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Home My WebLink About03-0622Register of Wills of Cumberland County, Pennsylvania Estate of also known as PETITION FOR GRANT OF LETTERS Louise Byler Hancock Louise B. Hancock Deceased Social Security No. 201-1 8-2425 MPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner is the executor named in the Last Will of the Decedent, dated July 9, 2003 and codicil(s) dated Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLETE tN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at 100 Mt. Allen Drive, Upper Allen Township, Mechanicsbur,q, Cumberland County, Pennsylvania 17055 Decedent, then 90 years of age, died July 22, 2003, at Messiah Village, Upper Allen Twp., Cumberland Cou.ty, Pe~.a. 17055 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property ................ $ 240,000.00 (If not domiciled in PA) Personal property in Pennsylvania ....... $ (If not domiciled in PA) Personal property in County ........... Value of real estate in Pennsylvania ................................. $ Total ................................................. $ 240,000.00 Real Estate situated as follows: None Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: I Si~lnature Typed or printed name and residence Jere Coxon 1633 Berkshire Lane Harrisburg, PA 17111 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and bel?~of Petitioner~a~d that, as personal representatives of the Decedent, Petitioners will well and.tr'bly~dminister~tate according to law. Sworn to and affirmed and subscribed ~ ~' _~_~__~_~, ( /~'~/~--,__~ before me this ~ 7;,-/ day of / 2o~_-~ Estate of Louise Byler Hancock a/k/a Louise B. Hancock Deceased Social Security No: 201-18-2425 Date of Death: July 22, 2003 AND NOW, ,20 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [] Testamentary [] of Administration are hereby granted to in the above estate and that the instrument dated July 9, 2003 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........................... Short Certificate(s) .......... $ Renunciation ................... $ Affidavit ( ) .................. $ Extra Pages ( ) ............. Codicil ........................... JCP Fee ......................... $ Inventory & Tax Forms .... Other ............................ $ TOTAL ................ Register -of Wi~/~~ Attorney: Allen Shaffer I.D. No: 07116 Address: 1 I~larket St Millersburg, PA 17061 Telephone: 71 7-692-2345 his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office fbr permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. P 9375220 o. COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH ' VITAL RECORDS CERTIFICATE OF DEATH /..o~.S.S L will\hancock I, LOUISE BYLERHANCOCK, of Millersburg, Dauphin County, Pennsylvania, being of sound and disposing mind, memory and understanding, hereby declare this instrument to be my Last Will and Testament, revoking any and all Wills by me heretofore made. ITEM I. I direct my hereinafter-named Executor, to pay all my just debts, funeral expenses and administration expenses, including inheritance taxes, as soon as may be convenient after my decease. ITEM II. I give: A. the sum of Five Thousand Dollars ($5,000.00) to my sister, HELEN BYLER ALLISON; B. .the s.,,- ~f Five Thoucand Dollars (~5,000.00) t_~ my C. thc cum of ~4v~ Thnn.~n~ Do!7~ {.~. , nnn_nnl, ~ ~y D. the sum of ~;'D Thousand Dollars ( ~.~/ to my nephew, DE~ C. BYLER, JR.; E. the sum of Two Thousand Dollars ($5,000.00) to my niece, JILL BYLER WESTENDICK; F. the sum of Two Thousand Dollars ($2,000.00) to SUSAN CHUBB RISSINGER; G. the sum of TWo Thousand Dollars ($2,000.00) to ANNA CHUBB BARGER; H. the sum of TWo Thousand Dollars ($2,000.00) to JOSEPHINE BARGE; I. the sum of TWo Thousand Dollars ($5,000.00) to FIRST UNITED METHODIST CHURCH, Millersburg, Pennsylvania; and J. the sum of Two Thousand Dollars ($5,000.00) to CAROL KING BAYLOR; K. the sum of Two Thousand Dollars ($2,000.00) to ST. MARK'S EPISCOPAL CHURCH, Northumberland County, Pennsylvania; L. the sum of Five Thousand Dollars ($5,000.00) to MESSIAH VILLAGE, Mechanicsburg, Pennsylvania; ~v~ M. the sum of ~ Thousand Dollars (~,~ na~ CAROL SHUMAKER; N. Ail the rest, residue and remainder of my Estate, real, personal or mixed, of whatsoever nature and wheresoever situate, unto my sister, HELEN BYLERALLISON; Page 1 of 2 Pages Louise Byl~r Hancock in the event she predeceases me, then such share shall go to my sister, RUTH V. BYLER; and in the event she predeceases me, then to my brother, DEAN C. BYLER, SR.; and in the event he predeceases me, then in equal shares unto my nieces and nephews. ITEM III. I hereby nominate, constitute and appoint JERE COXON, as Executor of this, my Last Will and Testament. In the event he is unable to act in this capacity, then COMMUNITY BANKS, N.A., shall serve in his stead. ITEM IV. I direct that my Executor, shall not be required to give bond for the faithful performance of their duties in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, consisting of two (2) typewritten pages, bearing my signature, this ~day of July, A.D. 2003. SIGNED IN THE PRESENCE OF: Page 2 of 2 Pages Louise ~ler Hancock AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA : COUNTY OF DAUPHIN : Before me, the undersigned personally appeared TESTATRIX: authority, on this day LOUISE BYLER HANCOCK WITNESS: ALLEN SHAFFER WITNESS: CONSTANCE E. STONEROAD known to me to be the Testatrix and the Witnesses, respectively, whose names are subscribed in their respective capacities, and, all of said persons being by me first duly sworn, said LOUISE BYLER HANCOCK, Testatrix, declared to me and to the said Witnesses in my presence that said instrument is her Last Will and Testament, and that she willingly made and executed it as her free and voluntary act and deed for the purposes therein expressed; and that said Witnesses, each on her oath stated to me, in the presence and hearing of said Testatrix, that the said Testatrix had declared to them that said instrument is her Last Will and Testament, and that she executed the same as such, and wanted each of them to sign it as a Witness; and upon their oaths each Witness stated further that they did sign the same as Witnesses in the presence of said Testatrix, and at her request and that said Testatrix was at that time over the age of 18 years and was of sound mind. ~~ ~- (SEAL) Louise~ Byler Hancock Sworn to and subscribed before me by LOUISE BYLER HANCOCK, ALLEN SHAFFER and ,C~DN~STANCE E. STONERO~Dthe above-named Testatrix and Witnesses, this ~'~ day of C7~c/ , A.D. 2003. Notary Public Ritm C. Anstead, Notary Public CmPP_ Hill Bom, Cumbe.r~and County My C,~xltmisslon Expires apr. 18, 2005 Member, Pennsylvania Association of Notaries CERTIFICATION OF NOTICE UNDER RULE 5.6(I~J Name of Decedent: Louise B. Hancock Date of Death: July 22, 2003 Will No.: 2003-00622 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on September 24, 2003. Helen Blyler Allison Dean C. Blyler, Jr. Jill Blyler Westendick Susan Chubb Rissinger Anna Chubb Barger Josephine Barge First United Methodist Church Carol King Baylor St. Mark's Episcopal Church 15 Hunter Lane Camp Hill, PA 17011 109 Aspen Court Arlington, TX 76013 21 Tallavana Court Havana, FL 32333 RR#1 Box 301 Dalmatia, PA 17017 286 Mohr Road Millersburg, PA 17061 140 Pearl Street Millersburg, PA 17061 346 Center Street Millersburg, PA 17061 2424 Cypress Norman, OK 73072 2 King Street Northumberland, PA 17857 -1- Name of Decedent: Date of Death: Will No.: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Louise B. Hancock July 22, 2003 2003-00622 Messiah Village 100 Mt. Allen Drive Mechanicsburg, PA 17055 Carol Shumaker 324 Somerset Drive Shiremanstown, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a). September 24, 2003 SHAFFER & ENGLE LAW OFFICES J;~g~le, Esqui;e~' 5!~?~$haf~er, Esqdre ~ /.~'~M~ket StreW' Millersburg, Phone: 717-692-2345 Counsel for Personal Representative October 16, 2003 Donna Otto, Acting Register of Wills Cumberland County Court House 1 Court House Square Carlisle PA, 17013-3387 In re: Estate of Louise B. Hancock No. 2003-00622 Dear Ms. Otto: Enclosed herewith are the following: 1. Original and one copy of the Pennsylvania Inheritance Tax Return 2. Check #107 in the amount of $23,992.53 for the tax due 3. The Inventory 4. Check #1237 in the amount of $25.00 for filing fees 5. Copies of the first page of the tax return and the inventory with a return envelope Please date stamp the copies of the first page of the tax return and the inventory and return the same to me in the envelope provided. Thank you for your kind assistance, if additional information is needed, please contact me. Sincerely, Constance E. Stoneroad CES/s Enclosures ALLEN SHAFFER. ESO~IRE · JEFFREY B. ENGLE, ESC~IR.E · DALE KENT KETNER., ESO~IKE ANGELA A. KOHLEFL PAPALEGAL · CONSTANCE E. STONER.OAD. LEGAL ASSISTANT · MELISSA E. WISE, PARALEGAL 129 MARKET STREET MILLER.SBURG, PA 17061 · 2941 NOR.TH FRONT STREET SUITE 112 HARRISBURG, PA 17110 MILLERSBUR.G 717.692.2345 · HARRISBURG 717.236.9Sll · FAX 717.692.3554 REV- 1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 D E C E D E N T CAPB HpRL EpIO CRAC KOTK ES I INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Hancock Louise Byler DATE OF DEATH (MM-DO-YEAR) J DATE OF BIRTH (MM-OD-YEAR) 07/22/2003 I 12/21/1912 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 1. Original Return ~ 2. Supplemental Return 4. Limited Estate 46, Future Interest Compromise (date of death after 12-12-82) 6. Decedent Died Testate 7. Decedent Maintained a Living Trust (Attach copy of Will) (Attach copy of Trust) ~'--~ 9. Litigation Proceeds Received E~ 10. Spousal Poverty Credit (date of death between 12-31-91 and 1 - 1-95) OFFICIAL USE ONLY FILE NUMBER 21-03-0622 COUNTY CODE YEAR NUMBER NAME Allen Shaffer FIRM NAM E (If Applicable) Shaffer & En~le TELEPHONENUMBER 717,/692-2345 SOCIAL SECURITY NUMBER 201-18-2425 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER . (date of death 3. Remainder Return prior to 1Z-13-8Z) ,~. Federal Estate Tax Return Required i 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach ScL O) Law Offices COMPLETE MAILING ADDRESS 129 Market Street Millersburg, PA 17061 R E C A P I T U L A T I O N C O M T I O N 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or (3) Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) ~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11 ) 13. 14. 