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95-0320
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 2001 Date H+DS.le3 Rer. ?A7 TrremlrlT III PFAYANEM anal rac c 2 Fran eropoli, ct Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLIMNIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH 036791 NA#E OF DECEDENf(Filt. nliOOe.la1 SE1I SDLIAL aeDURRV NUelEII aOF YNIMaIeI. Mta) - 0626 ~ +. Elwood J. Carns a Male >. 203 - 10 AGE (Ltl aMMeN uNDE111 rEAA uNDER1Dw• DREDFewrN sIRINnACa (ee,•w nwe[ts DENNFn.aA eN, arr-e.e lnwuceonmmn. •eN Monrr . D•I. H•I.e Ater lMdYn. D•IC McIi aut•u Faeyn CeuieN `!°°''°`~,( s A ERnemw+.ot ^ oaA ^ 1a~0 ^ R waue• ^ (so°tl"«m ^ 1923 Carlisle PA 27 ~` • , , ug . 73 r~ ~' ~ Do+rdrroFDeNN crtr.eDRO.TwraeoeNN NAME pIAa..rnl.m. gn.+e«Mtenl•ne.l w+s,~py~~EpEM, opNISR1NIC ORtGINT RACE-Aaawiun YMen.8leee.lMdle. stt: e Cre ~~ rJ ' ~~ ryM, pec en, Y Me L N• L l Cumberland E.Pennsboro Twp. M~^w'°R'°"~"°• ,~ White ` Dr~DENra IDNDasatlarlESaANDUamr wa IN aEDUCAraN wwDwsmw•M.dw sumlrrtoaroDee U.i FOIICE.at NeyMMreN. Wlee•w4 a•I•. vrenre•n~M lolls el.arl:eardu+lpma n~ileead ~e ® Ns ^ ~~ ,,~ "'°"' „ Widowed ,~ Auto Parts Bra h Manager , „ „ DEemolr'awwaIDADDR[aaWe+.oh+b.t.aur.zbcoeN a PA ae +re.~'~•.awewar.e^ j~jp rh M'riril r o rnsew 137 Brookwood Drive Cumberland M°~'' „~^ ""w' ~r wa ane.A PA 17013 •~•~~ Carlisle „~ . , +a rNllErcawwE ~.a Mieef•, tarp a wore Sao Mietla -ritltaswnrlap Charles Carns t o~er S E 1 tia wPOnIANra wwe Rw•IaeN ~ ~ ~•~~~ MA io rIO1rAAMf' E. John Carns 135 East Elm Ave., Hanover PA 17331 MerllwoFDlapDerrlDN oNEDFDreFamRDN FUICEOP .Nawac.e.trACwerton tGCIrtON-Clylb•a 9M1•.21pCoa a,.INIAI eNeledee^ Rml•yellwelatW^ •OiK'"'^ irOrl"P1° Cumberland Valleq o.rrn^ arr ^ _~~ April 14,1995 .,Memo ial G den eERVE7 AasucN NUMBER A~a`~+^' Hoffman-Roth Funeral Home 010343 L tie. ner2are oMriq bMNaq laaoeNdp•.d•eYl ooaend •1Ow ner. ear andpleutWd. IMmNl O•%Marl . Oq+Ieten ieaelaMerlEleNrewddMleb one 7dy orr.aa.rl. 1 1eR1 taTBeult»ewnpMWb, OF DERN ONE EOOEADiMpan, Delt M•r) MN9 CASE REFERNEDWIAEdI:AI E%AwNERICOR0 Me^ No panm •ee plalaeewM•r~ /2/ ~ %•; ~ ~ 26 !'• M M ~ . . A.Matl: EnbrMiwwe.iylltlortgpMr+llet+WdCterrC Ne bYn. OO na a+w lM imd•aM'W.•r~ArtrWCernyM•Iaf ulY.alneMa MMIWUn. ~ApporneM -MIF. WrrNO~tmMYq~mnllllAlnae0N11A Wt een InIrMWIYq nBlewletdnlrul~eyyw NRWTL Yd 1B t Oye • • UN anl,on•saer an •arA en•. l IMYM rMd•eM rdYaOW[CAllr!(FeW l . ueee~orcaelrml ~'/KE'~++ r A l lYl c: /j1 ELOI'^07"0:-H Ti c. tu/Yrq it e•ad1-. a Dtx ro tGR ABACaNSEOUEwcE oFr ' I ruerrebw~stl. D DUEWiDR ASACONSEDUENCE DFk l Olra EneeatrOERLrINa 1 CMIBa (04wear nl•Y i.aalad ewlns OUE+D IOR AS ACOaLSEGUENCE GFt I rwWrp Nee•Bqutt VMa ANAUIOPSY WFJIE AUIOKVRNOMGa MANNER OF DENH DNE GF r4A1RY TIME of VLIUIW WJURY RNWIKT DESCRIBE IIOW rI.Al1iYOCIXJRRED. /ERFORMED/ AUBABI.E RRr711 W Pb~. D•y, ~) OFCAUSE NaerM ~ Nondeid• ^ ~~'f Me ^ No ^ Acad•ie ^ pe•dYq nyayetion ^ M. Nl• ^ Ile yM ^ Ne ^ &>tae• ^ Coae mlaM•rtniNd ^ PLACE OF rUUgr. Ai nNne, 4nn, Mr•M.leaory. •IIIN LOCRION ianM. Cily/fown. SbtN Milbtn. •te. (Seedy) 2e0. Ze. 70•. ~Ot. aarn~IUla *wrdw •arlrtPraa PNraNwl IPnyao•nfwalyng cause a dean ydlan aromr pnyvcan Iw. praraiwlcee aeNn andcmrolNea nem rn ^ D ~, y TaMIIeM Oi leY eneae.ar.,e••n accumd m»brr ce••NN end mralerN Fbt•A ..................................................... ONESgNEa(leanw,py, Men ' •rRDNOUNew~DANDCetrlFVwovNrslaANC~v~+sans«~noar,•naul.olnwwwt.adese.i ~ wne de d d ' ra. `~//Z((~~ „ OlG~~07E .......................... m.nn.... d.r »~«I..tNen mel.s..la~erene.weE•.a.nnox...wetm.mn..em.andl~..en NAME AND AOOfESS OF wNO CDMPLETEDCAUSE OF DENN m«++znTrw~Pnm .7r~l.~+ns f}wne-trws r„o •uctrr•.I E7[AMINER/CORONER On 1M beNS o1 eaem4letbn aaMlw Imeftlgatlon, In my opinion, Beath opeurree et tAe iNM, dNe, and plate, aM dw to the eeueNal end ^ ~ ~39~•c-. Tn, u 1 N l?~- " i~ pAa " mralner u etatee ................................................................................................... o+a ~ Cf3 i+^ P Yl w-a-~ ~FT' /'~ O:I REGISTRAR'S SIGNNU NUMBER ~ ~ ONEFNED(MOnN. Day. Yvan R <~ ~~- 1~S b. ~~ e x. -This is'to certify that the information here given is correctly coded from an original certificate of death duly filed with me as;f'- , Local Rebistrar. The original certificate will be forwarded co the State Vrtal Records Office for permanent filing.. -~ , •: .; WARNING: "it is 111e al tp ~ ~ ~` - 9 clupllCat~ this .copy by photgs#at orwphgtc,~raph. ,~r' Fee for chincrrtificate, $2.pp tip ~ A • ~ ~!' ~ .•+~.,, V '~'~.'. ~ ,+,y Local Registrar a ~, 2873045 '` No. APR. 1 4 1995 Dace ' MIOE,Ip„r•. yf7 .~, SENT :a. MaM. t..r ""` t• Elwno~l J. Carns ~ots..~.•nq~ uwEn, rE.w 73 ~) ~.a. _ na l~~ Cumberland ICE t.~-• !~~ ~° .~ COMMONWEALTH OF PENNSYLVANIA • DEPART61EN7 OF HEALTH • VITAL RECOgD9 CERTIFICATE OF DEATH - ~ sut 7rlftgtE tllrOtpt '€ .~ raa~. sECUgm,q,,,~y, ~• Male a. 203 _ aOLQ""~tr` '"' u~oEntna OgtAr1 y,,,""Q ~~ .u«oroEaN(a+.~, a,._,,,, 10 - 0626 ~ _ Aug,27,192I Carlisle, PA ,,,w,,,, ~ Q ' ~~ .- ,~ ` - N N~QM•MtNpq Owawt•nrlYnbu+ ~• _0_ ~~~.^~~ ~f^ .'~ ++uw.c .Pennsboro Twp, w ~~...w.awr.. r+r M. O r,.a •r•,ya c~~ir, Ar~+ad ~.•,t,~tt Tanager Au orucnrr~tr.ara~ooaa , t a r. s c+r re..+. s w. zb c• w "137 Brookwood Drive ,~ Carlisle, PA 17013 ~'s~F•r.-was..t+.o Charles Carns r~ t..11T'~N. + aw~•n ~_ E. John Carns -~-......~.. or.•a~ uv. ~T[ CMN! inn ^~ . Cri ^rq+wsnyrwMrNN~ srr. Eww ttltrtlLLlt110 w~ p104rra ryva s.ar trwripwp„ry WT ~ y..dnar.+-wer~w. 9 " i N auoE sewxc,o„ . White °t7~' 12 O+a ~) ~M .. IIW.pwqurnhr. ~ , Widowed taaar.__ PA Ire ,aa~ tb,assutsn ~~" ~~' m. Cumberland 'wM,twwvt ,>..C1 ~ .mow _ ..'; +ntt,tgy,w+E (ra uww. wr„y,,,.,,q ~ t Ella Stoner r+ r-urr+o~oograars....c,t,~ro.,~a...rocma ;,) ~, ~sasrostraq 135 East Elm Ave. Hanover PA 17331 '~ °'w n.i o. 0~insr~ ~. www a crn.u,X C,s,.rwa ~CCNIOr• ~: ,~-: A Cumberland Valle ~"~`~""'nr pril 14,1995 „___ _. .. Y ",~ y // i•^.