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Home My WebLink About01-0548 PETITION FOR PROBATE and GRANT OF LETTERS Estate of H. Orville Heisey also known as No. 21-01-548 To Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. :2.. 7 I - 2 i' -- 0 '30 7 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the executor in the last will of the above decedent, dated May 10, 1978 and codicil(s) dated N/A named (state relevenat circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland his last family or principal residence at 50 u ~"'^-vv\ fu,,, /P .....m ...t.... I ( st street, numb 17 Robin Drive Shippensburg, P A 17257 and mumclpahty) County, Pennsylvania, with Decedent, then 71 years of age, died at Carlisle Hospital, Carlisle, Pennsylvania 17013 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: No Exceptions May 31, 2001 Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsyl vania situated as follows: I e:-oo. vO ) $ $ $ $ -0- WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) thereon. OATH O}' PERSONAL REPRSENTATIVE COMMONWEA TLH OF PENNSYLVANIA COUNTY OF CUMBERLAND Sworn to or affirmed and subscribed before me this 7th day of ~ ~r~~'-'-p;<<~.(/~Jr,( . Register /6-c:43C-/o The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and correct to the best of [he knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petltioner(s) will well and truly administer the estate according to law. ;;:;~ ~~ No. 21-01-548 Estate of H. Orville Heisey , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW JUNE 11 2001, 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_ May 10, 1978 described therein be admitted to probate and filed of record as the last will of H. Orville Heisey and Letters Testamentary are hereby granted to Bertha S. Heisey ~. '(/#3u~nj/k/-a~oy ~egist of Wills Probate, Letters, Etc. Short Certificates(O ) x-pag~s. RenUnCiatIOn FEES $ 18.00 $ $ lZ:. 55 $ 5.00 Total_ $ 35.00 Filed... ..J.~~~.. ~n~...? ~~.~......... Robert G. Frey ATTORNEY (Sup. Ct. LD. No.) 5 South Hanover Street Carlisle, Pennsylvania 17013 ADDRESS (717) 243-5838 PHONE 46397 JCP r2LV Cldo~ This is to certify thar the informarion here given is correctly copied from an original certificate of death duly filed with me as I,oed Registrar. The original certificate will be forwarded to rhe Srate Viral Records Office for permanenr filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. tJl""""'U'~ ""' '(II OF "-, \\\IIII'~"\.' PEi;----__ \I~~~'''-"'" I' ::<::' ".,t,- l~~.~~. ~\ ~~, , . . \~~ ~~l~#~: .I~~ ~~ - -~~~ ,~~ \*~~....~'!*! '- ~ ". /A~\II "'"~:% -_.//'~\\I\ --...:?lMENl \)\ ~\:,III """""##111111//11'11 Fee for this certificare, $2.00 P 7403679 L'1: -u?4' {7 Dat; 21-01-548 7187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH UNDER 1 01I/t HouN i ..~ SEX .. Kale SToIOI'llENU........ SOCiAl SECURfTY NUMBER "fAME OF DECEDENT (fll'lI MidcIe. L_I 1. H. Orville Heisey AGE(l"~ UNOERtvE,AA ........ Ooyo 1.271 - 28 .. May 3 1, 2001 71 v.. 5. t .OUNTY OF OEA1H BIRTHPl..ACE ICdy and PlACE C# OERH 1Ct'<<:1I 0f"V",....- 'iMlI'IIlructoOnl on 0IMr --I sa..teor FCfeqtCountrVl HOSPITAl; Washington Boro .__Ki Lancaster Ct. P :"'110 ... Cumberland Carlisle 10. RACE - Amencan IrdI.n. RIlle.... Wtllfe IOtC (!>pRe....) While '0. OECEOfNT'S UIlUAl OCCUMnON l~-=:.M:'~C:-::~::i' nO. Chemist .... AMP, DeCEOENT'S MAIUNO ADDRESS (St1.... CiIyIbwn. s... Zip Code~ KINO OF BUSINESS/lNDUST"V SURVIVING SPOU~ I"''''''', (Jl...m.lItdIWINlmfllI 17 Robin Drive '0. Shippensburg, PA rArHEA'S NAME IF... MON. L..., ... Henry P. He isey ''''-ORNANT'S NAUl" {T .,.,.,Prlrtll Bertha S. Heisey M€THOOOF OISP'OSITq,f O -~ c-...O _ 00- .. SIGNR\J '" Inc. DECEDENT'S ACTUJol. RESIDENCE - """"'.... onOlher!lllM1 Sollenber er ".. DId - ...... Cumberland -' ,,,,.0 :..."':".:::.. MOTHER'S NAME {Fit.. Moddle. MaldWt Sufn~ Lela Fern Hoover tt. INrOR"iT7'R~bi~.'li~'i;er:'''ShiP~:~!'urg, PA 172:'] PI.ACI OF DtSPOSfTlON. Neme ofCerMtery. CremMOfy LOCRION. CityITown, StM., ~ eoc. ..00-..... Green Township, .... ....Franklin Ct. PA - 1711,StatI 17257 - 17257 "__ 24-28 ""* be comPeted by r-.wlwho~dII.I" 3' 7,.-<1 i ...~ ..-oIAf1 CAUII (F"'" .-.-arconcllliOn .-..no 1ft dMlh)--' G. ..,. 131.uJ DUE fO(OR AS ACONSEOUf:NCE 00: .. I ApproIlIl1'\Mll '-- : onMf.nd.... I i PART I: Ot'- SlQtliftcWll oonctlIIoM oontNbuIln9lO dNlh. buI not......lngin... ~cauMorwen in PART I ... 27. PNn" I: enlef... diMII.... InlU"* or compfIc:atlOnl 'IIfhich ~used t~ dulh 00 llM ontt orw C'" on HCh IiM -..-- If MJ,. ~ to""""" ~_ E.... UNDIRLYINQ C~~CIf"'"IU'Y --- 'fI!kAnQ .... deeIht LAlT I : L DUE 10(00 ASA CONSEQUENCE Of). DUE TO lOR AS A CONSEOUENCE Of)" VMS AN AUTOPSY ~AFOAMED? WERE AUTOPSY FeNOfHGS ....l.AM.E PfUOR 1C COMPlETION OF CAUSE OF DEATH? MANNER OF DEATH DATE OF INJURV lMMIhOay."-arl TIME OF INJURY INJURV IIi.f 'NOFU<? DESCRIBE HOW INJURV OCCURRED ......... ~ o o -- PlndIng trweIIlQallon o o o PlACEOFINJURV.Al~me.ltlrm.IC,...f~offtc. y, buildInQ.etc.ISpecltvl .... ..... 0 NoD _'" -"DIeAL EXAMINER/CORONER On the bII... of ..amln.t1on ~or Inv...-...ion,ln my opfnlon, Math occurred .. 'M'lme, da'e,.nd pl.c...net du.'o the cau..(.) and "'.nn......ta1M............. ...,.... ...............,...... ,.. .... ...................."......... .......... ... '1.. ~EOISTRAR.S SIGNATURE AND NUMBER 1.1" ~ t .n o _ 0 No~ _0 ....PI'" ........ Coukt not bII determmed - _. CERTIFIER rChKIt only one) .et:R'WVINQ ""SlCIAN IPtlysc""" u"'ofyIoQ (Cause 01 <W1lI'h "..r.ttf'I .1nOlNlr ph'l'lIC..n he pronounced dtlllh 1.1'10 c:omple18d IlflfTl ;?31 To......'.. my llnowtectoe, duttt oceurnd due.. lite CIUM{.) Ind mennet'.. stitH. . . 20. "P'RONOUNCINO AHD ceRTIFYING PHVSICIAN If'hv-wr.lltn IM,lh ,lIllf,ntj'lf;,roy.JtldItl4JlI1 ceo"lyong 10 .au!le 01 (Jlltlhl 1"0 1M ~ 1M 1ft., Itnow$edQIIt, de.lhoccurrH It........... dill. Ifld plICI, Ind du. 10 ttt. CluSlll'lnd "'Inne'.s .tIIM.. 13 'f 7..-0 C I ~ ~ '" I' ~1'Ol"548 LAST WILL AND TESTAMENT OF H. ORVILLE HEISEY I, H. ORVILLE HEISEY, of West Pennsboro Township, (R. D. # 1, Box 360, Newville), Cumberland County, PennsylV'ania, being of sound and disposing mind, memory and understanding, do hereby declare this as and for my last Will and Testament. 1. I hereby revoke all previous testamentary dispositions made by me. 2. I direct my Executrix or Executors to payout of the assets of my estate all of my legal debts, my funeral expenses, and all costs of administration of my estate. 3. All of the furniture and household furnishings in the home occupied by my wife and me belong to her. I give and bequeath to my wife, Bertha S. Heisey, all of my clothing, jewelry, personal effects, all of my other articles of personal use or adornment, and all of my automobiles. 4. All of the residue of my property pfwhatsoever kind and where so- ev.,r situated, I give, devise and bequeath to my Trustee, in trust, to be held, administered, and disposed of as follows: A. If my wife survives me, then during her lifetime my Trustee shall distribute to or for her benefit all of the income of the trust. My Trustee shall also distribute to or for the benefit of my wife from time to time so much of the corpus of the trust' as my Trustee in its sole discretion shall consider reasonably necessary to enable my wife to maintain the standard of living to which she is accustomed; B. Upon the death of my wife, if she survives me, or upon receipt of the trust fund by my Trustee if she does not survive me, the trust, as then constituted, shall be held, administered, and disposed of as follows: (1) My Trustee shall distribute to or for the benefit of each of my children all of the income and so much of the corpus of the trust as my Trustee in its sole discretion shall consider reasonably necessary or advisable for the health, support, education, and general welfare of each of my children until my youngest child shall have attained 22 years of age, regardless of whether the expenditures for each child are equal. At the present time I am the father of the following Three (3) children: Adriel R. Heisey born October 20, 1957; Brenda F. Heisey born January 14, 1959; and Frances L. Heisey born April 26, 1966. Should all of the income from said trust not be reasonably necessary or advisable to be expended for the health, support, education, and general welfare of each of my children, then the excess income in each year shall be divided equally among all of my children regardless of age; (2) Upon my youngest child attaining 22 years of age, or if such age has been attained, my Trustee shall divide the trust into equal shares for each of my children, the share any deceased child would have received shall be held for the issue of such deceased child and if there be no issue such share shall lapse and be added to the remaining shares and my Trustee Page 1 of 4 pages ~ ~ ~ ~ '. '\ " , , shall pay and transfer to each beneficiary all of the income of the corpus of the share of such beneficiary and upon each beneficiary attaining 30 years of age the trust shall terminate and the beneficiary shall receive the then remaining principal together with any undistributed income; (3) Whenever pursuant to the provisions of this Will all or any part of a distributive share of the trust shall be payable to a minor, other than a child of mine, title to the share of such minor shall pass to him, but the payment to him of such share or trust fund shall be deferred until he shall attain the age of 21 years and in the meantime such share or trust fund shall be held by the Trustee or a court appointed Guardian, if the Trustee is unwilling to assume such responsibility, untilsuch minor attains the age of 21 years. The fiduciary holding such fund shall apply all or such part of the income and principal as the fiduciary in his uncontrolled discretion may determine to the support, education and maintenance of such minor. The authority conferred upon such fiduciary by this paragraph shall be construed as apower only and shall not operate to suspend the absolute ownership of such property by such minor or to prevent the absolute vesting thereof in such minor. With respect to the administration of any such property which shall vest in absolute ownership in a minor, and which shall be held by such fiduciary as authorized in this paragraph, such fiduciary shall have all the powers set forth under the provisions of Paragraph 8 of this Will to be exercised in the manner set forth in such paragraph. 5. If no child or the issue of any child of mine shall survive me to receive full distribution of the corpus, any undistributed corpus shall be paid as follows: (A) One Thousand ($1,000. 00) Dollars to the Green Spring Brethren in Christ Church, R. D. #2, Newville, Pennsylvania, 17241. (B) One-third of the remainder thereof shall be paid to the persons who would constitute my heirs-at-law had I died at the time such distribution is due, unmarried, intestate, and without issue: (C) One-third of the remainder thereof shall be paid to the persons who would constitute the heirs-at-law of my wife had she died at the time such distribution is due, unmarried, intestate, and without issue; (D) The final one-third to be divided equally among the following five (5) organizations: (1) Board for Missions of the Brethren in Christ Church, 48 1/2 South Market Street, Box 149, Elizabethtown, Pennsylvania, 17022. (2) Messiah Home, 2001 Paxton Street, Harrisburg, Pennsylvania, 17111. (3) Messiah College, Grantham, Pennsylvania, 17027. (4) Wheaton College, Wheaton, Illinois, 60187. (5) Shalom Christian Academy, R. D. #6, Box 78E, Chambersburg, Pennsylvania, 17201. 6. I direct my Executrix or Executors to payout of the property which would otherwise become a part of the trust hereinabove established, all estate, inheritance, transfer, and succession taxes, including interest and penalties thereon, which may be lawfully assessed by reason of my death. I hereby waive on behalf of my estate any right to recover any part of such taxes, interest, or penalties from any person, including any beneficiary of insurance on my life and anyone who may have received from me or from my estate any property which is taxable as a part of my estate. 