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HomeMy WebLinkAbout95-0310~I q5 ti3io l y N,05.,~3Hev.?147 rrr~r+uNr rsnuNO+r euac w+c 9 . Z 0 U O 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. AUG 16 200T S ? • Date Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLIMNIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH 036843 ~w•.~~ _ ru-tsaFO~rff.. ~uaw.i-ya sacu~sEaman~a~eEn o~oroEaN~war~.os~wv, +. Dr. Edgar A. Henry Male >L 207 - 30 - 6727 ~ /%~ j , AOEtI•f BNr.r„ u++DH1+rEM lN1DE11+DR' DaFOSein'+N enl+rtwC~Ka,ra n~aaso~+tpa~.v,«+rd»-~,..:..~c.o•.anan. wn NonYls I D•w Npn = y„A,• cam. D•K w.n SYro vaq~ ca.ort 90 YR ~eb.23,1905 eedsville, PA "a""'"^ E"'a~"^ ~^ ~ Q~nre.,r^ p ~ CdM+NOf OLiON Q+V, 9DND.lYY-OF OER/I NAAtEMAaowrm. v~•rw rOnndK, 1W OECEDfl(fOfNeMlAC ON61p7 IIAf.E-AmNkfI1MMYL 8NfJ~tMW. rc ~ Cumberland ~ Lower Allen Twp. "~~^~+~•~ White • +~. Nam aNDOFOUS~ssANDUSrnr ~Sr.wnea.a4m. nmr U.E. N - sED1+CA7+oN wr.~ Ats~wMewa n m.io.r.,.nq ++ Minister ited Methodist Chu ~ ~'~ +~ Widowed'~n ,~ t ~~~~~'~`'a°~ +s.s+r PA ~ ,M® N•,~,a,s„•~ Lower Allen 910 Park Blvd. ~~ Altoona, PA 16601 •+~.~ +,~ Cumberland M na^.rr~r~ d x ~xsww¢R+. wm. a.o NAAte era Naa.. N.aAs.A.ny Solomon Henr N .~awwrsww[osor++a J. Yvonne Winstead -Marw~oo~ssa..aor~+e.•.sr..aoc•w rnNOOOr ora 910 Park Blvd. Alto na P ^ w•~w.iwanar.^ eroertnN °i~wr~ rMRasol9roetrgN-N.racrw~a.Are~,. «wrrra Loc~atDN•ai,+ie.A,swwaocor ^ owww^ o . asns+eu- uctNaEa rensaN soar ril 17, 1995 NUM Rolling Green Memorial Pk. ~ Cam Hill PA 17011 EA ANDAaDNeseosrACUrr FD 012342-L zx.Stone3Murr FH 4 N rA~i+ wrMrr~iraer~w ~~ a..n ew...narer w..ar rsAwar.a uc~r~r~~ o~vESaw® errar.w Q,' o.,~+r.n ~~er DE~aN rnatouMC®ouo APtarJV rr~ c~s[aorowEO~rx ~- w x ~ ~b w ^ MoCtiY A.rIM-t ~~ ~ ~p~~tps~ypy Mtltlt uirWlMdNM. nprMwYrnoMdgAy,wrLr an+Y+Wyutwl.aMtl~alrM Nin. ~Ap~rU MI1T! OYrMWlkrl mtWrrrriulYggAM1Wt _~ECMR[ ~ ^ ` //{ I/~1 ~ .f~ 'awlarbrl AEI NNrllpwtlUllAl~I,YlOrr•dYr YI MR'fl. ' ~~ t^M c t- V --A O~IQ i w.+W,u ~n ar9---- l.J~ tiC NO DoE ro IDN As ~ Ca6EOUE NCE UFl: ` ~ ~ ~••t w nuEmla+~s~cansEa~rice ak essss.fwrlMOaRI~MO CMM[lffw•wai~up M•IYiif.hC w~iY aA<10 (pf A$ACOKSEQU[NQ:Oij wwiYV nOr1111Af1 ~ ANAU1pP9V NElE A1110/SYFVIgtN39 WIWIER OF DEA711 DA7EpF iMJ11Y TWEOFIWUgY INIURY ATYYDgN7 DESGi1BE 110W MhMYOCCUWiED. roronNeDr ma+ro / D.r,+~1 oscAUSe B' ^ o~oNf Nr•Y - AaYtlY• ^ vwtiiq Yn•rpYlon ^ NM ^ No ^ w ^ No kr ^ N• ^ 9J des ^ Ca~Ad na is OwennYwa ^ FIwcE OFaaIURr-N honM tMm wnw la lpy{alllcl y WGRION . . . ISar.CMT .srM ~~ ]f. ~ we P..a•c+N ~Of CeRl1611Grd. mlpmN uromtea- r • wnarLw ~ ~ A~ t rK~~wr~no.,..aa..nw...a.~n..vn+~+~rwva.a.~c•oarn,m~gMrha•x~l rya••Asp,reNOe••nwawburewryp••emrwrr•bYl .........................1.......................... , -~rtl10 AND asmrnq FlltSIfJAN 1iTY OaOippavKygfM~YtlcMfy~p bcawdtlMn) "`~"'E `~ ~J ~E •/~ •ryMwbM•.0•wl~reun•AMIIr b~r,M.AM Wr. ensOr MYy erw~q rMtnwrrwiW ............ . ^ Its. O ( ~r t6 . ............ NAME AND ADORE W/q pp •~•~r~••+krton.~,~w•o~t~rt.a..u,«~..arw.um..ar...~rw.~...~av.t•~t. ~~t,znT,~.~, 6rF U~.aA. ~ 4,.r~~y,~ ~ uusNsl •na rrN»rrsww „ ................... ... ^ ~L7 N Zl L 3 f ('l~'LL( O~Q ~ ss/r.Naur+EArowN~n_,i oicew~DCwr~.D.xw.t 76 ~~ ~ pt /c M ;, .,~.