•t•MN•r1 i + i i w ..n ~ t... ~ c.w,awe.u•+:•w O nwcEwrwgr. icn.u H' t..iary,sw.ISr•o.M •o•u. +.•n +r••t. ~~vrr+s ,,.raw A M Iww M~µ ~ ••~rnq aw+,s a wsn .ryn sngnsr t•~r•crnnu aa~w~csa osw •I M••'+••O•. N•a ••wrt.• M Y M ••yc(•) ry MwM! M •t•1•a ............. W •~ 11w hl ( A ry Iww r •~1'M•~MOr•.M wcwrw •iM~rnw,Y ~ay ~'p a•rn.nau.vr.pwcaua.dwwq rt•ss, rr M r er ows(s) sn• asiwr u w+.a........... . Oq r+r MW Y•t•IIEN/C01tONEq ' _ •~•t^Wbn •nA/a+hw•Ilr•,10~, M wa •rtpy,y G•UI xeunW •1 IM Ilnw, tl•b. ana rt•gM/ Y •t•IN ................ PIK•. MA dY• /O IA• OrrNp) •M saaw'ett0tuau ................... t.. O w O /titer N,°f~"QON wtio fOC.+u~E asoEaH I1lMRa /TM R.H.,S ~.,,p ~i?IL T2/n+rJC.4 2e'ga Ci7M p Hn.... ~i4 ~D// rr. +Arr+ ~.\ ~~ 1g~ PETITION. FOR PROBATE and GRANT OF LETTERS Estate of ELWOOD J. CARNS also known as Deceased. Social Security No. X04-10-Ofi .R No. 21-95- To: Register of Wills for the County of Cumberl nd in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executor named in the last will of the above decedent, dated October , ~ 19 69 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h is last family or principal residence at 137 Brookwood Drive Carlisle PA 17013. (list street, number and muncipality) Decendent, then 73 years of age, died _ Aprfl 12, 19 95 at Holy Spirit Hosuital. CAmn u~n_ po Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: nn pxnentinnc Decendent at death owned property with estimated values as fallows: (If domiciled in Pa.) All personal property $ unestimated (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: 137 Brookwood Drive North Middleton Townshio. Cumberla_nc~ County~p nns~lvania WHEREFORE, petitioner(s) respectfully request~s)_ the robate of the last will and codicil(s) presented herewith and the grant of letters test entapry (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. N V ri d /1 L 1. a~ v c ~ •n ~ •a ~a v k. ~o m c 00 in OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 ss COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and before me this Mary C. Lewis, subscribed _. day of 19 95. Register ~o' a NO. 21-95- Estate of IIwood J. Carps ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW 19 95 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated October 3, 1969, described therein be admitted to probate and filed of record as the last will of Elwood J. Carps and Letters Testamentary aze hereby granted to Hoyt I7. Carps Register of Wills FEES Probate, Letters, Etc.......... $ Short Certificates( ) .... , , , . , , $ Renunciation ................ $ TOTAL $ Filed ................................... Frey and Tiley By Robert M. Frey #06274 ATTORNEY (Sup. Ct. I.D. No.) 5 S. Hanover St., Carlisle, PA 17013 ADDRESS 717-243-5838 PHONE REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS George E. Hoffer Flex ' (~aol~ a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that he was IIwood J. Carus present and saw the testat or ,sign the same and that he ' signed as a witness at the request of testator inh 1s presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19 95 Register George E. Hoffer(Name) (Address) (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS (4~){ a subscriber hereto, (~ being duly qualified according to law, depose(s) and say(s) that is familiar with the signature of IIwood J. Carus aard~~tx ' testat nr of (one of the subscribing witnesses to) the will presented herewith and that x believes the signature on the will is in the handwriting of Elwood J. Carus to the best of knowledge and belief. Sworn to or affirmed and subscribed before me this day of (Name) 19 95 (Address) Mary C. Lewis, Register (Name) (Address) REV346 EX (8-92) PA DEPARTMENT OF REVENUE FOR REGISTER'S OFFICE USE ONLY ESTATE INFORMATION SHEET county Code Year File Number DECEDENT INFORMATION: Enter data as it will appear on all documents submitted to the department. Name (Last) (First) CARNS (Middle) ELWOOD J. Decedent's Social Security Number Date of Death 203 10 Date of Birth 0626 April 12, 1995 August 27, 1921 TYPE FILING: Enter check (,~) mark to indicate the nature of the return to be filed with the department. Probate Return ^Joint Assets Only ^ Estate Tax Onl Y ^Litigation Purposes (No Other Assets) LETTERS GRANTED: Enter check (r) mark to indicate the nature of the proceedings at the Register of Wills Office. (Attach additional sheets if explanation is necessary.) ®Testamentary ^Administration ^No Letters ^Other (Please Explain) ATTORNEY/CORRESPONDENT Enter ail data concerning the attorney or other individual to receive all INFORMATION: tax information and correspondence. Name (Last) (First) (Middle) Supreme Court I.D. # Fre Robert M. Street Address 06274 5 South Hanover Street City Carlisle State Zip Code Telephone Number Pa• 17013 717-243-5838 PERSONAL REPRESENTATIVE Enter all data concerning the personal representative(s) of the estate INFORMATION: authorized by the Register of Wills Executor/Administrator Name (Last) (First) (Middle) Social Security Number Carns Hoyt D. Street Address 204 30 7945 230 Meals Drive City State Zip Code Telephone Number Carlisle, Pa. 17013 717-245-2102 Co-Executor/Administrator Name (Last) (First) (Middle) Social Security Number Street Address City State Zip Code Telephone Number Co-Executor/Administrator Name (Last) (First) (Middle) Social Security Number Street Address ~ City State Zip Code Telephone Number (Prepared By - Robert M. Frey ~ Date 4/20/95 ` ~` RENUNCIATION In Re Fstate of Elwood J. Carns deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned Elwood J. Carns Jr. of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters Testamentar be issued to Hoyt D. Carns, alone ti WITNESS hand this '~©~ day of Aoril , 1995 IIwood J. Cants, ~'fSignacure) R.D. #1, Box 103 Thomasville PA 17364 (Address) (Signature) (Address) (Signature) (Address) ` RENUNCIATION In Re Estate of Elwood J. Cares deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned Robert H. Cares of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters _ Testamentary be issued to Hoyt D. Cares, alone WITNESS G °~~ hand this ~ ("~`"~day of April ~ 1995 Robert H. Cares (Signature) P. O. Box 1197 -0i1 City PA 16301 (Address) (Signature) (Address) (Signature) (Address) WILL I, Elwood J. Carps, of the Borough of North Iviiddleton Township, Cumberland County, Pennsylvania, declare this to be ~ last Will and revoke any will previous],y made by me. 1. I direct my executor to pay all my funeral expenses out of the corpus of iqy estate. ~ -~;;~., 2. I give, devise and bequeath all of the residue of my estate, -_._.