7. In addition to the powers conferred by law A. The Trustee is hereby empowered to invest any part of my e state in such securities, investments or other property as to it seem advisable and proper, irrespective of whether the same are authorized for the investment of trust funds under the laws of any governing jurisdiction: Page 2 of 4 pages '- .' . ., -. B. With respect to any corporation, the stocks, bonds or other securities of which may form part of this trust, the Trustee is hereby empowered: to vote in person or by proxy on any shares of stock; to consent to the leasing, mortgaging, or sale of the property of any such corporations; to make any surrender, exchange, or substitution of such stocks, bonds, or other securities as an incident to the merger, consolidation or re- organization of such corporations; to pay all assessments, subscriptions, and other sums of money which the Trustee may deem wise and expedient for the protection and maintenance of the proportionate interest of the Trustee in such corporations; to exercise any option or privilege which may be conferred upon the holders of such stocks, bonds, or other securities of such corporations either for the conversion of the same into other securities or for the purchase of additional securities, and to make any and all necessary payments which may be required in connection therewith; and generally to have and exercise as to all such stocks, bonds, and other securities of which this trust may at any time consist, the powers of an individual owner who is under no trust obligation; c. The Trustee may hold the trust corpus in one or more consolidated funds in which separate shares shall have undivided interests; D. The Trustee may sell at public or private sale for cash or upon credit, or partly for cash and partly on credit, and upon such terms and conditions as to the Trustee shall deem proper, any part or parts of the trust estate, and no purchaser at any sale made by the Trustee shall be bound to inquire into the expediency or propriety of any such sale or to see to the application of the purchase moneys arising therefrom; E. The Trustee may keep on hand and uninvested such moneys as it may deem proper and for such period as the Trustee may find expedient; F. The Trustee may compromise, settle, or arbitrate any claim or demand in favor of or against the trust estate; G. The Trustee is authorized in the discharge of its duties, to employ counsel and to determine and to pay such counsel reasonable compensation which shall be charged by the Trustee against the principal or income of the trust fund, and the Trustee shall further be entitled to charge against the principal or income such other reasonable expenses and charges as may be necessary and proper to incur for the proper discharge of its duties and for the proper management and administration of the trust estate; H. In making any division of the trust property into shares for the purpose of any distribution thereof directed by the provisions of this agreement, it shall be proper for the Trustee to make such division or distribution, either in cash or in kind, or partly in cash and partly in kind, as the Trustee shall deem most expedient, and in making any division or distribution in kind the Trustee may allot any specific security or property or any undivided interest therein to anyone or more of such shares, and to that end may appraise any or all of the property so to be allotted and the Trustee IS judgment as to the propriety of such allotment and as to the relative value for purposes of distribution of the securities or property so allotted shall be final and conclusive upon all persons interested in this trust or in the division or distribution thereof; Page 3 of 4 pages . .. . " 1. The Trustee is authorized to register any shares of stock or other assets of any trust in its own name or in the name of its nominee. 8. I hereby nominate, constitute and appoint my wife, Bertha S. Heisey, as Executrix of this my last Will and Testament, but should she pre-decease me or fail to qualify, then I nominate, constitute and appoint my said Three (3) children, Adriel R. Heisey, Brenda F. Heisey, and Frances L. Heisey, or any of them, as Co-Executors of this my last Will and Testament, but should none of them qualify, then in such event I nominate, constitute and appoint The Commonwealth National Bank and its successors, 1 North Hanover Street, Carlisle, Pennsylvania, as Executor of this my last Will and Testament. 9. I hereby nominate, constitute and appoint The Commonwealth National Bank and its successors, 1 North Hanover Street, Carlisle, Pennsylvania, as Trustee hereunder. 10. All powers, duties, and discretionary authority granted to my Executrix and Trustee hereunder, or their successors, may be exercised without posting any bond, without obtaining any order from or approval of any court, and without any notice to or consent of anyone. 11. If any provision of this Will shall be unenforceable, the remaining provisions shall nevertheless be carried into effect. IN WITNESS '-''HEREOF, I, H. Orville Heisey, have set my hand and seal to this my last Will and Testament written on four (4) pages this 10th day of May , 1978. H. or~~~1 (SEAL) Signed, sealed, published and declared by H. Orville Heisey, the Testator above named, as and for his last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~J.. h A/~A~1 ~~46A'1A.I Page 4 of 4 pages 21-01-548 REGISTER OF WILLS OF CUMBERLAND COUNTY OA TH OF SUBSCRIBING WITNESS Robert M. Frey (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that he was present and saw H. Orville Heisey, the testator, sign the same and that they signed as a witness at the request of testatror in his presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). ~~,!(h - Robert M. Frey 1 Sworn to or affirmed and subscribed before me this 8th day of ~OOl ~P"J~/4u'1' RegIster 5 South Hanover Street, Carlisle, PA 17013 21-01-548 REGISTER OF WILLS OF CUMBERLAND COUNTY OA TH OF SUBSCRIBING WITNESS Robert M. Frey (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that he was present and saw H. Orville Heisey, the testator, sign the same and that they signed as a witness at the request of testatror in his 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 June, 2001 Register Robert M. Frey 5 South Hanover Street, Carlisle, P A 17013 REGISTER OF WILLS OF CUMBERLAND COUNTY OA TH OF NONSUBSCRIBING WITNESS Robert G. Frey (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that he is familiar with the signature of H. Orville Heisey, the testator in the will presented herewith and that he believes the signature on the will is in the handwriting of H. Orville Heisey, to the best of my knowledge and belief. Sworn to or affirmed and subs~ribed before me this 7 th day of ~une, 2001 . -y~-!fM/i~bXr~. Reglster 5 South Hanover Street, Carlisle, PA 17013 . .,.I . STATE OF PENNSYLVANIA IN RE: EST ATE OF H. ORVILLE HEISEY IN THE REGISTER OF WILLS COURT: CUMBERLAND COUNTY ESTATE NO. 2001-00548 STATEMENT OF CLAIM 1. MBNA America hereby presents for filing against the above estate this statement of claim in the amount of $ 16.211.01. 2. The basis for the claim is MBNA account number 53219031673163745 which was opened on 5-31-89. 3. The tax identification number of the claimant is 510331454. 4. The name and address of the claimant is MBNA America. 1000 SAMOSET DRIVE WILMINGTON. DE 19884 5. This claim IS NOT contingent. 6. This claim IS NOT secured. 7. The last payment made on the account was $ 208.00 on 5-11-01. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and beliep_ _ _ Executed this ~ day of ~ ' 2001_ ,-/ ~~N~~J(~AAmenCa Claimant State Of Delaware, County of KENT IN WITNESS WHEREOF, I have set my hand and notarial seal this d'S daYOf.~ ,2001_ DAWN M PEUGH ~ R NOTARY PUBLIC ~ STATE OF DELAWARE ~ m ~ MY COMMISSION EXPIRES ON 12112102 Notary Publi My Commission Expires: \d-.\ \~\ 0 ~ f -/.. X165-1 CUSTOMER INFORMATION SYSTEM 08/09/01 * 5329031673163745 * 09:19:59 H ORVILLE*HEISEY CURBAL: 16349.29 CYCLE: 16 C 4800120208035378 CR LIN: 22000.00 STATUS: 5 CHANGED: 07/23/01 ***************************** JUNE STATEMENT ***************************** POST -------REFERENCE------- TRAN --------DESCRIPTION------- BC ---AMOUNT--- PURCHASES AND ADJUSTMENTS ~29. 0 -O--~ . 0619 00000000000000 M0619 LATE CHARGE FOR PMT DU C (~ ~ : .......... H"~ /{f{t~. f.. --P {J,iE STATF>12 -t1...:U~.. .:~!. ~:. ~: ~~ PREY BAL - $16123.31 PAY + $0.00 SALE + $0.00 CASH + $0.00 F/c $87.70 + LATE CH = NEW BAL $29.00 $16240.01 PF10=PAGE FORWARD PF11=TRANSACTION SUMMARY 4-@ 1 MBNAIS PF03=JULY STMT PF09=MAY STMT 192.168.14 .10 PA1=BEGIN AGAIN 1 PA2=SYSTEM MENU HEVZ WDA42V53 2/31 E - .",.." " CERTIFCATION OF NOTICE UNDER RULE 5.6(A) Date of Death: \-l~ ,,~ 7 Loot Name of Decedent: Will No.: 21 - 0 1- Admin No.: To the Register: I certify that notice of (beneficial interest) estate administration 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 .::r U I'\.L G J Z.o 0 I Name Address <;R. .cc C\ T tv- c ~ ~ <Sc~~ ~J ~ :r LI'S t .f 6e/l<e h'(./N"',"t...s Notice has now been given to all persons entitled thereto under Rule 5.6(a) except ~x ~ rh'()~ s . Date~.bv-S;~ol ~l_'Id-,~ SIgn ture Jo\c,-u-t 6-. \=re7 Name 5" ~<.., <-,11... /-f-t>-"'~v u- Sr. No Lc-r { / . s Ie f> A I 7 () 1:3 . , Address 717 - Z '73 ~ S ~3Y Telephone Capacity: D Personal Representative .@. Counsel for personal representative ... .. 217 REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES ..: FILE NUMBER H. Orville Heisev 21-01-548 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSONIS) RECEIVING PROPERTY Do Not List Trustee/s) OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Bertha S. Heisey 17 Robin Drive Shippensburg, PA 17257 widow 2. Aspen F. Heisey 229 Water Street Guelph, Ontario N1G1B4 daughter 3. Adriel R. Heisey 1720 Placita Salton Tucson, Arizona son 4. Frances L. Drost 611 Greenspring Road Newville, PA 17241 daughter ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 AS APPROPRIATE ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0 (If more space is needed, insert additional sheets of the same size) WELTMAN, WEINBERG & REIS Co., L.P.A. ATTORNEYS AT LAW 323 W. Lakeside Avenue, Suite 200 Cleveland, Ohio 44] 13-]099 2]6.685.]000 COLUMBUS 614.228.7272 CINCINNATI 513 723.2200 www.weltman.com PITTSBURGH 412.434.7955 DETROIT 248.362.6100 April 25, 2002 Register Of Wills One Courthouse Square Carlisle, P A 17013 Re: Estate of Orville H. Heisey Case No.\2'~i:r Our Client: Bank of America N .A. Account No. 00512009109534 Balance Due: $6,824.03 together with interest at the rate of 10.00% per annum from April 26, 2002 Our File No. 02462016 Dear Clerk of Courts: This law firm represents Bank of America N.A. in connection with its claim which we wish to file on our client's behalf into the estate of Orville H. Heisey, deceased. Enclosed is our check in the amount of $5.00 which we understand is the filing fee for this claim. Our client's claim is based upon its account number 00512009109534 in the amount of$6,824.03 plus interest which continues to accrue. Included with this letter is the claim form which we wish to present to this court and which we are forwarding to the attorney and/or fiduciary of this estate. It would be appreciated if all correspondence and disbursements with respect to this matter be forwarded to our office and to the attentioI' of the lmdersigned. Additi()n~ l1y, it W'.