227, None None 15 , 331.02 None None 21,600.78 4,843.94 Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made/Schedule J) Net Value Subject to Tax/Line 12 minus Line 13) (6) (11) (12) (13) (14) OFFICIAL USE ONLY 242,405.48 26,444.72 215,960.76 12,000.00 203,960.76 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) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due X .0 0 0.00 X .0 45 177,960.76 X .12 26,000.00 X .15 (lS) (16) (17) (18) (19) 0.00 0.00 21,355.29 3,900.00 25,255.29 Copyright (c) Z000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STRP_I: I ADDRESS 100 Mt Allen Drive CITY Mechanic sbur~ Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) Z. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount I STATE ZIP PA 17055 (1) 0.00 25,255.29 1,262.76 Total Credits ( A + B + C ) (2) 1,262.76 Interest/Penalty if applicable D. Interest E. Penalty Total InterestJPenalty ( D + E ) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page I Line 20 to request a refund (4) 0. O0 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 23,992.53 A. Enter the interest on the tax due. (SA) O. O0 B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (SB) 23,992.53 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. retaintheuseorincomeofthepropertytransferred; ......................... ~ ~ 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 fe of either payments, benefts 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? ................................ I~l ~ 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. S~ERSON~SIBLE FOR FIL[NG RETURN Jere Co×on ~ ~_~/~, 1633 Berkshire Lane S,GNAT~E OF PREP^RER OTHER THAN REPRESENT^T,VE ---~-£~¥~]- ¥~-- i-~ii¥ ........................ DATE ~//'~/~./. 2/~ .// Shaffer & Engle Law Offices DATE 129 Market Street~",' ~ ~ ~ ~ iiiJiiiiiiiiiiiiiiiJi!iiiiiiiJiiiiiiiiiiiiii!!iiiiiiji Millersbur~, PA 17061 ............ /~ /~ dP 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, 199.5, 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. Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV- 1500 EX (Rev. 6-00) REV- 1503 EX + (1-97) COMMONWEALTH OFPENNSYLVANIA INHERITANCETAXRETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS Louise Byler Hancock SS# 201-18-2425 07/22/2003 All property jointly-owned with right of survivorship must be disclosed on Schedule F. FILE NUMBER 21-03-0622 ITEM VALUE AT DATE NUMBER DESCRIPTION UNIT VALUE OF DEATH i 300 shares BGE Capital Trust 1 - 7.16% of 6/30/38 TOPRS 25.09 7,527.00 2 1,748.03 shares Dryden Global Total Return FD 7.37 12,882.98 3 1,423 shares Gabelli Equity Trust Inc 7.51 10,686.73 4 116 shares Gabelli Util Tr 9.61 1,114.76 5 200 shares General Electric Cap Crop Pines 6.1% 25.48 5,096.00 6 320 shares National Australia Bank Exch - TR PFD 8.0% 25.26 8,083.20 7 615 shares Royce Value Tr Inc Pfd Tax - Advantaged Cum 25.30 15,559.50 7.30% 8 $17,000 Capital One Bank Medium Term 6.7% of 5/15/08 106.00 18,020.00 Accrued income on item 8 through date of death 211.98 9 $2,000 Chase Mtg Fin Tr, CUSIP #16162TDV ~ 6.5% of 100.00 2,000.00 2/25/29 10 $10,000 Ford Motor CR CO Notes 6.75% of 8/15/08 100.75 10,075.00 Accrued income on item 10 through date of death 294.37 11 $20,000 Ford Motor Credit Corp Notes 7.375% of 103.385 20,677.00 10/28/09 Accrued income on item 11 through date of death 344.16 12 $18,000 GE CAP MTG SVCS INC REMIC MC - 8% OF 1/25/29 72.12247 12,982.04 13 $20,000 General Motors Acceptance Corp - 5.85%of 100.96 20 192.00 i/14/09 ' Accrued income on item 13 through date of death 26.00 14 $19,000 General Motors Acceptance Corp - 7.125% of 99.375 18,881 25 ii/is/J6 ' Accrued income on item 14 through date of death 26.32 15 $20,000 Hertz Corp Notes - Reg- 6.25% of 3/15/09 96.185 19,237.00 Total of Continuation Schedule(s) 43,157.17 TOTAL(Alsoenteronline2, Recapitulation) 227,074.46 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSysterns, Inc. Form REV-I$03 EX (Rev. 1-97) Estate of: Louise Byler Hancock Soc Sec #: 201-18-2425 Date of Death: 07/22/2003 Continuation of Schedule B (Stocks and Bonds) Item Description Unit Value Value at Date of Death 16 Accrued income on item 15 through date of death $42,000 Pennsylvania Power & Light Co - 6.75% of 10/i/23 Accrued income on item i6 through date of death 99.624 440.97 41,842.08 874.12 43,157.17 REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Louise Byler Hancock SS# SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY 201-18-2425 07/22/2003 FILENUMBER 21-03-0622 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 1 share Citibank/Smith Barney - Bank Deposit Program - cash 8,825.05 ac count 2 Accrued income on item 1 through date of death Community Banks - Checking Acct Account #1136508206 TOTAL (Also enter on line 5, Recapitulation) 1.27 6,504.70 $ 15,331.02 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV- 1508 EX (Rev. 1-97) EV- 1511 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Louise Byler Hancock SS~/ SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS 201-18-2425 07/22/2003 FILENUMBER 21-03-0622 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A, FUNERAL EXPENSES: 1 Hoover Funeral Home - Funeral Services 1 2 3 4 5 6 Wooden Nickel - Funeral Luncheon ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Jere Coxon Social Security Number(s) / EIN Number of Personal Representative(s) Street Address 1633 Berkshire Lane City ~{arrisbur~ State PA Year(s) Commission Paid: Attorney's Fees Shaffer & Engle Law Offices Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant 210-32-7143 Zip 17111 Street Address City Relationship of Claimant to Decedent Probate Fees Register of