~~, b~J~~. JNWEAIiH OF PENNSYLVANIA EPARTMENT OF REVENUE /vI DEPT. 280601 IRRISBURG, PA 17128.0601 z 0 W 0 W H ][GY v =oo U d ii0 a N ~ W = W O 2 V z 0 a a HENRY, EDGAR A: RITANCE ~i X RETURN 4 ESIDENT DECEDENT (TO BE PILED iiV bUt~LICATE WITH REGISTER OF WILLS) 1 A SPOUSAIDUTH AFTER 14l~ 1/91 CHECK HERL b POVERTY CREDIT IS CLAIMED ^ C, fllE NUMBER COUNTY CODE YEAR 21 95-03 511 Park Avenue DATE OFBIRTM New Cumberland, PA 95 2/23/1905 count Cumberland 17070 cfY'IA1 ccr1~~ITV u~~u •e• ....-...._ __~_...__ .___ 207-30-6727~~ I4/ (li A-IIKM/El SUNVIVING SIOUSE'S NAME ILAST, IIIIST ANO¢M' N/A . Original Return ^ 4. Limi-ed Estate .~' -' Decedent Died Testate (Attach copy of Will) ALL CORRESPONDENCE AND CON NAME Diane M. Rupich, ^ 2. Supplemental Return ^ 3. Remainder Return (for dates of death prior to 12-13.82) ^ 4a. Future Interest Compromise ^ 5. Foderal Estate Tax Return Required (for dates of death aher 12-12-82) ^ 7. Decedent Maintained a living Trust ,_ 8. Total Number of Safe Deposit Boxes (Attach copy of Trust). IDENTIAL TAX INFO TION SHOULp BE DIRECTED TO: Esquire ` MFLEEMAILINGADDRESS 101 S. Second Street ~,,,,.~Executive House, Suite L1 Harrisburg, PA 17101 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages and Notes Receivable (Schedule D) 5. Cash, Bonk Deposits 8 Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) (Schedule L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses, Administrative Costs, Miscellaneous Expenses (Schedule H) 10. Debts, Mortgage Liabilities, liens (Schedule I) 1 1. Total Deductions (total lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line l l j 13. Chari-able and Governmental Bequests (Schedule J) 14. Net Value Subject to Tax (line 12 minus Line 131 o'` 0 v x 15. Spousal Transfers (for dates of death aher 6-30-94) Seo Instructions for A plicable Percentage on Reverse Side. (Include value: from Schedule K or Schedule M.) 16. Amount of Line 14 taxable of 696 rate (Include values From Schedule K or Schedule M.) 17. Amount of Line 14 taxable at 1546 rate (Ircluda values from Schedule K or Schodule M.) 1 B. Principal tax due (Add tax from lines 15, 16 and 17.) 19. Credits Spousal Poverty Credit Prior Payments x,)/92, 000.00 68, 698.00 (3) __- 0 (4) ~ 83,198.62 (6) 0 1 33,086.98 y '~ G~ ~ ~.,~. Co -~-7.6`."~~.`.~`4 7,302.67 (e) ~ 8,348.74 (10) (l t) 1 5, 651 .41 ~1 7~O~a3~.1~ 4c~-ono -„ (12) r (t3) 3, 000.00 ry Q 4.r,g,~,,a n am . (16) x .06 = "'S' r (17) x .15 = (18) ~27Y~9. ~.3 Discount Interest + + - (19) 20. If Line 19 is greater than lino 18, enter the difference on Line 20. This is the OVERPAYMENT. (2p) 21. If line 18 is greater than line 19, enter the difference on Line 21. This is the TAX DUE. 2 ~' 4 9 8 ~ 5 ~ A. Enter -he interest on the balance due on Line 21 A. (21) 8. Enter the total of Line 21 and 21A on Line 21B. Thi: is the BALANCE DUE. (21A) Make Check Payable to: Register of Willer Apent (218) ~ ~ BE SURE TO ANSWER ALL QUE&TIONS ON REVERSE SIDE AND TO RECHECK MATH Ir penalties of perjury, 1 declare that I have examined this return, including accompanYtnB schedules and statements, and to the k rue, correct and complete. I declare that all real estate has been reported of true market value. Declaration of prsparsr other th d on all information of which prsparsr has any knowledge. ~TURE OF PENSI]N GFSYnAlual c cne c....,.