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HomeMy WebLinkAbout04-0949 PETITION FOR PROBATE and GRANT OF LETTERS i - oq -o also known as To: Register of W~ills for the Social Security No. ~ ~ ? ' /3 - q(~ ~ peceased. County of (.9,A~L~_~ in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of ag9 or ~der an~the ex~ecut named in the last wilt of the above decedent, dated and codicil(s) dated , (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in ~~ hJ 5/~ . last family or principal residence at 3 o ~ ~~/,:Lf_.~_. ' Count~,,Pennsylvania, with (list street, number and muncipality) Dec, e)ade~nt, th.en3 _ ~o . . ~d ~0 ¢_~LC~4.A..) /,~, , 1~_ .~O~¢z> ~, at_ /v_~-¢.~, ~ Except as {¢mlows, decedent did not marry, was not divorced and did not have a child born or adopteci after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ (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: /5'~, o-e-o WHEREFORE, petitioner(s) respectfully r..~quest(s) the probate of the last will ~d codicil(s) presented herewith and the grant of letters ,/C~cL-,'~,~,~7~ ~ theron. (testamentary; administr,~tion c.t.a.; administratiqn d.b.n.c.t.a.) OATH OFPERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF f ~,,n l~.~-/a ~ c~ f :ss The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true arid 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 affirm¢~5./..and subscribed before me this o~/ day of '~, ff.x._(_Yc//~-Regf~er Estate Of .., Deceased DECREE OF PROBATE AND GRANT OF LETTERS ! been Cresented;befo[e me, !T iS DECREED that the instrument(s) dated described therein be admitted to probate and filed of record as the last will of ~c~o / ~ ff 0'~ l~cj'0/~J- .--1-9 ~._~, in consideration of the petition on and Letters e ~' '~5~~~" are hereby granted to FEES Probate, Letters, Etc .......... Short Certificates( ) .......... Renunciation ................ TOTAL Filed ................................... ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE his is lo certify lhat the information here given is correctly copied from an original certificate of death duly filed with me as l.ocal Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this Cellificate. $2.00 10667657 No. Local Registrar Date TYPE,PRINT PERM~,NENT Bt AC:K INK mos ~4~ Rev ~tEl COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH STATE FILE N~MB~R NAME OF DECEDENT (Fi~t, UId~e. LaM) SEX ] SOCIAL SECURITY NUMBER I DATE OF DEA IH (Mon[h ~ Paul R Leiter ~ Male i~ 209 -12 - 7921 /"~J~t~. ~ · ° I. I. 14. t~- ~ ,,. Cumberland .East. Pennsboro.. &~o~J 5g,Cx~ ~&&eg~ ~;~.~,m.:-:, ' ,0. White ar v,~ ~.: d~ AS DECEDENT EVER INDECEDENT'S EO~ATION DECEDE~ ~UAL ~UPAT~N KI~ ~ BUSINESS / INDUSTRY ~ S. ~MED F~CES? I (~ ~.~d~ M~ITAL STATUS - M~, SURVIVING SPOUSE ,,. Inspector m,. Rail m .. DE~EDENT,S M~Li~A~RESS(S~ Ci~n~n.~ta~,~p~) i mCEDENT,S i*a.v*'~ NoD 113. (~0 (iaaa) ~ W i dowedLowerl 303 Glenndale Drive ~s,DE,c~ ~..s~t. PA . (s.m,,~, Cumberl and t~p~ ~,.~ ,m,~,~t,~ ~.hl remanstown PA 17011 ~,~) t~b.c~mV ~. ~arm Lelter ~. vmorence vogmeman ~. Larrv Leiter ~. 15 S. 4th Street Apt. XbA mewport :,~ .... ~ ......... ~ ~.. ~u-~-~uu, Mechanlcsburq Cemete v Mechan~csburg PA ~C~re~e~Y~'~ // To~st~my~e d~m~dal~t~ dalea~a~stated - ILICENSENUMaER I~T~ S~t;~aeD - ~,ny ~c,an ~ nol avall~ie at brae of~ ~o~ I (Si~t~e ~d Tille I I(Uon~h Day Yeaq O55 LAST ~VILL OF PAUL R. LEITER I, PAUL R. LEITER, of Lower Allen Township, Cumberland County, Pennsylvania, do hereby declare this to be my Last Will, and do hereby revoke all prior Wills and Codicils heretofore made by me. 1. I hereby give and bequeath to my spouse, RUTH M. LEI'ISgR (hereinafter referred to as "my spouse") if my spouse survives me, my entire interest in and to any and all furniture, antiques, clothing, jewelry, pictures, statuary, works of art, silver, plate, ornaments, bric-a-brac, tapestry, household goods, utensils and supplies, books, linen, china, glass, automobiles, plants, implements, and tools that may be in, at or about my home at the time of my death, and all of my other tangible personal property, together with all policies of insurance. If my spouse does not survive me, all of the property above described in this paragraph 1, except to the extent that certain items thereof are otherwise set forth in a memorandum that may be attached to this Will, I hereby give and bequeath to those of my nieces, LINDA R. SHERIDAN, CYNTHIA NEARY, JUDITH WHITTENGHILL and SUSAN WEAVER, who may survive me at the time of my death, to be divided between or among them in as equal shares as may be possible, as they may mutually agree; should my said surviving nieces be unable to agree between or among themselves upon such a division of said property, alternate choice of individual items thereof shall be made by her as follows: the first choice shall be made by the oldest of my surviving nieces, the second choice shall be made by my next oldest surviving niece, and so on according to age until an equal or nearly equal division and distribution of said property items is completed. 2. If my spouse survives me at my death, I hereby give, bequeath and devise to my spouse all of the rest, residue and remainder of my property and estate, of whatsoever nature and wheresoever situate, together with all policies of insurance thereon. 3. If my spouse does not survive me, then all of the rest, residue and remainder of my property and estate, of whatsoever nature and wheresoever situate, together with all policies of insurance thereon, I hereby give, bequeath and devise as follows: (a) 10% thereof to be divided in equal shares among St. Mark's Evangelical Lutheran Church of Colonial Park, Pennsylvania, St. Luke's Lutheran Church of Littlestown, Pennsylvania and the Care Assurance Fund of the Gettysburg Lutheran Home; (b) 50% thereof to be divided among Larry Leiter, Sherry Leiter, Grady Leiter, Linda R. Sheridan, Susan Weaver, Judith Whittenghill and Cynthia Neary, in equal shares; and (c) 40% thereof to be divided among Gerald Kerstetter, Wayne Kerstetter, Irvin Hofe, Lowell Hofe, Kenneth Kerstetter and Jean Brungart, in equal shares. 4. In the event that my spouse and I die simultaneously or under such circumstances that it cannot be established which of us died first, then my spouse shall be deemed to have predeceased me for all purposes under this Will 5. Should any legatee or devisee under this Will die within ninety (90) days after the date of my death, he or she shall be deemed to have predeceased me for all purposes under this Will. 6. No interest of any beneficiary hereunder in either the principal or income of my estate shall be subject or liable in any manner while in the possession of my executor to anticipation, pledge, assignment, sale, transfer, charge or encumbrance, whether voluntary or involuntary, or for any liabilities or obligations of such beneficiary whether arising from his or her death, debts, contracts, torts or engagements of any type. 7. Except as otherwise restricted, directed or provided in this Will, or required by law, in the administration of my estate hereunder, the executor or executrix (hereinafter the "Fiduciary") serving under this Will shall have the following powers, which may be exercised without leave of court, in addition to those powers the Fiduciary may have by law: (a) At any time, to retain any assets, investments or property in the form held by the Fiduciary at the time of my death or thereafter, and to invest and reinvest any funds which the Fiduciary may hold in any stocks, bonds, notes or other securities, or in any other property, real or personal, tangible or intangible, or mixed, or interests therein, wheresoever situate, as and in such proportions as the Fiduciary may deem best, notwithstanding that such investments may not be of a character allowed to fiduciaries by statute or general rules of law. (b) To sell, exchange, grant options upon, or otherwise dispose of any property, real or personal, tangible or intangible, or mixed, or interests therein, wheresoever situate, at any time held by the Fiduciary, at public or private sale, for cash or upon credit, in such manner, to such persons, and at such price, terms and conditions as the Fiduciary may deem best, and no person dealing with the Fiduciary shall be bound to see to the application of any funds paid to the Fiduciary. (c) To manage, operate, repair, improve, partition, subdivide, or lease for any term any real estate or personal property at any time held by the Fiduciary, wheresoever situate, and to enter into agreements for the same. (d) To borrow money for the payment of taxes or for any other proper purposes in the administration of the property held by the Fiduciary upon such terms as the Fiduciary may deem advisable, and mortgage, pledge or encumber any real and/or personal property held by the Fiduciary as security therefor. (e) To distribute in cash or in kind, or partly in each, and in shares different in kind from other shares, upon any division or distribution of any property which the Fiduciary holds. (f) To adjust, settle, compromise and arbitrate claims, to renew or extend the time for payment or otherwise modify the terms of any obligation payable to or by my estate, and to abandon any property held by the Fiduciary which is of little or no value. (g) To retain any pay agents, employees, accountants and counsel, including but not limited to legal and investment counsel or advisors, brokers, banks, custodians and other agents, for advice and other professional services, and to delegate to them such duties, rights and powers as the Fiduciary may determine for such time periods as the Fiduciary may deem necessary. (h) To allocate, in the discretion of the Fiduciary, any receipt or item of income or disbursement or item of expense, to principal or income, or partly to each. (i) To the extent permitted by law, to exercise any election, right or privilege given by federal tax laws, or the tax laws of Pennsylvania or of any other jurisdiction, including but not limited to the joinder with my spouse in filing income tax returns, the joinder with my spouse in filing gift tax returns with respect to gifts made by my spouse or by me or by both of us prior to my death, the consent on gift tax returns to have any gift made by my spouse considered as made in part by me for gift tax purposes, the determination of proper taxes, interest and penalties and the payment thereof even though not attributable in whole or in part to income or gifts from my property or estate and without requiring my spouse, my spouse's estate or my spouse's legal representative to indemnify or reimburse the Fiduciary for taxes (or penalties or interest thereon) attributable to my spouse, and the election to claim deductions for death tax purposes or for income tax purposes, and for the Fiduciary's exercise or non-exercise of any such election, right or privilege to make or not make in the Fiduciary's discretion equitable or compensatory adjustments as between income and principal of my estate or any part thereof, or as between any beneficiaries thereof or their shares therein, all without the consent of any beneficiary hereunder and without any liability on the part of the Fiduciary for so doing. 6 (j) To make from time to time partial distributions in varying amounts to the beneficiaries hereunder prior to final settlement and distribution of my estate, and in connection therewith to determine in the Fiduciary's discretion the time or times when such partial distributions may require recompilation of said beneficiaries' proportionate interests hereunder for the equitable allocation of income or on account of changing asset values pending final distribution. (k) To receive, collect and recover the interest, rents, profits, proceeds, gains, and other earnings and income of and from the property held by the Fiduciary hereunder. (1) In general, to exercise all powers in the management of the assets and property held by the Fiduciary which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as to the Fiduciary may seem best, and to execute and deliver all instruments and to do all acts which the Fiduciary may deem necessary or properly to carry out such management duties under this Will. 8. I hereby appoint my spouse to serve as my Executrix. Should my spouse be unwilling or unable, fail to qualify, or cease to act as my Executrix, I hereby appoint my niece, Linda R. Sheridan to serve as my Executrix under this Will. Should my said niece be unwilling or unable, fail to qualify, or cease to act 7 as my Executrix hereunder, I then appoint my niece, Cynthia Neary to serve as my Executrix under this Will. Should my said niece be unwilling or unable, fail to qualify, or cease to act as my Executrix hereunder, I then appoint my niece Susan Weaver to serve as my Executrix hereunder. 