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HomeMy WebLinkAbout01-0316PETITION FOR PROBATE and GRANT OF LETTERS Estate of _ Mary L. Anstett also known as 5 Deceased. Social Security No. - - No. ~~ - V t - 3~ to To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioners), who is~~ 18 years of age or older an the execut r i x named in the last will of the above decedent, dated June 1 1 ~ ly 9 7 ~~~~d; (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with last family or principal residence at 521 Colony Road, Camp Hill, Hamp en Township, Cumberland County, PA (list street, number and muncipality) Decendent, then 85 years of age, died March 1 4 ~ 2001 , at Holy Spirit Hospital, Camp Hill PA Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted -after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: none Decendent at death owned property with estimated values as fallows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 200,000.00 WHEREFORE, petitioner~6) respectfully request(s) the probate of the last will ~~}~~}iRi}~~x presented herewith and the grant of letters testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. a; C 'o .-. L Za1i~ ~ av Mar can Stoner ~.y 521 Colony Road ~~;, _ Camp Hill, PA 17011 "a ~w ~° a OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND The petitioner>Es) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner) and that as personal represen- tative(~ of the above decedent petitionet>cs) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this ~?N~ day of ~' A R ~. l ~.o ~ 1 q - $ NO. ~1 -01 -316 Estate Of MARY L ANSTETT , Deceased DECREE OF PROBA'T'E AND GRANT OF LETTERS AND NOW MAR C H 2 3 , x12 0 01 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated JUN E 11 199 7 described therein be admitted to probate and filed of record as the last will of MARY L ANSTETT ; and Letters T - STAMENTARY are hereby granted to MARY JEAN STONER Register of Wil] MARY C LEWIS FEES Probate, Letters, Etc......... . Short Certificates(4) ......... . Renunciation ................ X-Pages JCP TOTAL Filed .... MARCH ,?3,,, ,?002, . $ 2~~.no $ 12.00 $ 15.00 ~~ $ ~h7.00 Richard L. Placey 07232 ATTORNEY (Sup. Ct. I.D. No.) Harris)jurgon~ASt~~~~0-1533 ADDRESS (717) 236-9577 PHONE Mailed letters to attorney on 3-26. 01 105.805 REV 9B! This is to certify that the information here given is correctly copied from an original certificate of death c'uly f'.ec~ wire me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filim~. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 L~~ • ~~ ~/~~ ti '" ~~+~K,e.. Local Registrar J~J~ h"iAR 15 X001 P 7294365 No. Date .taJ Rav. 2/E7 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDENT (Frq. MW«s. t.ml SE% SOCIAI SECURITY NUMBER OA7 F N,M OaY.' I A /~ J ,. MARY L. ANgTE~-p ~ ~ f (_JC :. Female x 189 - 03 - 6555 .. AOE (Uq Bvmdy) tANDER /YEAR UNDER , OAY DATE OF 81RTH BBtTHPLACE 4Cay and PEACE of DEATH 1Cneclr avy one -- ,ea asuuckpn on prw seal M«ehs . Days Noes = Mnwp !Moran. Day '4M1 >ubpFpegr CaunuVl 4-28-15 PA 85 ,Ipgp OTNER: bm ^ DOA ^ " ~ ER/O % I '"" E ^ ^ ~ ^ Yra. Wilkes-Barre, t pM rrpY H„ » wga.rr. Is uvl E T M CEDENT OF HISPANIC OPofi1NT RACE -Amercan trtAun, Ebck, White. etc. S DE COUNTY OF DEQH CRY, BO110. TWP OF DEATH FAC RY M nd u~q . ryw snM and NM ~ E~ L NyLII n. ^ E y... aoaaw awn. ISDSah) unberland E. Pennstloro Ztap. ~ t~ ~ Magcrt.PwnoRkan.ete. White C) , Ea. M ,E. DECEDENT'S USUAL OCCUPAION NINOOF BUSINESSlWDUSTRV VIkS DE E RW OECE N'S EDUCATION MAPoTAE STRUS-Marrrd SURVIVING SPOUSE ' NroawkApr Eurrrqq meal U.S. ST n NavaiWrsMAOprW. 1%aNa. qve maanngnel ® Elsrrlarllary/Sacortdary Caws a varkaq Ws; d na ur tired 1 yM N o rotn +3 n•«o., ~Tidowed x t l t , ,:. t2. e men ,.. ,,. a er ,,.. DECEDENT'S MAILING ADDRESS (SuM.Cay/bwn. S~aM. Zp Carktl DECEDENT'S Penns lvanl.a Y 7~ ~ ne w.aw.d.rrrlwdkr ~~yja., ,,,P. AcruAl n..slw 5z1 Co~o~~ ~ d 1 ~ ~ L 1701 anamarsrAal r.nrlnT Cumberland ,Te ^ . ~E~ °a ~ ,~ „~. e w . . f/DT1ER'S NAME If q, Mgdla. Lagl MOTHER'S NAME iFaq. Mak]IS. MaWSn Surname) Marie Forve Carl Leighton Sr. ,.. o. EFORMANT'S NAME (TypatPrw) I Mary Jean Stoner NFORMANT'S MMLIND ADDRESS (SlrrNa. Ca,'Ravm• SWa. Zip Cad) 521 Colon Road, C Hill, PA 17011 METHOD oc asPOSITaN DATE of aslrosrcaN PEACE GF aSPOSIrIDN • Nana aCam.lary, cramalory LOCRION • cxWrorL Swat zo cod ~ tArr~ cramatos^ Rawtwal6pnsta.^ ^ Mp%n,o.,t3 ~16-O1 Mary's Cemetery paSt~ ilkes-Barre, PA 18702 2,a. Ttb, . Ito, :,.. SXiNQURE OF FU SE N FOR PERSON ACTING AS SUCH LICENSEOIiU~~S-L ,,,. 11 NAME ANO ADDRESS OF FACILITY ere-Horner FH, 1903 Mkt St, CH, PA 17011 C«nplsN aartts o«y w,rrt 'Gr10YiKQ b dla Dn1 a my krawrdga, dash occwra0 at IM Uma, dMS and place soled. EICENSE NUMBER DATE SIDNED sOhYS~ r np~01a at Iurra a lain r s (Sipnanra aro Teb) (Mr>M. Day, yearl ~asray cause b,. ~Eanr 242E mlrN w can,pMta M E OF ATH D ED IMOrvn. D y, lbar YNS CASE REFERRED TO MEDICAL EXAMINERICORONEAT ~C~~L =.p«son.iln p,aroretcw A..In. D Y.a D Nptd ~ ~ I M. »- x. ~ 2a. ' - - - _ 27. MRT 1: Einar Iw aiaeaaes uyurin p conpYCatwr wnicn uussa Iw seam. Do nd enter Iw moW o irq, such as car ' a raapiralory arrest, slack p neon riots. i Appoaanga PART M: Otwr sgnilkaM mn011iorn r dal .Dot ~ imarval Dalwaan np raauainq N Ur wgarryinE awes even it PART 1. Lul aruy orre owe an earJr ur. r punt and deatlr gM1EOlATE CAUEE Ifuw `/\ /~..~~/~ ~ ~^JkfJ-/J/(~rfj{ / ; /e~Jf7/.~erE.~~f~j~ /I.t~A~s?T disWaa conOaan ,~,~~'L~ ~lai".~ C ~ ~6 ~A/ (~I~/~_v+~C (sG~o -7 ratwrgndaml-- a. _ ~QR~ __ ,~y~~~ ~r~~ ,,~J~ ~y~~~~~ - DUE GG aL. ~~~ NCE Ofl: a-' i"'7 J ~f~e~e r 1~ / ~ _. / e,.~'~ I ~L a~- ' . SSgwnlbEy kq cor,daione D. ~~/mil,/~~~ ~/ .si d snE l••dW m atarratllata l ~ ~~L~~.~~'~ ~ / ro.~-i ~i4 ~ ~ ~ Errw UMDERLYWG ~cww r ~~ / ~y `~(/~ f/ . t A D q ~ Uaw p vyury c. UEE I C ~w lsot v+AatN evaus OIIE TOIOR AS A CONSEQUENCE OFl: 1 i/I~ '~~raaWrq n Aeaml LAST a. • 1AIAS AN AUTOPSY WERE AUTOPSY FINOIN(iS MANNER CE OEATN GATE OF INJURY TIME OF INJURY INJURY AT WORK? DESCPoBE HOW INJURY OCCURRED. .