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HomeMy WebLinkAbout95-0135HI05.805 REV 9-AG - - - --- - - - - - - - This is to certify that the information here given is correctly copied from an original certficate'of death duly filed with' me as Local Registrar. The original certificate will be forwarded to the State Vital Records Offiee for permanent filing. W,4RNING: !# !s.!#legal to duplrc~~e Ehis coPY ~Y Photostat ~r_p~hofa~r~ph. Fee for this'ccrrificare, ~2.f}O Local egstrar~~4 E 2714932 ~~s~s- No. ce g M703. t<7.pw. YB TYM[/lRIM7 W flRYylitlT ~~«r«c ~IMONWEAITIl of FED1MiYta1111sA • O81-ARTMEMT of HEALTH • YFrM. $ CERTIFICATE OF ~1EA'tH NAME MOd1. Wi. . ... 7A4~aENwBd1 eECU11m UwlER ~. flat stet M. Fultz M s UfrRN Wam.Or. •rl A•N t. ion a. Feaale ~- 177 ~- 24 -` 5627 IQYMO w+i. ar. ' NOYI• ~ IMO~.'<o.r. w•~/ ~-dpdMMCaM+~Y1 w:-+~.~rawa,s~wol v~ ~ eD 24,1918 ors Mri.. ~ BNOyp~Yp D ow ^ w"~'.. ^ nrr,e. ^ w~.Nr, D Cusberland a•u y.,.urnw ! Bast Peanabo o awBBn "° '~^.y...«dr~... i ...~~ MN~ttiBrwNe w~wr. ..~-aan,a Ifhit G1srk aaureaae +..0 wC~ ~ nay ,~ 11ido*ed sw~o~oaw•aw+ .ar.n-coeu • ~ NOae q..9r. E'sslnsYlysaia E00 Bast Si °" r..^ ""°°"..~'"'°~ s~pson Street „ ~ ~+ ,, Yeobauiasbur$, PA 1'r055 °""tlN ~ ~a wwpr Mwairaw+71W w ~~ i 1Fpt Mi9Eb;[ap MWRffna YOO~MWr~nriwl . Robert Ifefferd Beaaia Unkaasa a Gra Fultz ~ 10 •ind i 0 K Q c....+r0 wewwrwwaw^ .o~wA oBr.r. -wwac~.arw ap o riw ^ p r ~ , ^ January 28, 1995 MeoAaniosbur~ Coaetery Iteahaaioaburg, P1 17055 ~rae~ F"~" IY,yere nor se ffi~ i ~ auraauwr ~°31~~4~.a.wROm.nerw.w.wrr.wp,aLiwn: . ~p are wMl rwr saga a~ . ~ ~~ b / ~ ^ Ns k EeNrM4~rr;WW~MarlnpYrbtiWYM4MI~OMMMR •a«rrMr eoWdAtiM re6 ee rM.~lloakrMMMBW. twryar rr•a•rNiy. E GBrM~rBMMMh~ '.. 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Wt1D •1NOICK EYAYBIEIVCOIiONBR 271 Ty'~t_pMgl ~•f~aapYNibBrw«Mwayakn N~my opnbn~aano«umaaN.wM ~ t'o-lry-A+ d.u rW l wys ~ ' . . ~ . p r ~w.~aaawauN wurlN rw O . su. ....................................................... 8 BKINKIMfE ANO NUMBER ~' ~, t ~ . ~.. ~ANu14~e e~6 /9 S t L!~ST HILL ~iP?D T ~sST_'~T TIIT OF I~Z4RGARET T~~I. FUL1Z I, T'1.(1~LlSli`~,~T T'1• County of Cuznberla.n and disposin mitzd, and declare this ?ny making void any a,nd made. FiTLTZ, of t'rie borough of T~•iechanicsburg, ~ and State of Pennsylvania, being of sound memory and understanding, do make, publish Last ti°,Ti11 and Testament, hereby revolving and all prior tJills by me at any time heretofore 1. T direct that all my just debts and funeral expenses, including the cost of a headstone and the inscription thereon, be paid from the assets of z~.y general estate, as soon as possible after my demise, and in this respect, I fuz°ther direct that all estate, inheritance and succession taxes which may be assessed in consequence of my death, of whatever nature and by whatever juris- diction imposed, shall be paid out of the principal of my general estate, to the same effect as if said taxes were expenses of administration, and all property includable in my taxable estate, whether or .not passing under this t^Ti11, shall be free and clear thereof . 2. I give, devise and bequeath my farm, consisting of several tracts of land, located in Tell Township, Huntingdon County, Pennsylva.ni a, and tirhich was conveyed to my late husband, BRADY i1.. FUI,1^Z, and I, by the :Heirs of D. B. .r'~u.ltz, by Deed dated -1- I~Zay J_9, 1970, and recorded in the office of the Recorder of DeEds of Huntingdon County, Pennsylvania, in Deed Book Volume 089, Page l+.6, and by Deed of the heirs and estate of Kenneth Fultz, dated September 30, 1977 and recorded in the Huntingdon County Recorder of Deeds s Office in Deed Book Volume 1J~.0, Page 111, to my greatnephew, DR. CRAIG ti~J. FULTZ, and his wife, 1•ZARGARET Y. F'ULTZ, absolutely and unconditionally, a.nd in fee simple. (a) I ive and bequeath all contents of the dwelling, barn and outbuildings of my farm located in Tell Township, Huntingdon County, Pennsylvania, to my greatnephew, DR. CR.~IG 1~~. FULTZ, and to his wife, P~IARGARET Y. FULTZ, share and share alike, all of which is located on the farm I devised to them immediately hereinabove, including also, but not limited, to household furnishings, personal belongings, tools, machinery and equipment located there. 3• All the rest, residue and rerr~ainder of my estate, of whatsoever .nature and wheresoever the same may be situate, shall be converted into cash, and for this purpose I authorize and empower my personal representative or representatives hereinafter named, to sell any and all real estate which I may own at the time of my decease a.nd not othertirise specifically devised by me herein, or by codicils hereto, if any, at either public or private sale or sales. After my entire residuary estate has been converted into cash, a.nd upon payment of all my just obligations, the costs of -2- administration of my estate, and all i.nhoritance, succession and estate ta~~es, I direct that the same be paid out and distri- buted in the following manner, to wit: (a) I give and bequeath five (5~) per cent. of my residuary estate to the CHRISTIATd ~c ~ZISSIONARY ALLIAAICE'-II~~~•TAI~IUEL CHURCH, of 800 South Ivlarket Street, Mechanicsburg, Pennsylvania. (b) I give and bequeath five (5~~) per cent. of my residuary estate to the RIC~NALE I~~IETIiODIST CHURCH, of Richvale, Pennsylvania. (c) I give and bequeath twenty-five (25io) per cent. of my residuary estate to my good friend, OLIVE M. HU1'~iBERT. (d) I give and bequeath five (So) per cent. of my residuary estate to my godson, JOSEPH W. BAEUI~ZEL. (e) I give and bequeath five (5g') per cent. of my residuary estate to my nephew, HAROLD BOOki. (f) I give and bequeath five (5 0) per cent. of my residuary estate to my greatnephew, ALAN BOOK, and to my greadniece, AI~lY JO BOOK, share and share alike. (g) I give and bequeath five (5~) per cent. of my residuary estate to my great grandniece, LAURA FULTZ. (h) I give and bequeath five (5io) per cent. of my residuary estate to my good friend, JEAT•d HESS (i) I give and bequeath five (5;~) per cent. of my residuary estate to DOI~,?.4LD BY_FRS. (j) I give and bequeath five (5i~) per cent. of my residuary estate to my brother, H.~ROLD T~IEFrr'~RD. ( Ic) I give a.nd bequeath five (5~') per cent. of my residuary estate to my brother, THEODORE T~1EF~'EI1D. _3.. (1) I give and bequeath fivo (5; } per cent. of my residuary estate to my nephew, JAY FULTZ, and to his wife, ROBERTA FULTZ, share and share alike. (m} I give and bequeath five (5~) per cent. of my residuary estate to my nephew, GERALD I~~LTLTZ, and to his wife, MARIE FULTZ, share and share alike. (n) I give and bequeath five (50) per cent. of my residuary estate to my nephew, LARRY BOOK, and to his wife, JOYCE BOOM, share and share alike. (o) I give and bequeath five (5J} per cent. of my residuary estate to my niece, IiELEN E. FULTZ. (p) I give and bequeath five (5%) per cent. of my residuary estate to my greatniece, DEBRA FULTZ. (q) In the event that any of the above named legatees designated in Paragraphs 3(c) through 3(p) inclusive, of this my Last 1rJill and Testament, should predecease me, I give and bequeath their share in my estate to the surviving members of said legatees designated in said sections of my Will, share and share alike, except hotrever, where I have made a bequest to a husband and wife, and should either said husband or wife predecease me, survived by his or lzer spouse, then said bequest shall not lapse, but shall pass to the survivor of said ttiro (2), absolutely. LASTLY, I nominate, constitute and appoint my greatnephew, DR. CRAIG j~~1. FULTZ, and his wife, P•JARGARET Y. FULTZ, Co-E3;ecutors of this my Last i~~1i11 and Testament, and should both of said individuals predecease me, or should both be unable to serve in _Z~,. s?.?ch capacity for any reason, then in such event, I nominate, constitute and appoint my nephew, Gr~{ALD F. FULTZ, and his wife, ATARIE FULTZ, Co-Executors of this my Last Wi11 and Testament, in their place and stead, and in all instances, T