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HomeMy WebLinkAbout03-0071 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Vincent W. Adams NO. '~/'t~k_'~- 9/ also known as To: Register of Wills for the ~ Deceased. County of Cumberland in the Social Security No. 180-10-0564 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(~), who is/x~e 18 years of age or older an the execut ri × named in the last wilt of the above decedent, dated ,-tn] y 14 ,19 99 and codicil(s) dated nene (state relevant circumstances, e.g. renunciation, death of executor, etc.) Dece~Jdent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 100 Mt. Allen Drive (Upper Allen ~w~.~hi p) M~oh~ni ~burg; pa 17055 (list street, number and muncipality) Decel{dent, then ___85 years of age, died January 19 , at Messiah Village,Upper Allen Township:Cumberland County: PA 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: non~ Decel~dent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ Undetermined (If not domiciled in Pa.) Personal property in Pennsylvania $ n/a (If not domiciled in Pa.) Personal property in County $ n/_~ Value of real estate in Pennsylvania $ Undetermined situated as follows: 204 South High St . .. Mechanicsburq.. PA 17055 This is ~ne prope~y -(136 West Keller St and 225 South High St.) Mechanicsburg, PA 17055 WHEREFORE, petitioner(~ respectfully request(s) the probate of the last will presented herewith and the grant of letters T~staaten~ theron. (testamentary; administration cma.; administration d.b.n.c.t.a.) Mecb =~_nicsb,,__~g, Pbf 17055 OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumber].andf ss The petitioner~0 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{~) and that as personal represen- tative(~) of the above decedent petitioner00 will well and ly ad 'niste the es ate acc ding to law. Sworn to or affirmed and subscribed r_ ~~a.~.? F/~e~_.~./. before me this 24th day of | (/ Lind~ J. 20-23-0567-158 and ~? 16-23-0567-048 IN RE: ESTATE OF VINCENT W. ADAMS : IN THE COURT OF COMMON PLEAS OF LATE OF THE TOWNSHI~ OF : CUMBERLAND COUNTY, PENNSYLVANLA UPPER ALLEN, CUMBERLAND : ORPHANS' COURT DIVISION COUNTY, PENNSYLVANIA, : NO. 2003-00071 DECEASED : '7r ::' :'. g.14t~l!Z) g2qDCO~ED : c DECREE AWARDING REAL ESTATE AND N6W, this ..~ ~ day of d2m.~.-4,~,- ,2004, a~ ' 2 3-; o'clock;.ff, it appearing that the First and Final Account and Proposed Schedule of Distribution of Linda J. Mickey, Executrix under the Last Will and Testament of Vincent W. Adams, late of the Township of Upper Allen, County of Cumberland and State of Pennsylvania, have been duly filed and advertised in accordance with law and Rules of Court, and the said First and Final Account and Proposed Schedule of Distribution have been confirmed by the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, on November 23, 2004, and it further appearing that Barry L. Adams, Linda J. Mickey and Dwight S. Adams are the sole residuary legatees, devisees and distributees under the Last Will and Testament of Vincent W. Adams, deceased, and it further appearing that the said Linda J. Mickey in her Proposed Schedule of Distribution, claimed credit for the distribution of the two (2) parcels of real estate, hereinafter described, in kind to the said Barry L. Adams, Linda J. Mickey and Dwight S. Adams as tenants in common in equal shares, it is ordered, adjudged and decreed that the two (2) parcels of real estate hereinafter described are hereby awarded to Barry L. Adams, Linda J. Mickey and Dwight S. Adams as tenants in cormmon in equal shares, their heirs and assigns, which real estate is described as follows: ALL those two (2) certain parcels of land with the improvements thereon erected situate, in the Borough of Mechan/csburg, in the County of Cumberland and State of Pennsylvania, hounded and described as follows, to wit: PARCEL NO. 1 ALL that certain house and lot of ground situate on the West side of South High Street, in the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, bounded as follows, to wit: BEGINNING on the building line of South High Street, thence westward along Lot No. 5 formerly owned by G. Lawrence Strock Heirs one hundred and thirty seven (137) feet to an alley; thence along said alley northward thirty-two (32) feet to lot now or formerly of Tolbert C. Stambaugh; thence along said lot now or formerly of Tolbert C. Stambaugh and lot now or formerly of William W. Henneman Heirs eastward one hundred and th'n'ty seven (137) feet to High Street; thence southward along the building line of said Street thirty-two (32) feet to the place of the BEGINNING. ERECTED on the above described lot of ground are a two and one-half story frame dwelling house, numbered 204 South High Street, and other necessary buildings. This property is SUBJECT TO a certain easement granted by the said Jacob Pentz and Sarah, his wife, to G. Lawrence Strock, by Indenture date May 8, 1922, and recorded in the Recorder's Office in and for said Cumberland County, in Miscellaneous Record Book No. 47, at page 342, which said easement is the full right, liberty, privilege and permission to continue and maintain the cornice on the property now or formerly of the said G. Lawrence Stock, as the same is now constructed. Tax Parcel No. 20-23-0567-158 Being the same premises which Ivy R. Wagner, widow, by her Deed dated September 13, 1954 and recorded in the Recorder's Office in and for said Cumberland County in Deed Book "Z" Vol. 15, page 289 granted and conveyed unto Vincent W. Adams and Jean E. Adams, his wife. The said Jean E. Adams died March 21, 1998 and title vested solely in the said Vincent W. Adams, the decedent. PARCEL NO. 2 ALL that certain lot of ground situated in the Borough of Mechardcsburg, Cumberland County, Pennsylvania, bounded and described as follows: BEGINNING at a point at the intersection of the northern line of West Keller Street and the eastern line of South High Street; thence from said beginning point by the eastern line of South High Street North 19 degrees 30 minutes West 109.25 feet to a point; thence by premises heretofore conveyed to Ian N. Metcalf and wife, North 75 degrees 15 minutes East 86.37 feet to a point; thence Southl3 degrees 40 minutes East 110.33 feet to a point on the northern line of West Keller Street; thence by the northern line of West Keller Street South 76 degrees 20 minutes West 75.25 feet to the place of beginning. BEING improved with premises known as No. 225 South High Street and 136 West Keller Street. Tax Parcel No. 16~23-0567-048 Being the same premises which Helen Cook et al by deed dated August 12, 1965 and recorded in the Recorder's Office aforesaid in Deed Book "S" Vol. 21, Page 31 granted and conveyed unto Vincent W. Adams and Jean E. Adams, his wife. The said Jean E. Adams died March 21, 1998 and title vested solely in the said Vincent W. Adams, the decedent. The Recorder of Deeds is directed to record this Order among the deeds in his official custody and to index the same in the Grantor index against the Estate of Vincent W. Adams and in the Grantee index to Barry L. Adams, Linda J. Mickey and Dwight S. Adams pursuant to the Probate, Estates and Fiduciaries Code, Section 3536. BY THE COURT, CERTIFICATE OF RESIDENCE I do hereby certify that the precise residence and complete post office address of one of the within named grantees is Dwight S. Adams, 224 South High Street, Mechanicsburg, PA 17055. Date: 2004 Attorney for Estate STATE OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND RECORDED on this day of ., 2004, in the Recorder's Office of said county, in Deed Book Vol. ., Page Given under my hand and the seal of the said office, the date above written. Recorder. No. 21-03-71 Estate Of Vincent W. Adams , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW JANUARY 24 ~i~_20D3., in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated July 14:1 qqq described therein be admitted to probate and filed of record as the last will of Vince. a~t W. Adams and Letters T~_~farm=n~-ary are hereby granted to T.i nOa J. Mickey FEES William L. SLmday / (06354) Probate, Letters, Etc .......... $ 445.00 Short Certificates( ) .......... $ 18.00 ATTORNEY (Sup. Ct. I.D. No.) Renunciation ................ $ 39 West Main Street~Mechanicsburq~ PA 17055- JCP $ 10.00 ADDRESS 6230 TOTAL __ $ 473.00 Filed JAN. 24, 2003 ......... (717) 766-9622 .......................... PHONE REGISTER OF WILLS OF cr.~~-v COUNTY OATH OF SUBSCRIBING WITNESS Charlyn Y.Guerriero and William L. Sunday (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s)and say(s)that they and o~ch of Chem were present and saw Vincent W. Ado.ms the testa~r , sign the same and that e~ch of Choan signed as a witness at the request of testator in h is presence and (in t~e presence of each other) ~ Sworn to or affirmed' and subscr,bed' before/ '/' "-L~'L.. ~;~'' ~ ~.'~~lero me this __.~__ day of ! ~/ (Name) Dillsb.qrg, PA 17019 . ',7~y ~~:¥.-.-;_: '0~ William L. Sunday ~::~'i~: ~i~"~. , ~ , ,.- . ' ~-, ..... ' ....... :-':'~ ............... ~';::<yl 39 West ~in Str~t,M~icsb~g, PA 17055 ~ x"" ' '2 ........... ~"'-~ ~,q~:{ '~:i ;~C~.;~S REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of codicil testat of (one of the subscribing witnesses to) the will presented herewith and codicil that believes the signature on the will is in the handwriting of to the best of knowledge and belief. Sworn to or affirmed and subscribed before me this day of (Name) 19.~ (Address) Register (Name) (Address) This is to certify, that the information here given is correctly copied fi'om an original certificate of death dul~' filed with me as Local R,egistrar. The original certificate will be fbrwarded to the State Vital Records Office fbr permanent WARNING: It is illegal to duplicate this copy by photostat or photograph. mc5 ;,*3 Rev 2.'~7 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH YPEJPRINI ,. Vincent Walter Adams ,.male ~ 180-- 10- 0564 ~.-Jan. 19, 200~ I I Cumberland 100 Mt. Allen Drive ,~ Me~hanicsbur~ PA . Walter Adams I~T~ Mar~er~ Ann Yohn Linda J. Mickey I~ 3 Andes Drive, Mechantcsburq, PA 17055 ~ ~ ~ n.23~200~ ~rindle SprIn~ Comgtor~ 8~lvor 8prin~s Twp.~P~ I~. I CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedeut: Vincent W. Adams Date of Death: January 19, 2003 Will No. 2005-00071 Admin. No. To the Register: I certify that notice of (beneficial 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 April 15t 2003 : Name Address Linda J. Micke¥ 3 Andes Drive, Mechanicsburq, PA 17055 Barry L. Adams 31989 Corte Castro, Temecula, CA 92592-3533 Dwight S. Adams 224 South High Street, Mechanicsburg, PA 17055 Trindle Spring Lutheran Church, 15 State Road, Mechanicsburg,PA 17050 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None Date: April /6 2003 Signature Address 39 West Main Street Mechanicsburg, PA 17055-6230 Telephone (71 '~ 766- 9622 Capacity: ~. l~s~na~ R~r~:,:,~a~ _.X Counsel for personal representative 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 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 ~GISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA In re Estate of Vinc~t W. A~ , deceased, Estate No. 2003-00071 PA No. 21-03-0071 (Name and Address) TO: Linda J. Mickey 3 Andes Drive Mechanicsburq, PA 17055 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Vincent W. Adams , died on the 19th day of January , 2003 , at Cumberland County, Pennsylvania. The Decedent died testate (with a Will); or The personal representative of the Decedent is (name, address and telephone number). Linda J. Micke¥ (717) 697-1013 3 Andes Drive 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 If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of Cumberland County, I Courthouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345 Date: April 15, 2003 Signature: _~~~,,. ,~~ Name (print) William L. Sunda~r Address 39 West Main Street Mechanicsburg, PA 17055-6230 Telephone (71'3 766-9622 Capacity: Counsel for personal representative 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 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 Vincent W. Adams , deceased, Estate No. 2003-00071 PA NO. 21-03-0071 (Name and Address) TO: Barry L, Adams 31989 Corte Castro Temecula, CA 92592-3533 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Vincent W. Adams , died on the 19th day of January , 2003 , at Cumberland County, Pennsylvania. The Decedent died testate (with a Will); or The personal representative of the Decedent is (name, address and telephone number). Linda J. Micke¥ (717) 697-1013 3 Andes Drive 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 If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of Cumberland County, 1 Courthouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345 A copy of the Will a~l:~e~/li~,~m3ehe:obeai~t~hvb:tt~l~%qstmm:f~ ~i:mg~l~:c4.mvg~?f~l~5t~ is attached hereto Date: April 15, 2003 Signature: ~ ..:~'~.,,~. ~.~l'~--~. ~o~,z~_,, Name (print) William L. Sunday/ Address 39 West Main Street Mechanicsburg, PA 17055-6230 Telephone (717) 766-9622 Capacity: Counsel for personal representative 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 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 Vincent W. AE~ , deceased, Estate No. 2003-00071 PA No. 21-03-0071 (Name and Address) TO: Dwiqht S. Adams 224 South High Street 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 Vincent W, Adams , died on the 19th day of January , 2003 , at Cumberland County, Pennsylvania. The Decedent died testate (with a Will); or The personal representative of the Decedent is (name, address and telephone number). Linda J. Micke¥ (717) 697-1013 3 Andes Drive 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 If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of Cumberland County, 1 Courthouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345 Date: Apr]_l 1 5., 2003 Signature: Name (print) William L. Sunday Address 39 West Main Street Machanicsburg, PA 17055-6230 Telephone (717) 766-9622 Capacity: Counsel for personal representative 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 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 Vincent; W, Adams , deceased, Estate No. 2003-00071 PA No. 21-03-0071 (Name and Address) TO: Trindle Spring Lutheran Church 15 State Road Mechanicsburg, PA 1 7050 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Vincent W. Adams , died on the 19th day of January , 2003 , at Cumberland County, Pennsylvania. The Decedent died testate (with a Will); or The personal representative of the Decedent is (name, address and telephone number). Linda J. Micke¥ (717) 697-1013 3 Andes Drive 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 If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of Cumberland County, 1 Courthouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345 Date: April 15, 2003 Signature: f~--t~x' o('¢9,-~,~ Name (print) William L. Sunny Address 39 West Main Street Mechanicsburg, PA 17055-6230 Telephone (71'3 766-9622 Capacity: }ammm~ R~lm~,m~.ti~e Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE REV-1162 EX(11-96) BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002458 MICKEY LINDA J 3 ANDES DRIVE MECHANICSBURG, PA 17055 ACN ASSESSMENT AMOUNT CONTROL NUMBER ........ fold 101 $34,200.00 ESTATE INFORMATION: SSN: 180-10-0564 FILE NUMBER: 2103-0071 DECEDENT NAME: ADAMS VINCENT W DATE OF PAYMENT: 04/16/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/19/2003 TOTAL AMOUNT PAID: $34,200.00 REMARKS: WILLIAM L SUNDAY ESQUIRE C/O LINDA J MICKEY CHECK//102 INITIALS: JA SEAL RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS REV-1500 EX COMMONWEALTH OF REV-1500 PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 28060 INHERITANCE TAX RETURN HARRISBURG, PA 2 1 - 0 3 0 0 7 1 17128-0601 RESIDENT DECEDENT couN cooE .UMBER DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Z Adams, Vincent W. 180 - 10 - 0564 I~) DATE Of DEATH (MM-DD-YEAR) DATE Of BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE U.I Januar~ 19, 2003 April 26, 1917 REGISTER OF WILLS III (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ~ N/A ~ ~] 1. Original Retum [] 2. Supplemental Return [] 3. Remainder Return (date of death prior to 12-13-82) ~ O. U [] 4. Limited Estate J~ 4a. Future Interest Compromise (date o, dea,h after ~2-12-82) [] 5. Federal Estate Tax Return Required .,~OO ~ ,,~' m' ~-~ 6. Decedent Died Testate (Attach copy of Will)[~ 7. Decedent Maintained a Living Trust (A[lach copy of Trust) 1 8. Total Number of Safe Deposit Boxes < J'~ 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (~ate efdeath be~ween ~2-3~-9~ and ~-~-95) [] 11. Election to tax under Sec. 9113(A)(Attach Sch O) Z "' NAME c~ COMPLETE MAILING ADDRESS z William L. Sunday O ~ FIRM NAME (IfApplicable) 39 West Main Street ~ Mechanicsburg, PA 17055-6230 "' TELEPHONE NUMBER o ~ (717) 766-9622 1. Real Estate (Schedule A) (1) 314900.00 ~, OFFICIAL USE ONLY 2. Stocks and Bonds (Schedule B) (2) 294667.99 3. Closely Held Corporation, Padnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 355760.32 (Schedule E) ~ 6. Jointly Owned Property (Schedule F) (6) ~[' l'~ Separate Billing Requested ' 11169.02 1~) 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) ~ (Schedule G or L) ,,~ 8. Total Gross Assets (total Lines 1-7) (8) 976497.33 UJ 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 32861 . 