- ...-.._.. tr my knowledge and bslieF, to personal representative is DATE ~-L--~J;.s' DATE Act 948 of 1994 provides for tht reduction of the tax rates imposed on the net value of transfers to or for th• u:e of the spouse. The rate: as pnseribed by the statute will be: • 39/0 (.03) will be applicable for estates of decedents dying on or after 7/1/94 and before 1/1/96 • 29'6 (.02) will be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97 • 194 (.A1) will be applicable for estates of decedents dying on or offer 1/1/97 sad before 1/1/98 • Spousal transfers occurring on oe-after 1/U98--will be exempt froerr-~nheritar~ce tax. PLEASE ANSWER THE FOLLOWING QUESTIONS E1Y PLACING A CHECK MARK (r) MI THE APPROPRIATE BLOCKS. YES NO 1. Did decedent make a transfer and: a. retain the use or incomo of the property transferred, ....................................................... b. retain the right to designate who shall use the property transferred or its income, . .............. c. retain a reversionary interest; or ................................................................................... d. receive the promise for life of either payments, benefits or cgre$ ....................................... 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration$ If death occurred after December 12, 1982, did decedent transhr property within one year of death without receiving adequate considsrationY ................................................................................................... 3. Did decedent own an 'in trust for'. bank account at his or her death$ ...................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. i',=' ' . ~~ea~MnNWI AITN Of -FNNSYI VANIA ~~~ ( REAL ESTATE - 111111 NIIANt l IAM Nl IUNN NlS1UENl DECEOENi I ~ ESTATE OF ~ ~ FILE NUMBER EDGAR A. HENRY PA 2195-0310 (Property jointly-owned with Right of Survive-ship must ble disclosed on Schedule F) All root •stnte should be reportrd at fair market value which is defined os the price of which properly would be esethoeged between a willing buye- and o willing seller, neither being compelled to buy or srll, both having reosonoble knowledge of the relevant facts. ITEM NUMBER ! DESCRIPTION VAIUE AT DATE _ OF DEATH t- 511 Park Avenue 1 New Cumberland, PA ~ 92,000.00 Cumberland County Recorder of Deed Book N22, Page 293. Title vesting solely in deceased as a result of ~ death of wife, Esther P. Henry, having died December 2, 1989. r .... _ TOTAL (Alw enter on line 1, Recopitulotion) < .9 2 , 0 0 0.0 0 (I! more space is needed, insert oddilionol shorts of some sicr ) Kl ~• 1 Sli ~ I.% r sid~BV) ~ ~ ~ ~~ ESTATE EDGAR A. HENRY SCHEDULE B STOCKS AND BONDS (All property jointly-owned with Riobt of Survivorship must b~ diaks~d on Scl~dub F.) 21 95-031 0 r r ' +~~ SCHEDULE C COMMONWEAlTk.0/ -INNSYIyWIA ~LrOSiLY MILD. STOCK, INMfRITANp TAX RetuRq PIARTNERiN11~ ANI~ I~~~irRlirORSMIP R~D~ °~~ Pleas• Print or T • tiTATi Of NLE NNAA~iR EDGAR A. HENRY 21.95-0310 NVME~Ett O~iCR1/flON VAWE AT QATE O~ DEATM ~~ ~ NONE 0 c 1 ` •ntr on lin• 3, Recopitulotion! ~ $ 0 ~K R~ RPoc~e ~ nRedea~ irwrl addifiond ~l»Ni d san. sis..) .' ~'( ~ ~7~rX7iYVVi Y ~` MORTGAGES AND NOTES COMMUNWEAITH Of PENNSYlVAN1A INNEEIYAN.r.E TAX gETIifN RECEIVABLE NESIDENi DECE_D_EN_T__ _ _ _ _ __ _ _ - PIeOS/t Print ur Type _ _ _ ESTATE OF- ~ ~ FILE NUMBER EDGAR A. HENRY PA 2195-0310 (All properly jointly-owed wifb It~~ Ri96t of Swvlvwsbip mist M discbwel M StlNd~b R! ITEM D~KRIITION VALUE AT NUMbEk I DATE OF OEATM NONE - ~- - -~- .