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Home My WebLink About01-0259 Will PETITION FOR PROBATE arid GRANT OF LETfERS Estateo! DOROTHY M. DARRENKAMP No. a../-o/:::.;.5Q also known as To: Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania , Deceased. Social Security No. 173-03-8946 The petition of the undersigned respectfully represents that: Your petitioner(s) is/are 18 years of age or older and the execut rixes named in the last will of the above decedent, dated Auqus t 30 ~ 19 82 and codicil(s) dated None primary executor William C. Darrencamp died October 17. 19R? (slalt rtlC"'anl rirC\lmllallttt. t.l. rmuncialion. dtalh or utCUIOf. nc.) Decedent was domiciled at death in eumer 1 and County, Pennsylvania, with ~ last family or prin- cipalresidenceat 167 South Enola Drive, Enola~ PA (East Pennsboro Township) (Iill llTm. numbc1 and municipalilY) Decedent, then 82 years of age, died Februa ry 20 ~ 167 South Enola Drive~ Enola. PA 17025 Except as follows, decedent did not marry. was not divorced and did not have a child born or adopled after execution of the will offered for probate; was not the victim of a killing and was never adjudicated in- competent: Decedent at death. owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Penn~lvania situated as follows: a singfe fam'ily residence at -167 South Enola )t~ ?OOl at $ 7 '1500.00 $ $ $ 80,000.00 Dri ve 'I Eno 1 a ~ PA 17025 \VHEREFORE, petitioner(s} respectfully request(s) the probate of the last will and codicii(s) presented herewith and the grant of letters tes tamenta ry thereon. -g 7 ~U!J 'c;,:,./u.J Id.L ,'n'~m"',. "'mi~m' . AB~ 5 MARY F.I DARRENlmMP ~ . 'mA~ M. BpT ') .~ ~ 3 167 SOIJth Eno 1 a r1ri Vp ange nd Road ~~ Enola, PA 17025 Dillsburg, PA 17019 -00 ~~ (717)732-0277 ...0.. 'U.... :; 0 fi c CICI Vi OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA o} COUNTY OF aM3ERIAND S5 The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and corfect to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of .the above decedent petitioner(s) will well and truly administer the estate according to law.' ?if'711..J4-2 J /f),'A A. A. d. ~( ~'~ - Sworn to or affirmed and subscribed ~. '/:- IC.//!--</L/c-e, ./' ~ before me this 8th ~ ;. ~~~'~1 A~ . SU,san M. Bes t en 00" ::I ., ~ ~ No. 21-2001-259 Estate of DOROTHY M nARR~NKnMP , Deceased DECREE OF PROBATE AND GRANT OF LETIERS AND NOW, March 9th, I' 2001 ,in consideration or"the petition on the reverse side hereof, satisfactory proof having been presented before me. IT IS DECREED that the instrument(s). . - dated AU9uS t 30. 1 gR? describ~d therein be admitted to probate and filed of record as the last will of Dorothy M. Da rrencamp and Lellers Testamen:tg~~ are h~reby granted to Mary F. D re~mp ann SIIC::rln M died on Octobp-r 17. 1qR?) R~5t (William C. Darrencamp · :h .~~-dt II s MARY C. LEWIS ,7' REGISTER OF WILLS FEES Probate, Letters, Etc. . . . . . . . . . . . .. $ Short Certificates ( ) '( . . . . . . . . . ... $ Renunciation .................... $ 200.00 ATTORNEY (Sup. Ct. 1.0. No.) 12.00 ADDRESS PHONE x - Pages (0).................... $ -0- JCP 5.00 TOTAL............. $ 217.00- Filed March 9.2001 MAILED LETTERS 'TO ATTORNEY REGISTER OF WILLS OF AAMMll COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the will presented qualified according to law, ~ pres~9Y and saw ./". , the testat _, sign the yl11ie and that _ signed as a witness at the /" request of testat _ in 11-.. presence and (in the p~esence of each other) (in the presence of the other ,/ // /' ,/ / / /' scribed before me this_ day of // /" 19----;7"/ ,/ " .I.... depose(s) and say(s) that subscribing witness(es)). Sworn to or affirmed and sub- (Name) (Address) For t.P{ Register K// .I / / / .,/ /". ,/,/' (Name) (Address) 21-2001-259 / UlVEERLAND REGISTER OF WILLS OF .... COUNTY OATH OF NON-SUBSCRIBING WITNESS lVIARY F. llARREN(({M1P and SUSAN M. BEST (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are _familiar with the signature of TYHTmY M. DARRENKAlVIP x:mticii sub'K'fi'sinA witneElBaa t6) the will herewith and that each , testat rix of ~Re sf the believ~ the signature on the DIIltitil will is in the handwriting of testatrix to the best of Sworn to or affirmed and sub- knowledge and belief. -' :rtA -;l j .&A M ( tJ. b 4->< /' .., Mary . D renkamp (Name) thp;l' scribed before me this 8 th day of March 167 S Enola Drive. Enola. FA 17025 ~tl. 200~~; i (Ad~reSS)_ ~ J/I(tf2/)v(h., Li:U For~he Register f Susan M. Best (Name) 621 Range End Road. Dillsburg. FA 17019 (Address) '1'1')'1" . - t' c.. tl1at the inf()rmation here Given is correctly copied from an original certifIcate of deatb duly filed with me as , IS [0 eel' 11\ O. -~ - fir Local Registrar.' The original certitlcate will be Forwarded to tbe State Vital Records Ofhce for permanent 1 mg. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. 4f{~O?P~ 1\1' ~ ",~/~----..t ,ti~ i\~/ ,',,<~~ j~7 ,"'~. \~\ ~~! " .~ \~~ ~ c::::t I ~.t " - ~ ~ cJ1".-6; , ;.)::..~ L~, >1*/ ~ ~" ,..~\~ ~- -1'-9--- ,/'&..~I/ '"<"" /MEN11J\ ~ II,I! ~~ -- ~.:/,;,-;; L..:.-,.J;;.,. :.v-'.. .... ')-'::~.2..c.~:'''':''C''~*;' -,~.';-- . -I' " U Fee for this certificate. $2.00 Local Registrar P 7177395 rl-f) II ,~ "no..' ) ':u ~' Date 21-2001-259 3 Aey 2187 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH e VITAL RECOROS CERTIFICATE OF DEATH NAME OF DECEDENT IF~S1, ModOIe, La5Il 1. Dorothy M. Darrenkamp AGE (lasl a.nt>oay) UNOER I YEAR UNOER I DIIIt Monilia Daya Houoa Minut.. SEX 2. Fern ale STATE FILE NUMBER SOCIAL SECURITY NUMBER 3. I 7 3 - 0 3 8946 DATE OF DEATH ,McnIIl. Oa~. 'teal) .. F e bra Q r y 2q 2001 ...Cumber1and DECEDENT'S USUAL OCCUPATION (Gi..1uod '" ,..,,,k done durong most 01 working Ih; do noI use ,eIllell) G . C . nL Wa i t res s "... DECEDENT'S MAILING ADDRESS (SI,..... CdylTown. sc.. Zip Codel &ast Pennsboro ~167 S. KIND OF BUSINEss/INDUSTRY Wlt.S DECEDENT EVER IN US. ARMED fORCES? .....0 NoIXI BIATHPlACi: le.1y ar.d I'tACE OF DEATH ICl>eck only """ -- __ ,nSlrucloOO:) 00 ome. _I Slate 0< fere'9/' Counlryl HOSPITAL: - lOTHER: e.8 / 2 9 / I 9 187M i 11 e r s V i 1 i: ~It_ 0 ERlOuIIlat'enl 0 OOA 0 ~O fACILIT't' NAME (II nol "'!.t'M""" gove SI,eet and numbef, WIt.S DECEDENT OF HIS~IC ORIGIN? NoIJ ..... 