46 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 5446.92 11. Total Deductions (total Lines 9 & 10) (11) 38308.38 12. Net Value of Estate (Line 8 minus Line 11) (12) 938188.95 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) 5000.00 made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 933188.95 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .0 (15) 16. Amount of Line14 taxable at lineal rate 933188.95 x.0 45 (16) 41993.50 17. Amount of Line 14 taxable at sibling rate __ __ x .12 (17) 18. Amount of Line 14 taxable at collateral rate __ __ x .15 (18) 19. Tax Due 41 993,50 (19) 20.[] ..... el ," - el ,w , - I~ · ,~ e~ "-,', ~ Decedent's Complete Address: STREET ADDRESS 100 Mt. A]]en Drive STATE I ZiP C~TY Mechanicsburq PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 41 993.50 2. Credits/Payments A. Spousal Poverty Credit B. Pdor Payments 342(1f1 _ ~ C. Discount 1800. O0 Total Credits (A+ B + C ) (2) 36000.00 3. Interest/Penalty if applicable D. Interest 0 E. Penalty 0 0 Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 5993.50 A. Enter the interest on the tax due. (SA) 0 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 5993 o 50 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ............................................ [] [] c. retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the promise for life of either payments, benefits or care? ...................................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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. ADDRESS ~ ~' ' ~.~[~._~z~-.~./~'..,x'~_.,".z.t~,"z-'~t.~-' September 17)2003 3 ADd_es Drive, Mechanic~burg, PA 17055 SIGNATURE Ov~E/P RER OTH.~I-tA~, _ PRESENTATIVE DATE ~//~., ,~'~~, September 17, 2003 ADDRESS ~ / 39 West M~in Street Mechanicsburq, PA 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. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. SCHEDULE A CoMMO.w ,T. OFPEN.SYLV^. ^ REAL ESTATE RESIDENT DECEDENT ESTATE OF FILE NUMBER Vincent W. Adams 21-03-71 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 pdce at which property would be exchanged between a willing buyer and a willing seller, ne~er being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real properbj which is jointly-owned with right of suwivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ALL that certain house and lot of ground situate on the West side of High Street, in the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, bounded as follows, to wit: BEGINNING on the building line South High Street, thence westward along Lot No. 5 now or formerly owned by G. Lawrence Strock Heirs one hundred and thirty-seven (137) feet to an alley; thence along said alley northward thirty-two (32) feet to lot now or formerly o.fTolbert C. Stambaugh; thence along said lot now or formerly ofTOlbert C. Stambaugh and lot now or formerly of William W. Henneman Heirs eastward one hundred and thirty-seven (137) feet to High Street; thence southward along the building line of said Street thirty-two (32) feet to the place of the BEGINNING. ERECTED on the above described lot of ground are a two and one-half story frame dwelling house, numbered 204 South High Street, and other necessary buildings. This property is SUBJECT TO a certain easement granted by the said Jacob Pentz and Sarah, his wife, to G. Lawrence Strock, by Indenture dated May 8, 1922, and recorded in the Recorder's Office in and for said Cumberland County, in Miscellaneous Record Book No. 47, at page 342, which said easement is the full right, liberty, privilege and permission to continue and maintain the cornice on the property now or formerly of the said G. Lawerence Strock, as the same is now constructed. Tax Parcel No. 20-23-0567-158 Assessed Value $ 88,340.00 Valued ~Appraisal $128,000.00 $128000.00 (carried forward) $ 128000. O0 (If more space is needed, insert additional sheets of the same size) SCHEDULE A COMMONW 'T, OFPE,NSY,VANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ( Cx:)rt ~ t ) ESTATE OF Vincent W. Adams FILE NUMBER 2.1-03-71 All real property owned solely or as a tel.,id in common must be repoiied 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 knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH (Brought forward) $128000.00 2. ALL that certain lot of ground situated in the Borough of Mechanicsburg, Cumberland County, Pennsylvania, bounded and described as follows: BEGINNING at a point at the intersection of the northern line of West Keller Street and the eastern line of South High Street; thence from said beginning point by the eastern line of South High Street North 19 degrees 30 minutes West 109.25 feet to a point; thence by premises about to be coveyed to lan N. Metcalf and wife, North 75 degrees 15 minutes East 86.37 feet to a point; thence South 13 degrees 40 minutes East 110.35 feet to a point on the northern line of West Keller Street; thence by the northern line of West Keller Street South 76 degrees 20 minutes West 75.25 feet to the place of beginning. BEING improved with premises known as No. 225 South High Street and 136 West Keller Street. Tax Parcel No. 16-23-0567-048 Assessed Value $165,540.00 Valued @ Appraisal $186,000.00 186000.00 December 2002 Rent Due - 450.00 January 2003 Rent Due - 450.00 TOTAL (Also enter on line 1, Recapitulation) $ 314900.00 (If more space is needed, insert additional sheets of the same size) COMMO.W ..TN OF.E.NSYLV^N,^ STOCKS & BONDS '..ER,T^NCE RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Vincent W. Adams 21-03-71 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 39 shs American Telephone & Telegraph Company, (formerly 195 shs prior to 1 for 5 reverse split on 11/18/02) Common Stock, NYSE G 26.0725 $ 1016.83 Dividend paid 2/3/03 to holders of record on 12/31/02 7.31 2. 152 shs Verizon (formerly Bell Atlantic Corporation), Common Stock, NYSE G $38.3375 5827.30 Dividend paid 2/3/03 to holders of record on 1/10/03 58.52 3. 168 shs Lucent Technologies, Inc, Common Stock, NYSE G1.6425 275.94 No Dividends paid 0 4. 4 shs PPL Electric Utilities Corporation (formerly Pennsylvania Power & Light Company) $4.50 preferred (B) Stock, NYSE, G 72.85 291.40 Div/dend paid 1/1/03 5. 46 shs PPL Electric Utilities Corporation (formerly Pennsylvania Power & Light Company) $4.50 preferred (A) Stock, NYSE, G 72.85 3351.10 Dividend paid 1/1/03 6. 200 shs Public Service Enterprise Group Incorporated, Common Stock, NYSE G36.0975 7219.50 Dividend paid 3/31/03 7. 200 shs Southern California Edison Company (now Edison International, Inc. ) Common Stock, NYSE G 12.86 2572.00 No Dividends paid 8. 400 shs Ford Motor Company, Common Stock, NYSE Gl0.19 4076.00 Dividend paid 3/31/03 to holders on record on 3/17/03 9. 3267.613 shs Lutheran Brotherhood Income Fund A, NASDAQ SC, G 8.66 28297.53 3363.229 shs per confirmation in safe deposit box 95.616 shs redeemed prior to death 3267.613 shs on date of death Accrued Dividend 23/35 X 90.13 59.23 carried forward $ 53052.66 (If more space is needed, insert additional sheets of the same size) SCHEDULE B COMMONW ,T. OFPENNSYLV^N,^ STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT (continued) ESTATE OF FILE NUMBER Vincent W. Adams 21-03-71 All property jointly~)wned with right of sun~ivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH brought forward $ 53052.66 10. 620.347 shs Van Kampen Funds A - US Government Fund Class A (VKMGX) ~ 14.975 9289.70 Accrued Dividend (daily) 19/31 x 37.20 22.80 11. 1 shs Agere Systems, Class A, NYSE ~ 1.74 1.74 No dividends paid 12. 44 shs Agere Systems Class B NYSE ~ 1.7075 75.13 No dividends paid 13. 63 shs Comcast A Common (CMCSA) NASDAQ ~ 26.9275 1696.43 No dividends paid 14. Stocks and Bonds held by Merrill, Lynch, Pierce, Fenner & Smith, Inc. in Account # 872 43202 in name of Vincent W. Adams 800 shs Alabama Power Company, Qtly insured Bnds Sr J, 6.750 % June 30, 2039 Cum, preferred stock, NYSE ~ 26.625 21300.00 Dividend paid 12/31/02 400 shs Fleet Capital Trust III, Def Int TR Orie PFD SECS, 7.05%, March 31 2028 Cum ~ 25.0575 10023.00 Dividend paid 12/31/02 800 shs Repsol Intl Capital Ltd Non Cum GTD SERA. PFD 7.450 %, NYSE ~ $24.35 19480.00 Dividend Paid 3/31/03 to holders of record on 3/14/03 (not taxable) $10,000. Bond Issued by NM Daimlerchry NA HLDGBE 04 Oct 01 15 Oct 06 Mtly - pay 06.100% Fixrate, Cusip 2338E8CB3 ~ 105.205 10520.50 Accrued interest from 1/15/03 to 1/19/03 (4 Days ~ 1.671233) 6.68 $10,000. Bond issued by NM General MTRS Accpt BE 08 Jan 02 15 Jan 07, semi -pay 06.150% Fix rate ~ $101.73 10173.00 Accrued interest from 1/15/03 to 1/19/03 (4 days ~ 1.6849315) 6.74 carried forward $ 135648.38 (If more space is needed, insert additional sheets of the same size) REV.1503 EX +'(1-'97) SCHEDULE B COMMONW 'TH OFPENNS ,VAN,A STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT (continued) ESTATE OF FILE NUMBER Vincent W. Adams 21-03-71 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH Brought forward 135648.38 15. Mutual Funds held by Edward Jones in Account # 270-10190-1-6 in name of Vincent W. Adams 1779.512 shs American Balanced Fund CLB (BALBX), ~14.585 25954.18 Dividend paid 2/24/03 to holders of record on 2/20/03 (not taxable) 1665.148 shs American High Income Municipal Bond Fund CL B (ABHMX) ~15.09 25127.08 Dividend paid 2/3/03 to holders of record on 1/30/03 (not taxable) 2680.529 shs American High Income Trust Fund B (AHTBX) ~10.545 28266.18 Dividend paid 1/29/03 to holders of record on 1/27/03 (not taxable) 2092.119 shs Bond Fund of America CL B (BFABX) ~12.765 26705.90 Dividend paid 1/27/03 to holders of record on 1/23/03 (not taxable) 615.432 shs Capital Income Builders Fund CL B (CIBBX) ~ 41.695 25660.44 Dividend paid 3/21/03 to holders of record 3/18/03 (not taxable) 1791.203 shs Income Fund of America, Inc CL B ' (IFABX) ~ 14.525 26017.22 Dividend paid 3/17/03 to holders of record 3/13/03 (not taxable) 16. 44 shs MET LIFE, Common NYSE, ~ 28.46 1252.24 Dividend paid 12/13/02 (not taxable) 17. 14 shs AVAYA, NYSE, ~ 2.5975 36.37 No Dividends paid TOTAL (Also enter on line 2, Recapitulation $ 294667.99 (If more space is needed, insert additional sheets of the same size) I SCHEDULE E I COMMONWE LTH FPENNSYLVANiA I CASH, BANK DEPOSITS, & MISC I INHERITANCE TAX RETURN / ................. ' ~ RESIDENT DECEDENT ~ I"I::ESONAL PROPERTY I ~ ~ BER ESTATE OF FILE NUM Vincent W. Adams 21-03-71 Include the proceeds of WdgaUon and the date bhe 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 1. Cash in Safe Deposit Box 69.00 2. Coins in Safe Deposit Box (A) Coins in envelope marked "This belongs to Dwight S. Adams - Jean E. Adams" *Jean E. Adams died March 21, 1998 (2) Silver Dollars ( 1925 and 1889) Not taxable (1) Half Dollars (1964) in safe, (8) Quarters ( 1962, 1950, 1960,1954, 1943, 1964, 1964 and 1955) keeping (9) Dimes for Dwight (4) Pennies S. Adams the owner (B) Other coins in Safe Deposit Box as follows: (7) Silver Dollars (1) 1889 Liberty ~ 13.00 (1) 1900 O Liberty ~ 13.00 (1) 1921 Liberty @ 9.50 (3) 1922 Peace @ 9.00 27.00 (1) 1924 Peace ~ 10.00 72.50 (5) Franklin - Liberty Bell Half Dollars (1) 1951 @ 3.00 (2) 1952 ~ 3.00 6.00 (1) 1954 ~ 3.00 (1) 1963 @ 3.00 15.00 (15) Kennedy Half Dollars ~ .50c 7.50 (1) 1898 Liberty Head Quarters ~ 3.75 (22) Washington Type Quarters (1) 1941 ~ .25 (1) 1945 ~ .25 (I) 1962 D @ 1.50 (1) 1963 D @ 1.50 (4) 1963 ~ 1.50 6.00 (3) 1964 D ~ 1.50 4.50 (7) 1964 @ 1.50 10.50 (4) 1965 ~ .25 1.00 25.50 (7) Liberty Dimes 6.10 .70 carried forward $ 193.95. (If more space is needed, insert additional sheets of the same size) , (continued ~ 2 ) I SCHEDULEE I COMMONW LTNOF ENNSYLV^NI^ I CASH, BANK DEPOSITS, & MISC. / INHERITANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF Vincent W. Adams FILE NUMBER 21-03-71 Include the ~mceeds of litigation and bhe date the proceeds were received by ~he estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH brought forward 193.95 2. Coins in Safe Deposit Box (continued) (B) Other coins in safe Deposit box (continued) (8) Roosevelt Dimes (7) (1956, 1960, 1963 and (4) 1964) ~ .10 .70 (1) 1962 D ~.60 .60 1.30 (3) Nickels (1939, 1956and 1960) ~ .05 .15 (28) Indian head Pennies (Well worn-dates not visible to naked eye) ~ . 10 2.80 (1) Lincoln Head Penny ~ .01 .01 3. Certificate of Deposit # 8-700-814-0775029 issued by Allfirst to Vincent W. Adams or *Jean E. Adams on April 15, 1997. * dean E. Adams died on March 21, 1998 Principal Balance 21099.37 Accrued Interest 15.36 4. Certificate of Deposit fl 021318 issued by Commerce Bank to Vincent W. Adams. Principal Balance 23719.52 Accrued Interest 403.40 5. Certificate of Deposit # 253-0026577 issued by Fulton Bank on August 5, 1997 to Vincent W. Adams. Principal Balance 13820.87 Accrued Interest 25.89 carried forward $ 59282.62 (If more space is needed, insert additional sheets of the same size) ~ ~ I (continued p 3) I SCHEDULE E COMMONW LTH FPENNSYLVANIA I CASH, BANK DEPOSITS, & MISC INHERITANCE TAX RETURN I ................. ' m RESIDENT DECEDENT ~I"r'I 5ONAL PROPERTY I Vincent W. Adams FILE NUMBER 21-03-71 Include the )roceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of su~ivorship reust be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH balance forward 59282.62 6. Money Market Account # 57-276213-6 in MBNA American Bank, N.A Principal Balance 64078.91 Accrued Interest 4.00 7. (4) Gold Certificates of Deposit issued by MBNA American Bank, N.A. C/D # Date Principal Accrued Interest 40-428888-2 8/13/01 12856.70 10.25 12866.95 40-522073-6 4/3/02 20813.03 48.13 20861.16 40-953899-2 1/10/02 2804.45 3.22 2807.67 40-969834-1 9/1/02 11062.11 21.24 11083.35 8. Checking account # 5070076396 opened 1/01/79 in PNC Bank, N.A. Principal Balance 47810.71 Accrued Interest 1.37 9. Savings Account # 5030118678 opened 1/03/92 in PNC Bank, N. A. ( Real Estate Security Deposit Account) Principal Balance 2410.37 Accrued Interest .07 10. Certificate of Deposit # 31300185853 issued 05/03/00 in PNC Bank, N.A. Principal Balance 14345.57 Accrued Interest 44.77 11. Checking Account # 90835158 opened 10/28/93 in Waypoint Bank in names of Vincent W. Adams and Jean E. Adams *Jean E. Adams died March 21, 1998 Principal Balance 503.31 Accrued Interest .02 carried forward $ 236100.85. (If mom space is needed, insert additional sheets of the same size) R~-,~.1~-971 .~_ (continuedp 4) SCHEDULER COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN ES,DENT DECEDENT PERSONAL PROPERTY ESTATE OF FILE NUMBER Vincent W. Adams 21-03-71 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 balance forward 236100.85 12. (4) Certificate of Deposit issued by Waypoint Bank in name of Vincent W. Adams C/D # Date Principal Accrued Interest 1800013101 2/9/00 30401.94 103.15 30505.09 7000010788 2/3/00 23702.75 56.57 23759.32 7100022980 1/24/02 20930.13 50.47 20980.60 7100022981 1/24/02 41488.97 80.41 41569.38 13. Check from VanKampen Investments dated Dec. 31, 2002 for dividend on U.S. Government Fund - A paid on 12/31/2002 deposited into checking account # 50-7007-6396 in PNC Bank on January 21, 2003 100.72 14. Check from Fetrow Insurance dated 12/31/02 for Insurance Commission deposited into Checking account # 50-7007-6396 on 1/21/03 86.60 15. Check from Lutheran Brotherhood dated 1/7/03 for monthly withdrawl deposited into checking account # 50-7007-6396 on 1/21/03 150.00 16. Check from Lutheran Brotherhood for Long term Care for 12/1/02 deposited 2/3/02 100.00 17. Interest paid 1/15/03 by Daimlerchry to Merrill Lynch and transmitted by Merrill Lynch on I/31/03 50.83 18. Interest paid 1/15/03 by General Motors Acceptance to Merrill Lynch and transmitted by Merrill Lynch on 1/31/03 307.50 19. U.S. Treasury- Refund 2002 Federal Income Tax 1575.00 20. Capital Blue Cross - Premium Refund 244.88 21. Susquehanna Oil Co. - Credit Balance on Budget Plan on date of death 127.57 22. Clothing 25.00 23. Comcast - Cash for fractional share on 11/18/02 - re-issued 8/14/03 1.98 24. Man's Seiko Watch - yellow, water resistant, Quartz 75.00 TOTAL (Also enter on line 5, Recapitulation) $ 355760.32 (If more space is needed, insert additional sheets of the same size) SCHEDULE G CO~ONWE~LTH OF PENNSYLVAm INTER-VIVOS TRANSFERS & INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Vincent W. Adams 21-03-71 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 NUMBERITEM iNCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND THEATTACH ^ CO~ OF T.E DEEO FOR ~ ESTATE. O^TE oF'r~S~R. DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE VALUE OF ASSET INTEREST ('FAP~ICABLE) 1. (3) IRA Certificates issued by Waypoint Bank C/D # Date Principal Accrued Int. 586520100 12/9/91 357.16 .73 357.89 100% 357.89 1086524974 5/17/95 3319.21 9.76 3328.97 100% 3328.97 1086524975 5/17/95 7460.23 21.93 7482.16 100% 7482. 