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HomeMy WebLinkAbout09-09-13 - 1 �J REV-1500 EX(01-10) 15056-10143;' OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Cede Year File Number Bureau of Individual Taxes aseaaraeer. asysaue PO BOx.280601 INHERITANCE TAX RETURN 21 12 1273 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 09 02 .2012 .11 '18 1928 Decedent's Last Name Suffix Decedent's First Name MI MIXELL DOROTHY M (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW X] 1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return(date of death Prior to 12-13-82) 4. Limited Estate ❑ 4a. Future Interest Compromise ❑ 5. Federal Estate Tax Return Required (date of death after 12-12.82) B Decedent Died Testate 7 Decadennt Main rued a Living Trust 0 B. Total Number of Safe Deposit Boxes © (Attach Copy of Will) ❑ (Attach Dopy olaTrusq G') A r1-I ❑ 9. Litigation Proceeds Received ❑ 10.Spousal Poven44Credttldate of death ❑ 11,Electialo untler Sec'.�113(Ayl n g between 12-31- land t-1-95 (Attac(r ) CP C_> p CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INF ATIOOHOULD BE DIRECT ED TO: Name DaytimeT p onl%-Nurt of .BRADLEY M GRIFFSE 717 243U',51 0 0 REGISTEAOE-WILLS USE ONFy- y ---1 CD j— _U W Cn First line of address x' r 1) .200 NORTH RMOVER STREE Second line of address DATE FILED City or Post Office State ZIP Code CARLISLE PA 17013 Correspondent's e-mail address: bgriffie @griffielaw.com Under penalties of perjury,I declare that I have examined this return,including 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 representative Is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILIN RETURN DATE Merle E. Mixell Jr. ADOR 121 Steelstown Road Newville PA 17241 SIGNATURE PREPARER OTHER THAN REPRESENTATIVE DATE Bradley L Griffie g DR 2 orth Hanover Street, Carlisle, PA Side 1 1505610143 150561/3143 1 1505610243 J REV-1500 EX Decedent's Social Security Number Decedent's Name: MIXeII, Dorothy M. RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2. Stocks and Bonds(Schedule B)............................................................................. 2. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 8 ,261 . 12 6, Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 55 ,387 . 00 7. Inter-Vivos Transfers&Miscellaneous f�oo;Probate Property (Schedule G) LJ Separate Billing Requested............ 7. 8. Total Gross Assets (total Lines 1-7)..................................................................... 8. 63 , 648 .12 9. Funeral Expenses&Administrative Costs(Schedule H)....................................... 9. 11 , 899 . 51 10. Debts of Decedent,Mortgage Liabilities,&Liens(Schedule 1).............................. 10. 148 ,454 .23 11. Total Deductions(total Lines 9&10)................................................................... 11. 160 ,353 .74 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. _96, 705 . 62 13. Charitable and Governmental Bequests/Sec 91137rusts for which an election to tax has not been made(Schedule J)............................................... 13. 14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. -96 , 705 . 62 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 0 . 00 (a)(1.2)X.00 15. 16. Amount of Line 14 taxable 0 . 00 16. 0 . 00 at lineal rate X .045 17. Amount of Line 14 taxable 0 . 00 17. 0 . 00 at sibling rate X.12 18. Amount of Line 14 taxable 0 . 00 at collateral rate X.15 0 . 00 18. 19. Tax Due.................................................................................................................. 19. 0 . 00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. El Side.2 1505610243 1505610243 REV-1500 EX Page 3 File Number'21-12-1273 Decedent's Complete Address: DECEDENTS NAME Mizell, Dorothy M. STREETADDRESS 210 Big Spring Road CITY NelNVille STATE PA ZIP 17241 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Discount 0.00 Total Credits(A +B) (2) 0.00 3. Interest (3) 4, If Line 2 is greaterthan Line 1+Line 3,enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2 Line 20 to request a refund 5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 0,00 Make Check Payable to: REGISTER-OF WILLS, AGENT. T PLEASE ANSWERTHE 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;.............................................................................. b. retain the right to designate who shall use the property transferred or its Income;.................................. c. retain a reversionary interest;or............................................................................................................... x d. receive the promise for life of either payments,benefits or care?............................................................ x 2. If death occurred after December 12, 1982,did decedent transfer property within one year of death without receivingadequate consideration?.................................................................................................................... ❑ 3. Did decedent own an'in trust for' or payable upon death bank account or security at his or her death?....... ❑ ❑ 4. Did decedent own an Individual Retirement Account,annuity,or other non-probate property which ❑ ❑ contains a beneficiary designation?.................................................................................................................. x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994 and before Jana 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(I)]. For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent (72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in 72 P.S.