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HomeMy WebLinkAbout95-0282 H106.1~3 Rev. aAl7 TYVERRmr M eucu e s Z This is to certify that the certificate hereunto attached is a true and accurate copy of the original death record on file with the Division of Vital Records, and that Frank Yeropoli, whose name is subscribed thereto, was at the time of subscribing the same and now is Director, Division of Vital Records of the Department of Health, for the Commonwealth of Pennsylvania, duly appointed and commissioned as directed by Act 66 of the General. Assembly, approved 29 June 1953, P.L. 304. Date Auc i +s root Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLWINIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH U C .~ ~. C R NAMEOFDECmEHf(FYp,MWW,tap) 8EX 90001L 9ECURRY NUMBER D/BE OF DEAl11Mor1~.Dry. leer) ~ +• Robert Grant Crist 1 Male 1 201 - 16 - 1789 f 1 S AtiE(Ltl BkaMey) ta+DER1rEAR uNDEII7oM D.vEOP BIRTH BIRrNPtAr.El~ar.nd PLACEDP DEIaNICl+ak arN orr-ar hrlctlOr.On onridy MOrMe D•re Nrpe ) MseM (Mann,M.l•e0 SubsCanw» I,DBp,D~ m,~,,, 70 n. pt.19,192 rCarlisle,PA "^ ER~oIa./•N^ ~^ H~ Rrridrrr^ ^ / couNrrOFOEaH aTr.eoRO,TwPOFDFAH NAMEInarirYlUian.groraNwr..aeer) a~B DEHroPNL9fMNICGNGII/T RACE•Aerrkerlkeaen,BbrA,Wk/e,NC ! ~~ ~~"' ~ Cumberland Co. ~aalp Hill &eader Nursing Center -~. White ,1 DECEOEairBUevALDCwReaN wNDDPBUB//ESSTIDUSTRY vwsOECEDEI(fEVBI/t OECEDEM'8 MARTBtLSOauB•Mrrbd suRVrvwGaPDUSE khdal rrkerr map a1w«MrgMr, dosau.) U.S. PDRCESr ^ ~ Co/.s. N ~ arr~I...a»mde.~nrny Historian ~lucation , "" "° ,112 X612' 8 "'°B" harried {~hristine Myers °ECmE"r°M"B~°"°°REaB~~..ccar'ra,".s.'"n°c°°" °ECEOE"''3 Pennsylvania "`~°• "`^ "' °idd "' °" 1915 Walnut Street RESIDENCE ~,,, ' 1 "i "" Camp Hill, PA 17011 ~~ ` Cumberland b•+r+Pr Cam Hill ' ~we "~: as ~~• p , rakb /• al__ RR/ER'8 NAMe lF a MIOOe, LAW 'S NAMEp9raL MidOA MNan s«arrr) Robert W. Crist ,,, Alioe Grant /FORIa1WPS NAME (TyPNp•0 iNFDnAANr'B wA/./IB ADDRESSplrel, CYII6wn. sr.. IpCOde) Christine s Crist 1915 Walnut St., Camp METNOOOP DrvE OFDLSVOSrtIDN c^ ~~^ ~ PLACEDP OBPOMI1oN-NrwgCrrMers Cr•rex, LacAaIDN-c/,+r wo,srr, 2)p Car «~~ ~rNb• ^ Feb. 1, 1995 a,a Hill Cernet r ~p ~Y wimp Hill, PA 17011 _ GP RxIERAL IA:~ENBEEOR AcrBtG AS SUa+ IJCEH9E NUMBER - NAMEANO ADDRESSOP R\CILITr ,,,, FD-013163-L ,m, Musselman Funeral Home Inc. , PA 17043 seeraaeeorsy rw/kKl reNer/WbMtlme«e..wb meMtdml~breba/•.e.rsdwe,.dNm•un.,erewPbuNe1M. LICENSE NUMBER ~Syml«•.~arpy DATE SIGNED orrecfpeen. PA«~.D•x~a«) ~~r~ W oFDEiDH PRONOtSIC;ED DEADIMOM.Ce%lter) CASE REfEHREDro MEDICAL E%A-SNER7CORDNEm ta. RM1T 1: ErrlM dueee•e. inWlr«MrrlpBCee0rr r1eElr eelNM tlrdeetlr. Da eql enbrlM ey4p, rltllr « amrL Neck «herl/Y«•. I Arla PARE/: odld/rr adrbWrN/b dW", bM Lufrl, arr orre on each M. ~ j«WlandEeNk uAOrl,ln/CNIN yvrbPART 1. CMNlIFkW deeer«eOndlCOn ' I Y'e~ ~ ~n ~_ Iar6pFEMi)-- a yNplyyv R DUE roloR AS ACCNSEOUENLE OF): ~ _ ~ ° ~ ~~'~' io keener DuEroIaR AAS CoNSEGUeNCE Ord: /••/ ErrUMDMLrND I CAINEIDirre «kMry c. i )eeen~LAST DUEro(D=-ASACONSEWENCE DF$ I '_ rwsANAUIDVSV r+EREAUIDPSrgNDINGS MANNERaPDEATH acEOCINJURr nMEDPauuRV Iwuaraworac, oESCRIaEHavsuuRraccuRREO. PERPORMEDr A1RIABLE PRgRro (MOM.Da. Yeer) aF DEA7H7 aF CAUSE NrrrN ~ NOOYCir ^ ~D's'.i. lb ^ No ^ ^ Auirre ParrdYq lmrtlpelbn ^ ~ ^ w ~ w ^ Na ^ srANa. ^ caaMaata.dM.,mkwA ^ M• PLACE GF iwuRr-AI cant, hnn, pwel, k.lOry, olfu LOCR1oN (Step, C'ryRO.m, SIeM) .