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HomeMy WebLinkAbout01-0097 R..~.l!iOOEX(&<<I) REV-1500 OFFICIAL USE ONLY e. /iP- .)0'/- /1 FILE NUMBER 21_01 '* COMMONWEALTH OF PENNSYLVANIA $li; DEPARTMENT OF REVENUE DEPT 280601 . HARRISBURG, PA 17128-0601 INHERITANCE TAX RETURN RESIDENT DECEDENT NUMBER 00097 COLJNTYCODE YEAR I- Z W C W tJ W C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Weitzel, Catherine E. DATE OF DEATH (MM-DD- YEAR) January 12, 2001 SOCIAL SECURITY NUMBER 184 - 26 -2978 DATE OF BIRTH (MM-DD-YEAR) Jtme 17, 1906 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) w ... ::.::-:!Ul U ."" w"U ",00 U"'-' ..'" .. < ~ 1. Original Return o 4. Limited Estate ~ 6. Decedent Died Testate (Attach ropy ol Will) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (date afdeath afIer 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy of Trust) D 10. Spousal Poverty Credit (date 01 death between 12.31-91 and 1-1.95) D 3. Remainder Retum (dale aldeath prior to 12-13-82) D 5. Federal Estate Tax Retum Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (A~aCl'l Sch 0) THIS SECTION MUST IlE COMPLETI:.Q;ALLCORRESPDNDENCE ANDCPNFIDENTlAI.,TAx INFORr.lATIONSHOULD..BE DIREC;TED"(Q';;! NAME COMPLETE MAILING ADDRESS ... z w c z o .. V> W '" '" o U FIRM NAME (If Applicable) TELEPHONE NUMBER I I i 1. Real Estate (Schedule A) 2 Stocks and Bonds (Schedule B) (1) (2) (3) (4) (5) OFFICIAL USE ONLY 348,337.62 z o ~ ...J :::J !::: D. <C tJ W 0:: 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule Dj 5. Cash. Bank Deposits & Miscellaneous Personal Property (Schedule E) 6_ Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 60,950.15 (6) 48,000.00 (7) 457,287.77 (8) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10 Debts of Decedent, Mortgage Liabilities, & Liens (S9hedule I) 11. Total Deductions (tolal Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 39,038.43 2,158.68 (9) (10) 14. Net Value Subject to Tax (Line 12 minus Line 13) (11) 41,197.11 (12) 416,090.66 (13) 3,000.00 (14) 413,090.66 I. '. , SEE INSTRUCTIONS ON REVERSE SlOE FOR APPLICABLE RATES z o ~ .... :::J D. == o tJ X ~ 15. Amount of Une 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x.O_ (15) x.O_ (15) x .12 (17) 61,963.60 x .15 (18) (19) 61,963.60 16. Amount of Line 14 taxable allineal rate 17. Amount of Une 14 taxable at sibling rate 413,090.66 18. Amount of Une 14 taxable at collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT .~;." ~.',j" .."'>>> BE SURE TO ANSWER AU': QUESTIONS ON ~ERSESIDE:AND RE;C!,!Ec.!<1.IA H '" .",'-g'>.','>'!,- .:4.',~/"'~: ;' Decedent's Complete Address: Im,"~ CITY I STATE I ZIP Tax Payments and Credits: 1. Tax Du. (Page 1 Line 19) 2. Credits/Payments A. Spousal Pov.rty Cr.di! B. PMor Paym.nts C. Dlscounl (1) 61,963.60 :J/,UUU.W 2,850.00 Total Cr.dits (A+ B+ C) (2) 59,850.00 3. Inl.restlPenalty if applicable O. Inter.st E. Penalty Total Int.resUPenalty ( 0 + E ) (3) 4. It Line 2 is gr.at.r than Lin. 1 + Line 3, .nter the difference. This is the OVERPAYMENT. Ch.ck box on Page 1 Line 20 to r.quest a refund (4) 5. If Line 1 + Une 31s greater than Lin. 2, enter the difference. This is the TAX DUE. 2,113.60 A. Enter the interest on the tax due. (5) (5A) B. Enter the total otUne 5 + 5A. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT ..~..-..."'~ -~-=.''JIIf~;i.~~~Z'';.'.iflj~J:?":~~,:f'~;:!,m~d:w:;~~''''"::i~~~t~~~~~.~.t~'='''5~'~,'i'~v~~~~;:;:,0i:!~''1:.1,~-,,:rr PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain the use or income otlh. property transt.rr.d;.......................................................................................... 0 b. r.tain the right to designate who shall use the propeMy lransterred or its income; ............................................ 0 c. retain a reversionary interest; or...............................,...............,.,..............._.,.,..u....................".......................... 0 d. receive the promise tor i1te at eith.r payments, b.n.fits or car.? ...................................................................... 0 2. If d.ath occurred after December 12, 1982, did decedent transter property within one y.ar at 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? .............. 0 Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains .a ,beneficiary designation? .... ....................................................................................................,.............., 0 No ~ ~ ~ ~ o Q @ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 3. . 4: SIGNATURE OF P ~ ,..~=~~i.=ti~~j;~;:.~~~~~~-~~~3mw~~~~~~~~~~~~~~'tr:~>>.f!! For dates of death on or after Jury 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse ;s 3% [72 P.S..~9116 (a) (1.1) (i)]. For dates at death on or after January 1, 1995. the tax rate impos.d on the net value at transters to or tor the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemot 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" the surviving spouse is the only beneficiary. For dat.s of death on or after July 1, 2000: The lax rate imposed on the net valu. of transfers tram a d.ceased child twenty-one y.ars at age or younger at death to or tor the use of a nalural parent, an adoptive parent, or a sleppar.nl at the child is 0% [72 P.S. ~9116{a)(1.2)]. . Th. lax rate impos.d on the n.t valu. oftranst.rs to orlor the use otth. d.cedent's lin.al ben.ficiaMes is 4.5%, .xcept as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)]. Th. tax rate imposed on the net value of transfers to or tor the use at the deced.nt's siblings is 12% [72 P.S. ~9118(a)(1.3)]. A sibling is defined, under Section 9102, as ar individual who has at least one parent in common with the deceden~ wh.ther by blood or adoption. ADDRESS PA nD 3<..0 SIGNATURE ADDRESS ~u:f 5d3 PA \~I CD \ i' " ;1 DATE DATE to)ololo . . . "'___"U"....__. _ REV-1Wex+\1..e7) 'w SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF Catherine E. Weitzel All real property owned solely or as a tenant in common must be reported at fair market value. Fair maf'1(et value is defined as the price at which property would be exchanged between a willing buyer and a willing seller. neither being compelled to buy or sell, both having reasonable knowledge of the relevant fads. Real property which is jointfy-owned with right of survivorshiD must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. None I, I TOTAL (Also enteron line 1, Recapitulation) $ (if more space is needed. Insert additional sheets of the same size) "",.,m"."