0 "yM.1CIK'IY CubIln. Max.,.,.. Puer10 RIcan. MC .. R__nee [J: g:dylO 5. COUNTY OF DERH 82 VIS, 167 S. Enola Dr. '" E n 0 1 a, P a . I 7 0 2 5 FRHER'S NAME (hst Mo<ldIe. Last) I'. H a r r y S. B 1 e s sin INFClRMANT'S NAME (T yptIIPrtnll Mary Frances Darrenkamp METHOD OF DISPOSITION O BurieI [J Cremation 0 RemovaIIrOll\ Slata 0 ~ Other (Spectly' 2tL SIGNATU~ FU~~ SERVICE LICENSEE OR PERSON ACTING AS SUCH :aa.~L..~.0 ~AA~, 22b.012774-L ~ it_ ~ only wt*' cettllywlg ~ !he bUt =~~~. death ,,"urred al the lime. date and place staled ~~.noI.YUable.II""'oI_1fl1O ."rl ,=;Ii l*1IIy - of dMlIt, 23L _;..; __ 24-:Ie _ be c:ompleted by !ME OF DEATH ,=-~_prvnounc>>e_th, l' SO 1\ '.iiiiI__ 2.. n M 25. ~_ 27. PlUff I: EnIer the diMasea. injuries 0< compkatoona wllict1 ClIU$ed lhe clealh Do not enter lhe mode 01 dying. such a. cardiac or re"""atory a"esl. shock or heart ta~u'a LIII only one cause on elCllline DECEDENT"S ACTUAL RESIDENCE (See lOSIrucbOnl ""__I '7.. Slala Pa. MARITAL STRUS . Married Ne_ Married. W_. Divorced (Speoly) 1.. Wid 0 w 17c.1X] ...... decedent IiYed in E a s t RACE . Amencan Indian. 8Ied<. Whita, 8lC ($pedyl 10. Wh i t e SURVIVING SPOUSE (Il ""e. 11M' maooen namel Murphy Co. 15. Pennsboro Twp. 12. 17b. Coo Did dececIenl ... in . Cum b e rIa n d lownahip? t7d.O ~ ""=".::: of MOTHER'S NAME iFest MI(klIe. Ma.<len Surname) ~Bernard H. Hess INfORMANT'S MAlUNO ADDRESS (Str.... Cllyfbm. Slare. Zip Code) 2Gb. 167 S. Enola Dr. Eno1a Pa. 17025 PlACE OF DISPOSITION. N_ '" ee.....ery. Crematory LOCATION . c~. SI.... Z'1lI Code or 011... """'a Woodlawn Mem. Gardens 21c. CItofIt 23, 200 Lower 21d. Paxton Twp. Pa. LICENSE NUMBER NAME AND ADDRESS OF FACIlIT't' ~.i c h a r d son F . H . 2 9 S . E n 0 1 a Dr. En 0 1 a , P a. 1 7 0 2 5 LICENSE NUMBER ORE SIGNED (MonIh. Day. 'Marl 2311. Dc. WIt.S CASE REFERRED TO MEDICAL EXAMINERlCORONER? .....0 ~ 21. t Approxmata l:::.:= 1'1 ,_ 80( O'f) PART": Other aigni/IcMI-.cIIIiona c:an&ribullnO 10 deel/l. but no! ~ in !he undIflying""" given in ""'"' I. DUE 10 (OR AS A CONSEOUENCE OF): d, WERE AlJ10PSY FINDINGS -.lA8l.E PRIOR 10 COU~OFCAUSE OF DERH? MANNER OF DEATH DATE Of INJURY (l0oi",,", Day. ~ar) TIME Of INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. -..... J?i o o Hornocide Accident Pending In..otogalion o o o PlACE OF INJURY. At home. tarm~;a".Iac1OfV. offic. buildng. _, (Spec,I.) 308. _0 NoD .....0 No.0- Yea 0 NoD M. 301:. *. LOCATION (SIr.: C4y(bwn. Stale) Suicide Could noI be de'ermlned 2IL 21b. CERT-=tER IC"eck oniy oneI 'CERTIFYING PHYSIClAH (PhySIC",n cerlllyong cause d <lea'" wiler> anal"" phYSIC"'" has pronounced deal" ana completed Item 23) To_ _I of "" knowledge. dealflocc__todle cau..(s)and mannar as ala_. .'..,.,. ......'..,......... 29. 301. ---~OFCERTIfIER . . ... ~ 31b. ___. Q--:::L--f't!V'C>.._-~._-------~~~_ . __ LICENSE NUMBER rATE SlGNE7 (....",.,. fJ!'Y. -. , "' '" "' . "' .. 0 3tc. P ~O Q.b II , - L . _ . ___. 31<1.1-- _ ~() I 0 L NAME AND ADORESS ')F PERSON WHO COMPLETED CAUse Of DEATH J I l (Item 27) Type orPri'l!... rt . l. A_ \ 10- 0,. II ~( M ~~IlQ.,. ~o.re. '4 IV> () I fiC"\OCW ~T ,.... ~ o 3"\rt. \A^~~ W u..~,\-\,U fA 1'):)\1. 32. DATE FllEO(Monlh, Da~, Yeal) ~~ ~j,~OOI , ~. :I -~ :M -- ~ 1iaI ~~ .I'RONOUNCING AND CERTIFYING PHVSICIAN IPhySIC"'" tJoIh ""mo."lC"'Q ooa'" and certdyong 10 cause of dea,'" To !he _ of "" know~, death occurredal dle _, dala. and piece. and dualo _ cau..(aland manner aa alated .MEDICAL EXAMINER/CORONER On tile beaia 0' ..entin.tlon .nd/or inve.ligaliOn, in my opinion, dnlh occurred alllte tlm., d.I., and plac., and due 10 Ihe causela) .nd ",."...r.s sl.ted.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ........ nl" .'G"'a=;?,?!~~ _ l..lt ~~/I/ I 21-2001-259 LAST WILL AND !rES!AMENT OF OORO'fH M. DABliEllKAMP. I, Dorothy M. l)ilrrenkamp, of East Pennaboro Townahip, Cumberland County, Pennsylvania, hereby declare this to be my last Will and revoke all Wills which I have previouB17 made. 1. I d1 reet m1 1b:ecutor to pay the expena.. of my Funeral and laat illness as aOOD as convenient after my death. 2. All of the rest, residue and reaaInder of my estate I gIve, devil. and bequeath to 'IIf3 husband, William C. Darrenkamp, absolute17. 3. If IIY husband, William C. DarreDkamp, should predecease me, or should we both die in a common accident, then I give, deTise and bequeath all the rest, relldue and remainder of my real and person&l property to 'IIf1 two daughters, Susan M. Beat and Mary F. De.rrenkamp, in equal shares. 4. I appoint my husband, William C. DarreDkamp, Executor of tAis Will. Should he, for any reason, fail to qualif7, or cease to act a8 such, I appoiBt m7 two daughters, Susan M. Beat and Mary F. DarreDkamp, Executrix's of this Will. IN WI'fHESS WBEBEOF, I haTe hereunto set .1 hand and seal this j t1 ':!. day of August, 1982. ~'Fn~-JJ L~). SIGNED, SEALED, PUBLISHED AND DECLABED by the above named Dorotlq M. Dareenkamp, &s and for her last Will and Testament, in the presence of ue, who, at her request, in her presenee and in the presence of each other have hereunto subscribed our names as witnesses. ~/d ~ cdoS- ~I# CI. Jkf ~ ----~ I-- ------- . CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: Estate No. DOROTHY M. DARRENKAMP February 20, 2001 21-01-0259 To the Register: I certify that Notice of Beneficial Interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on: March 16, 2001. Name Address Mary F. Darrenkamp 167 S Enola Drive Enola, PA 17025 Susan M. Best 621 Range End Road Dillsburg, PA 17019 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except none. Date: , / 31Lr;, /{! I WM. D. CHRACK, III, ESQUIRE 124 West Harrisburg street P.O. Box 310 Dillsburg, PA 17019 (717) 432-9733 Counsel for Personal Representative , ). IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE. Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA In re: THE ESTATE OF: DOROTHY M. DARRENKAMP ESTATE NO. 21-01-0259 To: Mary F. Darrenkamp 167 S. Enola Drive Enola, PA 17025 Susan M. Best 621 Range End Road Dillsburg, PA 17019 Please take note of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent, Dorothy M. Darrenkamp, died on the 20th day of February, 2001, at Cumberland County, Pennsylvania. The personal representatives of the Decedent are: Mary F. Darrenkamp 167 S. Enola Drive Enola, PA 17025 (717) 732-0277 Susan M. Best 621 Range End Road Dillsburg, PA 17019 (717) 432-1793 The Decedent died Testate (with a Will), and the will has been filed with the office of the Register of wills of Cumberland County: Register of wills of Cumberland County :1 Courthouse Square Carlisle, Pennsylvania 17013 (717) 697-0371 A copy of the will is enclosed. An additional copy of the will may be obtained by contacting the Register of wills and paying the charges for duplication. Date: / / ~ /;&/C / / _.,,:/j /' ~.~ ' ; ~~'~~ WM. D. SCHRACK, III, ESQUIRE 124 West Harrisburg street P.O. Box 310 Dillsburg, PA 17019 (717) 432-9733 Counsel for Personal Representative STATE OF PENNSYLVANIA INRE:ESTATEOF DOROTHY M DARRENKAMP IN THE REGISTER OF WaLS COURT: CUMBERLAND COUNTY ESTATE NO. 21-2001-259 STATEMENT OF CLAIM 1. MBNA America hereby presents for filing against the above estate this statement of claim in the amount of $ 2509.14. 2. The basis for the claim is MBNA account number 5490999018452655 which was opened on 12-1-82. 3. The tax identification number of the claimant is 510331454. 4. The name and address of the claimant is MBNA America~ 1000 SAMOSET DRIVE WaMINGTON~ DE 19884 5. This claim IS NOT contingent. 6. This claim IS NOT secured. 7. The last payment made on the account was $ 100.00 on 5-5-01. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief Executed this ri;J day of iJ:.~ ' 200C J))~~ qlIQVl/ MARY ~ QUEEN MBNA Amenca Claimant State Of Delaware, County of KENT IN WITNESS WHEREOF, I have set my hand and notarial seal this ;)() daYOf-n , 2001_ DAWN M PEUGH NOTARY PUBLIC STATE OF DELAWARE MY COMMISSION EXPI~ 12112/0' My Commission Expires: \ \a.\ CJ~ \ \ ~ rn ?~f' Notary Public DOROTHY M*DARRENKAMP CUSTOMER INFORMATION SYSTEM * 5490999018452655 * CURBAL: 2560.31 CYCLE: 10 N CR LIN: 13100.00 STATUS: 5 CHANGED: 04/19/01 ***************************** MARCH STATEMENT ***************************** POST -------REFERENCE------- TRAN --------DESCRIPTION------- BC ---AMOUNT--- PAYMENTS AND CREDITS 0223 05458112288 07/20/01 10:05:01 X165-1 PAYMENT - THANK YOU 100.00CR * * * * * * * * {;?.Y-.~ j;: * *1; &*l * fJ ~ ~C~WEM~- too.acJ * *: J Jl1~ 1 * ~)Qb,< crt * * * * * PREY BAL - $2668.95 PAY + $100.00 SALE + $0.00 CASH + $0.00 F/C $40.19 d 0 ~~.~ ~ PA1=BEGIN AGAIN 1 PA2=SYSTEM MENU JAZO WDA41W38 2/31 PFIO=PAGE FORWARD PFll=TRANSACTION SUMMARY 4-@ 1 MBNAIS PF15=APRIL STMT PF21=FEBRUARY STMT 192.168.14.20 /b-2/s"--j3 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 (J) m }:> r c"; :---1 ~~L '-. . \...,..! :--:J "';- :;I. "~"i (',,- r'" - i ::D ~", .. ).-'- ~". ,-:"'" -;' .....,. ~-"'~ c; r-; IJ m G) (j) ~ m JJ o il ~ r r (j) :::0 m (") m <: ?~ ~~, 8 c-; ~~: ~ ~~\~.' ,.... WM D SCHRACK III ESQ 124 W HARRISBURG ST PO BOX 310 DILLSBURG 0 0 -0 0 Z 01 m }> 0 0 }> }> r= (J) -f C (J) -f s: m --I m ::::: -f m m z 0 " s: 0 0 c )> 01 .< )> 01 t..J 01 r"' " s: --I - ::D m 0 )1 ^ Ul -0 l'J 0 I........, OJ m )> ,1 m , m Z )> ~,,_.. 0 -< ....: 0 :rJ < i -f fJ:1 '--'*0) }> s: d. ~ m tj ! 11 - , I !' -f m r-~ 0 0 .. ;' m ....-.t z v --., m :0 ;...~ ..(,: '" -f Z ~ - r ~ ) f'"' f' : j. .1 -f .-- S 1) ; - 1> )> :: '. ! , ,- r .. --I "~ - -' r 6 ~ .~-' .-. ,",'- ,~, ',' }> \'.1 } (J) t!1 Z ..::! C' '...d ~ r~.; ::n '\"......, ~, c."...] - ',J"'j .,'~j t.:.; .' " ~::: ~l 'SJ ..-'" ::D '-. ! (J) li"~ ..::! ...;,) ~<<i"': .c:. ~ ~ :::0 m ~ }:> :::0 ^ (J) t) "r) .--- t'i ru r-- (:J .[.'. -1"" r' ~j-; tn r.D Z ~ to c: f-1 C. ~--.:. :r. l~ t:.., 55 ~ '. ..~ .:::~ ~: I :0 m (") m < m o " :0 o ~ en J'-" , I }:> z(")~ cOm}:> ~Z(J)(") mJj(J)z mO~ :::Or~ ~ ;t' ~~ }:> '.) f ..:J :5: ,>'"~~ 0 P ,: r;J c , ; z ~ ~-n . '.~ r[1 {-,( ,;0"'\ IOCllOO )>mcmo :rJ-O::O-Os: :rJ:-lm)>s: USI\))>:rJO OJ~c-fz cmo~~ ::D9"'zm ,Q z-f}> -0 oOr )> <01:2 -..J cIO c~" ~ )>m-o 6 r"zm m -1CZ S ~m~ m -< (J) r < }> Z )> z 0 :::t m "TI :0 "TI =i - )>"'C (') zm - OZ )> mZ r- )>CJ) Z-< ::0 o!< m m)> (') CJ)Z ~- m :t>:t> - ~ "'tJ m -t ~ :t> >< Z 0 )> )> ~ (0 0') U1 0') ~ JJ m ::: en '" m x to .9-' *' '" REV-1547 EX AFP el2-00l DOROTHY M r''''~i .......... 'T} t)l r..:; ::1 tr:: ('= t-'~ G1 ~. ~,.. rn ...;.} CI.8rt.: Combe; PA 17019 Amount Remitted 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=is'4j-ix-AFP--fi2-:oo'r-Ncfrlci--oF-iNHiifiTAircE-;-AX-APPRA-isEHENT:--ALi-oWANCE-ori----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DARRENKAMP DOROTHY M FILE NO. 21 01-0259 ACN 101 DATE 01-14-2002 -f o ~ }:> r }:> ~ o c z ~ "U }:> 6 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX Re(:c>~ . Re. DATE ESTATE OF DATE OF DEATH P.3 :14 FILE NUMBER COUNTY ACN 01-14-2002 DARRENKAMP 02-20-2001 21 01-0259 CUMBERLAND 101 .02 JAN 18 TAX RETURN WAS: (x) ACCEPTED AS FILED CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. 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 (1) (2) (3) (4) (5) (6) (7) 74,000.00 2,724.81 .00 .00 7,668.14 .00 .00 (8) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 84~392.95 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 14~874.61 4.531.59 (11) (12) (13) (14) (9) nO) lQ.406 20 64/986.75 .00 64~986.75 NOTE: If an assessment was issued previOUSly, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 64~986.75 X 045 = 2~924.40 .00 X 12 = .00 .00 X 15 = .00 (19)= 2/924.40 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-04-2001 AA496564 146.22 3~200.00 TOTAL TAX CREDIT 3~346.22 BALANCE OF TAX DUE 421.82CR INTEREST AND PEN. .00 TOTAL DUE 421.82CR · IF PAID AFTER DATE INDICATED~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $l~ 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.) /I l~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: DOROTHY M DARRENKAMP Date of Death: 02/20/2001 Will No. 2101-0259 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes xx No 2. I f 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 personal representative file a final account with the Court? Yes No xx 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 xx 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. , 7J;,otA7..:1 /.12-?t,~U /( /A' /1~ Da te : j4lc dt?/ }?:-. In i 47 J(i S~gnature MARY F. DARRENKAMP & SUSAN M. BEST }8~~) Name (Please type or print) 167 S ENOLA DRIVE 621 RANGE END RD ENOLA PA 17025 DILLSBURG PA 17019 Address .