>l1 In be appre~jMf'd jf any notices of any hearings also be forwarded to the undersigned. Thank you for your cooperation in this matter. Sincerely, ! (IIl!!1 en YtJO} TraCl L. Soos Legal Assistant (216) 685-1022 TLGgwm Enclosures cc: Bertha S. Heisey, Fiduciary Robert G. Frey, Esquire /0. << WWR#02462016 FORM 93-0.C. DIVISION IN THE COURT OF COMMON PLEAS of CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF No.2101548 of Orville H. Heisey Deceased Deficiency balance from an installment loan, Bank of America N.A. Account No. 00512009109534 CLAIM To the Clerk of Orphans' Court Division: Index and make proper entry in your official records of the claim of Bank of America N.A. c/o Weltman. Weinberg & Reis Co.. L.P.A.. 323 West Lakeside Avenue. Suite #200. Cleveland. Ohio 44113-1099 (Claimant) in the amount of$6.824.03 plus interest against the estate of the above named decedent. This claim is filed under Section 3532 (b) (2) of the Probate, Estates and Fiduciaries Code. The said decedent, who resided at 17 Robin Drive Shippensburg. P A 17257 , died on Mav 31 ( Address) 20QI. Written notice of this claim was given to Bertha S. Heisev. Fiduciary and Robert G. Frey. Esquire 17 Robin Drive. Shippensburg. P A 17257 and 5 S Hanover Street. Carlise. P A 17013 on (Personal representative, if any, or counsel) /tn aLl- f/, (f ,2002. - 'G'~ j nlal~1 rt; .,L}- . (Claimant) Traci L. Soos, Agent for the Claimant c/o Weltman, Weinberg, & Reis Co., L.P.A. 323 W. Lakeside Ave., Suite200 Cleveland. Ohio 44113 (Claimant's Address) m .J- RIW-16lXl9'Wi-OO) COMMONWEALTH OF REV -1 500 OFFICIAL USE ONLY " , PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN DEPT 280601 FILE NUMBER HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 2 1 - 0 1 5 4 8 COUNTY CODE YEA' NUMaER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURIT'Y NUMBER I- H. Orville Heisev z DATE OF DEATH (MM-DD-YEAR) TDATE OF BIRTH (MM-DD-YEAR) w THIS RETURN MUST BE FILED IN DUPLICATE WITH THE C W 513112001 1111812029 REGISTER OF WILLS () w (IF APPLlCABLE) SURVMNG SPOUSE'S NAME (LAST, FIRST, AND MlDDLE INITIAL) SOCIAL SECURITY NUMBER C Bertha S. Heisev w [8] 1. Original Relurn 02 SupplementClI Return 03 RliIr'nllinderReturn(da.teofd",9tl\~{i:lrto 12_13-82} ~ ~ S ~ 04 o4a. 05 '" ~ limiledEslate Future Interest Compromise (dale of death after 12-12-82) Federal Estale Tax Return Required U .. U w 0 0 [8]6 0 ~'" ~ 7. ...Q... ull: " Decedent Died Testate (Att<'lch copy of Will) Decedent Maintained a Uving Trust (Attach copy of Trust) 8. Total Number of Safe Deposit Boxes " 09 0,0 011 Litigatioo Proceeds Recei'leO SpousalPovarty Credit (data 01 death between 12-31-91 ancl 1-1-95) Election 10 tax under Sec. 9113(A) (Attach Sch 0) . .."....... .IS$EC1l'ION.M.....t.I!l~.....!!lMpru.........ED'.~ruL~SPONDEIllCli:W...'a'col'4f1ilElii1l'ijWt~'.'liQRM~Ni'li!iOl!lJ!ll'iliE_ij!j:~.t<l:.... , I- :I'll... ..... ........ .1.111...... .!il.... !OII....... .. ...... ..... ..... .. ...... .!!Illt...... ......'. .!I!i........!!....... !!.... . .., .... >-y, Z NAME w COMPLETE MAILING ADDRESS Cl Frev 5 South Hanover Street z Robert G. ~ FIRM NAME (If Applicable) Carlisle, Pennsylvania 17013 II> W Frev & Tilev '" '" TELEF'HONe NUMBER 0 U 717-243-5838 OFFICIAL USE ONLY 1. Real Estate (Schedule A) (1) NONE 2. Stocks and Bonds (Schedule B) (2) 14,210 3. Closely Held Corporation, Partnership or Sc\e~P(oprietorship (3) NONE 4. Mortgages & Notes Receivable (Schedule D) (4) NONE 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 25,673 6. Jointly Owned Property (Schedule F) (6) NONE Z o Separate Billing Requested 0 ;= 7. ..; Inter~Vivos Transfer & Miscellaneous Non-Probate Property ..J (Schedule G or L) (7) NONE ::l l- ll: TOTAL GROSS ASSETS (total Lines 1-7) 39,883 ..; 8. (8) &l 11,777 '" 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule \) 10) 147,591 11. TOTAL DEDUCTIONS (total Lines 9 & 10) (11) 159,368 12. NET VALUE OF ESTATE (Line 8 minus Line 11) (12) -119,485 13- Charitable and Governmental Bequests/See 9113 Trusts for which an ejection to tax has not been made (Schedule J) (13) 0 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) -119,485 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate .or transfers under Sec.9116 (aX1.2) X ,0 - (15) 0 Z 0 ;= 15. Amount of Line 14 taxable at lineal rate x .0 (16) 0 ..; - I- ::l D. Amount of Line 14 taxable at sibling rate .12 0 ::;; 17. x (17) 0 () >< 18. Amount of Line 14 taxable at collateral rate X .15 (18) 0 ..; I- 19. Tax Due (19) 0 200 iIJl~IIiB&&~Y__._IJ"ii1IIl!iIei~ >i~;B!;..SIlR!$;!1'~;'~t,lsWleR'~t:lll.if,ft,jeSl'j~~s.!:l~:B6'ileaSei:S\Qe;~D1iR!$li!;liIeli!;K'.M.li:1tiiii~i!!! '''YH'''' ,->- ,;;i;~;;;;f!iiJiih'''',-': I G - J. ~S - I 0 CI\ 217 , , Decedent's Com lete Address: STREET ADDRESS 17 Robin Drive H. Orville Heisey CITY Shi STATE Penns Ivania ZIP 17257 Tax Payments and Credits: ,. 2. Tax Due (Page 1 Line 19) Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) o Total Credits (A + B + C) (2) o 3. Interest/Penalty if applicable D. Interest E. Penalty 4. Total Interest/Penalty ( 0 + E ) 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 (3) o 5. If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check (4) (5) (5A) (5B) AGENT o o o to: REGISTER OF PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred; b. relain the right to designate who shall use the property transferred or its income; Yes o o o o o o c. retain a reversionary interest; or 2. d. receive the promise for life of either payments, benefits or care? If death occurred after December 12,1982,did decedent transfer property within one year of death without receiving adequate consideration? Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 3. 4. Did decedent own an Individual Retirement Account, annuity or other non-probate property which contains a beneficiary designation? [8] IF THE ANSWER TO ANY OF THE ABOve QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, o No [8] [8] o o o o DATE DATE A For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rste imposed on tlle net value oftrsnsfers to Of fOf the use of the surviving spouse is 3% [72 P.S. Section 9116 {a)(1.1 )(i)]. '0 ? 00--;> For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. Section 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 8: deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, Of a stepparent of the child is 0%[72 P.S. Section 9116(a)(1.2)1 The tax rale imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted In 72 P.S. Section 9116(1 .2) [72 P.S. Section 9116(a)(1)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. Section 9116{a)(1.3)] .A sibling is defined, under Section 9102, as an indlviduai who has at least one parent in CQmmo(\ with the decedenl, whether by blood or adoptiOn. AT , ftEV-1503~.+(1-97)(l) SCHEDULE B STOCKS & BONDS COMMONWEAL.TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF H, Orville Heisey All property jointly-owned with right of survivorship must be disclosed on Schedule F. FILE NUMBER 21-01-548 ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18, 19. 20. 21. 22, 23. 24. 25. 26. 27. 28. 29. 30, 31. 32. DESCRIPTION 700 shares ERD Waste, Corp, ERDlQ .. 50 shares AT&T, T' 16 shares AT&T Wireless, AWE' 14.592 shares Strong Enterprise Fund, SENTX" 1 000 shares Alcohol Sensors International, ASIL .. 30 shares LM Ericsson Telephone, ERICY' 63 shares Lonmin Public Ltd., LNMiY' 75 shares Lonrho Africa, PLC, LNAFY' 50 shares Lucent, LU . 10 shares Millennium Sports Management, MSPT .. 500 shares SCMP Group, SCPXF (No historic quotes available, Believed to have no value) 1000 shares Sports Media, SPTS .. 50 shares Stockscape.com, STKSF . 250 shares Viatel, VYTLQ" 2052 shares World Houseware, WHWRF .. 200 shares Aberdeen Asia Pacific Income Fund, FAX . 13 shares Agerre Systems, AGRB (no historic quote available, see statement of current value 1000 shares China Overseas Land & Investment Ltd., CAOVF" 25 shares Citizens Communications, CZN . 800 shares Globus Group, GBUS .. 40 shares Hearusa, EAR' 500 shares JNR Resources, JNRRF .. 21.9184 shares Hershey Foods, HSY' 20.5946 shares Lucent, LU' Allied Irish, AIB (25,358 shares as of 111102)' 4 shares Tyco ,TYC' 100,896 shares National City Corp, NCC' 4000 shares Lecstar Corp, LCSTW" 62 shares ANC Rentai, ANCX .. 300 shares Autonotation, Inc., AN' 16 shares Consygen, CSGI .. 88 shares Electronic Business Services, Inc., AEBSE .. 'All valuations for stocks noted by"'" are based on closing price reported by Wali Street Jour Copies of prices are attached, "See brokerage statement attached for stock valuation. VALUE AT DATE OF DEATH 1 1,059 286 371 4 192 933 15 394 1 o 3 9 o 43 798 20 179 372 o 65 23 1,329 162 554 230 2,956 528 186 3 ,495 2 o TOTAL (Also enter on line 2 Recaoitulationll$ (If more space is needed, insert additional sheets of the same size) 14210 AT . ~EV-1508'EX."(1-97)(I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF H. Orville Heisey SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-01-548 Include the proceede ollrtigallon and the dale the proceeds Wl.Ire r_ived by the estate. ALL PROPERTY JOINTLY-OWNED WITH THE RIGHT OF SURVIVORSHIP MUST BE DISCLOSED ON SCHEDULE F ITEM NUMBER 1. 2. 3. 4. DESCRIPTION VALUE AT DATE OF DEATH 25,000 165 556 -48 1992 Redman mobile home Evergreen Money Market Fund, see statement attached TO Waterhouse Account (t1dlbla Mt. Pleasant Acres), see statement attached Gruntal & Co. Brokerage Account (See statement attached) TOTAL {Also enter on line 5 Recaoitulation\ $ (II more space IS needed, insert additionai sheets 01 the same size) 25,673 AT REV-1511 EX,+ (1-97) (I) . . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATE OF SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS H. Orville Heisey FILE NUMBER 21-01-548 Debts of decedent must be reoorted on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Fogelsanger-Bricker Funeral Home 4,199 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Bertha S, Heisey Social Security Number(s) I EIN Number of Personal Representative(s) Street Address 17 Robin Drive City ShippensburQ Slate PA Z;p 17257 Year(s) Commission Paid: 2003 2,500 2. Attorney Fees 1,500 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Bertha S, Heisey Street Address 17 Robin Drive City ShippensburQ State PA Z;p 17257 Relationship of Claimant to Decedent Widow 3,500 4. Probate Fees 5. Accountant's Fees included wi atty fee 6. Tax Return Preparer's Fees included wi ally fee 7. Advertising, The Sentinel 78 TOTAL (Also enter on line 9 Recaoitulation)I $ 11,777 (If more space is needed, insert additional sheets of the same size) AT ~EV-151:lEX + (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERI1"A.NCE TAX RETURN RESIDENT DECEDENT ESTATE OF H. Orville Heisey SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-01-548 Include unreimbursed medical exnenses. ITEM NUMBER 1. 2. 3. DESCRIPTION Roxburry Holiness Camp vs. H. Orville Heisey and Bertha S. Heisey, 99-3323 Civil Term Bank of America, NA Account No. 00512009109534 MBNA America account no. 5329031673163745 AMOUNT 125,000 6,380 16,211 TOTAL (Also enter on line 10, Recaoitulation\ $ (If more space IS needed, Insert addllional sheets of the same size) 147,591 217 REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX REtURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER H. Orville Heisev 21-01-548 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSONISl RECEIVING PROPERT'Y Do Not List Trusteelsl OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (aJ (1.2)] 1. Bertha S, Heisey 17 Robin Drive Shippensburg, PA 17257 widow Life Estate 2. Aspen F. Heisey 229 Water Street Guelph, Ontario N1G1B4 daughter 113 of Residue 3. Adriel R. Heisey 1720 Placita Salton Tucson, Arizona son 113 of Residue 4. F ranees L. Drost 611 Greenspring Road Newville, PA 17241 daughter 113 of Residue ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 AS APPROPRIATE ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL. DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX 1$ NOT BEING MADE 1. None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1, None TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0 (If more space is needed, insert additional sheets of the same size) . WSJ.com Stock Charting for T 3/31/03 2:27 PM WSJ HISTORICAL QUOTES lli1n fJ ,CLOSE; .('Olt! Ds 2 Month (Daily) @8igCharts.oom Split-Adjusted Price 33.71 Adjustment Factor 0.63:1 '~ ' , 1"....I..I...;t:W/'..I.IIII.III.,.I.II....II... """"'i':: i .... ..... .,...... ....v....................,..,.. 34 . '. 33 .. ' 21.17 ' Get another quote any day after 11211970 Jun Symbol: 11211970 Date: 15/31/01 :lm9. 2mo ;lmQ QmQ. hi: ~ fu1. Copyright @ 1998-2003 BiaCharts.com Inc, Historical and current end-of-day data provided by FT Interactive Data, Read editor Ron Alsop's MBA Track column at CollegeJournal.com (('Iie!...r.) Copyright @ 2003 Dow Jones & Company, Inc. All Ri9hts Reserved http://wwW.bigcharts.com/custom/wsj le/wej bb- h [storleal, asp? symb=t&cI08e _date=5%2F31 %2F01 &x:15&y:3 Page 1 of 1 . WSJ.com Stock Charting for AWE 3/31/03 2:27 PM WSJ HISTORICAL OUOTES ~ 6 cLOSe, .emu U.S. Dollar 2 M:>nth (Daily) @'BigCharts.com 20 19 18 17 16 5131101 17.9 18.38 No Splits Get another quote any day after 11211970 Jun 11211970 Date: 15/31/01 Symbol: I~ll. 