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DECEDENT'S ESTATE
This form may be used in all cases involving the Audit of the Account of a Decedent's .Estate. If
space is insufficient, riders may be attached. Attach the spouse's election, .if any; the papers
required under items 8-19 inclusive; and any instrument pertinent to the adjudication.
ESTATE OF DONALD L. CARTER, SR. , DECEA~~ED
a/k/a DONALD CARTER, D. L. CARTER, or DUKE CARTER
No. 21-10-0337 c~ ~_.
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PETITION FOR ADJUDICATION / ~_ _ , ~--~
STATEMENT OF PROPOSED DISTRIBUTION ~~" ~'
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PURSUANT TO Pa. O.C. Rule 6.9 ` ' _ °z"i
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COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANI~~
ORPHANS' COURT DIVISION
INCL UDE ATTACHMENTS AT THE BACK OF THIS FORt11
Name of Counsel: Jennifer B. Hipp, Esquire
Supreme Court I.D. No.: 86556
Name of Law Firm: James D. Bogar Law Offices
Address: One West Main Street, Shiremanstown, PA 17011
Telephone: (717) 737-8761
Fax:~717) 737-2986
Form OC-01 rev. 10.13.06
Page 1 of 10
Estate of DONALD L. CARTER, SR.
1. Name(s) and address(es) of Petitioner(s):
Name.• Diane M. Freedman, Executrix
Address: 700 Drexel Hills Blvd.
New Cumberland, PA 17070
Deceased
Identify any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and state reason:
None
Is this the first accounting by this fiduciary? ..................... ~ Ye;s ~ No
If not, identify prior accountings, the accounting periods covered, and the date of
adjudication of the prior accounting.
2. Decedent died on March 10, 2010
Letters Testamentary or ~ Letters of Administration were granted to Petitioner(s) on
April 7.2010
Date of Will (f applicable): March 6, 2010
Date(s) of Codicil(s) (if applicable):
Date of probate (f different from date Letters granted): April 1. 2~1 ~
Was a bond required? Yes ~ No If yes, state amount:
Are proofs of advertising of the grant of Letters attached? ......... ~ Y"es ~ No
Dates of advertising of the grant of Letters: g/27/10.9/3/1 ~ and 9/1 ~/1 n in r1~P
Cumberland Law Journal and the Central Penn Business Journal
Form OC-01 rev. 10.13.06 Page 2 of 10
Estate of DONALD L. CARTER, SR.
Deceased
3. Was decedent survived by a spouse? ............................. ~ Yes No
If yes, name of the surviving spouse: Marian E. Carter
4. Has the surviving spouse filed to take an elective share? ............. ~ ~'es ~ No
(See Section 2201 et sue. of the Probate, Estates and Fiduciaries Code)
If yes, date of election:
5. In the case of an intestacy, state the names of the decedent's surviving children or
surviving issue of deceased children (f none, so state):
6. Did decedent marry after execution of Will or Codicil(s)? ........... ~ Yes ®No
Were any children born to decedent after execution of
Will or Codicil(s)? ........................................... Q Y~°s ®No
If yes, give names and dates of birth:
Name:
Date of Birth:
7. If required by the Medical Assistance Estate Recovery Act,
62 P.S. § 1412, was a request for a statement of claim sent to
the Department of Public Welfare? .............................. ~ Ye;s No
Form oc-ol rev. 10.13.06 Page 3 of 10
Estate of DONALD L. CARTER, SR.
Deceased
8. Written notice of the Audit as required by Pa. O.C. Rules 6.3, 6.7 and 6.8 has been or will be
given to all parties in interest listed in item 9 below, all unpaid creditors and all claimants
listed in item 10 below. In addition, notice of any questions requiring Adjudication as
discussed in item 14 below has been or will be given to all persons affected thereby.
A. If Notice has been given, attach a copy of the Notice as well as a list of t:he names
and addresses of the parties receiving such Notice.
B. If Notice is yet to be given, a copy of the Notice as well as a list of the names and
addresses of the parties receiving such Notice shall be submitted at the Audit
together with a statement executed by a Petitioner or counsel certifying that such
notice has been given.
C. If any person entitled to Notice is not sui juris (e.g., minors or incapacitated
persons), Notice of the Audit has been or will be given to the appropriate
representative on such party's behalf as required by Pa. O.C. Rule 5.2.
D. If any charitable interest is involved, Notice of the Audit has been or will also be
given to the Attorney General as required under Pa. O.C. Rule 5.5. In addition, the
Attorney General's clearance certificate (or proof of service of Notice acid a copy
of such Notice) must be submitted herewith or at the Audit.
9. List all parties (charitable and non-charitable) of whom Petitioner(s) has/have notice or
knowledge, having or claiming any interest in the estate as beneficiaries under the Will or
Codicil(s) or as intestate heirs if there is a complete or partial intestacy:
A. State each party's relationship to the decedent and the nature of each party's
interest(s):
Form OGO1 rev. 10.13.06 Page 4 of 10
Estate of DONALD L. CARTER, SR. ,Deceased
B. Identify each party who is not sui juris (e.g., minors or incapacitated persons).
For each such party, give date of birth, the name of each Guardian and how each
Guardian was appointed. If no Guardian has been appointed, identify the next of
kin of such party, giving the name, address and relationship of each.
Adriana Blevins, 07/19/2008, Danielle Blevins, mother
Brandyn Blevins, 10/2/2001, Danielle Blevins, mother
Alexander Cheyne, 05/12/2008, Jennifer Cheyne, mother
C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for
this Audit (see Pa. O.C. Rule 12.4).
The children's interests are adequately represented by their parents and the
bequest to each child is in an amount less than $25,000.00. (20 Pa.C.S.A. Section
5101(1).
D. If distribution is to be made to the personal representative of a deceased party,
state date of death, date and place of grant of Letters and type of Letters granted.
N/A
Form oc-ol rev. 10.13.06 Page 5 of 10
Estate of DONALD L. CARTER, SR.
Deceased
10. Other than the claim for the family exemption, list the names of all known claimants and
the amount of their claims and state whether each claim is admitted.
Name and Address of Each Claimant Amount of Claim Claim -Will Claim
Admitted? Be Paid In
Full?