- -_--_- TOTAL (Also Doter on lino 4, Rec°Pitulolion) (If moo spae~ is nNd~cl, inas.rt additional rshNfs of some sizo.) 0 ~_. _._. ...~.- U r ... ,., ~•'. ~ <.UMMUNWfAITM OF PFNNSYIVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ____ ESTATE Of EDGAR 'A. HENRY SCHEDULE E CASH, BANK DEPOSITS AND MISCELLAN~CyUS PERSONAL PROPERTY ---- Inll I~ialun~y lo6idy~ownud with the Right of Survivorship muN ~ diKlo~d on ScMdub f) ITEM description NUMBL' Harris Savings Certificates of Deposit 07-66-172461 07-66-182834 7-05-080413 0'7-61 -261 395 07-66-255624 07-66-178394 7-OS-080455 Mid State Bank Certificates of Deposit 9600438452 9600438468 9600416621 Dauphin Deposit Bank and Trust Co. Checking account 42 28711140 Certificate of Deposit 86535 Trust Agreement 1104458202 Household furnishings American Bible Society Life income agreement 202959 Interest received from date of death until certificates canceled: Dauphin Deposit Bank and Trust Co. Harris Savings Fulton Bank Mid-State Bank Meridian Bank Refunds received Arnold Fuel Oil Homeowners insurance Bell Atlantic 1995 real estate tax (county) 9,010.18 7,409.91 7,509.37 7,508.19 15,015.19 12,016.51 15,018.74 20,099.31 12,042.90 50,188.69 56,382.38 12,972.58 52,552.49 1,060.00 510.30 1,212.06 1,187.34 43.21 1,045.20 44.66 157.28 28.74 13.99 169.40 . .. _ .__~-----`- `f _... _ ____. TOTAL (Also enter on line 5, Recopitulotion) ~ $ 2 8.3_, h ~ IAttach odditionol A14" x 11' ~hNti it ttton ~pac~ is noodod.) ,. Pl~aee Print or Type LE NUMBER 21 95-031 0 ~ VALUE AT DATE OF DEATH r~ _. . ,. 7 CUMMUNWEAITH OF PENNSYLVANIA iNH[RIUNCE i,A)t RETURN• RESIDENT DECEDENT ESTATE O- p--~ ~----' EDGAR A. HENRY Joint tonontlsl: _ .. _ .._NAME A. -- JOINTLY-OWNED PROPERTY NO PROPERTY e. c FILE NUMBER ____ PA 2195-0310' ADDRESS RELATIONSHIP TO DECEDENT JOINTLY PRIOR TO APR L 11, 1994 Jointly-owned property; __.. _. __ _- ITEM ~FORR DATE --- IUMBE JOINT MADE DESCRIPTION OF PROPERTY TOTAL VALUE OECD'S DOLLAR VALUE OF TENANT _JOINT OF ASSET 9~o INT. DECEDENT'S INTEREST c '~~--- TOTAL (Also enter on line 6, Recopilul;ai~,n) ~ 0 (If more spoor is needed insert oddilionol sheets of same size) ~ ~ ~ -Y ~"~""'` SCHEDULE G GOQ1Nt,CNWfA1THOFIENNSYlVAN1A I INHERITANCE TAX RETURN TRANSFERS RESIOENi DECEOENi ESTATE 'OF .._ -_ . --- :-:: _- -_.__~___- ...._ EDGAR A. HENRY I PlfASE PRINT OR TYPE FILE NUMBER 2195-0310 THIS SCHEDULE MUST 8E COMPLETED ANO FILED IF_ TNi ANSWER TO ANY OF TN_E O_UESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES. III "' DESCRIPTION OF PROPERTY N ~ ~:.~tlL k I lu, h.d, nomr o/ the Iran+brN, fMir n DECD I+ _ ~pn~hjp to d~c~cbnl, do-e o/l,~jle, EXCLUSION TOTA/ VAl UE ,~ DOIIAR VALUE -------__.__._._ ____._ OF ASSET ANT OF NTERESTT~S Certificates of Deposits Harris Savings Account No. 07-66-192791 0 Account No. 07-66-225822 0 12,024.99 1 $12,024.99 Meridian/Fulton Rank Account No. 400-319302$ . __.