~...••...~„~.,._~.,..:.:„nth real and personal, including property; over which I shall have any power of appointment, unto my wife, Kathryn E. Carps, if sl~ie survives me by sixty (60) days. 3. If my said wife does not survive me by sixty (60) days, I bequeath the residue of my estate to my three sons, Hoyt. D. Carns~ Elwood J. Carps, Jr., and Robert H. Carps, in equal shares. 4. I appoint rqy wife, Kathryn E. Carps, executrix of this my last Will. Should rr~y wife fail to qualify or cease to act as executrix, I appoint r„y three sons aforesaid, as co-executors. 5. I direct that ~ personal representatives, as well as their .si~`di~4tk. successors, shall not be required to give bond for the faithful per- formance of their duties in arty jurisdiction. IN titiTTNES5 ti~iER].~:OF, I have hereunto set nay hand and seal this ~~~ day of October, 1969. (SEAL) '~ . ~,_ , ~' CERTIFICATION OF NOTICE UNDER RULE 5.6(a Name o f Decedent : Elwood J. Carns Date of Death: April 12, 1995 Will No. Admin . No . 21-95-320 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court `Rules was served on~or mailed to the following beneficiaries of the above-captioned estate on May , 1995 Name Address _ Hoyt D. Carns, 230 Meals Drive Carlisle, PA 17013 Elwood J. Carns, Jr.. R. D 1. Box 103, Thomasville, PA ~ 7 64 Robert H,_Carns, P. O. Box 1197 Oil City, PA 16301 Notice has now been given to all persons entitled thereto under Rule 5.6 (a) except_ no exceptions Date : May % , 1995 ~~~Lv~~`~' " '~' ,~,~„T Signature '~ Name Robert M Frev Address 5 South Hanover St. Carlisle PA 17013 Telephone(717) 243-5838 Capacity: Personal Representative X Counsel for personal representative No.AA 0481$5 COMMONWEA4TW,~P' PeNNSYLV~-N1A DEPARTMENT OF REVENUE aevLro2 Ex h,v<I OFFfCtAL Rf:CE1PT • PENNSYLVANIA INHERITANCE AND ESTATE TAX FOLD HER. RECEIVED FROM: TREY ROBERT M 5 S HANOVER STREET CARLISLE, PA 17013 ESTATE INFORMATION: © FILE NUMBER 21-1995-0320 SSN 203-10-0626 © NAME OF DECEDENT (LAST) (FIRST} (MIJ DATE OF PAYMENT © POSTMAR E COUNTY BFRLAND DATE OF DEATH ACN ASSESSMENT CONTROL ~ AMOUNT NUMBER X01 fOLD MEf REMARKS HOYT D CARNS SEAL CHECK# 26 TAXPAYER TOTAL AMOUNT PAID g+ 1 1 b ~, CW ;: -'' /~ RECEIVED BY ~f NAT MARY C. LEW REGISTER OF WILLS REV-1500 EX+ (7-941 ~, VANIA z W D W O W YQh Y W d V =~o ~~m a L- s° o= ~d 17128-0601 CARNS, ELWOOD J. INHERITANCE TAX RETURN RESIDENT DECEDENT PTO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) YEAR 203-10-0626 ~ A r. 12, 1995 (IF A-PLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) $OCI ® 1. Original Return ^ 4. Limited Estate ® 6. Decedent Died Testate (Attach copy of Will) 717 1 243-5838 Frey and ^ 3. Remainder Return (for dates of death prior to 12-13-82) ^ 5. Federal Estate Tax Return Required 1 8. Total Number of Safe Deposit Boxes 5 South Hanover Street Carlisle, PA 17013 z 0 5 d a w W c z 0 a d 0 w x 1. Real Estate (Schedule A) (1) 87, 900.00 2. Stocks and Bonds (Schedule B) (2) 1 , 960.36 3. Closely Held Stock/Partnership Interest (Schedule C) (3 ) 4. Mortgages and Notes Receivable (Schedule D) (4 ) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 43.842.44 (Schedule E) 6. Jointly Owned Property (Schedule F) (6 ) 7. Transfers (Schedule G) (Schedule L) (7 ) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses, Administrative Costs, Miscellaneous (9) _ 14.850.06 Expenses (Schedule H) 10. Debts, Mortgage Liabilities, Liens (Schedule I) (10) 11. Total Deductions (total lines 9 8~ 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) 15. Spousal Transfers (for dates of death after 6-30-94) See Instructions for Applicable Percentage on Reverse (15) Side. (Include values from Schedule K or Schedule M.) 16. Amount of Line 14 taxable of 6°k rate (16) 118, 852.74 (Include values from Schedule K or Schedule M.) 17. Amount of Line 14 taxable at 15% rate (17) (Include values from Schedule K or Schedule M.) 18. Principal tax due (Add tax from Lines 15, 16 and 17.) 19. Credits Spousal Poverty Credit Prior Payments Discount Interest + 6,726.00 + 354.00 !0. If Line 19 is greater than Line 18, enter the difference on Line 20. This is the OVERPAYMENT ~^ . 1. If Line 18 is greater than Line 19, enter the difference on Line 21. This is the TAX DUE. A. Enter the interest on the balance due on Line 21A. B. Enter the total of Line 21 and 21A on Line 218. Thia is the BALANCE DUE. Moke Check Poyoble to: Register of Wills, Agent x.-= -. x .ob = _ 7,131.16 x .15 (le) _. 7,131.16 (t 9) 7.080.00 (20) (2 t) 51.16 (21 A) (21 B) 51.16 under penalties of perjury, I declare that I- eve examined this return, including accompanying schedules and-statements, and to thl it is true, correct and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other based on y infgysLat~on of which preparer has env knowledge_ 5 S. Hanover St., Carlisle, PA 17013 (8) (11) (12) (13) (141 133,702.80 14,850.06 118,.852.74 118,852.74 173 Brookwood Drive BIRTH Carlisle, PA 17013 . 27 1921 co~~~ Cumberland ITV ~~~~~.eee .........~ --.-...__ FOR DATES OF DEATH AFTER 12131191 CHECK HERE IF A SPOUSAL POVERTY CREDIT IS CLAIMED I-I FILE NUMBER 21-95-320 COUNTY CODE ^ 2. Supplemental Return ^ 4a. Future Interest Compromise (for dates of death after 12-12-82) ^ 7. Decedent Maintained a Living Trust (Attach copy of Trust) DIAL TAX II~E or my Knowledge and belief, the personal representative is DATE Aug. ~? 