 06/30/00 0% 6% 15% 15% 07/01/00 to present 0% 4.5%~ 12% 15% ~a~n i~^posa~ on me nec value ar transfers tram a deceased ch11tl twenty-one years of age or younger at death to ar for the use of a natural parent, an adoptive parent, or a stepparent of the child is D%. The lineal class of heirs includes grandparents, parents, children, and lineal descendants. ^Children" includes natural children whether or not they have been adopted by others, adapted children and step children. ^Lineal descendents^ includes all children of the natural parents and their descendents, whether or not they have been adopted by others, adopted descendents and their descendants and step-descendants. ^Siblings" are defined as individuals who have at least one parent in common with the decedent, whether by blood or adoption. The "Collateral" class of heirs includes all other beneficiaries. CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions are determined as follows: A. You legally are responsible for payment, or the estate subject to administration by a personal representative is insufficient to pay the deductible items. B. You actually paid the debts after death of the decadent and can furnish proof of payment. C. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use plain paper 8 1/2" x 11^. Proof of payment may be requested by the PA Department of Revenue. COMMONMEALTH OF PENNSYLVANIA " ' DEPARTMENT OF REVENUE INFORMATION NOTICE FILE N0. 21 02-0722 BUREAU OF INDIVIDUAL TAXES AN D DEPT. 280601 TAXPAYER RESPONSE ACN 02147556 HARRISBURG, PA 17128-0601 DATE 11-13-2002 REV-1543 E% RFP (R9-DO) RUTH N WRIGHTSTONE APT 1 126 W PORTLAND ST MECHANICSBURG PA 17055 TYPE OF ACCOUNT EST. OF MARY E WRIGHTSTONE ^ SAVINGS S.S. N0. 165-26-5232 ^ CHECKING DATE OF DEATH 07-31-2002 ^ TRUST COUNTY CUMBERLAND X^ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 21001011;'94 Date 07-05-2002 To insure proper credit to your account, two Established (2l copies of this notice oust accompany your Payment to the Register of Wills. Make check Account Balance 2 867 .87 , payahle to: "Register of Wills, Agent". Percent Taxable X 10 0 . 0 0 Anount Subject to NO'iE: If tax payments are made within three Tax 2,867.87 (37 months of the decedent's date of death, Tax Rate X , 12 You may deduct a 5% discount of the tax due. An;y inheritance tax due will become delinquent 344 14 Potential Tax Due . nine (9l months after the date of death. PART TAXPAYER RESPONSE A. ^ The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount ar avoid interest, or you may check box ^A" and return this notice to the Register of 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue. C B L 0 CK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N LY to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. P RT - - T^iii€~ i€~ i€~ ie4Si€~ i€~ i€~ i If you indscate a different tax rate, please state your €' .............:.....:....:...p..y:F.i:^•;. .........,.,... .....,..:-~: ~:~:~:~:, ........:.:..,:~ .,.....::: •:::::s . ::.::::::::::::::::~: ;:; Z ationshi to decedent; rel P :::::::::::::::::::::::::::::-:::::::::: #~ z's!`sslss'~~~ 'sfF:~E ::-::::-:::::::::::,::::,::::::-::::-:::::::~:~::.:.:.::.:.::::.:.::.:::.:,,:,,:~i:~i:~i:~;:_ ..... .... ~~~1!~'s'i~~if~~ ::::::iii€€i AX E - F TURN COMPUTATION 0 #~~kll~~~~i€~i~ • S INT TRUST ACCOUNT TAX ON JO €~~i~~~~='=~~;~;s~~~;~i~~s~~:~;;;;:;_:;:_:~~;:;:~;:; LINE 1. 1 Date Established ~'iii'~i€~i€€~€~ €€~~€~;~~~`'~Ii~i'~i~jli~~~°j`'i°;~€~~~€~€'~~`:~':ji's~i • 2. Account Balance 2 :: 'i::,..... ::.::~:;~;:~::~:::~:::::s ::::::::::::::::::::::::::: :::~::~::~::~::~::~::~::~::~::~::~::~::::~;:~::: :: ............:.:...:::.:.:...:.:.:.:.:::.:::.:.......:.........:................. 3. 3 Percent Taxable isiss~~iii'`i''~j'' X ''~='i'ii''i`'i~ ~~~~.':~'~s~~~~~~ii~~'~''~''~'` 4. ~ to Tax 4 Amount Subject :~::.. ~.::::. ~:::~:. _~?~~€?i€~€~€ ~€~s~€~€~€~~€~€~~~~~€~~~€~~~i~~~~~~€~'€~~€~€~€`~~~~€`~€ 5 . ctions 5 Debts and Dedu - ~_~€€?i€~ ~€ ~ €~ €~ €~€~ €~€~ €~ €~ €~€~€ ~~€ ii~{i~'~~ s~11~1i~ i~ €~~ [iii 6. axable 6 Anount T .. i'~F..... ,:...: ..................:.:...:.r::::::a::a:<::a::a:::::::::::;...:.:,.,.,...,:... 7. 7 Tax Rate X ...~.._ . 8. 8 Tax Due f[[ii .......................................... iiiis[iif[iifiisiisiiiii~ sis"` ................................................................................................... . PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE P AID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are tr/ue, correct and complete( to the best of ny,knowledge and belief. HOME C ~ ) ~ 9C- ~bla~ `y(1~- 7/ G/~~C,~~r~ei WORK ( ) %/ -;~ /~ - C~ TAXPAYER IGNATURE TELEPHONE NUMBER DATE GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT Ili AN OFFICIAL TAX ASSESSMENT with applicable interest based on information submitted by the financial institution. 2. Inheritance tax becomes delinquent nine months after the decedent's date of death. 3. A joint account is taxable even though the decedent's name was added as a matter of convenience. 4. Accounts (including those held between husband and wife) which the decedent put in joint names within one year prior to death are fully taxable as transfers. 5. Accounts established jointly between husband and wife mare than one year prior to death era not taxable. 6. Accounts held by a decedent ^in trust for^ another or others are taxable fully. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK A - If the information and computation in the notice are correct and deductions are not being claimed, place an "X" in block "A" of Part 1 of the "Taxpayer Response" section. Sign two copies and submit them with your check for the amount of tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. 2. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance Tax Return filed by the decedent's representative, place an "X" in block "B" of Part 1 of the "Taxpayer Response" section. Sign onE copy and return to the PA Department of Revenue, Bureau df Individual Taxes, Oept 280601, Harrisburg, PA 17128-0601 in the envelope provided. 3. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check block "C" and complete Parts 2 and 3 according to the instructions below. Sign two copies and submit them with your check for the amount of tax payable to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EXl upon receipt of the return from the Register of Wills. TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Enter the date the account originally was established or titled in the manner existing at date of death. NOTE: For a decedent dying after 12/12/82: Accounts which the decedent put in joint names within one (1) year of death are taxable fully as transfers. However, there is an exclusion not to exceed 53,000 per transferee regardless of the value of the account or the number of accounts held. If a double asterisk (**) appears before your first name in the address portion of this notice, the 53,000 exclusion already has been deducted from the account balance as reported by the financial institution. 2. Enter the total balance of the account including interest accrued to the date of death. 3. The percent of the account that is taxable for each survivor is determined as follows: A. The percent taxable for joint assets established more than one year prior to the decedent's death: 1 DIVIDED BY TOTAL NUMBER OF DIVIDED 8Y TOTAL NUMBER OF X 100 = PERCENT TAXABLE JOINT OWNERS SURVIVING JOINT OWNERS Example: A joint asset registered in the name of the decedent and two other persons. 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 = 16.7% (TAXABLE FOR EACH SURVIVOR) B. The percent taxable far assets created within one year of the decedent's death or accounts owned by the decedent but held in trust for another individual(s) (trust beneficiaries): 1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT X 10D = PERCENT TAXABLE OWNERS DR TRUST BENEFICIARIES Example: Joint account registered in the name of the decedent and two other persons and established within one year of death by the decedent. 1 DIVIDED BY 2 (SURVIVORS) _ .50 X 100 = 50% (TAXABLE FOR EACH SURVIVOR) 4. The amount subject to tax (line 4l is determined by multiplying the account balance (line 2) by the percent taxable Cline 3). 5. Enter the total df the debts and deductions listed in Part 3. 6. The amount taxable (line 6) is determined by subtracting the debts and deductions (line 5) from the amount subject to tax (line 4). 7. Enter the appropriate tax rate (line 7) as determined below. Dates ai Dsath Spouse Lineal Sibling Coilaterai 07/01/94 to 12/31/94 3% 6% 15% 15% 01/01/95 to 06/30/00 0% 6% 15% 15% 07/01/00 to present 0% 4.5%^ 12% 15% e impusuu un uia nei vague ar cransrers rrom a Deceased cn11d 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%. The lineal class df heirs includes grandparents, parents, children, and lineal descendents. "Children" includes natural children whether or not they have bean adopted by others, adopted children and step children. "Lineal descendents" includes all children of the natural parents and their descendents, whether or not they have been adopted by others, adapted descendents and their descendants and step-descendants. ^Siblings" are defined as individuals who have at least one parent in common with the decedent, whether by blood or adoption. The "Collateral" class of heirs includes all other beneficiaries. CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions are determined as follows: You legally are responsible far payment, or the estate subject to administration by a personal representative is insufficient to pay the deductible items. You actually paid the debts after death of the decedent and can furnish proof of payment. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use plain paper 8 1/2^ x 11". Proof df payment may be requested by the PA Department of Revenue. REV.I500EX !l>-OO) . COMMONWEAlTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 .... Z W C W (,) W C w ,.., :.:::$U) u"'" w"U :rOO u"'-' ..Ill .. '" ,.., z w o z o .. '" w '" '" o u z o !;;: ...J ::l .... ii: c( (,) w a:: INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Wri htstone Mary E. DATE OF DEATH (MM.DD.YEAR) 07/31/2002 DATE OF BIRTH (MM-DD-YEAR) 09/22/1931 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) N/A ~ 1. Original Return o 4. Limited Estate ~ 6. Decedent Died Testate (Attac/1CO\.1yofWiII) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (datll of dealh after 12-12-82) o 7. Decedent Maintained a Living Trust (AlIachcopyoITrust) o 10. Spousal Poverty Credit (dale of deaih be\ween 12.31.91 and 1-1-95) OFFICIAL USE ONLY t/ FILE NUMBER 21_02 o 7 2 2 - NUMBER - - COUNTY CODE YEAR SOCIAL SECURITY NUMBER 165 _ 26 5232 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WillS SOCIAL SECURITY NUMBER o 3. Remalnder Return {~ll\e of dea\l1 priOI \0 12-13-82) o 5. Federal Estate Tax Return Required ~ 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sc/1D) S NAME , 11 ' W~ ~am L. FIRM NAME (If Applicable) Sunday ,0 '0" OFFICIAL USE ONLY (8) 376361.80 NI):C 'f COMPLETE MAILING ADDRESS 39 West Main street Mechanicsburg, PA 17055 TELEPHONE NUMBER (717) 766-9622 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (1) (2) (3) (4) (5) $ 139000.00 9642.06 1185.27 (11) 112) (13) /.6171 70 349988.10 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Noles Receivable (Schedule D) 30103.21 109627.79 5. Cash, Bank Deposits & Miscellaneous pers.onal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or LI 8. Total Gross Assets (total lines 1-7) (6) (7) 86803.47 (14) 349988.10 9. Funeral Expenses & Administrative Costs (Schedule H) (9) (10) 25424.19 949.51 (19) 0.00 0.00 39056.86 3677.14 42734.00 10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule I) 11. Total Deductions (total lines 9 & 10) 12. Net Value of Estate (line 8 minus line 11J 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to lax has not been made (Scnedule J) 14. Net Value Subject to Tax (Une 12 minus Une 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !;;: I- ::l C. :E o (,) >< ~ 15. Amount of line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a){1.2) x .0_ (15) ,li'S~W{'\~;::z.<;,~~:',?~jiJ;i'(~:m:':rt'ln-.:t~~:!ID1{ilIi'f!1;'til'i'1,J'l;'J.;>1li!~\3[0j~~'i,~,Ui'1:'1Jr;,\l.ll',,'. -.::, .: 16. Amount of Line 14 taxable at lineal rate ,,0_ 116) ,::><;471 A1 24514.27 17. Amount of line 14 taxable at sibling rate x .12 (17) , .15 (18) 18. Amount of line 14 taxable at collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1. Decedent's Complete Address: STREET ADDRESS 309 South York Street CITY Mechanicsburg I STATE PA I ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 42734.00 37795.88 1989.26 Total Credits (A+ B + C) (2) 39785.14 3. InteresUPenaily if appiicable D. Interest E. Penally o o TotallnteresUPenally ( 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) o B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (58) 2948.86 o 2948.86 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. ~~,:;, ~,:'J-~t_{ #J;;;:~..,"~^ ~~~ ~ ~l:;"";"'''' ',~,;~~~"-^.,.:1-.... ~~ ~.,);h<.~~t_'t~.I'~~~';"'- l":I"(~~~....,,,~;r,~~ ~~';.h<:~~/!'.?'It-:;-''''t'',:1.a:~'tH~'''''. ;-*'~ 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: *Except as a ~ncident of joint Yes No . a. retain the use or income of the property transferred;......~~~~~.~...................... .................................. I!J * [] * b. retain the right to designate who shail use the property transferred or its income; ............................................ 0 G * c. retain a reversionary interest; or........................................................................................................................... 0 [1i * d. receive the promise for life of either payments, benefits or care? ................................................".................... D ~ 2. If death occurred after December 12. 1982, did decedent transfer property within one year of death without receiving adequate consideration? ..L?J...q;>.~.~..r.J,~g.E!4...t!'}..j.9.:j,f.l:t....~~...?.I.~.!.Q,? lID 0 3. Did decedent own an "in trust fo~ or payable upon death bank account or securily at his or her death? .............. 0 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ ~ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of pe~ury, I declare that! have examined this retum, irlciuding accomparlying 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 representalive is base<! on all irlformation of which preparerhas any knowledge DATE April ~ 2003 ADDRESS 126 West Portland Street Apt #1, Mechanicsburg, PA 17055 DATE April ;/P? 2003 qPitfr .["" . '~5'ih.~" ".~~~~:;l:rlt~+" ; ., , ,~....~-'t":'--~\"""":;Oj' \. t" .j; ,~.."" ' ~." ,,' ,_'" ~_ _"~ \" ~', ..-"';;..-'-t -n'" ~...: ,:; P+..'r.~ ADDRESS 39 West Main Street, Mechanicsburq, 'li'A 17055-6230 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. 99118 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net vaiue of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (Ii)]. The statute does not exemot 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. 99116(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. 99116(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)1. A sibling is defined. under Section 91D2. as an individual who has at ieast one parent in common with the decedent. whether by blood or adoption. P.EV.\~.(1-'m . SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MARY E. WRIGHTSTONE FILE NUMBER 21-02-0722 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seDer, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly..owned with right of survivorshiD must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ALL THAT CERTAIN Lot of Ground situate on the East side of South York Street, in the Borough of Mechanicsburg, cumberland County, and State of Pennsylvania, being Lot No. 30 in a General plan made out by the heirs of John Coover, deceased, and bounded and described as follows, to wit: BEGINNING at an iron pin on the building line, on ~or'k Street, at corner of a Twenty (20) foot wide Public Alley; thence by the line of said Alley Eastwardly Ole Hundred and Sixty-one (161) feet, more or less, to an iron pin at corner',;' of another Twenty (20) foot wide Public Alley; thence by the line of last mentioned Public Alley . Northwardly Fifty (50) Feet to an iron pin at corner of Lot No. 28 now or late of George and Alverta Kapp; thence by the line of said lot Westwardly Ole Hundred and sixty-one (161) feet, lOClre or less, to an iron pin on the building line of said York Street; thence by the building line of said York street Southwardly' Thirty-five (35) feet to an iron pin, the place of BEGINNING. HAVING TBEREXl!f erected a frame dwelling house and other necessary buildings, and known as 309 South York Street, Mechanicsburg, Pennsylvania. Tax Parcel No. 20-24-0785-383 Assessed Value 131150.00 Valued @ Appraisal Value - Copy Attached $139000.00 .' TOTAL (Also enter on line 1, Recapilulation I $ 139000.00 f,h REV-15113 EX.