~. ass. a.. ar. aa. CERRPa (CIr•ak •~'•~ 'C61tlrrG PNYSICIAII (PI~Yprien ap'tlyinG creed a.r, vnen enrlw P"Ypc+Olres pondnfw ae.m end aamde,.d nam 23) Te MU l f b r SpNATURE AND iRLE OFCERfIF1ER w o rr •q ~/e,pee/rearnnw OwblM Uerh)enp everrrebkq .....................: ^ ............................... S ~ ~A, t•. •PRDNDI/tewG AND CERTIFYNO PNrSIpAN IPeYecr~ ban pronore:'vq deem end earoAy'eq b err d awn) LICENSE NUMBER DiQE 9gNED (MOM. Dey `Mrt _ M 'Z roars.nae.wkea.auB•.a.rseaa..www.un..a.e...ndP~••.••eauebBrer.•(q.wmr..rr,uMa .......................... ~ ate. 0 , te. 2 NAME AND ADDR ESS OF PERSONNM1q COMPIFTED GP mom 2~r, ~.«rnnr On IM6eW aRe~rMnMlon~~a ImretlBMbn. h mN •P~. MpNI oxwr•tl et Br Wr. dMe. antl Plee•. rW dw w tM cwWe) rN !~ r ~ ~.Q~IV S ~ ~•M 1 V j rrrrr r Nsre ............................................... . st. ............................... ................. ^ ' a1 o b 5`.faY: . ~ r 171 of REG18 IMR'3 3gNATURE AND NUMBE A~ DALE RLED(MaM, by rrr) aa. , "" >•. ~~ ' U } j y ; {~ IIV R ©~ ~~3 ~ R`~ DITlS CLAIMED U V ~ O1~tMONWEAITM OF PE YWANIA ~ i V TE TO EILE N MdIZR ~ ~~ t~ DEPARTMENTOf R NUE ~ BC c~r~ irv uuruc.Et 21 9S o2s~ tit NARRI ~ RG PA 671 ( ~" ~rl ' ~ W'T EGiSTER OF WILLS) S . X-0601 J - a COUNTY CODE YEAR NU.ti DE T'S NAME (LAST, FIRST. ANO MIDDLE INITIAy DECEDENT'S COMfIETE ADDRESS Robert G. CRIST _ 1915 Walnut Street , 17011 = I ~ W a1TY NuMSER oP rH DATE or BIRTH C,$m~ a. an Hf ll t Penns~* v 1-16-1789 /27/95 9/19/24 Cu14be>~land W o AP/lIG-HEI SuRV1Y1lq irOYiE'S NAr! pASr, tl SOdAI SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRULTIONSI Chi t, Christine M. 17420-7173 ~ 1. Original Rewrn ^ 2. Suppiemetltol Rewrn ^ 3. Remainder Rewrn es = ~ =ao" ^ 4. Limited Estate ^ 4a. Fuwre Interest Compromise (For dines of death prior to 12-13 ^ 5. Federal Estate Tax Rewrn Require ca s ~ m (for dma of demh after 12.12.82) 6. Dendent Died Testate (Attach copy of Will) ^ 7. Deaadetlt Maintained a Living Trust (Attach wpy of Trust) _ 8. Total Number of Safe Deposit Bay ALL PONDENCE AND CONFlDENT1AL TAX INFORMATION SHOULD t!E DIRECTED TOt ~ : ~'e ; ,~~ = •.. . Z 0 NAM James D. Flower, Esquire 11 ~ast g E~txeet o 3 ~,~ lErHO NUMBER Carlisle, Pennsylvania 1701 7 243-5513 Real Estate (Schedule A) (1) ''~--- : n n ~ ' 2. Stocks and Bond: (Schedule 8) r~ 242 054,55 . 3 ~ , c~ ~ n _-- -- 3. Closely Held StodJParntenhip Into»:f (Schedule C) .(3 ) ~ ~„ ~~ o '~ 4. Mortgages and Notes Reeeivabb (Schedule D) (4) _----- ~ ~- ~+ . S. Cash, Bonk Deposits ~ Misuilaneous Personal Property ' N_ J ~ C't ~ `'~ o lointl Owned Property (Schedule F) ~ (6) °°° ~ c ~~> ~~ „~ v ~ Tron:hr: (Shcedub G) (Sdiledub y (7) ------ a ~ c _ , ~' O . d '~'` '~~ /~ ~~ .Total Gross Assets (total line: 1.7) 10,183.34 9. nera! ExpenseB, Administrotiw Costs, Misceilaneow (,~ ,,~cPense: (Schedule H) ~/ .Debts, Mortgage Llobilitia, liens (Schedub I) (10) ------ 11. Total Deductions (torol Lines 9 6 10) 12. NN Value of Estate (line 8 mint: Line 11) 13. Charitobb and Gowrmmental Bequem (Schedule J) ~_ ~ ~' ~ ' ~ $ ` 14. Net Value Sub)ect to Tax (L3ne 12 minus Line 13) None, see schedule J "'" "(g ~ Iy 11) (12) (13) ) 331, bUS . lU . 