9 , 1 g 5 DATE Aug. ~g , 1995 Act 448 of 1994 provides for the reduction of the tax rates imposed on the net value of transfers to or for the use of the spouse. The rates as prescribed by the statute will be: • 3% (.03) will be applicable for estates of decedents dying on or after 7/1/94 and before 1/1/96 • 2°/~0 (.02j will be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97 • 1% (.O1) will be applicable for estates of decedents dying on or after 1/1/97 and before 1/1/98 • Spousal transfers occurring on or after 1/1/98 will be exempt from inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (r) IN THE APPROPRIATE BLOCKS. 1. Did decedent make a transfer and: a. retain the use or income 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 care$ ....................................... 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 transfer property within one year of death without receiving adequate .consideration$ ........................................................................................... 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. REV-1502 EX+ (12.85) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL EST~-t~ INHERITANCE TAX RETURN RESIDENT DECEDENT ~E OF ELWOOD J. CARNS lotion) NUM (Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) Alt real estate should be reported at fair market value which is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. ITEM NUMBER DESCRIPTION ALL''THOSE FOUR'. certain lots of ground situate in North Middleton Township, Cumberland County, Pennsylvania,'more particularly numbered and described in accordance with Plan of Lots known as Valley View Bztensron recorded in the hereinafter named Recorder's Office in Plan Book 6, Page 6, as follows: -. '' i:(~TS NOS: 25r`'L` -6r~ and Z$,as'-sliown on said Plan. Each of said lots fronts on Schlosser Avenue which rs'now known as Brookwood Avenue a distance of 50 feet and extends in depth at an,even width.a distaace'.of.110 fcet. THE ABOVE-mentioned four lots of ground have thereon erected cone-story ranch-type dwelling house known as and numbered 137 Brookwood Avenue, Carlisle, Pennsylvania 17013. THE 'ABOVE-described four lots of ground are the same which Ferdinando D. Maurino and wife by deed,dated April 1, :1956, and recorded in the Office of the Recorder of Deeds in and for Cumberland County at Ca=lisle, Pennsylvania, in Deed Book "B", Volume 17, Page 269, granted and_conveyed to Elwood J. Cares and Kathryn E. Cams, husband and wife. The said Kathryn i3. Cares,..haying died on IVlay 3, 1994; title to the same remained vested by operation of law solely in her surviving spouse, Elwood f: Cares; Sale Price: $87,900.00 TOTAL (Also enter on line 1 (If more space is needed, insert additional sheets of same size.) 21-95-320 VALUE AT DATE OF DEATH 87,900.00 g 87,900.00 ( ) 1. Fl-IA Settlement Statement - U. 5. De rtrnent or rlousm entl Urban Deveb t Form US HUD - 1 Pe No. 1 ( ) 2. FmHA 6. Flle Number 7. Loan Nrmtbet B. Mortgage Insurance ( ) 3. Coro. lMins. Case Number ( ) 4. VA 5. Corty. Ins. C. This form b lumlehed to pNe you a sta tement of actual settlement costs. Amounts paid to and t>y the settlement agent aro shown. Ite ms marked '(p.o.c.)' wero paid outsbe of the cbs ;the are shown here br infortnatlonal es and are not Induded In the totals. D. Name end Address of torrower. E. Name and Address of Seller. Michael G. Hoary Hoyt D. Caress, 1lxecutor of the Last 1Pi11 NaY L• Seaz71 s ad Testamaat of El~rood J. Caress 137 Brookwood ]-veaua 5 South 8aaover street Carlisle, Pl- 17013 Carlisle, Peaasylvaaia 17013 71N 25-6480761 F. Name and Address of Lender G. Property Locatlon M~ridiaa Hack 137 Brookwood ~Awaue North Middletoa TowashiP N. Seller's Settlement Apent• trey 4 Tiley Law Office L Settlement Dater Plus of Settlement 5 South Saaover 8t. ]-upust 17, 1995 5 South 8aaowr Street TIN 15-1633810 Carlisle, Pl- 17013 Carlisle, Pl- 17013 J. SUMMARY OF BORROWER'S T ANSACTIDN K. SUMMARY OF SELLER'S TaeNSernnu too 4~ tot Conhad salsa prbe 87, 900.00 401 Contract Sales price 87, 900.00 102 Personal property 402 Personal property 103 Ssltlerttertt cflerytm from (line 1400) 1, 819.37 403 104 q04 tos 405 Aryussrlsntr forMems pa/d by aederh advance: Acyushrerrtr /or dams paid by seder h advarras: 106 GlyAown fazes 8/17/95 to 12/31Ai5 93.47 408 GtyRown taxes 8/17A)5 to 72/31A)5 93 .47 107 Cora7ry faxes 407 Coady taxes tog Aeae>amertb 409 Aaeaesmer,ts tog 409 110 School taxes 8/17/95 6 8/3W98 847.03 410 Scholl taxes 8/17Ai5 b 1V30Ai6 847.03 tit 47t 172 412 120 Grop Amount Dw From Harrower 90, 669.87 420 Gross Amount Dw to SNNr 88, 840.50 200 .500 201 Depodt a sanest rrwrrey 100.00 501 Excess depoafl (see trodtlcflons) 100.00 202 Pdndpal arrwrxtt of new loan(s) 83, 500.00 502 SetllsmeM charges to seller pine 1400) 1, 851.21 203 F~dsttrtp loan(s) taken wb)ect to 503 Ex)stlng loan(s) taken sub)ect to 204 504 PayoB of flrat rtanpape ban 205 505 Payoff of secorM mortgage loan 206 ~6 207 507 208 508 209 $Og Ad~rrstrmntr )or /fame upe/d by seder AdJusimevrtr /or perm upekl by seder 210 GlyAown taxes 1/1/95 to 8/17/95 510 ClryAown taxes 1/1/95 to 8/17A75 211 County taxes Stt County taxes 212 Asaeasments 512 Asaessrttentr 273 573 214 Scholl taxes 7/1/95 to 8/17/95 514 School taxes 7/1Ai5 to 8/17/95 215 515 216 576 277 517 218 518 279 519 220 7ota1 Pant ByA~or Borrower 83, 700.00 520 ToW Reduetlom to Amt Dw Seller 2, 051.21 300 _.. -.,: . '. ..,. .. - ~ ~~ .:, ... ... 600 Cash.A . ~ ~ ~. _ 301 Gross amount dw from borrower (fine 120) 90, 669.87 601 Gross amount to seller from (line 420) 88, 840.50 302 Lass amounts paid byRor borrower (from line 220) (83 700.00) 602 Less reductlom in amount due seller (from line 520): (2 051.21) 303 Cash (X) From () To Borrower 5, 969.87 603 Cash ( )From (X) To Seller 86, 789.29 rmvrmorr ar ~onmawvn pme iuv/ u rarows: 701 ro 702 ro 703 704 CArrarYSSlon pel0 al Settlement 705 (Mortgage Amt 83,500.00) 801 Loan Ortginatlon Fee 802 Loan DkaouM 5835 P.O.C. 803 Apprabal Fee 804 Creditt Report 805 LerMer's Inapectlon Fee 1108 Mortgage Insurance AppOcatlon Fes 007 Asanptlon Fee 808 Tau Sarlric• Contract 1108 )flood Cartificatioa f~a al0 Doootmrat Hsyyaratioa faa 9t1 ayplioation few 901 NlersatFran 17-11aQ-95 902 Mor~aps Irrurarlos PrerrYum for 009 Hazard IrKraarloe Ptsnraun for 904 fi05 - n,soo.oo a >t o.oo WA Total charges, Lkrsa 801 tltrough 811: 1474.801 .00 +c fram Yaridia~a Hoak b Kart l1. 