16 Beneficiary: Jean Adams (died March 21,1998) Contingent Beneficiaries: Barry Adams Linda Mickey Dwight Adams TOTAL (Also enter on line 7, Recapitulation) $ 11169.02 (If more space is needed, insert additional sheets of the same size) REV-1511EX + (1-97) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVECOSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Vincent W. Adams 21-03-71 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES 1. Malpezzi Funeral Home- Funeral Expense $ 7503.15 Rothermel's Funeral Flowers 153.70 Trindle Springs Cemetary Assoc. - Grave opening 600.00 Gingrich Memorials - Inscription on Tombstone 140.00 B. ADMINSTRATIVE COSTS 1. Personal Representative's Commissions Name of Personal Representative (s): Social Security No. (s) / EIN Number of Personal Representative Street Address: City: State: Zip: Year(s) Commission Paid: 2. Attorney Fees 22000.00 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 455.00 5. Accountant's Fees 6. Tax Return Preparer's Fees A1 Whitcomb (2002 Income Tax Returns) 275.00 7. Register of Wills - (6) Short Certificates 18.00 8. Cumberland Law Journal - Executors Notice 75.00 9. The Sentinel - Executors Notice 102.11 10. Linda Mickey - Postage 17.71 11. Central Penn Appraisers 950.00 12. William L. Sunday - Reimburse Cost Advanced 3/21/03 Register of Wills - (6) Short Certificates $18.00 4/15/03 Postmaster- Mailings (Rule 5, 6) 5.08 5/15/03 Register of Wills - (2) Short Certificates 6.00 29.08 carried_forward ~ 32318.75 (If more space is needed, insert additional sheets of the same size) ~"~"~'"~ ~ (continued) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & 'NHEPJTANCE TAX RETURN ADMINISTRATIVECOSTS RESIDENT DECEDENT ESTATE OF Vincent W. Adams FILE NUMBER 21-03-71 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT balance forward 32318.75 13. Register of Wills - (fl) Short Certificate 33.00 14. U.S. Post Office- Postage to transfer Securities 89.71 15. Commonwealth of Pennsylvania- (10) Death Certificates 30.00 16. Register of Wills - Additional Probate Fee 70.00 17. Register of Wills - Filing PA Inheritance Tax Return and Inventory 43.00 18. Gail Minnich - Notary Fees 27.00 19. Reserved for Filing Account, Recording Decree/s, Awarding Real Estate and Releases 250.00 32861.46 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) SCHEDULE I COMMONWE^L*.OFPEN.S V^NI^ I DEBTS OF DECEDENT, / ~ RE~~SIDENTDECEDENT MORTGAGE LIABILITIES, & LIENS ESTATE OF Vincent W. Adams FILE NUMBER 21-03-71 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. Checks outstanding against Checking Account # 5070076396 In PNC Bank, N.A. ( Item 1 Sch E) Check # Issue Date Payee 8333 12/29/02 Dwight Adams (repairs) 89.83 8335 1/17/03 Messiah Village (A/P) 261.75 8336 1/17/03 PPL Electric Utilities (A/P) 132.07 2. Check # Date Payee 1 1/25/03 United Water PA (A/P) 148.31 2 1/28/03 Susquehanna Oil (A/P) 325.00 3 1/28/03 Borough of Mechanicsburg(A/P) 377.10 4 1/28/03 UGI (A/P) 276.85 1001 2/13/03 PPL Electric Utilities (A/P) 123.04 1002 2/13/03 Messiah Village (A/P) 17.25 1009 3/2/03 Pinnacle Hospital (A/P) 18.09 1015 PA Dept of Revenue (balance due 2002 income tax 218.00 1021 4/20/03 2003 County, Borough & Library Real Estate Taxes 895.46 1049 8/15/03 Messiah Village - (2) EMS transports 11/12/02 and 11/25/02 153.80 Real Estate Security Deposits by tenants payable to tenants upon moving except for damages by tenant during occupancy, if any. (Item 9 Schedule E) 2410.37 5446.92 TOTAL (Also enter on line 10, Recapitulation) $ {if more space is needed, insert additional sheets of the same size) SCHEDULE J Co Mo ,T. OFPENNSVLV^N,^ BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Vincent W. Adams 21-03-71 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Tru_~!ee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal di~i. fibutions) 1. Linda J. Mickey Daughter One-third (I/3) of the 3 Andes Drive IRA's (Sch G) Mechanicsburg, PA 17055 One-third (1/3) of Residue of Estate 2. Barry L. Adams Son One-third (1/3) of the 31989 Corte Castro IRA's (Sch G) Temecula, Ca 92592-3533 One-third (1/3) of Residue of Estate Son One-third (1/3) of the 3. Dwight S. Adams IRA's (Sch G) 224 South High S~reet One-third (1/3) of Mechanicsburg, PA 17055 Residue of Estate ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DI~5i~iBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. Trindle Spring Lutheran Church 15 State Road Mechanicsburg, PA 17050 5000.00 TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 5000.00 (If moe space is needed, insert additional sheets of the same size) Inventory of the real and personal estate of Vincent W. Adams deceased balance forward 293379.38 356660. 16. 44 shs MET LIFE, Common NYSE, ~ 28.46 1252.24 Dividend paid 12/13/02 (not taxable) 17. 14 shs AVAYA, NYSE, ~ 2.5975 36.37 No Dividends paid TOTAL STOCK AND BONDS 294667.9~ 294667. 99 LIFE INSURANCE PAYAB1,E TO ESTATE 1. Life Insurance Policy # 116-508-922 proceeds payable to the estate 91 ;.56 TOTAL PERSONAL PROPERTY 652243. 87 Summary Real Estate $ 314000. 00 Personal Proper~ 652243.87 Total Probate Estate 2Y~.fifl~a3_~ ~..~ Inventory of the real and personal estate of Vincent W. Adams deceased 1 balance forward 114941.46 356660. 132 $10,000. Bond Issued by NM Daimlerchry NA HLDGBE 04 Oct 01 15 Oct 06 Mtly - pay 06.100% Fixrate, Cusip 2338E8CB3 ~ 105.205 10520.50 Accrued interest from 1/15/03 to 1/19/03 (4 Days ~ 1.671233) 6.68 $10,000. Bond issued by NM General MTRS Accpt BE 08 Jan 02 15 Jan 07, semi -pay 06.150% Fix rate ~ $10L73 10173.00 Accrued interest from 1/15/03 to 1/19/03 (4 days ~ 1.6849315) 6.74 15. Mutual Funds held by Edward Jones in Account # 270-10190-1-6 in name of Vincent W. Adams 1779.512 shs American Balanced Fund CLB (BALBX), ~ 14.585 25954.18 Dividend paid 2/24/03 to holders of record on 2/20/03 (not taxable) 1665.148 shs American High Income Municipal Bond Fund CL B (ABHMX) ~15.09 25127.08 Dividend paid 2/3/03 to holders of record on 1/30/03 (not taxable) 2680.529 shs American High Income Trust Fund B (AHTBX) ~ 10.545 28266.18 Dividend paid 1/29/03 to holders of record on 1/27/03 (not taxable) 2092.119 shs Bond Fund of America CL B (BFABX) ~12.765 26705.90 Dividend paid 1/27/03 to holders of record on 1/23/03 (not taxable) 615.432 shs Capital Income Builders Fund CL B (CmBX) ~ 41.695 25660.44 Dividend paid 3/21/03 to holders of record 3/18/03 (not taxable) 1791.203 shs Income Fund of America, Inc CL B (IFABX) ~ 14.525 26017.22 Dividend paid 3/17/03 to holders of record 3/13/03 (not taxable) Carried forward 293379.38 32 Inventory of the real and personal estate of Vincent W, Adams deceased Balance forward 18047.90 356660. 32 7. 200 shs Southern Califomia Edison Company (now Edison International, Inc. ) Common Stock, NYSE @ 12.86 2572.00 No Dividends paid 8. 400 shs Ford Motor Company, Common Stock, NYSE Gl0.19 4076.00 Dividend paid 3/31/03 to holders on record on 3/17/03 9. 3267.613 shs Lutheran Brotherhood Income Fund A, NASDAQ SC, ~ 8.66 28297.53 3363.229 shs per confirmation in safe deposit box 95.616 shs redeemed prior to death 3267.613 shs on date of death Accrued Dividend 23/35 X 90,13 59.23 10. 620.347 shs Van Kampen Funds A - US Government Fund Class A (VKMGX) ~ 14.975 9289.70 Accrued Dividend (daily) 19/31 x 37.20 22.80 11. 1 shs Agere Systems, Class A, NYSE ~ 1.74 1.74 No dividends paid 12. 44 shs Agere Systems Class B NYSE ~ 1.7075 75.13 No dividends paid 13. 63 shs Comcast A Common (CMCSA) NASDAQ ~ 26.9275 1696.43 No dividends paid 14. Stocks and Bonds held by Merrill, Lynch, Pierce, Fenner & Smith, Inc. in Account # 872 43202 in name of Vincent W. Adams 800 shs Alabama Power Company, Qtly insured Bnds Sr J, 6.750 % June 30, 2039 Cum, preferred stock, NYSE ~ 26.625 21300.00 Dividend paid 12/31/02 400 shs Fleet Capital Trust III, Def Int TR Orie PFD SECS, 7.05%, March 31 2028 Cum ~ 25.0575 10023.00 Dividend paid 12/31/03 800 shs Repsol Intl Capital Ltd Non Cum GTD SERA. PFD 7.450 %, NYSE ~ $24.35 19480.00 Dividend Paid 3/31/03 to holders of record on 3/14/03 (not taxable) carried forward 114941.46 32 Inventory of the real and personal estate of Vincent W. Adams deceased balance forward 353710 89 19. U.S. Treasury - Refund 2002 Federal Income Tax 00 20. Capital Blue Cross - Premium Refund 88 21. Susquehanna Oil Co. - Credit Balance on Budget Plan on date of death 57 22. Clothing 2:00 23. Comcast - Cash for fractional share on 11/18/12 - re-issued 8/14/03 98 24. December 2002 and January 2003 Rent receivable ~ 450.00 per month 00 25. Man's Seiko Watch - yellow, water resistant, quartz 00 TOTAL CASH, BANK DEPOSITS & MISC PERSONAL PROPERTY 32 Stocks and Bonds 1. 39 shs American Telephone & Telegraph Company, (formerly 195 shs prior to 1 for 5 reverse split on 11/08/02) Common Stock, NYSE ~ 26.0725 $ 1016.83 Dividend paid 2/3/03 to holders of record on 12/31/02 7.31 2. 152 shs Verizon (formerly Bell Atlantic Corporation), Common Stock, NYSE ~ $38.3375 5827.30 Dividend paid 2/3/03 to holders of record on 1/10/03 58.52 3. 168 shs Lucent Technologies, Inc, Common Stock, NYSE ~1.6425 275.94 No Dividends paid 0 4. 4 shs PPL Electric Utilities Corporation (formerly Pennsylvania Power & Light Company) $4.50 preferred (B) Stock, NYSE, @ 72.85 291.40 Dividend paid 1/1/03 5. 46 shs PPL Electric Utilities Corporation (formerly Pennsylvania Power & Light Company) $4.50 preferred (A) Stock, NYSE, ~ 72.85 3351.10 Dividend paid 1/1/03 6. 200 shs Public Service Enterprise Group Incorporated, Common Stock, NYSE @36.0975 7219.50 Dividend paid 3/31/03 carried forward 18047.90 32 Inventory of the real and personal estate of Vincent W. Adams deceased balance forward 170984 66 8. Checking account # 5070076396 opened 1/01/79 in PNC Bank, N.A Principal Balance 47810 71 Accrued Interest 1 37 9. Savings Account # 5030118678 opened 1/03/92 in PNC Bank, N. A. (Real Estate Security Deposit Account Principal Balance 241( 37 Accrued Interest .07 10. Certificate of Deposit # 31300185853 issued 05/03/00 in PNC Bank, N.A. Principal Balance 1434. 57 Accrued Interest 44. 77 11. Checking Account # 90835158 opened 10/28/93 in Waypoint Bank Principal Balance 503 31 Accrued Interest 02 12. (4) Certificate of Deposit issued by Waypoint Bank C/D # Date Principal Accrued Interest 1800013101 2/9/00 30401.94 103.15 30505. )9 7000010788 2/3/00 23702.75 56.57 23759.32 7100022980 1/24/02 20930.13 50.47 20980.60 7100022981 1/24/02 41488.97 80.41 41569.38 13. Check from VanKampen Investments dated Dec. 31, 2002 for dividend on U.S. Government Fund - A paid on 12/31/2002 deposited into checking account # 50-7007-6396 in PNC Bank on January 21, 2003 100 72 14. Check from Fetrow Insurance dated 12/31/02 for Insurance Commission deposited into Checking account # 50-7007-6396 on 1/21/03 86. 60 15. Check from Lutheran Brotherhood dated 1/7/03 for monthly withdrawl deposited into checking account # 50-7007-6396 on 1/21/03 150.00 16. Check from Lutheran Brotherhood for Long term Care for 12/1/02 deposited 2/3/02 100. 00 17. Interest paid 1/15/03 by Daimlerchry to Merrill Lynch and transmitted by Merrill Lynch on 1/31/03 50.83 18. Interest paid 1/15/03 by General Motors Acceptance to Merrill Lynch and transmitted by Merrill Lynch on. 1/31/03 307., 50 carried forward 353710.89 Inventory of the real and personal estate of Vincent W. Adams deceased balance forward 167. 75 2. Coins in Safe Deposit Box (continued) (22) Washington Type Quarters (1) 1941 ~ .25 (1) 1945 ~ .25 (1) 1962 D @ 1.50 (1) 1963 D @ 1.50 (4) 1963 @ 1.50 6.00 (3) 1964 D ~ 1.50 4.50 (7) 1964 ~ 1.50 10.50 (4) 1965 @ .25 1.00 25 J0 (7) Liberty Dimes ~.10 70 (8) Roosevelt Dimes (7) (1956, 1960, 1963 and (4) 1964) @ .10 .70 (1) 1962 D @.60 .60 1.30 (3) Nickels (1939, 1956 and 1960) ~ ,05 15 (28) Indian head Pennies (Well worn-dates not visible to naked eye) ~ . 10 2.80 (1) Lincoln Head Penny ~ .01 .01 3. Certificate of Deposit # 8-700-814-0775029 issued by Allfirst Principal Balance 21099. 37 Accrued Interest 15.36 4. Certificate of Deposit # 021318 issued by Commerce Bank Principal Balance 23719.52 Accrued Interest 403.40 5. Certificate of Deposit # 253-0026577 issued by Fulton Bank on August 5, 1997. Principal Balance 13820. ~7 Accrued Interest 25. 6. Money Market Account # 57-276213-6 in MBNA American Bank, N.A Principal Balance 64078. Accrued Interest 4. 7. (4) Gold Certificates of Deposit issued by MBNA American Bank, N.A. C/D # Date Principal Accrued Interest 40-428888-2 8/13/01 12856.70 10.25 12866. 95 40-522073-6 4/3/02 20813.03 48.13 20861. 16 40-953899-2 1/10/02 2804.45 3.22 2807. 40-969834-1 9/1/02 11062.11 21.24 11083. 35 carried forward 170984. 66 Inventory of the real and personal estate of Vincent W. Adams deceased REAL ESTATE All of that certain house and lot of ground situate on the West side of High Street, in the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania having thereon erected a two and one-half story frame dwelling house numbered 204 South High Street, and other necessary buildings. Tax Parcel No. 23-0567-158 Valued ~ Appraisal $128000 00 All of that certain house and lot of ground situated, in the Borough of Mechanicsburg, County of Cumberland, State of Pennsylvania being improved with premises known as No. 225 South high Street and 136 West Keller Street Tax Parcel No. 16-23-0567-048 Valued ~ Appraisal $186000 00 TOTAL REAL ESTATE $ 314000.00 PERSONAL PROPERTY Cash, Bank Deposits &Misc Personal Property 1. Cash in Safe Deposit Box 69 00 2. Coins in Safe Deposit Box (7) Silver Dollars (1) 1889 Liberty @ 13.00 (1) 1900 O Liberty ~ 13.00 (1) 1921 Liberty @ 9.50 (3) 1922 Peace ~ 9.00 27.00 (1) 1924 Peace ~ 10.00 72.50 (5) Franklin - Liberty Bell Half Dollars (1) 1951 @ 3.00 (2) 1952 ~ 3.00 6.00 (1) 1954 (~ 3.00 (1) 1963 ~ 3.00 15 00 (15) Kennedy Half Dollars @ .50c 7 50 (1) 1898 Liberty Head Quarters ~ 3 75 carried forward 167.75 COMMONWEALTH OF PENNSYLVANIA '~ ss: COUNTY OF CUMBERLAND j Linda J. Micke¥ being duly s~::)~ according fo law, deposes and says that she is t~e Executrix of the Estate of Vincent W. Adams late of Up[~_A]_~en _~sk~p , Cumberland County, Pa., deceased and that the wifh;n is an inventory made by her , the said Ex~2u~x of the entire estate of said decedent, consisting of all the personal property and real estate, except real estate oufslde the Commonwealth of Pennsylvania, and fhaf the figures opposlfe each item of the Inventory represent it's fair value as of the date of decedent's death. S~Drn to and subscribed before me, <~~ %~'- /"~, ~ ~003 ]~eCq.lt~'J~ E~uf°r- Acrm|n|sfre~;~ ~ F. /~~ 3 Andes Drive No~3da~ Sea Gm~ P. Ui~icb~ Nota~ Pub~ I Mechanicsburg, PA 17055 Mechanicsburg ~oro, Cun ~.bed?nd Count,/ I Address Date of Death 19 Ja_.-~n~'ry 2003 Day Month Year INSTRUCTIONS I. An inventory must be filed wifhln three months after appointment of personal representative. 2. A supplement inventory must be filed wifhln thlrfy 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. >- ,,, < O "' :- Z m -- < 0 o c= Z {j Z '" < COMMONWEALTH Of PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 003044 SUNDAY WILLIAM L ESQUIRE 39 W MAIN STREET MECHANICSBURG, PA 17055 ACN ASSESSMENT AMOUNT CONTROL NUMBER ........ fold .......... 101 $5,993.50 ESTATE INFORMATION: SSN.' 180-10-0564 FILE NUMBER: 2103-0071 DECEDENT NAME: ADAMS VINCENT W DATE OF PAYMENT: 09/22/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/19/2003 TOTAL AMOUNT PAID: $5,993.50 REMARKS: LINDAJ MICKEY-C/O WILLIAM L SUNDAY CHECK# 1058 INITIALS: JA SEAL RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS ~,."/~-//'~-'/ COMMONWEALTH OF PENNSYLVANIA BUREAU OF ZNDZVZDUAL TAXES DEPARTMENT OF REVENUE /NHER/TANCE TAX DIVISION DEPT. 180601 HARR/SBURG, PA 17128-0601 NOTICE OF ZNHERZTANCE TAX APPRAZSEHENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCT/ONS AND ASSESSHENT OF TAX DATE 11-10-2003 ESTATE OF ADAMS VINCENT W DATE OF DEATH 01-19-2003 FILE NUHBER 21 03-0071 .... :- COUNTY CUMBERLAND WILLIAM L SUNDAY ACN 101 39 W MAIN ST MECHANICSBURG PA 17055 Aeoun~ Reai~ed HAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THZS LINE ~'~ RETAZN LOWER PORTZON FOR YOUR RECORDS REV-1547 EX AFP (01-03) NOTICE OF ZNHERZTANCE TAX APPRAISEMENT, ALLOWANCE OR DZSALLOWANCE OF DEDUCTZONS AND ASSESSMENT OF TAX ESTATE OF ADAMS VINCENT WFZLE NO. 21 03-0071 ACN 101 DATE 11-10-2003 TAX RETURN gAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATZON CONCERNING FUTURE ZNTEREST- SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e (Schedule A) (1) $1~900 O0 NOTE: To insure proper 2. S~ocks and Bonds (Schedule B) (2) 29~667 99 credi~ ~o your account, $. Closely HeZd S*ock/Par~nership /n~eres~ (Schedule C) ($) 00 subai~ ~he upper portion q. MoP,gages/No,es Receivable (Schedule D) (q) O0 of ~his fore wi~h your $. Cash/Bank Daposi~s/Hisc. Personal Proper~y (Schedule E) (S) 355;760.32 ~ax payment. 6. Jointly Owned Proper~y (Schedule F) (6) O0 7. Transfers (Schedule G) (7) 11z169.02 8. To,al AssaYs (8) 976,~97.35 APPROVED DEDUCTZONS AND EXEMPTZONS: $2,861.~6 9. Funeral Expenses/Ada. Cos~s/Nisc. Expenses (Schedule H) (9) 10. Deb~s/Nor~gaga Liabilities/Liens (Schedule X) (10) 5;~6.92 11. To,al Deductions (11) 12. Ne~ Value of Tax Re~urn (12) 938,188.95 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 5~000.00 1~. Ne~ Value of Es~a~a Subjac~ ~o Tax (1~) 933,188.95 NOTE: Z~ an assessment ~as issued prev/ously, lines 14, 15 and/or 16, 17, 18 and 19 ~111 reflect flgures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Aaoun~ of Line Zq a~ Spousal ra~a (15) .00 X O0 = .00 16. Aaoun~ of Line 1~ ~axable a~ Lineal/Class A ra~e (16) 933,188.95 X OR5 = 41,993.50 17. Aaoun{ of Line lq a{ Sibling ra{e (17) .00 X 12 = .00 18. Aeoun~ of Line lq {axable a{ Collateral/Class B ra{e (18) .00 X 15 = .00 19. Principal Tax Due (19)= ql,993.50 TAX CREDITS: PAYHENT RECEIPT DZ$COUNT AHOUNT PA~D DATE NUHBER ~NTEREST/PEN PAID (-) 0~-16-2003 CD002~58 1,800.00 3~,200.00 09-22-2003 CDO030~ .00 5,993.50 TOTAL TAX CREDIT ~1,993.50 BALANCE OF TAX DUEI .00 INTEREST AND PEN. I .00 TOTAL DUE I . O0 ZF PAID AFTER DATE ZNDZCATED, SEE REVERSE ( [F TOTAL DUE ZS LESS THAN $1, NO PAYNENT ZS REQUIRED. FOR CALCULATION OF ADDZTZONAL INTEREST. 