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HomeMy WebLinkAbout02-1072PETITION FOR PROBATE and GRANT OF LETTERS Estate of _reLl~ ~t `~ ~UU~,~C~1_. also known as Deceased. Social Security No. ~1~~ C7\' l05 No. 21 • 01- IA'IZ To: Register of Wills for the County of ~.UM~-~R'~ ~in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of agg or ol~der~\a~n~the in the last will of the above decedent, dated s6¢ and codicil(s) dated ~~ ~ ~~yti~ _ named 19 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in ~~~1~ County, Pennsylvania, with h'C~-. last family or, principal residence at 'MSS ~+~C~ V `L-~~~ ~.OO rnZ , ~-~.,.~~ ~2~ (list street, number and muncipality) Decendent, then ~~ years of age, died NOJ ~~~- ~ ~~90~ at ~•..~ 5S ~ As ~~ V ~ l~t~(,..C.= Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent.: 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 $ ~~ ti000 . Value of real estate in Pennsylvania $ situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters TE-S~~`^~'1~-'C . (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. V C N 'B n y a., ~i C '~ ~ C ~i+ ~ ~~ ~0. ~~ ~ O C OD OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 ss COUNTY OF ~ ~ h,~ ~~~ / ~ ~~ The petitioner(s) abcwe-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will w~e\ll an truly ad (minister the estate a ording to law. Sworn to or affirmed and subscribed N a V~~ ~'n A~'`.~~ before me this 2 6th day of Ar A~rti t`r1 ~ ~ w' ~ NOVFMBF,R 2002 19 a ~ '~ W~~.cx.~ ,C~.;^.q egister y D ~~ / 7- X04- ~ No. c2-/-Oa-- /07e2 Estate of ELLEN H HOUSEAL ,Deceased DECREE OF PROBATE AiV'D GRANT OF LETTERS AND NOW NOVEMBER 27 , 2002 19 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated WILL: 11-23-1996 & C'.ODICIL: 11-28-1999 described therein be admitted to probate and filed of record as the last will of ELLEN H HOUSEAL and Letters TESTAMENTARY are hereby granted to BARBARA A HAMMAKER _ codir.il FEES 10.50 Probate, Letters, Etc. ......... ~ 2 0 0 .0 0 Short Certificates( ) .......... ~~1_._0 ~ ~~~~ extra. ,pages $ 12.00 jcp ~ 10.00 TOTAL X253.50 Filed 11-27-2002 ................................... n. ~\ ~~- Register of Wi s ~ ~` ATTORNEY (Sup. Ct. LD. No.) .ADDRESS PHONE mailed to atty 11-27-2002 REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING , TNESS codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat_ ,sign the same and that signed as a witness at the request of testat in l~ presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19. Register (Name) (Address) (Name) (Address) REGISTER OF WILLS OF ~-u ~3C~-L~'~~ COUNTY OATH OF NON-SUBSCRIBING WITNESS 02 / - Oo1- /D7bL g ~v~N?.-~ 'cam tfi~nn,~-.,~~- ~`~h ~\a`~ A v w~~ ~ ~c~3-~-- (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that ~ ~~ familiar with the signature of ~~~~ \~ \~1~5~~~ codici testat C'~- of (one of the subscribing witnesses to) the will presented herewith and codicil that ~tC'~ believet the signature on the will is in the handwriting of to the best of ~ ~\Q-- ltnowledge and belief. Sworn to or affirmed and subscribed before a. me this day of ~ /N e) t1 ,Q 19i~~ uYY1~8'J,e~ 0 ~~~ ~, I C\~Y`~y`A- (Addy ss) ~ ~ 7 ~ ~ .~ Register S to3°c ~~~..~ D~ e) ~-~~-(~ ~ (Address) ~ ~~ N • , LAST WILL AND TESTAMENT OF 1"~. '~. ~; .. LAW OFFICE ' s JOHN S. LANDBECK, JR. SUITE 200 ~ 15 S. PARKE STREET ~' j ABERDEEN, MARYLAND 21001 ; I i 410-273-6636 410-575-6767 TELECOPIER 410-272-7404 I I i ELLEN H. HOUSEAL ~:~ / _ c'} ,mot - /C~ `7 I, ELLEN H. HOUSEAL, Social Security No. 172-O1-3365, being an adult of sound and disposing mind, memory and understanding, do hereby make, publish and declare this instrument of writing as and for my Last Will and Testament, hereby canceling, revoking and annulling any and all other Wi11s, Testaments and Codicils by me at any time heretofore made. FIRST: I direct that all of my just debts and funeral expenses be paid as promptly as may be practicable after my death. I authorize my Personal Representative, hereinafter I named, to expend such sums as she in her sole discretion may deem proper for my funeral and interment, including the acquisition of any burial site and the erection and engraving of grave monuments and markers, regardless of any limitations i fixed by statute, rule of court, or otherwise. SECOND: All the rest, residue and remainder of my Estate, real, personal and mixed, wheresoever the same may be situtate, whether my Estate therein be legal or equitable, and whether I now own or shall hereafter acquire the same, and all i property, real, personal or mixed, which I shall have the i right to dispose of by Last Will and Testament, I give, devise and bequeath unto my husband, CHARLES F. HOUSEAL. Last Will and Testament i of Ellen H. Houseal '~ SPECIAL BEQUEST ~' In the event my husband redeceases P me I make the ` following special bequest: I ~ 1. My dining room set, including table, chairs, hutches and anything related to said set to my niece, BARBARA HAMMAKER, if it is her desire to receive it. THIRD - All the rest, residue and remainder of my Estate shall be liquidated by my Personal Representative including my personal property, real property and any other items and shall be divided equally between the brothers and sisters of each ~~ my husband and myself, with fifty percent (50%) of the Estate b going to the brothers and sisters of the husband and fifty percent (50%) going to the brothers and sisters of the wife. \,. ~ This will include in the case of the wife, half-brothers. FOURTH: In the event any of the above mentioned ,;,~ ' brothers, sisters or half-brothers shall predecease me or we _ ~ ~.~ i meet death in a common disaster, then and in that event, I I hereby give, devise, and bequeath that individual's share unto any children through that individual in equal shares, per stirpes, share and share alike, absolutely and forever. If there are no children through that individual, then and in that event that individual's share shall be divided between the surviving individuals in equal shares, per stirpes, share and share alike, absolutely and forever. FIFTH: I name, nominate, constitute and appoint my niece, BARBARA HEISEY, currently of Williamsburg, Virginia, ~. Last Will and Testament ~ ,. ~~ o.f Ellen H. Houseal Personal Representative of this my Last Will and Testament and hereby direct that she shall act without bond and shall have the power to sell or in any way dispose of any and all of my Estate and sign such documents as may be necessary in order to satisfy the terms of this my Last Will and Testament. In the event my niece, BARBARA HEISEY, can not act in that capacity, then and in that event I name, nominate, constitute and appoint JOHN S. LANDBECK, JR., or his successor, as Personal Representative of this my Last Will and Testament and hereby direct that he shall act without bond and shall have the power to sell or in any way dispose of any and all of my Estate and sign such documents as may be necessary in order to satisfy the terms of this my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, on this Z~J~ day of 1996. ~~ /~ .. , 7rl ~~t_r_.~.-~ti~ (SEAL) ELLEN H. HOUSEAL SIGNED, SEALED, PUBLISHED and DECLARED by ELLEN H. HOUSEAL, the above named Testatrix as and for her Last Will and Testament in our presence, who at her request and in her presence and in the presence of each other, all being present Last Will and Testament of Ellen H. Houseal at the same time, have hereunto subscribed our hands as Witnesseth the day and year first written. Address ~ ~~ r~~ ~ Address • s LAW OFFICE JOHN S. LANDBECK, JR. SUITE 200 15 S. PARKE STREET ABERDEEN, MARYLAND 21001 410-273-6636 410-575-6767 TELECOPIER 410-272-7404 CODICIL TO LAST WILL AND TESTAMENT I, ELLEN H. HOUSEAL, do hereby make, publish and declare the following to be a Codicil to my Last Will and Testament which is dated September 23, 1996. FIRST: I hereby change Paragraph FIFTH to read as follows FIFTH: I hereby name, nominate, constitute and appoint Barbara A. Hammaker as Personal Representative of this my Last Will and Testament and hereby direct that she shall act without bond and shall have the power to sell or in any way dispose of any and all of my Estate and sign such documents as may be necessary in order to satisfy the terms of this my Last Will and Testament. In the event Barbara A. Hammaker can not act in this capacity for any reason, then and in that event I name, nominate, constitute and appoint my attorney, John S. Landbeck, Jr., or the successor to his law firm, as Personal Representative and direct that they shall act without bond and shall have the power to sell or in any way dispose of any and all of my Estate in order to satisfy the terms of this my Last Wi1:1 and Testament. SECOND: I hereby reaffirm each and every other paragraph in my Last Will and Testament which is dated September 23, 1996. Codicil to Last Will and Testament Ellen H. Houseal IN WITNESS WHEREOF, I have hereunto set my hand and seal t h i s ~~ day o f ~' ,~1Z~~-,,~Q,.z~ 19 9 9. ELLEN H. HOUSEAL SIGNED, SEALED, PUBLISHED and DECLARED by ELLEN H. HOUSEAL, the above named Testatrix as and for a Codicil to her Last Will and Testament, which is dated September 23, 1996, in our presence who at her request and in her presence and in the presence of each other, all being present at the same time, have hereunto subscribed our hands as witnesses the day and year first written. Q. ~~~d-~--~ Signature Cam. ,.~ s 7'.~-,v ~ ~.. ~ /chi ra L 1 ~Y Print Name ~~ ~ ~` Si nature Print Name a ~ ~ ~r ~-. Address _ ,, ~D oZL~~~ a%~a ~~~.~~~ ~ ~~.~ CERTIFICATION OF NOTICE UNDER RULE 5 6 (a) Name of Decedent: Ellen H. Houseal Date of Death: November 20, 2002 Will No. 1072 of 2002 Admin. No. To the Register: I certify that notice of beneficial interest required by Rule 5.6 (a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on: ~- 11- v3 Name Address See Attached Notice has now been given to all persons entitled thereto under Rule 5.6 (a) except N/A Date: Z~i r/„ -~ G y~ David W-Reager, Esquire Reager & Adler, PC 2331 Market Street Camp Hill, PA 17011 (717)763-1383 Counsel for Personal Representative 1. Mrs. Dorothea McWilliams 500 Harrisburg St. Dillsburg, PA 17019 2. Ms. Donna Shafer 706 Concord St. Ft. Walton Beach, FL 32548 3. Mrs. June Magnelli 4807 Winford Rd. Harrisburg, PA 17109 4. Ms. Karen L. Sipe 5198 Locust Lane Harrisburg, PA 17109 5. Mrs. Nancy L. Knode 6250 Bridle Court Harrisburg, PA 17111 6. Mr. Donald W. Thompson 127 Fieldstone Dr. Carlisle, PA 17013 7. Mr. Steven W. Thompson 11752 W. 27th Dr. Lakewood, CO 80215 8. Mr. Brian W. Thompson 390 Lakeside Dr. Levittown, PA 19054 9. Ms. Leslie A. Thompson 20 Pettis St. Lake George, NY 12845 10. Mr. William A. Thompson 442 W. 22nd St. Apt. 3 New York, NY 10011 11. Mrs. Ruth :L. Witmer 1155 Mimosa Lane Marysville, PA 17053 12. Harry Heim 1084 Creek Rd. Pitman, PA 17964 13. Kathryn Weitzel 383 Main Rd. Pitman, PA 17964 14. Leroy Heim 130 Fairview Rd. Pitman, PA 17964 15. Alton Heim 469 Ridge Rd. Pitman, PA 17964 16. Barbara Heisey 175 Chicahouk Trail Southern Shore, NC 27949 17. Shirley Ranieri 238 Cresent Dr. Hershey, PA 17033 18. Dean Weikel 1134 Dartmouth Rd. Hummelstown, PA 17036 19. Donald Weikel 7730 Bashore Dr. Harrisburg, PA 17112 20. Keneth Weikel 373 N. Mechanic St. Fredericburg, PA 17026 21. James Weikel 1325 Wentworth Ct. Greenwood, IN 46143 22. Larry Weikel 7 Sgrignoli Lane Enola, PA ]'.7025 23. Donna Weikel 801 Cambridge Ct. Palmyra, PA 17078 24. Lisa Kepes 316 10`h St. New Cumberland, PA 17070 25. Lori Clark 118 N. 4`h St. Lemoyne, PA 17043 26. Dale Wilber 3 Mill Hill Rd. Pitman, PA 17964 27. Rick Wilber 502 Ridge Ave. Pottsville, PA 17901 28. Richard Heim 571 Church St. Landisville, PA 17538 29. Harold Heim, Jr. P.O. Box 18 Freidensburg, PA 17933 30. Rev. Ronald Heim 9 Earl Stoyer Dr. Schuykill Haven, PA 17972 31. Roger Heim, MD 2651 Ramson Dr. Harrisburg, PA 17104 32. Ruth Bohner 535 Ruby Rd. Rising Sun Manor Millersburg, PA 17061 33. Randy Heim 324 Ridge Rd. Pitman, PA 17964 34. John Heim, Jr. 360 Main St. Pitman, PA 17964 35. William Heim 67 Howerter Rd. Pitman, PA 17964 36. Jason Heim RD#l, Box 109C Klingerstown, PA 17941 37. Crystal Heim RD#1, Box 109C Klingerstown, PA 17941 38. David Kehler 1531 Creek Rd. Pitman, PA 17964 39. Susan Tallman 74 Evangel Park Rd. Tower City, PA 17980 40. Diane Sims 1552 Creek Rd. Pitman, PA 17964 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PNC BANK C/O TRUST DEPARTMENT 4242 CARLISLE PIKE CAMP HILL, PA 17011 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) NO. CD 002165 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold ESTATE INFORMATION: ssN: ~~2-o~-33x5 FILE NUMBER: 2102-1072 DECEDENT NAME: HOUSEAL ELLEN H DATE OF PAYMENT: 02/ 1 3/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 /20/2002 101 ~ 577,900.00 TOTAL AMOUNT PAID: REMARKS: PNC BANK TRUST DEPARTMENT SEAL CHECK#11706466 INITIALS: VZ RECEIVED BY: DONNA M. OTTO 577,900.00 DEPUTY REGISTER OF WILLS REGISTER OF WILLS /1-104 - [{ UOh REV.1&Xl EX (\).