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Home My WebLink About04-0687 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estateof ALBERTA G. ESLINGER No. d/~6J/- ~!7 . Deceased Social Security No. 199-05-6207 LARRY ESLINGER Petitioner(s), who islare 18 years of age or older, apply(ies) for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner is the executor named in the Last Will of o the Decedent, dated March 12. 1997 and codicil(s) dated State relevant circumstances, e.g. renunciation, death of Executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not to victim of a killing and was never adjudicated incompetent B. Grant of Letters of Administration (d.b.n.c.l.a.: pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: PC? ::;(1) .., Name Relationshi COMPLETE IN ALL CASES: (Attach additional sheets if necessary). .::- -n -,", ...:s -,.., C;: N ,;.;, Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family orJ"ifl~ipal r~dence {it 6958 Wertzville Road. Silver Sprin2 Township. Enola. Cumberland County. PennsylvanIa N (List street, number and municipality) Decedent, then ~ years of age, died Julv 10. 2004 at 6958 Wertzville Road. Silver Sprin2 Township. Cumberland County. Enola. Pa (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property.....................................................................$ 152.500.00 (If not domiciled in PA) Personal property in Pennsylvania.....................................$ (If not domiciled in PA) Personal property in County....................................................$ Value of real estate in Pennsylvania......................................................................................................................$ 103.000.00 Total......................................................................................................... $ 255.500.00 Real Estate situated as follows: 6598 Wertzville Road. Silver Sorina Townshio. Enola. Cumberland County. PA 17025 Wherefore, Petitioner respectfully requests the probate of the last Will presented with this Petition and the grant of letters in the appropriate form to the undersigned: T ed or rinted name and residence Larry Eslinger 9 Penny Lane Enola, P A 17025 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law. Sworn to and affirmed and subscribed ~RYE~r Before me this ~ J..-n d day of on ~ :o~ ;i/i1!1'I' ",":_"W =~ :::s 7'" (1)(') ~ cr'" co () (l) <; ..._..0.....1- F (f) (') -.. ;-....:::;" c;: r[i ( ~) =iI M"i:C:t, 0. ~ t) ;""") , ' .,. -'t~' ,~/'01,- t,[/7 "'., ? (; ::g :::111:'i:~ No. c N (I) r'~ ~~. . . -- -, - ..... N Estate of ALBERTA G. ESLINGER , Deceased Social Security No: 199-05-6207 Date of Death: Julv 10. 2004 AND NOW, ,2004, in consideration of the Petition on the reverse side hereon, satisfact pr having been presented before me, IT IS DECREED that L ers Testamentary d.b.n.c.te.: pendente lite; durante absentia; durente mlnorltate are hereby granted to LARRY ESLINGER in the above estate and that the instrument(s) dated March 12, 1997 described in the Petition be admitted to probate and filed of record as the last Will of the Decedent. FEES }j~.7aM2M/~~ oV Letters........................... $ :2?D. Short Certificate(s)~ $ J 5, ,'1) Register of Wills . . Renunciation.............. $ Affidavit ( ).................. $ Extra Pages (I)....... $ 3U"D CodiciL.......................... $ JCP Fee....................... $ 10,00 Attorney: Edmund G. Mvers Inventory...................... $ I.D. No: 20558 Other.............................. $ Address: Johnson. Duffie. Stewart & Weidner. TOT AL......... $ ~99.Q7J 301 Market Street. P.O. Box 109. Lemovne. PA 17043- Telephone: 717-761-4540 4 ~;Lo~ " P-etL ~ - -I. This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanen~, filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 lJ~ I'C -.vjL. Local Registrar p 10545033 ~y 1 e I ~OOc+ No. Date on ~ ::o~ IifIIIiIt eO"",," -It'D 3 ;?- ~g c:r " ro' ,,;.-- """'ij: :1, f: ;g, C;~ l.li \.li Co, cJ.. / -0 Lj. hJl7 :l ,.;;,.~ :(~ a. ~ .'"". '-"""Mr 0 ""''i''. C' 9 :g " F:' N Q J . . - ..... N 1:,1;",. er COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH ,,',ll STATE FilE NUMBER r,.\MfOf DECioENT Il-lrSI Moddle. LOl5lI --~------_.- - ~._--_.__.__....- SE< SOCIAL SECUAIT)' NUMBER L:!~~"1'g,l~b6~---------1 ,.! i\M':' .tt,. Alberta G. Eslinger Fema OJl .l.L:~ ,h"': 2. 199- .. 'ul i~Il:l,r1n<.laYI UNDER 1 ),EAR ,SIR THPLACE ;c:i~~(;d- PLACE OF DEATH lCt">eck 01"1.,. t)fW!I ~'nsIHIC..Uf"'O.,ott'el"'oet -- --"'------"---'-- "on'''' ! D.,. ~lalo.l0f h;r""-),, Lour'IfYj HOSPITAL SlQ Mechanicsburg, ll...'~n' [] Olher ~-, ,Spec",!" L.J ,. COUNTY OF OERH RACE. Amenc&n lnOlan, Bl.Ck, WhIC. Me Cumberland lSpec,tyj White . En01a 'b. Ie_ ,.- DECEDENT'S USUAL OCCUPRK)N SURVIVING SPOUSE (G,ve klnO ol work 00'le ck.or~ moll ;1l....~e.l'vem.liOCeflna.-l1til . of ~"n.hfa; "'\%"II'l!l'fl'ciker Q;d .... - II. 17b.Coun Cumberland :'.:.::'" 17d.O ~~~Ol ,.,...... FATHER'S NAME (First. Mll1dIe. LaS!) George Stoner MOTHEA'S NAME (Filsl. Middle. Mald<<l SurNmeI Unknown II 11- INFORMANT'S NAME (T .,.pelPnml Larry INFORMANT'S MAIUNG ADOfIeSS (S1r..t. Cltylbwn, Sl.lre. lip COO8'7 200_ 2 _ 9 Penny Lane Enola, Pa. 1 025 METHOD OF OISPOSITi- PlACE OF OISPOSmON. Name of C__ery, Crematory LOCAllON. Cityfbwn, Sloite. lip coo. . _ Bun" C'.....hon 0 Of Other PNlce Donabon 0 OthN (Speclfy\ Jul 14, 2004 ST_ Paul's Lutheran Church Enola, Pa 17025 21a. 2lc. 2ld. SIGNAT NAME AND ADDRESS OF FAClUTY ~ Myers Funeral Home, Inc_ 37 East Ma.n Slreet Mechanicsburg, Pa < LICENSE NULtaeR -i I r< "1 PARTll: Clth.r IlgfllficaM condrlions cOfluobullf"19 10 dealh, but 001 r.sulllf19 in me I,lnOllnylllg calJM 'OIlY'" '" f'AH I I .St ....4._u....~_~{;.$.// --.--C~"'ce_~___5?L_ /'4",...-14 ",,,'.J --~ -..,--.--- DUE TO (OR AS A CONSEQUENCE Of): StlQu....II'.II'f' hS1 ConditIOn.. I :_H DUE TO lOR AS ACONSEOUENCE OF) ----..-- -------.--,.----.--- of oiIny leading 10 IffimIKhat. , . ra"!"lI Enhilt UHOERLYtNQ : '~AUSt:II)".".I""'," "'I'HY OUE rolOftAS ACQNSLUUlNCE ot-) -.-.--.- .-------'---t----..--- __,n M_'.__'" . lh..1 ,",Io..h...I'N...)I~ : "~ '""'J""ffi,jtf'jLAST --- -.--..--......--.-.. WE-fiE AUlOPSY FINOtNGS MANNER Of DEATH DATE OF INJURY TIME OF INJURY INJURY AT'~l oESCAttU:. Ha.V INJURY OCCURRED AVAILABLE PRIOR m (Monltl Day. Vear, COMPLETION OF CAUSE ....w.. 0 0 OF DeATH? H~_ _0 NoD Accident 0 Pending lnvesfigalio" [] (ilS L] NO)(t Ve.O NoJ>l. 0 o PLACE OF INJURY - AI home, farm, .r.... lactory. orfice ,,- S4JiCide Could nol be dillenmned LOCATlON (StrM. Cotv/TOlIIWO, Slalill buil6ing. elC (Spec,lv) 2... 21b. 2'_ '00. CERllFIER let-del< oniy onel 'CERTIF'fING PHYSICIAN (Ph'(SlCl;U1 ceflolylO9 cause 01 o~ath .....hen another ph~SK:.,arl OdS PIOfl(lUnced oealh ana cornlJl",IOO Ilern 2J) To the beel 0' my knowledge, deelh occurred due 10 the c.u-.(.~.nd manner.. .'elltd. . . PRONOUNCING AND CERTifYING PHYSICIAN If'tl'f'SlCl4lfl boItl ;lI"OllOUrlC,ng oeath C1ll<J cenolyong 10 cause 01 aeClth) To the tMsl of my knawtedge, d.al" occurred.' the lime, del., .net pl.c;.. end du. to the uu..(.) and mann.,.. a'at.d . . . . . . . . .. ....... ~ fr- . MEDICAL EXAMINER/CORONER On Ihe b..i. or ..aminatlon and/or In"..Ugalion,In my opinion, dulh occurred al theUme, date. and place, and duelo Ih. cau"la) and 0 ~YJ. mann.ra.ttated......,.............................,........,..... .... _,....., . .........................,....., '" l~lleljt'~1 ~ LAST WILL AND TESTAMENT ;)/ -0'-1- rof'7 OF ALBERTA G. ESLINGER BE IT KNOWN that I, Alb t GEl' , a resident of er at . s lnger . Enola ' County 0 , In the State of pennsyl vania> being of sound mind, do make cihwn8eEtfat8Wt\s to be my Last Will and Testament expressly revoking all my prior Wills and Codicils at any time made. I. PERSONAL REPRESENTATIVE: Enola, I appoint Larry Eslinger of One Penny Lane, pennsyl vania, as Personal Representative of this my Last Will and Testament and provide if this Personal Representative is unable or unwilling to serve then I appoint Virginia J .Brown Of 352 Sample Bridge Road of Enola, Pa. ,as alternate Personal Representative. My Personal Representative shall be authorized to carry out all provisions of this Will and pay my just debts, obligations and funeral expenses. I further provide my Personal Representative shall not be required to post surety bond in this or any other jurisdiction, and direct that no expert appraisal be made of my estate unless required by law. II. GUARDIAN: In the event I shall die as the sole parent of minor children, then Pm>oint . as Guardian of said minor 2bBildreri: If mr iamed Guardian is unable or unwilling to serve, then I appoint ~:;:, C-. ~. ~. as alternate Guardian. ~ . . F f\f & C.l. f::j ,. ., .."