...,. COMMONWEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT SCHEDULE B STOCKS & BONDS FILE NUMBER 21-<J1-OOO97 ESTATE OF Catherine E. ~itzel All property jointly-owned _ right of survlvo..hlp must be disclosed on Schedule F. VALUE AT DATE OF DEATH ITEM NUMBER 1. DESCRIPTION First Union Securities AcCOlnlt No. 86953849 Aim Funds Group 3,516.174 shares at $12.20 Alliance Growth and Income Furd8,375.105 shares at $3.78 Alliance Health Care Furd, Inc. 1004.791 shares at $11.93 Alliance Technology Furd, Inc. 470.554 shares at $90.11 Hancock John Investment Trust 1,314.406 shares at $19.13 Mlss Investments Growth Stock Furd, Inc. 928.793 shares@> $15 91 PIM:D Furds Pacific Investment Management Series 1.994.018 shares at $10.17 IT Dow Dividend and Repurchase 14,001 shares at $11.37010 42,897.32 31,657.90 11,987.16 42,401. 62 25,144.59 14,777.10 20,279.16 159,192.77 TOTAL (Also enteron line 2, Recapitulation) $ (If more space is needed, inseri edditional sheets of the same size) 348,337.62 .'--".. "-- -~-----'_. REV-1S07 EX+ (1-97) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES & NOTES RECEIVABLE FILE NUMBER 21-D1-OOO97 ESTATE OF Catherine E. Weitzel All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH . 'I , ,. None !' I; I 11 TOTAL (Also enter on line 4, Recapitulation) $ (It more space is needed, insert additional sheets of the same size) REV.,...,01140* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATEOFCatherine E. Weitzel SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-01-00097 Indude the proceeds of litigation and the date the proceeds were received by the estate. All property jointly..owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. VALUE AT DATE OF DEATH II DESCRIPTION First Union Certificate of Deposit Account Ntnnber 247412050792448 First Union Certificate of Deposit Account Ntnnber 247412050792448 Accrued Interest First Union Certificate of Deposit Account Number 247412056321248 15,566.89 40.03 16,691.46 First Union Certificate of Deposit Account Ntnnber 247412056321248 tccrued Interest First Union Certificate of Deposit Account NiJmber 247412056321249 85.67 16,691.46 First Union Certificate of Deposit Account Number 247412056321249 Accrued Interest 85.67 Allfirst Checking Account No. 0010652213 11,688.97 100.00 One wanan's wrist watch and one pocket watch 60,950.15 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) ''''''''EXO''''''.. COMMONWEALTH OF PENNSYLVANIA INHERJTANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F.. JOINTLY-OWNED PROPERTY Catherine E. Weitzel FILE NUMBER 21--Dl-00097 ESTATE OF If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. B. c. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MAOE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECO'S VAI.UE OF NUMBER TENANT JOINT deed for jointlY.f1eld real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. None TOTAL (Also enter on line 6, Recapitulation) $ (If more space Is needed, insert additional sheets of tile same size) REI/.1510ex..(1.&1) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Catherine E. Weitzel SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON.PROBATE PROPERTY FILE NUMBER 21-D1-OOO97 Th~ schedule must be completed and filed Iftha answar to any of questions 1 through 4 on tha reverse side of the REY.1500 COYER SHEET ~ yes. OESCRIPTION OF PROPERTY 'kOF ITEM INCLUOET'riENAMEOFT'riE~i<EE. T'ri8RREtATlCNShIPTOCECEOENTANOT'riE OATE OF TRANSFER. DATE OF DEATH DECO'S EXCLUSION TAXABLE YALUE ATTACH ACOF'Y OF THE OEEO FORRf.o\I.ESTATE. YAlUE OF ASSET . INTEREST nFAPP\.ICABLE\ NUMBER 1. Warren C. Hillbish, Spouse of niece $3,000.OC Date of transfer: December, 2000 $20,000.00 $17,000.00 2. Thanas Hines, Spouse of niece $3,000.OC Date of transfer: December, 2000 $20,000.00 $17,000.00 3. Susan E. Hillbish, Niece Date of trarisfer: January ~~ 2001 $10,000.00 $3,000.OC $ 7,000.00 4. Sandra Hines, Niece Date of transfer: January ~, 2001 $10,000.00 $3,000.OC $ 7,000.00 TOTAL (Also enter on line 7, Recapitulation) $ 48,000.00 (If more space is needed, insert additional sheets of the same size) ,I REV-tSl1EX..(I.m) '*' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RE IOENT OECEDENT ESTATE OF Catherine E. Weitzel FILE NUMBER 21--D1-OOO97 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Opening of grave $ 78.00 Funderal luncheon $ 222.00 B. ADMINISTRA liVE COSTS: 1. Personal Representative's Commissions Warren C. Hillbish $20,000.00 Name of Personal Representative (s) Social Secunty Numbe~s) I EIN Numbero! PelSonal Representative(s) Street Address 24 Wagner Circle I-lt.mrelstawn PA 17036 City State Zip Year(s) Commission Paid: not yet paid 2. Attomey Fees $18,000.00 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 $ 738.43 5. Accountanfs Fees 6. Tax Return Prepare(s Fees 7. . TOTAL (AlSO enter on line 9, Recapitulation) $ 39,038.43 (If more space is needed, insert additional sheets of the same size) REV-t512EX.(1.97) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Catherine E. Weitzel SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS FILE NUMBER 21-01-00097 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 2. HRC Manor Care Nursing balance due to rnrrsing home RIIK; Corporation medications $1,768.24 1. $ 10.44 3. HCR Manor Care fursing roan charge $132.00 4. New York Life overpayment fran armunity (made after date of death) $150.00 5. Ranberger ~ria1s add date of death to ll1eIIX)rial $ 98.00 TOTAL (Also enter on line 10, Recapitulation) $ 2,158.68 (If more space is needed, insert additional sheets of the same size) AEY_15'3EX.{1-97}~ ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Catherine E. Weitzel SCHEDULE J BENEFICIARIES FILE NUMBER 21-<Jl-00097 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS (Include outright spousal distributions) Susan E. Hillbish 1. 24 Wagner Circle Hummelstown, PA 17036 Niece 1/3 2. Sandra N. Hines 1801 Mission Road Vestavia Hills Binnington, AI.. 35216 Niece 1/3 3. Cynthia K. Beane 7 Rosewood Drive West Grove, PA 19390 Niece 1/3 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. Second United Church of Christ 251 Verbike Street Harrisl:urg, PA 17102 $3,000.00 TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 3,000.00 -, Ii " (If more space is needed, insert additional sheets of the same size) Sent-by: T-RISTAN ASSOCIATES 7176522165; Dow lanes Interactive Quotes & Market Data 03/12/01 11 :51AM;JetIivc #812;Page 4/12 Page 1 ofl AIM FUNDS GROUP: VALUe FD CL B Pricing History Report symbol: CUSIP Number: Exchange: Type: AVLBX 00887972 OTC - Mutual Funds Mutual Fund Currency: Currency as Reported Daily Prices From: 1/1212001 to 1/1212001 . ~ ... 