3CF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THZS FORH FOR ZNSTRUCTZONS.) RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any futura interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the CoaaonweaZth hereby axprassZy reserves the right to appraise and assess transfer ZnhorJtanca Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To flJlfill the requirements of Section 1140 of the Inheritance and Estate Tax Act, Act 15 of ZOO0. (72 P.S. Section 9140). PAYNENT: Detach the top portion of this Notice and submit with your payment to tho Register of flills printed on the reverse side. --Make check or money order payable to: REG/STER OF N/LES; AGENT REFUND (CR): A refund of a tax credit, eh/ch ems not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1315). Applications ara available at the Office of the Register of Hills, any of tho Z5 Revenue District Offices, or by calling tho special Z4-hour ansearing service for forms ordering: 1-800-562-2050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 (TT only). OBJECTIONS: Any party in interest not satisfied aith the appraisement, allowance, or 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: --eritten protest to the PA Department of Revenue, Board of Appeals, Dept. 181011, Harrisburg, PA 17128-10Z1, 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 Revise Unit, Dept. 180601, Harrisburg, PA 17118-0601 Phone (717) 767-BSOS. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (5) calendar months after the dacedant's death, a five percent (5Z) discount of the tax paid is allowed. PENALTY: The 151 tax amnesty non-participation penalty Js computed on the total of the tax and interest assessed, and not paid before January 18, 1996; the first day after the and of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you Mould 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 (9) months and one (1) day from the date of death; to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (61) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1981 will bear interest at a rate which will vary free calendar year to calendar year eith that rate announced by tho PA Department of Revenue. The applicable interest rates for 1982 through 2005 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20Z .000548 1987 9Z .000247 1999 7Z .00019Z 1983 16Z .000458 1988-1991 IZZ .000501 ZOO0 81 .000219 1984 11Z .000501 199Z 9Z .000Z47 2001 9Z .000Z47 1985 132 .000556 1995-1994 72 .00019Z 200Z 6Z .000164 1986 IOZ .000274 1995-1998 9Z .000247 2003 52 .000137 --Interest is calculated as folloes: /NTEREST = BALANCE OF TAX UNPA/D X NURBER OF DAYS DEL/NQUENT X DAILY /NTEREST FACTOR --Any Notlca issued after the tax becomes delinquent wlll reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date sheen on the Notice; additional interest must be calculated. RELEASE KNOW ALL MEN BY THESE PRESENTS, that the Trindle Spring Lutheran Church. of 15 State Road, Mechanicsburg, Pennsylvania does hereby acknowledge that it has this day had and received of and from Linda J. Micke¥, Executrix of the Estate of Vincent W. Adams, deceased, the sum of Five Thousand ($5,000.00) Dollars in full satisfaction and payment of all such sum or sums of money as bequeathed to it by Item 2 of the Last Will and Testament of Vincent W. Adams. AND THEREFORE, the said Trindle Spring Lutheran Church does by these presents remise, release, quitclaim and forever discharge the said Linda J. Micke¥, Executrix of the Estate of Vincent W. Adams and her successors, of and from the said bequest, and of and from all actions, suits, payments, accounts reckoning, claims and demands whatsoever, for or by reason thereof, or of any other act, matter cause or thing whatsoever. IN WITNESS WHEREOF, I have hereunto set my hand and seal the k % J day of '.'7~ , ~,,~ ,/ , A.D. 2004. The Trindle Spring Lutheran Church of Attest: ..- 15 State Road, Mech..iq~csburg~~ ~ .... ~ .... e' ?~-~- '~" "' ~/ By: .(Seal) Secretary ~// }gre~ident -~ STATE OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND On this, the :.~ ~) day of -~atl ;~i;t ..~[ 2004, before me, the undersigned officer, personally appeared Mwl Hersh who acrnowledge~l himself to be the President of the Trindle Springs Lutheran Church, a non-profit corporation, and that he as such President, being authorized to do so, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself as President. IN WITNESS WHEREOF, I hereto set my hand an.d official seal. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION 2003-00071 -- (21-03-007l) FIRST AND FINAL ACCOUNT Linda J. Mickey, Executrix lot' ESTATE OF VINCENT W. ADAMS, Deceased Date of Death: January 19, 2003 Date of Executor's Appointment: January 24, 2003 Date of First Advertisement of Letters: Sec Page 2 Accounting for the Period: lanuary 19, 2003 to October __, 2004 Purpose of Account: Linda J. Mickey, Executrix, off'ers this account to acquaint interested parties with the transactions that have occurred during this adnfinistration. The account also indicates the proposed distribution of thc Estate. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Linda J. Mickey 3 Andes Drive Mechanicsburg, PA 17055 (717) 697-1387 or William L. Sunday Sunday & Sunday 39 West Main Street, Suite 1 Mechanicsburg, PA 17055-6230 (717) 766-9622 THE FIRST AND FINAL ACCOUNT OF LINDA J. MICKEY, EXECUTRIX, UNDER THE LAST WILL AND TESTAMENT OF VINCENT W. ADAMS, LATE OF THE TOWNSHIP OF UPPER ALLEN, COUNTY OF CUMBERLAND, AND STATE OF PENNSYLVANIA, DECEASED, AND PROPOSED SCHEDULE OF DISTRIBUTION. Date of'Death: January 19, 2003 Date Letters Advertised: Cmnberland Law Journal Fcbruary 7, 14 & 21, 2003 The Sentinel - Feburary 4, 11 & 18, 2003 PERSONALTY PRiNCIPAL ACCOUNT DEBITS Vincent W. Adams 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 off 652243.87 Accountant also charges herself with the f,ollowing: 2003 Jan 26 Re-invested Dividend in 9.162 shs of Bond Fund of Amcrica CLB ~ 12.79 117.18 Jan 29 Re-invested Dividend in 18.963 shs of America High Income Trust ~ 10.51 199.30 Jan 31 Re-invested accrued interest ($59.23) and dividend (30.90) in 10.616 shs of Lutheran Brotherhood LB Income Fund A ~ 8.49 90.13 Feb 3 Re-invested Tax Free Dividend in 6.027 shs of American High Income Municipal bond Fund ~ 15.07 90.83 Feb 24 Re-invested Dividend in 9.381 shs of American Balanced Fund CLB (.q), 13.98 131.15 Feb 26 Re-invested Dividend in 8.853 shs of Bond Fund of Amcrtca CLB {~ 12.83 113.59 Feb 28 Re-invested Dividend in 10.383 shs in Lutheran Brotherhood LB Income Fund A @ 8.60 89.29 Mar 3 Re-invested Dividend in 18.183 shs in American Iligh Income Trust Fund B ~3) 10.60192.74 CmTied Forward 653268.08 PERSONALTY PRiNCiPAL ACCOUNT DEBITS Vincent W. Adams (eon't) 200} Brought Forward 653268.08 Mar 3 Re-invested Dividend in 6.174 shs in American High Income Municipal Bond Fund (c~ I5.21 93.91 Malpezzi Refund ( Funeral Expensc) 100.00 Mar 17 Re-investcd Dividend in 19.5 shs in Income Fund of America ~ 13.76 268.32 Mar 21 Re-invested Dividend in 6.455 shs in Capital Income Builder Fund @ 40.I7 259.28 Mar 26 Re-invested Dividend in 9.034 shs in Bond Fund of America CLB ~ 12.79 115.54 Mar 31 Re-invested Dividend in 18.305 shs in American High income Trust Fund ~ 10.84 198.43 Mar 31 Re-invested Dividend in 9.935 shs in Lntheran Brotherhood LB Income Fund A (t~ 8.60 85.44 Apr 1 Re-invested Dividend in 6.037 shs in American High Income Municipal Bond Fund ~ 15.13 91.34 Apr 28 Re-invcsted Dividend in 8.802 shs in Bond Fund of American CLB ~4 13.06 114.96 Apr 29 Re-invested Dividend in 15.314 shs in American lfigh Income Trust Fund B ~t0 11.23 171.98 May 1 Re-invested Dividend in 5.984 shs in American High Income Municipal Bond Fund CLB ~ 15.18 90.84 May 19 Re-invested Dividend in 7.287 shs in American Balanced Fund CLB ~ 15.17 110.55 May 27 Re-invested Dividend in 8.660 shs in Bond Fund of America CLB 13.43 116.3I May 29 Re-invested Dividend in 15.026 shs in American High Income Trust Fund ~ 11.44 171.90 Can-led Forward 655256.88 3 PERSONALTY PRINCIPAL ACCOUNT DEBITS Vincent W. Adams (eon't) Brought Forward 655256.88 2003 Jun 2 Re-invested Dividend in 5.800 shs in American lfigh Income Municipal Bond Fund ~ 15.43 89.50 Jun 16 Reinvested Dividend in 17.I49 shs in Income Fund of America CLB ~3) 15.50 265.81 Jun 23 Re-invested Dividend in 5.907 shs in Capital Income Builder Fund CLB (~ 44. I5 260.80 Jun 26 Re-invested Dividend in 8.432 shs in Bond Fund of America CLB ~ 13.49 113.75 Jun 30 Re-invested Dividend in 14,986 shs in American High Income Trust Fund ~ 11.67 174.89 Jul 1 Re-invested Dividend in 5.753 shs m American High Income Municipal Bond Fund CLB {4 15.36 88.37 JuI 28 Re-invested Dividend in 7.141 shs in Bond Fund of America CLB @ 13.20 94.26 Jul 29 Re-invested Dividend in 15.038 shs in American High Income Trust Fund ~ 11.61 174.59 Aug 1 Re-invested Dividend in 5.77 shs in American High income Municipal Bond Fund (~ 14.98 86.44 Aug 18 Re-invested Dividend in 6.773 shs in American Balanced Fund CLB @ 15.70 106.33 Aug 26 Re-invested Dividend in 7.327 shs in Bond Fund of American CLB c~ 12.95 94.88 Aug 29 Re-invested Dividend in 15. 134 shs in American High Income Trust Fund ~ 11.58 175.25 Sept 2 Re-invested Dividend in 5.828 shs in American High Income Municipal Bond Fund CLB @ 14.97 87.24 Sept 15 Re-invested Dividend in 17,904 shs in Income Fund of America CLB ~ 15.62 279.66_ Carried Forward 657348.65 4 PERSONALTY PRINCIPAL ACCOUNT DEBITS Vincent W. Adams (eon't) Brought Forxvard 657348.65 2O03 Sept 22 Re-invested Dividend in 5.896 shs in Capital Income Builder Fund CLB ~.¢ 44.49 262.32 Sept 26 Re-invested Dividend in 7.157 in Bond Fund of America CLB @ 13.30 95.19 Sept 29 Re-invested Dividend in 14.985 shs in America High Income Trust Fund B (fy3 11.85 177.57 Sept 30 Re-invested Dividend in 2.5565 shs in PSEG (~ 42.2450 108.00 Oct I Re-invested Dividend in 5.799 shs in American High Income Municipal Bond Fund CLB ~ 15.25 88.44 Oct 2 Re-invested Interest and Dividend from Merrill Lynch in Merrill Lynch Ready Asset Trust 1 I62.26 Oct 2 Re-invested Accured Interest on GM Acceptance in Merrill Lynch Ready Asset Trust 6.74 Oct 27 Re-invested Dividend in 7.232 shs in Bond Fund of America CLB ~ 13.34 96.47 Oct 29 Re-invested Dividend in 14.288 shs in American High Income Trust FundB ~ 12.05 172.17 Nov 4 Re-invested Dividend in 5.715 shs in American High income Municipal Bond Fund CLB (~ 15.23 86.98 Nov 19 Gain on sale of 63 shs of Comcast Common Stock Gross proceeds 1949.89 Less: Fee to sell 50.00 Net proceeds 1899.89 Less Date of Death Value 1696.43 Gain on sale 203.46 203.46 Nov 26 Re-invcsted Dividend in 7.210 shs in Bond Fund of Amcrica CLB @ 13.40 96.62 Dec 1 Re-invested Dividend in 14.549 shs in American High Income Trust Fund B ~) 12.15 176.77 Carried Forxvard 660081.64 5 PERSONALTY PRINCIPAL ACCOUNT DEB ITS Vincent W. Adams (con't) 2003 Brought Forward 660081.64 Dec 1 Re-invested Dividend in 5.572 shs in American tligla Income Municipal Bond Fund CLB ~ I5.32 85.36 Dec 15 Re-invested Dividend in 6.443 shs in American Balanced Fund CLB ~ 16.79 108.18 Dec 15 Re-invested Dividend in 4.907 shs in Capital Income Builder Fund CLB (3 46.65 228.90 Dec 15 Re-invested Cap Gain Dividend in 2.350 shs in Capital Income Builder Fund CLB @ 46.65 109.63 Dec 26 Re-invested Dividend in 9.373 shs in Bond Fund of America CLB ~( 13.50 126.54 Dec 15 Re-invested Dividend in 15.280 shs in lncomc Fund of America CL B @ 16.61 253.80 Dec 17 Gain on sale of 1 shs of Agere Systems Class A and 44 shs of Agere Systems Class B Proceeds received Ibr Both classes 121.36 Date of Death Value 1 shs Class A 1.74 44 shs Class B 75.13 76.87 Gain of all shs of Agcre Systems 44.49 44.49 Dec 27 Waypoint Bank requested Distribution form IRA Accounts Account # 001086524975 Account # 001086524974 1147.61 530.29 Dec 29 Re-invested Dividend in 16.629 shs in American High Income Trust Fund B @ 12.31 204.70 Dec 31 Re-invested Dividcnd in 2.4873 shs in PSEG (~4 $43.9750 109.38 SUBTOTAL 12/31/03 663030.52 Jan 2 Re-invested Dividcnd in 5.541 shs in American High Income Municipal of Bond Fund CL 13 ~(~ 15.36 85.11 .lan 2 Re-invested Dividend in 1.286 shs in PPL Electric Utilities (Common) ((}$ 43.736 56.25 CmT-ied Forward 663171.88 6 PERSONALTY PRINCIPAL ACCOUNT DEBITS Vincent W. Adams (eon't) Brought Forward 663171.88 2004 Jan 5 Re-invested Interest and Dividends from Men:ill Lynch in Merrill Lynch Ready Asset Trust 863.00 Jan 2 Correction in value stated in Inventory value of Ford Motor Co. Capital Trust $10,216.00 Ford Motor Co., Common 4.076.00 Increase Inventory value by 6,140.00 6140.00 Jan 21 Re-invested Interest from Merrill I.ynch in Merrill Lynch Ready Asset 358.00 Jan 26 Re-invested Dividend in 5.015 shs in Bond Fund of American CL B (~ 13.67 68.55 Jan 27 Gain on sale of 14 shs of Avaya Stock Gross proceeds 215.58 Less: Fee to sell 15.00 Net proceeds 200.58 Less Date of Death Value 36.3~ Gain 164.21 164.21 Jan 27 Gain on sale of 168 shs of Lucent Technologies Stock Gross proceeds 750.19 Less: Fee to sell 15.00 Net proceeds 735.79 Less Date of Death Value 275.94 Gain 459.85 459.85 Jan 29 Re-invested Dividend in 11.876 shs in American High Income Trust Fund B GO 12.54 148.93 Feb 2 Re-invested Dividend in 5.539 shs in American Ifigh Income Municipal Bond Fund CLB (~ 15.43 85.47 Feb 23 Re-invested Dividend in 5.987 shs in American Balanced Fund CL B ¢~ 17.71 106.03 Feb 26 Re-invested Dividend in 7.02 shs in Bond Fund of American CL B ~ 13.65 95.82 Mar I Re-invested Dividend in 14.130 shs in American High Income Trust Fund B (¢ 12.37174.79 Carried Forward 671836.53 7 PERSONALTY PRINCIPAL ACCOUNT DEBITS Vincent W. Adams (eon't) Brought Forxvard 671836.53 2004 Mar I Rc-invested Dividend in 5.457 shs in American High Income Municipal Bond Fund CLB ~ 15.58 85.02 Mar 4 Gain on sale of 152 shs of Verzion Communications Gross proceeds 5928.00 Less: Fcc to sell I0.00 Net proceeds 5918.00 Less Date of Death Value 5827.30 Gain 90.70 90.70 Mar 22 Re-invested Dividend in 4.612 shs in Capital Income Builder Fund CLB @ 48.41 223.28 Mar 23 Reinvested lnterest from Merrill Lynch in Merrill Lynch Ready Asset Trust 102.00 Mar 26 Re-invested Dividend in 7.097 shs in Bond Fund of America CLB (~ 13.74 97.51 Mar 29 Reinvested Dividends in 14.716 shs in American 11igh Income Trust FundB ~ $12.31 181.16 Mar 29 Reinvested Dividend in 15.698 shs in Income Fund of America CLB @ S17.04 266.47 Mar 31 Re-invested Dividend in 2.4006 shs in PSEG (~ $ 46.975 112.77 Apr 1 Re-invested Preferred Dividend in 1.208 shs in PPL Cot~o., Common (~ $ 46.5450 56.25 Apr 1 Re-invested Common Dividend in .011 shs in PPL Corp., Common @ $ 46.545 .53 Apr 1 Re-invested Dividend in 5.522 shs American High Income Municipal @ $I5.54 85.81 Apr 2 Re-invested Dividend and lntercst fi-om Merrill Lynch in Merrill Lynch Ready Asset Fund 710.00 Apr 26 Re-invested I)ividend in 7.396 shs in Bond Fund of America CL B (q~ $13.40 ~99. l 0 ( arried Forward 673947.13 8 PERSONALTY PRINCIPAL ACCOUNT DEBITS Vincent W. Adams (con't) Brought Forward 673947. l 3 Apr 29 Re-invested Dividend in 14.700 shs in American High Income Trust Fund B c(c(~ $12.23 179.78 May 3 Re-investcd Dividend in 5.841 sbs In American High Income Municipal Bond Fund CL B @ $15.24 89.02 May 24 Re-invested Dividend in 6.175 shs in American Balanced Fund CL B ~8 $17.08 105.47 May 25 Re-invested Interest from Merrill Lynch in Merrill Lynch Ready Asset Trust 100.00 May 26 Re-invested Dividend in 7.376 shs in Bond Fund of America CL B (c~ $13.18 97.22 June 1 Reinvested Dividend in 15.196 shs in American High Income Trust Fund B ~ $11.91 180.98 June 1 Reinvested Dividend in 5.797 shs in American lIigh Income Municipal Bond Fund ~ $15.14 87.76 June 3 Re-invested interest from Merrill Lynch in Mcrrill Lynch Ready Asset Trust 212.00 June 21 Reinvested Dividend in 4.849 shs in Capital Income Builder Fund ~e $47.89 232.23 June 28 Reinvested Dividend in 13.416 shs in Income Fund of America ~ $19.08 229.14 June 29 Reinvested Dividend in 15.412 shs in American High income ':[rust Fund (C~ $12.00 I84.94 June 29 Reinvested Dividend in 7.460 shs in Bond Fund of America CL B ~8 $$13,23 98.70 Junc 30 Reinvested Dividend in 2.8505 shs in Public Service Enterprisc Grnup c~ $ 40.0250 114.09 July 1 Reinvested Dividend (Common) in .023 shs PPL Common Stock ~.