~ C' ~~" ill BEQUESTS- -' ;.:;; .. 0 <:," :~...;, .; (") :::g "': \ ) :'i N ~ I direct that after payment of all my just debts, my property be~J&ueat\iSd in the~~anner following: 1 . I bequeath my handmade sweaters to my grandchildren to be divided equally. 2. All the r~st.and residue of my property of every nature and descrl~tl~n~ I leave to my son Larry Eslinger and daughter Vlrglnla J. Brown to be divided equally between them.. If either one should predecease me, then their half lS to be divided equally among their children. r21~~A ~frtv Testator Signature U Page --L of ---1--. Execute and attest before a notary. Caution: Louisiana residents should consult an attorney before preparing a. will. KI07-1A --." IN WITNESS WHEREOF, I have hereunto set my hand this day of , 19 , to this my Last Will and Testament. ~ ~ l~fL~/'r-Ia- A ~. q..-lA / Testator Signature G IV. WITNESSED: The testator has signed this will at the end and on each other separate page, and has declared or signified in our presence that it is his/her last will and testament, and in the presence of the testa- tor and each other we have hereunto subscribed our names this i J tf:. day of n')n ,. c h , 19'1'1 . ~J-- j -lLw4 Jl Ill, \nel1,];1, New /( "ffh'n I Ih 1](112 Itness Signature Address ifr;o 2Y!, ~ 7YCO Sp~JtJb 12.D, /JEW &ronfJtl[),PA 1700~ !: itne Signature Address /40YdJY1 ,.!. JL~ J/~ iV~ k.( ~>LJ, PA I'7CB3J Witness Signature Address ACKNOWLEDGMENT State of P,q _ } County oj C LL/rJE . , ~"J!L ,'Sw~ "~~~"~~' Ira. , and .'1 S.' . the te ator and the witnesses, respectively, whose names are signed to the attached d foregoing instrument, were sworn and declared to the undersigned that the testator signed the instrument as hislher Last Will and Testament and that each of the witnesses, in the presence of the testator and each other, signe,g the ~ill as wit9C)ses. : Testator: O~~/!d &~ 4--<./'- ~ / On 3//~/97 be. fore me, . ' appeared !2Lb.vcta.- 4. E~sl/~v personally known to me (or proved to me- o~ th&-6asis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/their authorized capacity(ies), and that by hislher/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. \VITIffiSS my hand and official seal. Signature J!~k Sl.lJ~j C/ Affiant uJ/I/ Known Prod,u~ed ill TypeofID PR j)r/~/s LL&A~ N'~T ARIAL SEAL S al) EVELYN M. SWARTZ, Notary Public: ( e tower Frankf~ Twp., Cumberland Co., PA Page d- of c::2--. My CommIssion Expires Oct." 1999 . K107..1C CERTIFICATION OF NOTICE UNDER RULE 5.61al Name of Decedent: ALBERTA G. ESLINGER Date of Death: July 10, 2004 Will No.: 2004-00687 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on September 8, 2004 Name Address VIRGINIA J. BROWN 255 Mt. View Road Shippensburg, PA 17257 LARRY ESLINGER 9 Penny Lane Enola, PA 17025 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None. Date: September 8, 2004 s~jJ-~ Name: EDMUND G. MYERS Johnson, Duffie, Stewart & Weidner Address: 301 Market St P. O. Box 109 Lemoyne, PA 17043-0109 Telephone: (717) 761-4540 Capacity: Counsel for personal representative nc:- :0 :: (6 g =:s:;:" (l) 0 a ~ (1' Vl fT1 i.' -0 I \0 V w N --J vI"'- JERRY R DUFFIE OF COUNSEL RICHARD IV. STEWART HOI(ACF A. JOIINSON C ROY WEIDNER. IR F LEE SIIIPMA\ EIlMUND G. MYERS HIlLleE I. Gj{()SSl'vlA:-.J DAVID W. DELuCE LAW OFFICES <ldmit!ed in NY olllv JEFFERSO\ J. SIIIPMAN JOHNSON RALPII H. WRIGHT. JR MAKK C DUFFIE JOII\ R NINOSKY DUFFIE MICIIAEL J. CASSIDY MELISSA PEEL GREEVY ROBERT M. WALKER WHl'!'EH'S EST. NO. ] {,l WAllE D. MANLEY E".fVL\lL dlw(~j~jd~"Y,\;I)Jn October 7,2004 Register of Wills Office Cumberland County Courthouse :jr: d ;;: (I' One Courthouse Square --, .... Carlisle, PA 17013 c,. = C":) -; I (Xl Re: Estate of Alberta G. Eslinger u" SSN: 199-05-6207 -'" ('-J ~, . Our File No. 13718-1 ::..,j ....", Your File No. 2004-00687 w Dear Register of Wills Office: Enclosed please find Estate Check No. 106 in the amount of $15,000.00. This payment represents the three-month prepayment in order to qualify for the discount. The decedent died on July 10, 2004. Please time stamp the enclosed copy of this correspondence, and return to me in the enclosed self- addressed stamped envelope. Thanks for your assistance in this matter. Should you have any questions, or require any additional information, please feel free to contact me. Very truly yours, ~ DUFFIE, STEWART & WEIDNER . J )J~~ Dana L. Wieseman Legal Assistant c: Larry Eslinger, Executor #236868 301 MARKET STREET PO. BOX 109 LEMOYNE, PENNSYLVANIA li043-0109 WWWjDSWCOM 717.761.4540 FAX: 717.761.3015 MAIL@jDSIV.COM JOHNSON, DUFFIE, STEWART & WEIDNER, PoCo V- COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(l 1-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 004480 MYERS EDMUND G 301 MARKET STREET POBOX 109 LEMOYNE, PA 17043 ACN ASSESSMENT AMOUNT CONTROL NUMBER u_u___ fold un_.__n u___n_ 101 I $15,000.00 ESTATE INFORMATION: SSN: 199-05-6207 I FILE NUMBER: 2104-0687 I DEyEDENT NAME: ESLINGER ALBERTA G I DATE OF PAYMENT: 10/08/2004 I POSTMARK DATE: 10/07/2004 I COUNTY: CUMBERLAND I DATE OF DEATH: 07/10/2004 I I TOTAL AMOUNT PAID: $15,000.00 REMARKS: . . ---. CHECK#106 INITIALS: JA -- SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH ~.._, REGISTER OF WILLS REGISTER OF WILLS i!!:-,\ i; ])1,11 OF COUNSEL ',',\ '-.I!\ " \\'! i I ~ ; i ; , " "II, I II 1:1 I \i ! Iii i; JOHNSON , " \1 ;,I\! DUFFIE WI\n-j'~H'~' E\T. ;\:() 111 C>i\1,\II,dl,\:rl:j.h,w,""!n Apri18,2005 \.\ I ~, Register of Wills Office Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 RE: Estate of Alberta G. Eslinger Date of Death: July 10, 2004 Your File No.. 2004-00687 Our File No. 13718-1 Dear Register: Enclosed for filing please find the Inheritance Tax Return and Inventory for the Estate of Alberta G. Eslinger who died on July 10, 2004, as follows: 1. 2 Original PA Inheritance Tax Retums. There is tax due in the amount of $1 ,693.96. Check No.. 129 has been attached to this correspondence. 2, 2 copies of Pages 1 &2 of the Pa Inheritance tax retum, which we ask that you time-stamp and return to us in the enclosed envelope. 3. Inventory 4. Inventory (2 copies) which we ask that you time stamp and return to us in the enclosed envelope. 5. Check No. 130 in the amount of $30.00 representing payment of the filing fee for the Inheritance Tax Retum and Inventory has been attached to this correspondence. Should you have any questions, please do not hesitate to contact our office. Thank you for you assistance in this matter. Very truly yours, JOHNSON, DUFFIE, STEWART & WEIDNER '. ,j~~' UJlli\O-,~ Dana L. Wiese man Estate Administration Paralegal c: Larry Eslinger, Executor :246769 ')1)1 \1\1\1\11' \Ti{IXI il(), 1;(1\ [Ij\i ii'\il!\ I ;'1 \\\\\\.lIl"\.l!l\1 71. -11ii--,lil . , , i ',.\ : -- -.-------.---------- JOHNSON, DUFFIE, STEWART & WEIDNER, P.C. Register of Wills of CUMBERLAND County, Pennsylvania INVENTORY Estate of Alberta G. ESLlNGER No. 2004-00687 also known as Date of Death 07/10/2004 , Deceased Social Security No. 199-05-6207 Larry R. ESLlNGER, Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I !We verify that the statements made in this Inventory are true and correct. l!We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Edmund G. Myers Signature: Attorney: 1.0. No.' 20558 Signature: Address: P. o. Box 109 Address: 9 Penny Lane Lemoyne, PA 17043-0109 Eno1a, PA 17025 Telephone: 717/761-4540 Telephone' 717 /697 -1583 Daled, ~y l-lJO 5' Description Value (See continuation page(s) attached) , "-,,-.J (Attach additional sheets jf necessary) Total: 399,552.54 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. \J'- Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form 'RW-7 (1992) INVENTORY Estate of: Alberta G. ESLINGER Date of Death: 07/10/2004 County: Cumberland CASH: ----- Cash found at the Decedent's 100.00 Residence Fulton Bank Certificate of 5,001.15 Deposit Account No. 253-0015986. .80% Interest Rate. Maturity Date: 12/16/2004 Fulton Bank Certificate of 10,002.68 Deposit Account No. 025-0175736. .80% Interest Rate. Maturity Date: 08/21/2004 M&T Bank Certificate of 11,010.50 Deposit Account No. 031003914565684 M&T Bank Checking Account No. 37,920.58 31184030 Members First Federal Credit 10,004.04 Union Certificate of Deposit Acount No. 174113-40 1 Year Certificate Members First Federal Credit 14,013.44 Union 30 Month Certificate of Deposit Account No. 174113-46 Members First Federal Credit 2,173.12 Union Suffix Savings Account 174113-00 -1- Pennsylvania Department of 204.15 Revenue - Refund on 2003 Individual Income Tax Return Reimbursement for School Taxes 389.25 paid at time of Settlement. Waypoint Bank Certificate of 20,004.57 Deposit Account No. 1853265249 Waypoint Bank Certificate of 20,001.14 Deposit Account No. 1855299516 Waypoint Bank Certificate of 15,002.24 Deposit Account No. 1855299518 Waypoint Bank Certificate of 10,000.57 Deposit Account No. 5000212761 Waypoint Bank Certificate of 15,002.30 Deposit Account No. 80000007308 Waypoint Bank Certificate of 10,001. 