~ PERFORMEOT ALMIUBLE PRIOR TO (MOnm. Day. War) .y) = COMPLETION OF CAUSE OF DERHT NMpq H«naide ^ yp ^ No ^ - -_ ACCMera ^ Pendirq 4lwgigetion ^ M. 700 yp ^ ~ yy ^ No ^ Suicid ^ Coub nd w dgermured ^ - PLACE OF IW URV - At tame, larm, greeE taatary, otaca LOCATION (Strap. C.y/TOrNr. SMaI DuaArq, ele. ISpacavl Ma. 2EO. 29. ]Ea. ~. -- CERTIFIER ICneck Dray anal SIGNATU CERT 'CERTIFYING PNYSK:IAN IPtlysKUn urupng uws tl deem wnen anomer ahvsc~an nos porauraed Aealn ana campleled Hein 291 To tlr wN o/ my knowbdge, duM occurred Aw b the cwse(el erW manner a ebirtd ..................................................... ~ NU ~ D (MOnm. Day. yep) - '-/10NOUNCIND AND CERTIFYING PHYSICIANIPhys¢wntalh ponawrc~ng seam and ceralyvg acwseddeaml 1W . g d d t M d ~ I 7ta• ~~ ~ ~ 10. /~ y .......................... manor as a w o t cwN1e) an ,w To 1w DMt o, my MrrwNdge, deaN ocaurrW as 1M prw, date, era Pb<e, an NAME AND ADDRESS aF PER~q WHO TE//O~~CAU S~1E Of DEATH (Item 271 Typa «Pria - DrZ 1(01G ~I C ~ t Qs/Q 'MEDICAL EXAMINER/CORONER -' On IM basis of aaaminMbn andlor investigation, in my opinion, death occurred al the Ilma, dau, and place, arw due to 1M eauaa(al and ^ 1' rj ,~ o~ /y , FiQ o r1 i .S/" ~ manner as slat,d .................................................................................................. ,,,. 72. .3 Iyl/D- m/e butt REWST SIGNATUR~-j~~j'UMB~S.~ ~/ / DATE fILLO IMOnm. Day. yeah LAST WILL AND TESTAMENT OF MARY L. ANSTETT I, MARY L. ANSTETT, now ofHampden Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and hereby revoke all prior Wills and Codicils made by me. ITEM L I direct that all of my just debts and funeral expenses, including the cost of my gravemarker, if any, shall be paid from my residuary estate as soon as practical after my decease as an administrative expense of my estate. ITEM II. To the extent I have not done so in my lifetime, I give to my daughter, MARY JEAN STONER, my automobile, all of my personal effects, jewelry, clothing, furs, household goods and all of the contents of my residence. ITEM IIL I give to my son, LEIGHTON C. ANSTETT, ten (10%) percent of the residue of my estate. ITEM TV. I give to each of my grandchildren, five (5%) percent of the residue of my estate. ITEM V. I give and devise all of the rest, residue and remainder of my estate of every nature and wherever situate to my daughter, MARY JEAN STONER, or her issue, per stirpes. ITEM VI. If any income or principal shall be payable to any person who shall be under the age of twenty-one (21) or who shall be incapacitated for any reason, my personal representative, as trustee, shall hold such income and principal for such beneficiary until the age of twenty-one (21) M . Anstett or during incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person without the appointment of any guardian or committee or any authority of court, and shall be entitled to make direct application hereunder or to make application by payment thereof to the pazent or other person in chazge of such person, or to his or her guazdian or to a custodian under the Uniform Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be paid and distributed to such person upon attaining the age of twenty-one (21) or upon the termination of incapacity. ITEM VII. I appoint my daughter, MARY JEAN STONER, Executrix of this my Last Will and Testament. Should she fail to qualify or cease to act in such capacity, I then appoint my granddaughter, JENNIFER M. STONER, Contingent Executrix of this my Last Will and Testament. No bond shall be required by my personal representative in any jurisdiction. ITEM VIII. In addition to the powers given by law to my personal representative(s) and trustee(s) [hereinafter fiduciaries] in the administration of my estate and of any trust(s) created herein, they shall have the following discretionary powers applicable to all real and personal property held by them, including property held for minors, effective without court order until actual distribution. A. To retain any property owned by me at my death and to invest any funds held by them in any stocks, bonds, notes or other securities or property, real or personal, including common trust funds, mutual funds and money mazket deposit accounts operated or offered by my corporate trustee, if any, or any affiliate of it. B. To sell or otherwise dispose of any property, real or personal, at any time forming apart of my estate or the trust estate, for cash or upon credit, in such manner and on such terms as ~°_ G M L. Anstett 2 they see fit, and no one dealing with the fiduciaries shall be bound to see to the application of any monies paid. C. To manage, operate, repair, improve, mortgage or lease for any term [even if beyond the duration of the trust(s)] any real estate at any time held or owned by them as fiduciaries. D. To hold investments in the name of a nominee and exercise and dispose of warrants. E. To engage in litigation and compromise, arbitrate or abandon claims and property. F. To conduct any business in which I am engaged or in which I have an interest at the time of my death for such period as the fiduciaries deem advisable, with the power to borrow money and to pledge the assets of the business and to do all other acts which I, in my lifetime, could have done, or to delegate such powers to a partner, manager or employee without liability for any loss occurring therein. G. To allocate items of receipt or disbursement between principal and income as the fiduciaries deem equitable regardless of the character given such items by law; to distribute in cash or kind or partly in each at valuations fixed by the fiduciaries. H. To borrow money, including the right to borrow from any corporate trustee, if any, and to mortgage or pledge as security or to hold its own stock if a