__._-------..____.__....~.. ~ I -' - -- _ _ _ _ TOTAL )Alpo enter on line 7, Recopilulolion) S 3 3, (I! "1On ~Pae a needed, ina;eA oddilionol cheek o! lame si:e. J 8 6 . 9 $ - 2,020.22 00 $12,020.22 100 0 19, 041 .77I 1 00 I $g, 041 .77 ITEM NUMOE 1. 1. ~tira+: un or rENHar~ww~ NCE TAX NE1Y~N iNi DECEDENT EDGAR A. HENRY rr.~c..wr swrc.~rc.ry ADMINIiTRATIVE COSTS AND MISCELLANBOUt iX'ENSES __ Pl~os~ Print o NIIM~ER PA 2195-0310 R Di>iCRIpT10N F~n~rol Exprwsosi ---' Stone & Murray Funeral Home AdminidraEivr CoN~s P~rwnol R•pnsawotiw Coiiwxissiosu Sociol S~cttritr NtNttb~r of Alrlosol R~pnwNOaw: lfior Cannissioes poll ._.. _.._...._.. AttoriNy F..s Diane M. Rupich, Esquire 1 ~ Foeiily Exemption Cloimant ~~~ Addrru of Claitttad a duodoM'~ doolM StrNt Addnis city ~-~ ~_ Zip Coda -_ Probate Fws AtliscolloENOrs ExMos~~: ~ ~' J.H. Troup, Appraisal Bethany Village (nursing home bill) Final pharmacy bill Cowley Associates (final doctor bill) Cumberland Law Journal The Sentinal TOTAL (Also ~nNr on uM 9, Rocopilulotionl (If E~ro yoso Is w~+. Mt>Kf oEirilis~wol ~b of tioErN siso.) AMOYNT $447.53 ~ 4,769.59 381.00 225.00 1,288.31 60.03 25.73 40.00 65.48 2.6---.~.-~ ` t SCHEDULE 1 I ~`~~ COMn4UN'W[AIIH Oi i(NNStt1NNU DEBTS OF DECEDENT, f~ Mt l1U(NI OI CI OINI ItaH1~11.NC1 IA l1 ~f1u~N MORTGAGE LIABLITIES ANO LIENS STATE OF ~~--------' '- "------ I Pl~os~ Print or T --•-- ..... YP~ EDGAR A. HENRY F(L~NUMBER ----'"-- "°'- P 2195-0310 IIIM --•- .- •.. .. _._. NUMbEk OEiCR1IT10N .-•.. • . 1 Utilities _ -• Pe WC (water bill) PP&L (electricity) r Borough of New Cumberland (sewer and trash) James Grossman (lawn care) . Realtor's commission (sale of 511 Park Avenue) Real estate taxes (511 Park Avenue)School Recorder of Deeds (deed for 511 Park Ave.) Escrow - repair of windows AMOUN 1 297.1.3 346.00 6,440.00 95.61 920.00 250.00 TOTAL (Ala ~N on ling 10, R~copilulolion) _ _ S $ r (11 ulon ~~ ~ ~..d.d, ;I,Ni1 -----..- ~ 3 4 8.7.4 - 1 LAST WILL AND TESTAMENT OF EDGAR A. HENRY I, EDGAR A. HENRY, of 511 Park Avenue, New Cumberland, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any and all Wil]s and Codicils previously made by me. ITEM I: I hereby direct that all m y just debts, funeral expenses, all administration expenses, including inheri- tance tax shall be paid from the assets of my estate as soon as practicable after my decease. ITEM II: The following specific bequests and devises shall be paid to my beneficiaries after all taxes have been-paid from my estate, and before any other provisions of my Will: (a) I hereby give, devise and bequeath to Dickinson College, Carlisle, Cumberland County, Pennsylvania 17013, the sum of Three Thousand ($3,000.00) Dollars c:~sh. I do this in appreciation of the double honor conferred upon me by Dickinson College in 1958, when. upon their invitation, I preached the baccalaureate sermon to the graduating class after which, at the commencement exercises, Dickinson College conferred upon me the honorary degree of Doctor of Divinity which I have tried to wear with honor and distinction; // (b) I hereby give and bequeath to Reverend Donald L. Winstead all books