None Yes [~ Yes
ONo [~ No
Yes Q Yes
~No ~No
Yes ~ Yes
~No No
®Yes ~ Yes
~No [~ No
If the estate is insolvent, attach a schedule setting forth the order of preference sunder
20 Pa.C.S. § 3392 and the proposed payments.
11. Was family exemption claimed? ................................ Yes ~No
Was family exemption allowed? ................................ DYes ~No
Family exemption claimant's name and relationship:
Name:
Relationship:
Form oc-ol rev. 10.13.06 Page 6 of 10
Estate of DONALD L. CARTER, SR. ,Deceased
12. The amount of Pennsylvania Transfer Inheritance Tax and additional Pennsylvania Estate
Tax paid, the date(s) of payment(s), and the interest(s) upon which paid, are as follows:
Date
06/09/2010
12/10/2010
07/05/2011
Payment Interest
104,880.25 0.00
54,857.21 0.00
130.75 2.26
13. On the date of death, was the decedent a fiduciary
(personal representative, trustee, guardian, agent under power
of attorney) or surety on the bond of a fiduciary? ................... ~ Yes ~ No
If yes, provide the name of the estate, indicate whether an account has been filed and
confirmed absolutely and all awards performed, or, in the alternative, how t:he
decedent's estate will be discharged for the decedent's fiduciary administration of the
estate.
14. A. Describe in detail any questions requiring adjudication and state the position of the
Petitioner(s) as to each question:
B. Has notice of the question requiring adjudication been given
to the parties identified in Paragraph 9 above? .................. Yes ~ No
15. If Petitioner(s) has/have knowledge that a share has been assigned, renounced, disclaimed
or attached, provide a copy of the assignment, renunciation, disclaimer or attachment,
together with any relevant supporting documentation.
Form oc-oI rev. 10.13.06 Page 7 of 10
Estate of DONALD L. CARTER, SR.
Deceased
16. Had the decedent been adjudicated an incapacitated person? .......... Yes ~ No
If yes, attach a copy of the Order if available; otherwise state the Court, term, number,
date, and name of Hearing Judge.
17. A. List or attach a separate list of additional receipts and disbursements since the closing
date of the Account.
None
B. Has notice of the additional receipts and disbursements been
given to the parties identified in Paragraph 9 above? ............. ~ Yes ®No
18. If a reserve is regGGuQQested, state amount and purpose.
Amminf• ~~~/J`~0~00
Purpose: Costs to C~lclude administration of Estate including filing
fee for Court Accounting; preparation and filing of ]Fiduciary
Ince Tax Returns.
If a reserve is requested for counsel fees, has notice of the
amount of fees to be paid from the reserve been given to the
parties in interest? ........................................ Yes ®No
If so, attach a copy of the notice.
19. Is the Court being asked to direct
the filing of a Schedule of Distribution? .......................... Yes No
As to real estate only? ........................................ Yes ~ No
Form OC-Ol rev. 10.13.06 Page 8 of 10
Estate of DONALD L. CARTER, SR. ., Deceased
Wherefore, your Petitioner(s) ask(s) that distribution be awarded to the parties entitled
and suggest(s) that the distributive shares of income and principal (residuary shares being stated
in proportions, not amounts) are as follows:
A. Income:
Proposed Distributee(s) Amount/Proportion
See Attached.
B. Principal:
Proposed Distributee(sJ Amount/Proportion
See Attached.
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
< ~~
Name of Petitioner: Diane M. Freedman
Name of Petitioner:
Form OC-01 rev. 10.13.06
Page 9 of 10
Estate of DONALD L. CARTER, SR. ,Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * [that heishe is nrle
of the above-named name ofcorporarion and] that the facts set
forth in the foregoing Petition for Adjudication /Statement of Proposed Distribution which are
within the personal knowledge of the Petitioner are true, and as to facts based on the information
of others, the Petitioner, after diligent inquiry, believes them to be true; and that any false
statements herein are made subject to the penalties of 18 Pa. C.S. § 4904 (relating to unsworn
falsification to authorities).
Signature of Petitioner
* Corporate petitioners must complete bracketed information.
Certification of Counsel
The undersigned counsel hereby certifies that the foregoing Petition for Adjudication/
Statement of Proposed Distribution is a true and accurate reproduction of the form Petition
authorized by the Supreme Court, and that no changes to the form have been made beyond the
responses herein.
S a ur o oun for Petitioner
Form OC-01 rev. !0.!3.06 Page 10 of 10
Petition for Adjudication (Continued)
8.(A) Names and Addresses of parties receiving Notice:
(Copy of Notice is attached.)
Diane M. Freedman
700 Drexel Hills Boulevard
New Cumberland, PA 17070
Donald L. Carter, Jr.
10 Drexel Hills Circle
New Cumberland, PA 17070
Gregory D. Carter
1006 Hummel Avenue
Lemoyne, PA 17043
Alexander Cheyne
c/o Jennifer Cheyne
3261 Wendlyn way
Edgewater, MD 21037-1632
Brandyn Blevens
c/o Danielle Blevens
1921 Debbie Drive
York, PA 17403
Adrianna Blevens
c/o Danielle Blevens
1921 Debbie Drive
York, PA 17403
9. (A)
Diane M. Freedman daughter One-third of rest,
700 Drexel Hills Boulevard residue and
New Cumberland, PA 17070 remainder
Donald L. Carter, Jr. son One-third of rest,
10 Drexel Hills Circle residue and
New Cumberland, PA 17070 remainder
Gregory D. Carter son One-third of rest,
1006 Hummel Avenue residue and
Lemoyne, PA 17043 remainder
Alexander Cheyne
c/o Jennifer Cheyne
3261 Wendlyn Way
Edgewater, MD 21037-1632
Brandyn Blevens
c/o Danielle Blevens
1921 Debbie Drive
York, PA 17403
Adrianna Blevens
c/o Danielle Blevens
1921 Debbie Drive
York, PA 17403
great-grandson
great-grandson
$10, 000.00 ~~pecific
bequest
$10,000.00 ti;pecific
bequest
great-granddaughter $10,000.00 specific
bequest
Page 9:
A. & B. Income & Principal
Proposed Distributees:
Diane M. Freedman
Donald L. Carter, Jr.
