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Home My WebLink About01-0037 REV'~\E)((6-00) . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17121Hl601 to- Z W C W o W C DECEDENTS NAME (LAST, FIRST, AND MiDDlE INmAL) Rheem, Carl D. DATE OF DEATH (MM-DD-YEAR) 12/30/2000 ) b -~c)O-J 0( REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT .< OFFICIAL USE ONLY C FILE NUMBER 2 1 0 1 o 0 3 7 -- COUNTY CODE YEAR - NUMBER- -- SOCIAL SECURITY NUMBER 182 - 12 4212 DATE OF BIRTH (MM-DD-YEAR) 4/26/1913 THIS RETURN MUST BE FILED IN DUPUCATE WITH ll\E REGISTER OF WILLS SOCIAL SECURITY NUMBER (IF APPliCABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) I!! ,,~~ ".." !:log ofm .. <( GJ 1. Original Relum o 4. Limited Estate o 6. Deteden\DledTes1alel__dWl) o 9, Litigation Proceeds Received o 2. Supplemental Relum o 48. Future Interest Compromise (dale of cle8lh after 12.12-82) o 7. Decedent Maintained a LMng Trust (AIlBd1lXlJ1'iofTrust) o 10. Spousal Poverty Credit (dattofdealll'*-t 12-3H1aM1.1.Q5) o 3. Remainder Retum(deleoltl9alhpri:lrb12-13-82l o 5. Federal Eslate Tex Relum Required -2. 8, Total NUIOOer of Safe Deposit Boxes o 11. EIec\ioo IDIax under Sec. 9113(A)_"o) NAME George F. Douglas, III, Esquire FIRM NAME (W_I .. z w o z o .. ., W 0: 0: o " TELE~ _ -1790 1. Real Estate (Schedule A) 2. Stoci<s and Bonds (Schedule B) 3, Closely Held Corporation, Partnership Of SoIe-Proprielol>hip 4. Mortgages & Noles Receivable (Schedule D) 5. Cash, Bank Deposils & Miscellaneous P8ISOl1Ol Property (Schedule E) 6. JQi<!IIy Owned Property (Scl1eduIe F) o Separate Billing Requested 7, Inter-Vivos Translefs & MlsGelaneous _Ie Property (Schedule G Of L) 8. Total G..... Assets (total Lines 1-7) 9, Funeral Expense. & Administrative Costs (Schedule H) 10. Debts of Oeoeden~ Mortgage Liabilities, & Lien. (Schedule I) 11. Total Oeducllons (total Lines 9 & 10) 12. Net Value of Estate (Une 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) z o S ::l to- ~ <C o W II:: COMPlETE MAILING ADDRESS 27 W. High St. P.O. Box 261 Carlisle, PA 17013 (1) (2) (3) (4) (5) OFFICIAL USE ONLY "-'. " 293,801.00 (6) 4.985 03 (7) (8) 298,786.03 (9) (10) 9,468.82 (11) (12) (13) 9.'468.82 289,317.21 (14) 289,317.21 . SEE INSTRUCTIONS ON REVERSE SlDE FOR APPLICABlE RATES 15. Amount of Line 14 taxable at !he .pousallax rate, or transfers under Sec. 9116 (a)(1.2) z o !;;: I-' ::l 0.. :E o o ~ 16. Amount of line 14 taxable at lineal rate 17. Amount of line 14 taxable at sibling rate 18. Amount of Line 14 taxable at __ rale 19. Tax Due 20.0 289,317.21 , x.O_ (15) x.O_ (16) x .12 (17) _ x .15 (18) 43,398.00 . (19) CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: " STREET ADDRESS Chapel Pointe South Hanover St. CITY Carlisle ! STATE PA I ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 line 19) 2. CredilslPayments A Spousal Poverty Credit B. Prior Payments C. Discoont (1) 43,398.00 2,169.00 5% 2,169.00 3. InleresllPena/ty K applicable D.1nteresl E. Penally Total Credits (A. B . C ) (2) TotallnterestlPenalty ( D . E ) (3) 4. H line 2 is greaterlhan line 1+ line 3, enter the dilJerence. This is the OVEflPAYIIENT. Checlrbox on Page 1 Une 20 to request a refund (4) 5. Hline1+Une3isgraaterlhanline2,anterthedillerence.ThisisthaTAXDUE. (5) _41,229.00 - A. Enter the interest on the tax due. (5A) B. Enter the total of Una 5 . 5A. This is the BAlANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 41,229.00 ........ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a tra"S/"r and: . Yes No a. ralain the use or income of the property transferrad;.......................................................................................... 0 EJ b. ralain the right III designate Who shall usa the property transferred or its Income; ............................................ 0 ~ O. ralain a raversionary Interas~ or.......................................................................................................................... 0 IX] d. receive the promise for life of either payments, benefits or cara? ...................................................................... 0 t;J 2. H death occurred after lJecemller 12, 1982, d'1d decedent transfer property within one year of death 3. ::::;: ~~=:bj;.~;.;;.;;;;~k.;;;;;~.;;;.;;;;;;;.~;.~;~.~.j;d~;;;?:::::::::::::: B 8 4. Did decedent own an Individual Retirament Account, annuity, or Other non-probale property which contains a beneficiary designation? .J.!::'..f.~....~.~!...~.~~.!\..~.\.~.j..~.\~.\...~.~.\~..~:..~............... Gd 0 M >o<tJn ~ ~ 'I'~<..Jl.)"'..t.. il\t=""~tu.......T':t-A1-c. dF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. .Underpenaltiesolpeljury,I declare that I ha,..-..cIlhisretun,IncIud;ng~_erd_,encfk>fha....oI""~encf_.rls..... OOtredsndOOllljllofe. ._oIpreparer_lhanfha_re_"besedonelinfllllnetionol_preparerhaseny~ 'SIGNATURE OF PERSO~~PONSIBLE F~.RL~~ETUR~_ 1S ~ 1-' ~ ,/70/01 ADDRESS 27 W. High St., P.O. Box 261, Carlisle, PA 17013, Attorney for Estate DATE SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS For dates of death 00 Of after July 1, 1994 and before January 1, 1995, the tax rate Imposed 00 the net value of transfers to or for the use of the suMving spouse is 3% (72 P.S. fi9116 (a) (1.1)(;)1. FOf dates of death on or after January 1, 1995, the lax rate imposed 00 the net value of transfers to Of for the use of the suMving spouse is 0% (72 P.S. ~9116 (a) (U) OQj. The statute does 001 examDt a transfer to a surviving spouse m tax, and the stalutory requiremeflls for disclosure of assets and filing a tax raIum ara sb] applicable e""" " the surviving spoosa is the only beneficiary. For dates of death 00 Of after July 1, 2000: The tax rate imposed on the net value of transfers m a deoeased chUd twenly-one years of age or younger at death III Of for the usa of a natural parant, an adoptive paran~ Of a stepparantofthe child is 0% (72 P.S. ~9116(a)(1.2)J. The taxrale Imposed 00 the net value oIl1ansfers to Of f", the use of the decedenfs lineal beneficiaries is 4.5%, except as noted in n P.S. ~9116(1.2) (72 P.S. ~9116(a)(1)]. The tax rate imposed on the net value of transfers In or for the usa of the decedent's s1b1'lfl!lS.is 12% (72 P.S. ~9116(a)(1.3)J. A sibling Is defined, under Section 9102, as an ind'1Vidua1 who has allea$l one parent in common vrilh the deoedent. whether by blood Of adoption. REV-1508ex.(H7) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT OECBlENT ESTATE OF Rheem Carl D Include lhe ploceeds of lili9a1iOl1 and lhe dale lhe proceeds were leoeived by Ihe eslate. All property joinlly-owned with the right of survivorship must be disclosed on Schedule F. FILE NUMBER :tl-Ol- oo,n ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. DESCRIPTION VALUE AT DATE OF DEATH $966.85 Various Coins, see appraisal AIlfirst Bank, CD 950351939 $15,673.62 AIlfirst Bank. CD8000002000380 $60,282.34 Waypoint Bank Account 8010000802 $100,483.02 Waypoint Bank Account 1700015114 $100,508.49 M&T Bank, checking account 870579 $4,399.18 Blue Cross Refund $318.45 Nationwide Refund $25.00 Miscellaneous Jewelry- see attached appraisal $737.00 Series E savings bond, date issue September 11, 1973 $118.56 1998 Plymouth Breezel sfll... fro <.JI.