direct that my said personal representatives b© excused from postinn bond or other security for the faithful performance of their duties. IN ti~TITNESS t~1IIEREOF, I have hereunto set my hand and seal this 31st day of I~~2arch, A. D., 1993. (SEAL} naret M. F'4zlt Sinned, sealed, published and declared by the above named, T~~IARGARET I~. FULTZ, as and for her Last Will and Testament, in the presence of us, who have subscribed our names hereto as witnesses, at the request of said testatrix, in her presence and in the presence of each other. _S.. COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, NiA.RGARET TAI. FULTZ the testatri:~c whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, dc~ hereby acknowledge that I signed and executed the instrument as my ]past Will and Testament; that I signed it willingly; and that I signed it as my free and volun- tary act and deed, for the purposes therein contained. Sworn and affirmed to and acknowledged before me by 1•lTARGARET l1, I-'ULTZ the testatrix this 31st day of T~IarCh A. D . , 1993 v ~ti~ "OTARIAL SEAL ,~;,-, i~~~,.. r<AY EAKIN. Notary Pall{o Mechanicsburg Boro. Cumberland Coia~ty COMMONWEALTH OF PENNSYLVANIA ) ~ '..Commission Expires Nov. 6,,,,19~3~ ~ I ~,> , ss. COUNTY OF CUMBERLAND ) We, the undersigned, J. ROBERT STAUFFER and ERIKA L. LEVENHAGEN the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose-~and~~say that'~we were present and saw the testatrix MARGARET T•T, FULTZ sign and exe- cute the instrument as ~lltx/her Last Will and Testament; that the said testatrix T~IARGARET ~ti~. FULTZ executed it as ~17Cg;/her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the testatr iX , signed the Will as witnesses; and that to the best of our knowledge-,_the testatr iX was, at the time, eighteen (18) or more years of age, of sound mind, and under no constraint, duress or undue influence. .~ 1 /~ "' 3 D ~ r A N 2 n m D n ,,,, c ~ r o~ ~ N D m cv l A T n m -i m ? O to ~ D m~ ~` 0 ~ ~ c z ~~ D ~~ v N ~ r Z, t" y -i ~ ~ rn ~ x y ~ V ~ ~ ~ ~ ~~ V °~©© O D T T 0 0 T T I~I a y T A C ~ Z ^_+ x O ~ v -"• . a a T ~y o lam' ~ ~ ~ m N ~ _, O N ~ ~ ~ o ~ T n ~ T 3 O ~~ 2 ~D D "' "'~ ~ _ Z n np Z ~ -n m~ AzZ ~ Z n ,~ ~ < a n ~ Z v Z~y ~ o ~, _ ~ a y ~-Z+tin M ~OTZ ,- ~ D Z ~i ~ •• D 3 Z ti Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters Testamentary No. 1995-00135 PA No. 2195-0135 ESTATE OF FULTZ MARGARET M , Late of MECHANIC5BURG BOROUGH Deceased Social Security No. 177-24-6627 WHEREAS, on the 21st day of February 1995 an instrument dated March 31st 1993 was admitted to probate as the last will of FULTZ MARGARET M ~ . , late of MECHANICSBURG BOROUGH , CUMBERLAND County, who died on the 25th day of January 1995 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to DR CRAIG W FULTZ who has duly qualified as _ Executor(rix) and has agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 21st day of February 1995. VAST j':~ILL ~~~I`?D T~~ST,!11IFT'dT Or IL~ZGARET iUI. FULTZ ~l, I'~L'~I~GA~t~T T~i. 1j'ITLTZ, of the Borough of P~iechanicsburg, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish at~d declare this my Last ti•Ji11 and Testament, hereby revoking and making void any a.nd all prior ti~lills by me at any time heretofore made. 1. 2 direct that all my just debts and funeral expenses, including the cost of a headstone and the inscription thereon, be paid from tYie assets of my general estate, as soon as possible after my domise, a.nd in this respect, I further direct that all estate, inheritance and succession taxes which may be assessed in consequence of my death, of whatever nature and by whatever juris- diction imposed, shall be paid out of the principal of my general ostate, to the same effect as if said taxes were expenses of administration, and all property includable in my taxable estate, t~rhetTzer or not passing under tl~is baill, shall be free and clear thereof. 2. I give, devise and bequeath mfr farm, consisting of several tracts of land, located in Tell Township, Huntingdon County, Pennsylvania, and which .~ras conveyed to my late husband, BRADY H. ?~'UZTZ, and I, by the heirs of D. B. Fultz, by Deed dated -1-- NIay 19, 1870, and recorded in the office of the Recorder of Deeds of Huntingdon County, Pe.rnsylvax~ia, in Deed Book Volume 089, Page I}.6, and by Deed of the heirs and estate of ~~enneth Fultz, dated September 30, 1977 and recorded in the Huntingdon County Recorder of Deeds Office in Deed Book Volume 1~0, Page 111, to my greatnephew, DR. CRAIG ~~J. FULTZ, and his wife, rZA.RGARET Y. F~'ULTZ, absolutely and unconditionally, and in fee simple. (a) I ive and bequeath all contents of the dwelling, barn and outbuildings of my farm located in Tell Township, Huntingdon County, Pennsylvania, to my greatnephew, DR. CRAIG ~J. FtJLTZ, and to his wife, MARGARET Y. FULTZ, share and share alike, all of which is located on the farm I devised to them immediately hereinabove, including also, but not limited, to household fui°nishings, personal belongings, tools, machinery and egLtiprr~ent located there. 3• All the rest, residue and remainder of my estate, of whatsoever .nature and wheresoever the same may be situate, shall be converted into cash, and for this purpose I authorize and empower my personal representative or representatives hereinafter named, to sell any and all real estate which I may own at the time of my decease and not othertirise specifically devised by me herein, or by codicils hereto, if any, at either public or private sale or s ales . After my entire residuary estate has been converted into cash, and upon payment of all my just obligations, the costs of -2- administration of my estate, and all inheritance, succession and estate t~~.~~es, I direct that the same be paid out and distri- buted i.n the following manner, to wit: (a) 2 give and bequeath five (5ia} per cent. of my residuary estate to the C~TRISTIAN ~, 1'?ISSIONARY ALLIANCE-II~•~.I~tUEL CHURCH, of S00 South T~Iarket Street, P~Iechanicsburg, Pennsylvania. (b) I give and bequeath five (5G~) per cent. of my residuary estate to the T3ICT-NALE T~•IETHODIST CHURCH, of Richvale, Pennsylvania. (c) I give a..nd bequeath twenty-five (2So) per cent. of my residuary estate to my good friend, OLIVE 1~7. HU1'ZBERT. (d) I give and bequeath five (~f) per cent. of my residuary estate to my godson, JOSEPH l~J. BAEUZ~•iEL. (e) I give and bequeath five (5~~) per cent. of my residuary estate to my nephew, HAROLD BOOM. (f) I give and bequeath five (5 ~) per cent. of my residuary estate to my greatnephew, ALAN BOOK, and to my greadniece, AILIY JO BOOTi, share and share alike. (g) I give and bequeath five (5io) per cent. of my residuary estate to my great grandniece, LAURA FULTZ. (h) I give and bequeath five (5;;~) per cent. of my residuary estate to my good friend, JEAI••T HESS (i) I give and bequeath five (5~) per cent. of my residuary estate to DO~T.~LD BYF,RS. (j) I give and bequeath five (5i~) per cent. of my residuary estate to my brother, T3.