+ (1-97) '* SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESID NT DECEDENT ESTATE OF MARRY E. WRIGHTSTONE FILE NUMBER 21-02-0722 All property jointly.owned with right of survivo..hlp must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 135 shs Prudential Financial, Inc. - NYSE @ 32.505 $ 4388.18 2. (1) $50. Series EE US Savings Bond in separate name Month Date Number Issued Issued 11/99 11/2/99 L 579539424EE 28.20 3. (48) $200. Series EE U. S. Savings Bonds in separate name Month Number of Date Number Issued Bonds Issued 08/99 2 8/12/99 R157892102EE 114.08 8/12/99 R157892103EE 114.08 09/99 2 9/15/99 R158125845EE 113.68 9/15/99 R158125846EE 113.68 10/99 2 10/14/99 R159191367EE 113.28 10/14/99 R159191368EE 113.28 11/99 2 11/12/99 R159428092EE 112.80 11/12/99 R159428093EE 112.80 12/99 2 12/13/99 R159697783EE 112.48 12/13/99 R159697784EE 112.48 1/00 2 1/13/00 Rl60924599EE 112.08 1/13/00 R160924600EE 112.08 2/00 2 2/14/00 R161153575EE 111.68 2/14/00 R161153576EE . 111.68 3/00 2 3/13/00 R161365930EE 111. 36 3/13/00 R161365931EE 111.36 4/00 2 4/11/00 R162482411EE 110.36 4/11/00 R162482412EE 110.36 5/00 2 5/10/00 R162710907EE 110.00 5/10/00 Rl62710908EE 110.00 6/00 2 6/13/00 R162952344EE 109.60 6/13/00 R162952345EE 109.60 7/00 2 7/14/00 R163171116EE 109.28 7/14/00 R163171117EE 109.28 8/00 2 8/09/00 Rl64260336EE 108.88 8/09/00 R164260337EE 108.88' 26 CARRIED FORWARD ~~$ 7315.50 (If more space is needed, insert addi1ional sheels of Ihe same size) .~ REV.t503EJ<.> (1-9n . SCHEDULE B COMMONWEAl1H OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN (CONTINUED) RESIDENT DECEDENT ESTATE OF FILE NUMBER MARY E. WRIGHTSTONE 21-02-0722 All property jointly-owned with right of survivorship must be disclosed on Schedule F, iTEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ll: 26 BROUGHT FORWARD $ 7315.50 3. (48) $200. Series EE U. S. Savings Bonds - (Continued) Month Number of Date Number Issued Bonds Issued 9/00 2 9/12/00 R164455630EE 108.56 9/12/00 R164455631EE 108.56 10/00 2 10/11/00 R164656791EE 108.16 10/11/00 R164656792EE 108.16' 11/00 2 11/13/00 Rl65919042EE 106.88 11/13/00 R165919043EE 106.88 " 12/00 2 12/11/00 R166132508EE 106.56 12/11/00 R166132509EE 106.5!il 1/01 2 1/17/01 R166427149EE 106.16 1/17/01 R166427150EE 106.16' 2/01 2 2/12/01 Rl67157874EE 105.84 2/12/01 R167157875EE 105.84 ' 3/01 2 3/14/01 R167360928EE 105.44 3/14/01 R167360929EE 105.44 4/01 2 4/13/01 R167554808EE 105.12 ' 4/13/01 R167554809EE 105.12 5/01 2 5/23/01 R167807735EE 104.00 5/23/01 Rl67807736EE 104.00 6/01 2 6/14/01 R168600765EE 103.60 6/14/01 R168600766EE 103.60 8/01 2 8/08/01 R169571010EE 102.96 48 8/08/01 R169571011EE 102.96 TOTAL (Also enteron line 2, Recapilulatlon) $ 9 I 642 . 06 (If more space Is needed, Insert additional sheets 01 the same size) ~ ""'.,''''''.,,.,'. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP or SOLE.PROPRIETORSHIP ESTATE OF Mary E. Wrightstone FILE NUMBER 21-02-0722 Schedule C-1 or C~2 (Including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NUMBER 1. DESCRIPTION 7.23% ownership per schedule K- 1 in a partnership known as HRIC, a partnership, an investment club organized by some member of st. Paul's United Church of Christ, of Mechanicsburg,PA VALUE AT DATE OF DEATH $ 1185.27 TOTAL (Also enter on line 3, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1185.27 Rf\I.'5llIEX~ll.gn *' SCHEDULE C.2 PARTNERSHIP INFORMATION REPORT COMMONWEALTH OF PENNSYLVANIA INHERlTANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mary E. Wrightstone FILE NUMBER 21-02-0722 1. Name of Partnership The HRIC Investment Club Date Business Commenced March 17,1997 Business Reporting Year Calendar Address S? O:=IkwrYrl Avpnllto City Meehan; cRhllrq State PA Zip Code 17055 2. Federal Employer 1.0. Number 23-2888122 3. Type of Business Investment Club Pnoduc1lS8IVice Invests for MPmhPrs 4. Decedent was a Kl General 0 Limrted partner. If decedent was a limited partner, provide initial investment $ N / A 5. PERCENT OF PERCENT OF BALANCE OF PARTNER NAME INCOME OWNERSHIP CAPITAL ACCOUNT A. Mary E. Wrightstone 7.23 7.23 1185.27 B. * See attached "Member Status as of Illv 31 2002" for n""""s and C. information for othe members D. 6. Value of the decedenfs interest $ 1185.27 as of date of death, i.e 7/31/02 per Sch K-1 attached 7. Was the Partnership indebted to the decedent? If yes, provide amount of indebtedness $ 8. Was there life insurance payabie to the partnership upon the death of the decedent? 0 Yes IX! No If yes, Cash Surrender Value $ Net proceeds payable $ Owner of the policy o Yes ill No 9. Did the decedent sell ortransfer an interest in this partnership within one year phor to death or within two years if the date of death was priorto 12-31-82? Dyes 0 No If yes. 0 Transfer 0 Sale Percentage transferred/sold Transferee or Purchaser Consideration $ Dale Attach a separate sheet for additional transfers and/or sales. 10. Was there a whtten partnership agreement in effect at the time of the decedenfs death? If yes, provide a copy of the agreement. o Yes 0 No 10. Was the decedenrs partnership interest sold? If yes, provide a copy of the agreement of sale, etc. 11. Was the partnership dissolved or liquidated after the decedenrs death? 0 Yes IXI No If yes, provide a breakdown of disthbutions recaved by the estate, including dates and amounts received. DYes Iil No .,,' 12 13. Was the decedent related to any ot the partners? Kl Yes 0 No it yes, expiain Ruth N. Wrightstone sister of decedent . is a partner - "see attachment" Did the partnership have an interest in other corporations or partnerships? Kl Ves 0 No see attachment listing investments It yes, report the necessaOJ infolmation on a separale sheet, Including a Schedule C-' or C-2 for each interest A. 8. C. Detailed calculations used in the valuation of the decedenfs partnership interest. Complete copies of financial statements or Federal Partnership Income Tax returns (Folm 1065) for the year of death and 4 preceding years. tl the partnership owned real estate, submit a list showing the complete address/es and estimaled fair market value/s. If rea! estate appraisalS have been secuned, attach COpIes. Any other infolmation relating to the valuation of the decedenrs partnership interest. D. /~;unting~~thdraWal Distribution Report Page 1 pf 1 "1.1, //// Full cash withdrawal Mary E. Wrightstone 7/31/2002 Member's share of Distributions Dividend $7.63 Interest $0.17 Expense ($5.76) Short Tenn Capital Gain ($0.01) Long Tenn Capital Gain ($29.44) Withdrawal details (including tax consequences) Cash received Stock value withdrawn Net value withdrawn Tax Basis prior to withdrawal $1.303.64 / $1.185.27 Current Year Earnings I (Loss) ($27.41) . Adjusted Tax Basis $1.276.23 5:1~ $0.00 ...- ,0 I $1.185.27 '--_;.~"'!t /_< d/l Cash Received $1.185.27~:~ (~.oIIJ~ Member's adjusted basis in stock $0 00 .-j'.\ ?-;;iJI $1.185.27 withdrawn . \-- $0.00 Realized Gain (Loss) ($90.96) $1.185.27 7,/,3 -4- 'f, $'0 Gross withdrawal amount (45.9274 units at $25.81 per unit) Fees and penalties Net withdrawal amount Return to NAIC Online Club Accounting ['PrtriEI http://www.nai.../withdrawal.html?Go. y=9&PrinterFriendly= 1&TransactionID= 13 76431&Go.x= 3/6/03 SCHEDULE K-1 Partner's Share of Income, Credits, Deductions, etc. (Form 1065) ~ See separate instructions. Depanrnet11 of the Treasury . Internal Revenue Service For calendar year 2002 or tax year beginnilKJ , 2002. and ending , 20 Panner's identifyin" number ~ 165265232 Partnershin's identifying number ~ 23 Partner's name, address, and ZIP code Partnership's name, address, and ZIP code Mary E. Wrightstone HRIC, a partnership 309 South York Street 52 Oakwood Avenuie . ~ r , OMB No. 1545-0099 ~@02 2888122 Mechanicsburg, PA 17055 A This partner is a ~ general partner 0 limited partner o limited liability company member B Wh t t f t't' th' rt ? ...... Individual a ype 0 en I Y IS IS pa nero r h_h_U__._un____h C Is this partner a g domestic or a 0 foreign partner? Mechanicsburg, PA 17055 F Partner's share of liabilities (see instructions): Nonrecourse $ ._hn.__.__n__ Qualified nonrecourse financing $ _____nn._________. Other $ .m.____.__.____.__ H Check here if this partnership is a publicly traded partnership as defined in section 469(k)(2) , . . , , 0 I Check aoplicable boxes: (1) 0Finai K.l (2) 0 Amended K.1 (i) Before change (ii) End of or termination year G Tax shelter registration number. .. o _7.~~~_. % -.?_:~~-. % o ~ 00 % 0.00 % E J (a) Capital account at beginning of year (b) Capital contributed during year (c) Partner's share of lines 3, 4, and 7, Form 1065, Schedule M-2 (d) Withdrawals and distributions (a) Distributive share item (b) Amount iii" <II o =- (I) E o " .E 1 Ordinary income (loss) from trade or business activities 2 Net income Ooss) from rental real estate activities 3 Net income (loss) from other rental activities. 4 Portfolio income Ooss): a Interest b Ordinary dividends c Royalties d Net short-term capital gain (loss) e (1) Net long-term capital gain (loss). (2) 28% rate gain (loss) (3) Qualified 5.year gain f Other portfolio income (loss) (attach schedule) 5 Guaranteed payments to partner 6 Net section 1231 gain <<ass) (other than due to casualty or theft) 7 Other income (loss) (attach schedule) . 1 2 3 4a 4b 4c 4d 40(1) 4e(2) 4e(3) 41 5 6 7 0.17 7.63 (0.01) (29.44) Charitable contributions (see instructions) (attach schedule) . Section 179 expense deduction. . Deductions related to portfolio income (attach schedule) Other deductions (attach schedule). 12a Low-income housing credit: (1) From section 420)(5) partnerships (2) Other than on line 12a(1) b Qualified rehabilitation expenditures related to rental real estate activities c Credits (other than credits sl10wn on lines 12a and 12b) related to rental real estate activities. d Credits related to other rental activities 13 Other credits, For Paperwork Reduction Act Notice, see Instructions for Form 1065. 5.76 U <II 8 "c 9 'Co ~.~ 10 11 '" - '6 (I) - () 12c 12d 13 Cat No. 11394R (e) Capital account at end of year {combine columns (a) through (dll (c) 1040 filers enter the amount In column (b) on: } See page 6 of Partner's Instructions for Schedule K-l (Form 1065). Sch. B, Part 1, line 1 Sch. B, Part II, line 5 Sch. E, Part I, line 4 Sch. D, line 5, col. (f) Sch. D, line 12. col. (f) Sch. D, line 12. cot (g) une 5 of WClI'1tsheet fa Sch, D, all'! 29 Enteron applicable line ri yourretLm } See page 6 of Partner's Instructions for Schedule K-l (Form 1065). Enter on aJlP~cable line of 'f01J! return. Scn. A, line 15 or 16 } See pages 7 and 8 of Partner's Instructions for Schedule K- 1 (Form 1065\. } Form 8586, line 5 1 See page B of Partner's Instructions for Schedule K-l (Form 1065). Schedule K~ 1 (Form 1065) 2002 -./ /' ...nedule K-' (Form 10651 2002 (a) Distributive share item - ~t;; E! 14. Ul", "'c b >- c '1!! 15. e" ..~ "'" b 3la c Interest expense on investment debts . (1) Investment income included on lines 4a, 4b, 4c, and 4f (2) Investment ex enses included on line 10 . Net earnings (loss) from self-employment. Gross farming or fishing income. Gross nonfarm income. . . i~ .- f! ~ h ilt c 16a Depreciation adjustment on property placed in service after 1986 b Adjusted gain or loss . c Depletion (other than oil and gas) . d (1) Gross income from oil, gas, and geothermal properties (2) Deductions allocable to oil, gas, and geothermal properties e Other ad'ustments and tax reference items (attach schedule) 17a Name of foreign country or U,S. possession" _____.._______h_ b Gross income from all sources , c Gross income sourced at partner level d Foreign gross income sourced at partnership level: (1) Passive (2) Listed categories (attach schedule) (3) General limitation e Deductions allocated and apportioned at partner level: (1) Interest expense (2) Other, f Deductions allocated and apportioned at pannership level to foreign source income: (1) Passive (2) Listed categories (attach schedule) (3) General limitation . . . . . .. . 9 Total foreign taxes (check one): .. 0 Paid 0 Accrued. h Reduction in taxes available for credit (attach schedule) . 18 Section 59(e)(2) expenditures: . Type ~ _________________________ b Amount 19 Tax-exempt interest income 20 Other tax-exempt income. 21 Nondeductible expenses . 22 Distributions of money (cash and marketable securities) 23 Distributions of property other than money 24 Recapture of low~income housing credit: . From section 42ij)(5) pannerships . b Other than on line 24a . 25 '" '" .. ~ l: '" .~ o u.. ~ '" -5 o ....t.., Mary E. Wrightstone . 165265232 P'ge 2 (c) 1040 filers enter the amount in column (b) on: 14. 14b(1l 14b(2) 15. 15b 15c 16. 16b 16c 16<1(1) 16<1(2) 16e (b) Amount 1185.27 7.80 5.76 Form 4952, line 1 } See page 9 of Partner's Instructions for Schedule K-' (Form 1065). Sch. SE, SectIon A or B } See page 9 of Partner's Instructions for Schedule K-1 Form 1065), ) See p'ge 9 of P,rtner"' Instructions for Schedule K.1 (Form 1065) and Instructions for Form 6251, Form 1116, Part I Form 1116, Part II Form 1116, line 12 } See page 9 of Partner's Instructions for Schedule K-1 (Form 1065). Form 1040, line 8b } See pages 9 and 10 of Partner's Instructions for Schedule K-1 (Form 1065). } Form8611,line8 Supplemental information required to be reported separately to each partner (attach additional schedules if more space is needed): c o ..,. .. E ~ .E .5 iU - c '" E '" 0. Q. :I VI * Schedule K~1 (Form 1065) 2002 Partnership Agreement of The HRIC Investment Club THIS AGREEMENT OF PARTNERSHIP, effective as of March 17, 1997, by and between the undersigned, to wit: Ronald Chronister William Crouse Charles Eichelberger Richard Grubbs David Hall Jane Hall William Mullin Richard Nell James Siemons Mary Wrightstone Ruth Wrightstone NOW, THEREFORE, ITIS AGREED: 1. Formatian. The undersigned hereby form a General Partnership in accordance with and subject to the laws of the Commonwealth of Pennsylvania. 2. Name. The name of the partnership shall be The HRIC Investment Club. 3. Term. The partnership shall begin on March 17, 1997 and shall continue until December 31 of the same year and, thereafter, from year to year unless earlier terminated, as hereinafter provided. 4. Purpose. The only purpose of the partnership is "to invest the assets of the partnership solely in stocks, bonds and other securities ("securities") for the education and benefit of the partners. 5. Meetings. Periodic meetings shall be held cis determined by the partnership. A simple majority of members is required to conduct a meeting. 6. Capital Contributions. The partners may make capital contributions to the partnership on the date af each periodic meeting in such amounts as the partnership shall determine. 7. Value of the Partnership. The current value of the assets of the partnership, less the current value of the liabilities of the partnership (hereinafter referred to as "value of the partnership") shall be determined as of a regularly scheduled date and time ("valuation date") preceding the date of each periodic meeting determined by the partnership. 8. Capital Accounts. A capital account shall be maintained in the name of each partner. Any increase or decrease in the value of the partnerShip on any valuation date shall be credited or debited, respectively, to each partner's capital account in proportion to the sum of all partner capital accounts on that date. Any other method of valuating each partner's capital account may be substituted for this method, provided the substituted method results in exactly the Same valuation as previously provided herein. Each partner's capital contribution to, or capital withdrawal from the partnership, shall be credited, or debited respectively, to that partner's capital account. 9. Management. Each partner shall participate equally in the management and conduct of the affairs of the partnership. Unless otherwise determined, all decisions shall be made by a majority of the partners present. 10. Sharing Profits and Losses. Net profits and losses of the partnership shall inure to, and be borne by, the partners in proportion to the value of each of their capital accounts. 