- $6,000.00 Chapel Pointe, refund $154.22 Refund Ewing Brothers Funeral Home $4,109.06 AIlfirst additional interest on 950351939 $25.21 293,801.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) REV-1S09EX.{t-t1} , . SCHEDULE F JOINTLY -OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE Of Rheem Carl D If an asset was made joint within one year of the decedenfs date of death, it must be reported on Schedule G. fiLE NUMBER 21 - 01 - <>0";,1 SURVIVING JOINT TENANT(S) NAME ADDRESS RElATIONSHIP TO DECEDENT A. Ewing Bmiliers Funeral Home 630 5. Hanover 51. Carlisle, PA 17013 none B c JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %Of DATE OF DEAll1 ITEM FOR JOINT MADE IrdJde name of tinl:YlCialinstitulia1 and book ax:ount number ex simiklr identif)1ng number. Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deed for joinl~-hekl real estate. VALUE OF ASSET INTEREST DEC8DENrSINTEREST 1. A. 9/6/00 prepaid funeral bill $9,970,06 .50 $4,985.03 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAl (Also enter on line 6, Recapitulation) $ 4 985.03 (If mOl"e space is needed, insert additional sheels of the same size) RE\(;15UEX..(I-e7). COMMONWEAlTH OF PENNSYLVANLoI INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATE OF Rheem Carl D Debls of decedent must be reported on Schedule I. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FilE NUMBER .2-/ -OI-oob'7 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAl EXPENSES: 1. B. ADMINISTRATIVE COSTS: ,. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Acktress City State Zip Year(s) Commission Paid: 2. Attorney Fees Douglas, Douglas & Douglas 7,550.00 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wills $314.00 5. Accountanfs Fees 6. Tax Return Prepare~s Fees 7. Cumberland Law Journal, advertising $75.00 8. Sentinel, advertising $106.79 9. Adams Auction, coin appraisal $80.00 10. Sprint, last biII $7.63 II. Martha Rutland, jewelry appraisal $95.40 12. Register ofWilIs, filing inventory, appraisal and first and final account $140.00 13. Eby Granite Works, tombstone 1,100.00 TOTAl (Also enter on line 9, Recapitulation) $ 9,468.82 (If more space IS needed, Insert additional sheets of the same sIZe) flEV;1513EX+(1-07) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERrTANCE TAX RETURN RESIDENT OECEDENT ESTATE OF FILE NUMBER ;2.. Carl D. (_ot - cO?:.7 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1. TAXABLE DISTRIBUTIONS (include oulright spousal distributions) 1. Ruth Ganuan niece 1/4 584 McClures Gap Road Carlisle, P A 170 I 3 2. Emma Mell niece 1/4 8 Vema SI. Newville, Pa 17241 3. Audrey Chastain niece 1/4 1837 Walnut Bottom Road Newville,PA 17241 4. John L. Chastain great nephew 1/4 26 Station Road Newville, Pa 17241 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, 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 SHEE $ 0.00 (If more space is needed, insert additional sheels of the same size) .PLEA~E RETAIN THIS VOUCHER FOR YOUR RECORDS 300593276 1/29/01 OOOOOC^^^,nnn., t".............,nn nnn ....n ~'lW . t . l ayP"q'!'K Look for us, We'll get you there, CHECK MADE PAYABl ESTATE OF CARL D. RECEIPT Acct# 1700015114 Tlr# 5504 100,508.49 74CD Close Out TRAN# 11 ON 1/30/2001 1/29/2001 14:42:28 PM Ledger Balance .00 Check and other items received fordElposlt are subject to the provisions of the Uniform Commercial Code. Certain deposits ~ subject to delays In availability according to Bank policy. j TEL.009 (10100) THIS IS YOUR RECEIPT Merrber FDIC 20 v____ ,PLEASE RETAIN THIS VOUCHER FOR YOUR RECORDS 300593279 1/29/01 000000 VIWayP"qtn.t Look for us, We'll get you there, CHECK MADE PAYABI ESTATE OF CARL D. RECEIPT Acct# 8010000802 Tlrt 5504 100,483.02 74CD Close Out TRANt 15 ON 1/30/2001 1/29/2001 14:50:20 PM Ledger Balance 0 Check and other ilems receillEld for d it . . 0 subject 10 delays in availability acco':;:to ~::~bpoJ~?f to the provisions of the Uniform Commercial Gode C ria" d . TEL-009 (10100) ICY. . e In epoSlts ar~ THIS IS YOUR RECEIPT 235 N. SECOND STREEl . HAHH1~ounl.:l, .<=.1.n"'........... .. .~. M8m~FDIC 222031529], AMOU~ '~'1'?' iP;L... DATEc 1--P7-01 PAYEE: [s,r-A'r?;t,r]). RhA1t1L SOURCE OF FUND~:. , Ctos eel I 7~qs()~r-lq3f l DESCRIPTION. AGeT NO. ~'''''..~ TRANSACTION RECEIPT I' ~FB?05 14 0191~7 1254 017901 262 0 M fJP CHECKING 950351939 $15673.62 cK. CHARGE: '0-- ACCT, NO.: CK.CHAAGE: ~ -"C"",..,.<_, _ -~ .,,~--<> ....,.. ~...~ ~ .... ., <.~ ~.' ..~'.:""'1"" '''''?\''-'~''.. _~" 222031530[Q]:", , AMOUNTj,o,"Z<6'Z' 3Y /-2-9~o/ ~o. OOOOO.Q.0003b'O OATE/i~ '2 ~~ 0/ l'lolP ct ClJ>s.ed PA)1'E: 11i or ~ \-Il.tft'l' ts>rA'OP-/ 1>. SOURCE OF FUcp: C{J'5~ ~6 M t~tt:O~ ,~OTNEED DESCR/PTION: A WITHIN F ACCOl.NT NlJABER """OF"""'"'" ,) _ o RETAil --:&- o COMMERCIAL '- 1sr CERT. OF DEPOSIT. el'-lRA I RETIREMENT AMOUNT ('()J5t/\{ cUiP h ~oat-<- t1cJ (Jo"",,''1nf+t) oo~ o~ ~~ ~ PSBLDDA2 EBRN7GE Customer Service Workstation Checking Account Balance 14:08:03 01/02/05 Account #: 870579 Product: DDA SubCode: A2 M&T BANK SSN/TIN: 184124212 Package: Status : ACTIVE Restraint: N Region : CEPA Title 1: CARL RHEEM 2: MARY E RHEEM Overdraft Account Start of Day Total $ Available Balance $ ODL Available $ Merchant Check Auth: $ Last Deposit Amount: $ Date Transaction 02/05 CLOSEOUT 02/02 US TREASURY 303 SOC SEC 02/01 TIAA-CREF DISTR. ANNUITY 01/04 CHECK NUMBER 1139 01/04 CHECK NUMBER 1140 01/03 US TREASURY 303 SOC SEC 01/02 TIAA-CREF DISTR. ANNUITY Do you want to close this account? _ F2 Options F3 Main Menu F6 Referral 0.00 0.00 0.00 668.00 D/C D C C D D C C ATM: Add1 Avail Amt:$ 0.00 Balance to Earn Int:$ 4,199.21 Last Deposit Date 01/02/02 Amount Funds Clearing $ 4,199.21 1: $ .00 $ 668.00 2: $ .00 $ 37.30 3: $ .00 $ 20.58 4 : $ .00 $ 318.45 5: $ .00 $ 668.00 6: $ .00 $ 37.30 7 : $ .00 Fl1 Title Fl2 Previous ~M&fBank Manufacturers and Traders Trust Company DEPOSIT/PAYMENT RECEIPT Bank By Phone... Call M&T Telephone Banking Center (716)626'1900 Outside Western NY: 1-800-724-2440 THE DEPOSIT OR PAYMENT HAS BEEN RECEIVED ON THE DATE VALIDATED BELOW AND IS SUBJECT TO THE TERMS AND CONDITIONS GOVERNING YOUR AceD NT. CHECKS AND OTHER NON.CASH ITEMS RECEIVED FOR DEPOSIT ARE SUBJECT TO VERIFICATION AND COLLECTION M&T BANK. DEPOSITS MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL DEPOSIT 0 PAYMENT CHECKING 0 SAVINGS 0 LOC 0 LOAN 0 MTG 0 OTHER ank you'll ever need:" F:!M&fBank. DUSfHh B3 f'RTPEF tf:;'. 1 J9S;. 1. a 43J.9D2=12PM02/05/0i. #!3892~43683 Member FDIC BR-534 (5100) i_DAMS .A..UCTION SALES SERVICE Mervin W. Adams Steven E. Adams AU-OOOOO2 AU-OO 1705 ~ Pbone (717) 692~3076 February 27, 2001 February 19th. 2001 ~ & Douglas - Total February 27th. 2001 . Attorneys Douglas, Douglas & 27 W. High Street Carlisle, PlI, 17013 Re: Carl D. Rheem Estate /) /7 .