(Xl) W I- ::.:::!cn U"'>< Wo..U ,,00 U"'.... o..lll ~ OFFICLAL USE ONLY COMMONWEAlTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT A NU R 21 - 2002 1072 ----- COl.MY CODE '(EM MJf.eER SOCIAl. SECURITY NUMBER 172-01-3365 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INI1lAL) ~ Houseal, Ellen B l!l DAle OF DEATH (MM-DO-YEAR) DAle OF BIRTH (MM-DO-YEAR) W 11/20/2002 01/08/1912 () W (IF APPUCABlE}SURVMNG SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITIAL) Q THIS RETUAH MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAL SEQJRllY NUMBER 00 1. Original Return o 4. limited Estate [2(J 6. Decedent Died Testate (Attach copy of Will) o 9. Litigation Proceeds Received D 2. Supplemental Return 0 3. RemlJinder Return (dale of death prior to 12-13-82) D 4a. Future Interest CompromIse (date of death after 12-1NI2) D 5. Federal Estate Tax Return Required D 7. Decedent Maintained a living TllJst (Attacl\ copy of TNSt) ~ 8. Total NumbercASafeOeposltBaxes o 10. SpOUsalPovertyCredlt (d.l.ofd"lhbelw..n1241-g1.ndl.1~) D 11. EleCtion to tax under Sec. 9113(A)(Att8l:hSchOI !Z !!l ~ ! THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS Linda Lundberg. Asst. Vice president FIRM NAME (If AppliCable) pBC Bank B.A. PO Box 308 ClUIlp Bill. pA 17001-0308 TELEPHONE NUMBER (717) 730-2265 1. ReEll Estate (Sch8dule A) 0.00 727.011.2'7 0.00 0.00 5.789.21 0.00 2. Stocks and Bonds (Schedule B) (1) (2) OFFlCIAL.USEO~Y 3. Closely Held CoI'pore.tion, Partnership or Sole-Proprielorship (3) 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Blink Deposits & Miscellaneous Personal Property (Schedule E) (4) (5) z o ~ ::l l: lL C5 w ex: 6. J~ O'Mled Property (Schedule F) U Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) (6) 0.00 9. Funeral EJtpenses & Administratiw Costs (Schedule H) (9) (8) 48.203.25 12.199.45 732.800.48 8. Tol8l Gross Asseta (total Lines 1.7) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Sdledule I) (10) 11. Total Deductions (total Lines 9 & 10) 60.402.70 672.397.78 0.00 (11) (12) (13) 12. Net Value of EstBte {Line B minus line 11) 13. Charitabll'l 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) SEE INSTRUCllONS ON REVERSE SIDE FOR APPliCABLE RATES 672.397.78 (14) z o ;:: < I- ::l 0.. '" o u >< < I- 15. Amount ofUne 14 taxable at the spoosal tax rate, or transfel1l under Sec. 9116 (aX1.2) x.OO_(15) x .04L- (16) 0.00 0.00 17.944.95 78.428.48 96.373.43 0.00 0.00 149.541.27 522.856.51 16. AmountofUne14taxableatlinealrate 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of line 14 taxable at collateral rate x .15 (18) 19. Tax Due 20.0 (19) CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SlOE AND RECHECK MATH < < 2W46451.000 o c ecedent's omplete Address: SlREET ADDRESS Messiah Village 100 Mt. Allen Drive CITY I STAlE I ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 0.00 77,900.00 4,100.00 3. InteresUPenalty ~ applicable O. Interest E. Penalty Total Credits (A + 8 + C) (2) 0.00 0.00 TotallnteresUPenalty (0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3. enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) 96,373.43 82,000.00 0.00 14,373.43 0.00 8. Enter the total of Line 5 + 5A. This is the 8ALANCE DUE. (58) 14,373.43 .. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS No 00 00 00 00 IXl IXl contains a beneficiarydesignatlon? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D IZJ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, J declare that I hSY88xemined this retum, including accompanying schedules and Statemel'\t&, and to tt'ItI butof my \\ntmledge and belief, It is true, COfTec:t and complete. ~~;~~~:::S::-~~~"~_hD,"Y~>M~'.' :- 1"'=:'J-8-u..~\'f. ADDR 55 Camp Bill, PA 17001-0308 Yes D D D D without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . .. 0 3. Did decedent own an "in trust for" or payable upon death bank aceount or security at his or her death? D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which 1. Did decedent make a transfer and: a, retain the use or income of the property transferred;. . . . . . . . . . . . . . . b, retain the right to designate who shall use the property transferred or its income; . c, retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . . d, receive the promise for life of either payments, benefits or care? . . . . . . . . . 2. If death occurred after December 12, 1982. did decedent transfer property within one year of death SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ~r?1 0::) DAlE AroRESS t?,},'~~~-- ~ -,-, '-~-, For dates of death on or after July 1, 1994 and before January 1, 1995. the tax rate imposed on the net value of transfers to or lor the use of the survMng spouse Is 3% [72 P.S.~ 9916 <a) (1.1) mI. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to ormrthe use of the surviving spouse is 0% (72 P.S, 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 twenty-one years of age or younger at death to Ql'rorthe used a natural parent, an adoptIVe parent, or a stepparent oftt'le child is 0% [72 P.S. S 9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lIne8I beoeficlanes is 4.5%, except as noted in 72 P.S. ~ 9116(1.2) [72 P.S. S9116(a)(1)). The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% (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 'ol!tth the: decedent, whether by blood or adoption. W46461.000 REV-t502EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF Houseal, Ellen B FILE NUMBER 21-2002-1072 All ,.,1 property owned "'Iy or.. a tenant In common must b. reported ,t fair m,.1let value. Fair market value is defined 8B the prlce at which pl'O;lerty would be exchanged between a willing buyer and awmlng seIW, neither being compelled to buy or sell, both having reasonable krlct'Medge dthe relevant facts. Real property which Is Jolndy-owned with right of survivorship must be dlsclos.d on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 2W46952.000 TOTAL (Also enter on line 1, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ 0.00 REV.l5Q3 EX + (1-97) COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS Houseal, Ellen H FILE NUMBER 21-2002-1072 AU property jointly-owned with right of survivorship must be dlsctosed on Schedule F. ITEM NUMBER 1. ee t ac e DESCRIPTION sta e a uat on epor VALUE AT DATE Of DEA'lH 2W46963.01)D TOTAL (Also enter on line 2, Recapitulation) $ {If more space is needed, Insert additional sheets of the same size) 727.011.27 Estate Valuation Dat.e of Death: Valuation Date: Proc....ftg Da~: 10) 11) 121 11/20/2002 11/20/2002 11/2612002 Eatau of: ELEN B HOUSEAL R..-port ~: Date of o..th Numbar of Securiti..: 51 ruo ID' 1096410 Share. or Par Socurity De.cription Low/Bid Mean and/or Div and. Int Security Adju.tmenta Accrual. Value Billh/....k 11 83.606 llEIlGEIl QIHI IIlY'r FIl 1'R 10839021061 SML. C:P VAL IHV llASDAQ 11/20/2002 . 23.32000 Bid 23.320000 1,949.69 21 1256.424 ~ FDS (091927673) INDX EQn' IIlST llASDAQ 11/20/2002 17.64000 Bid 17.640000 22.163.32 3) 10945.272 ~ FDS (0919282831 LOll DtlRAftI IllS llASDAQ 11/20/2002 10.22000 Bid 10.220000 215.54 111.860.68 , 4) 11640.763 ~ FDS (0919286061 lWl1.GEll IN8n. llASDAQ 11/20/2002 , 10.74000 Bid 361.64 125.021.79 10.740000 51 10652.873 SLACKROeX FIlS (0919286221 PA TAXl'UE INS NASDAQ 11/20/2002 10.87000 Sid 10.870000 .1n.16 115.796.73 6) 79.051 CALAHOs INV 1'R NEW (128119302) GROWTlI Fe NASDAQ 11/20/2002 32.80000 Bid 32.800000 2.592.87 7) 2506.266 FIDELITY ADVISOR SEa I (315805598) DIV GRW INSTI. NASDAQ 11/20/2002 9.77000 Sid 9.770000 24,496.22 81 27.964 MANAGERS FIlS (5617172081 SPL EQUI'l'! It) NASDAQ 11/20/2002 56.11000 Bid 56.110000 1,569.06 91 10648.596 MOllllAN Gt\ENFELL lllV'r 1'R \617351t7291 SK TaM HDN SVC llASDAQ 11/20/2002 10.32000 Sid 10.320000 109,893.51 160.942 ROWE T PRICE ~ Fe INC (779578103) c:Qf NASDAQ 11/20/2002 15.84000 Sid 15.840000 2.549.32 75 tlNITZll snns SYG SO SEa E 1 912537DQ7) OTC om: 01/01/1963 11/20/2002 852.40000 Bid 852.400000 639.30 75 llNITZll snns SYG SO SEa E (912537DRSI OTC om, 02/01/1963 11/20/2002 860.68000 Bid 860.680000 6"5.51 "a~ 1 This report vas produced. vith EatateVal, a product of Eat.tlt Valuationa , Pria1ftg Syat.., Inc. If you have questions, pl.... contact ZVP sya~ at 'Ei8) 313~6300. 'Reviaion 6....1) JUL-16-2003 1.2:48 PNC BANK 717 7110 2254 P . 01/01 Date- of n.atb: 11/20/2002 I.tate of: IL&lf . JlCXJSDL Valuat1oa. Oat.. 11/20/2002 R8poI't 'lJpt: Dab of Death Pro08..tnq Date: 11/26/2002 _ of _U.., 51 111. ID: 1096410 _. -.ity 'Man. an4Jor Div Inc! Int _ity or Par DMcdpt10n High/AoII Low/Bid Mjust:MnU Aaanal. VIl.. 131 1S tllIHD nABS SYQ BIJ SD I (91253"'831 """ _, 03/01/19&3 11/20/2002 841.72000 Bid. 84.7.120000 635.79 14) 75 _1'10 nA"'8 SVQ aD SO E (91253",nl 0l'C D1'D: 04/01/1963 11/20/2002 8407.50000 Bid. Sn.600000 635.70 15) 75 tlIII1'IO 8tABS SVQ 8Il SO E 191253'l1lll1l1 O!C D1'D: 05/01/1963 11/20/2002 8n.60000 Bid 8".600000 635.70 16) 100 tJNlftD l!rAftS sva BO au B (91253'lDV61 01'C _: 06/01/1963 11/20/2002 854.08000 Bid 954.0801300 854.08 111 15 tnnUD STAn! S'IG 1m SIR Z (91253_41 """ _: 07101/1963 11/20/2002 854.08000 Bid. 854.0S0000 640.5& 181 75 tDII'1'J:D D'A'I'U SYa aD SIR I (9125371lX21 """ D1'D: 08/01/1963 11/20/2002 862.44000 Bid 812.440000 6".83 19) 75 __ SU"S SVG aD SEll E (912537D!01 01'C D1'D: 09/01/1963 11/20/2002 849.5&000 Hid B49.56OGOO 631,17 20) 75 mttftD 8TAftS SVO aD sza I: (91253"'''1 01'C D'ID: 10/01/1.963 11/20/2002 aU.56000 Bid 849.560(;00 637.17 211 75 OHlftD STADe SW BD SD. & (912537EA11 0l'C _: 11/0111963 11/20/2002 84'.56000 Bid. BO.SiCDeD 637.17 221 75 uutlfEC S'IA'l'IS SVQ BD SIll C (,12.5:!1EB9) 0l'C Dl'O: 12/01/1963 11/20/2002 854.84000 Bid S54.840000 641.13 231 75 __ SU'" .... lID SO E (912537EC7) 0l'C ll'ID: 01/01/1964 11/20/2002 854.84000 Bid 854.840000 6U.13 24) 7S UIIIftD SD'J'Z8 sva BD IIlR I (g12!537m5) 01'C PT!): 02/01/1964 11/20/2002 863.Q.oOO S.id. S63.040000 64.,.28 '_2 'rhb report ".. pJ:04ucec1 witb Eeta"Val, a product of I.tate Valuatj,cn. , Pricing ByltelU, Inc. If you have quIIat1on., pI.... contact ZVP Syst... at (818' 313-6300. (-.vi.ion 6.C.1) TOTAL P.01 Da" o~ Death: 11/20/2002 Eetattl a~: ELEN' B BOt1DAL Valuation Da'te: 11/20/2002 lWpGrt 'ryp.: Data at Death Pracaaa1nq D.~: 11/26/2002 NusIber D~ s.cunU..; 51 File 10: 1091410 Share. security MuD. ad/or D1" and Int S~ity ot' Par nee=iption Bigh/Allt Low/Bid Ad.jus'tmen:u Accrual. Val... 25) 75 ONIDll RAftB SW BD SEll. E (U2537EE31 O!C O!D: 03/01/1.