~ROLD I'~IEFrERD. (lam) I dive a.nd bequeath five (5') per cent. of my residuary estate to my brother, TTTEODORE T~IE~~'rERD. _~_ (1) I ^,ive and bequeath five (5a) per cent. of my residuary estate to my nephew, JAY FULTZ, and to his wife, ROBERTA FULTZ, share and share alike. (n1} I give and bequeath five (5~} per cent. of my residuary estate to my nephetr, GERALD FULTZ, and to his wife, i~ZARIE FULTZ, share and share alike. (n) I give atZd bequeath five (5~') per cent. of my residuary estate to ?ny nephew, LARRY BOOK, and to his wife, JOYCE BUOIi, share and share alike. (o) I give and bequeath five (5J) per cent. of my residuary estate to my niece, IiELEI3 E. FULTZ. (p) I give and bequeath five (5°0) per cent. of my residuary estate to my greatnieee, DEBRA FULTZ. {q) In the event that any of the above named legatees designated in Paragraphs 3(c) through 3(p) inclusive, of this my Last Zrdill and Testament, should predecease me, I give and bequeath their share in my estate to the surviving members of said legatees designated in said sections of my ti~Till, share and share alike, except however, where I have made a bequest to a husband and trife, and should either said husband or t•rife predecease tne, survived by his or lZer spouse, then said bequest shall not lapse, but shall pass to the survivor of said two (2), absolutely. LASTLY, I nominate, constitute and appoint my greatnephew, DR. CRAIG I~~T. FULTZ, and his zrrife, I•T~~RGARET Y. FULTZ, Co-Executors of this my Last ti~Iill a.nd Testament, and should both of said individuals predecease me, or should both be unable to serve in _~_ such capacity for any reason, then in such event, I nominate, constitute and apr;oint my nephew, GFI~ALD F'. FULTZ, and his wife, A'IARIE FULTZ, Co-E1Lecutors of this my Last 1nTi11 and Testament, in their place and stead, and in all instances, I direct that my said personal representatives be excused from posting bond or other security for the faithful performance of their duties. ITl tidITI~'SS Z~JI3EREOF, I have hereunto set my hand and seal this 31st day of I~~'Iarch, A. D., 1993, argaret f~I. t (SEAL ) Signed, sealed, published and declared by the above named, MARGARET I•.I, FULTZ, as and for her Last tidill and Testament, in the presence of us, who have subscribed our names hereto as witnesses, at the request of said testatrix, in her presence and in the presence of each other. -5- COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) SS. I, I~iARGARET 1'•1. F'ULTZ the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last Will and Testament; that I signed it willingly; and that T signed it as my free and volun- tary act and deed, for the purposes therein contained. Sworn and affirmed to and acknowledged before me by T°IARGARET P~. I'ULTZ the testatrix this 31St day of March A. D. ~ 1993 ~ ~1~ • "OTARIAL SEAL ~'~':u•{ i~~~.. ~CAY EAKIN, Notary Ptl000 Mechanicsbur•t [ioro, Cumberland County COMMONWEALTH OF PENNSYLVANIA ) .M~I..Commission Expires Nov. 6,,,x,993: ! ~,: , SS. - COUNTY OF CUMBERLAND ) We, the undersigned, J. ROBERT STAUFFER and ERIKA L. LEVENHAGEN the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depbse`~and~say that'~we were present and saw the testatrix MARGARET T•1, FULTZ sign and exe- cute the instrument ash/her Last Will. and Testament; that the said testatriX MARGARET l~'~. FULTZ executed it as ~s;'/her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the testatS 1X the Will as witnesses; and that to the best of our knowledge-,-thened testatr iX was, at the time, eighteen (18) or more years of age, of sound mind, and under no constraint, duress or undue influence. C7 C7 c ~, ~ °= t~ ~3 rp ~.. ~.; ~ ;~ ~~ . ~ c^~ cs _ _ m ~-:~ - ca ~; :v ,-, _-- _... ~ -~ ~~ -= t,7j ~ ~. ;~ o w REV-1547 EX AFP (12-94) COlMONWEALTH OF PENNSYLVANIA DEPARTMENT ~ REVENUE NOTICE OF INHERITANCE TAX ACN 1 01 BUREAU OF INDIVIDUAL TAKES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPT. 280601 HARRISBURG, PA 17128-0601 OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 11-27-95 """""" " '-' FILE N0. Z1 95-OI35---' DATE OF DEATH 01-25-95 COUNTY CUMBERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, ACENT^ REMIT PAYMENT T0: J ROBERT STAUFFER ATTY MARKET SQUARE BLDG MECHANICSBURG PA 17055 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 aaour-t Reaitted CUT ALONG THIS LINE - RETAIN LOMER PORTION FOR YOUR RECORDS ~ _ _ REV-1547 EX AFP (12-94) NOTICE OF INHERITANCE TAX APPRAISEMENT ALLOWANCE ------- , OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF FULTZ MARGARET M FILE NO. 21 95-0135 ACN 101 DATE 11-27-95 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANCED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Rul Estate (ScMdul• A) (1) .00 2. Stocks and Bonds (Schedule H) (2) .00 3. Closely field Stoek/Partnership Interest (ScMdule C) (3) .00 4. Nort9eCes/Notes Receivable (Schedule D) (4) .00 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 3,18 2.37 6. Jointly OMned Property (Schedule Fl (F,) .00 7. Transfers (ScMek~le C) (7) 69.473.00 8. Total Assets (g) 72, 655.37 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Furaral Expenses/Ads. Costs/Misc. Expenses (Schedule H) (9) 739.28 10. Debts/MortpaCe•Liebilities/Liens (Schedule I) (10) 3.41 4.99 11. Total Deductions (11) 4. 54 7 12. Net Valw of Tax Return (12) 68,501.10 13. Charitable/Covernwental Segwsts (ScMdule J) (13) .00 14. Net Valw of Estate Subject to Tax (14) 68, 501.10 NOTE: if an ease:sfAent was issued previously, lines reflect figures that include the tot l 14, 15 andior 16, 17 and 18 will a of ALL ASSESSMENT OF TAX: returns assess ed to date. 15. Aaount of Line 14 at Spousal rate (151 .00 x .00= .00 16. Aaount of Line 14 taxable at Lineal/Class A rate (16) .00 X .06. .00 17. Aaount of Line 14 taxable at Collateral/Class 8 rate (17) 68,501.10 X .15. 10,275.17 18. Principal Tax Dw (lg) 10, 275.17 TAX CREDITS: PAYMENT DATE RECEIPT N(1MBER DISCOUNT (+) INTEREST (-) ANOUlJT PAID 09-08-95 AA082120 .00 10,275.17 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT 10,275.17 BALANCE OF TAX DUE .00 INTEREST .00 TOTAL DUE .00 ( IF TOTAL DUE IS LESS THAN !1, NO PAYMENT IS REQUIRED IF TOTAL DUE IS REFLECTEn es a ••rocnTr.. ..•e. ......... REV-1500 EX+ (7-94) t' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) --~ ,. FOR DATES OF DEATH AFTER 12!31 Nit CHECK HERE IF a sPOUSAL POVERTY CREDIT IS CLAIMED ^ FILE NUMBER 21-95-0135 CODE NUMBER EULTZ, ilargaret "T• 200 E. Simpson St. W SOCIAL SECURITY NUMBER DATE OF DEATH DATE OF BIRTH ?`Te chani c s bur g, ?'A ~ 7 055 W p 177-2~.-6627 1/25/95 2/2 /16 cou~l Cumberland (IF APPLICAaIE) SURVIVING aPOUSE'a NAME LUST, fIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONS) ~++ ,~f 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return ~ ~ ~ Wo.ca ° ° ^ 4. Limited Estate ^ 40. Future Interest Com romise o (for dates of death prior to 12-13-82) ^ 5. Federal Estate Tax Return Required ~ e am ®6. Decedent Died Testate (Attach f Will (for dates of death ffer 12-12-82) ^ 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes copy o ) (Attach copy of Trust) 'R . ,.u~, ._ ... T~R~I~n~l/4 ITl~ -~iaPi+~RYMi. AJ~VA ~ ('jt•1(~~ ::At17i~ W-i.HCEi ~L1 .,~~~. ~5 ,. :. ~.TR, Y~~, ~.ww~. „..N:.~, W W COMPLE MA DD E ~_ J. Robert Stauffer, Atty. Market Square Bldg. vg TELEPHONE NUMBER 717 766-967 2`Techanlcsburg, PA ~ 7055 1. Real Estate (Schedule A) (1) ___ 0 ~ QQ 2. Stockz and Bonds (Schedule B) (2) _ 0.00 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 0.00 4. Mortgages and Notes Receivable (Schedule D) (4) 0.00 5. Cash, Bonk Deposits & Miscellaneous Personal Property (5) ~, 1$2 •'~7 _ (Schedule E) 6. Jointly Owned Property (Schedule F) (6) Q ~ QQ ~ 7. Transfers (Schedule G) (Schedule L) (7) 69.1~.7~. 00 c 8. Total Gross Assets (total Lines 1.7) (8) -_ 72 s 655.37 9. Funeral Expenses, Administrative Costs, Miscellaneous Expenses (Schedule H) (9) _ 7 39.28 10. Debts, Mortgage Liabilities, Liens (Schedule I) (10) ~ v ~~ • 99 11. Total Deductions (total Lines 9 & 10) (11) ~.(., ~.~~.~. • 27 12. Net Value of Estate (Line 8 minus Line 11) (12) 6 8, 501.10 13. Charitable and Governmental Bequests (Schedule J) ~ EBtat~ 18 Snsolvent(~3) 0.00 14. Nst Value Subject to Tax (Line 12 minus line 13) (14) 68,,501.10 15. Spousal Transfers (For dates of death after 6-30-94) See Instructions for Applicable Percentage on Reverse Side. (Include values from Schedule K or Schedule M.) (15) 0.00 x , _= 0 ~ 00 16. Amount of Lins 14 taxable at 6% rate (Include values from Schedule K or Schedule M.) (16) Q • 00 x .06 = 0.00 17. Amount of Line 14 taxable at 15% rate (17) 6 a, 501.10 x 15 = l0 a 275 ,17 zo (Include values from Schedule K or Schedule M.) 18. Principal tax due (Add tax from Lines 15, 16 and 17.) (lg) 10, 275.17 ~ 19. Credits Spousal Poverty Credit Prior Payments Discount Interest 0 v 0.00 + _ 0.00 + 0.00 _ 0.00 (19) 0.00 c ~ 20. If Line 19 is greater than Line 18, enter the differenu on Line 20. This is the OVERPAYMENT. (20) QO Q ~ ^ • 21. If Line 18 is greater than Lins 19, enter the difference on Line 21. This is the TAX DUE. (21) ~-~f 275.17 A. Enter the interest on the balance due on Line 21A. (21A) (} 0~ B. Enter the total of Line 21 and 21A on Line 21B. This is the BALANCE D UE. (21B) IQ, 27 .17 Make Check Payoble to: Rpisbr of Wllls, Agent ~'' BE vnasr penalties of perjury, I declore that I have examined this return, including accompanying schedules and statements, and to the be it is true, correct and complete. I declare that all real estate has been reported at true market value. Declaration of prsparer other that based on all information of which preporer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS ZO t~7est~,rind Bri~re r °} 7 ~ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS T•~arket Square Bldg. '~~Prheni rvbt~~ , ~~ l7Qr~~ the personal representative is DATE DATE ~ ~/,-- ''~T/ ~~ ' ~ APPRAIaAL Personal Property of ,~ UG ZZ 4 0 ~`, S// SOiv S ; ~~C` 9 Appraised by Chuck E. Bricker AU094-L Date ,'~ ///'_ /9. s' ~~ ITEM VALUE ITEM vVALUE ~ ~yia~ U l _..,r_~/'~~ ' dL~' ~S 7 , !