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HomeMy WebLinkAbout07-20-12~~ 11~~~ ~ ~ ~" I . ~~~ ^ J h~ E --_ C p ~ ~;,, ~ rrs - ~ ,, - ~ c:, r-- ~ , <7 ? - DECEDENT'S ESTATE f ~` '. j "' O ~ -~ ;. ~~~ ~' ~ C!? - ...:i7 C`j ~ _ - - -~,-~ ` COURT OF COMMON PLEAS OF ~„ ~ ~~' ~ ~ ~~ ° r~s , ~ CUMBERLAND COUNTY, PENNSYLVANIA ~` ORPHANS' COURT DIVISION ESTATE OF SARA O. ARNOLD ,DECEASED No. 2011-0460 PETITION FOR ADJUDICATION / STATEMENT OF PROPOSED DISTRIBUTION PURSUANT TO Pa. O.C. Rule 6.9 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 ~~apers required under items 8-19 inclusive; and any instrument pertinent to the adjudication. INCL UDE ATTACHMENTS AT THE BACK OF THIS FORM. Name of Counsel: John E. Slike, Esquire Supreme Court I.D. No.: 6262 Name of Law Firm: Saidis Sullivan & Rogers Address: 635 N. 12th Street, Suite 400, Lemoyne, PA 17043 Telephone: 717-612-5 800 Fax: 717-612-5805 Form oc-or re1~. io. t3.o6 Page l of 10 Estate of SARA O. ARNOLD 1. Name(s) and address(es) of Petitioner(s): Name. James I. Enterline Address: 312 East Siddonsburg Road Mechanicsburg, PA 17055 Deceased Identify any executors or administrators who have not joined in the Petition for Adjudication and Statement of Proposed Distribution and state reason: Is this the first accounting by this fiduciary? ..................... ~ Yes ®No If not, identify prior accountings, the accounting periods covered, and the date of adjudication of the prior accounting. 2. Decedent died on March 15, 201.1 Letters Testamentary or ~ Letters of Administration were granted to Petitioner(s) on April 11.201 l Date of Will (if applicable): February 8, 2005 Date(s) of Codicil(s) (if applicable): Date of probate (if differentfrom date Letters granted): Was a bond required? ®Yes ~ No If yes, state amount: Are proofs of advertising of the grant of Letters attached? ......... ~ Yes ~ No Dates of advertising of the grant of Letters: Cumberland Law Journal - 4/22/ 1 1. 4/29/11, 5/11/l 1; The Sentinel 4/16/11, 4/23/11, 4/30/11 Form OC-01 rev. 10.!3.06 Page 2 Of 1 0 Estate of SARA O. ARNOLD ,Deceased 3. Was decedent survived by a spouse? ............................. ~ Yes ~ No If yes, name of the surviving spouse: 4. Has the surviving spouse filed to take an elective share? ............. DYes ~ 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 (if none, so state): None 6. Did decedent marry after execution of Will or Codicil(s)? ........... Q Yes ~ No Were any children born to decedent after execution of Will or Codicil(s)? ........................................... Q Yes ^/ 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? .............................. Yes ~ No Form oc-o~ rev. io.i3.o6 Page 3 of 10 Estate of SARA O. ARNOLD ,Deceased 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 I4 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 the 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 and 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): Name and Address of Each Parry in /merest ~ Relationship and Comments, if any ~ Interest James I. Enterline Nephew Residuary 312 Siddonsburg Road beneficiary (43.75%) Mechanicsburg, PA 17055 Audrey E. Miller Sister Residuary 20 West Laurel Street beneficiary (25%) Tremont, PA 17981 Form oc-ol rev. !n.l3.o6 Page 4 of 10 Estate of SARA O. ARNOLD ,Deceased and Address of Each Partv in Interest ( Relationship and Jane K. Fleming Niece Residuary 5920 Newtown Avenue beneficiary (4.465%) Philadelphia, PA 19120 Dianne Trostel Niece Residuary 3650 WingSong Court beneficiary (4.464%) Decatur, IL 62521 ** CONTINUATION PAGE ATTACHED 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. None 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). N/A 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 Firm oc-ol rer. !0.13.06 Page 5 of 10 Estate of SARA O. ARNOLD ,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 Gaim Clarm Wil! Claim Admrtted? Be Paid !n Full? None Yes ~ Yes ONo 0No Yes Q Yes ~No Q No DYes ~ Yes ONo ~ No DYes ~ Yes ONo ONo If the estate is insolvent, attach a schedule setting forth the order of preference under 20 Pa.C.S. § 3392 and the proposed payments. 