<< 11/20/2002 S50.16000 Bid 850.160000 637.62 261 75 umDll ftlLfta SW DO SEll. E IU2537EFO) O!C O!D: 04/01/1964 11/20/2002 B5O.0BOOO tic! 850.080000 637.56 27) 100 ONIDll ftlLftS SW DO SEll. E (81253'7EGll) O!C D!D: 05101/1964 11/20/2002 950.0BOOO tid B50.080000 850.0B 28) 75 ONIDll SUftS SW SO SEll. E 1812537EB61 em: , O!D: 06/01/1964 11/20/2002 855.72000 tid ~ 855.720000 641.78 291 75 umDll SU'l'IS SW SO SEll E ('12537EJ2) 0!C --- OTD: 07/01/1964 11/20/2002 855.72000 Bid 855.720000 641.78 30' 75 tJIlIDll RAftS SW SO SEll. E (81253'lEll9) em: OTD: 08/01/1964 11120/2002 864.0BOOO Bid BU.080000 648 .06 31J 75 tJIlI'l'ID SU'l'IS SW BD SEll E (9125318L7) em: OTD; 09/01/1'64 11/20/2002 851.12000 Bid B51.120000 638.34 321 1S UNITED S'lATIS SVG BD SER E (912537E1l5) O!C OTD: 10/01/1964 11/20/2002 851.12000 Sic! 851.120000 638.34 33) 75 tJIlI'l'ID SUftS SW BD SEll. E (912537El13) O!C OTD: 11/01/1964 11/20/2002 S51.12000 Sic! 851.120000 638.34 34) 75 0NI'l'ID RAftS SW SO SEll E (9125318P8) = OTD: 12/01/1914 11/20/2002 S56.60000 Sic! 85&.600000 642.45 35) 75 CNI_ sv.ftS SW SO SEll. E 1912537EQ6) O!C om: 01/01/1965 11/20/2002 B56.60000 Bid 856.600000 642.45 36) 75 CNI1'J:ll ftAftS SW DO SEll. E (91253_4) O!C D!D: 02/01/1915 11/20/2002 7B5.12000 Bid 7B5.720000 589.29 '_3 rhis nport v.. produced with Eata'taVal, a product o~ letat:e Va1uaUOM , Pri-cing sv-~, Inc. I~ you have que.Uona. pl.... contac't EYP 8y.~ a't (818) 313-6300. (-.vi81on 6.4.1) Oat.e o~ n.ath: Valuation OaU: Proce..j.nq Date: 11/20/2002 11/20/2002 11/2~/2002 I.tate of: ELEN' B BalJS!:AL -.port "yp-: P." of IlMth NuI:aber of securiU..: Sl rUe :tP: 1096410 ...... oMlor Pb Uld ID~ Security AdiuaQent.. AcCZ"DAb Value 37) 381 39) 40) HI 42) 43) 441 451 46) 47) 48) -- O~ Par security neacript1cm Bigb/Aak Low/lid 75 DNI1'Ell suns SW Be SIR E (912537ZS21 em: D~: 03/01/1965 11/20/2002 766.56000 Sid 766.560000 574.92 75 1lllI= sw.<fz8 lIVQ so SIR E (91253711'0) em: 1I1'll: 04/01/1965 11/20/2002 766.48000 Bid 766.480000 574.86 75 DNI= suns lIVQ Be SIR E (912537Ell7) em: 1I1'll: 05/01/1965 11/20/2002 766.48000 lid 766.480000 .. 574.86 75 ONI= SUTES lIVQ Be SIR E (912537ZVS) em: , IItD: 06/01/1965 11/20/2002 681.96000 Bid 681.960000 511.47 , 75 1lllI= sw.ns lIVQ Be SIR E 1912537D3) o:rc IITD: 07/01/1965 11/20/2002 681.96000 Bid 681. 960000 511.47 " 100 DNI1'Ell SUTES SVG Be SIR E (912537Elt1) em: llTll: 08/01/1965 1112012002 673.76000 lid 673.760000 673.76 75 UNITED STADS SVG so SEJl E 1912537Er9) OTC IITD: 09/01/1965 11/2012002 663.92000 Bid 663.920000 497.94 75 ONt'rtll S!ATES SVG Be SEll E ( 912537EZ6) o:rc IITD: 10/01/1965 1112012002 663.92000 Bid 663.920000 497.94 75 ONITEll suns lIVQ Be SEa E 1912537FAD) OTC 1I1'll: 11/01/1965 11/20/2002 663.92000 B1d 663.920000 497.94 8500 um:= S1'lI.ns lIVQ Be SEa BlI (912550LB1) 11/20/2002 100.00000 Bid 100.000000 8.500.00 3500 DNITEll S1'lI.:rES SW Be SIR BlI (912550I.J7) 11/20/2002 100.00000 Bid 100.000000 3,500.00 50000 DNITEll S1'lI.DS >'IlZA81l1IY Il'1' (912827J78) OTC P1'll: 02/16/1993 Ma~: 02/15/2003 6.2St 11/20/2002 101.21875 101.15625 Als 101.187500 SO,SJ3.7S Int: D8/15/2002 ~ 11/20/2002 823.71 _4 Tht. nport ... prodaced .ith EatateVal, .a prodDct: or Zatac. Valuat:J.ou , P.rici~ Sya~, Inc. It you haft queations. plaaH contac't EYP syauu at. (818) 313-6300. (bViaicm 6." .1) , 11/20/Z002 11/20/2002 11/28/Z002 Date o~ n.a'tb.: Valuat.1on Date: 'z:oce..i.1\9 !)aU: _. or Par Security "'.anpt.l.Oll IIillll/Aok LAw/Bid U) 50000 llR%ftD ftAS'ZS DV'IlIn Il'r ('1282'lt183) 01'C D~: OS/15/1"5 Mot: OS/15/2005 8.5t ll/Z0/ZOO2 111.0'375 111.03125 A/8 lAt: OS/15/2002 to 11/Z0/2002 SOl saooo ma= ftA'rZS _ Il'r (l12S27511:11 01'C D~: OS/15/1'" Mot: Os/15/Z00t 8t 11/20/Z002 107.0'375 107.03125 A/8 tat: OS/15/2002 to 1112012002 lSl WJlCIIO\I%A CllIlP 2IlD .- (12"03102) lira 11/20/2002 511 35. &1000 3. .80000 S/L 52) 5703.970 WllDX:K HJIRY MI\IlKIn' INS'lTl'll1'IlJ CIA$ , , Total Value: Total Accrual: Total: $723,555.83 3,455.44 $727,Oll.27 -. , ..ta~ ot: a.a B IrC:XJSUL ~ 'l'Jpe. D." .~ a..tb _ ~ _t.l.... 51 111. to. 10'8tl0 _ U1d/or: DIv _ lAt securIty Mju_u Aaor:aa1. Vo1ue 111.012500 55,531.25 851.&1 107.0WOO 53,531.25 710.7& 35.230000 6,376.63 1.00 34.97 5,703.97 $723,555.83 $3,455.44 ._5 ~. report ..... pZ'o""'q"""" with EatateVal, .a p%Oduct ~ :hUe. VaJ,.uaUoDa , ftic1Dq Iysuu, IDe. U you ha1M qa.t.i.ou. pl_ _toI:1: EVP Syo_ at (818) 313-&300. <<_8100 1...11 REV-,5lY+ EX+ 1'-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX REnJRN SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP or SOLE-PROPRlETORSHIP ~ Nll.J~l..c:U~I'IIJ FILE NUMBER 21-2002-1072 ESTATE OF Houseal. Ellen H Schedule C-1 or C-2 (Including all supporting information) must be attached foreachcloeely-held ccrporatklnIpartnership interest dthe decedent, other than a soIe-proprietorhip. See instructions for the supporting information to be submitted for soIe-proprietorships. ITEM NUMBER DESCRlPllON VALUE AT DAlE OF DEATH 1. TOTAL (Also enter on line 3. Recapitulation) (If more space IS needed, msert additIOnal sheets of the same size) $ 0_00 2W46972.000 REV-1507 EX + (1.97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RElURN RESIDENT DECEDENT ESTATE OF Houseal, Ellen H All property joIntly-owned with the right of wurvivorship must be dlaclOMd on Schedule F. SCHEDULE D MORTGAGES & NOTES RECEIVABLE FILE NUMBER 21-2002-1072 ITEM NUMBER DESCRIPTION VALUE AT OATEOF OEATH 1. TOTAL (Also enter on line 4. Recap(tulation) $ 0.00 2W46AC2.000 (If more space is needed. insert additional sheets of same size) REV.1508EX+{1.97) COMMOM\IEAL 1H OF PENNSYLVANIA INHERITANCE TAX RETURN RE5lDENTDECECENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Houseal, Ellen B FILE NUMBER 21-2002-1072 Include the proceeds of litigation and the date the proceeds V\Elre receiY9d by the estate. AI property jolndy-owned with the right of SUrviYonIhlp must be dlaclOHd on Schedule F. ITEM NUMBER IlESCRIPTlON VALUE AT DATE OF DEATH 4,845.90 1. PNC Bank Checking Account # 500942674 Balance as of 11{20{02 Accrued Interest Total 4,845.51 .39 4,845.90 2 VerizoD Telephone Service Cancellation Refund 7.88 3 PA Blue Shield Health Insurance Refund 73.50 4 AT & T Telephone Service Cancellation Refund 2.93 5 Commonwealth Of Pennsylvania 2002 PA State Individual Income Tax Refund 15.00 6 United States Treasury 2002 Federal Individual Income Tax Refund 844.00 2W46A02.000 TOTAL (Also enter on line 5 RACanitulation\ Is <If more space is needed, Insert additional sheets of the same size) 5,789.21 REV.1509 EX'" (1-97) COMMONWEALTH OF PENNSYLVANIA INHERlTANCETAX RElURN RESIDENT OECCOE ESTATE OF Houseal, Ellen B SCHEDULE F JOINTL Y.OWNED PROPERTY FILE NUMBER 21-2002-1072 If an asset wa. made j~nt within one year of the decedent's date of death. It muat: be reported on Schedule G. SURVMNG JOINT TENANT(S) NAME AllllRESS RELAnONSHIP TO DECEDENT A. B. c. JQlNTl. Y-OWNED PROPERTY: <EnE< DATE ~P11ON OFPROPER1Y %OF DATE OF DEATH ITEM fORJOINf MADE Include name offlnandallnslitution 8nd ~1I,=nlnumberor DATE OF DEATH OECO'S VALUE OF NUMBER TENtoNT JOINT similar Identifyinn number. Attach deed for oInti e1d real estate. VAl-LIE OF ASSET INTEREST OECEOENT'S INtEREST 1. - TOTAL IAlso enter on line 6 Recaoitulationl $ 0.00 ,W4e,.,E 2.000 (If more space is needed, insert addltlonal sheets d same size) REV-1510 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RE1tJRN RESIDENT DECEDENT ESTATE OF Houseal, Ellen B SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-2002-1072 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. l!>KA-ure1HE~.J"Tl~S~fE~~,nELATIONSHIP TO ~,~. ITEM DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE NUMBEF ~ECENT ANOnE~nOto~€s'f~ACH A COPY OF THE VALUE OF ASSET INTEREST IF APPUCABLE\ 1. For I~formatio~al PurpOBeB 0.00 100.00 0.00 0.00 O~ly, Decedent was receiving a mo~thly Civil ServicB Pe~Bio~. All be~BfitB terminated at the death of B11e~ H. HOUBeal with ~o further payme~tB due her heirs or the eBtate. TOTAL (Also enter on line 7, Recapitulation) $ 0.00 (If more space is needed, insert additional sheets ofsame size.) 2W46AF2.000 REV-1511 EX.. (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE Of Houseal, Ellen H SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2002-1072 Debts of decedent must be r&D1'lI'ted on Schedule I. ITEM NUMBER DESCRIP110N AMOUNT A FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 14,750.00 Name of Personal Representatiw(s) Barbara A B_ker Social Security Number(s) I EIN Number of Personal Representat1ve(s) Street Address 1165 Mimosa Lane City Msrysvi11e State PA Zip 17053 Year(s) Commission Paid: 2. Attorney Fees Name: Reager & Adler PC 3,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 0.00 Claimant Street Address City Stale Zip Relationship of Claimant to Decedent 4. Probate Fees 0.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7. PRC Bank R.A. 29,500.00 ( BI # 22-1146430 ) Services rendered as Agent for Bxecutrix., Barbara A. Hammaker in accordance with agreement between - Executrix and bank dated 11/27/02 in connection ith settlement of the estate. S Barbara A. Hammaker 253.50 Reimbursement of Probate Fee .v~.. <rom .,a,,' .... ..""../~ TOTAL (Also enter on line 9, Recapitulation) $ 48,203.25 2W46AG 2.000 (If more space is needed, insert tDiitional sheets d same size) Bstate of. Houseal. BlleD H Schedule H. Part B -- AdmiDistrative Costs Item No. Description 9 Reager & Adler PC ReimbursemeDt for Legal AdvertisiDg 10 Bstimated AdditioDal AdmiDistratioD BxpeDses TOTAL. (Carry forward to maiD schedule) . . . . . . Page 2 21-2002-1072 Amount 149.75 50.00 199.75 REV-1512 EX'" (1-97) COMMONWEALTH OF PENNSYL VANtA INHERITANCE TAX REnJRN RESIDENT DECEDENT ESTATE OF Houseal, Ellen H SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-2002-1072 Include unrelmbursed medical eXDenees. ITEM NUMBER DESCRIPTION AMOUNT 1. PMC Bank M.A. Accrued Investment Management Pee 539.51 2 Barbara Bammaker Attorney In Pact Pee 10.812.00 3 Crumay Parnes Associates Inc. Medical Services 8.67 4 Messiah Village Balance of Nursing Bome Care 72.25 5 Internists of Central PA Medical Services 113 .14 6 PMC Bank M.A. Checking Account # 500942674 9.84 Check # 1196 issued prior to death but honored subsequent to death. 7 Quantum Imaging & Therspeutic Medical Servises 376.25 8 West Shore Anesthesia Medical Services 16.79 9 Mobil X-Ray Imaging Inc. Medical Services 251.00 2W46AH2.000 TOTAL (Also enter on line 10. Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 12.199.45 REV-1513 EX+ (9~) SCHEDULE J BENEFICIARIES COMMONWEAL 1H OF PENNSYLVANIA IN-IERlTANCE TAX REnJRN RESIDENT DECEDENT ESTATE OF Bouseal, Ellen H NUMBER NAME ANO ADDRESS OF PERSON(S) RECBVlNG PROPERTY I. T MABLE DISTRIBUTIONS [include outright spousal distributions. and transfer1l under Sec. 9116 <aJ (1.2)J 1. McWilliams. A. Dorothe& 500 Harrisburg Street Dillisburg, PA 17019 2 B8im, R&J1dy 324 Ridge Road Pitman, PA 17964 3 Heim Jr., John 360 Main Street Pi tm&J1, PA 17964 4 HeiDL, William P 67 Howerter Road pitman,. PA 17964 5 Reim, Jason P RD #1, Box 10ge KlingerstoWll, PA 17941 FILE NUMBER 21-2002-1072 RELATIONSHIP TO DECEDENT Do Not L10t Truotoe(o. Niece Nephew Nephew Nephew Nephew AMOUNT OR SHARE OFESTATE 42,024.86 6,231.11 12,372.12 12,372.12 6,219.68 ENTER DOl.lJ\R AMOUNTS FOR DISTRI8UTlONS SHOWN ABOVE ON LINES 15 THROLIGH 18. AS APPROPRIATE. ON REV-l500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPCUSAL DlSTRI8UTlONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. 