Wills Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs Community Banks Check Fee Cumberland County Law Journal State ~ Zip Legal Advertisement for Lunch with Investment Advisor Reserve to file Releases Jere Coxon - Reimbursement Jere Coxon Reimbursment for postage Jere Coxon - Mileage Register of Wills, Cumberland County Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) AMOUNT 5,610.10 249.76 7,250.00 7,250.00 292.00 15.75 75.00 18.30 66.30 415.88 34.00 323.69 $ 21,600.78 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 I~X (Rev. 1-97) Estate of: Soc Sec #: 201-18-2425 Date of Death: 07/22/2003 Louise Byler Hancock Item Description Continuation of Schedule H-B7 (Other Administrative Costs) Amount Register of Wills, Cumberland County - Reserve to file Pa Inheritance Tax Return and Inventory Reserve for Tax & Tax Preparation Sentinel Legal Advertisements 25.00 200.00 98.69 323.69 REV- 1512 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Louise Byler Hancock SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS SSf/ 201-18-2425 07/22/2003 FILE NUMBER 21-03~0622 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 Alert Pharmacy - Prescription Service 2 3 4 5 6 7 8 Jere Coxon - Reimbursement for Phone Cards purchased for Mrs. Hancock prior to her death Jill Westerdick - Check written prior to death cleared after DOD Messiah Village - Check written prior to death cleared after DOD Messiah Village - Final Billing for care Mobile Xray - Services Rendered Pharmerica - Prescription Services Verizon - Telephone Service TOTAL (Also enter on line 10, Recapitulation) 53.64 61.19 60.00 2,798.00 1,733.28 27.48 101.13 9.22 4,843.94 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-I$1Z EX (Rev. 1-97) REV-'1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANrA iNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Louise Byler Hancock SCHEDULE J BENEFICIARIES 201-18-2425 07/22/2003 FILE NUMBER 21-03-0622 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116~)(1.2)] 1 Helen Byler Allison 15 Hunter Lane Camp Hill, PA 17011 II. Josephine Barge 140 Pearl Street Millersburg, PA 5 17061 Anna Chubb Barger 286 Mohr Road Millersburg, PA 17061 Carol King Baylor 2424 Cypress Norman, OK 73072 Dean C. Byler, Jr. 509 Aspen Court Arlington, TX 76013 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Sister Friend Friend Friend Nephew AMOUNT OR SHARE OF ESTATE $5,000.00 and Residue 2,000.00 2,000.00 5,000.00 5,000.00 ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLEAND GOVERNMENTALDISTRIBUTIONS First United Methodist Church 346 CenterStreet Millersburg, PA 17061 Messiah Village 100 Mt. Allen Drive Mechanicsburg, PA 17055 5,000.00 5,000.00 2,000.00 12,000.00 Total of Continuation Schedule(s) TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) Copyright (c) ZOO0 form software only The Lackner Group, Inc. Form REV-1513 EX (Rev. 9-00) Estate of: Louise Byler Hancock Soc Sec #: 201-18-2425 Date of Death: 07/22/2003 Continuation of Schedule J, Part I (Taxable Bequests) Item Name and Address of Beneficiary Relationship Amount or Share of Estate 8 Susan Chubb Rissinger RR#1 Box 301 Dalmatia, PA 17017 Carol Shumaker 324 Somerset Drive Camp Hill, PA 17011 Jill Byler Westendick 21 Tallavana Court Havana, FL 32333 Friend Friend Niece 2,000.00 5,000.00 5,000.00 Estate of: Louise Byler Hancock Soc Sec #: 201-18-2425 Date of Death: 07/22/2003 Continuation of Schedule J, Part II-B (Charitable and Governmental Bequests) Item Description Amount or Share of Estate St. Mark's Episcopal Church 2 King Street Northumberland, PA 17857 2,000.00 2,000.00 Register of Wills of CUMBERLAND INVENTORY County, Pennsylvania Estate of Louise Byler Hancock also known as Hancock, Louise B. , Deceased No. 2003-00622 Date of Death 07/22/2003 Social Security No. 201-18-2425 Jere Coxon, Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: I.D. No.: Address: Telephone: Allen Shaffer 7116 129 Market Street Millersburs, PA 17061 717/692-2345 Personal Repre~./_/. Signature: Jer~ ~~-u~_ Signature: Address: 1633 Berkshire Lane Harrisburg, PA 17111 Telephone: 717/545- 5629 Dated: Description Value (See continuation page(s) attached) (Attach additional sheets if necessary) Total: 242,405.48 ~IOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. Prepared by the Pennsylvania Sar Association Copyright (c) 1996 form software only CPSystems, [nc. Form #RW-7 (199z) Estate of: Date of Death: County: INVENTORY Louise Byler Hancock 07/22/2003 Cumberland CASH: shares Citibank/Smith Barney Bank Deposit Program - cash ac count Accrued income through date of death Community Banks Checking Acct - Account #1136508206 8,825.05 1.27 6,504.70 STOCKS/LISTED: 300 shares BGE Capital Trust 7.16% of 6/30/38 TOPRS 1,748 shares Dryden Global Total Return FD 1,423 shares Gabelli Equity Trust Inc 116 shares Gabelli Util Tr 200 shares General Electric Cap Crop Pines 6.1% 320 shares National Australia Bank Exch - TR PFD 8.0% 615 shares Royce Value Tr Inc Pfd Tax - Advantaged Cum 7.30% 7,527.00 12,882.98 10,686.73 1,114.76 5,096.00 8,083.20 15,559.50 15,331.02 60,950.17 -1- BONDS: 17,000 Capital One Bank Medium Term - 6.7% of 5/15/08 Accrued income through date of death 2,000 Chase Mtg Fin Tr - 6.5% of 2/25/29 10,000 Ford Motor CR CO Notes - 6.75% of 8/15/08 Accrued income through date of death 20,000 Ford Motor Credit Corp Notes 7.375% of 10/28/09 Accrued income through date of death 18,000 GE CAP MTG SVCS INC REMIC MC 8% OF 1/25/29 20,000 General Motors Acceptance Corp 5.85%of 1/14/09 Accrued income through date of death 19,000 General Motors Acceptance Corp 7.125% of 11/15/16 Accrued income through date of death 20,000 Hertz Corp Notes 6.25% of 3/15/09 Accrued income through date of death 42,000 Pennsylvania Power & Light Co - 6.75% of 10/1/23 18,020.00 211.98 2,000.00 10,075.00 294.37 20,677.00 344.16 12,982.04 20,192.00 26.00 18,881.25 26.32 19,237.00 440.97 41,842.08 -2- Accrued income through date of death 874.12 TOTAL RECEIPTS OF PRINCIPAL ............... 