Gregory D. Carter
Adriana Blevins
Alexander Cheyne
Brandyn Blevins
Amount/Proportion.:
$742,947.10/Balan.ce of
One-third of rest.,
residue & remainder
$900,826.50/One-third of
rest, residue & remainder
$900,826.50/One-third of
rest, residue & remainder
$10,000.00
specific bequest
$10,000.00
specific bequest
$10,000.00
specific bequest
IN RE: ESTATE OF
DONALD L. CARTER, SR.,
A/K/A DONALD CARTER,
D. L. CARTER, or DUKE CARTER,:
LATE OF BOROUGH OF,
NEW CUMBERLAND, CUMBERLAND
COUNTY, PENNSYLVANIA,
DECEASED
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISIO]~T
NO. 21-10-0337
NOTICE OF FILING ACCOiTNT
NOTICE IS HEREBY GIVEN that Diane M. Freedman, Executrix of the Estate
of Donald L. Carter, Sr., deceased, has this date filed their ]~irst and
Final Account and Statement of Proposed Distribution in the above-captioned
Estate in the Cumberland County Register of Wills Office where the same is
filed as public record and may be inspected. Enclosed herewith is a copy
of the First and Final Account as filed.
YOU ARE FURTHER notified that any exceptions or objection: to said
Account must be filed in writing at the Cumberland County Cler}c of the
Orphans' Court Office not later than the audit day of said Account sched-
uled as set forth below.
UNLESS written exceptions or objections are filed thereto, said
Account will be presented to the above-captioned Court at 9:30 A.M. on
Tuesday, January 10, 2011, at which time said Account will be audited.
r
Date: December 9, 2011
Jennif r B. ipp, Esquire
Attorn y for the Estate
One West Main Street
Shiremanstown, PA 17011
(717) 737-8761
cc: Donald L. Carter, Jr.
Gregory D. Carter
Alexander Cheyne, c/o Jennifer Cheyne
Brandyn Blevins, c/o Danielle Blevins
Adriana Blevins, c/o Danielle Blevins
Diane M. Freedman, Executrix
THE CENTRAL PENN BUSINESS JOURNAL
Proof of Publication
Under the Pennsylvania Newspaper Advertising Act
45 Pa.C.S. § 101, et seq.
Commonwealth of Pennsylvania }
ss}
County of Dauphin }
Jerome Zary, being duly sworn according to law, deposes and says:
That he is the Accountant of and duly authorized agent for JOURNAL PUBLICATIONS INC., a corporation organized and
existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 1500 Paxton Street, in
the city of Harrisburg, County of Dauphin, State of Pennsylvania; that the THE CENTRAL PENN BUSINESS JOURNAL, a
newspaper of general circulation distributed and circulated in Dauphin, Cumberland, Lancaster, Lebanon and York counties , is
published by the said JOURNAL PUBLICATIONS INC. at 1500 Paxton Street, in the City, County and State aforesaid; and that THE
CENTRAL PENN BUSINESS JOURNAL was established September 9th, 1984 and has been continually published ever since;
That the printed notice or publication which is securely attached hereto is exactly as printed and published in the weekly
editions/issues of the CENTRAL PENN BUSINESS JOURNAL which appeared on the 27d' day(s) of August and the 3rd and 10`s
day(s) of September 2010. That neither he nor said Corporation is interested in the subject matter of said printed notice or advertising,
and that all of the allegations of this statement as to the time, place and character of publication aze true; and
This is a statement published by JOURNAL PUBLICATIONS INC.
PUBLICATION ~ w ~
COPY Jerom
Y
EXECUTRIX'S NOTICE
Estate of Donald L. Carter, Sr.
Sworn to and subscribed before me this /~ day of
A 2010 A.D.
Letters Testamentary on the Estate of Don-
ald L. Carter, Sr, late of New Cumberland,
Cumberland County, Pennsylvania, have
been granted to the undersigned. All persons
knowing themselves to be indebted to said
Este are requested to make immediate pay-
ment, and those having claims will present
them, wittlout delay, for settlement to:
Diane M. Freedman
c/o Jennifer B. Hipp, Esquire
One West Main Street
Shiremanstown, PA 17011
NOTARY
~WEIILTH of PkNNSYL~
{'.-~T~4giAt. BEAT.
DUNr;a °;a;-~u;,~,r..v!rFyLEN< nwtary PuWiC
~;ity ;,r I-~arn5burg. i)AUphlrl t%aurrtY
MY Cornrnistuon Expwes p~faiter 03.2012
Publisher's Receipt for Advertising Cost
JOURNAL PUBLICATIONS INC., publisher of the CENTRAL PENN BUSINESS JOURNAL, newspaper of general circu]ation, distributed and
circulated in Dauphin, Cumberland, Lancaster, Lebanon and York counties, hereby acknowledges receipt of the aforesaid notice and
publication costs and certifies that the same have been duly paid.
THE CENTRAL PENN BUSINESS JOURNAL
Re: Estate of Donald L. Carter, Sr. By
James D. Bogaz Law Offices
One West Main Street
Shiremanstown, PA 1701 1
Attention: Jennifer B. Hipp, Esquire
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberiland Law
Journal on the following dates,
viz:
August 27, September 3 and September 10 2010
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in 111e subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
r
,~
Li Marie Coyne, Editor
SWORN TO AND SUBSCRIBED before me this
10 of September, 2010
Carter, Donald L., $r., deed.
Late of New Cumberland.
Executrix: Diane M. Freedman
c/o Jennifer B. Hipp, Esquire,
One West Main Street, Shiremans-
town, PA 17011.
Attorney: Jennifer B. Hipp, Es-
quire, One West Main Street,
Shiremanstown, PA 17011.
Notary
NOTARIAL SEAL
OE80RAH A COILINS
Notary Public
CARLISLE BOROUGH, CUMBERLAND COUNTY
My Commisaioe Expi»= Apr 28, 201 ~
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 27-70-0337
Estate of Donald L. Carter Sr. a/k/a Donald Carter, D. L. Carter, or Duke Carter
Late of Borough of New Cumberland
FIRST AND FINAL ACCOUNT AND
STATEMENT OF PROPOSED DISTRIBUTION t?