that he may desire to have from the library that I own at the time of my death. TTEM III; I hereby give, devise and bequeath all the rest, residue and remainder of my estate of whatsoever nature and wheresoever situate to my beloved daughter, Joanne Yvonne Winstead. ITEM IV: In the event that my daughter, Joanne Yvonne Winstead should predecease me or we die in a common disaster, I hereby direct the following: (d) I hereby give, devise and bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my son-in-law, Keverend Donald L. Winstead, whose present address is 1519 Mifflin Street, Huntingdon, Pennsylvania 16652. (b) I hereby give, devise and bequeath the sum of Two Thousand ($2,000.00) Dollars to my niece, Mrs. Lois J. Kauffman, whose current address if P.O. Box 5875, Belleville, Pennsylvania 17004, in appreciation of her many services over the years in caring for and maintaining the graves of t1~.e Henry family. (c) I hereby give, devise and bequeath the sum of One Thousand Five Hundred ($1,500.00) Dollars to Mrs. Lois J. Kauffman for the creation of a Henry flower fund. Said $1,500.00 is given in Trust and Lois J. Kauffman is the Trustee of said fund and she shall have the duty of investing this bequest in any fafiion she deems ' 'fir *. y s. (i} I hereby give, devise ar~d bequeath to the American Bible Society, presentl located at 1865 Broadwa N Y York, Y. ew U . X.. ,,10023,, . . •~,um~,.of: Five IrhouBand .( S5 r 000..00) R .s.~~~h Dollars. $1,000.00) Dollars. (h) I hereby give, devise and bequeath to the United Methodist Home for Children, located in Mechanicsburg, Pennsylvania, 17055, the sum of Three Thousand ($3,000.00 Dollar ) aPPrapriate, and she shall have the duty of using said funds of said Trust for the placement of flowers on the family grave on Memorial Day, and in the First Methodist Church, Lewistown, Pennsylvania, on Ea ster Sunday and Christmas Sunday. (d) I hereby give, devise and bequeath to the American Cancer Society, whose present address is 236 South Hanover Street, Carlisle, Pennsylvania 17013, the sum of Two Thousand ($2,000.00) Dollars. (e) I hereby give, devise and bequeath to the American Heart Association, whose present address is 3805.Paxton Street, Harrisburg, Pennsylvania 17111, the sum of Two Thousand ($2,000.00) Dollars. (f) I hereby give, devise and bequeath to the Tri-Count Easter Seal Societ for the Handica Y y pped, whose presE;. ~; address is 2930 Derry Street, Harrisburg, Pennsylvania 17111, the sum of One Thousand ($1,000.00) Dollars. (g) I hereby give, devise and bequeath to the Arthritis Foundation, Central Pennsylvania Chapter, p,O, gox 668 Camp Hill P ' ennsylvania 17011, the sum of One Thousand (7) I hereby give, devise and bequeath to Dickinson Cr~llPr~~, Carlisle, Pennsylvania 17013, the sum of Five Thousand ($5,000.00) Dollars. (k) I hereby give, devise and bequeath to Mr. Orville L. Davis, whose current address is 5108 Ridgeview Drive, Harrisburg, Pennsylvania .17112, for his acts of kindness and loving Christian Service, the sum of One Thousand ~;~1,000.00) Dollars, and I hereb y give, devise and hegi_teath to Mrs. Helen Davis, whose current address is 5108 Ridgeview Drive, Harrisburg, Pennsylvania 17112, for her