9. My Executrix shall not be required in any jurisdiction to file, enter or post any bond or other security for the faithful performance of her duties hereunder, and shall not be liable for the acts, omissions or defaults of any agent appointed with due care. 10. I direct that all estate, inheritance, legacy, transfer, succession and death taxes, of whatsoever nature or kind and by whatsoever jurisdiction imposed, and all interest and penalties thereon, which may be payable or assessed in consequence of my death, whether or not with respect to property passing under this Will, shall be paid out of and charged against the principal of my residuary estate in the same manner as are general administration expenses of my estate so that all property subject to said taxes shall be and pass free and clear thereof, without apportionment of or reimbursement for such taxes, interest or penalties among any beneficiaries, transferees or other persons interested in such property and without any right of my estate or executor to contribution, recovery or collection for the same. Taxes on any future or remainder interests hereunder may be prepaid at and in the election and discretion of the Fiduciary to the extent permitted by law. 11. If any beneficiary under this Will directly or indirectly objects to the probate of this Will or contests this Will or any part thereof, then any such objecting or contesting beneficiary shall be treated for all purposes of this Will as if he or she had predeceased me, and any distribution of any kind intended for him or her shall be void and of no legal effect. IN WITNESS WHEREOF, I, the said PAUL R. LEITER, hereby set my hand to this my Last Will, typewritten on and consisting of these nine (9) sheets of paper, at the bottom of each of the preceding pages of which I also have placed my initials, on this / ~>.:gb'day of __-~~. ,1998. PAUL R. LEITER 8463.1 On this /~ ~ day of ~eer~r~1998, PAUL R. LEITER declared to us, the undersigned, that the foregoing instrument was his Last Will, and he requested us to act as witnesses to the same. In our presence, being unable to sign his name hereto because of his current physical condition the testator directed his name to be subscribed for him which was done as directed in the presence of the testator and in the presence of the undersigned, whereupon the testator in our presence unassisted make his mark or cross in the space provided between his names. We now, at his request, in his presence, and in the presence of each of us, hereby subscribe our names as witnesses thereto and have placed our initials at the bottom of each of the preceding pages. By so doing, each of us declares that he or she believes this testator to be of sound mind and memory. ,_~_~t~J_,~ residing at i-~(~ ~]~vc/ k~vad/ Lc) he c,4~ ~)t] 10 COMMONWEALTH OF PENNSYLVANIA COUNTY OF SS. I, PAUL R. LEITER, testator, whose name is subscribed to the attached foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed it willingly by making my mark as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me, by PAUL R. LEITER, the testator, this /6 r~ day of ~'"e-~7~ ,1998. PAUL R. LEITER Notary Publ~/ t.--~:..~,~Ii!I~ s sion Expires: CHRISTY A. LONG, Notary Publlo! .City of Harrisburg, Dauphin Count~ 11 COMMONWEALTH OF PENNSYLVANIA : COUNTY OF · the witnesses whose names are signed to the attached foregoing instru~dnent, being duly qualified according to law, do depose and say that we were present and saw PAUL R. LEITER, the testator, sign and execute such instrument as his Last Will by making his mark; that such testator signed such instrument willingly and executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of such testator signed such Last Will as a subscribing witness thereto; and that to the best of our knowledge, such testator was at that time 18 or more years of age, of sound mind and under no constraints or undue influence. ___5~Sw°rn or affirmed to and subscribed before me by I~)'~-~tOx2'~fr~-)b~'axk~-4~. ,19~8. ~'~tb~ex''witnesses' this ~o~ day of WITNESSES: Notary Pu~ My Commission Expires:[ . NOTARIAL SEAL / ,,. ~,y_u~ amsourg, DauphinCoun~y LMy ~mis~G~ Ex ' 8463.1 12 MEMORANDUM Pursuant to paragraph 1 of my Last Will dated September 1 O, 1998, I hereby give the specific items of personal property as follows: Date: Paul R. Leiter 40375-1 CERTIFICATION OF NOTICE UNDER RULE 5.7 Name of Decedent: Date of Death: Will No. To the Register: Paul R. Leiter October 12, 2004 2004-00949 I certify that notice of beneficial interest required by Rule 5.7 of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Name Address St. Mark's Evangelical Lutheran Church St. Luke's Lutheran Church Care Assurance Fund of the Gettysburg Lutheran Home Linda R. Sheridan Cynthia K. Neary Susan J. Weaver Judith A. Whittinghili Sherry Leiter Larry Leiter Grady Leiter Jean Brungart Gerald Kerstetter Lowell Hofe Kenneth Kerstetter Wayne Kerstetter 4200 Londonderry Rd, Harrisburg, PA 17109 330 White Hall Road, Littlestown, PA 17340 1075 Old Gettysburg Rd, Gettysburg, PA 17325 17 N. Water Street, Spring Grove, PA 17362 1004 Fieldstone Court, Lancaster, PA 17603 1755 Sherwood Street, Clearwater, FL 33755 9627 Puccini Trail NW, Albuquerque, NM 87113 4089 Fawn Drive, Apt. L, Harrisburg, PA 17112 15 S. Fourth Street, Apt 1SA, Newport, PA 17074 1412 W. Winter Road, Loganton, PA 17747 1952 E. Winter Road, Loganton, PA 17747 4001 Ashburn Way, Mechanicsburg, PA 17055 505 South Boulevard, Salisbury, MD 21801 223 Cambridge Drive, Stuarts Draft, VA 24477 Garland Towers, 126 Oriole St, Apt 203, Hot Springs, AK 71901 Notice has now been given to all persons entitled thereto under Rule 5.7 except: Ruth M. Leiter, wife, and Irwin Hole, predeceased Matthew L. Gutluie, Esquire Guthrie, Nonemaker, Yingst & Hart 40 York Street Hanover, PA 17331 (717) 632-5315 RALPH E. RUDISILL (1888-1954) HAROLD B. RUDISILL (1898-1969) LOUIS T. GUTHRIE (RETIRED 2002) KEITH R. NONEMAKER MATTHEW L. GUTHRIE JAMES T. YINGST D.J. HART (PA, MD) LAW OFFICES OF GUTHRIE, NONEMAKER, YINGST & HART 40 YORK STREET HANOVER, PENNSYLVANIA 17331 TELEPHONE GENERAL FAX REAL ESTATE FAX January 6, 2005 (717) 632-5315 (717) 637-5682 (717) 632-5734 Register of Wills Office Cumberland Count),' 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Paul R. Leiter Case No. 6703-2004-00949 Dear Clerk: Please find enclosed for payment of the estimated inheritance taxes on the above-referenced estate a check (No. 107) in the amount of $48,000.00. Kindly return the receipt for payment of the same to this office in the self-addressed stamped envelope provided for your convenience. Sincerely, GUTHRIE, NONEMAKER, YINGST & HART Matthew L. Guthrie SkEstate Adminis~ration\LeiterPaul\ROW42C010605.1tr. doc 2005 J,~N -7 ?i'112:1 3 CLEF,;( ORPHAN'S COl CUi,,,,!~,EFIL,~D C, ':",, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF iNDIVIDUAL TAXES DEPT 28060~ HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV 1162 EX(11 96) NO. CD 004812 SHERIDAN LINDA H 17 NORTH WATER STREET SPRING GROVE, PA 17362 ESTATE INFORMATION: SSN: 209-12-7921 FILE NUMBER: 21 04- 0949 DECEDENT NAME: LEITER PAUL R DATE OF PAYMENT: 01/07/2005 POSTMARK DATE: 01/07/2005 COUNTY: CUMBERLAND DATE OF DEATH: 10/12/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $48,000.00 TOTAL AMOUNT PAID: $48,000.00 REMARKS: SEAL CHECK#107 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: 329 4/26/2005 PAUL R LEITER 21-04-0949 MATIHEWL. GUTHRIE 40 YORK STREET JA HANOVER, PA 17331 Qty 1 Fee Description Additional fee for shalt Fee 2,00 Total $2.00 Total: $2.00 1/~0 j'3/~ <.::r) (becks should be made payable to the Register of Wills. Terms: Net 30, Please return one copy of this invoice with your payment. Thank you. l/' Glenda Farner Strasbaugh Register of Wiils and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: 329 4/26/2005 PAUL R. LEfIER 21-04-0949 MATIHEWL. GUTHRIE 40 YORK STREET JA HANOVER, PA 17331 Qty 1 Fee Description Additional fee for short Fee 2.00 Total $2.00 Total: $2.00 Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG, PA 17128-0601 July 6, 2005 Telephone (717) 787-3930 FAX (717) 772-0412 Guthrie Nonemaker,yingst & Hart 40 York Street Hanover Pa 17331 Re: Estate of Paul R. Leiter File Number 2104-0949 Dear Sir or Madam: This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before 1/12/06. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. Sincerely, . laudia Maffei, Supervi Document Processing Uni Inheritance Tax Division ~~ "V- r'~~~--~--~--------- 112\1 EP-14 JANUARY 2004 HOPE @ 1995 USPS ~I~ : ~ 1:l:YJO.... iIj:~~ ~CJ.O~ (l.il ~; ~~; . m- ...:t 'Q ~ .. C\' -:t ,., N'ON . rC- 0- ~ <::J- ~ I '::r Q t E o () . In a- U) ::s I - ~ J..7Wlll:l SS311d 3Stf37d This packaging is the property of the U.S. Postal Service@and is provided .s REC~ ~~ fPoJation of federal Jaw. rir"" r'lr''''I~:-~:' ;,....,\'":' \1 illl , f\ t~i-\ ';", I 1',;i LL,j 20'il;'T .~r r~'112:: 8 01 ,"-',f :'~'. r.' f- ~ ::r: o(:l f- if! " ;z: ;:;:; lJ,..-!-<("fj 0>-"'<- '" . ~- "'O:::f-<l; Sdu..l"'1>.. [:: ~ ~ . o~"'''' ~~~~ <Cu..loo -1;z:""'~ o ::r: ;z: u..l' Q2 ::r: f- :::J " J..7Wlll:l SS311d 3Stf37d Q) '" ~ o ..c:: ~ Q) o u U~ >. 4-< Q) .....o~(") S",;j,........ o - c:r 0 U:;:::oot'- C>Q)"""'" "O;;>"'<C ~1l go.. "i:: I-<..c:: ~ Q) Q) t:: Q) ..ot:j;j[;J S...-l 0;":= ;j ~u ~ u~,........u REV-1500 EX + (6-00) If *' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I OFFiCiAL lJSE ONL y I FILE NUMBER 1.1 04 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 0949 .... z UJ c UJ (.) UJ C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Leiter, Paul R. DATE OF DEATH (MM-DD-YEAR) 209-12-7921 THIS RETURN MUST BE FILED IN DU L1CATE WITH THE [!] 1. Original Return D 2. Supplemental Return D 4. Limited Estate "LJ 4a. Future Interest Compromise (date of death after 12-12-82) [!] 6. Decedent Died Testate (Attach 7. Decedent Maintained a Living Trust (Attach copy of Will) copy of Trust) 'LJ I 9. Litigation Proceeds Received I,~. 10 Spousal Poverl}' Credit (date of death bet.veen I . 12.31-91 and 1-1-95) .iij,ij~c;t@NM9M;.~..c;9M~4lTI~;A,4c;C:)RR~~j:@Np~~PJll~~QCONl!"Q$lIIfW:..J~)ijMl~t@ij.~@W:;pij$QIjij;~t~QT(b. ............................................. NAME COMPLETE MAILING ADDRESS , Matthew L. Guthrie, Esquire ! FIRM NAME (If applicable) Guthrie, Nonemaker, Yingst & Hart I I TELEPHONE NUMBER ! 717-632-5315 DATE OF BIRTH (MM-DD-YEAR) I 10-12-2004 03-29-1924 REGISTER OF SOCIAL SECURITY NUMBER o 3. Remainder Return (date of death p" r to 12-13-82) 1. Real Estate (Schedule A) (1) 174,900.00 2. Stocks and Bonds (Schedule B) (2) 8,579.01 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None 4. Mortgages & Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 214,280.92 (Schedule E) z 6. Jointly Owned Property (Schedule F) (6) None 0 o Separate Billing Requested i= < 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 63,094.46 ..J ::l (Schedule G or L) D Separate Billing Requested .... ii: 8. Total Gross Assets (total Lines 1-7) < (.) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 56,265.39 UJ 0:: 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 935.87 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) w .... >:~<Il uQ:>: wo..u IOO uQ:..J o..a:l 0.. <( D o 5. Federal Estate Tax Return Req ired (11 ) 8. Total Number of Safe Deposit oxes (12) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (13) D 11.Election to tax under Sec. 9113 A) (Attach Sch 0) (14) (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) .... z w <:) z o 0.. <Il W Q: Q: o U 40 York Street Hanover, PA 17331 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15) 0.00 z or transfers under Sec. 9116(a)(1.2) 0 i= 16. Amount of Line 14 taxable at lineal rate 0.00 x .045 (16) 0.00 ~ ::l a.. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17) 0.00 :1: 0 (.) 18. Amount of Line 14 taxable at collateral rate 370,327.27 .15 (18) >< x < .... 19. Tax Due (19) CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT, 120. D ~*~~iji$t4M~WE:~A,\..gij$ij,q~ij~~$&M$im~~~$~ijj9.KM~iH**..) Copyright 2002 form software only The Lackner Group, Inc. I Form REV-150~ EX (Rev. 6~Ol Decedent's Complete Address: STREET ADDRESS 303 Glendale Drive I r I I i I I CITY Shiremanstown 1 STATE PA iZIP 1701 I Tax Payments and Credits: 1. Tax Due (Page 1 line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 55,549.09 48,000.00 2,526.32 Total Credits (A .j. B .j. C) (2) 50,526.32 3. Interest/Penalty if applicable D. Interest E. Penalty 59.87 Total Interest/Penalty (0 .j. E) 4. If line 2 is greater than line 1 .j. line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If line 1 .j. Line 3 is greater than line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of line 5 .j. 5A. This is the BALANCE DUE. (3) 59.87 (4) (5) 5,082.64 (5A) (58) 5 082.64 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No - a. retain the use or income of the property transferred;............. .......................... ............................................ 0 ~ b. retain the right to designate who shall use the property transferred or its income;......................................... 0 ~ Il ~: ~:::~: ;:;~:~~:~f:t~;:s:~ ~~t~'~'; .~~;~~~~~:. ~~~~i;~~. .~.; .~.~;~.~............... .............. ................................................................................................. tj i 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without _ receiving adequate consideration?............................................ ................... ...... ................. .................... ............... 