'J ii''H!,'::;(F 11I!Q 2mo ;lmQ QmQ ill ;w: fur Copyri9ht @ 1998-2003 BiaCharts.com Inc. Historical and current end-at-day data provided by FT Interactive Data, Copyright @ 2003 Dow Jones & Company, Inc. All Rights Reserved http://www.blgcharts.com/c u stom/wsj ie/wsjbb-h Istor I cal.asp?symb=8we&cIQS8_date=5%2F31 %2.FG1 &x=11 &'y=8 Page 1 of 1 . WSJ.CO'lll Stock Charting for SENTX 3/31/03 2:27 PM WSJ HISTORICAL QUOTES tk1f' ~ ,CLOSE: _('um 2 Month (Daily) @BigCharts.com ~.... mAfr~. .................,1. :2645 ....~............................. : .. No Splits Get another quote any day after 112/1970 ...It,.!n Symbol: 11211970 Date: 15/31/01 ~~~!I d*HimLr 1r!J.Q 2mo ;mm fun9. 1\!J: :ill !W Copyright @ 1998-2003 BiaCharts.cem Inc, Historical and current end-of-day data provided by FT Interactive Data, Copyri9ht @ 2003 Dew Jones & Company, Inc. All Rights Reserved http://www.bigcharts.com/c ustom/wsj ie/wsjbb-h Istarl cal, as p?sym b=sentx&close _date=5%2F31 %2FO t & x=11 &y=1 Page 1 of 1 WSJ.com Stock Charting for ERICY 3/31/03 2:28 PM WS,J HISTORICAL QUOTES t:!ili! 6 ,cLose: .('nw Date ;H . 5131101 ;iLE \ijrm< "N"''''''ijif;4! 2 Month (Daily) @BigCharts.oorn Split-Adjusted Price 64.00 70 65 60 55 50 6.4 6.47 Get another quote any day after 11211970 JLln 11211970 Date: 15/31/01 1:'16+:1 '''''',.1., H.........llili........,'H . '"'' 1mo 2mo ;lmQ QmQ ill :m ~ Symbol: Copyright @ 1998-2003 BioCharts.com Inc. Historicai and current end-ol-day data provided by FT Interactive Data. Copyright @ 2003 Dow Jones & Company, Inc. All Rights Reserved http://ww w. b i 9 c harts. c 0 ml c u s to m Iw 8 J i e/w 5j b b- h i 8 t or i c a I. as p? s y m b =8 r i cy & c 10 Sft _date=5%2F31 % 2 FO 1 & x = 2 5& y= 7 Page 1 of 1 WSJ.com Stock Charting for LNMIY WSJ HISTORICAL QUOTES t!f!n 6 ,CLOSE. I J'IInl 3/31/03 2:28 PM 2 Month (Daily) @8igCharts.com !~:: Split'Adjusted Price 1.7 .63 Adjustment Factor 0.84:1 Get another quote any day after 1/211970 ...hJtl 11211970 Date: 15/31/01 ~~g "i>.,;:,..,,,'" . .."". 1rn9. 2mo ~ 6mo b1 ~ W Symbol: Copyright @ 1998-2003 BigCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data, than that which is perpetrated under the shield of law and in the name of justice,"-I]I~ -I:HOJS ;je Sercn:a! ~;arO!i" M:I-tEsquiEl, '7~Z (CLlC~, HERE TO OROER) Copyright @ 2003 Dow Jones & Company, Inc. All Ri9hts Reserved http://www.bigcharU.com/c U $to m Iw s j ie/w $ i b b- h Is tor I c a I. a 8 p 18 Y m b = I n m I y & C I 0 8e _d at 8=5 % 2 F 31 %2FQ 1 &. x::2 3& y = 12 Page 1 of 1 . WSJ.com Stock Charting for LNAFY 3/31/03 2:29 PM ~ WSJ HISTORICAL QUOTES t:@!Q 6 , CLOSE! A'Oln 2 Mlnth (Daily) @BigCharts.com 0.21 0.20 Get another quote any day after 1/211970 112/1970 Date: 15/31/01 ~~.JI ;i~~g\!r Jun 1 mo 2mo ;mm. ~ 1JLl: ;w: 1m Symbol: Copyright @ 1998-2003 BiaCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data, i\l lasl..,Hw (jefming business tjook of the decade IS r18re," --James B. Stewart. author 01 Den of TlIiel1tls ;r.:".JCK r-:\:-J!.~ j'-J bUY) Copyright @ 2003 Dow Jones & Company, Inc. All Rights Reserved http://www . big c harts. C 0 ml c u s tom fw s j I e/w 8 j b b - h 1st 0 r I c a I, asp? s y m b = I n a fy" c I os &_ d a le= 5% 2: F31 %.2 F a 1 & x.= 13& y = 1 a Page 1 of 1 WSJ.com Stock Charting for LU WSJ HISTORICAL QUOTES tkill ~ CLOSE; .('Om 3/31/03 2:29 PM 5131101 2 M:lrrth (Daily) @8igCharts.com Split-Adjusted Price 6.41 9 8 Adjustment Factor 1.23:1 7 6 5 Get another quote any day after 11211970 ..Jun Symbol: 11211970 Date: 15/31/01 L~ :,,,;,.;;.,,,,,,,, .........,.".,... 1mo 2mo 3mo QmQ .lli: ;2)lr ~ Copyright @ 1998-2003 BioCharts.com inc. Historical and current end-ol-day data provided by FT Interactive Data, lJnlil no\\'", no sin'Jle book has captu d Sandy \Neill's bo u nd less en erg',!. street-sJ',}v)' I ntellect. and tOV,,I8 !11l'0 a rnb!tlCin " --Oljan BurrOLyh, cuuuthar at IJarDa",ms allllt' GMv ;c:..I(;K dl;" i:J bU'(: CoPyri9ht @ 2003 Dow Jones & Company, Inc. All Rights Reserved http://www.bi9Charts.com/cust om/wsJ le/wsjbb-h i storlcal,asp? symb= lu & cl oS8_date=5%2F31 %2 FO 1 &X=24&y= 12 Page 1 of 1 . WSJ.com Stock Charting for STKSF 3/31/03 2:30 PM WSJ HISTORICAL QUOTES I::i.S1J;l ~ . CLOSl.: : _nllll 2 Ivtlnth (Daily) @BigCharts.com 0.17 5131101 0.16 0.15 Get another quote any day after 11211970 Jun 112/1970 Date: 15/31/01 ~."'..._."'.I 1n~\~!ljl 1i:!JQ 2mo 3mo 6mo lie ~ ~ Symbol: Copyright @ 1998-2003 Bi~Charts.com Inc. Historical and current end-of-day data provided by FT Interactive Data, Copyright @ 2003 Dow Jones & Company, Inc. All Rights Reserved http://www.bigcharts.comlc u stom/wsj le/wsj bb-historical. ~sp? symb=st kat&clos8_data=5%2F31 %2 F01 &x= 1 8&y= 1 0 Page 1 of 1 . W5J.com Stock Charting for FAX WSJ HISTORICAL QUOTES !::@ill Ii : CLOSE: .rum 3/31/03 2:31 PM 2 Month (Daily) @8igCharts.com 4.1 4.0 3.9 Get another quote any day after 11211970 Jlln Symbol: 11211970 Date: 15/31/01 ~ ~ 1!:nQ 2mo JrnQ 2!lli! m ;lJa fu1: Copyright @ 1998-2003 BioCharts com Inc. Historical and current end-of-day data provided by FT Interactive Data, Copyright @ 2003 Dow Jones & Company, Inc. All Rights Reserved htt P :lIwww .bigc harts. comIc u stom/wsj le/wsjbb-h I stor lea 1.8sp?sym b=fax&cJOse_dste=5%2 F31 %2 F01 &x: 14&y= 15 Page 1 of 1 .WSJ.com Stock Charting for CZN 3/31/03 2:32 PM WSJ HISTORICAL QUOTES lli:ill G . ClOS!: ~ .CHIIl Date.. 5131101 F'Ii' kEF!!; niWmmmli U.S. Dollar ,," "'""", 2 Month (Daily) @8igChart:s.oom 14.86 · 16 15 No Splits 14 13 12 Get another quote any day after 11211970 112/1970 Date: 15/31/01 (if~.'.::I ,w"'"~''' 1mQ 2mo ;knQ ~ m ;W ~ Symbol: Copyright @ 1998-2003 BiaCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data, ScriOllS alloulllusillcss sellool? Copyright @ 2003 Dow Jones & Company, Inc. All Rights Reserved http://www.bi9Charts.com/custom/wSjie/wslbb-historlcal.1I8 p? s y m b :czn&close _de le= 5%2 F 31 %2 F01 a.)( =19 & y= 5 Page 1 of 1 . WSJ.com Stock Charting for EAR 3/31/03 2:33 PM - WSJ HISTORICAL QUOTES 1::!f!fl 6 ~ cLose: .rom m'''''M..''''m.''.''...''''''''m.''''.''m~~,t::t~!52"", U.S. Dollar 2 M>nth (Daily) @BigCharts.oom 1. 75 5131101 1.50 No Splits 1.25 Get another quote any day after 1/2/1970 Jun 11211970 Date: 15/31/01 litl=1 '1'~LH1,> 1lJJQ 2mo arrw. 21m. m ~ ~ Symbol: Copyright @ 1998-2003 BiaCharts.oom Ino. Historicai and current end-of-day data provided by FT Interactive Data, Copyright @ 2003 Dow Jones & Company, Ino. All Rights Reserved http://w w w. big c hart $. com leu s t 0 m/w all elw s J b b - his to r I c a I. 8S p? sy mb =8 ar & close_date: 5% 2 F 31 %2 F01 &.]1: =2() &. y '" 14 Page 1 of 1 'W'SJ com Stock Charting for AIB WSJ HISTORICAL QUOTES t!ili' fJ ,ClOS~ i _cmu 3/31/03 2'37 PM : 5131101 , ." .,."" W"'. ..,..". '".. "." ,,,,'w,, "W"ww ,..".."''''".",......,,,_~NYSE :D 2 Ivbnth (Daily) @8igCharts,oom No Splits mm.......nn.m..."........................"".m...............r" .; .. , ; " , : ...".,... .,......,.,.. ......".. , ..,.......23 , l" I :;#}.i...~ ~i" :t-V 21 21.85 : Get another quote any day after 11211970 Jun Symbol: 1/211970 Date: 15/31/01 1.!:l:!Q 2mo .3m.Q funQ m ;m ~ ..... ."'r'~~,"".... ."...~..~w.~"'~_..~...~..~'"'.~___ ..,..,~___"w.._~_.__..~N___..~N_~.,=__ Copyright @ 1998,,2003 BiaCharts com Inc. Historical and current end"ot-day data provided by FT Interactive Data, Copyright @ 2003 Dow Jones & Company" Inc. All Rights Reserved http://www.bigcharts.com/c ustorn/wsjie/wsjbb-historical. asp?sym b=aib&sid=8630&clos8_date=5/31/01 Page 1 of 1 'WSJ.c'om Stock Charting for HSY 3/31103 2:38 PM WSJ HISTORICAL QUOTES ~ 6 ,CLOSE, _fOll! 61 2 Month (Daily) 60 No Splits 59 Get another quote any day after 112/1970 Jun 1/211970 Date: 15/31/01 Symbol: li!i~1lI """,w,ll';'i"" 1!!JQ 2mo J!:nll fulli! hi: ~ ~ Copyright @ 1998-2003 BioCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data, No reporter is braver, more tenacious, and more effectilJl: than Dorothv Rabinowitz." t,at t'tntorf (CLlO\ HI..RE TO OflOER) Copyright @ 2003 Dow Jones & Company, Inc. All Rights Reserved hit p: IIwww.bigcharts.com/cu81omfw8Iie/wslbb-historical.lI8 p? 8 Y m b = hs Y &c 10 ae_ Cla te= 5 %2 F31 % 2 F 0 1 &.)l. = 5 &y =9 Page 1 of 1 .WSJ.cOm Stock Charting for TYC WSJ HISTORJCAL QUOTES !:k!J;1 fJ . CLOSE i .('om 4/1103 12:49 PM U.S. Dollar W.",";l'.i',,-H,.. 2 M;mth (Daily) @BigCharts.com 5131101 57.45 No Splits 58 56 52 Get another quote any day after 11211970 Jun Symbol: 11211970 Date: 15/31/01 [16,+:1 ,~ '- ; ; at iu[.[,,!1l:.! 1m2 2mo ~ Q!1!Q m ;m fua: Copyright @ 1998-2003 BiaCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data. 1\1 lasL,the defining business bc'ok of the decacle IS r18m," --James 8. Stewart, author 01 Den of Tl1ieves ;t..:',..Ir,.;r'; .:-:!:l';=, I:.J bdY; Capyright @ 2003 Dow Jones & Company, Inc. All Rights Reserved http://www.bigcharts.com/c u stom/wsj le/wsjbb-h i storlcal.asp? aymb=tyc&c rose_date:5%2 F31 %2F01 &x=8& y= 11 Page 1 of 1 WSJ.oOm Stock Charting for NCC WS.J HISTORICAL QUOTES t:!.s:!.t2 G CLOSE, J'OIl1 4/1103 12:48 PM . Date. 5131101 2 Month (Daily) @8igCharts.oom i~. ..;{ 30 rP\J : Jun No Splits Get another quote any day after 11211970 Symbol: 11211970 Date: 15/31/01 [~ ',..........-. '." .....',..N 1mo 2mo ~ 2!nQ m ;m fu'r Copyright @ 1998-2003 BiaCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data. Copyright @ 2003 Dow Jones & Company, Inc. All Rights Reserved http://www.bigcharts.com/custom/wsjie/wSj bb-hi slorical.asp1symb=ncc&si d=8630&close_date=5/31/01 Page 1 of 1 'Wl?J.cOm Stock Charting for AN 4/1103 12:49 PM WSJ HISTORICAL QUOTES ~ 6 . CLOSE; .('mtl 5/31/01 2 Month (Daily) @8igCharts.cQm 11.65 12.0 11. 5 11. 0 10.5 10.0 Get another quote any day after 11211970 Jun 1/2/1970 Dale: 15/31/01 1rrJQ 2mo ;llJQ !l!llil. ill ;m !W Symbol: Copyright @ 1998-2003 Bi9Charts.com Inc. Historical and current end-of-day data provided by FT Interactive Data, ScriOllS allOU lllllSillCSS sellool? Copyright @ 2003 Dow Jones & Company, Inc. All Rights Reserved http :f1www.bigcherts.com/cu stom/wsj le/wsj bb-h Istorical.8Sp? sym b=a n &c I oS8_d ate=5%2F31 %2F01 &x= 1 S&y= 11 Page 1 of 1 'WSJ.~ Quote Results for AGERE SYSTEMS INC. CL B _ BRIEFING BOOKS mE WALL S'ftlmf JOURNAL. 4/1103 12:53 PM COMPANY RESE.c Last 1.50 Change 0.00 % Change 0,00% Open 1.50 High 1,52 Low 1.48 We are unable to find, symbols matching your request Bid N/A Volume 922,600 Ask N/A Prior Day's Close 1,50 Prior Day's Volume 1,790,200 ,:':';.::';;::':",;,,:,';::',::',;::;;;.>::.;.;::;::::;::::';'::>::;i<'<::;;':\:n:m:;;,<);':ilm:jiUli(;:;':J;::a,li;;:';n:;;:;:m:;;;;iiF'>>>;;;:mimdiHl{;niil1l'di;:i;iE;nHPu::iii U.S. stock prices on NYSE and AMEX are delayed 20 minutes or more, Nasdaq prices are delayed 15 r * 3 months Press Releases more March 31 Amoisonic Selects Agere Systems' GPRS Wireless Chipsets and Software to Deliver Enhanced Data Services in Mobile Phones Historical Quotes Find a Security's closing price on any day after 1/2/1970 ( 1/2/1970) Symbol: I Date: I Help III Source: BigCharts For inquiries about this page, see Help Dr email us. Corrections Contact Us Help Account Information About Dow Jones Mobile Dev E-mail Setup Privacy Policy Subscriber Agreement Copyright @ 2001 Dow Jones & Company, Inc. All Rights Reserved .~Iif ~ h t t p: fig n 11 n II. w.j. com Itaf ka III la u th 1m da/m d'. C Ill? r outa.. e 0 E Hat. III pI alt. c om pa n y-r.... rc h- pr I nt& II III b' II uo U" pu r c h II 118-le III p late_.:: 0 III P a ny .reRaga y ~ b c:0t m2 .~ &11II Investment Report April 1, 2001 through June 30, 2001 Account Number: 076-7600632505 GIUSI Strong Investments, Inc. P.O. Box 2936 Milwaukee, WisconSin 53201 FIRSTAR BANK NA CUST H ORVILLE HEISEY ROLLOVER IRA 17 ROBIN DR SHIPPENSBURG, PA 17257-9484 1.,.111...1,.1,1.1,1.1..,11,1.,.1..11..1..1..1...111...1.1.1,1 Phone: Automated line: Internet: 1-800-368-3863 '-800-368-' 050 www.5trong.com ~ Strong Funds: Rollover IRA Strong Enterprise New retirement and college tax law changes may impact you. Find out how you can benefit from them by calling Strong at 1-800-368-3863. TOTAL ACCOUNT VALUE As of June 30, 2001 $370.72 CHANGES IN YOUR ACCOUNT VALUE ACCOUNT HISTORY Beginning Balance (4-1) DepOSits Withdrawals Total Income Gains/Losses $338.13 000 0.00 0.00 32.59 $750 $500 I..........:..:.........'