1/12/2001 Offering Price 12.20 Net Asset Value Date 12.20 New RelJort ' Mod Ify Report Criteria Copyright @ 2000 Dow Jones & Company, Inc. All Rights Rl!Iserved. 35llP, \14- 6hares I 42 ctq '1. ;; 'L I ~ 1~,(7D .../200 1 &sarnpleCount=30&sarnpleTnterval=Daily&span=Day&money=CAR&adjustment=on&d1 fl7fO 1 Sent by: TRISTAN ASSOCIATES 7176522165; Dow Jones Interactive Quotes & Market Data 03/12/01 1~:51AMj~ #812jpage 5~~_ Page lofl ALLIANce GROWTH AND INCOME FUND: CLASS B Pricing History Report Symbol: CUSIP Number: Exchange: Type: CBBDX 01859720 OTe - Mutual Funds Mutual Fund Currency: Currency as Reported Daily Prices From: 1/1212001 to 1/1212001 Date Offering Price Net Asset Value 1/1212001 3.78 3.78 Mew Report I MQd;ty Repo<t Cdteria Copyright@ 2000 Dow Jones & Company, Inc. All Rights Reserved. <? 315. lD5 .5hOJe~ ~ 3.7~ I 3 I loS 1 gD ) .. .1200 I &sarnpleCount=30&samplelnterval=Daily&span=Day&money=CAR&adj ustment=on&dl /17/0 I Sent by: ,RISTAN ASSOCIATES 7176522165; Dow Jones Interactive Quotes & Markel Data 03/12/01 11 :51AM;JetIax #812;page 6/12 Page 1 of 1 ALLIANCE HEALTH CARE FD INC: CLASS B Pricing History Report Symbol: CUSIP Number: Exchange: Type: AHLBX 01860020 OTe . Mutual Funds Mutual Funa Currency: Currency as Reportee Daily Prices From: 1/1212001 to 1/1212001 Date Offering Price Net Asset Value 1/1212001 11-93 11.93 New Report I Modify Report Crl(eria Copyright @ 2000 Dow Jones & Company, Inc. All Rights Reserved. I OD4. 1q I sha.res @... I 11,93 \\lq~1. \LP .. ./200 I &sampleCount=30&samplelnterval=Daily&span=Day&money=CAR&adjustment=on&dl/17 /01 Sent by: TRISTAN ASSOCIATES 7176522165; Dow Jones Interactive Quotes & Maricet Data 03/12/01 11 :51AM;Jedax #812;page 7/12 Page 1 of1 ALLIANCE TECHNOLOGY FUND INCORPORATED: CLASS B Pricing History Report Symbol: CUSIP Number: Exc;hange: Type: ATEBX 01878030 OTe - Mutual Funds Mutual Fund CUrr8ncy: Currency as Reported Dally Prices From: 1/1212001 to 1/12/2001 .....,...._~ Date Offering Priee Net Asset Value 1/12/2001 90.11 90.11 New Report : Modlty Report Criteria Copyright@ 2000 Dow Jones & Company, Inc. AU Rights Reserved. 470. 55 4- s hltt'ts e 90,11 41401.~~ I ...12001 &sampleCount=30&sampleInterval=Daily&span~Day&moneFCAR&adjustment~on&dl/171O 1 Sent by: TRISTAN ASSOCIATES 7176522165j Dow Jones Interactive Quotes & Market Data 03/12/01 11 :51AMjJetfax #812jpage 8/12 Page 1 of 1 HANCOCK JOHN INVESTMENT TRUST II; FINL INOS FD B Pricing History Report Symbol: CUSIP Number: Exchange: l)Ipe: FID8X 40990560 aTe - Mutual Funds Mutual Fund Currency: Currency as Reported Daily Prices From: 1/1212001 to 1/12/2001 1/1212001 Offering Price 19.13 Net AS$et Value Date 19.13 New Report : Modify Report CrIteria Copyright@) 2000 Dew Jones & Company. Inc. All Rights ResclVca. I 3 14 . 4DL> S hCltf~ ~ \ \9.13 25 14~ sq ~ .. .12001 &sarnpleCount=30&sarnpleInterval=Daily&span=Day&money=CAR&adjustment=on&d1/17/0 1 Sent by: TRISTAN ASSOCIATES 7176522165; Vow Jones Interactive Quotes & Market Data 03/12/01 11 :51AM;Jedax #812;Page..~!.~3...., Page I ofl MASS INVESTMENTS GROWTH STOCK FUND INCORP.: GLASS B Pricing History Report Symbol: CUSIP Number: Exchange: Type: MIGBX 57571920 OTC . Mutual Funds Mutual Fund Currency: Currency as Reported Daily Prices From: 1/12/2001 to 1/12/2001 Date Offering Price 1/12/2001 15.91 Net Asset Value 15.91 toIew Report Modify Report Criteria Copyright @ 2000 Dow Jones & Company, Inc. All Rights Res8lWld. q /- ~ I q 2-~. 1 -3 Sha.ti s e !:J' \4 I 111. \0 .. .1200 1 &sampleCount=30&sarnpleInterval~Daily&span=Day&money=CAR&adjus!ment=on&d1 / 17/01 Sent by: TRISTAN ASSOCIATES 7176522165; , !.lOW JOnes lI1teractlve QUotes & Mark:et Data 03/12/01 11 : 52AM;JetIax #812;Page 10/~. Page 1 of 1 PIMCQ FUNDS PACIFIC INVESTMENT MANAGEMENT SERIES: RL RTN BO CL B Pricing History Report Symbol: CUSIP Number; Exchange: Type: PRRBX 69339113 OTe . Mutuai Funds Mutual Fund Currency: Currency as Reported Daily Prices From: 1/1212001 to 1/1212001 _...._.n"_" _=-=-:.-. .0'--' -. ,., . Date Offering Price Net Asset Value 1/1212001 10.17 10.17 New Report I Modify Report (Sltena Copyright @ 2000 Dow Jones & Company, Inc. All Rights Reserved. \ QQ4.61<6 6hCLr-ts e ID.11 j 20 2--A. l(p . ,..1200 1 &sampleCount=30&sampleInterval=DaiIy&span=Day&maney=CAR&adjustment=on&c.U 11710 I Sent by: TRISTAN ASSOCIATES Nlke Securities L.P. Pricing 7176522165; 03/12/01 11:52AM;.JetF.vc #812;Page 11/12 ... ---.... .-.-.- Page t oft . . Pricing FT now DIV & REPURCHASE 10 FEB 00 Prt,;duc t5 r.-:Ull1pdny Into S;;.lc::i Tools EI 302641027 (Casb) o 30264K335 (Reinvest) EI 30265J162 (Wrap-Reinvest) . to my product list \.'Vholes,altrs Contact CU;JtOlTlt:f Service Pricing Information (as oltrade date 1112101) Primary Or Secondary NA V POP Port Value Historical Performanee Secondary $11.37010 11.69170 $11.37010 _ We apol0gi2e that we eannot offer Ae.rued Interest for Municipal Bonds at tbis time. Ple..e call as for that informatioo at 1-800-621-1675 Opt l. We are sorry for tb. incoovleoce tbis aus... NAY, The Net A:J5et Value i~ the price )'ou would ~ivc ityau sold unitS in a cDmmission or fee account. It is alJO the pri~ you woWd pay 10 purehase 1.I1'Iil$ in il toe ilCcaunt. The Public Offering Price- is the pOl:(: you wollld havl!: to puy to pu.rc:~ units in a c:olM'lission ltccount. The Portfulio Value iSlh" vallie of the holdings in the truSl The mat is in t!l.e primary ot't'ermg penal! anil we can continue to create new lJfli~ to sell as dcn"t1ded, We cannot C:Te8)t; units 10 meel: demand but we can T~GIl "niU! that Ilave been saki back to us, if available. pop, POI't. Value: P,hnary Seamdll')l For Use With Brokers Oniy'. Not For Use With The Public. ThIs material may not be reproduced or shown to members of the PUblic Df u~d in written form as sales liten5n..e; any suCh USEl would be in vi<<Kation oftt'le NASD Conduct Rules. This material is subject to <:hange. Copyright ~ 2001 NIIe'Securltles LP. AU rights ressrva!:t 14 00\ bh1.rl5 > ~ II. 31DIO I~ ~lqd,.r-r1 http://www.nikesec.comlbrokeronly/scripts/GetPricesqlhigh-new .asp?CUSIP=3 OZ64k327 ...10 1/17/01 SeAt by:.TAISTAN ASSOCIATES f~r'J' First Union