11. Books of Account. Books of account of the transactions of the partnership shall be kept and at all times be available and open to inspection and examination by any partner. 12. Annual Accounting. Each calendar year, a full and complete account of the condition of the partnership shall be made to the partners., 13. Bank Account. The partnership may select a bank for the purpose of opening a bank account. Funds in the bank account may be withdrawn by checks signed by any partners designated by the partnership. 14. Broker Account. The portnership may select a broker and enter into such agreements with the broker as required for the purchase or sale of securities. Securities owned by the partnership shall be held in the partnership name unless another name shall be designated by the partnership. Any corporation or transfer agent called upon to transfer any Securities to or from the name of the partnership shall be entitled to rely on instructions or assignments signed by any partner without inquiry as to the authority of the person(s) signing such instructions or assignments, or as to the validity of any transfer to or from the name of the partnership. At the time of a transfer of securities, the corporation or transfer agent is entitled to aSSume ( 1) that the partnership is still in existence, and (2) that this Agreement is in full force and effect and has not been omended unless the corporation or transfer agent has received written notice to the contrary. 15. No Compensation. No partner shall be compensated for services rendered to the partnership, except for reimbursement for expenses. 16. Additional Partners. Additional partners may be admitted at any time, upon seventy-five percent (75"10) conSent of all the partners, so long as the number of partners does not exceed twenty-five (25). Partners must be members of Saint Paul's United Church of Christ (UCC). 17. Transfers to a Trust. A partner may, after giving written notice to the other partners, transfer his interest in the partnership to a revocable living trust of which he is the grantor and sole trustee. 18. Removal of Q Partner. Any partner may be removed by agreement of seventy- five percent (75"10) of all the partners. Written notice of a meeting where removal of a partner is to be considered shall include a specific reference to this matter. The removal shall become effective upon payment of the value of the removed partner's capital account, which shall be in accordance with the provisions on full withdrawal of a partner noted in paragraphs 20 and 22. The vote action shall be treated as receipt of request for withdrawal. 19. Termination of Partnership. The partnership may be terminated by agreement of two thirds of all the partners. Written notice of the meeting where termination of the partnership is to be considered shall include a specific reference to this matter. Written notice of the decision to terminate the partnership shall be given to all the partners. Payment shall then be made of all the liabilities of the partnership and a final distribution of the remaining assetS either in cash or in kind shall promptly be made to the partners or their personal representatives in proportion to each partner's capital account. - 20. Voluntary Withdrawal. (Partial or Full) of a Partner. Any partner may withdraw a part or all of the value of his capital account in the partnership and the partnership shall continue as a taxableentity. The partner withdrawing a portion or all of the value of his capital account shall give notice of such intention in writing to the Secretary. Written notice shall be deemed to be received as of the first meeting of the partnership at which 'it is presented. If written notice is received between meetings, it will be treated as received at,the first following meeting. In making payment, the value of the partnership as Set forth in the valuation statement prepared for the first meeting following the meeting at which written notice is received from a partner requesting a partial or full withdrawal, will be used to determine the value of the partner's capital account. The partnership shall pay the partner who is withdrawing a portion or all of the value of his capital account in the partnership in accordance with paragraph 22 of this Agreement. 21. Death or Incapacity of a Partner. In the event of the death or incapacity of a partner (or the death or incapacity of the grantor and sole trustee of a revocable living trust, if such trust is ,a partner pursuant to Paragraph 17 hereof), receipt of notice of such an event shall be treated as notice of full withdrawal. 22. Terms of Payment. In the case of partial withdrawal, payment shall be made in cash or Securities of the partnership' or a mix of each' at the option of the partner making the partial withdrawal. In the case of a full withdrawal, payment may be made in cash or securities or a mix of each at the option of the remaining partners. In either caSe, where Securities are to be-distributed, the remaining partners select the securitieS. Where cash is transferred, the partnership shall transfer ta the partner (or other appropriate entity) withdrawing a portion or all of nis interest in the partnership, an amount equal to the lesser of (i) ninety-seven percent (97'Yo) of the value of the capital account in the partnership being withdrawn or (ii) the value of the capital account being withdrawn. less the actual cost to the partnership of selling securities to obtain cash to meet the withdrawal. The amount being withdrawn sholl be paid within 90 days after the valuation date used in determining the withdrawal amount. If a partner withdrawing a portion or all of the value of his capital account in the partnership desires an immediate payment in cash, the partnership at its earliest convenience may pay eighty percent (80'Yo) of the estimated value of hiS capital account and settle the balance in accordance with the valuation and payment procedures set forth in paragraphs 20 and 22. When securities are transferred, the partnership shall select securities to transfer equal to the value of the capital account or a portion of the capital account being withdrawn (i.e. without a reduction for broker commissions). Securities shall be transferred as of the date of the club's valuation statement prepared to determine the value of that partner's capital account in the partnership. The partnership's broker shall be advised that ownership of the securities has been transferred to the partner as of the valuation date used for the withdrawal. 23. Forbidden Acts. No portner shall: (a) Have the right or authority to bind or obligate the partnership to any extent whatsoever with regard to any matter outside the scope of the partnership purpose. (b) Except as provided in paragraph 17, without the unanimous consent of all the other partners, assign, transfer, pledge, mortgage or sell all or part of his interest in the partnership to any other partner or other person whomsoever, or enter into any agreement as the result of which any person or persons not a partner shall become interested with him in the partnership. (c) Purchase an investment for the partnership where less than the full purchase price is paid for Same. (d) Use the partnership name, credit or property for other than partnership purposes. (e) Do any act detrimental to the interests of the partnership or which would make it impossible to carryon the purpose of the partnership. 24. Amendments. The partnership may, at any time, amend this partnership agreement by a seventy-five percent (75'7'0) majority vote of the partners. This Agreement of Partnership shall be binding upon the respective heirs, executors, trustees, administrators and personal representatives of the partners. The partners have caused the Agreement of Partnership to be executed on the dates indicated below, effective as of the date indicated above. NAIC Online Clup Accounting: Member Status Report o Page I of..j sphric 10/22/2002 Member status as of July 31, 2002 Showing member contributions since April 11, 1997 Paid in Total paid Units Name since Total paid in since Total Market Percent 4/11/1997 in plus 4/11/1997 units value ownership earnings Crouse. William E. $1,391.50 $1,391.50 $1,259.76 47.7219 47.7219 $1.227.30 7.69% Grubbs. A. Richard $2,660.60 $2,660.60 $2,481.22 87.4535 87.4535 $2,249 11 14.10% Grubbs. Jennifer A. $975.00 $975.00 $936.53 28.6389 28.6389 $736.53 4.62% Hail. David L $1.380.00 $1,380.00 $1.270.02 46.8864 46.8864 $1.205.81 7.56% Hail Jane El, $1,387.50 $1,387.50 $1,278.71 46.3823 46.3823 $1,192.85 7.48% Kleinert. Kenneth C $1.586.50 $1,586.50 $1,520.42 48.8199 48.8199 $1.255.54 7.87% Mullin. WilliamJ.. Jr. $2,439.08 $2,439.08 $2,291.30 79.4501 79.4501 $2,043.28 12.81% Siemons. James C. $1,825.50 $1,825.50 $1,681.99 61.6734 61.6734 $1,586.10 9.94% Valen!een. Matilda R. $1,340.00 $1,340.00 $1,233.02 45.6878 45.6878 $1,174.99 7.37% Wood, Donald $1,160.00 $1,160.00 $1,130.02 35.2080 35.2080 $905.47 5.68% Wriqhtstone. Mary E. $1,409.50 $1,409.50 $1,303.64 46.0263 46.0263 (~1.183.69 7.42~ Wriqhtstone. Ruth N. $1,360.00 $1,360.00 $1,250.62 46.3573 46.3573 $1,192.20 ----1A1'% Totals $18,915.18 $18,915.18 $17,637.25 620.3058 620.3058 $15,952.87 100.00% Return to NAIC Online Club Accounting Print I $.r.oe .S;iI~1JV.Iii'f K ~ / ,II.,.;rgllfeo ~,( MI//~ ;s'16t1~ https:llwww.naic-c1ub.comlc1ubs/sphric/reports/member_report.html?V aIReportDate=7%... 10/22/2002 NAIC Online Club Accounting: Valuation Statement Page 1 of2 sphric 10/22/2002 Valuation statement as of July 31, 2002 Date first Shares Cost Price Market Percent Security purchased owned per Total cost per value of total share share Alliance Semicondu... 08/21/00 10.000 $26.2000 $262.00 $5.2200 $52.20 0.3% (ALSC) Air Products & Che... (APD) 12/29/98 24.895 $34.3647 $855.51 $44.2500 $1,101.60 6.9% Baker Hughes Inc. (BHI) 11/20/98 35.604 $23.6431 $841.78 $26.8000 $954.18 6.0% Bp Amoco P.l.e. (BP) 12/31/98 26.097 $40.7770 $1,064.15 $464000 $1,210.89 7.6% Citigroup Inc. (C) OS/23/01 20.254 $50.9830 $1,032.61 $33.5400 $679.32 4.3% Cooper Companies (COO) 07/02/02 10.000 $47.8950 $478.95 $43.9000 $439.00 2.8% Campbell Soup Comp... 11/02/98 1.719 $45.2472 $77.78 $23.3000 $40.05 0.3% (CPB) Cisco Systems, Inc. (cseo) 11/14/01 20.000 $20.5775 $411.55 $13.1900 $263.80 1.7% Diebold Incorporated (DBD) 10/08/97 26.720 $34.6956 $927.07 $34.0700 $910.35 5.7% Intel Corporation (INTC) 10/01/97 42.137 $254444 $1,072.15 $18.7800 $791.33 5.0% Jacobs Engineering... (JEC) 10/16/00 20.000 $20.2565 $405.13 $34.6900 $693.80 4.3% Pfizer Inc. (PFE) 03/31/98 15437 $35.3348 $54546 $32.3500 $499.38 3.1% Pfizer Inc (PFE.1) 06/11/98 26.826 $38.1846 $1,024.34 $32.3500 $867.82 54% Peoplesofl, Ineorp... (PSFT) 01/25/99 17.000 $36.2535 $616.31 $17.9800 $305.66 1.9% Sbc Communications... 06/30/97 45.130 $40.1549 $1,812.19 $27.6600 $1,248.30 7.8% (SBC) Starbueks Corporal... 04/14/00 32.000 $21.3675 $683.76 $19.6300 $628.16 3.9% (SBUX) Starbucks Corporal... 01/12/00 40.000 $13.0500 $522.00 $19.6300 $785.20 4.9% (SBUX.l) Constellation Bran... (STZ) 01/25/02 20.000 $23.6725 $473.45 $28.7400 $574.80 3.6% Target Corp (TGT) 03/20/02 19.703 $45.6773 $899.98 $33.3500 $657.10 4.1% Verizon Communical... (YZ) 06/20/97 28.108 $45.3771 $1,275.45 $33.0000 $927.56 5.8% Wendy's Internatio... (WEN) 10/27/97 49.613 $27.5228 $1,365.49 $36.7900 $1,825.26 11.4% Totals $16,647.11 $15,455.76 96.9% Cash account Total cost Market Percent value of total Bank $0.00 $0.00 0.0% Broker $497.11 $497.11 3.1% Suspense $0.00 $0.00 0.0% Totals $497.11 $497.11 3.1% https://www.naic-club.comlclubs/sphric/reports/valuationstatement.html?DateType= 1 & V... 10/22/2002 'EV'~m'I"71.. COMMONWEALTH OF PENNSYLVANIA INHERiTANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Mary E. Wrightstone FILE NUMBER 21-02-0722 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 VALUE AT DATE OF DEATH $ 175.00 80.35 238.00 24.00 41. 36 40.00 91.65 ' 25.95 5788.00 4000.00 162.28 115.00 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17 . 18. 19. 20. Educational Travel Experiences, Inc. - Refund The sentinel - Subscription Refund Cash on possession PA Blue Shield - Dental claim (12/10/01) Coins found in residence (2) $20. Travelers Checques Patriot-News - Subscription refund The Lorenz Corporation - Magazine refund Household good, furniture and chattels sold at Public Sale - Valued at Sale Price 1993 Dodge Dynasty Sdn. @ Public sale price Additional coins and currency found in residence The Bon Ton Gift Certificate for $115.00 Death Benefit under Flexible Premium Deferred Annuity #GA277877 issued by Glenbrock Life and Annuity Company on July 21, 1999 to Mary E. wrightstone as owner and annuitant, having a Payout Start Date as the later of Annuitant's 90th birthday or the 10th Anniversary of the issue date, and named the estate of Mary E. Wrightstone as the primary and sole beneficiary See attached letter for date of death value St. Paul's United Church of Christ - Replacement check for (2) uncashed pay checks Nationwide Mutual Insurance Company - Automobile Insurance cancellation credit refund Partial set sterling silver Odd Sterling pes Asst Comm Coins Asst Coins 134 Plates $ 200.00 60.00 150.00 90.00 300.00 $ 800.00 16598.53 462.04 110.10 ' 800.00 3.00 2.42 34.61 1310.92 Valued @ Appraisal Clothing Verizon - Credit Balance Refund TV Guide - Refund Refund Due - U. S. Income Tax Carried Fonvaro i9iAl~lu 1 tar Dr lhd: .... ~ir'."''''.>.......L $ 30 103 21 , . (If more space is needed, insert additional sheets of the same size) REV.1508EX~(1.97) .. (continued) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Mary E. Wrightstone 21-02-0722 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of sUNivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH Brought Forward $ 30103.21 2. "CD Harris # 307140 $ 1249.13" shown in safe deposit box Inventory became account number 1855307140 upon merger of Harri into Waypoint Bank and was redeemed on 3/09/2001 prior to date of Death on 7/31/02. See Attached "Certificate Inquiry" No value redeemed 3/09/01 prior to death TOTAL (Also enter on line 5, Recapitulation) $ 30103.21 (If more space is needed. insert additional sheets of the same size) 'TD00:3001 GtJRI(ACM Account Number Product Type Branch Number - ~,wtnt Bank, ~- t 18553071.' e ~I!~ WRIGHTSTONE C08 12 Mont8oQq,OR us, WE'll GET YOU THERE. 018 MECHANICSBURG A N C E S B A L Aval.l lnt Cur Bal Accrued Penalty Pend W/H Close Out Hold Amt YTD Int YTD Fed YTD St Last Ren Per Diem .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 1,509.05 .00000 D ATE S orl.g lssue Orig Open Nxt Maturity Lst Renewal Nxt Int Pay Lst Int Pay Lst Activity Lst Maint ' Cust Contact Redeemed 04/02/1997 04/02/1997 03/02/2002 03/02/2001 03/31/2001 03/02/2001 03/09/2001 01/17/2002 04/02/1997 03/09/2001 10/08/02 12:00:26 MARYE COD E S Rate/APY 4.2700% Maturity Term Interest Period Interest Type Fixed Index C08 12 Month Certif Status R Redeemed Pen Type 03 90 Days Simple GL Type 01 GL Type 01 Spc Attn Officer 1 NULL CHAR FIELD U Officer 2 NULL CHAR FIELD U Serial Nbr 4.36% 12M 1M F3=Exit F4=Field Help F7=History F10=Inquiry options F12=previous (ol F8=Display HOlds/Alerts F9=Title Inq F14=Add Note F15=ALLView 1998 ALLTEL Information Services, Inc. ~ ,2~1 ~ ~B ~ ~~ Ii ~~ ~ ;! en ~",!2 - " '" CIJ:s3J c~~ E "" m :<0 Q mz o s:~ ",!!l" com b; ~Q:1 '" i!!m !i: ..e 11 3~ m ~~ g~ Effi ~J! o ~ - i -' ,,~ ~C! '!!Ii!! ',m :< ":'~'.', 't!? ~ ~'!iliri . i Iji~l ..~ ..,~ .~ ! i E ','>: t1:_ m n !71 '" "" !71 < '" g 6/96 }";~,, (I') ;'>;1~~ihf.m , ',,,,,,,8 \~i MIl ~ . '.-, ~j~;f~::r: a ~~~s ~:;t> ~ '"' ill :~. ~: ~~ C'l 1-7-4 .,., I N 2, CJ Q;JJ (J) f"\,/ CJ 3: ~ ':J::J: ;!! 1-7-4 m ~ ~gg! ~ a:: ~ :J: ~ ~~p ~ r" ~, (J) fryfi1 ~ "" V,~ -411 '.~:':~~:~ Ii, ^" ,~" I, !i e .. .. ... m z N if .. ... ~ '" ... '" Iil 'n I: ",if '" m- ", '" g~ n . -I: n '" "'.. ;0 '" !i c [Tj "f;l '" if ~'~ ~ ~ '" ... ;! ~ ~ '" ... '" ..~ -" 'lie" "0, 'Ii '" g~u Cz. i:z: I'" il~ v I: 01 " :3: = H ~..m ! ~. ?f 2!@ ~ z ~~= 3= !2Q~ r- ~!fii li :',~ I ,.)1 !l ,',J!J;' fa , ~ o z :::O:~, c", 4i:.u ~:~. 'j.,'/. '0 ,;0 " ~w 'il0 12...... J~~ I: '~~ "0 D -0 ., ,. o 8 c z " z c " .. m '" -. ro I ti I '" '" " ... ,"- '" ..... '" '" 'J C./.. REV.1!109 EX + (1.97) '*' SCHEDULE F JOINTL Y.OWNED PROPERTY COMMONWEALTH OF PENNS~ LVANIA INHERITANCE lAX R.ETURN RESIDENT DECEDENT Mary E. Wrightstone FILE NUMBER 21-02-0722 ESTATE OF If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT{S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Ruth N. Wrightstone 126 West Portland Street, Apt *1 Mechanicsburg, PA 17055 Sister B. c. JOINTLY -OWNED PROPERTY: LETTER DATE DESCR1PTlON OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number Of similar identifying number, Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. A. (3) Joint Accounts in Members 1st Federal Credit union Primary Account Owner - Marv E. Wriahtsto e Account No./ Date Joint suffix Opened Owner A 5/27/7 11296-00 12-04-69 Ruth Wrightsto e Balance date of death 1478.91 50% 739.46 Accrued Interest 2.19 50% 1.09 A 1/31/8 11296-05 1-31-86 Ruth N. Wright tone Balance date of death 26932.86 50% 13466.43 Accrued Interest 47.58 . 