11. Was family exemption claimed? ................................ Yes ©/ No Was family exemption allowed? ................................ Yes ^No Family exemption claimant's name and relationship: Name: Relationship: Form oc-nr rev. !o.13.n6 Page 6 of l0 Estate of SARA O. ARNOLD 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 Payment June 17, 2011 May 24, 2012 Total Tax 46,000.00 /nterest 93.83 refund of overpayment 45,906.17 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 the 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: N/A 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. corm oc-ol rev. /0.13.06 Page 7 of 10 Estate of SARA O. ARNOLD Deceased l6. Had the decedent been adjudicated an incapacitated person? .......... 0 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? ............. 0 Yes 0 No 18. If a reserve is requested, state amount and purpose. Amozmt 9,257.71 P"rpOSe~ Administrative costs, counsel fees, filing fees to close estate 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 NOTICE CONTAINED IN COPY OF ACCOUNT FURNISHED TO HEIRS 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 Q No F~~r,n oc-nl rev. 10.13.06 Page 8 of 10 Estate of SARA O. ARNOLD 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) Audrey E. Miller James I. Enterline Jane K. Flem B. Principal: Proposed Distributee(s) Audrey E. Miller James I. Enterline Jane K. Fleming AmoamUProportion 25% 43.75% 4.465% Amormt/Proportion 25% 43.75% 4.465% Submitted By: (A[l petitioners rreust sign. Add additional lines if necessary): Name of Petitioner: James I. Enterline, Executor Name of Petitioner: Formoao~ rev. ~n.i3.o6 Page 9 of 10 Estate of SARA O. ARNOLD Verification of Petitioner (Verification must be by at least one petitioner.) Deceased The undersigned hereby verifies * [that >zeishe he is tine Executor of the above-named name of corporation Estate 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). ~~~ J`" ~~y~'c~. SCE ~`ignature 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' nature of Counsel for Petitioner t=ormoc-or rev. in.i3.n~ Page 10 of 10 COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Docket No. 2011-0460 IN RE: FIRST AND FINAL ACCOUNT OF JAMES I. ENTERLINE, EXECUTOR FOR THE ESTATE OF SARA O. ARNOLD, LATE OF SILVER SPRING TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED AND PETITION FOR ADJUDICATION/STATEMENT OF PROPOSED DISTRIBUTION 9. cont'd Name and Address of Each Party{~in Interest ~ Relationship and Comments, if any ~ Interest _ Susan K. Green Niece 4.464% 517 10`'' Avenue, Third Floor Prospect Park, PA 19076 Deborah J. Khan Niece 4.464% 117 Lombard Street Philadelphia, PA 19147 Niece 4.464% Suzanne M. Christensen 712 Lane Street Fort Morgan, CO 80701 Karen E. Miller Niece 4.464% 20 West Laurel Street Tremont, PA 17981 Joan C. Enterline Niece 4.464% 9503 Veirs Drive - 3 Rockville, MD 20850 Charles Otto Brother -predeceased Decedent and gift lapsed per paragraph II(B) of Decedent's Will Page 9 of 10 A. Income: Proposed Distributee(s) Amount/Proportion Susan K. Green 4.464% Deborah J. Khan 4.464% Suzanne M. Christensen 4.464% Karen E. Miller 4.464% Joan C. Enterline 4.464% B. Principal: Proposed Distributee(s) Amount/Proportion Susan K. Green 4.464% Deborah J. Khan 4.464% Suzanne M. Christensen 4.464% Karen E. Miller 4.464% Joan C. Enterline 4.464% IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA ORPHANS' COURT DIVISION FILE N0.20ll-0460 ESTATE OF SARA O. ARNOLD, DECEASED Late of Silver Spring Township FIRST AND FINAL ACCOUNT James I. Enterline, Executor n ~~ ~ ~.a -rte fT ' . ~? ~~ ~ r. ; C,,,~ Date of Death: 03/15/2011 - ~ ,` :' s :~ c, r , r ~ ~ ~ . c-~ ,- ,--, ~ _. -~ ~-~-;~ r.