National8ank Altn: Account Verifications P 0 Bo" 4002~ Roanoke V A 24022-7313 March 12, 2001 FUNB AITN; RACHAEL HUGHES PA 6779 7176522165; 03/27/01 9:46AM;~ #122;Page 1/2 Reference tD: 147340 SUBJECT: V crifiCalion 1 Coofumanon of Accollllt and aalaoce Inform.tion p;ovided for: CATHERINE E. WEITZJi.:I. (SSN# 184-26-2978) Date of Dealll: Janu.ry 12, ZOOI Ar;counl Account Type Number CERTIFICA'('E OF DF.POSIT 247412050792448 LEGAL TITI.E' WAl.TERM. WEITZEL CAmERINE G. WEITZEL. ~IISA.N fl, IHU .aESH . POA WARREN r. flILLBISH. POA DeDOS" Account Information Oak of Ueath Averace Dall! Mllturlty II\tcrC$l Accrued YTIl l)alt: 9.a.lllnce ~lIian~t. Op",",<l Date Kale (ntefQl IrHcresL?ilid C1O$~ $15,;66.80 7120/1999 7tJ912002 S40m $000 ('I::RTII:[C"TEOF [)UPOSIT 2474l2056.321248. I.ECiAL -rITLE: CArHeRlNE F.;. WI::TfZflL SUSAN E. Hll.l.JlISIl . POA WM~RJjN (' 11lJ.I..BlSH. POA $16,Ml1.46 b/lll9QS .1/112001 $IolS.t:J7 $000 SO.CXl CUnlfll'A'fEOP DIiPOS'T 247412050321249 I.I-.(JA I. TITl.o' CATHERINE E. WEITZEL SUSA"; E. H1LLB1SlI . POA WAR.RF.N C HILLBISH. POA $10.691.46 61\1199~ 1/112002 $85.67 .. O~C= \0 sysrcm limitatit3tlS. we caTl only pmvide a twelve monlh ""eragc balance on depository .coounls. Accounl Typt: Account Number 2n/2000 C' ^ THERINE E. WGITZEL WARREN C HILLBISfI. POA SUSAN E. HII./.8/SfI. POA Illt( )KERAGE 86953849 PU,ASE CAI.!. WHEAT fiRST @ 1.877-l58-6J"~ 0010~~ Other Accaunt In(ormaHdll Datl: ofPcath Balance D.1< QpI;nc:d D~tt CIQ~~d Titl~(!>) Sent by:' TRISTAN ASSOCIATES 7176522165; 03/27/01 9:47AM;~ #122jpage 2/2 ,_N' Rerere~ 10: 147340 . D:stc of death balance does not include accrued interest .Ifdatc of death occurrson a weekend or a holiday. date ofdea.th balance does nol incllJde any tTwlsaction' that were made during that time period. Mat<h 12.2001 Oat. Drema Rubinotl' Dope,;ro!")' Rcprosenrari,'. Serviccntc:r Associa[c Tnl. (540)5(,3.7323 Phont: Nu.mb~r dr;ng 001o..~ Sent by:- TRISTAN ASSOCIATES 7176522165; 03/27/01 9:47AM;Jedax #122jpage 2/2 F~t-r RJ:ferem:c 10: 147340 . Date: of death balance does not include accrued interest . If date of death occurrs on a weekend or a holiday, date of death balance docs not include any mtnsactlons that were made during that time period. sentadvc March 12.2001 Date Dl'ema Rubino!'" Oopository Rep.....ntative Serviccnter Associate Title (540)563-7323 Phont; Number dr;ng 0010.12 Sent by~ TRISTAN ASSOCIATES 7176522165; 03/27101 9:47AM;Jedax #122;page 2/2 f~t-J' Ror.= 10: 147:140 . Date of death balance does not include accrued inlere't . If date of death occurrs on a weekend or a holiday, clate of death balance does not include any trwlsactions that were made during that time period. March 12, 200 I O.to Orema Rubinoff Depository Represent.rive Serviccnter Associate TlIlo (540)5(,3-73H Phone Nomber dT; ag 0010.12 . 05/08/2001 07: 57 97032808428 AUTOMATA IN PAGE 04 <!!6W1JJ.~ UEV\lELERS 1132 East Chocolate Avenue, Hershey, PA 17033 . 717-533-4535 4 April 2001 JEWELRY APPRAISAL FOR: Tbe Estate of Catberine E. Weitzel c/o Mrs. Warren Hillblsh 24 Wagner Circle HummeLstoWlJ, P A 17036 ITEM 1: Yellow gold-filled bnnting case design Keystone watch CllSe tbat is set with a seventeen (17) jewel Cleveland Ban watcb movement bearing the serial nntnber B134955. VALUE: $ 100.00 ITEM 2: Lady's ten (10) karat rolled gold case Bulova wrist watcb. VALUE: None ....(. J1- lit- Henry J. Ruhl NOTE: This appraisal collstitutes our carefully studied alld cOllsidered opilliog of the corrent ,- *' co./lWONWIAl,1lt QF 'eNN'TLVANIA Ot""RTM~NT PF RlVIINUf INHEllTAHC:E TAX DlYJ$lON ot..,..~, Jof4RRlSlOIfG.Pr' 171 Z8-060i Please Print or Type MUST aE COMP,EreD BY EPReSE..T"T1VE Of fl....NCIAL INSTITUTION WHERE SAP! DEPOSIT BOX IS I.OCATED AND RETURNED TO ABovE ADDRESS COUNTY CODE Flu. NUMSER SOCIAL SECURITY OR DEATH CEllTIFICATI NUMBIR q. 16 - A "'1 7'6, OA EOF SAFE DEPOSIT BOX INVENTORY Rl'!y.4a$ E)I:+ 'n.n) !CEDENT NAME (fAST, fiRST. MIDDLf! ; W i rz.. e(... CJ9TII tlf 'Nt t::. . ADDRESS OF DECED_NT (STREE1I ICllY) . i 'J. If c..AI CJr' 'I VM#1 t:'-~c"'/ NAME AND ADDRESS Of PERSON RIQUESllllG TIll OPENING OF TNESAl'! DEPOSIT BOX ~AME) ~ . WAIfI{~f'/G. HI L<'l'5lf H. (STATE) (ZIPCODi) . /7C'J6.. ISTREET .4.0DRESS} (CITYl ~ !IV: t:-A/t/"l C ~ /iVIYlA1f"'SJT'vN NAMe,. ADDIUSS A ~ RlLATIONSHIP (IP ANY) TO DECEDENT. 0. PUSONIS) PRESlNT AT THE BOX OPINING aI. (NAME) , IRElATlON$HI" wnltnf;A/ c-- /-Itl..l., (jt rHo l,v. '-lJvV. (STREET ADDRESSj : (CIlY) wl9 Co.Al'1l c t1 f>A)If)Iit.:J'lC1IY I$TAT~ t119 (ZIPCOD~ i707G ~. (NAME) (RELATlONSHIP') IZJ. COO~ '7f'}6. . {51REeT AOORES$J:: (CITYI (STATE] {I1I"COOfl .. INAM~ (Rf1.ATlONSHIPl ISTA-eEl ADDRESS).; {eIlY) tSTAiE) \ZlP CODE} c~~; II t~'- . ;JnTEJ DA TO AND TIMO OF LAST I'NTRY s:-'+ .1'7. (ZIP CODE) /7co (;. r. I "1:'"'Z.#'-. o. ..INAMEI - (STREeT AODRfS$J (STRUT ADDRESS) (CITY) (STAT1') (ZIP COOO) (CITY) (STATE) [ZlPCODf\ NAME ANI> TITLE 0. EMPLOr. TAKING THE INVENTORY /:cl'9. If. yu, G. ba~ of willI b. Name Clad~. of ~.n" .........ntutl'V., if. ~ I" th4t wiD INAME} j 'ST~EfT ADDIt!!:!lSr: (CITY) {STATEl tllPCOQE) c. N.m. Qnd .del... of attQnMYt If" any (NAMi} : (SnEET AODllE$$)"' (CITY] ISiAT~1 [ZIP CODE) 90 3811d NIIIl.IIWOl.nll 8<:1>808<:E0L6 L9:L0 100<:/80/90 Poge of SAFE. DEPOSIT BOX INVENTORY INSTRUCTIONS (1) Ca.h: Report 10101 only. . . . . (2) Stocks: li~t in detail Qvery eommon or preferred eel'tificcrra, warrant or oth., rights found' in box. Stocks ore tQ be" des.ignoted by nome of compcny, certific:ote number{ date of certific:gfe, name in which stock is rQgiiter9d, and numb,; of .har.. and doss of .toek. (3) Ob1i8atio~s of U. S. Government: Number ~f items, date of inu., face value, names in whic;h r'egistered and type 41 ownership, i..... jointly held, payable on death, .Ie. (4) Bonds: 0..i9nal. by name, amount, ..riol number, or other designolion. (Bearer Bond.) (5) lksnk and~vlnlls and Loan Paubooks: Stat. name of depolitor, number of book, lo.t date appearing In book, nom, 01. bank and brane~, and balance. . . (6) Jewelry, ~oins, SIamps, Manuscripts, .Ic: List and delcrib. a. fully a. possibl.. (7) Deeds, MC?rtgaS8$, Cur,ent Insurance Policie. or other evidences of 'Rd.bfedn..s~ List ond de.lit:ribe as fully a. po~ibl., (8) All olher ';"ntenl.. ITEM NO. ITEM aESCRIPTION f.,() iN Cct-c-i.-f 0' S .f7C''::;(C4 r /.^- i1 TC'lj : I. ;.,o(.J] IN CC't-C',-j L I,r 1A/YJ. 1"C1/- oo/-l-o/'C- I CIIUIF't UNIlU PSNALTYiOp PERJURY THAT TilE ABOVE RECORD IS PIRSON CORR!C;'I AND cOIII'un 10 THE &EST 01' MY KNO DCI AND IlIiLlEP SA SI Ul!