50% 23.79 Primary Account Owner - Ruth N. Wriahtsto e A 12/29/ 3 136868-00 11-29-93 Mary E. Wright tone Balance' date of death 350.90 50% 175.45 Accrued Interest .45 50% .22 2. (5) Joint Certificates of Deposit in Members 1st Federal Credit Union Primary Account Owner - Marv E. Wriahtsto e Acct No/ Term Date ~,~ 'Joint.. I~ Suffix Purch.'d Owner - A 7/17/9 11296-40 lyr 7/17/95 Ruth N. wrig tstone Balance date of death 5392.85 50% 2696.43 Accrued Interest 6.58 50% 3.29 CARRIED FORWARD 34212.32 17106.16 } $ (If more space is needed, insert additional sheets of the same size) REVO'''''''''O'''.' COMMONWEALTH OF PENNS\ ,VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTL Y.OWNED PROPERTY (CONTINUED) Mary E. Wrightstone FILE NUMBER 21-02-0722 ESTATE OF If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Ruth N. Wrightstone 126 West Portland Street, Apt #1 Mechanicsburg, PA 1 7055 Sister B. c. JOINTLy.oWNED PROPERTY: LETTER DATE OESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FORSO\NT MADE Include name of1inancial institution and bank account number or similar identifying number. Attach OATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deed for jointly-held real eslate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST ~. X BROUGHT FORWARD $34212.32 50% 17106.16 2. (5) Joint Ortificata3 of Cep:sitin M3rt:ers 1st EecEral a:alit (him ttirraty Aax:UJt Cln!t" - !'>'my E. I'Itigtltstme Jla:t N:l/ Tetro rate Joint &1ffix IssErl Cln!t" - - A 5/8/W ll29S-4l lyr 5/8/W Rrt:h N. W:ight:stm= E!alarna <Ete of CEath l3l86.17 SO% 6593.00 I'<::t:nErl Inl:a:"est 3).46 SO% 15.23 A 5/8;97 112%-42 lyr 5/8/W Rrt:h N. W:icjlt:stala Ea1aroa <Ete of math 25372.39 . SO% l3l86.2J I'<::t:nErl Inl:a:"est ro.92 SO% 3:>.46 A 1/14;93 ll296-43 1 yr" 1/14;93 Rrt:h N. W:ight:stm= E!alarna <Ete of CEath 12572.81. SO% 6326.41 I'<::t:nErl Inl:a:"est 27.ffj SO% 13.83 Prinaty Aax:UJt a.nr - Rrt:h N. W:ight:stm= A ll/8;99 J..Xa5&4J 18IlD ll/8;99 !'>'my E. W:ight:stm= E!alarna <Ete of CEath 57e6.41 SO% 2893.21 I'<::t:nErl Inl:a:"est 25.21 SO% 12.00 3. A 4/27 /W Ortificate of Cep:sit #l8-55-:rJ7l40 (O:ntral. N:l. :rJ7l40) i.ssEd by H3zris &tvirgs Bank, rDN ~ B3nk, m 4/2/97 to !'>'my E. W:ij1t:st:cna er Rrt:h N. WrighI:st:cre - Irn.cice in Safe d2p:sit Pax lrnientny ~iaJ !Iardl 9, XDl pd.er to ffite of dsath-See 0 0 0 at.tacI1erl CAARlED RJW\RD ~35 n) $ 46187 .19 (If more space is needed, insert additional sheets of the same size) '0"'.''''['''''.' COMMONWEAlrH OF PENNSll-VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTL Y.OWNED PROPERTY ESTATE OF Mary E. wrightstone FILE NUMBER 21-02-0722 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Ruth N. Wrightstone 126 West Portland street, Apt 1 Mechanicsburg, PA 17055 Sister 8. c. JOINTLY-OWNED PROPERTY: LEITER DATE DESCRIPT1QN Of PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank acccunt l'I\lmDer or Slmilar identifying number, Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deed forjoinlly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST X 1< BROUGHT FORWARD $ 92374.35 50% $46187.19 4. (2) Joint Accounts in PNC Bank, N.A. in name of Mary E. wrightstone and Ruth N. Wrightstone, Joint OWners Account # Date Class of Opened Account A 5/19/00 50-- 7rm-7036 1/1/79 :rntarest e1E:k:i.n;l Pr:i.rriral B31arx:e d3.te of cmth 3114.46 5Ol; 1557 .23 l'a::ru3:J. 11,l=e;t .19 5Ol; .10 A 7/18/83 50--3012-1746 7/18/83 !'1::IEy M3:rXet Pr:i.rriral B31arx:e cBte of cmth 1993.53 5Ol; 996.77 l'a::ru3:J. :JhI:ere;t .66 5Ol; .33 5 A 7/05/02 (2) JOint Certificates of Q:p::Eit is9.aj I:y m::: SEe S:hrlil.e SEe S:TIrllle B3rk N.A. in fare; at M3ry E. Wcic#stae ard G G Ruth N. WrigllGtu.", Joint Q<,rers Itan 4 Itan 4 6 A 1/14/94 (1) JOint a-e:ki.n:J k:o:u1t #50--7011-7688 in m::: Ea'K, N.A. q:aEd 7/6/93 in rares of Ruth N. Wrightsf:aE am M3ry E. Wri<JlGlu e Pr:i.rriral B'llar= cBte of cmth 1622.69 5Ol; 811.35 0\ffilED Fffi'M) r ___n_ $99105.88 5Ol; $49552.97 S'fAL ~',Lv .:.nte. 8ft liRa G, R..H~'L;jMt!n) $ (If more space [s needed, Insert add[tlonal sheets oj the same size) (i\t REV.1009EX + 11-97) .' COMMONWEALTH OF PENNS'r ~VANIA INHERiTANCE. TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTL Y.OWNED PROPERTY FILE NUMBER 21-02-0722 ESTATE OF Mary E. Wrightstone If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedute G. SURVIVING JOINTTENANT(S) NAME RELATIONSHIP TO DECEDENT ADDRESS A. Ruth N. Wrightstone B. c. 126 West Portland Street, Apt 1 Mechanicsburg, PA 17055 sister JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %0' DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTERESi X H BROUGHT FORWARD $ 99105.88 50% $ 49552.97 7 A 9/63 (126) $25. Sries E u.s. S;w:in:Js J3:::rd; in rmes of to M:ll:y E. Wri<jItstc.t'B or: ltih N. Wri<jItstc.t'B is9..aj 10/71 l:et:wxn ~ 1963 am crt. 1971 lo::ate::l in Safe D:p:sit Em9s in IN: B3nk, N.A. in rmes of M:ll:y E. WrigMu., amltih N. Wri.JlG,lue, as PgrJt, or: ltih N. Wri<jItsb::rn am M:ll:y E. Wri<jll..:>l:.u.." T c Sea at:trlB:'l itarri2a:l. list 20472.42 50% 10236.21 8 A 1/77 (83) $50. Sries E U.S. S;w:in:Js J3:::rd; in rmes of to M:ll:y E. Wri<j lG,lu., or: ltih N. Wri<j ,Glue is9..aj 3/80 l:et:wxn Jan 1977 am MmtI 1980 lrn.t-<rl in Joint S;lfe D:p:sit Em9s as set fucth in Itan 7. Sea at.taUd itarri2a:l. list 15329.26 50% 7664.63 9 A 4/80 (255) $75. Sries EE U.S. S;w:in:Js J3:::rd; in rmes of to M:ll:y E. IlRiglf.slu., or: ltih N. Wri<JjGlue is9..aj 12/89 l:et:wxn Ap:il 1980 am Da:: 1989 lo::ate::l in S;lfe D:p:sit Em9s as aforesaid Sea at:trlB:'l itarri2a:l. list 29167.35 50% 14583.68 cmRIED RHmJ T8'FAL (AI"e eRter Jl~:~il~J~it"I".") ?" 82037.49 (If more space is needed, insert additional sheets of the same size) O( FlEV.1509E;< + (1.97) '* SCHEDULE F JOINTL Y.OWNED PROPERTY COMMONWEALTH OF PENNS~ I.VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mary E. Wrightstone FILE NUMBER 21-02-0722 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Ruth N. Wrightstone 126 West Portland street, Apt 1 Mechanicsburg, PA 17055 Sister B. c. JOINTL Y.OWNED PROPERTY: LETTER DATE DESCR.IPTION OF PROPER1Y %OF DATE OF DEATH ITEM FOR JOINT MAOE Include name of financial institution and bank CK:COunt number or similar identifying number. Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deedforjointly-hetd realestale. VALUE OF ASSET INTEREST DECEDENT'S INTEREST X ]t. BROUGHT FORWARD $ 164074.91 !:il% $ fr2fJ37.49 10 A 7/00 (265) $200. Sri.es EE U.s. S3.v:in:J; B::njs in raTeS to of M3J:y E. Wri<j1tst:cna ex.- R1t:h N. Wri<j1tst:cna :isurl 7/99 l::el:w:e1 JUly 1900 am JUly 1999 1 n:at-Frl in S3fe Dip::sit ID<es a'> afczesaid S3e at:tadB:1 itanizaj list 42411.12 !:il% 21205.56 11 A 3/90 (4) $100. Sri.es EE U.s. S3.v:in:J; B::njs in rare of M3J:y E. Wri<jd.str.m ex.- R1t:h N. Wri<jJGluE :isurl in!md1 1990 kxB.te:i a'> afa:exl:irl. S3e at:tadB:1 itanizaj list 406.56 !:il% 203.28 12 A 8/95 (6) $500. Sri.es m U.s. S3.v:in:J; B::njs in raTeS of to M3J:y E. Wri<J Jt.stat' or R1t:h N. Wri<j1tst:cna J:et:>.en 5/98 AuJ 1995 am Miy 1998 kxB.te:i a'> afa:exl:irl S3e at:tadB:1 itanizaj list Pdn:::ifBl 3000.00 !:il% 1500.00 Dafemrl :mter€st: 2241. 74 !:il% 1120.87 13 A 1/98 (4) $1000. Sri.es m U.S. S3.v:in:J; B::njs in raTeS of to M3J:y E. Wri<jIGlu", ex.- R1t:h N. Wri<JItstae 6/99 l::el:w:e1 Jan 1998 am J'tJ'E 1999 ]1'Y>ltFrl a'> afa:exl:irl S3e at:tadB:1 itanizaj list Pdn:::ifBl 4000 .00 !:il% 2000.00 Dafemrl nJleL"€tit 3121.18 !:il% 1560.59 $ 219255.51 50% TOTAL (Also enter on line 6, Recapitulation) $ 109627.79 (If more space is needed, insert additional sheets of the same size) Ol:Ol I"'Af('I t::. k!;{J(iH,STOA/,t:!. ,E":;'7;p:r~ Jl/ ~ Of( -o7~:J.. ----. US Savings Bonds - Series E ($25.00) iA,/ A'A-'11Y' eFt n~y e W~/r;;tlr$7lJ~e aR. ~U7"H N. W~/41OfT'.5TeJJr Number PPE Issue i Cash-in Fed. on hand Value 2 9/14/63 IQ201504834'iE:-~~~~/",-")' - 9/28/63 Q2017894333E ';:/;1.29 10/12/63 Q2017903310E <<1:?"E<1I~' 10/26/63 Q2017912030E ;:'/:;'.37 11/09/63 Q2022535162E ;:of: z: 11/23/63 Q2022543983E .;loe.;::1- 12/07/63 Q2026825018E :(0 r.5'j 12/21/63 Q2026833849E .:!o'l,A;;' Date of Issue Tax 09/63 1~11 7- Sc.i-i- F 10/63 11/63 12/63 2 2 2 01/64 02/64 1/04/64 1/18/64 1~ 2/01/64 2/15/64 2/29/64 3/14/64 3/28/64 4/11/64 4/25/64 5/09/64 5/23/64 6/06/64 :::" 6/20/64 7/04/64 7/18/64 8/01/64 8/15/64 8/29/64 9/12/64 9/26/64 10/10/64 10/24/64 .~J 11/07/64 " 11/21/64 12/05/64 12/19/64 2 :2o'l.S.,f/. .:20 'l.fP. ~/I. .5"3 &.1/, 5.3 to 1/. 53 ;;;./;,.5'/ <:1.( ~ ,':--} :21 ;;..52- ;'.1). ,5'J ;1,08-35 :/o! .3.5' :(09,7'1 :J.t!7/f.1f ';':d,1,/ :<09.71./ .9.1/, 7~ ;;'11.18' i;u;,U' ;:I/::I.7J' .2/~. 1.;' '::'/:;.7.ff .:2./~. 7';- :/od-, Sf 2.0'-. .Q- 207.91 ;1.07'7/ ~o1 f/ ;;'07.7/ 207.9/ 190;1'/ /';0,7/ 19/. U 19/.,'1 --. "-'~'Oo -.... -::.'''10" .::-', Q2031255723E Q2031264389E Q2040301475E Q2040310244E Q2047251133E Q2047259744E Q2051755549E Q2051764177E Q2051773150E Q2052546766E Q2052557534E Q2060663295E Q2060707191E Q2060715868E Q2065122897E Q2069657656E Q2069666606E Q2075287490E Q2075296501E Q2081460229E' Q2082257253E Q2082265985E Q2091669885E Q2091678682E Q2096314482E~ Q2096323070E 3 03/64 04/64 05/64 06/64 07/64 08/64 2 2 2 2 2 3 09/64 10/64 2 2 2 2 11/64 12/64 01/65 3 1/02/65 Q2101887974E 1/16/65 Q2101942561E 1/30/65 Q2103381288E 2/13/65 Q2106644818E 2/27/65 Q2106653372E 3/13/65 Q2112144731E 3/27/65 'il Q211215.3384E C",':;;/i!i) P<!J,r{,W<l~/j 02/65 03/65 2 2 ~ 41 4/ t'JPf;W';J.17 P;I1 LltlltP ~K,J -~, -.~ ,~....~.c I.':='"'i .'-:-, i-'~ 04/65 . 2 4/L 65'11. Q2115214741E 19/.1, 4/24/65- Q2115343206E 1 '1I,':J. ,---- 05/6~ 2 5/08/65 -~Q2115351617E /RI..<J'/ 5/22/65 Q2121922153~ /8&,0'/ 06/65 2- 6/05/65, Q21-24225591.E /1.1. fJ'/ 6/19/65 Q2124234352~ /(, 7.~'1 07/65 3' 7/03/65 Q2124242938E - 1/'73'/ 7/17/65 Q2132430802E - n7.31/ 7/31/65frJ ~ /" 7,8t/. Q2132439701E 08/65 2 8/14/65 Q2 i382-43851E~ 1'-11: 1'5 8/28/65 Q2138547898Er - 14~ IE 09/65 2 9/11/65 Q2143544071E' / ,S, 9S' 9/25/65 ~ 1~9.? Q2143578432E 10/65 2 10/09/65 Q2149574446$-- / :. -5: 9.:f 10/23/65 Q2149583562E 1& 0: 9:? 11/65 2- 11/06/65 Q2154902808:?/ / (.;;. 9;; 11/20/65 Q2154911800E /4:;;.9::' 12/65 2 12/04/65 Q21597109051;:.. - I~,/~ 12/18/65 f" Q2159719979E /='ld'. p. J. (Ij,.,~/U, - (j/l,/~"7~'1m b;' /;;'~.13 01/66 3 I ' 1/01/66 Q2164656237E /::?'Y. 13 ~ 02166 :..- 1/15/66 Q2164740582~ //;:<8'.;3 , 2 2/12/66 Q2169383803E ;-;;:?,13 i 2/26/66 Q2169393130E 1 ~;; 13 03/66 2, ! 3/12/66 Q2171722517E / ~/, H' ) 3/26/66 Q2173038994E 1:"1,91/ , /3$01 08/69 2 I 8/09/69 Q2432300741E , 8/23/69 Q2433668469&- 135. 01 I 09/69 2 - I 9/06/697,. Q2433679050E I~o~ I I 9/20/69 Q2445563611E I E,O: ,,;.. 10/69 2 ,- ! 10/04/69 Q2445574069E 135: 0;: 10/18/69 Q2452404654E 135; ,,;1 11/69 3. . 11/01/69 Q2458305879E 15"- P::' 11/15/69 Q2458312063E 13.5",0::' ~ 11/29/69 Q2458318171E /'5~--:: ()~ 12169 2 lJ.. 12/13/69 Q2459746304E /3S,7:l. :v ::; 12/27/69 Q2459756251E - 1.3.1[: 7:;; K 01/70 2 'I' ~ 1/10/70 Q2459766522E }37.",,,,, 1/24/70 4~ Q2473736650E 137, tl<:> 02170 2 ' 2/07/70 Q2473746817E_ /31.3'1 2/21/70 Q2475251744E /:n ,3'} 03/70 2 3/07/70 Q2475261864E J37/2~ 3/21/70 Q2481960748E }37,3;;, 04/70 2- 4/04/70 Q2481969:.10E 137,-H. 4/18/70 Q2488520342E 1;3 7.3 (, 05/70 3 j 5/02/70 Ij\ Q2488528735E- I 37.3f1 5/16/70 Q2494465352E In.5~ i 5/30/70 Q2494474009E /3'f. 3~ 06/70 2. , 6/13/70'10 Q2494481953E 13,9, co 6/27/70 Q2501706190E 1 sg. 00 07/70 2' 7/11/70 Q250H11783E /39.3'; i 7/25/70 Q250171 n63E /39.S/, 08/70 2, I 8/08/70 Q2501722683E /3'1.;,'1 \ 8/22/70 Q2501128176E /59. :: , 09/70 2 I 9/05/70 Q2520763640E 13?{,9 I 9/19/70 Q2520768945E' t /39.'9 10/70 ,~ 10/03/70 'S- Q2520774305E 139.1;9" -----' 5') 98 c! 1lf.JJ./6 t:l roP'WI!'I<i:2 I~ ,}''.';1./C ,'1 - '"' ".-: ~. . I . /6$:..."1 ,9li "t':U:f.H7 rL:/-,f_Ii-I"*f1) 10 ! ~ r , ~ 10/17/709'1 Q2526909623E 139. W 1 ~ - 10/31/70'00 Q2526914600E~ /-59, ?9 11/70 2 11/14/70 'Q2526919917E' )~9.(.9 11/28/70 Q2533412194E 159,1-9 12/70 2 12/12/70 Q2533417397E-- /'10,#/ 12/26/70 Q2539141710E - l'IO,Oi' - 01/71 2 1/09/71 Q2539146912E - pf",?ic I 1/23/71 Q2539152239E - /2.(.,,:::0 02/71 2 l 2/06/71 n Q2547167520E / :",,';0 2/20/71 Q2547172679E /~,;,,~c 03/71 2 \ 3106/71 Q2559302884E /?,.,,?C 3/20/71 I/O Q2559308143E IAk.~;j 04/71 2 4103/71 Q2559313284E /7.Gt:c. 4/17/71 Q2564622018E /2.", /'0 05/71 3 5101/71 Q2564627229E 1:1', be I 5/15/71 Q2564632333E /;;.,/;. ~C' i '" 5/29/71 Q2571388622E 1:2(,., (,C 06/71 2 It; 6112/71 Q2571393826E J~", 9-..~ -r '" 6/26/71 t~:: Q2578012958E /:11:. ,,_ " ~ /;;", c-:' 07/71 2 )., 7110/71 Q2578018062E ~ 7/24/71 Q2585781586E ;"2,{"cG ~ 08/71 2 8/07/71/:Zu Q25857a5967E J :26...3~ \ 8/21/71 Q2585789956E I~C.':;t. 09/71 2 9/04/71 Q2591692049E /...... :;-/ I ..-j(p._C- 1 9/18/71 Q2591696020E /;;.,. ~.;, 10/71 3 10/02/71 Q2591699946E /2~ 3", 10/16/71 Q2593233939E 1~:,.3~ 10/30/71/~~ Q2593237954E ;:::..;,;.3b - /:;,~ '-,- '''/ I. ", _,,!k' j' -7:"'4 " f,_ (':-v"-_ ;: "BC4k /i,/.jC/f'Ii/IN-1J"S :J.()'17~,If:::' "",;0, \..-_f',Ir....::; - "K. Dat:e of Issue 01/77 02/77 03/77 04/77 05/77 06/77 07/77 08/77 09/77 10/77 11/77 12/77 01/78 02/78 03/78 04/78 05/78 06/78 07/78 08/78 ''J09/78 10/78 11/78 .\ 12/78 .~ /VIA"'" {: W:~I';;HJ~r'O-fl~ Esnl71t ;1./ ~ tJ:J..--O 7~:l. ,:, US Savings Bonds - Series h ($50.00) - IN N'Mtlt:=S ItIF 11~~y ~ Wal<:tJr,s7f?)4I/it. alt. 7?Q7'JI ~ I1IIt.)tO/,tT'~7'Q.tI€ Number PPE Issue /I Cash-in Fed. Tax on hand Value "~()P VA'",:!",- M.!~ 0'< "'1' 1 IJ.S:.so 1/29/77 2066811449E ::?.aI.Oo 2 Ila,:;,,! 2/12/77 L2075U9589E '2:;'(,.'/.? f"fel1 J' Sell ? 2/26/77 L2075183685E ~~6. 'ff 2 3/12/77 L2075187763E ;J;!&.;t.? 3/26/77 L2075191853E ';;';'.1,.,'16' 2 4/09/77 L2075195872E .:;;;,~.* ~23/77 L2083165945E ;(';(t...,...g 2 iif,'Jk 5/07/77 L2083170008E :;;~~. 7':: 5/21/77 L2083174020E ~;18. 7,;, 2, II'Itc 6/04/77 rc L2083177974E ~"'.9.;'{; 6/18/77 L2083440006E """l9,:le 3 114,;i-;:;- 7/02/77 L2083443927E ,:(;;9.1,. 7/16/77 L2083447900E G/<<;'.I{. 7/30/77 L2086765875E .l.;J, ,/, I~ 2 III. r:..'f 8/13/77 L2086769871E :;1';;,~,0/.8- 8/27/77 L2097015801E ;l;Z~.'N' 2 9/10/77 L2100507809E ~-<;/, 'II? 9/24/77 L2100511725E .:<~,;; 'i:,' 2 10/08/77 L2107665667E ';?:.lo=i, ''il' 10/22/77)'-? L2107669565~ 'O;;~.Q, .<j:r~ 2 IO~,!;;';, 11/05/77 L2107673518E ;;'atJ.o'1 11/19/77 L2112443395E ::<c'l, ,;''7' 3 161..30 12/03/77 L2112-447407E :Jb'f.(./O 12/17/77 L2112454084E ;((N&i1 12/31/77 12112451291E J<.olj..6o 2 Ie:: ,;!Cl 1/14/78 L2115169201E 1/28/78 L2115173123E 2/11/78 L2115176945E 2/25/78 L2115180862E 3/11/78 ,~ L2115184696E 3/25/78 L2118544576E 4/08/78 L2118548399E 4/22/78 L2118552232E~ 5/06/78 L2118555999E 5/20/78 L2118559868E 6/03/78 L2127411654E 6/17/78 L2127415511E 7/01/78 L2127419330E 7/15/78 L2127423162E 7/29/78 ok L2127426961E 8/12/78 L2127430835E 8/26/78 L2127434643E 9/09/78 CD2145752229E 9/23/78 L2145756048E 10/07/78 L2145759841E 10/21/78 L2145~63585E 11/04/78 L2151233427E 11/18/78 L2151237190E 12/02/78 L2151240944E 12/16/78 L2151244721E 1'I30!7J/i] L~JS'I;."I-Ng'le 2 '1'1,3;" 2 88,.85' 2 2. 81(../1 2 g4.3~ 3 ,8'f.3~ 2. &?~~Z 2 2 2 . ~E,l.i7 ~ .,1.3 . ~ '1 ;1) C",,;!,i'/C,J) ,FCl!!w";)l'f.:.' ~c 'I. ~>C -;"0,/, (,.:: / 9fl.:O";" / 9.J' ,,:;. 177. 7.0 177.10 I 71. 70 177.7c IU;;'.~ /./;$,0<;; il.if, '1 / (,.8'. ~ If I ~ a; ~s /' ? / ^ (p<)'i.P~r JU,:'s I ~5'-5; I/,S,S(. L. /t.?5'"3G I "So 3t. J i.F. ::.:~ 1,,5: :=i.., I{'J; 5'.,' I (,~. 'f:; I~ 7_.3.P 1(;7. E? Ii 7_ 3J- Ie cOP: IJ ~l" "' 4 /I o...$JI. 95"' 75' D., ";;Y7' 1i~w~~.....; , r:;:- ",JJ,.,~e loo -.c, 13CN.1fS 01/79 S'2 83. '11 1/13/79 1z- L2152302191E /~7.'P 1/27/79 L2152305958E' 1 ,,',1;J. 02/79 2 8:;.07 2/10/79 L2152309618E 16'1, It/- 2124/79 L2163613276E )'''/,/~ 03/79 2 3/10/79 L2163616921E /1.'/.1" 3/24/79 L2163620544E 1~'f,I'I 04/79 2 4/07/79 L216S624134E 1 {,4,1,/ 4/21/79 L2163627754E 1(,'1.1'1 05/79 2 8'2. g'(., 5/05/79 (,0 L217 4973286E 1'~1J, 5/19/79 L2174976841E 16T,7<' 06/79 3 ?3. as-' 6/02/79 L2174980395E IU,lo 6/16/79 L2174983987E f{J(,./~ 6/30/79 L2174987509E It.d, Ie 07/79 2 7/14/79 L2174991083E It? 11/ 7/28/79 L2174994562E 1M. It) 08/79 2 PI,'/-3 8/11/79 L2174998026E 11,~.g.;, 8/25/79 L2175001502E IG::(.g~ 09/79 2 9/08/79 L2175004934E 1':<.2; 9/22/79 7e L2184760327E /~-<.~. 