-~ Date of Incapacity, if any: N/A c- ; ~ ; -~ ~~ -- - _, Date of Executor s Appointment: 04/11 /2011 ~ - ''~~ Date of First Complete Advertisement: 05/11/2011 Accounting for the period: 03/15/2011 to 06/15/2012 The Executor, James I. Enterline, 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, questions or objections can be discussed with: John E. Slike, Esquire Saidis Sullivan & Rogers 635 N. 12t~ Street, Suite 400 Lemoyne, PA 17043 717-612-5800 Supreme Court I.D. No. 6262 SUMMARY OF ACCOUNT Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 Proposed Distributions to Beneficiaries Principal Receipts Net Gain (or Loss) on Sales or Other Dispositions Other Receipts Less Disbursements Administration Expenses (Prin) Debts of Decedent Fees and Commissions (Prin) Federal and State Taxes Funeral Expenses (Prin) Balance before Distributions Distributions to Beneficiaries Principal Balance on Hand Income Receipts Less Disbursements Balance before Distributions Distributions to Beneficiaries Page 16-18 1-2 3 4-5 6 6-7 7 7 8-10 11 12-13 14-15 14,523.95 18,754.34 25,209.71 45, 906.17 3,484.00 Fiduciary Acquisition Value $ 114,458.39 $ 400,923.25 3,650.55 0.00 .V YV4,J/J.OU 107,878.17 $ 296,695.63 182,322.38 $ 1, 962.76 0.00 $ 1, 962.76 1, 877.62 Income Balance on Hand $ 85.14 Combined Balance on Hand $ 114,458.39 RECEIPTS OF PRINCIPAL Page 1 Estate of Sara O. Arnold As of 06/15/2012 Fiduciary Assets Listed in Inventory Acquisition (Valued as of date of death) Value Cash on Hand Balance due from Glenn Arnold Trust $3,900 plus $25,872.45 $ 29,772.45 Checking Accounts PNC Bank Checking Account 51-4000-1745 Per 05/11/11 letter 35,020.01 $0.12 Accrued Interest Money Market Accounts Sovereign Bank Money Market Account 1051079357 Per statement 15,678.42 Mutual Funds Vanguard PA Long Term Tax Exempt Fund Admiral Shares Acct 9847079237 Per 05/04/11 letter 8,871.379 Units $163.15 Accrued Dividend 95,530.47 Municipal Bonds Dreyfus Municipal Bond Fund Acct 0054-0220919120 Per 05/09/11 letter 5,851.57 Units 63,255.47 Residences 35 Westfield Drive, Mechanicsburg, PA 17055 Per settlement sheet 140,000.00 Household Goods & Furnishings Misc. Household Items 372.75 Misc. Personal Property 2000 Buick Century Sales price 3,000.00 RECEIPTS OF PRINCIPAL Estate of Sara O. Arnold As of 06/15/2012 Assets Listed in Inventory Fiduciary (Valued as of date of death) Acquisition Value Refunds Heritage Medical Group Refund $ 402.00 Misc. Refunds 21.00 Comcast Financial Agency Corporation Refund 52.77 AT&T Refund 40.62 Genworth Refund Rcd 6/1/11 697.67 Erie Refund rcd 6/10/11 274.00 IRS, 2010 Form 1040 refund (includes $14.68 interest) 1,236.68 Genworth Refund rcd 08/31/11 269.63 Erie Homeowner's Insurance Refund 269.00 Patriot News Refund 242.35 Tru-Green Refund 32 88 US Treasury, 2011 Income Tax Refund 3,333.00 Miscellaneous Property PSERS Annuity Payment $ 334.68 Genworth Financial Check 02/01/11 to 3/15/11 4,427.40 Genworth Financial -Long Term Care Insurance Payment 6,660.00 TOTAL INVENTORY Page 2 $ 6,871.60 11,422.08 $ 400,923.25 GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 06/07/2011 Redemption of Vanguard PA Long Term Tax Exempt Fund Gain Admiral Shares 8,871.379 Units Net Proceeds $ 97,496.46 Fiduciary Acquisition Value 95,367.32 Net Gain $ 2,129.14 07/07/2011 Sale of 55851.57 shares of Dreyfus Municipal Bond Fund 5,851.57 Units Net Proceeds $ 64,776.88 Fiduciary Acquisition Value 63,255.47 Net Gain 1,521.41 08/31/2011 Sale of 35 Westfield Drive, Mechanicsburg, PA 17055 Net Proceeds $ 140,000.00 Fiduciary Acquisition Value 140,000.00 Net Gain 0.00 Net Gain $ 3,650.55 Loss Page 3 DISBURSEMENTS OF PRINCIPAL Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 Administration Expenses (Prin) 04/07/2011 AT&T Services 04/25/2011 AT&T 04/27/2011 PPL 05/11/2011 Silver Spring Township, sewer services 05/11/2011 Saidis, Sullivan & Rogers, out of pocket expenses ($427.50 Cumberland County Register of Wills, probate fees/$75.00 Cumberland Law Journal, legal advertising/$7.49 postage) 05/13/2011 AT&T 05/13/2011 United Water 05/23/2011 Smith Lawns 05/23/2011 Smith Lawns 05/25/2011 United Water 06/09/2011 Lowes, plants for flower beds 06/10/2011 Gerald Gillging, plumbing repairs 06/15/2011 Penn Waste, July -Sept 2011 06/15/2011 United Water 06/15/2011 Saidis, Sullivan & Rogers, out of pocket expenses 06/17/2011 Erie Insurance, homeowners insurance June 2011 to June 2012 06/20/2011 PPL 06/21/2011 Smith Lawn Care, mowing 06/24/2011 PPL 07/19/2011 Silver Spring Township Authority 07/19/2011 United Water 07/20/2011 PPL 