~'; R NT NAM . T11 CfrlrJ.9 19- Pltl l ,AMi AND C:AP R tlReE~ C. CH leA OF AEIOX: ~,*,UfOr(t"xl O.A.dmil'liatrotortlrlx) Oe:'I1at. RilpntWnttltivo 0 Jaint own.,- of sm. deposif boJC Attach ..ddlrio~1 8."," " ll" .heet.(s\lf n.......ry or un dupllca... af this POI. of farm. f?t el9 . NOTI: 90 3811d NIIIIIIWOlnll 82:178082:E0L6 L9:L0 ,002:/80/90 PETlT10N FOR PROBATE AND GRANT OF LSTTEJ;S TESTAMENTARY e~tate of Catherine E. Weitzel No.. c:ll-CJI- q7 Social Security No. . Oeceased. 184-26-2978 To: Register of Wills for the/ClIDlberland County of _ in the Commonwealth of Pennsylvania aJ~o known as The petition of the undersigned res;=ectfuf Iy represents that: Your petitioner(s) isl are 18 years of age or older and the execut or of the above decedent, dated :tlln L dO CodiciJ(s) dated f'i I t:l named in the last Will ,19 .q" and (state relevant circums,ances, e.g. renunciation. death of executor, etc.) . . . Cumberland Oecedent was domIcIled at death In . County, Pennsylv~nja, wit~ ~ er last family or principal residence at MaTJOr Care Hea11-h ~~c 4 Walnut Botton Road r:.'lrl icl Ii' i PA 170q and was a citizen of ( -- "Y1lc.fc.ll"'-Ton Itup.) Oecedent, then 94 years of a~e, died January 12 . ~ 2001 at Manor Care Health ServicPsJ CarIisle, PA Except as follows, decadent did not marry, was not divorced and did not have 'a child born or adopted after execution of the Wiil offered tor probate; was not the victim of a killing ~nd was ne'/er adjudjcated incompetent Cecedent at death owned property with estimated values as foffo'NS: (It domiciled in Pa.) AU personal property (If not domiciled in ?a.) Personal property in Pa. (It not domiciled in Pa.) P9~onal property in County Value of reaJ estate in Pennsylvania ............................... situated as follows: .S 2 50 ,000 . 00 S S S WHEMEF=OAE, petitioner(s) respecrfulJy request(s) the probate of the last Will and C.ccHcil(S) pre- ne~Nith and the grant of Letters Testamentary tnereQn. Warren C. Hillbish (Printed Name) 24 Wagner Circle Hummelstown, PA 17036 (Resicencs) .. I~- ;)..0<;--/1 OATH OF PERSONAL REPRESENTATIVE 21-01-97 COMMONWEALTH OF PENNSYLVANIA CUMBERlAND COUNTY OF_ } SSe The petitioner(s} above-named swear(s) or aHirm(s} that the statements in the foregoing petition are true and correct to the best of the knowledge and bel ief of petitioner{s) and that as personaj repre- sentative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. . Sworn to or aHirmed an~ubSC:ribed tJfore me this. ;?d/ day of ~ .W< 2001 'ffJa~/-'. ..bux:.; If'1J. e;"n~..:n~~.~ . . Fer the RegJster d~~ . . Estate of N 21-01-97 o. Catherine E. Weitzel . Deceased " CECREE:OF PROBATE ANO GRANT'OF LETT'Ei1S TESTAMENTARY ANO NOW. JANUARY 23 . ~ 2001. in consideration ot the petition on the reverse side hereof, satisfactory proof having been pre~ented before me, IT IS OECREED that the instrument(s) dated JUNE 20. 1997 described therein be admitted to ~robate and filed of record as the last Will of CA1'HRRTNF. E: WEITZEL and Letters Testamentary are hereby granted to WARREN C. HILLBISH 'n?CU:;.Cl: ~ -ptA,. t!d.~ Q~<i~ Register or Wilts I FEES Probate, Letters, etc. ........ Short Certificates ( 5 ) ...... S ~~.EXTRA. PGS..... S JCP FEE TOTAL ................ S 270.00 15.00 18.00 5.00 S 30fL 00 Shannon Piergallini-Smith, .Esquire Attorney (Sup. et. I. O. # ~UUb) ) 523 Walnut Street Allentown, PA 18101 Address Filed JANUARY 23, 2001 (610) 432-0720 Phone MAILlD LETTERS AND ORDERS TO ATTORNEY JANUARY 23, 2001 InneMtancs Tax Volume Fa~e Line File No. This is to certifY th t h . Fc . L . 1 R . at. e. In ormatIon here given is correctl co . d fj . . . 21-01-97 oca egistrar. The onglOal certificate will be forw d d Y h PSle ro~ an onginal certIficate of death duly fiI d . h ar e to t e tate Vital Records Office Fco e Wit me as , r permanent filing. WARNING: It is illegal to duplicate this copy by photostat h or p oto~~raph" Fee for this certificate, $2.00 4~) P 7122791 ?'J -/7" - ~I Date ; No. Hl05.143 R.... 2/87 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALT.... VITAL RECORDS CERTIFICATE OF DEATH lYPEIPRINT IN PfRMANENT ILACK INK ilIl. . LaIt) . eIr) 2. Female J. 184 - 26 - 2978 PlACE OF au. TtiCMCk 0ftIr _. _ ~ l)/l _ Side) 4. Janua 12 2001 t. Catherine E. Weitzel AGE(LUt 1lirIhd1ly) UNDER' V1!AR IJNl)ER , DAY DATE OF 81Rnt lMooO. 0.,. Y~ BIRTHPlACE ICiIy- _.01 Foqq.~) Harrisburg 7.IJA FACILITY 0IMr llI*iM 0 .. 94 Yn. Of' DEA InpeIillftl 0 Ie. {It lICIt inII......... giw __ _ IIUlIlbeIl CITY. lOR . a.Jun 1 7 TH .r ~'. .... Cumber land DECEDENrS USUAL. OCCUPATION k.South ~dd1eton KIND OF llUSlHESSIlHDV8TRY MARITAl. STATU~ ~~. c w foI) ;:) ~ :i III -wne"': de _Ide .....) ttLAuto Underwriter ttllState Auto DECEDEHT'S a.tAIL.IG AOORESII I..... CIp'T_. s.... l.Ip Code) DECEDEHrS ACTUAl. 940 Walnut Bottom Road ~ OIl .....Iide) tl. Carlisle, PA 17013 Ii. NAME tFinl. Middle. LMQ tl. CIa ton Weber H"OMWO'S ~ (Tw-f'mO BLSuBan HilLbish METHOD Of' OIII'OIITION ...... IX1 CrWMliOll 0 R__ '""" ..... 0cIneIlcIn 0 0IMr ~) J1L alGNA T\JRa Of' ltc. St. John's Cemetery PA Widowed tTc.lKI Y...-.-lMdro South ~ddleton PA .... 17.. StMe Did decleClellI .... In . Cumber land -..sIlip? 17... 0 ::,..~.:::: of UOTHeR1l NAME (FirII. Middle. ...... S-) ~ t ft.. COUIlIy n. Grace E. Smi th INFORMAHT'S MAILING AIXlRU8 I....... CIrIT-. .... l.Ip Code) ..24 Wa er Drive Hummelstown PA 17036 PlACE Of' OISPOSlTlON. NemlIII Cemelecy. ~ LOCATION. ca,n'-. ..... ZilI Code Of 0IMr ,... lie. 2100 Linglestown UCEHSE 17110- ,..... 0.,. YMf) Dc. PIt. WAS CASE REFERRED TO ~ Y"U a. -1m ......... ~ -- ........ PART II: 0Ilw............................. lICIt ,.....111.. -.. _ __. P/IIfr l. ~~lJD DUE TO (Oft Aa A COH8!QU!NCl 01'): ""~ ~ Q.I ~ ~ '" Q.I ~ \: II. DUE TO toft Aa A COH8EOto'eNCI 01'): QUE TO toft Aa A CONIIQU!HCI 01'): DAn: INJURY (IiIDnlII. 0.,. Y~ OF INJURY INJURY AT WORK? DeSCRIBe HOW INJURY occ:uRRED. l&J Q.I r:: ori ... Q.I -'= ~ ~ INDlNOI OF TH AVAa.AaE PRIOR TO COWlE1lQH OF CAUIE ........ aa 01' DeATH? AocICidenl 0 Y"O -CD Y"O -1jD IuIc:IIle 0 Could lICIt lie ........... Hall*ile o o o :ce 01' INJURY-AI ....... IwIn.. :. ,....,. olb /JuIIIIng. *' ~ ... Y.. 0 - 0 Iol-.. PendIng IlwMIlgalIall JIll. one ;~~=::::..4.~=-==~::-~~~end~~_2~) "PROHOUHQNG AND CERT1FYING PHYSICIAN (~bolh ~ dAlh Ind certifying to QUM 01 dNlh) To.... ..... of mr 1lnowIedge, cIMth occurred . the lime, .... end pIKe. end due to lb. ~M(.'1IIlCI menner aJ ~ _ . JI. o JUl. o DAn: SIGHEO ...... 