~~ ':!.?;~. Mervin W. Adams ~J ck-i cD4 ~ 2F,{O{ 208 Maple Street · Millersburg. PAl 7061 ADAMS L.&UCTION SALES SERVICE Mervin W. Adams AV-00OO02 Steven E. Adams. AV-001705 ~. Pbone (717) 692-3076 ~ . . February 27,2001 Attorneys Douglas. Douglas 27 W. High Street Carlisle, PA 17013 Re: CarlO. Rheem Estate TOWHOMITMAYC The following four a . RheemEstate of26 S of the CarlO. 208 Maple Street . JIIiIlersburg. "A 1 7061 - Page 1 - Carl D. Rheem Estate - Coin Appraisal- MORGAN SILVER DOLLARS 1 - 1879 - F - --------------"-----------------------------------------------------------------.$ 6.00 1 - 1880-0 - V G -------------------------------------------------------------------------_-----.5.00 1 - 1881 - V G ----------------------------------------------------------------------------------.(). 00 1 - 1882-0 - VF ~------------------"------------------------------------------------------------8.00 1 - 1884 - F ------------------------- --------------"--------------------------------------.().oo 2 - 1885 - AU - $ 13.00 eac --------------------------26.00 1 - 1885 - XF-------------------- --------------------.---------10.00 2 - 1886 - Unc - 16.00 each. - . -----------"------------------32.00 1 - 1886 - VF ------------------ --------------------------8.00 1 - 1889-0. VG------------ ---------------------------.().oo 1 - 1896 - AU ----------------- ---..;-------------------13.00 2 - 1897 - AU - $ 13.00 -------------------------26.00 1 - 1898 - Unc.------------- ---------------------.16.00 1 - 1898 - AU ------------- ----------------------13.00 1 - 1899-0 - F ------------ ------------------.7.00 1- 1902. Unc.---------- -----------------20.00 1 - 1902 - AU --------- -----------------14.00 1 - 1903 - AU -------- -----------------15.00 3 - 1921 - Unc. - $ -------------45.00 PEACE SILVER 5 - 1922 - AU 3-1923 -AU . 4-1924-AU. 1-1924-V ---------40.00 --------24.00 --------36.00 --------5.00 Bag 4-A - 1 - 1943-P, 1-1944-S & 1-1 944-P Wartime - .10 each --------------------------.30 24 - Jefferson - Mixed Dates - Face Value ---------------------------------------------------.1.20 Bag 4-D 27 - Jefferson - Mixed Dates - Face Value -------------------------------------------------.1.35 -Page 2- CarlD. Rheem Estate - Coin Appraisal- BUFFALO NICKELS Bags #3,5 & 10 - Total of3 Bags - 95 pes. - Circ. some w/weak aIle! ~l>leclates-----------~------~---------------------------------------~------{).OO ll>ag of35 pes. all 1936 BuffiIlo Nickels - all reacIa1>le c1ates-----------------------------5.25. QUARTER DOLLAR BOOKS Oile #1 Wash. Set, incomplete - 31 0ile#3 Wash. Set - 8 pes. - 1 63-D & 64 - Unc. Oile Stancling Lfuerty Quarter Oile Rooseveh Dime Book 46 mostly tami,;hecI-- One #1 Lincoln Cent Book C One #2 Lincoln Cent Book Cir.afuwU without 32-D or S - Low Gracles -------------20.00 . ------------------------------.5.00 Low GracIe w/Tarnish-----.7.oo ire. & Unc. ---------------------------10.00 Dates - Cire. ---....-----.3.00 - mostly -------------------~---.1.00 In One Small Brown Env ------------------.1.00 ------------------.().50 ---------~------.().50 ----------------.().25 -------------.().60 -------------.().20 ----------.().20 -------....-.().05 . ---------.().15 --------.().07 . .-----.().Ol ,',.h " :1f't~..~. 1857 - Stancling Lfuerty Quarter - G----------------------------------------:-___________-----.9.00 1 Shielcl Nickel- unreaclaOOle Date - 1943 & 44 Lincoln Cents plus 2 Darnagecl Lincoln Cents -----------------------------------------------------_______-.().11 1865 - Seatee! Lfuerty Quarter - G-----------------------------------------------------------30.00 1854 - Seatecl Li1>erty Quarter - G ----------e-------------------------------------------------.8.00 1878 - Seatee! Li1>erty Quarter - V G ---------------------------------------------------------1 O. 00 -Page 3 - Carl D. Rheem Estate - Coin Appraisal- MISCELLANEOUS (CON'T) 1877 Seated Liberty Dime - F ----------------------------------------------------...:-----------.7.00 One lot of 16 V Nickels - Low Grade - Circ. (Bag #11) --------------~------------------.1.50 One lot of27 Barber Dimes plus Two Mercury - All Silver, Low Grades plus Two Clad Rooseveh Dimes - Circ. (Bag #9) -------------------10.00 One lot of 1943 Wartime Steel Cents - Dull- Cire. (Bag #12) ----------------------------0.50 One 1946 Lincoln Cent encased in - Luck Pc. - Upper Grade (Bag #12)-----------0.50 1892 - 1863 lH. Cents - Cent _ I 936-S Wash. Quarter - . ~'---------------------------.1.26 HALF DOLLARS ---------------------.250.00 . -----------------------50.00 -----------------------.1.25. . -----------------.1.25 -------------"------10.00 -------------------0.60 . --~----------------O.50 . 1807 - Hi VF (Face Right) H 1829 - XF ------------------- 1961 - V G ------------------ 1962 - VG ---------------- 8 - 1964 - AU ------------ " I - 1966 - AU 40"10 Silv 1- 1989 - Unc. - Clad QUARTER DOL --------------:0.50 ------------.3.00 ~:2~b G. -~i~f~: ~:i(:~-~0;t-~".~;~;.\-~7"7 -C-L--:t:'~: 1895 - G -----~~.,.,...,:.,..:--~-_.".....___"_._______.___..,;..,.---~ . ~;itt~':-t~.:~,>::".\~ti/~'/~'-,~:, ': '/~ ' . , ,,: ,~:: >~/;;':~\' 1~2 _ }\~ cr..~~~~~_.________________________________________~~~~'. . "':':f"__",!':'li:~:" ":~,;:, c, , , , ",,"'" ",,"'::- ::',';_"':.',' 1915 ..,',G,-.~'~~.~_:;:.~;~"~~~~-------------------------...~.._~-~.....~-~;,.,~~" ,_;, < -2.50 1915- D :G .:::-:-:-:----:-:~-------------------------------------::---:~--:---~~:~:--::.'----------.2.50 1916-D - AU -----------------------------------------------------------------------------------75.00 189? - Poor --------------------------------------------------------------------------------------0.50 --------.1.50 --------.3.00 -----.1.50 -Page 4 - Carl D. R,heem Estate - Coin Appraisal- QUARTER DOLLARS (CON"T.) Bag #8 . 1935- D -AU -------------------.----------------------------------------------------------------.().50 1963- D - VF-n--_------------------------_________________________--------------------------.(). 7 5 1963- D - VF -----------------------------------------------------------------------------------.(). 7 5 1964- D - VF ----------------.----------. ----------------------.-------------------------____.(). 75' 1964-D - VF-----------"-----"" . '" --------------------------.(). 75 1974, 86, 98 - Clad - Face V: ,. -----------------------.().75 1999 - P A State & 99 Deleware. ' -----------------------------.().50 1943 & 19?? (''''"'Ilium Silver ----------------------------.1.00 l~~ PAPER BILLS ,'.'