~ $45.839 1.03 July 1 Reinvested Dividend (Preferred) in 1.227 shs PPL Common Stock @ S45.839 56.25 July 1 Reinvested Dividend in 5.644 shs in American High Income Municipal Bond Fund CL B ~2 $15.15 85.5l July 7 Reinvested Interest/Dividend from Men-ill Lynch in Merrill Lynch Ready Asset Trust 423.00 July 20 Reinvested Interest from Mcrrill Lynch in Merri]! Lynch Rcady Asset Trust 358.00 Carried Forward 676782.25 9 PERSONALTY PRINCIPAL ACCOUNT DEBITS Vincent W. Adams (eon't) Brought Forward 676782.25 July 26 Reinvestcd Dividend in 8.156 shs in Bond Fund of America CL B ~ $ 13.32 108.64 July 29 Reinvested Dividend in 15.884 shs in American IIigh Income Trust Fund B (~ S 12.03 191.09 Aug 2 Reinvested Dividend in 5.615 shs in American High Income Municipal Bond Fund CL B (g~ $ 15.23 85.52 Aug 6 Gain on sale orS 10,000.00 Bond General Motors Gross Procecds $10301.50 Less: Fee to Sell 5.35 Net Proceeds $ 10296.15 Less: Date of Death Value 10173.00 Gain on Sale 123.15 123.15 Aug 6 Gain on sale of 800 shs Repsol Gross Proceeds $ 20000.00 Less: Costs of Sale Processing Fee 5.35 S.E.C. Fee .47 Charge 397.90 Costs 403.72 403.72 Net Proceeds 19596.28 Less: Date of Death Value 19480.00 Gain on Sale 116.28 116.28 Aug 13 Gain on Sale of 210.2949 shs Public Service Enterprise Group Gross Proceeds 8542.16 Less: Costs of Salc Comnfission 5.26 Service Charge 10.00 Costs 15.26 15.26_ Net Proceeds 8526.90 Less: Date of Death Value 7219.50 Reinvestcd Dividends 444.24 Basis 7663.74 7663.74 Gain on Salc 863.16 863.16 Carried Forward 678270.09 10 PERSONALTY PRINCIPAL ACCOUNT DEBITS Vincent W. Adams (eon't) Brought Forward 678270.09 Aug 16 Reinvested Dividend in 6.168 shs in American Balanced Fund CL B @ $16.98 104.74 Aug 20 Gain on sale 200 shs of Edison International Gross Proceeds 5402.00 l~ess: Costs o£Sale Commission 103.90 S.E.C. Fee .13 Transaction Fee 4.95 Costs of Sale 108.98 108,98 Net Proceeds 5293.02 Less: Date of Death Value 2572.00 Gain on Sale 2721.02 2721.02 Aug 20 Gain on sale 50 shs PPL Electric Utilities Co~. Preferred Stock Gross Proceeds $ 3750.00 Less: Costs of Sale Commission $ 50.00 SEC Fee .09 Transaction Fee 4.95 Cost of Sale 55.04 55.04 Net proceeds 3694.96 Less: Date of Death Value 3642.50 Gain on Sale 52.46 52.46 Aug 20 Gain on sale 650.408 shs of Capital Income Builder CL B Fund Proceeds received 31577.31 I.ess: Basis Date of Death Value 615.432 shs 25660.44 Reinvested Dividends 34.976 shs 1576.44 Basis 27236.88 27236.88 Gain on Sale 4340.43 4340.43 Aug 20 Gain on sale of 1827.726 shs of American Balanced Fund CL B Proceeds received 31637.94 Less: Basis Shares Date of Death Value 1779,512 $25954.18 Reinvested Dividends 48.214 772.45_ Basis 1827.726 26726.63 26726.63 Gain on sale 4911.31 4911.31 Carried Forward 690400.05 11 PERSONALTY PRINCIPAL ACCOUNT DEBITS Vincent W. Adams (eon't) Brought Forward 690400.05 Aug 20 Gain on sate of 1890.09 shs of income Fund of America CL B Proceeds received 32339.44 Less: Basis Shares Date of Death Value 1791.203 $26017.22 Reinvested Dividends 98.887 1563.20 Basis 1890.09 27580.42 27580.42 Gain on sale 4759.02 4759.02 Aug 20 Gain on sale of 2240.022 shs of Bond Fund of America CL B Proceeds received 30083.50 Less: Basis Shares_ Date of Death Value 2092.119 $26705.90 Reinvested Dividends 147.903 1960.83 Basis 2240.022 28666.73 28666.73 Gain on sale 1416.77 i416.77 Aug 20 Gain on sale of 2973.843 shs of American ltigh Income Trust CL B Proceeds received 36072.72 Less: Basis Shares Date of Death Value 2680.529 $28266.18 Reinvested Dividends 293.314 3431.96 Basis 2973.845 31698.14 31698.14 Gain on sale 4374.58 4374.58 Aug 20 Gain on sale of 1774.563 shs of American High Income Municipal Bond Fund CL B Proceeds received $27275.03 Less: Basis Shares Date of Death Value 1665.148 $25127.08 Reinvested Dividends 109.415 1668.47 Basis 1774.563 26795.55 26795.55 Gain on sale 479.48 479.48 Sept 2 Gain on sale of 44 shs of Metli£e Proceeds rcceivcd 1625.24 Date of Death Value 1252.24 Gain on sale 373.00 373.00 Carried Forward 701802.90 12 PERSONALTY PRINCIPAL ACCOUNT DEBITS Vincent W. Adams (con't) Brought Forward 70 1802.90 Sept 7 Gain on sale of 3.756 shs of PPL Electric Utilities Proceeds received 180.80 Basis: Reinvested Dividends 170.31 Gain on sale 10.49 10.49 TOTAL PERSONALTY PRINCIPAL ACCOUNT DEBITS $ 70~8~3.32 13 PERSONALTY PRINCIPAL ACCOUNT CREDITS Vincent W. Adams Accountant asks credit for the following: 2003 Chccks outstanding on PNC Checking Account # 50-7007-6396 Check No. Date Payee 8333 12/29/02 Dwight Adams 89.83 8335 1/17/03 Messiah Village 261.75 8336 1/17/03 PPL 132.07 Jan 25 United Water PA Account payable 148.31 Jan 28 Borough of Mechanicsburg Sewer &Refusc Account payable 377.10 Jan 28 UGI Account payable 276.85 Jan 31 Vincent W. Adams - Reinvest Accurcd Interest (Lutheran Brotherhood) 59.23 Feb 13 PPL Electric Utilities Account payable 225 South High Street 42.08 204 South High Street 80.96 123.04 Feb 13 Messiah Village Account payable 17.25 Feb 13 Malpezzi Funeral Home -Funcral Expense 7603.15 Feb 13 Rothermels Flowers 153.70 Mar 12 Trindle Springs Cemetery Association Grave 600.00 Mar 2 Pinnacle Health ItospitaIs Account payable 18.09 Mar I7 Linda Mickey reimburse for Postage 17.71 Apr 5 PA Dept of Revenue 2002 Pa Income Tax 218.00 Apr 5 Al Whitcomb Prep 2002 Income Tax Returns 275.00 Apr 12 Register of Wills, Agent Partial Pa Inheritance Tax 34200.00 May 9 Central Penn AppraisaLs Real Estate Appraisal 950.00 May 8 Merrill Lynch Annual Account Fee 40.00 Carried Forward 45561.08 14 PERSONALTY PRINCIPAL ACCOUNT CREDITS Vincent W. Adams (eon't) 2003 Brought Forward 45561.08 Jul 28 Register of Wills (11) Short Certificates 33.00 July 29 William L. Sunday - Reimbursement for: Probate 455.00 (6) Short Certificates 18.00 Cumbcrland Law Journal 75.00 Sentinel 102.11 (6) Short Certificates 18.00 Mailing Notices 5.08 (2) Short Certificates 6.00 679.19 Jul 30 U.S. Post Office Mailing Securities 89.71 Aug 15 Messiah Village ENS Transcripts 153.80 Aug 31 Linda Mickey - Reinburse fbr (10) Death Certificates 30.00 Sept 17 Register of Wills Additional Probate Fee 70.00 Sept 17 Register of Wills -~ Filing Fee 43.00 Sept 17 Register of Wills, Agent Balance PA Inheritance Tax 5993.50 Sept 17 Gall Minnich -Notary Fees 27.00 Sept 18 William L. Sunday Partial Attorney Fee 11000.00 Oct 2 Reinvested Accrued Intervention GM Acceptance in Merrill l,ynch Ready Asset Trust 6.74 Oct 9 James R. Gingrich Memorials - Inscription 140.00 Dec 29 Trindle Spring Lutheran Church Pecuniary Legacy 5000.00 SUB-TOTAL 12/31/03 68827.02 2004 Jan 26 Register of Wills - (3) Short Certificates 9.00 Apr 13 PA Dept of Revenue 2003 Fiduciary Income Tax (PA-4I) 728.00 Apr 13 US Dept of Treasury 2003 Fiduciary Income Tax (US -104l) 2836.07 Apr 13 PA Dcpt of Revenue - 2003 Individual Income Tax (PA-40) 92.00 Carried Forward 72492.09 15 PERSONALTY PRINCIPAL ACCOUNT CREDITS Vincent W. Adams (con't) Brought Forward 72492.09 June 23 Van Kampcn Investor Services, Inc. Premium (Lost Securities Bond) 131.00 July 8 Post Office Stamps 7.40 July 8 Merrill Lynch Account - Journal entry to reimburse account overdrawn by virtue of annual account fee in rcinvestment of July 7, 2004 64.62 July 29 Post Office Postage 2.63 Oct 10 William L. Sunday Balance of Attorney's Fee 11000.00 Oct 10 Registcr of Wills Filing Relcase by Trindle Springs Lutheran Church 4.00 Oct 10 William l,. Sunday Reimbursement for Express Mail to Calit'omia on I0/4/'04 13.65 Total Principal Account Expenditures 837 l 5.39 Accountant also asks credit for the following: 2003 Feb 7 Loss on Monthly withdrawal from Lutheran Brotherhood LB income Fund A 17.626 shs Date of Death Value ~ $8.66 152.64 Redeemed at $8.51 150.00 Loss 2.64 2.64 Mar 7 Loss on Monthly withdrawal from Lutheran Brotherhood LB income Fund A 17.401 shs ~( Date of Death Value (h $8.66 150.6~ Redeemed at $8.62 150.00 Loss .69 .69 May 7 Loss on redcmption of 400 shs Fleet Capital Trust III Datc of Death Value 10023.00 Redeemed at t~ace 10000.0Q 23.00 23.00 Carried Forward $ 83741.72 16 PERSONALTY PRiNCIPAL ACCOUNT CREDITS Vincent W. Adams (eon't) Brought Forward $ 83741.72 2004 Jan 2 Loss on redemption of 400 shs Ford Motor Co. Capital Trust (valued at Ford Motor Co, common, in Inventory) Date of Death Value 10216.00 Redeemed at 1;ace 10000.00 216.00 216.00 Mar4 Loss on sale of 39 shs AT & T Date of Death Value 1016.83 Sold (~) 778.91 l,ess: Fee 20.00 Net Proceeds 758.91 758.91 257.92 257.92 May 26 Loss on call of 800 shs Alabama Power Company Bonds Date of Death Value $ 21300.00 Called 5/26/04 ~ 20000.00 Loss on Call 1300.00 1300.00 Juinc 29 Loss on sale of 620.347 shs Van Kampen US Government Fund A Date of Death Value $ 9289.70 Proceeds Received 8560.79 Loss on sale 728.91 728.91 Aug 6 Loss on sale of S10,000.00 Bond Daimler Chrysler Date of Death Value 10520.50 Gross Procceds 10365.60 Less: Fee to sell 5.35 Net Proceeds 10360.25 10360.25 Loss on sale 160.25 160.25 Reserved for filing Account and Proposed Schedule of Distribution, mailing Certified Notices of Filing, filing Decree Awarding Real Estate, fee for certified copy, recording Decree Awarding Real Estate and Deeds, etc. 410.0Q Total Personalty Principal Account Credits $ 86~8814.~0 17 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS DATE Name Company Iht or Div Type of Account Amount 2003 1/24/03 PI,lC Bank Interest Savings Account ¢ 50-30118678 $0.07 1/27/03 Waypoint Bank Interest C/D ¢ 7100022981 at closing $26.80 1/27/03 PNC Bank Interest Checking ¢ 50-7007-6396 $1.37 1/27/03 Edward Jones Div Bond Fund of Ame~ca r record date 1/23/03 $117.18 1/29/03 Edward Jones Div American High In Trust record date 1/22/03 $199.30 1/31/03 Waypoint Bank Interest C/D ¢ 7100022980 $36.45 1/31/03 Waypoint Bank Interest C/D ¢7000010788 $40.87 1/31/03 Lutheran Brotherhood Div $30.90 1/31/03 Van Kampen Div $14.40 2/1/03 MBNA Interest C/D ¢ 409698341 $15.37 2/3/03 Edward Jones Div Tax Fr American High Income Municipal $90.83 2/3/03 MBNA Interest C/D 405220736 $45.22 2/5/03 Fulton Bank Interest $31.51 2/10/03 MBNA Interest C/D 409538992 $7.88 2/13/03 Waypoint Bank Interest Checking account $0.09 2/13/03 MBNA Interest C/D 40-428888-2 transfer to MM Acc 57-276213-6 $41.09 2/14/03 Commerce Interest $68.63 2/14/03 PNC Bank Interest Checking ¢ 50-03119798 $2.83 2/14/03 PNC Bank Interest MM Acc ¢ 50-04132388 $38.93 2/14/03 PNC Bank Interest Savings Account ¢ 50-0413222 $0.65 2/15/03 AIlfirst Interest $64.03 2/19/03 MBNA Interest MM Acc ¢ 57-2762636 $124.16 2/24/03 Edward Jones Div American Balanced Fund CLB $131.15 2/26/03 Edward Jones Div Bond Fund o1 America CL B $113.59 2/28/03 Waypoint Bank Interest C/D 70000 10788 $88.36 carried forward $1,331.66 18 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $1,331.66 2~28~03 Lutheran Brotherhood Div $89.29 2/28/03 Waypoint Bank Interest C/D 7100022980 $78.84 2/28/03 Van Kampen Div $37.24 2/28/03 Merrill Lynch Interest Daimlerchry $44.15 3/1/03 MBNA interest C/D 409698341 $33.16 3/3/03 Edward Jones Div High Income Trust $192.74 3/3/03 MBNA Interest C/D 405220736 $84.69 3/3/03 Edward Jones Div American High Income Municipal $93.91 3/5/03 Fulton Bank interest $52.05 3/10/03 MBNA Interest C/D 409538992 $10.06 3/13/03 PNC Bank Interest Estate Checking account $2.51 3/13/03 Waypoint Bank Interest Checking account $0.10 3/14/03 Commerce Bank Interest $62.17 3/15/03 AIIfirst Bank Interest $71.97 3/17/03 MBNA Interest C/D 409538992 $2.16 3/17/03 MBNA Interest C/D 409648341 $17.81 3/17/03 Edward Jones Div Income Fund of America $268.32 3/17/03 MBNA Interest C/D 405220736 $39.43 3/18/03 PNC Bank interest MM account $59.96 3/18/03 PNC Bank Interest Savings account $0.80 3/18/03 MBNA Interest MM account # 57-276-2136 to date of trans to MM acct 57-468807-3 $113.84 3/19/03 MBNA Interest MM account 57-468807-3 $12.69 3/21/03 Edward Jones Div Capital Income Builder Fund $259.28 3/26/03 Edward Jones Div Bond Fund of America $115.54 carried forward $3,074.37 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $3,074.37 3/28/03 Merrill Lynch Interest Daimlerchry $50.83 3/31/03 Waypoint Bank Interest C/D 70000 10788 $98.20 3/31/03 Ford Motor Ce Div 3/17/03 $225.00 3/31/03 Waypoint Bank Interest C/D 7100022980 $87.62 3/31/03 Public Service Enterprise Gr Div 10/10/03 $108.00 3/31/03 Van Kampen Div US Gov't Fund A $37.20 3/31/03 Edward Jones Div American High Income Trust $198.43 3/31/03 Lutheran Brotherhood Div $85.44 4/1/03 PPL Electric Utilities Div $56.25 4/1/03 Edward Jones Div American High Income Municipal $91.34 4/4/03 Fulton Bank Interest $57.85 4/13/03 Waypoint Bank Interest Checking account $0.11 4/14/03 Commerce Bank Interest $69.01 4/15/03 AIIfirst Bank Interest $79.96 4/16/03 PNC Bank Interest Checking account $1.00 4/16/03 PNC Bank Interest MM account $51.57 4/16/03 PNC Bank Interest Savings account $0.90 4/17/03 Met Life Interest Life Policy $6.92 4/17/03 MBNA Interest C/D 42-075179-2 (formerly 40522o736} $97.38 4/17/03 MBNA Interest C/D 409698341 $38.08 4/17/03 MBNA Interest C/D 42-075181-8 (formerly 405538992) $11.55 4/19/03 MBNA Interest MM account # 57-468807-3 $197.06 carried forward $4,724.07 2O Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $4,724.07 4/25/03 Merrill Lynch Div REPSOL 3/31/03 372.48 3/30/03 Interest Alabama Power Co 337.50 3/31/03 Interest Fleet Capital Trust 176.24 4/15/03 Interest Daimlerchry 50.83 $937.O5 4/28/03 Edward Jones Div Bond Fund of America CLB $114.96 4/29/03 Edward Jones Div American High Income Trust $171.98 4/30/03 Van Kampen Div US Gov't Fund A $37.20 4/30/03 Waypoint Bank Interest C/D 70000 10788 $95.42 4/30/03 Waypoint Bank Interest C/D 7100022980 $85.14 5/1/03 AT & T Div $7.31 5/1/03 Verizon Div $58.52 5/1/03 Edward Jones Div American High Income $90.84 5/5/03 Fulton Bank Interest $56.22 5/6/03 PNC Bank Interest C/D 31300185853 to redemption $271.17 5/13/03 Waypoint Bank Interest Checking account $0.10 5/14/03 Commerce Bank Interest $66.97 5/15/03 AIIfirst Bank Interest $77.67 5/16/03 PNC Bank Interest Checking account $1.93 5/16/03 PNC Bank Interest MM account $34.01 5/16/03 PNC Bank Interest Savings account $0.69 5/17/03 MBNA Interest C/D 42-075178-4 $35.83 5/17/03 MBNA Interest C/D 42-075179-2 $91.71 5/17/03 MBNA Interest C/D 42-075181-8 $10.87 5/19/03 MBNA Interest MM account $184.80 carried forward $7,154.46 21 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $7,154.46 5/19/03 Edward Jones Div American Balanced Fund $110.55 5/27/03 Edward Jones Div Bond Fund of America $116.31 5/29/03 Edward Jones Div American High Income Trust $171.90 5/30/03 Van Kampen Div US Gov't Fund A $37.20 5/30/03 Merrill Lynch Interest Fleet Capital Trust 72.46 Div ML Ready Asset Trust .01 Interest Daimlerchry 50.83 $123.30 5/31/03 Waypoint Bank Interest C/D 70000 10788 $99.00 5/31/03 Waypoint Bank Interest C/D 7100022980 $88.33 6/2/03 Edward Jones Div American High Income Municipal $89.50 6/5/03 Fulton Bank Interest $58.32 6/13/03 Commerce Bank Interest $69.39 6/15/03 Waypoint Bank Interest Checking account $0.11 6/15/03 Allfirst Bank Interest Checking account $80.55 6/16/03 Edward Jones Div Income Fund of America $265.81 6/17/03 PNC Bank Interest Checking account $2.69 6/17/03 PNC Bank Interest MM account $47.20 6/17/03 PNC Bank Interest C/D 42-075179-2 $95.18 6/17/03 PNC Bank Interest Savings account $0.80 6/17/03 MBNA Interest C/D 42-075178-4 $37.14 6/17/03 MBNA Interest C/D 42-075181-8 $11.28 6/19/03 MBNA Interest MM account $125.27 6/23/03 Edward Jones Div Capital Income Balance Fund $260.80 6/26/03 Edward Jones Div Bond Fund of America $113.75 6/27/03 Merrill Lynch Interest Daimlerchry $50.83 carried forward $9,209.67 22 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $9,209.67 6/27/03 PNC Bank Deposit Package Bonus Deposit $100.00 6/30/03 Ford Motor CO Div $225.00 6/30/03 Waypoint Bank Interest C/D 70000 10788 $96.19 6/30/03 Public Service Enterpris Grp Div $108.00 6/30/03 Waypoint Bank Interest CID 1800013101 $934.08 6/30/03 Van Kampen Div US Gov't Fund $37.20 6/30/03 Waypoint Bank Interest C/D 7100022980 $85.84 6/30/03 Edward Jones Div American High Income Trust $174.89 7/1/03 Edward Jones Div American High Income Municipal $88.37 7/1/03 PPL Electric Div $56.25 7/3/03 Fulton Bank Interest $56.68 7/13/03 Waypoint Bank Interest Checking account $0.10 7/14/03 Commerce Bank Interest $67.35 7/15/03 M&TBank (formerlyAIlfirst) Interest $78.24 7/17/03 PNC Bank Interest Checking account $2.84 7/17/03 PNC Bank Interest MM account $41.46 7/17/03 MBNA Interest C/D 42-075179-3 $92.52 7/17/03 PNC Bank Interest Savings account $0.59 7/17/03 MBNA Interest C/D 42-075178-4 $36.06 7/17/03 MBNA Interest C/D 42-075181-8 $10.95 7/19/03 MBNA Interest MM account $104.45 7/25/03 Merrill Lynch Interest Alabama Power Co 337.50 Div REPSOL 372.48 $709.98 7/28/03 Edward Jones Div Bond Fund of America $94.26 7/29/03 Edward Jones Div American High Income Trust $174.59 carried forward $12,585.56 23 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $12,585.56 7/31/03 Waypoint Bank Interest C/D 70000 10788 $99.80 7/31/03 Van Kampen Div US Gov't Fund A $37.20 7/31/03 Waypoint Bank Interest C/D 7100022980 $89.05 8/1/03 AT & T Div $7.31 8/1/03 Verzion Div $58.52 8/1/03 Edward Jones Div American High Income Municipal $86.44 8/5/03 Fulton Bank Interest $58.80 8/13/04 Waypoint Bank Interest Checking account $0.09 8/14/03 Commerce Bank Interest $69.78 8/15/03 M&T Bank (formerly AIIfirst) Interest $81.14 8/17/03 MBNA Interest C/D 42-075178-4 $37.38 8/17/03 MBNA Interest C/D 42-075179-2 $96.02 8/17/03 MBNA Interest C/D 42-075181-8 $11.37 8/18/03 PNC Bank Interest Checking account $3.02 8/18/03 PNC Bank Interest MM account $39.70 8/18/03 PNC Bank Interest Savings account $0.63 8/18/03 Edward Jones Div American Balanced Fund $106.33 8/19/03 MBNA Interest MM account $105.21 