80.23 16.32 101.75 106.00 509.99 80.05 22.00 41.34 133.56 10.82 48.55 200.00 44.35 200.44 166.30 332.00 73.76 84.80 7.42 295.00 16.27 28.68 Page 4 DISBURSEMENTS OF PRINCIPAL Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 07/26/2011 Saidis, Sullivan & Rogers, out of pocket expenses $ 6.47 08/03/2011 Smith Lawns 63.60 08/09/2011 United Water 16.27 08/10/2011 Auction pick-up 125.00 08/15/2011 Saidis, Sullivan & Rogers, out of pocket expenses 4.00 08/26/2011 PPL 51.15 08/31/2011 Costs of sale of 35 Westfields Drive, Mechanicsburg, PA 17050 Commission $6,400.00 Notary fee $ 10.00 Deed $1,400.00 Sewer $ 108.14 (4/1/ to 8/30) School tax $1,196.87 (2011/2012) Total $11,125.01 Adjustments for items paid by seller in advance $ 141.91 County taxes 8/30/11-12/31/11 $ 980.65 School taxes 8/30/11-6/30/12 $1,122.56 Total 10,002.45 08/31/2011 Haars Auction, commission for sale of household items 149.10 09/02/2011 Smith Lawns 63.60 09/19/2011 Vickie Enterline, reimbursement for cards, quilts, stamp postage 172.00 09/19/2011 PPL 31.92 09/20/2011 Saidis, Sullivan & Rogers, out of pocket expenses 4.00 09/21/2011 United Water 10.51 09/23/2011 Pottieger's Construction, roof repair 500.00 09/28/2011 Smith Lawns 106.00 12/13/2011 Saidis, Sullivan & Rogers, out of pocket expenses 63.25 04/13/2012 Rudy Wagner Assoc, income tax preparation 225.00 06/15/2012 Register of Wills, filing fee (reserve) 330.00 $ 14,523.95 Page 5 DISBURSEMENTS OF PRINCIPAL Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 Debts of Decedent 03/17/2011 Home Instead $ 10,949.26 03/23/2011 United Water 21.91 03/24/2011 AT&T 37.41 03/29/2011 PPL 186.65 03/29/2011 Home Instead 4,810.60 03/30/2011 Debra Basehore Wiest, real estate taxes (county/township) 409.37 03/31/2011 Fia Card Services 139.42 04/01/2011 Pinnacle Health Hospice 1,000.00 04/04/2011 Wagner Associates, Inc, preparation of 2010 income tax returns 350.00 04/07/2011 John Clemmer, maintenance 35.00 04/14/2011 Annie Heimback, nursing service 180.00 05/09/2011 FIA Services (Visa/Medication) 70.07 05/11/2011 Holy Spirit Hospital 54.65 05/12/2011 Community Life Team EMS 112.00 05/13/2011 Hospital Telephone 20.00 04/13/2012 PA Department of Revenue, PA-40 378.00 Fees and Commissions (Prin) 05/11/2011 Saidis, Sullivan & Rogers $ 1,579.50 06/15/2011 Saidis, Sullivan & Rogers 921.50 07/26/2011 Saidis, Sullivan & Rogers 1,588.50 08/15/2011 Saidis, Sullivan & Rogers 692.50 09/20/2011 Saidis, Sullivan & Rogers 1,705.00 Page 6 $ 18, 754.34 DISBURSEMENTS OF PRINCIPAL Page 7 Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 11/10/2011 Saidis, Sullivan & Rogers $ 820.00 12/13/2011 Saidis, Sullivan & Rogers 694.00 02/13/2012 Saidis, Sullivan & Rogers 110.00 05/22/2012 James Enterline, 1/2 Executor fee 7,500.00 06/06/2012 Saidis, Sullivan & Rogers 671.00 06/15/2012 Saidis, Sullivan & Rogers (reserve) 1,500.00 06/15/2012 James Enterline, 1/2 Executor fee (reserve) 7,427.71 $ 25,209.71 Federal and State Taxes 06/17/2011 Register of Wills, Agent, prepayment of PA inheritance tax $ 46,000.00 5/24/2012 PA Department of Revenue, refund of overpayment of PA inheritance tax (93.83) 45,906.17 Funeral Expenses (Prin) 03/21/2011 Funeral dinner/Pastor $ 2,100.00 04/04/2011 Camp Hill Trinity Evangelical Lutheran Church 600.00 04/06/2011 Myers - Harner Funeral Home, Inc. 784.00 3,484.00 TOTAL DISBURSEMENTS OF PRINCIPAL $ 107,878.17 DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Page 8 Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 T"o: Audrey E. Miller Distribution 11/17/2011 Cash $ 44,530.58 To: James I. Enterline Distribution 11/07/2011 Cash 79,178.54 To: Jane K. Fleming Distribution 11/21/2011 Cash 7,916.18 To: Dianne Trostel Distribution 11/23/2011 Cash 7,916.18 To: Susan K. Green Distribution 11/21/2011 Cash 7,916.18 To: Deborah J. Khan Distribution 12/02/2011 Cash 7,916.18 To: Suzanne M. Christensen Distribution 12/05/2011 Cash 7,916.18 To: Karen E. Miller Distribution 11/21/2011 Cash 7,916.18 DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Page 9 Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 To: Joan C. Enterline Distribution 11/22/2011 Cash $ 7,916.18 