2.W6,6j\,1 '.000 TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRJ8UTlONS ON LINE 13 OF REV-1500 COVER SHEET (If more space IS needed, Insert OOditional sheets of the same sae) $ 0.00 Estate of: Houseal, Ellen H Page 2 21-2002-1072 Schedule J Part 1 -- Beneficiaries Item No. Name and Address of Person!s) receiving property Relationship AIIlOUD t or Share of Estate 6 Heim, Crystal L RD #1, Box 109C Klingerstown, PA 17941 Niece 6.219.68 7 Kehler, David H 1531 Creek Road Pitman, PA 17964 Nephew 12,439.36 8 Tallman, Susan 74 Evangel Park Road Tower City, PA 17980 Niece 12,439.36 9 Sims. Diane 1552 Creek Road Pitman, PA 17964 Niece 12,439.35 10 Bohner, Ruth A 535 Ruby Road Rising Sun Manor Millersburg. PA 17061 Niece 6,231.11 11 Shafer, DODDa M 706 Concord Street Pt. Walton Beach, PL 32548 Niece 42,024.86 12 Magnelli, JUDe S 4807 Wins ford Road Harrisburg, PA 17109 13 Sipe, Karen L 5198 Locust LaDe Harrisburg, PA 17109 14 Knode, Nancy L 6250 Bridle Court Harrisburg, PA 17111 15 Thompson, Donald W 127 Pieldstone Drive Carlisle, PA 17013 Niece 21,012.43 Niece 3,002.26 Niece 3,002.26 Nephew 3,001.59 Estate of: Houseal, Ellen H Schedule J Part 1 -- Beneficiaries Item No. Name and Address of Person(s) receiving property Relationship Page 3 21-2002-1072 AIIlount or Share of Bstate 16 ThompsoD, Steven W 11752 W. 27th Drive Lakewood, CO 80215 17 Thompson, Brian W 390 Lakeside Drive Levittown, PA 19054 18 Thompson, Leslie A 20 Pettis Street Lake George, NY 12845 19 Thompson, William A 442 W. 22nd Street, Apt 3 New York, NY 10011 20 Witmer, Ruth L 1155 Mimosa LaDe Marysvil1e, PA 17053 21 Heim, Harry 1084 Creek Road Pitman, PA 17964 22 Weikel, James 1325 Wentworth Court Greenwood, IN 46143 23 Weitzel. Kathryn 383 Main Road Pitman, PA 17964 24 Heim, Leroy S 130 Fairview Road Pitman, PA 17964 25 Reim, Alton 469 Ridge Road Pitman, PA 17964 Nephew Nephew Niece Nephew Sister-In-Law Half-Brother Nephew Half-Sister Half-Brother Half-Brother 3,001.58 3,001.58 3,001.58 3,001.58 210,124.31 37,385.32 4,154.07 37,385.32 37.385.32 37.385.31 Estate of. Houseal. Ellen H Schedule J Part 1 -- Beneficiaries Item No. Name and Address of Person(s) receiving property Relationship 26 Heisey. Barbara A 175 Chicahouk Trail Southern Shores. NC 27949 Niece 27 Ranieri. Shirley 238 Cresent Drive Hershey. PA 17033 Niece 28 Weikel. Dean'P. 1134 Dartmouth Road Hummelstown. PA 17036 Nephew 29 Weikel. Donald L 7730 Baseshore Drive Harrisburg. PA 17112 Nephew 30 Weikel. Kenneth P 373 N. Mechanic Street Predericburg. PA 17026 Nephew 31 Heim. Roger A 2651 Ramson Drive Harrisburg. PA 17104 Nephew 32 Weikel. Larry L 7 Sgrignoli Lane Enola. PA 17025 Nephew 33 Weikel. Donna L 1522 Cambridge Court Palmyra. PA 17078 Niece 34 Kepes, Lisa 316 10th Street New Cumberland. PA 17070 Niece 35 Clark. Lori 118 N. 4th Street Lemoyne. PA 17043 Niece Page 4 21-2002-1072 Amount or Share of Estate 4.153.40 4.153.40 4.154.08 4.154.08 4.154.07 6.231.11 4.154.07 4.154.07 2.077.04 2.077.03 Estate of: Houseal, Ellen H page 5 21-2002-1072 Schedule J Part 1 -- Beneficiaries Item No. Name and Address of Person(s) receiving property Relationship llJIIount or Share of Estate 36 Willier, Dale F 3 Mill Bill Road Pitman, PA 17964 Neph_ 18,692.66 37 Willier, Rick 502 Ridge Avenue Pottsville, PA 17901 lIIephew 18,692.66 38 Heim, Richard D. 571 Church Street Landisville, PA 17538 Neph_ 6,230.44 39 Heim Jr., Harold P PO Box 18 'reidensburg, PA 17933 lIIephew 6,230.44 40 Heim, Ronald 9 Earl Stoyer Drive Schuylkill, PA 17972 Neph_ 6,231.11 ~ 1:: LAW OFFICE HN S. lAN~BECK. JR. sum 200 . 5 S. PARKE STREET =tOeEN. MAJMANo 21001 410-273~636 i.10-57s-.6767 XlPtEFt 410-272-7404 CODJ:CJ:L TO LAST WJ:LL AND TESTAMENT I, ELLEN H. HOUSEAL, do hereby make, publish and declare the following to be a Codicil to my Last Will and Testament which lS dated September 23, ~996. FIRST: I hereby cha~;e Paragraph FIFTH to read as follows: FIFTH: I hereby name, nominate, constitute and appoint Barbara A. Hammaker as Personal Representative of. this my Last Will and Testament and hereby direct that she shall act without bond and shall have the power to sell or in any way dispose of any and all of my Estate and sign such documents as may be necessary in order to satisfy the terms of this my Last Will and Testament. In the event Barbara A. Hammaker can not act in this capacity for any reason, then and in that event I name, nominate, constitute and appoint my attorney, John S. Landbeck, Jr., or the SUCCeS$9r to his law firm, as Personal Representative and direct tha~ they shall act without bond and shall have the power to sell or in any way dispose of any and , all of my Estate in order to satisfy the te~s of this my Last Will and Testament. SECOND: I hereby reaffirm each and every other paragraph in my Last Will and Testament which is dated September 23, 1996. , I; I, " " Ii I' II ,I I' 'I Ii II , I' ,I II ,I I I , !I Ii :1 II il I, :I i: ii I[ I' I I. " 'I I, il. " I: II " II " 'I !, , II Ii ,I Ii II Ii Ii II I I I Ii Codicil to Last will and Testament Ellen H. Houseal IN WITNESS WHEREOF, I have hereunto set my hand and seal this dlf'..a:; day of ,~;r:- _0, --' , 1999, c~ lfj, 1-4..,~u ~ ELLEN H. HOUSEAL SIGNED, SEALED, PUBLISHED and DECLARED by ELLEN H. HOUSEAL, the above named Testatrix as and for a Codicil to her Last Will and Testament, which is dated September 23, -1996, in our presence who at her request and in her presence and in the presence of each other, all being present at the same time, have hereunto subscribed our hands as witnesses the day and year first written. I ! I I I 0' ~...<:- 'l<< 4.- Q")' Signature c...,.....Js1A-"vc..... ,E. /3/11,'1""",-, Print Name / ~ 1I ~- -?:C. Address a..x~ /h<:J &'t=o/ PI' fl,QW.~ Signature "1,~~f fo~k.~ Print Name , )(0 /..k-kk' ~ ;CJ1c , / ,!?)J)J;. , )vJl )/Co/ 1- J ~ " ~ .~ 'N:; ~ ~ ~ ~., . , , - LAW OFACE dN S. lANDBECJC. JR. sum 200 5 S. PARICE S1'REET j PEEN. MAlM.AND 21001 I I Ii II I' ,I "0-273--6636 "~5-6757 'OPER 4'()..272-740.4 i i , I I j 11 I, I I I I LAST WILL AND TESTAMENT OF ELLEN H. HOUSEAL I I I I, II I I" ELLEN H. HOUSEAL, Social Security No. 172-01-3365, being an adult of sound and disposing mind, memory and understanding, do hereby ~ake, publish and declare this instrument of writing as and for my Last Will and Testament, hereby canceling, revoking and annulling any and all other Wills, Testaments and Codicils by me at any time heretofore made. FIRST: I direct that all of my just debts and funeral expenses be paid as promptly as may be practicable after my death. I authorize my Personal Representative, hereinafter named, to expend such sums as she in her sole discretion may deem proper for my funeral and interment, including the acquisition of any burial site and the erection and engraving i ~ of grave monuments and markers, regardless of any limitations ... fixed by statute, rule of court, or otherwise. SECOND: , . All the rest, res~due and remainder of my ! I I I I I I -/ I I , i I I I , I I ! i Estate, real, personal and mixed, wheresoever the same may be situtate, whether my Estate therein be legal or equitable, and whether I now own or shall hereafter acquire the same, and all property, real, personal or mixed, which I shall have the right to dispose of by Last Will and Testament, I give, devise and bequeath unto my husband, CHARLES F. HOUSEAL. ~ ~ ~ i ~ \ ~ ~ N Last Will and Testament of Ellen H. Ho~seal SPECIAL BEQUEST In the event my husband predeceases me I make the following special bequest: 1. My dining room set, including table, chairs, hutches and anything related to said set to my niece, BARBARA HAMMAKER, if it is her desire to receive it. THIRD - All the rest, residue and remainder of my Estate shall be liquidated by my Personal Representative including my personal property, real property and any other items and shall be divided equally between the brothers and sisters of each my husband and myself, with fifty percent (50%) of the Estate going to the brothers and sisters of the husband and fifty percent (50%) going to the brothers and sisters of the wife. This will include in the case of the wife"half-brothers. FOURTH: In the event any of the above mentioned brothers, sisters or half-brothers shall predecease me or we .. meet death in a common disaster, then and in that event, I , hereby give, devise, and bequeath that individual's share unto any children through that individual in equal shares, per stirpes, share and share alike, absolutely and forever. If there are no children through that individual, then and in that event that individual's share shall be divided between the surviving individuals in equal shares, per stirpes, share and share alike, absolutely and forever. FIFTH: I name, nominate, constitute and appoint my niece, BARBARA HEISEY, currently_of Williamsburg, Virginia, '.. Last Will and Testament of Ellen H. Houseal Personal Representative of this my Last Will and Testament and hereby direct that she shall act without bond and shall have the power to sell or in any way dispose of any and all of my Estate,and sign such documents as may be necessary in order to satisfy the terms of this my Last Will and Testament. In the event my niece, BARBARA HEISEY, can not act in that capacity, then and in that event I name, nominate, constitute and . appoint JOHN S. LANDBECK, JR., or his successor, as Personal Representative of this my Last Will and Testament and hereby direct that he shall act without bond and shall have the power to sell or in any way dispose of any and all of my Estate and sign such documents as may be necessary in order to satisfy the terms of this my Last will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand 17J"ft and seal to this my Last will and Testament, on this ~ ' 1996. Eii-.u , writ-( mA.l. E N H. HOUSEAL day of (SEAL) , SIGNED, SEALED, PUBLISHED and DECLARED by ELLEN H. HOUSEAL, the above named Testatrix as and for her Last Will and Testament in our presence, who at her request and in her presence and in the presence of each other, all being present " ..~ . Last will and Testament of Ellen H. Houseal at the same time, have hereunto subscribed our hands as Witnesseth the day and year first written. ~.",'Z::-_ ~. f"... Ae-.~ LJ / y,;)~.,- ~ ft: 1/ Address 1(J 11. 11 / ~~A /11.,,;1,?! ~cf!O/ 'fOJ~ 7(0 /~ ~ Address ~. ~ JIOOI , , , Memorandum PNCBANK To: Judith M. Haftl 0\ ~ Rachelle Wells ~.F Date: 11/29/2002 1-800-762-1775 From: Tel: Subject: Date of Death Balances RE: Estate ofElleii Houseal, Deceased SSN: 172-01-3365 000: 11/20/2002 Please find the date of death balances you have requested listed below. CHECKING ACCOUNT #5000942674 Established 12/14/1999 ELLEN H HOUSEAL 000 Balance: $4,845.51 + $.39 accrued interest Our office only provides date of death balances for !RAs, CDs, Checking and Savings Accounts. ! I PNCBAIV< ESTATE OF ELLEN H HOUSEAL DECEASED (DIED 11/20/02) LATE OF THE TOWNSHIP OF UPPER ALLEN CUMBERLAND COUNTY PA WILL NO 21-02-1072 INVENTORY COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS LINDA J LUNDBERG VICE PRESIDENT OF PNC BANK, NATIONAL ASSOCIATION AGENT FOR THE EXECUTRIX OF THE ESTATE OF ELLEN H HOUSEAL DECEASED HAVING BEEN DULY AFFIRMED ACCORDING TO LAW DID DEPOSE AND SAY THAT THE ITEMS APPEARING IN THE FOLLOWING INVENTORY ARE PERSONAL ASSETS WHEREVER SITUATE AND REAL ESTATE IF ANY 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 THE COMMONWEALTH OF PENNSYLVANIA EXCEPT THAT WHICH APPEARS IN A MEMORANDUM AT THE END OF THIS INVENTORY AFFIRMED AND SUBSCRIBED BEFORE ME ~7 ~ THIS ~_DAY OF 0~ : TRSN01 110/021 NOTAi~IAL SEAL DEN6SE C. SULI,.E!