§9116 1.2)[72 P.S.§9116(a)(1)). • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)). A sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. Rev-1808E%+(6-98) SCHEDULE -E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TO RETURN RESIDENTDECEDENT ESTATE OF FILE NUMBER Mixell Dorothy M 21-12-1273 Include the proceeds of litigation and the dale the Proceeds were received by the estate. All property jointly-owned With Me night of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 ACNB Bank-Esteem Checking Account No.XX0466 1,176.49 (See attached statement) (Owned jointly with predeceased husband,Donald L.Mixell, Sr.) .2 ACNB Bank-Esteem Checking Account No.XXX7617 1,275.54 (See attached statement) 3 ACNB Bank-Esteem Checking Account No.XXX8170 5,752.68 (See attached statement) 4 AARP Insurance premium refund 54.41 TOTAL(Also enter on Line 5, Recapitulation) 8,261.12 II (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 E(Rev. 6-98) Rev-1509 EX.16-981 SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERRANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Mixell Dorothy M 21-12-1273 If an asset was made joint within one year of Me decedents date of death,it must be reported on schedule G. SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT A. Merle E. Mixell,Jr. 121 Steelstown Road Son Newville, PA 17241 B. C. JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY ens OF DATE OF DEATH VALUE OF ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECD'S pECEDENT'S INTEREST NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER.ATTACH DEED FOR VALUEOFASSE1 INTEREST TENANT JOINT JOINTLY-HELD REAL ESTATE. 1 A 09124/1998 Residential Real Estate- 110.774.00 50.000% 55,387.00 125 Centerville Road Nevrville, PA 17241 Cumberland County Assessed value$114,200 C.L.R. .97 TOTAL(Also enter on Line 6, Recapitulation) 55,387.00 (If more space is needed,additional pages of the same size) Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule F(Rev.6-98) REV-1151 EX-00-061 • SCHEDQJLE H COM INONWITALN OF PE N VNANIA FUNERAL EXPENSES & RESIDEN oe"e�D T ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Mizell Dorothy M 21-12-1273 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s)attached 8,075.35 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Merle E. Mizell,Jr. Street Address 121 Steelstown Road city Newville State . PA Zio 17241 Years)Commission Daid 2013 360.00 2, Attorneys Fees Griffie &Associates, P.C. 3,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State Zio Relationship of Claimant to Decedent 4. Probate Fees 176.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 287.66 See continuation schedule(s) attached TOTAL(Also enter on line 9, Recapitulation) 11,899.51 _ Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Mixeit Dorothy M. 21-12-1273 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Egger Funeral Home,Inc. 8.075.35 HA 8,075.35 Other Administrative Costs .2 The Sentinel(Advertising) 20016 3 Cumberland Law Journal(Advertising) '75.00 4 Bank tees to Orrstown Bank 12.50 H-B7 287.66 Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6.98) ftev-7672 E%+(72-g6) i SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES; & LIENS CoAi INHERITANCE T RETURN VADSx INHERITANCE TAX RETURN RESIDENT DECEDENT .ESTATE OF FILE NUMBER Mixell,Dorothy M. 21-12-1273 Report debts incurred by the denadent pdor to death that remained unpaid at the data of death,Including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 9 Adams County National Sank-Mortgage Account No.XX7391 54.489.51 (See attached statement) 2 Social Security reclamation of benefits-(2 months) 2.188.00 3 Green Ridge Village 188.23 4 Commonwealth of Pennsylvania-Department of Public Welfare 91,588.49 Medicaid claim TOTAL(Also enter on Line 10, Recapitulation) 148,454.23 (It more space is needed,additional pages of the same size) Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev. 12-08) REV-0$13 Sit.