To: Jerry Gillette Distribution 09/16/2011 Cash 300.00 To: Stephanie Richard Distribution 09/23/2011 Cash 500.00 To: Penny Biter Distribution 09/16/2011 Cash 350.00 To: Barbara Foor Distribution 09/16/2011 Cash 350.00 To: Naomi Rigel Distribution 09/23/2011 Cash 350.00 To: Glenda Taylor Distribution 09/23/2011 Cash 300.00 To: Melinda Duncan Distribution 09/23/2011 Cash 300.00 DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 To: Jane Hutcheson Distribution 09/16/2011 Cash To: Lacey Dickey Distribution 09/23/2011 Cash To: Edna Goode Distribution 09/23/2011 Cash Page 10 250.00 250.00 250.00 TOTAL DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES $ 182,322.38 PRINCIPAL BALANCE ON HAND Estate of Sara O. Arnold As of 06/15/2012 Carrying Value Checking Accounts Sovereign Bank Estate Checking Account 721091636 $123,716.10 Other Liabilities Reserves to close estate (9,257.71) Page 11 Less: Income balance on hand $114,458.39 85.14 PRINCIPAL BALANCE ON HAND $114,373.25 RECEIPTS OF INCOME Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 Interest Sovereign Bank Estate Checking Account 721091636 05/20/2011 Interest 06/22/2011 Interest 07/22/2011 Interest 08/22/2011 Interest 09/22/2011 Interest 10/21 /2011 Interest 11/22/2011 Interest 12/22/2011 Interest 01/20/2012 Interest 02/22/2012 Interest 03/22/2012 Interest 04/20/2012 Interest 05/22/2012 Interest PNC Bank Checking Account 51-4000-1745 04/06/2011 Interest 05/05/2011 Interest Sovereign Bank Money Market Account 1051079357 04/12/2011 Interest Total Interest $ 0.50 5.92 11.18 14.24 23.48 26.50 21.18 11.11 10.94 10.93 10.22 10.91 9.83 166.94 Page 12 0.67 0.71 1.38 2.79 $ 171.11 RECEIPTS OF INCOME Page 13 Estate of Sara O. Arnold For Period 311 512 0 1 1 Through 06/15/2012 Tax Exempt Interest Vanguard PA Long Term Tax Exempt Fund Admiral Shares 05/04/2011 Dividends $ 173.98 05/16/2011 Dividends 327 72 06/07/2011 Dividends 54.51 06/07/2011 Dividends 33F3 1 R 894.39 Dreyfus Municipal Bond Fund Acct 0054-0220919120 05/04/2011 Dividends 236.52 05/16/2011 Dividends 219.19 6/7/2011 Dividends 237.79 07/07/2011 Dividends 203.70 897.26 Total Tax Exempt Interest $ 1,791.65 Other Income Miscellaneous 03/31/2011 PSERS annuity payment 334.68 05/13/2011 PSERS, repayment of annuity payment for period after date of death (334.68) TOTAL RECEIPTS OF INCOME $ 1,962.76 DISTRIBUTIONS OF INCOME TO BENEFICIARIES Page 14 Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 To: Audrey E. Miller Distribution 11/17/2011 Cash $ 469.42 To: James I. Enterline Distribution 11/07/2011 Cash 821.46 To: Jane K. Fleming Distribution 11 /21 /2011 Cash 83 82 To: Dianne Trostel Distribution 11 /23/2011 Cash 83 82 To: Susan K. Green Distribution 11/21/2011 Cash 83 82 To: Deborah J. Khan Distribution 12/02/2011 Cash 83 82 To: Suzanne M. Christensen Distribution 12/05/2011 Cash 83 82 To: Karen E. Miller Distribution 11/21/2011 Cash 83 82 DISTRIBUTIONS OF INCOME TO BENEFICIARIES Page 15 Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 To: Joan C. Enterline Distribution 11/21/2011 Cash TOTAL DISTRIBUTIONS OF INCOME TO BENEFICIARIES 83.82 $ 1, 877.62 PROPOSED DISTRIBUTIONS TO BENEFICIARIES Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 To: Audrey E. Miller Distribution 06/15/2012 The beneficiary will receive a 25% interest in the estate's residue, representing a portion of the following assets: Cash Reserves to close estate Current balance Total To: James I. Enterline Distribution 06/15/2012 The beneficiary will receive a 43.75% interest in the estate's residue, representing a portion of the following assets: Cash Reserves to close estate Current balance Total To: Jane K. Fleming Distribution 06/15/2012 The beneficiary will receive a 4.465% interest in the estate's residue, representing a portion of the following assets: Cash Reserves to close estate Current balance $9,257.71 $9,257.71 $9,257.71 Page 16 $ 30,929.02 (2,314.42) W GV,V I"F.VV 54,125.79 (4,050.24) $ 50,075.55 5,523.92 (413.35) Total $ 5,110.51 To: Dianne Trostel Distribution PROPOSED DISTRIBUTIONS TO BENEFICIARIES Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 06/15/2012 The beneficiary