~~E~~E~t, ~a~~r PU~6c HampdenT~~,~a., Cum'o'<rr,3~ s;;~h~;°z~~ - 1 - My Cammissian Exp~~s iV~v. 7.2, 2u ELLEN H HOUSEAL PNC ADVISORS BONDS 75 PAR USA SAVINGS BOND SERIES E ISSUED 01/01/63 DUE 01/01/03 ul 852.4000 75 PAR USA SAVINGS BOND SERIES E ISSUED 02/01/63 DUE 02/01/03 a 860.6800 75 PAR USA SAVINGS BOND SERIES E ISSUED 03/01/63 DUE 03/01/03 of 847.7200 75 PAR USA SAVINGS BOND SERIES E ISSUED 04/01/63 DUE 04/01/03 a 847.6000 75 PAR USA SAVINGS BOND SERIES E ISSUED 05/01/63 DUE 05/01/03 ul 847.6000 100 PAR USA SAVINGS BOND SERIES E ISSUED 06/01/63 DUE 06/01/03 a 854.0800 75 PAR USA SAVINGS BOND SERIES E ISSUED 07/01/63 DUE 07/01/03 a1 854.0800 75 PAR USA SAVINGS BOND SERIES E ISSUED 08/01/63 DUE 08/01/03 a 862.4400 75 PAR USA SAVINGS BOND SERIES E ISSUED 09/01/63 DUE 09/01/03 of 849.5600 75 PAR USA SAVINGS BOND SERIES E ISSUED 10/01/63 DUE 10/01/03 a 849.5600 75 PAR USA SAVINGS BOND SERIES E ISSUED 11/01/63 DUE 11/01/03 ul 849.5600 75 PAR USA SAVINGS BOND SERIES E ISSUED 12/01/63 DUE 12/01/03 ul 854.8400 75 PAR USA SAVINGS BOND SERIES E ISSUED 01/01/64 DUE 01/01/04 51 854.8400 75 PAR USA SAVINGS BOND SERIES E ISSUED 2/1/64 DUE 2/1/04 ul 863.0400 - 2 - B PNCBANC 771661 639.30 645.51 635.79 635.70 635.70 854.08 640.56 646.83 637.17 637.17 637.17 641.13 641.13 647.28 TRSN02 f10/021 PNC ADVISORS ELLEN H HOUSEAL CONTINUED: BONDS 75 PAR USA SAVINGS BOND SERIES E ISSUED 3/1/64 DUE 3/1/04 a 850.1600 75 PAR USA SAVINGS BOND SERIES E ISSUED 4/1/64 DUE 4/1/04 a 850.0800 100 PAR USA SAVINGS BOND SERIES E ISSUED 05/01/64 DUE 05/01/04 a1 850.0800 75 PAR USA SAVINGS BOND SERIES E ISSUED 6/1/64 DUE 6/1/04 a 855.7200 75 PAR USA SAVINGS BOND SERIES E ISSUED 7/1/64 DUE 7/1/04 a 855.7200 75 PAR USA SAVINGS BOND SERIES E ISSUED 08/01/64 DUE 08/01/04 a 864.0800 75 PAR USA SAVINGS BOND SERIES E ISSUED 9/1/64 DUE 9/1/04 a 851.1200 75 PAR USA SAVINGS BOND SERIES E 10/1/64 DUE 10/1/04 a 851.1200 75 PAR USA SAVINGS BOND SERIES E ISSUED 11/1/64 DUE 11/1/04 a 851.1200 75 PAR USA SAVINGS BOND SERIES E ISSUED 12/01/64 DUE 12/01/04 a 856.6000 75 PAR USA SAVINGS BOND SERIES E ISSUED 1/1/65 DUE 1/1/05 ul 856.6000 75 PAR USA SAVINGS BOND SERIES E ISSUED 2/1/65 DUE 2/1/05 a 785.7200 75 PAR USA SYaVINGS BOND SERIES E ISSUED 03/01/65 DUE 03/01/05 a 766.5600 75 PAR USA SAVINGS BOND SERIES E ISSUED 4/1/65 DUE 4/1/05 a 766.4800 PNCBAIV< 771661 637.62 637.56 850.08 641.79 641.79 648.06 638.34 638.34 638.34 642.45 642.45 589.29 574.92 574.86 TRSN02 f 10/021 - 3 - PNC ADVISORS ~ PNCBAIV< ELLEN H HOUSEAL 771661 CONTINUED: BONDS 75 PAR USA SAVINGS BOND SERIES E ISSUED 5/1/65 DUE 5/1/05 01 766.4800 574.86 75 PAR USA SAVINGS BOND SERIES E ISSUED 6/1/65 DUE 6/1/05 of 681.9600 511.47 75 PAR USA SAVINGS BOND SERIES E ISSUED 07/01/65 DUE 07/01/05 a 681.9600 511.47 100 PAR USA SAVINGS BOND SERIES E ISSUED 8/1/65 DUE 8/1/05 ul 673.7600 673.76 75 PAR USA SAVINGS BOND SERIES E ISSUED 9/1/65 DUE 9/1/05 a 663.9200 497.94 75 PAR USA SAVINGS BOND SERIES E ISSUED 10/01/65 DUE 10/01/05 a 663.9200 497.94 75 PAR USA SAVINGS BOND SERIES E ISSUED 11/1/65 DUE 11/1/05 nl 663.9200 497.94 8,500 PAR USA SAVINGS BONDS SERIES HH DATED 8/1/00 DUE 8/1/20 bl 100.0000 8,500.00 3,500 PAR USA SAVINGS BONDS SERIES HH DATED 9/1/00 DUE 9/1/20 0"1 100.0000 3,500.00 50,000 PAR USA TREASURY NOTES 6.25% DUE 02/15/03 a 101.1875 INTEREST FROM 8/15/02 TO 11/20/02 50,593.75 823.71 50,000 PAR USA TREASURY NOTES 6.50% DUE 8/15/05 a 111.0625 INTEREST FROM 8/15/02 TO 11/20/02 55,531.25 856.66 50,000 PAR USA TREASURY NOTES 6% DUE 8/15/04 a1 107.0625 INTEREST FROM 8/15/02 TO 11/20/02 53,531.25 790.76 COMMON STOCKS 181 SHS WACHOVIA CORP 2ND NEW COMMON a 35.2300 6,376.63 TRSN02110/02) - 4 - PNC ADVISORS ELLEN H HOUSEAL FUNDS 83.606 UTS BERGER FDS SMALL CAP VALUE FD INV CL FD #120 a 23.3200 1,256.424 UTS BLACKROCK FUNDS INDEX EQUITY PORTFOLIO FUND 45 INSTITUTIONAL CLASS a 17.6400 10,945.272 UTS BLACKROCK FUNDS LOW DURATION BOND PORTFOLIO FUND 87 INSTITUTIONAL CLASS a 10.2200 INCOME TO 11/20/02 11,640.763 UTS BLACKROCK FUNDS MANAGED INCOME PORTFOLIO FUND 13 INSTITUTIONAL CLASS a 10.7400 INCOME TO 11/20/02 10,652.873 UTS BLACKROCK FUNDS PA TAX FREE INCOME PORTFOLIO FUND 39 INSTITUTIONAL CLASS a 10.8700 INCOME TO 11/20/02 79.051 UTS CALAMOS GROWTH FUND CLASS A FD #606 a 32.8000 2,506.266 UTS FIDELITY ADVISOR SER I DIVIDEND GROWTH FD INSTL CL FUND #0717 a 9.7700 27.964 UTS MANAGERS FDS SPL EQUITY FD FD #153 a 56.1100 10,648.596 UTS SCUDDER SHORT TERM MUNICIPAL BD INVESTMENT FUND a 10.3200 160.942 UTS ROWE T PRICE VALUE FD INC FUND #107 a 15.8400 CASH PNC BANK NATIONAL ASSOCIATION AGENT UNDER THE INVESTMENT MANAGEMENT AGREEMENT OF ELLEN H HOUSEAL DATED 12/14/99 DATE OF DEATH BALANCE 5,703.97 INCOME TO 11/20/02 34.97 PNCBANC 771661 1,949.69 22,163.32 111,860.68 215.54 125,021.79 361.64 115,796.73 372.16 2,592.87 24,486.22 1,569.06 109,893.51 2,549.32 5,738.94 TRSN02 (10/021 - 5 - PNC ADVISORS ~ PNCBANC ELLEN H HOUSEAL 771661 CONTINUED: CASH PNC BANK NATIONAL ASSOCIATION CHECKING ACCOUNT #5000942674 DATE OF DEATH BALANCE 4,845.51 INTEREST TO 11/20/02 39 . 4,845.90 VERIZON REFUND RE CANCELLATION OF TELEPHONE SERVICE 7 88 PA BLUE SHIELD HEALTH BENEFITS 73.50 METROPOLITAN LIFE INSURANCE CO DEATH BENEFIT POLICY #22429064A PROCEEDS 4,590.81 AT & T REFUND RE CANCELLATION OF SERVICE 2 93 METROPOLITAN LIFE INSURANCE CO POLICY #22429064A POST MORTEM DIVIDEND 47.24 PENNA DEPARTMENT OF REVENUE REFUND 2002 INDIVIDUAL INCOME TAX 15.00 INTERNAL REVENUE SERVICE REFUND 2002 INDIVIDUAL INCOME TAX 844.00 TOTAL INVENTORY 737,438.53 L _ 7RSN02 f10/OZ/ PN CA~v~soRs PO Box 308 Camp Hill Pa 17001-0308 (717) 730-2265 August 5, 2003 Register Of Wills Cumberland County Courthouse South Hanover St Carlisle, PA 17013 Re: Ellen H. Houseal Estate Date of Death 11 /20/02 File #: 21-02-1072 Dear Register Of Wills: -~ On behalf of the Corporate Agent for the Executor of the above-referenced Estate, I enclose a check in the amount of $14,373.43 balance due on account of Pennsylvania Inheritance Tax along with two original completed copies of the tax return. have also enclosed the final inventory along with a check in the amount of $40.00 for filing fees. Please send us the usual customary receipt at your earliest convenience. Thank you for your assistance. Sincerely, ,, Linda J. Lundberg Estate Administrator Assistant Vice President Enclosures: LJUjmh A member of The PNC Financial Services Group 4242 Carlisle Pike Camp Hill Pennsylvania 17011 PNC ADVISERS ELLEN H HOUSEAt, n~r~eccn DATE TRAN CODE ~ ~ e N ~ ~ ' OFFICE 'ENTRY ACCOUNT ITEM ~ o ~ 0 AMOUNT s K N NUMRER 0 E 0 E 07300 ,-. . 15803E' 27 4 -__~~=.~z: a.+~a vrv rH 1lVtlr.HiTANCE TAX ~l-Q~_ ~~ ~ a- REGISTER OF kITLLS AGENT ~~ CUMBERLAND COUNTY COURT HOUSE S HANOVER ST CARLISLE PA 17013 P 426731 FORM432-1002 COMMONWEALTH OF PENNSYLVANIA REV-1162 EXI11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002872 PNC BANK C/O LINDA LUNDBERG V PRESIDENT PO BOX 308 CAMP HILL, PA 1701 1 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold -_________ ______ ESTATE INFORMATION: SSN: 172-0~-3365 FILE NUMBER: 2102-1072 DECEDENT NAME: HOUSEAL ELLEN H DATE OF PAYMENT: 08/06/2003 POSTMARK DATE: 00/00/0000 couNTY: CUMBERLAND DATE OF DEATH: 1 1 /20/2002 101 ~ $14,373.43 TOTAL AMOUNT PAID: REMARKS: PNC BANK C/O LINDA LUNDBERG ASST.VICE PRESIDENT CHECK# 426731 SEAL INITIALS: SK RECEIVED BY: DONNA M- nTTn REGISTER OF WILLS S 14, 373.43 DEPUTY REGISTER OF WILLS /'rJ- /~ '`~- ~' BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 LINDA LUNDBERG PNC BANK NA PO BOX 308 CAMP HILL COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 IX I1FP (01 -03) DATE 09-22-2003 ESTATE OF HOUSEAL ELLEN H DATE OF DEATH 11-20-2002 •- FILE NUMBER 21 02-1072 ..... COUNTY CUMBERLAND ACN 101 Amount Remitted PA 1700'1 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------------------------------------------------------------- REV-1547 EX AFP CO1-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HOUSEAL ELLEN H FILE N0. 21 02-1072 ACN 101 DATE 09-22-2003 TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED KtJEKYAIiON CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) .00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) 727, 011.27 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this form with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)_ 5, 789.21 tax payment. 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 e. Total Assets (g) 732, 800 .48 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 48,203.25 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 12. 199.4 5 11. Total Deductions (11) 60.40?.70 12. Net Value of Tax Return (12) 672,397.78 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax C14) 672,397.78 NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) .00 X 00 _ .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) .0 0 X 04 5 = .00 17. Amount of Line 14 at Sibling rate (17) 149,541.27 x 12 _ 17,944.95 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 522,856.51 X 15 _ 78,428.48 19. Principal Tax Due (19)= 96,373.43 TAX CREDTTS• PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 02-13-2003 CD002165 4,100.00 77,900.00 08-06-2003 CD002872 .00 14,373.43 TOTAL TAX CREDIT 96,373.43 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December 12, 1962 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act. Act 23 of 2000. (72 P.S. Section 9140). PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: REGISTER OF HILLS, AGENT REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must ob]ect within sixty C60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone C717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent C5Y.) discount of the tax Paid is allowed. PENALTY: The 15Y. tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine C9) months and one C1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6Y.) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20% .000548 1987 9% .000247 1999 7Y. .000192 1983 16Y. .000438 1988-1991 11% .000301 2000 8Y. .000219 1984 11% .000301 1992 9Y. .000247 2001 9Y. .000247 1985 13% .000356 1993-1994 7Y. .000192 2002 6Y. .000164 1986 10Y. .000274 1995-1998 9Y. .000247 2003 5Y. .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen I15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. IN RE: : IN THE COURT OF COMMON PLEAS OF YORK COUNTY ORPHAN'S COURT DIVISION THE ESTATE OF ELLEN H. HOUSEAL : F,STATE NO. 21-02-1072 NOTICE THE FIRST AND FINAL ACCOUNT FOR THE ESTATE OF ELLEN H. HOUSEAL FILED WITH THE CUMBERLAND COUNTY ORPHAN'S COURT ON DECEMBER 9, 2003. THE ACCOUNT WILL BE PRESENTED TO THE ORPHAN' S COURT FOR AUDIT ON JANUARY 13, 2004 AT 9:00 AM IN THE CLERK OF THE ORPHAN'S COURT, CUMBERLAND COUNTY COURTHOUSE, 1 COURTHOUSE SQUARE, CARLISLE, PA 17013. ANY OBJECTIONS TO THIS ACCOUNTING MUST BE MADE BY JANUARY 13, 2004 AT 9:00 A.M. AND SHALL BE FILED WITH THE CLERK OF THE ORPHAN'S COURT, CUMBERLAND COUNTY COURTHOUSE, 1 COURTHOUSE SQUARE, CARLISLE, PENNSYLVANIA 17013. 1 t ~ Y PNCBAIV< COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PA ORPHANS' COURT DIVISION N0. ESTATE OF ELLEN H HOUSEAL DECEASED LATE OF THE TOWNSHIP OF UPPER ALLEN FIRST AND FINAL ACCOUNT OF PNC BANK, NATIONAL ASSOCIATION AGENT FOR THE EXECUTRIX BARBARA A HArIINAKgR AND PROPOSED SCHEDULE OF DISTRIBUTION DATE OF DEATH NOVEMBER 20 2002 WILL N0. 21-02-1072 LETTERS GRANTED NOVEMBER 26 2002 FIRST COMPLETE ADVERTISEMENT OF GRANT OF LETTERS JANUARY 10 2003 ACCOUNTING NOVEMBER 26 2002 TO NOVEMBER 24 2003 PURPOSE OF ACCOUNT: THE AGENT FOR THE EXECUTRIX OFFERS THIS ACCOUNT TO ACQUAINT INTERESTED PARTIES WITH THE TRANSACTIONS THAT HAVE OCCURRED DURING ITS ADMINISTRATION OF THE ESTATE. IT IS IMPORTANT THAT THE ACCOUNT BE CAREFULLY EXAMINED. REQUESTS FOR ADDITIONAL INFORMATION OR QUESTIONS OR OBJECTIONS CAN BE DISCUSSED WITH: PNC BANK, NATIONAL ASSOCIATION C/0 LINDA J LUNDBERG ASISTANT VICE PRESIDENT P 0 BOX 308 CAMP HILL, PA 17001-0308 TELEPHONE (717) 730-2265 DAVID W REAGER ESQUIRE REAGER & ADLER PC 2331 MARKET STREET CAMP HILL, PA 17011 TELEPHONE (717) 763-1383 ,., ,.