10 183.34 321.421.76 -°--- 15. Spouwl Tronshr: (for dates of death after 6.30.94) I S i f l ~y~Qt~ ~ ------ ee nstruct ons or Ap~PEcab e Percentage on Rever» (15) Side. (hxlude values from Schedule K or Sdhedub M.) x. 16. Amount of Line 14 taxoblsi at 6!6 tine (16) (Include values from Schedule K or Schedule M.) x .Ob = ~ ------ 17. Amount of Lane 14 taxable at IS46 tine (17) x .l5 s ------ z (Inofude voices from Schedule K or Schedule M.) o 18. Prindpal tax due (Add tax from Lines TS, 16 and 17.) (18) ------ ~ ~ 19. Gedits ouso! Pov Gediz Prior Payne SP ~' nts Discount Intere:t ~ ------ • 6,300.00 + ------ _ ------ - (19) 6 300.00 ~ 20. If Line 19 is greater than Line 18, enter the diHe»nce on Line 20. This is the OVERPAYMENT. (20) 6.300.00 ~~ .. - 2 1. if line 18 is greater thou line 19, enter the diffe»na on line 21. This is the TAX DUE. (21) A. Enter the interest on the baiana due on Line 21 A. (Z 1 A) ------ 8. Filter the total of We 21 and 21A on Line 218. This is the BALANCE DUE. (Z]B) -'---- Macke Clads Payable tss Register of Wills, Agent ~ ~ 8E SURE TO ANSWER ALL CUESTIONS ON REVERSE SIDE AND TO RECHECK MATH t ~ er psnaltles of perjury, I dedo» that I haw examined this rewrn, including aaomporiying schedules and statements, and to the best of my knowledge and beii~ true, correct and compleM. I dedo» thin oil real c=rate has been reported at true market value. Declaration of prsporer olhei than the penonDl represantotive ~d on all information of which preparer has any knowledge. •iURE OE.PERSQN RESPONSIBLE fOR f1UNG TURN ADDRESS `> ~ v ' ' I ~ ~ i DATE, C , c ~ ll ~ ( ~ ~ .~ I •iU E OF PREPARER OTHER R r [ ENTATIVE ADDRESS _ OA , . .J --- . REV•1502 EX+ 112.85) SCHED~~iiU~.. LE A COMMONwEAITH OF PENNSYLVANIA REAL iG7TATE ESTATE OF FILE NuMi3ieR CRIST, ROBERT G. 21-95R~282 (Property jointly-owned with Right of Survivorship must bo disclosed on Schtadulo F) Ail roof estate should bo nportf:d at fair morkot vaiu• which is defined as the price at which property would be exchanged between a willing buyer and a wining seller, neither being compelled to buy or soil, both having reasonable knowledge of the relevant facts. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. N/A TOTAL (Also enter on line 1, Recapitulation) I $ llf more soace is needed, insert additional sheets of same size.) REV•1503 Ex+ .a•86) ' ~ , `~~`~ SCHEDULE B COMMONwEAITH OF PENNSYLVANIA STOCKS Af~ID BONDS CRIST, ROBERT G, 21~95~0282 (All property jointly-owned with Right of Survivorship must b~ disclosed on Sch~dtul~ F.J ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATFf 1• General 1~otors 46 shares at 37.75 1,736.50 2. P P & L 946 shares at 20.1875 19,097.38 3. Corestates Fin. Corp. 288 shares at 27.00 7,776.OU 4. Exxon Corp. 1400 shares at 62.8750 88,025.OU 5. Norfolk So. 260 Pref. A 1 at 37.25 37.25 6. American Express Co. 436 shares at 30.625 13,352.50 7. Saolmon Brothers Fd. Inc. 1000 shares at 11.0625 11,062.50 8. Dauphin Deposit Corp. 4208 shares at 23.625' 99,414.OU g, Statewide Bancorp..N.J. 13.;508 shares at .1150 1,553.42 TOTAL (Also enter on line 2 Recapitulation) I $ 242 X54.55 nt ......a ~.,~~A ;~ „ooao,; :,,.Art ~dd;tional sheets or' some size.) REV.1304 EX~ (7.83) ' COICAMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C" CLOSELY HELD STOCK, PARTNERSHIP AND PROPRIETORSHIP ESTATE OF FI LE NUMBER CRIST, ROBERT G. 21-95-•0282 (Schedule "C•1" or "C•2" must bs attached for each business Interest of the decedent, other than a proprletonhip.) ITEM NUMBER VALUE AT DATA DESCRIPTION OF DEATH 1. ~ N/A TOTAL (Also enter on line 3, Recapitulation) ~ S (If more space is needed insert additional sheets of same size) SCHEDULE D MORTGAGES AND NOTES RECEIVABLE CRIST, ROBERT