will receive a 4.464% interest in the estate's residue, representing a portion of the following assets: Cash Reserves to close estate Current balance $9,257.71 Total To: Susan K. Green Distribution 06/15/2012 The beneficiary will receive a 4.464% interest in the estate's residue, representing a portion of the following assets: Cash Reserves to close estate Current balance Total To: Deborah J. Khan Distribution 06/15/2012 The beneficiary will receive a 4.464% interest in the estate's residue, representing a portion of the following assets: Cash Reserves to close estate Current balance Total To: Suzanne M. Christensen Distribution 06/15/2012 The beneficiary will receive a 4.464% interest in the estate's residue, representing a portion of the following assets: Cash Reserves to close estate Current balance $9,257.71 $9,257.71 $9,257.71 Page 17 $ 5,522.68 (413.26) W J, I V.7.YL 5,522.68 (413.26) $ 5,109.42 5,522.68 (413.26) $ 5,109.42 5,522.68 (413.26) Total $ 5,109.42 PROPOSED DISTRIBUTIONS TO BENEFICIARIES Estate of Sara O. Arnold For Period 3/15/2011 Through 06/15/2012 To: Karen E. Miller Distribution 06/15/2012 The beneficiary will receive a 4.464% interest in the estate's residue, representing a portion of the following assets: Cash Reserves to close estate Current balance Total To: Joan C. Enterline Distribution 06/15/2012 The beneficiary will receive a 4.464°/o interest in the estate's residue, representing a portion of the following assets: Cash Reserves to close estate Current balance Total TOTAL PROPOSED DISTRIBUTIONS TO BENEFICIARIES Page 18 $9,257.71 5,522.68 (413.26) 5,523.97 (413.40) $9,257.71 $ 5,110.57 ~ i ~4,4~u.sa VERIFICATION JAMES I. ENTERLINE, Executor of the Will of Sara O. Arnold, Deceased, hereby declares under oath that he has fully and faithfully discharged the duties of his office; that the foregoing First and Final Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Estate have been paid in full; that, to his knowledge, there are no claims 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 filing of the foregoing First and Final Account. This statement is made subject to the penalties of 18 Pa. C.S.A. § 4904 relating to unsworn falsification to authorities. Dated: ~, ~ (` ~..p ' - ^~~~ .J`". " e~~r~ ~ ~ James I. Enterline, Executor PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Jackie Cox, Retail Sales Mana er, of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13~, 1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following day(s): Apri116, Apri123 and Apri130, 2011 COPY OF NOTICE OF PUBLICATION NQTtCE IS HEREBY GIVEN that Leihtfrs Testamentary have been granfedin .the ESTATE OF SAiiA O. ARNOCD, late of Cumberland County, Pennsytvartia, who dfi9tl Marc~rt 5, 2011, to James I. Enterfrtre, 312 9iddonsbnrg Road, IyleChanicstwrg, PA 17055. Ail persons iAdebted to th6 said estate are required to make payment, and , those havlny Gaims or demands present the same without delay to the Executor or his attorney nairTied bebw. John E. Srike, Esquire Saidis, Sullivan 8 Rogers 635 North 12th Street. Suite 400 LerFwyne, PA 17043 Affiant further deposes that he/she is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication true. Sworn o and subscribed before me this a~ 20 I . ~~~ ~ Notary Public My commission expires: NOTARIAL SEAL BAMBI ANN HECKENDORN Notary Public CARLISLE BOROUGH, CUMBERLAND CNTY i~1y Commission Expires Jan 27, 2014 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 Cumberland Law Journal on the following dates, vlz: Apri122, April 29, and May 6, 2011 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 the 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. Lisa Marie Coyne Editor SWORN TO AND SUBSCRIBED before me this 6 day of May, 2011 Arnold, Sara O., deed. Late of Cumberland County. Executor: James I. Enterline, 312 Siddonsburg Road, Mechanics- burg, PA 17055. Attorneys: John E. Slike, Esquire, Saidis, Sullivan & Rogers, 635 North 12th Street, Suite 400, Lemoyne, PA 17043. Notary NOTARIAL SEAL DEBORAH A COLLINS Notary Public CARLISLE BOROUGH, CUMBERLAND COUNTY My Commission Expires Apr 28, 2014 BUREAU