(11-08) SlCHEDULE J COMWflf LTH T PPEy[SURNAN� BENEFICIARIES INiV ESiI N EEOTTECERDiNT ESTATE OF R FILE NUMBER Mixell, Dorothy M. 21-12-1273 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON($)RECEIVING PROPERTY DECEDENT (Words) ($$$) I TAXABLE DISTRIBUTIONS (include outright spousal distributions,and transfers under Sec.9116(a)(1.2)] Janet M. Darr Daughter One third of net 925 Greenspiring Road distributable Newvilie, PA 17241 estate Donald L.Mixell Son One-third of net 262 West Penn Street estate Carlisle, PA 17013 Merle E.Mixell,Jr. Son One-third of net 121 Steelstown Road estate Newville, PA 17241 Total Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 1500 cover sheet as a ro riate. NOWTAXABLE'DISTRIBUTiONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev. 11-08) LAST WILL AND TESTAMENT OF DOROTHY M. MIXELL 1,. DOROTHY M. MIXELL, of 125 Centerville Road, Newville, Cumberland County; Pennsylvania,being of sound and disposing minds memory and understanding,: do make, publish and declare this to be my Last Will and Testament, hereby`revoking.and making void all previous Wills and Codicils heretofore made-by me. FIRST I order and direct my Executor hereinafter named to pay all of my just debts, funeral expenses and expenses involved or-connected with the administration.of my.estate as soon .after my death as is reasonably possible. I direct my Executor to pay all inheritance, estate, succession and legacy taxes, to.which my estate or the transfer of any property hereunder may be subject, and to charge such taxes as part of the expenses of the administration of my estate, being deducted and paid from the residue of my estate and not to be deducted_in any manner from any specific bequests made herein. .However, my Executor need not accelerate and.pay those unmatured obligations which,in his, her or its opinion, it might be. proper and more advantageous to retain or renew and .pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my Executor/Executrix, in his, her or its sole discretion, to purchase a !GRIFFIE &ASSOCIATES AttorneysAtLaw 200 N.Hanover Street Page 1 of 7 100 Lincoln Way East,Suite D Carlisle,PA 17013 Chambersburg,PA 17201 burial plot and to erect a suitable grave marker at my grave, and to expend sums from my estate for this purpose. SECOND I give, devise and bequeath my entire estate together with all insurance proceeds thereon of whatsoever nature and wheresoever,situate in equal shares to my children, JANET DARK, MERLE E. MIXELL, JR., and DONALD L. MIXELL, who survive me by sixty (60) days, per capita. I direct my Executor/Executrix to divide among such beneficiaries all personal property of a sentimental or family nature (excluding cash, stocks, bonds and the like), including but not limited to jewelry, household goods, antiques, furniture and memorabilia, in accordance with a separate memorandum which I may place with my Will or deposit with my attorney. In the absence of such disposition by memorandum, I direct that the said tangible personal property be divided between my residual beneficiaries with due regard for their personal preferences in as nearly equal shares as practical, with the value of such dispositions being credited to the share of each respective recipient. If the said beneficiaries do not agree to the division of the personal property provided for hereunder, the decision of my Executor/Executrix, including the decision to sell the property at public or private sale and distribute the proceeds therefrom as provided hereinafter, shall be final and conclusive on all parties. THIRD I grant my Executor/Executrix the following powers in addition to and not in limitation of such powers as my Executor/Executrix shall hold by law: (a) To retain all-property received including the stock of any corporate fiduciary acting hereunder,provided such property remains productive. GRIFFIE &ASSOCIATES Attorneys At Law 200 N.Hanover Street page 2 of 7 100 Lincoln Way East, Suite D Carlisle,PA 17013 Chambersburg,PA 17201 (b) To join in any corporation, partnership, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors, including but not limited to, the voting of shares. (c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate.held or owned by my estate. (d) To operate any business that I may own at my death. (e) To invest any funds of my estate in any.stocks,bonds,notes or other securities or property, real or personal, without regard to the principle of diversification or any other statute or general rule of law in his, her or its absolute discretion, it being my intention to give my Executor/Executrix the broadest investment powers possible, providing such investments do not unnecessarily prevent the prompt settlement of my estate. (f) To sell or otherwise dispose of any property, real or personal, tangible or intangible,at any time forming a part of my estate in any manner and on such terms and conditions as vmy Executor/Executrix shall see fit in his, her or its absolute discretion. (g) To borrow money for the payment of taxes or for any other proper purposes in the administration of my estate, and to mortgage or pledge estate assets as security. (h) To compromise claims without court approval including, but not limited to, any