G. 21-95-0282 (All property (ointly-owned with Right of Survivorship must b~ disciosod on Seh~dulo F) ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1. N/A TOTAL (Also enter on line 4, Recapitulations (IF more space is needed insert odditional sheets of same size.) ____ _ __ ~~~ CASH, BANK DEPOSITS AND . ' ci~+oNWEAt7H OF /ENNSrIVANIA MISCEi.LANEOUS • ' R~~ o~~ " PERSONAL .PROPERTY Please Print or Ty e ESTATE OF FILE NUMBER CRIST, Robert G. 21-95-0282 (All propeefy joinNy.ewnrld with thra Rtght of Surviwaehip anwf be disdeeed ow Sdbedule F) (TEM DESCRIPTION VALUE AT NUMBER DATE CF DEATH 1. Stamp Collection -sale price 2,548.00 2. Checking Account -Harris Savings Bank SI8.55 account number 0400010977 Savings Account -Harris Savings Ba~ 2,895.59 account number 04-60-001896 ~tatement attached PSECU -- IRA Share Certificate C3 83,169,98 ~ Accrued Dividend 418,43 TOTAL (Also enter on line 5, Recapitulaljon} $ 89 , 5 .55• (Atroch additional 81h" x 11" shesra if moro spate is needed.) AE1RI311 EX• P-tN SCHEDULE {~ . . ' ~, a . ~ ~NERAL EXPENSES, t:OMMONwEAtiFt ot= PENNSYLVANIA ADMINISTRATIVE COSTS AND INNERITANCETIJf RETURN MISCELLANEOUS EXPENSES plps~ print or Type RESIDENT DECEDENT ESTATE OF UJM CRIST, ROBERT G. 21-95-0282 ITEM DESCRIPTION NUMBER A. Funeral Expenses: ~, Musselman Funeral Home 2. Romberger - grave 'stone 3. Trinity Lutheran Church - funeral lunch ~~ B. Administrative Costs: 1. Personal ReproseMatiw Commissions _ _ Soaal Security Number of Personal RsproseMatiw: Year Commiuions paid 2. Attorney Fees 3. Family Exemption l ~`~ Claimant Christine M. Crist Relationship spouse / `` Addross of Claimant at decedent's death Street Address ' Gty State Ztp Cods . 4. Probate Fees Register of Wills-Cumberland County C. Miscellaneous Expenses: J. Roger Gratz - stamp collection appraisal 2, John G1ise, Inc., Realtor.-real estate appraisal 3. Register of Wills - short certificate 4. Sullivan Co. Real Estate - real estate appraisal 5. Harrisburg Hospital 6. Dauphin Deposit Bank - safe deposit box 7. Board of Pensions Med. Plan 8. Capital Health System AMOUNT 6,530.50 288.OU 34.80 2,000.00 232.00 87.50' 250.00 3.00 150.00 138.00 91.50 240.00 138.00 TATAf /Ale., ewl~r nn linty 9_ R~rnr.ih.lafien{ ~ S 10 ~~3 e 34 (if more space is needed, insert additional sheets of same size.) REY-1312 EX+ (7-83~ COMMONWEALTH OF PENNSYLVANIA SCHEDULE "1" INHERITANCE TAX RETURN DEBTS OF DECEDENT, RESIDENT DECEDENT MORTGAGE LIABILITIES, AND LIENS ESTATE OF r(I.t numnen CRIST, Robert G. 21-95-0282 ITEM NUMBER DESCRIPTION AMOUNT 1. ~ None TOTAL (Also enter on line 10. Recapituiationi ~ •~- - -- ~- ------ ~_--- _..a:.t,,...~ chwwre of came size) ,ssw~su si: ~2-al sCHEOUI.E ~ aws~urn a..emr:n~,wu- BEN EFICIARIEs eaaerswa Tex asnra~ o~ CRIST. Robert G. 21-95-0282 NUMBER NAME ANO ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxable Bequest:: ~ • NONE All bequests made for the benefit of decedent`s wife or in trust for her benefit for life. AMOUNT OR NUM ER NAME AND ADDRESS OF BENEFICIARY SHARE OF ESTATE 8. Charitable and GovernmsMal Bequests: ~' - NONE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) I5 (If more space is needed, insert additional :beets of same size) ~~~t ~i1I ~tn~ (~1P~tttmPnt OF ROBERT G. GRIST I, ROBERT G. GRIST, of the Borough of Camp Hill, Cumberland ', County, Pennsylvania, do hereby make, publish and declare this as i f ~ and for my Last Will and Testament, hereby revoking and making i void any and all former Wills, Codicils, or writings in the nature thereof, by me at any time heretofore made. 1. I hereby order and direct my Executrix, hereinafter named, to pay all my just debts, funeral expenses, testamentary expenses and all inheritance, estate, transfer and succession F f taxes, as soon as may be conveniently done after my death, out of my residuary estate. 