/c ET" L d icy . ~ , c ~ ,2 D, c ~. ~ ~ , 4 GEC L Gc .~'iiv .3 ~ 11, D ._;~ b ~ ~,~ S ;dv D CGlEs" ,ZS, c /~" D~'I E ,~iNET ~ ~~ ~ ~ ~ sT ,~ ~~. aU Ce~E~s - a - ~ ~ s ~ ~! ~i ~~ ~u~ ~~,4a ~ ~ ~ o d ~- vP ~ ~ 6c.ES ~, Dv o c U d. bL~P Mi ~ b /Vvl~S/N /Lack 3a,d, a G' if vfE Go ~t ~ /~ a< E ~b b d D DD L ,Z 6, C ~.._ ,,~. ~, ~ ~ ~, A N N ~ u ~ a a~ cJ~ -~ TA- N.~-~ /D , D U c:- /sev .~ ~ ~~ dD ~E~fEST L ~o S`' i SyES / o0 G ~J L~-.8~ , cSE ~ ~, ev ' ` i~i G ~ /u ~ ~ t~ ~ rv~ ~ ~- e ~ ::< C S C ~~~ ~ - ~_.; d d ~+ ~_ 11N,~5 .5~, Dv ri~ C'" dr1 ~ et3~ ~ /a, o a db r APPRAISAL Personal Property of ,~ ~~ ~ ~ ~ ~ ,~~ ~// Sam S ; /~1 ~Cl Appraised by Chuck E. Bricker AU094-L Date ,~ /ii /r ~~ ITEM VALUE - ITEM ~, VALU! < ~ dLL~' ~~S 7 , av ET" L d ~ccc ~ 2 d , , _ b~ ~K S;OV D Cl~ES~- z~ , D U L s .v ~~, 40 C/~~'~s - d- ~ ~v s ivi Svc ~~,4D C v - ~ ~ o. C6/ j ~E G~ ~D.~v URf .QaC E /a ~ v~ ~ 6c~s 0, Ov a c ~ , , U ` ~ ~ d `~ (r 1Z` ,~ F - ,B ~ ~0 ~ u }v G' /f v8E , Ga , 26 , , ~ d G,~z e ~ ' ' 1 ~ E / ,v~ 7J; c'U ~~ ~ /J/~ S L 2SyS, ~L ~`'c D U;l~ ~~ L G'L' I „2 D l't~ ~2~ ,~ L~G~~Gi,/~-~ c ' fLo ~ .,v ,v ~ ~ u, D v~ . -G ST N~( 10.~v C ~~ ~.s~ed C ~ ~~" do :~ E~EST L uv J~~` i y1'~' i'~ 1 ~ -1~. FrOfi'E ~~! I/L./~ /3/2/C~ E~ ~ vcTir~tiE~/_ Address- /t'L~~N ~-~1~1`.~~rs _ City /`~~~~ E 9 ~~ , ~ ~ 4~3 Tem,~ /-~.o~/Z~-l~.s.~4~- ~~ > >-e" 2~ ,~~=,ti,~ ~ ~ T ~~v~ ~~ ~ ~ APPRAISAL ,_.. , , Personal Pro ert of ~~~` - - P Y =~„ i •' Appraised by Chuck E. Bricker AU094-L Date °= ' ,~,-; ~' ITEM VALUE ITEM -VALUE ,. . ~. ^ ,f. C. ., _ , ~: ., F ... ~ ;a `, ~ ~:F i F:`J .~ . N~ : ,; ~ . .. ~. ,. t ,.. ~. ft /~ ` .. ~r ;, _ ~ , ~; ~~ ~ - _, . ! - L. j. [t / I" t ~ ~ ~ ~.~_ ~~n - , _. , ,, . ~. ~ - ~ ~ a' ~ f~~~ /'~ J J `~ l F ~ ~ ~ ` ,r~ ~' ~j ~ wl ~. , J ~ 11,,~~ ' • c' ~ ~ . . NFL"~~,p° f ;~ ~'-'!'Y ,~ ` G - ~ r,„ :-'/ r:~-r ,- ,,, :..~~ - M_ ,,.. -~ ,. t ~^. 7 i ~ ,,, F T 1 REV-1508 EX+ (2.87) SCHEDULE E CASH, BANK bEPOSITS AND COMMONWEALTH Of PENNSYLVANIA MISCELLANEOUS INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT Please Print or Type ESTATE OF FILE NUMBER 21-95-0135 t<ARGA~ET T~~. ~'H~ULTZ 1985-00135 (All property jointly-owned with the Ripht of Survivorship must be disclosed on Schedule F) ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH 1. Household furnishings and personal belongings of decedent as appraised by Chuck Bricker, Auctioneer of Brickerts Auction House, 93 Texaco Road, T~techanicsburg, PA 17055. A copy of the appraisal is submitted herewith. $ 2,595.00 2. T•~echaniesburg Insurance Service, final commission payment due-under Agreement ~ti~ith late husband, Brady Fultz. ~+36•a4 3. Old Guard Insurance Company, premium d^efund. ~,2~Op ~.. Valley F.ura1 Electric, refund. 2153 5. Dyers Funeral Home, Inc., refund on excess of prepaid funeral expenses. 87.00 TOTAL (Also enter on line 5, (Attach additional 8'/s" x 11" sheets if more space is needed.) itulation) $ 3,18?.37 ~;;:: 1994-95 REAL ESTATE TAX i40TICE {~ SCHOOL ~~;;_~ }~ JULY 1 .as--ass}ierr 1994 v ai~>r tio. (:1 hiEGEEAt~ICSBURG 5~.:-tOOL DISTR?'CT , 29a 981 ..:i~. Gr ~.: F..Y..ii ~.-.: BARRY L HECKARD TAX CiILLECTOR ! ~ JULY 1 TQ A EG 32 TUES&T~ii~i~5 430-400 605 SOMERSET DR -;~ WED- 500-8U ' 0 Phi t'EECNAWICSBE~P.G, PA 17055 ~ SE~'T - DEC- s0-230 TUES 4 PNOAtE: 717-766-b205 WED 500-800 PIS _ _ - .. 1 Q5-.r~i ? 5 . ©Q ~ .. -2 -±- . _ _ ~• - - ~ ` _ D U_P,:ir:::: NS ~'ERiAC•-' -- PAY THIS LLIOUNT ' _ - -- - "- 653.21 - - l~ i~ DISCQLiNT 'JULY-AIIGllST i 6,.~3.2'T~; ~ - : 666.54' :,; ,- ' . - .' .. FACE °SEPT-OCT 6 66:3 4 . 14_ 73 3 . .-: .~ Y PEi~ALTY -AFT QCT 3I 733.19 ,: ~ .. .- -_-._ -- , --._- . - t",CCT d~f0 I7-23-0565-205. ••- •• "200 E SIMP SQ~I STREET rULTZr MARBAP.ET fit. ' 200 E. 5T1cPSt3hE STREET LAMB ~IEC4ATEICSBURG, PA 17(155 BLDG iF U~fPAIi~ SY 12/30/94 TAXES WILL BE _~•~;_~~;~*-~~:.~~~--.>`f~?~~'d T O R I~ E D O V E R T O C U M B E R L A N 0 C O. IF TAXES ARE IN ESCP,OW, FORWARD TAX CLAIM BUREAU. THIS SILL TO YOUR i°IORTGAGE COiif'ANY SI .00 FEE FOR ADD' L RECEIATS REt~UESTED 1394-95 REAL cSTATE TAK iiOTICE ~x ' SGHOOL }~ JULY 1 1494 ~29a 981 CT MECHAhEICSBURG SC:-iQtll DISTRr ~~ .:Y :.rte-.i:. F.:Y..>.- ~. ~.: BARRY L HECK~+RD TAX CDLLECTCIR ~ JUE.Y I TQ A _ UG 3I WED5~500~$403PM 605 SOMFRSETrDR MECNAyICSBUP,3, PA 17055 ~ SFPT - DEC- TUES 930-230 W£D 500-80© PM PNOTIE: 7I7-76b-6205 _ PAY THIS AJAOUP[i ~ iiUP.:rti:: ~:'fS 4ER'{4C• tl ~ fJ . O ©~_ _ - .. . K :"z ._ ~; .:,. ~. . . _ __ DISCQUN7 `JULY-kllGllST X3.2 - C - 653.21. ~ " . , .,_..., .. FACE SEPT-QCT .34 7 6 6 666.54' - ' .. PEKALTY -AFT OCT 3I 733.19 --._ -- ACCT NO I7-23-0565-205. ~~~- ~ ~~• .200 E SIMP SQN STREET - rElLTZ, MARGARET M. 200 E. STMPSg~f STREET LAND MECHAI~ICSBURG, PA 17(1,5 BLDG iF l~f~PAID SY 12/30/94 TAXES WILL BE ~.:~;~-. ~:~~~ ~-~-~ TiJRI~ED OVER TQ CUMBERLAND CO. IF TAXES ARE IN £SCP,OW~ FORWARD TAX CLAIM BUREAU. THIS BILL TO YOEER i'IORTGAGE CQi1PANY 51.00 FEE FaR ADD'L RECEIPTS REQUESTED REV•1510 EX+ (2.87) SCHEDULE G COMMONWEALTH OF PENNSYLVANIA TRANSFERS INHERITANCE TAX RETURN RESIDENT DECEDENT PLEASE PRINT OR TYPE ESTATE OF FILE NUMBER 21-g5-0135 I~ZARGARET MM FULTZ 1995-ao135 THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE QEVEE!cF clec nF ruc rnveo eues:r ~c vee ITEM NUMBER DESCRIPTION OF PROPERTY Include name of the transferee, their relationship to decedent, date of transfer. EXCLUSION TOTAL VALUE OF ASSET DECD. 96 INT. DOLLAR VALUE OF DECEDENT'S INTEREST 1. ALL THAT CERTAIN rious e and Lot of Ground situate on the South side of East Simpson St., Mechanicsbur Cumberland County, Pennsylvania, , presently known and numbered as 200 East Simpson Street, and as more particularly described in Deed of Margaret M. Fultz, ~tidow, to Carig W. Fultz and Margaret Y'. Fultz, husband and wife, which said Deed is recorded in the Cumberland County Recorderts Office in Deed Book The above parcel of real estate is currently assessed for tax purposes by the County of Cumber- land at $5,290,00. The 1995 The 1995 co~~on level ratio estab- lished for Cumberland County by the Pennsylvania Department of Revenue is 13.70. 13.70 x ~5,2go = $?2473.00 , which constitutes the date of death value of the property. $ 000. ©o ~~473.00 lOClo ~; 69,~.73.Oo - TOTAL (Also enter on line 7 Recapitulation) I $ b g s ~7 ~ . 00 (If more space ~s needed, insert additional sheets of same size.) REV-1511 EX+ (788( SCHEDULE H FUNERAL EXPENSES, COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND INHERITANCE TAX RETURN MISCELLANEOUS EXPENSES RESIDENT DECEDENT Please Print or Type ESTATE OF FILE NUMBER 21-~J~. ,,0135 I~IARGAt~ET Tai. FULTZ 1995-00135 ITEM NUMBER DESCRIPTION AMOUNT A. Funeral Expenses: t• None -- Prepaid. B. 2 3 4 C. t. 2. 3. 4. 5. b. 7. 8. Administrctive Costs: Personal Representative Commissions _ Social Security Number of Personal Representative: Year Commissions paid Attorney Fees _ J. Robert Stauffer, Esq., attor,neyt s fee. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address City State Zip Code Probate Fees Regis ter of ~+Tills of Cumberland County, Pennsylvania, Letters Testamentary. Miscellaneous Expenses: Cumberland Law Journal, Estate I~Iotice. Chuck Bricker, ~.uctioneer, appraising furnishings. The Sentinel, Es rate IvTotice. Barry L. rieckard, Tax Collector, 1.995 County and Borough per capita tax. Register of Z°~rills, filing Inventory and Penna. Inheritance Tax ~:eturn. TOTAL (Also enter on line 9, Recapitulation) $ $ x.50. ao 7~. • 00 x.0.00 75.00 65.l~8 9,80 25.00 739.28 REV-1512 EX+ il•93i SCHEDULE I COMA+ONWEAUH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT Please Print or Type ESTATE OF FILE NUMBER 21-95-0135 ?~~RGARET ~~~. F'JLTZ 1895-00135 ITEM NUMBER DESCRIPTION AMOUNT 1• Leader I~TUrsing and Rhabilitation Center, Camp riill, Pennsylvania, final bill for care and rr~aintenance . $ 3 s 31~-• 99 2. Conner, Rich, ~~earney r~ Torcia, medical services. 5i~.g2 3. Conner, Rich, ~~earney &Torcia, final bill for medical services , ~4-~ ~ 0$ ~. Rhoads Pharmacy, account dus for medications. 22.1. TOTAL (Also enter on line 10, Recapitulation) f ~ a 41~~ R9 (If more space is needed, insert additional sheets of same size.) _ - - - . ~ _.-, tf 7 REV-1513 EX+ t2-87) COMMONWEALTH OF GFNNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF i~~~RG!~R.ET M. F 'ULTL ITEM SCHEDULE J BENEFICIARIES NUMBER NAME AND ADDRESS OF BENEFICIARY A. Taxable Bequests: t • CRAIG W. H'ULTZ and P~2A,RG~RET Y. r tTLT Z 10 t~,jestwind Drive Lemoyne, P~1 170t~.3 FILE NUMBER 21-95-0.35 l -ao RELATIONSHIP AMOUNT OR SHARE OF ESTATE ?'de phew 2. OLTV.E M. :rItIZ~~T None 200 E. Simpson St, ~~echanicsburg, PA 17055 3 • JOSEPH W. BA.EUI~s"EL I~Sone x.520 Yarmouth Court Virginia Beach, VA 23455 1-!.. FiAR OLD BO Obi HCR bl, Bo:~ 90 Nephew Blairs T~i11s, PA 17213 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY B. Charitable and Governmental Bequests: t• CHRTSTI.AN ~~ P°~ISSIO~JARY ALLIkP?CE-.TI'~1T~.la,~T{7'EL 800 S ~~ CHU~iCtI outh Z iar~et St. Mechanicsburg, PA 17x55 2. RIC_riVALE l4ZET~30DIST CHURCH Richvale, PA TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) (If more space is needed, insert additionol sheets of same size) AMOUNT OR SHARE OF ESTATE Farm located in Tell Township, Huntingdon County, Penna., and all content of buildings an dwelling. This bequest was Adeemed and was disposed of by decedent during her lifetime, t• wit, in June of 1993. 25`,•0 of re s iduar; estate. 5;a oa^ residuary estate. 5i~ of residuary estate. 5~~ of residuary estate. 5% of residuary estate. s ~~~~V~ REV-1513 EX+ )2-87) COMMONWEALTH OF PENNSYLVANIA INNERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF I~I~RGAP~ET T~. F"iTLTZ ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY A. Taxable Bequests: 3~.. ALAN BOOK and AI~IY JO BOOT HCR 61, Box q0 Blairs I~2ills, PA 17213 6. LAURA FUZ,TZ 10 Z~lestwond Drive Lemoyne; i'A 170.3 7. JEAN HESS lOgS Tarn Hill Road York Springs, PA 173?2 8. DONALD BYERS Box 228 - Blairs I~2ills, PA 17213 9. HAROLD T~SEFFERD R. D. 1, Box g5 East ti^~aterford, PA 17021 10. T~iEODORE T~lEFPERD 111 S math Locust St. Shiremanstown, PA 1707.1 11. JAY FULTZ and ROBERTA FULTZ R. D. 2, Box 356711 Bellefonte, PA 16823 12. GERALD ~'ULTZ and T'~AR7:E FULTZ R. D. 1, Elliottsburg PA 17021{. ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY B. Charitable and Governmental Bequests: 1. greatnephew 5/ of residuary and great- estate. niece. greatniece 5 of residuary estate. T1one 5 0 of residuary estate. Tdone 5 0 of residuary estate. Brother 5~ of residuary estate. Brother 5i of residuary estate. nephew 5io of residuary estate. nephew 51~ of residuary estate. FILE NUMBER 21-95-0135 1995-00135 RELATIONSHIP AMOUNT OR SHARE OF ESTATE AMOUNT OR SHARE OF ESTATE TOTAL CHARITABLE AND GOVERNMENTAL BEG{UESTS (Also enter on line 13, Recapitulation) I$ (If more space is needed, insert additional sheets of same size) REV-1577 EX+ ~2.87~ r ' SCHEDULE J COMMONWEALTH OF PENNSYLVANIA INNERITANCE TAX RETURN BENEFICIARIES RESIDENT DKEDENT w~~~c yr l~iARGARET I~~. ~''~TLTZ ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY A. Taxable Bequests: 13.. LARRY BOON and JOYCE BOON 707 Charles St. I~leehaniesburg, PA 17055 1~.. HELEN E. FT3LTZ 593 College Ave. Elizabathtawn, PA 17022 15. DEBRA FULTZ 593 College Ave. Elizabethtown, PA 17022 PLEASE NOTE: Estate is Insolvent, thane are no assets available for Distribution. ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY B. Charitable and Governmental Bequests: FILE NUMBER 21-95-0135 ~9R5-00135 RELATIONSHIP ~-MOUNT OR SHARE OF ESTATE nephew 5;°~ of residuary estate. niece 5~ of residuary estate. greatniace 5~ of residuary estate. AMOUNT OR SHARE OF ESTATE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13 Recapitulation) $ (If more space is needed, insert additional sheets of some size) CUh~9FERLAI~•;)r~ pF::TF'C r ~ _~._ ~ ~~'~ '' ~ `~.~ -`a-~~~ t --~_~~ .i+ ~ I ~• ~ .~- r ~ ~ - • .~.. .~.. "r 2? ~ ~....j',. i ?EL 1- ~ 1 ~ - ~~f~ 1-~= _:f,,~~ ,~u.a 9. v . ~~~ ~ ~ ~'J `~;o . r~jr,~ ~::..'1 CumberXand t~r~hopaed~c Associates,, LTD. 99 November_Orive, Carnp Hill, f$A 17011-5Q97 Phone 717-~T61-B6~4 Thomas H. Malin, M.D., FA.C.S. William J. polacheck, Jr., M.D. Craig W. Fultz, M.D. Qate: '1 ~~- ~f~~.~ Message Being Sent To: ,~ ~~ ~S~flul-F~..L. ~ ~~,~ ?. {Company Name and FAX Number) F'(ease Ibis#ribute To: (70 ~ .~~T~~i.f~~ ( "Jame } - ------,--•-- -------•-~----- -----.----_- Numf~er of pages including #his cover sheet ~ (f fax is not clear or you do not receive the number of pages specified above, please call the number above. our FAX number: 717'-761- G$fi0 ~G~!~ ~~(7!>;r2 ~_+h 'i f-r C t)J~ / d '~- ~1•~ I~:1~ j /= 3"ra T~'~ "'j~~,'r~C /V~s ,c.r GUS r~~+ ~~ r c~ ~~-.n.•. -r G~~- .S ~ -[~!U ll~~` c„~•I!r'.~15~•-' `f`'T ~.lik'~r.'°"•+/ . '~ \t c, r-~f.~ kso ~' ff r. its i n C.;,,n7 U F 1'T t ljr~, c .ir .S'c~,} ya„l' ~ C~n ~` C o ~~ 4 '~. Y ~~1dJ!,~fJ • e: ~1.It K S"r.~'~•~ ~Jrs. 4.:.rlt. ~~JlJ,tiiLS ~}.~q,. `~+r Y'~~ 7uJr ~~~~ ~ I J ~tt.C zl ~i 7~~ aAC7'IG~ LIMI'Cf:D TO Of~7HOPAEibIC SURGERY _ _ ~ ~.~~Mt~tN~H~aL~ i_i~ i Hip TEL : 1-~1 ~'-~F,1 -~^F,n ~~ufa _ 1' , ~~~" ~~v : ~ ~~dc~ r~C~S F i7~ ItRAN'I'~' Ta~,Ll~ C ~}~~ , , 't'hc~ Plnnkr~horrt C:e_ WlllIemrpars, Pr, l7?tt] i MACE the j ~ ~„y day of ~'~'~i ~"~~3,L•~ in the year nineteen hundred and zyinety_~'our t l49)~.) 13ETVVEEN I•~111.Rc~A}Ih,~ ?~. I~'fJ'?12'7, ~'11dOL7, off' the norou;r ~~ Laurity off' C`urabor~.and and State off' Pontisylvtxzai.a, Jparty rofhthaci'Iirs~~ ij •,, a~ CRtlti ~•~. i~~rlaTZ and l~•IElX3G1~I~,~~'1' ~. I''ULTl, C;~ibc~x~7_atjtl Count T No3ins lvania husband. azicl wife, of l:,arnoyne, ~' y , partie,.~ of tha seearzd part, grantees. WITNESSk,TJ-I, 'T'hat in cansidcradon of ~hc~ sur>z of Uzie (;t~1.00) dollars, irr hand paid, the receipt whereof is hereby acknowledged, the said grantor do os herebyrant and carivey to the said grantee t~, ~hcxr I1r3irg avid ta~;s:I.F;t.ts, ALL, '1']-iA'~ GI:1~T~.I'Iv Houso and Lot o1' Grour~ci sittzato on tlia South sa.de of J.ast Si2?I~i30n Streot, i.n t•I'1Q IIoraul;h of 1~1eohanicsburL, Co~uity of .. Cu~bar~.arzd and State a~' 1'ennsylvc~na.r~, batxndod and d©gera.bed as f'a7.lows•• - '~ c t~r:~, t : - ~ , ~~~WC~:C~]~~~~iG At a point at t;ha Sotxt}ietxst: corner of South F?aca Street and East S~•rtal~scsii utr, c3c~t; •thenac~ in a.ti ,'.s.sttirardly diz~crC•f;3.on alaa7g the S•Lraat ~..ir7o of said I~r~st S~.ml~soz~ Str~cc~t, l~,j.0 fee#; to a coz~?ier v.£ Lo•L- ziow ar lAto of i~7ill.a.am~ 73aur.7,nbal.~~h; tho.nce Sou~hwax'rilys a1,on~, tha lino of staid Lot nc~w or 1.t~te of Wi11I,at~z Itaudat~au~tt, YQ2.3 foc~-~ to a paint izi tho North©rxa 1ir~a of I~irrg A11ey; tkzAneo in a Wos•~wax~d.ly d,irec;ti.on alone tl~.a Nort}~iQx~zi .ins off' I;3.n . Alle to a point ~~ the ~'astez'Ii l~.zio of Soul;h fiacr~ Stroc~t~ aforQment: onedpt tliolane in s. ~ax~ttiwardxy diroctior_ alozi~ thg Eastern lizie a~' South :hrzc© ,Strae;t, ~.~2~~ fe©t to a point irr th© li•rze of IIayt S~.mpsozi Strvst a#`arelnt~rzt~Eanocl, at ?:}ie pal.zit acrd s~luoe of I3IG1NNrNG. tlV~htG Biel. ~~ '.,err Q'~~aated a sin~;~.e two anci arie-half story fz~~arne dwe~,li.lx~ a?ic3 otliex~ rr~cc~ssr~ry qutt~uildi.rr~;s, krzaza~i azicl ntzmboz.