corporate trustee. I. To join in any merger, reorganization, voting trust plan or other concerted action of security holders, and to delegate discretionary duties with respect thereto. J. Should the principal of any trust herein provided for be or become too small in trustee's opinion so as to make establishment or continuance of the trust inadvisable, my trustee(s) may make immediate distribution of the then remaining principal and any accumulated or undistributed income ~~ ~° «n~ Mary . Anstett 3 outright to the person or persons and in the proportion they are then entitled to income. Upon such termination, the rights of all beneficiary(ies) who might otherwise have an interest as succeeding income beneficiary(ies) or in remainder shall cease. K. In general, to exercise all powers in the management of the assets of my estate or the trust estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as the fiduciaries may deem best, and to execute and deliver all instruments and to do all acts which the fiduciaries may deem necessary or proper to carry out the purposes of this will or any trust(s) created herein. L. To apply income or principal to which any beneficiary is entitled, directly for his or her comfort, maintenance and support, should the fiduciaries deem such beneficiary incapable of receiving the same by reason of age, illness, inf~muty or incapacity, or to pay the same to such person or persons as the fiduciaries select to disburse it, whose receipt shall be a complete acquittance therefore without the intervention of any guardian. M. To assume continuance of the status of any beneficiary with reference to death, marriage, divorce, illness, incapacity or other change in the absence of information deemed reliable without liability for disbursements made on such assumptions. N. All principal and income shall, until actual distribution to any beneficiary, be free, of the debts, contracts, alienations and anticipations of any beneficiary, and the same may not be liable for any levy, attachment, execution or sequestration while in the hands of any beneficiary, and the same may not be liable for any levy, attachment, execution or sequestration while in the hands of any fiduciaries. ~~~ ~ ~~~~ Mary . Anstett 4 IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day ~-~-- of ~ ~~ ~ ,.a ~ , 1997. ~~ Mary . Anstett The precedin instrument, consisting of this and four other typewritten pages, identified by the signature of the testat ' , as ay and date thereof signed, published and declared by Mary L. Anstett, the testatrix n ed for her last Will, in the presence of us, who, at her request, in her presence pre c f each other, subscribed our namens as witnesses hereto. 5 ~ M ~, ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA: COUNTY OF DAUPHIN . SS. I, MARY L. ANSTETT, 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, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Mary L. Anstett Sworn or affirmed to and acknowledged before me, by Mary L. Anstett, testatrix, this 1 ! .~` day of ~ u ~-~ , 1997. ~1 ~ ~'~"~ Notary Public My Commission xpire : NOTARIAL SEAL ~~ HOLLY S. KIRK, Notary Publip AFFIDAVIT Harrisburg, Dauphin Co~n~r My Comr~issian Exp3ress Ftb,1~.1 COMMONWEALTH OF PENNSYLVANIA: . SS. COUNTY OF DAUPHIN We, ~ hQ r ~ ~ . ~~Q U n ~ (,v~ ~ l,~(,i ~ ~:~ ~{~i n `~ h"~' ,the witnesses whose names are signed to the att Ned or foregoing instrument, bei g duly qualified according to law, do depose and say that we were present and saw testatrix sign and execute the instrument as her last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the Will as witnesses; 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 constr ' or uence, ;---~ i~~~/~' ~c Sworn to and subscribed before me this ~ ~ t'' day of \. '~ ~k_ , 1997. Y { /C ~~ OTARIALSEAL HOLLY S. K6RK, Notary Public My Commission xpir~risburg, Dauphin County My Commission Expires Feb.15,1999 C'~3 O z Wa a~ W Q W W J Z N 4 ~ Z~ Q ~ U ~ ~ ~ 0 g a Y W z~~ ~ a~~ oQ~' QOM a C7 Z ~ ~ ~ m Q t N N ~W~~a om x _. W Q ~ a c. O g~w m a ~ U~ 2 U Q I ~I n a i ,~.~.. ~~ ~,,~ ,,~ .. ~'~' ~ ~~ i ~ ~. U7 3 - W a~ ° . ~ ~~ ''' ~ ~' r"; i- ~' ~ ~I ~':y w.t ~,'•r ,•~Q W 1 Q W~~ ~ ~ W ~'I ~' o a ~» - w ~~ ; .~ .. J ~Q ~ ~ ,. LL W ~ "'t ~ ~ ~ ~ ~` W a ~~ ~L W x LL ~• ...~ 1 Y1 Iff i rn a i m V z tt3 Z O N ~ N~ S ~ '.~' e,~ } p "" < ~ te ~ -- t4,t O . a N ~ W~ Z\ ~ \ W ~ W F., ~ Q ~ ~ H +"~ W m o. o a .p ¢ Q ~ o i~ w w ~ Z w W a ~ o ~ z o ~~. LL W LU d ~ w ~ ~ I '~ I ~a ~ ffQ~` 9 Q a ~~: I ~~L1 ~ © = r ~~ U t.? J i~ Q ~ 1 W i ¢ J I( l J CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Mary L. Anstett Date of Deatl:: March 14, 2001 Administration No.: 2001-00316 To the Register: I certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court Rules was given to the following beneficiaries set forth on the attached list on March 26, 2001. Notice has now been given to all persons entitled thereto n r Rule 5.6( Ric L. Placey, Esquire ttorney for the Estate 3631 North Front Street Harrisburg, PA 17110 (717)236-9577 Date: March 26, 2001 ESTATE OF MARY L. ANSTETT NOTICE GIVEN TO: Leighton C. Anstett 500 Ardmore Lane York, PA 17402 Karen Anstett 130 Crown Pointe Drive York, PA 17402 Gregory Anstett 1020 Woodbridge Blvd. Lancaster, PA 17601 Mary Patricia Anstett 122 Crown Pointe Drive York, PA 17402 Jennifer M. Stoner 1085 Hearthridge Lane York, PA 17404 Eric S. Stoner 927 Southgate Drive State College, PA 16801 Mary Jean Stoner, Individually and as Parent and Natural Guardian of Kimberly A. Stoner 521 Colony Road Camp Hill, PA 17011 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEAL~'H ~F pENN$YLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS ANSI ASSESSMENT OF TAX ~i REY-1547 E% IIFP C12-00) DATE 07-30-2001 ESTATE OF ANSTETT MARY L DATE OF DEATH 03-14-2001 FILE NUMBER 21 01-0316 ,_ -_. ~ + COUNTY CUMBERLAND RICHARD L PLACEY ESQ ACN 101 PLACEY & WRIGHT Amount Remitted 3631 N FRONT ST HBG PA 17110 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t _____________________ ------------------------------- ----------------------------------------------------------- REV-1547 EX AFP (12-00) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ~crerF eF ANSTETT MARY L FILE NO. 21 01-0316 ACN 101 DATE 07-30-2001 TAX RETURN WAS: (Xl 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 El 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) .00 (2) 130,132.70 t3) .00 (4) .00 (51 81, 038.03 t6) .00 (7) 37,908.03 (8) NOTE: To insure proper credit to your account, submit the upper portion of this fora with your tax payment. 