~~Qun':J vv: 8 tJ 6 t MlN lO. (717 ) 432-9733 Te 1. No. fJ (:88 " ,'Y;)9ti Capac i ty: xx Personal Representative s Counsel for personal representative (MAH:rmf/AM3) OFFICIAL USE ONLY REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT ib- LIS - 13 REV-1500 EX + (6-00) CAPB HpRL EplO CRAC KOTK ES C P o 0 R N R 0 E E S N T C o M P T U A T X A T I o N FILE NUMBER o E C E o E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Darrenkam Doroth M. DATE OF DEATH (MM-DD-YEAR) NUMBER 21-01-0259 DATE OF BIRTH (MM.DD-YEAR) COUNTY CODE YEAR SOCIAL SECURITY NUMBER 173-03-8946 THIS RETURN MUST BE FilED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER X 1. Original Return 4. limited Estate X 6. Decedent Died Testate 3 date of death . Remainder Return prior to 12-13-82) 5. Federal Estate TaK Return Required 8. Total Number of Safe Deposit BOKes 2. Supplemental Return 4a. Future Interest Compromise (date otdeath after 12-12-82) 7. Decedent MaintaIned a livIng Trust (Attach copy otWiII) (Attach copy of Trust) D 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit D 11. Election to lax under Sec. 9113(A) (date of death between 12.31.91 and 1-1-95) (Allach Sch 0) l~t...isSEt;tI6NMUS'f;BE'c6MPLETEO\q,A1.:CCORRESI!ONDENCE;$i'CPNFIOENTIACtAXINFORMATION SHOULD BEoIREctE[j'ltcl~1 NAME COMPLETE MAILING ADDRESS Wm. D. Schrack III Es . FIRM NAME (If Applicable) Wm. D. Schrack, IllEs uire TELEPHONE NUMBER 124 W. Harrisburg Street Post Office Box 310 Di11sburg, PA 17019-0310 (1) (2) (3) 74,000.0~ ;; 2,724. 8~ . Norra R E C A P I T U L A T I o N 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 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 Sub'ect to Tax (Line 12 minus Line 13) 64,986.75 OFFICIAL USE ONLY d :0 - :Om g} () ,':,' ", () :::',"\'j;:} (!',,' ',I e5 <: (4) (5) None 7,668.14 - 'D (6) Nag!) -' "'" co A ~2. J::. None (8) 84,392.95 14,874.61 4,531.59 (11) (12) (13) 19,406.20 64,986.75 (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal lax rate, or transfers under Sec. 9116{aX 1.2) 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 collateral rate 19. Tax Due 20. X :'!!IlIlli:i!l!!i!IlI!!M!ll!!!X~\I!~!ll(!IlI!!~!:Jllstliji:l!~!l!l(,,\lij[j!!;il;!~N,!W$MAYt>jENl1',i' ~!,.!~li!!.'!il~!~~'8E1S.(JREhto;ANSWEl!f...t(\[QjjESti6NStc)N'IlEVERSE'SlbE"ANO,TO RECHECK .MATH 64,986.75 x X X X .0 0 .0 45 .12 .15 (15) (16) (17) (18) (19) 0.00 2,924.40 0.00 0.00 2,924.40 i,<i'<~f,;:If:i*i0*i~;:l~j~~~W~ii Copyrlght(c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 167 S. Eno1a Drive CITY I STATE I ZIP Eno1a PA 17025 Tax Payments and Credits: ,. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 3,200.00 146.22 Total Credits ( A + B + C) (2) 2,924.40 3,346.22 Totalln,erest/Penalty ( D + E) (3) 4. If line 2 is greater than Line 1 + Line 3. enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT !1!!i!III!!ll!l!!I!llllli!ll!i!lili!lil!III!!!llliill!iillli!lii!!iil!!illi!ljll!li!!illWI!!iill!!iil!!!1111lill!!I!!!!i!!!!!::!!!:::!!;:::::::::!!:::::::!::,,:!l!!j!!!!i!Uii~!::!!:!:~;,:;i!i!:!,,!:! !!!!!!!!!!:';!!::]ii:m::m!!!i!!!!i!!!:U:!!!:!!ii:,!"iii:!:i!!:il:i,!";::d::ii!:Wi!:.j;!!!ii!!iiiil!ililllil!!I!i!lill!lillij!!III!iill!llllli!li!i PLEASE ANSWER THE FOLLOWiNG QUESTiONS BY PLACING AN "X" iN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ~ ~~x b. retain the right to designate who shall use the property transferred or its income: . c. retain a reversionary interest; or. . . . d. receive the promise for life of either payments, benefits or care? . 2. If death occurred after December 12, 1982, did decedent transfer properly within one year of death without receiving adequate consideration? . 3. Did decedent own an ~in trust for" or payable upon death bank accounl or security at his or her death? . . 4. Did decedent own an Individual Retirement Account. annuity, or other non-probate properly which contains a beneficiary designation? 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. Interest/Penalty if applicable D. Interest E. Penalty 0.00 421. 82 0.00 0.00 0.00 D D D [B [B [B Under penalties of perjury, I declare that I have examined this return, Including accompanying schedules and statements, and 10 Ihe best 01 my knowledge and belief, It is true, correct and complete. Declaration of preparer other than the personal representative Is based on all Information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Mary M. Darrenkamp ..:I /{-tt? f 0 h // ri/ -~~~i"~ ~ - ~1()~t- i~H-v:~ - --- --- -- -- - -- -- -- -- _. -- ---- SIGNATURE OF P EPAREROTHER THAN REPRESENTATI E Wm. D. Schrack, I I I Esqu i re __ .~~~..'! ,. !l.",,, ".i.s.l?ll:r.g . ?~.,,~?~_ _ _ _ _ _ _ _ _ _. _ _ _. _ _ _ _ _. Di11sbur , PA 17019-0310 DATE /,(;/i0- q O'ATE For dates of death on or after July 1, 1994 and before January 1. 1995, the tax rate imposed on the net value of translers to or for the use of the surviving spouse is 3% [72 P.S. 9116 (a) (1.1) (;)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for Ihe use of the surviving spouse is 0% [72 P.5. 9116 (a)(1.1) (in). The statute does not exempt a transfer to a surviving spouse from lax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.5. 9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%. except as noted in 72 P.$. 9116(1.2) [72 P.S. 9116(aXl)j. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.$. 9116(aX 1.3)1. A sibling is defined, under Section 9102. as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Copyrlght(c)2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) ADDITIONAL Personal Representatives Estate of Dorothy M. Darrenkamp SS# 173-03-8946 02/20/2001 ********************************************************** Under penalties of perjury, the undersigned declare that they have examined this return, including accompanying schedules and statements, and to the best of their knowledge and belief, it is true, correct and complete. Signature iJ . \-Jt (II/? nl ) h. l1e jI;f Name Address Line 1 Address Line 2 City, State, Zip Susan M. Best 621 Range End Road Di1lsburg, PA 17019 Date REV.15OZ EX. (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCET/4J( RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Dorothy M. Darrenkamp SS# 173-03-8946 02/20/2001 21-01-0259 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market 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 knowledae of the relevant facts. Real property which is jointly-owned with riaht of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE DESCRIPTION NUMBER OF DEATH 1 Single-family home located at 167 South Enola Drive, Enola (East 74,000.00 Pennsboro Township), Cumberland County, Pennsylvania (see appraisal) SCHEDULE A REAL ESTATE TOTAL (Also enter on line 1, Recapitulation) S 74,000.