166,124.29 242,405.48 -3- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 003137 SHAFFER & ENGLE LAW OFFICES 129 MARKET STREET MILLERSBURG, PA 17061 ........ fold ESTATE INFORMATION: SSN: 201-18-2425 FILE NUMBER: 2103-0622 DECEDENT NAME: HANCOCK LOUISE BYLER DATE OF PAYMENT: 1 O/17/2003 POSTMARK DATE: 10/16/2003 COUNTY: CUMBERLAND DATE OF DEATH: 07/22/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $23,992.53 REMARKS: TOTAL AMOUNT PAID: JERE COXON - C/O SHAFFER & ENGLE LAW OFFICES CHECK# 107 INITIALS' AC SEAL RECEIVED BY: $23,992.53 DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS U.S. POSTAGE PAID AMOUNT MILLERSBURG,PA .os~s~v,c~ OCT J6,'03 0005~5q9-0! 0000 ' 17013 h"llh,,llh,,,,,Ih,lhh,hl S HAF F E R~E NG L E LAW OFFICES 129 MARKET STREET MILLERSBUR.G, PA 17061 717.692.2345 ,, FAX 717.692.3,554 DONNA OTTO, ACTING REGISTER OF WILLS CUMBERLAND COUNTY COURT HOUSE ] COURT HOUSE SQUARE CARLI S~ PA 17013-3387 BUREAU OF INDIVIDUAL TAXES TNHERZTANCE TAX DZVTSTON DEPT. 280601 HARRTSBURG, PA 17128-0601 COHHONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLO#ANCE OR DISALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ALLEN SHAFFER SHAFFER 8 ENGLE LW OFC 129 HARKET ST HILLERSBURG PA 17061 DATE 12-01-200:5 ESTATE OF HANCOCK DATE OF DEATH 07-22-200:5 FILE NUHBER 21 0:5-0622 i'COUNTY CUHBERLAND ACN 101 Amount Remitted RE¥-1;47 EX AFP (01-05) LOUISE HAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 1701:5 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HANCOCK LOUISE B FILE NO. 21 03-0622 ACN 101 DATE 12-01-200.T TAX RETURN HAS: (X) ACCEPTED AS FTLED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSF APPRAZSE~ VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) $. Closely Held Stock/Partnersh/p Interest (Schedule C) ($) ~. Nor~gages/Notes Receivable (Schedule D) (~) 5. Cash/Bank Depos/ts/Hisc. Personal Property (Schedule E) ($) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEHPTIONS: 9. Funeral Expenses/Adm. Costs/H/sc. Expenses (Schedule H} (9) 10. Debts/Nortgage Liabilities/Liens (Schedule I) (lO) 11. Total Deduct/ons 12. Net Value of Tax Return .0O 227~07~.46 .00 .O0 15~$$1.02 .00 .O0 (8) 21,600.78 NOTE: To insure proper credit to your account, sube/t the upper port/on of th/s fore with your tax peyeent. 13. lq. NOTE: ASSESSHENT OF TAX: 15. Amount of L/ne 1~ at Spousal rate 16. Aeoun* of L/ne 1~ taxable at Lineal/Class A rata (l&) 17. Amount of L/ne lq a~ Sibl/ng rata (17) 18. Amount of L/ne 1~ taxable a~ Collateral/Class B rata (18) 19. Principal Tax Due TAX CREDITS: PAYPIENT DATE 10-16-200:5 242,405.~8 1,262.76 AMOUNT PAID 2:5,992.5:5 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. KECEZPT NUMBER CD00:51:57 DZ~CUUNT (+) INTEREST/PEN PAID (-) . O0 X O0 = . O0 · 00 X 045= .00 177,960.76 x 12 = 21,:555.29 26,000.00 x 15 = $,900.00 (19)= 25,255.29 TOTAL TAX CREDIT J 25,255.29 BALANCE OF TAX DUEI .00 INTEREST AND PEN. I .00 TOTAL DUE I .00 ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) Charltable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (13) 12,000.00 Ne~ Value of Estate Sub~ect to Tax (1~) 20:5,960.76 Z~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect flgures that lnclude the total of ALL returns assessed to date. (ll) 26.~4.72 (12) 215,960.76 RESERVATION: Estates of decedents dying on or before December ZZ, 198Z -- if any future 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 Commoneaalth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the tawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (TI P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. --Make check or money order payabXa to: REGISTER OF NXLLS, AGENT A refund of a tax credit, ~hich was not requested on the Tax Return, may be requested by completing an "Application for Refund of PennsyXvania Inheritance and Estate Tax" (REV-1313). Applications ara available at the Office of the Register of Hills, any of the Z3 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-56Z-ZOSO; services for taxpayers with special hearing and / or speaking needs: 1-800-447-30Z0 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount er interest) as sheen on this Notice must object ~ithin sixty (60) days of receipt of this Notice by: --~ritten protest to the PA Department of Revenue, Board of Appeals, Dept. ZBlOgl, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of /ndividual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 171ZB-g601 Phone (717) 767-6505. See page 5 of the booklet "[nstructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax due is paid within three (5) calendar months after the decedent's death, a five percent (SI) discount of the tax paid is allowed. The 15g tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, tho first day after the and of the tax amnesty periad. This non-participation penalty is appealable in the same manner and in the the same time period as you ~ould appeal the tax and interest that has been assessed as indicated an this notice. 