249,078.76 APPROVED DEDUCTIONS AND EXEMPTIONS: 33,581.27 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule Hl (9l 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10l .00 (11) ~; .581 _27 _ 11. Total Deductions 215,497.49 12. Net Value ofi Tax Return (12) .00 13 Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) . (14) 215, 497 .49 14. Net Value of Estate Subject to Tax NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 00 00 .00 15. Amount of Line 14 at Spousal rate (15) . = X 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 215,497.49 X 045. 9,697.39 17. Amount of Line 14 at Sibling rate (17) .00 X 12 .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) •00 X 1 5 .00 (1q)- 9,697.39 19. Principal Tax Due IN MRGLi~.7• PAYMENT DATE RECEIPT NUMBER DISCOUNT (+l INTEREST/PEN PAID (-) AMOUNT PAID 06-12-2001 AA496708 484.87 9,212.52 TOTAL TAX CREDIT 9,697.39 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION STATUS REPORT UNDER RULE 6.12 Name of Decedent: Marv L Anstett Date of Death: March 1 4, 2001 Will No.: Admin. No.: 21- 01 - 0 31 6 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 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 X 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 x No D. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and max be attached to this report. ~~~ /'1 Date: 1 0/11 /03 ~~ R' L.` acey, E ire ame (Please type or print) 3631 N. Front Street Harrisburg, PA 17110-1533 Address (717)236-9577 (MAH:rmdAM3) Telephone No. Capacity: Personal Representative R.W. - 27 X Counsel for Personal Representative V IN RE: ESTATE OF MARY L. ANSTETT, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION APPROVAL OF ACCOUNT RELEASE AND INDEMNIFICATION ESTATE OF MARY L ANSTETT. DECEASED The undersigned is one of the residuary beneficiaries of the Estate of Mary L. Anstett, Deceased. Mary Jean Stoner, Executrix of the Estate of Mary L. Anstett (hereinafter "Personal Representative"), is willing to make distribution of the assets of the estate without the formality of a court accounting upon the receipt of a proper release, receipt and indemnification, which it is the purpose of this document to provide. In consideration of the willingness of the Personal Representative to make distribution without the formality of a court accounting and agreeing to be legally bound hereby, the undersigned does hereby: 1. Waive the filing of an account of the administration of the estate in any court; 2. Declare that the undersigned has examined the attached informal Statement of Account of the Personal Representative; accepts and approves it with the same force and erect as if it had been prepared and filed with, audited, adjudicated and confirmed absolutely by a court of competent jurisdiction; and as if the balance of principal and income had been awarded by the court in accordance with the Statement; 3. Warrant that the undersigned is one of the residuary beneficiaries named in the informal Statement of Account and is entitled to receive the distribution therein set forth; 4. Absolutely and irrevocably releases and discharges the estate, the Personal Representative and Placey & Wright, attorneys for the estate, their respective heirs, personal representatives, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to the administration of the estate and distribution in accordance with the informal Statement of Account 5. Agree to indemnify and hold harmless the Personal Representative and their personal representatives, successors and assigns, from and against any claims, liabilities, loss or expenses (including costs and counsel fees) arising from any cause whatsoever which the Personal Representative may incur as a result of the administration of the estate and distribution in accordance with this document and to refund to the Personal Representative any portion of the distribution of the undersigned which exceeds the amount of the undersigned's share as the Personal Representative finally determines. IN WITNESS WHEREOF, intending to be legally bound, the beneficiary has executed this document this ~ day of Orr o 8fR , 2001. Lam(' C- (SEAL) tness Lei ton C. Anstett Social Security No. / $ / - ~ ~. _~a IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS OF MARY L. ANSTETT, CUMBERLAND COUNTY, PENNSYLVANIA DECEASED ORPHANS' COURT DIVISION APPROVAL OF ACCOUNT. RELEASE AND INDEMNIFICATION ESTATE OF MARY L. ANSTETT. DECEASED The undersigned is one of the residuary beneficiaries of the Estate of Mary L. Anstett, Deceased. Mary Jean Stoner, Executrix of the Estate of Mary L. Anstett (hereinafter "Personal Representative"), is willing to make distribution of the assets of the estate without the formality of a court accounting upon the receipt of a proper release, receipt and indemnification, which it is the purpose of this document to provide. In consideration of the willingness of the Personal Representative to make distribution without the formality of a court accounting and agreeing to be legally bound hereby, the undersigned does hereby: 1. Waive the filing of an account of the administration of the estate in any court; 2. Declare that the undersigned has examined the attached informal Statement of Account ofthe Personal