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1502 EX (Rev. 1-97) "0""" D..."p"o. UNIFORM RESIDENTIAL APPRAISAL REPORT File .0. DARRENKP Ptopel'lyAddress 167 S. Enola Orive City Enola SlalePA l'tpCode 17025 L..;i[;;s~-rlPtlc;n-Book ~i3 ~1>!lq~._~!~ _____" - ---. -.--- County Cumberl~md ,t,u...or'.PercelNo. 9-15-1291-190 Tax Year 2000 RE. Taxes $ 870 Spec,alAs$6Ssmenls S ~ BCKfOWilf n~~_~;;~-;;t'owner Da-rr-e-rik~~_~_~~at_e_:-'_~~u~.n~: 0 OW~I 00 Te~nl 0 Vacanl PrOQ&rt ri ll.t<<apPI'eis9d X FeeSlmple l.ell$ehoJd _>__._.J:rojecl2tpe_TI~YQ __D CO:'1d()minium(HUDIVAonIY) HaAS. lMo Neighborhood 01 Proiect Name MapAelerence 09 Census Treet 102 Sale prl';~S-~--=--=---=--_.- ~ ~i-~- ~l.fL~~ _ Oes~ri~Ik;~~!-~i-~f;;;;-Char~e~/.c~sions lobe paid by sellef N / A ~~!n.!_J:~tt.,. W.O.~~~chrack-L..AdtI'.!~_~_:?_4_._WesUa_rrlsl?urg street, oillsburg, PA APPl'slser Dais S. ohrum Mdf6~$ 125 West Harrisbur street Dillsbur PA Loctlion X Suburban Rurlll I Predomlnant S~I.1.mIlY housing 1 Prese"t land uae % ! Land uae C::ha"ge Bulll up 0 25.75% 0 l)l'II1er 25% I occ::upanc::y ~f~) (;s1 ) One lamily 50 j [J Notllk.ely riD Lil\ely Growtnflale DRlIpid [KlSlllble OSIOW [liJowner .?____ Low.1 __ !2~~tllmilY 30 []Inprocess I'lopel\yVllluesD Increasing 00 Slable 0 Declining 0 Tenanl lp~.~__.f:l_i\l_h --?-~, ",,1 Mulh'lllmily 10 10 Single Oemand/wpplyD Shortage [X] In b341nce 0 Q>.oer supply:!Xl Vacanl (0-5'4) miITI1L!':re~?mr_nanl ~i::!idj CommerC161 10 fami 1 y , t.la.rk&lingtl~ Ul'Idef3mO$'W2~~~~_O__~r.~_~;D_Y~~~JOve'5"LJ~Q _ _ 55 ; ( ) business Noto: Race and the racial compl:lslt\Qn of the na1llhborhood are not appraisal 'actors. Neighborhood bounda"es andchllrllctetislic$ _ TJ~_~_s.ubj_ects_nei.9hp'?Fhood consists of Enola, and the smalL surro~n~A_!lg__ E~~~_~~ 't;e~ '-___~~~~!lg __style~J_ maintenance rand inf 1 uences are Faclors thllt affectlhe /nIlrkel,.bili1y of Ihe properties in the neighbol'hood {plcximil)' to employmel1l11nd amen_lies. employmenl slabrhly. appeal 10 market. elc ) :~imi~ar~ _EmQ~9ym~nt in the neighboorhood is good, within a good proximity of ~~tate capital, large busiryess, i~~luding IBM. State and Junior colleges, as ~e~l ft_~_~3~Y_ ~~~vice job~. . .--.- 1__-- MatKetcOI'\\:litions m 1he s\lbject neighborhood (Including support 10' the above conclusions related to Ihe trend of properly value'!.. demerldlsupply. anoj marketing lime - - '!.uch a$ date. on compeUtTve properties for sale in the neighborhood. descriplion of lhe prevalence or sales and II1'\anc'1'\9 C~~'!os'ons. elc) ~~~p~~~4__f~~~~gi~gi~ ~~e a~ea _~s _cash to ~~ller with buyer paying financing ~Qsts, O~~~~i9n~}11y seller c~~~e~s~9~s a~e~~de f~r VA or FHA type loans, but th_is is re1:1ectl?d in _ th~. ~ales _pri_c:e_~ Mort9_age rates are around 7%. -Marketl~jj~-tfme ,Js-.1ypl.caYly___~_~t~-=-~ mori_~h.~~-~ Tl:!~:r;e. ar~ listings o_f competi ti ve ro rties in the area. . ProJect Information 'or PUO. (If applicable) - . IS the developer/builde/ in conlrol 01 tM Home Ow~s' Association (HOA)? L Yes _J NO 1\ppro~imale lolal n!.lmber of unils in lhe suoject projecl __ _ ___ _ __ Appro){imale tOlal number of units lo! saltt m 1he subject project tlesCIib& common elemenls and recreationallacUities' /).men$ion$~4Xl50 ~__~______~ __._____,__ . ____ __ _ _ I TopoQraphy downslope to rea Sil811rea ..35 A _. _, .. '. _ _ _ _ __ . COfnerLot 0 Yes [K] No i Size Typical for area Specilicz~~i;;~~;SlfiC;ik;~~d~s~~~t\on "Res-identfat"--- I Shape Rectangular ZoningCOmpl"laflOe 00 Legal D L~~'{G''''';I~it.;~r.;d~e)- O'n1eQal O--Nozoning ': Drainage Appears adequate Hglesl & best useas improved: Dpresenluse DOlh~I\.l_$_e{exP\tlin) !View Avg. Residential Utllltlea---P;:;bllc--- - - oln-~r-'-- --'-1'o1f-~"~ lmp~;';;~ent;-TY~ Public pri~alelLandscaPlng Lawn, trees, shru Electricity OO_________~,.._~Slreet A..._~Ph~l.J:.._____ W DIDrivewaysurlace stone Gas D CUrb/guller Concrete -00 0 IAPparenteasemenls st_andard utility Waler 00 ==-==--=---j Sidewalk ~~~ret~~_ [Xl CJ fEMASpec\l!lIF\o06HIIZardAre/l C) Yes LKlNo Sani\alysewer [liJ______ ____ Streetlights El~_ctr~~ [XI [] \FEMAlCln6 MapOale 4/20/79 ~rnse:,!,!1 _ [Z] _ _ _ !Alley . :Un~mp.f"~_yed 0 0 iFEMAMapNo 420359 Commentl (ap?llu~n\ aovelse easemenls. encroachmenls. specllllaS$essmenls, shde areas. iliegal or legal nonconlormlng zoning use. elc ) None note,d at ins~cti~!!.L~l thOl~9h_~~_':JghJ~~_f" __t.o:l9_._l!1_~. that zoning was changed, and there is a small Pizza lace ri ht next door courthouse did not chan e record GENERAL DESCRIPTION EXTERIOR DESCRIPTION ) FOUNDATION 1 BASEMENT INSULATION I No. 01 Units 1___ Foundation sJ;.On~J_Bl~s\ab _____ I Alea Sq_FI 1.012 . Roof No. 01 Stories =!.~___.____ E~leriorWalts ~~LYi}}~claw\spac&___,., 1 'l.Finished none :CEllhng Type (DeUAlt.) Dt_ ___ ; RoolSurface A~p_h shj..!] Basement _;E:~Jl jCeilil"lg 'Walls - Design(SlyJe) T.~~~_'",~_'Gulter5&DwnsPls AtuBlinU1!!._lsumpPump _Y'??>_ ]WSlls Floor . ExlstingfPloposed E?'!~_1::~_ -1 Window Type WC)o.c1/dh,~ Dampness no : FlooI Concrete None Ag9'{~n.) !:?O__ _ _ _1 Storm/Screens some 1 Settlement none note. Oulside Ent(y Yes \Jn~no...n X EffeetN6A ~I$. 20 1 ManulaotureclHouse no rlnfestation none note, :.::.-?E;;:- _;""i~J~:o,"J t~'":o :_''" ~[~i'A~i Adm .'d,oom,. :.""' Le~el2 I \ j J 3 1 :::..:__:t__-.-l___-L i___ i_ L__ L . FinIshed area above rade eonlains: 7 Rooms: 3 BOO! s: 2 . INTERIOR Materldls/Conalllon HEATING ..KlTCHENEQUlP AHlC .. Floor. Viny) /r;p't/W_ Type Hw Aefllgeralor 00 None Wa"' Plaster Fuel oi 1 Range/Oven 00 Slairs Tlim/F\rnsh s_tai!led WOO ~~~AVg_~~ Disposal 0 DropSlllir 8athFIOo! ,?:~'!!yl COOLING DIShwasher 0 Scullle StllhW"inscol ~ibe.E.91ass Cenltal _ _ -1 fan/Hood 00 Floor Doora Wood J2anel Othel _ Microwave 0 Healed Avera e condi tion CondlliOrl Washell Elf I Finished Additloollllealures(specialenergyefflcienlitems.elc.):. Newer electr_ic wirif.lg ~i:tE ._new box ----.