2. I give to DAUPHIN DEPOSIT BANK AND TRUST COMPANY, and its successors, of Harrisburg, Pennsylvania, the sum of Six Hundred Thousand ($600,000.00) Dollars, IN TRUST NEVERTHELESS, to invest and reinvest, and pay all of the income to my wife, CHRISTINE M. CRIST, in quarterly or other convenient installments, as long as she may live. The Trustee may make payments to others for the use and benefit of my wife to assure her welfare, comfort, maintenance and support. Should the income, when taken together with other income she may have from 1 other sources, prove insufficient to properly provide for her welfare, comfort and support, then the Trustee may, in its sole discretion, pay whatever sums it deems necessary and appropriate to accomplish the purpose out of the principal of the Trust, as well as the income. Should I die with insufficient separate assets to fund fully this Trust, it shall be funded to the maximum extent possible. Upon the death of my wife, the Trust shall-terminate and i all assets of the Trust shall be distributed in equal shares among my three children, CATHERINE CRIST MARCSON, JESSICA CRIST GRAYBILL and ROBERT JEFFREY MYERS CRIST. Should any one of the children be deceased at the time for the distribution of the assets of the Trust and have issue surviving, the share of such deceased child shall be divided in equal shares among such issue. Should such deceased child die without surviving issue, the share of such deceased child s-hall be distributed equally among my surviving children. 3. All the rest, residue and remainder of my estate, I give, devise and bequeath to my wife, CHRISTINE M. CRIST, absolutely. 2 4. Should my wife, CHRISTINE M. CRIST, fail to survive me, I direct the following distribution of my estate: (a) I make the following specific. bequests: (1) Five Thousand ($5,000.00) Dollars to CATHERINE CRIST MARCSON; (2) Five Thousand ($5,000.00) Dollars to JESSICA CRIST GRAYBILL; (3) Five Thousand ($5,000.00) Dollars to ROBERT JEFFREY MYERS CRIST; The above three amounts to be paid as soon as possible after my death to reimburse them for expenses attendant to their participation in my funeral and as an early distribution in the settlement of my estate; (4) Five Thousand ($5,000.00) Dollars to the CUMBERLAND COUNTY HISTORICAL SOCIETY, such sum to form part of the Society endowment, the income from it to be used exclusively to help pay for the cost of printing Society publications; (5) Five Thousand ($5,000.00) Dollars to the WEST SHORE PUBLIC LIBRARY, such sum to he part of the library endowment as a memorial to ALICE GRANT CRIST, the income to be used to purchase books; 3 (6) Five Thousand ($5,000.00) Dollars to GRACE UNITED METHODIST CHURCH, State and Susquehanna Streets, Harrisburg, Pennsylvania, as a memorial to ROBERT W. GRIST, to be held in perpetuity and the income to be at the disposal of the Trustees of said Church; (7) One Thousand ($1,000.00) Dollars to FAITH MYERS FLOWER, if she survives me; (8) One Thousand ($1,000.00) Dollars to EUNICE