Representative; accepts and approves it with the same force and effect as if it had been prepared and filed with, audited, adjudicated and confirmed absolutely by a court of competent j urisdiction; and as if the balance of principal and income had been awarded by the court in accordance with the Statement; 3. Warrant that the undersigned is one of the residuary beneficiaries named in the informal Statement of Account and is entitled to receive the distribution therein set forth; 4. Absolutely and irrevocably releases and discharges the estate, the Personal Representative and Placey & Wright, attorneys for the estate, their respective heirs, personal representatives, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to the administration of the estate and distribution in accordance with the informal Statement of Account 5. Agree to indemnify and hold harmless the Personal Representative and their personal representatives, successors and assigns, from and against any claims, liabilities, loss or expenses (including costs and counsel fees) arising from any cause whatsoever which the Personal Representative may incur as a result of the administration of the estate and distribution in accordance with this document and to refund to the Personal Representative any portion of the distribution of the undersigned which exceeds the amount of the undersigned's share as the Personal Representative finally determines. IN WITNESS WHEREOF, intending to be legally bound, the beneficiary has executed this document this (5~ day of ~CT0~~12 , 2001. I"~ a,,,,rl~., G~,1~ (SEAL) W' ess Karen Anstett Social Security No. I q 3 - 5~ - 519 IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS OF MARY L. ANSTETT, CUMBERLAND COUNTY, PENNSYLVANIA DECEASED ORPHANS' COURT DIVISION APPROVAL OF ACCOUNT. RELEASE AND INDEMNIFICATION ESTATE OF MARY L. ANSTETT. DECEASED The undersigned is one of the residuary beneficiaries of the Estate of Mary L. Anstett, Deceased. Mary Jean Stoner, Executrix of the Estate of Mary L. Anstett (hereinafter "Personal Representative"), is willing to make distribution of the assets of the estate without the formality of a court accounting upon the receipt of a proper release, receipt and indemnification, which it is the purpose of this document to provide. In consideration of the willingness of the Personal Representative to make distribution without the formality of a court accounting and agreeing to be legally bound hereby, the undersigned does hereby: 1. Waive the filing of an account of the administration of the estate in any court; 2. Declare that the undersigned has examined the attached informal Statement of Account of the Personal Representative; accepts and approves it with the same force and effect as if it had been prepared and filed with, audited, adj udicated and confirmed absolutely by a court of competent jurisdiction; and as if the balance of principal and income had been awazded by the court in accordance with the Statement; 3. Warrant that the undersigned is one of the residuary beneficiaries named in the informal Statement of Account and is entitled to receive the distribution therein set forth; 4. Absolutely and irrevocably releases and dischazges the estate, the Personal Representative and Placey & Wright, attorneys for the estate, their respective heirs, personal representatives, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to the administration of the estate and distribution in accordance with the informal Statement of Account 5. Agree to indemnify and hold harmless the Personal Representative and their personal representatives, successors and assigns, from and against any claims, liabilities, loss or expenses (including costs and counsel fees) arising from any cause whatsoever which the Personal Representative may incur as a result of the administration of the estate and distribution in accordance with this document and to refund to the Personal Representative any portion of the distribution of the undersigned which exceeds the amount of the undersigned's shaze as the Personal Representative finally determines. IN WITNESS WHEREOF, intending to be legally bound, the beneficiary has executed this document this ~,~ day of oG--b her , 2001. {SEAL} Witness Grego stett Social Security No. ~ 93-sa-~ is- IN RE: ESTATE OF MARY L. ANSTETT, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION APPROVAL OF ACCOUNT. RELEASE AND INDEMNIFICATION ESTATE OF MARY L. ANSTETT. DECEASED The undersigned is one of the residuazy beneficiaries of the Estate of Mary L. Anstett, Deceased. Mary Jean Stoner, Executrix of the Estate of Mary L. Anstett (hereinafter "Personal Representative"), is willing to make distribution of the assets of the estate without the formality of a court accounting upon the receipt of a proper release, receipt and indemnification, which it is the purpose of this document to provide. In consideration of the willingness of the Personal Representative to make distribution without the formality of a court accounting and agreeing to be legally bound hereby, the undersigned does hereby: 1. Waive the filing of an account of the administration of the estate in any court; 2. Declare that the undersigned has examined the attached informal Statement of Account of the Personal Representative; accepts and approves it with the same force and effect as if it had been prepared and filed with, audited, adjudicated and confirmed absolutely by a court of competent jurisdiction; and as if the balance of principal and income had been awazded by the court in accordance with the Statement; 3. Warrant that the undersigned is one of the residuary beneficiaries named in the informal Statement of Account and is entitled to receive the distribution therein set forth; 4. Absolutely and irrevocably releases and discharges the estate, the Personal Representative and Placey & Wright, attorneys for the estate, their