0.,. YMf) Jt" ~Af, \1 ~. ~ z ~ w U w c ... o I Jtc. NAME AND <<-c:~ ~~~ () o JJ. 850 Walnut DATE fILED I~. 0.,. Y..., Bottom Road, Carlisle, PA 'MEDICAL ~ER ~ ~ ~umlnadon lIIIdIot InvntJptlon, In ~ opinion. ..... occUfNd at the t/nle. dMe, WId pIKe, end due to .... cauM(a) end \MtO ~"J,~~~ J'\ 0\. 'D. M. I~ AZI.z~ 21-01-97 mast mill 'lull westameut OF Catherine E. Weitzel I, Catherine E. Weitzel , of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be my Last will and Testament, hereby revoking all wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my Estate or by any recipient of any property, shall be paid by my Executor out of the property passing under this Will, which is not specifically devised or bequeathed, as an expense and cost of administration of my Estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax paid by my Executor even though on proceeds of insurance or other property not passing under this will. ITEM II: I hereby exercise all powers of appointment which I may have at the time of my death in favor of my Executor, and all property subject to all such powers shall be included in my Estate ITEM III: I specifically give and bequeath the sum of $3,000.00 to the Endowment Fund of the Second United Church of Christ, now or formerly of Green and Verbeke Streets, Harrisburg, Pennsylvania. ITEM IV: I direct that all of my remaining household furniture and furnishings, automobiles, books, pictures, jewelry, china, linen, silverware, wearing apparel, and all other like articles of household or personal use and adornment pass to and become part of my residual estate and pass as set forth under Item V below. ITEM V: I give, devise and bequeath all of the rest, residue and remainder of my property, real, personal and mixed, to be distributed by my Executor, as follows: (a) One-third to Susan E. Hillbish, now or formerly of Hummelstown, Pennsylvania, the niece of my late husband. In the event Susan E. Hillbish fails to survive me, then such share shall pass, per capita, to her husband Warren C. Hillbish and her children Shannon S. Piergallini and James J. Piergallini, Jr. (b) One-third (1/3) to Cynthia L. Beane, now or formerly of West Grove, Chester County, Pennsylvania, the niece of my late husband. In the event Cynthia L. Beane fails to survive me, then such share shall pass, per capita, to her husband Kenneth Beane and her children Christopher Beane and Sarah Anne Beane. (c) One-third (1/3) to Sandra N. Hines, now or formerly of Birmingham, Alabama, my niece. In the event Sandra W. Hines fails to survive me, then such share shall pass, per capita, to her husband and any children she may have at that time. ITEM VI: In the settlement of my Estate, my Executor shall possess, among others, the following powers to be executed for the best interests of the beneficiaries: (a) To sell either at public or private sale and upon such terms and conditions as my Executor may deem advantageous to my Estate, any or all real or personal estate or interest therein, whether owned by me severally or in conjunction with other persons or acquired after my death by my Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all liens or trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Executor in this Paragraph VI (a) or elsewhere in my Will. (b) To pay all costs, taxes, expenses and charges in connection with the administration of my Estate. My Executor shall pay all legal expenses of my last illness and my funeral expenses. (c) To distribute my Estate in kind or in money. If any assets are distributed in kind, they shall be distributed at their respective value (s) on the date (s) of their distribution. (d) To retain any investments I may have at my death so long as my Executor may deem it advisable to my Estate so to do. (e) To vary investments, when deemed desirable by my Executor and to invest in such bonds, stocks, notes, money markets, real estate mortgages or other securities or in such other property, real or personal, as he shall deem wise, without being restricted to so-called "legal investments." (f) To mortgage real estate and to make leases of real estate. (g) To borrow money from any party to pay indebtedness of mine or of my Estate, expenses of administration or inheritance, legacy, estate and other taxes. (h) To vote any shares of stock which form a part of the Estate and to otherwise exercise all the powers incident to the ownership of such stock. (i) In the discretion of my Executor, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the Estate. (j) To distribute my personal property directly to the Guardian of the person of any minor beneficiaries hereunder. (k) The right and discretion to elect the most appropriate settlement options for any pension plans, individual retirement accounts or other employee benefit options, as deemed most appropriate by my Executor, assuming such election shall be in accordance with procedures established by the plan's administrative committee or administrator, as the case may be, if such elections have not been made prior to my death. (1) To do all other acts in judgment of my Executor necessary or desirable for the proper and advantageous management, investment and distribution of my Estate. (m) The right to engage accountants, attorneys, appraisers and other agents, as deemed necessary by my Executor, to render advice to and/or represent my Executor, as my Executor deems necessary or appropriate to the administration and preservation of my Estate. ITEM VII: Any person who shall have died at the same time as Testatrix or in a common disaster with her, or under such circumstances that it is difficult or impossible to determine who died first, or who shall fail to survive Testatrix by a period of thirty (30) days, shall be deemed to have predeceased her. ITEM VIII: I nominate, constitute and appoint Warren C. Hillbish, now or formerly of Hummelstown, Pennsylvania, to be my Executor (herein referred to as "Executor"). In the event of the death, resignation, refusal or inability of Warren C. Hillbish to serve as Executor, I nominate, constitute and appoint Shannon S. Piergallini, now or formerly of Hummelstown, Pennsylvania, to serve as successor Executor in his place. My Executor and any Guardian are specifically relieved from the duty or obligation of filing any bond or bonds. ITEM IX: If any