---..~-_.- .--- .. [] [] [l [J [] [) Laundry otM( A'~aSQ F\ 1012 506 506 '.\ 88lhS: 10.12 AMENl11ES Fltepl6oo{$}' SQullleFeelolGr05sUvln Area Pool u [] o o o [J -1 100 amp electric None I . Galage Attaehe-Q , CAR STORAGE [~J o (X] [] o [] o Patio 1I0lcals De" PorchX~2 Oel/lched Fence i BUill-In I , CIl/po'l I Drlvewa --~-~-~----_.. ------------,------ ---~...- I' Condition ollhe improvements, depreclallon (physical. functional. and external). repairs needed. quality 01 cot\stfuctiOn. femodeling/ao(Mions. elc 1 The conditions of theimpr9vem~nts 9yer th~ years app~ar to be of good 1 a!J~YL~it [~3!!1~_~f4~i~_tIJ?j~:~;)~~i(]rla:~!1JEi~~~~~_-')las been 'completed as needed , !-dY8Ise environmental conditkms (s\.leh u. bu1 not limited 10. hazardous wasles. toxic subslanGes. etc.) present In lhe impro~emenls. Oil lhe sile. or in the Immecliale vicinity 01 Ihe subi8ct p{opetly: No adverse enviromental condi tions were noted on the ~site or in the immediate- area-of~tEe-sub'ect.--- ro rt :tVeMacForml0 6-93 10CH. PAGE 1OF2 fameMlleForm Ic:o.i 6-93 . Hatnepuleh FOI"~ PrOO9ss!ngSyslen1 For laser Pfinlar. I (JWlI1T'l.....'~ '.i UNIFORM RESIDENTIAL APPRAISAL REPORT ESTIMATED SITE VALUE . $ ESTIMATED REPRODUCTION COST-NEW OF IMPROVEMENTS, . Dwemng ~_Sq,Ft.$__ _$ SQ_Ft.$ file No. DARRENKP Comments on Cost Approach (SV<lh as. source o! cosl estimale. site value. sqUI.!e 100\ calClJ\allon and. lor HUD. VA and FmHA. ltte estlmaled remaining economic lile of lhe propelly) _~2perty is too old to do a .~~produc~ion cost COMPARABLE NO 3 532 W. Cumberland Enola, PA '4 Blocks 83,000::::' . :,1':.:' 62.50 P MLS/Drive-by Agent . (-) S ""')li!Ilmen! DESCRIPTION ConV None 4/30/01 .Suburban Fee '.32 Avg for Avg for are -2000 Cape Cod .Brick 50 Avg I lQ!.' B<:hm~ B.oII>I :7 -3 1 '1200 Sq Ft Full/Unfini' ~one Avg ,GhA . Some storms I . - . - . 'pff street ~orches None None i 8,500 I~J' [XI, ![":![i~!'Ii':r"1'; 74 500:1!"l' I, ;:';;,,1: , . ,..-.,:' , . V.lu.tlon Section ~ Garage/Carport Sq, FI f!$ __ . Total Estimated Cost New .. $ : Less . Physical I FUnctional I Ektemal , DeprecIation ~_-----1.____----1 "$ Depreciated Value ollmprOllements _ $ -As-is.Valueol Site Improvements _ $ INDICATED VA'l..UE BY COST APPROACH .. $ ITEM SUBJECT COMPARABLE NO, 1 COMPARABLE NO 2 167 S~' Enala Driv]416 S. Enola Drove 111 Lancaster Ave AddresS Enola PA lEnola PA __Eno)~r PA PrO~j~t;-l-o-iuj;!~_~{jUillmmllrjmm!m\;]!mf,~~}_~~k~.::,-_" _ _ _ . -.~T'~F.~,~.~,~--. Sales Pr~ _ _-----l.!_~_____,__.. '--I;;)WliffiJJ;J!uI%lJ1Jj$ j'I"}'~?'rl'~:?Q.-:..:::i!TI::!:!j:;i!i!)1: $.., "',' ~r_~/GrCl!!.!-:~ Area I_~______.__"QJZI. $_ __J?O_._:?J:; _ m lhi\l:l~llili.l!L~,:." $?O_._ 61 \lI ,I:::L! Delund/or :Insp Mls/Dri ve-by MLS/Dri ve-by Vefl!;callon Sources .Courtn housejAgent .Agent_ VAlUE ADlJSTMENTS DESCRJPTlON DESCRIPTION . (-) S MJu.l......l DESCRIPTION -.--- '~--------:"'T;n-rn':'F-;T1W'T'~T":- ----- . - - - SalelorF,nanclng ii!~iiilll'!:i.i!i:!:;'I[liii!I!II];if,onv cNonv ~1'I~~~lOnS _ ::~jj!lIL:;:fililji~j;1 il;r~jp_one__ _ . one ~e ol5:a!_e!!j_~.!_,J!;;]j! liJiiDI:UliJ;[UiL!li;5 /1_8/01 ,.3 / 30/0 1 ~I'I ___S~~r_~_an. ;Suburban Suburban ~~!~ee s~~re~___ . - - fee_ _. fee . Site i.35 Avg fOrl.32 Avg for: - --. 49Avg for ~I!~_ ~fa1_r!nofse- -)Avg nfo-r--are: -2000 Avg for are' -2000 . Oesigl'l_'~~.~pp:?~I_-i1'~9-_d_~1/2 S-iTr_ad's/2S ~ape Cod CW1J'.~_~~l.'_~_ho~~}~ygl h~~u~ ,Brick -5000 AlUm/Block A~e i50 -- :50 -45 ~~~~o~~ ~byg~ ______ ~Y9,,__ . Avg-. =:eca:~:~ ~~~ j~8:2 !8lh~=j;~~~1t'~~,2~~!=j -500 .~ot'l ;~. g;;;~ .~~~~jll~~_,!Are~_-.J~~:l;2____ ___:)q:_~~, Jl.~~q_ ___~'!, ~..!:..; -5500 .136'8 Sq, Ft ~ Basemenl&Finlshed;F'ulljUnf full/ unf -FiiYl/ Unf ;::~O~;II~:I~~:_~~.~~~_~_~i~~~_-=--" ._~:: __~-~ ~-~-- _-=-J~~:___.__ _" . . Hee\inglCooling PHW OHW.. .: . OH~ EnergyElllcJent Ilems Some s~tormg!Cioine sFornls:--'--~-s-orrie-"s-toims: 'Garllge./Catport one off 5 -2 car/ofTS:='7000:2car gar-...., -7000 ,Porch,Patio,QeCk, )2 Porches --orche~--T- ro-rches-- -- Fireplace{s), etc. iNone one ' None F"';~'~~I::;",__~~c;n-"--='=-:fo~e~-' --,'_ '_..Non,,_ _ ;:jl"::;d~~~~:jjll]m"11 JilIU TI~II:IYiiilr;JIIO;,OOli'II:IIIII:") 8; OOO'-91J[il;iIIIOOII'I'I~III'I.' ~Comparable I \1 ~ lliJ1lllilwljl111111 !___2~_~.Q;J,:.:.!!; uJIJ!UJ: ii 1$ Comments on Sales Comparison (Including lhe sUbjecl Properly's compatibility to the neighborhood, elc.) ,A.l.l Com!,a",abLesc~rry equ~l,~eight:_as th,ey are all in close proximity of ~~j~c1;_ .~!!SJ:___~.!:.~_ j.~_ _F::ast P~_I!~~P-9]:"C? ~':l~t~~t. I i +500 -2000 7~.',O~,0 . [')SM,u.l"""n! -1000 1,000 74,000 ",.,:~~:E:",:1on:UBiCT-JoneC?"PARABlE:NO-' ~-~ .'~one~MP'-RABLENO 2 ~one COMPARABLE NO 3 Source lor prior sales j 'I Wi\hlnyearOlappraiS8~ ____ I __ _____ _ \ h'Isl~s ol &nf cUllen\ 1l1l""JTl8nl 01 sale, oplloll, or Dsling tlf lhe sub.iect properly and analysis of any prior sales 01 subject and comparables wilhln one year 01 the dale of apprelSl\l INDICATED VAlUE BY SALES COMPARISON APPROACH $ . i INDICATED VAllJf SY INCOME APPROACH 1/ Appllcabl9 Estimated Market ReM $ N A'jM~.; G;~SS Rent Mulllplier . S ,':', f This appraislllls made X -as iS~ subject 10 lhe rftpBlr,slteratlons,lnspectlons.orconditlonslisledbelow subject to completiOn PElf plans Md specilications. ,< CondIliOnSoIAppral:slll: The income approach is not aPI21Jcab:L~__~~_. _t9__ .la<::k ~f rental data Yi in the area ,! . FIflSI~~~~T~~sales" _compara-s:fon'aEiiroac.hrs-~ie9a'rd-ed- as -the best indicator :.\ of.va~~~'-co-S't~J~El2i~_ach~~a-~~ii~~~.~~ed-"d~_J:~__~~e_~g~_of pt:_9perty. The income .,":1;,1" . .!l?proach is not revel ant. ________~______._ ':": -. ',1' The purpose ollhls appraisal Is 10 estimate the markelll8tue otlhe feal IXOpeI'ly tl'la\_is the $lJbjee1 01 tI'lls ,'eport. b8sed on lhe above condiliOnS and 1M C8fliflC4lion, conUnoent . . . .; :''cf! .m Urritlng condiliOnL and market value deflnltlon lhal are silted In tile altacf1ed Freddie Mac Fonn <l39/FaMl8 Mae Form 1004B (Rev!. .Sed _ 6/. 