22 Deposit Account No. 8000016630 Waypoint Bank Certificate of 15,000.66 Deposit Account No. 8000016634 Waypoint Bank Certificate of 11,051. 32 Depsoit Account No. 900082414 - ~ ~ - - - - - - - - - - - 206,882.93 -2- - PERSONAL PROPERTY: - - - - - - - - - - ~ - - - - - - ~ 1974 Plymouth Coupe. 200.00 Purchased 10/07/1977 Personal Property appraised by 2,500.00 Chuck Bricker. -------------- 2,700.00 BONDS: ------ United States Savings Bonds 77,502.30 Series E Bonds US Savings bonds in the 6,467.31 possession of Larry Eslinger at the time of decedent's death. -------------- 83,969.61 REAL ESTATE/PA: --------------- Property located at 6958 106,000.00 Wertzville Road, Silver Spring Township, Enola. _w_________w__ 106,000.00 ---------------- TOTAL RECEIPTS OF PRINCIPAL............... 399,552.54 =----====-====== -3- OFFICIAL USE ONLY REV -1500 EX + (6-00) REV-1500 INHERITANCE TAX RETURN FILE NUMBER COMMONWEALTH OF PENNSYLVANIA 21-04-0687 DEPARTMENT OF REVENUE RESIDENT DECEDENT DEPT. Z80601 COUNTY CODE YEAR NUMBER HARRISBURG, PA 171Z8-0601 D DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER E ESLINGER Alberta G. 199-05-6207 C DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE E D 08 27 1913 REGISTER OF WILLS E IVING SPO LA I IAL o IALS UMBE N T X 1. Original Return 2. Supplemental Return 3 date of eath . Remainder Return prior to 1Z-13-8Z) CAP B 4. Limited Estate 4a. Future Interest Compromise (date of death after 1Z-1Z-8Z) 5. Federal Estate Tax Return RequIred ~~~~ X &. Decedent Died Testate 7. Oec:edent MaIntained a Living Trust 1 8. Total Number of Safe Deposit Bexes C R ~ ~ (Attach copy of Will) (Attach copy of Trust) K 0 E S 0 9. L1trgatlon Proceeds Received 0 10. Spousal Poverty Credit D 11. Election to tax under Sec. 9113(A) (date of death between 1Z-31-91 and 1-1-95) (Attach Sch 0) 1!!ItIII~Ii:!::r, "jt P NAME COMPLETE MAILING ADDRESS C 0 0 Edmund G. M ers P. O. Box 109 R N FIRM NAME (If Applicable) R D 301 Market Street E E Johnson. Duffie, Stewart & Weidner Lemoyne, PA 17043-0109 S N T TELEPHONE NUMBER 1. Real Estate (Schedule A) (1) 106,000.00 OFFICI~LtJSE ONLY 2. Stocks and Bonds (Schedule B) (2) 83,969.61 3. Closely Held Corporation, Partnership or (3) None Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) (4) None R 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 209.582.93 E (Schedule E) C A 6. Jointly Owned Property (Scheduie F) (6) 33.050.95 P D I Separate Billing Requested \}~"; T U 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) None L (Schedule G or l) A T 8. Total Gross Assots (total Lines 1-7) (8) 432,603.49 I 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 26,461.92 0 N 10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule I) (10) 17,620.82 11. Total Deductions (Iotal Lines 9 & 10) (11) 44.082.74 12. Not Value of Estate (Line 8 minus line 11) (12) 388,520.75 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Sub'ect to Tax (line 12 minus line 13) (14) 388,520.75 c SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 0 M P 15. Amount of line 14 taxable at the spousal tax T U A T rate, or transfers under Sec. 9116(a)(1.2) 0.00 X .0 0 (15) 0.00 X A 1 &. Amount of Line 14 taxable at lineal rate 388.520.75 .045 (16) 17,483.43 T X I 17. Amount of Line 14 taxable at sibling rate 0.00 X .12 (17) 0.00 0 N 18. Amount of Line 14 taxable at collateral rate 0.00 X .15 (18) 0.00 19. Tax Due (19) 17,483.43 20. Copyrlght (c)ZOOO form software only The Lackner Group,lnc. FormREV-1500 EX (Rev. 6-00) \}. Decedent's Complete Address: STREET ADDRESS 6958 Wertzville Road CITY I STATE I ZIP Enola PA 17025 Tax Payments and Credits: 1. Tax Due (Page Hine 19) (1) 17,483.43 2. Credits/Payments A. Spousal Poverty Credit O. 00 B. Prior Payments 15,000.00 C. Discount 789.47 TotaICredits(A+B+C) (2) 15,789.47 3. Interest/Penalty if applicable D. Interest E. Penalty TotallnterestlPenalty ( D + E) (3) 0 . 00 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 reque.t a refund (4) 0 . 00 5. If Line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5) 1,693.96 A. Enter the interest on the tax due. (SA) 0 . 00 B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) 1,693.96 Make Check Payable to: REGISTER OFVV.ILLS! AGENT ... ..... ..... .. ........ .... .... ....... ........,....,.,..,.,..,,,,.,,,.,,,,.,,,,.,,-,,,, -"'" ,.".,.,,,,.,,,,.,,,.-,,,..,,,.., ".,:::::::;:;!!i!:!i1j!!ii!;!:!!::;::::::~::::~,.!!!!liii!i!liii!lii!f!!i!!IIiililll!!!!!!!!!!!!!!, : :' ": ,I!!!! iliiii!!!!ilillll!!IW!!ill!!il!!il!!!i!!i!ii iii!i iWi! Ii ii!Wi!!iiliiilii!iliiiil!!!I!n!I!!::i:!:!:;: I::: !!J:: ::::::::;::::;::;;;;::;'i; Ii 1 i i i i 1 i' i iii';;ii';"'" PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; . . . . . . ~ ~ b. reta,in the right. to de~ignate who shall use the property transferred or its income; . X c. retaIn a reversionary Interest; or.. ..........". X d. receive the promise for life of either payments, benefits or care? X 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . , . D [!] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? . . . , . . . . . D [!] 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 perjury, I declare that I have examined this return, Including accompanying schedules and statements, and to the best of my knowledge and belief, It is true, correct and complete. Declaration of preparer other than the personal representative Is based on all Information of which preparer has any knowledge. SIG URE OF PERSON RESPONSIBLE FOR FILING RETURN Larry R. ESLINGER DATE _ _ _~ _ ~!,_,!~y_ _I:~~!'_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Enola, PA 17025 ANR PRE NTATIVE Johnson, Duffie, Stewart & Weidner DATE -- -~~~-;; -~~~-- ~~?- -i 7cf"3 -- - --- --- - - -- - -- --- --- -- - --- q( 7{ 01 "";j;!j!;!!j::!,!i';;"",,':::::::::,,',,,,!i""',:iiii,;iiiiiiWmmm:iWm~mi!!!iiii!iilllililii!,i:i:iiilliiiilllliiiilliliiii:illll"m:'i"i':iiiii;:mimmmmii:iiiiliiiiiiilllillliiiiii,::!i,i,i,,,,,,,,,,;;,,;,,;;,';j!;;;j!;;';;;;"""" For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S, 9116 (a) (1.1) (ill For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S, 9116 (a) (1.1) (ii)]. The statute does not 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. 9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P,S. 9116(aXll]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116{a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) REV-1502 EX +(1-97) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Alberta G. ESLINGER SSfF 199-05-6207 07/10/2004 21-04-0687 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 seller, neither being compelled to buy or sell, both having reasonable knowledne of the relevant facts. Real property which is lolntIY-owned with riGht of survivorshha must be disclosed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 Property located at 6958 Wertzville Road, Silver Spring Township. 106,000.00 Enola. Deed recorded in Cumberland County Recorder of Deeds Office on June 16, 1942 in Deed Book Vol. 12, Page 91. The property sold on January 11, 2005. - A copy of the Settlement Sheet is attached TOTAL (Also enter on line 1, Recao~ulation) $ 106,000.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems,lnc. Form REV-1502 EX (Rev. 1-97) REV-1503 EX +(1-97) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Alberta G. ESLINGER SSfI 199-05-6207 07/10/2004 21-04-0687 All property jointly-owned wRh right of .urvlvorshlp mu.t be di.clo.... on Schedule F. ITEM DESCRIPTION UNIT VALUE VALUE AT DATE NUMBER OF DEATH 1 United States Savings Bonds Series E Bonds - Valued 77,502.30 using Savings Bond Calculator. copy attached. 