0 J5J 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?............... 0 I x i 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which .----, contains a beneficiary designation?..... .......... ......... '. .............. ...... ................. ..... ............... ........... .... ................ ..... Iii U IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETl RN. Under penalties of perjury, I declare that I have examined this return, incJ~djng accompanying schedules and statements, and to the best of my knowledge and belief, It is true, correct and complete. Declaration of preparer other than the personal representatlve 1$ based on all Information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS ~~~ Jiwudw "G"Wee 0' "",,, ':1~' eew", SIGNATURE OF PREPARER o'rH R THAN REPRESENTATIVE Matthew L. Guthrie, Esquire DATE 17 N. Water Street Spring Grove, PA 17362 I()/~/Q{ ADDRESS DATE I o/6./o~/ ADDRESS DATE 40 York Street Hanover, PA 17331 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate impo surviving spouse is 3% [72 P.S. 39116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of t [72 P.S. 39116 (a) (1.1) (ii)l. The statute does not exempt a transfer to a surviving spou of assets and filing a tax return are still applicable even if the surviving spouse is the ani For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one ye; natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116 (a) The tax rate imposed on the net value of transfers to or for the use of the decedent's lin 39116 1.2) [72 P .S. 39116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings IS 1L'lb [f L r-.~. S"', IV \01 \. .V/I' "sibling ill defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. - -" . .-...- -< +~"~fo.~ t" n. fn. the use of the Ai Cqo /) pause s 0% :; for di closure ] Av,<; (. use of .n 72 P S. I , , Rev-1502 EX+ (6-98) SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Leiter, Paul R. FILE NUMBER 21-04-00949 ESTATE OF All real property owned solely or as a tenant in common must be reported at fair market value. Fa" market value IS defined as the price at which property wculd be exchanged bet'Neen a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALU= AT DATE OF DEATH 74.900.00 1 303 Glendale Drive, Shiremanstown, PA 17011 - sale price TOTAL (Also enter on Line 1, Recapitulation) 74.900.00 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 SChedUli A (Rev. 6-98) I Rev-1503 EX+ (6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Leiter, Paul R. FILE NUMBER 21-04-00949 ESTATE OF All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VAL E AT DATE o DEATH 1 U.S. Savings Bond Series HH 6.000.00 2 U.S. Savings Bonds Series E 375.00 Accrued interest on Item 2 through date of death 2.204.01 TOTAL (Also enter on Line 2, Recapitulation) 8.579.01 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) J 1 Rev-1508 EX+ (6-98) ESTATE OF . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Leiter, Paul R. Include the proceeds of litigation and the date the proceeds were receil/ed by the estate. All property jointly-owned wIth the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 Social Security Railroad Retirement - check on hand 2 303 Glendale Drive, Shiremanstown, PA 17011 - prorated taxes at settlement 3 Halliburtol'! and Alco Settlement Proceeds Checks - asbestos litigation 4 Internal Revenue Service - 2004 income tax refund 5 Liberty Mutual Insurance - refund 6 Miscellaneous deposit 7 Myers Funeral Home, Inc. - refund 8 United American Insurance - premium refund 9 Verizon - refund 10 Waypoint Bank CD# 0100795939 Accrued interest on Item 10 through date of death 11 Waypoint Bank CD# 2300004624 Accrued interest on Item 11 through date of death 12 Waypoint Bank Savings Account# 2360001901 Accrued interest on Item 12 through date of death 13 2001 Buick Regal - sale price Total of Continuation Schedule(s) FILE NUMBER 21-04-00949 TOTAL (Also enter on Line 5, Recapitulation) (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. I VALU AT DATE OF DEATH 950.00 1,884.81 1,999.24 2.789.73 69.92 121.00 273.60 1.430.88 40.00 93.275.62 5.04 14.453.99 0.11 27,925.99 0.30 5,300.00 See att ched page 214,280.92 Form PA-1500 SChedule!E (Rev. 6-98) I . , Rev-1508 EX+ (6-98) ESTATE OF ITEM NUMBER . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY continued COMMONWEAL TIi OF PENNSYLVANIA INHERITANCE TAX RETlRN RESIDENT DECEDENT Leiter, Paul R. DESCRIPTION 14 Household Goods & Personal Effects - appraised value 15 Banker Life & Casualty Co Annuity Contract #7686194 - POD to estate 16 GE Life and Annuity Contract #0506712697 - POD to estate 17 Mutual Beneficial Association Annuity Certificate #93976 - POD to estate 18 Waypoint Bank IRA Account# 0525509421 - POD to estate 19 Waypoint Bank IRA CD# 0125502635 - POD to estate Accrued interest on Item 19 through date of death IFILE NUMBER 21-04-00949 TOTAL (Also enter on Line 5, Recapitulation) Copyright (c) 2002 form software only The Lackner Group, Inc. VALU AT DATE OF DEATH 2.000.00 19.585.63 28.577 .82 4.264.94 123.42 9.205.43 3.45 214.280.92 Form PA-1500 Schedule E (Rev. 6-98) i T . . Rev-1510 EX+ (6-98) SCHEDULE G , INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Leiter, Paul R. 21-04-00949 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECD'S AXABLE EXCLUSION NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 1 Bankers Life and Casualty Company Annuity 63.094.46 100.000 0.00 63.094.46 Contract# 7767637 - POD to nieces: Susan Weaver, Cynthia Neary, Judith Whittinghill and Linda Sheridan I TOTAL (Also enter on Line 7, Recapitulation) 63.094.46 If more s ace is needed, additional a es of the same size ( p Copyright (c) 2002 form software only The Lackner Group, Inc. p 9 Form PA-1500 SChedUle~ (Rev. 6-98) . , REV-1151 EX+ (12-99) .~ ~ SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Leiter, Paul R. Debts of decedent must be reported on Schedule I. FILE NUMBER 21-04-00949 ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation schedule(s) attached 4,840.00 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Linda R. Sheridan Social Security Number(s) / EIN Number of Personal Representative(s): Street Address 17 N. Water Street City Spring Grove Year(s) Commission paid 2005 State PA Zip 17362 16,000.00 2. Attorney's Fees Matthew L. Guthrie, Esquire 116,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 354.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs See continuation schedule(s) attached 19,071.39 TOTAL (Also enter on line 9, Recapitulation) 56,265.39 Copyright (c) 2002 form software only The Lackner Group, Inc. I Form PA-1500 SchedulelH (Rev. 6-98) Rev-1502 EX+ (6-98) SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Leiter, Paul R. FILE NUMBER 21-04-00949 ITEM NUMBER DESCRIPTION A aUNT 1 Myers Funeral Home, Inc. - funeral service 4,215.00 2 Rolling Green Cemetery - grave opening 250.00 3 Rolling Green Cemetery - memorial inscription 375.00 Subtotal 4,840.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H4A (Rev. 6-98) Rev-1502 EX+ (6-98) SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEAL T1i OF PENNSYLVANIA INHERITANCE TAX RE11JRN RESIDENT DECEDENT ESTATE OF Leiter, Paul R. FILE NUMBER 21-04-00949 ITEM NUMBER DESCRIPTION MOUNT 1 303 Glendale Drive, Shiremanstown, PA - settlement costs 16.229.18 2 Arentz General Services - haul garbage 300.00 3 Cumberland County Recorder of Deeds - fee 5.00 4 Cumberland Law Journal - estate notice 75.00 5 Larry Zuvich - lawn maintenance - 205.00 6 Larry Zuvich - snow removal 100.00 7 Larry Zuvich - lawn maintenance 200.00 8 Larry Zuvich - lawn maintenance 200.00 9 Liberty Mutual Insurance - auto premium 106.90 10 Lower Allen Township - sewer/refuse 73.35 11 Lower Allen Township - sewer/refuse 73.35 12 Lower Allen Township - sewer/refuse 79.35 13 Pennsylvania American Water - water bill 131.31 14 PPL Electric Utilities - electric bill 49.75 15 PPL Electric Utilities - electric bill 54.73 16 PPL Electric Utilities - electric bill 119.38 17 PPL Electric Utilities - electric bill 204.51 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-'7 (Rev. 6-98) I I Rev-1502 EX+ (6-96) ESTATE OF ITEM NUMBER SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Leiter, Paul R. DESCRIPTION 18 PPL Electric Utilities - electric bill 19 PPL Electric Utilities - electric bill 20 PPL Electric Utilities - electric bill 21 PPL Electric Utilities - electric bill 22 PPL Electric Utilities - electric bill 23 PPL Electric Utilities - electric bill 24 PPL Electric Utilities - electric bill 25 Register of Wills Office for Cumberland County - filing fee 26 Register of Wills Office for Cumberland County - short certificates 27 Register of Wills Office for Cumberland County - short certificates 28 Repair bill - air conditioner 29 The Sentinel - estate notice 30 Verizon - telephone service 31 Vital Records - fee to obtain 2 death certificates for Ruth Leiter 32 Waypoint Bank Estate Checking Account #3361119561 - estate checkbook Copyright (c) 2002 form software only The Lackner Group, Inc. FILE NUMBER 21-04-00949 Subtotal II I I A aUNT 165.00 126.76 66.82 44.20 32.69 52.09 17.11 30.00 15.00 8.00 92.00 137.03 49.88 25.00 3.00 19.071.39 Form PA-1500 Schedule H-$7 (Rev. 6-98) Rev-1~12 EX+ (6-98) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Leiter, Paul R. Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1 AT&T Corporation - telephone lease 2 Comcast - cable bill 3 Liberty Mutual Insurance - homeowners premium 4 Pennsylvania American Water - water bill 5 PPL Electric Utilities - electric bill 6 Quantum Imaging - account balance due 7 Verizon - telephone bill 8 Waypoint Bank Savings Account# 2360001901 - checks cleared post-death FILE NUMBER 21-04-00949 TOTAL (Also enter on Line 10, Recapitulation) (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. VAL E AT DATE o DEATH 107.28 13.61 602.75 52.09 55.65 23.73 71.12 9.64 935.87 Form PA-1500 Schedule I (Rev. 6-98) I REV-1513 EX+ (9~O) ESTATE OF NUMBER I. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE .J BENEFICIARIES Leiter, Paul R. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal aistributions, and transfers under See, 9116(a)(1.2)] FILE NUMBER 21-04-00949 SHARE OF ESTATE AMOUNT ( F ESTATE (Words) ($ $) RELATIONSHIP TO DECEDENT Do Not List Trustee(s) 1 Jean Brungart 1952 E. Winter Road Loganton,PA 17747 Lowell Hofe 505 South Boulevard Salisbury, MD 21801 Niece 1/6 of 40% residue 2 Nephew 1/6 of 40% residue 3 Gerald Kerstetter 4001 Ashburn Way Mechanicsburg, PA 17055 Nephew 1/6 of 40% residue 4 Kenneth Kerstetter 223 Cambridge Drive Stuarts Draft, VA 24477 Nephew 1/6 of 40% residue 5 Wayne Kerstetter 240 Glade Street Apt A3 Hot Springs Village, AR 71909 Nephew 1/6 of 40% residue See continuation schedule attached Continuation Total Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS See continuation schedule(s) attached 32,939.07 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 32,939.07 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedul~ J (Rev. 6-98) I , . SCHEDULE ~ BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Paul R. Leiter 209-12-7921 10/12/2004 Item Name and Address of Person(s) Share of Estate Amoun of Estate Number Receiving Property Relationship (Words) (~ $$) 6 Grady Leiter Nephew 1/7 of 50% residue 0.00 1412 W. Winter Road Loganton,PA 17747 7 Larry M. Leiter Nephew 1/7 of 50% residue 0.00 15 South 4th Street Apt 15A Newport, PA 17074 8 Sherry Leiter Niece 1/7 of 50% residue 0.00 4089 Fawn Drive Apt L Harrisburg, PA 17112 9 Cynthia K. Neary Niece 1/7 of 50% residue 0.00 1004 Fieldstone Court Lancaster, PA 17603 10 Linda R. Sheridan Niece 1/7 of 50% residue 0.00 17 N. Water Street Spring Grove, PA 17362 11 Susan J. Weaver Niece 1/7 of 50% residue 0.00 1755 Sherwood Street Clearwater, FL 33755 12 Judith A. Wittinghill Niece 1/7 of 50% residue 0.00 9627 Puccini Trail Northwest Albuquerque, NM 87114 Total 1 Rev-1502 EX+ (6-98) SCHEDULE ~-IIB CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Leiter, Paul R. ITEM NUMBER DESCRIPTION 1 Care Assurance Fund of the Gettysburg Lutheran Home 1075 Old Gettysburg Road Gettysburg, PA 17325 2 St. Luke Lutheran Church 330 White Hall Raod Littlestown, PA 17340 3 St Mark Evangelical Lutheran Church 4200 Londonberry Road Harrisburg, PA 17109 Copyright (c) 2002 form software only The Lackner Group, Inc. IFILE NUMBER I 21-04-00949 Subtotal I AMOUNT 11,108.62 11.108.62 11.108.62 33.325.86 I Form PA-1500 Schedule J.11B (Rev. 6-98) , . . A. U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT B. TYPE OF LOAN SETTLEMENT STATEMENT I. OFHA 2. o FMHA 3. 