>Qd as X00 ^RSt Slzripso.rz Si;i°UO~, l°'-oG?,~~r~icshur ;, I'entis~Tlvana.a. t3~!i ~_ Vtr 't; 7B .i c1]Ylt~i cia•te~~ T~itz * r pz'oxnlsc~N wh~,ch Patx3.i.Me V. Camp, w~.cli~ti,r, by her -Bo©d ~-, 1 ~~7 azid r©caxdac~ in tha Cumbor7_arrd CoLirrt~ Rooordc~rf s Uf.fica in 17oeci Book "T'f , Vo~.titrrq 22, Page ~ Brady II. I+u1tz Qnd T~9az,~ .T 3 , ~ran•~od an~3 .convoyed xtzito Ft~'If:~ ~ai6~ ..~ -._ I,aret M. Fu~.t~, hi9 wz~'e. Thc~ said Srn~ly u. - _ __ =~~h~BE~'.L~hdli ~~~T_I~ TEL 1-~ 1 ~~-; ~1-Fy ~,f_ ~~' ~~u~ .` ,,:~~ `I-, . ,-, ~.,;~ , r~n~ ~~ , ~~:~ 1~ IJ i> CRA:LG 4I, FIJLTZ at~c3 i~111,1ZGAft7+~7' X. 3~iJT,TG, husbaz~cl and wife, of I~emoyno, Clunbor~.rzncl County, 1'QS~nsy~_vanla, parti.e ~ of the seoond paz~t, rra,ntees , WITNI:.SSE't"H, T1yat in consideration of tho swtl pf One (~~~. , t}0) i~allars, in bend paid, the xeecipt wlserea£ is hereby acknowledged, the said grantor dons hereby grant and convey to tlse said grantee s, thq it 11o a.rs A27d a,y S i nn.~, ALL `T'Ii~~`I' s~Tr~T~~:iI~I ?-iou:~c~ and Lot at' Ground eittaa'~v an ~:lze South side of East S.impso.rt Stroc:t, i.x~ th© T3orou~h c~1' 1~lechanic~~l~ur~, Counter of Cumbt'r1a,-ZC3 az~d State of 't'c.naZSylvania, bounded and da3cribed as ~'o~.~.ows, t~ wa.t. 13ECsTv;31;i7Cr at Ea po;;.rtt ate they So;.ztheast corner of Sou'lRh Rac© Street and East S~,ita?~;:ton Strac~t; thence in an Eastt•rax~d~.y d:ir. ectl.on a~.o.n~ thc3 Street 7.tina o.~ sa7.d Lavt S~,rn}>,;on Si;roc~t, Y,~~.O ~`oot to a po:i~xtt at tl~e cornva.~ ofi Lot now or lt~.te cif i~1iXZirztn }~audaUaut;h; thence Sou~:hvrsrdxy a:Lon~~ tho 1.z; c of said Lot rota or 1.ata of Wi7~ ~.am Rt~udahaugh, ZC~2,~ S'eet tia a 1'~oyzat ~.za the 1~Torthorn line Uf K3_ng A11vy; thence ~.n a GJostwarclly d3.rect:ior~ along tlao I3or1~I~zern ~.tne off' Ying A11oy, 3d, S feet to a po~.~tt in the Eastern ling off' Soui;h }jacn Street, aSorernoritiartdd; tl~er;ce in a I.1c~rthware~ly ciiroctiori aloz]g the Eastorn 1.ina of South afore n©nt`oz~ed0~at tYiQt to a point :i.n tho lino of ~Ja:~t Simpson Streat, , po.~nt tZnd place of r~1~~GTRTI~7NCr. ?I~V:i,IICr t~~ereon ez~c~etod a F1nr;~.e tyro and ono--half story fx'~rne dwe].lirz~ aaul othely nHCVSSaary outbu:i-1da.nl,s, 1~i~otan and ntztnksared as 200 fast S~.mp;;on iSt;rec~t, 1+ZvChE~I33.est3l.zr~, Pennsjrlvaz~i~.. ~ElI4'C'r tire, samo premi.sc~s which I'aul~.,nv ~'. Comp, wi.r~ow, by her Deed d,~ted I<•1r3.y ~-, Z9h'7 and rocorded in the Cutnbox~~.and County 13ecorddrt s Of.ficc~ ~.t1 Uoed- 13oolt 'ti't, VoltuTto 22, ps.;~e 3C>, granted anc~ con~resyed unto Erad,y 'rl. F'tLl,tz and T~Sa?~~;argt III. I~tia~.tz, h~.fs ta;i~'e. The said 3ra.c~y II. 7~.~.~.tz >-~;i.ed on i~ooombcr 23, 1990, who:reupon solo t3.t1e z.n staid prczn~.ses vesf;c~cl :Ln JiJ.s 1'T~_f'ca, 1'lt~rc~;arct ;~7. k~tltz by ol~ea,~s,tion, the latter of W:'~Om ..s ~;l~t~ ~zrt.~~t.nr bor. c~i.n. .-~' .`:.y;. ..t ~t~ ~" '~ ' i I 47 t~ i Fri rn .... {l.i 1 I i~~l ~. fJ; LJ r_'1 [~i }~1 rFT r1~ =~~ - t ~ -- r-r_• 11i cy~., I; r., ~...R i ,~ .,r~ F_, r ' ' L,. ... '~ i '_ .. .~' _ - _ .. ~~. - •1 . . - ,.J - -,~ -n ,f. -"~ S~ Jl !l :i "'l ~:J I . ~_ u . ` 1- I .r ,. .t .4 1'. 1".] S ~I P..~ rl : t ~ ; ~f cr :i: 1 ii: •~. y- :1 ~ -~~ 1-1 _. ;' _ ,~ :~ , `t• ry LR LR 1~ .l. Ul ~Vt9DCICLI'11VU UIC I flU I GL 1-f 1 f -i tJl VVVV nuy lc~ a ±.., iu .~v iru .vti~, i .v.. ;~iy C:r~mmissicm 1=,xrires State _-;f Sti: S~.Ut.nty ref' On this, the day cf l9 f ]refore the tzc undersigned i7Eticer, persona]]y appeared knnwn tc~ me (or satisfactori]y proven to be the person whose name subscrit~ed to the within izzstrumet;t, and acknowledged that executed the same for the purpose therein ci~nt~~ir ~c1, IN ~'V1T~'~'>CSS WI~ER~QF, I have hereunto set my hand and seal, My Commission 1<xpirea ~ ~" ~ ~ , ,~ ~ cR ~ w 1 ~ N ~ ran} ~ ~ W _ ~ 1 V _ • o .~ ~ ,~ ~' _® xr ~ o v ~ ~ 2f w ~ ~ "~ ~~ ~ ~' j c~c~~ Contmonwca]th o£ Pennsy]vania ryes: f~L•CORDEI~ in the Office far Recording of Deeds, ete., in And fcir said County, in Deed ]'a~.~ t"'1I':~;LSS my II»ttd and Official Scat this ~, 1 day of ~- ~9 Inventory of the real and personal estate of T~~iARGARLT T~T. FULTZ deceased 1. Household furnishings, appraised by Chuck Bricker, Auctioneer. 2. I~~Zechanicsburg Insurance Service, final. .commission checl~ due under Brady Fultz Agreement. 3. Old Csuard Insurance Company, premium refund. J~.. Valley Rural Electric, refund. 5. I•Zyers Funeral Home, Inc. , refund. ~G2,5951 or. ~+3b 8L 42 oc 21 5 X37 OC 3,182 3r COMMONWEALTH OF PENNSYLVANIA ,l ss: COUNTY OF CUMBERLAND f Craig tl. Fultz being duly sworn according to law, deposes and says that he is the Executor of the Estate of Pflar~:'aret T'4. Fultz late of ?''?acl~ani_csbu.r~_______.._ ___.___. Cumberland County, Pa., deceased and that the within is an inventory made by ~rai~ 1^~. Fult.~ __ _ ., the said Executor of the entire estate of said decedent, consisting of all the personal proparty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death . Sworn and subscribed before me, 19 _ l~J ~ _ Exseu+or • ~k ~~}~ 10 ~3esttaood Drive Lemoyne, PA 170!.1.3 Address Date of Dea+h 25 January 1995 Dey Mon+h Ysar INSTRUCTIONS 1. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV; Fiduciaries Act of 1949. 0 Z >- r w ~ W ~ ~/ Li. O Z ~ "' +_-- LL C ~' ~ ~ ~ Z W J Q ~ LL O Z O o ~ w Z Q n. I -o m N d v d a c 0 U -n c ~o d .a U m A m d ` 0 Q k .Y ~ O u• m CERTIFICATION OF NOTICE UNDER RULE 56(a) _ c Name of Decedent: T^'fARGARET T~~i. FULTZ :~ -_ " Date of Death: January 25, 1995 Will No. 1995-00135 Admin. No. `~ To the Register: I certify that notice of Rule 5.6(a) of the Orphans' Court tl~e following beneficiaries of the ~HA~,,.~ l 1995 Name beneficial interest required by 'Rules was served on~or mailed to above-captioned estate on Address Craig ~~T. and Mar aret Y. Fultz-10 V.Testwind Drive, Lemoyne, PA 17013 Laura Fultz, t~estwind rive, Lemoyne, A 3 Christian F~, T~lissionary Alliance-Immanuel Church, 800 S. Market St., T^~echanics- burg, Richvale Methodist Church, Richvale, PA Olive I~~i. Hum er , impson ., '~ ec anics urg, Joseph ti^7. Baeumel,,1}.520 Yarmouth Court, Virginia Beach, VA 23455 -,-:~:;Continued on attached Sheet. Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Tdone Date:_~1~~ QT --T c,.! Sig e Name Dr. Craig U1. Fultz Address 10 Westwind Drive Lemoyne , PA ~17 Ot~3 Telephoned )717-763-1781 Capacity: x Personal Representative Counsel for personal representative -1- t c CERT1r I CA^ZO«1 OF =`a0'I'T CE UI~?D~ ? ~JLF 5.6(a ) i~?ame of Decedent: i'°~ARGARET i~2. FLTLTZ Date of Death: January 25, 1995. ti^Till i~~,~a. 1991-00135 Continued from Pale 1 Harold Book, CPS 61, Box 90, Blairs I~?ills, PA 17213. Alan Book and Amy Ja Book, ?iCR 61, Box g0, Blairs 'dills, PA 17213. Jean Kess, 1095 Town Hill Road, York Springs, PA 17372. Donald Byers, Box228, Blairs T~~~ills, PA 17213. Harold S~Zefferd, R. D. 1, Box 99, ,~aterford, PA 17021. Theodore Mefferd, 111 South Locust St., Shiremanstown, PA 17011. Jay Fultz and Roberta Fultz, R. D. 2, Box 356711, Bellefonte, PA 16823 Gerald a~'ultz a.nd Pfarie Fultz, R. D. 1, Elliottsburg, PA 1702.. Larry Book and Joyce Book, 707 Charles St., ~~Techanicsburg, PA 17055. Helen E. Fultz, 593 College Ave., Elizabethtown, PA 17022. Debra F-u.ltz, 593 College Ave., Elizabethtown, P2 17022. -2- NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUl~'IBERLiT~?D In re Estate of I'°~ARGAr~ET I~I. rULTZ No. 0013 of 1995 TO: PENNSYLVANIA deceased, (beneficiary) (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named .below. You may have a beneficial interest in the estate as follows: (if additional space is needed, use back of page) Name of decedent 11ARGr~RET I~L. F'ULTZ Last known address 200 East Simpson St., I•Zechanicsburg, PA 17055 of decedent Date of death TflY117A1'+'~~~j, lg9~i Place of death Holy Stairit Hospital. Camp Hill. Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone fir. _Crai ~ 1•~r. Fultz-10 ~~Jestwir~d Drive, Lemoyne, ?