2 US Savings bonds in the possession of Larry Eslinger at 6,467.31 the time of decedent's death and cashed in before a calculation could be prepared. This is the total cash received. TOTAL (Also enter on line 2, Recapitulation) 83.969.61 (If more space is needed, insert additional sheets of the same size) CopyrIght (c) 1996 form software only CPSystems,lnc. Form REV-1503 EX (Rev. 1-97) REV-1508 EX.. (1-97) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Alberta G. ESLINGER SSfI 199-05-6207 07/10/2004 21-04-0687 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Cash found at the Decedent's Residence 100.00 2 Fulton Bank Certificate of Deposit Account No. 253-0015986. .80% 5,001.15 Interest Rate. Maturity Date: 12/16/2004 3 Fulton Bank Certificate of Deposit Account No. 025-0175736. .80% 10,002.68 Interest Rate. Maturity Date: 08/21/2004 4 M&T Bank Certificate of Deposit Account No. 031003914565684 11,010.50 5 M&T Bank Checking Account No. 31184030 37,920.58 6 Members First Federal Credit Union Certificate of Deposit Acount 10,004.04 No. 174113-40 1 Year Certificate 7 Members First Federal Credit Union 30 Month Certificate of 14,013.44 Deposit Account No. 174113-46 8 Members First Federal Credit Union Suffix Savings Account 2,173.12 174113-00 9 Pennsylvania Department of Revenue - Refund on 2003 Individual 204.15 Income Tax Return 10 Reimbursement for School Taxes paid at time of Settlement. - A 389.25 copy of the Settlement Sheet is attached 11 Waypoint Bank Certificate of Deposit Account No. 1853265249 20,004.57 12 Waypoint Bank Certificate of Deposit Account No. 1855299516 20,001.14 13 Waypoint Bank Certificate of Deposit Account No. 1855299518 15,002.24 14 Waypoint Bank Certificate of Deposit Account No. 5000212761 10,000.57 15 Waypoint Bank Certificate of Deposit Account No. 80000007308 15,002.30 16 Waypoint Bank Certificate of Deposit Account No. 8000016630 10,001. 22 17 Waypoint Bank Certificate of Deposit Account No. 8000016634 15,000.66 18 Waypoint Bank Certificate of Depsoit Account No. 900082414 11 ,051. 32 19 1974 Plymouth Coupe. Purchased 10/07/1977 200.00 Total of Continuation Schedule(s) 2,500.00 TOTAL (Also enter on line 5, Recapitulation) $ 209,582.93 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-15GB EX (Rev. 1-97) Estate of: Alberta G. ESLINGER Soc Sec 11: 199-05-6207 Date of Death: 07/10/2004 Continuation of Schedule E (Cash, Bank Deposits & Miscellaneous Personal Property) Item Description Value at Date 11 of Death 20 Personal Property valued and appraised by Chuck Bricker. 2,500.00 - - - - - - - - - - - - -- 2,500.00 REV~ 1509 EX + (1-91) SCHEDULE F COUMONWEAL TH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCET/JIX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Alberta G. ESLINGER SSfI 199-05-6207 07/10/2004 21-04-0687 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. Larry R Eslinger 9 Penny Lane Son Eno1a, PA 17025 B. C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %. OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial Institution and bank DATE OF DEATH DECO'S VALUE OF account number or sImilar Identifying number, NUMBER TENANT JOINT Attach deed for Jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1 A 08/14/02 Fulton Bank Certificate of 25,087.05 50,00% 12,543.53 Deposit Account No. 025-0170426. 4.88% Interest Rate. Maturity Date: 08/14/2011 2 A 08/10/00 Members First Federal 10,004.04 50.00% 5,002.02 Credit Union 1 Year Certificate Account No. 174113-43 3 A 09/01/00 Members First Federal 10,004.04 50.00% 5,002.02 Credit Union 1 Year Certificate Account No. 174113-44 4 A 07/01/99 Members First Federal 10,004.04 50.00% 5,002.02 Credit Union 1 Year Certificate Account No. 174113-45 5 A 03/16/99 Waypoint Bank Certificate 11 ,002.71 50.00% 5,501.36 of Deposit Account No. 3200006743 TOTAL (Also enter on line 6, Recapitulation) S 33,050.95 (If more space is needed insert additional sheets of the same size) Copyright (e) 1996 form software onlyCPSystems, Inc. Form REV-1509 EX (Rev. 1-97) REV-1511 EX + (1-97) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Alberta G. ESLINGER SSiF 199-05-6207 07/10/2004 21-04-0687 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES, 1 Funeral Luncheon for Family 244.65 2 Myers Funeral Horne - Funeral Expenses 8,484.00 B. ADMINISTRATIVE COSTS, 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State _ Zip Year(s) Commission Paid: 2. Attorney's Fees Johnson, Duffie, Stewart & Weidner 13,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip - Relationship of Claimant to Decedent 4. Probate Fees Register of Wills 298.00 5. Accountant's Fees 350.00 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Chuck Bricker, Auctioneer 75.00 2 Cumberland County Register of Wills Office - Filing Fees for 30.00 Inheritance Tax Return ($15.00) and Inventory ($15.00) 3 Cumberland County Register of Wills Office - Additional Probate 35.00 Fees 4 Debra Bashore-Weist, Tax Collector - Tax Certification 3.00 5 Excavation of old buildings on Lot owned by Decedent in order to 2,800.00 prepare property for sale. Total of Continuation Schedule(s) 1,142.27 TOTAL (Also enter on line 9, Recapitulation) $ 26,461.92 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97) Estate of: Alberta G. ESLINGER Soc Sec It: 199-05-6207 Date of Death: 07/10/104 Continuation of Schedule H-B5 (Accountant's Fees) Item Description Amount It Waggoner Frutiger and Daub - Preparation of Decedent's 2004 Final 350.00 Income Tax Returns - - - - - - - - - - - - -- 350.00 Estate of: Alberta G. ESLINGER Sac Sec II: 199-05-6207 Date of Death: 07/10/2004 Continuation of Schedule H-B7 (Other Administrative Costs) Item Description Amount II 6 Karen Eslinger - Clean up of decedent's residence prior to sale 275.00 7 Payment for the placement of dirt at the Residence 200.00 8 RESERVES - for close out costs 400.00 9 The Cumberland Law Journal - Notice of Estate Administration 75.00 10 The Patriot News - Notice of Estate Administration 127.75 11 Virginia Brown - Replacement of tools used at Residence 64.52 - - - - - - - - - - - - -- 1,142.27 REV-1512 EX + (1-97) SCHEDULE I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS RESIOENT DECEDENT ESTATE OF FILE NUMBER Alberta G. ESLINGER SSil 199-05-6207 07/10/2004 21-04-0687 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 2004 Taxes - Internal Revenue Service - Tax Due on Decedent's 12,881.00 2004 Federal Income Tax Return 2 2004 TAXES- Pennsylvania State Individual Income Tax - Tax due or 677 . 00 Decedent's 2004 Pennsylvania Income Tax Return 3 Bob Bricker - Repairs to Residence 175.00 4 Bricker's Auction - Fee for Auction of Decedent's Residence 1,380.00 5 Buzz's Refrigeration - Removal of Freon from Freezer 100.70 6 Culligan - Water Purification System 528.94 7 Debra Bashore-Weist - Real Estate Taxes 819.03 8 Donegal Insurance 248.00 9 Electrician Services 50.00 10 JD Kore Electric - Electrical work in Residence 173.00 11 M&T Bank benefits Deduction from Checking Account 12.22 12 MCI Telephone Charges 70.21 13 Penn Waste - Trash Removal 36.70 14 Pennsylvania Power and Light 189.10 15 Settlement Charges on the sale of the Residence. Settlement 3.00 sheet is attached. 16 West Shore Oil 276.92 TOTAL (Also enter on line 10, RecaDitulation) $ 17,620.82 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rey. 1-97) REV-1513 EX +(9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX. RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Alberta G. ESLINGER SS{f 199-05-6207 07/10/2004 21-04-0687 n~L . ,0 AMO:,!::, ~ OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trust..(.) OF ESTATE I. TAXABLE DISTRIBUTIONS [Include outright spousal dIstributIons, and transfers under Sec. 9116(aX 1.Z) J 1 Virginia J. Brown Daughter 1/2 of Res idue 225 Mt. View Road Shippensburg, PA 17257 2. Larry R. Eslinger Son 1/2 of Res idue 9 Penny Lane Enola, PA 17025 ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS, A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) CopyrIght {c}ZOOO form software only The Lackner Group, Inc. Form REV-1513 EX (Rev. 9-00) LISTING OF EXHIBITS FOR ESTATE OF ALBERTA G. ESLINGER EXHIBIT A Last Will and Testament of Alberta G. Eslinger dated March 12,1997 EXHIBIT B Settlement Sheet for the sale of decedent 's residence located at 6958 Wertzville Road, Enola, Pennsylvania. Property sold on January 11, 2005. EXHIBIT C United States Savings Bond Calculator showing value of Bonds ,248286 LAST WILL AND TESTAMENT OF ALBERTA G. ESLINGER BE IT KNOWN that I, Alb t GEl' , a resident of er at . s lnger . Enola ' County 0 ' In the State of pennsyl vania- being of sound mind, do make ~~8e1:fal-S'Wils to be my Last Will and Testament expressly revoking all my prior Wills and Codicils at any time made. 1. PERSONAL REPRESENTATIVE: Enola, I appoint Larry Es linger of One Penny Lane, Pennsylvania, as Personal Representative of this my Last Will and Testament and provide if this Personal Representative is unable or unwilling to serve then I appoint Virginia J .Brown Of 352 Sample Bridge Road of Enola, Pa, ,as alternate Personal Representative. My Personal Representative shall be authorized to carry out all provisions of this Will and pay my just debts, obligations and funeral expenses. I further provide my Personal Representative shall not be required to post surety bond in this or any other jurisdiction, and direct that no expert appraisal be made of my estate unless required by Jaw. II. GUARDIAN: In the event I shall die as the sole parent of minor children, then I appoint as Guardian of said minor children. If this named Guardian is unable or unwilling to serve, then I appoint as alternate Guardian. ill. BEQUESTS: I direct that after payment of all my just debts, my property be bequeathed in the manner following: 1. I bequeath my handmade sweaters to my grandchildren to be divided equally. 