5] CONV. UNINS. T.A. of Harrisburg, LLP 4. OVA S. 0 CONV. INS. 1250 North Mountain Road, Suite 2 6. File Number: 7. Loan Number: Harrisburg, Pennsylvania 17112 HAR125-3917 0000976377 717-671-6715 fax: 717-671-6718 s, Moogagc Ins. Case No : C. NOTE: This form is furnished /0 give you a stalement of actual seulement costs. Amounts paid to and by the settlement agent are shown. items marked (p.o.c.) were paid outside the closing. They are shown here/or informational purposes and are not included in the totals. D. Borrower: Vitaliy Zayats Natalya Morgunova E. Seller: Linda H. Sheridan, Executrix of the Estate of Paul R. Leiter i American Home Mortgage F. Lender: 520 Broadhollow Road Melville, New York 11747 303 Glendale Rd. Shiresmantown, Cumberland County, Pennsylvania 17011 G. Property: Lower Allen Township Lot 16, Block N, Plan No.7, of Shireman Manor Extention, Book 16, Page 81 Cumberland County, Pennsylvania H. Settlement Agent: T.A. of Harrisburg, LLP Place of Settlement: 1250 North Mountain Road, Suite 2, Harrisburg, Pennsylvania 17112 Dauphin County I. Settlement Date: AUl!ust 26, 2005 J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. Gross Amount Due From Borrower: 400. Gross Amount Due To Seller: 101. Contract Sales Price 174,900.00 401. Contract Sales Price 174,900.00 102. Personal ProoertY 402. Personal Prooerly 103. Senlement Charl!es to Borrower (line 1400) 5,125.94 403. Adiustments for Items Paid bv Seller in Advance: Adiustments for Items Paid bv Seller in Advance: 106. City / Town Taxes 406. City / Town Taxes 107. County / Parish Taxes Aug 26, 2005 thru Dec 31, 237.74 407. County / Parish Taxes Aug 26, 2005 thru Dec 31, 237.74 2005 2005 108. School Taxes AUI! 26, 2005 thru Jun 30, 2006 1,616.02 408. School Taxes AUI! 26, 2005 thru Jun 30, 2006 1,616.02 109. Sewerffrash AUI! 26, 2005 thru Seo 30, 2005 31.05 409. Sewerffrash AUI! 26, 2005 thru Sep 30, 2005 31.05 120. Gross Amount Due from Borrower: 181,910.75 420. Gross Amount Due to Seller: 176,784.81 200. Amounts Paid bv or in Behalf of Borrower: 500. Reductions in Amount Due to Seller: 201. Deoosit / Earnest Monev 1,000.00 501. Excess Deposit (see instructions) 202. Principal Amount of New Loan 166,155.00 502. Settlement Charl!es to Seller (Line 1400) 14,979.18 203. Existinl! Loan(s) 503. Existing Loan(s) 204. 504. Pavoff of First Mortl!al!e to 205. 50S. Payoff of Second Mortl!al!e to 206. 506. Purchase Monev Mortl!al!e to ~ustments for Items Unnaid bv Seller: Adiustments for Items Unnaid bv Seller: 210. City / Town Taxes 510. City / Town Taxes 211. County / Parish Taxes 511. CounlV / Parish Taxes 212. School Taxes 512. School Taxes 213. Seller Assist 1,250.00 513. Seller Assist 1,250.00 220. Total Paid by / for Borrower: 168,405.00 520. Total Reductions in Amount Due 16,229.18 Seller: 300. Cash at Settlement from / to Borrower: 600. Cash at Settlement to / from Seller: 301. Gross Amount due from Borrower (line 120) 181,910.75 601. Gross Amount due to Seller (line 420) 176,784.81 302. Less Amount Paid bv/for Borrower (line 220) 168,405.00 602. Less Reductions A1!Jount due Seller (line 520) 16,229.18 303. Cash From Borrower: $13,505.75 603, Cash To Seller: $160,555.63 1 have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy ofHUD. t Settlement Statement. Borrower: ~~h.\l~ 'Cc.C~ J. .~ JJ. 1l1AL ...1// ./ f}",1. ~ u-?j" . I Seller: .., ,/ - VitaliyZ linda H. Sheridan Borrower: t!fa.r~l+ JI1I?,,(.O/~ No."." r\("\~,. . I have caused or will cause the funds to be disbursed The HUD.{ Settlement tate~~nt hie I have prepared lS a true and accurate account ofthlS transactIon. in accordance with this s tcmCl t. Date: August 26, 2005 Settlement Agent: FileNo.: HAR125-3917 carr~t~ TA K520944 WARNING: It is a crime to knO\ ingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine or imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section 1010. HUD-1 April 2003 OMB No. 2502-0265 August 26, 2005 3:57 PM RESP A handbook 4305.2 II I , File Number: HAR125-3917 Settl~ment Date:August 26,2005 Loan Number: 0000976377 T A K520944 L. Settlement Charges 700. Total Sales / Broker's Commission: Paid from Paid from Based on Price 5174,900.00 @ 6.00% = 510,494.00 Borrower's Seller's Division of Commission as follows Funds Funds 701. 5,272.00 to Century 21 at the Helm at at 702. 5,222.00 to RElMAX Realty Professionals Settlement Settlement 703. Commission Paid at Settlement 10,494.00 704. Deed Preparation 705. TransactionlProcessing Fcc 10 REIMAX Realty Professionals 125.00 706. TransactionIProcessing Fcc to Century 21 At the Helm 125.00 800. Items Pavable in Connection with Loan: 801. Loan Origination Fee 802. Loan Discount 803. Appraisal Fee 804. Credit Report 805. Lender's Inspection Fcc 806. Application Fee to American Home Mortgage 350.00 807. DUILP to American Home Mort2a2e 21.00 808. Tax Service Contract Fee to American Home Mort!(a!(e 74.00 809. Flood Certification to American Home Mortgage 15.00 810. Document Preparation 811. Underwriting Fcc 812. Processin!( Fee to American Home Mortgage 225.00 ~ Couril,r,IMess~ll~~e to American Home Mort2a!(e 30.00 900. Items Required bv Lender to be Paid in Advance: 901. Interest from Aug 26, 2005 to Sep 1,2005 @)O.OOOO I dav 166.16 902. Mort2age Insurance Premium 903. Hazard Insurance Premium 904. Flood Insurance Premium 1000. Reserves Deposited with Lender: 1001. Hazard Insurance 3 months (iil 36.83 per month 110.49 1002. Mortgage Insurance 1003. City Properly Taxes 1004. County Property Taxes 8 months @) 56.50 per month 452.00 1005. School Taxes 4 months (OJ 162.50 per month 650.00 1099. Ag2regate Accounting Adiustment -444.96 1100. Title Charges: 1101. Settlement or Closing Fee 1102. Abstract or Title Search I 103. Title Examination 1104. Title Insurance Binder 1105. Document Preparation 1106. Notary Fees to Carrie E. Ragan 25.00 15.00 1107. Attorney Fees (includes above item numbers: 1108. Title Insurance to T.A. of Harrisburg, LLP 1,233.75 (includes above item numbers: 1101-1104 1109. Lender's Coverage 166,155.00 Risk Premium 0.00 1110. Owner's Coverage 174,900.00 Risk Premium 1,233.75 1111. Endorsements 100, 300, 900 (8. I) to T.A. of Harrisburg, LLP 150.00 1112. Closing Service Letter to T.A. Title Insurance Company 35.00 1113. 1114. 1200. Government Recording and Transfer Charges: 1201. Recording Fees: Deed 38.50 Mortgage 70.50 Releases 0.00 109.00 1202. City/County tax/stamps: Deed 1,749.00 Mortgage 0.00 1,749.00 1203. State tax/stamps: Deed 1,749.00 Mortgage 0.00 1,749.00 1204. 1205. 1300. Additional Settlement Charges: _ !301. Survey 1302. Pest Inspection 1303. Express Mail Fee to T.A. of Harrisburg. LLP 15.50 1304. Electronic Transmittal Fee - Loan Documents to T.A. of Harrisburg, LLP 35.00 1305. Radon System to H.E. Beers Co. 600.00 1306. 2005/06 School taxes to Judy C. Prowell, TIC 1,908.89 1307. Sewerrrrash - 3rd Qlr. to Lower Allen Township 87.29 1400. Total Settlement Charges (Enter on line 103, Section J and line 502, Section K) 55,125.94 SI4,979.18 Borrower Initials: \f1:. Vitaliy Zayats ~ Natalya Morgunova Seller Initials: '111::& Linda H. Sheridan HUD-. April 2003 OMB No. 2502-0265 August 26. 2005 3:57 PM RESPA handbook 4305.2 I 08/16/200! 07:50 FAX 7177924964 VALLEY PRODUCTS CO. r.... No. 21~~f;t) ''''OM ... OCIJ11PQRATIQI'I. A.. 1"'. ';,;.,":/ /.:..,: ! ) . / I ; . . '. w4iti lnb.euturt f .D _,,~ ..I. ~ .~ .Ay 9i November II. D. OliO ~1IAlId uiIIe i-:',::-d:::: ~eventy (1 (j70) bcorecn .be Co.pcr:icion by the _ nyk ~ dde ot BEL-AlRE HOMES. INC.. a Pennsylvania corporation having its principal place of business in dhe Borou6h of Shiremanstown, CC\.'lnty of CUDlberland and Stau of Pennsylvania, party of [ht Ol\t put ud PAUl: R. LEIIER and RUTH M. LEItER, his 'irl.fe. ~ the City of Harrisburg, County of Dauphin '11 [he Sme of Penn sylvan La , partiee of W od*r pm IIttntBQlq no< <he said party of the first part lor and in CM- ildet2tiol'l of the jUnl of Fovr t:houasnd - -- - ~ - -- -- - - --- --,-:- -- --.- - - -- -- -- ---- __ _ _ _ _ _ _ _ (~4, 000 , 00 )0011..." ,l.""fur m~y of the Unitect Sru", to ic ;/\ h.~d p<li4 by the ",id parties of ~e second par~ 1. rne time of the Clo;ccution hereof. Ihe rC(;cipt 'iI~tcof'ii /meby .ckn<l""IedCcd. Ju.s JUAt.d, bUPlleci, MIld. .Iien<<!. enf.olfed, relt~ed lfld conJj~d, and .PT chese P=Q clooJ gt>nt, bo'pin, Jell, .Ji..... .ni.otf, ~)ux .nd eo"'",.... ""'0 t~ s..d par1:ies of the second part, their hej.:l:"s .2ud :anipll\ .It ilioc "ruin picce or porco) qf. land. ,;t\I,U in t..'1e Township of Lower Allen, County of Cumberland and State of Pennsylvania, oounded and described as follows, to wit:l BEGINNING a~ a point on the northern line of Glendale Driye. sa'Ld poin1: being at the dividing line bet:ween Lots Nos. 15 and 16 on th., hereinafter mentioned Plan of Lots; thence com:inuing along the no::-thern line of Glendale Drive Sout:h 66 degrees 36 minutes West, se'renty-five (75) feet to a point a't: the dividi.ng line l>e~een Lots No;~, 16 and 17 on s~id plan; O1ence alans said dividin5 line No:rth 2~ degrees 24 minutes West, one hundred fifteen (115) feet to a point I th.mce North 66 de~ree5 36 min\.ltes East. seventy-five (75) fee't to a po:_n1: at me dividing Une be~een ,Lots Nos. 15 and 16 on said plan I til.!nce along said dividing line South 23 degrees 24 minutes East, one hundred fifteen (115) feet to a point on the northern line of Glendale Dr.~ve. the place or BEG~NNINq, , IlEING Lo't No. 16, Block '"N''' on Plan No. 7 of Shireman Manor Ex~enslon. said plan being r~orded, in the Cumberland County Recorder.s O~:ice in Plan Boo~ 16, Pa8e 81. BEING par'!: of the same premises which Carroll R. Roth and M. Alneda Ro~. his wife. by deed dated July 7. 1967 and recorded in the Cunberland County Recorder' $ Office in Deed Book "J.{". VolUllle 22, Pase 45~'. granted and conveyed untO the par't}' o:f t.'1e f1.rH pa.rt herein. UNDER and SUBJEC~. neverthele8s. ~o easement8 apP$arin8 on record on said plan and 1:0 the restric'tions as flet forth in the Cumberland Connty Recorder's Office in Miscellaneous Record Book 167. Page 435 and to amended rest:rictions as set fort:h in' Miscellaneous Record BOOk 169, Pa.ge 685. (_n,,,_ Of~ ~ C.mb. Co:, "p~"'''''' ~ It..,j E.t.1. T,.",i., 'rh 0... i!::!;i;,Zp <<DP t:~~/3.''ZLr r:.. t-o". Col. ...... "..~ .-e:. ., .. /' . ::...... ./YI ~"';) ";.:nool Did. Cumbo CQ.. r-, ,~ It.., 'ar..i. Tr.".f., T.) () II-I ~~7(1 f;(~ P j~.~,~ C...b. c.. ();... Gol. '-91. ~ 6OOKW2JpACE 392 I I4J 002 ij/j 08/16/200!5 01:!50 FAX 7177924964 V ALLEY PRODUCTS CO. , LU~1 C81iir tu.t 1M llt!!:i:!allt:l Dei PGIt ~ oi wil1ia Cranlao ~ ~.j- ~~ ~ ~.~...... ~ Z-a::;::-- -~~:- Tcpch.;t wich ill :aDd ~r <be blli111ill$I, pn9iJc~. hc"dit>mCllo .nd 'ppu..e"'n_ vh.qocvor <hucun<o ~I. or U. anywi~ apIWttsining. and <.be nvcnio.... and remail'<itrs, reM., i_1lU aftd proJhs rhettof, .nd all ck" ..<:.~. righe. tide. in,"C$t, proper')', cJoinl. ,nd dem.nd .....h.eJ<<v.,: of iI, the said paC't.y of the first: par'!: ddlet in llw or "'1uioy. of, in ud to rhe ..me. UCo ~8Ut auit to qul~ rl~ ~ messu_s' p.leC of ground ,bon ducribcd, bcrcdi~ents .tld p~ h....by jfll/llrd. mmeioMll. Or jauAdod so to ~. widl rhe .pp1JIt'Mll~'" unlO the ssld par'!:ie II part. '!:he1r heirs .r.d .~;jgtlJ, to ~d for <ho only pt'Oj)cr u~ and behoof at .h. ..ill t:~.ir heirs ,nd 'HiJIU for.v.... .I\d 101 or borsa-ined 'I\d ~Id, or of '!:he second or tcncme,l t par~iQs of the secopd p~rt, "nd .Ju, aid puty of 1i'K 6rot ~r tor ieself .nd i.. JU~c,"on, dQcs h.~.by eove'mlC and as.... tel .nd wilh ,h. nid parties of the second part, t:heir heirs .'19 .ss,gM., Ill" it PC s;.ld PUlY of the /inl parr and ics .....CU50rs. .11 .nd sinS'Jlar ,h. ..id he...br !I'anred, pnmile$. wilh the "1'PU'Ctnan~", unw the $Oid pa.rties of the tlec01'Id part. their heirs :.ad uf~, _saW, h: che u.id 'P'lT:Y of the nlJt PUE and ia '''''''c:uon, .lAd S&~inH aU "t\d ~.,cty or),., ~naft ",d (...t':I01U ~hOlll-"er l..dull,. elaimins or to claim Ihe ..me f>t any pan: Ihu(Qi ;jqaU Clnb Ifm Durrant nul) 31fnrruvr leffnll by lb~ prc;cnu. ~u~;.i) Bel-A1re Homes, Loc. d~," tn.e Slid '-':~r .""..ituef .nel appoint John M. Knaub '0 bo. io '''O","y, for it and in irs n.me, ~nd U U1d for its corporate a" .nd G<<d to .eknowledge chi, d""d b"fo.~ .ny pc....... havi,,! a~otity by the I.w. of ,be Com""",weaJd, of P.nl\Jylv.ni. to take l\Jeh .cltnowlds' me..;, W UK ",c...c dI.c w _. lIMY be duly reeo<'dcd. lilt aJtsttlIU:mg lIIJqPrfuf rht ..id B~l-Aire Homes. Ina, h.. .a,,;cd chis JlleknC"'. '" bot ,ignee! by it> Prelld""., ~t'..ftd by ils Se,r."'ry .nd .l1ixcd heteu!\to rl... common and ''''PO''to ~I of ci'K .,k1 Col1"""cioA, th.. tbe ..,.1 a~"cd htJ'~co ;. eM ",oJ of Aid Corporocion, rh.r it w.s so .lIixed by orellr of rho Board of Direl;to~l of ..id Corp6racion, and .hd (hey ,itllCd cheir nun" nemo by like ordor, ~hc ~1 ~Ild y.~r fim .bov. ...riclt!\. Si8Tlod, Sfficd 1M D.l.iycr.d .f'W~~1b.~ .~.. _._.._......._..........._...~~:::~Q::=. J ..."....P6.~:~..,."..;~~~~:~;:.... ^ttts~: . ...~.:-~~~~:~:.... " ...... '., . ..:..-....... ="1<....: ~'..."...'...{.(' ~- " ._.,.... u s - ; -""....~ ::.~.... 7 .. 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'I I" i.p ',w "'''Joq ~aqm;;l^ON rp.b "'fl uo n4- '(J'I"'~ ""'nil 1 }O -'.unG:) " { 'eltre....lASuuad }O ~~s j)1.Itl.'paqlllI1O . ~rJo.l.". >m!... , '1- I~ pIn Plmf Am .,. Ol'"_nor I '1"IInl{A .......!... VI n JlasUlf'l ~'l VO!.UMJD:> ''P 10 tun" ''f1 1"!'It!' ,(q P""!'1U"~ ~)q. ~dlnd '11' JOj I U'WIVU"! :IUloi':O>"J "'I' p"..,..n 'Dr Of' "1 PO'P"'!1'" 'V!tq . lpm $. )'1 ""I pUt 'UO!..~..., . JO ''II :Ill 01 JlO'W'\{ p*lIpof"'DDlf~' 0"'" ' . ,.~!ll''' P'D!!U"f"'1\ ~l . 6! . JO A:cp p'J~dl .(II'UOU~ - )J"J"'I ~. 'Sf'P "0 ...