~ 170.3..717-763-174 Name(s), address(es) and telephone number(s) of all counsel Name Address Telephone J. .Robert Stauffer-I~farl~et Sa gar 1 ~~, Mechanicsburg, PA 17055-?17 766-9673 Additional information may be obtained from the undersigned. Date Signature Name Craig W. Fultz Address 10 tiaestwind Drive _ Lemoyne, PA 170E Telephone 717-763-178l~ Capacity: x Personal Representative Counsel for personal representative RE: .state of ivlargaret T~7. Fultz, deceased. FfLBASE BE ADVISE, that based on information now available, the outstanding obligations of the decedent will exceed her present assets, therefore it appears that there will be no funds available to the legatees named in the Will. By way of further information, it was necessary to probate I~Zrs. rultzts Will to obtain the necessary authority to settle the affairs of her estate and the probate proceedings require that you be notified that you are a legatee named in the Will, even though there may be nothing to distribute. Should there be any benefits available for distribution once thestate is settled, then of course the same would be distributed in accordance with the terms of the ~,~Ti11~ however, this appears to be highly unlikely. NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMB~ftLATJD PENNSYLVANIA In re Estate of P•TARGARET I~1. PULTZ , deceased, No. 00135 of 1995 TO: Dr. Cram ti"d. Fultz and Margaret Y. Fultz (beneficiary) _1~ j"~TP..S`'F.T.Ti nrl T)ri vn T~emn~ne ~ PA l ~~,~ ( address ) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Devise of Farm located in Tell Township. Huntingdon County, Pennsylvan~. tO.~ethar wi i:h hrnTCahnl ~ rnnj-P,ngt~f' farm c3wAl 1 i ng~ barn and Ottb ~i l di n~ Thi ~ farm T,rae i:ranefar,~caA awav htr r1t~r±aAAni- ri„r; nrr l,e„ ~ ; ~+e+.-;,,,,. (if additional-space^is needed, use back of page) Name of decedent P•ZARGARET I'•Z. FULTZ Last known address 200 East Simpson St., Mechanicsburg, PA 17055 of decedent Date of death .Tant~ary~~~K Place of death Holy Spirit Hospital. Camp Hill, Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is g is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Craig LJ. Fultz-10 Z"Testwind Drive, Lemoyne, PA 17043-717-763 1784 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLATID , PENNSYLVANIA In re Estate of NIARCARET I~T. PULTZ deceased, No. 00135 of 1995 TO: CHRISTIAI~i & MISSIONARY ALLIANCE-IA~~4ANUEL CHURCH (beneficiary) 800 South Market St.., I~~Techanicsbura. PA 170,rZ~ (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (5%) per cent. of residuary Estate. (See attached Statement) (if additional space is needed, use back of page) Name of decedent T•~ARGARET I'•7. FULTZ Last known address 200 East Simpson St., Mechanicsburg, PA 17055 of decedent Date of death .Tanuar~ ?K~ lAgK • Place of death Holy Spirit Hospital. Came Hill, Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. _Crai~ ~~~. Fultz-10 1-Jestwind Drive, Lemoyne, PA 17043-717-763-178I{. NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAt1D , PENNSYLVANIA In re Estate of P~IARGARET M. FULTZ deceased, No. 00135 of 1995 TO: RICHVALE T~IETHODIST CHURCH (beneficiary) Richvale, PA (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (5c~ per cent. of residuary Estate. (See attached Statement) (if additional space is needed, use back of page) Name o f decedent T•TARGARET T•7. FULTZ Last known address- 200 East Simpson St., Mechanicsburg, PA 17055 of decedent Date of death .Tanuary~Ki 199K Place of death Holy Spirit Hospital. Came Hill, Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Craig bd. Fultz-10 1rJestwind Drive, Lemoyne, PA 17043-717-763-1784 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMF3E1:L~1TdD PENNSYLVANIA In re Estate of r1ARGARET I~Z. PULTZ deceased, No. 00135 of 1995 TO: Olive H. Humbert (beneficiary) 200 East Si_mnson St. (address) I~iechanicsburg, PA 17055 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Twenty-five (25~) per cent. of residuary Estate. (See attached Stat-PmPnt~) (if additional space is needed, use back of page) Name of decedent P~7ARGARET 1'•2. FULTZ Last known address 200 East Simpson St., P~Iechanicsburg, PA 17055 of decedent Date of death Tanuary 2K, 199K Place of death Holy Spirit Hospital. Camp Hill. Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Craig b~d. Fultz-10 1-lestwind Drive, Lemoyne, PA 17043-717-763-1784 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND In re Estate oL- P'1ARGARET I.7. FULTZ No, 00135 of 1995 TO: JOSEPH ti•7. BAEUI~ZEL PENNSYLVANIA deceased, (beneficiary) 4520 Yarmouth Court, Virginia Beach, VA 2~~~~K (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (~Ga ) per cent. of real c3i~arv Fe+:ai-r~ ~ ~ eQA flt-t-a,~,hp,.~,Tb~,temen~k~--- (if additional space is needed, use back of page) Name of decedent P•7ARGARET T•Z. FtTLTZ Last known address 200 East Simpson St., Mechanicsburg, PA 17055 of decedent Date of death .Ianuarv,~~, 1996 Place of death H_o_ly Spirit Hospital, Camp Hill, Pa. County of grant o~ original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Craig L~~/. Pu1tz-10 Z~destwind Drive, Lemoyne, PA 17043-717-763-1784 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLATJD , PENNSYLVANIA U1 re Estate of P•TARGARET h7. FULTZ , deceased, No. 00135 of 1995 TO: HAROLD BOOT HCR 61, Boi 90, Blairs T~Zills, PA 17213 {beneficiary) (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five j.,K,~) ..per cent. of residuary Estate. (See attached Statement) (if additional space is needed, use back of page) Name of decedent T•1ARGARET I'•7. FULTZ Last known address 200 East Simpson St., Mechanicsburg, PA 17055 of decedent Date of death Tanuary 2~, 199 Place of death Holy Spirit Hospital, Camp Hill, Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Craig ti•J. Fultz-10 Z~Jesttaind Drive, Lemoyne, PA 17043-717-763-1784 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND PENNSYLVANIA In re Estate of riARGARET I~7. FULTZ No. 00135 of 1995 deceased, TO: ALAN BOOK and AT~IY JO BOOK (beneficiary) ITCR 61, Box 90, Blairs T~Iills, PA 17213 ( address ) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (~,~) per cent. o .gidu ry F.stai:e. share and share alike. (See attached Statement) (if additional space is needed, use back of page) Name of decedent T~ZARGARET I~Z. FULTZ Last known address 200 East Simpson St., Mechanicsburg, PA 17055 of decedent Date of death .Tanuary 2~~ 199K Place of death Ho1V Spirit Hospital. Camp Hill, Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Craig Z~J. Pu1tz-10 Z~destwind Drive, Lemoyne, PA 170L.E.3-717-763-178. NOTICE OF F3ENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAPID PENNSYLVANIA In re Estate of MARGARET I~1. FUL`1'Z deceased, No. 00135 of 1995 TO: LAURA FULTZ (beneficiary) 10 ~•lestwind Drive, Lemoyne, PA 1701.3 ( address ) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (5~) per cent. of residuary Estate. (See attached Statement) (if additional space is needed, use back of page) Name of decedent P•7ARGARET I'•7. FULTZ Last known address 200 East Simpson St., T•Zechanicsburg, PA 17055 of decedent Date of death .Tan___uary_2~ 199K Place of death Holy Spirit Hospital. Camp Hi11, Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is g is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Craig b•J. Fultz-10 Z•lestwirid Drive, Lemoyne, PA 17043-717-763-1781#. NOTICE OF BENEFICIAL INTEREST IN ESTATE $EFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND PENNSYLVANIA In re Estate of MARGARET I~7. FULTZ No, 00135 of 1995 TO: JEAN HESS deceased, (beneficiary) 1095 Town Bill Road, York Springs, PA 17'372 (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: F_1_STQ ~~i~) ner ceni:_ of rRairli~ar~r EQtAt•~e_ (fiAA atf:anh~rl ~tatamant~ (if additional space is needed, use back of page) Name of decedent P•7ARGARET I•q. FULTZ Last known address 200 East Simpson St., r2echanicsburg, PA 17055 of decedent Date of death TanuarY 2K, 199K Place of death Iio1V Spirit Hospital. Camp Hill, Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Cram; bJ. Fultz-10 Z~Jestwind Drive, Lemoyne, PA 