8/26/03 Edward Jones Div Bond Fund of America $94.88 8/29/03 Edward Jones Div American High Income Trust $175.25 8/29/03 Van Kampen Div US Gov't Fund A $37.20 8/31/03 Waypoint Bank Interest C/D 7100022980 $89.43 8/31/03 Waypoint Bank Interest C/D 70000 10788 $100.20 9/2/03 Edward Jones Div American High Income Municipal $87.24 9/5/03 Fulton Bank Interest $59.05 carried forward $14,216.60 24 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $14,216.60 9/12/03 Commerce Bank Interest $69.98 9/14/03 Waypoint Bank Interest Checking account $0.09 9/15/03 Edward Jones Div Income Fund of America $279.66 9/15/03 M & T rnterest $81.45 9/17/03 PNC Bank Interest Checking account $1.88 9/17/03 PNC Bank Interest MM account $35.57 9/17/03 PNC Bank Interest Savings account $0.59 9/17/03 MBNA Interest C/D 42-075178-4 $37.51 9/17/03 MBNA Interest C/D 42-075179-2 $96.46 9/17/03 MBNA Interest C/D 42-07518~8 $11.41 9/19/03 MBNA Interest MM account $105.36 9/22/03 Edward Jones Div Capital Income Builder Fund $262.32 9/26/03 Edward Jones Div Bond Fund of America $95.19 9/29/03 Edward Jones Div High Income Trust $177.57 9/30/03 Waypoint Bank Interest C/D 70000 10788 $97.38 9/30/03 Van Kampen Div US Gev't Fund A $37.20 9/30/03 Ford Motor CO Div $225.00 9/30/03 Waypoint Bank Interest $86.90 9/30/03 Public Service Enterpris Grp Div $108.00 10/1/03 PPL Electric Div $56.25 10/1/03 Edward Jones Div American High Income Municipal $88.44 carried forward $16,170.81 25 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $16,170.81 10/2~03 Merrill Lynch Interest Daimlerchry 50.83 Interest GM Accept 300.76 Interest Daimlerchry 50.83 Interest Daimlerchry 50.83 Interest Alabama Power Co 337.50 Div REPS©L 372.48 $1,163.23 10/3/03 Fulton Bank Interest $57.38 10/13/03 Waypoint Bank Interest Checking account $0.08 10/14/03 Commerce Bank Interest $67.92 10/15/03 M&T Bank (formerly Allfirst) Interest $79.12 10/17/03 MBNA Interest C/D 42-075178-4 $36.41 10/17/03 MBNA Interest C/D 42-075179-2 $93.75 10/17/03 MBNA Interest C/D 42-075181-8 $11.08 10/18/03 MBNA Interest MM account $98.68 10/20/03 MBNA Interest Checking account $1.46 10/20/03 PNC Bank Interest MM account $32.76 10/20/03 PNC Bank Interest Savings account $0.65 10/27/03 Edward Jones Div Bond Fund of America $96.47 10/29/03 Edward Jones Div American High rncome Trust $172.17 10/31/03 Van Kampen Div U.S. Gov Fund A $37.20 10/31/03 Merrill Lynch Interest Ready Asset Trust $0.54 10/31/03 Waypoint Bank Interest C/D 7000010788 $101.02 10/31/03 Waypoint Bank Interest C/D 7100022980 $90.15 11/4/03 Edward Jones Div American High Income Municipal $86.98 11/5/03 Fulton Bank Interest $59.53 carried forward $18,457.39 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $18,457.39 11/12/03 Verizon Div $58.52 11/12/03 AT&T Div $9.26 11/13/03 Waypoint Bank Interest Checking account $0.07 11/14/03 PNC Bank Interest Checking account $1.15 11/14/03 Commerce Bank Interest $70.37 11/14/03 M&T Bank (formerlyAIlfirst)Interest $82.06 11/14/03 PNC Bank Interest MM account $24.66 11/14/03 PNC Bank Interest Savings account $0.54 11/17/03 MBNA Interest C/D 42-075178-4 $37.75 11/17/03 MBNA Interest C/D 42-075179-2 $97.31 11/17/03 MBNA Interest C/D 42-075181-8 $11.50 11/18/03 MBNA Interest MM account $109.04 11/26/03 Edward Jones Div Bond Fund of America $96.62 11/28/03 Van Kampen Div U.S. Gov Fund A $37.20 11/28/03 Merrill Lynch Interest Ready Asset Trust $0.51 11/30/03 Waypoint Bank Interest C/D 7000010788 $98.16 11/30/03 Waypoint Bank Interest C/D 7100022980 $87.62 12/1/03 Edward Jones Div American High Income Trust $176.77 12/1/03 Edward Jones Div American High Income Municipal $85.36 12/5/03 Fulton Bank Interest $57.84 12/11/03 CitiBank CitiBank& AT &T Universal Settmnt Agreemnt $0.13 12/14/03 Waypoint Bank interest Checking account $0.06 12/14/03 Commerce Bank Interest $68.30 12/15/03 Met Life Div $10.12 12/15/03 M&T Bank (formerlyAIlfirst}Interest $79.71 carried forward $19,758.02 27 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $19,758.02 12/15/03 Edward Jones Div American Balanced Fund $108.18 12/15/03 Edward Jones Div Capital Income Builder Fund $22890 12/15/03 Edward Jones Div Cp Ga Capital Income Builder Fund $109.63 12/15/03 Edward Jones Div Income Fund of America $253.80 12/16/03 PNC Bank Interest Checking account $1.51 12/16/03 PNC Bank Interest MM account $31.82 12/16/03 PNC Bank Interest Savings account $0.72 12/17/03 MBNA Interest C/D 42-075178-4 $36.65 12/17/03 MBNA Interest C/D 42-075179-2 $94.59 12/17/03 MBNA Interest C/D 42-075181-8 $11.18 12/19/03 MBNA Interest MM account $104.19 12/16/03 Edward Jones Div Bond Fund of Amedca $126.54 12/29/03 Edward Jones Div American high Income Trust $204.70 12/30/03 Van Kampen Div nonTax US Sov Fund A $45.84 12/31/03 Van Kampen Div US Gov Fund A $37.20 12/31/03 Ford Motor Co Div $225.00 12/31/03 Public Service Enterpr Grp Div $109.38 12/31/03 Merrill Lynch Interest Ready Asset Trust $0.64 12/31/03 Waypoint Bank Interest C/D 7000010788 $101.84 12/31/03 Waypoint Bank Interest C/D 7100022980 $90.89 12/31/03 Waypoint Bank interest C/D 1800013101 $1,090.40 carried forward $22,771.62 28 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $22,771.62 12/31/03 Merrill Lynch Div 10/15 Damlerchry 50.83 11/17 Damlerchry 50.83 12/15 Damlerchry 50.83 12/31 Alabama Pwr 337.50 12/31 REPSOL 372.48 $862.47 SUBTOTAL 12/31/03 $23,634.09 2004 1/2/04 Edward Jones Div American High Income Municpal $85.11 1/2/04 PPL Div $56.25 1/2/04 Ford Motor Co Div Captial Trust $5.00 1/5/04 Fulton Bank Interest $60.02 1/13/04 Waypoint Bank Interest $0.06 1/14/04 Commerce Bank Interest to redemption $70.77 1/15/04 Merrill Lynch Interest 1/15 Damlerchry 50.83 1/15 General Motors Accept 307.50 $358.33 1/15/04 M & T Bank Interest $82.66 1/16/04 PNC Bank Interest $1.43 1/16/04 PNC Bank Interest MM Account $31.73 1/16/04 PNC Bank Interest Savings account $0.70 1/17/04 MBNA Interest MM Account $103.93 1/17/04 MBNA Interest C/D 42-075178-4 $37.94 1/17/04 MBNA Interest C/D 42-075179-2 $98.02 1/17/04 MBNA Interest C/D 42-075181.8 $11.57 1/26/04 Edward Jones Div Bond Fund of America $68.55 carried forward $24,706.16 29 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $24,706.16 1/29/04 Edward Jones Dividend American High Income Trust $148.93 1/30/04 Van Kampen Dividend $37.20 1/31/04 Waypoint Bank Interest C/D 7000010788 $101.98 1/31/04 Waypoint Bank Interest C/D 7100022980 $91.03 1/31/04 Merrill Lynch Interest Ready Asset Trust $0.85 2/2/04 Edward Jones Dividend American High Income Municipal $85.47 2/2/04 Edison International Inc. Dividend $40.00 2/2/04 Verizon Dividend $58.52 2/2/04 AT&T Dividend $9.26 2/5/04 Fulton Bank Interest $60.27 2/9/04 Waypoint Bank Interest C/D 1800013101 $244.61 2/11/04 Waypoint Bank Final Int. C/D 1800013101 Redeemed $4.24 2/13/04 M & T Bank Interest $82.98 2/13/04 PNC Bank Interest Checking Account $1.02 2/13/04 PNC Bank Interest MM Account $38.76 2/13/04 PNC Bank Interest Savings Account $0.64 2/16/04 Waypoint Bank Interest $0.07 2/17/04 MBNA Interest C/D 42-075178-4 $38.02 2/17/04 MBNA Interest C/D 42-075179-2 $98.34 2/17/04 MBNA Interest C/D 42-075181-8 $11.60 2/19/04 MBNA Interest MM Account $129.67 2/23/04 Edward Jones Dividend American Balanced Fund $106.03 2/26/04 Edward Jones Dividend Bond Fund of America $95.82 2/27/04 Van Kampen Dividend $37.17 2/27/04 Merrill Lynch Interest Ready Asset Trust $0.90 3/1/04 Edward Jones Dividend American High Income Trust $174.79 carried forward $26,404.33 3O Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS balance forward $26,404.33 3/1/04 Edward Jones Dividend American High Income Trust $85.02 3/5/04 Fulton Bank Interest $56.61 3/14/04 Waypoint Bank Interest $0.06 3/15/04 M & T Bank Interest $77,91 3/17/04 PNC Bank Interest $1.43 3/17/04 PNC Bank Interest MM Account $61.83 3/17/04 MBNA Interest C/D 42-075178-4 $35,68 3/17/04 MBNA Interest C/D 42-075179-2 $92,39 3/17/04 MBNA Interest C/D 42-075181-8 $10.90 3/17/04 PNC Bank Interest Savings Account $0,74 3/19/04 MBNA Interest MM Account $114,12 3/22/04 Edward Jones Dividend Capital Income Builder Fund $223.28 3/23/04 Merrill Lynch Interest Received but not Distributed 2/17/04 Daimlerchry-- Interest 50,83 3/15/04 Daimlerchry -- Interest 50,83 $101,66 3/26/04 Merrill Lynch Interest Ready Asset Trust $0,92 3/26/04 Edward Jones Dividend Bond Fund of America $97.51 3/29/04 Edward Jones Dividend American High Income Trust $181,16 3/29/04 Edward Jones Dividend Income Fund of America $266,47 3/31/04 Van Kampen Dividend $37.20 3/31/04 Pubric Service Enterprise Grp Dividend $112.77 4/'//04 PPL Corporation Dividend Preferred $56.25 4/1/04 PPL Corporation Dividend Common $0.53 4/1/04 Edward Jones Dividend American High Income Municipal Bond Fund $85.81 carried forward $28,104.58 31 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS Balance Forward $28,104.58 4/2/04 Merrill Lynch Account Interest and Dividend not Distributed 3/31/04 Alabama Power Co. Interest 337.50 3/31/04 Repsol-- Dividend 372.48 $709.98 4/5/04 Fulton Bank Interest $60.75 4/13/04 Waypoint Bank Interest $0.06 4/15/04 M & T Bank Interest $83.58 4/16/04 PNC Bank Interest Checking Account $1.13 4/16/04 PNC Bank Interest MM Account $62.17 4/16/04 PNC Bank Interest Savings Account $0.68 4/17/04 MBNA Interest C/D 42-075178-4 $38.26 4/17/04 MBNA Interest C/D 42-075179-2 $99.19 4/17/04 MBNA Interest C/D 42-075181-8 $11.69 4/19/04 MBNA Interest MM Account $122.14 4/26/04 Edward Jones Dividend Bond Fund of America $99.10 4/29/04 Edward Jones Dividend American High Income Trust $179.78 4/30/04 Merrill Lynch Interest Ready Asset Trust $1.38 4/30/04 Van Kampen Dividend $35,06 4/30/04 Edison Dividend $40.00 5/3/04 Edward Jones Dividend American High Income Municipal $89.02 5/5/04 Fulton Bank Interest $59.03 5/15/04 M & T Bank interest $81.19 5/17/04 PNC Bank Interest Checking Account $1.26 5/17/04 PNC Bank Interest Savings Account $0,70 5/17/04 PNC Bank Interest MM Account $62.67 5/17/04 MBNA Interest C/D 42-075178-4 $37.15 5/17/04 MBNA Interest C/D 42-075179-2 $95.42 Carried Forward $30,076.97 32 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS Balance Forward $30,076.97 5/17/04 MBNA Interest C/D 42-075181-8 $11.36 5/19/04 MBNA Interest MM Account $118.35 5/24/04 Edward Jones Dividend American Balanced Fund $105.47 5/25/04 Merrill Lynch Account Interest Received but not Distributed 4/15/04 Daimlerchry --Interest 50.83 5/15/04 Daimlerchry -- Interest 50.83 $101.66 5/26/04 Edward Jones Dividend Bond Fund of America $97.22 5/28/04 Merrill Lynch Interest Ready Asset Trust $1.23 5/28/04 Van Kampen Dividend $35.03 6/1/04 Edward Jones Dividend American High Income Trust $180.98 6/1/04 Edward Jones Dividend American High Income Municipal $87.76 6/3/04 Merrill Lynch Account Interest Received but not Distributed 5/26/04 Alabama Power Co. Interest $210.00 6/5/04 Fulton Bank Interest $61.25 6/15/04 M & T Bank Interest $84.20 6/17/04 PNC Bank Interest Checking Account $2.49 6/17/04 PNC Bank Interest MM Account $62.53 6/17/04 PNC Bank Interest Savings Account $0.70 6/17/04 MBNA interest C/D 42-075178-4 $38,51 6/17/04 MBNA Interest C/D 40-5220736 $100.06 6/17/04 MBNA Interest C/D 42-075181-8 $11.78 6/19/04 MBNA Interest MM Account $122.47 6/21/04 Edward Jones Dividend Capital Income Builder Fund $232.23 6/25/04 Merrill Lynch Interest Ready Asset Trust $1.47 6/28/04 Edward Jones Dividend Income Fund of America $229.14 Carried Forward $31,972.86 33 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS Brought Forward $31,972.86 6/29/04 Edward Jones Dividend American High Income Trust $184.94 6~29~04 Edward Jones Dividend Bond Fund of America $98,70 6~30~04 Van Kampen Dividend $33.89 6~30~04 PSEG Dividend $114.09 711104 PPL Dividend Common Stock $1.03 7/1/04 PPL Dividend Preferred Stock $56.25 7/1/04 Edward Jones Dividend American High Income Municipal $85.51 7/7/04 Merrill Lynch InteresEDividend Received but not Distributed 6/15/04 Interest -- Daimlerchry $ 50.83 6~30~04 Dividend -- Repsol 372.48_ $423.31 718104 Merrill Lynch Ready Asset Trust Journal Entry $64.62 7119104 MBNA Interest MM Account $118.67 7/19~04 PNC Bank Interest Checking Account $4.52 7119104 PNC Bank Interest MM Account $72.74 7/19/04 PNC Bank Interest Savings/Escrow Account $0.72 7120104 Merrill Lynch Interest Received but not Distributed 7/15/04 Daimlerchry $ 50.83 7/15/04 General Motors 307.50 $358.33 7126104 Edward Jones Dividend Bond Fund of America $108.64 7/29/04 Edward Jones Dividend American High Income Trust $191.09 7130104 Merrill Lynch Interest Ready Asset Trust $2.60 7/31/04 Edison International Dividend $40.00 8~2~04 Edward Jones Dividend American High Income Municipal $85.52 8/3/04 Waypoint Bank Interest to Closing Checking Account $0.22 813104 Waypoint Bank Interest to Redemption of C/D 7000010788 $617.37 Carried Forward $34,635.62 34 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS Balance Forward $34,635.62 8~3/04 Waypoint Bank Interest to Redemption of C/D 7100022980 $551.14 813104 Fulton Bank Interest to Redemption of CID 253-0026577 $117.29 8~3~04 M & T Bank Interest to Redemption of C/D 31003914561947 $133.78 815104 Merrill Lynch Final Interest -- Ready Asset Trust $0.46 8~6~04 Merrill Lynch Accrued Interest on Bond on Date of Sale 8/6/04 Daimlerchry 35.58 8/6~04 General Motors 35.88 $71.46 8/16104 Edward Jones Dividend American Balanced Fund $194.74 8/17/04 PNC Bank Interest MM Account $104.69 8/17/04 PNC Bank Interest Checking Account $5.06 8/17/04 PNC Bank Interest Savings Account $0.66 8/19/04 MBNA Interest MM Account $122.79 8~23~04 Edward Jones Capital Income Builder Fund (Final Dividend) $2.46 8~23~04 Edward Jones Income Fund of America (Final Dividend) $2.53 8~23~04 Edward Jones American High Income Municipal (Dividend) $2.87 8123104 Edward Jones Bond Fund of America (Dividend) $3.06 8~23~04 Edward Jones American High Income Trust (Dividend) $6.63 8/23104 MBNA Interest (6117--8123104) C/D 42-075178-4 $82.41 8123104 MBNA Interest (6117--8123104) CID 42-075179-2 $214.54 8~23~04 MBNA Interest (6/17--8123104) CID 42-075181-8 $25.24 8~26~04 Edward Jones Bond Fund of America (Dividend) $76.41 6128104 Edward Jones Bond Fund of America (Dividend) $15.30 8/30104 Edward Jones American High Income Trust (Dividend) $33.15 8~30~04 Edward Jones American High Income Trust (Dividend) $132.68 9/1/04 Edward Jones American High Income Municipal (Dividend) $51.38 9/1/04 Edward Jones American High Income Municipal (Dividend) $14.35 9/17/04 PNC Bank Interest Checking Account $4.99 Carried Forward $36,515.69 35 Adams Estate PERSONALTY INCOME ACCOUNT RECEIPTS Balance Forward $36,515.69 9/17/04 PNC Bank Interest MM Account $203.27 9/17/04 PNC Bank Interest Savings Account $0.70 9/18/04 MBNA Interest MM Account $162.99 9121104 Edward Jones Interest MM Fund $84.94 9/21/04 Edward Jones Dividend Capital Income Builders Fund $12.28 9/24~04 Edward Jones Dividend Capital Income Builders Fund $148.53 9/27/04 Edward Jones Dividend Income Fund of America $12.65 9/27/04 Edward Jones Dividend Income Fund of America $136.75 Total Personalty Income Account Receipts ~ 36 Adams Estate PERSONALTY INCOME ACCOUNT EXPENDITURES DATE Name Company Type of Account Amount Accountant asks credit for the following; 2003 1/27/03 Reinvested Bond Fund of America Dividend $117.18 1/29/03 Reinvested American High Income Trust Dividend $199.30 1/31/03 Reinvested Lutheran Brotherhood Dividend $30.90 2/3/03 Reinvested American High Income Municipal Tax Free Dividend $90.83 2/24/03 Reinvested America Balanced Fund CLB Dividend $131.15 2/26/03 Reinvested Bond Fund of America CLB Dividend $113.59 2/28/03 Reinvested Lutheran Brotherhood Dividend $89.29 3/3/03 Reinvested American High Income Trust Dividend $192.74 3/3/03 Reinvested American High Income Municipal Tax Free Dividend $93.91 3/17/03 Reinvested Income Fund of America Dividend $268.32 3/21/03 Reinvested Captial Income Builder Fund Dividend $259.28 3/26/03 Reinvested Bond Fund of America Dividend $115.54 3/31/03 Reinvested American High Income Trust Dividend $198.43 3/31/03 Reinvested Lutheran Brotherhood Dividend $85.44 4/1/03 Reinvested American High Income Municipal Tax Free Dividend $91.34 4/28/03 Reinvested Bonf Fund of America Dividend $114.96 4/29/03 Reinvested American High Income Trust Dividend $171.98 5/1/03 Reinvested American High Income Municipal Tax Free Dividend $90.84 5/19/03 Reinvested American Balanced Fund CLB Dividend $110.55 5/27/03 Reinvested Bond Fund of America Dividend $116.31 5/29/03 Reinvested American High Income Trust Dividend $171.90 6/2/03 Reinvested American High Income Municipal Tax Free Dividend $89.50 6/16/03 Reinvested Income Fund of America Dividend $265.81 6/23/03 Reinvested Captial Income Builder Fund Dividend $260.80 6/26/03 Reinvested Bond Fund of America Dividend . ~;113.75 carried forward $3,583.64 37 Adams Estate PERSONALTY INCOME ACCOUNT EXPENDITURES balance forward $3,583.64 6/30/03 Reinvested American High Income Trust Dividend $174.89 7/1/03 Reinvested American High Income Municipal Tax Free Dividend $88.37 7/28/03 Reinvested Bond Fund of America Dividend $94.26 7/29/03 Reinvested American High Income Trust Dividend $174.59 8/1/03 Reinvested American High income Municipal Tax Free Dividend $86.44 8/18/03 Reinvested American Balanced Fund CLB Dividend $106.33 8/26/03 Reinvested