10/79 2 10/06/79 L2184763754E /~~,J~ 10/20/79 L2184767116E 1(,,:(,4'1, 11/79 2 2:'.1'1 11/03/79 L2184770445E /. 'I..3:? .11/17/79 L2191207770E 1~l.)I3.;;' \ 12/79 3 12/01/79 L2191211038E o 1.'i,3,J 12/15/79 L2i91214240E J(,/f,'}.? 12/29/79 L2191217465E )J. ~'. 3:? 01/80 2 ~4,1? 1/12/80 L2201'312565E 1(,,7'~ 1/26/80 L2201318569E I~ '1.3;;- 02/80 2 &'lJ.5.,' 2/09/80 Jo L2201321556E /61.!:' 2/23/80 L2201324369E 1 {,I, 1(, 03/80 2 3108/80 L2.201326966E 1"1.1:' 3/22/80 f6 L2205593411E ItI.Jd, .23 ;;7',1-:' 165'0.....:: €.<! S:.:;- i3 7?:t(jl:.f' ? /ffl9.~ IAj ";CJV; ,VAME...-: - . />l'- Dat.e of Issue 04/80 05/80 06/80 07/80 08/80 09/80 10/80 11/80 12/80 1/81 2/81 3/81 4/81 5/81 6/81 7/81 8/81 9/81 10/81 11/81 12/81 01/82 02/82 03/82 /14/''' E WPf/ii/lr:s7'bN-"'. 6",1'1-';'1' ~1~;r-"'7~.;:j us Savingb Bonds Series h~~($7S.00) IN N'M-t/lU: op I1tJl't.y E. Wfl.lgJ/rsrbAl.e ~-e.. i1u7",v AI W"II;.vl'fr'O"'~ Number PPE Issue # Cash-in Fed. Tax on hand Val ue " So Vm'{ )( I. 5 21~(;, 7'1 4/05/80 4/19/80 3 1;"1.9'f 5/03/80 5/17/80 5/31/80 6/14/80 6/28/80 7/12/80 7/26/80 2 11'7,.5, 8/09/80 /,t: 8/23/80 9/06/80 9/20/80 10/04/80 10/18/80 3'I09,Sg 11/01/80 11/15/80 11/29/80 12/13/80 12/27/80 J.o 2 2 2 2 2 2 lo~,3'~ 1/10/81 1/24/81 2/07/81 2/21/81 3/07/81 3/21/81 4/04/81 4/1S/81 5/02/81 5/16/8L~, 5/30/S1 6/13/S1 6/27/S1 7/11/81 7/25/81 S/08/81 8/22/81 9/05/S1 9/19/81 10/03/81 '10 10/17/S1 10/31/S1 11/14/81 11/2S/81 12/12/81 12/26/81 2 Ic7.44 2 2 - 3 lo;;.:?/, 2 2 2 Ice. g';' 2 3' 2 2 K17499571EE K17503054EZ- K17506171EE K17509359E~ K1S064343EE KlS06752SEE KlS070636EE K1S073817EE K1S076796EE K1S079900EE K1S082735EE K1S085578EE Kl8892236EE K1S89497SEE K18897586EE K18900427EE K1S903195EE K18906298EE K1890S807EE K18911731EE K1988612SEE K19888809EE K19891011EE' K19893608EE K19895771EE Kl9898455EE K19900791EE K19903570EE K20721835EE K20724507EE K20726738EE K20729235EE K20731311EE K20733772EE K20735806EE K20738337EE K20740568EE K20743193EE K20745345EE K20747894EE " K21381692EE K21383987EE K21385906EE K21388123EE K21390012EE K21392334EE lei. If /81.11 18~.9f 12~,9.1 I~~. 91 18-J..9f I e:l. 91 1.f...9/ 16;(.'71 /79.3'1 17'1.3',1 179.3'1 17~.3'" 1 7'J. 3'1 17'7.51/. 1(,,'1.37 /(,'1..37 I t.'/.37 1(, ,/.!!;r /{,1.37 11,"1.37 1&'1-.37 ,/,1. I? It,J,j~ It.UI. )(,I.I.. 1 t.J. It. ) {J " 15'1.:1.9 1~~,:?9 /-v'';--Y.. :.: 1 /51;),9 I~i-. :;;9 ;5',,1, ::<9 J 5'{ ::(<1 1..51. :.it, Ifl.;;''' 15!. ;<,{, ;SI,,,': 151. ;(~ /--q/~:,' 151,;;?/. /.51.::(, pl,:::'r:. } 51. ;<1" /S/.':?!. 1/09/82 K21394368EE 1/23/82 K21396718EE 2/06/82 K21398668EE 2/20/8256 K21400937EE " 3/06/82..-.,K21402819EE 3/20/82'~~ K23012928EE C41{.'e.lf;lJ F'cJ1.<I.;I'f/ 15i.~(,. /5/.::";' I,/t'. ;;;'1 / f:?:<? ; 'It'. ;;-'1 L1.f. ::/1 ,,- .If' " 8'f1,i". 1;x, 2 2 2 It;".-f'l- <j.f.g{, ----- ,r;~ r-' /r.c..'f 9' J;; IF J'< CDfJI,i?6(!J) /11~ ,J~~ '[Cl f~ j4p,- l' 3 + - S!J.. 13it.o,."J/-r r;a..,r ti-"'-::J ~7r 75 'l2,F~ )l.1'~/liv/82 ,-' /' 1#.; .' 04/82 2 K23014663EE- 4/17/82 'K23016713E:E= 1<lJ'. ::.1 05/82 3 5/01/82 K23019867EE' . / '1,f.:;'1 5/15/82 K23022006E~ 1'+8' 3.'1 5/29/82 K23023884EE 1'1&::''1 06/82 2 6/12/82 K23026106EE J 'fJi .~9 6/26/82 K23027915EE. J4.f. ;),9 07/82 2 7/10/82/,0 K28980077EE. 1 tj...f.~9 7/24/82 K28981867EE:" J'f.9,:I,'1 ... 08/82 2- 9t.,9~ 8/07/82 K28983863EE 1'15;38 8/21/82 K28985546EE / 'IS: "3/l 09/82 2 9/04/82 K28987525EE I%". 0!.9 9/18/82 K28989188EE /45. 3F 10/82 3 10/02/82 K28991262EE 1"15: 36' 10/16/82 K28993097EE /~~ 10/30/82 K28995227EE /7',.5; :58 - 11/82 2 9J.s'? 11/13/82 K28997025EE /37.37 11/27/82 10 K34980121EE 1'37.37 12/82 2 12/11/82 K34981873EE 137.:87 12/25/82 K34983822EE 137. 37 01/83 2 9M'C 1/08/83 K34985475EE 13713/-:' 1/22/83 K34987367EE /27.37 02/83 2 .!'~J9~ 2/05/83 K34988979EE 138. Sg 2/19/83 K34990941EE 13:3.38- 03/83 2 --;;>.Jj, ,pi' 3/05/83 K34992664EE I;'$'. 7t. 3/19/83 K34994687EE 1;5. 7'/' 04/83 3 4/02/83 K34996394EE I:/.5, 7t 4/16/83 20 K39973378EE 1~5.7'; 4/30/83 K39975059EE I M', 7:' 05/83 2- 80.9(.. 5/14/83 K39976887EE /<<1. '/'1 5/28/83 K39978429EE 1:1./, '1'1 06/83 2 6/11/83 K39980228EE /:v. 'If 6/25/83 K39981773EE );;').4'1 07/83 2 7/09/83 K39983648EE I ;;'1. 'Ii 7/23/83 K39985321EE 1::1.1. if'f 08/83 2' 77- tj.,8' 8/06/83 K39987274EE 119. ::ic. 8/20/83 K39988924EE )/ r;.;::'~ 09/83 2 9/03/83 qc K39872080EE II 9.;>';( 9/17/83 K39879867EE //9. .::;. 10/83 3 10/01/83 K39881645EE 1/ 9. ~.. 10/15/83 K40184142EE Ii '1. ~;;. 10/29/83 K40185892EE 119. <1,').. 11/83 2 7;.{.j, 11/12/83 K42337433EE lib. '/~ 11/26/83 K42339265EE /16,"" 12/83 2 12/10/83 K42340887EE /)"lj.i, 12/24/83 K42587961EE II t.. 'It. 01/84 2 77. ~ 'f 1/07/84 K42594624EE I If.. 'k:. 1/21/84 I(;C K42596481EE J)6, ;i" 02/84 2 7'6,11; 2/04/84 K42797503EE j/ i. IS' 2/18/84 K42799216EE 1/<j.;S" 03/84 3 3/03/84 K42800665EE //+.1-5 3/17/84 K44654780EE /1'-/0.15 3/31/84 K44656195EE /11.lr 04/84 2 4/14/84 K44667729EE /1-/, 5 - 4/28/84 K44669242EE 11'1-. 15' 05/84 2 7<!.1'f 5/12/84 K45590968EE 111,:2.1 5/26/84 K45592478EE, Iii. :;:'1 06/84 I ~ 6/09/84110 K45594238EE.F 111,;'/ . ~ - Jf9"~.IiJ~ liD C~Jif!I!<U i-C~ WAj(Jl 11 c 1(/.5 l;t,IJtI~1J1 Jtl<,/f/,f/UJ JA.,R ~ - ~ .J 7'/.1'/ 6/23/84 K47857251EE Ii}.';;} .' 07/84 2 7/07/84 K47858908E~ /1/.:1) " 7/21/84 K47860300EE III, ::.1 08/84 2 7~,"~ 8/04/84 K4787.1137E~,~ 1/)5.99 - 8/18/84 K47872524EE Ic.8.9~ - 09/84 3 9/01/84 K48098769EE<:.- 1(),f.9? 9/15/84 K48100185EE. /~t5'.9? 9/29/84 K48101953EE. J/)J? 99' 10/84 2 10/13/84 K48103430EE .,- JM.'f''l 10/27/84/ZD K49923153EE 108.1'9 11/84 2 70.~ 11/10/84 K50188610EE . 1~7" 11/24/84 K50190217EE /~91? 12/84 2 12/08/84 K50309520EE JC5. 7~ 12/22/84 K5031l089EE / ~5". f.. 01/85 2 7t).6.c 1/05/85 K50312422EE 105 9!? 1/19/847 K50880350EE /q.S, 'l~ 02/85 2 4>9. :;,;, 2/02/85 K50881814EE 1()~.g3 2/16/847 K50883485EE 1()3,.9'd 03/85 3 3/02/85 K53443653EE JtJ.3.2.:i 3/16/85 I~O K53445282EE J 03.$<:; 3/30/85 K53446672EE Ic3. !i3 04/85 2 4/13/85 K53448191EE 10,8. (1''; 4/27/85 K53466990EE 10$. 83 05/85 2 f,O? q:;, 5/11/85 K53468477EE 103. 3.? 5/25/85 K53469768EE lca,:i' 06/85 2 6/08/85 K54821597EE ItJ3.S.;? 6/22/85 K54823034EE /OS,-3,!? 07/85 2 7/06/85 K54824706EE J M.SY ~ 7/20/85 K56171187EE, j.tJ;3,...W 08/85 3 '7.56 8/03/85 ttb K56172617EE ;,' J/) 1..3 <f 8/17/85 K56174046EE lei. 3'1 8/31/85 K56175626EE /0/.:31 09/85 2 9/14/85 K56185378EE I tJ /. a4 9/28/85 K56468902EE 10/. '!!.:J 10/85 2 10/12/85 K56470247EE /0/.3:!- 10/26/85 K56474633EE 10/. ~ Ij 11/85 2 11/09/85 K56476066EE JQ /.5<) 11/23/85 K56477716EE; Jifl ,3~ 12/85 2 12/07/85 K56480108EE IfJ/.-"""; 12/21/850'0 K56481704EE. , /0/.-3'1 {-4~i~ h,?,:;JMlJ . ~(J13,.~i l1'e ~ 0.;.1/ Date of Issue 01/86 02/86 03/86 04/86 05/86 . 06/86 07/86 08/86 09/86 10/86 11/86 12/86 01/87 02187 03/87 04/87 05/87 06/87 07/87 08/87 \. 09/87 'j 10/87 11/87 12187 US Savings Bonds Number PPE Issue i on hand 150 I ",-' 17Jt.o~~,vr if,/i1ol4i1!.P r 2 t,7.~1., x ~1/04/86 K56483092EE I' 1/18/86 K56484585EE 2 "r.,M- 2/01/86 K56485889EE 2/15/86 K56487450EE 3 3/01/86 K56488727EE 3/15/86 K56490450EE_ 3/29/86 K56491830EE 2 4/12/86 K56493421EE 4/26/86 K56494762EE 2 5/10/86J~o K56496322EE 5/24/86 K56497670EE 2 6/07/86 K61342666EE 6/21/86 K62257976EE 2 7/05/86 K64253505EE 7/19/86 K64254807EE 3 b'J.9'1- 8/02/86 K64256348EE 8/16/86 K66029295EE 8/30/86 K66030879EE 2 9/13/86 K66032260EE 9/27/86110 K66745437E&' 2 10/11/86 K66746814EE 10/25/86 K66748345EE '2 .5;0. <;:; 11/08/86 K67359860EE 11/22/86 K67361345EE 2 12/06/86 K67362719EE 12/20/86 K67499'491EE ... 3 S'9.::J:i 2 ~..5::f.la 1/03/87 K67500927EE 1/17/87 K67502508EE 1/31/87 K67503899EE 2/14/87 \&.~ K72618965EE' 2/28/87 K72620388EE 3/14/87 K72621882EE 3/28/87 K72789577EE 4/11/87 K72791021EE 4/25/87 K72792366EE 5/09/87 K73982286EE 5/23/87 K73983691EE 6/06/87 K73985245EE 6/20/87 K73986635EE 7 /04/87 I~b K74125220EE 7/18/87 K74126668EE 8/01/87 K74128125EE 8/15/87 K75855792EE 8/29/87 K75857248EE ~ ~9/12/87 K75858602EE 99/26/87 K75860129EE 10/10/87 K75861530EE 10/24/87 K75863026EE 11/07/87 K80306448EE 11/21/87:;.;~ K80307966EE 12/05/87 K80309360EE 12/19/87 :;:'0-:> K81335127EE Ctft.flj?,IG.J) rcJt.>vJJ/l.fJ 2 2 2 -,PTI .(.Q 2 2 3" 4,'1c 2 2 2 5;,;,=:, 2 (,; ..~ ';----...-r ~o_;:. Series E~' ($75.00) Cash-in Value ? ()J.$' ,l:tf 101.3<). 101.-'3'1 99,.% . 9~.:3':" 79,!Jt 91. ar: 9'9..3? <J'f..s(" . 'I? 31- 99.~~ '19.3t ,/pt oq <</ ,. ,....., 99./31. 99..3'; 'J'l /f/ 77.1/ 9 r, 'll 977/ 97. '/1 9'1. '1-/ '11. 'II. €'.f. .?j J>,f 83 .?Sl<f'.S J-.R.J'3 8J. <fE !':?<f.3 J'.f. J'.3 . - 87..)!1 . J>7. /:f" .77. /, -? 7. ;5' .:; 7. J.!.':' r!.IS ..ft. ::; .f6.::lS' 5';.,.;:;5- n.:;:; fl ~,../ .,. .:jJ.--.:/ ,n z5 .NbO' 4"1, tt' J>1.r:o 6'1.tc J''I>,d,c ~'i./,<J 41/.~~ .P'I. j.f' ,j>.jj,f .r<l./~ $'1.12 ,-" ---- -c ;.d'l~(J3. 57 -'< Fed. Tax -- ~ ...-' ~~ x/.s $li.Otlii,<(i t'cRJI//J,r,p ~cl ,;).,f.. 917"8. ":;-1 /- 01/88 3 5Z,I;J. 1/0l/88 K81336452EE .;'</,1;' 1/16/88 K81337845EE. ,f'/.l:f' ~ 1/30/88 K81339141EE i'<I.I.f 02/88 2 SS-,O? 2/13/88 K81'340616EE, ?;{f8 . 2/27/88 K80J"66043EE ~fl$',3. 03/88 2 3/12/88 K803ti7478EE/ .9". 53 3/26/88 K80368803EE /:1.1'3 04/88 2 4/09 88..117 K80391190EE <f;;;, ..J3 4/23/88 K80392542EE ~;;..!D 05/88 2 5/07/88 K80393919EEf .,?-:; ,::g 5/21/88 K80395174EE ,:.f~' 5'"~ 06/88 2 6/04/88 K80423437EE ';..$3 6/18/88 K80424732EE ,f~. f~. 07/88 3 7/02/88 K80426164EE. )~.:\ <.,9' j,. 5-3' 7/16/88 K80427459EE If::" .55-; - 7/30/88 K81214795EE cPr;. 'i/ 08/88 2 53,9lf 8/13/88 K81215390EE 8/27/88 . K81216781EE 80, '7/ 09/88 2 9/10/88 K81218105EE ;5.:t! '1/ 9/24/88 K81230672EE" 40. 'if 10/8 2 10/08/88 K81231853EE .Pc, ~J 10/22/88 K81233165EE .f' {, 91 11/88 2 11/05/88 K81234367EE S'~. "l/ 11/19/88 K81267731EE ~c. 9/ 12/88 3 12/03/88 K81268987EE .~t:J.9: 12/17/88 K81270353EE 2:;. '1/ 12/31/88 K81271529EE .J"):'. 'if 01/89 2 ""3 ' 1/14/89 K81300621EE ~~I f/ - .'1~ 1/28/89 K81301844EE O'C, 91 02/89 2 ..5a.:?..f 2/11/89 K81303111EE. ::' 7f,3;., 2/25/89 K81304237EE 79. ;i:;J. 03/89 2 3/11/89 K86166780EE 793iJ 3/25/89 K86167886EE 7'l3:;' 04/89 2 4/08/89 K86169195EE 7'l,~:;' 4/22/89 K88206376EE 7'1.3Z 05/89 2 5/06/89 K88207671EE 7 9 .~:. 5/20/89 K88208838EE -;:3 ....... / ".::l'j 06/89 2 6/03/89 :;;/D K88210144EE 7::1 .' ,.~ 6/17/89 K88211344EE. 71, 8;: 07/89 3 7/01/89 K88236840EE" 7.) .- . .,~"" 7/15/89 K88237977EE 71.~ ~ r S 7/29/89 K88239180EE 79:<;" 08/89 2 ~,/, 'f 8/12/89 K88240289EE 7%7~- 8/26/89 K90671590EE .......-.. I j, .jJ 09/89 2 9/09/89 K90672745EE 77.'1~ 9/23/89 K90674000EE -.,..,..,., :...1";'" 10/89 2 10/07/89 K90675119EE 1;:: 7'~'. 10/21/89 ~o K94730679EE 71,7'4.. 11/89 2 11/04/89 K94731845EE --..,' .. .... //7 ' 11/18/89 K94733011EE r;': 71"'-1''/. {d\ll . 12/89 3 12/02/89 K94734062EE -..........,. , /." ~ a 12/16/89 K94735185EE -- ...., f I,/~' . 12/30/89 K94736218EE)5. 17t1t _ ---~- ;zS5 :; :J', . ;,j .;{~ -r;, fiv.. 5 jf;e) cs 1:;:: f75,GC kJ/ZJS ;<?/f,.7 3:J /1..1 oJ<)I,J,/" /'{fll1;:;:; . P""p ..~ , . 114,(17 t-: WJlJ6#75T<7101l! EsrAYE US Saving. Bonds Series /~ NAft/tu of M,4,:ly Pi' W-'<IJ;IIA!S1""""~ (lit.. Date of Humber PPE Issue t Issue on hand </0. 3 S5:o~ J( 7/02/88 7/16/88 7/30/88 2- -5.9.91 8/13/88_ 8/27/88 9/10/88 9/24/88" 10/08/88 10/22/88 11/05/88 ' 1l/H/88 12103/88/ 12/17/88 12131/88. ( 07/88 08/88 09/88 10/88 11/88 12/88 01/89 02/88 03/89 04/89 05/89 06/89 07/89 r ~8/89 09/89 10/89 11/89 12/89 04/90 05/90 06/90 07/90 08/90 09/90 2 2 2 3 2 ~~,q~ '2 Vt:'~/f? 2. 2 2 2 3 2 51.!?;! 2 2 2' 3 . 2 50,;);;' 3 2 2. - 2 ~9,;:;~ f ?I!. $';;.. R43366509EE R43367117EE R43367735EE R43368342EE R43396085EE R43396715EE R43397374EE R43397992EE R43398656EE R43399276EE R45653566EE R45654174EE R45654809EE R45655440EE 1/14/89 R45656083EE 1/28/89 R45656730EE 2/11/89 R45697685EE 2/25/89 R45698341EE 3/11/89 R45699019EE 3/25/89.;\0 R45699671EE 4/08/89 R45700359EE 4/22/89/ . R55778775EE 5/06/89 R55779476EE 5/20/89 R55780200EE 6/03/89 R55790284EE 6/17 /8~/ R55791047EE 7/01/89 R55791810EE 7/15/89/ R55792551EE 7/29/89 R557933~8EE;;/ 8/12189<30 R59375051EE 8/26/89 R59375819EE 9/09/89/ R59376554EE 9/23/89 R59377348EE 10/07/89 R59378128EE 10/23/89 R59378872EE 11/04/89 R59379617EE 11/18/89 R61354177EE 12/02/89 R61354924EE 12/16/89 R61355705EE 12/30/8~ "Ie R61356421EE 4/20/90 R63992435EE 4/20/90/" R63992436EE 5/21/90 R67266331EE 5/21/90 R67266332EE 5/21/90 R67266333EE 6/18/90 R67286791EE 6/18/9d R67286792EE 7/13/90. R67837341EE 7/13/90 R67837342EE 8/16/9050 R67866689EE 8/16/9d R67866690EE 9/15/90~~ R68204089EE C/;-;I,;'.Ii:<1 rcn,wAIUJ ;I.J~O~~(J1d.~ E f($200.00) 7?ol'.<l I'l W.IU6I1rS7"~Alt: Cash-in Fed. Value .:z::zo.4f' . ..<:la. og ;;,;za.'lJJ- ::J.1~7,/ ~/-..... 7. :2;..5, 7 P :lIi: 1~ 0';/5: 7" .:(/.5',7t ';</.5. 7~ :;;157~ ,'),).s;'7{ ~5.7;; ~15. 7t ')...,,-, . ,.. /'$JIf /6 sell r JUs. 7t / ~15.7~ ' dl/~<;' ,,- :;'1/.5~ ;;{J/.~ ;W..o;; :W,S',;' ;)/I,5J ';1,1/ -$'';'' ~1i',5;' . :;;, II. 5'-,\ ;</1, ?~, ;;'/1,5.;: . -/1 ---/ ':A '7q., :;. /1, s.;. .2c7.S.. /l.aT.J~ ;<07, :It. :::'()"7.'f/~ :;'c7.J~ .;?~'i.P;'... ;<,a7.~t, :!l7ig~. ~c7,-?':- ~!)7.-PC ....<9~7 r1~ <l c,3 ,:<8'. ;/03.:J.,,ff ~~.;:;'.? ;;'&.S.:J.,y , J.C'3.~ dM.~ ';'(,3.;;.1' .:l 0.3 OJ.G ~ca.~';:-' /97.5. ./ /91. E{, , Nut" ------- /0 9i1. '11 , .' , . ~alt I I ~IY -' fil-';'~ ; . /1:' \ " , IOrf1c fill ' ~ v '"' I.- . . '--0' "wAk,,:' o'fho ' "':~. . X 1.., --, I 41.3"- 9/1 30..>!! 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't" 05/91 2 5/06/91 R71580365EE 191,b!i' 5/06/91 R71580366EE !~Uf' 06/91 2 6/06/9110 R73385546EE 191,1.8, 6/06/91 R733B5547EE I fl, I.P 07/91 2 7/05/91 R73411962EE 191.~, - 7/05/91 R73411963EE fIl(,"f'" OB/91 2 ~'l x'.... 8/05/91 R73439921EE / oN,. t7? ~l ... <'l 8/05/91 R73439922EE /J' {;. o.t \ 09/91 2 9/09/91 R734 7237 4EE /?~.C.P q -';; 0/09/91 R73472375EE 12.t,.(}g 10/91 2. 10/03/91 R73497108EE 1-5I..cl 10/03/91 R73497109EE /1' /.iT.! ..'" 11/91 2 . 11/06/918'~ R735~B73EE & 16V. .Dr 11/06/91 R7352 B74EE /.5' j, , ad' 12/91 2 12/05/91 R73558061EE 1?/".lJ~ 12/05/91 R7355B062EE I..f'/, r;.? 01/92 2. 't'6.5".;z 1/06/92 R73587B62EE /:ff;.ct? 1/06/92 R735B7B63EE 1 J7~,CJl " 02/92 "2 ..,:.;,/; 2/06/92 RB0046293EE l;ft. ;;,;./ 2/06/92 RB0046294EE 1.i'f).6 'r.j 03/92 2, 3/05/92 R800B0634EE /,f1J.{.+ 3/05/92.. RBOOB0635EE I..f'c, t;,f 04/92 2 4/06/92' R80114052EE I!?~. ..if. 4/06/92 RB0114053EE Igo./,1> 05/92 2 5107/92 RB0169501EE r.fo,'f 5/07/92 RB0169502EE J..f'~.~'I 06/92 2 6/03/92 RB0195396EE lJ'tJ, (.4 6/03/92 R80195397EE !d/). 61-' 07/92 2 7103/92 RB02.30B07EE l.J'tJ . (,If 7/03/92 R8023080BEE I$e, 6:/ OB/92 2 'I3,2lj. 8/06/92 R82443695EE 175::/' / 8/06/92 . RB2443696EE 115.~;' 09/92 2 9/03/92~~' RB5900931EE 175': ?iC 9/03/92 R85900932EE /15. ~J 10/92 2 10/05/92 R85937214EE I d. 34. \ 10/05/92 R85937215EE /7S: E~ . I 11/92 2' 05"" 11/@/92 R88987679EE 17S.5t \ 11/05/92 R88987680EE (7.1. ~,:; 12/92 2- ~ 3---- 1~/oG)/92 R89029553EE /75. 3'; \ .;L. '3 - 1r;i\/OW92 R89029554EE 17$3,; , ...-... 01/93 2 'fSst; 1/06/93 R93775274EE 175':3(" ~.........;.;:..- 1/06/93 '&Q R93775275EE /7f..3b j(J '1 r;r(,.w>li?-IJ - C IIR1'.It:.1J ~'1f9S.8a - l'r . 'l rf \pj,(~ 4"lFr ~fi/ltU: ;; J '19(f;8rJ 02/93 2 .'i;j.5'~ 2/ '93'10 R93824811EE 170.3;:. :;..-- 17{),!J~ 2/08/93 R93824812EE 03/93 2 2'1. 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R110743020EE I .;.J'. 7~ 4/19/94 R110743021EE I Lj'?' 7:1.. 05/94 2 37./~ 5/17/94/~ Rl11120159EE 14c? '!of 5/17/94 Rlll120160EE I'/R. 'I:? 06/94 2 6/15/94 Rl11277344EE J'M,Jf,? 6/15/94 Rl11277345EE 1 4JJ '# 07/94 2, 7/18/94 R112667575EE l.j,f. '/? 7/18/94 R112667576EE I'I&: fI.? 08/94 ~ ~ 'k 8/15/94 R112857548EE J'1!:'. (,0 2 ~t,1 8/15/94 R112857549EE I-'JJ, &~ 09/94 2 9/15/94 R115'683964EE ( '/$ 6!J 9/15/94 R115683965EE /'1;'. ~C 10/94 2 10/19/94 )50Rl17028864EE /45."'. - 10/19/94 Rl17028865EE N5',(,t; 11/94 2 3~.~8 11/14/94 R118001229EE / '15. J:A. 11/14/94 R118001230EE 1 '/). p.. 12/94 2 12/16/94 R118279385EE 1 </.5. J.:? 12/16/94 R118279386EE 1'/01. I" 01/95 2 .3(" ';k 1/17/95 R120458007EE I'IQ'.I~ 2~S'Y 1/17/95 R12045800BEE ;if.5. I'd. 02/95 2/16/95.. . R121196557EE It~. 3;1, 2/16/95 R121196558EE 1'1-'<..3::1 03/95 2 3/14/95 It.a Rl21374291EE 1'f~,.3:;. 3/14/95 R121374292EE I "/...$;; 04/95 2 4/13/95 R122692024EE 1;J.:1.:!~ - 4/13/95 R122692025EE 1'7-'132- 05/95 2 .34t;"~ 5/12/95 R123660953EE l5';,g'2 5/12/95 R123660954EE j.!J 1.li'J 06/95 2 6/12/95. R123918709EE 1:3~ ,J'o? .....------ 6/12/95/t.1 R123918710EE l.3~ RR /6. 7 --------.-...-.- . C"RKlz,tJ r;"'tQ",~ SaPir. 7' t' 0 ~iCDfI6-!Ir .~ 3() 1'1 1,1' "( 'if 07/95 2 -, I rz;l.. 7/i 95;.g R125153549EE l'iJb,~.p~ "'-r'. c;.,.*, - -':.- 7/17/95 . R125153550EE I'J~:?~'- --- 08/95 2. ~.;: -J.ft~ 8/11/9~17~ R126018102EE /".iJ1,5::" -....,.. 8/11/95 R126018103EE 13'1,:/;'2.... 09/95 2 9/18/95 R127123793EE 13'1,:E:< 9/18/95 R127123794EE )3'1. 