DF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 JOHN E SLIKE ESQ STE 400 635 N 12TH ST LEMOYNE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX pennsytvania ~ i DEPARTMENT OF REVENUE __.. REV-1547 EX AFP (12 -1ll DATE 05-07-2012 ESTATE OF ARNOLD SARA O DATE OF DEATH 03-15-2011 FILE NUMBER 21 11-0460 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 07-06-2012 (See reverse side wider Objections PA 17043-1247 Amount Remitted l MAKE CHECK PAYABLE AND REMIT PAYMENTI TD: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE -~ RETAIN LOWER PORTION-FOR-YOUR_RECORDS_ 4--- ___________________ REV-1547 EX AFP C12-11~DISALLDWANCENDFRDEDUCTIONS ANDRASSESSMENTADFDWAXCE DR ESTATE OF: ARNOLD SARA OFILE N0.:21 11-046D ACN: 101 DATE: 05-07-2012 TAX RETURN WAS: (X) ACCEPTED AS FILED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate :Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) NOTE: To ensure proper credit to your account submit the upper port: of this form with your tax payment. c8) 399 , 827.50 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 4 2.347.41 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 18,376.34 75 723 6D cll) . , 11. Total Deductions 103 75 339 (12) . , 12. Net Value of Tax Return (13) 00 13 Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J> . t 14) 339 , 1 03.75 14. Net Value of Estate Subject to Tax NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflec t figures that include the total of ALL returns assessed to date . ASSESSMENT OF TAX: .Op X 00 .00 15. Amount of Line 14 at Spousal rate C15) 00 x 04 5 = .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) . t (17) 84 .775.94 x 12 10 , 173.11 Amount of 17 e Line 14 at Sibling ra . f Line 14 taxable at Collateral/Class B rate (18) 254 , 327.81 X 15 = 38 , 149.17 18. Amount o (19)= 48,322.28 19. Principal Tax Due TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 06-14-2011 CD014580 2,416.11 46,000.DO 04-30-2012 REFUND .00 93.83- TOTAL TAX PAYMENT 48,322.28 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .DO f ) CHANGED ~l) 140 , 000 . DO :2) 158 , 785.94 c3) .00 c4) .00 c5) 101 , 041.56 c6) .00 {~) . D 0 ~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DU FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF PROGRAM INTEGRITY DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG. PA 17105-8486 April 28, 2011 SAIDIS SULLIVAN & ROGERS PC JOHN E SLIKE STE 400 635 N 12TH ST :~EMOYNE PA 17043 Re: Sara Arnold SSN: ###-##-2321 Dear Mr. Slike: Pursuant to your letter dated April 13, 2011, the Department of Public Welfare (DPW), Estate Recovery Program, has reviewed the inf ormation you provided regarding the above-referenced individual. ~t has beer. determined that this individual did not receive any type of assistance during the questioned period. Therefore, according to the information you provided, the Department's Estate Recovery Program will not seek any recovery from this estate. If your client applied for Medical Assistance and had an application andior hearing pending at the time of death, please advise us and provide any additional infc>rmation that may affect a recovery by our Department. if you have any questions, please feel free to contact me. Sincerely, ~~ ~ ~'~ Vince A Porter Recovery Section Manager _.,~.ST h'I..~L ANL '"EST?=.Z~~El~'T ~1 N SCR?: 0. ~:RNOLD ? , a ~R~ O . F RNOLD o_ Bo ,`ou~r o ~ Lemor~~l~ , ~um.~e r l an_d ~'o~~u__- _~~ , ~'.rl l~ _ l c.I! c ~~'`_-c_~-~ t~~,_c r y ,F~e Trl}' ?~aSL U~~ -_~ c_rlu T'esL amen r,~_~"~'~ _~v/O~__'_70 ~~1='~' V2,__~~ ~~~e:~oLls~,)' madam 1=~V TTl°. T ? u`--e.`L L1"1~ iio~Tm~=i`_ J~ c. ~ _ m\7 _ usi- ~°~!L.~ all^.. une,^~-,! ~s-penses ouL ar mtir estate as soon as rns_v be r~rdc~~~~.~ ~~~ - II . ~ be~ueaLh se, ~~.=n _ ems ~i my tang~b~e persona=. propert~,~ , riot inc=~ siding cash and s ecui-i ties, in accordan ce ~-_ ~"~ a_ ~,ri t ten 1 i st made by me du~^-ng my 1 i f et i m~ . %I-1 absence of such u list or designation on the list, the remainder of my tancible ~>erSJrlc.l property s~id-! ~ be O.lst?~lbl-J.ted G1" SvIQ, as mV e~.eC'i1t0 ti:~ail 0.