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 ~hich became delinquent before January 1, 19BI bear interest at the rate of six (6Z) percent par annum calculated at a daily rate of .000164. All taxes ~hich became delinquent on and after January 1, 198Z ~ill bear interest at a rate which will vary from calendar year to calendar year aith that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2005 are: Znterest Dally Interest Daily interest Daily Year Rate Factor Year Rate Factor Yaa.__r Rate Factor 1982 lOX .000548 1987 9Z .000Z47 1999 72 ,OOO19Z 1983 16Z .000438 1985-1991 1XZ .000501 ZOO0 8Z .OOOZ19 1984 l/Z .000301 199Z 9g .000247 2001 9Z .000247 1985 13Z .D00356 1993-1994 7Z .OOO19Z 200Z 6Z .000164 1986 IOZ .000274 1995-1998 9Z .000Z47 2005 5Z .000137 --interest is calculated as fo1108s: TNTEREST = BALANCE OF TAX UNPATD X NUMBER OF DAYS DELTNQUENT X DATLY TNTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (153 days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Louise Byler Hancock Date of Death: 07/22/2003 Will No. Admin No. 2003-00622 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: Co State whether administration of the estate is complete: Yes [X] No [ ] If the answer is No, state when the personal representative reasonably believes that the administration will be complete: If the answer to No.1 is Yes, state the following: Did the pers rep file a final account with the Court? Yes [ ] No IX] The separate Orphan's Court No. (if any) for the personal rep's account is: Did the personal rep state an account informally to the parties in interest? Yes [X] No [ ] Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphan's Court and may be attached to this report. Date: 11/30/2004 % Signature '"' --""'"'~- Allen Shaffer 129 Market Street Millersburg,PA 17061 Capacity: 717/692-2345 Personal Representative * Counsel for personal representat~C ESTATE OF LOUISE B. HANCOCK, : DECEASED, late of Lower Allen : Township, Cumberland County : Pennsylvania : IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE I, the undersigned, being an heir of the ESTATE O~UiSE"B. HANCOCK, DECEASED, do hereby acknowledge that I have examined ~d inspected the First and Final Account and Proposed Distribution of Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, and I hereby accept and approve such to be a true and accurate accounting with the same force and effect as if it had been duly filed in the Office of the Register of Wills and audited by the Court of Co~on Pleas of Dauphin County, Pennsylvania, Orphans' Court Division, and requirements of filing and advertising said Account. I also acknowledge that I have received of and from Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, the sum of $153,854.14, in cash and in kind securities, as per Account, in full satisfaction and payment of the amount inherited from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to me by the Court of Common Pleas of Dauphin County, Pennsylvania, Orphans' Court Division; and, therefore, I, for myself, my heirs, executors and administrators, do by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof; and i hereby agree that in consideration of the promise of the other heirs, to refund to the said Estate, pro-rata, any amount which may be necessary in the future to discharge any liabilities of the Estate of which we may hereafter receive any notice. IN WITNESS WHEREOF, and intending to be legally ~ound hereby, I have hereunto set my hand and seal this ~day of ~m~r~d~_~004. ~~ITNESS: . ~ Helen Byler ~lison (SEAL) ESTATE OF LOUISE B. HANCOCK, DECEASED, late of Lower Allen Township, Cumberland County Pennsylvania IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE The undersigned acknowledges the receipt of and from JERE COXON, Executor of the ESTATE OF LOUISE B. HANCOCK, Deceased, the sum of $5,000.00, in cash, in full satisfaction and payment of the amount inherited from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to me by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division; and, therefore, the undersigned does, by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof; and I hereby agree that in consideration of the promise of the other heirs, to refund to the said Estate, pro-rata, any amount which may be necessary in the future to discharge any liabilities of the Estate of which we may hereafter receive any notice. IN WITNESS WHEREOF, and intending to be legally bound hereby, the undersigned has caused this instrument to be duly executed, this ~ day of O~, A.D. 2003. .J~,, ~]~64/ ~ (SEAL) Helen B~le~ Allison Sworn and subscribed to before me this ,~.