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C t^, i1
Diane M. Freedman, Executrix
4` ~ ~T F
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Date of Death:
03/10/2010
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Date of Executrix's Appointment: 04/0112010
Cumberland Law Journal 8/27/10, 9/3/10 and 9/10/10
Date of First Complete Advertisement: Cenral p~ Business Journal 8/27/10, 9/3/10 and 9/10/10
Accounting for the period: 0 3/1 012 0 1 0 to 12/08/2011
Purpose of Account: Diane M. Freedman, Executrix, offers this Account to acquaint interested parties
with the transactions that have occurred during the Administration.
It is important that the Account be carefully examined. Requests for additional information or questions
or objections can be discussed with:
Jennifer B. Hipp
Bogar and Hipp Law Offices
1 West Main Street
Shiremanstown, PA
717-737-8761
Supreme Court I.D. No. 86556
*NOTE: This accounting has been prepared in accordance with
information provided by the Executrix, particularly
with respect to reimbursements, expenses, distributions
and fund balances. All bank and investment accounts
were maintained and redeemed by Executrix, Diane M.
Freedman.
SUMMARY OF ACCOUNT
Estate of Donald L. Carter, Sr., Deceased
For h~priod of ti"arch 10, 2010 thre~gh December 8, 2011
Proposed Distributions
to Beneficiaries
PRINCIPAL
PAGES
14
Fiduciary
Current Acquisition
Value Value
2,574,600.10
Receipts: This Account 1-9 3,280,093.83
Net Gain (or Loss) on Sales 0.00
ositions
r Other Dis
p
o
3,280,093.83
Less Disbursements:
Debts of Decedent 0.00
Funeral Expenses 10 28,816.66
Administration Expenses 10-11 42,321.15
Federal, State 8~ Local Taxes 11 159,868.21
Commissions 0.00
Fees 11 21,630.00
Exemption
Famil 0.00 252,636.32
y
Balance Before Distributions 3,027,457.51
Transfer to (from) Principal 0.00
Distributions to Beneficiaries 12 465,879.41
Principal Balance on Hand 2,561,578.10
For Information:
Investments Made
Changes in Holdings
INCOME
Receipts This Account
Net Gain (or Loss) on Sales
or Other Dispositions
Less Disbursements
Balance Before Distributions
Transfer to (from) Income
Distributions to Beneficiaries
Income Balance on Hand
For Information:
Investments Made
Changes in Holdings
COMBINED BALANCE ON HAND
13 13,022.00
0.00
13,022.00
0.00
13,022.00
0.00
0.00
13,022.00
2,574,600.10
SCHEDULE A
RECEIPTS OF PRINCIPAL
Assets Listed in Inventory
(Valued as of Date of Death)
«i1
American Express - 20 $100.00 traveler's checks
Highmark -premium refund
Highmark -prescription drug plan premium refund
Metro Bank -Checking Account No. 536671167. Date
of death balance $5,797.91.
PNC Bank -Checking Account No. 5112040333 -date
of death balance $1,196,301.52.
West Shore Investment Club -return of investment
Diane M. Freedman -Contribution of personal funds
to pay for funeral luncheon
Donald L. Carter, Jr. -Contribution of personal funds
to pay for funeral luncheon
Gregory D. Carter -Contribution of personal funds to
pay for funeral luncheon
Marian E. Carter -Contribution of personal funds to
pay for funeral
Diane M. Freedman -Contribution of personal funds
to pay Rolling Green Cemetery bills and real estate
appraisal fee.
Fraternal Order of Police -Death Guarantee
PA Department of Revenue - 2010 Personal Income
Tax Refund
Total Cash
1996 Cadillac Deville -VIN#1G6KD52Y2TU275852 -
perattached appraisal
2008 Bentley -VIN#SCBBR93W78CO54511. Sold at
private sale to dealer per terms listed in attached
correspondence.
2009 Lexus -VIN# JTHD446FX95010056 -per attached
appraisal
1984 Hitch Hiker Concessions Trailer -VIN# 6024636 -
See attached MV-1 (4-10). Purchase price and value
are reported at $500.00, value being acceptable by the
Pennsylvania Department of Transportation
Fiduciary
Acquisition
Value
2,000.00
317.'72
35.91
5,797.91
1,196,301.52
3,296.65
1,505.65
1,505.65
1,505.66
15,533.00
9,142.00
750.00
16,942.'16
1,254.633.83
3,000.00
125.000.00
78,000.00
500.00
-1 -
SCHEDULE A
RECEIPTS OF PRINCIPAL
Continued
Fiduciary
Acquisition
Value
1984 Hitch Hiker Concessions Trailer -VIN# 635-4669. 500.00
See attached MV-1 (4-10). Purchase price and value
are reported as $500.00, value being acceptable by
the Pennsylvania Department of Transportation.
1985 Hitch Hiker Concessions Trailer -VIN# 658-4892. 500.00
See attached MV-1 (8-08). Purchase price and value
are reported as $500.00. value being acceptable by
the Pennsylvania Department of Transportation
1986 Hitch Hiker Concessions Trailer -VIN# 695-5011. 500.00
See attached MV-1 (8-08). Purchase price and value
are reported as $500.00, value being acceptable by
the Pennsylvania Department of Transportation.
1986 Hitch Hiker Concessions Trailer -VIN# 500.00
7295000000576. See attached Pennsylvania Vehicle
Title. Purchase price and value are reported as
$500.00, value acceptable by the Pennsylvania
Department of Transportation.
1988 Hitch Hiker Concessions Trailer -VIN# 500.00
3696H152031883168. See attached MV-4ST (4-10).
Purchase price and value are reported as $500.00,
value being acceptable by the Pennsylvania
Department of Transportation.
1994 Shantz Concessions Trailer -VIN# 500.00
159U614266M402748. See attached MV-1 (4-10).
Purchase price and value are reported as $500.00,
value acceptable by the Pennsylvania Department of
Transportation.
Total Personal Property 209,500.00
Mortyayes/Notec Recaivabl -
Black Dog Motorcycle Shop -Private loan in the 75,000.00
principal amount of $75,000.00. Private loan principal
balance remains unpaid. Marian Carter is the
beneficiary pursuant to Clause Third of the Last Will
and Testament of Donald Carter. Mrs. Carter has
disclaimed her beneficial interest pursuant to the
attached Disclaimer.