Bond Fund of America Dividend $94.88 8/29/03 Reinvested American High Income Trust Dividend $175.25 9/2/03 Reinvested American High Income Municipal Tax Free Dividend $87.24 9/15/03 Reinvested Income Fund of America Dividend $279.66 9/22/03 Reinvested Captial Income Builder Fund Dividend $262.32 9/26/03 Reinvested Bond Fund of America Dividend $95.19 9/29/03 Reinvested American High Income Trust Dividend $177.57 9/30/03 Reinvested PSEG Dividend $108,00 10/3/03 Reinvested American High Income Municipal Tax Free Dividend $88.44 10/2/03 Reinvested Merrill Lynch Dividend & Interest $1,162,26 10/27/03 Reinvested Bond Fund of America CLB Dividend $96.47 10/29/03 Reinvested American High Income Trust Dividend $172.17 11/4/03 Reinvested American High Income Municipal Tax Free Dividend $86.98 11/26/03 Reinvested Bond Fund of America Dividend $96.62 12/1/03 Reinvested American High Income Trust Dividend $176.77 12/1/03 Reinvested Amedcan High Income Municipal Tax Free Dividend $85.36 12/15/03 Reinvested American Balance Fund CLB Dividend $108.18 12/15/03 Reinvested Income Builder Fund CLB Dividend $228.90 12/15/03 Reinvested Captial Income Builder Fund Cap Gains Dividend $109.63 carried forward $8,000.41 38 Adams Estate PERSONALTY INCOME ACCOUNT EXPENDITURES balance forward $8,000.41 12/15/03 Reinvested Income Fund of America Dividend $253.80 12/26/03 Reinvested Bond Fund of America Dividend $126.54 12/29/03 Reinvested American High Income Trust Dividend $204.70 12/31/03 Reinvested PSEG Dividend $109.38 Sub-Total 12131/03 $8,694.83 1/2/04 Reinvested American High Income Municipal Dividend $85.11 1/2/04 Reinvested PPL Dividend $56.25 1/5/04 Reinvested Merrill Lynch Dividend & Interest $863.00 1/21/04 Reinvested Merrill Lynch Interest $358.00 1/26/04 Reinvested Bond Fund of America CLB Dividend $68.55 1/29/04 Reinvested American High Income Trust Dividend $148.93 2/2/04 Reinvested American High Income Municipal Dividend $85.47 2/23/04 Reinvested American Balanced Fund Dividend $106.03 2/26/04 Reinvested Bond Fund of America Dividend $95.82 3/1/04 Reinvested American High Income Trust Dividend $174.79 3/1/04 Reinvested American High Income Municipal Dividend $85.02 3/22/04 Reinvested Capital Income Builder Fund Dividend $223.28 3/23/04 Reinvested Merrill Lynch Interest $102.00 3/26/04 Reinvested Bond Fund of America Dividend $97.51 3/29/04 Reinvested American High Income Trust Dividend $181.16 3/29/04 Reinvested Income Fund of America Dividend $266.47 3/31/04 Reinvested PSEG Dividend $112.77 4/1/04 Reinvested PPL Preferred Dividend $56.25 4/1/04 Reinvested PPL Common Dividend $0.57 carried forward $11,861.77 39 Adams Estate PERSONALTY INCOME ACCOUNT EXPENDITURES balance forward $11,861.77 4/1/04 Reinvested American High Income Municipal Dividend $85.81 4/2/04 Reinvested Merrill Lynch Dividend & Interest $710.00 4/26/04 Reinvested Bond Fund of America Dividend $99.10 4/29/04 Reinvested American High Income Trust Dividend $179.78 5/3/04 Reinvested American High Income Municipal Dividend $89.02 5/24/04 Reinvested American Balanced Fund Dividend $105.47 5/25/04 Reinvested Merrill Lynch Interest $100,00 5/26/04 Reinvested Bond Fund of America Dividend $97.22 6/1/04 Reinvested American High Income Trust Dividend $180.98 6/1/04 Reinvested American High Income Municipal Dividend $87.76 6/3/04 Reinvested Merrill Lynch Interest $212.00 6/21/04 Reinvested Capital Income Builder Fund Dividend $232.23 6/28/04 Reinvested Income Fund of America Dividend $229.14 6/29/04 Reinvested American High Income Trust Dividend $184.94 6/29/04 Reinvested Bond Fund of America Dividend $98.70 6/30/04 Reinvested PSEG Dividend $114.09 7/1/04 Reinvested PPL Common Dividend $1.03 7/1/04 Reinvested PPL Preferred Dividend $56.25 7/1/04 Reinvested American High Income Municipal Dividend $85.51 7/6/04 Merrill Lynch -- Annual Account Fee $65,00 7/7/04 Reinvested Merrill Lynch Interest/Dividend $423.00 7/20/04 Reinvested Merrill Lynch Interest $358,00 7/26/04 Reinvested Bond Fund of America Dividend $108.64 7/29/04 Reinvested American High Income Trust Dividend $191.09 carried forward $15,956.53 40 Adams Estate PERSONALTY INCOME ACCOUNT EXPENDITURES balance forward $15,956.53 8/2/04 Reinvested American High Income Municipal Dividend $85.52 8/16/04 Reinvested American Balanced Fund Dividend $104.74 Total Personalty Income Account ~/~,'~?,~',,~'~/1'4,/Z~; ,$t6.1_46.7~ 41 REAL ESTATE PRINCIPAL ACCOUNT DEBITS Vincent W. Adams Estate Accountant charges herself with the real estate described in the Inventory filed in the Register of Wills Office aforesaid described as follows: All that certain house and lot of ground known and numbered as 204 South High Street, Mechanicsburg, PA Valued ~} Appraisal $ 128000.00 All that certain house and lot of ground known and numbered as 225 South High Street and 136 West Keller Street, Mechanicsburg, PA Valued @ Appraisal $ 186000.00 Sub-Total $ 314000.00 Accountant charges herself with the following: 2003 Jun 5 Paul Melchrios Security Deposit (225 S. High Strcet) $ 450.00 Oct 27 Ruth M. Smith - Security Deposit ( 225 S. High Street $ 435.00 Sub-total 12/31/03 $ 314885.00 2004 Jan 27 Krista Hoffman Security Deposit (225 S. High Street) $ 535.00 July 16 Lisa Lucas Security Deposit (204 S. High Street) $ 515.00 Sept 3 Jason Dickert Security Deposit (204 S. High Street, 2nd Floor) $ 525.00 Total Real Estate Principal Account Debits $ 316460.00 42 Adams Estate REAL ESTATE INCOME ACCOUNTS RECEIPTS DATE NAME INCOME SOURCE AMOUNT 2003 2~3~03 Mary Gochnauer Feb Rent 225 S. High $400.00 2/3/03 Elaine Burchett- Feb Rent 204 S. High $500.00 2/3/03 John Seebeck Feb Rent 204 S. High $525.00 2/3/03 Deborah Laudig Feb Rent 225 S. High $475.00 2/3/03 Dana Ebersole Feb Rent 225 S. High $500.00 3/4/03 Deborah Laudig Mar Rent 225 S. High $475.00 3/4/03 Mary Gochnauer Mar Rent 225 S. High $400.00 3/4/03 Elaine Burchett - Mar Rent 204 S. High $500.00 3/4/03 John Seebeck Mar Rent 204S. High $525.00 3/4/03 Dana Ebersole Mar Rent 225 S. High $500.00 John Seebeck Apr Rent 204 S. High $525.00 4/1/03 Dana Ebersole Apr Rent 225 S. High $500.00 4/1/03 Mary Gochnauer Apr Rent 225 S. High $400.00 4/1/03 Deborah Laudig Apr Rent 225 S. High $475.00 4/1/03 Elaine Burchett - Apr Rent 204 S. High $500.00 4/30/03 Mary Gochnauer May Rent 225 S. High $400.00 4/30/03 John Seebeck May Rent 204 S. High $525.00 5/1/03 Dana Ebersole May Rent 225 S. High $500.00 5/1/03 Elaine Burchett - May Rent 204 S. High $500.00 5/1/03 Deborah Laudig May Rent 225 S. High $475.00 5/30/03 Mary Gochnauer June Rent 225 S. High $400.00 5/30/03 Paul Melachrios June Rent 225 S. High $450.00 5/31/03 Deborah Laudig June Rent 225 S. High $475.00 5/31/03 John Seebeck June Rent 204 S. High $525.00 5/31/03 Elaine Burchett - June Rent 204 S. High $500.00 carried forward $11,950.00 43 Adams Estate REAL ESTATE INCOME ACCOUNTS RECEIPTS balance forward $11,950.00 6/4/03 Dana Ebersole June Rent 225 S. High $500.00 6/7/03 Cheryl Davis Feb Rent 225 S. High $500.00 6/23/03 Cheryl Davis Mar Rent 225 S. High $500.00 7/1/03 Mary Gochnauer July Rent 225 S. High $400.00 7/1/03 Deborah Laudig July Rent 225 S. High $475.00 7/1/03 Elaine Burchett - July Rent 204 S. High $500.00 7/3/03 Dana Ebersole July Rent 225 S. High $500.00 7/3/03 John Seebeck July Rent 204 S. High $525.00 7/12/03 Paul Melachrios July Rent 225 S. High $460.00 7/30/03 John Seebeck Aug Rent 204 S. High $525.00 7/30/03 Mary Gochnauer Aug Rent 225 S. High $400.00 8/11/03 Dana Ebersole Aug Rent 225 S. High $500.00 8/11/03 Paul Melachrios Aug Rent 225 S. High $460.00 8/11/03 Deborah Laudig Aug Rent 225 S. High $475.00 8/15/03 Elaine Burchett - Aug Rent 204 S. High $500.00 9/2/03 Elaine Burchett - Sept Rent 204 S. High $500.00 9/2/03 John Seebeck Sept Rent 204 S. High $525.00 9/2/03 Mary Gochnauer Sept Rent 225 S. High $400.00 9/5/03 Dana Ebersole Sept Rent 225 S. High $500.00 9/5/03 Deborah Laudig Sept Rent 225 S. High $475.00 9/9/03 Paul Melachrios Sept Rent 225 S. High $460.00 10/1/03 Elaine Burchett - Oct Rent 204 S. High $500.00 10/1/03 Dana Ebersole Oct Rent 225 S. High $500.00 10/1/03 Deborah Laudig Oct Rent 225 S. High $475.00 10/1/03 John Seebeck Oct Rent 204 S. High $525.00 carried forward $24,030.00 44 Adams Estate REAL ESTATE INCOME ACCOUNTS RECEIPTS balance forward $24,030.00 10/10/03 Paul Melachrios Oct Rent 225 S. High $450.00 11/3/03 Ruth Smith Nov Rent 225 S. High $435.00 11/4/03 Elaine Burchett - Nov Rent 204 S. High $500.00 11/4/03 John Seebeck Nov Rent 204 S. High $525.00 11/4/03 Dana Ebersole Nov Rent 225 S. High $500.00 11/4/03 Deborah Laudig Nov Rent 225 S. High $475.00 11/12/03 Paul Melachrios Nov Rent 225 S, High $460.00 12/4/03 Elaine Burchett - Dec Rent 204 S. High $500.00 12/4/03 Dana Ebersole Dec Rent 225 S. High $500,00 12/4/03 John Seebeck Dec Rent 204 S. High $525.00 12/4/03 Deborah Laudig Dec Rent 225 S. High $475.00 12/4/03 Ruth Smith Dec Rent 225 S. High $435,00 12/11/03 Paul Melachrios Dec Rent 225 S. High $460.00 12/31/03 Elaine Burchett - Jan Rent 204 S. High $500.00 12/31/04 John Seebeck Jan Rent 204S High $525.00 Sub-Total 12/31/03 $31,295.00 2004 1/5/04 Deborah Laudig Final Rent 225 S. High $240.00 1/5/04 Ruth Smith Jan Rent 225 S. High $435.00 1/5/04 Dana Ebersole Jan Rent 225 S. High $500.00 1/13/04 Paul Melachrios Jan Rent 225 S. High $460.00 1/27/04 Krista Hoffman Feb Rent 225 S. High $263.06 2/4/04 Dana Ebersole Feb Rent 225 S. High $500.00 2/4/04 Ruth Smith Feb Rent 225 S. High $435.00 2/4/04 Elaine Burchett - Feb Rent 204 S. High $500.00 carried forward $34,628.06 45 Adams Estate REAL ESTATE INCOME ACCOUNTS RECEIPTS balance forward $34,628.06 02/04/04 John Seebeck Feb Rent 204 S. High $525.00 02/11/04 Paul Melachrios Feb Rent 225 S. High $460.00 02/11/04 Krista Hoffman Rent 225 S. High (Mar, Apr, May June) $2,140.00 03/03/04 Elaine Burchett Mar Rent 204 S. High $500.00 03/03/04 Dana Ebersole Mar Rent 225 S. High $500.00 03/03/04 John Seebeck Mar Rent 204 S. High $525.00 03/03/04 Ruth Smith Mar Rent 225 S. High $435.00 03/09/04 Paul Melachrios Mar Rent 225 S. High $460.00 04/05/04 Elaine Burchett Apr Rent 204 S. High $500.00 04/05/04 John Seebeck Apr Rent 204 S. High $525.00 04/05/04 Dana Ebersole Apr Rent 225 S. High $500.00 04/07/04 Ruth Smith Apr Rent 225 S. High $435.00 04/12/04 Paul Melachrios Apr Rent 225 S. High $460.00 05/03/04 Dana Ebersole May Rent 225 S. High $510.00 05/03/04 Elaine Burchett May Rent 204 S. High $500.00 05/03/04 John Seebeck May Rent 204 S. High $525.00 05/13/04 Ruth Smith May Rent 225 S. High $435.00 05/17/04 Paul Melachrios May Rent 225 S. High $460.00 06/02/04 Dana Ebersole June Rent 225 S. High $510.00 06/02/04 Elaine Burchett June Rent 204 S. High $500.00 06/06/04 Ruth Smith June Rent 225 S. High $435.00 06/11/04 John Seebeck June Rent 204 S. High $525.00 06/18/04 Paul Melachrios June Rent 225 S. High $460.00 07/02/04 Krista Hoffman July Rent 225 S. High $535.00 07/02/04 Ruth Smith July Rent 225 S. High $435.00 carried forward $48,423.06 46 Adams Estate REAL ESTATE INCOME ACCOUNTS RECEIPTS balance forward $48,423.06 07/02/04 Cheryl Davis Sale of Goods (Rents Receivable--225 S. High) $94.30 07/03/04 Dana Ebersoie July Rent 225 S. High $510.00 07/03/04 John Seebeck July Rent 204 S. High $525.00 07/16/04 Paul Melachrios July Rent 225 S. High $460.00 07/16/04 Lisa Lucas Aug Rent 204 S. High $515.00 08/03/04 Dana Ebersole Aug Rent 225 S. High $510.00 08/03/04 Ruth Smith Aug Rent 225 S. High $435.00 08/03/04 Krista Hoffman Aug Rent 225 S. High $535.00 08/03/04 Paul Melachrios Aug Rent 225 S. High $450.00 09/03/04 Dana Ebersole Sep Rent 225 S. High $510.00 09/03/04 Krista Hoffman Sep Rent 225 S. High $535.00 09/03/04 Ruth Smith Sep Rent 225 S. High $435.00 09/03/04 Lisa Lucas Sep Rent 204 S. High $515.00 09/03/04 Paul Melachrios Sep Rent 225 S. High $450.00 09/13/04 Krista Hoffman Rent (replaced check returned ISF $535.00 09/16/04 Jason Dickert 1/2 Mo. Rent (204 S. High, 2nd Floor) $262.50 10/02/04 Ruth Smith Oct Rent 225 S. High $435.00 10/02/04 Krista Hoffman Oct Rent 225 S. High $2,675.00 10/02/04 Paul Melachrios Oct Rent 225 S. High $450.00 10/02/04 Jason Dickert Oct Rent 204 S. High $525.00 10/05/04 Dana Ebersole Oct Rent 225 S. High $510.00 10/05/04 Lisa Lucas Oct Rent 204 S. High $515.00 Total Real Estate Income Account Receipts 47 Adams Estate REAL ESTATE INCOME ACCOUNTS EXPENDITURES DATE Name Company Type of Account Amount 2003 01/28/03 Susquehanna Oil Budget Payment Plan $325.00 03/02/03 United Water PA $64.68 03/02/03 UGI $411.61 03/02/03 Susquehanna Oil Fuel Oil $450.00 03/17/03 United Water PA $129.40 03/17/03 PPL $132,45 03/27/03 Susquehanna Oil Fuel Oil $450.00 03/31/03 UGI $325.93 04/15/03 Gayte A. Elder DJ File Eviction Proceedings $85.70 04/15/03 Dwight Adams Reimburse Costs Advanced (eviction) $93.00 04/20/03 UGI (225 S. High $45.17) ( 204 S. High $243.44) $288.61 04/20/03 United Water PA (225 s High $834) ( 204 S. High $8.33) $16.67 04/20/03 Barry L. Heckard, Sr. ( Tax Collector) (225 S. High $58387) ( 204 S. High $31159) $895.46 04/20/03 Boro of Mechanicsburg Sewer & Refuse (225 S. High $371 28) ( 204 S. High $110.82) $482.10 04/20/03 Susquehanna Oil Budget Payment Plan Payment $500.00 04/20/03 PPL Energy (225 S. High $38.16) ( 204 S. High $69.30) $107.46 05/09/03 PPL Energy (225 S. High $37.08) ( 204 S. High $74.49) $1 1 1.57 05/25/03 United Water PA $81.86 05/25/03 Susquehanna Oil Final Payment on Contract $804.47 05/25/03 UGI $147.06 05/26/03 Trisha Adams Lawn Mowing 204 High St. $50.00 06/17/03 Linda Mickey Held to remove Tenant $70.37 06/17/03 Dwight Adams Repairs 225 S. High St $159.78 06/17/03 United Water PA (225 S High $3675) ( 204 S. High $32.56) $69.31 06/17/03 PPL Energy (225 S. High S32.30) ( 204 S. High $73.75) $106.05 carried forward $6,358.54 48 Adams Estate REAL ESTATE INCOME ACCOUNTS EXPENDITURES balance forward $6,358.54 06/17/03 Susquehanna Oil Balance Due $237.53 06/27/03 UGI (225 S. High $32.49) ( 204 S. High $57.22} $89.71 06/27/03 PPL (225 S. High $2554) ( 204 S. High $70.28) $95.80 06/27/03 Litiz Mutual (225 S High $642) ( 204 S. High $370) $1,012.00 06/27/03 Boro of Mechanicsburg Sewer & Refuse (225 S, High $371,28) ( 204 S. High $110.82) $482.10 07/23/03 UGI (225 S. High $30.32) ( 204 S. High $36.29) $66.61 07/23/03 United Water PA (225 s. High S36.75) ( 204 S. High $40.93) $77.68 07/29/03 Trisha Adams Lawn Mowing 204 High St. $60.00 08/15/03 Barry L. Heckard, Sr. ( Tax Collector) (225 S. High S1954.86) ( 204 S. High $1043.21) $2,998.07 08/15/03 United Water PA (225 S High $3675) ( 204 S. High $40.93) $77.68 08/15/03 PPL (225 S. High $30.53) ( 204 S, High $82.99) $113.52 08/16/03 Trisha Adams Lawn Mowing 204 High St. $61.81 08/31/03 UGI (225 s. High $24.24) ( 204 S. High $28.85) $53.09 08/31/03 PPL (225 S. High S30.41) ( 204 S High $9502) $125.43 08/31/03 Susquehanna Oil $365.00 09/09/03 Mary Gochnauer $731.50 09/19/03 United Water PA (225 s. High $36.75) ( 204 S. High $45.11) $81.86 09/19/03 UGI (225 S. High $2560) ( 204 S. High $30.36) $55.96 09/19/03 Susquehanna Oil $365.00 10/09/03 PPL (225 s High $30.52) ( 204 S. High S86,90) $117.42 10/09/03 Boroof Mechanicsburg Sewer&Refuse (225S, High $371.28) (204S. HighS11082) $482.10 10/27/03 Goulds Carpet Cleaning 225 S. High $145.00 10/27/03 Susquehanna Oil 225 S. High $365.00 10/27/03 UGI (225 s. High $25.60) ( 204 S, High $4971) $75.31 10/27/03 United Water PA (225 S High $4093) ( 204 S. High $40.93) $81.86 carried forward $14,775.58 49 Adams Estate REAL ESTATE INCOME ACCOUNTS EXPENDITURES balance forward $14,775.58 10/27/03 PPL (225 S. High $32.42) ( 204 S. High $76.78) $109.20 11/10/03 Oberman Remodeling Roof Repairs 225 S. High $1,200.00 11/10/03 Dwight Adams Repairs 225 S. High St $2,523.57 11/23/03 UGI (225 S. High $32 84) ( 204 S, High $115.03) $147.87 11/23/03 United Water PA (225 s. High $36.75) ( 204 S. High $40.93) $77.68 11/23/03 Susquehanna Oil 225 S. High $365.00 12/15/03 United Water PA (225 S. High $3675) ( 204 S. High S32 §6) $69.31 12/1 5/03 PPL (225 S. High $33.09) ( 204 S. High S70.72) $103.80 12/15/03 Dwight Adams Reimburse for Roto Ruter 225 S. High $155.25 12/29/03 Susquehanna Oil 225 S. High $365.00 12/29/03 UGI (225 S. High $37.02) ( 204 S High $163.90) $201.52 12/29/03 Linda Mickey Stamps $14.80 Sub-total 12/31/03 $20,108.58 2004 01/11/04 Deborah Laudig (Refund & rnterest) Sec Dep ~$475.00 Rent - $10.20 Int on Sec Dep $45.80 $531.00 01/11/04 PPL (225 S. High $46.61) ( 204 S. High $90.20) $136.81 01/11/04 Boro of Mechanicsburg Sewer & Refuse (225 S. High S371.28) ( 204 S. High $110.82) $482.1 0 01/27/04 Susquehanna Oil 225 S. High $365.00 01/27/04 UGI (225 S, High S47,16) 204 S. High $301.47) $348.63 01/27/04 United Water PA (225 S. High $4511) 204 S. High $45.11) $90.22 02/11/04 PPL (225 S. High $41.20) ( 204 S. High $81.10) $122.30 02/24/04 Susquehanna Oil 225 S. High $365.00 02/24/04 United Water PA (225 S. High $28 37) ( 204 S. High S36.75) ~65.12 carried forward $22,614.76 5O Adams Estate REAL ESTATE INCOME ACCOUNTS EXPENDITURES balance forward $22,614.76 02/24/04 UGI (225 S. High $4350) ( 204 S. High 5408.85) $452.35 03/07/04 PPL (225 S. High 544.02) ( 204 S. High S79.42) $123.44 03/12/04 Dwight Adams (225 S. High S1526.32) ( 204 S. High $69.35) $1,595.67 03/12/04 Gould Carpet Cleaning $120.00 03/22/04 United Water PA (225 s. High S49.31} ( 204 