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R130248626EE P'?,:;;.g ~ 1/17/96 R130248627EE ;S.?,;t,,/" 02/96 2 3;;;,7~ 2/12/9~ R130549734EE 1730,5'0/ 2/12/96 R130549735EE /3(1.5'0 03/96 2' 3/18/96 R131079714EE ) :50'/10 3/18/96 Rl31079715EE ISO,'iI'O - 04/96 2 4/15/96 R131872386EE /3t;, ,f?; 4/15/96 R131872387EE 12J,.Y-2> 05/96 '2':;1..., ';--:1 5/17/96 R126699101EE 130,.tY./ -":l"], -' jIC 5/17/96 R126699102EE 13~...i- / \y 06/96 2 6/14/96~ R134818977EE 13(;,:U/.~ ~I, 6/14/~ R134818978EE /-"~. :( 07/96 2 7/16/9~ R135129095EE /3CJ,~f- 7/16/96 R135129096EE J-2o..24 -- 08/96 2 .3/,1f 8/09/96 R136033970EE ;:n7('/ 8/09/96 R136033971EE /::.1, 7'; 09/96 2 9/16/96 R136361718EE ).. 7. 7<;; 9/16/96 R136361719EE 1~7. 76 10/96 2 10/17/96 R136819604EE N7.7,;, - 10/17/96 . R136819605EE 1':;'7.7t 11/96 2 , !!I,~c 11/18/96:"" R137581849EE /;"hd:C 11/18/96 R137581850EE In,:;.r; 12/96 2 12/16/96 R137973546EE la 7. ~ti 12/16/96 R137973547EE I::; 7.;;C] 01/97 2 - :3/,Ja 1/13/97/ R139226751EE /~7. ;;.0 1/13/97 R139226752EE I;' 7./1,0 02/97 '2 31,;;0 2/20/97_ - R141930599EE /~Ij..J'o-' 2/20/97 R141930600EE p, 'i J'c 03/97 2 3/13/97 R142215802EE I.. '1.-F,c; 3/13/97 R142215803EE )::;'i,~ 04/97 2 4/11/97 ;;1./"_ R1425685 71EE p";,R'<) 4/11/97 R142568572EE I;::' 'r,c7ol 05/97 2 -;;;;'" ...? 5/12/97 R140957583EE 1;;;7,/~ ...,..,.....t;:1 - 5/12/97 R140957584EE 1:<912 06/97 2' S:J..IG 6/16/97. R137060339EE 1 <R 2.P-j 6/16/97 R137060340EE ;:<%.:,tf 07/97 '23;i..(Jd:, 7/15/97. R143236749EE 1:l.5-.;J1- 7/15/97 R143236750EE I :u.;;,!j 08/97 2 31, iA 8/14/9} R143720950EE /:4t--5't / 231,S;::; 8/14/97 R143720951EE /::.(.~ / 09/97 9115/97 ~ R145303747EE ':/6, (J~- 9/15/97 R145363748EE I~.c:;-' 10/97 4 3J.11'J 10/10/97 R145585526EE 1;6; Irl' 10/10/9"'7 R145585527EE P5. ,;- 10/10-/97 R145585528EE ;::.5'.68'- I 7joq~ 10/10/97 R145585529EE ;:ilf.j!? 12/97 12/11/97;~0 R147055379EE~ ~ Cl#h!.IE',;J .,F;;/l;><II/NJ - 3'lJ75.7{, :J~~ if' Cl.0<.& .; $1...1: .flllA 317'15: 71, J~97 13M/. '/ ':!a.~ J ';,3.8"1 " 12/11/9711=<7.R147055380EE 01/98 2 ;3(JJPtf 1/15/98 R147936199EE /~~.~a. 1/15/98 ) R147936200EE liJl33~ 02/98 2: '30.7<). 2/13/98~~ R148234247EE j;);{.9/' 2113/98 ~7 R148234248EE 1:J.a..?~ 03/98 t .30,&tf 3/12/98 R149042000EE r~.r(; 4Ilf'C"O'- 3/12/98 - R1490'42001EE 1 :j2.{i. 04/98 r~ :J(j ,~'i 4/10/98 R149389443EE 1::1:;;'. /1" "--' 4/10/98 R149389444EE I::/,!J,./~ 05/98 2 3t:.:J.O 5/19/98. R150003400EE I;J,C,iJ?7 5/19/98 R150003401EE I::!IJ.!?'c 06/98 '2 3f) ,)1; 6/11/98 R150236851EE /:l~,'itt 6/11/98 R150236852EE I ;;~A. '# 07/98 2'300 7/10/98~~oR150956704EE 1:"0. CO 7/10/98' '. R150956705EE I.fl.,; ,C~ 08/98 2 ~'9' 9.0 8/13/98 R151230911EE 119. {;o 8/13/98 R151230912EE // y, (0 09/98 2 ':<'1.~o 9/15/98 R152085855EE /I y. ~ 9/15/98 -- 111. =-c .... :; R152.085856EE 10/98 ~ - 10/19/98 R152391632EE IIJ"'. ~ 2 . '" II~ ./' 10/19/98 R152391633EE J/R..f't> 11/98 2 '7.'18 11/12/98 R152602753EE 1/7. 9.: 11/12/98 R152602754EE 1/7. 9;;.. 12198 2 .P9.3i' 12114/9~;u'~ R153410777EE 117,5'<- 12/14/98 R153410778EE )17.5';. 01/99 2 ';'9. ;l.P' 1/20/99 R153769913EE Iii. /"J. ~ 1/20/9'9 R153769914EE 117.1:- 02/99 2 a. q,)g- 2/16/99 R153993409EE 1/(,.1:;, 2/16/99 R153993410EE II C .7::" 03/99 '2 3. 9.02 3/12/99 R154224000EE IJ',E;" --- 3/12/99 R154224001EE 1/& . '3:;' 04/99 2' -;'/i/U' 4/09/99 R156042984EE /I.f.'i;' 4/09/99 . R156042985EE 1/5.9: 05/99 '2 dg.6C 5/13/99::l,,~ R15~341469EE Iff. :la , ... 5/13/99. R156341470EE IU. ;::~ - 06/99 2 $,8.7e 6/14/99 R156585737EE / /1.8'c 6/14/99 R156585738EE I; 'fSc 07/99 2 ~t.l.:" 7/14/99 R157658029EE I/L). <J~ ~~ 7 I 14/99 . ~{ R 1 5~51l.ll3JlEF. I j';;'~ ~: EI~411. !;:: ,I Jo' 1c'f1J.!.... ,- t:E 73t'''';;~- IN VClqr ~^lC- 7'-<9. 411. /;;;, :J.OC :; e .'~ if; ~~ 03/90 M",.d.Y ,E. US Saving~ Bonds 1/>/ ,vAI1'IS'S' OF /</AI{Y e:. Number PPE on hand li."" 4 5~.8~ 03/01/90 WI</s:fl.r.,s-rCJ.{/15 & -....rti! _ ;l,J,()~-01:?tJ, ~~.. Series ~ E ($100.00) ~ klR/GH'rS'-f7AJ;5, CI( JVoW"K AI. W'~/G~~ Issue II Cash-in Fed. Value Tax Date of Issue C220659912EE C220659913EE C220659914EE C220659915EE ~ct) SJ9!//!i$ FE Bt>>.kI 110! -NY AJ,#",.;;s 101.'''- lei."" 1'011."1 it ~/OU.{- ~,,5~ /r/IC'I.5' II / ~ 11-3 I S'c;t F rr" ~~.J.. US Savings Bonds Series HH ($500.00) 14/ Al'AH<<,$ (')p( !-tAffY I!!". W.(tCil'rS"l"CNP' oJ{ Wlr."'H' AI. WIl;(6,I'7'srClA/.e Dat.e of Number PPE Issue It Cash-in DEFERRED Issue on hand Value INT. 08/95 03/96 01/98 05/98 -;;;,. J. 2 D3921463HH ,.$Ot ~:: D3921464HH ~COIC~ 2 D4090867HH S'co. co: D4090868HH ,-5'cc. t:(} 1 D4601563HH ...!lee ,G.; .{? } D4714096HH 5oc.,J.. (n~M/~'I/" ;p CAlP.!t ,.1.1 <h,~'1 ";"HQ J' :SC/jp~; 310.43 310.43 424.22 424.22 443.70 328.74 '" :il'Q'I1.71/ ~ US Savings Bonds Series HH ($1,000) hI NAn4$' .F /'f4i/1Y,E" WA'IG'KT$7"'''''''.c!; "i~ ~P7';( H M/<;r;:s-rc~e Date of Number PPE Issue it Cash-in ~ ~ Issue on hand Value 01/98 2 M6552915HH Ic-c<J, cc 887.39 M6552916HH I"~-:;,::;~ 887.38 .~ 05/98 1 M6708649HH 06/99 J..o.1 M7135582HH -r;; '1"01/. liCGc? fj1()t!.'/n' HI! 11iJNQS I"" ,.JCItt'l' ;./AI4M /;.:::, c.c 657.48. /:;v:;, .= ~ ~ _....- 1/390. 00 - - .-~ 688.93 it .ZJI:JtJ. te- ~ ?;;E )~ . .... "" @ _ ~ 72-) 913J ~1'-f)L C,,->v~) ~ ~ ;+;i S"d(j &) <<G'" 3 -"1~ t./';"61o 7.;""'? c., coli .J.c.S-~ ;5 ""'0'1 c....- -.J(~~~ ~~ d!l 10-<;-0 J -""'0 /.5- ~ Dt 16 .....C; 'I~ -....~ ~::L (/ ./ (o-'L.~ . RE'I_'51~EX'il_97) ~ - COMMONWEALTH OF PENNSYLVANIA INHERIT ANCf. TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON.PROBATE PROPERTY EST ATE OF M3.1:y E. WriyllGlu 12 FILE NUMBER 21-02-0722 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF ITEM INCLUDETHE~AMEOFTl-IE'1lANSFEREE. Tl-IEIRRELATIONSHIP TO OEceOENTAA1DTHE OATE OF TRANSFER. DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE AITACHA COPV OF THE DEED FOR REAL ESTATE. ('FAPPlICA8L~\' NUMBER VALUE OF ASSET INTEREST t :IRA S3Yin.Js ko:unt #11296-10 in I1ID::ers 1 st F\3::Eral G:e:lit UIim q::aE:l2/17/82 with Fllth N. Wri~ tiE rmed taEficiary Prin::if8l B3lan:e cate of d3ath $ 39619.76 100% 0 $ 39619.76 l'a:ru3::i nll",,,,,,,t 73.36 100% 0 $ 73.36 2. rmth !BEfit urrl=r Flexible Sinfte Praniun M=-ced knlity #2643435 issEi Qi Life u:i'> Iran:an:E ~ (rrw Allianz Life Insurarx::e <Drp3ny of N:rth l':lTEd.ca) m !-By 25, 1993 to !my E. Wright:.st:cre, = am annuitant, havin:J an arruity cate of !-By 25, 2!XJ7, am rmed Icy C. !\u,,,,llLult, a clcse ftienj pdITmy l::aEficiary, am Fllth N. Wrigblu", tEl:" sister, =rt:in}:rt taEficiary. Icy C. !\u,,,,llLult arrvived ani ele::terl to take tiE c:aS1 valLE in a lurp sun disI::J:ili.rt: $ 24514.27 100% 0 $ 24514.27 3. Iurp sun rmth !BEfit Pa;uEnt fran tiE Civil S=rviCE Fet.iIara1t Systsn p3id to Fllth N. Wright.staE, sister of ,"... H "... iL, tiE l::aEfic:iar'l rmed m I:e5igraticn of !BEficiary cate::l feb. 10, 1978. $ 2845.91 100% 0 $ 2845.91 4. (2) Joint certif:icaI:e3 of Qp:sit issEi Qi He Eank N.A. in l13TE5 of !my E. Wlight:.st:cre am Fllth N. Wright.staE, Joint CThers m 7/05/02 C/D ]\b. 21001010936 Pdn::if:al Ealarl:E cate of &ath $ 19861.12 100% $3000.00 16861.12 la::rtEd nJl=""t 21.18 100% 21.18 21 001 011294 Pdn::if:al Ealarl:E cate of &ath 2864.91 100% 2864.91 la::rtEd Interest 2.96 100% 2.96 1~803.47 fOOO.OO 861\03 47 TOTAL Iso en,er on line 7, Recapitulation) (If more space is needed, insert additional sheets of the same size) , ~i'i . . ""~"""""". COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-02-0722 ESTATE OF Mary E. Wrightstone Oebls of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Malj;>ezzi Funeral Horne - Funeral Expense $ 9436.80 Gingrich Memorials - Inscriptions (1/2 of $590.00) 295.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions - Name of Personal Representative (s) Social Security Number(s) I EIN Numberof Personal Representative{s) Street Address City State Zip Year(s) Commission Paid: 2. Attomey Fees $ 12900.00 3. Family Exemption: (If decedenfs address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 246.00 5. Accountanfs Fees 6. Tax Return Preparer's Fees 7. Register of Wills - (4) Short Certificates 12.00 8 Cumberland Law Journal - Executrix's Notice 75.00 9 Verizon - Phone (8/19-9/18/02) 20.70 10 Register of Wills - (4) Short Certificates 12.00 11 The Sentinel - Executrix's Notice 84.11 12 United Water Pennsylvania - Water (pending Sale) 6.71 13 Central pennsylvania Appraisals, Inc. - Real Estate 275.00 CARRIED FORWARD $ 23363.32 (If more space is neede<J, insert additional sheets of the same size) ITEM NVM 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. . SCHEDULE H FUNERAL EXPENSES & ADMINSTRATIVE COSTS (CON'T) DESCRIPTION BROUGHT FORWARD Verizon - Phone (pending Sale) - (9/19-10/18/02) Chuck Bricker, Auctioneer - Costs ofPubhc Sale 10/12/02 Auctioneer & Clerks $900.00 Adv Costs 220.00 Setup and help 300.00 PP & L Electric Utilities - Electric 8/30-10/1/02 Ruth N. Wrightstone, Executrix - Reimbursement for costs advanced to prepare auto for public sale: Walmart - Replace dead battery Triangle Car Wash - Int. Detail $ 42.34 40.00 United Water Pennsylvania - Water 9/9-10/08/02 Borough of Mechanicsburg - Sewer and Refuse ( Final) PNC, Bank N.A. - Checks Chuck Bricker, Auctioneer - Appraisal (Silverware, Coins and plates) PP & L Electric Utilities- Electric (10/1 -10/31-02) Final United Water Pennsylvania - Water ( 10/8/02-11/7/02) Final Wilham L. Sunday, Atty - Reimburse For ( 1) Short Certificate Register of Wills - Additional Probate Fee Gail Minnich - Notary Fees Register of Wills - Filing PA Inh Tax Return and lnventory Reserved for filing account, recording release additional Short Certificates and misc. expenses TOTAL (Also enter on line 9, Recapitulation) $ AMOUNT $ 23363.32 20.65 1420.00 44.71 82.34 11.00 84.40 27.60 25.00 96.46 6.71 3.00 35.00 20.00 34.00 150.00 25424.19 (~w REV.\5t2EX.(I.gl'\ W.''''. '.v ".'(. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER \al-02-Q722 ESTATE OF Mary E. wrightstone Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 128.00 1. Ruth N. Wrightstone - Reimburse for PP&L Invoice for 7/1-7/30/02 $ 2. Outstanding (Item 4 on 8/1/02 Check No. 8939 Drawn on Account No. 50-7008-7036 Sch F) Prior to death which cleared PNC Bank, N.A. 21.30 3. United Water Pennsylvania - Water (7/9-8/8/02) 6.71 4. AT&T - Phone (7/15-8/14/02) 2.12 5. VISA - Account payable 60.45 6. The Magazine Club Sweepstakes - Account Payable 34.50 7, PP&L - Balance due on Budget Billing Plan 218.16 8. MBNA - Balance VISA Card 166.82 9. First USA - Balance Credit Card .53 10. Mark Dundorf - Lawn Maintenance (account payable) 100.00 11. 12. United States Treasury - Witholding Tax on Mandatory IRA withdrawl PADept of Revenue- Balance Due 2002 PA 40 Individual Personal Income Tax 154.92 56.00 TOTAL (Also enter on Iln810, Recapitulation) $ (If more space is needed, insert add\\lona\ sneets of the same size) 949.51 Sit. REV.T5T~EX.{1.~1) _~_ .- COMMONWEoILTH OF PENNSYLVANIA INHERrrANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER 21-02-0722 Mary E. Wrightstone JUMBE" 1. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (Include oulnghl spousal distJibulions) RELA TrONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE 1. Ruth N. Wrightstone 126 West Portland street, Apt 1 Mechanicsburg, PA 17055-7411 Sister All jointly owned on Sch. F in amount of: . $ 109627.79 Transfers SchG-1 SchG-3 SchG-4 39693.12 2845.91 19750.17 62289.20 Entire P "obate Estate 2. Ley C. Armentroot 103 West Keller Street Mechanicsburg, PA 17055 Close Friend Transfer Sch G 2 24514.27 II. ENTE'I DOLLAR AMDUNTS FOR DISTRIBUTiONS SHOWN ABOVE ON LINES 15 THROUGH 1i. AS AFPRCFRIATE. ON RE/1500 COVER SHE::T NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDE'I SE.:TiON 9113 FOR WHICH AN E.ECTION TO TAX IS NeT BEING MACE 1. o B. CHARITABLE AND GOVE'INMENT AL DISTRIBUTIONS 1. o TOTAL OF PART II. ENTE'I TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHES" I $ (If more space is needed, inse~ additional sheels of the same sizel o STATUS RF. PORT UNDER RULB 6.12 Name of Decedent: Mary E. Wrightstone DmeofDeath: July 31 , 2002 Will No.: 21-02-0722 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: State whether administration of the estate is complete: Yes [~ No ~] If the 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: 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: N/A c. Did the personal representative state an account informally to the parties in interest? Yes Co Date: July t3 , Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Cqoy of Fani~f Settle~l~t Agreement is attached 2004 ~.~?,- .9,~;~ Signature / hereto. William L, Sunday Name 39 West Main Street Mechanicsburg, PA 17055-6230 Address (717) 766-9622 Telephone No. Capacity: ["'] Personal Representative [-~ Counsel for personal representative FAMILY SETTLEMENT AGREEMENT 21-02-0722 THE FIRST ANI) FINAL ACCOUNT OF RUTtl N. WRIGIITSTONE. EXECUTRIX, UNDER THE LAST WILl. AND TESTAMENT OF MAR'~' E. ~VRIGHTSTONE,/,ATE OF THE BOROUGH OI: MECt lAN ICSBURG, COUNTY OF CUMBERLAND? AND STATE OF PI-~NNSYLVANIA. DECEASED AND RELEASE OF THE DISTRtBUTEES UNT)ER THE WILL OF SAID DECEDENT ttERETO AT'I'..\Ci tED. Date of Death: July 31, 2002 Date Letters Advertised: Cumberland Law Journal August 23 & 30 and September 6.21~02 The Sentinel-August 20 & 27 And September 3, 2002 PERSONALTY PRINCIPAL ACCOUNT DEBITS Mary Wrightstone Estate Accountant charges herself with the Personal Property set forth in the Inventory filed in the Office of Register of Wills in and for Cumberland County in ti~c amount of: Accountant also &mug. es herself with the following: 131745.53 2t}tl2 Sept 26 (~c: 24 l)ec 3 [ t>,~tla N. ~,\'righ~s~cone - Loan to pay Funeral Expenses Taxes & Debts Rut?, N.¥Vrightsone- Mininmn Required in Members 1st SaxSngs for IRA Nlcmbers l < FCU - 'VIS,.\ Credit (Titizcns Bank Bank Check to Replace Check Returned For Insf Pansy L. Mason - Check returned charge Membergs 1~ FCU - 2002 llLA Payment i9<~09.73 25.00 5,5.51 4 00.00 [0 }0 !549.[8 201}3 ..\p:- l t) .\pr 17 -\V- 25 Nov ttearst Corporation- Good iHousekeeping Refund American Readers Services Corp.- Refund Members 1< ECU - Visa Credit Jayne W. Ste~x art - Prorated Sewer & R¢fhse Prorated School Realty Taxes 47.14 926.71 6.66 I0'X.94 ,18.0.