~=__Q~, ~n~~~ u~i17~; `~15~~1"~bl;:tiCir'i t0 r_1mSF-1i ~rloUit _`'!e ~~. !;r10GSe, c_]7d an~rL~"l1riC7 t~iat ~7e :1.OeS C.isti"-bl1t? S~:loi1 }:>= sold arld [7E i~1L~C~'~. '-s ct~~ec to ~}"1e 1-r~s1~'~le of TTIj~ esr c'L.e _ c~~'~-'r'te _ `ice' ~ _~"io.il ~~~ 1-10 ~I~'U,r'C1C Sd!~ G= TCI~' ta17G-~~~le r.~e'1"sOi7c~l 1';`0~,!~r`L~~ {?~Om Til~y "cs~J.e:i~'C~ . 111. _ ~'.1.,.~C~L Liic".'.~_ ~._1 =110 ?~~;"L, ~~P"1~ i~- ...=1~`. 1 GiT~c.illo"i ~,_ TTi'J ~.~ ~u_te ~jF ._ C~'~-.--~o..;e~ Wit.. rile 1~_'"GC~Eia~ `i1e_""°G~ r .~ ~._ ~~ c -i i- e r'i - C. ~ r 1 ~ O V' ~_~t2~_>>u__~. o._ _~ _ ~ ,J c ~I ~ i ~. Irl~ S__S_ __ --~1Q~~e, iv'---c2". .~'1;~L_., S;7e JE' QJC:.~ .S~_. ~__=S .J~ ~cC ~r~~.__ _' =pS G .r..~j~ _ _~~--~------ G_ .~~c-~ _~S_Q11= ------ --= I ~._.._ ~~ rri-~' ~:J __1!=_. ~li~_~_CS ~~r..... ~titl~>>.~_Q _rl~ ~.J~ .~.~~~.^FC c': •u t'.- c F.rr-. S I~~ ~ _. _. - -~ .J S F: . n _ ~ _ _ 'T',I-1~ ~"; -,~ _ - - V'- I~E'_"C~11t v~ Sc=G. ~'F _ ~~t1C Sri:, __ J~ _,~ _ d. ~~, rn_,~ r~~p~-~ew, ~?ames _ . ter! ~ ~.~~~ ir!e . Sr~oL_ d ~~ t,c a~~=~:~ ~~ _- ~ , .,~ . '~'~i~ . erRc.=r! Ong tln~en ~_J- -=1; C = ~ _riL ~,_ ~~ ,.~ y- = - ~~ G 2 E S ~ uL1S S.i"!c_! _~ L~ ~..=V= ~cO_ amOn~ iTfV '_"16'!-'~S VJhO ~~~r~ _ =~V_r!~ ;~_ ~ ~ it ~_me of my u~~at_rl. V. i appo=nt my nephew, Jame. L . ~nterlir~e, as ~'}~GCt1`O?". -- -r1E ~S ~~CraS°'~ Cr -.:~L"ia}_E ~O S°~ \r= ~S S~:1CI"', ~._i~ri _ ~_~~o-n~ m~-~ nrec~, Join EnLeriine, ~o acs irl tr<<S cap~ci~~-. _ ~-~queSt that my e~recuto~-s erigage tree se?wices o~ ~~ohn E. ~1 ~ll-~ U ~ -r_." , ~' S~i~ll"~ O?" d. irl~m~`JEl` Gi 1"'_._S i 11m, SZ.1Cl_S, ShUi f , t' I nW°r ~ J~T7CSaV , _.J d.SS-~5~. ~1~TTl i17 ~.hE SYLt~ °m2nt Cf Tilti ~Sfi~`° 1V~~:1_"!~1` GZ Tll'~' 1 ~' r~~~-S'rYic_~ - e'_~1 S~i~~ar=v~S Si!a l ~ ~C ?"F'~L11_"e~.:~ LG post ~'>Orl _?, T ~~!=S C'1 cll-)T -~ __~SQ_Ct=01=' _T ~S m_y' ~}C~~?`~SS C1°511`E' ~_riS~ iTl~% F~ ~~ ~~.C:~..~, SIiG~'_ ~ 1_~Jr' '~:Om~peiiSat~O~ ~l"! .i1 e' C°US~Jmaiy ril~l~nel" fOr t17~=~ l SCI"J .Lr~ c ZN WITNESS WNEREO~', I have hey"eunto sit m°,~ ~S_z~id 2_nd ~~ ~ ,/ w,r~. on tl_S, ~.17e !~ ~ da.}~ ~~~ ~,J~_~~~~.ti/~~..~ LGC-_ ~~ /! ~ ~' ;1, S~ P~ 0 . hkNOLD t .~~ ~ , F.~.~' e~ , ,~~_1~~ _ ~r!e% and d~~_~_reu ray ~~.R.A O. AP~NOL,D `-.=r_7.~'"13'_ ~_'"?cI"E 117 riar`1= , OI~1 ~~!_° c_1-1~~ ~bdCi !L I ~~r _i~'` c~l~ BLS ~~i :~v.~%~ L vu..~`_ ... ._ a=1u _vl` 1"! ~_ Lc.S ~ l~'_ ~- ...il _ .__~ ~aT71U 1~ -? '~'.~ _ - ~ _ ~_"__ ~ , v."1~ _r '~c_ %-_ _ Se?~?U_ ._~ I7~ _ _ CQ1!eS~ c.ilu ~L ~_7~- _ =5==1: ~_ = cct~-- _ - - - - - ti __ Yle_ ..i.~. _. _l~___''_._,. 5-1~ ~1"_;JJ~~. o? _. 1~icin~~S dS c_~~~5.__n~ W_"..'~i~E,~,eO. ~: ,- ?~~ arn` . ~-t ~^- 1 C ,,~ 1V ~ 171= /~ / i ,' ,J ,. fY-~~:-~~-, ' ~ ~ ~~-~~ , ,i ~ - 1~ i ~) /. ~ ~~ , r (~J.a%~-L~ ~"t.~'-~'~ ~~ 'T -1 ~ - - c .~i.0'u- - -' V`~1=, .ilk U. rl ~_e~S~~=7 F'u, ~h~ m~S ~c.'r l-_}_ ~.,__1~~ ~. l~le V~'-'---=~`~'c~c , °_Sj.J "J `lt-V=_~'Y , VJI!G'sU =1dI71 U'S ..._ _ S_. Q_=1e C: :.O ~_.C1C =G'..=~C~ -:?~_ _~15 ~. ~. .~iil='_!L ''-~~--1'/ _ _= sL Ctli_f' SWOT _`i , QC~ 11 _ ~J~~ ~'~. ='~^ ~ c_"e `r'~ _~_~Ze '.1T1dU1 S ~ ~~!c,,~_ aLit.!.O_'1~y ti7ctL t17 ~eS`._dtOr Qrl"C1 anQ e3_eCUted ~~lc_I"15'='_~llTReli aS tier :~aBL i~~i1~ G10. ie.=LdiTleilt or1C. L_ric-1L s_~le 8~glled W~Il-1"!J!_y iC=' ~,'=1.1_'~G1-Y C11"~'^teC~. c~?"1GL17e1" '~O s_Ql"1 r01" i:;t7!) , dI7~ L~"laL S!'1: E?'eCi1Le0 ~ ~ aS he= ~_ ee VJ1_~. al"1~ VO,~'u=1t.~.1"~~ aCt ~O~ LI7e pii?~~OS°S ~hereir~ e}rpressed, a_ld ~i~a:t each vi the w_tn`sses, ir_ she ?,.~_"eSe-1Ce c, r1 U' ~7cc_1 ~I7-.+ OL she Te°L~.'~1 ~?~ 5=~_"leC~ she b11! _ as VJ1L17e.SeS al"1~. L_!"laL Lam. the bestvI ti7e1=" }=710W_! eCI~E the Te'Stat~~}' Was o.t t_rlaL L--iCl° c=_~_iiteerl yUul"S O_ ale Gl"' OidE1', ~i SOUZ-1~ iT:_I"!~, a:7d ii:_1L1e1" il0 c O?7s t rc_~ 71t Or l1I"id',le 1P_T ~ U°_17ce . t ~/ii,~J.~~1. 1~ ~~~~ fi 1. Sara 0 . Arnold , `~estatr~ }_ SurJs~~~=~~er?, s1NGr11 ~G cilu %r. ~, Cib. j7 O! ~- ~~ 1~'1ti"iESS ~~ /, %/ COIvI1vI0NWFALTh' OF PENNSYLVANIA. Notarial Seal Sara J. Ensinger,'NotarvPublic Camp Hill Horo, Cumb;:riand Counn Na_q~ ~, My Commission Expires Oct. ) 7; 205 j Member, Pennsylvanl~ ksso~i~tion v( !Jotarir:; aC)~I1GWZeC1~eG' ~UfUl`~ f71E ~,J'Y ~t7~