~ c~ay ~~ry Public [ Cam~i~and Count~___ ] ~My Common Expos ~ne 6, 2005] ESTATE OF LOUISE B. HANCOCK, : DECEASED, late of Lower Allen : Township, Cumberland County : Pennsylvania : IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE The undersigned acknowledges the receipt of and from JERE COXON, Executor of the ESTATE OF LOUISE B. HANCOCK, Deceased, the sum of $5,000.00, in cash, in full satisfaction and payment of the amount inherited from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to me by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division; and, therefore, the undersigned does, by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof~ and I hereby agree that in consideration of the promise of the other heirs, to refund to the said Estate, pro-rata, any amount which may be necessary in the future to discharge any liabilities of the Estate of which we may hereafter receive any notice. IN WITNESS WHEREOF, and intending to be legally bound hereby, ~L~ unue~.gne~ Las caused ~his instrument tc De duly executed, this Z~ day of Ot'~ , A.D. 2003. Sworn to and subscribed before me this ~ day 2oo3 ~ o~ry' Public Dean C. . (SEAL) ~~ary Publ c State of Texas ESTATE OF LOUISE B. HANCOCK, DECEASED, late of Lower Allen Township, Cumberland County Pennsylvania IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE The undersigned acknowledges the receipt of and from JERE COXON, Executor of the ESTATE OF LOUISE B. HANCOCK, Deceased, the sum of $5,000.00, in cash, in full satisfaction and payment of the amount inherited from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to me by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division; and, therefore, the undersigned does, by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof~ and I hereby agree that in consideration of the promise of the other heirs, to refund to the said Estate, pro-rata, any amount which may be necessary in the future to discharge any liabilities of the Estate of which we may hereafter receive any notice. IN WITNESS WHEREOF, and intending to be legally bound hereby, the undersigned has caused this ins~rumen~ to be duly execuuea, this ~y~day of~/~_w~, A.D. 2003. Sworn to and subscribed before me this ~//~day of ~b,'~/t_, 2003 ill B'yl~r Westendick ESTATE OF LOUISE B. HANCOCK, DECEASED, late of Lower Allen Township, Cumberland County Pennsylvania IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE The undersigned acknowledges the receipt of and from JERE COXON, Executor of the ESTATE OF LOUISE B. HANCOCK, Deceased, the sum of $2,000.00, in cash, in full satisfaction and payment of the amount inherited from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to me by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division; and, therefore, the undersigned does, by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof~ and I hereby agree that in consideration of the promise of the other heirs, to refund to the said Estate, pro-rata, any amount which may be necessary in the future to discharge any liabilities of the Estate of which we may hereafter receive any notice. IN WITNESS WHEREOF, and intending to be legally bound hereby, the undersigned has caused This instrument ~o be duly executed, this ~J~day of O~i,f~ , A.D. 2003. Sworn to and subscribed before me this 2~-t6 day of ~_)c_-~ ~ 2003 ~- N~t~y Pubfi~ Susan Chubb Rissin~er I' Notarial Seal Angela C. Hain, Notary Public Lower MahaeoyTwp., Northumberland Coun y My Commission Expires May 28, 2005 Member, PennsyNania Association ol Notaries (SEAL) ESTATE OF LOUISE B. HANCOCK, DECEASED, late of Lower Allen Township, Cumberland County Pennsylvania IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE The undersigned acknowledges the receipt of and from JERE COXON, Executor of the ESTATE OF LOUISE B. HANCOCK, Deceased, the sum of $2,000.00, in cash, in full satisfaction and payment of the amount inherited from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to me by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division; and, therefore, the undersigned does, by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof~ and I hereby agree that in consideration of the promise of the other heirs, to refund to the said Estate, pro-rata, any amount which may be necessary in the future to discharge any liabilities of the Estate of which we may hereafter receive any notice. IN WITNESS WHEREOF, and intending to be legally bound hezeby, the uDdersigned bas caused this instrument to be duly executed. this day of , A.D. 2003. Sworn to and subscribed before me this ~n day of OC~obe~ ~Oo~ 2003 Nota~ Public Anna Chubb Barger Noladal Seal Cheryl Stone, Notary Public Mitlersburg Boro, Dauphin County My Commission Expires Aug. 14, 200,+ f,,%~mber, Penns¥]v~r~ia A~ocat~on ot Notaries (SEAL) ESTATE OF LOUISE B. HANCOCK, DECEASED, late of Lower Allen Township, Cumberland County Pennsylvania IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE The undersigned acknowledges t~'e receipt of and from JERE COXON, Executor of the ESTATE OF LOUISE B. HANCOCK, Deceased, the sum of $2,000.00, in cash, in full satisfaction and payment of the amount inherited from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to me by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division; and, therefore, the undersigned does, by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof; and I hereby agree that in consideration of the promise of the other heirs, to refund to the said Estate, pro-rata, any amount which may be necessary in the future to discharge any liabilities of the Estate of which we may hereafter receive any notice. IN WITNESS WHEREOF, and intending to be legally bound hereby, 5he undersigned has caused %his instrument 5o be duly executed, this ~q&n day of Oc,~b~ , A.D. 2003. Sworn to and subscribed before me this Dq+h day of O(~4-Ot~,DOO~ 2003 Notary