{ J" ~""O:) ,0 ~..S 141 00 u :! o u ~S :11- wroo z- ~ . -< 5~ au . I.:l III": 0;:) -Ill ~'" am: LIltJ:: co( -~ . Z Q i: oC z ESTATE OF SOCIAL SECD DATE OFDEA Sovereign Bank Paul R. Leiter RlTY #: 209-12-7921 TH: October 12,2004 2300004624 Type: Checking Open date: 4/2/19( 7 Paul R. Leiter or Ruth M. Leiter th Balance: $14,453.99 rom 1/1/2004 to 10/11/2004 : $18.14 erest to date of death: $0.11 Closed 10/27/04 2300004632 Type: Checking Open date: 4/2/19< 7 Paul R. Leiter or Ruth M. Leiter th Balance: $0.00 rom 1/1/2004 to 11/11/2004 : $61.41 erest to date of death: $0.00 Closed 5/12/04 2360001901 Type: Savings Open date: 4/2/19< 7 Paul R. Leiter or Ruth M. Leiter th Balance: $27,925.99 rom 1/1/2004 to 10/11/2004 : $46.67 erest to date of death: $0.30 Closed 10/27/04 100795939 Type: Checking Open date: 5/5/20( 4 Paul R. Leiter th Balance: $93,275.62 rom 1/1/2004 to 10/12/2004 : $835.68 erest to date of death: $5.04 Closed 10/27/04 125502635 Type: IRA Open date: 12/21/19 82 Paul R. Leiter th Balance: $9,205.43 rom 1/1/2004 to 9/30/2004 : $86.17 erest to date of death: $3.45 Closed 1/1/05 Beneficiary: Ruth M. Leiter Account #: In the name of: Date of Dea Int.(YTD) f Accrued int Other Info: Account #: In the name of: Date of Dea Int.(YTD) f Accrued int Other Info: Account #: In the name of: Date of Dea Int.(YTD) f Accrued int Other Info: Account #: In the name of: Date of Dea Int.(YTD) f Accrued int Other Info: Account #: In the name of: Date of Dea Int.(YTD) f Accrued int Other Info: Page 1 of 2 I . Sovereign Bank ESTATE OF Paul R. Leiter SOCIAL SECURITY #: 209-12-7921 DATE OF DEATH: October 12,2004 Account #: 525509421 Type: IRA Open date: 1/2/19 ~6 In the name of: Paul R. Leiter Date of Death Balance: $123.42 Int.(YTD) from 1/1/2004 to 9/30/2004 : $0.97 Accrued interest to date of death: $0.00 Other Info: Closed 1/1/05 Beneficiary: Ruth M. Leiter I I Page 2 of 2 8 GE Life and Annuity Assuran e Company A GE Financial Assurance Company GE Life and Annuity Assurance Company 3100 Albert Lankford Dr, PO. Box 1572 Lynchburg, VA 24505-1572 Toll Free (888) 325-5433 fax: (434) 948-5783 March 4, 2005 Michele L. May, Legal Assistant Guthrie, Nonemaker, Yingst & Hart 40 York Street Hanover, PA 17331 Re: Decedent: Policy/Contract Number: Paul L. Leiter 0506712697 Dear Ms. May: We would like to respond to your recent inquiry regarding Mr. Paul Leiter. The above referenced policy number is the only annuity policy for Paul L. Leiter. He had a Long Term are policy issued with the policy number 0110331797. 1. The policy is a single premium deferred annuity 2. Policy number - 0506712697 .J 3. $28,577.82 4. No joint owner 5. Not a joint account For information regarding the Long Term Care Policy, please contact the customer service ar a at the above toll free number, extension 4503. We trust this information is of assistance to you. if you shouid require further assistance piea e feel free to contact me at the above toll free number, extension 4667. Sincerely , ~~~ Jonni Krogol Annuity Claims Department. /jk BANKERS liFE AND CASUALTY COMPANY Life Division . 222 Merchandise MtlI't ~ Chialgo, IL 60654-2009 . Telephone: 312-396-NJOO Matthew Guthrie, Esquire 40 York St Hanover PA 17331 April 19, 2005 Policy 7,767,637 7,686,194 ATTENTION: Michele L May RE: Paul R Leiter, Deceased Dear Ms. May: This correspondenceis in reference to your letter dated, April 4, 20 5. The date of death value of ~licv 7686194 is $19,585.62. The date 0 death value of Policy 7767637 is $63,094.46/ Your friends at BANKERS, t?a.Jl(?J~ P. Pickering Life/Annuity Claim Department LCGS 570385 ~ BLOOI3 (07/92) II I .1 I ! LAST WILL OF PAUL R. LEITER 1, PAUL R. LEITER of Lower Allen Township, Cumberland County, Pennsylvania, do hereby declare this to be my Last Will, and do herebY..fevok~_,:r:; ~~ ~'.r ~'~ "r-'~ all prior Wills and Codicils heretofore made by me. (;~~ 1. I hereby give and bequeath to my spouse, RUTH M. LEITER (hereinafter referred to as limy spouse") if my spouse survives me, my entire interest in and to any and all furniture, antiques, clothing, jewelry, pictures, statuary, works of art, silver, plate, ornaments, bric-a-brac, tapestry, household goods, utensils and supplies, books, linen, china, glass, automobiles, plants, implements, and tools that may be in, at or about my home at the time of my death, and all of my other tangible personal property, together with all policies of insurance. If my spouse does not survive me, all of the property above described in this paragraph I, except to the extent that certain items thereof are otherwise set forth in a memorandum that may be attached to this Will, I hereby give and bequeath to those of my nieces, LINDA R. SHERIDAN, CYNTHIA NEARY, JUDITH WHITTENGHILL and SUSAN WEAVER, who may survive me at the time of my death, to be divided between or among them in as equal shares as ~ ~ ~ 1 UI, , I may be possible, as they may mutually agree; should my said surviving nieces be unable to agree between or among themselves upon such a division of said property, alternate choice of individual items thereof shall be made by her as follows: the first choice shall be made by the oldest of my surviving nieces, the second choice shall be made by my next oldest surviving niece, and so on according to age until an equal or nearly equal division and distribution of said property items is completed. 2. If my spouse survives me at my death, I hereby give, bequeath and devise to my spouse all of the rest, residue and remainder of my property and estate, of whatsoever nature and wheresoever situate, together with all policies of insurance thereon. 3. If my spouse does not survive me, then all of the rest, residue and remainder of my property and estate, of whatsoever nature and wheresoever situate, together with all policies of insurance thereon, I hereby give, bequeath and devise as follows: (a) 10% thereof to be divided in equal shares among St. Mark's Evangelical Lutheran Church of Colonial Park, Pennsylvania, St. Luke's Lutheran Church of Littlestown, Pennsylvania and the Care Assurance Fund of the Gettysburg Lutheran Home; ~ 2 ~~ u; (b) 50% thereof to be divided among Larry Leiter, Sherry Leiter, Grady Leiter, Linda R. Sheridan, Susan Weaver, Judith Whittenghill and Cynthia Neary, in equal shares; and (c) 40% thereof to be divided among Gerald Kerstetter, Wayne Kerstetter, Irvin Hofe, Lowell Hofe, Kenneth Kerstetter and Jean Brungart, in equal shares. 4. In the event that my spouse and I die simultaneously or under such circumstances that it cannot be established which of us died first, then my spouse shall be deemed to have predeceased me for all purposes under this Will 5. Should any legatee or devisee under this Will die within ninety (90) days after the date of my death, he or she shall be deemed to have predeceased me for all purposes under this Will. 6. No interest of any beneficiary hereunder in either the principal or income of my estate shall be subject or liable in any manner while in the possession of my executor to anticipation, pledge, assignment, sale, transfer, charge or encumbrance, whether voluntary or involuntary, or for any liabilities or obligations of such beneficiary whether arising from his or her death, debts, contracts, torts or engagements of any type. 7. Except as otherwise restricted, directed or provided in this Will, or required by law, in the administration of my estate hereunder, the executor or executrix (hereinafter the "Fiduciary") serving under this Will shall have the ('~ C~} 3 ti' G) To make from time to time partial distributions in varying amounts to the beneficiaries hereunder prior to final settlement and distribution of my estate, and in connection therewith to determine in the Fiduciary's discretion the time or times when such partial distributions may require recompilation of said beneficiaries' proportionate interests hereunder for the equitable allocation of income or on account of changing asset values pending final distribution. (k) To receive, collect and recover the interest, rents, profits, proceeds, gains, and other earnings and income of and from the property held by the Fiduciary hereunder. (1) In generat to exercise all powers in the management of the assets and property held by the Fiduciary which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as to the Fiduciary may seem best, and to execute and deliver all instruments and to do all acts which the Fiduciary may deem necessary or properly to carry out such management duties under this Will. 8. I hereby appoint my spouse to serve as my Executrix. Should my spouse be unwilling or unable, fail to qualify, or cease to act as my Executrix, I hereby appoint my niece, Linda R. Sheridan to serve as my Executrix under this Will. Should my said niece be unwilling or unable, fail to qualify, or cease to act J!:l2- ~ 7 /) 1- i ~! as my Executrix hereunder, I then appoint my niece, Cynthia Neary to serve as my Executrix under this vVill. Should my said niece be unwilling or unable, fail to qualify, or cease to act as my Executrix hereunder, I then appoint my niece Susan Weaver to serve as my Executrix hereunder. 9. My Executrix shall not be required in any jurisdiction to file, enter or post any bond or other security for the faithful performance of her duties hereunder, and shall not be liable for the acts, omissions or defaults of any agent appointed with due care. 10. I direct that all estate, inheritance, legacy, transfer, succession and death taxes, of whatsoever nature or kind and by whatsoever jurisdiction imposed, and all interest and penalties thereon, which may be payable or assessed in consequence of my death, whether or not with respect to property passing under this Will, shall be paid out of and charged against the principal of my residuary estate in the same manner as are general administration expenses of my estate so that all property subject to said taxes shall be and pass free and clear thereof, without apportionment of or reimbursement for such taxes, interest or penalties among any beneficiaries, transferees or other persons interested in such property and without any right of my estate or executor to contribution, recovery or collection for the same. Taxes on any future or remainder interests hereunder may be prepaid at and in the election and discretion of the Fiduciary to the extent permitted by law. (90___ ~ 8 il 11. If any beneficiary under this \Nill directly or indirectly objects to the probate of this Will or contests this vVill or any part thereof, then any such objecting or contesting beneficiary shall be treated for all purposes of this Will as if he or she had predeceased me, and any distribution of any kind intended for him or her shall be void and of no legal effect. IN WITNESS WHEREOF, I, the said PAUL R. LEITER, hereby set my hand to this my Last Will, typewritten on and consisting of these nine (9) sheets of paper, at the bottom of each of the preceding pages of which I also have placed my initials, on this / Z>:Z~ay of ~ f1998. ~ ~ DJ...j' fOAl} ,I( .~ PAUL R. LEITER' 8463.1 9 I On this /Ol:!i day of <Sc--PT?:..~a-=7sJ998, PAUL R. LEITER declared to us, the undersigned, that the foregoing instrument was his Last Will, and he requested us to act as witnesses to the same. In our presence, being unable to sign his name hereto because of his current physical condition the testator directed his name to be subscribed for him which was done as directed in the presence of the testator and in the presence of the undersigned, whereupon the testator in our presence unassisted make his mark or cross in the space provided between his names. We now, at his request, in his presence, and in the presence of each of us, hereby subscribe our names as witnesses thereto and have placed our initials at the bottom of each of the preceding pages. By so doing, each of us declares that he or she believes this testator to be of sound mind and memory. Cl:Hl-~o.PL-h::-l2. L.v~ residing at (q l \ L~c...+.NG\('l.n\ '1> 12-+=-\1. Fe. f.L P-iI ce' f; l U. ~'~tLu residing at 93 eM/do 'ta:0. ro.i'lLp M I ~ 1'7011 I)c.Ot-tcJ,;;J. (b.k~ residing at \~Gi JdyT) (;tmcl Rea d) Lo n L CI~~ Pit ) 76 6' L-rV 10 COMI\tl0NWEAL TH OF PENNSYLVANIA COUNlI OF CU.JYL4x,r )CL/VLL 5S. I, PAUL R. LEITER, testator, whose name is subscribed to the attached foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed it willingly by making my mark as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me, by PAUL R. LEITER, the testator, this i6 nJ day of 5"' ~ , 1998. \ P~R,~ PAUL R. LEITER . ssion Ex ires: NOTARIAL SEAL CHAISTY A. LONG.1\lotery Public City of H.~sb~rg. Dauphin County My Comm::::~~ I:::rcirss Dec. 22. 2001 11 . COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cu__yrl.):lGY /cL-ir1L We, Jih2~iZ ;,2. L..;c;\"< (:~ A.<iJ~u ~'"m".J, "J D~ the witnesses whose names are signed to the attached foregoing instru\ ent, being duly qualified according to law, do depose and say that we were present and saw PAUL R. LEITER, the testator, sign and execute such instrument as his Last Will by making his mark; that such testator signed such instrument willingly and executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of such testator signed such Last Will as a subscribing witness thereto; and that to the best of our knowledge, such testator was at that time 18 or more years of age, of sound mind and under no constraints or undue influence. 