Total Mortgage /Note Receivable 75,000.00
-2-
SCHEDULE A
RECEIPTS OF PRINCIPAL
Continued
Fiduciary
Acquisition
Value
Real Estate -All that certain piece or parcel of land 565,000.00
having thereon erected a commercial building being
known and numbered as 6425 Carlisle Pike,
Mechanicsburg, Cumberland County, Pennsylvania.
Being tax parcel number 38-19-1608-011. The
property was acquired by Donald L. Carter, by Deed
dated July 31, 1980 and recorded August 2, 1983 in
the Cumberland County Recorder of Deeds Office in
Deed Book "H", Vol. 30, Page 952. A copy of said
Deed is attached hereto and incorporated herein. See
Art Campbell letter for date of death valuation.
Real Estate -All that certain piece or parcel of land 345,000.00
having thereon erected a dwelling house known and
numbered as 1 Bella Vista Drive, Mechanicsburg,
Pennsylvania 17050. Being tax parcel number 38-07
-0461-006. The property was acquired by Donald L.
Carter, Sr. and Marian E. Carter, husband and wife, by
Deed dated October 3, 2006 and recorded October 5,
2006 in the Cumberland County Recorder of Deeds
Office in Deed Book 277, Page 108. Marian E. Carter
has disclaimed her interest in said property. A copy
of said Deed is attached hereto and incorporated
herein. See attached Disclaimer. Pursuant to 20 Pa.
C.S.A. Section 6201, et. seq., the real property passes
in equal shares to the Decedent's three (3) children, in
equal shares. Per the attached appraisal the date of
death value of said property is $345,000.00.
Real Estate -All that certain piece or parcel of land 61,460.00
located in Toboyne Township, Perry County, being
tax parcel no. 251,190.00-027.000. Donald Carter, the
Decedent herein, along with his three children, Diane
M. Freedman, Donald L. Carter, Jr. and Gregory D.
Carter, owned a 3/4 interest in said real estate. Based
on the county assessed value ($219,990.00) multiplied
by the common level ratio factor (1.49) the total
assessed value of this property is $327,785.00..
Based on the above, their 3/4 interest is valued at
$245,839.00. The Decedent's 1/4 interest is valued at
$61,460.00. See attached Deed.
-3-
SCHEDULE A
RECEIPTS OF PRINCIPAL
Continued
Fiduciary
Acquisition
Value
Real Estate -All that certain piece or parcel of land 332,500.00
having thereon erected a commercial building being
known and numbered as 6427 Carlisle Pike,
Mechanicsburg, Cumberland County, Pennsylvania.
Being tax parcel number 38-19-1608-010. The
property was acquired by Donald L. Carter, Sr. and
Marian E. Carter, his wife, by Deed dated September
16, 1993 and recorded September 21, 1993 in the
Cumberland County Recorder of Deeds Office in
Deed Book "N", Vol. 36, Page 784. A copy of said
Deed is attached hereto and incorporated herein.
Marian E. Carter has disclaimed her interest in said
property. See attached Disclaimer. Pursuant to 20
Pa. C.S.A. Section 6201, et. seq., the real property
passes in equal shares to the Decedent's three (3)
children, in equal shares. See Art Campbell letter for
date of death valuation.
Real Estate -All that certain piece or parcel of land 27,500.00
being known as 314 S. Front Street, Wormleysburg,
Pennsylvania. Being tax parcel number 47-21-0265
-013. The property was acquired by Donald Lee
Carter, Sr. and Marian E. carter, husband and wife, by
Deed dated September 26, 1995 and recorded
October 4, 1995 in the Cumberland County Recorder
of Deeds Office in Deed Book 129, Page 300. A copy
of said Deed is attached hereto and incorporated
herein. Marian E. Carter has disclaimed her interest
in said property. See attached Disclaimer. Pursuant
to 20 Pa. C.S.A. Section 6201, et. seq., the real
property passes in equal shares to the Decedent's
three (3) children, in equal shares. See Art Campbell
letter for date of death valuation.
-4-
SCHEDULE A
RECEIPTS OF PRINCIPAL
Continued
Fiduciary
Acquisition
Value
Real Estate -All that certain piece or parcel of land 189,500.00
being known and numbered as 398 S. Front Street,
Wormleysburg, Cumberland County, Pennsylvania.
Being tax parcel number 47-21-0265-010. The
property was acquired by Donald L. Carter, Sr. and
Marian E. Carter, by Deed dated August 2, 1996 and
recorded August 15, 1996 in the Cumberland County
Recorder of Deeds Office in Deed Book 144, page
277. A copy of said Deed is attached hereto and
incorporated herein. Marian E. Carter has disclaimed
her interest in said property. See attached
Disclaimer. Pursuant to 20 Pa. C.S.A. Section 6201,
et. seq., the real property passes in equal shares to
the Decedent's three (3) children, in equal shares.
See Art Campbell letter for date of death valuation.
Real Estate -All that certain piece or parcel of land 55,000.00
being known and numbered as 316 S. Front Street,
Wormleysburg, Cumberland County, Pennsylvania.
Being tax parcel number 47-21-0265-012. The
property was acquired by Donald Lee Carter, Sr. and
Marian E. Carter, husband and wife, by Deed dated
September 26, 1995 and recorded October 4, 1995 in
the Cumberland County Recorder of Deeds Office in
Deed Book 129, Page 296. A copy of said Deed is
attached hereto and incorporated herein. Marian E.
Carter has disclaimed her interest in said property.
See attached Disclaimer. Pursuant to 20 Pa. C.S.A.
Section 6201, et. seq., the real property passes in
equal shares to the Decedent's three (3) children, in
equal shares. See Art Campbell letter for date of
death valuation.
-5-
SCHEDULE A
RECEIPTS OF PRINCIPAL
Continued
Fiduciary
Acquisition
Value
Real Estate -All that certain piece or parcel of land 20,000.00
being known and numbered as 327 S. Front Street,
Wormleysburg, Cumberland County, Pennsylvania.
Being tax parcel number 47-21-0265-031. The
property was acquired by Donald L. Carter, Sr. and
Marian E. Carter, his wife, by Deed dated February 12,
1998 and recorded in the Cumberland County
Recorder of Deeds Office in Deed Book 172, Page
111. Marian E. Carter has disclaimed her interest in
said property. See attached Disclaimer. Pursuant to
20 Pa. C.S.A. Section 6201, et. seq., the real property
passes in equal shares to the Decedent's three (3)
children, in equal shares. See Art Campbell letter for
date of death valuation.