Public ~se~i~e Barge Notarial Seal Cheryl Stone, Notary Pub c Miliersburg Boro Dauphin County My Commission Expires Aug. 14, 200~* ESTATE OF LOUISE B. HANCOCK, DECEASED, late of Lower Allen Township, Cumberland County Pennsylvania IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE The undersigned, an authorized official of First United Methodist Church, acknowledges the receipt of and from Jere Coxon, Executor cf the Estate of Louise B. Hancock, Deceased, the sum of $5,000.00, in cash, in full satisfaction and payment of the amount inherited by said Church, from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to the Church by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division; and, therefore, the undersigned does, by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof. IN WITNESS WHEREOF, and intending to be legally bound hereby, the undersigned has caused this instrument to be duly executed, this~ day of~, A.D. 2003. WITNESS: FIRST UNITED METHODIST CHURCH Notarla~ Seal Cheryl Stone, Notary Public I Millemburg Bore, Dauphin County [ My Commission Expires Aug. 14, 2000 ~,;mber, Pennsylvania Associati'm131 Notaries ESTATE OF LOUISE B. HANCOCK, DECEASED, late of Lower Allen Township, Cumberland County Pennsylvania IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE The undersigned acknowledges the receipt of and from JERE COXON, Executor of the ESTATE OF LOUISE B. HANCOCK, Deceased, the sum of $5,000.00, in cash, in full satisfaction and payment of the amount inherited from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to me by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division; and, therefore, the undersigned does, by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof; and I hereby agree that in consideration of the promise Of the other heirs, to refund to the said Estate, pro-rata, any amount which may be necessary in the future to discharge any liabilities of the Estate of which we may hereafter receive any notice. IN WITNESS WHEREOF, and intending to be legally bound hereby, the undersigned has caused this instrument to be duly executed, this /~ day of ~&~ A.D. 2003. Sworn to and subscribed before me this /3=~ day of/1/,~.~be~' 2003 Nora zy Public King (SEAL) ESTATE OF LOUISE B. HANCOCK, DECEASED, late of Lower Allen Township, Cumberland County Pennsylvania IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE The undersigned, an authorized official of St. Mark's Episcopal Church, acknowledges the receipt of and from Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, the sum of $2,000.00, in cash, in full satisfaction and payment of the amount inherited by said Church, from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to the Church by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division; and, therefore, the undersigned does, by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof. IN WITNESS WHEREOF, and intending to be legally bound hereby, the undersigned has caused this instrument to be duly executed, this day of , A.D. 2003. WITNESS: ST. MARK'S EPISCOPAL CHURCH ESTATE OF LOUISE B. HANCOCK, DECEASED, late of Lower Allen Township, Cumberland County Pennsylvania IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE The undersigned, an authorized official of Messiah Village, acknowledges the receipt of and from Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, the sum of $5,000.00, in cash, in full satisfaction and payment of the amount inherited by said Messiah Village, from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to Messiah Village by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division; and, therefore, the undersigned does, by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof. IN WITNESS WHEREOF, and intending to be legally bound hereby, the und~gned ha~used this instrument to be duly executed, WITNESS: By: Messiah Village ESTATE OF LOUISE B. HANCOCK, : DECEASED, late of Lower Allen : Township, Cumberland County : Pennsylvania : IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 2003-00622 RELEASE The undersigned acknowledges the receipt of and from JERE COXON, Executor of the ESTATE OF LOUISE B. HANCOCK, Deceased, the sum of $5,000.00, in cash, in full satisfaction and payment of the amount inherited from the Estate of Louise B. Hancock, Deceased, with the same effect as if it had been duly awarded to me by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division; and, therefore, the undersigned does, by these presents, remise, release, quitclaim and forever discharge the said Jere Coxon, Executor of the Estate of Louise B. Hancock, Deceased, his heirs and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands, whatsoever for or by reason thereof; and I hereby agree that in consideration of the promise of the other heirs, to refund to the said Estate, pro-rata, any amount which may be necessary in the future to discharge any liabilities of the Estate of which we may hereafter receive any notice. IN WITNESS WHEREOF, and intending to be legally bound hereby, the unaersigned has caused ~is znstzumen~ no be duly executed, this ~ day of O~ , A.D. 2003. Sworn to and subscribed before me this ~/~ day of (~)6-~6~- 2003 Notary P/bli~ ~ Carol Shumaker ¢O~MO~W6{]~L. rH OF PENNSYLVANIA ROBERT J, GOLD, Notay Public -{a?pde. n Twp,, Cumberland County ,,!, ,",~?i?i.o? E~xpires July 10, 2~7