MYERS ROGERS, if she survives me; (9) One Thousand ($1,000.00). Dollars to JANE MYERS SELLER, if she survives me. (b) All the rest, residue and remainder of my estate, I direct be distributed in equal shares among my children in the same manner as provided upon termination of the Trust hereinbefore set forth in Paragraph 2, upon the death of my wife. 5. I hereby nominate, constitute and appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY and its successors, of Harrisburg, Pennsylvania, Guardian of the estate of any child who may inherit under the terms of this Will, while under the age of 18 years, and for whom such a Guardian may be necessary. 4 6. All principal and income shall, until actual distribution to the beneficiaries, be free of the debts, contracts, alienations and anticipations of any beneficiary, and the same shall not be liable to any levy, attachment, execution or sequestration while in the possession of my Executors or Trustees. 7. All estate, inheritance, succession or other death taxes imposed or payable by reason of my death, and interest and penalties thereon, with respect to all properties comprising my gross estate for death tax purposes, whether or not such property passes hereunder, shalt be paid from my residuary estate as an expense and cost of administration of my estate. 8. I hereby nominate, constitute and appoint my wife, CHRISTINE M. CRIST, to be the Executrix of this, my Last Will and Testament, she to serve without bond in the Commonwealth of Pennsylvania, or any other jurisdiction. In the event that my wife shall predecease me or be unable to serve as Executrix or complete the administration of my estate for any reason whatsoever, I hereby nominate, constitute and appoint JAMES D. FLOWER, JR, as Executor hereof, he likewise to serve without bond. 5 IN WITNESS WHEREOF, I have hereunto set my hand and seal this 8th day of October 1988. ~. ,~., ~ _~'l I L~ ~••. t~f..~ ~...1... \ !'rui~` ~ SEAL ) Robert G. Crist SIGNEQ, SEALED, PUBLISHED and DECLARED in the presence of: 6 COMMONWEALTH OF PENNSYLVANIA ) SS.. COUNTY OF CUMBERLAND ) I, ROBERT G. CRIST, Testator, whose name is signed to the attached or foregoing instrurent, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me, by ROBERT G. CRIST, Testator, this 8th day of October 1988. ~ ~+ U ~~~~ C~~- Robert G. Cris , Testator ~, Notary Public NOTARIAL S`AL LAURA A, ©IS7LINE:. Notary Public Czrlislc. Cumberland Canty My Commission Expiras P:Isrch 26, 19x9 ~~..G„..~....._ 7 COMMONWEALTH OF PENNSYLVANIA ) SS.. COUNTY OF CUMBERLAND ) We, JAMES D. FLOWER and FREDERICK H. SPECHT the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator, ROBERT G. CRIST, sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or .affirmed to and subscribed to before me by JAMES. D. FLOWER and RF;DF.RT~ H_ SPFC'NT , this 8th ~ day of October , 19881. I 1 r,~ r _ h ~ ~1_ _ 1 - -~__ i Hess - Witness 1 _ -- l~ / /1 Notary Public NOTARIA AL LAURA A, t31STLINE. Notary PuGlic Carlisia. Cumber!anE County i'.1y Commission Ek~irrs March 26. 