Real Estate -All that certain piece or parcel of land 22,500.00
being located on S. Front Street, Wormleysburg,
Cumberland County, Pennsylvania, being tax parcel
number 47-21-0265-026. The property was acquired
by Donald L. Carter, Sr. and Marian E. Carter,
husband and wife, by Deed dated August 2, 1996 and
recorded August 12, 1996 in the Cumberland County
Recorder of Deeds Office in Deed Book 144, Page 31.
A copy of said Deed is attached hereto and
incorporated herein. NOTE: The Deed referenced
herein contains multiple tracts. Although the Deed
lists only one tax parcel number, each tract has been
assigned a separate tax parcel number and separate
tax bills are issued for each tract. Marian E. Carter
has disclaimed her interest in the said properties,
except for 313 S. Front Street, Wormleysburg. See
attached Disclaimer. Pursuant to 20 Pa. C.S.A.
Section 6201, et. seq., the real property passes in
equal shares to the Decedent's three (3) children, in
equal shares.
-6-
SCHEDULE A
RECEIPTS OF PRINCIPAL
Continued
Fiduciary
Acquisition
Value
Real Estate -All that certain piece or parcel of land 12,500.00
being known and numbered as 321 S. Front Street,
Wormleysburg, Cumberland County, Pennsylvania,
being tax parcel number 47-21-0265-028. The
properly was acquired by Donald L. Carter, Sr. and
Marian E. Carter, husband and wife, by Deed dated
August 2, 1996 and recorded August 12, 1996 in the
Cumberland County Recorder of Deeds Office in
Deed Book 144, Page 31. A copy of said Deed is
attached hereto and incorporated herein. NOTE: The
Deed referenced herein contains multiple tracts.
Although the Deed lists only one tax parcel number,
each tract has been assigned a separate tax parcel
number and separate tax bills are issued for each
tract. Marian E. Carter has disclaimed her interest in
the said properties, except for 313 S. Front Street,
Wormleysburg. See attached Disclaimer. Pursuant
to 20 Pa. C.S.A. Section 6201, et. seq., the real
property passes in equal shares to the Decedent's
three (3) children, in equal shares.
Real Estate -All that certain piece or parcel of land 72,500.00
being located on River Alley, Wormleysburg,
Cumberland County, Pennsylvania, being tax parcel
number 47-21-0265-006. The property was acquired
by Donald L. Carter, Sr. and Marian E. Carter,
husband and wife, by Deed dated August 2, 1996 and
recorded August 12, 1996 in the Cumberland County
Recorder of Deeds Office in Deed Book 144, Page 31.
A copy of said Deed is attached hereto and
incorporated herein. NOTE: The Deed referenced
herein contains multiple tracts. Although the Deed
lists only one tax parcel number, each tract has been
assigned a separate tax parcel number and separate
tax bills are issued for each tract. Marian E. Carter
has disclaimed her interest in the said properties,
except for 313 S. Front Street, Wormleysburg. See
attached Disclaimer. Pursuant to 20 Pa. C.S.A.
Section 6201, et. seq., the real property passes in
equal shares to the Decedent's three (3) children, in
equal shares.
-7-
SCHEDULE A
RECEIPTS OF PRINCIPAL
Continued
Fiduciary
Acquisition
Value
Real Estate -All that certain piece or parcel of land 20,000.00
being known and numbered as 323 S. Front Street,
Wormleysburg, Cumberland County, Pennsylvania,
being tax parcel number 47-21-0265-029. The
property was acquired by Donald L. Carter, Sr. and
Marian E. Carter, husband and wife, by Deed dated
August 2, 1996 and recorded August 12, 1996 in the
Cumberland County Recorder of Deeds Office in
Deed Book 144, Page 31. A copy of said Deed is
attached hereto and incorporated herein. NOTE: The
Deed referenced herein contains multiple tracts.
Although the Deed lists only one tax parcel number,
each tract has been assigned a separate tax parcel
number and separate tax bills are issued for each
tract. Marian E. Carter has disclaimed her interest in
the said properties, except for 313 S. Front Street,
Wormleysburg. See attached Disclaimer. Pursuant
to 20 Pa. C.S.A. Section 6201, et. seq., the real
property passes in equal shares to the Decedent's
three (3) children, in equal shares.
Real Estate -All that certain piece or parcel of land 17,500.00
being known and numbered as 325 S. Front Street,
Wormleysburg, Cumberland County, Pennsylvania,
being tax parcel number 47-21-0265-030. The
property was acquired by Donald L. Carter, Sr. and
Marian E. Carter, husband and wife, by Deed dated
August 2, 1996 and recorded August 12, 1996 in the
Cumberland County Recorder of Deeds Office in
Deed Book 144, Page 31. A copy of said Deed is
attached hereto and incorporated herein. NOTE: The
Deed referenced herein contains multiple tracts.
Although the Deed lists only one tax parcel number,
each tract has been assigned a separate tax parcel
number and separate tax bills are issued for each
tract. Marian E. Carter has disclaimed her interest in
the said properties, except for 313 S. Front Street,
Wormleysburg. See attached Disclaimer. Pursuant
to 20 Pa. C.S.A. Section 6201, et. seq., the real
property passes in equal shares to the Decedent's
three (3) children, in equal shares.
Total Real Estate 1,740,960.00
-8-
SCHEDULE A
RECEIPTS OF PRINCIPAL
Continued
Fiduciary
Acquisition
Value
Total Receipts
3,280,093.83
Total Receipts of Principal 3,2so,os3.s3
-9-
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
03/19/2010 Myers Harner Funeral Home -Funeral 15,533.00
03/19/2010 Rock Bass Grille -funeral luncheon 4,516.96
03/19/2010 Rolling Green Cemetery -Interment 3,023.00
03/19/2010 Rolling Green Cemetery -Grave Marker 4,349.00
03/19/2010 Rolling Green Cemetery 1,395.00
Total Funeral Expenses
03/11/2010 PNC Bank -Checking Account No. 5112040333. 18,062.55
Outstanding checks as of date of death.