... .Iil.i!i d. ..iil!........:... :'".., .",.:-;., ';'''';-:~'. ,":':'~:.:' ..;i:::;:-: :,:;;,:;' ',:,,':" :g,._, $250 ;Ii'~: .;&[ '. nm: . -m;! . :Wi, y;):;; ~~i!, ~:<, :,:::::':': ':;"':, ,::c;;:': ':::'~:" $0 ",:.",,:!: :., 9-00 12-00 3-01 6-01 Total investments (deposits less withdrawals plus dividends reinvested) . Total account value INCOME SUMMARY This Period Year~to-Date Dividends Taxable $0.00 $000 T ax-ExempVDeferred 0.00 0.00 Capital Gains (paid by holdings) Short-Term 0.00 0.00 Long-Term 0.00 0.00 Total Income $0,00 $0.00 CURRENT ASSET ALLOCATION . Domestic Stock 100.0% International Stock 0.0 Taxable Bond 0.0 T akFree Bond 0.0 Cash and Equivalents 0.0 100.0% (cont'd on back) Page 1 of 3 11979r6-1-13672 347 Strong funds 24-hour ACCOUNT INFORMATION 1-800-368-38630< 414-359-1400 For Quotes, Balances. and Transactions 1-800-368-1050 Telecommunication Device for the Hearing Impaired: 1-800-999-2780 or 414-359-3700 HOW TO INVE5T 8yM.;1 To add to your account, send a check or money order payable to Strong along with the Investment Form that is included with this statement. Please see the minimum investment requirements for each Fund in the appropriate prospectus, or open an account by participating in the No Minimum Investment Program. By Express Purchase"- or Wire After an account has been established, you may purchase additional shares by Wire, via computer, or by telephone. Please call Strong at the number listed for details. By Exchange You can add to an existing account or open a n~ account by exchanging from one Strong Funds account to an identically registered account. Please see the minimum investment requirements for each Fund in the appropriate prospectus. The fund may modify, suspend, or terminate the exchange privlJege at any time. By Payroll Direct Deposit Each pay period, you can automatically transfer all or a portion of your net pay to your Strong account. This eliminates the delay of depositing paychecks in your bank and then sending Strong a check through the mail. By Automatic Exchange This plan lets you automatically exchange money from one Strong Fund to al)other on q monthly, quarterly, or annual basis. The minimum amount per exchange is $50. In Person You can visit our Investor Center at One Hundred Heritage Reserve, Menomonee FaJJs, Wisconsin 53051. Can ahead for hours of operation andlor directions. HOW TO REDEEM Written Redemption To make a written redemption, please send your request to Strong and include: . your account number, . the number of shares or dollar amount you want to redeem, . each owner's name as registered on the account, . your address, and . the signature of all owners as name(s) appear on the account. Redemption from Retirement Accounts Please call Strong to receive the appropriate distribution form to redeem your retirement account. Withholding of federal income tax, at a rate of 10%, is required unless you elect no withholding. To change or revoke your election, you must notify us in writing. If we do not receive notice from you, we will assume 11979<6-1-13673 347 you wish to maintain your current election. If your payment of estimated tax and withholding is insufficient, you may be subject to federal income tax penalties under the estimated tax payment rules. Redemption Option This privilege must be pre~authorized on your account before a redemption can be made. Please call Strong or visit the Investor Services area of www.Strong.com for a Shareholder Account Options Form. All account owners must have their signatures guaranteed to add this privilege to an account. SHAREHOLDER SERVICES . Express Purchase"\! . Automatic Investment Plan . Systematic Withdrawal Plan . Check Writing (for Money Market and Bond Funds) . Electronic Funds Transfer (EFT) HOW TO CHANGE INFORMATION ON YOUR ACCOUNT Name Changes If your name has changed, please caf! Strong to request the form needed to update your account information. Address or Telephone Number Changes If your address and/or telephone number has changed, please notify us in writing or calf us as soon as possible. For your convenience, you can use the Investment Form that is attached to this statement to update them. Please write your new address, telephone number, andlor e~maj/ address in the space proYided on the back of the form. A letter from you or a postcard from your post office is also acceptable. Signatures of all account owners are required to make either change. Changing Dividend Options You may change your E.>lection at any time by calling or writing Strong. 51GNATURE GUARANTEES A signature guarantee IS designed to protect you and the Funds against fraudulent transactions by unauthorized persons. In the following instances, the funds will require a signature guarantee for all authonzed owners of an account: . when you add the redemption or check writing options to your existing account; . if you transfer the ownership of your account to another individual or organization; . when you submit a written redemption request for more than $100,000; . when you request to redeem or redeposit shares that have been issued in certificate form; . If you open an account and later decide that you want certificates; . when you want redemption proceeds sent to a different name and/or ..'1ddress than is registered on your account; . if you change your name or add/remove an owner on your account; and . if you addlchange the beneficiary on your transfer on death account. The words .Signature Guaranteed" must be ~ stamped or typed near your signature. The guarantee must appear with the printed name, title and signature of an officer, and the name of the guarantor institutIon. Please note that a Notary Public stamp or seal is not acceptable. A signature guarantee may be obtained from any eligible guarantor institution as defined by the Securities ad Exchange Commission. These institutions indude banks, saYings associations, credit unions, brokerage firms, and others. 5TRONG ONUNE Visit our website at www.Strong.com for fund, account, and educational information. VERIFICATION OF ACCOUNT STATEMENT5 You should contact us in writing regarding any errors or discrepancies within 60 days after the date of the statement confirming a transaction. The statement will be deemed correct if we do not hear from you within those 60 days. NOTES ABOUT YIELD INFORMATION FOR THE STRONG FAMILY OF MUTUAL FUND5 ONLY Yields are annualized. Performance is historical and may not be representative of future results. With the exception ot the money market funds, the funds' net asset values will vary, and you may have a gain or loss when you sell shares. From time to time, the funds' Advisor may voluntarily waive its management fee and/or absorb certain expenses for a Fund, resulting in higher returns. For Money Market funds: An investment in the funds is neither insured nor guaranteed by the Federal Deposit Insurance Corporation or any other government agency. Although the funds seek to preserve the value of your investment at $1.00 per share, it is possible to lose money by investing in the funds. 5PECIAL NOTE An audited year-end financial statement as of November 30 for Strong Investments, Inc., the Funds' distributor, is available for your inspection and will be mailed to you, free of charge, upon your written request. Please write to Strong Investments, Inc., P.O. Box 2936, Milwaukee, Wisconsin 53201. Sharehold&r Rights Upon request and without charge, we will furnish you with a statement of certain fegal rights associated With the shares of the fund. Those rights include the designations, relative rights, preferences, and limitations applicable to each series and class of shares of the Corporation. The Board of Directors of the Corporation is authorized to determine variations for different series or classes of unissued shares, and to redesignate any existing series or classes of issued shares of the Corporation. With respect to the Advantage, Bond, Corporate Bond, Government Securities, and Short-Term Bond Funds, if no class of shares is designated, they are Investor Class shares. Adv = Advisor Class Inst = Institutional Class rev CPP04Q1 (cont'd on next page) Page 2 of 3 " ,...,~~!ll;..."IIITI ~-:-'"...._..~ .~ BEE Investment Report April 1, 2001 through June 30,2001 Account Number; 076.7600632505 Phone !\UiOnldtf":,d line 11111::'["[lel 1-81J1I-JC8-38CJ :-800-jC8-] Ol)() INWW,:) lJOn~_J_con) FiRSTAR BANK NA CUST H ORVILLE HEISEY ROLLOVER IRA Strong Funds: Rollover IRA, cont'd CURRENT HOLDINGS Dt:'f(-"'lt :_.,1 Account Number Symbol Cost Basis \;~11/je un ,I I Valuf! on 6-30 I-In/din']> Domestic Stock Strong Enterprise 076-7600632505 SENTX N/A $338.13 $370.72 100.0% TRANSACTION DETAILS Date Shares This Transaction Sfure Price {)oK-Jr Amount lol,,! S/ldreo Owned Strong Enterprise SENTX Account Number: 076-7600632505 Beginning Balance (No activity this period) Ending Balance 4-1 $22,1 $3J81:1 1':1-1\)6 6-30 $24.46 $370_72 1 S,l S6 !"J(JC' 3 ut -" Investment Form - Strong Enterprise To add to your account, enclose this form With your check payable to "Strong." The minimum additional Investment IS $50. Changing your address, phone number and/or e-mail address? 0 Please check thiS box, print your new Information on the back of this form and return It to Strong Investments, Inc., P.O. Box 2936, Milwaukee, Wisconsin 53201. Service: Strong FUrlci', Account Number: 07(,- 150IJC3Z',OS Registration: fiRS rAil 8ANK NA CUST H ORVILLE fl!:ISEY ROU.oVEi:: II{A Amount Being Invested: $ "'__"_'__'_. Tax Year of Contribution: _ '_'_."_'___"__~ (vVe wil!assume the current td\ ye.)r If nom, is indi,dledJ DD57bDDb325DD7b5D357bDDb325D 3-171197'),151 liGN .._IIII'I'I'.~' '11'1-' 1111' 111111'11~IIIIII~il. III IIIII II ~. ., 'nip ~111IIl111II'I1l1ll1llll _,.:..,_,,,,,,. ._.... . _'m__ .. ...." .,.m ,. __, This Page Intentionally Left Blank CU/rf.?nt Information: Please print any address/phone number changes here: Name IIRSIAR BANK NA CU5T II ORVILLE HEiSEY ROLLOVER IRA 1 / i\OBIN DR SlllrI'ENSBURG, PA 17257-9484 Address City State Zip Telephone E-maii address GRUNT1.\L & Co YOUR BROKERAGE ACCOUNT STATEMENT '""",Imen,A<MceSin<:eI88(J GRUNTAL & Co.. l.LC. One Liberty Plaza New York, NY ]0006.1487 Branch Toll Free Number 800-223-6813 'i 1 0-77.-7400 Member New York Stock Ellchonge Statement Period: through: Account Number: Phone Number: May 26, 2001 June 29, 2001 72T -098895 (717) 776-5594 Statement for the account of: Your Account Executive: ORVILLE HEISEY 17 ROBIN DR SHIPPENSBURG PA 17257-9484 N. DevrajlJ, Cipriano Gruntal & Co. LLC 1000 Northern Blvd, 2ND Floor Great Neck NY 11021-5312 (516) 773-7400 ID : G95 1.,.111.,,1,,1.1,1,1.1,..11.1,.,1.,11.,1.,1.,11.,.1,1.1"..111 ASSET VALUATION ACTIVITY SUMMARY Cash Balance Stocks, R(ghts, Warrants Total Brokera!!e Account Assets Total Assets This Period Value % of Assets 48,03- NIA .70 N/A $47.33- NIA Last Period Value % of Assets 48,03- NIA ,70 NIA $47.33- N/A Openin!! Balance Closin!! Balance Debits $48.03- $48.03- Credits $47.33- $47.33- N/A N/A MESSAGES PORTFOLIO REVIEWS ARE ESSENTIAL TO ENSURING THAT YOUR INVESTMENT PLAN PERFORMS TO MEET YOUR LONG-TERM OBJECTIVES. CONTACT YOUR ACCOUNT EXECUTIVE TO DISCUSS HOW CHANGES IN YOUR OVERALL OBJECTIVES, AS WELL AS THE NEW TAX LAW, CAN AFFECT HOW YOU INVEST, PLEASE SEE THE ENCLOSED COpy OF GRUNTAL & CO" L.L.C.'S OUTLINE NEWSLETTER FOR MORE INFORMATION. NEITHER GRUNTAL NOR ITS ACCOUNT EXECUTIVES PROVIDE TAX ADVICE, PLEASE CONSULT YOUR TAX ADVISOR PRIOR TO MAKING ANY DECISIONS. Page 1 of 4 .lit. Clearing Througl1 .....hl... Division 0/ Donaklson, Lulkio & Jenrette Sooulilies Corporati'J(l003 _ AOOQ30022 .... ~--_ Ooe Pershing Plaza, Jersey City; NJ 07399 ~ N003-DUPlEX 2f01 ~ - - - - - - - - - - - - - = - - -- = - -- - = - - - 0881 ""'-'.'Sa'!"f'9'ju3Wj'''''''1 L8v[-9000t AN ''l.lOA M.:lN ezeld ,{U:lqn :luQ .:)"1'1 '.OJ"1Y Wl.NfTl:la OOvL-fLL-91<; f189-fll-008 J.qmnN "J,i no.L q'UBJlI IN.3W3:J.VJ.S J.NflO:J:JV 3:0~3:)lOMg 'MflO.A. 0:) 1<y WlNffilQ a6uOlf)1<3 l:r<l4S ljXIA IMN .I<lCj~W .A.'MVWWflS NOUflHI'MJ.SIG GNV J.S3:'M3:J.NI 'GN3:QIAIG pO!.laJ S!lf.L .lva A s~lf.L lSOJ'IU! pUB spu'P!,\!U [BIO.L .mmu! pund A.uoW 00" 00- alqvxv.L 00. 00' J]qVXV.L UON ZOO W' JlqvwL 00. 00' a]qVXV.L UON 00'$ on sam.lRJas IIV -- IBlO.L Jwo:Ju/ anlvA IvnuuV lJ't.lVJt[ 00.$ 0'.$ SlUB.I.lBM. pUB Slqi'!'i'S](:lOlS fB1O.L HSV:J OIO~3 HSV:J oeo 0100' IIIO:J dllO:J 3.LSVM 0113 OOL UO!lVJ07 adA.L U/ An.lnJJS aUWJu/ pP1A. UO~ldO anlvA n!.lJ uO.l1d.UJsaa AmUvnO lUnOJJV /vnuuV palVW~1S'3 U'VD dV:JI^'a la't.lVW SlUBJJB M. pUB Slqa!H 'S](:lOlS SONIG'10H OnOdJ.'MOd ZO.$ 00.$ 00"$ 00.