2. All the rest,and residue of my property of every nature and descrlpt1on, I leave to my son Larry Eslinger and daughter Virginia J. Brown to be divided equally between them.. If either one should predecease me, then their half 1S to be divided equally among their children. -", --1. (j}h,-uj~c, jJ Ed....Y(' / . " > ...",..."i.,~:y(.rl-_/ Testator Signature /'j v Page -L of .....1..-. Execute and attest before a notary. Caution: Louisiana residents should consult an attorney before preparing awil\. KI07.IA IN WITNESS WHEREOF, I have hereunto set my hand this day of , 19 , to this my Last Will and Testament. ') , 'r / (//1>-(0'-;1 a _ /-j c.~"",,- q-,.0 " Testato; Signature <J IV. WITNESSED: The testator has signed this will at the end and on each other separate page, and has declared or signified in our presence that it is his/her last will and testament" and in the presence of the testa- tor and each other we have hereunto subscribed our names this i J ft. day of l1'}n , c h , 19'1'1 . ~lV;I~' j -l~~i. 3\ W. h'Vl1'n S. N&J k,,~un: ftt Gi!12 " Itness Signature Address io. Cl~ /l1. ~VL' 7ymSPt2Ji'JG eD IVeu &comfJaD,i'A i70bJ" ( itne Signature Address Ao.y"PlY1 1 JL'Jl'(j ;!I~ iV~ 11"" i-b-IJ<'-"A..J P/l f'7&3/ Witness Signature Address ACKNOWLEDGMENT State of PI7 . } County o~ C i..un;8 , . !'!$,:h ''I S'w<L~ .' ~, 7" ~~ Ira . )j''.-' . and JtLn S u , the te' tor and the witnesses, respectively, whose na'mes are signed to the attached d foregoing instrument, were sworn and declared to the undersigned that the testator signed the instrument as hislher Last Will and Testament and that each of the witnesses, in the presence of the testator and each other, signed the will as witnejises" ' n Testator: ,}R'i^<.-:r;tfi/ j:f. t:.L-e."" t:fA./'- Witness: ' (/ Witness. / Witness: On 3/1:;'/97 before me, , appeared uU;..Oc( CL ..,.....!f. Esb..>n.ge.A' personally known to me (or proved to me on th&basis of satisfactory evidence) to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/their authorized capacity(ies), and that by hislher/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ,,,nzfNESS my hand and official seal. l' . -/,', . " L. (' I ,., SIgnature . j.-',L.Lt'li.l'7L.. / 1. . ) (~k[/L::[.,", ,I .<' ....; . I 11/ 1/ Affiant VIII Known_Produced ID TypeofID PR /)IILL(/', I--cL;:A~ EVElYN A~:~~~~~:" ;;,~',' " . (Seal) 1.ov!M~'" "" "..' .~_ '1,';' ,~tOiIY Pu~;;;' P /; f ,2-__ .. I'"rO'It.to:-c, lW;"., '-llmtH'<nccnJ ,",_ f'> age ---=:....-. 0 ~. jylY Commi.:;~,icrJ EJ,pir~"" (~.~, ~.. . ;:;;,.; " K107-1C A. Settlement Statement u.s. Departm.,nt of Housing .......... Bnd Urban Development 1Il""'".~ ,r OMS Approval No. 2502-0265 B.TypeofLoan 1.0 FHA 2. 0 FmHA 3.0 Cony. Unlns. 6.FDeNumber 17,lDllnHumber ;MoMQ8;1;;;;;;;-~-;-- 4. 0 VA 5. 0 Conv. Ins. C. Note: This form Is furnished to give you a statement 01 actual settlement costs, Amounts paid to and by the settlement agent are "..-- shown. Items marked "(p.c.c.)" were paid outside closing; they are shown here lor tnformallonat.purposes and {\(It \nr::luOedlnthewtals Q,Name and A<kl...", 01 Borrower E,NSIllfl.r.clAddf_ofSelI.. rNamo_AddfelSOlllllldfl' Ronald L. Clites Alberta G. Eslinger Estate Commerce Bank Harrisburg, NA Stephanie K. Clites 100 Senate Avenue Camp Hill PA 17011 ._---- .._--_.,--- G.~l.DCRUDn H.~nlAgerIl Gerald K. Morrison, Esquire PllI~of8all*-'1 ,-_. lI"S;W_~---- 6958 WertzviUe Road, Enola, PA 17025 Silver Spring Township, Cumberland County, New Bloomfield, PA Pennsylvania \ 1/11105 J. Summ.ryof Borrower'1 Tran..ctloo K. SUll'lmlryof Stlltr's Tran..ctloo ~._~___ __.....__ _____ 100. GI'OII Amount Due From Borrower ~. Gf1)M.I\mIluI'I\ Due 'to 'SellllT ~---_.._------- 101 ConlnlctlBlesDriNl 106,000.00401. eontractulusDrice -+_~~Q.~OO.Q.~ 102. PllI'IORilln""""rtv 402. Personal"""""rtv 103. SetIlemenlchaf!l8a to borrower lioel400 4,845.28403. I . ___~_ 104 404. ___~_ ~~ 105, 40S _L-__._____ Adl~tmeotllor ltelM ld ,.tll...lo lIdvaoce Ad Il8tme'"* lor ~ paid by ..Iltr In .dvarlca --r--- .'__ 106. CllvJ\oWnlaxes to 406. CllVnow.,taxes 10 --t----. ..__ 107 Counlvtaxlll8 to 407. c;oun taxes to .._._..~.. __.._ 108. Aaae.lIITlBnts 10 406. AUessments to I 109 School H\ \~ to Gnoros 389.25 409. School 1/11105 to 6130105 -389.25 110 10 410 to -T =-~~_~-=-~ l.11 10 411. 10 1_ ___._____ 112 to 412. 10 , 120. G...~DQFrom~ 111,234.53420. GroSlArPountDueToStUtr '106,389.25 200. AmountlPlldBYOrlnBtMIfOfB~r 500. Rtductlont In Amount Due To S.U.r 201. D8D<I8ItorumestlllDMV 5,000.00 6\)1. exc..dellOa\\ laeelnsll'Uc'ilOns) __.J.~__~ 202 Pl'in...m..lemounlor~loan'sl Commerce 84,800.00502. $ettlem8nlch8 10 seller nine 1400\ I 3.00 203. ~loerHs\lllk8nSl.lblectlo S03.lOxi$tlnaloBn/tltekens~---;:::::'1o -+--- 204. 5D4 P ofllrtl loan , 205. 505.P....;;~tecondmort 1000n _1.___ 206, 506. I 207. 507, -i._n~- '" .... 209. 509. .__...L._______._.. ~.nttl forlttl"'- unpaid byt.lIer Adlu.tmenttl forlttms ul!e!ld byt"le~_ _ _~__. __ ___u_ 210.C\IvIIOwn\axes \l:. t- 510.C~s to _____---1_.. '_n _ 211. Cour1lytexes 10 511-,-CounlVl8xes to _._._____._ 212 Aatesamen!$ 10 512., A$$nllmen\s to .~__-----'-__ ____ . _ _ 213. 10 513. 10 ------l-__._______ 214 10 514. 10 ---1_ ._____..__ _.. 215. 10 515 to __.___..__ ___ 216. 10 516. to ~.~ _ _,___ 217 to 517. 10 ' 216. 10' 516. 10 --t =--::'.-=. 219 10 519. to I 220, ToIIIPaldBy/ForBo~r 89,800.00520. Total Reductlon Amount Due Stller - -I --_.-~~~ 300. CaaI\ M httl....m f,omlTo aon_r lMlO. Cuh At Stttlement To/From Seller __._ 301 Gl'oIS Amount due from llon'17Ner (Nne 120l 111,234.53601. Grouamounldualo88(1er Iine420l _ ~_._.'-' 1_06,38~:?~ ~2. Lesumountpaldovl1orbon'OW8l"(line220l 89,800.00 602. L6tll~\ona\n'ilm\.~!,se\\er(l\na520) I( .3.00) 303. Ctttl 1XI Fronl 0 To9olTOWM 21,434.53 1103. Ctth (EJ To 0 FromS.ller i 106,386.25 The und&n.\gnedhere'oy tlCk1lowledlle therecetp\ ot II completed copy oIl*l1BS 1&2 oIlhis twtemanl & IIny IIt\8Chmllnts rehlrred 10 heretn I HAVE CAREFULlY REVIEWED THE HUD.1 SET11.EMENT STATEMENT AND TO THE BEST OF MY KNOWlEDGE AND BELIEF. IT IS A TRUE AND ACCURATE STATEMetn OF ALl REC~ AND DISBURSEMENTS MADE ON MY ACCOU. I'lT OR BY ME IN THIS TRANS CTION. I FURTHER CERTIFY THAT I HA.~VE RECEIVEDACOPYOFTt.~D-l S7Mn.EMENT, . BORROWER . Y nw. W _ tz.::. SELLER 'ORRoweR' ~J"'fc;;~'"U' Y. C~.Ih,,) SELLER . __-__ TO THE BEST OF KNOWL DGE. THE HUD.l SETlLEMEIff STATEMENT WHICH I HAVE PREPARED IS A TRUE: AND ACCURATE ACCOUNT OF THE FUNDS WHICH WERE RECEIVED AN BEE OR WILL BE DISBURSED BY THE UNDERSIGNED AS A PART OF THE SEmEMENT OF THIS TRANSACTION Y MAKE FAlSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM PENAL TIES UPON IMPRISONMENT. FOR DETAILS SEE: TITLE 18 U.S. CODE SECTION 1001 & SECTION 1010 HUD-1 (3-86) RESPA. HB 4305.2 L SlttllmlntChlllllS ~~ 700. Total Sal..lBrokl", Commission based on pries $ %- 0.00 Paid From PaklFrom Dlvislono!Commllslon (lina7oo) as follows: Borrower's Sallets r01.$ " Funds AI Funds At 702$ " Settlement Selllement 703 Commi6&Ion paid al Settlement I 70. 800.ltemsPayabltlnConnecllonWlthLoiln 801 LoeoOrilllnalionFee % , 802 Loan Discount % 400.00 t- ~Q3. Appraisal Fee 10 The Appmisal Firm, Inc. 804 Cl'editReport " 805 Lander'alns ,,, 806. MortgagelnsUI1iInce lion Fee 10 607. AssumDlionFee 606 Commitment/underwriting fee - Conunerce Bank 245.00 ~09. Processing fee - Commerce Bank 75.00 610 DocUment Preparation fee - Commerce Bank 150.00 811 Courier fee to Unishippers 25.00 800. Itams Rtoulred B lender To Be Paid In Advanes ~L!ntarestfrom 1111105 to 01/31/05 $ 12.7781 'do 268.34 9()~I(lsurancePramlumfo:.. moolhsto ~3 Hazard Insul1lnce Premium for I -""!!'" State Fann - poe '''' vearsto 005 Flood Certification fe-e - US Determination Svcs 6.00 1000. RuervuOeposlttdWlIhlendtr 1001:..Hazardlnsurance 3 monlhs(/ll$ 33.75 per month lO1.2SL 1002 Mortgallelnsurence months $ r month !OO3.