1989 _-~_ 8 .' :J COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU GF INDIVIDUAL TAXES INHERITANCY• TAX DIVISION NOTICE OF INHERITANCE TAX DEPT. 280601 APPRAISEMENT, ALLOWANCE OR DISALLOWANCE HARRISBURG, PA 1~1za-oboe OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EN RfV (12-94) DATE 12-23-96 ESTATE OF CRIST ROBERT G DATE-OF DEATH 01-27-95 FILE NUMBER 21 95-0282 COUNTY CUMBERLAND JAMES D FLOWER ESQ ACN 101 11 E HIGH ST Amount Remitted CARLISLE PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS 1 ---------------------------------------------------------------------------------------------------------------- REV-1547 EX AFP (12-96) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OFD DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CRIST ROBERT G FILE N0. 21 95-0282 ACN 101 DATE 12-23-96 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estat• (Schedul• A) (1) .00, NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) 24 2,054.55 credit to your account, 3. Closely Hsld Stock/Partnership Interest (Schedule Cl (3) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this form with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedul• E) (5) 89.550.55 tax payment. 6. Jointly Owned Property (Schedul• F) (6l .00 7. Transfers (Schedul• GJ (7) .00 8. Total Assets (g) 331,605.10 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedul• H) (9) 10,183.34 10. Debts/Mortgage Liabilities/Liens (Schedul• I) (10l .00 11. Total Deductions (11) 10 . 18~ _;4 12. Net Value of Tax Return (1P) 321 , 421 .76 13. Charitable/Governmental Bequests (Schedul• J) (13) .00 14. Net Value of Estate Subject to Tax (14) 321,421.76 NOTE: If an assessment was issued previously, lines 14, 15 andior 16, 17 and 18 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) •00 X .00_ .00 16. Amount of Line 14 taxabl• at Lineal/Class A rate (16) .00 X .06. .00 17. Amount of Line 14 taxabl• at Collateral/Class B rate (17) •00 X .15. .00 18. Principal Tax Dw ( lg ) . 0 0 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST (-) AMOUNT PAID 04-26-95 AA023086 .00 6,300.00 TOTAL TAX CREDIT 6,300.00 BALANCE OF TAX DUE 6,300.000R INTEREST AND PEN. .00 TOTAL DUE 6,300.000R IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ REV-1470EX(5-94) PROBATE 12/12196 INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA OF CHANGES DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 260601 HARRISBURG PA 17128-0601 Robert Crist 2195-0282 ACN 101 SCHEDULE ITEM NO. EXPLANATION OF CHANGES The amount on line 15 does not include assets passing to a trust or similar arrangement for which a Section 2113 election has not been made (72 P. S. 9113). The reported values of the excluded assets have not been verified by the Department of Revenue. TAX EXAMINER: Blll I_yOnS FILE Copy PAGE 1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION I N H E R I TA N C E TA X DEPT. 280601 HARRISBURG, PA 17128-0601 STATEMENT O F A C C O U N T REY-1607 EM ,fR (12-9p JAMES D FLOWER ESQ 11 E HIGH ST CARLISLE PA 17013 DATE 01-06-97 ESTATE OF CRIST ROBERT G DATE OF DEATH 01-27-95 FILE NUMBER 21 95-0282 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit th• upper portion of this form with your tax payment. CUT ALONG_ THIS LINE __-____ RE_TAIN LOWER P_ORTI_ON FOR YOUR RECORDS ~ REV-1607 EX AFP (12-961 ~~(~ INHERITANCE TAX STATE -"-- ----'---"-'----------- MENT OF ACCOUNT ~~~ ESTATE OF CRIST ROBERT G FILE N0. 21 95-0282 ACN 101 DATE 01-06-97 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-16-96 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST (-) 04-26-95 AA023086 .00 12-18-96 REFUND .00 TOTAL TAX CREDIT AMOUNT PAID 6,300.00 6,300.00- BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), Vnll MAV RF nI1F O RF FIINII CFF pFUFpCF CTDF AF TNTC FApM FAA TNCT p11rTTflNC 1 00 .00 .00 .00 .00