acts of kindness and loving Christian Service, the sum of One Thousand ($1,000.00) Dollars. (1) I hereby give, devise and bequeath to the Conference Board of Pensions Memorial Fund, c/o The Conference Treasurer's Office, Room 119, 900 South Arlington Avenue, Harrisburg, Pennsylvania 17109, the sum of One Thousand ($1,000.00) Dollars in memory of my wife, Mrs. Esther P. Henry; (Donor to be listed as her husband, Dr. Edgar A. Henry). (m) I hereby give, devise and bequeath all the rest, residue and remainder of my estate to be divided and distributed in equal shares to the following churches: (1) First United Methodid:Church, Third and Dorcas Streets, Lewistown, Pennsylvania 17044; (2) Grace United Methodist Church, West & Pomfret Streets, Carlisle, Pennsylvania 1 701 3; ~4 ~?,~~; Shirle rch, 11 West Y Street, Mount Union, Pennsyl_ vania 17066; l4) Gethsemane United Methodist Chur Av ch, 8th '. t. v ''~ (3) First United Methodist Chu enue and Fourth Street, Juniata, A ltoona, Pennsylvania 16601; (~'~ Reedsville United Methodist Chur ville p ch, Reeds- • ennsylvania 17084; (6) Broad Avenue United Methodist Ch Avenue and arch, Broad 29th Street, Altoona, Pennsyl_ vania, (c/o Altoona District S Office, 2908 Union Avenue uperintendent's . Altoona, Pennsyl- vania 16602); ~ ~,. ( 7) Wesley ~ United ~ .'" ~ ... , Methodist Church, 426 Fourth Street, Nescopeck, Pennsylvania 18635. The foregoing lists of bequests shall o if my daughter, Joanne Yvonne W' n7y become effective die in a instead, has predeceased me common disaster. ~ or we ITEM V; I hereb and m Y direct my personal representative y attorney hereinafter named to give access to and her husband, Mrs. Joanne Yvonne Win mY daughter L• Winstead stead and Reverend Do ' tO my residence and m nald time of Y home in which I mY death for the ri live at the full ght to use all facilities and complete access and and to have enjoyment of the premises without any cost to them. It is anticipated they shall have access ' my death, and that Immediately after it is intended that they shall have the use of ,. •r. my home so that it will not be necessary for them to accommodations. T obtain hotel hey may remain in m Y residence for as long as they deem it necessary including up until the tim Property is sold if it a that the is to be sold. ITEM VI;: I hereb y nominate, constitute my daughter, Joanne Yvonne Winstead as Executrix ~ and appoint It is suggested that Attorne A of my Estate. for the Estate and Arthur K.Y rthur K. Dils be a ppointed attornay Dils, Esquire and myself have a that the attorney's fees shall be one greed,.., .. This shall be bindin Percent of the Estate..~~ . 9 upon any partner or associate of Arthur '~ ti Dils ~ Esquire. if Arthur K. Dils, E .K. :;~ .. .,;~.,. ,. squire does ~~ W Estate. not handle the In the p~,o.,,. _-- unable or - --' `""°""~ zvonne•Winstead, is unwilling to serve as Executrix of nominate, constitute mY Estate, I hereby and appoint the Dau Com an phin Deposit Bank & 't'rust P Y as contingefit Executor of my Estate. ITEM VII.; I hereby direct that m be re uired to Y Executrix shall not q give bond for the faithful duties in an Performance of her y jurisdiction. IN WITNESS WHEREOF, I have hereunto