respective heirs, personal representatives, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to the administration of the estate and distribution in accordance with the informal Statement of Account 5. Agree to indemnify and hold harmless the Personal Representative and their personal representatives, successors and assigns, from and against any claims, liabilities, loss or expenses (including costs and counsel fees) arising from any cause whatsoever which the Personal Representative may incur as a result of the administration of the estate and distribution in accordance with this document and to refund to the Personal Representative any portion of the distribution of the undersigned which exceeds the amount of the undersigned's share as the Personal Representative finally determines. IN WITNESS WHEREOF, intending to be legally bound, the beneficiary has executed this document this ~t 9 ~' day of , 2001. (SEAL) Wi ss Mary Pa cia Anstett Social Security No. l ~/ 3 - 5a - 3 oyv IN RE: ESTATE OF MARY L. ANSTETT, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION APPROVAL OF ACCOUNT. RELEASE AND INDENINIFICATION ESTATE OF MARY L. ANSTETT. DECEASED The undersigned is one of the residuary beneficiaries of the Estate of Mary L. Anstett, Deceased. Mary Jean Stoner, Executrix of the Estate of Mary L. Anstett (hereinafter "Personal Representative"), is willing to make distribution of the assets of the estate without the formality of a court accounting upon the receipt of a proper release, receipt and indemnification, which it is the purpose of this document to provide. In consideration of the willingness of the Personal Representative to make distribution without the formality of a court accounting and agreeing to be legally bound hereby, the undersigned does hereby: 1. Waive the filing of an account of the administration of the estate in any court; 2. Declare that the undersigned has examined the attached informal Statement of Account of the Personal Representative; accepts and approves it with the same force and effect as if it had been prepared and filed with, audited, adjudicated and confirmed absolutely by a court of competent jurisdiction; and as if the balance of principal and income had been awazded by the court in accordance with the Statement; 3. Warrant that the undersigned is one of the residuary beneficiaries named in the informal Statement of Account and is entitled to receive the distribution therein set forth; 4. Absolutely and irrevocably releases and discharges the estate, the Personal Representative and Placey & Wright, attorneys for the estate, their respective heirs, personal representatives, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to the administration of the estate and distribution in accordance with the informal Statement of Account 5. Agree to indemnify and hold harmless the Personal Representative and: their personal representatives, successors and assigns, from and against any claims, liabilities, loss or expenses (including costs and counsel fees) arising from any cause whatsoever which the Personal Representative may incur as a result of the administration of the estate and distribution in accordance with this document and to refund to the Personal Representative any portion of the distribution of the undersigned which exceeds the amount of the undersigned's shaze as the Personal Representative finally determines. IN WITNESS VVI-IEREOF, intending to be legally bound, the beneficiary has executed this document this ~ day of ~/l?~ , 2001. /U ~- Witness . ~~~~?-'I~P~J (SEAL) J 'fer .Stoner Social Security No. ~ gV ~~`f ~ `~' 0 I IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS OF MARY L. ANSTETT, CUMBERLAND COUNTY, PENNSYLVANIA DECEASED ORPHANS' COURT DIVISION APPROVAL OF ACCOUNT. RELEASE AND INDENINIFICATION ESTATE OF MARY L. ANSTETT. DECEASED The undersigned is one of the residuary beneficiaries of the Estate of Mary L. Anstett, Deceased. Mary Jean Stoner, Executrix of the Estate of Mary L. Anstett (hereina$er "Personal Representative"), is willing to make distribution of the assets of the estate without the formality of a court accounting upon the receipt of a proper release, receipt and indemnification, which it is the purpose of this document to provide. Inconsideration of the willingness of the Personal Representative to make distribution without the formality of a court accounting and agreeing to be legally bound hereby, the undersigned does hereby: 1. Waive the filing of an account of the administration of the estate in any court; 2. Declare that the undersigned has examined the attached informal Statement of Account of the Personal Representative; accepts and approves it with the same force and effect as if it had been prepared and filed with, audited, adjudicated and confirmed absolutely by a court of competent jurisdiction; and as if the balance of principal and income had been awarded by the court in accordance with the Statement; 3. Warrant that the undersigned is one of the residuary beneficiaries named in the informal Statement of Account and is entitled to receive the distribution therein set forth; 4. Absolutely and irrevocably releases and discharges the estate, the Personal Representative and Placey & Wright, attorneys for the estate, their respective heirs, personal representatives, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to the administration of the estate and distribution in accordance with the informal Statement of Account 5. Agree to indemnify and hold harmless the Personal Representative-aril their personal representatives, successors and assigns, from and against any claims, liabilities, loss or expenses (including costs and counsel fees) arising from any cause whatsoever which the Personal Representative may incur as a result of the administration of the estate and distribution in accordance with this document and to refund to the Personal Representative any portion of the distribution of the undersigned which exceeds the amount of the undersigned's share as the Personal Representative finally determines. IN WITNESS WHEREOF, intending to be legally bound, the beneficiary has executed this document this S }`~ day of G C f~`'JC~- , 2001. `~, ~ ~~~,~ .