55. e It(Zx..s~ day of WITNESSES: OL+:1::c.<;" rz,.p ltc--R.. L c."uk ~ ~d.l'l Q. ih~u , ~c~Jj)o-{~ V My Commission Expires: NOTARfALSEAL ~HAlSTY A. LONG, Notary PuCic City 01 Hl!ITisburg, Dauphin Cou My Ccmmissicil ~pires Dec. 22, :'1 8463.1 12 Register of Wills, Cumberland County, Pennsylvania INVENTORY Estate of Paul R. Leiter No. 21-04-009..9 Date of Death 1 0/12/200 ~ Social Security No. 209-12-79~1 also known as , Deceased Linda R. Sheridan The Personal Representative{s) of the above Estate, deceased, verify that the items appearing in the following In entory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth 0 Pennsylvania except that which appears in a memorandum at the end of this Inventory. l!We verify that the statelnents made in this Inventory are true and correct. l!We understand that false statements herein are made subject to thE penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Attorney: Matthew L. Guthrie, Esquire Personal Reores:ntative. jJ j It.... . . I ) Signature: ,Ix~ ^. '>L.Y t.i/U..L::ia;y<. Linda R. Sheridan 1.0. No.: 44266 Signature: Firm: Guthrie. Nonemaker, Yingst & Hart Signature: Address: 40 York Street Hanover,PA 17331 Telephone: 717 -632-5315 Address: 17 N. Water Street Spring Grove, PA 17362 Telephone: 717-225-1356 Dated: 10- b- '05 ~ , '....:l '.,-::> ,J , Personal Property Cash.................................................................................................... Pe rso na I Property... ..................................................................... ..... Stocks/Listed..................................................................................... Stocks/Closely Held......................................................................... Bonds................................................................................................. Partnerships and Sole Proprietorships ........................................ Mortgages and Notes Receivable.................................................. All Other Property.................................................... ........ ................. I --I 206,980.92 7,300.00 ? ',) 8,579.01 (.'1 OJ Total Personal Property........................................... 222,859.93 Total Real Property................................................... 174,900.00 Total Personal and Real Property........................... Ii> .~~~.~$~.~31 Total Out-of-State Real Property............................ :1) II ;~,~ .:':;:J ,'':' :1 , f \:'::J . (0) "1 '1'7 (''''5 ell ') Estate of also known as Register of Wills, Cumberland County, Pennsylvania INVENTORY Paul R. Leiter No. Date of Death 1 0/12/200 ~ Social Security No. 209-12-7~ 21 1/ Cash , Deceased 303 Glendale Drive, Shiremanstown, PA 17011 - prorated taxes at settlement Banker Life & Casualty Co Annuity Contract #7686194 - POD to estate GE Life and Annuity Contract #0506712697 - POD to estate Halliburton and Alco Settlement Proceeds Checks - asbestos litigation Internal Revenue Service - 2004 income tax refund Libertv Mutual Insurance - refund Miscellaneous deposit Mutual Beneficial Association Annuity Certificate #93976 - POD to estate Myers Funeral Home, Inc. - refund Social Security Railroad Retirement - check on hand United American Insurance - premium refund Verizon - refund Waypoint Bank CD# 0100795939 Accrued interest on above item through date of death Waypoint Bank CD# 2300004624 Accrued interest on above item through date of death 1.884.81 19.585.63 28.577 .82 1.999.24 2.789.73 69.92 121.00 4.264.94 273.60 950.00 1.430.88 40.00 93.275.62 5.04 14,453.99 0.11 (Attach additional sheets if necessary) Total Personal Property and Real Estate 397.759.93 Register of Wills, Cumberland County, Pennsylvania INVENTORY Paul R. Leiter No. Estate of , Deceased Date of Death 1 0/12/200~ Social Security No. 209-12-79'1 also known as Waypoint Bank IRA Account# 0525509421 - POD to estate 123.42 Waypoint Bank IRA CD# 0125502635 - POD to estate 9.205.43 Accrued interest on above item through date of death 3.45 Waypoint Bank Savings Account# 2360001901 27.925.99 Accrued interest on above item through date of death 0.30 206.980.92 Total Cash Personal Property 2001 Buick Regal - sale price 5.300.00 Household Goods & Personal Effects - appraised value 2.000.00 7.300.00 Total Personal Property Bond U.S. Savings Bond Series HH 6.000.00 U.S. Savings Bonds Series E 375.00 Accrued interest on above item through date of death 2.204.01 8.579.01 Total Bond Real Estate 303 Glendale Drive, Shiremanstown, PA 17011 - sale price 174.900.00 174.900.00 Total Real Estate 2 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INOIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV." 62' jXI1' .961 I I I I RECEIVED FROM: NO. CD 005876 SHERIDAN LINDA H 17 NORTH WATER STREET SPRING GROVE, PA 17362 ACN A SSESSMENT AMour T CONTROL NUMBER _~_n___ fold -------- 101 I $5,082.64 ESTATE INFORMATION: SSN: 209-12-7921 I FILE NUMBER: 2104-0949 I DECEDENT NAME: LEITER PAUL R I DATE OF PAYMENT: 10/07/2005 I POSTMARK DATE: 10/06/2005 I COUNTY: CUMBERLAND I DATE OF DEATH: 10/12/2004 I I TOT AL AMOUNT P AID: $5,08; .64 REMARKS: CHECK# 178 SEAL INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBt UGH REGISTER OF WILLS REGISTER OF WILLS II Court of Common Pleas of Cumberland County, Pennsylvania Orphans' Court Division No. 21-04-00949 Estate of Paul R. Leiter, Deceased First and Final Account Linda R. Sheridan, Executrix Date of Death: 10/12/2004 Date of Executor's Appointment 10/21/2004 Date of First Advertisement of Letters: 11/24/2004 Accounting for the Period: 10/12/2004 to 11/30/2005 Purpose of Account: Linda R. Sheridan, Executrix, offers this account to acquaint interested parties with the transactions that have occurred during this administration. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: !~-~ r'~ i J J :: -) I C.:) Matthew L. Guthrie, Esquire Attorney Identification No. 44266 Guthrie, Nonemaker, Yingst & Hart 40 York Street Hanover, PA 17331 (--~.\ -\1 , ,'--) .:_-~ - -;~! C'-) \'11 ~-''''J 717 -632-5315 en N GROSS ESTATE (Principal Receipts + Income Receipts) 397,386.10 SUMMARY OF ACCOUNT Estate of Paul R. Leiter, Deceased For the period of October 12. 2004 throuQh November 30. 2005 Proposed Distributions to Beneficiaries PaQe Current Value 14 PRINCIPAL Receipts: This Account Net Gain (or Loss) on Sales or Other Dispositions 1 - 2 3 Less Disbursements: Debts of Decedent Funeral Expenses Administration Expenses Federal and State Taxes Commissions Fees Family Exemption 4-5 5 5-6 6 1,543.80 4,840.00 3,529.21 53,082.64 0.00 32,000.00 0.00 6 Balance Before Distributions Transfer to (from) Principal Distributions to Beneficiaries 7 8 Principal Balance on Hand For Information: Investments Made Changes in Investment Holdings 9 INCOME Receipts This Account 10-11 Net Gain (or Loss) on Sales or Other Dispositions Less Disbursements 12 Balance Before Distributions Transfer to (from) Income Distributions to Beneficiaries Income Balance on Hand 13 For Information: Investments Made Changes in Investment Holdings COMBINED BALANCE ON HAND Fiduciary Acquisition Value 280,725.08 396,173.56 -14,344.37 381,829.19 94,995.65 286,833.54 0.00 7,300.00 279,533.54 1,212.54 0.00 1,212.54 21.00 1,191.54 0.00 0.00 1,191.54 280,725.08 SCHEDULE A RECEIPTS OF PRINCIPAL Fiduciary Acquisition Value Cash 1 0/12/2004 Banker Life & Casualty Co Annuity Contract 15.000.00 #7686194 - POD to estate 10/01/2005 Banker Life & Casualty Co Annuity Contract 4.585.63 #7686194 - taxable income 10/12/2004 GE Life and Annuity Contract #0506712697 - POD 20.000.00 to estate 10/01/2005 GE Life and Annuity Contract #0506712697 _ 8.577 .82 taxable income 05/18/2005 Halliburton and Alco Settlement Proceeds 1.999.24 Checks - asbestos litigation 07/07/2005 Internal Revenue Service - 2004 income tax 2.789.73 refund 09/23/2005 Liberty Mutual Insurance - refund 69.92 10/27/2004 Miscellaneous deposit 121.00 10/12/2004 Mutual Beneficial Association Annuity Certificate 4.264.94 #93976 - POD to estate 11/16/2004 Myers Funeral Home, Inc. - refund 273.60 11/16/2004 Social Security Railroad Retirement - check on 950.00 hand 01/11/2005 United American Insurance - premium refund 1,430.88 01/11/2005 Verizon - refund 40.00 1 0/12/2004 Waypoint Bank CD# 0100795939 93.275.62 1 0/12/2004 Accrued interest on above item through date of 5.04 death 10/12/2004 Waypoint Bank CD# 2300004624 14,453.99 10/12/2004 Accrued interest on above item through date of 0.11 death 10/12/2004 Waypoint Bank IRA Account# 0525509421 - POD 123.42 to estate 1 0/13/2004 Accrued interest on above item through date of 3.45 death 1 0/06/2005 Waypoint Bank IRA CD# 0125502635 - POD to 9.205.43 estate 1 SCHEDULE A RECEIPTS OF PRINCIPAL Continued Fiduciary Acquisition Value 10/12/2004 Waypoint Bank Savings Account# 2360001901 27,925.99 1 0/12/2004 Accrued interest on above item through date of 0.30 death Total Cash 205.096.11 Personal Property 10/12/2004 2001 Buick Regal - sale price 5,300.00 10/12/2004 Household Goods & Personal Effects - appraised 2,000.00 value Total Personal Property 7,300.00 Bonds 10/12/2004 U.S. Savings Bond Series HH 6,000.00 1 0/12/2004 U.S. Savings Bonds Series E 375.00 10/06/2005 Accrued interest on above item through date of 2,204.01 death Total Bonds 8,579.01 Real Estate 10/12/2004 303 Glendale Drive, Shiremanstown, PA 17011 _ 174.900.00 sale price Total Real Estate 174,900.00 Subseauent Principal Receipts 10/06/2005 U.S. Savings Bonds Series E 75.00 11/22/2005 Veterans Life Insurance Company - POD to 223.44 estate Total Subsequent Principal Receipts 298.44 Total Receipts of Principal 396,173.56 2 SCHEDULE B GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS - PRINCIPAL Gain Loss 08/26/2005 303 Glendale Drive, Shiremanstown, PA 17011 Net Proceeds Fiduciary Acquisition Value 160.555.63 -174.900.00 -14.344.37 TOTAL GAINS AND LOSSES/PRINCIPAL LESS LOSS NET GAIN OR LOSS -14.344.37 -14.344.37 3 SCHEDULE C DISBURSEMENTS OF PRINCIPAL Debts of Decedent 10/27/2004 Waypoint Bank Savings Account# 2360001901 _ 9.64 checks cleared post-death 11/1 0/2004 Comcast - cable bill 13.61 11/10/2004 Verizon - telephone bill 71.12 11/20/2004 PPL Electric Utilities - electric bill 55.65 01/31/2005 Pennsylvania American Water - water bill 52.09 02/15/2005 Liberty Mutual Insurance - homeowners premium 602.75 04/11/2005 AT&T Corporation - telephone lease 107.28 04/11/2005 Quantum Imaging - account balance due 23.73 04/19/2005 Bonnie K. Miller, Tax Collector - real estate taxes 607.93 Total Debts of Decedent 1.543.80 Funeral Expenses 10/26/2004 Myers Funeral Home, Inc. - funeral service 4.215.00 10/26/2004 Rolling Green Cemetery - grave opening 250.00 10/26/2004 Rolling Green Cemetery - memorial inscription 375.00 Total Funeral Expenses 4.840.00 Administration Expenses 10/21/2004 Register of Wills, Cumberland County - probate 249.00 fees 10/26/2004 Lower Allen Township - sewer/refuse 73.35 11/02/2004 Waypoint Bank Estate Checking Account 3.00 #3361119561 - estate checkbook 11/10/2004 PPL Electric Utilities - electric bill 54.73 11/20/2004 Verizon - telephone service 49.88 11/24/2004 The Sentinel - estate notice 137.03 4 SCHEDULE C DISBURSEMENTS OF PRINCIPAL Continued 11/29/2004 Larry Zuvich - lawn maintenance 205.00 11/30/2004 Cumberland Law Journal - estate notice 75.00 12/07/2004 Register of Wills, Cumberland County - short 15.00 certificates 12/15/2004 PPL Electric Utilities - electric bill 49.75 01/03/2005 Liberty Mutual Insurance - auto premium 106.90 01/14/2005 Lower Allen Township - sewer/refuse 73.35 01/14/2005 PPL Electric Utilities - electric bill 119.38 02/15/2005 PPL Electric Utilities - electric bill 204.51 03/20/2005 PPL Electric Utilities - electric bill 165.00 04/03/2005 Larry Zuvich - snow removal 100.00 04/11/2005 Lower Allen Township - sewer/refuse 79.35 04/18/2005 Vital Records - fee to obtain 2 death certificates 25.00 for Ruth Leiter 04/22/2005 Register of Wills, Cumberland County - short 8.00 certificates 04/29/2005 PPL Electric Utilities - electric bill 126.76 05/12/2005 Arentz General Services - haul garbage 300.00 OS/25/2005 PPL Electric Utilities - electric bill 66.82 06/26/2005 Larry Zuvich - lawn maintenance 200.00 06/26/2005 PPL Electric Utilities - electric bill 44.20 07/28/2005 PPL Electric Utilities - electric bill 32.69 08/15/2005 Cumberland County Recorder of Deeds - fee 5.00 08/29/2005 Larry Zuvich - lawn maintenance 200.00 08/29/2005 PPL Electric Utilities - electric bill 52.09 09/15/2005 Pennsylvania American Water - water bill 131.31 09/15/2005 PPL Electric Utilities - electric bill 17.11 09/27/2005 Register of Wills, Cumberland County - filing fee 30.00 09/27/2005 Register of Wills, Cumberland County _ 105.00 additional probate fees 09/27/2005 West Shore Oil - air conditioner repair service 92.00 10/06/2005 Register of Wills, Cumberland County - short 8.00 certificates 11/30/2005 Register of Wills, Cumberland County _ 325.00 adjudication and account filing fee 5 SCHEDULE C DISBURSEMENTS OF PRINCIPAL Continued Total Miscellaneous Administrative Expenses 3.529.21 Federal and State Taxes 01/06/2005 Register of Wills, Agent - inheritance tax