~ 1928-0 series Two Dollar 3 - 1963 series - Five Do 1950 series Five Dollar - ------------------------"*.00 ------------------15.00 ---------------------10.00 -s 966.85 6\ M. RUTLAND GOLDSMITH . JEWELER CERTIFIED GEMOL.OGIST ESTATE OF CARL RHEEM 1. One 18k yellow gold wedding band: It is 2.5mm wide, plain half round in style. It is a size 6.75. Its weight is 0.9Dwt. value: $20.00 2. One silver ring: It is a flat band that is IOmm wide at the top tapering to 3mm. at the bottom, with a worn pattern of a building on the top. It is broken at the bottom of the shank. value: $5.00 3. One 14k two-tone gold ring: It contains one 4.2mm x 2.49mm round brilliant cut diamond. Its weight calculated from measurements is 0.27 Cts. It is 11 in clarity. It is set in a four prong illusion head on a 3mm yellow gold shank. value: $300.00 4. One 14k two-tone wedding band: It is 3mm wide at the top tapering to l.Omm at the bottom. It holds 5 approximately .0075Ct. diamonds (total weight ofO.03Cts). They are set straight in a row in white gold at the top of the shank. Three of the diamonds are chipped and one is cracked. value: $45.00 5. One IOk yellow gold gents style class ring: It contains one 10 x 12mm antigue rectangle cut buff top synthetic ruby with a yellow gold tube set emblem on the top. The emblem has an armor helmet and moon design with the lettering ERVDITIO VTILITAS MORES. The side designs are ofa Viking ship and the date 1939. The initials RDD are engraved on the inside. It weighs 5.77 Dwts. value: $32.00 continued '/ntdY!J~e. 6\ M. RUTLAND GOLDSMITH . JEWELER CERTIFIED GEMOLOGIST ESTATE OF CARL RHEEM 6. One 14k yellow gold pin-pendant: It is oval in shape measuring 28 x 36mm. It holds one oval shaped white and salmon colored shell cameo. It has a design of a woman with a flower in her hair and a flower at her shoulder. It is well carved. The cameo is set in a plain gold bezel with a fold down swivel at the top. value: $175.00 7. One 14k yellow gold solid rope chain: It is 24 inches long and 2mm wide. It has a barrel clasp on the end. value: $95.00 8. One yellow gold filled open face pocket watch: The case is marked "Illinois Watch Case Co. Elgin USA Guaranteed Giant 20 years 2929706" The case is octagon in shape with a plain back. The case is 42mm wide. The face is gold tone in color and lettered Waltham under the 12. The diameter of the round face is 37mm. The movements are stamped "A.W.W.CO. W AL TRAM MASS". The watch case is in average to good condition. The watch is not in running order. value: $65.00 This appraisal of March 3,2001 is for estate purposes only. All stones were graded as mountings permit. Instruments used were gold test kit, scales, lOx loupe, binocular microscope, and dicroscope. ~~ ~\ M. RUTLAND GOLDSMITH . JEWELER CERTIFIED GEMOLOGIST ESTATE OF CARL RHEEM 1. One 18k yellow gold wedding band: It is 2.5mm wide, plain half round in style. It is a size 6.75. Its weight is 0.9Dwt. value: $20.00 2. One silver ring: It is a flat band that is IOmm wide at the top tapering to 3mm. at the bottom, with a worn pattern of a building on the top. It is broken at the bottom of the shank. value: $5.00 3. One 14k two-tone gold ring: It contains one 4.2mm x 2.49mm round brilliant cut diamond. Its weight calculated from measurements is 0.27 Cts. It is 11 in clarity. It is set in a four prong illusion head on a 3mm yellow gold shank. value: $300.00 4. One 14k two-tone wedding band: It is 3mm wide at the top tapering to I.Omm at the bottom. It holds 5 approximately .0075Ct. diamonds (total weight ofO.03Cts). They are set straight in a row in white gold at the top of the shank. Three of the diamonds are chipped and one is cracked. value: $45.00 5. One 10k yellow gold gents style class ring: It contains one 10 x 12mm antigue rectangle cut buff top synthetic ruby with a yellow gold tube set emblem on the top. The emblem has an armor helmet and moon design with the lettering ERVDITIO VTILITAS MORES. The side designs are ofa Viking ship and the date 1939. The initials RDD are engraved on the inside. It weighs 5.77 Dwts. value: $32.00 continued ~/!,w.P ~\ M. RUTLAND GOLDSMITH . JEWELER CERTIFIED GEMOLOGIST ESTATE OF CARL RHEEM 6. One 14k yellow gold pin-pendant: It is oval in shape measuring 28 x 36mm. It holds one oval shaped white and salmon colored shell cameo. It has a design of a woman with a flower in her hair and a flower at her shoulder. It is well carved. The cameo is set in a plain gold bezel with a fold down swivel at the top. value: $175.00 7. One 14k yellow gold solid rope chain: It is 24 inches long and 2mm wide. It has a barrel clasp on the end. value: $95.00 8. One yellow gold filled open face pocket watch: The case is marked "Illinois Watch Case Co. Elgin USA Guaranteed Giant 20 years 2929706" The case is octagon in shape with a plain back. The case is 42mm wide. The face is gold tone in color and lettered Waltham under the 12. The diameter of the round face is 37mm. The movements are stamped "A.W.W.CO. W AL TRAM MASS". The watch case is in average to good condition. The watch is not in running order. value: $65.00 This appraisal of March 3,2001 is for estate purposes only. All stones were graded as mountings permit. Instruments used were gold test kit, scales, lOx loupe, binocular microscope, and dicroscope. ~12~"~ Estate of Carl D. Rheem also known as PETITION FOR PROBATE and GRANT OF LETTERS .:21- 01' -003, No. To: , Deceased. Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. ] 84-12 4212 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executors in the last will of the above decedent, dated T;mll::!ry 1 /'. 1 qqq and codicil(s) dated named ,19_ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Cumberland Oecendent was domiciled at death in County, Pennsylvania, with h is last family or principal residence atChapel Pointe, Carlisle, PA 17013 CA:Ru oj F- .l3()RO . (list street, number and muncipality) Oecendent, ther;" at _____ Chapel Point Except as follows, decedent did not marry, was not <:livorced 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: __ 87 years of age, died December 30 ~~ 2000 , , Oecendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: To be determined $ $ $ $ \VHEREFORE. petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary theron. (testamentary; administration c.I.a.; administration d.b.n.c.l.a.) '7 lz ~~~k ~ ci:: 2 - .:TbH-N C#I1-:'1/9-1 JJ -:l~ ~(, .5TA-Tl":>j\{ ~olJ-lJ ;:j,~ ___H2WVJLl-E" ,~t4. {;~ 17~t../1 I ut-,~ ;lj ~A--' i~~~'J77rg!L "', :/l OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA, ,~ COUNTY OF CWYlBERLA1\iD f :s:s The petitlOner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well a d truly administer the estate according to law. C;) ()Q' ;::: I:l ;:: ~ ~ No. ~1-OI-031 CARL D. RHEEM , Deceased Estate of DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ..:rAN lJJ\:R'I q }{~200 1 , 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 January 12, 1999 described therein be admitted to probate and filed of record as the last will of Carl D. Rheem and Letters Testamentary are hereby granted to Ruth Garman and John Chastain ~~ FEES Probate, Letters, Etc. ......... Short Certificates(lo) . . . . . . . . . . )( - p~~. Rel'l.tlRGI:;ttl~Q ................ $~10.00 $ \8.00 $ q.OO .:rCP $ 5.00 TOTAL _ $ 30iA.OQ . ../ ~ 9:,. ~O:V.I. . . . . . . . . . . . . . . . . . George F. Douglas. [II. Esquire ATTORNEY (Sup. Ct. J.D. No.) 61886 27 W. High St. ADDRESS Filed Carlisle, FA 17013 PHONE 717-243-1790 CAt.L ATTlf. ~-- ,'" . . - c.. This is to certify that the information here given is correctly copied frOl~1 an original ce.rtificate of death dul~ filed with Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filll1g. WARNING: It is illegal to duplicate this copy by photostat or photograph. me as Fee for this certificare, $2.00 ,11't'~(W'iirpl;;---__ I\'~';"'l" ((4-" ,l':!iif' ..... _ .~"\ f~_' ~\ ~::el ..... . \~~ ~C)f ~ '. I-~ ::: c....'\ --~~. ::t:a.~ ~ _ 'hI _ . i ~ ..*~..~~ .'!*~ ;,. <:2 '-. -.' . ~/ ... <"}. ->::,'" I' .,,~ ~'t-"'" -...,---~/MENl l,\\ ~ """' "''''''''",OUIIIIIIII,,1 l1'~~. ~eu-~~ Local RegIstrar P 6960496 JAN 2 2001 No. Dare Hl05. i4J Rev 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH ~INT lENT INK NAME Of DECEOENT (First. Middle. i"a"I 1. Carl D. SEX 2, Male STATE flLE NUMeER SOCIAL SECU~ITY NUMBER 2. 1$4- o 2000 87 v" UNDER 1 YEAR Months OIlY' PLtCE Of DEATH (Ct>eck 0f'IIy O)M 'jft 'I'lSIrvctoOllS on ome. 5lO8) HOSpn....L: ,...,*" D g:IfyJO AGE (LaSlBif1tldeY) S. COUNTY OF ou;TH RACE. Amenean Indian, Black, Whil'.. eec: ,-, White -:1\ '-.><0 Cumberland ... Ie. ,a. DECEDENT'S USUAL OCCUPAJ'ION (~~W:::O"::;:::i.r:f l1L Laborer ,Qickins n DECEDENT'S MAILING AOOAESS (SI,... Cil'yfbwn. sw.. Z'PCodel 26 Station Road Newville,Pennsylvania172 11. FRH. ER'sN'''E'''"'''-'William Rheem 1. D. ....OR.....rSHAME(T":1~n L. Chastain .... METHOD OF D1SPOSIT~ D 8urlat \l1" C,emttiOn 0 ~"omStat.O ~ion Qthe( (Speelfyl 21.. SlGNATU SURVlVING SPOuSf HI ",",e. gtW m3lOen NlfT'l81 Cumberland 0kI - ....il'I. --' ..... 11b. Coun - NoS" H. I ~.im.. I interwl~ I onMt and death PART N: Qlhe, stgl1if1cant condMiOnI: contribuIinQ to ..ath. tM not ,..suttlng in the und4Htying <*1M giV'M' in MAT I i :. L DUe 10100",S'" CONSEQUENCE Of): ~WJ ~) kPhl C<2~ .zyt~-<;hf-,><I It I '!tri. /;1:J1 r~ 1i<W4~-&f.c..1.. ~r,?SI? ~ T010A AS" CONSEOUE e OF): QUE 1O~OR ~"CONSEQUENCe Of): WERE AUlOPSY FINDINGS MANNER OF OEATH ~1l.ABLE PRIOR 10 COMPLE'l1ON OF CAUSE cr D OF DEATH? Natural Homicide Accident D Pending In~tlon D ... 0 No 0 Sulddo D Coukl not be dtItarmiNld D DATE OF INJURY (Monlh. Day. ~8f1 TIME OF INJ RY INJURY /Ill 'NORK? DESCRIBE HOW INJURY OCCURRED. .... D NoD 2ee. 21b. CERTlfIE"I~ ~ one) .ClflTlfYlNO PHYSICIAN (PtlySIC..n Cr.rlllyong cause cJ autl'l oothetl anQl.tler Oh.,k.an ha" plontNl"Ced ()eal'" al'ld t:f:Im'DIeled"em 23) To the ~ of my know6edQe. death occunwd due to the ceuse(s) and manna' a. stat.-d. . . , , . , . . . , . , . . . . . . . . , . . . . , , , >t. . 3Ob. PLACE OF INJURY. Al home. larm, S(rH!. factOf";', ottIetI ~.c.~ ..., ", ~\ I~\IOI ORE SKlNEt> (M(ltlItl. Day. Yearl 2tfl>( -HtONOUHCIMQ AND CERTIFYINQ PHYStClAN (Phy5lCllIn boIh plonounclng aealtl and ''''''1'"0 10 cause ol ataltol To 1M blMt of my knowledgflo. death ~urrwd at 1M time, dale, and place, and due to tM calolse(aJ "nd manner a. atatad., , "MEDICAL EXAMINER/CORONER On the b..I. of ...mlnatIOI'l.ndJor In"..tlglllon, In my opinion, d..th occurred 111M lime, de", and place, and dlJe to the cauH(s) and me"".,.. staled.. . , . , . , . . . . . . , . . . . . . . . , . . . . . . . . . , , . . . . . , . . , . . , . . . . . . . , , , . . , . . . . , . . . , , , . . . , , . , . , . , . . . . , . . . . . . . . .. , 31.. REGISTRAR'S SIGNATURE AND D 22. OATE FILED {Mcnitt. Day. Ye II I 7()6 ':- .., ( " .,' LAST WILL AND TESTAMENT I, Carl D. Rheem, of South Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my last will, hereby revoking any and all wills heretofore made by me. Item I. I direct my executors hereinafter named to pay all my debts and funeral expenses. Item II. I make the following specific bequests: A. I give my china cabinet and English china dishes to my great nephew, John Chastain. B. I give my iron tea kettle to my niece, Audrey Chastain. C. I direct that any remaining dishes be divided among my nieces, Ruth Garman, Emma Mell and Audrey Chastain. D. I give my remaining china cabinet to my niece, Ruth Garman. Item III. I hereby give, devise and bequeath my entire estate, both real and personal, to my nieces and great nephew as follows: A. Sixty (60%) percent to be divided evenly between my niece, Ruth Garman and my great nephew, John Chastain, for caring for me over the years. B. Forty (40%) percent to be divided evenly between my nieces, Emma Mell and Audrey Chastain. Item IV. I nominate, constitute, and appoint my niece, Ruth Garman, and my great nephew, John Chastain, as co-executors, and I direct that they shall serve without bond. IN WITNESS WHEREOF, I have hereunto set my hand and seal this the /2Tl!.. day of January, 1999. (~/J /0/ ClJ (~V1/~ . Carl D. Rheem Signed, sealed, published and declared by the above-named testator, as and for his last will and testament, who at his request, in his presence, in our presence, and in the presence of each other, have hereunto subscribed our names as attesting witnesses: ~~r p. ~~.~ Cfdwt Ih dfl)/'-f'i , " ," COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) we'~rJ'::~~~ and qt4uL YlJ.X~ . the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw testator sign and execute the instrument as his last will, and that he signed willingly and that he executed it as his free and voluntary act for the purposes therein contained, that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge, the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ,~F~{U- ~ ~L '121, Xa<-y- Sworn to and subscribed before me this /1..... -n, day of January, 1999. I ~..~.,L I Notary Notanll Sell Anne M. eo., Notary Pubfie CMlisle Borough. Cumbetllnd CoUftty My commIssIon exPIres July 14.2001 ,. ,.. - , COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, Carl D. Rheem, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. /, (/'- i L_(J./'--~ 't'\.-) "- r~k: LJLQ.../VM..- Carl D. Rheem Sworn to and subscribed before me . -H.... this I L- day of January, 1999 ." "" '" } ('. ~. ,-I_-~ ~- '(....... , Notary Notan.1 Seal Anne M. Col, Notary Public Carlisle Borouata. Cumberland County My commiSSIOn eXPIres July 14. 2001 .~ CY ~S '1 STATUS REPORT UNDER RULE 6.12 Date of Death: ~ t.R~ ll-\ ~D \ ~oC:> 0 \ - 00 ~1 Admin. No. Name of Decedent: Will No. "2-- <.:> D 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 wpether administration of the estate is complete: Yes~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the person~ representative file a final account with the Court? Yes V" No . b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Da te: \ \ \ HlD 2-- '6 Signatu e GlL4I(b ~ F. i'J Cv''tlJ l~ Name (Please type or prin ) DOUGLAS, DrUGLAS & DOL:~:"Aw Add P.O. .JX :6' ressCARLlSLE. PA 17013 ( -, (n - ")..