~ _~~~' `7 ~. - 1 - TRSN01 f10/021 ~ , e t PNCBAIV< ELLEN H HOUSEAL PRINCIPAL RECEIPTS NET GAIN/LOSS ON CONVERSIONS ADJUSTED BALANCE LESS DISBURSEMENTS DEBTS OF DECEDENT FUNERAL EXPENSES ADMINISTRATIVE EXPENSES FEDERAL AND STATE'TAXES FEES AND COMMISSIONS FAMILY EXEMPTION TOTAL PRINCIPAL DISBURSEMENTS BALANCE BEFORE DISTRIBUTIONS DISTRIBUTIONS TO BENEFICIARIES PRINCIPAL BALANCE ON HAND INVESTMENTS MADE CHANGES IN INVESTMENT HOLDINGS INCOME RECEIPTS LESS DISBURSEMENTS BALANCE BEFORE DISTRIBUTIONS DISTRIBUTIONS TO BENEFICIARIES INCOME BALANCE ON HAND COMBINED BALANCES REMAINING 771661 SUMMARY AND INDEX PAGES 3 - 3 4 - 9- 10 - 10 10 - 11 11 - 11 11 - 11 10 - 11 12 - 12 13 - 17 18 - 18 19 - 19 - 2 - 737,438.53 3,648.71- 733,789.82 12,199.45- .00 1,441.25- 106,339.43- 47,750.00- .DO 167,730.13- 566,059.69 .00 566,059.69 12,567.33 852.81- 11,714.52 .00 11,714.52 577,774.21 TRSNOI (10/021 e t ELLEN H HOUSEAL PNC ADVISORS RECEIPTS OF PRINCIPAL INVENTORY FILED ON 8/06/03 PER COPY ATTACHED TOTAL PRINCIPAL RECEIPTS PNCBAI~K 771661 737,438.53 737,438.53 - 3 - TgSN02 f 10/02) ELLEN H HOUSEAL 12/11/02 12/11/02 12/11/02 12/11/02 12/11/02 12/11/02 12/11/02 12/11/02 PNC ADVISORS e 1 PNCBAI~K GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS CAIN 83.606 UTS BERGER FDS SMALL CAP VALUE FD INV CL FD #120 PROCEEDS: 2,014.90 ACQUISITION VALUE: 1,949.69 1,256.424 UTS BLACKRDCK FUNDS INDEX EQUITY PORTFOLIO FUND 45 INSTITUTIONAL CLASS PROCEEDS: 21,949.73 ACQUISITION VALUE: 22.163.32 10,945.272 UTS BLACKRDCK FUNDS LOW DURATION BOND PORTFOLIO FUND 87 INSTITUTIONAL CLASS PROCEEDS: 111,860.68 ACQUISITION VALUE: 111.860.68 11,640.763 UTS BLACKRDCK FUNDS MANAGED INCOME PORTFOLIO FUND 13 INSTITUTIONAL CLASS PROCEEDS: 124,788.98 ACQUISITION VALUE: 125.021.79 10,652.873 UTS BLACKRDCK FUNDS PA TAX FREE INCOME PORTFOLIO FUND 39 INSTITUTIONAL CLASS ACQUISITIONOVALUE: 115,796.73 79.051 UTS CALAMOS GROWTH FUND CLASS A FD #606 PROCEEDS: 2,570.74 ACQUISITION VALUE: 2.592.87 2,506.266 UTS FIDELITY ADVISOR SER I DIVIDEND GROWTH FD INSTL CL FUND #0717 PROCEEDS: 24,436.09 ACQUISITION VALUE: _24.486.22 27.964 UTS MANAGERS FDS SPL EQUITY FD FD #153 PROCEEDS: 1,582.76 ACQUISITION VALUE: 1.569.06 - 4 - 65.21 771661 LOSS 213.59- 00 232.81- 319.59- 22.13- 50.13- 13.70 TRSN02110/021 I l I 1 PNC ADVISORS ~ PNCBAIV< ELLEN H HOUSEAL . GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS 771661 12/11/02 10,648.596 UTS SCUDDER SHORT TERM MUNICIPAL BD INVESTMENT FUND GAIN LOSS PROCEEDS: 109,893.51 ACQUISITION VALUE: 109.893.51 .00 12/11/02 160.942 UTS ROWE T PRICE VALUE FD INC FUND # 107 PROCEEDS: 2,575.07 ACQUISITION VALUE: 2.549.32 25.75 12/13/02 181 SHS WACHOVIA CORP 2ND NEW COMMON PROCEEDS: 6,387.29 ACQUISITION VALUE: _ 6,376.63 10.66 1/22/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 01/01/63 DUE 01/01/03 PROCEEDS: 639.30 ACQUISITION VALUE: 639.30 .00 2/04/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 02/01/63 DUE 02/01/03 PROCEEDS: 645.51 ACQUISITION VALUE: 645.51 .00 2/18/03 50,000 PAR USA TREASURY NOTES 6.25% DUE 02/15/03 /05/03 PROCEEDS: 50,000.00 ACQUISITION VALUE: 50,593.75 75 PAR USA SAVINGS BOND SERIES E ISSUED 03/01/63 DUE 03/01/03 593.75- PROCEEDS: 635.79 ACQUISITION VALUE: 635.79 .00 4/02/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 04/01/63 DUE 04/01/03 PROCEEDS: 635.70 ACQUISITION VALUE: 635.70 .00 5/06/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 05/01/63 DUE 05/01/03 PROCEEDS: 635.70 ACQUISITION VALUE: 635.70 .DO - 5 - TRSNOZ (10/021 1 PNC ADVISORS ~ PNCBAIV< ELLEN H HOUSEAL GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN 771661 LOSS 6/18/03 100 PAR USA SAVINGS BOND SERIES E ISSUED 06/01/63 DUE 06/01/03 PROCEEDS: 854.08 ACQUISITION VALUE: 854.08 7/08/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 07/01/63 DUE 07/01/03 PROCEEDS: 640.56 ACQUISITION VALUE: 640.56 8/25/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 08/01/63 DUE 08/01/03 PROCEEDS: 646.83 ACQUISITION VALUE:- 646.83 9/05/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 09/01/63 DUE 09/01/03 PROCEEDS: 637.17 ACQUISITION VALUE: 637.17 9/26/03 50,000 PAR USA TREASURY NOT ES 6.50% DUE 8/15/0 5 PROCEEDS: 54,589.84 ACQUISITION VALUE: 55.531.25 9/26/03 50,000 PAR USA TREASURY NOTES 6% DUE 8/15/04 PROCEEDS: 52,140.63 ACQUISITION VALUE: 53.531.25 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 10/01/63 DUE 10/01/03 PROCEEDS: 637.17 ACQUISITION VALUE: 637.17 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 11/01/63 DUE 11/01/03 PROCEEDS: 637.17 ACQUISITION VALUE: 637.17 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 12/01/63 D UE 12/01/03 PROCEEDS: 641 13 ACQUISITION VALUE: . 641.13 .00 .00 .00 00 00 .DO .00 941.41- 1,390.62- TRSN02 (10/02) - 6 - ! ~ PNC ADVISORS ~ f PNCBAIV< ELLEN H HOUSEAL GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 01/01/64 DUE 01/01/04 PROCEEDS: 641.13 ACQUISITION VALUE: 641.13 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 02/01/64 DUE 02/01/04 PROCEEDS: 647.28 ACQUISITION VALUE: 647.28 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 03/01/64 DUE 03/01/04 PROCEEDS: 637.62 ACQUISITION VALUE: 637.62 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 04/01/64 DUE 04/01/04 PROCEEDS: 637.56 ACQUISITION VALUE: 637.56 .00 10/09/03 100 PAR USA SAVINGS BOND SERIES E ISSUED 05/01/64 DUE 05/01/04 PROCEEDS: 850.08 ACQUISITIDN VALUE: 850.08 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 06/01/64 DUE 06/01/04 PROCEEDS: 641.79 ACQUISITION VALUE: 641.79 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 07/01/64 DUE 07/01/04 PROCEEDS: 641.79 ACQUISITION VALUE: 641.79 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 08/01/64 DUE 08/01/04 PROCEEDS: 648.06 ACQUISITION VALUE: 648.06 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 09/01/64 DUE 09/01/04 PROCEEDS: 638.34 ACQUISITION VALUE: 638.34 .00 771661 LOSS TRS N 02 (10/02) - 7 _ PNC ADVISORS PNCBAIV< ELLEN H HOUSEAL ' GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS GAIN 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 10/01/64 DUE 10/01/04 PROCEEDS: 638.34 ACQUISITION VALUE: 638.34 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 11/01/64 DUE 11/01/04 PROCEEDS: 638.34 ACQUISITION VALUE: 638.34 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 12/01/64 DUE 12/01/04 PROCEEDS: 642.45 ACQUISITION VALUE: 642.45 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 01/01/65 DUE 01/01/05 PROCEEDS: 642.45 ACQUISITION VALUE: 642.45 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 02/1/65 DUE 02/1/05 PROCEEDS: 589.29 ACQUISITION VALUE: 589.29 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 03/01/65 DUE 03/01/05 PROCEEDS: 574.92 ACQUISITION VALUE: 574.92 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 04/01/65 DUE 04/01/05 PROCEEDS: 574.86 ACQUISITION VALUE: 574.86 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 05/01/65 DUE 05/01/05 PROCEEDS: 574.86 ACQUISITION VALUE: 574.86 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 06/01/65 DUE 06/01/05 PROCEEDS: 511.47 ACQUISITION VALUE: 511.47 .00 771661 LOSS TRSN02 (10/02) 8 PNC ADVISORS . PNCBAIV< ELLEN H HOUSEAL GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS 771661 ' GAIN LOSS 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 07/01/65 DUE 07/01/05 PROCEEDS: 511.47 ACQUISITION VALUE: 511.47 .00 10/09/03 100 PAR USA SAVINGS BOND SERIES E ISSUED 08/01/65 DUE 08/01/05 PROCEEDS: 673.76 ACQUISITION VALUE: 673.76 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 09/01/65 DUE 09/01/05 PROCEEDS: 497.94 ACQUISITION VALUE: 497.94 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 10/01/65 DUE 10/01/05 PROCEEDS: 497.94 ACQUISITION VALUE: 497.94 .00 10/09/03 75 PAR USA SAVINGS BOND SERIES E ISSUED 11/01/65 DUE 11/01/05 PROCEEDS: 497.94 ACQUISITIDN VALUE: 497.94 .00 10/15/03 8,500 PAR USA SAVINGS BONDS SERIES HH DATED 8/1/00 DUE 8/1/20 PROCEEDS: 8,500.00 ACQUISITION VALUE: 8.500.00 .00 10/15/03 3,500 PAR USA SAVINGS BONDS SERIES HH DATED 9/1/00 DUE 9/1/20 PROCEEDS: 3,500.00 ACQUISITION VALUE: 3.500.00 .00 TOTAL GAINS AND LOSSES 115.32 3 764 03- LESS GAIN NET LOSS , . 115.32 3,648.71- TRSN02 (/0/021 - 9 - PNC ADVISORS ELLEN H HOUSEAL DISBURSEMENTS OF PRINCIPAL DEBTS OF DECEDENT 11/22/02 PNC BANK NATIONAL ASSOCIATION TRUSTEES COMPENSATION 12/17/02 CRUMAY PARNES ASSOCIATES INC MEDICAL SERVICES 12/17/02 MESSIAH VILLAGE NURSING HOME CARE 12/17/02 INTERNISTS OF CENTRAL PA MEDICAL SERVICES 12/18/02 PNC BANK NATIONAL ASSOCIAITON CHECKING ACCOUNT #5000942674 CHECK ISSUED PRIOR TO DEATH HONORED SUBSEQUENT THERETO 1/03/03 QUANTUM IMAGING & THERAPEUTIC ASSOCIATES MEDICAL SERVICES 1/23/03 INTERNIST OF CENTRAL PA MEDICAL SERVICES 2/06/03 QUANTUM IMAGING 8 THERAPEUTIC ASSOCIATES MEDICAL SERVICES 4/14/03 WEST SHORE ANESTHESIA MEDICAL SERVICES 5/07/03 MOBILE X-RAY IMAGING INC MEDICAL SERVICES 11/24/03 BARBARA A HAMMAKER ATTORNEY IN FACT FEE TOTAL DEBTS OF DECEDENT ADMINISTRATIVE EXPENSES 12/10/02 BARBARA A HAMMAKER REIMBURSEMENT FOR PROBATE COSTS 1/15/03 REAGER & ADLER PC REIMBURSEMENT FOR LEGAL ADVERTISING 2/24/03 REAGER 8 ADLER PC REIMBURSEMENT FOR LEGAL ADVERTISING B PNCBAN~ 771661 539.51- 8.67- 72.25- 98.14- 9.84- 4.25- 15.00- 372.00- 16.79- 251.00- 10,812.00- 12,199.45- 253.50- 75.00- 74.75- TRSN02 (10/02) - 10 - PNC ADVISORS ELLEN H HOUSEAL DISBURSEMENTS OF PRINCIPAL 7/30/03 REGISTER OF WILLS FILING FEE RE PENNA INHERITANCE TAX RETURN 15.00 INVENTORY 25.00 8/11/03 REGISTER OF WILLS ADDITIONAL PROBATE FEE 9/25/03 REGISTER OF WILLS SHORT CERTIFICATE 11/24/03 RESERVE FOR FILING FIRST AND FINAL ACCOUNT MAILING ETC TOTAL ADMINISTRATIVE EXPENSES FEDERAL AND STATE TAXES 2/13/03 REGISTER OF WILLS PENNA INHERITANCE TAX 82,000.00 LESS 5% DISCOUNT 4,100.00 7/30/03 REGISTER OF WILLS BALANCE PENNA INHERITANCE TAX 11/24/03 PNC BANK, NATIONAL ASSOCIATION RESERVE FOR FIDUCIARY INCOME TAXES TOTAL FEDERAL AND STATE TAXES FEES AND COMMISSIONS 11/24/03 REAGER 8 ADLER PC COUNSEL FEE ON ACCOUNT 01/15/03 188.00 02/24/03 364.00 03/18/03 598.00 05/12/03 16 00 . 08/18/03 48 00 . BALANCE 2,286.00 11/24/03 BARBARA A HAMMAKER EXECUTORS COMPENSATION 11/24/03 PNC BANK, NATIONAL ASSOCIATION AGENTS COMPENSATION TOTAL FEES AND COMMISSIONS TOTAL PRINCIPAL DISBURSEMENTS (~ PNCBAIV< 771661 40.00- 245.00- 3.00- 750.00- 1,441.25- 77,900.00- 14,373.43- 14,066.00- 106,339.43- 3,500.00- 14,750.00- 29,500.00- 47,750.00- 167,730.13- - 11 - TRSN 02110/U21 PNC ADVISORS ~ PNCBAIV~ ELLEN H HOUSEAL PRINCIPAL BALANCE ON HAND 771661 VALUE ACQUISITION 11/24/03 VALUE INVESTED CASH 566,059.69 566,059.69 TOTAL PRINCIPAL 566,059.69 566,059.69 TRSN02110/02l 12 - PNC ADVISORS B PNCBAIV< ELLEN H HOUSEAL RECEIPTS OF INCOME 771661 INTEREST 12/18/02 PNC BANK NATIONAL ASSOCIATION CHECKING ACCOUNT #5000942674 CLOSING INTEREST 73 2/10/03 METROPOLITAN LIFE INSURANCE CO POLICY #22429064A INTEREST ON DEATH CLAIM •- 24.03 USA SAVINGS BOND SERIES E ISSUED 01/01/63 DUE 01/01/03 1/22/03 6.36 USA SAVINGS BOND SERIES E 6.36 ISSUED 02/01/63 DUE 02/01/03 2/04/03 6.42 USA SAVINGS BOND SERIES E 6.42 ISSUED 03/01/63 DUE 03/01/03 3/05/03 19.17 USA SAVINGS BOND SERIES E 19.17 ISSUED 04/01/63 DUE 04/01/03 4/02/03 19.17 USA SAVINGS BOND SERIES E 19.17 ISSUED 05/01/63 DUE 05/01/03 5/06/03 19.17 USA SAVINGS BOND SERIES E 19.17 ISSUED 06/01/63 DUE 06/01/03 6/18/03 25.72 USA SAVINGS BOND SERIES E 25'72 ISSUED 07/01/63 DUE 07/01/03 7/08/03 19.29 USA SAVINGS BOND SERIES E 19.29 ISSUED 08/01/63 DUE 08/01/03 8/25/03 19.50 USA SAVINGS BOND SERIES E 19.50 ISSUED 09/01/63 DUE 09/01/03 9/05/03 32.34 USA SAVINGS BOND SERIES E 32.34 ISSUED 10/01/63 DUE 10/01/03 10/09/03 32.34 USA SAVINGS BOND SERIES E 32.34 ISSUED 11/01/63 DUE 11/01/03 10/09/03 25.74 USA SAVINGS BOND SERIES E 25.74 ISSUED 12/01/63 DUE 12/01/03 10/09/03 25.89 25.89 - 13 - TRSN02 (t0/021 ELLEN H HOUSEAL PNC ADVISORS RECEIPTS OF INCOME USA SAVINGS BOND SERIES E , ISSUED 01/01/64 DUE 01/01/04 10/09/03 25.89 USA SAVINGS BOND SERIES E ISSUED 02/01/64 DUE 02/01/04 10/09/03 12.93 USA SAVINGS BOND SERIES E ISSUED 03/01/64 DUE 03/01/04 10/09/03 25.74 USA SAVINGS BOND SERIES E ISSUED 04/01/64 DUE 04/01/04 10/09/03 25.74 USA SAVINGS BOND SERIES E ISSUED 05/01/64 DUE 05/01/04 10/09/03 34.32 USA SAVINGS BOND SERIES E ISSUED 06/01/64 DUE 06/01/04 10/09/03 25.95 USA SAVINGS BOND SERIES E ISSUED 07/01/64 DUE 07/01/04 10/09/03 25.95 USA SAVINGS BOND SERIES E ISSUED 08/01/64 DUE 08/01/04 10/09/03 12.96 USA SAVINGS BOND SERIES E ISSUED 09/01/64 DUE 09/D1/04 10/09/03 25.80 USA SAVINGS BOND SERIES E ISSUED 10/01/64 DUE 10/01/04 10/09/03 25.80 USA SAVINGS BOND SERIES E ISSUED 11/01/64 DUE 11/01/04 10/09/03 25.80 USA SAVINGS BOND SERIES E ISSUED 01/01/65 DUE 01/01/05 10/09/03 25.95 USA SAVINGS BOND SERIES E ISSUED 02/1/65 DUE 02/1/05 10/09/03 11.79 USA SAVINGS BOND SERIES E ISSUED 03/01/65 DUE 03/01/05 10/09/03 .29.10 - 14 - PNCBAIV< 25.89 12.93 25.74 25.74 34.32 25.95 25.95 12.96 25.80 25.80 25.80 25.95 11.79 29.10 TR'S N 02 (10/02) 771661 PNC ADVISORS PNCBAI~K ELLEN H HOUSEAL RECEIPTS OF INCOME 771661 USA SAVINGS BOND SERIES E ISSUED 04/01/65 DUE 04/01/05 10/09/03 29.10 USA SAVINGS BOND SERIES E ISSUED 05/01/65 DUE 05/01/05 10/09/03 29.10 USA SAVINGS BOND SERIES E ISSUED 06/01/65 DUE 06/01/05 10/09/03 18.30 USA SAVINGS BOND SERIES E ISSUED 07/01/65 DUE 07/01/05 10/09/03 18.30 USA SAVINGS BOND SERIES E ISSUED 08/01/65 DUE 08/01/05 10/09/03 10.40 USA SAVINGS BOND SERIES E ISSUED 09/01/65 DUE 09/01/05 10/09/03 17.82 USA SAVINGS BOND SERIES E ISSUED 10/01/65 DUE 10/01/05 10/09/03 17.82 USA SAVINGS BOND SERIES E ISSUED 11/01/65 DUE 11/01/05 10/09/03 17.82 USA SAVINGS BONDS SERIES HH DATED 8/1/00 DUE 8/1/20 3/10/03 170.00 8/01/03 