minor child or legally incapacitated person is entitled to receive any assets hereunder, or if a Guardian of Assets is required, then I nominate, constitute and appoint that person's parents, surviving parent, or court appointed legal guardian as the Guardian of Assets for such person, to use such assets for the best interests, including education, of such person, and such guardianship shall terminate upon the age of majority. Any guardian shall enjoy all of the powers as to the guardianship as are designated for my Executor herein. ITEM X: Should any taker under this Will, including any taker under powers of appointment exercised herein, become an adverse party in a proceeding for its probate, such taker shall forfeit his or her entire interest hereunder and such interest shall pass as part of the residue of my estate, provided, however, that if such taker is one of the takers of the residue, his or her interest shall be divided proportionately among the other takers of the residue. This paragraph shall not be construed to limit the appearance by any taker as a witness in any proceeding for the probate of this will, nor to limit his or her appearance in any capacity in a proceeding for its construction. ITEM XI: In all references herein to any Executor, beneficiary or other, the use of any particular gender or the plural or singular number is intended to include the appropriate gender or number as the text of this my Last will and Testament may require. IN WITNESS WHEREOF, I have set my hand and seal to this my Last will and Testament, consisting of this, the next and the preceding four (4) pages this ~()H. day of vV!Jt5 , 1997. f?~ /h# Catherine E. weitzel SIGNED, SEALED, PUBLISHED AND DECLARED by the above named Testatrix, Catherine E. Weitzel, as and for her Will, in the presence of us, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses in attestation thereof. (' ~/~ ~/)I~ f Jn~ Address /7t[ -6fj ~ ~. .~ Addresi1 t. 61f~Vl(e;ff~ )?l 't/(}/Iy~.:t . , I r?d/ 1?(}6J .- Address AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS. : COUNTY OF DAUPHIN We, 9.e V\t'\ ~ IT. 'Rowe- , -3t::>vt:"1 c'..Q f. fill/! /rfI. , and , 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 the Testatrix sign and execute the instrument as her Last Will; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness, in the hearing and sight of the Testatrix, signed the will as a witness; and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me by p~~ r. Row I' , -----.&""''' 1"<2... <;' . SWI i~ ' and , wi tnesses this fA-- day of .:::II) ue , 1997. {J;s I ~~ , ~/J{~ ~ ~;z( witness Witness ;?/{/jJt/J1J~ No ary Publl.c My Commission Expires: (SEAL) Notarial Seal John R. Beinhaur, Notary Public Hampden Twp., Cumberland County My Commission Expires March 13, 1999 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA 55. : COUNTY OF DAUPHIN I , Catherine E . Weitzel, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by Catherine E. Weitzel, the Testatrix, this ~OfA.v day of vVIUtE , 1997. ~d~~ kb,~ Catherine E. Weitzel Nr:l~( Off<< My Commission Expires: (SEAL) ..-.> Notarial Seal John R. Beinhaur, Notary Public Hampden Twp., Cumberland County My Commission Expires March 13, 1999 . r. " . .),/ _ 01-- '/7 ~ COMMONWEAL TH OF PENNSYL VANIA} } ss: COUNTY OF CUMBERLAND } Warren C. Hillbish being duly sworn according to law, deposes and says that she/he Executor of the Estate of Catherine E. Weitzel late of South Middleton Township, Cumberland County, Pa., deceased and that the within is an inventory made by Warren C. Hillbish , the said Inventory of the entire estate of said decedent, consisting of all the personal property and real estate, except, real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of Notarial Seal Glenda E. Reiss. Notary Public Allentown, Lehigh County My Commission Expires May 18. 2002 Member, ennsylvania Association ot Notaries the Inventory represents its fair value as of the date of decedent's death. ~-..~~.1:t ;,., 1/ / ..', /~ _ "} I I . xec~tor- Administrator } Warren C. Hillbish } } 24 Wagner Circle } } Hummelstown. P A 17036 Address Sworn and subscribed before me, } 2001 Date of Death Ith Day January Month 2001 Year INSTRUCTIONS 1. An inventory must be filed within three months after appointment of personal representative. 2. A supplemental inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty. 4. See Article IV, Fiduciaries Act of 1949. "" ' . ... Inventory of the real and personal estate of Catherine E. Weitzel , deceased One woman's wristwatch and one pocket watch First Union Certificate of Deposit (Acct. No. 247412050792448) First Union Certificate of Deposit (Acct. No. 247412056321248) First Union Certificate of Deposit (Acct. No. 247412056321249) Allfirst Checking account (No. 0010652213) First Union Securities (Acct. No. 86953849) Aim Funds Group Alliance Growth and Income Fund Alliance Health Care Fund, Inc. Alliance Technology Fund, Inc. Hancock John Investment Trust Mass Investments Growth Stock Fund, Inc. Pimco Funds Pacific Investment Management Series FT Dow Dividend and Repurchase $100.00 $15,566.89 $16,691.46 $16,691.46 $11,688.97 $42,897.32 $31,657.90 $11,987.16 $42,401.62 $25,144.59 $14,777.10 $20,279.16 $159,192.77 ,J " -. No. 21-01-0097 INVENTORY OF THE PERSONAL PROPERTY AND REAL ESTATE OF Catherine E. Weitzel Late of South Middleton Township Cumberland County, Pa., Deceased. Filed $409..076.40 Page Book SHANNON PIERGALLINI SMITH Attorney IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY" PENNSYLVANIA RE: ESTATE OF CATHERINE E. WEITZEL STATUS REPORT UNDER RULE 6.12 Name of Decedent: Catherine E. Weitzel Date of Death: January 12. 2001 Will No. 97 Admin. No. 2001-00097 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report he following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: N/ A 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? No b. The separate Orphans' Court No. (if any) fOIT the personal representative's account is: N/ A c. Did the personal representative state an account informally to the parties in interest: Yes . { .. _;r'!C=4 , d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphans' Court and may be attached to this report. Respectfully submitted, Date: (\ 16)~j D l '~\ '\ lL:.c~~-c '\ "ClLL S"UJ-:L Shamlon Piergallini S ith, Esquire 141 N. Fifth Street Allentown, P A 18102 Attorney LD. No. 80065 (610) 821-8100 .,.