$ S~U!PIOH PUR.!Ila](JBW A:auow (B1O.L osn OLD'f W' 00' 00' 00' lO/fUt{) 8fLZ91lOSf S3A1I3S311 ,V.LldV:J 3:JNvn,v PP'A. PlaIA. .lva A S~lf.L awo:Ju/ JJuv/Vf/ a:Juvlvf/ 'JU!PU'3 .lJqrunN awvN pun.!! ;;va-or maun:J JlUO:JU/ pan.l:J:JV 8u"o/:J 8U1uadO A"nt1!1:JV luno:JJV .A.'MVWWflS GNfld J.3:)I'MVW .A.3:NOW 10/6Zf90 q:!nOJq.L 10/9Zf50 :pofJ'd 'ql )0.>1 568860. .LZL :J'qmnN lunOJJV A3SI3H 3TlIAHO t JO Z .lIBd 66CLOrN'AI!OAaSJa("Wl!ld5U!4Sled9UQ B lZOOEOOOY . EOOM!Il.!mdm::) sa!l!Jn;l9S 9l\aJuar 'II U'~jnl 'UOSPIl,!UOa)O UO'S'^la .''''l8d 4BnoJIU Bu!Je9l0 3dl~ ...-- ,-- ""....""'~~II'..'r.III~" '" ' ,_N' Account Statement for H ORI/ILlE HEISEY Account No. 001 00154158-6456 ,-;],:)~ May200f Securities Portfolio Assets Cash and money market funds Descrvtm Current market ~aiJe Estcunenl Est arm. "come y'e~'i'o) EVERGREEN CRT MONEY MARKET PORTFOLIO Interest Period 04/16/01 - 05/15/01 $164.81 $6.44 3.91 Total cash and money market funds $164,81 Curious how your securities are performing? The "Unrealized gain/loss" column tells you how much each stock has increased or decreased in value since you bought it (based on ecst ca~a;jUr ; by oU!slde services, which may not be complete). Revisions to this information (because at corporate mergers, tenders and o\t1er reorganizaTIons, for example) may be necessary train tlm t- t.r~ ,: ,,,I, your cost information or provide omitted costs, contact Your Financial Advisor. stocks and options Stocks coo, Current Current Unrealized 'i'ri Descr"thr Symbol #ofshares per share Totalcosl shaeprte maketvalJe ganlbss " "il: AT&T CORP T Acquired 09/01/00 50 $31.62 $1,638.25 $21.1700 $1,05850 - $579.75 ~-:-- 50 ,'~ ""0 Total Stocks $1,638,25 $1,OS8.50 - $579,75 $7.50 0.71 --- Total Stocks and options $1,638.25 $1,058,50 - $579,75 $7.50 0.71 ODD 09 070583152184250234 YNNNN NNNNN NNNNNNNN 000003 II ::[1<'1';-"'1 "1 I I Ii . !DOZ ABW 9gv9.9g~ V gWO WO'ON junoo:l\l A3S13H 311IhHO H JOj luaWalBlS lunlY.lO\f 17lO t, ~f)E:: OIlO,180d 13~8V~ LY'O$- ^3NO~ 180 N3388b3^3 ^'O lS3ml38 4"'0 9~/90 1>9, ~os ~SO OIlO,18Od 13~8V~ l.SO$ ^3NO~ 180 N338883^3 ON301^'O llS'e:) 9'/90 OllO,180d 13~8V~ 88-[$> 0000' ~ ^3NO~ 180 N338883^3 0183,SNV81 4seO 80/90 - 05 WWSO 88 '$ d800 n1V ON301^\a 4"'0 ,0/90 I,ll ~:.;.I,\ a:jJd t.ql~J::lSao ^ulUBnO lq,::e;;UBJl adilllun:tJJV "11(1 URla(l Al!A!l;)V 1111111~lllllllllllllllln IIII~I ~ IIII~ U~ ~III UI 'JOS!I\P\1' IBIOUBU!~ Jno.\ IOBlUOO 9SBald 'IUaWajlllS SI41 JO lunO:r.JB ,"0.\ 1i<,!pJetiaJ sUOjjsanb AUB aJlBij no.\ II 'no.\ was 01 palBJodJoOUI san~noas UOlun ISJI~ 6UIMOIIB JOI no.\ ~UBIU ,~.,.... 'T "._ e.,_' L" "",.._.~ ., ... ROAN/ML ;RS ASSOCIATES, L.P. 17 STATE STREET NEW YORK NY 10004 212-742-4200 212-742-4222 FAX SECURITIES STATEMENT 8073 2DA 8200 000793 000793 0866572 2001181 0 Acct # Customer Name 38406439 HEISEY H Period 05125/01 - 06129101 Page 3 of 3 Acct Type Quantity Description Positions Held.in Account Cost Basis Symbol Date Price Amount Current Price Market Value Est Annual Income Est Yield Equities Cash 4,000 WTS: LECSTAR CORPORATION EXP: 07/09/2001 LCSTW 0.132 528.00 Equities total market value: 528.00 528.00 ACCOUNT VALUE: .... Cost Basis not available at this time. End of Statement Important Notice: Effective on September 1, 2001, FiseN Correspondent SeNice5, Inc. ("FCS") legally will be merged into FiseN Securities, Inc. ("FSI"). FCS and FSI are owned by the same corporate parent. Like FCS, FSI is a NYSE member securities clearing firm, FSI is headquartered in Philadelphia, PA. The merger will result in enhanced products and seNices to the introducing broker dealers for which FCS provides securities clearing seNices and to the customers of all such introducing broker dealers. As the legal successor in interest to FCS, beginning on September 1, 2001, FSI will act as the securities clearing firm for your introducing broker dealer and for your account. There will be no change to your introducing broker dealer or to your investment representative associated with your introducing broker dealer. As part of the merger, it will be necessary to assign a new account number to your account. The FCS and FSI merger teams will work hard to complete the merger in a "seamless" and efficient fashion. If you have any questions about these mailers, please feel free to contact your introducing broker dealer or your investment representative associated with your introducing broker dealer. In addition, FCS's Customer SeNice Department can be reached at 800-525-5582 or 303-291-5595. All of US with FCS thank you for your business, and we look forward to our continued business association after FCS is merged into FSI. 1111\\\ \~\I 1I111\\III\~II\\1 Cleafll'1g SelVices Pro><ided by fiseN CCIle'&pcndent Seh,"'.:~ Inc Account carried with Fiserv Correspondent Sel\lices, IlK.. a member of the NYSE, NASD and other principal exchanges, ($100,000000 coverage SIPC plus Private Coverage) 5.479 'F~N Financial Network Post Office Box 1632 Richmond, VA 23218-1632 (877) 689-4796 Account Statement tor MT PLEASANT ACRES ATTN H OR\IlLLE HEISEY Account No. 072 DE05 5913-1903 June 2001 Page1of2 SECURITIES Investment Account for MT PLEASANT ACRES ATTN H ORVILLE HEISEY April 9 1997 - June 30, 2001 Current Investment Objective: Grow1h & Income + Conservative Portfolio Summary Vauecn Mar 31 VauecnJune30 Total portfolio value $0.00 $3,667.60 Thsperoo Change in value $3,667.60 Portfolio assets Vauem Ma 31 VauemJlJne30 Percent of tolal assets Stocks and options Total portfolio value $0.00 $0,00 $3,667.60 . $3,667,60 100.00 100% Assets allocation (portfolio assets) 'Ycur pert/olb nclJdes unpri::ed securitkls not reflected n ttle Pert/olb VaIJe D Stocks and options E\{N02 009242181180051133 VYNNN NNNNN NNNNNNNN 000002 S06~ -8,699030 UOON \unooO\l A3S13H 311,^HO H Nil\t S3H:J\t lNltS\t31d lW JOllUaWallllS lunooO\l (;jO(;a6Bd woz aunr slassy O!lOJPOd SUO!Jdo pue S>I:JOJS S~OOIS I.qI~J::lSao IOQWAS serelfJo# Q9'L99'C$ Q9'L99'C$ \tIN .\tIN on$ OOO~ '0$ oo'oafc$ ooon ~$ 00'9a~$ OOOO'C$ ~ al1&\la~W 8:J:Jdarews jU,wn:J lU<lJJIl:J \tIN \tIN \tIN \tiN \tIN \tIN \tIN \tIN (%)~~A aWO::H.-! UlIB"jS3 'Ul/E!"jS3 ONI NOll VNOlny N\t aa 9~ OOC <9 dl::JO:J 1'v'lN3C::1 :IN'v' XGN'v' ONI S301^~3S SS3NIsn8 OINO~10313 ONI N38ASNOO 1850 3S83V suondo pue 8>10015 letOl 8>100lS lelOl "8111M ~IOj:llld IBjOl JmA ~ pepaU8J lOU S! Ii1!m:)<}S pa::udun S!1l1. ONI S3::JIM::1:3S 00'0$ SS3NIsn8 OINO~10313 00000'88 .::ltll13SSV 4seO ~ ~/90 ------- 00'0$ ::JNIN30ASNO::J 00000'9 ~ .:11:111355'1 4seO ~ ~/90 -- 00'0$ ONI NOll'v'NOlnv OOOOO'OOC ,~l13SSV 4seO ~ ~/90 -- -_.-----. 00'0$ d~W WIN3~ ONV 00000'<9 .::ll::J113SS\t' 4se:) ~ ~190 jUrowV 81Jd LqI~J:)saO AuJlffino LqPllSUEll a~llUOOJ:J\;I area (!1l1aa Al!A!lJY 11111 1111111111 111111111111111111111111111111111111 III (HI s<sooo ??oo GFB SECURITIES, INC. MEMBER NASD H.ORVILLE HEISEY 17 ROBIN DR SHIPPENSBURG P A 17257-9484 1",111",1"1,1,1,1,1",11,1",1"11,,1,,1,,1,,,111,,,1,1,1,1 Asset Summary Cash Balance NET BALANCE il4/SO/0f Previous Period 0.00 0.00 ClI"'..rall"'Allent: CI UC OPlH'ohelmer AllivlslonotClBCWorld MarkehCorp. One\VorldnnanclalCenter 211l1LlbertyStncl Ne\\Vork,N..",York 111281 (212)667-7000 Page 1 of 4.7J7 06/29/01 A~<ount This Period ~ 0.00 0.00 Equities 100 5,00 2,00 TOTAL ASSET VALUE $5.00 $2.00 10011 . Isn~l There is No Income Summary For This Period CLIENT ACCOUNT STATEMENT 2 'Account Number 636-10073 Y OlJr A<<oolll 'Executiye fELSON REYES - 801 (908)322-6626 61t1@Siltviiiiivi\ilfAcliiiiliil G.F.B. SECURITIES INC. 12 fEW PROVIDENCE ROAD SUIlE 201 WATCHUNG, NJ 07060-5014 Prior Statement 04/30101 Period Ending 06129/01 ALL FUNDS & SECURITIES ARE LOCATED AT crnc WORLD MARKETS CORP. THE CORRESPONDENT CLEARING DEPT, CAN ANSWER QUESTIONS ABOUT YOUR STATEMENT AT (212) 667-6715. There is No Cash Activity For This Period Investor information and a brochure describing the NASD's Public Disclosure Program is available through its website at www.nasdr.com or by calling the Program's Hotline at (800) 289-9999. For additional information please contact your CIBC Oppenheimer Account Executive. ITEMS FOR ATTENTION Description Quantity Coupon MessaKe There Are No Assets Due To Mature or Expire Within The Next (60) Days ft '-J printed on recych;d paper Cash and securities held by us in your dient accoont(s} are protected in two ways. Through 00' membefship in SF<: (Securities Investor Protection COIp), pmtaclion is prO\lided up to $500,000 of which as much as $100,000 can be in caslt The firm supplements this by providing similar protection for the r!lmarnclar of the cash and/or securities that we hold on ynur behalf. ThiS statement shall be conclusive If not oblected to In writing within ten days. Please addless all comm.Jnicatlons to the film and not to Individuals. Address c!1anges or other material changes on your account should be directed to the office serving your 0CC0l,mt. We recommend that you retain this statement to assist you in tax reporting activities. 8420-Y-02S-01MM-QO002-NlNVI-)(XX-02 004137020100 INS_ OPC.AI 1<', ";'1" 1',,.,, M\H ~,I 'i~_~~U__U !-=-~,_I::,E:,j~I_(\Eil'X' y," I"" ..."Ie-,""." ".11 (-h"llI ",'"h 5,il'<-;," ',d'.d,;,', 10.-;, 1'1-. Ii,,: i"':.'-;", ,,'" .:.-Ii' IIlb,. KC'L'ul'''' .,.,.",!', ",,,,,,", ,,"i,-, "'"'1"1"..,,, """'I''''''L Jl,-"'-"L",I '''''''''''" o!I"',,"'-"" prn,,,p"',-, I",,' ,.,,1, '.I'.;"',,'li,,', "',--;,,,; 1': ",.. '''''''''''1'''''' II'",",.., I~ ;om!oP' ,L11'-"""lH ..I "lln<,,' "I'''''' '"I'L''''I''' ;,,,']d;,'" "op'l ,,,'dl,,'.i1," ,," LI" d." "!,,, "i""",.,. "''I Pj""'",,_",,ILLdL]","1i ,,'I.'u'.lr, P" ,",,", ",,' b" hit, I, 'I "" ~'Il,ne'" ,,' 'liT\' H'''' I.",,:,. _\I:,!",,,,\,",,],,,,,,, 1,1] i,,,ld,," "" ,"_IIU'-1..-'" ,k'"",,,~,,,,,, ,"i11 h, ,,,10,,,,, .." ",",,,,1 ,,,1,,,,,",,,,,,, ,. 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'nu".,",,'" way "0' g,'''",,,,,' ''''''Il'e'''' dllr;ng ","";,, mOllli" RKl'IRE\IENT ACCOl''''ll'Li\r-' st'MMARY I'or [J!A UT KHJG11 K{'OlJl\l< 11\"1 ;0'" "Il,t<xl;,'d al ("!HC World Ma<h" ('m-p !h;, .,<',:""" relk,,, we cumu!at;\'l' IOta!, fOI anv ,'n"u-ihu'""" n'CC,veJ or c1J,trihuUon, p";,1 hlf ~]e currcnl,a, weHas tI,,, prin, yca, . (I!.Y,12l99J OPCPA43 OPCOO4(l(; GFB SECURITIES, INC. MEMBER NASD H.ORVILLE HEISEY 17 ROBIN DR SHIPPENSBURG PA 17257-9484 Portfolio HOldings Equities Common Stock Clear:mct' Aeent: nile Oppenheimer A I>h'hron 01 CIBC World '1arkelsCorp. One World FinandalCenter 2011 L1ber1}' Street New \'ork, "'ew York 10281 f2121667_7000 CLIENT ACCOUNT STATEMENT ALCOHOL SENSORS INTERNATIONAL (N) LTD 1,000 100.00 Page Account Number Account Executive Period Ending Description Account Type Quantity CASH 2 OF 2 636-10073 NELSON REYES - 801 06/29/01 Symbol Current Price Estimated Annual Portfolio Yield Income Percenl Current Value Exchange ASIL ore 0.00200 2,00 SUErTOTAI.. CX/IIIItIOH srOCK...........,...............................................................................,................. 2.00 CQt.lt<<)N STOCK HJLDINGS SUMMARY BY IHCU5TRY COOE (N) 100% PUBLIC SERVICES Current Value ~H'.\,d ~nnual _110 ... e...... .. ......llCom&.. Percent $2.00 so fOOl .... THIS IS THE EtI> CF Y()IJt STATEMENT. WE THANk YOU F(Jl BEING A VALIS) CLIENT. .... . ISIP.c I " \..1 printed on recycled paper Cash and securities held by us in your client account(s) are protected in two ways. Through otX membership in SPC (Securities Investor Protection CorJ:!), protection is provided up to $500,~ of which as much as $100,000 can be in castL The firm supplerTl!lflt~ this by proyiding similar protec;:lion for the remainder of the cash and/~ securities that we hold on your behalf: This statem.ent s~a" be conclusive If not oblecteo to. In .writing within .ten d~ys. Please addr~ss aU commur1lcatlons 10 the f.rm and not to individuals. 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"o-u on.., OZ.... Z"'Z .....0 ill~U '" >- Z< IXOE ::>... 0....'" UO "...>- .... ... -' "'...'" 00 >-w>- .... -' l1. "'VI EILJc:JZ O::.!\.L.O U<< ... o-Vl.... ... WVI OOVlW z....z:::a wO' 0"'l1. "'IUX>- u...z "'IX C 00" >-I.LQ:LU ...> LLWXc:C I-ItI:lW:z: ,; -' IU '" IU U Z H VI l1. '" o lX o on z o ... ....... ~z IU ... . 0... UN "'...'" ctlVlO:,., L&JHW\G QDi::EI o <... "'0< '" OICI&JLL.