17043-717-763-174 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAT~TD In re Estate of P~TARGARET M. FULTZ No. 00135 of 1995 TO: DONALD BYERS PENNSYLVANIA deceased, (beneficiary) Box 228, Blairs T~Iills. PA 17213 (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (5) per cent, of residuary EstAtA. ( See attached S~:AtPm~.t ) (if additional space is needed, use back of page) Name of decedent T•ZARGARET I'•7. FULTZ Last known address 200 East Simpson St., Mechanicsburg, PA 17055 of decedent Date of death .Tarn~arar~~,~ 199 Place of death Holy Spirit Hospital, Camp Hill, Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Cram; bJ. nultz-10 l~Jesti~iizd Drive, Lemoyne, PA 17043-717-763-1784 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAtdD In re Estate of P~IARGARET I~1. FULTZ No. 00135 of 1995 PENNSYLVANIA deceased, TO: I-IAROLD I~IEFFERD (beneficiary) R . D. 1, Box 99, East Ulaterford, PA 17021 ( address ) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (5%) per cent. of residuary Estate. (See attached Statement) (if additional space is needed, use back of page) Name of decedent T~ZARGAI~ET I~7. FULTZ Last known address 200 Last Simpson St., P~techanicsburg, PA 17055 of decedent Date of death January 2K., 199 Place of death Holy Spirit Hospital. Camp Hill, Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Craig Y1. Pultz-ZO l~lestwind Drive, Lemoyne, PA 17043-717-763-1781.x. NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUM33ERLAIdD In re Estate of I'~iARGARET P'1. FULTZ No. 00135 of 1995 PENNSYLVANIA deceased, TO: THEODORE 1~IEFFERD (beneficiary) 111 South Locust St., Shiremanstown, PA 17011 (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (5') per cent. of residuary Estate, (See attached Statement) (if additional space is needed, use back of page) Name of decedent T•ZARGARET I'•7. FULTZ Last known address 200 East Simpson St., P~iechanicsburg, PA. 17055 of decedent Date of death Tanuary 2K,_,144~ Place of death Holy Spirit Hospital, Camp Hill, Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Craig b~J. Fultz-10 l~destwind Drive, Lemoyne, PA 17043-717-763-1784 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAI:rTD PENNSYLVANIA In re Estate of MARGARET 1~T. FULTZ , deceased, No. 00135 of 1995 TO: JAY FULTZ and ROBERTA FULT~. husband and wife. (beneficiary) R. D. 2, Box 3,6711, Bellefonte, PA 16823 (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (s;~) per cent. of residuary Estate. share and share alike. (_,S_A P at ~.a ~: lzP c1_~ t.a t~.m~.x~-t ~ (if additional space is needed, use back of page) Name of decedent T•ZARGARET I'•7. FULTZ Last )mown address 200 L~'ast Simpson St., P•Zechanicsburg, PA 17055 of decedent Date of death .Tanuary~K, 199K Place of death Holy Spirit Hospital, Camp Hill. Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Cram; L~J. Fultz-10 l~Jestwind Drive, Lemoyne, PA 17043-717763-1784 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUT~iBERL11tdD , PENNSYLVANIA In re Estate of r•TARGARET P•Z. F'[TLTZ deceased, No. 00135 of 1995 TO: G>i~R!~LD FULTZ and I'JiARIE FULTZ, husband and wifeL (beneficiary) R. D. 1, Ellio .. bi~r~r~ PA 1702U. ( address ) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (~,;o) per Cent. Of resin ~ r~ Fa atP,~ aharA an ahara a],j,lra (if additional space is needed, use back of page) Name of decedent I.7ARGARET TAI. FULTZ Last known address 200 East Simpson St., tZechanicsburg, PA 17055 of decedent Date of death Tan ~ ~~•v2K, 199K Place of death Holy Spirit Hospital, Camp Hill. Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed IJame Address Telephone Dr. _Crai~; tid. Fultz-10 l•Jestwitid Drive, Lemoyne, PA 170l~.3-717-763-178. NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUT~4BI~LAND PENNSYLVANIA In re Estate of_ P~ZARGARET I~~Z. 1±'ULTZ deceased, No. 00135 of 1995 TO: LARRY BOOIi and JOYCE BOOM, husband and wife. (beneficiary) 707 Charles St., Mechanicsburg, PA 170,5 (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (5°u) per cent. of residt~ar~ Fstai:a~ ah~A and share alike LSee attached3 Si:atamPntl (if additional space is needed, use back of page) Name of decedent T•ZARGI~RET I-i. FULTZ Last known address 200 East Simpson St., I:Zechanicsburg, PA 17055 of decedent Date of death Tanuarv 2KF 1995 Place of death Holy Spirit Hospital. Camp Hill, Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is x is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone nr. Cram l~J. Fultz-10 Z•~estwiiid Drive, Lemoyne, PA 170la.3-717-763-1781.I. NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAI:ID PENNSYLVANIA In re Estate of T•1ARGARET P~I, PULTZ deceased, No . 0013,5 of 1995 TO : HELETJ E. 1~ [.TLTZ ( beneficiary ) 593 College Ave., Elizabethtown, PA 17022 (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: rive (5u~ ) per cent. of residuary Estate. ( See attached Statemen . ) (if additional space is needed, use back of page) Name of decedent P•ZARGARET I'•7. FULTZ Last known address- 200 East Simpson St., P•?echanicsburg, PA 17055 of decedent Date of death Tanuary~K.~ 19q~ Place of death Holy Spirit Hospital. Camp Hill. Pa. County of grant of original letters Cumberland Decedent died x testate intestate. A copy of the will is g is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Craig; bJ. Pu1tz-10 1•Jestwind Drive, Lemoyne, PA 17043-717-763-1784 NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OFCUMBERLAIdD PENNSYLVANIA Iii re Estate of 1`-1ARGARLT P1. PULTZ , deceased, No. 00135 of 1995 '1'0: DEBRA FULTZ (beneficiary) 593 College Ave., Elizabethtown, PA 17022 (address) Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows: Five (5~) ner cent. of residuary Fsfia+:a, (See attached Statement). (if additional space is needed, use back of page) Name of decedent r'IARGARET I~7. FULTZ Last known address 200 East Simpson St., Mechanicsburg, PA 17055 of decedent D~~tte of death .Tanuar~ 2K; 1g9~ Place of death Holy Spirit Hospital, Camp Hill, Pa. County of grant of original letters Cumb©rland Decedent died x testate intestate. A copy of the will is g is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Dr. Cram; l~~d. Pultz-10 Z~destwind Drive, Lemoyne, PA 17043-717-763-1784 Cr~Q f S ; fn.~ v.. m i.S'S iUi/n : ~?' /04. I q!v cam, - oJ. t.~.-u G~i 4. SG ~' S~,,v- N rn~~-~c~r .S Tn~~ r ~ ~r c,NV-~ ~~ M ~?~3Q ~tS r C,rJ~:2c..ir .20© F, Si,n~~sa~ S ; • lYi ~ci.l/~rv,cs Q ~2:•~ / 7Q('S_ ys zC ya: M ~ ~ ~a ~. -~ ~fa:tt,7tiD y~ !~y- zr9. 3ysr 'J C„i~iC /.~ y~A~iti~ /~G./Z (m l i ~k 5~ ~ lSio ~.~ M~u-s ~ ~'-4 17 2i3 s ~.'. ALAN ; a QRo -1ca~ / l i Sys}-. ~ ~' ~~'` r SQ _ G'c~ ~C ~~~ Lf1~i'~A Ft,~ 1.i-~ ib lt,J ~S .^w >,,,,~ ~K , Lfn,G~N~ PA 17093 `~ ' J i`AN j.(~~ ~Q ff~ ~owu 1~iii Rs,gd ~ ~o~ +c '~ n,,.,.~, , t~ i73~ ~ C3e~ zz~ 3rfa ~ ~~ ~~ p~ ; ~.~,~ 8.: > i 5 / ! 8 .SG r W LLc-va r ST r SN~un~•n:.c ru.~~ ~~4 ~7U ~ I r f3 ~~Y /4,viJ lenb~ra >CV~.-rZ f'l 814 - 3& 3 - 4472 ? 2~2. ~t 3s't~7i~ ~~~ - w. ~,~, Pa . t c s- ~3 ~ y .~' G, ecn~ ~~ 7Ybn~,~ f'u ~-~-z ~ `` ~ ~ro.o--rs~ ~ j PA i 7v Ly ~~. L.,oa,2y A.-.,o ~,7~ ~3 ~ 5~.~ ~~U 7 GNA.gIa~ /~~crJ,nr~, ~ 1,~~ /'A 70,-5' 55:3 C.pll~'i,.,~~ Ai'~... F(r'ta~eru~...... PA 17c12L s `~3 c_~ i, S ~, ~. A-.~z ~-' ~ v,•~a-a.~-~,..w. ,P>, 7 762 Z . A 'a STATUS REPORT UNDER RULE 6.12 Name of Decedent: I~iARGARET P•Z. F'ULTZ Date of Death: January 25, 1995 will No. 1994-00135 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-.captioned estate: 1. State whether administration of the estate is complete: Yes x No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: _ 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No' x b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes x No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may bea~.tached to this report. Date: Dec. 26, 1996 ature O L~ ~ ~ ~; ~. cv _, _ ~~ _~ c _ ~, ~~ rn m~ UU (MAH:rmf/AM3) J. Robert Stauffer Name (Please type or print) P•Zarket Square Bldg. P~Iechanicsburg, PA 17055 Address ~ 717 766-9673 Tel. No. Capacity: x Personal Representative Counsel for personal representative