-~ ~ - ( I i 0 Tel. No. Capacity: Personal Representative ~nsel for personal representative (MAH:rmf/AM3) -\. Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 ':' Date: 11/05/2002 DOUGLAS GEORGE FIll ESQ 27 W HIGH ST CARLISLE, PA 17013 RE: Estate of RHEEM CARL D File Number: 2001-00037 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. I, for decedents dying on or after July I, 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: 12/30/2002 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~'trJ&r.&ld~, MARY C. LEWIS ~~rt::. REGISTER OF WILLS ~ cc: File Jpersonal Representative(s) Judge ~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Carl D. Rheem Name of Decedent: Date of Death: December 30, 2000 21-01-0037 Will No. 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 Jan. 12, 2001. : Name Address See Attached Notice None Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Jan. 12, 2001 ~ r~~9J~ Signature \..... - lM Date: Name George F. Douglas, III, Esquire 27 W. High St. Address Carlisle, PA 17013 717-243-1790 Telephone ( Capacity: _ Personal Representati ve x _Counsel for personal representative t:- ---- NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA . INRE: ESTATE OF CARL D. RHEEM, DECEASED NO. 21-01-0137 TO: RUTH GARMAN 584 MCCLURES GAP ROAD CARLISLE, PA 17013 EMMA MELL 8 VERNA ST. NEWVILLE, PA 17241 AUDREY CHASTAIN 1837 WALNUT BOTTOM ROAD NEWVILLE, PA 17241 JOHN L. CHASTAIN 26 STATION ROAD NEWVILLE, PA. 17241 Please take notice of the death of decedent and the grant of letters to the personal representative named below. You may have a beneficial interest in the estate under the Last Will and Testatment of Carl D. Rheem See attached copy of Will Name of decedent: Carl D. Rheem Last known address of decedent: Chapel Pointe, Carlisle, P A 17013 Date of Death: December 30, 2000 Place of Death: Carlisle, Pa. County of Grant of Original Letters: Cumberland Decedent died Testate, and a copy of the Will is attached hereto Name, address and phone number of all personal representatives: RUTH GARMAN 584 MCCLURES GAP ROAD CARLISLE, P A 17013 Phone: 717-245-0173 JOHN L. CHASTAIN 26 STATION ROAD NEWVILLE, PA. 17241 Phone: 717-776-7332 Name, address and phone number of counsel: GEORGE F. DOUGLAS, III, ESQUIRE 27 WEST HIGH ST. CARLISLE, PA 17013 Phone: 717-243-1790 Additional information may be obtained from the undersigned: Dou By Geor e F. Douglas, III, Esquire 27 W. High St. Carlisle, Pa. 17013 717-243-1790 Dated: January 12, 2001 .-- ~ LAST WILL AND TESTAMENT I, Carl D. Rheem, of South Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my last will, hereby revoking any and all wills heretofore made by me. Item I. I direct my executors hereinafter named to pay all my debts and funeral expenses. Item ll. I make the following specific bequests: A. I give my china cabinet and English china dishes to my great nephew, John Chastain. B. I give my iron tea kettle to my niece, Audrey Chastain. C. I direct that any remaining dishes be divided among my nieces, Ruth Garman, Emma Mell and Audrey Chastain. D. I give my remaining china cabinet to my niece, Ruth Garman. Item ID. I hereby give, devise and bequeath my entire estate, both real and personal, to my nieces and great nephew as follows: A. Sixty (60%) percent to be divided evenly between my niece, Ruth Garman and my great nephew, John Chastain, for caring for me over the years. B. Forty (40%) percent to be divided evenly between my nieces, Emma Mell and Audrey Chastain. Item IV. I nominate, constitute, and appoint my niec:e, Ruth Garman, and my great nephew, John Chastain, as co-executors, and I direct that they shall serve without bond. If IN WITNESS WHEREOF, I have hereunto set my hand and seal this the /2T - day of January, 1999. (~J% C~ Carl D. Rheem Signed, sealed, published and declared by the above-named testator, as and for his last will and testament, who at his request, in his presence, in our presence, and in the presence of each other, have hereunto subscribed our names as attesting witnesses: P~r F-- ~L~.d- ci qwn- '1h. ~aj h COMMONWEALTHOFPENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) we'~r-(:~~ and q?Uu-L YlJ-.rX-~ . the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw testator sign and execute the instrument as his last will, and that he signed willingly and that he executed it as his free and voluntary act for the purposes therein contained, that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge, the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ~F:~~ CJa.ui:- Yh. Xcuy- Sworn to and subscribed before me ..n., this /"1:... day of January, 1999. - I ' ~~~ Notary Notarial Sell Aftne M. Cox. Notary PubIie CartisIe Borou.... Cumbeft.nd County My tom_10ft txlllrtS Ju\y 14. 2001 . . COMMONWEALTHOFPENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, Carl D. Rheem, whose name is signed to the attached or foregoing instrument, having been dilly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly, and that I signed, it as my free and voluntary act for the purposes therein expressed. ~(~ (r~ Carl D. Rheem Sworn to and subscribed before me +L- this 1'2- day of January, 1999 -<.,~.. ~\ ~~' (. Notary NotanII Sell AIM ... eo.. Notary Public c.tisIe 8orouah. Cumbefland County My c:eIRmisslon exPIres July 14. 2001 "\, /b-D200- /C::V COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER , 'COUNTY ACN 05-07-2001 RHEEM 12-30-2000 21 01-0037 CUMBERLAND 101 GEORGE F DOUGLAS DOUGLAS ETAL PO BOX 261 CARLISLE III ESQ PA 17013 Amount Remitted <;/ 6- OiL / t/ REV-1547 EX AFP el2-DDl CARL 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:i54j-Ex--AFP--(I~f:ooT-NoTYcE--oF-YNHEififANCE-TAi-APPRAisEifENT~--A[rOWANCE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF RHEEM CARL D FILE NO. 21 01-0037 ACN 101 DATE 05-07-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED 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. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets CHANGED Cl) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 293,801.00 4,985.03 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax If an assessment was issued previOUSly, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: PAYMENT DATE 03-22-2001 NOTE: RECEIPT NUMBER AA478189 DISCOUNT (+) INTEREST/PEN PAID (-) 2,169.88 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (9) ClO) 9,468.82 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 298,786.03 9.468 8? 289,317.21 .00 289,317.21 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .00 .00 .00 43,398.00 43,397.58 43,868.88 471. 30CR .00 471. 30CR ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) .00 (11) Cl2) Cl3) Cl4) Cl5) Cl6) Cl7) Cl8) .00 X 00 = .00 X 045 = .00 X 12 = 289,317 . 21 X 15 = Cl9)= AMOUNT PAID 41,699.