-a EOI "'''' 0 to4VJ~C >ZZClO Cl'o-ct QUIQr-t o N .. ~ ... N '" "- AtB~ ACCOUNT NUMBER 5329031673163745 AMERICA- BALANCE $16,349.29 H, O. Heisey 17 Robin Dr, Shippensburg, PA 17257-9484 1...111",1..1.1.1.1.1",11.1...1..11..1..1..1...11I",1,1.1,1 To: From: Date: Subject: The Estate of H. o. Heisey Estate Department July 27, 200 I Account Infonnation Please accept our condolences on the loss of H, O. Heisey. A brief fonn is attached that will provide us with important infornlation regarding the administration of the estate. Please take a moment to complete this fonn and return it to us in the postpaid envelope provided, or you may fax it to (302) 458-0644. * We would like to infonn you that the above account is closed, Our records indicate that as of June 30, 2001 the balance is $16,349.29. [fyou have any questions, please call 1-888-723-6262, Monday through Thursday from 8 a.m, to 9 p,m., Friday, 8 to 5, or Saturday, 8 to noon (Eastern time), Estate of H. O. Heisey 17 Robin Dr, Shippensburg, PA 17257-9484 Account Number: 5329031673163745 Balance: $16,349,29 Name of Attorney or Executor: Rbbe..rt G, -fy-~ Address of Attorney or Executor: 5" 5, f-fc-"'-Cl.i"-' Sf', Cc-r\\'<,\~ G"I"\- ((0/'3 ~ I Telephone No,: 71 "7 - 2 il3 ~ <("'T.s 8' Date of Death: 51~ 0 I Estate Case No. (if applicable): ;(0<) I ~ S- 4 ({ Coun~y Filed: c..... ""'- \:,....rt....."'-~ (.,,,.,...'f']) r.....'V\5 fv?-.........~ **This fornl does not need to be completed for accounts wIlh no outstandmg oalance, 7 A 0004 43560 V06 0000297.2071729 ESTl -- ",,:-,,', ,'" -, '-,' '> ""-'-::;:- ~ Sow'ce Code: EST 10727 "." '.. . .' . - M.ETrE, EVANS &. WOODSIDE A PROFESSIONAL CORPORATION ATfORNEYS AT LAW JEFFREY A. ERNICO DIRECT DIAL (717)231-5206 340 I NORTH FRONT STREET P.O. BOX 5950 HARRISBURG, PA 17110.0950 E~MAlL ADDRESS jaernico@mette.con IRS NO. 23.1985005 TELEPHONE (717) 232-5000 FAX (717) 236-1816 http://www.mette.com August 17,2001 Robert G. Frey Frey &_ THey 5 South Hanover Street Carlisle, PA 17013 RE: Estate of H. Orville Heisey, Deceased Dear Mr. Frey: This office represents Roxbury Holiness Camp which is a creditor of H, Orville Heisey and Beulah S. Heisey pursuant to a Promissory Note of July 24, 1998, also entered as a Judgment in the Court of Common Pleas of Cumberland County entered on June 2, 1999 to Docket No, 99-3323. The amount of the original judgment was for $213,722.02, and the current unpaid balance of that debt is $125,000, as of August 15, 200L Kindly note for the record a claim by the Roxbury Holiness Camp against the Estate of H, Orville Heisey in the aforesaid amount. Of course, any plans for payment or other comments which you may have with regard to the said claim would be appreciated. Thank you for your kind attention. JAElmjb Cc: Eugene Heidler " r ~ LAST WILL AND TESTAMENT OF H. ORVILLE HEISEY I, H. ORVILLE HEISEY, of West Pennsboro Township, (R. D. # 1, Box 360, Newville).. Cumberla.nd County, PennsylVlania. being of sound and disposing mind, memory and understanding, do hereby declare this as and for my last Will and Testament. 1. I hereby revoke all previous testamentary dispositions made by me. 2. I direct my Executrix or Executors to payout of the assets of my estate all of my legal debts, my funeral e.?tpenses, and all costa of administration of my estate. 3. All of tbe furniture and household furnishings in the home occupied by my wife and me belong to her. I give and bequeath to my wife, Bertha S. Heisey, all of my clothing, jewelry. personal effects, all of my other articles of personal use or adornment, an~ all of my automobiles. 4. All of tM-re!ll.<!ue: ormy:j).rdper<y, pf."whatsoev.e.r,kind and whereso- ev~r situated, I give, devise and bequeath to my Trustee. in trust, to be held, administered, and disposed of as follows: A. If my wife survives me, then during her lifetime my Trustee shall distribute to or for her benefit ell of the income of the trust. My Trustee shall also distribute to or for the benefit of my wife from time to time so much of the corpus of the trusttas my Trustee in ita sole discretion shan consider reasonably necessary to enable my wife to maintain the standard of liVing to which she is accustomed; B. Upon the death of my wife, if she survives me, or upon receipt of the trust fund by my Trustee if she doe s not survive me, the trust, as then constituted, shall be held. administered, and disposed of as follows: (1) My Trustee shell distribute to or for the benefit of each of my children all of the income and so much of the corpus of the trust as my Trustee in its sole discretion shall consider reasonably necessary or advisable for the health, support, education. and general welfare of each of my children until my youngest child shall have attained 22 years of age, regardless of whether the expenditures for each child are equal. At the present time I am the father of the following Three (3) children: Adriel R. Heisey born October 20, 1957; Brenda F. Heisey born January 14, 1959; and Frances L. Heisey born April 26. 1966. Should all of the income from said trust not be reasonably necessary or advisable to be expended for the health, support. education, and general welfare of each of my children, then the excess income in each year shall be divided equally among aU of my children regardless of age;' . (2) Upon my youngest child attaining 22 years of age, or If such age has been attained, my Trustee shall divide the trust into equal shares for each of my children, the share any deceased child would have received shall be held for the issue of such deceased child and if there be no issue such share shall lapse and be added to the remaining shares and my Trustee Page 1 of 4 pages shall pay and transfer to each beneficiary all of the income of the corpus of tRe share of such beneficiary and upon each beneficiary attaining 30 years of age the trust shall terminate and the beneficiary shall receive the then remaining principal together with any undistributed income; , (3) Whene:ver pursuant to the provisions of this Will all or any part of a distributive share of the trust shall be payable to a minor, other than a child of mine, title to the share of such minor shall pass to him. but tke payment to him of such share or trust Iund shall be delerred until he shall attain the age of 21 years and in the meantime such share or trust fund shall be held by the Trustee of a court appointed Guardian, if the Trustee is unwilling to assume such responsibility. untilsuch minor attains the age of 21 years. The fiduciary holding such fund shall apply all or such part of the income and principal as the fiduciary in his uncontrolled discretion may determine to the support, education and maintenance ol such minor. The authority conferred upon such fiduciary by this paragraph shall be construed as apower only and shall not operate to suspend the absolute ownership of such property by such minor or to prevent the absolute vesting thereof in such minor. With" respect to the administration of any such property which shall vest in absolute ownership in a minor. and which shall be held by such fiduciary as authorized in this paragraph~ such fiduciary shall have all the powers set forth under the provisions of Paragraph 8 of this Will to be exercised in the manner set forth in such paragraph. 5. If no child or the issue of any child of mine shall survive me to receive full distribution of the corpus. any undistributed corpus shall be paid as follows: (A) One Thousand ($1,000,00\ Dollars to the Green sp..ing Brethren in Christ Church, R. D. #2, Newville, Pennsylvania, 17241. (B) One-third of the remainder thereof shall be paid to the persons who would constitute my heirs-at-law had I died at the time such distribution is due, unmarried. intestate, and without issue; (ClOne-third of the remainder thereof shall be paid to the persons who would constitute the heirs-at-law of my wife had she died at the time stich di:stribution is due, unmarried, intestate. and without issue: (D) The final one-third to be divided equal1y among the following five (5) organizations: (1) Board for Missions of the Brethren in Christ Church. 48 1/2 South Market Street, Box 149, ElizabethtoWll. Pennsylvania, 17022. (2) Messiah Home. 2001 Paxton Street. Harrisburg, Pennsylvania, 17111. (3) Messiah College, Grantham, Pennsylvania, 17027. (4) Wheaton College, Wheaton, Illinois, 60187. (5) Shalom Christian Academy. R. D. #6, Box 78E. Chamhersburg, Pennsylvania, 17201. 6. I direct my Executrix or Executors to payout of the property which wQuld otherwise become a part of the trust hereinabove established, all estate, inheritance, transfer, and succession taxes, including interest and penalties thereon, which may be lawfully assessed by reason of my death. 1 hereby waive on behalf of my estate any right to recover any part of such taxes, interest. or penalties from any person, including any beneficiary of insurance on my life and anyone who may have received from me or from my estate any property which is taxable as a part of my estate. 7. In addition to the powers conferred by law A. The Trustee is hereby empowered to invest any part of my estate in such securities, investments or other property as to it seem advisable and proper, irrespective of whether the same are authorized lor the investment of trust funds under the laws of any governing juristiiction: Page 2 of 4 pages . .;.. B. With respect to any corporation, the stocks, bonds or other securities of which may form part of this trust, the Trustee is hereby empowered: to vote in person or by proxy on any shares of stock: to consent to the leasing, mortgaging, or sale of the property of any such corpora.tions; to make any surrender, exchange, or substitution of such stocks, bonds. or other securities as an incident to the merger, consolidation or re... organization of such corporations; to pay all assessments, subscriptions, and other sums of money which the Trustee may deem wise and expedient for the protection and maintenance of the proportionate interest of the Trustee in such corporations; to exercise any option or privilege which may be conferred upon. the holders of such stocks. bonds, or other securities of such corporations either for the conversion of the same into other securities or for the purchase of additional securities, and to make any and all necessary payments which may be required in connection therewith: and generally to have and exercise as to all such stocks, bonds.. and other securities of which this trust may at a1W time consist, the powers of an individual owner who is under .no trust obligation; c. 'the 'Trustee may hold the trust corpus in one or more consolidated funds in which separate shares shall have undivided interests; D. The Trustee may seU at pUblic or private sale for cash or upon credit, or partly for cash and partly on credit, and upon suc.h terms and conditions as to the Trustee shall deem proper, any part or parts of the trust estate. and no purchaser at any sale made by the Trustee shall be bound to inquire into the expediency or propriety of any such sale or to see to the application of the purchase moneys arising therefrom; E. The Truste~ may keep on hand and uninvested such moneys as it ma.y deem proper and for such period as the Trustee may find expedient; F. The Trustee may compromise, settle, or arbitrate any claim or demand in favor of or against the trust estate; G. The Trustee is authorized in the discharge of its duties, to employ counsel and to determine and to pay such counsel reasonable compensation which shall be charged by the Trustee against the principal or income of the trust fund, and the Trustee shall further be entitled to charge against the principal or income such other' reasonable expenses and charges as may be necessary and proper to inc.ur for the proper discharge of its duties and for the proper management and administration of the trust estate; H. In making any division of the trust property into shar~s for the purpose of any distribution thereof directed by the provisions of this agreement~ it shall be proper for the Trustee to make such division or distribution, either in cash or in kind~ or partly in cash and partly in kind, as the Trustee shall deem most expedient, and in making any division or distribution in kind the Trustee may allot any specific security or property or any undivided interest therein to anyone or more of such shares, and to that end may appraise any or all of the property so to be allotted and the Trustee's judgment as to the propriety of such allotment and as to the relative value for purposes of distribution of the securities or property so allotted shall be final and conclusive upon all persons interested in this trust or in the division or distribution thereof; Page 3 of 4 pages ......... ....I.I.l'H~t;: ~tj aU~l1Ur'J.Ld::U LO reglSter any shares of stock . or other assets of any trust in its own name or in the name of its nominee. 