paid at 48.000.00 discount 10/06/2005 Register of Wills, Agent - inheritance tax paid 5.082.64 with return Total Taxes 53.082.64 Fees 11/30/2005 Guthrie, Nonemaker, Yingst & Hart - attorney 16.000.00 fee 11/30/2005 Linda R. Sheridan - executor fee 16.000.00 Total Fees 32.000.00 TOTAL DISBURSEMENTS OF PRINCIPAL 94.995.65 6 SCHEDULE D DISTRIBUTIONS OF PRINCIPAL Cvnthia K. Nearv 10/12/2004 Specific bequest per Item 1 of Will - to include household goods and automobile Judith A. Wittinahill 1 0/12/2004 Specific bequest per Item 1 of Will - to include household goods and automobile Linda R. Sheridan 10/12/2004 Specific bequest per Item 1 of Will - to include household goods and automobile Susan J. Weaver 10/12/2004 Specific bequest per Item 1 of Will - to include household goods and automobile 1.825.00 1,825.00 1,825.00 1.825.00 TOTAL DISTRIBUTIONS TO BENEFICIARIES 7 1 ,825.00 1,825.00 1.825.00 1,825.00 7,300.00 # Units PRINCIPAL BALANCE ON HAND Description Cash Waypoint Bank Estate Account #3361119561 Total Cash 8 Current Value 11/30/2005 or as Noted 279.533.54 279.533.54 279.533.54 Fiduciary Acquisition Value 279.533.54 279.533.54 279.533.54 SCHEDULE F CHANGES IN INVESTMENT HOLDINGS - PRINCIPAL # Units 303 Glendale Drive. Shiremanstown. PA 17011 10/12/2004 08/26/2005 Inventoried Sold Total 9 Cost 174,900.00 -174.900.00 0.00 0.00 SCHEDULE G RECEIPTS OF INCOME Interest/Bank Banker Life & Casualty Co Annuity Contract #7686194 Waypoint Bank IRA CD# 0125502635 10/06/2005 interest 22.14 22.14 TOTAL BANK INTEREST Interest/Bond 721.18 10 U.S. Savinas Bonds Series E 10/06/2005 SCHEDULE G RECEIPTS OF INCOME Continued interest TOTAL BOND INTEREST TOTAL RECEIPTS OF INCOME 11 491.36 491.36 491.36 1,212.54 PA DeDartment of Revenue 10/06/2005 SCHEDULE I DISBURSEMENTS - INCOME Expense I INCOME 2005 fiduciary income tax due (PA41) TOTAL DISBURSEMENTS OF INCOME 12 21.00 21.00 21.00 # Units INCOME BALANCE ON HAND Description Cash Waypoint Bank Estate Account #3361119561 Total Cash 13 Current Value 11/30/2005 or as Noted 1.191.54 1.191.54 1.191.54 Fiduciary Acquisition Value 1.191.54 1.191.54 1.191.54 [ PROPOSED DISTRIBUTIONS TO BENEFICIARIES Current Value 11/30/2005 or as noted Fiduciary Acquisition Value TO: Care Assurance Fund of the GettysburQ Lutheran Home 1/3 of 10% residue 11.126.93 11.126.93 TO: Cynthia K. Nearv 1/7 of 50% residue 19.630.50 19.630.50 TO: Gerald Kerstetter 1/5 of 40% residue 21,986.16 21,986.16 TO: Grady Leiter 1/7 of 50% residue 19.630.50 19.630.50 TO: Jean BrunQart 1/5 of 40% residue 21,986.16 21,986.16 TO: Judith A. WittinQhill 1/7 of 50% residue 19,630.50 19.630.50 TO: Kenneth Kerstetter 1/5 of 40% residue 21.986.16 21.986.16 TO: Larrv M. Leiter 1/7 of 50% residue 19.630.50 14 r , PROPOSED DISTRIBUTIONS TO BENEFICIARIES Continued Current Value 11/30/2005 or as noted TO: Linda R. Sheridan 1/7 of 50% residue TO: Lowell Hofe 1/5 of 40% residue TO: Sherry Leiter 1/7 of 50% residue TO: St. Luke Lutheran Church 1/3 of 10% residue TO: St Mark Evanaelical Lutheran Church 1/3 of 10% residue TO: Susan J. Weaver 1/7 of 50% residue TO: Wayne Kerstetter 1/5 of 40% residue 15 Fiduciary Acquisition Value 19.630.50 19.630.50 19.630.50 21.986.16 21.986.16 19.630.50 19.630.50 11.126.93 11.126.93 11.126.93 11.126.93 19.630.50 19.630.50 21.986.15 21.986.15 " :- PROPOSED DISTRIBUTIONS TO BENEFICIARIES Continued Current Value 11/30/2005 or as noted Total 16 Fiduciary Acquisition Value 280.725.08 ~ . AFFIDAVIT TO ACCOUNT AND OF SERVICE OF NOTICE OF FILING ACCOUNT COMMONWEAL TH OF PENNSYL VANIA COUNTY OF YORK Before me, the subscriber, a Notary Public in and for said County and Commonwealth, personally appeared Linda R. Sheridan, who, being duly sworn, deposes and says that she is the Executrix of the Last Will and Testament of Paul R. Leiter, late of Lower Allen Township, Cumberland County, Pennsylvania, deceased; that the within and foregoing account as stated is true and correct as she verily believes, that a period of more than four months has elapsed from the date of the first complete advertisement of Letters Testamentary on November 24,2004, that on the 9th day of December, 2005 she gave notice of the date of the proposed filing in the Office of the Register of Wills of Cumberland County, Pennsylvania, of the within and foregoing First and Final Account of said Executrix to every person of whom the Accountant has notice or knowledge who claim an interest in said estate as beneficiary, heir, next of kin, creditor or otherwise, by mailing in the post office in Hanover, York County, Pennsylvania, by first class mail, written notice, of which the attached is a true and correct copy to the following persons at the following address: SEE ATTACHED LIST and that there is no other person of whom the accountant has notice of knowledge who claim an interest in the said estate. ~ /~ -JJZeAdtl-/~ Linda R. Sheridan Sworn and SUb~Cri&iS b*' day of k~).. , 2005. a n -9~ t~lI~ Q;,-1 N~ \} COMMONWEALTH OF PENNSYLVANIA .lata... StEPHANE R.11~""" PublIc HMMr -.1Irt&CMr IIr ~ FIb. 4, 2008 3 . ESTATE OF: Paul R. Leiter 209-12-7921 10/12/2004 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 1 Jean Brungart Niece 1/5 of 40% residue 0.00 1952 E. Winter Road Loganton,PA 17747 2 Lowell Hofe Nephew 1/5 of 40% residue 0.00 505 South Boulevard Salisbury, MD 21801 3 Gerald Kerstetter Nephew 1/5 of 40% residue 0.00 4001 Ashburn Way Mechanicsburg, PA 17055 4 Kenneth Kerstetter Nephew 1/5 of 40% residue 0.00 223 Cambridge Drive Stuarts Draft, VA 24477 5 Wayne Kerstetter Nephew 1/5 of 40% residue 0.00 240 Glade Street Apt A3 Hot Springs Village, AR 71909 6 Grady Leiter Nephew 1/7 of 50% residue 0.00 1412 W. Winter Road Loganton,PA 17747 7 Larry M. Leiter Nephew 1/7 of 50% residue 0.00 15 South 4th Street Apt 15A Newport, PA 17074 8 Sherry Leiter Niece 1/7 of 50% residue 0.00 4089 Fawn Drive Apt L Harrisburg, PA 17112 9 Cynthia K. Neary Niece 1/7 of 50% residue 0.00 1004 Fieldstone Court Lancaster, PA 17603 10 Linda R. Sheridan Niece 1/7 of 50% residue 0.00 17 N. Water Street Spring Grove, PA 17362 11 Susan J. Weaver Niece 1/7 of 50% residue 0.00 1755 Sherwood Street Clearwater, FL 33755 12 Judith A. Wittinghill --.. .._--~>--~_.~-_.,.~. Niece 1/7 of 50% residue 0.00 9627 Puccini Trail Northwest Albuquerque, NM 87114 Total Schedu'le "A" ~. ~!'l )". ,,~s:.;:i.,.... , 1:.:' .".....'" .. J SCHEDULE J-HB CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS continued Rev.1502 EX+ (6-98) COMMONWEALTH OF PENNSYL '/ANIA lNHERITANC:::"TAX RS1JRN RESIDENT DECEDENT ESTATE OF Leiter, Paul R. FILE NUMBER 21-04-00949 ITEM NUMBER OEseR/PileN AMOUNT 1 Care Assurance Fund of the Gettysburg Lutheran Home 1075 Old Gettysburg Road Gettysburg, PA 17325 1/3 of 10% resffidue 2 St. Luke Lutheran Church 330 White Hall Raod Littlestown, PA 17340 1/3 of 10% residue 3 St Mark Evangelical Lutheran Church 4200 Londonberry Road Harrisburg, PA 17109 1/3 of 10% residue Subtotal Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J-lIB (Rev. 6-98) - :l . PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tanuny Shoemaker, Classified Sales Manager, of The Sentinet of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13th, 1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following date(s) November 24, December 01, 08, 2004 COPY OF NOTICE OF PUBLICATION EXECUTRIX'S NOTICE Affiant further deposes that he/ she is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication ~.e true. . II ~~ ru-~ rt~/ Letters of Testamentary on the Estate of PAUL R. LEITER late of the Township of Lower Allen, Cumberland County, Pennsylvania, deceased, have been granted to the undersigned. All persons knowing themselves to be Indebted to said Estate will make payment immediately, and those having claims will present them for settlement. Linda R. Sheridan Executrix 17 N. Water SI. Spring Grove, PA 17362 Matthew Guthrie, Esquire Guthrie, Nonemaker, Yingst & Hart .40 York SI. Hanover, PA 17331 Sworn to and subscribed before me this 08th day of December, 2004 (',;u i.Jf,il(l 1) {, '"!--' " I . ({ C~ ,L Notary p~ ic My commission expires:! f /a] .:';OMMONWEAL TH OF PENNSYLVANIA I . Notarial Seal I ChnstJna L. Wolfe, Notary Public I Carlisle Bora, Cumberland County . My Commission Expires Sepl1, 2008 ",'ertlt>er P'~n')5vl\lania Association Of Notaries ~ . I' PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEAL TH OF PENNSYL VANIA ss. COUNTY OF CUMBERLAND Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, VIZ: DECEMBER 3,10,17,2004 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. Leiter, Paul R., dec'd. Late of Lower Allen Township. Executrix: Linda R. Sheridan, 17 N. Water Street, Spring Grove, PA 17362. Attorneys: Matthew L. Guthrie, Esquire, Guthrie, Nonemaker, Yingst & Hart, 40 York Street, Hanover, PA 17331, (717) 632- 5315. TO AND SUBSCRIBED before me this day of DECEMBER 2004 ~;:-4m['/~~ L.::'S; BiJy~:'n 'i"", ",' I "='.~':""'~'~=f_.~"","M7,;=""";'}">;"v,;;;;;o,.....;;~_.,.~:",..l._'-''''''''-"~';';1.';:';~'74i:>;'. - . .. .. ,,-- --.-....-, .. --,.., -..; --'-' ....,.,....'.,....,- . "00>: ~ ... J.l ell 1:1:1 ..e .I-J t:: ... ;:l tf.I 0 ~~ u ~ u ..-t~ ( <x: i>tl c ... I ,..., ..cd ~ co J.l I t< t:: Gl tf.I .~ 1 ~.l ~ Gl 1 e c '\:l 1Il ~ t:: l:I 0 co 0 ... c: Z ~ ~ .I-J CJl .. I-l Gl .~ 'I"'l ~ J.l .d ... l5 I hereby certify that written notice of the filing of this Statement of Proposed Distribution, and of the date, time and place when the same will be presented to the Court for confirmation and of the last day to file written objections to said Statement of Proposed Distribution, has been given to every unpaid claimant and to every other person known to the accountant to have or claim an interest in the estate as creditor, beneficiary, heir or nex~ of kin. A copy of said Statement was included ,:ith the notice. /J/JiJ.../ /J-- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX BUREAU OF INDIVIDUAr~:'i'~~sJ{, INHERITANCE TAX DIVISIDN"o.~ '.' "'0. PO BOX 280601 HARRISBURG PA 17128-0601 ""'1'"""- ,_I ." r, r 9 : -': 1..1 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN MATTHEW GUTHRIE 40 YORK HANOVER -t GUTHRIE ESQ ETAL ST PA 17331 ESTATE OF LEITER TAX RETURN WAS: (X J ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule AJ 2. Stocks and Bonds (Schedule BJ 3. Closely Held Stock/Partnership Interest (Schedule CJ 4. Mortgages/Notes Receivable (Schedule DJ 5. Cash/Bank Deposits/Misc. Personal Property (Schedule EJ 6. ~ointly Owned Property (Schedule FJ 7. Transfers (Schedule GJ 8. Total Assets (1J (2J (3J (4J (5J (6J (7J (9J (10J NOTE: ) CHANGED 174,900.00 8.579.01 .00 .00 214.280.92 .00 63,094.46 (8J 56,265.39 935.87 (llJ (12) (13J (14J - * REV-1547 EX AFP (06-05) PAUL DATE 12-05-2005 R NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 460,854.39 57.?Ol ?~ 403,653.13 33,325.86 370,327.27 pJ( 12-05-2005 LEITER 10-12-2004 21 04-0949 CUMBERLAND 101 APPEAL DATE: 02-03-2006 ( See reverse side under Objections) Amount Remitted [ ] MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 9Y!-~~9~9_!~1~_~1~~____-_~___~~!~1~_~9~~~_~9~!~9~_~9~_Y9Y~_~~~9~~~__~____________________ REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX PAUL R FILE NO. 21 04-0949 ACN 101 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule HJ 10. Debts/Mortgage Liabilities/Liens (Schedule IJ 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule ~J 14. Net Value of Estate Subject to Tax I~ an a....sm.nt was i"u.d pr.viou.ly. lin.. 14. 15 and/or 16. 17. 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15J 16. Amount of Line 14 taxable at Lineal/Class A rate (16J 17. Amount of Line 14 at Sibling rate (17J 18. Amount of Line 14 taxable at Collateral/Class B rate (18J 19. Principal Tax Due TAX CREDITS. .00 .00 .00 370,327.27 X 00 = X 045 = X 12 = X 15 = .00 .00 .00 55,549.09 55,549.09 . . KEL:EIPT (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-J 01-07-2005 ,'. CD004812 2,526.32 48,000.00 10-06-2005 .. CD005876 59.18- 5,082.64 TOTAL TAX CREDIT 55,549.78 BALANCE OF TAX DUE .69CR INTEREST AND PEN. .00 TOTAL DUE .69CR · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (19J= ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REflECTED AS A "CREDIT" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ... "1 I-l ClJ = ~ 1:-1 ... tIl :z; be :::J = 0 'r-! ...-l 1>1 U ~ ~ ... M U III M ~ I-l ..:I III ,.... III I I-l ...-l H ..Ill...... <:I ~<:Itf.l ~ III ~..IlI ~ , :z; i H = ~ I-l ~ ~ o III 0 I-l ~el>l III <<l ~ ~ 00 III "'-=1' 1:-1 'r-! ~ (f) I-l = P::: ,d H ... ~ t3 r/) 1111 Jr ;:: ~ :II" "' 8" , c g 15 0 8; g! ~ u.c...~ -1 <-.::0.& ..c &, '} '--g " c.? "i = t} ~~Q)8 . 4' CD~E n o ~.,.! ~ !i~ ~ ; = go /' .d S CD. i r!t.!'I 8 oj 1'! '-, E:::; ,~, ,s ~ .9 ~ ;2 ~ ~ ~ ~'~~ :: ~.9 '05 ~ "'W ~" ~~~8~::;~ ~~~~~~~~ ~ gf~15<;~~ 3::5.9~~@~ ~ 1; .- ..c ''::; "0 ,... etl.u t;::: 0 ;a ;>-. I- 0. C'::l $ ::I s= ~ ~.~ ~~~~_ ~-g o..ge: 5 ~ ~ eLl g- """0=-= "",,,_0..,,, '0 UJ ::~"2:;;EE15 'Oc=E=~'.9~ i " o 0.. 8 g'~ ~ ..: ~ ~.9:;=: eLl ~ ~ ~ eLl .=~ 'C; ";2 - ,- u :; .9 '- '" >: ~ i) c >: " ,,~ ..c '~ ~ <2 ~:2 8 '8 g ,g 1'! '0 5 ;; ~ ~ ~ "~~ ~g ~ ~ ~ ~ ~~~ .