03/27/2010 Gary R. Sebolt -Fee to appraise real estate located at 375.00
1 Bella Vista Drive, Mechanicsburg, Pennsylvania
04/01/2010 Register of Wills -probate fees 553.60
06/22/2010 Register of Wills -Short Certificates 12.00
08/17/2010 Cumberland Law Journal -Executrix's Notice 75.00
08/31/2010 Recorder of Deeds -fee to file deed 64.00
09/21/2010 Journal Publications -Executrix's Notice 85.00
11/09/2010 Register of Wills -Short Certit'icate 4.00
11/22/2010 RESERVES -Costs to conclude administration of 21,580.00
Estate, including filing fee for Court Accounting;
preparation and filing of Fiduciary Income Tax
Returns
12/09/2010 Register of Wills -Additional Probate Fee 1,350.00
12/09/2010 Register of Wills -Filing fee for ten (10) Disclaimers 40.00
12/09/2010 Register of Wills -Filing fee for PA Inheritance Tax 30.00
Return and Inventory
04/18/2011 Register of Wills -fee to file Amendment to Petition 15.00
for Probate
04/27/2011 Register of Wills -fee for 10 additional Short 40.00
Certificates
05/27/2011 Register of Wills -fee for 5 additional Short 20.00
Certificates
28,816.96
-10-
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
07/05/2011 Register of Wills -Filing fee for Supplemental
Pennsylvania Inheritance Tax Return
Total Miscellaneous Administrative Expenses
Federal State and Local Taxes
06/09/2010 Register of Wills, Agent - PA Inheritance Tax paid at
5% discount
12/09/2010 Register of Wills, Agent - PA Inheritance Tax paid
with Return
07/05/2011 Register of Wills, Agent - PA Inheritance Tax paid
with Supplemental Return
Total Taxes
Fees
12/09/2010 Jennifer B. Hipp -Attorney's fees for representation
of Estate per agreement
07/05/2011 Jennifer B. Hipp, Esquire -Fee for preparation of
Supplemental Pennsylvania Inheritance Tax Return
12/08/2011 Jennifer B. Hipp -Attorney's fees for representation
of Estate per agreement
Total Fees
TOTAL DISBURSEMENTS OF PRINCIPAL
15.00
104,880.25
54,857.21
130.75
10,500.00
630.00
10,500.00
42,321.15
159,868.21
21,630.00
252,636.32
-11-
SCHEDULE D
DISTRIBUTIONS OF PRINCIPAL
03/11/2010 Diane M. Freedman -1/3 of the value of the 1996 1,000.Oq
Cadillac Deville
03/11/2010 Donald L. Carter, Jr. -1/3 of the value of the 1996 1,000.00
Cadillac Deville
03/11/2010 Gregory D. Carter -1/3 of the value of the 1996 1,000.00
Cadillac Deville
11/03/2010 Christopher Freedman -Specific Bequest 10,000.00
04/18/2011 Diane M. Freedman -1/3 of value of outstanding 25,000.00
private loan due from Black Dog Motorcycle Shop
04/18/2011 Donald L. Carter, Jr. - 1/3 of value of outstanding 25,000.00
private loan due from Black Dog Motorcycle Shop
04/18/2011 Gregory D. Carter -1/3 of value of outstanding private 25,000.Op
loan due from Black Dog Motorcycle Shop
07/05/2011 Diane M. Freedman -Distribution of titles to seven (7) 3,500.00
concessions trailers
08/30/2011 Diane M. Freedman -Advancement 154,379.411
11/23/2011 Diane M. Freedman -Advancement 50,000.00
11/23/2011 Donald L. Carter, Jr. -Advancement 50,000.Oq
11/23/2011 Gregory D. Carter -Advancement 50,000.00
12/18/2011 Danielle Blevins -Specific Bequest 10,000.gO
12/18/2011 Erick Carter -Specific Bequest 10,000.00
1 211 812 01 1 Glenn Carter -Specific Bequest 10,000.00
1 2/1 81201 1 Jared Carter -Specific Bequest 10,000.00
12/18/2011 Jennifer Cheyne -Specific Bequest 10,000.00
12/18/2011 Lauren Carter -Specific Bequest 10,000.Oq
1 211 812 01 1 Nick Carter -Specific Bequest 10,000.00
465,879.41
TOTAL DISTRIBUTIONS TO BENEFICIARIES
465,879.41
-12-
SCHEDULE G
RECEIPTS OF INCOME
Metro Bank
05/06/2010 Metro Sank -Checking Account No. 536671167. 3.05
Interest earned in account from date of death to
closeout. _
3.05
Integri
12/31/2010 Integrity Bank -Interest earned in Estate account in 7,576.77
2010
7,576.77
Integri Bank
11/11/2011
Integrity Bank -Interest earned in Estate account
through November 11, 2011
TOTAL BANK INTEREST
TOTAL RECEIPTS OF INCOME
5,442.18
5,442.18
13,022.00
13,022.00
-13-
PROPOSED DISTRIBUTIONS TO BENEFICIARIES
Current Value Fiduciary
12/08/2011 Acquisition
or as noted Value
TO:
Adriana Blevins -Specific Bequest 10,000.00
Alexander Cheyne -Specific Bequest 10,000.00
Brandyn Blevins -Specific Bequest 10,000.00
Diane M. Freedman -Real Estate -Various parcels of real property, 580,320.00
as listed in Schedule A of this Account, to be transferred to all three
residuary beneficiaries as tenants in common without the right of
survivorship. One-third of the value of all real property to be
transferred is listed here.
Diane M. Freedman -Proposed Distribution 162,627.10
Donald L. Carter, Jr. -Real Estate -Various parcels of real property, 580,320.00
as listed in Schedule A of this Account, to be transferred to all three
residuary beneficiaries as tenants in common without the right of
survivorship. One-third of the value of all real property to be
transferred is listed here.
Donald L. Carter, Jr. -Proposed Distribution 320,506.50
Gregory D. Carter -Real Estate -Various parcels of real property, as 580,320.00
listed in Schedule A of this Account, to be transferred to all three
residuary beneficiaries as tenants in common without the right of
survivorship. One-third of the value of all real property to be
transferred is listed here.