8iby ro EQnifax ltortQagra Inforalatioa 8arvica• ro b to to First llmzricaa Rut Estate Tax 8azvica, to Traasatoarica Flood Hazard to to Yaridian Saak 2 ro 31-,nQ-9S a 17.73000 per day. rtwner to 1 years to Y~ ro 3 mos. O $13.33 psrmorM 2 ma. A $54.18 permorAh e moe. o $21.33 pernxxtlh moa O psrmonfh moe. O per month mos. Q par month 9 mos. O $82..67 =psrmonlh mos. O... oar mardh Pall From eortowera Fwida N (835.00) 225.00 21.20 85.00 29.00 B.O.C. 265.95 P.O.C. Paid From SNlsr's Funds at 701 SettNnrsnt 702 700 704 705 1001 tiazald(rtstaarloe 1002 Morbapa frtewarla b (JE Yortya8a Ylararanoa Co. 1003 C~rptoperrytalaes 1004 Cotriypropxty tatoae 1005 AmtW weaamsnb 1008 ; 1007.8c1nd tamse 1008 ap~Qrapatl .°iattlrnt iw~~aa 1101 liMtlNrlefltarcloakghls 1102 Ahatrar3 a1Mla search 1109 TW a~nlNalbn 1104 TMIa IrMlrartca binder 1105 DoctsrlxR prspara8orl 1108 NoWyhlse 1107 Attoms)IS hies (brJOdas above Ilwro rambera: 1108 TPoS Inersanoe (Irldtldas abmrs Ilenfe rasnbsra: 1108 Lerldsrs f?ovewga 1110 Owners Covaraps 1111 1112 1113 1201 Reoordnghsx Deed $12. 1202 Gly/oouMyhtartpa: Deed $879 1203 Staletaxlsfarrps: Deed $879 1204 1205 1301 Survey ro 1302 Pest hspectlon ro 1303 CumxM Taxes due from BorrovrodSeller 1304 1305 1308 1307 ro ro ro ro ro ro ro Fray li Til~F, llttoraayi at Law ro Frey le Tilgy, l-ttoraayr at Law S 83, 500 S 87, 900 00 Mortgage; $16.00 ; Releases $ . 00 Mortgage: $ .00 Mortgage: $ 39.99 108.56 170.66 28.01 684.00 28.00 879.00 801 802 803 804 805 808 807 808 809 et0 811 801 .902 903 904 905 1101 1102 1109 P .O. C. 11107 1108 1109 t110 1111 1112 1113 1201 1202 879.00 1203 1301 1302 972.21 1303 1304 1305 1,829.37 1,851.21 REV-1503 EX+ ~4-86) ~: COMMONWEALTH OF PEl` INHERITANCE TAX R RESIDENT DECED' SCHEDULE B STOCKS AND BONDS FILE ELWOOD J. CARNS 21-95-320 tAll nronerifv ininfly_owned with Riaht of Survivorship must be disclosed on Schedule F.) (ff more space is needed, insert additional sheets of same size.) REV-1508 EX+ i2-87) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEQULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY ELWOOD J. CARNS (All property jointly-owned with the Righf of Survivorship must be disclosed on Schedule F) ITEM DESCRIPTION NUMBER 1. New York Life pension for April, 1995, automatically deposited to checking account 2. Balance Farmers Trust Company checking account #5-31383 Accrued interest to April 12, 1995 3. Balance Farmers Trust Company MMA #3-93568 Accrued interest to April 12, 1995 4. Balance Farmers Trust Company Certificate of Deposit #90746 Accrued interest to April 12, 1995 5. Subscription refund, The Patriot 6. Dividend, Nam Tai IIectronics, Inc. 7. Proceeds sale of 1988 Buick Wagon 8. Proceeds sale of personal property 9. Refund, Erie Insurance Group TOTAL (Also enter on line 5 (Attach additional B'/:" x 11" sheets if more space is needed.) Please Print or Ty ER 21-95-320 VALUE AT DATE OF DEATH 290.79 25,818.29 13.41 6,248.10 12.70 5,997.24 148.21 3.00 2.70 4,800.00 275.00 233.00 S 43;842.44 Fa~ERs TRUST May 4, 1995 Frey & Tiley 5 Seuth Hanover Street Carlisle, PA 17013 Re: Estate of Elwood J Carns SSN 203-10-0626 Date of Death: :4pri1 12, 1995 Dear Mr. Frey: In answer to your request concerning accounts owned, either separately or jointly, by the above referenced decedent and the balance in each account. as of the date of death, we have checked our records and are submitting the following information in duplicate. We suggest that you file one of these letters attached to the Pennsylvania Inventory forms (RCC) to substantiate the balance you report. Note that we have shown the correct registration for each account. Also, interest accrued to the date of death, if any, is listed as a separate figure. Checking account #3-93568 was originally opened 7/12/90. The account was titled joint between Elwood J Carns or Kathryn E Carns. The balance as of 4/12/95 was $6,248.10 plus $12.70 accrued interest for a total of $6,260.80. The account is a Money Market Account earning interest on a blended rate as follows: less than $2,500 2.50; 2,500 - !0,000 2.75`x. Checking account 1k5-31383 was originally opened 7/1/77. The account was titled joint between Elwood J Carns or Kathryn E Carns. The balance as of 4/!2/95 was $25,818.29 plus $13.4! accrued interest for a total of $25,831.70. The account was closed prior to the statement therefore the accrued interest was forfeited. We do have a safe deposit box at our North Middleton Office 1I53 titled joint between Elwood J Carns or Kathryn E Carns. Sincerely, Karen Tomassone Customer Service One West High Street P.O. Box 220 Carlisle, Pennsylvania 17013 (717) 243-3212 F~~T1vIE TRUST One West High Street P.O Box ZZc7 Carlisle, f eivisylvania 17013 Date July 13, 1995 Frey & Tiley 5 S. Hanover St. Carlisle, PA 17013 Re: Estate of~ Elwood J. Carns 203-10-0626 Date of Death 4/12/95 Dear Mr. Frey In answer to your requaat concerning accounts owned, either separately or Jointly, by the above referenced decedent and the balance in each account as of the date of death, we have checked our records and are submitting the following information ~ duplicate. We suggest that you file one of these letters attached to the Pennaylvanu Inven- tory forms (RCC) to substantiate the balance you report. Note that we have shown the correct registration for each account. Also, interest accrued to the date of death, if any,. is listed as a separate figure. Very truly yours, Certificate 90746 was opened 7/12/90 for $5,000.00. •~ The value as of 4/12/95 was $5,997.24. The ~) reportable 1099 interest for 1995 to DOD was Doris Goodhart $148'21' CD/IRA dept. The certificate was registered to Elwood J. Carns. REV-1511 EX+ 17.881 ~~ SCHEDULE H FUNERAL EXPENSES, . COMMONWEA H OF PENNSYLVANIA ADMINISTRATIVE COSTS AND INHERITANCE TAX RETURN MISCELLANEOUS EXPENSES RESIDENT DECEDENT Pleafe Print Or Typ@ ESTATE OF ELWOOD J. CARNS FILE NUMBER 21-95-320 ITEM NUMBER DESCRIPTION AMOUNT A. Funeral. Expenses: 1. Hoffman-Roth Funeral Home, funeral services 4, 688.50 E. John Carns, reimbursement for grave opening 600.00 B. Administrative Costs: 1. Personal Representative Commissions 0.00 Social Security Number of Personal Representative: Year Commissions paid 2. Attorney Fees 6, 352.00 3. Family Exemption 0.00 Claimant Relationship Address of Claimant at decedent's death Street Address City State Zip Code 4. Probate Fees 256.00 C. Miscellaneous Expenses: 1. Farmers Trust Company, loss of accrued interest on checkin t g accoun in closing account 13.41 2. Carlisle Suburban Authority, water and sewer 101.86 3. Arnold Fuel Oil, account 113.84 4. Erie Insurance Group, fire insurance 90.00 5. PP&L, electricity 53.99 6• CuFnberland Law Journal, advertising Letters 40.00 7. United of PA, telephone service - 39.73 less refund of 18 74 . 20.99 8. Hoyt D. Carns, reimbursement for cleaning, cleaning supplies, and small repairs 137.72 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of same size.) SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MLSCELLANEOUS EXPENSES PAGE 2 ESTATE OF ELWOOD J. CARNS ITEM NUMBER 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. DESCRIPTION FILE NO. 21-95-320 Register of Wills, 1 short certificate Recorder of Deeds, realty transfer taxes PP&L, electricity The Sentinel, advertising Letters Refund of New York Life Pension automatically deposited to checking account Erie Insurance Group, fire insurance Hoyt D. Carns, reimbursement for lawn service PP&L, electricity Carlisle Suburban Authority, water and sewer Register of Wills, 1 short certificate PP&L, final bill BFI, final trash removal bill Hoyt D. Carns, reimbursement for replacing railing at house Hoyt D. Carns, reimbursement for lawn service Real estate tax pro-ration Register of Wills, filing Pa. Inheritance Tax Return Notary Public fee Reserve to file Account TOTAL AMOUNT 3.00 879.00 41.33 62.12 290.79 91.00 220.00 6.31 93.75 3.00 8.46 20.69 469.59 40.00 31.71 15.00 6.00 100.00 14,850.06 REV-1513 EX+ (2-87) . ~v SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT eatAre vF FILE NUMBER ELWOOD J. CARNS 21-95-320 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxable Bequests: 1- Hoyt D. Carns Son 1/3 residue of est: 230 Meals Drive Carlisle, PA 17013 2• E. John Carns Son 1/3 residue of estr: R. D. 1, Box 103 Thomasville, PA 17364 3. Robert H. Carns Son 1/3 residue of estE P. O. Box 1197 Oil City, PA 16301 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Governmental Bequests: 1. NONE to to to - TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recopitulation) I $ (If more space is needed, insert additional sheets of same size) REV-485 EX+ II.92) f' .. ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 HARRI58URG, PA 17128-0601 SAFE DEPOSIT BOX INVENTORY Please Print or Type MUST BE COMPLETED BY REPRESENTATIVE OF FINANCIAL INSTITUTION WHERE SAFE DEPOSIT BOX IS LOCATED aNn RFTtIDnIFn Tn eanvc ennocec COUNTY COD 1 ~ FILE NUMBER ~~/ ~ ~ ~ U SOCIAL SECURITY OR DEATH CERTIFICATE NUMBER ~O ~ !_ / ~ ~ ~ b~ • DECEDENT'S @ LAST, FIRST, MIDDLE ( 1 --~w~ C ~ 5 DATE OF DEATH - a o ~ c~ ~N y_ ,~ _ ~ ADDRE OF DECEDENT STREE ( TI - ~ - ,~ a + (CITY) (STATE) c c( (ZIP CODE) ~I , ~.. ~~ I~ .~ ~- ~~~~ NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX (NAME) r' ~, r~ ~r- (STREET ADDRESS) S ~~~Z 6 J e..v- (CITY) (STATE) ~~'> Cis-~r' ~ ~ J ~ 4~.~ t'~ u (ZIP CODE) t NAME, ADDRESS AND RELATIONSHIP (IF ANY) TO DECEDENT, OF PERSON(S) PRESENT AT THE BOX OPENING a. (NAME) ~ (RELATIONSHIP) oy d D G ~~n ~ ~L c~u~ ~ ~ (STREET ADDRE~ ~ r c`~) ~ ~ ~ L~ ~ ~ (CITY) l (_ (STATE) ~~ ~~ ~ (ZIP CODE) _ .l ~~ ~ ~ ~ J (X ~ 7 L1 I b. (NAME) (RELATIONSHIP) (STREET ADDRESS) (CITY) (STATE) (ZIP CODE) t. (NAME) (RELATIONSHIP) (STREET ADDRESS) (CITY ) (STATE) (ZIP CODE) ' NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED (NAME) ~~ _ ~ ~ '~ G(. t 1IV 1 fi/I ~ .CZJ S (STREET ADDREf S~~ ~ ~\'('~L~ ~ ~ (CITY) . (STATE) ~ ( ~ ~ t °4- ' (ZIP CODE) t t 7 U ~ NAME OF PERSON MAKING LAST ENTRY DATE AND TIME OF LAST ENTRY DATE OF CONTRA, CT TAO RENT BOX NUMBE~ ~ X TI~T^LEiUNDER WHICH BOX IS R GISTERED NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX a. (NAME) b. (NAME) (STREET ADDRESS) (STREET ADDRESS) (CITY) (STATE) (ZIP CODE I CITY ( ) (STATE) (ZIP CODE) NAME AND TITLE OF EMPLOYE TAKING THE INVENTORY WAS A WILL IN THE BOX4 OYES ^NO If yes, a. Doto of will: b. Name and address of personal representative, if named in the will (NAME) (STREET ADDRESS) (CITY) (STATE) (ZIP CODE) e. Name and address of attorney, if any (NAME) (STREET ADDRESS) (CITY) (STATE) (ZIP CODE) SAFE DEPOSIT SOX INVENTORY Page ~ of i . IIVJIKU~:TIONS (1) Cash: Report total only. (2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Stocks are to be designated by name of company, certificate number, date of certificate, name in which stock is registered, and number of shares and class of stock. (3) Obligations of U. S. Government: Number of items, date of issue, face value, names in which registered and type of ownership, i.e., jointly held, payable on death, etc. (4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds) (5) Bank,pnd Savings and Loan Passbooks: State name of depositor, number of book, last date appearing in book, name of bank and branch, and balance. (6) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe as fully as possible. (7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: List and describe as fully as possible. (8) All other contents. ITEM NO, ITEM DESCRIPTION ,. ,, / .. ~ / / ~ I CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SIGNATUR ,~' PRINT NAME PRINT TITLE NOTE: Aftaels eddi*i..nwl Aim •• .. ~ ~•• _~.