% ~-? ;' ~` l /AI ~~~ ~ ,~~~'~-~--, (SEAL) Witness Eric S. Stoner Social Security No. ~ f ` " -"- ~ TRANSFER UNDER THE PENNSYLVANIA UNIFORM TRANSFERS TO MINORS ACT AND RECEIPT AND RELEASE OF CUSTODIAN Pursuant to the provisions of the Pennsylvania Uniform Transfers to. Minors Act, Mary Jean Stoner, Executrix of the Estate of Mary L. Anstett, Deceased, believing the transfer to be in the best interest of the minor and not inconsistent with the provisions of the Will of the decedent, does hereby transfer to herself, as custodian for Kimberly A. Stoner, a minor, under the Pennsylvania Uniform Transfers to Minors Act the sum of Eight Thousand Eight Hundred Ninety-Three and 61/100 ($8,893.61) Dollars in distribution of the bequest to said minor under decedent's Will. ESTATE OF MARY L. ANSTETT Date: ~ ~~~ By: e Stoner, Executrix RECEIPT AND RELEASE I, Mary Jean Stoner, acknowledge receipt of the Eight Thousand Eight Hundred Ninety- Three and 61/100 ($8,893.61) Dollars described above as custodian for the minor named above under the Pennsylvania Uniform Transfers to Minors Act, in full satisfaction of the bequest under the Will of the above-named decedent. As such custodian, I do hereby release and forever discharge the Estate of Mary L. Anstett, the Personal Representative and Placey & Wright, attorneys for the estate, their respective personal representatives, heirs, successors and assigns, from any and all actions, liabilities, claims and demands relating to said bequest. To the extent of the above distribution, agrees: (a) to refund to the Personal Representative, upon receipt of such request from the Personal Representative, any portion of the above distribution to which the Beneficiary is not properly entitled or which shall at anytime be necessary to discharge any debt, expense or liability of the Estate, including but not limited to any estate, inheritance, transfer or income tax; and (b) to indemnify and hold harmless the Personal Representative and Placey & Wright, attorneys for the Estate, their respective personal representatives, heirs, successors and assigns, from and against any and all liability, expenses and costs which the Personal Representative may incur in that capacity. this IN OF, in~ding;~o be legally bound, the undersigned has executed of ~ ~.P,~ -- , 2001. S~-L(SEAL) Mary Je S ner IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS OF MARY L. ANSTETT, CUMBERLAND COUNTY, PENNSYLVANIA DECEASED ORPHANS' COURT DIVISION APPROVAL OF ACCOUNT RELEASE AND INDEMNII~'ICATION ESTATE OF MARY L ANSTETT. DECEASED The undersigned is one of the residuary beneficiaries of the Estate of Mary L. Anstett, Deceased. Mary Jean Stoner, Executrix of the Estate of Mary L. Anstett (hereinafter "Personal Representative"), is willing to make distribution of the assets of the estate without the formality of a court accounting upon the receipt of a proper release, receipt and indemnification, which it is the purpose of this document to provide. In consideration of the willingness of the Personal Representative to make distribution without the formality of a court accounting and agreeing to be legally bound hereby, the undersigned does hereby: 1. Waive the filing of an account of the administration of the estate in any court; 2. Declare that the undersigned has examined the attached informal Statement of Account of the Personal Representative; accepts and approves it with the same force and effect as if it had been prepared and filed with, audited, adjudicated and confirmed absolutely by a court of competent jurisdiction; and as if the balance of principal and income had been awarded by the court in accordance with the Statement; 3. Warrant that the undersigned is one of the residuary beneficiaries named in the informal Statement of Account and is entitled to receive the distribution therein set forth; 4. Absolutely and irrevocably releases and dischazges the estate, the Personal Representative and Placey & Wright, attorneys for the estate, their respective heirs, personal representatives, successors and assigns, of and from any and ail actions, liabilities, claims and demands relating in any way to the administration of the estate and distribution in accordance with the informal Statement of Account 5. Agree to indemnify and hold harmless the Personal Representative and their personal representatives, successors and assigns, from and against any claims, liabilities, loss or expenses (including costs and counsel fees) arising from any cause whatsoever which the Personal Representative may incur as a result of the administration of the estate and distribution in accordance with this document and to refund to the Personal Representative any portion of the distribution of the undersigned which exceeds the amount of the undersigned's share as the Personal Representative finally determines. IN WITNESS WHEREOF, intending to be legally bound, the beneficiazy has executed this document this ~~ day of.se~ ~~ ~'- ~Gr , 2001. ~G~ (SEAL) •~e Mary 7 toner ~. Social Security No. ~ ~~ ' 3 ~ _ ~ ~~3 ~~ !6-~~4-~ ~- COMMONWEALTH OF '~1500~"°°' REV -15 0 0 OhFlC1AL USE ONLY PENNSYLVANIA EVENUE DEPAR INHERITANCE TAX RETURN FILE NUMBER DEPT28060 2 1 0 1 0 3 1. 