Gregory D. Carter -Proposed Distribution 320,506.50
2,574,600.10
Total 2,574,600.10
-14-
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-10-0337
Estate of Donald L. Carter. Sr.. Deceased
Verification
Diane M. Freedman, Executrix under the Last Will and Testament of Donald L. Carter Sr., Deceased,
hereby declares under oath that he/she has fully and faithfully discharged the duties of his/her
office; that the foregoing Account is true and correct and fully discloses all significant transactions
occurring during the accounting period; that atl known claims against the Estate have been paid in
full; that, to his/her knowledge, there are no claims now outstanding against the Estate; that all
taxes presently due from the Estate have been paid; and that the grant of Letters Testamentary and
the first complete advertisement thereof occurred more than four months before the foregoing
Account.
This statement is made subject to penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn
falsification to authorities.
Dated: ~~ ~ ~ ~ ~ ~~il,~- /~k~C.
Diane M. Freedman, Executrix
~.
LAST WILL AND TESTAMENT
OF
DONALD CARTER
I, DONALD CARTER of New Cumberland, Cumberland
County, Pennsylvania, being of sound mind, memory and
understanding, do hereby make, publish and declare this atic and
for my Last Will and Testament, hereby revoking all other wills
and codicils heretofore made by me.
.FIRST
I direct the payment of my debts and the expensE~s of my
last illness and funeral from my estate as soon after my c~eath as
conveniently may be done. Further, in this connection, I
authorize my personal representative to expend funds from my
estate, in such amount as my personal representative shal]_
consider necessary and desirable, for the purchase, erection and
inscription of a suitable marker for my grave.
SECOND
I give, devise and bequeath the amount of Ten Thousand
($10,000.00) each to each of my grandchildren and great-
grandchi ldren as survive me . bbl G~:u ° U'~ ~ ~~ r7 s rr~ e~sn~.-
THIRD
In the event I am survived by my wife, Marian Cartier, I
give, devise and bequeath any and all funds owed to me at the
time of my death, of whatever nature, secured or unsecured, to
~ ~ tiC !'Yl . 1-R E ~Dt~ c4 n/ as TRUSTEE, under the f ol.Lowing
conditions:
A) My Trustee shall hold the principal of the
Residuary Trust in one under the following terms and conditions:
1. My Trustee shall pay to or for the benefit of my
wife Marian Carter all principal or interest payments received
from the debts owed to me as assigned to the TRUST. In addition,
I give my TRUSTEE the right to use any further sums of money
available in said trust for the health, safety and welfare of my
wife, Marian Carter, taking into consideration such assets as are
otherwise available for this purpose.
2. Upon the death of my wife, Marian Carter, my
Trustee shall terminate the trust and distribute the remaining
assets of the trust in equal shares to my sons Donald L. Carter,
Jr. and Gregory D. Carter and my daughter, Diane M. Freedman.
3. In the event any of the designated residual
beneficiaries under this Paragraph THIRD shall predecease the
termination of the Trust identified in this Paragraph THIRD, I
direct that the share of the said decedent shall be vested. in the
person or persons other than to the child's creditors, estate, or
the creditors of the beneficiary's estate, in such proportions
and subject to such trusts and conditions, as such beneficiary
shall appoint by specific reference to this power in his or her
will, or if such power is not exercised in full, the unappointed
residuary assets in the Trust shall be distributed to such.
deceased beneficiaries' issue, per stirpes; provided, however,
any portion of such Trust which would be distributed to any
beneficiary for whom a trust is then held hereunder shall be
added to such trust.
B) Should the principal of any trust herein provided
for be or become too small in my Trustee's discretion to make
establishment or continuance of the trust advisable, my personal
representative or Trustee may distribute the remaining principal
and any accumulated or undistributed income outright to th.e
beneficiaries in the proportions to which they are then entitled.
The receipts and releases of the distributees will terminate
absolutely the rights of all persons who might otherwise have
future interest in the trust, whether vested or contingent:,
without notice to them and without the necessity of filing an
account with the court.
C) In the event my said Trustee shall, for any z•eason,
fail to so serve, I appoint
as successor Trustee hereunder.
FOURTH
I give devise and bequest all of the rest, residues and
remainder of my estate of whatever nature and wherever situate in
as nearly equal shares as practicable to my sons Donald L.
Carter, Jr. and Gregory D. Carter and my daughter Diane M.
Freeman of Cumberland County, Pennsylvania. If I am not survived
by any of such children, I direct that his or Pier share be
divided in as nearly equal shares as practicable among his or her
children.
FIFTH
Any and all payment or payments of any sum or sums,
whether in cash or in kind and whether for principal or ir.~come,
payable hereunder shall be made upon the sole receipt of t:he
respective individual to whom the payment is made, and free from
anticipation, alienation, assignment, attachment, and pledge, and
free from control by the creditors of any such beneficiary.
SIXTH
I appoint my children Donald L. Carter, Jr., Gregory D.
Carter and Diane M Freeman Co-Executors of this my Last Will and
Testament. Further, I direct said Co-Executors utilize mfr
attorney, Steven J. Fishman, of Carlisle, Pennsylvania for such
services as are legally necessary to settle my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last Will and Testament, consisting of four(4)
typewritten pages, the first three of which bears my initials or
signature in the margin for the purpose of identification, this
4` ~' day of ~ March, 2 010 .
~. , C .~.,~ ( seal )
DONALD CARTER
Signed, sealed, published and declared by the above named
testator, DONALD CARTER, as and for his Last Will and Test:ament,
in the presence of us, who, at his request, in his sight and
presence, and in the sight and presence of each other, have
hereunto subscribed our names as witnesses.
DRESS DD ~~ /C/L~GIC~~G~e~U,~(s'R
~7d7~
ADDRESS
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
We, DONALD CARTER,
and
the testator and the witnesses,
respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the
undersigned authority that the testator signed and executed the
instrument of his Last Will and Testament, and that he signed
willingly and that he executed as his free and voluntary act for
the purposes therein expressed, and that each of the witnE=_sses,
in the presence and hearing of the testator, signed the Will as
witnesses, and that to the best of their knowledge, the testator
was at the time eighteen (18) years of age or older, of sound
mind and under no constraint or undue influence.
Sworn to and subscribed
before me this day
of 2010.