controversies with the United States of America or the Commonwealth of GRIME&ASSOCIATES AttorneysAPLaw 200 N.Hanover Street 100 Lincoln Way East,Suite D Carlisle,PA 17013 Page 3 of 7 Chambersburg,PA 17201 Pennsylvania concerning estate and inheritance taxes on any interests that may pass under this my Last Will and Testament. (i) To distribute in cash or in kind upon any division or distribution of my estate. (j) To undertake any and all acts deemed necessary and proper by my Executor/Executrix for the proper, advantageous and prompt management of the settlement of my estate. (k) In general, to exercise all powers in the management of my estate which any individual could°exercise in the management of similar property owned in his own right, upon such terms and conditions as to him, her or it may seem best and to execute and deliver all instruments and to do all acts which he, she of it deems necessary or proper to carry out the purposes of this,my Last Will and Testament. FOURTH No interest of any beneficiary of my estate, either in income or in principal,' shall be subject to anticipation or pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have the power in any manner to charge or encumber his interest either in income or principal, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of my Executor/Executrix for the liability of such beneficiary. FIFTH I nominate, constitute and appoint my daughter, JANET DARR, as Executrix of this my Last Will and Testament. In the event my daughter is deceased, unable or unwilling to serve or shall cease to s r&ASSOyCL4TESwhatsoever, then I nominate, Attorneys At Law 200 N.Hanover Street 100 Lincoln Way East, Suite D Carlisle,PA 17013 Page 4 of 7 Chambersburg,PA 17201 constitute and appoint my son, MERLE E. MIXELL, JR., as Executor of this my Last Will and Testament. In the event my son, Merle E. Mixell, Jr., is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, .constitute and appoint,my son, DONALD.L. MIX-ELL, as Executor of this my Last Will and Testament. I direct that.my Executor/Executrix shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. SIXTH I hereby, declare it to be my expressed desire that my Executor/Executrix employ, the law firm of Crriffie & Associates, of Carlisle, Pennsylvania, for legal advice and assistance regarding this my last Will and Testament, .they having .considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of seven (7) typewritten pages, the first four (4) of which bear my signature on the side margin, for purpose-of identification, this day of 12007. WITNESS:. DOROTH .MIXELL X. GRIFFIE&ASSOCIATES Attorneys At Law 200 N.Hanover Street Page 5 of 7 100 Lincoln Way East, Suite D Carlisle,PA 17013 Chambersburg,PA 17201 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA:, :.SS. COUNTY OF CUMBERLAND I, DOROTHY M. MIXELL, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. DOROTHY M. NIIXELL Sworn or affirmed and acknowledged before me by the Testatrix this day of_� /JVC, ' 2007. NOTANAL BEAL ROOM J BABBETT NO"Puft CA UMBOROUON,CUMBEWMC41M1Y M7cWw" "E Apr 17.2W GRIFFIE&ASSOCIATES Attorneys At Law 200 N.Hanover Street 100 Lincoln Way East, Suite D Carlisle,PA 17013 Page °f 7 Chambersburg,PA 17201 I f AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: SS, COUNTY OF CUMBERLAND WE, '6"-d and f the witnesses whose names are attached to the foregoing document, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament;that she signed willingly and that she executed it as her free and voluntary act for the purposes herein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or.affirmed_and_subscribed before me by . , . and 814 —this day of , 2007. Notary Publfd N07ARIAL BEAT ROBIN J BASSETT NoWy PuMt CARLISLE BOROUGH,CUMMM- WCW ty My camasim EXPIM Apr 17.2007 GRIFFIE&ASSOCIATES Attorneys At Law 200 N.Hanover Street 100 Lincoln Way East,Suite D Carlisle,PA 17013 Page 7 of 7 Chambersburg,PA 17201 ACNB BANK December 28, 2012 Griffie& Associates PC Attn: Bradley L Griffie 200 N Hanover St Carlisle PA 17013 RE: Estate of Dorothy M Mixell Dear Mr, Griffie: The following information is being provided as per your request: Acct.Type Account No. Balance at Accrued Ownership Date D.Q.D. interest to Opened/Joint D.O.D. Esteem 160466 $1,178.49 $0.01 A w/Donald L Mixell Sr 11/25/91 Checking Account Esteem 2397617 $1;275.54 $0:01 Individual 9/22/10 Checking Account Esteem 2498170 $5,752.68 $0.14 Janet M Darr,Legal Custodian 1/11/12 Checking Account Consumer 7457391 $54,489.51 $267.22 Jt w/Merle E Mixel Jr 8/29/00 Mortgage Inquiries concerning ACNB Corporation stock information should be directed to the Registrar and Transfer Company at 1-800-368-5948. If you need any additional information,please contact me at (717)339-5122. Sincerely, Barbara 1 Warn ACNB Bank Deposit Services Representative 11 acnb.com-acnbbusiness.com•P.Q.Box 3129,Gettysburg,PA 17325.phone 717.334.3161 .Toll Free 1.888.334.ACNB(2262)