> 9~3.85 PESONALTY PRINCIPAL ACCOUNT DEBITS Mary Wrightstone Estate (con't) brought forward 158599.43 Nov 25 Nov 26 Chuck Bricker, Auctioneer - Gain on Public Sale of plates 11/08/02 - 26 plates - gross receipts 132.00 less commission 32.00 Net Receipts 100.00 11/22/02 - 32 plates - gross 312.00 less commission 72.00 Net Receipts 240.00 Receipts 340.00 less appraised value 300.00 Gain on sale of 58 plates 40.00 Nationwide Mutual Life Ins. Co. - Premium Refund Cancellation of Fire Insurance 40.00 244.85 2004 SUB-TOTAL 12/31/04 158884.28 Jan Jan 31 Gain on Sale of the following: 39 plates 375.00 less commission 134.00 Received 241.00 Household goods 226.00 less commission 67.00 Received 159.00 Gain on sale Gain on Sale of the following: 10 plates less commission Received Household goods less commission Received Gain on sale 440.50 146.84 293.66 159.00 400.00 71.00 23.66 47.34 293.66 341.00 400.00 341.00 carried forward 159625.28 PESONALTY PRINCIPAL ACCOUNT DEBITS Mary Wrightstone Estate (con't) brought forward 159625.28 Mar 21 Gain on Sale of the following: 22 plates 128.00 less commission 38.18 Received 89.82 Household goods 242.50 less commission 72.32 Received 170.18 Gain on sale 170.1~ 260.00 260.00 Apr 14 Gain on Sale of the following: 34 plates less commission Received Household goods less commission Received Gain on sale 151.50 49.17 102.33 189.00 61.33 127.67 102.33 230.00 230.00 Apr 21 Gain on Sale of the following: 13 plates less commission Received Household goods 81.00 less commission 25.30 Received 55.70 93.50 29.20 64.30 55.70 Gain on sale 120.00 120.00 TOTAL PERSONALTY PRINCIPAL ACCOUNT DEBITS PESONALTY PRINCIPAL ACCOUNT CREDITS Mary Wrightstone Estate Accountant asks'credit for the following: 2002 Aug 24 Aug 24 Aug 24 Aug 24 Aug 27 Aug 27 Aug 27 Sept 3 Sept 6 Sept 6 Sept 6 Sept 9 Sept 11 Sept 11 Sept 17 Sept 25 Sept 25 Oct 7 Oct 12 Oct 12 Oct 16 Oct 18 Oct 21 Oct 18 Oct 28 Oct 28 Nov 3 Nov 16 William L. Sunday - Reimburse costs advanced Register of Wills - Probate fees (4) Short Certificates Cumberland Law Journal Ruth N. Wrightstone - Reimburse Costs Advanced PP & L Electric Utilities (7/1-7/30/02) United Water Pennsylvania (7/9 - 8/08/02) AT & T - Phone ( 7/15 - 8/14/02) Ruth N. Wrightstone - Reimburse Costs Advanced VISA - Account Payable Gingrich Memorials - Inscription Verizon - (8/19-9/18/02) Malpezzi Funeral Home - Funeral Expense Malpezzi Funeral Home - Additional Funeral Expense The Magazine Club Sweepstakes - Payment due 7/25/02 PPL Electric Utilities - Account Payable (Budget Plan) MBNA America - VISA Card Balance Due First USA. Balance Credit Card Register of Wills - (4) Short Certificates The Sentinal- Executrix Notice United Water PA - (8/8-9/9/02) Central Penn Appraisals, Appraisal (Realty) Verizon- (9/9-10/19/02) PPL Electric Utilities 9 8/30 - 10/1/02) Chuck Bricker, Auctioneer - Public Sale Ruth N. Wrightstone - Reimburse Costs Advanced Battery For Auto Detail Car For Public Sale United Water PA (9/9-10/8/02) Gingrich Memorials - Balance Due Borough of Mechanicsburg- 4th Quarter Sewer Refuse PNC - Check for Auto Returned (Ins. F) Bank Charge Register of Wills, Agent - PA Inh Tax Payment Chuck Bricker, Auctioneer - Appraisal (personalty) PNC - Check Printing Charge PPL Electric Utilities - (10/1- 10/31/02) 246.00 12.00 258.00 75.00 60.45 300.00 42.34 40.00 54.40 30.00 4000.00 10.00 333.00 128.00 6.71 2.12 360.45 20.70 9085.00 351.80 34.50 218.16 166.82 .53 12.00 84.11 6.71 275.00 20.65 44.71 1420.00 82.34 11.00 290.00 84.40 4010.00 37795.88 25.00 27.60 96.46 Carried forward 54993.65 PESONALTY PRINCIPAL ACCOUNT CREDITS Mary Wrightstone Estate (con't) 2002 ,(con't) Nov 26 Nov 27 Dec 13 Dec 19 Dec 19 Dec 31 brought forward United Water PA - (10/8-11/7/02) HRIC - Charge PPL Electric Utilities ( 10/31-12/3/02) Mark Dundore - Lawn Care United Water PA - (11/7 - 12/9/02) IRS Withholding on IRA Payment - SUB - TOTAL 12/31/02 54993.65 6.71 6.41 164.80 100.00 11.00 154.92 55437.49 2003 Jan 7 Jan 7 Jan 20 Feb 12 Feb 24 Feb 28 Apr 1 Apr 1 Apr 15 Apr 22 Apr 22 Apr 22 Apr 22 Apr 22 Jun 4 July 14 Julyl4 July 14 July 22 July 23 Sept 3 Sept 3 Sept 17 Oct 1 Oct 6 Borough of Mechanicsburg - Sewer &Refuse (Jan) PPL Electric Utilities - (12/3/02 - 1/2/03) United Water PA (12/09/02- 1/9/03) PPL Electric Utilities (1/2/03-1/31/03) United Water PA (1/9/03-2/6/03) Stjepan Fromml - Snow Removal William L. Sunday - Reimburse (1) Short Certificate. PA Dept of Revenue - 2002 Individual Income Tax Borough of Mechanicsburg - Sewer & Refuse (June) Register of Wills - Additional Probate Fee Gail Minnich - Notary Fees Register of Wills - Filing Fees Register of Wills, Agent- Bal PA Inheritance Tax William 1. Sunday - Partial Attorney's Fees F.M. Berkheimer- Service Contract PPL Electric Utilities (6/2-7/1/03) Borough of Mechanicsburg - Sewer & Refuse (3~d Qtr) Barry L. Herkard, Tax Collector - 2003-04 School Tax United Water PA (6/9-7/9/03) Ruth N. Wrightstone - Payment of Loan of 8/23/02 United Water PA - (7/9/03-8/8/03) PPL Electric Utilities (7/1-7/30/03) 14.20 (7/30-8/28/03) 13.67 United Water PA (8/8/03-9/8/03) Borough of Mechanicsburg - Sewer & Refuse PPL Electric Utilities 32.07 128.01 11.00 249.52 6.71 100.00 3.00 56.00 39.07 35.00 20.00 34.00 2948.86 6450.00 125.30 25.24 117.22 1548.75 6.75 19909.73 6.75 27.87 11.07 117.22 20.82 carried forward 87467. 45 PESONALTY PRINCIPAL ACCOUNT CREDITS Mary Wrightstone Estate (con't) 2003 (con't) Oct 30 Nov 4 Nov 4 Nov 19 Nov 24 Dec 2 Dec 4 brought forward United Water PA - (9/8 - 10/7/03) PPL Electric Utilities - (9/30-10/20/03) Nationwide Mutual Fire Insurance United Water PA - (10/7 - 11/6/03) William L. Sunday - Partial Attorney Fee PPL Electric Utilities Final Bill United Water PA - Final Bill SUB-TOTAL 12/31/03 87467.45 6.75 86.96 267.85 6.75 3225.00 115.61 8.60 91184.97 2004 May 18 May 18 May 18 William L. Sunday -Balance of Attorney Fee Register of Wills - (1) Short Certificate Register of Wills -= Filing Family Settlement Agreement 3225.00 3.00 17.00 TOTAL PERSONALTY PRINCIPAL ACCOUNT CREDITS 94429.97 PESONALTY INCOME ACCOUNT RECEIPTS Mary Wrightstone Estate Accountant Charges herself with the following: 2002 Sept 18 Sept 18 Sept 23 Sept 30 Sept 30 Sept 30 Oct 4 Oct 24 Oct 31 Oct 31 Nov 21 Nov 30 Nov 30 Dec 19 Dec 23 Dec 31 Dec 31 Prudential Insurance Company - Interest (Policy # 63-602-578) Prudential Insurance Company - Interest (Policy # 22-228-767) PNC Bank Interest ( Estate Account) Federal Employees' Group Life - Interest Met Life - Interest Members 1 st FCU -- Dividend GlenBrook Life and Annuity - Interest PNC Bank - Interest Met Life - Interest Members 1st Dividend PNC Bank- Interest Met Life - Interest Members 1st - Dividend Prudential Financial - Dividend PNC Bank - Interest Met Life - Interest Members 1st - Dividend SUB-TOTAL 12/31/02 240.01 69.55 .05 47.63 .78 .19 122.44 28.85 24.41 .12 23.40 23.66 .12 54.00 23.97 24.42 .12 683.72 2OO3 Jan 24 Jan 31 Jan 31 Feb 21 Feb 28 Feb 28 March 24 March 31 March 31 PNC Bank- Interest Met Life - Interest Members 1st - Dividend PNC Bank- Interest Met Life - Interest Members 1st - Dividend PNC Bank- Interest Met Life - Interest Members 1st- Dividend 24.10 24.19 .50 21.26 21.87 .09 23.54 24.33 .10 carried forward 823. 70 PESONALTY INCOME ACCOUNT RECEIPTS Mary Wrightstone Estate (con'0 2003 (con't) April 23 April 30 April 30 May 22 May 31 May 31 J~e23 J~e30 J~e30 July 24 July 31 July 31 Aug 22 Aug 31 Aug 31 Sept 4 Sept 4 Sept 23 Sept 30 Sept 30 Oct 24 Oct 31 Oct 31 Nov 14 Nov 20 Nov 30 Dec 18 Dec 22 Dec 31 PNC Bank - Interest Met Life - Interest Members 1st - Dividend PNC Bank - Interest Met Life - Interest Members 1st - Dividend PNC Bank- Interest Met Life - Interest Members 1st - Dividend PNC Bank- Interest Met Life - Interest Members 1st - Dividend PNC Bank- Interest Met Life - Interest Members 1st- Dividend U.S. Treasury Interest U.S. Treasury Interest PNC Bank - Interest Met Life - Interest Members 1st- Dividend PNC Bank- Interest Met Life - Interest Members 1 st _ Dividend PNC Bank - Interest Met Life - Interest Members 1st - Dividend PNC Bank - Interest Met Life - Interest Members 1st - Dividend brought forward ((1) $50.00 Bond) ((48) $200.00 Bonds) SUB-TOTAL 12/31/03 823.70 22.67 23.70 .15 19.44 24.49 .38 17.63 23.70 .37 14.78 24.49 .32 8.29 24.60 .32 1.44 234.64 6.88 24.00 .25 6.92 24.80 .26 10.40 7.24 .25 67.50 23.00 .26 1436.87 carried forward 1436.87 PESONALTY INCOME ACCOUNT RECEIPTS Mary Wrightstone Estate (Con't) 2004 Jan 23 Jan 31 Feb 20 Feb 29 Mar 24 Mar 3 ! Apr 22 PNC Bank- Interest Members 1 st _ Dividend PNC Bank- Interest Members 1 st _ Dividend PNC Bank - Interest Members 1st - Dividend PNC Bank- Interest brought forward 1436. 8 7 24.83 .26 21.77 .24 25.70 .26 22.61 TOTAL PERSONALTY INCOME ACCOUNT RECEIPTS 1532.54 ~'~ PESONALTY INCOME ACCOUNT EXPENDITURES Mary Wrightstone Estate Accountant asks credit for the following: 2003 Aprl Aprl PA Dept of Revenue - 2002 Estate Income Tax U.S. Treasury - 2002 Estate Income Tax SUB-TOTAL 12/31/03 91.45 67.41 158.86 2004 Apr 8 PA Dept of Revenue - 2003 Fiduciary Income Tax 27.00 TOTAL PERSONALTY INCOME ACCOUNT EXPENDITURES 185.86 REAL F.,STATF., ?RINC~AL ACCOUNT DEBITS Mary Wrightstonc Estate Accountant charges herself with the real estate described in the Inventory filed in the Register of Wills Office aforesaid in the amount of: 139000.00 Account also charges herself with the following: 2002 Dec 19 Nationwide - Refund of excess Premium 104.00 TOTAL REAL ESTATE PRINCIPAL ACCOUNT DEBITS 139104.00 2002 Nov 15 Dec 17 2003 Jan 13 Oct 20 Nov 24 Nov 24 REAL ESTATE PRINCIPAL ACCOUNT CREDITS Mary Wrightstone Estate Accountant asks credit for the following: Nationwide - Fire Insurance Premuim Ruth N. Wrightstone - Reimburse Costs Advanced: Verified Thermostat trouble in Electric heating Sub-Total 12/31/02 F.M. Berheimer - Replace Defective Thermostats J.S. Norford - Faucet Repairs for public sale Chuck Bricker, Auctioneer Commission $1320.00 Advertising 296.25 Recorder of Deeds - Realty Transfer Tax Sub-Total 810.00 59.00 869.00 472.00 195.08 1616.25 1320.00 4472.33 Account also asks credit for the following: 2003 Nov 24 Loss on public sale of Real Estate Appraised / Inventory Value Sale Price 139000.00 132000.00 7000.00 7000.00 TOTAL REAL ESTATE PRINCIPAL ACCOUNT CREDITS 11472.33 REAL ESTATE INCOME ACCOUNT RECEIPTS Mary Wrightstone Estate 2003 Accountant charges herself with the following: Jan 28 Tonya L. Thompson - Feb Rent 400.00 March 7 Tonya L. Thompson - March Rent 400.00 April 5 Tonya L. Thompson - Apr Rent 400.00 May 30 Tonya L. Thompson - May Rent 400.00 Nov 24 Jayne W. Stewart - Prorated Boro County and Liberty Realty Taxes TOTAL REAL ESTATE INCOME ACCOUNT RECEIPTS 46.89 1646.89 REAL ESTATE INCOME ACCOUNT RECEIPTS Mary Wrightstone Estate - - '¥n~ant charges herself with the following: Tonya L. Thompson - Feb Rent Tonya L. Thompson - March Rent Tonya L. Thompson - Apr Rent 'Fonya L. Thompson - May Rent Jayne W. Stewart - Prorated Boro County and Liberty Realty Taxes 400.00 400.00 400.00 400.00 46.89 TOTAL REAL ESTATE INCOME ACCOUNT RECEIPTS 1646.89 Mary Wrightstone Estate 2003 Jan 7 Mar 11 Mar 18 Mar 27 Apr 15 15 16 May 19 June 11 June 23 Accountant asks credit for the following: Borough ofMechanicsburg - Sewer 8~ Refuse (Feb & Mar) PPL Electric Utilities (1/31-3/03/03) United Water PA (2/6-8/6/03) Barry L. Herkard, Tax Collector - 2003 Boro, County & Library PPL Electric Utilities (1/31-3/03/03) Borough ofMechanicsburg - Sewer & Refuse (Feb & Mar) United Water PA (3/6 - 4/07/03) United Water PA (4/7 - 5/7/03) PPL Electric Utilities (5/2-6/2/03) United Water PA (5/7- 6/9/03) TOTAL REAL ESTATE INCOME ACCOUNT EXPENDITURES 64.15 282.55 15.30 462.58 175.27 78.15 11.00 15.39 59.00 15.39 1178.78 To: Ruth Wri h one-§o e Uenefie Bon Ton Gift Certificate (item 16) Sterling Silver and Coins Clothing (item 21) Total Advancements 115.00 500.00 3.00 618.00 RECAPITULATION PERSONALTY: Principal Account Debits Credits Balance $ $ Income Account Receipts Expenditures Balance $ 1532.54 185.86 $ 1346.68 REAL ESTATE Principal Account Debits Credits Balance $ 139104.00 11472.33 $ 127631.67 Income Account Receipts Expenditures Balance $ 1646.89 1178.78 $ 468.11 TOTAL DISTRIBUT~LE ESTATE LESS ADVANCEMENTS 160235.28 94429.97 65805.31 1346.68 127631.67 468.11 195251.77 618.00 Cash PNC Bank, N.A $ 189941.49 Member's 1st 304.10 The aforesaid balance consists of the following: 135 shs Prudential Financial, Inc $ 190245.59 $ 194633.77 $ 4388.18 BALANCE IN HANDS OF ACCOUNTANTS FOR DISTRIBUTION $ 194633.77 PROPOSED SCHEDULE OF DISTRIBUTION The balance for distribution in the hands of Ruth N. Wrightstone, Executrix under the Last Will and Testament of Mary E. Wrightstone deceased, as appears by the First and Final Account is: $ 194633.77 TO: DISTRIBUTION AND AWARD Ruth N. Wrightstone - Entire Estate 135 shs Prudential Financial, Inc. Common Stock, $ 4388.18 Cash PNC Bank, N.A. 189941.49 Members 1st FCU 304.10 $ 190245.59 TOTAL $194633.77 RELEASE WHEREAS, Mary E. Wrightstone, died on July 31, 2002, leaving her Last Will and Testament dated February 6, 2002, Where in and whereby she gave, devised and bequeathed all the rest, residue, and remainder of her Estate after the payment of her just debts and funeral expenses unto her sister, Ruth N. Wrightstone, providing she survived the decedent by sixty (60) days; and WHEREAS, she further provided that in the event her sister predeceased her or died on or before the sixtieth (60th) day following her death, she gave, devised and bequeathed the residue of her Estate to the Charity and indivduals named in Item 2 of her Will, and WHEREAS, her sister, Ruth N. Wrightstone survived the Testatrix by the sixty (60) days, the residue of the Estate is distributable to her surviving sister, Ruth N. Wrightstone. NOW KNOW ALL PERSONS BY THESE PRESENTS, that I, Ruth N. Wrightstone, sole legatee, devisee and distributee of the Estate of of said decedent, and the only person entitled to share in the distribution of said Estate, do hereby declare and say that I have examined the foregoing Account and Schedule of Distribution and find the same to be tree and correct and in strict accordance with the terms and provisions of said Will, and do hereby acknowledge that I, this day have had and received of and from Ruth N. Wrightstone, Personal Representative of the Estate of Mary E. Wrightstone the common stock and cash set opposite my name in the above stated Schedule of Distribution, in full satisfaction, payment and discharge of all such sum or sums of money, legacies and bequests, share or shares, purparts and dividends which were due, owing payable and belonging me, by any means whatsoever, for or on account of my full share, part or dividend of the Estate of the said decedent and all interest accrued thereon. NOW THEREFORE, I, Ruth N. Wrightstone, the sole legatee, devisee and distributee of the Estate of Mary E. Wrightstone, deceased, do by these presents remise, release, quit-claim and forever discharge the said Ruth N. Wrightstone, her heirs, executors and administrators, of and from said shares or dividends of said Estate aforesaid, and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or of any other act, matter, cause or thing whatsoever, from the beginning of the world to the day and date of these said presents. AND, desiring to avoid the delaying and expense of the settlement of the said Estate by filing the foregoing Account of said administration in the Office of the Clerk of the Orphans' Court of the Court of Common Pleas of Cumberland County, Pennsylvania, and by having the balance in the hands of the Executrix, as shown by said Account, distributed by an auditor appointed by the Orphans Court Division of the Court of Common Pleas of Cumberland County, I do hereby agree that the foregoing statement concerning the manner of settlement may be recorded with the same effect upon me as if the same had been reported by the said Court of Common Pleas, Orphans' Court Division. AND, in consideration of the aforesaid settlement being made without the aid of said Court of Common Pleas, Orphans' Court Division, that I, Ruth N. Wrightstone, do hereby agree that if any debts or demands other than those included within The First and Final Account of the said Ruth N. Wrightstone, Executrix of the Estate of Mary E. Wrightstone, deceased, as hereinbefore set forth, shall be hereafter recovered against the Estate of said decedent and be legally payable out of the same, that I, Ruth N. Writghtstone, shall return to said Executrix such ratable amounts thereof as may be necessary to pay such legally enforceable debts or demands. this IN WITNESS WHEREOF, I have hereunto set my hand and seal /d day of ,~~ ,2004. l~uth N. W~rightsto~e STATE OF PENNSYLVANIA ' · SS. COUNTY OF CUMBERLAND · Before me, the subscriber, a Notary Public in and for said State and County, personally appeared, Ruth N. Wrightstone, and in due form of law acknowledged the foregoing Release to be her act 'and deed and desired that the same might be recorded as such. WITNESS my hand /~ day of and notarial seal this ,2004. $ot eu! Notadal SeaJ Gall P. Minnich, Notary Pubr~ Mechan~Sburg Bom, Cumberland County My Commission Expires Dec. 9, 2006 Member, PennsCvania Ass-~atJon Of Notaries (SEAL) 2002 Aug 23 Sept 3 Sept 26 Oct 24 Nov 8 Dec 31 F~I~Y ~q~EMENT AGREEMENT 3~.