93 . . f:-' I (WE) ESTIMATE THE MARKET VALUE, AS DfFINEO, Of THE REAL PROPERTY THAT IS THE SUB.ECT Of THIS REPORT. AS OF .. E? / ~ / 91 '....J . t'MUOt IS ntE DATE OF INSPECTION~D EfFECTIVE DATE OF nus REPORT) TO BE $ _~ __ 74 ( 000 . .: ~ APPRAISER: (j1, 1 SUPfRVISOOYAPPRAISER (ONlY IFREQUIRED): il.::~9ai~~1,\~m- ~__ ______ ~~g~:tur8- ___ ( \ OIte_~-;t-5igned 6/J._4LO~___~__=-_~ .~ ---- -- ~~~€Reporl~~e~ Slat.Certificalkml# #000373 StatePA Slat. Cerlilication # Or Slale License 1# Slate Or Slale LiCe~e' r'M8cFormlo 6.93 lOCH. ~,..... r::...._Do_A..""'__:.~~2.."!..2 74,009 c..l Old 0 Old Nol Inspect Properly Fame Mae Form 1004 fHI:! StaJe State , REV-1S03 EX +(1-97) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCETJtJl. RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF Dorothy M. Darrenkamp 55fl 173-03-8946 02/20/2001 All property jointly-owned with right of survivorship must be disclosed on Schedule F. 21-01-0259 ITEM DESCRIPTION VALUE AT DATE UNIT VALUE NUMBER OF DEATH 1 John Hancock Funds - Acct fl55 - 3134566 2 , 724 . 81 TOTAL (Also enter on line 2. Recapitulation) 2,724.81 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form softwaro only CPSystoms. Inc. Form REV-1503 EX (Rev, 1-97) ~ - Ae 04> JOHN HANCOCK FUNDS A Global Investment Management Firm 1 John Hancock Way, Suite 1000 Boston, Massachusetts 02217 -1 000 (800) 225-5291 phone www.jhancock.com/funds March 22, 2001 John Hancock Signature Services Ine. WM D Schrack III Attorney at Law 124 W Harrisburg St PO Box 310 Dillsburg P A 17019-0310 Reference: 00582978 Account No. 3134566 Dear Mr. Schrack: Thank you for your letter regarding the John Hancock mutual fund account listed above for Dorothy M. Darrenkamp. The date of death value of the account as of February 20, 2001, was $2,724.81. This includes dividends that had been accrued but not yet paid. The net asset value price per share of the Intermediate Government A was $9.64 and there were 281.557 shares in the account. Please remember that the share price fluctuates daily. Since any change in registration affects the legal ownership of the shares, it will be necessary for us to establish a new account. To redeem or transfer this account, we will need the following: Certified probate documents for the estate of Dorothy M. Darrenkamp appointing an executor or personal representative. Certification must be executed in ink and bear an original stamp. These documents must be received by us within one year of this certification. A letter of instruction signed by the executor or personal representative indicating the registration, address, and Social Security Number for the new account if the account is to be transferred. If the account is to be redeemed, please indicate the payee, and the mailing address for the check. ~ john Hancock ^dvis~n. Inc. . John Hancock Funds, Inc.. Boston, Mil. 02199. The Patriot Group, Inc. John Hancock Advisers International, Ltd. . NM Capital Mana8ement, Inc. . SoveuigD Asset Management Corporation .Member oENacional Association of Securities Dealers, Inc. ,0 REV-15M EX +(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCETIiX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Dorothy M. Darrenkamp SS# 173-03-8946 02/20/2001 21-01-0259 Include 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. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ITEM NUMBER 1 PNC Bank DESCRIPTION savings account #5130122834 VALUE AT DATE OF DEATH 4,140.86 2 PNC Bank checking account #5140115654 1,541. 78 3 Personal property (see appraisal) 1,985.50 TOTAL (Also enter on line 5, Recapitulation) S 7,668.14 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-15G8 EX (Rev. 1-97) MRR-23-2001 412 705 0057 PNCBRNK CIF DEPARTMENT 12:23 -~ - ~PNCBAN< Decedent Reporting Firstside Center P7-PFSC-04-F 500 First Avenue Pittsburgh, P A 15219-3128 March 23, 2001 Wm 0 Schrack 1II Attorney at Law 124 W Hanisburg St POBox310 DiIlsburg, PA 17019-0310 RE: Estate of Dorothy M Darrenkamp Deed SSN: 173-03-8946 000: 02-20-2001 Dear Mr Schrack III: Please find the date of death balances you have requested listed below. CHECKING ACCOUNT #5140115654 DOROTHY M DARRENKAMP DOD Balance: $1,541.78 + $0.00 accrued interest SAVING ACCOUNT #5130122834 DOROTHY M DARRENKAMP DOD Balance: $4,138.17 + $2.69 accrued interest Page 1 of2 A member of The PNC Financial Services Group PNC Bank N.A. Pittsburgh Pennsylvania 15265 412 705 0057 P.01/02 SCP Established 01-01-1973 Established 12-01-1982 ~ GEORGE HAAR AUCTIONEER 933 W. SIDDONSBURG RD. DILLSBURG, PA 17019 MARCH 5, 2001 DOROTHY M. DARRENKAHP ESTATE 167 S. ENOLA DR. ENOLA, PA. 17025 LISTED BELOW IS MY APPRAISAL OF NAMED ESTATE. ZENITH TABLE MODEL COLORED TV & MAHOGANY END TABLE 2-CHERRY STEP TABLES 3PC LIVING ROOM SUITE AS-IS RECLINER CHAIR MAPLE DROPLEAF END TABLE 3-TABLE LIGHTS 5 PICTURES BATTERY CLOCK SMALL WART-NOT & CONTENTS MISC ITEMS ESTEY PIANO & BENCH BOOKRACK & BOOKS 2-MAPLE ROCKERS STEREO RECORD PLAYER & RADIO SNACK TRAYS PARLOR CHAIR 8-HUMMEL FIGURINES REGENCY CB BASKETS PLANK CHAIR 2-PICTURES MISC ITEMS DINING ROOM TABLE 5-DINING ROOM CHAIRS VANITY BENCH OAK STAND ROUND STAND LANTERN FLAT IRONS COFFEE MILL CABINET & CO~~ENTS 2-0PALESCENT DISHES IRONSTONE TEA POT TOWELS, SISSORS SILVERWARE SET OF DISHES SERVICE FOR 8 MISC DINING ROOM DISHES 4-PICTURES STEP STOOL SHARP CAROUSEL 11 MICROWAVE 1 HOUSEHOLD FURNISHINGS FOR THE ABOVE STAND 35.00 3.50 20.00 20.00 18.00 15.00 3.00 5.00 1. 00 2.00 1.50 350.00 50.00 40.00 1.50 2.00 15.00 200.00 8.00 2.00 6.00 2.00 6.00 10.00 25.00 1. 00 25.00 4.00 10.00 2.50 25.00 50.00 10.00 18.50 6.50 2.50 30.00 30.00 4.00 1.50 15.00 G ELEC COFFEE MAKER ELEC CLOCK 4-TRIVOTS COOKING UTENSILS BUTCHER KNIVES ELEC TOASTER MISC POTS & PANS 3-IRON PANS WHAT-NOT SHELF & COOK BOOKS ELEC BLENDER CANNISTER SET MISC KITCHEN DISHES MISC KITCHEN CLEANING SUPPLIES ELEC TABLE LIGHT, HOT P~~S ROLLING PIN STAINLESS STEEL KETTLES & TEA KETTLE MISC ITEMS ELEC BLENDER, IRON, MIXER ELEC FRY PAN WALNUT DRESSER & CHEST JEWEL BOX & COSTUME JEWELRY METAL JEWEL BOX WATERFALL CEDAR CHEST & CONTENTS CLOTHES HAMPER, PLANK CHAIR BOOKSHELF & BOOKS MAPLE SINGLE BED COMPLETE 2-THROW RUGS BUTLER CHAIR JELLY CUPBOARD & CONTENTS JUG LIGHT NITE STAND & CONTENTS MISC ITEMS ~APLE SINGLE BED COMPLETE NITE STAND & CONTENTS SEARS SEWING MACHINE PLANK CHAIR METAL l^lARDROBE WOODEN CLOTHES DRYER DOUGHTRAY ELECTROLUX TANK SWEEPER WOODEN CABINET & CO~ITENTS THROW RUGS, BOX CURTAINS, BASKETS ETC MISC ITEMS GE SIDE BY SIDE REFRIGERTOR DEEPFREEZE AMANA 30" ELEC STOVE 3-THROW RUGS 3.00 .50 4.00 6.00 2.50 1.00 25.00 4.50 7.50 1. 