set tt- this I'j~~. day of Y hand and seal ~ 1989. Edgar Hen ~~ (SEAL) ry ACN 101 REV' 1547 EX AFP ~ 12-95~ N072CE OF INHERITANCE TAX CpNMONMEALTH OF PENNSYLVANIA ppPRAISEMENT, ALLOWANCE OR DISALLOWANCE 04-08-96 pEpARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAxES OF DEDUCTIONS AND ASSESSMENT OF TAX DATE - DEPT. z8oeol FILE NO• CUMBERLAND HARRISBURG, PA 17128-0601 A COUNTY ESTATE OF 04-11-95 PROPER CREDIT TO YOUR ACCOAK7, SUBMIT THE UPPER PORTION OF TH ~ FORM WITH YOU DATE OF DEATH E CHECK PAYABLE TO "REGISTER OF WIL=T PAYMENT TO: NOTE: TO INSURE R E PAYMENT TO THE REGISTER OF WILLS• M DIANE M RUPICH ESQ EXECUTIVE HSE STE L1 101 S 2ND ST HBG PA 17101-1429'. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Anou~tted PORTION FOR YOUR RECORDS ~ RETAIN LOWER _________________________ALLOWANCE OR - CUT ALONG_THIS-LINE______~__ __ - DATE 04-08-96 REV-1547 EX AFP (12'95) NOTICE OF INHERITANCE TAX APPRAISEME , DISALLOWANCE OF DEDUCTIONS AND0310ESSME ACN F 101 A FILE N0. 21 95 HENRY EDGAR SEE ATTACHED NOTICE ESTATE OF ( X) CNANGED TAX RETURN WAS: ( ) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - ~« ^" "'-- APPRAISED VAL~Eeo(scha u`le p)BASED ON: ORIGINAL RETURN 1, Real Est 2. Stooks and Bonds (Schedul• B) le C) 3. Closely Held Stock/Partnership Interest (ScMdu 4. Mortgages/Notes Rooeivabls (Schedul• D) (Schedule E) 5. Cash/Bank D.Posits/Misc. Personal Property (,, Jointly Owned ProPertY (Schedule F) 7, Transfers (Schedule G) g, Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expsn~ Liabilities/Liens•(Schedul• I)ehedul• H) 10. Debts/Mortga9 11. Total Deductions 12. Net Value of Tax Return stable/Governmental Bequests (Schedul• J) (1) 92 000.00 (2) 68 698.00 .00 (3) , 00 (4) 283 198.62 (5) .00 (6) (71 33 086.98 476,983.60 (B) 7,302.67 (9) 74 (lo) _ 8 348. (11) i 5 651 41 461,332.19 (12) 3,000.00 (13) 458,332.19 (14) 13. Char 14. Net Value of Estate Subject to Tax lines 14, 15 andior 16, 17 and t to of ALL returns assessed to da e. ssment was issued previously, 18 will NOTE: If an arse -- reflect figures that include t e 00 x , 00_ .00 ASSESSMENT OF TAX: (15) t Spousal rat• 458, 332.19 X • 06. 27,499.93 00 (16) 15. Amount of Line 14 a Amount of Line 14 taxable at Lineal/Class A rate /Class B rate (17] .00 X ,l 5. ) , 27,49 9.93 16. fi Line 14 taxable at Collsterel (18 17. Amount o lg, Principal Tax Due TAX CREDITS: DI~01n(T (;l AMOUNT PAID RECEIPT INTERE57 (-) PAYMENT NUMBER 27 , 498 .50 . 00 DATE AA082480 ,,,_n~_qb 27,498.50 TOTAL TAX CREDIT 1,43 INTEREST IS CHARGED FROM 01-12-96 TO 04-16-96 BALANCE OF TAX DUE ,p3 AT 7HE RATES APPLICABLE AS OUTLINED ON THE INTEREST 70TAL DUE 1.46 REVERSE SIDE OF THIS FORM ( IF TOTAL DUE IS LESS THAN Sl, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS _A "CREDIT^ (CR), YOU MAY-? * IF APIA AFTER DATE INDICATED, SEE REVER ___ ---• ° - FOR CALCULATION OF ADDITIONAL INTERES . ~~`p~RrMEN QF pr.~~sYCVA I eUREgU OF 1Np ~ ~qt T UE NIA HARRISBURG, pA0601 AXES ~ NA IE ~7128~01 -___ SCHEDULE' STEM ~_ NO, I EXP ~TgN~E t Op CNggT~~N X NGES ACN zlrij_r•, EXP~ANATf Hq >>1(; °~ `•~,:~~3z~E ~~ tltF ON OF C NGES i+71 `'z~'or if. .Z r2r~ta~~ , tt,s F~He:i z lC `'~~,)1StF~a • ~' t~}P r`=sult .~f tiE' r -°x r~ctioz7 T~ '~_ PAGE ~~