~ laKes """'" . """"" 1004 CountypropertvtaKes 13 monlhs@$ 20.53 par month 266.89 1005 Annual aasanmenls month, $ -- 1008 School 8 monlhs@$ 69.65 per month 557.20 1007. ~l . ~. 1008. A ate Ad'usnnent -338.90 1100 TllteChalll'" 1101. Selllemantorcloslngfaa " I 1102. Abslnlclorll1lesaaroh " , 1103 TlIlaeltamlnalion 10 Gerald K. Morrison, Esquire 250.00 !!04.TIllelnsuranoeblnder '" !1Q5.Documanlpreparation ___u_..,.~_ to Gerald K. Morrison, Esquire 37.50 1----- !!06. Nolarv'"s " ------j------------ l12!,_Attomey's!..ll!!-___ '" -+ ~-~._~--~ (1llCludesabovellemsnumbElrs to Elizabeth Quigley, Esquire - I =1-------- .. 1106.TItlelnsuranc.e 519.001 --- _.JL.ndudes above it&ms flum~rs: r----- 1109. Lende(sCOWlI1lOEl . I u - - 1.!!~. Owf\er'scoveraQe , I !~!LC;:losin~!7olection Letter - Elizabeth Quigley, Esquire - - -_._.~~-- .~ l~ l2, 1113 i 1200 Govemmen1 Reeordlnll and Tran,fer Charon .~- ..-,.------ !~L.B:~jnll'tlIs.Daed $ 38.50 ; Morl!lllQl . 62.50 ;Relaases . 101.00 ~. !..2!l_~~~unlylal(/sll!mps: Deed $ 1~060.00 ;Morigege . 1,060.00 1203. Slale tal(/slamps: Deed $ 1,060.00 :~ . 1,060.00 12q4. Rec~rding Assignment 27.00 ~~ 1205 1300. AddltlDnalSetttemlntC?hargn 11.01, SUrvBL- " ~~!~~ '" .__.~-- 1303. Debra Basehore Wiest - tax certification ~- ~-- -~ "0' 3.00 INGlY MAKE FALSE STATEMENTS TOTHE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INClUDE A Fl E AND IMPRISONMENT FOR DETAllS SEE: TITLE 18 U,S. CODe SECTION 1001 & SECTION 1010 Publle Reporting Burden for this collection of Information is estimated to average 0.25 hours per response, Including the time lor reviewing instructions. searching existing data sources. gathering and maintaining the data needed, and completing and reviewing the coilection of information. Send comments regarding this burden estimate or any other aspect of this collection of information. including suggestions for reducing this burden, to the Reports Management Officer, Office of Information Policies and Systems. U.S. Department of Housing and Urban Development, Washington. D.C. 20410-3600; and to the Office 01 Management and Budget, Paperwork Reduction Project (2502-0265), Washington. 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"t:I 0 cffl 00 (1) N N ~ 0 ..... .,., N Savjngs B~nd Calculator Page I of2 V<lllll' ^s Of 08/2004 [Updatil,1 [,iii""ljiiiiiHi !lond Info Series Denomination Serial Number Issue Date E Bonds $!25 [Add'l Reslllls # Bonds Total Price Total Interest Total Valne YTD Interest 14 $262.50 $1.652.93 ,St,tl~'" $0.00 Issue Interest Next Final Serial Number Issue Date Series Denom Price Interest Value Rate Accrual Maturity Note q2375677392e 12/1968 E $25 $18.75 $118.53 $137.28 12/1998 MN [!!!~ q2375678053e 12/1968 E 25 18.75 118.53 137.28 12/1998 MN [Deil q2375678641e 0111969 E 25 18.75 118.52 137.27 0111999 MN [ti:~j q2387802105E 0111969 E 25 18.75 118.52 137.27 0111999 MN [pj!jil q2387802774e 0111969 E 25 18.75 118.52 137.27 0111999 MN [pil,1 q239467885ge 02/1969 E 25 18.75 118.52 137.27 02/1999 MN [Pil!] q2394679571e 02/1969 E 25 18.75 118.52 137.27 02/1999 MN [p!)1 q239468216ge 03/1969 E 25 18.75 118.52 137.27 03/1999 MN [[![j q2407752032e 03/1969 E 25 18.75 118.52 137.27 03/1999 MN 10ell q240775255ge 04/1969 E 25 18.75 118.52 137.27 04/1999 MN [P]j] q2407753441e 04/1969 E 25 18.75 118.52 137.27 04/1999 MN 10ell q2415147541e 06/1969 E 25 18.75 114.67 133.42 06/1999 MN loell q241514831ge 05/1969 E 25 18.75 119.85 138.60 05/1999 MN IDet] q2415148994e 06/1969 E 25 18.75 114.67 133.42 06/1999 MN loell IVie... 10 II Viewing Bonds 1-14 Lefend Note Description NI Not Issued NE Not Eligible for Payment P5 Includes 3-month interest penalty ME Matured (Exchangeable for HH) MN Matured (Not Exchangeable for HH) Please rate this service. 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CD \0 \0 \0 \0 \0 \0 \0 \0 \0 _::s. \0\0\0\0\0\0\0\0\0 " OW 0'1 0'1 0'1 0'1 0'1 0'1 0'1 0'1 0'1 u~ 222222222 1I11]~II~II~I]11 "C II> o fJO 00 (1) N N W 0 -- ~ ~ N Savings Bond Calculator Page I of2 Vdlue As Of Savinc 07/2004 [tfl!s~ liIW!llll~lilmilllJ CALCU Bond Info Series Denomination Serial Number Issue Date E Bonds $ 25 Resu Its # Bonds Total Price Total Interest Total Value YTDlnl 22 $412.50 $4,032.55 M;4~ SO.O Issue Interest Next Final Serial Number Issue Date Series Denom Price Interest Value Rate Accrual Maturity Q1985056546E 03/1963 E $25 $18.75 $199.57 $218.32 03/2003 Q1988807703E 03/1963 E 25 18.75 199.57 218.32 03/2003 Q1988808479E 04/1963 E 25 18.75 199.54 218.29 04/2003 QI993927725E 04/1963 E 25 18.75 199.54 218.29 04/2003 Q1993928287E 05/1963 E 25 18.75 199.54 218.29 OS/2003 Q1996017730E 05/1963 E 25 18.75 199.54 218.29 OS/2003 Q1996018358E 05/1963 E 25 18.75 199.54 218.29 OS/2003 QI999262928E 06/1963 E 25 18.75 201.20 219.95 06/2003 Q1999263691E 06/1963 E 25 18.75 201.20 219.95 06/2003 Q2007437674E 0711963 E 25 18.75 201.20 219.95 07/2003 Q1704744446E 08/1959 E 25 18.75 167.26 186.01 08/1999 Q1704745057E 09/1959 E 25 18.75 169.35 188.10 09/1999 Q1704745797E 09/1959 E 25 18.75 169.35 188.10 09/1999 QI711672489E 10/1959 E 25 18.75 169.35 188.10 10/1999 Q1711673163E 10/1959 E 25 18.75 169.35 188.10 10/1999 Q1807725015E 11/1959 E 25 18.75 169.35 188.10 11/1999 Q1807725653E 11/1959 E 25 18.75 169.35 188.10 11/1999 Q1807726526E 12/1959 E 25 18.75 169.75 188.50 12/1999 QI809393281E 12/1959 E 25 18.75 169.75 188.50 12/1999 Q1809394253E 01/1960 E 25 18.75 169.75 188.50 01/2000 Q1815159057E 01/1960 E 25 18.75 169.75 188.50 01/2000 Q1815159679E 01/1960 E 25 18.75 169.75 188.50 01/2000 jVi."'liIIQII Viewing Bonds 1-22 Le end Note Description Nl Not Issued NE Not Eligible for Payment P5 Includes 3-month interest penalty ME Matured (Exchangeable for HH) MN Matured (Not Exchangeable for HH) http://wwws.publicdebt.treas.gov/BC/SBCPrice 08/23/04 Savings Bond Calculator Page 1 of2 V"fno lis Of Savinc 07/2004 lil1ilii1i1I.!1 II~i:lll6!il!l1 CALCU Bond Info Series Denomination Serial Number Issue Date E Bonds $25 Results # Bonds Total Price Total Interest Total Value YTDlnl 37 $693.75 $4,177.38 $t,"t'PMI $0.0 Issue Interest Next Final Serial Number Issue Date Series Denom Price Interest Value Rate Accrual Maturity Q2321014661E 03/1968 E $25 $18.75 $112.53 $131.28 03/1998 Q2321015678E 03/1968 E 25 18.75 112.53 131.28 03/1998 Q2325724606E 03/1968 E 25 18.75 112.53 131.28 03/1998 Q2325725772E 04/1968 E 25 18.75 112.53 131.28 04/1998 Q2331572802E 04/1968 E 25 18.75 112.53 131.28 04/1998 Q2332141042E 05/1968 E 25 18.75 113.82 132.57 05/1998 Q2332142400E 05/1968 E 25 18.75 113.82 132.57 05/1998 Q2339084694E 06/1968 E 25 18.75 115.41 134.16 06/1998 Q2339085642E 06/1968 E 25 18.75 115.41 134.16 06/1998 Q2346120284E 07/1968 E 25 18.75 115.39 134.14 07/1998 Q2346120940E 07/1968 E 25 18.75 115.39 134.14 07/1998 Q2346121426E 08/1968 E 25 18.75 115.39 134.14 08/1998 Q2346121908E 08/1968 E 25 18.75 115.39 134.14 08/1998 Q2351948416E 08/1968 E 25 18.75 115.39 134.14 08/1998 Q2359833814E 09/1968 E 25 18.75 115.39 134.14 09/1998 Q2351949689E 09/1968 E 25 18.75 115.39 134.14 09/1998 Q2359834917E 10/1968 E 25 18.75 115.39 134.14 10/1998 Q2374213535E 10/1968 E 25 18.75 115.39 134.14 10/1998 Q2374214109E 1111968 E 25 18.75 116.69 13 5.44 11/1998 Q2374214741E 1111968 E 25 18.75 116.69 13 5.44 11/1998 Q2310978459E 02/1968 E 25 18.75 112.53 131.28 02/1998 Q2310977333E 02/1968 E 25 18.75 112.53 131.28 02/1998 Q2305601179E 0111968 E 25 18.75 112.53 131.28 01/1998 Q2305600229E 0111968 E 25 18.75 112.53 131.28 01/1998 Q2304666038E 12/1967 E 25 18.75 112.53 131.28 12/1997 Q2300220466E 12/1967 E 25 18.75 112.53 131.28 12/1997 Q2300219167E 11/1967 E 25 18.75 11 0.95 129.70 11/1997 Q2288784017E 1111967 E 25 18.75 11 0.95 129.70 11/1997 Q2287773872E 10/1967 E 25 18.75 109.70 128.45 10/1997 Q2287772942E 10/1967 E 25 18.75 109.70 128.45 10/1997 Q2277409759E 09/1967 E 25 18.75 109.70 128.45 09/1997 http://wwws.pub1icdebt.treas.gov/BC/SBCPrice 08/23/04 Savings Bond Calculator Page 2 of2 Q2277408854E 09/1967 E 25 18.75 109.70 128.45 09/1997 Q2276738834E 09/1967 E 25 18.75 109.70 128.45 09/1997 Q2276737697E 08/1967 E 25 18.75 109.70 128.45 08/1997 Q2270762851E 08/1967 E 25 18.75 109.70 128.45 08/1997 Q2270761788E 07/1967 E 25 18.75 109.70 128.45 07/1997 Q2266529402E 07/1967 E 25 18.75 109.70 128.45 07/1997 IViiiw:roll Viewing Bonds 1-37 Le end Note Description NI Not Issued NE Not Eligible for Payment P5 Includes 3-month interest penalty ME Matured (Exchangeable for HH) MN Matured (Not Exchangeable for HH) Please rate this service. (Please print and/or save