S. High $32.56) $81.87 03/22/04 Susquehanna Oil 225 S. High $365.00 03/22/04 UGI (225 S. High $42.11) ( 204 S. High $24318) $285.27 04/08/04 PPL (225 S. High $42 83) ( 204 S. High 572.44) $115.27 04/12/04 Barry Heckard Tax Collector (225 s. High $779 03) ( 204 S. High $415.74} $1,194.77 04/20/04 Boro of Mechanicsburg Sewer & Refuse (225 S. High 5371.28) ( 204 S. High $110.32) $482.10 04/20/04 United Water PA (225 s. High $45.11) ( 204 S. High $36.75) $81.86 04/20/04 Susquehanna Oil 225 S. High $365.00 04/20/04 UGI (225 S. High 574.41) ( 204 S High $291.84) $366.25 05/22/04 PPL (225 S High $71 23) (204 S. High S35.72) $106.95 05/22/04 Susquehanna Oil 225 S. High $443.19 05/22/04 UGI (225 S. High $46.42) (204 S. High $90.41) $136.83 05/22/04 United Water PA (225 s High $45.15) (204 S. High $40.97) $86.13 06/09/04 Trisha Adams (204 S. High) Lawn Mowing $70.00 06/t2/04 PPL (225 S. High $37.17) (204 SHigh $7446) $11 1.63 06/22/04 Trisha Adams (225 S. High) Lawn Mowing $70.00 06/24/04 United Water PA (225 s. High 540.97) (204 S. High $84.84) $125.81 06/24/04 UGI (225 S. High $41.49) (204 S. High $66.86) $108.35 06/24/04 PPL (225 S High $26.45) (204 S. High $83.22) $109.67 06/24/04 Litiz Mutual Insurance Co. 204 S. High $398.00 carried forward $30,010.17 51 Adams Estate REAL ESTATE INCOME ACCOUNTS EXPENDITURES balance forward $30,010.17 07/29/04 Dwight Adams Repairs 1610.19 Painter 775.00 $2,385.19 07/29/04 Susquehanna Oil 225 S. High $125.53 07/29/04 United Water (225 s High $146.89) 204 S. High $36.79) $183.68 07/29/04 UGI (225 S. High $39.53) (204 S. High $40.69} $80.22 07/29/04 Borough of Mechanicsburg Sewage and Refuse 225 S. High 371.28 204 S. High 110.82_ $482.10 07/29/04 Barry L. Heckard, Tax Collector 225 S. High 2175.49 204 S. High 1160.95 $3,336.44 08/06/04 PPL (225 s High $2712) (204 S. High $89.58) $116.70 08/16/04 Black Diamond Painters Balance Due $750.00 08/29/04 Susquehanna Oil 225 S. High $375.00 08/29/04 United Water (225 s. High $36.79) (204 S. High $36.79) $73.58 08/29/04 UGI (225 S. High $3675) (204 S. High $3410) $70.85 08/29/04 Dwight Adams Repairs Lumber -- 225 S. High $299.20 08/29/04 Lititz Mutual Insurance Co. (225 S. High ) (204 S. High ) $748.00 09/07/04 Dwight Adams Repairs (204 S. High) $12.22 09/07/04 PPL (225 s. High $3377) (204 S. High $104.50) $138.27 09/07/04 Black Diamond Painters $1,610.00 09/10/04 Krista Hoffman Check for Sept. rent returned ISF Rent 535.00 Bank Charge (Ret. Check) 10.00 $545.00 carried forward $41,342.15 52 Adams Estate REAL ESTATE INCOME ACCOUNTS EXPENDITURES brought forward $41,342.15 Sep-04 Susquehanna Oil Fuel Oil $375.00 Sep-04 United Water PA (225 S. High S40.97) (204 S. High $40.97) $81.94 Sep-04 UGI (225 S High $36.75) (204 S. High $38.07) $74.82 Oct-04 Boro of Mechanicsburg Sewer & Refuse (225 S. High S371.28) (204 S, High $$110.82) $482.10 09~04/04 PPL (225 S High S31.24) (204 S. High $7272) ~103.96 Total Real Estate Income Account Expenditures $42.459.97 53 Estate of Vincent W. Adams ADVANCEMENTS To: Barry L. Adams, Linda J. Mickey and Dxvight S. Adams in cqual shares Cash and coins in safe deposit box S 198.21 Susquehanna Oil Company credit balance 127.57 Clothing 25.00 Watch 75.00 Lutheran Brotherhood LB Income Fund A to Transfer on Death Beneficiaries 28259.06 Waypoint Bank Beneficiary IRA Plao Distribution wrongfully paid by bank to Estate on 12/27/03 and distributed by Estate to Beneficiaries on 3/3/04 1677.90 TOTAL ADVANCEMENTS $ 30362.74 54 10/7/04 Estate o£Vincent W. Adams RECAPITULATION PERSONALTY: Principal Account Debits $ 701813.39 Credits 86814.80 Balance 614998.59 Income Account Receipts $ 37277.80 Expenditures 16146.79 Balance 21131.01 21131.01 REAL ESTATE: Principal Account Dcbits $ 316460.00 Credits 0 Balance 316460.00 316460.00 Income Account Receipts $ 60809.86 Expenditures 42459.97 Balance 18349.89 18349.89 Total Distributable Estate 970939.49 Less: Advancements 30362.74 Balance in hands of Accountants for Distribution $ 940576.75 The aforesaid Balance for Distribution consists of: Real Estate $ 314000.00 Cash Edward Jones MM Account $198709.89 MBNA MM Account S128893.67 PNC Bank, N.A. Checking Account $ 32122.62 MM Account $ 263541.26 Savings Account $ 3309.31 298973.19 Total Cash 626576.75 $ 626576.75 Total Balance for Distribution $ 940576.75 PROPOSED SCHEDULE OF DISTRIBUTION The balance £or distribution in the hands o£Linda J. Mickey, Executrix under the Last Will and Testament of'Vincent W. Adams, deceased, as appears hy The First and Final Account is: $ 940576.75 DISTRIBUTION AND AWARD To: Barry L. Adams, Linda J. Mickey and Dwight S. Adams both parcels of'real estate described in Schedule "A" of' the Pennsylvania Inheritance Tax Return and in the Inventory in kind as tenants in common in equal shares $ 314000.00 To: Barry L. Adams One-third (1/3) of the cash balance 208858.91 To: Linda J. Mickey - One-third (1/3) of the cash balance 208858.92 To: Dwight S. Adams - Onc-third (1/3) of thc cash balance 208858.92 TOTAL DISTRIBUTION AND AWARD $ 940576.75 STATEMENT OF THE NATURE AND REASONS FOR THE PROPOSED AWARD Vincent W. Adams, a widower, died testate on January 19, 2003, leaving a Last Will and Testament dated July 14, 1999 wherein and whereby he appointed his daughter, Linda J. Mickey, Executrix, and whercin and whereby he bequeathed the sum of Five Thousand ($5,000.00) dollars to TrindIe Spring Lutheran Church and gavc, devised and bequeathed all thc rest, residue and remainder of his Estate unto his children, Barry L. Adams, Linda J. Mickey and Dwight S. Adams, equally, share and share alike. Letters Testamentary were issued to the said Linda J. Mickey on January 24, 2003. The said Barry L. Admns, Linda J. Mickey and Dwight S. Adams all survived the decedent, are still living and all are sui juris. Thc Five Thousand ($5,000.00) Dollar pecuniary bequest has been paid in full to the said Trindle Spring Lutheran Church as set forth under Pcrsonalty Principal Account, Credits by check datcd December 29, 2003 as cvidcnccd by rclcasc dated January 23, 2004 filed in the Register of Wills Office. Barry L. Adams, Linda J. Mickey and Dwight S. Adams thc sole legatees, devisees and distributees of all the rest, residue and remainder of the Estate of Vincent W. Adams have and do hereby elect to take the Real Estate of the said deccdent in kind, as sct forth in the Election To Take Real Estate In Kind attached hereto. No claims have been presented to the Accountant except those indicated in the Account as filed. ·" ~nda J. Mickey, ~ffcountant/Exec~/x/ STATE OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND On the /0 day of October ,2004, before me, the subscriber, a Notary Public in and for said State and County, personally appeared Linda J. Mickcy, Executrix under the Last Will and Testament of Vincent W. Adams, deceased, who, being duly sworn according to law, deposes and says that the Pacts set forth herein are true and correct to the., best of her knowledge and belief. Sworn to and subscribed bcfore me tbis Ck~nda J. Mi~ckey~ Exe~¥~x } 0'~'~ day of October 2004. Not~ry Public i '" 57 ELECTION TO TAKE REAL ESTATE IN KIND We, Barry L. Adams, Linda J. Mickey and Dwight S. Adams, sole Legatees, Devisees and Distributees of all the rcst, residue and remainder of thc Estate of Vincent W. Adams, deceased, do hereby elect to take both parcels of' real cstate described in the Pennsylvania Inheritance Tax Return and in the Inventory in kind as tenants in common in equal shares. It is our, and each of our, intention to be legally bound hereby In Witness Whereof we, and each of us, have hereunto set our hands and seals. ?  a~ L. Adams 5~ 20-23-0567-I 58 and xv, 16-23-0567-048 IN RE: ESTATE OF VINCENT W. ADAMS : IN THE COURT OF COMMON PLEAS OF LATE OF THE TOWNSHIP OF : CUMBERLAND COUNTY, PENNSYLVANIA UPPER ALLEN, CUMBERLAND : ORPHANS' COURT DIVISION COUNTY, PENNSYLVANIA, : NO. 2003-00071 DECEASED : DECREE AWARDING REAL ESTATE AND NOW, this /~'~ day of /Uo,~.,.4,..~ ,2004, at [? o'clock, ~. m., E.S.T., it appearing that the First and Final Account and Proposed Schedule of Distribution of' Linda J. Mickey, Executrix under the Last Will and Testament of Vincent W. Adams, late of the Township of Upper Allen, County of Cumberland and State of Pem~sylvania, have been duly filed and advertised in accordance with law and Rules of Court, and thc said First and Final Account and Proposed Schcdule of Distribution have been confirmed by the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, on November 23, 2004, and it further appearing that Barry L. Adams, Linda J. Mickey and Dxvight S. Adams are the sole residuary legatees, devisees and distributces under the Last Will and Testament of Vincent W. Adams, deceased, and it further appearing that the said Linda J. Mickey in her Proposed Schedule of Distribution, claimed credit for the distribution of thc two (2) parcels of real estate, hereinafter describcd, in kind to the said Barry L. Adams, Linda J. Mickey and Dwight S. Adams as tenants in common in equal shares, it is ordered, adjudged and decreed that the two (2) parcels of real estate hereinafter described are hereby awarded to Barry L. Adams, Linda J. Mickcy and Dwight S. Adams as tenants in common in equal shares, their heirs and assigns, which real estate is describcd as follows: ALL those two (2) certain parcels of land with thc improvements thereon erected situate in the Borough of Mechanicsburg, in the County of Cmnberland and State of Pcnnsylvania, bounded and described as follows, to xvit: PARCEL NO. 1 ALL that certain house and lot of ground situate on the West side of South High Street, in the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, bounded as Follows, to wit: BEGINNING on the building line of South High Street, thence westward along Lot No. 5 formerly owned by G. Lawrence Strock Heirs one hundred and thirty seven (137) feet to an alley; thence along said alley northward thirty-two (32) feet to lot now' or formerly ofTolbert C. Stambaugh; thence along said lot now or formerly of Tolbert C. Stambaugh and lot now or fom~erly of William W. Henneman Heirs eastward one hundred and thirty seven (137) feet to High Street; tbcnce southward along the building linc of said Street thirty-two (32) feet to the place of the BEGiNNING. ERECTED on the above described lot of ground are a two and one-half story frame dwelling house, numbered 204 South High Strect, and other necessary buildings. This property is SUBJECT TO a certain easement granted by the said Jacob Pentz and Sarah, his wife, to G. Lawrence Strock, by Indenture date May 8, 1922, and recorded in the Recorder's Office in and for said Cumberland County, in Miscellaneous Record Book No. 47, at page 342, which said easement is the full right, liberty, privilege and pem~ission to continue and maintain thc cornice on the property now or fom~erly of the said G. Lawrence Stock, as the same is now constructed. Tax Parcel No. 20-23-0567-158 13eing the same premises which Ivy R. Wagner, widow, by her Dccd datcd September 13, 1954 and recorded in the Recorder's Office in and for said Cumberland County in Deed Book "Z" Vol. 15, page 289 granted and conveyed unto Vincent W. Adams and Jean E. Adams, his wife. The said Jean E. Adams died March 21, 1998 and titlc vested solely in the said Vincent W. Adams, the decedent. PARCEL NO. 2 ALL that certain lot of ground situated in thc Borough of Mechanicsburg, Cumberland County, Pennsylvania, bounded and described as folloxvs: BEGINNING at a point at the intersection of the northern line of West Keller Street and the eastern line of South High Street; thence from said beginning point by the eastern line of South High Street North 19 degrees 30 minutes West 109.25 feet to a point; thence by premises heretofore conveyed to Ian N. Metcalf and wife, North 75 degrecs 15 minutes East 86.37 feet to a point; thence Southl 3 degrees 40 minutes East 110.33 feet to a point on the northern line of West Keller Street; thence by the northern line of West Kcller Street South 76 degrees 20 minutes West 75.25 feet to the place of beginning. BEING improved with premises known as No. 225 South High Street and 136 West Keller Strcct. Tax ParcclNo. 16-23-0567-048 Being the same premises which Helen Cook ct al by deed dated August 12, 1965 and recorded in the Recorder's Office aforesaid in Deed Book "S" Vol. 21, Page 31 granted and conveyed unto Vincent W. Adams and Jean E. Adams, his wife. The said Jean E. Adams died March 21, 1998 and titlc vested solely in the said Vinccnt W. Adams, the decedent. The Recorder of Deeds is directed to record this Ordci mnong the deeds in his oftlcial custody and to indcx thc same in the Grantor index against the Estate of Vincent W. Adams and in the Grantee index to Barry L. Adams, Linda J. Mickey and Dwight S. Adams pursuant to the Probate, Estatcs and Fiduciaries Code, Section 3536. BY THE COURT, CERTIFICATE OF RESIDENCE do hereby certify that the precise residence and complete post office address of one of the within named grantees is Dwight S. Adams, 224 South High Street, Mechanicsburg, PA 17055. Date: 2004 Attorney for Estate STATE OF PENNSYLVANIA : : SS. COUNTY OF CUMBERLAND : RECORDED on this _ day of ,2004, in the Recorder's Office of said county, in Deed Book Vol. ___, Page Given under my hand and the seal of the said office, the date above written. Recorder. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/01/2004 SUNDAY WILLIAM L 39 W MAIN STREET MECHANICSBURG, PA 17055 RE: Estate of ADAMS VINCENT W File Number: 2003-00071 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 1/19/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, REGISTER OF WILLS cc: File Personal Representative(s) Judge 1..1 _ C-, U.I c::- CF':' " C.... i-\'JI , C<: ~. c.::.:: C-,: U cc: STATUS REPORT UNDER RULE 6.12 Name of Decedent: vincent W. Adams Date of Death: January 19, 2003 Will No.: 2003 - 00071 (21-03-0071) Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes JK! No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. lfthe answer to No. I is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes ~ No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: 2003-00071 c. Did the personal representative state an account informally to the parties in interest? Yes 0 No ill c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Cleric of the Orphans' Court and may be attached to this report. See COnfirmation of Acconnt attached Distribution has been made to the resjfuary legatees. . Date: January 13, 2005 ~"'It{ c:I' A-""'7 SIgnature William L. Snndav Name CJ 39 West Main street Mechanicsburq. PA 17055-6230 Address C- :.1- C) '<::: C,C lL:, C\Z~~-:I LL_" O'_J U Capacity: 0 Personal Representative 00 Counsel for personal representative J _~:t' (717) 766-9622 Telephone No. ...,"- "'-+--..: -") I..l'-I C;"', <;:c;J C'--> <Q5 ~~ o.."Z. zO ~~ ~? 00 00 u..(f) OZ ~~ ?~ go 1'-<0 <oJ o I-' ~ Z I-' ';:) G g ~ ~\>:l ~~ ~u I'-< ~ o ~ ~ < ~% ... ,..l I'-< I'-< o \>:l ~ In \>:l ~ .1-' o <fl ~ ~ ~ I-' ~ U ~ ? ~ $ <fl ~ 1'-<0 01-' ~~ ~~ < ~ ~ ~ ';:) t: z<- g... u~ o~ ~t; ~z \>:l~ ~~ o ... B J, ~ . ~ o z ~ ~ o o ~ ... B <fl \>:l ~ o z ?, ...i ~ 'j ~ uJ :J::J: <:;\- ~b ~ $~I-€~'% ~uJt:f. ::> ~<'1 " ~ -' 0 er<<' t' I-t)Oo(/}~ ~ lillil t) :<:,,, \2- ""' o:.JU?~~"- '0 uJ....Z804 ::. z~~ {"- "'4 ~ :J:'e.::>.9i ~u..(),., roO tJl u-O{t."t:O'i': &:tt.o f,~13 CluJ E- m\- <3 ....~ <:;\1) 0:: v,td) 'f> \ e\(\ ,0 \ ~\~\9 -e tJ. \l. "O\\"~'.,,,,,\>'O.,~\O,,a.e .\l.\\...."'" 0 \l.\\'" \>"e j,\"~ . \ \ e\l.\ 10"0 \>",,000' o.\>\"\\> G.1& l; u.'O" \)0\\(\ .~"..,,,\> \",,0,>,>-4 "'1""">\',.0') . , COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERlAND SS: NOVEMBER 23.2004 I, Glenda Farner Strasbaugh, Register for probate of Wills and granting Letters of Administration for the County of Cumberland, in the Commonwealth of Pennsylvania, do hereby certify the foregoing to be true and accurate copies of the FIRST A1'ID FINAL ACCOUNT OF LINDA J. MICKEY, EXECUTRIX FOR THE ESTATE OF VINCENT W. ADAMS, LATE OF UPPER ALLEN TOWNSHIP, CUMBERlAND COUNTY, PEN"NSYL VANIA, DECEASED. as the same were passed and advertised and remain on file and of record in this office. IN TESTIMONY WHEREOF, I have hereunto set and and official seal on the date above. ~ Glenda Farner Strasbaugh, Register of Wills ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ NOW TO WIT, NOVEMBER 23, 2004 came into Court LINDA J. MICKEY, EXECUTRlX and presented an account and statement of proposed distribution, which were examined, passed, approved, and confirmed with a balance in his hands of$ 940,576.75 and the accountant was directed to distribute said balance in accordance WIth the statement of distribution filed. &s~rk of the Orphans' ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ COMMONWEAL TH OF PENNSYLVANIA SS: COUNTY OF CU1vlBERlAND I. Glenda Farner Strasbaugh, Clerk of the Orphans' Court, in and for said County, do hereby certify the foregoing to be a true copy of the account and statement of proposed distribution ofLDiDA J. MICKEY, EXECUTRIX. as full and entire as the same remain on file and record in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Carlisle, this 23rd day of November, 2004. Docket No: 21-2003-0071 ~~ Glenda Farner Strasbaugh. Clerk of the Orphans' Court