00 1.50 4.50 2.50 1. 00 1.00 8.50 2.00 10.00 1.50 70.00 12.00 5.00 80.00 6.00 15.00 50.00 12.50 1. 00 250.00 3.00 12.50 2.50 50.00 12.50 4.00 5.00 17.50 1.00 35.00 15.00 5.00 4.00 1. 00 125.00 35.00 1.50 TOTAL APPRAISAL $1985.50 ~EO~A~ 93;R~~ ~NSBURG, RD. DILLSBURG,PA 17019 PHONE 717-432-3815 2 REV-1511 EX +(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Dorothy M. Darrenkamp Debts of decedent must be reported on Schedule I. ITEM NUMBER A. B. SSfl 173-03-8946 FILE NUMBER 21-01-0259 02/20/2001 DESCRIPTION AMOUNT 1 FUNERAL EXPENSES: Richardson Funeral Home 3,853.00 2 United Methodist Women - funeral luncheon 175.00 3 Woodlawn Cemetery - grave opening 730.00 ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number{s) I E1N Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. 3. Attorney's Fees Wm. D. Schrack, III Esquire Family Exemption: (If decedent's address is not the same as claimant's, anach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 2,500.00 3,500.00 4. Probate Fees Register of Wills 217.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Other Administrative Costs Buzz's Repair Shop - service to air conditioning 106.00 2 Cumberland Law Journal - estate advertisement 75.00 3 Daisy S. Ohrum - appraisal of real estate 275.00 4 East Pennsboro Township - sewer and refuse bill during period of administration 175.50 5 Eshenaur Fuel - fuel oil bill during period of administration 1,191.37 6 George Haar, Auctioneer. appraisal of personal possessions 50.00 Total of Continuation Schedu1e(s) 2,026.74 TOTAL (Also enter on line 9. Recapitulation) $ 14,874.61 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev.1-97) Estate of: Dorothy M. Darrenkamp Soc Sec #: 173-03-8946 Date of Death: 02/20/2001 Item # Continuation of Schedule H-B7 (Other Administrative Costs) Description Amount 7 H & R Block - preparation of tax return 75.00 8 Jane Biddle, Tax Collector - East Pennsboro Township School District taxes 878.73 9 Luff's Lawn Mower Service - equipment repair 159.00 10 Miscellaneous expense during administration (photocopies, Notary fees, postage, etc.) 25.00 11 Patriot News estate advertisement 93.81 12 Pennsylvania American Water Company administration service during period of 196.37 13 PP&L - electric service during period of administration 246.25 14 Recorder of Deeds filing fee/Release 14.00 15 Recorder of Deeds recording fee/Deed 25.50 16 Register of Wills filing fee 15.00 17 Reserve for future administrative expense 100.00 18 Verizon - telephone service during administration 198.08 2,026.74 REV-1512 EX + (1-97) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS COMMONWEALTH OF PEN NSYL VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Dorothy M. Darrenkamp FILE NUMBER 21-01-0259 SSII 173-03-8946 02/20/2001 Include unreimbursed medical expenses. ITEM NUMBER 1 DESCRIPTION Andrews & Patel - last illness expense AMOUNT 10.35 2 12.01 AT&T - balance due on account 3 300.00 Bankcard Services payments made on account 4 balance due on account #5490999018452655 (PNC 2,509.14 BankCard Services Bank, N.A.) 5 ComCast Cable balance due on account 257.08 6 David A. Baric, Esquire - balance due 428.60 7 Goodkind & O'Dea, Consulting Engineer - balance due on account 192.24 8 Holy Spirit Hospital - last illness expense 39.28 9 Jane E. Biddle, Tax Collector - local property taxes 226.43 10 133.30 Patriot News - balance due on subscription 11 Pinnacle Health 153.59 last illness expense 12 last illness expense 126.00 Quantum Imaging 13 Retina and Ocu1oplastic Consultants - debt of decedent 14.77 14 Willow Mill Veterinary Hospital - balance due on account 128.80 TOTAL (Also enter on line 10. Recapitulation) $ 4,531.59 (If more space ;s needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-l 5 12 EX (Rev. 1-97) REV-1St3 EX +(9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCET14X RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Dorothv M. Darrenkamo NUMBER I. 02/20/2001 RELATIONSHIPiO DECEDENT Do Not List Trustee(s) SSII 173-03-8946 1 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers under Sec. 9116(aX1.Z)] Susan M. Best 621 Range End Road - Unit 1 Di11sburg, PA 17019 Daughter FILE NUMBER 21-01-0259 AMOUNT OR SHARE OF ESTATE 1/2 of residuary estate 1/2 of residuary estate ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18. AS APPROPRIATE, ON REV 1500 COVER SHEET II, NON-TAXABLE DISTRIBUTIONS, A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 2 Mary M, Darrenkamp 167 South Eno1a Drive Eno1a, PA 17025 Daughter TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) Copyright (cl 2000 form software only The Lackner Group, Inc. e, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 0,00 Form REV-1513 EX (Rev. 9-00) LAST WILL AND !rESTAlaIlT OF DOROTH M. nAllllv.Jill(AVP. I, Dorothy M. De.rrenkamp, of East Pennsboro Townahip, CUIIlberland County, Pennsylvania, hereby declare this to. be my last Will and revoke all Wille which I have previously made. 1. I direct my Executor to pay the expensss of my Funeral and last illness as soon as convenient after my death. 2. All of the rest, residue and remainder of my estate I give, devise and bequeath to my husband, William C. IJarrenkamp, absolutely. 3. If my husband, Willie.", C. I'arreIlka.mp, should predecease me, or should we both die in a COmmon accident, then I give, devise and bequeath all the rest, residue and remainder of my real and personal property to my two da~ters, Susan M. Best and Mary F. Darrenlramp, in equal shares. 4. I appoint my husband, William C. DarreDkamp, Executor of this Will. Should he, for any reason, fail to qualify, or cease to act as such, I appoint my two da~ters, Susan M. Best and Mary F. Darrsnk:amp, Executrix's of thi sWill. d IN WITNESS W!lEBEOF, I have hereunto set my hand and seal this S tJ - day of August, 1982. ~'m'~dl_ j7-~). SIGNED, SEALED, PUBLISHED AND DECLABED by the above named Dorothy M. Dareenkamp, as and for her last Will and Testament, 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. ~/d X ctJ~S .~ tI. JI~j