__. i_s •~ _ PERSON RECEIVING COPY OF SAFE DEP IT B INVE ORY: S . R PRINT AME D CHECK APPROPRtAT~ E BOX gElOw, CHECK APPROPRIATE BOX: ^Executor(trix) ^Administrator(trix) ^Estate Representative ^ Joint owner of safe deposit box - - - -----• .-. •- ••~-~.~~.•• r .....moo ^avpncares or mis page of form. REV-1547 EX AFP (12-94) COMMONNEALTH OF PENNSYLVANIA DEPARTMEN7 OF REVENUE NOTICE OF INHERITANCE TAX ACN 101 BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPT. 280601 HARRISBURG, Pa 17128-0601 OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 11-27-95 DATE OF DEATH 04-1Z-95 ~~~~ ~ FILE NO. 21 9 -0 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, AGENT'' REMIT PAYMENT T0: FREY & TILEY 5 S HANOVER ST CARLISLE PA 17013 .00 v,rco.uu 51.16 As!ount Rewitted CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ------ ---------------------------------- ---------------------- IIEV-lE4'~ EX AFP t12-94) Nt1TICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CARNS ELWOOD J FILE NO. 21 95-0320 ACN 101 DATE 11-27-95 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE ArPRAiSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks end Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule Cl 4. Mortpepes/Notes Revivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expensea/Adw. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortya9e Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Valw of Tax Return 13. Charitable/Governantal Bequests (Schedule J) 14. Net Valui of Estate Subject to Tex REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 (i) 87 , 900.00 (2) 1.960.36 (3) .00 t4) .00 (5) 43 , 842.44 (6) .00 (7) .00 (8) 133,702.80 (9) 14,850.06 (lo) .00 (11) 1 4 .8 0 _ 06 (127 118,852.74 (13) .00 (14) 118,852.74 NOTE: i~ an assessment was issued previously, reflect tiguras that include the tot l lines 14, 15 and~or 16, 17 and 18 will a ASSESSMENT OF TAX: of ALL returns assessed to date. 15. Aaount of Line 14 at Spousal rata (151 .0 0 X .00_ .00 16. Amount of Line 14 taxable at Lineal/Class A rata (1(,) 118,852.74 X.06= 7,131 16 17. Amount of Lina 14 taxable at Collateral/Class B rata (17) .0 0 X .15. . .00 18. Principal Tax Due (181 7, 131.16 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST (-) AMOUNT PAID ui-ua-ys AA047965 08-30-95 AA048185 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT 7,131.16 BALANCE OF TAX DUE .00 INTEREST .00 TOTAL DUE .00 ( IF TOTAL DUE IS LESS THAN 91, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ''CREDIT'' (CR), YOU MAY BE DUE 0 RFFUNn_ SFF REVERSE St~E OF THIS FORM FOR INSTRUCTIONS.) STATUS REPORT UNDER RULE 6.12 Name of Decedent: IIwood J. Carns Date of Death: April 12, 1995 Will No. Admin . No . 21-95-0320 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 ~dm~.ni~~~ation 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 X No 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 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 be aL-tached to this report. Date: June 3, 1997 (MAH:rmf/AM3) Signature Robert M. Frey Name (Please type or print) 5 South Hanover Street, Carlisle, Pa. 17013 Address ~ 717) 243-5838 Tel. No. Capacity: Personal Representative X Counsel for personal representative FIRST AND FINAL ACCOUNT OF HOYT D. CARNS, EXECUTOR OF THE LAST WILL AND TESTAMENT OF ELWOOD J. CARNS, LATE OF NORTH MIDDLETON TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED DATE OF DEATH LETTERS TESTAMENTARY ADVERTISED: April 12, 1995 CUMBERLAND LAW JOURNAL May 12, 19, and 26, 1995 _. ESTATE FILE NO. 21-95-320 THE SENTINEL May 8, 15, and 22, 1995 PRINCIPAL RECEIVED Accountant charges himself with the following principal amounts received: 1995 Apr. 28 New York Life Insurance, pension check for April, 1995 290.79 May 2' Balance Farmers Trust Company checking account #5-31383 25, 818.29 Accrued interest to April 12, 1995 13.41 2 Balance Farmers Trust Company MMA #3-93568 6,248.10 Accrued interest to April 12, 1995 12.70 2 Balance Farmers Trust Company Certificate of Deposit #90746 5, 997.24 Accrued interest to April 12, 1995 148.21 2 Subscription refund, The Patriot 3.00 2 Dividend, Nam Tai IIectronics, Inc. 2.70 9 Proceeds sale of 1988 Buick Stationwagon 4, 800.00 23 Proceeds sale of personal property 275.00 23 7 - $50.00 Series EE bonds 385.36 23 Cumberland County Veterans Administration benefit 1U0.00 31 Refund, Erie Insurance Group 233.00 Aug. 2 180 shs. Nam Tai IIectronics, Inc. 1, 575.00 17 Proceeds sale of house and lot of ground at 137 Brookwood Drive, Carlisle, (North Middleton Township), Cumberland County, ~ `~- Pennsylvania 87;900.00 TOTAL PRINCIPAL RECEIVED 133,802.80 -1- INCOME RECEIVED Accountant charges himself with the following income amounts received: 1995 May 9 Interest, Farmers Trust MMA #3-93568 1.82 9 Interest, Farmers Trust Company Certificate of De it #9074 pos 6 102.64 26 Interest on Estate NOW account 38.63 June 27 Interest on Estate NOW account 30.04 July 27 Interest on Estate NOW account 22.74 Aug. 2 Gain on sale of 180 shs. Nam Tai Electronics, Inc. 30.00 25 Interest on Estate NOW account 55.77 Sept. 27 Interest on Estate NOW account 60.21 Oct. 27 Interest on Estate NOW account 25.73 Nov. 27 Interest on Estate NOW account 24.17 Dec. 27 Interest on Estate NOW account 22.56 TOTAL INCOME RECEIVED 414.31 DISBURSEMENTS Accountant claims credit for the following amounts paid: 1995 May 2 Farmers Trust Company, loss of accrued interest in closing account 13.41 2 Register of Wills, Letters Testamentary and 1 short certificate 256.00 2 Carlisle Suburban Authority, water and sewer 101.86 2 Arnold Fuel Oil, account 113.84 2 Erie Insurance Group, fire insurance 90.00 2 PP&L, electricity 53.99 2 E. John Carns, reimbursement for grave opening 600.00 2 Hoffman-Roth Funeral Home, funeral services 4, 688.50 2 Cumberland Law Journal, advertising