this page before submitting your survey) Service Excellent Good Fair Poor Savings Bond Calculator 0 /" 0 \"j [ Submit Survey II Reset I http://wwws.publicdebt.treas.gov/BC/SBCPrice 08/23/04 Savit;lgs Bond Calculator Page 1 of2 V"luc As Of Savinc 07/2004 IUplliite;! -- CALCU un:." i]i:i:: Bond Info Series Denomination Serial Number Issue Date E Bonds $ 25 [ Results # Bonds Total Price Total Interest Total Value YTD Inl 41 S768.75 S4,816.50 -,-- SO.O Issue Interest Next Final Serial Number Issue Date Series Denom Price Interest Value Rate Accrual Maturity Q2547512517E 02/1971 E $25 $18.75 $107.85 $126.60 02/2001 Q2547509556E 02/1971 E 25 18.75 107.85 126.60 02/2001 Q2547486556E 01/1971 E 25 18.75 107.55 126.30 01/2001 Q2547157472E 01/1971 E 25 18.75 107.55 126.30 01/2001 Q2534073634E 12/1970 E 25 18.75 121.26 140m 12/2000 Q2534072644E 12/1970 E 25 18.75 121.26 140m 12/2000 Q2533583350E 11/1970 E 25 18.75 120.94 139.69 11/2000 Q2533582496E 11/1970 E 25 18.75 120.94 139.69 11/2000 Q2527849309E 10/1970 E 25 18.75 120.94 139.69 10/2000 Q2527848322E 10/1970 E 25 18.75 120.94 139.69 10/2000 Q2521066230E 09/1970 E 25 18.75 120.94 139.69 09/2000 Q2521065628E 09/1970 E 25 18.75 120.94 139.69 09/2000 Q2514058800E 08/1970 E 25 18.75 120.94 139.69 08/2000 Q2514057863E 08/1970 E 25 18.75 120.94 139.69 08/2000 Q2514057131E 07/1970 E 25 18.75 120.61 139.36 07/2000 Q2508830211E 06/1970 E 25 18.75 119.25 138.00 06/2000 Q2500894562E 06/1970 E 25 18.75 119.25 138.00 06/2000 Q2500893024E 06/1970 E 25 18.75 119.25 138.00 06/2000 Q2487669253E 05/1970 E 25 18.75 118.61 137.36 OS/2000 Q2487668431E 05/1970 E 25 18.75 118.61 137.36 OS/2000 Q2487521382E 04/1970 E 25 18.75 118.61 137.36 04/2000 Q2487520556E 04/1970 E 25 18.75 118.61 137.36 04/2000 Q2487520388E 03/1970 E 25 18.75 118.61 137.36 03/2000 Q2481055985E 03/1970 E 25 18.75 118.61 137.36 03/2000 Q2481055018E 02/1970 E 25 18.75 118.59 137.34 02/2000 Q2473089285E 02/1970 E 25 18.75 118.59 137.34 02/2000 Q2467083496E 01/1970 E 25 18.75 118.25 137.00 01/2000 Q2473088428E 01/1970 E 25 18.75 118.25 137.00 01/2000 Q2453466606E 12/1969 E 25 18.75 116.97 135.72 12/1999 Q2453465966E 12/1969 E 25 18.75 116.97 135.72 12/1999 Q2453465106E 11/1969 E 25 18.75 116.27 135.02 11/1999 http://wwws.publicdebt.treas.gov/BC/SBCPrice 08/23/04 Savi!1gs Bond Calculator Page 2 of2 Q2452850166E 11/1969 E 25 18.75 116.27 135.02 1111999 Q2452849313E 10/1969 E 25 18.75 116.27 135.02 10/1999 Q2445447433E 10/1969 E 25 18.75 116.27 13 5.02 10/1999 Q2445446418E 09/1969 E 25 18.75 116.27 13 5.02 09/1999 Q2439386768E 09/1969 E 25 18.75 116.27 135.02 09/1999 Q2439385998 08/1969 E 25 18.75 116.26 13 5.01 08/1999 Q2439385141E 08/1969 E 25 18.75 116.26 13 5.01 08/1999 Q2421134549E 07/1969 E 25 18.75 115.96 134.71 07/1999 Q2426350486E 07/1969 E 25 18.75 115.96 134.71 07/1999 Q2426346775E 07/1969 E 25 18.75 115.96 134.71 07/1999 IView 10 II Viewing Bonds 1-41 Le end Note Description NI Not Issued NE Not Eligible for Payment P5 Includes 3-month interest penalty ME Matured (Exchangeable for HH) MN Matured (Not Exchangeable for HH) Please rate this service. 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Q2247833062E 03/1967 E 25 18.75 107.11 125.86 03/1997 MN I~!!I Q2241176005E 02/1967 E 25 18.75 107.11 125.86 02/1997 MN I~!!! Q2233938789E 02/1967 E 25 18.75 107.11 125.86 02/1997 MN [1'f!i.l Q2233937883E 01/1967 E 25 18.75 107.11 125.86 01/1997 MN [Dei] Q2225346876E 01/1967 E 25 18.75 107.11 125.86 01/1997 MN ID"iil I Vie... 10 II Viewing Bonds 1-27 http://wwws.pub1icdebt.treas.gov/BC/SBCPrice 08/24/04 Savings B~nd Calculator Page I of~ Vrllue ^, or 07/2004 [UpdatliJ 1}[,'H~"m[iiii BOlld 11110 Series Denomination Serial Number Issue Date E Bonds $[25 [~dd '1 Results # Bonds Total Price Total Interest Total Value YTD Interest 65 $1,218.75 $11,567.55 $12.7.... $0.00 Issue Interest Next Final Serial Number Issue Date Series Denom Price Interest Value Rate Accrual Maturity Note QI923674427E 12/1961 E $25 $18.75 $188.00 $206.75 12/2001 MN [Dell QI919036553E 12/1961 E 25 18.75 188.00 206.75 12/2001 MN Ijt~j.l QI919035628E 12/1961 E 25 18.75 188.00 206.75 12/2001 MN 1i:l~jJ Q1915086474E 11/1961 E 25 18.75 187.40 206.15 11/2001 MN [p~!j Q 1910620236E 11/1961 E 25 18.75 187.40 206.15 11/2001 MN (i:l~!1 Q1910619394E 10/1961 E 25 18.75 187.40 206.15 10/2001 MN 10111 Q1906199523E 10/1961 E 25 18.75 187.40 206.15 10/2001 MN 101111 Q1906182832E 09/1961 E 25 18.75 187.42 206.17 09/2001 MN 101111 Q1906182030E 09/1961 E 25 18.75 187.42 206.17 09/2001 MN 101111 Q1899891854E 08/1961 E 25 18.75 185.13 203.88 08/2001 MN 10ell Q1899891154E 08/1961 E 25 18.75 185.13 203.88 08/2001 MN 10ell Q1899890469E 07/1961 E 25 18.75 183.20 201.95 07/2001 MN loell Q1893540628E 07/1961 E 25 18.75 183.20 201.95 07/2001 MN loell Q1889343862E 06/1961 E 25 18.75 183.20 201.95 06/2001 MN [Dell Q1889343173E 06/1961 E 25 18.75 183.20 201.95 06/2001 MN [!i]tl Q1889342581E 06/1961 E 25 18.75 183.20 201.95 06/2001 MN [jjiiJ Q1882147741E 05/1961 E 25 18.75 182.61 201.36 OS/2001 MN [De!] Q1882147084E 05/1961 E 25 18.75 182.61 201.36 OS/2001 MN Ip]!!J Q1882146294E 04/1961 E 25 18.75 182.61 201.36 04/2001 MN [!i~!j Q1881961579E 04/1961 E 25 18.75 182.61 201.36 04/2001 MN 1i:l~11 Q1874130499E 03/1961 E 25 18.75 182.62 201.37 03/2001 MN [!i~'1 Q1874129952E 03/1961 E 25 18.75 182.62 201.37 03/2001 MN [!i~jl Q1874129291E 02/1961 E 25 18.75 180.32 199.07 02/2001 MN [Dell Q1874128565E 02/1961 E 25 18.75 180.32 199.07 02/2001 MN LgJ!!j Q1866933801E 01/1961 E 25 18.75 178.43 197.18 01/2001 MN loell Q1866933191E 01/1961 E 25 18.75 178.43 197.18 01/2001 MN 101111 Q1866932517E 12/1960 E 25 18.75 178.43 197.18 12/2000 MN 10ell Q1857814827E 12/1960 E 25 18.75 178.43 197.18 12/2000 MN loell http://wwws.publicdebt.treas.gov/BC/SBCPrice 08/24/04 Savings Bqnd Calculator Page 2 of2.- QI857814189E 12/1960 E 25 18.75 178.43 197.18 12/2000 MN IDel1 Q1857813372E 11/1960 E 25 18.75 178.04 196.79 11/2000 MN [!!!]jj Q1853645746E 11/1960 E 25 18.75 178.04 196.79 11/2000 MN [iii~ Q1853645068E 10/1960 E 25 18.75 178.04 196.79 10/2000 MN [~:!!J Q1848876512E 10/1960 E 25 18.75 178.04 196.79 10/2000 MN [Dii1 Q1848875883E 09/1960 E 25 18.75 178.03 196.78 09/2000 MN [P.!!J Q1848875174E 09/1960 E 25 18.75 178.03 196.78 09/2000 MN [j:)i!l Q1848874535E 08/1960 E 25 18.75 175.77 194.52 08/2000 MN [~!I!il Q1843155922E 08/1960 E 25 18.75 175.77 194.52 08/2000 MN [~i!1 Q1843155230E 07/1960 E 25 18.75 173.94 192.69 07/2000 MN IDel1 Q1842964641E 07/1960 E 25 18.75 173.94 192.69 07/2000 MN [ojj] Q1834159444E 06/1960 E 25 18.75 173.94 192.69 06/2000 MN I Dell Q1834158733E 06/1960 E 25 18.75 173.94 192.69 06/2000 MN [Del] Q1834158037E 05/1960 E 25 18.75 173.61 192.36 OS/2000 MN lifll] Q1831319097E 05/1960 E 25 18.75 173.61 192.36 OS/2000 MN I Dell Q1823859870E 04/1960 E 25 18.75 173.61 192.36 04/2000 MN I Dell Q1823859129E 04/1960 E 25 18.75 173.61 192.36 04/2000 MN 10 ell Q1823858353E 03/1960 E 25 18.75 173.61 192.36 03/2000 MN I Dell Q1818374089E 03/1960 E 25 18.75 173.61 192.36 03/2000 MN [~!I!J Q1815160566E 02/1960 E 25 18.75 171.42 190.17 02/2000 MN IDiiil Q1818373422E 02/1960 E 25 18.75 171.42 190.17 02/2000 MN 19:!iJ Q1699612868E 08/1959 E 25 18.75 167.26 186.01 08/1999 MN ["Ifili] Q1699612158E 07/1959 E 25 18.75 169.13 187.88 07/1999 MN [~.i!J Q1699611527E 07/1959 E 25 18.75 169.13 187.88 07/1999 MN l~i!1 Q1699610113E 06/1959 E 25 18.75 169.13 187.88 06/1999 MN [~i.!l Q1693240103E 06/1959 E 25 18.75 169.13 187.88 06/1999 MN [~iil Q1693239403E 05/1959 E 25 18.75 172.78 191.53 05/1999 MN 10111 Q1693238503E 05/1959 E 25 18.75 172.78 191.53 05/1999 MN loell Q1693238002E 04/1959 E 25 18.75 172.78 191.53 04/1999 MN loell Q1684301386E 04/1959 E 25 18.75 172.78 191.53 04/1999 MN 10111 Q1684300834E 03/1959 E 25 18.75 172.78 191.53 03/1999 MN I Dell Q1684300039E 03/1959 E 25 18.75 172.78 191.53 03/1999 MN IDell Q1683528631E 03/1959 E 25 18.75 172.78 191.53 03/1999 MN IDel1 Q1683527775E 02/1959 E 25 18.75 172.78 191.53 02/1999 MN 101111 Q1683527353E 02/1959 E 25 18.75 172.78 191.53 02/1999 MN 10-ii1 Q1675131272E 01/1959 E 25 18.75 172.78 191.53 01/1999 MN Il!'iil Q1675130874E 01/1959 E 25 18.75 172.78 191.53 01/1999 MN I Dill http://wwws.publicdebt.treas.gov/BC/SBCPrice 08/24/04 Savi.ngs Bqnd Calculator Page I of2 Vo1ll1f' ^s Of 07/2004 [Ui!!II!ilill [F:HliilF:iiiil Bond Info Series Denomination Serial Number Issue Date E Bonds $125 [AdiI I Results # Bonds Total Price Total Interest Total Value YTD Interest 41 $768.75 $8,056.00 $8,824,75 $0.00 Issue Interest Next Final Serial Number Issue Date Series Denom Price Interest Value Rate Accrual