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE Itc'-dm- /~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT st. C/ '* REY-liD7 EX AFP 112-001 GEORGE F DOUGLAS DOUGLAS HAL PO BOX 261 CARLISLE III ESQ' DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-04-2001 RHEEM 12-30-2000 21 01-0037 CUMBERLAND 101 CARL D Allount Rellitted PA 17,Il,13 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this forll with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV :i6'ifj-'EY-AFP-fi'2-:ooY------...-iNHERI'i'-ANCE--TAY-STAfEME-NT-OF'-AC-couiif--..-..--------------------- ESTATE OF RHEEM CARL D FILE NO. 21 01-0037 ACN 101 DATE 06-04-2001 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-30-2001 PRINCIPAL TAX DUE: 43,397.58 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-22-2001 AA478189 2,169.88 41,699.00 05-14-2001 REFUND .00 471.30- TOTAL TAX CREDIT 43,397.58 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 It IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. ORPHANS' COURT DIVISION NO. 2101-0037 FIRST AND FINAL ACCOUNT OF JOHN CHASTAIN AND RUTH GARMAN, EXECUTORS OF THE LAST WILL AND TESTAMENT OF CARL D. RHEEM, DECEASED, LATE OF THE BOROUGH OF CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA. DATE OF DEATH: DECEMBER 30,2000 NO. 21-01-0037 LETTERS GRANTED: JANUARY 9, 2001 FIRST COMPLETE ADVERTISEMENT OF GRANT OF LETTERS: JANUARY 18,25, FEBRUARY 1,2001 DEBITS PRINCIPAL: REAL ESTATE NONE PRINCIPAL: PERSONALTY Various coins- SALE PRICE Allfirst Bank, CD 950351939 Allfirst Bank CD 8000002000380 Waypoint Bank 8010000802 Waypoint Bank 1700015114 M&T Bank, checking 870579 Blue Cross Refund Nationwide refund Miscellaneous jewelry SALE PRICE Series E savings bond, issue date September 11, 1973 1998 Plymouth Breeze, sale price Chapel Pointe refund Refund Ewing Brothers Funeral Home Nationwide refund Pennsylvania inheritance tax refund 772.85 15,673.62 60,282.34 100,483.02 100,508.49 4,399.18 318.45 25.00 590.00 118.56 6,000.00 154.22 4,109.06 123.50 471.30 294,029.59 INCOME PERSONALTY Allfrrst additional interest on 950351939 Waypoint additional interest on CD Waypoint, additional interest on CD M & T Bank, interest on estate checking account Total income personalty TOTAL PRINCIPAL PERSONALTY 25.21 1,058.53 1,059.89 640.08 2,783.71 $296,813.30 CREDITS The Accountants herein credit themselves with the following: Register of Wills Douglas, Douglas & Douglas, attorney fee Cumberland Law Journal, advertising Sentinel, advertising Adams Auction, coin appraisal Sprint, last bill Marha Rutland, jewelry appraisal Eby Granite Works, tombstone IRS, 2000 income tax P A Dept. of Revenue, 2000 income tax Kathleen Bell, preparation tax return Pennsylvania Inheritance Tax Reserved for filing final account Greenawalt & Co., reserved for filing 1041 Register of Wills, filing inventory and appraisement U.S. Treasury, return of Jan. Feb. 2001, SSI payments U.S. Treasury, tax withheld on interest payments M&T Bank, estate check book charge TIAA repay one month 314.00 7,550.00 75.00 106.79 80.00 7.63 95.40 1,114.00 1,349.00 480.00 30.00 41,699.00 200.00 300.00 25.00 1,336.00 198.39 14.74 37.:W 55,012.25 RECAPITULATION TOTAL DEBITS TOTAL CREDITS BALANCE FOR DISTRIBUTION $296,813.30 55.012.25 $241,801.05 (SEAL) (SEAL) 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND John Chastain and Ruth Garman, being duly sworn according to law, deposes and says that he is the Executors of the Estate of Carl D. Rheem, and that the averments of the within First and Final Account are true and correct to the best of affiants' knowledge, information and belief. vI' ~ ~~G Nll1A..o.Nl.- ;3J I eb:. ~ (SEAL) (SEAL) Sworn to and subscribed . U ~ ~~'2001 \ notary Notarial Seal Anne M. COI, Notary Public Carlisle Borough, Cumberland County My commiSSIon expires July 14. 200\ 3 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. ORPHANS' COURT DIVISION NO. 2101-0037 STATEMENT OF PROPOSED DISTRIBUTION OF JOHN CHASTAIN AND RUTH GARMAN, EXECUTORS OF THE LAST WILL AND TESTAMENT OF CARL D. RHEEM, DECEASED, LATE OF THE BOROUGH OF CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA. Item III. I hereby give, devise and bequeath my entire estate, both real and personal, to my nieces and great nephew as follows: A. 60% to be divided evenly between my niece, Ruth Garman and my great nephew, John Chastain, for caring for me over the years. Bo4O% to be divided evenly between my nieces, Emma Mell and Audrey Chastain. The above provision was changed by a Legatees' Settlement and Release, attached hereto as Exhibit A, wherein the four legatees agreed to divide the estate in four equal shares. $241,801.05 AMOUNT TO BE DISTRIBUTED Distribution Ruth Garman, 25% Cash Less cash received Cash due Jewelry, 1/4 value Wedding ring wlband Emma Mell, 25% Cash Less cash received Cash due Jewelry, 1/4 value Coins Audrey Chastain, 25% Cash Less cash received Cash due Jewelry, 1/4 value $60,450.27 $60,450.27 $45.000.00 $15,181.27 35.00 234.00 $60,450.26 $60,450.26 $45.000.00 $14,642041 35.00 772.85 $60,450.26 $60,450.26 $45.000.00 $15,415.26 35.00 4 John L. Chastain, 25% Cash $60,450.26 Less cash received $45.000.00 Cash due $ 9,199.26 1998 Plymouth Breese 6,000.00 Cameo wi rope chain 216.00 Jewelry, 1/4 value 35.00 Total Distributed $60,450.26 $241,801.05 5 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND John Chastain and Ruth Garman, Executors, being duly sworn according to law, deposes and says that the averments of the within Schedule of Distribution are true and correct to the best of affiants' knowledge, information and belief. ~ Sworn to and subscribed befor this Z. ., day of 'J , 2001. Notary Notarial Seal Anne M. Cox, Notary Public Carlisle Borough. Cumberland County My commISSion expires July 14, 20lS 6 Legatees'Settlement and Release . In Estate of Carl D. Rheem, Deceased KNOW ALL MEN BY THESE PRESENTS, that WHEREAS, Carl D. Rheem, late of the Borough of Carlisle, Cumberland County, Pennsylvania, deceased, died testate on December 30, 2000, having first made his last will and testament, which was duly executed on January 12, 1999, and is duly filed in Cumberland County, Pennsylvania, at No. 21 - 01-0037. WHEREAS, the said Carl D. Rheem by the aforesaid last will and testament, in Item III A. bequeathed 60% of his estate to be divided evenly between his niece Ruth Garman and his great nephew, John Chastain, and in Item III B. bequeathed 40% of his estate to be divided evenly between his nieces, Emma Mell and Audrey Chastain. WHEREAS, Letters Testamentary on the estate of the said decedent were duly issued, on January 9, 2001, by the Register of Wills of Cumberland County, Pennsylvania, to the said Executors, hereinafter called personal representatives; WHEREAS, It is hereby agreed among the said Legatees that the Estate shall be divided evenly as follows: To Ruth Garman 25% To Emma Mell 25% To Audrey Chastain 25% To John L. Chastain 25% NOW, THEREFORE, KNOW