170.00 USA SAVINGS BONDS SERIES HH DATED 9/1/00 DUE 9/1/20 3/10/03 70.00 9/02/03 70.00 USA TREASURY NOTES 6.25% DUE 02/15/03 2/19/03 738.79 USA TREASURY NOTES 6.50% DUE 8/15/05 2/19/03 768.34 8/15/03 1,625.00 9/26/03 370.92 USA TREASURY NOTES 6% DUE 8/15/04 2/19/03 709.24 8/15/03 1,500.00 9/26/03 342.39 - 15 - 29.10 29.10 18.30 18.30 10.40 17.82 17.82 17.82 340.00 140.00 738.79 2,764.26 2,551.63 rn s ru oz ~ i oioz~ ELLEN H HOUSEAL PNC ADVISORS RECEIPTS OF INCOME DIVIDEND WACHOVIA CORP 2ND NEW COMMON 12/30/02 47.06 OTHER INCOME BLACKROCK FUNDS LOW DURATION BOND PORTFOLIO FUND 87 INSTITUTIONAL CLASS 12/03/02 107.77 1/02/03 73.01 1/03/03 31.64 BLACKROCK FUNDS MANAGED INCOME PORTFOLIO FUND 13 INSTITUTIONAL CLASS 12/03/02 180.82 1/02/03 278.63 1/.03/03 97.69 BLACKROCK FUNDS PA TAX FREE INCOME PORTFOLIO FUND 39 INSTITUTIONAL CLASS 12/03/02 186.08 1/02/03• 98.99 1/03/03 42.89 SCUDDER SHORT TERM MUNICIPA L BD INVESTMENT FUND 12/03/02 112.83 12/12/02 96.84 USA SAVINGS BOND SERIES E ISSUED 12/01/64 DUE 12/01/04 10/09/03 25.45 BLACKROCK US TREASURY MM INSTITUTIONAL CLASS FD #02 1/02/03 .52 1/02/03 293.27 2/03/03 1.26 2/03/03 428.85 3/03/03 2.05 3/03/03 363.62 4/01/03 3.44 4/01/03 395.93 5/02/03 3.51 5/02/03 375.06 6/02/03 3.90 6/02/03 389.27 7/01/03 3,g8 7/01/03 359.87 8/01/03 3.82 8/01/03 329.06 9/02/03 4.46 9/02/03 284.24 - 16 - PNCBAIV< 771661 47.06 212.42 557.14 327.96 209.67 25.95 TRS N02 (10/021 PNC ADVISORS ~ PNCBAIVC ELLEN H HOUSEAL RECEIPTS OF INCOME 771661 CONTINUED: BLACKROCK US TREASURY MM 10/01/03 5.26 10/01/03 269.35 11/03/03 6.07 11/03/03 339.44 BLACKROCK MONEY MARKET 3,866.13 INSTITUTIONAL CLASS FD #O1 12/03/02 17.48 1/03/03 .59 TOTAL INCOME 18.07 12,567.33 T RS N 02 (10/021 - 17 - ELLEN H HOUSEAL PNC ADVISORS B PNCBAN< DISBURSEMENTS OF INCOME 771661 PNC BANK NATIONAL ASSOCIATION INCOME COMPENSATION 1/10/03 50.52- 2/10/03 28.02- 3/10/03 318.74- 4/10/03 25.11- 5/09/03 23.86- 6/10/03 23.59- 7/10/03 24.53- 8/08/03 30.17- 9/10/03 212.13- 10/10/03 95.41- 11/10/03 20.73- TOTAL INCOME DISBURSEMENTS 852.81- . 852.81- TR$NU2 (10/02) - 18 - PNC ADVISORS ~ PNCBAIV< ELLEN H HOUSEAL BALANCE OF INCOME ON HAND 771661 VALUE ACQUISITION 11/24/03 VALUE 11,714.52 11,714.52 11,714.52 11,714.52 INVESTED CASH TOTAL INCOME - 19 - TRSN02 f 10/021 PNC ADVISORS ~ PIVCBAI~K 771661 ESTATE OF ELLEN H HOUSEAL DECEASED (DIED 11/20/02) PNC BANK, NATIONAL ASSOCIATIDN BY .~ AGENT FOR THE EXECUTRIX BY EXECUTRIX 20 _ 7RSN02110l02) PNC ADVISORS PNCBAIV< COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND LINDA J LUNDBERG BEING DULY AFFIRMED ACCORDING TO LAW DEPOSES AND SAYS THAT SHE IS AN ASSISTANT VICE PRESIDENT OF PNC BANK, NATIONAL ASSOCIATION, THE ACCOUNTANT NAMED IN THE FOREGOING ACCOUNT AND THAT THE SAID ACCOUNT IS JUST AND TRUE TO THE BEST OF HER KNOWLEDGE AND BELIEF AND THE GRANT OF LETTERS AND THE FIRST COMPLETE ADVERTISEMENT THEREOF OCCURRED MORE THAN FOUR MONTHS BEFORE FILING OF THE ACCOUNT AND THE DECEDENT WAS NOT ADJUDICATED INCOMPETENT AFFIRMED AND SUBSCRIBED TO BE ~~ ~`~ ~ E ICE THIS DAY ~} OF i~C - 2oO~ I HEREBY CERTIFY THAT I AM NOT A DIRECTOR OR OFFICER OF PNC BANK, NATIONAL ASSOCIATION C ,_ ,i.a. ~,'i ~ i ~ ~_ ,, i ,, . -,.. 7 TRSN02 (10/021 ' ~ 2' ESTATE OF ELLEN H HOUSEAL DECEASED (DIED 11/20/02) LATE OF THE TOWNSHIP OF UPPER ALLEN CUMBERLAND COUNTY PA WILL NO 21-02-1072 INVENTORY COMMONWEALTH OF PENNSYLVANIA S5 COUNTY OF CUMBERLAND PNCBAIV< LINDA J LUNDBERG VICE PRESIDENT OF PNC BANK, NATIONAL ASSOCIATION AGENT FOR THE EXECUTRIX OF THE ESTATE OF ELLEN H HOUSEAL DECEASED HAVING BEEN DULY AFFIRMED ACCORDING TO LAW DID DEPOSE AND SAY THAT THE ITEMS APPEARING IN THE FOLLOWING INVENTORY ARE PERSONAL ASSETS WHEREVER SITUATE AND REAL ESTATE IF ANY IN THE COMMONWEALTH OF PENNSYLVANIA OF SAID DECEDENT THAT THE VALUATION PLACED OPPOSITE EACH ITEM OF SAID INVENTORY REPRESENT5 ITS FAIR VALUE AS OF THE DATE OF THE DECEDENT'S DEATH AND THAT THE DECEDENT OWNED NO REAL ESTATE OUTSIDE THE COMMONWEALTH OF PENNSYLVANIA EXCEPT THAT WHICH APPEARS IN A MEMORANDUM AT THE END OF THIS INVENTORY AFFIRMED AND SUBSCRIBED BEFORE ME ~~ THIS DAY OF i / ;' 2O,b~~ \- - ~ -- , ~~ /' ,_ .,. r ~~ 1 ~i~ C ~J!{, ~~- ' f ` 1 1 L~~ J Y r t Y4 -.' e~ . y'l'T,. ~~G1~1~.. V. 141. i~6v _ ~:~<-i+ ~ s..-.,cam-.a.vw~+~rm. .~ . -Ea?MESi~v*`SvSI`. YeV:i'~ ~Y6-z~'aK~-fi - 1 - I RSN 01 110/021 ELLEN H HOUSEAL PNC ADVISORS BONDS 75 PAR USA SAVINGS BOND SERIES E ISSUED 01/01/63 DUE 01/01/03 a 852.4000 75 PAR USA SAVINGS BOND SERIES E ISSUED 02/01/63 DUE 02/01/03 8 860.6800 75 PAR USA SAVINGS BOND SERIES E ISSUED 03/01/63 DUE 03/01/03 a 847.7200 75 PAR USA SAVINGS BOND SERIES E ISSUED 04/01/63 DUE 04/01/03 a 847.6000 75 PAR USA SAVINGS BOND SERIES E ISSUED 05/01/63 DUE 05/01/03 01 847.6000 100 PAR USA SAVINGS BOND SERIES E ISSUED 06/01/63 DUE 06/01/03 of 854.0800 75 PAR USA SAVINGS BOND SERIES E ISSUED 07/01/63 DUE 07/01/03 1 854.0800 75 PAR USA SAVINGS BOND SERIES E ISSUED 08/01/63 DUE 08/01/03 a 862.4400 75 PAR USA SAVINGS BOND SERIES E ISSUED 09/01/63 DUE 09/01/03 a 849.5600 75 PAR USA SAVINGS BOND SERIES E ISSUED 10/01/63 DUE 10/01/03 e'1 849.5600 75 PAR USA SAVINGS BOND SERIES E ISSUED 11/01/63 DUE 11/01/03 a1 849.5600 75 PAR USA SAVINGS BOND SERIES E ISSUED 12/01/63 DUE 12/01/03 a 854.8400 75 PAR USA SAVINGS BOND SERIES E ISSUED 01/01/64 DUE 01/01/04 al 854.8400 75 PAR USA SAVINGS BOND SERIES E ISSUED 2/1/64 DUE 2/1/04 51 863.0400 - 2 - t PNCBANC 771661 639.30 645.51 635.79 635.70 635.70 854.08 640.56 646.83 637.17 637.17 637.17 641.13 641.13 647.28 TRS N02 t 10/02) PNC ADVISORS ~ PNCBAIVC ELLEN H HOUSEAL 771661 CONTINUED: BONDS 75 PAR USA SAVINGS BOND SERIES E ISSUED 3/1/64 DUE 3/1/04 a 850.1600 637.62 75 PAR USA SAVINGS BOND SERIES E ISSUED 4/1/64 DUE 4/1/04 ul 850.0800 637.56 100 PAR USA SAVINGS BOND SERIES E ISSUED 05/01/64 DUE 05/01/04 ul 850.0800 850.08 75 PAR USA SAVINGS BOND SERIES E ISSUED 6/1/64 DUE 6/1/04 a 855.7200 641.79 75 PAR USA SAVINGS BOND SERIES E ISSUED 7/1/64 DUE 7/1/04 of 855.7200 641.79 75 PAR USA SAVINGS BOND SERIES E ISSUED 08/01/64 DUE 08/01/04 a1 864.0800 648.06 75 PAR USA SAVINGS BOND SERIES E ISSUED 9/1/64 DUE 9/1/04 0'1 851.1200 638.34 75 PAR USA SAVINGS BOND SERIES E 10/1/64 DUE 10/1/04 a 851.1200 638.34 75 PAR USA SAVINGS BOND SERIES E ISSUED 11/1/64 DUE 11/1/04 01 851.1200 638.34 75 PAR USA SAVINGS BOND SERIES E ISSUED 12/01/64 DUE 12/01/04 01 856.6000 642.45 75 PAR USA SAVINGS BOND SERIES E ISSUED 1/1/65 DUE 1/1/05 5? 856.6000 642.45 75 PAR USA SAVINGS BOND SERIES E ISSUED 2/1/65 DUE 2/1/05 a 785.7200 589.29 75 PAR USA SAVINGS BOND SERIES E ISSUED 03/01/65 DUE 03/01/05 a 766.5600 574.92 75 PAR USA SAVINGS BOND SERIES E ISSUED 4/1/65 DUE 4/1/05 ul 766.4800 574.86 THSNO2 t10/021 - 3 - PNC ADVISORS ELLEN H HOUSEAL CONTINUED: BONDS 75 PAR USA SAVINGS BOND SERIES E ISSUED-5/1/65 DUE 5/1/05 a 766.4800 75 PAR USA SAVINGS BOND SERIES E ISSUED 6/1/65 DUE 6/1/05 a 681.9600 75 PAR USA SAVINGS BOND SERIES E ISSUED 07/01/65 DUE 07/01/05 a 681.9600 100 PAR USA SAVINGS BOND SERIES E ISSUED 8/1/65 DUE 8/1/05 a 673.7600 75 PAR USA SAVINGS BOND SERIES E ISSUED 9/1/65 DUE 9/1/05 a 663.9200 75 PAR USA SAVINGS BOND SERIES E ISSUED 10/01/65 DUE 10/01/05 a 663.9200 75 PAR USA SAVINGS BOND SERIES E ISSUED 11/1/65 DUE 11/1/05 a 663.9200 8,500 PAR USA SAVINGS BONDS SERIES HH DATED 8/1/00 DUE 8/1/20 a loo.oooo 3,500 PAR USA SAVINGS BONDS SERIES HH DATED 9/1/00 DUE 9/1/20 a 100.0000 50,000 PAR USA TREASURY NOTES 6.25% DUE 02/15/03 a 101.1875 INTEREST FROM 8/15/02 TO 11/20/02 50,000 PAR USA TREASURY NOTES 6.50% DUE 8/15/05 a 111.0625 INTEREST FROM 8/15/02 TO 11/20/02 50,000 PAR USA TREASURY NOTES 6% DUE 8/15/04 a 107.0625 INTEREST FROM 8/15/02 TO 11/20/02 COMMON STOCKS 181 SHS WACHOVIA CORP 2ND NEW COMMON a 35.2300 - 4 - PNCBANC 771661 574.86 511.47 511.47 673.76 497.94 497.94 497.94 8,500.00 3,500.00 50,593.75 823.71 55,531.25 856.66 53,531.25 790.76 6,376.63 TRSN02110/021 PNC ADVISORS ELLEN H HOUSEAL FUNDS 83.606 UTS BERGER FDS SMALL CAP VALUE FD INV CL FD B120 a 23.3200 1,256.424 UTS BLACKROCK FUNDS INDEX EQUITY PORTFOLIO FUND 45 INSTITUTIONAL CLASS a 17.6400 10,945.272 UTS BLACKROCK FUNDS LOW DURATION BOND PORTFOLIO FUND 87 INSTITUTIONAL CLASS a 10.2200 INCOME TO 11/20/02 11,640.763 UTS BLACKROCK FUNDS MANAGED INCOME PORTFOLIO FUND 13 INSTITUTIONAL CLASS a 10.7400 INCOME TO 11/20/02 10,652.873 UTS BLACKROCK FUNDS PA TAX FREE INCOME PORTFOLIO FUND 39 INSTITUTIONAL CLASS a lo.s7oo INCOME TO 11/20/02 79.051 UTS CALAMOS GROWTH FUND CLASS A FD B606 a 32.8000 2,506.266 UTS FIDELITY ADVISOR SER I DIVIDEND GROWTH FD INSTL CL FUND #0717 a 9.7700 27.964 UTS MANAGERS FDS SPL EQUITY FD FD B153 a 56.1100 10,648.596 UTS SCUDDER SHORT TERM MUNICIPAL BD INVESTMENT FUND a 10.3200 160.942 UTS ROWE T PRICE VALUE FD INC FUND B107 a 15.8400 CASH PNC BANK NATIONAL ASSOCIATION AGENT UNDER THE INVESTMENT MANAGEMENT AGREEMENT OF ELLEN H HOUSEAL DATED 12/14/99 DATE OF DEATH BALANCE 5,703.97 INCOME TO 11/20/02 34.97 - 5 - PNCBANC 771661 1,949.69 22,163.32 111,860.68 215.54 125,021.79 361.64 115,796.73 372.16 2,592.87 24,486.22 1,569.06 109,893.51 2,549.32 5,738.94 TRS N 02 t 1 O/021 ELLEN H HOUSEAL CONTINUED: CASH PNC ADVISORS PNC BANK NATIONAL ASSOCIATION CHECKING ACCOUNT X5000942674 DATE OF DEATH BALANCE 4,845.51 INTEREST TO 11/20/02 ,39 VERIZON REFUND RE CANCELLATION OF TELEPHONE SERVICE PA BLUE SHIELD HEALTH BENEFITS METROPOLITAN LIFE INSURANCE CO DEATH BENEFIT POLICY #22429064A PROCEEDS AT 8 T REFUND RE CANCELLATION OF SERVICE METROPOLITAN LIFE INSURANCE CO POLICY B22429064A POST MORTEM DIVIDEND PENNA DEPARTMENT OF REVENUE REFUND 2002 INDIVIDUAL INCOME TAX INTERNAL REVENUE SERVICE REFUND 2002 INDIVIDUAL INCOME TAX TOTAL INVENTORY - 6 - B PNCBANC 771661 4,845.90 7.88 73.50 4,590.81 2.93 47.24 15.00 844.00 737,438.53 TRSN02 f 10/021 PROPOSED SCHEDULE OF DISTRIBUTION ELLEN H. HOUSEAL ESTATE Balance Kemaining per First and Final Account $577.774.21 The Executor proposes to distribute the balance according to decedent's Last Will and Testament in the following manner: In Satisfaction of Item THIRD AND FOURTH: 50% OF ESTATE TO HALF-BROTHERS AND HALF-SISTER OF ELLEN To: Harry Heim - 1/9t" of 50% (5.5555%) Cash $ 32,098.25 To: Kathryn Weitzel - 1/9`" of 50% (5.5555%) Cash $ 32,098.25 To: Leroy S. Heim - 1/9t" of 50% (5.5555%) Cash $ 32,098.25 To: Alton Heim - 1/9th of 50% (5.5555%) Cash $ 32,098.25 Mary Weikel, Deceased - 9 children To: Barbara A. Heisey - 1/9t" of 1/91h of 50% - (.6172%) Cash $ 3,566.02 To: Shirley Ranieri - 1/9t" of 1/9th of 50% - (.6173%) Cash $ 3,566.60 To: Dean F. Weikel - 1/9th of 1/9`" of 50% - (.6173%) Cash $ 3,566.60 To: Donald L. Weikel - 1/9t" of 1/9th of 50% - (.6173%) Cash $ 3,566.60 To: Kenneth P. Weikel - 1/9th of 1/9th of 50% - (.6173%) Cash $ 3,566.60 1 To: James Weikel - 1/9t" of 1/9`" of 50% - (.6173%) Cash To: Larry L. Weikel - 1/9`" of 1/9`" of 50% - (.6173%) Cash To: Donna L. Weikel - 1/9t" of 1/9t" of 50% - (.6173%) Cash Robert Weikel, Deceased - 2 children To: Lisa Kepes - 1/2th of 1/9`" of 1/9t" of 50% - (.30865%) Cash To: Lori Clark - 1/2th of 1/9t" of 1/9`" of 50% - (.30865%) Cash Martha Willier, Deceased - 2 children To: Dale F. Willier - 1/2th of 1/9~' of 50% - (2.7778%) Cash To: Rick Willier - 1/2th of 1/9t" of 50% - (2.7778%) Cash Harold Heim, Deceased - 6 children To: Richard D. Heim - 1/6t" of 1/9`" of 50% - (.9259%) Cash To: Harold P. Heim Jr. -1/6~' of 1/9~' of 50% - (.9259%) Cash To: Rev. Ronald Heim -1/6~' of 1/9`" of 50% - (.9259%) Cash To: Roger A. Heim - 1/6t" of 1/9~' of 50% - (.9259%) Cash To: Ruth A. Bohner - 1/6`" of 1/9`" of 50% - (.9260%) Cash To: Randy Heim - 1/6t" of 1/9t" of 50% - (.9260%) Cash $ 3,566.60 $ 3,566.60 $ 3,566.60 $ 1,783.30 $ 1,783.30 $ 16,049.41 $ 16,049.41 $ 5,349.61 $ 5,349.61 $ 5,349.61 $ 5,349.61 $ 5,350.19 $ 5,350.19 2 t John Heim, Deceased - 3 children To: John Heim Jr. - 1/3`d of 1/9`h of 50% - (1.8519%) Cash To: William F. Heim - 1/3`d of 1/9th of 50% - (1.8519%) Cash Peter Heim, Deceased - 2 children To: Jason P. Heim - 1/2th of 1/3`d of 1/9th of 50% - (.9259%) Cash To: Crystal L. Heim - 1/2th