Letters 40.00 23 United of PA, telephone service - 39.73 less refund of 18.74 20.99 23 Hoyt D. Carns, reimbursement for cleaning, cleaning supplies, and small repairs 137.72 31 PPdcL, electricity June 7 The Sentinel, advertising Letters 41.33 62.12 7 Refund of New York Life pension automatically deposited to checking account 290.79 -2- June 14 Erie Insurance Group, fire insurance 91.00 July 5 Hoyt D. Carns, lawn service from 4-19-95 to 7-2-95 220.00 5 PP&L; electricity 6.31 5 Carlisle Suburban Authority, water and sewer 93.75 5 Register of Wills, Agent, a/c Pa. Transfer Inheritance Tax 6, 726.00 5 Register of Wills, 1 short certificate 3.00 Aug. 17 Register of Wills, 1 short certificate 3.00 17 Recorder of Deeds, realty transfer taxes 879.00 21 Register of Wills, filing Pa. Inheritance Tax Return 15.00 21 Register of Wills, balance Pa. Inheritance Tax 51.16 27 PP&L, final electric bill 8.46 27 BFI, final trash removal 20.69 27 Hoyt D. Carns, reimbursement for replacing reiling at house 469.59 27 Hoyt D. Carns, reimbursement for lawn. mowing 40.00 27 Real estate tax pro-ration 31.71 i/r 7/` rb Notary Public fee 6.00 i/~c~," f ~ Frey and Tiley, attorney's fee 6, 352.00 ~• Reserve for preparing and paying 1995 Federal and State Fiduciary income tax 50.00 Reserve to file Account 115.00 TOTAL DLSBURSEMENTS 21,692.22 R EC APITUL ATIO N Total Principal Received 133, 802.80 Total Income Received 414.31 Total Receipts 134, 217.11 Less Total Disbursements - 21, 692.22 Balance for Distribution 112, 524.89 -3- PROPOSED SCHEDULE OF DISTRIBUTION BALANCE FOR DLSTRIBUTION TO: Hoyt D. Carns 230 Meals Drive Carlisle, PA 17013 One-third residue of estate: Partial distribution May 9, 1995 5 000.00 Partial distribution August 29, 1995 30 ~ 000.00 Balance for distribution 2, 508.30 TO: E. John Carns R. D. 1, Box 103 Thomasville, PA 17364 One-third residue of estate: Partial distribution May 9, 1995 5 000.00 Partial distribution August 29, 1995 30 ~ 000.00 Balance for distribution 2, 508.30 TO: Robert H. Carns P. O. Box 1197 Oil City, PA 16301 One-third residue of estate: Partial distribution May 9, 1995 10 000.00 Partial distribution August 29, 1995 25 ~ 000.00 Balance for distribution 2, 508.29 112,524.89 37,508.30 37,508.30 37,508.29 112,524.89 -4- COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ~ SS.: Before me, the undersigned officer, personally appeared Hoyt D. Carns, Executor of the Last Will and Testament of IIwood J. Carns, Deceased, who, being duly sworn according to law, deposes and says that the foregoing First and Final Account and Proposed Schedule of Distribution are true and correct to the best of his lrnowledge, information and belief. ~-- > oyt Carns Sworn to and subscribed before me this ~ ~ day of January, 1996. ' NOTARIAL SEAL ~- R1STA !(ING, NOTARY PUBLIC CARLISLE, CUMBERLAND COUNTY pq MY COMMISSION EXPIRES JUNE 27,1998 -5- WILL I, Elwood J. Carps, of the Borough of Iaorth Middleton Township, Cumberland County, Pennsylvania, declare this to be my last Will and revoke spy will previously made by me. 1. I direct my executor to pay all ~ funeral expenses out of the corpus of my estate. . 2. I give, devise and bequeath all of the residue of my estate, .__.~.~.....,,,...._,...,,..:.vy,~th real and personal, including property over which I shall have any power of appointment, unto my wife, Kathryn E. Carps, if she survives me by sixty (60) days. 3. If my said wife does not survive me by sixty (60) days, I bequeath the residue of my estate to my three sons, Hoyt. D. Carps, Elwood J. Carps, Jr., and Robert H. Cares, in equal shares. 4. I appoint ~ wife, Kathryn E. Carps, executrix of this m3' last Will. Should ray wife fail to qualify or cease to act as executrix, I appoint l~~y three sons aforesaid, as co-ex®cutors. 5. I direct that ~ personal representatives, as we]1 as their successors, shall not be required to give bond for the faithful per- formance of their duties in any jurisdiction. IN 1nZTNESS 4,~iERI~:OF, I have hereunto set nay hand ~.nd seal this ~~ r,~,,;,. ,~~ :. ~:.. I, Mary C. Lewis, Register for Probate of Wills and granting Letters of Administration for the County of Cumberland, in the Commonwealth of Pennsylvania, do hereby certify the foregoing to be true and accurate copies of the FIRST AND FINAL ACCOUNT OF HOvm D AL31~jS F'X C'i1T(~R nF THF~~gTATT+' OF ELWCOD J. CARNS. LATE OF N~RmH MTjZI~TFT(~N TnWNSNTP~ ,CTTMRFRTATID COUNTY, PENNSYLVANIA, D~CEA~Fn as the same were passed and advertised and remain on file and of record in this pffice. IN TESTIMONY WHEREOF, I have hereunto set my hand arld official seal the date above. Mary C. L is, Register of Wills NOW TO WIT, MARCH ~9 96 ~ came into Court HOYT D. CARNS EXECUTOR and presented an account and statement of proposed distrubution, which were examined, passed, approved, and confirmed with a balance in his hands of $ ?~ , S 4 8 ~ and the accountant was directed to distribute said balance in accordance with the statement of distribution filed. f'~ any C ewis, Clerk of th Orphans Court COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ~ ss I, Mary C. Lewis, Clerk of the Orphans' Court, in and for said County, do hereby certify the foregoing to be a true copy of the account and statement of proposed distribution of HOYT D. CARNS EXECUTOR as full and entire as the same remain on file and record in this office. 1N TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Carlisle, this 5th day of Max'ch 19 _..9~ ~ _ J i Mary C ewis, Clerk of th Orphans Court ~Y1Gan.. S . 199(0 Rccount Confirmed absolutely and distribution decreed in accordance with proposed sched- ule of d~is/tribution herewith. ey the Court +~ n_ x -~ O ~ ~ r ~ ~ '~ ~ ~ ~ ~ ~ ~ Cx o ~ ~ ~ d ~ ~ ~ ~ ~ z ~~ b ~ ~ -~ ~d ~ ~, Q y ~ °~~ ~ z ~d r ' ~ z~ d -`° ; ~ ~ ~ , p Z r r Y n tzi cn ~ ~ o ~ z r ~oC~ ~T• ' ~ ~ d Z z ~ `~ ~ ' ~ ~ X nn y H n i~ D~L" ~~~ ~ n Y Q~ Ct7 yO b7 ~~ o~~ x zz ~ ~C G ~ W ~, ~ ~ ~ ~ u, ~ x ~ . ° ~ ~ z z ro O .~ ~ rn