YE, that we, the undersigned Legatees, being all of the legatees of the said decedent under the last will and testament of the said decedent, and being those persons entitled to inherit under said last will and testament, do hereby, each of us, acknowledge that we have this day had and received from the aforesaid personal representatives, in partial satisfaction and payment of all sum or sums of money, legacies, bequests, and devises as are given, devised and bequeathed to each of us respectively by the said last will and testament, which amounts we have received this day, and which amounts are in the amount set opposite our respective names set forth above, with the understanding that there will be a final distribution to each of us in accordance with the above percentage of 25% each, when the First and Final Account and Schedule of Distribution is filed and approved in this Estate. AND, each of us does hereby stipulate and agree that we do consent to the above distribution being made. E)(.H f ~rT THEREFORE, we and each of us do hereby remise, release, quitclaim and forever discharge the said personal representatives, their heirs, executors, and administrators and assigns, of and from the said estate and from all actions, suits, payments, accounts, reckonings, claims, and demands whatsoever for or by reason thereof, or for any other use, matter, cause or thing whatsoever touching upon the estate of the said decedent, and each of us do further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this agreement, we and each of us do hereby covenant and agree with each other and the aforesaid personal representatives that we will contribute pro rata our share of the estate to satisfy any and all claims, demands, suits, or causes of action which may be successfully prosecuted against the said estate or the aforesaid personal representatives after signing, sealing and delivery of this settlement agreement, and release. IN WITNESS WHEREOF, we have hereunto set our hands and seals this Witness: J:1: I. ~/.. - !LJ'il , J:\ ('1. M ^""..JL...-. ./ ~d~~ Can~ \j //J-dL__ Commonwealth of Pennsylvania County of Cumberland On this, the 12th day of April, 2001 before me, a Notary Public, the undersigned officer, personally appeared Ruth Garman, Emma Mell, Audrey Chastain and John L. Chastain, known to me to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~~~. Notanal Seal Anne M. Col, Notary Public Carlisle Borough. Cumberland County My commission eXPIres July 14. 2001 .. LAST WILL AND TESTAMENT I, Carl D. Rheem, of South Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my last will, hereby revoking any and all wills heretofore made by me. Item I. I direct my executors hereinafter named to pay all my debts and funeral expenses. Item ll. I make the following specific bequests: A. I give my china cabinet and English china dishes to my great nephew, John Chastain. B. I give my iron tea kettle to my niece, Audrey Chastain. C. Idirect that any remaining dishes be divided among-my nieces, Ruth Garman, Emma Mell and Audrey Chastain. D. I give my remaining china cabinet to my niece, Ruth Garman. Item ID. I hereby give, devise and bequeath my entire estate, both real and personal, to my nieces and great nephew as follows: A. Sixty (60%) percent to be divided evenly between my niece, Ruth Garman and my great nephew, John Chastain, for caring for me over the years. B. Forty (40%) percent to be divided evenly between my nieces, Emma Mell and Audrey Chastain. Item IV. I nominate, constitute, and appoint my niece, Ruth Gannan, and my great nephew, John Chastain, as co-executors, and I direct that they shall serve without bond. II IN WITNESS WHEREOF, I have hereunto set my hand and seal this the /2T -- day of January, 1999. (~J% C~ Carl D. Rheem Signed, sealed, published and declared by the above-named testator, as and for his last will and testament, who at his request, in his presence, in our presence, and in the presence of each other, have hereunto subscribed our names as attesting witnesses: ~~r ~ Ybu~ ~ ~ff 'f!J ~111. II COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, ~ r-r::.~ ~ and q~:t: Y/), X!lAj~ . the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw testator sign and execute the instrument as his last will, and that he signed willingly and that he executed it as his free and voluntary act for the purposes therein contained, that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge, the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ~F~~ ~:L Vh ,Xcur- Sworn to and subscribed before me .fi, this /1.:... day of January, 1999. ~~C4- Notary Notarial Sell Aftne M. Cox. Notary Pubfie tamIe 80r0up. Cumberllnd County My commisston eXl)lfeS July 14,2001 COMMONWEALTHOFPENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, CarID. Rheem, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. ~ Cpo (r~ Carl D. Rheem Sworn to and subscribed before me +l- this 1'2- day of January, 1999 "..-"', . /" \ ~~~ Notary Notanal Seal .. M. Cox. Notary Public CartisIe 8orouah. Cumberland County My c:ommisSIOfI txptfes July 14. 2001 Inventory of the real and personal estate of Carl D.Rheem (!; deceased ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. DESCRIPTION Various Coins, see appraisal Al1first Bank, CD 950351939 Al1first Bank, CD8000002000380 Waypoint Bank Account 801??oo802 Waypoint Bank Account 1700015114 M&T Bank, checking account 870579 Blue Cross Refund Nationwide Refund Miscellaneous Jewelry- see attached appraisal Series E savings bond, date issue September 11,1973 1998 Plymouth Breeze Chapel Pointe, refund Refund Ewing Brothers Funeral Home Allfirst additional interest on 950351939 VAllE AT DATE OF DEATH $966.85 $15,673.62 $60,282.34 $100,483.02 --...--. . $100,508.49 II, "', "~:,; L ~ i l' f (,;,1": A :1" ., ~. "'l: ~_., I $4,399.18 $318.45 $25.00 $737.00 $118.56 $6,000.00 $154.22 $4,109.06 $25.21 .- $ 293.801. 00 II COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND l J 55: George F. Douglas, III, Esquire, Attorney for Estate sworn is being duly according to law, deposes and says that he the attorney for of the Estate of Carl D. Rheem, deceased the Borough of Carlisle late of --------- - .--- -------GO ------r:r-..r.:;. , Cumberland County, Pa., decease~ an~ that the eorge r. uoug~as, 111, ~squ1re a~~~rn~y within is an inventory made by , the said of the entire estate of said decedent, consisting of all the personal prop~rty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. Sworn to and subscribed before me, ~ F. ~'6 March ;z..O 1~2001 Executor - Administrator Attorney Notanal Seal Anne M. Coil, Notary Public Carlisle Borough, Cumberland County My commiSSion expIres July 14. 2001 27 W. High St. Carlisle, PA 17013 Addre.. Date of Death 30 December 2000 Day Month Y.ar INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. 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