Maturity Note Q2035512530E 12/1963 E $25 $18.75 $205.80 $224.55 12/2003 ME IDeil Q2029869869E 12/1963 E 25 18.75 205.80 224.55 12/2003 ME Ig!ltl Q2025150835E 12/1963 E 25 18.75 205.80 224.55 12/2003 ME Igl!J Q2025149904E 11/1963 E 25 18.75 204.42 223.17 11/2003 ME Igillj Q2025149180E 11/1963 E 25 18.75 204.42 223.17 11/2003 ME li:leil Q2020824675E 10/1963 E 25 18.75 204.42 223.17 10/2003 ME [01111 Q2020823780E 10/1963 E 25 18.75 204.42 223.17 10/2003 ME [i:lIlIJ Q2013247942E 09/1963 E 25 18.75 204.42 223.1 7 09/2003 ME I!!l!II Q2013247116E 09/1963 E 25 18.75 204.42 223.1 7 09/2003 ME [if.!!.] Q2012473433E 08/1963 E 25 18.75 203.36 222.11 08/2003 ME [01111 Q2012473099E 08/1963 E 25 18.75 203.36 222.11 08/2003 ME [0111 Q1985055749E 02/1963 E 25 18.75 198.56 217.31 02/2003 MN 101111 Q 1978217731 E 02/1963 E 25 18.75 198.56 217.31 02/2003 MN 101111 Q1978217071 01/1963 E 25 18.75 196.47 215.22 01/2003 MN IDeil Q1978216249E 01/1963 E 25 18.75 196.47 215.22 01/2003 MN 1i:l!i!1 Q1974551182E 12/1962 E 25 18.75 196.47 215.22 12/2002 MN [DeiJ Q1974550266E 12/1962 E 25 18.75 196.47 215.22 12/2002 MN [Y:!I!J Q1968920191E 11/1962 E 25 18.75 195.58 214.33 11/2002 MN Ig!ltl Q1965223344E 11/1962 E 25 18.75 195.58 214.33 11/2002 MN Ig!ltl Q1957694569E 11/1962 E 25 18.75 195.58 214.33 11/2002 MN I!!.IIJ Q1957693798E 10/1962 E 25 18.75 195.58 214.33 10/2002 MN [g!lij Q1957693128E 10/1962 E 25 18.75 195.58 214.33 10/2002 MN 1i:l.!I!.I QI957692272E 09/1962 E 25 18.75 195.57 214.32 09/2002 MN [iti!i1 Q1957441600E 09/1962 E 25 18.75 195.57 214.32 09/2002 MN [i:li!J Q1957440835E 08/1962 E 25 18.75 194.06 212.81 08/2002 MN [ii!!J Q1957440203E 08/1962 E 25 18.75 194.06 212.81 08/2002 MN L!I~ Q1949817175E 07/1962 E 25 18.75 192.04 210.79 07/2002 MN 10111 Q1948918631E 07/1962 E 25 18.75 192.04 210.79 07/2002 MN 101111 http://wwws.publicdebt.treas.gov/BC/SBCPrice 08/24/04 Savi,ngs Bqnd Calculator Page 2 of2 QI948917638E 06/1962 E 25 18.75 192.04 210.79 06/2002 MN 101111 QI942222875E 06/1962 E 25 18.75 192.04 210.79 06/2002 MN liti!!! QI942222128E 06/1962 E 25 18.75 192.04 210.79 06/2002 MN [Dei! QI942221193E 05/1962 E 25 18.75 191.49 210.24 OS/2002 MN IJf~]] QI938547884E 05/1962 E 25 18.75 191.49 210.24 OS/2002 MN [Deil Q1938547089E 04/1962 E 25 18.75 191.49 210.24 04/2002 MN Ijt~II QI938546263E 04/1962 E 25 18.75 191.49 210.24 04/2002 MN [iiilil Q1933446527E 03/1962 E 25 18.75 191.52 210.27 03/2002 MN Iii!]] Q1933445647E 03/1962 E 25 18.75 191.52 210.27 03/2002 MN Iii!!] QI929271783E 02/1962 E 25 18.75 190.00 208.75 02/2002 MN I Dell Q1924225828E 02/1962 E 25 18.75 190.00 208.75 02/2002 MN [jl.lil QI924225153E 01/1962 E 25 18.75 188.00 206.75 01/2002 MN loell QI923675267E 01/1962 E 25 18.75 188.00 206.75 01/2002 MN [1liJ1 IViowlOljViewingBonds 1-41 lelend Note Description NI Not Issued NE Not Eligible for Payment P5 Includes 3-month interest penalty ME Matured (Exchangeable for HH) MN Matured (Not Exchangeable for HH) Please rate this service. (Please print and/or save this page before submitting your survey) Service Excellent Good Fair Poor Savings Bond Calculator 0 (-) (-'I '",/ '.J [ Submit Survey ] [ Reset [ http://wwws.publicdebt.treas.gov/BC/SBCPrice 08/24/04 SavilJ.g~ Bopd Calculator Page I of2 Vdlll(> As Of 07/2004 [Upjiilj.il [""Hiliilf"'1 "". N"" ;;:;:u .. ,lid Bond Inlo Series Denomination Serial Number Issue Date E Bonds $25 [Add"'1 Reslllts # Bonds Total Price Total Interest Total Value YTD Interest 35 $656.25 $7,165.37 ,,-.. $175.71 Issue Interest Next Final Serial Number Issue Date Series Denom Price Interest Value Rate Accrual Maturity Note Q2064173102E 07/1964 E $25 $18.75 $210.54 $229.29 07/2004 ME IIfiiil Q2007438290E 07/1963 E 25 18.75 201.20 219.95 07/2003 ME Li'!~I.I Q2119476602E 06/1965 E 25 18.75 160.06 178.81 2.34% 09/2004 06/2005 [i'!'~il Q2117426077E 05/1965 E 25 18.75 186.59 205.34 4.00% 08/2004 OS/2005 [i'!~iJ Q2116758355E 05/1965 E 25 18.75 186.59 205.34 4.00% 08/2004 OS/2005 1i'!6.IJ Q2116757320E 04/1965 E 25 18.75 190.70 209.45 4.00% 01/2005 04/2005 LOel1 Q2111242004E 04/1965 E 25 18.75 190.70 209.45 4.00% 01/2005 04/2005 10ell Q2101453189E 02/1965 E 25 18.75 189.70 208.45 4.00% 11/2004 02/2005 10el'I Q2100812185E 01/1965 E 25 18.75 208.51 227.26 4.00% 10/2004 01/2005 [ilii! Q2100811009E 01/1965 E 25 18.75 208.51 227.26 4.00% 10/2004 01/2005 10ell Q2095136377E 12/1964 E 25 18.75 208.51 227.26 4.00% 09/2004 12/2004 [Ollll Q2094619023E 12/1964 E 25 18.75 208.51 227.26 4.00% 09/2004 12/2004 101l1.1 22085948936E 11/1964 E 25 18.75 207.05 225.80 4.00% 08/2004 11/2004 10ell Q2085948094E 11/1964 E 25 18.75 207.05 225.80 4.00% 08/2004 11/2004 lifiifi Q2085947119E 10/1964 E 25 18.75 211.57 230.32 4.00% 10/2004 10/2004 [~jllJ Q2079943762E 10/1964 E 25 18.75 211.57 230.32 4.00% 10/2004 10/2004 IIfiili Q2079943I 03E 10/1964 E 25 18.75 211.57 230.32 4.00% 10/2004 10/2004 [I!:~jj Q2073768294E 09/1964 E 25 18.75 211.57 230.32 4.00% 09/2004 09/2004 [i'!i~11 Q2073746440E 09/1964 E 25 18.75 211.57 230.32 4.00% 09/2004 09/2004 [~'-iJ Q2073745326E 08/1964 E 25 18.75 210.49 229.24 4.00% 08/2004 08/2004 Ii'!i!il , Q2064174422E 08/1964 E 25 18.75 210.49 229.24 4.00% 08/2004 08/2004 L~"ll Q2064173625E 07/1964 E 25 18.75 210.54 229.29 07/2004 ME Li'!."il Q2059565302E 06/1964 E 25 18.75 210.54 229.29 06/2004 ME [D8il Q2059564364E 06/1964 E 25 18.75 210.54 229.29 06/2004 ME Ijj:!ll Q205864865E 05/1964 E 25 18.75 209.02 227.77 OS/2004 ME l!!.!!J Q2058645124E 05/1964 E 25 18.75 209.02 227.77 OS/2004 ME [Dell Q2055312783E 05/1964 E 25 18.75 209.02 227.77 OS/2004 ME 101l1! Q2046752778E 04/1964 E 25 18.75 209.02 227.77 04/2004 ME 10el! http://wwws.publicdebt.treas.gov/BC/SBCPrice 08/25/04 Savil,lg~ Bopd Calculator Page 2 of2 Q2046751992E 04/1964 E 25 18.75 209.02 227.77 04/2004 ME 101'1 Q2045653978E 03/1964 E 25 18.75 209.04 227.79 03/2004 ME [!!'!jj Q2045653299E 03/1964 E 25 18.75 209.04 227.79 03/2004 ME ['Dell Q2045652502E 02/1964 E 25 18.75 207.96 226.71 02/2004 ME l!l..:~t1 Q2035726514E 02/1964 E 25 18.75 207.96 226.71 02/2004 ME [Dei] Q2035513042E 01/1964 E 25 18.75 205.80 224.55 01/2004 ME Lp~JI Q2035725903E 01/1964 E 25 18.75 205.80 224.55 01/2004 ME [,P!!I IVi... 1011 Viewing Bonds 1-35 Le,end Note Description Nl Not Issued NE Not Eligible for Payment P5 Includes 3-month interest penalty ME Matured (Exchangeable for HH) MN Matured (Not Exchangeable for HH) Please rate this service. (Please print and/or save this page before submitting your survey) Service Excellent Good Fair Poor Savings Bond Calculator () 0 0 I Submit Survey ] I Reset I http://wwws.publicdebt.treas.gov/BC/SBCPrice 08/25/04 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT,280601 HARRISBURG. PA 1712B-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 005184 MYERS EDMUND G 301 MARKET STREET PO BOX 109 LEMOYNE, PA 17043 ACN ASSESSMENT AMOUNT CONTROL NUMBER n_ nn lold n__n____ nnun 101 I $1,693.96 ESTATE INFORMATION: SSN: 199-05-6207 I FILE NUMBER: 2104-0687 I DECEDENT NAME: ESLINGER ALBERTA G I DATE OF PAYMENT: 04/11/2005 I POSTMARK DATE: 04/08/2005 I COUNTY: CUMBERLAND I DATE OF DEATH: 07/10/2004 I I TOTAL AMOUNT PAID: $1,693.96 REMARKS: CHECK#129 INITIALS: JA SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS - ..-,., . . ~ t~OL~ Vd '31SlltlV~ 3tlVnOS 3SnOHltlnO~ 3NO 3SnOHltlnO~ AlNnO~ ONVltl38V'lm 3~I:I:l0 SlllM :10 tl31SI~3tl CT' :01 W- e'" 0::3 f u...I-.-\ .' -.,~ ,- [I : 1.;.1 60JO-[vOLi 31B:nO f , 0 V d '3NAOW31 w. 601 XOH 'O<I NOSNHO i 13i1ll1S l!lll1lVW JO~ sa JIll "0 AI. V 1 -' ,:.:; , lIew sselO ISJ!:I "on ~~"'~'<'~".11 SODG 80 ~d~ 9G089[1>000 oS6"tO $ "' GO : S3MOO nNlld .--.. ~ ~ _AIlIMiI&Ir~:- ~I ~ -, - S -I. . ~ " ~s>,'" ~ ~ ~ - STATUS REPORT UNDER RULE 6.12 Name of Decedent: ALBERTA G. ESLINGER Date of Death: JULY 10. 2004 Will No. 2004-00687 Pursuant to Rule 6.12 ofthe Supreme Court Orphans' Court Rule, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration ofthe Estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (ifany) for the personal representative's Account is: c. Did the personal representative state an account infonnally to the parti es of interest? Yes X No d. Copies of receipts, releases, joinders and approvals of fonnal or infonnal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: July 8,2005 ED&~}: a JOHNSON, DUFFIE, STEWART & WEIDNER l.J C' - 301 Market Street U_l.. <'j P.O. Box 109 c:> r,- ~/_,-- Lemoyne, P A 17043 " Cc.. c::: c. .........'...r; (717) 761-4540 0, o~- : u - LL.I.-.- Capacity: Personal Representative c"' c: _J CL r-' ::.:..~, L'. (x) Counsel for Personal - " (_-:- -, CL' UI Lrc> 0::-: Representative c_: c:::J. C) c::.:,~ ''-J ~