of 1/3`d of 1/9`" of 50% - (.9259%) Cash Betty Kehler, Deceased - 3 children To: David H. Kehler - 1/3`d of 1/9th of 50% - (1.8519%) Cash To: Susan Tallman - 1/3`d of 1/9th of 50% - (1.8519%) Cash To: Diane Sims - 1/3 `d of 1/9th of 50% - (1.8518%) Cash 50% OF ESTATE TO BROTHERS AND SISTERS OF CHARLES Arble Houseal, Deceased - 1 child To: A. Dorthea McWilliams -1/8th of 50% - (6.25%) Cash Matilda Houseal Williamson, Deceased - 1 child To: Donna M. Shafer - 1/8th of 50% - (6.25%) Cash Anna Houseal, Deceased - no children -share lapses Elizabeth F[ouseal, Deceased - no children -share lapses John Houseal, Deceased - no children -share lapses $ 10,699.80 $ 10,699.80 $ 5,349.61 $ 5,349.61 $ 10,699.80 $ 10,699.80 $ 10,699.22 $ 36,110.89 $ 36,110.89 3 Catherine Houseal, Deceased - no children -share lapses Leora Houseal Thompson, Deceased - 2 children To: June S. Magnelli - 1/2th of 1/8th of 50% - (3.125%) Cash $ 18,055.45 William Thompson, Deceased - 7 children To: Karen L. Sipe - 1/7th of 1/2th of 1/8`h of 50% - (.4465%) Cash $ 2,579.77 To: Nancy L. Knode - 1/7th of 1/2th of 1/8`h of 50% - (.4465%) Cash $ 2,579.77 To: Donald W. Thompson - 1/7th of 1/2th of 1/8th of 50% - (.4464%) Cash $ 2,579.18 To: Steven W. Thompson - 1/7th of 1/2th of 1/8th of 50% - (.4464%) Cash $ 2,579.18 To: Brian W. Thompson - 1/7th of 1/2th of 1/8`h of 50% - (.4464%) Cash $ 2,579.18 To: Leslie A. Thompson - 1/7th of 1/2th of 1/8`h of 50% - (.4464%) Cash $ 2,579.18 To: William A. Thompson - 1/7th of 1/2th of 1/8th of 50% - (.4464%) Cash $ 2,579.18 To: Ruth L. Witmer - 5/8th of 50% - (31.25%) Cash TOTAL $180,554.44 $577__ 77~ 4.21 4 f a' CODICIL TO LAST WILL .AND TESTAMENT I, ELLEN H. HOIISEAL, do hereby make, publish and declare the following to be a Codicil to my Last Will and Testament which is dated September 23, 1996. FIRST: I hereby change Paragraph FIFTH to read as follows: FIFTH: I hereby name, nominate, constitute and appoint ~I LAW OFFICE N S. LANDBECK, JR. suiTE 200 S. PARKE STREET SEEN, MARYLAND 21001 410-273-6636 410-575-6767 :oP1ER 410.272-7404 ~Y1~'~ Q ~~1 ~ Barbara A. Hammaker as Personal. Representative of this my Last Will and Testament and hereby direct that she shall act without bond and shall have the power to sell or in any way dispose of any and all of my Estate and sign such documents as may be necessary in order to satisfy the terms of this my Last Will and Testament. In the event Barbara A. Hammaker can not act in this capacity for any reason, then and in that event I name, nominate, constitute and appoint my attorney, John S. Landbeck, Jr., or the successor to his law firm, as Personal Representative and direct that they shall act without bond and shall have the power to sell or in any way dispose of any and ail of my Estate in order ~o satisfy the terms of this my Last Will and Testament. SECOND: I hereby reaffirm each and every other paragraph in my Last Will and Testament which is dated September 23, 1996. Codicil to Last Will aad Testament Ellen H. Houseal IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~-'~' day of ~sL„`Q,...~, 1999. ELLEN H. HOUSEAL SIGNED, SEALED, PUBLISHED and DECLARED by ELLEN H. HOUSEAL, the above named Testatrix as and for a Codicil to her Last Will and Testament, which is dated September 23, 1996, in our presence who at her request and in her presence and in the presence of each other, all being present at the same time, have hereunto subscribed our hands as witnesses the day and year first written. Signature /~ Ct> nj S ~i4-'iy c e.. ~ /~O /a c ~G.. Print Name ~, ,' ,~ (~, ~~`'~ S i "nature ~~~ ~ ~~ ~~1~~ ~ Print Name ~C 1 ~ ~`_- ~~-. Address LE--~~'-e-~.y-~,~L ~ ~7 c~~ care ,: 'r~ .~~1-ice 1'" ~/ ,~ /~fJf LAST WILL AND TESTAMENT OF ELLEN H. HOUSEAL I,, ELLEN H. HOUSEAL, Social Security No. 172-01-3365, .~ \yr~ ;~~~ t~-w oFFice AV S. LANDBECIC, JR. sutTE zoo i S. PARK': STREET tDEEN, MARYLAND 21001 , a ~ 0-273-ss3s aio-5~5-s~s~ cow aiaz~zaaoa , being an adult of sound and disposing mind,. memory and understanding, do hereby make, publish and declare this instrument of writing as and for my Last Will and Testament, hereby canceling, revoking and annulling any and all other Wills, Testaments and Codicils by me at any time heretofore made. FIRST: I direct that all of my just debts and funeral expenses be paid as promptly as may be practicable_after_my.. death. I authorize my Personal Representative, hereinafter named, to expend such sums as she in her sole discretion may deem proper for my funeral and interment, including the acquisition of any burial site and the erection and engraving of grave monuments and markers, regardless of any limitations fixed by statute, rule of court, or otherwise. SECOND: All the rest, residue and remainder of my Estate, real, personal and mixed, wheresoever the same may be situtate, whether my Estate therein be legal or equitable, and whether I now own or shall hereafter acquire the same, and all property, real, personal or mixed, which I shall have the right to dispose of by Last Will and Testament, I give, devise and bequeath unto my husband, CHARLES F. HOUSEAL. Last Will and Testament of Ellen H. Houseal SPECIAL BEQIIEST In the event my husband predeceases me I make the following special bequest: 1. My dining room set, including table, chairs, hutches '~~ r` C ,~ ~~ and anything related to said .set to my niece, BARBARA HANIl~SAKER, if it is her desire to receive it. ~~ THIRD - All the rest, residue and remainder of my Estate shall be liquidated by my Personal Representative including my personal property, real property and any other items and shall be divided equally between the brothers and sisters of each my husband and myself, with fifty percent (50%) of the Estate going to the brothers and sisters of the husband and fifty percent (50%) going. to the brothers and sisters of the wife. This will include in the case of the wife, half-brothers. FOURTH: In the event any of the above mentioned brothers, sisters or half-brothers shall predecease me or we meet death in a common disaster, then and in~that event, I hereby give, devise, and bequeath that individual's share unto any children through that individual in equal shares, per stirpes, share and share alike, absolutely and forever. If there are no children through that individual, then and in that. event that individual's share shall be divided between the surviving individuals in equal shares, per stirpes, share and share alike, absolutely and forever. FIFTH: I name, nominate; constitute and appoint my niece, BARBARA HEISEY, currently_of Williamsburg, Virginia, Last Will and Testament I of Ellen H. Houseal Personal Representative of this my Last Will and Testament and hereby direct that she shall act without bond and shall have the power to sell or in any way dispose of any .and all of my Estate and sign such documents as may be necessary in order to satisfy the terms of this my Last Will and Testament. In the event my niece, BARBARA HEISEY, can not act in that capacity, then and in that event I name, nominate, constitute and ,. appoint JOHN S. LANDBECK, JR., or his successor, as Personal Representative of this my Last Will and Testament and hereby direct that he shall act without bond and shall have the power to sell or in any way dispose of any and all of my Estate and sign such documents as may be necessary in order to satisfy the terms of this my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, on this ~3~ day of 1996. -- ~.~ /?c -- = ~ J`tGrL-[~_ot.!~ ( SEAL) ELLEN H. HOUSEAL SIGNED, SEALED, PUBLISHED and DECLARED by ELLEN H. HOUSEAL, the above named Testatrix as and for her Last Will and Testament in our presence, who at her request and in her presence and in the presence of each other, all being present • s . . Last Will and Testament of Ellen H. Houseal at the same time, have hereunto subscribed our hands as Witnesseth the day and year first written. Address Address ,I, ~ ~~ : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHAN'S COURT DIVISION THE ESTATE OF ELLEN H. HOUSEAL ESTATE NO. 21-02-1072 CERTIFICATE OF SERVICE I hereby certify that on the date set forth below a true and correct copy of the First and Final Account of PNC Bank National Association, Successor Trustee was served on the following via overnight delivery via UPS: SEE ATTACHED SCHEDULE A REAGER & ADLER, P.C. By: G~ ~ David W. Reager squire Supreme Court I Number 20868 Reager & Adler, P.C. 2331 Market Street Camp Hill, PA 17011 PNC ADVISORS ~~ ~h~r~ N ~~:~v~~~~~ ~~s_,~-~~~~F~ DATE IRAN CODE ~ p s N i OFfICE ' ENTRY ACCOUNT ~ ~ s K ~ NUMBER ITEM p Q AMOUNT 'a~' ii3 luSU E E RUL~L P~i3~-! q ~•r~ F" E~ l P ~:JMF~RLAPJG ~.:t:~l~N'~"Y~~.i~~ r 426988 SCHEDULE A 1. Mrs. Dorothea McWilliams 500 Harrisburg Street Dillsburg, PA 17019 2. Ms. Donna Shafer 706 Concord Street Ft. Walton Beach, FL 32548 3. Mrs. June Magnelli 4807 Winford Road Harrisburg, PA 17109 4. Ms. Karen Sipe 5198 Locust Lane Harrisburg, PA 17109 5. Mrs. Nancy L. Knode 6250 Bridle Court Harrisburg, PA 17111 6. Mr. Donald W. Thompson 127 Fieldstone Drive Carlisle, PA 17013 7. Mr. Steven W. Thompson 11752 West 27`h Drive Lakewood, CO80215 8. Mr. Brian W. Thompson 390 Lakeside Drive Levittown, PA 19054 9. Ms. Leslie A. Thompson 20 Pettis Street Lake George, NY 12845 10. Mr. William A. Thompson 442 West 22"d Street, Apt. 3 New York, NY 10011 11. Mrs. Ruth L. Witmer 1155 Mi.lmosa Lane Marysville, PA 17053 12. 13 14 15 16 17 18 19 20 21. 22 Harry Heim 1084 Creek Road Pitman, PA 17964 Kathryn Weitzel 383 Main Road Pitman, PA 17964 Leroy Heim 130 Fairview Road Pitman, PA 17964 Alton :Heim 469 Ridge Road Pitman, PA 17964 Barbara Heisey 175 Chicahouk Trail Southern Shore, NC 27949 Shirley Ranieri 238 Cresent Drive Hershey, PA 17033 Dean Weikel 1134 Dartmouth Road Hummelstown, PA 17036 Donald Weikel 7730 Bashore Drive Harrisburg, PA 17112 Kenneth Weikel 373 North Mechanic Street Fredericburg, PA 17026 James Weikel 1325 Wentworth Court Greenwood, IN 46143 Larry Weikel 7 Sgrignoli Lane Enola, PA 17025 23 24. 25 26. 27 28 29 30 31 32 33 ,. Donna. Weikel 801 Cambridge Court Palmyra, PA 17078 Lisa Kepes 316 10`'' Street New Cumberland, PA 17070 Lori Clark 118 North 4`" Street Lemoyne, PA 17043 Dale Willier 3 Mill Hill Road Pitman, PA 17964 Rick Willier 502 Ridge Avenue Pottsville, PA 17901 Richard Heim 571 Church Street Landisville, PA 17538 Harold Heim, Jr. PO Box 18 Freidensburg, PA 17933 Rev. Ronald Heim 9 Earl Stoyer Drive Schuykill Haven, PA 17972 Roger Heim, MD 2651 Ramson Drive Harrisburg, PA 17104 Ruth Bohner 535 Ruby Road Rising Sun Manor Millersburg, PA 17061 Randy Heim 324 Ridge Road Pitman, PA 17964 34. John Heim, Jr. 360 Main Street Pitman, PA 17964 35. William Heim 67 Howerter Road Pitman, PA 17964 36. Jason Heim RD #!, Box 109C Klingerstown, PA 17941 37. Crystal Heim RD #!, Boc 109C Klingerstown, PA 17941 38. David Kehler 1531 Creek Road Pitman, PA 17964 39. Susan Tallman 74 Evangel Park Road Tower City, PA 17980 40. Diane Sims 1552 Creek Road Pitman, PA 17964 ., ~V PLEASE FILE THIS REPORT` WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION STATUS REPORT UNDER RULE 6.12 Name of Decedent: Ellen H. Houseal Date of Death: 11/2o/oz Estate No.: 21-02-1072 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: (date) 3. If the answer to No. 1 is yes, state the following: A. Did the personal representative file a final account with the court? Yes x No B. The separate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicable in Dauphin County) C. Did the personal representative state an account informally to the parties in interest? Yes No D. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. t~f (~ a t~' ~/ ~1 eC UI \1 ~11~~ •~v Date: March 5 , 2004 6 a .st`,.r PNC Bank, NA, Agent for Executrix [r ; ,~ Linda J. Lundbert, Asst. Vice President Name (Please type or print) ~ ~- PO Box 308 Camp Iiill PA 17001-0308 ~Q 1 ~.,~ Address 717-730-2265 (MAH.rrndA,M3) o Telephone No. ~-- ~~ XX Capacity: Personal Representative >z.w. - s8 Counsel for Personal Representative