8. I hereby nominate, constitute and appoint my wife, Bertha S. Heisey, as ExecutNx of this my last Will and Testament, but should she pre-decease me or fail to qualify, then I nominate.. constitute and appoint my said Three (3) children. Adriel R. Heisey. Brenda F. Heisey. and Frances L. Heisey. or any of them. as Co-Executors of this my last Will and Testament. but.should none of them qualify. then in such event I nominate, constitute and appoint The Commonwealth National Bank and its successors. I North Hanover Street. Carlisle. Pennsylvania. as Executor of this my last Will and Testament. ." ~. 9. I hereby nominate. constitute and appoint The Commonwealth National Bank and its successors. 1 North Hanover Street. Carlisle.. Pennsylvania.. as Trustee hereunder. I€!. All powers. duties. and discretionary authority granted to my Executrix and Trustee hereunder. or their successors. may be exercised Without posting any bond. without obtaining any order from or approval of any court. and without any notice to or consent of anyone. 11. If any provision of this Will shall be unenforceable. the remaining provisions shall nevertheless be carried. into effect. IN WITNESS WHEREOF. I, H. Orville Heisey, have set my hand and seal to this my last Will and Testament written on four (4) pages this 10th day of May , 1978" H, or~i!!!!bA1 (SEAL) Signed, sealed, phbllshed and declared by H. Orville Heisey, the Testator above named. as and .for his last Will and Testament. in our presence. who. in his presence. at his request. and in the presence of each other. have hereunto subscribed our names as attesting witnesses. . ~J."'" AkAA;{1a/;'r~~/J Page 4 of 4 pages ~l . v~ Oh STATUS REPORT UNDER RULE 6.12 Name of Decedent: N, Orv:ll~ H~~e 7 Date of Death: Me... \j 3/ / Will No.: 20CJ l - )'L{ 8' .<...001 Admin, No.: 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 ad~stration of the estate is complete: Yes 0 No .J61 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: {)" <..Q '^"" \, "--1- 3/ z,,:')c) ~ 1 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 No 0 b, The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes 0 No 0 c, Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this rep, rt. Date:~' \ 14\ l.ODJ Name 5 'So u r\.-.. C~~ \: ~ \ (' ) Address \4 ,'-V'Ov 0- ~f. ~ A It 0 { .3 (717) 24',3- Telephone No. 5~3(( Capacity: 0 Personal Representative K1 Counsel for personal representative I ... Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240 - 6345 Date: 4/09/2003 HEISEY BERTHA S 17 ROBIN DRIVE SHIPPENSBURG, PA 17257 RE: Estate of HEISEY H ORVILLE File Number: 2001-00548 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 5/31/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, DONNA M. OTTO DEPUTY REGISTER OF WILLS cc: /File Counsel Judge /b-c236-=/C ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX Recore R,,; C"'ATE ESTATE OF DATE OF DEATH FILE NUMBER Ala :29UNTY ACN 05-19-2003 HEISEY 05-31-2001 21 01-0548 CUMBERLAND 101 ROBERT G FREY FREY 8 TILEY 5 S HANOVER ST CARLISLE '03 MAY 23 *' REY-1541 EX AFP 101-051 H o (:';;5'1 Allount Rellitted PA 170 13bUlirBDel,d< MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =isc,-j-E3f-AFP-foY:03Y-NoYicE--oF-INHERITAifcE-YA'x-A-PPRjrisEMENT~--ALDjwAi'-CE-('-R-------------- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HEISEY H 0 FILE NO. 21 01-0548 ACN 101 DATE 05-19-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Hortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets ll) (2) (3) (4) (5) (6) (7) .00 14,210.00 .00 .00 25,673.00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) lID) 11,777.00 147.591.00 (11) (12) (13) (14) NOTE: If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 39,883.00 159.368 00 119,485.00- .00 119,485.00- 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. ,,"'.."'.... (+J AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 .00 X 00 = .00 X 045= .00 X 12 = .00 X 15 = (19)= · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .00 .00 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December lZ, 198Z -- 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: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act Z3 of ZOOO. (7Z P.S. Section 9140). 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 MILLS. AGENT 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 Z3 Revenue District Offices, or by calling the special Z4-hour answering service for forms ordering: 1-800-36Z-Z050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-30Z0 (TT only). 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 object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. Z810Z1, Harrisburg, PA 171Z8-10Z1, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. 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. Z80601, Harrisburg, PA 171Z8-0601 Phone (717) 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. If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5Z) discount of the tax paid is allowed. The 15Z 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 is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 198Z 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 198Z through Z003 are: Interest DailY Interest DailY Interest Rate Factor Year Rate Factor Year Rate - Daily Factor Year 198Z ZOZ .000548 1987 9Z .000Z47 1999 7Z .000l9Z 1983 16Z .000438 1988-1991 llZ .000301 ZOOO 8Z .000Z19 1984 llZ .000301 199Z 9Z .000Z47 ZOOl 9Z .000Z47 1985 13Z .000356 1993-1994 7Z .000l9Z ZOOZ 6Z .000164 1986 10Z .000Z74 1995-1998 9Z .000Z47 Z003 5Z .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) 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. , Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 phone: (717) 240-6345 Date: 4/15/2005 FREY ROBERT G 5 S HANOVER STREET CARLISLE, PA 17013 RE: Estate of HEISEY H ORVILLE File Number: 2001-00548 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/31/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge ~ Cumberland County - Register Of Wills ~~ One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/15/2005 HEISEY BERTHA S 17 ROBIN DRIVE SHIPPENSBURG, PA 17257 RE: Estate of HEISEY H ORVILLE File Number: 2001-00548 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/31/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, .~.,~)~ \-;~-,," GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge "'\1 1 o o ~ en w I-a: wO enZ~~O en==l-en~ ~~~cC== O::.o:a:~a: ~:;~:~ I-Z~a:O Zo wI- !!:!WZ~w (.)1-:1:...1...1 -o..UWca :t:E::::lOcC ::::lwenl-~ B a: w :I: I- o t:: ;:l o U -t/l a "& o <l) .s 4-< o ~~ <l) ;:l~ t;; ro U ;:l ~d6g~ bcnc..>o rfJ.S~s: SJ~o<c d~-5 t;;o~p... ~ ...... 0 ~ ro ~ U .~ ~"5'0 <l) ~ <l)<l)~u 0~o 1...1 ~ Estate No.: 21-01-00548 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate of HEISEY H ORVILLE Late of SOUTHAMPTON TOWNSHIP Date: 6/10/2005 NO.: 2 1 - 0 1 - 0 0 54 8 HEISEY BERTHA S 17 ROBIN DRIVE SHIPPENSBURG PA 17257 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6. 12, SUPREME COURT ORPHANS I COURT RULE Personal Representative: HEISEY BERTHA S Personal Representative Counsel: FREY ROBERT G Date of Decedent's Death: 5/31/2001 Date of Delinquency Notice: 5/31/2005 The undersigned, Glenda Farner Strasbaugh, Clerk of Orhans' Court, in accordance with rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor their counsel, have filed with the Register of Wills or Clerk of Orphans' Court, his/her Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule, and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orhans' Court Rules, was given by the Clerk of Orphans' Court on 4/07/2005 and that the ten (10) day notice to file the status report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or their counsel. ~~~ cc: File Personal Representative Counsel Glenda Farner Strasbaugh Clerk of Orhans' Court A hearing is scheduled for July 08, 2005 at 9:30 AM in Courtroom No. 03. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. Geo .... ......... ...... tU N ~ Ul <=l 4 too o 0. ~ ~ .- \ ~ 9Sl ~ - !!!!!!! - - = - := CJ - ru - CJ - = I"'- - ~ =t" ~ :r ru ~ ..-'I rn ~ CJ CJ CJ U) ~ -3 CJ ~~ ..-'I ~ LO f;-lP:: ru P:: p . ~ q :r I1\Z CJ H CJ :>-<11\ I"'- ~O (J)p:: H ex: ..... ::t: I- o o ffi (I) (I) ..... I-ex: .....0 (I) Z..... 0 VoI3ex:CO ~O~VoI~ 0~fi:3 ~I-""'-'ex: I-~;~~ ffio::::lffiO _.....Z;::.I- Ul-::t:-..... U:D-UU::-' ~!::::lO~ (l)I-(I)I-Z ZI-OO::::l _CZZ. 000\ 0\ ~ !1 .:=' ~ ~ .... ~Q2~ ~ <-.I :=j r'. 1;Sl; ..=-. ::j ("'l ~ _ "::J ' _..." i "0 ~ ~ ~.." o~-e~S : ~ ~~-5< o ~ ~ ~ ~ ~. r::? ' ..OO~ ,,?, ~ :5 ~ ~~g'-S :;:::::00 ~;%i o ~ 'lS\ ~ ~ - - (~ '..1 .;i! l. (14- ..", .:::- \'... .r"} "tJ !'J en . . . . ;r ~~ )> O;t>CI1"tJ-.O 3 :::. 0 ::+ -';:::o:::!./Do ~iD r" g~:7;a33 (,.) 9! z iD )> .... :T!!l. '< .j:>. '1:J CXl a-~ a. 16:7:eg:;;[ -.4 a. -.4 :3 i Cf) ~ ::r:: ca -Cii'lD-';:OlD ::r:: -...J tr:J CIl a ::SCD;;: ~ ~ CIl ::l~~Ill!!l.lD H H (J) ::a::l~g.~ 0- n- tD:::oCf) a. R - .., .... 2 Ql tDOtr:J ~o2-~~''''' III f tIjlI:lK; -< ~:73 0.0.1\) I\) """ !z;H lDlD....llllDlll 0 Cf)2;lI:l '1:J o-:T 0. =:::l 0 lI:l tr:J lDllllD!f~o. .j:>. 3~~1E-<~ c:t:1:::o :::O:::Of-3 fiQ.a~Cii'~ QH::r:: ':7o::lft~ <~ lD'<:7!!1.0 -u '0 tr:J 3glDiDo ~ a ~ Cf) m,. iD p.~ a "2. ~ CD 3 .,J:" lD iil .... (J) .2 <D lD !!l. ~ ri" ru ...J :0 In ~) !a c I:.-J tJ1 3 a .f> -...J :0 ):1 ~ >< (J) a :0 OO~ 0 :;: iii :0 (J) lR "S" a - :0 ~ <a. (J) a s: ~c8 ]J!p.. " ~ (J) LU ~ -. ;: ,," ~. !!l. :; D (J) ~!8 , -< a. I:.-J ~ f ~ 0- ll> S '< ru ~. == !!1: 0.0. --- .,J:" ~ ~~ ;\' .,J:" 5' F 000 ~ 9, ~ ll> ~ -u o:oW a. iil ~ a b!a-o a. ::;) :3 if !:l3j ca - ru !:i a- ~ a ""- :o~ 0-3 ~. !!1: !p.."" o (J) "S :Ii 3 ~ r> Q' "" /G 0 0 '" ~ 00 e 00 III ~ (J) (J) ~ 0 tfif sa. )>)> CIl :T 0.<0 ~ ll> 0 a. (J) ::;) !P.. Cil a ~ a. ~. CIl fir CIl 0 (J) -< (J) (J) STATUS REPORT UNDER RULE 6.12 Name of Decedent: H. Orville Heisey Date of Death: Mav 31. 2001 Admin. No. 21-01-0548 Will No. 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 () No(X) 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: July 1,2006 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 () No ( ) (b) The separate Orphans' Court no. (if any) for the personal representative's account is: (c) Did the personal representative state an account informally to the parties in interest? Yes ( ) No ( ) (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' ourt and may be attached to this report. ~. ~-- Date: June 13.2005 ,.. D_ Signature Robert G, Frey Name (Please type or print) '."o"J L:") 5 South Hanover Street Carlisle. Pa 17013 Address (717) 243-5838 Telephone No. Capacity: ( ) Personal Representative ( X) Counsel for personal representative Jf ------ Estate of HEISEY H ORVILLE Late of SOUTHAMPTON TOWNSHIP ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21-01-00548 NO.: 21-01-00548 Date: 6/10/2005 HEISEY BERTHA S 17 ROBIN DRIVE SHIPPENSBURG PA 17257 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6 _ 12 < SUPREME COURT ORPHANS I COURT RULE Personal Representative: HEISEY BERTHA S personal Representative Counsel: FREY ROBERT G Date of Decedent'S Death: 5/31/2001 Date of Delinquency Notice: 5/31/2005 The undersigned, Glenda Farner Strasbaugh, Clerk of Orhans' Court, in accordance with rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common pleas of Cumberland County, that neither the above named personal representative nor their counsel, have filed with the Register of Wills or Clerk of Orphans' Court, his/her Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule, and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orhans' Court Rules, was given by the Clerk of orphans' Court on 4/07/2005 and that the ten (10) day notice to file the status report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or their counsel. ~~~ cc: File Personal Representative Counsel Glenda Farner Strasbaugh Clerk of Orhans' Court A hearing is scheduled for July 08, 2005 at 9:30 AM in Courtroom No. 03. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. /~~ Georte III if er, P. Jl cJ