- t:.. ---- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Catherine E. Weitzel Date of Death: January 12, 2001 Will No. 2001-00097 Admin. No. 21-01-0097 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 March 1, 2001 : Name Address Susan E. Hillbish 24 Wagner Circle, Hunmelstown, PA 17036 Cynthia K. Beane 7 Rosewood Drive, West Grove, PA 19390 Sandra N. Hines 1801 Mission Road, Vestavia Hills, Binningham, AL 35216 Second United Church of Christ 251 Verbeke Street, Harrisb..trg, PA 17102 N/A Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: March 1, 2001 Name Shannon Piergallini Srrdth Address 523 Walnut Street Allentown, PA 18101 Telephone (61G 432-0720 Capacity: _ Personal Representative ~ Counsel for personal representative KRANSON & PIERGALLINI ATTORNEYS AT LAW 523 WALNUT STREET ALLENTOWN, PENNSYLVANIA 18101 (610) 432-0720 (610) 432-0454 (Fax) MARC KRANSON SHANNON S. PIERGALLINI CERTIFED MAIL RETURN RECEIPT REQUESTED RECEIPT NO. Z 489 176 663 April 9, 2001 Ms.Mary C. Lewis Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 r" , -- -". - Re: Estate of Catherine E. Weitzel Will No. 2001-00097/Admin. No. 21-01-0097 Dear Ms. Lewis: Enclosed please find a check made payable to the Register of Wills in the amount of $57,000.00. This check represents a pre-payment of the Pennsylvania Inheritance tax for the above-referenced estate. Please note that this payment is made within 90 days of the decedent's death. If you have any questions concerning this payment, please feel free to contact me. db~inCerelY' ,jJ; ,,---..... ,_ ,. -. '( .......... ~'^-f;f l.. . SHANNON PIERG '- SPS/ger Enclosure c: Warren C. Hillbish KRANSON & PIERGALLINI ATTORNEYS AT LAW 523 WALNUT STREET ALLENTOWN, PENNSYLVANIA 18101 (610) 432-0720 (610) 432-0454 (Fax) MARC KRANSON SHANNON S. PIERGALLINI (NOT A PARTNERSHIP) June 12, 2001 Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, P A 17013 Re: Estate of Catherine E. Weitzel Will No. 2001-00097/Admin. No. 21-01-0097 Dear Sir or Madam: Enclosed please find the following items regarding the above-entitled estate: 1. An original and two copies of the Inheritance Tax Return. 2. Check in the amount of$2,113.60 representing the remaining inheritance tax due. 3. Check in the amount of$15.00 representing the filing fee for return. 4. Check in the amount of $70.00 representing the additional probate fee Please return the additional copy of the return, time-stamped, to my office in the self-addressed, stamped envelope provided. Please call me if you have any questions. Sincerely, \) , . ~ 'PJ-VN.m. nA J,.p'l~n\(kt ~nndQ\ ~l V SHANNON PIERGALLINI SMITH SPS/ger Enclosures / h- d04---,1/ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG I PA 17128-0601 ~,( )C COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX SHANNON PIERGALLINI SMITH 523 WALNUT ST ALLENTOWN PA 18101 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-06-2001 WEITZEL 01-12-2001 21 01-0097 CUMBERLAND 101 * REV-1S47 EX AFP <12-00) CATHERINE E Allount Rellitted 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 ~ REY=isirj-EX-AFP--(,i'2:oiir-NO,.-icE--OF--fNHEifiTiifcE-"-AX-APPRAisi:MENT~--Aii-oWAiicE-irR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WEITZEL CATHERINE E FILE NO. 21 01-0097 ACN 101 DATE 08-06-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED CHANGED I~ an assessment was issued previoUSly, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal r.te (15) 16. Amount 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 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. ~ointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 348,337.62 .00 .00 60,950.15 .00 48,000.00 (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 ~) 14. Net Value of Estate Subject to Tax (9) (10) 39,038.43 2 J 158 . 68 (11) (12) (13) (14) NOTE: .00 X 00 = .00 X 045 = .00 X 12 = 413,090.66 X 15 = NOTE: To insure proper credit to your account, subllit the upper portion of this form with your tax paYllent. 457,287.77 41.]97 1] 416,090.66 3,000.00 413,090.66 (19)= .00 .00 .00 61,963.60 61,963.60 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-09-2001 AA478264 3,000.00 57,000.00 06-12-2001 AA496712 .00 2,113.60 TOTAL TAX CREDIT 62,113.60 BALANCE OF TAX DUE 150.00CR INTEREST AND PEN. .00 TOTAL DUE 150.DOCR . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) \, ,b-c2oY-// BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REY-1607 EX AFP Cl2-DD) ReGor,.j{~ ; Ri~" ..,,'.T.:' " t';'d,.i'.'" of DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-31-2001 WEITZEL 01-12-2001 21 01-0097 CUMBERLAND 101 CATHERINE E .02 FEB-1 SHANNON PIERGALLINI SMITH 523 WALNUT ST ALLENTOWN PA ~'1 (~lnnbc~ P 1 :44 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REv=i6o-j-e:X-AFP--li'2:oo")-------...-iNHERITANCE-YAX--STAfEMENY-O-F-ACCOl;trf--...---------------- ----- ESTATE OF WEITZEL CATHERINE E FILE NO.21 01-0097 ACN 101 DATE 12-31-2001 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 1 THE CURRENT BALANCE, AND1 IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-06-2001 P R I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 61,963.60 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-09-2001 AA478264 3,000.00 571000.00 06-12-2001 AA496712 .00 21113.60 12-12-2001 REFUND .00 150.00- TOTAL TAX CREDIT 61,963.60 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATEI SEE REVERSE TOTAL DUE .00 . SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)I YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~~..~.,._,~~- -~_. ----r -------- ~- , , --- lft uJ :c 9 ~ $' 0;> x u.I C\I (!) GJ a: N -r-4 r- c..o 0) <:t <! <! ci % " ..u \- f'!) 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L! 0... a: 'V W ~ LL :? ll.. <( >- U LL ..... ::J { ~ j 0 0 ~ I- 0 <( Z W W I- Z W ..... W ~ I- CJ) ::J I- (f) ....J <( <( 0 0 <( W u:: Z Cl 0... U Cl I I I - _J (f) -J -J 3: LL o a: w t- (f) (!) W a: t-:j til ...') ;') :-i-J .ll: k..J t,; t f' L.J -.J (f) <( ~ W cr: (f) <( ~ W cr: -~- __..__~~i",*\~~~~__""-"'!!.~_e~;~"'l.,,'~~t':~~~~~,~~~p~ft~ ..1, -1t 'W- d2{- C'l-Y7 From: Shannon Piergallini Smith, Esquire 523 Walnut Street Allentown, P A 18101 To: Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisk, PAl 7013 .... ,.J o .... .:,,1 I vJ iJ .-.:' It",' ::00 mm -1::0 C-I ::0- ZI1 m ::00 ms: 0)> m_ -Or -I ::0 m o c m ro -I m o o ~... ... - ~ - ... - ~-':.'~ o~o::os: Q) 0 C (1) (I) ~. 0 3 <9. ~ ~cO'"!iQ) (1);:4.(1)(1).., - ::J"':!.'" 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