@T!1 ~ ~ ~ ,~ 15~ ;: E '-; " ',U::: =..::::: ce " ~.'t:: 0 ~ ~ C':l :.0 Vl V ...: _ ~ ~ ~~ ~'~ ~ ~ r@~ ~ ] ~~ ~ ,g i ;i ~ .:: " ~ s ~ ~ e ~ E 5 ~,s ~5 ~ :g i'il~i~t= f~!llii~i~, ~ ~~~~5~~~ ia~~5~.9~~S 1~1~ii~i ~~~~~~]~]~ , In the Court of Common Pleas of Cumberland County, Pennsylvania Orphans' Court Division Estate of: File No.: PAUL R. LEITER 21-04-0949 Late of: Lower Allen Township, Cumberland County PETITION FOR ADJUDICATION The First and Final Account of Linda R. Sheridan, Executrix was filed in the Office of the Register of Wills of Cumberland County on December 9,2005, and advertised for audit on January 10, 2006. The petition of Linda R. Sheridan respectfully represents: 1. Paul R. Leiter died on October 12, 2004, testate, unmarried, and a resident of Lower Allen Township, Cumberland County, Pennsylvania. 2. A will dated September 10,1998 was duly admitted to probate in the Office of the Register of Wills of Cumberland County on October 21,2004 and a copy of the same is hereto attached. 3. Letters Testamentary were issued on October 21,2004. 4. An inventory and appraisement was filed on October 7, 2005, a copy of which is hereto attached. 5. There was no surviving spouse. 6. The decedent did not marry after the execution of the will, and no children were born to the decedent or lawfully adopted by him thereafter. 7. Notice of the granting of letters was advertised in the Cumberland Law Journal and in The Sentinel, according to law. 8. The estate is subject to transfer inheritance tax, an appraisement for that purpose was filed on October 7, 2005, and the following amounts have been paid on account of the tax: On January 7, 2005, $48,000.00, being on an estimated account of$336,000.00 On October 7, 2005, $5,082.64, being on balance of account of$370,327.27 9. The present status of the family exemption is as follows: there is no family exemption. t "u'~ --., r!l rv R( <I .- 10. The attached Schedule "A" is a full and true statement of all parties in interest, their relationship, and proportionate interests under the will or intestate laws. 11. Any unusual questions requiring adjudication which counsel may deem helpful to the Court are as follows: none 12. A statement of material facts not already given is as follows: none 13. Notice of the filing of the account has been given as required by Rules 6.3 and 5.5 of the Supreme Court O. Ct. Rules; a copy of the account has been filed as required by Rules 6.7 and 6.8 of said Rules; notice has been given as required by Section 3330 of the P-F-F Code; and a certificate has been attached to the account compliance with Cumberland County O. Ct. Rule 6.3-1. 14. Attached to the account are proofs of advertisement of the grant of letters and attached to this petition is a copy of the will and any codicils thereto, and of the inventory and appraisement. The Petitioner therefore respectfully requests that distribution of the balance shown by the aforesaid account may be made among the parties above mentioned according to their respective interests. /' I ~) {~C;L~ /"1 'j Linda R. Sheridan, Executrix 146H- ~ t4 Attorney: Matthew L. Guthrie York County: The above petitioner, being duly sworn, deposes and says that the statements in the foregoing Petition and Schedules hereto attached are true to the best of her knowledge and belief. Sworn and subscribed this b-Ki day of~QOA..~ Q')t1A ~ N~lO \L~~ ,2005 COMMONWEALTH OF PENNSYLVANIA IIOTARIAL SEAl ST~ IL ITONESIIER, NatIry Public ITlfil U-W -. .. c..a, _ ClaU-IlIJlIII. .... ,. 4, 2008 2 IN THE MATTER OF THE ESTATE OF PAUL R. LEITER LATE OF LOWER ALLEN TOWNSHIP, COUNTY OF CUMBERLAND COMMONWEAL TH OF PENNSYL VANIA, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NOTICE OF FILING FIRST AND FINAL ACCOUNT AND SCHEDULE OF DISTRIBUTION TO: The Parties in Interest: Notice is hereby given that on this 9th day of December 2005 the undersigned filed in the Clerk of Orphans' Court Division of Cumberland County, Pennsylvania, its First and Final Account and Schedule of Distribution as Executrix of the Estate of Paul R. Leiter, late of Lower Allen Township, Cumberland County, Pennsylvania. You are hereby further notified that said account will be presented for audit and confirmation to the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division, on the 10th day of January, 2006 at 9:00 AM at the Cumberland County Courthouse located at One Courthouse Square, Carlisle, P A 17013. Any person who objects to transactions shown in the account must either file written objections with the Clerk of Orphans' Court on any date prior to the session of the Court when the account is listed for audit or appear in person or by counsel to present objections at the audit session of the Court or the Court may otherwise assume that no objections exist or that any objections have been waived. ~~cL."i_x1Jzu,-<-dCL0'......) Linda R. Sheridan, Executrix 4 .. Register of Wills, Cumberland County, Pennsylvania INVENTORY Estate of Paul R. Leiter No. 21-04-00949 also known as , Deceased Date of Death 10/12/2004 Social Security No. 209-12-7921 Linda R. Sheridan The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Matthew L. Guthrie, Esquire Personal Recres~ntative. jJ i /2-.. . . I. "\ Signature: ,~~ /'.. '-Q tJ/ud~ Linda R. Sheridan Attorney: 1.0. No.: 44266 Signature: Firm: Guthrie. Nonemaker. Yingst & Hart Signature: Address: 40 York Street Hanover, PA 17331 Telephone: 717 -632-5315 Address: 17 N. Water Street Spring Grove, PA 17362 Telephone: 717-225-1356 Dated: lO-b-1J5 Personal Property Cas h ............................................................................. ....................... Pe rs 0 na I Pro pe rty ............................................................................. Stoc ks/Liste d...................... ............................................................... S toe ks/ Close Iy He J d.... ..................................................................... Bo n d s.......................................................................... ....................... Partnerships and Sole Proprietorships ........................................ Mortgages and Notes Receivable.................................................. All Other Pro pe rty ...................................... ... ............................ ........ 206,980.92 7,300.00 8,579:9l , j J f'o-j '-"=> t......:.:.) ".:...., -D '.,C, I r ',_ J ~. ~_-~J " ':,'J t~ .~ ,TI \::J , '-::,) ""I "1 ~~ c-==S . rTj , ,,;') (::J (....) _~_l . - ..-., I -....J T ota I Perso nal Pro perty .............. ............................. 222,859.93 :72 Total Real Property................................................... "--, '7':0 174,900.00 CTl co Total Personal and Real Property........................... 1:::)':::,,~~?-~i~~H~~1 Total Out-of-State Real Property............................ .-' Register of Wills, Cumberland County, Pennsylvania INVENTORY Estate of Paul R. leiter also known as , Deceased No. Date of Death Social Security No. 10/12/2004 209-12-7921 Cash 303 Glendale Drive, Shiremanstown, PA 17011 - prorated taxes at settlement 1.884.81 19.585.63 28.577 .82 1.999.24 2.789.73 69.92 121.00 4.264.94 273.60 950.00 1.430.88 40.00 93.275.62 5.04 14.453.99 0.11 Banker Life & Casualty Co Annuity Contract #7686194 - POD to estate GE Life and Annuity Contract #0506712697 - POD to estate Halliburton and Alco Settlement Proceeds Checks - asbestos litigation Internal Revenue Service - 2004 income tax refund Libertv Mutual Insurance - refund Miscellaneous deposit Mutual Beneficial Association Annuity Certificate #93976 - POD to estate Myers Funeral Home, Inc. - refund Social Security Railroad Retirement - check on hand United American Insurance - premium refund Verizon - refund Waypoint Bank CD# 0100795939 Accrued interest on above item through date of death Waypoint Bank CD# 2300004624 Accrued interest on above item through date of death (Attach additional sheets if necessary) Total Personal Property and Real Estate 397.759.93 . Estate of also known as Register of Wills, Cumberland County, Pennsylvania INVENTORY Paul R. Leiter , Deceased No. Date of Death 10/12/2004 Social Security No. 209-12-7921 Waypoint Bank IRA Account# 0525509421 - POD to estate Waypoint Bank IRA CD# 0125502635 - POD to estate Accrued interest on above item through date of death Waypoint Bank Savings Account# 2360001901 Accrued interest on above item through date of death Total Cash Personal Property 2001 Buick Regal - sale price Bond Real Estate Household Goods & Personal Effects - appraised value Total Personal Property U.S. Savings Bond Series HH U.S. Savings Bonds Series E Accrued interest on above item through date of death Total Bond 303 Glendale Drive, Shiremanstown, PA 17011 - sale price Total Real Estate 2 123.42 9.205.43 3.45 27.925.99 0.30 206.980.92 5.300.00 2.000.00 7,300.00 6.000.00 375.00 2.204.01 8.579.01 174,900.00 174.900.00 ESTATE OF: Paul R. Leiter 209-12-7921 10/12/2004 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 1 Jean Brungart Niece 1/5 of 40% residue 0.00 1952 E. Winter Road Loganton,PA 17747 2 Lowell Hofe Nephew 1/5 of 40% residue 0.00 505 South Boulevard Salisbury, MD 21801 3 Gerald Kerstetter Nephew 1/5 of 40% residue 0.00 4001 Ashburn Way Mechanicsburg, PA 17055 4 Kenneth Kerstetter Nephew 1/5 of 40% residue 0.00 223 Cambridge Drive Stuarts Draft, VA 24477 5 Wayne Kerstetter Nephew 1/5 of 40% residue 0.00 240 Glade Street Apt A3 Hot Springs Village, AR 71909 6 Grady Leiter Nephew 1/7 of 50% residue 0.00 1412 W. Winter Road Loganton,PA 17747 7 Larry M. Leiter Nephew 1/7 of 50% residue 0.00 15 South 4th Street Apt 15A Newport, PA 17074 8 Sherry Leiter Niece 1/7 of 50% residue 0.00 4089 Fawn Drive Apt L Harrisburg, PA 17112 9 Cynthia K. Neary Niece 1/7 of 50% residue 0.00 1004 Fieldstone Court Lancaster, PA 17603 10 Linda R. Sheridan Niece 1/7 of 50% residue 0.00 17 N. Water Street Spring Grove, PA 17362 11 Susan J. Weaver Niece 1/7 of 50% residue 0.00 1755 Sherwood Street Clearwater, FL 33755 12 Judith A. Wittinghill Niece 1/7 of 50% residue 0.00 9627 Puccini Trail Northwest Albuquerque, NM 87114 Total Schedule "A" , ReY";ll2 EX+ (6-981 ~ )~~ .~~ .",,_1;' SCHEDULE J-IIB CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS continued COMMONWEAL TH OF ;:7!:;'JNSYl '/ANIA INHERITANCE 7A.X. RSlJRN RESlOENT CECEOENT ESTATE OF leiter, Paul R. FilE NUMBER 21-04-00949 ITEM NUMBER OESCRIPTiCN Care Assurance Fund of the Gettysburg Lutheran Home 1075 Old Gettysburg Road Gettysburg, PA 17325 AMOUNT 1/3 of 10% residue 2 S1. Luke Lutheran Church 330 White Hall Raod Littlestown, PA 17340 1/3 of 10% residue 3 St Mark Evangelical Lutheran Church 4200 londonberry Road Harrisburg, PA 17109 1/3 of 10% residue Subtotal Copyright (c) 2002 form soft\.vare only The Lackner Group, Inc. Form PA-1500 Schedule J-I/B (Rev. 6-98) 'Y DECREE ;"c~ 1 J iUUb :l}j/ AND NOW, TO WIT, this ~ day of 1'c!h. , 2006, it is hereby ordered, adjudged and decreed that the First and Final Account of Linda R. Sheridan, Executrix of the Last Will and Testament of Paul R. Leiter, deceased, late of Lower Allen Township, Cumberland County, Pennsylvania, is confirmed; and, it is further ordered, adjudged and decreed that said Accountant pay the distribution as set forth in the First and Final Account. AND IT IS FURTHER ORDERED that said Accountant make, execute and deliver all assignments, transfers and other instruments in writing necessary to effect a legal transfer of assets awarded in kind. This Decree is entered nisi and, in absence of Exceptions filed thereto within twenty (20) days from the date hereof, the same shall become final, as of course. Qt. 111 Re: estate of \( ~"'\ ~. l ~,\~Y Estate No.: ~ '\ '~\.i., - "=\ '\ '\ I ORF'l-iANS~ COURT DI\/ISIOi~ COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYL VANIA NO. CERTIFICATE OF SERVICE OF ORDER ORDER DATED: \ - ~~ - \:)~ -S ~~ \ - )..~ -~ 1.0 JUDGE'S INITIALS: TIME STAMP DATE: INRE: ~"-~'1"~~ SERVICE TO: '" ~\\ \.).x~ ~ \J\~ ~ \ c ~'S.~ METHOD OF MAILING: ----s USPS DRRR D Hand delivered D Other: _ DA TE OF MAILING: ~ 1..~ -~ \:, SERVICE TO: METHOD OF MAILING: D USPS DRRR D Hand delivered D Other: __ DA TE OF MAILING: ENENVELOPE(S) BY: D Petitioner D Judge ~ Clerk of Orphans' Court ENVELOPE(S) BY:D Petitioner D Judge D Clerk of Orphans' Court ~.\(~ ~ Deputy Clerk of Orphans' Court Clerk of the Orphans' Court REGISTER OF WILLS Cumberland County, Pennsylvania Supreme Court Orphans' Court Rule 6.12 Status Report by Personal Representative Name of Decedent: Paul R. Leiter Date of Death: 10/12/2004 Will Number: 21-04-00949 dministration Number: 21-04-00949 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete. a. Did the personal representative file a final account with the Court? Yes X No , -...... 3. If the answer to No.1 is Yes, state the following: b. The separate Orphans' Court No. (if any) for the personal representative's account is: CI"i c. Did the personal representative state an account informally to the parties in interest: Yes No X d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphans' Court and may be attached to this report. Date: yj)/tX i/l /..../ .' ~ I 1'A1 Signature Name: Address: Matthew L. Guthrie, Esquire 40 York Street Telephone: Hanover, PA 17331 717 -632-5315 Capacity: Personal Representative X Counsel for Personal Representative @