-02-0722 ~ THE FIRST AND FINAL ACCOUNT OF RUTH N. WRIGHTSTONE, EXECUTRIX, UNDER THE LAST WILL AND TESTAMENT OF MARY E. WRIGHTSTONE, LATE OF THE BOROUGH OF MECHANICSBURG, COUNTY OF CUMBERLAND, AND STATE OF PENNSYLVANIA, DECEASED AND RELEASE OF THE DISTRIBUTEES UNDER THE WILL OF SA1D DECEDENT HERETO ATTACHED. Date of Death: July 31, 2002 Date Letters Advertised: Cumberland Law Journal - August 23 & 30 and September 6, 2002 The Sentinel - August 20 & 27 And September 3,200~" PERSONALTY PRINCIPAL ACCOUNT DEBITS Mary Wrightstone Estate Accountant charges herself with the Personal Property set forth in the Inventory filed in the Office of Register of Wills in and for Cumberland County in the amount of: 131745.53 Accountant also charges herself with the following: Ruth N. Wrightstone - Loan to pay Funeral Expenses Taxes & Debts Ruth N.Wrightsone - Mininum Required in Members 1 st Savings for IRA Members 1st FCU - VISA Credit Citizens Bank - Bank Check to Replace Check Returned For Lnsf Pansy L. Mason - Check returned charge Membm's 1st FCU - 2002 IRA Payment 19909.73 25.00 56.51 4000.00 10.00 1549.18 2003 Apr 10 Apr 17 Apr 25 Nov 24 Hearst Corporation - Good Housekeeping Refund American Readers Services Corp. - Refund Members 1st FCU - Visa Credit Jayne W. Stewart - Prorated Sewer & Refuse Prorated School Realty Taxes 47.14 926.71 6.66 104.94 218.03 973.85 carried forward 158599.43 PESONALTY PRINCIPAL ACCOUNT DEBITS Mary Wrightstone Estate (eon't) brought forward 158599.43 Nov 25 Nov 26 Chuck Bricker, Auctioneer - Gain on Public Sale of Plates 11/08/02 - 26 plates - gross receipts 132.00 less commission 32.00 Net Receipts 100.00 11/22/02 - 32 plates - gross 312.00 less commission 72.00 Net Receipts 240.00 Receipts 340.00 less appraised value 300.00 Gain on sale of 58 plates 40.00 Nationwide Mutual Life Ins. Co. - Premium Refund Cancellation of Fire Insurance 40.00 244.85 2004 Jan Jan 31 SUB-TOTAL 12/31/04 Gain on Sale ofthefollowing: 39 plates 375.00 less commission 134.00 Received 241.00 Household goods 226.00 less commission 67.00 Received 159.00 159.00 158884.28 Gain on sale 400.00 400.00 Gain on Sale of the following: 10 plates 71.00 less commission 23.66 Received 47.34 Household goods 440.50 less commission 146.84 Received 293.66 293.66 Gain on sale 341.00 341.00 carried forward 159625.28 PESONALTY PRINCIPAL ACCOUNT DEBITS Mary Wrightstone Estate (eon't) broughtforward 159625.28 Mar 21 Gain on Sale of the following: 22 plates 128.00 less commission 38.18 Received 89.82 Household goods 242.50 less commission 72.32 Received 170.18 170.18 Gain on sale 260.00 260.00 Apr 14 Gain on Sale of the following: 34 plates 189.00 less commission 61.33 Received 127.67 Household goods 151.50 less commission 49.17 Received 102.33 102.33 Gain on sale 230.00 230.00 Apr 21 Gain on Sale of the following: 13 plates 93.50 less commission 29.20 Received 64.30 Household goods 81.00 less commission 25.30 Received 55.70 55.70 Gain on sale 120.00 120.00 TOTAL PERSONALTY PRINCIPAL ACCOUNT DEBITS PESONALTY PRINCIPAL ACCOUNT CREDITS Mary Wrightstone Estate Accountant asl~credit for the following: 2002 Aug 24 William L. Sunday - Reimburse costs advanced Register of Wills - Probate fees (4) Short Certificates Cumberland Law Journal 246.00 12.00 258.00 75.00 Aug 24 Aug 24 Aug 24 Aug 27 Ruth N. Wrightstone - Reimburse Costs Advanced PP & L Electric Utilities (7/1-7/30/02) United Water Pennsylvania (7/9 - 8/08/02) AT & T - Phone ( 7/15 - 8/14/02) Ruth N. Wrightstone - Reimburse Costs Advanced VISA - Account Payable Gingrieh Memorials - Inscription 60.45 300.00 Aug 27 Aug 27 Sept 3 Sept 6 Sept 6 Sept 6 Sept 9 Sept 11 Sept 11 Sept 17 Sept 25 Sept 25 Oct 7 Oct 12 Oct 12 Verizon - (8/19-9/18/02) Malpezzi Funeral Home - Funeral Expense Malpezzi Funeral Home - Additional Funeral Expense The Magazine Club Sweepstakes - Payment due 7/25/02 PPL Electric Utilities - Account Payable (Budget Plan) MBNA America - VISA Card Balance Due First USA. Balance Credit Card Register of Wills - (4) Short Certificates The Sentinal- Executrix Notice United Water PA - (8/8-9/9/02) Central Penn Appraisals, Appraisal (Realty) Verizon- (9/9-10/19/02) PPL Electric Utilities 9 8/30 - 10/1/02) Chuck Brieker, Auctioneer - Public Sale Ruth N. Wrightstone - Reimburse Costs Advanced Battery For Auto Detail Car For Public Sale 42.34 40.00 Oct 16 Oct 18 Oct 21 United Water PA (9/9-10/8/02) Gingrich Memorials - Balance Due Borough of Mechaniesburg- 4th Quarter Sewer Refuse 54.40 30.00 Oct 18 PNC - Check for Auto Returned (Ins. F) Bank Charge 4000.00 10.00 Oct28 Oct28 Nov 3 Nov 16 Register of Wills, Agent- PA Inh Tax Payment Chuck Bricker, Auctioneer- Appraisal (personalty) PNC - Cheek Printing Charge PPL Electric Utilities -(10/1- 10/31/02) 333.00 128.00 6.71 2.12 360.45 20.70 9085.00 351.80 34.50 218.16 166.82 .53 12.00 84.11 6.71 275.00 20.65 44.71 1420.00 82.34 11.00 290.00 84.40 4010.00 37795.88 25.00 27.60 96.46 Carried forward 54993. 65 PESONALTY PRINCIPAL ACCOUNT CREDITS Mary Wrightstone Estate (con't) 2002 .(con't) Nov 26 Nov 27 Dec 13 Dec 19 Dec 19 Dec 31 broughtforward United Water PA - (10/8-11/7/02) HRIC - Charge PPL Electric Utilities ( 10/31-12/3/02) Mark Dundore - Lawn Care United Water PA - (11/7 -12/9/02) IRS Withholding on IRA Payment- SUB - TOTAL 12/31/02 54993.65 6.71 6.41 164.80 100.00 11.00 154.92 55437.49 2003 Jan 7 Jan 7 Jan 20 Feb l2 Feb 24 Feb28 Apr 1 Apr 1 Apr 15 Apr 22 Apr 22 Apr 22 Apr 22 Apr 22 Jun 4 July 14 Julyl4 July 14 July 22 July 23 Sept 3 Sept 3 Sept 17 Oct 1 Oct 6 Borough of Mechanicsburg - Sewer &Refuse (Jan) PPL Electric Utilities -(12/3/02 - 1/2/03) United Water PA (12/09/02- 1/9/03) PPL Electric Utilities (1/2/03-1/31/03) United Water PA (1/9/03-2/6/03) Stjepan Fromml - Snow Removal William L. Sunday - Reimburse (1) Short Certificate PA Dept of Revenue - 2002 Individual Income Tax Borough of Mechanicsburg - Sewer & Refuse (June) Register of Wills - Additional Probate Fee Gail Minnich - Notary Fees Register of Wills - Filing Fees Register of Wills, Agent- Bal PA Inheritance Tax William 1. Sunday- Partial Attorney's Fees F.M. Berkheimer - Service Contract PPL Electric Utilities (6/2-7/1/03) Borough of Mechanicsburg- Sewer & Refuse (3~d Qtr) Barry L. Herkard, Tax Collector - 2003-04 School Tax United Water PA (6/9-7/9/03) Ruth N. Wrightstone - Payment of Loan of 8/23/02 United Water PA - (7/9/03-8/8/03) PPL Electric Utilities (7/1-7/30/03) 14.20 (7/30-8/28/03) 13.67 United Water PA (8/8/03-9/8/03) Borough of Mechanicsburg - Sewer & Refuse PPL Electric Utilities 32.07 128.01 11.00 249.52 6.71 100.00 3.00 56.00 39.07 35.00 20.00 34.00 2948.86 6450.00 125.30 25.24 117.22 1548.75 6.75 19909.73 6.75 27.87 11.07 117.22 20.82 carried forward 87467.45 3 PESONALTY PRINCIPAL ACCOUNT CREDITS Mary Wrightstone Estate (con't) 2003 (con't) Oct 30 Nov 4 Nov 4 Nov 19 Nov 24 Dec 2 Dec 4 brought forward United Water PA - (9/8 - 10/7/03) PPL Electric Utilities - (9/30-10/20/03) Nationwide Mutual Fire Insurance United Water PA - (10/7 - 11/6/03) William L. Sunday - Partial Attorney Fee PPL Electric Utilities Final Bill United Water PA - Final Bill SUB-TOTAL 12/31/03 87467.45 6.75 86.96 267.85 6.75 3225.00 115.61 8.60 91184.97 2004 May 18 May 18 May 18 William L. Sunday -Balance of Attorney Fee Register of Wills - (1) Short Certificate Register of Wills -= Filing Family Settlement Agreement 3225.00 3.00 17.00 TOTAL PERSONALTY PRINCIPAL ACCOUNT CREDITS PESONALTY INCOME ACCOUNT RECEIPTS Mary Wrightstone Estate Accountant Charges herself with the following: 2002 Septl8 Septl8 Sept23 Sept30 Sept30 Sept30 Oct 4 Oct 24 Oct 31 Oct 31 Nov 21 Nov 30 Nov 30 Dec 19 Dec 23 Dec 31 Dec 31 Prudential Insurance Company - Interest (Policy # 63-602-578) Prudential Insurance Company - Interest (Policy # 22-228-767) PNC Bank Interest ( Estate Account) Federal Employees' Group Life - Interest Met Life - Interest Members IsC FCU - Dividend GlenBrook Life and Annuity - Interest PNC Bank - Interest Met Life - Interest Members 1st Dividend PNC Bank- Interest Met Life - Interest Members 1st- Dividend Prudential Financial - Dividend PNC Bank- Interest Met Life - Interest Members 1st- Dividend SUB-TOTAL 12/31/02 240.01 69.55 .05 47.63 .78 .19 122.44 28.85 24.41 .12 23.40 23.66 .12 54.00 23.97 24.42 .12 683.72 2003 Jan 24 Jan 31 Jan 31 Feb 21 Feb 28 Feb 28 March 24 March 31 March 31 PNC Bank- Interest Met Life - Interest Members pt_ Dividend PNC Bank- Interest Met Life - Interest Members 1~t- Dividend PNC Bank- Interest Met Life - Interest Members 1st- Dividend 24.10 24.19 .50 21.26 21.87 .09 23.54 24.33 .10 carried forward 823. 70 PESONALTY INCOME ACCOUNT RECEIPTS Mary Wrightstone Estate (eon't) 2003 (eon't) April 23 April 30 April 30 May 22 May 31 May 31 June 23 June 30 June 30 July 24 July 31 July 31 Aug 22 Aug 31 Aug 31 Sept 4 Sept 4 Sept 23 Sept 30 Sept 30 Oct 24 Oct 31 Oct 31 Nov 14 Nov 20 Nov 30 Dec 18 Dee 22 Dec 31 PNC Bank- Interest Met Life - Interest Members 1sC - Dividend PNC Bank - Interest Met Life - Interest Members 1st - Dividend PNC Bank- Interest Met Life - Interest Members 1st - Dividend PNC Bank- Interest Met Life - Interest Members 1st - Dividend PNC Bank- Interest Met Life - Interest Members 1 st _ Dividend U.S. Treasury Interest U.S. Treasury Interest PNC Bank - Interest Met Life - Interest Members 1st- Dividend PNC Bank- Interest Met Life - Interest Members 1 st _ Dividend PNC Bank- Interest Met Life - Interest Members 1st _ Dividend PNC Bank - Interest Met Life - Interest Members 1st - Dividend ((1) $50.00 Bond) ((48) $200.00 Bonds) brought forward SUB-TOTAL 12/31/03 823.70 22.67 23.70 .15 19.44 24.49 .38 17.63 23.70 .37 14.78 24.49 .32 8.29 24.60 .32 1.44 234.64 6.88 24.00 .25 6.92 24.80 .26 10.40 7.24 .25 67.50 23.00 .26 1436.87 carried forward 1436. 87 PESONALTY INCOME ACCOUNT RECEIPTS Mary Wrightstone Estate (Con't) 2004 Jan 23 Jan 31 Feb 20 Feb 29 Mar 24 Mar 31 Apr 22 PNC Bank - Interest Members 1~t - Dividend PNC Bank- Interest Members 1~t- Dividend PNC Bank - Interest Members 1st - Dividend PNC Bank- Interest brought forward 143687 24.83 .26 21.77 .24 25.70 .26 22.61 TOTAL PERSONALTY INCOME ACCOUNT RECEIPTS 1532.54 PESONALTY INCOME ACCOUNT EXPENDITURES Mary Wrightstone Estate Accountant asks credit for the following: 2003 Aprl Aprl PA Dept of Revenue - 2002 Estate Income Tax U.S. Treasury - 2002 Estate Income Tax SUB-TOTAL 12/31/03 91.45 67.41 158.86 2004 Apr 8 PA Dept of Revenue - 2003 Fiduciary Income Tax TOTAL PERSONALTY INCOME ACCOUNT EXPENDITURES 27.00 185.86 REAL ESTATE PRINCIPAL ACCOLTNT DEBITS Mary Wrightstone Estate Accountant charges herself with the real estate described in the Inventory filed in the Register of Wills Office aforesaid in the amount of: 139000,00 Account also charges herself with the following: 2002 Dec 19 Nationwide - Refund of excess Premium TOTAL REAL ESTATE PRINCIPAL ACCOUNT DEBITS 104.00 139104.00 2OO2 Nov 15 Dec 17 2003 Jan 13 Oct 20 Nov 24 Nov 24 REAL ESTATE PRINCIPAL ACCOUNT CREDITS Mary Wrightstone Estate Accountant asks credit for the following: Nationwide - Fire Insurance Premuim Ruth N. Wrightstone - Reimburse Costs Advanced: Verified Thermostat trouble in Electric heating Sub-Total 12/31/02 F.M. Berheimer - Replace Defective Thermostats J.S. Norford - Faucet Repairs for public sale Chuck Bricker, Auctioneer Commission $1320.00 Advertising 296.25 Recorder of Deeds - Realty Transfer Tax Sub-Total 810.00 59.00 869.00 472.00 195.08 1616.25 1320.00 4472.33 Account also asks credit for the following: 2003 Nov 24 Loss on public sale of Real Estate Appraised / Inventory Value Sale Price 139000.00 132000.00 7000.00 TOTAL REAL ESTATE PRINCIPAL ACCOUNT CREDITS 7000.00 11472.33 REAL ESTATE INCOME ACCOUNT RECEIPTS Mary Wrightstone Estate 2003 Jan 28 March 7 April 5 May 30 Nov 24 Accountant charges herself with the following: Tonya L. Thompson - Feb Rent Tonya L. Thompson - March Rent Tonya L. Thompson - Apr Rent Tonya L. Thompson - May Rent Jayne W. Stewart - Prorated Boro County and Liberty Realty Taxes TOTAL REAL ESTATE INCOME ACCOUNT RECEIPTS 400.00 400.00 400.00 400.00 46.89 1646.89 REAL ESTATE INCOME ACCOUNT EXPENDITURES Mary Wrightstone Estate 2003 Jan 7 Mar 11 Mar 18 Mar 27 Apr 15 15 16 May 19 June 11 June 23 Accountant asks credit for the following: Borough of Mechanicsburg - Sewer & Refuse (Feb & Mar) PPL Electric Utilities (1/31-3/03/03) United Water PA (2/6-8/6/03) Barry L. Herkard, Tax Collector - 2003 Boro, County & Library PPL Electric Utilities (1/31-3/03/03) Borough of Mechanicsburg - Sewer & Refuse United Water PA (3/6 - 4/07/03) (Feb & Mar) United Water PA (4/7 - 5/7/03) PPL Electric Utilities (5/2-6/2/03) United Water PA (5/7- 6/9/03) 64.15 282.55 15.30 462.58 175.27 78.15 11.00 15.39 59.00 15.39 TOTAL REAL ESTATE INCOME ACCOUNT EXPENDITURES 1178.78 Mary Wrightstune Estate ADVANCEMENTS To: Ruth N. Wrightstone- Sole Beneficary Bon Ton Gift Certificate (item 16) Sterling Silver and Coins Clothing (item 21) Total Advancements $ 115.00 500.00 3.00 $ 618.00 RECAPITULATION PERSONALTY: Principal Account Debits Credits Balance Income Account Receipts Expenditures Balance $ 1532.54 185.86 $ 1346.68 REAL ESTATE Principal Account Debits Credits Balance $ 139104.00 11472.33 $ 127631.67 Income Account Receipts Expenditures Balance $ 1646.89 1178.78 $ 468.11 TOTAL DISTRIBUTABLE ESTATE LESS ADVANCEMENTS BALANCE IN HANDS OF ACCOUNTANTS FOR DISTRIBUTION The aforesaid balance consists of the following: 135 shs Prudential Financial, Inc Cash PNC Bank, N.A $ 189941.49 Member's 1st 304.10 $ 160235.28 94429.97 $ 65805.31 1346.68 127631.67 $ 190245.59 $ 194633.77 $ 4388.18 468.11 $ 195251.77 618.00 $ 194633.77 PROPOSED SCHEDULE OF DISTRIBUTION The balance for distribution in the hands of Ruth N. Wrightstone, Executrix under the Last Will and Testament of Mary E. Wrightstone deceased, as appears by the First and Final Account is: $ 194633.77 DISTRIBUTION AND AWARD TO: Ruth N. Wrightstone - Entire Estate 135 shs Prudential Financial, Inc. Common Stock, Cash PNC Bank, N.A. Members 1st FCU $ 4388.18 189941.49 304.10 $190245.59 TOTAL $ 194633,77 RELEASE WHEREAS, Mary E. Wrightstone, died on July 31, 2002, leaving her Last Will and Testament dated February 6, 2002, where in and whereby she gave, devised and bequeathed all the rest, residue, and remainder of her Estate after the payment of her just debts and funeral expenses unto her sister, Ruth N. Wrightstone, providing she survived the decedent by sixty (60) days; and WHEREAS, she further provided that in the event her sister predeceased her or died on or before the sixtieth (60th) day following her death, she gave, devised and bequeathed the residue of her Estate to the Charity and indivduals named in Item 2 of her Will, and WHEREAS, her sister, Ruth N. Wrightstone survived the Testatrix by the sixty (60) days, the residue of the Estate is distributable to her surviving sister, Ruth N. Wrightstone. NOW KNOW ALL PERSONS BY THESE PRESENTS, that I, Ruth N. Wrightstone, sole legatee, devisee and distributee of the Estate of of said decedent, and the only person entitled to share in the distribution of said Estate, do hereby declare and say that I have examined the foregoing Account and Schedule of Distribution and fred the same to be true and correct and in strict accordance with the terms and provisions of said Will, and do hereby acknowledge that I, this day have had and received of and from Ruth N. Wrightstone, Personal Representative of the Estate of Mary E. Wrightstone the common stock and cash set opposite my name in the above stated Schedule of Distribution, in full satisfaction, payment and discharge of ail such sum or sums of money, legacies and bequests, share or shares, purparts and dividends which were due, owing payable and belonging me, by any means whatsoever, for or on account of my full share, part or dividend of the Estate of the said decedent and all interest accrued thereon. NOW THEREFORE, I, Ruth N. Wrightstone, the sole legatee, devisee and distributee of the Estate of Mary E. Wrightstone, deceased, do by these presents remise, release, quit-claim and forever discharge the said Ruth N. Wrightstone, her heirs, executors and administrators, of and from said shares or dividends of said Estate aforesaid, and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or of any other act, matter, cause or thing whatsoever, from the beginning of the world to the day and date of these said presents. AND, desiring to avoid the delaying and expense of the settlement of the said Estate by filing the foregoing Account of said administration in the Office of the Clerk of the Orphans' Court of the Court of Common Pleas of Cumberland County, Pennsylvania, and by having the baiance in the hands of the Executrix, as shown by said Account, distributed by an auditor appointed by the Orphans Court Division of the Court of Common Pleas of Cumberland County, I do hereby agree that the foregoing statement concerning the manner of settlement may be recorded with the same effect upon me as if the same had been reported by the said Court of Common Pleas, Orphans' Court Division. AND, in consideration of the aforesaid settlement being made without the aid of said Court of Common Pleas, Orphans' Court Division, that I, Ruth N. Wrightstone, do hereby agree that if any debts or demands other than those included within The First and Final Account of the said Ruth N. Wrightstone, Executrix of the Estate of Mary E. Wrightstone, deceased, as hereinbefore set forth, shall be hereafter recovered against the Estate of said decedent and be legally payable out of the same, that I, Ruth N. Writghtstone, shail return to said Executrix such ratable amounts thereof as may be necessary to pay such legally enfomeable debts or demands. this IN WITNESS WHEREOF, I have hereunto set my hand and seal !.3 day of ,2004. ~-~'~ ~'2. dc)~Z (SEAL) l~uth N. W'rightstot~e STATE OF PENNSYLVANIA : : SS. COUNTY OF CUMBERLAND : Before me, the subscriber, a Notary Public in and for said State and County, personally appeared, Ruth N. Wrightstone, and in due form of law acknowledged the foregoing Release to be her act and deed and desired that the same might be recorded as such. WITNESS my hand day of / O' (SEAL) and notarial seal this -'3 ,2004. Nothry Public Notada~ Seal Gall P. Mir~ch, Not~y P~bl~ Mechar~csb~r~ Boro, Cumbe~nd Coun~ My Com~s~on Expires Dec. S, 2006 Member, Pennsy~var~a Ass~ia~on (~ No, aries