6 HARRISBURG, PA 17128-0601 E T - -- RESIDENT DECED N nuusEe ~adm>•~~ ;~ DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Z ANSTETT, Mary L. 189 - 03 - 6555 W DATE OF DEATH (MM-0D-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUSS BE FILED IN i)UPLICATE WRH THE W 03-14-2001 04-28-1915 REGIStEROFWILLS V W (1F APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ~ n/a - - F ®1. Original Retum ~ 2. Supplemental Rehm ~ 3. Remainder Retum laamaaeam vaam5xasszl a Y rc "~ ~ 4. Limited Estate ~ 4a. Future Interest Compromise (dare a seam a~ rs-rz~az) ~ 5. Federal Estate Tax Relum Required Wav ~ a g nm ~ 6. Denedenl Died Testate Innzm moy awal ~ 7. Decedent Maintained a Living Tmst Inrom ~y a rnm) 1 8. Total Number of Safe Deposit Boxes °a 9. Utigation Proceeds Received ~ 10. Spousal Poverty Credit lane a aim een.~e r:ar-s~ eea i-r-act ~ 11. Election to tax under Sec. 9113(A) (Arun sm o) w NAME COMPLETE MAILING ADDRESS i Richard L. Placey Esquire e t St t 31 th F 3 d Nor 6 ron r e M FlPlacea~&)Wright Harrisburg, PA 17110-1533 o TELEPHONE NUMBER ~ (717)236-9577 1. Real Estate (Schedule A) (1) ~ Q Q OFFICIAL USE ONLY 2. Stocks and Bonds (Schedule B) (z) 1 3 0 , 1 3 2. 7 0 ~ _ _ 3. Closely Held Coryomlion, Padnership or Sole-Proprietorship (3) . O O 4. Modgages 8 Notes Receivable (Schedule D) (4) . O O - 5. Cash, Bank Deposits 8 Miscellaneous Personal Propedy (s) 81 , 0 3 8.0 3 ~ . Z (Schedule E) 6. Jointly Owned Properly (Schedule F) (6) • O O Separate Billing Requested ~ 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate ProDerfv (7) _ 3 7 , 9 0 $ • O 3 H a Q U W (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses 8 Administm6ve Costs (Schedule H) (9) 3 3 , 5 81.2 7 10. Debts of Decedent Modgage Liabilities, 8 Liens (Schedule I) (10) • 0 0 11. Total Deductions (rota) Lines 9 810) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental BequesLSlSec 9113 Tmsts for which an election to lax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (11) 33, 581 .27 (1z) 21 5, 497.49 (13) .00 (14) 21 5, 497.49 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Z ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (ax1.2) x .0 _ (15) Fa- 16. Amount of Line 14 taxable ai lineal rate 21 5 , 4 9 7 . 4 9 x p 4 5 (151 ~ 17. Amount of Line 14 taxable at sibling rote x .12 (17) ~ U 18. Amount of Line 141axable at cdlateml rote z .15 (18) 19. Taz Due 119) ~ 20. ~ • • ~ (B) 249,078,76 9,697,39 9,697.39 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A Spousal Poverty Credo B. Priw Payments C. Discount (1) 484.87 Total Credits (A+ g +. C) (2) InterestlPenalty H appliceble D.Inthrest E. Penalty Total InteresUPenalty (d + E) (3) H Line 2 k greater than Line 1 + Line 3, enter Ure difference. This is Ora OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. H Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter Ore interest on Ore tax due. (5A) B. Enter Ore total of Line 5 + 5A. This is the BALANCE DUE. (SB) 9,697.39 484.87 .00 9,212.52 .00 9,212.52 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedeni make a transfer and: Yes No a. retain the use or income of the properly trans(erred :............................:....................................................... ...... ^ b. retain the right to designate who shall use the property transferred w its income :...................................... ...... ^ d retain a reversionary interest; w .:........................................................................_........................................ ...... ^ ~. d. receive the promise for I'rfe of either payments. benefits or care? ................................................................ ...... ^ 2. H death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ ...... ^ Q 3. Did decedent own an "in host for or payable upon death bank arxnunt w security at his or her death? ........ ...... ^ nX 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficary designaOon? ..........................................................................:...........:........................... ...... ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. mce aiM DATE G G /// ~O ADDRESS c/o Placey/& Wright, 3~ c' Front Street, Harrisburg., PA 17110-1533 SIGNATURE OF PREP Ek'f11AN R ESENTAT / / DATE / . ADDRESPl~cey~t~ig1~~1 N Front St eet, Harrisburg, PA 1 71 1 0-1 533 Fw dates of death on or after July 1, 1994 and before January 1 ,the tax rate imposed on the net value of transfers to w fw the use of the surv'wing spouse is 3% p2 P.S. grits (a) (t.t) (i)]. For dates of death on w after January 1, 1995, the taa(rate imposed on the net value of transfers to w for the use of the surviving spouse is 0% (72 P.S. §9116 (a) (1.7) (ii)]. The statute does trot exemot a transfer to a surviving spouse from tax, and the statutory requirements tw disGosure of assets and filing a tax return are still applicable even'rf the surviving spouse is the onty beneficiary. For dates of death on or after July i, 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 fhe use of a natural parent, an adoptive parent, or a stepparent or the child is o% [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of hansfers to w fw the use of the decedent's lineal benefiaades is 4.5°h, except as noted in 72 P.S. §9116(1.2) [/2 P.S. §9116(a)(t)]. The tax rate imposed on the net value of transfers to or for the use of fire decedents siblings is 12°~ [/2 P.S:' §9116(a)(1.3)]. 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 adopfion. Tax Payments and Credits: • R~-,wa a. i,-sa m SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS Et BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER MARY L. ANSTETT 21-01-0316 All propeAy jointty•owned with right oT survNorehip must be disclosed on Schedule F. fTEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t Securities held in Merrill Lynch Account 872-26317 1500 shares Templeton Global INcome Fund Hi-$6,72; Lo-$6.60 - Valued @ $6,66/share $ 9,990.00 1,884 shares Gabelli Equity Trust Hi-$10,80; Lo-$10.49 - Valued @ $10.645jshare 20,055.18 1,000 shares Senior High Income PTFL, inc. Hi-$6.62; Lo-$6.41 - Valued @ $6,515/share 6,515.00 188 shares Gabelli Utility Trust Hi-$8,80; Lo $8.70 - Valued @ $8.75/share ~ 1,645.00 200 shares International Business Machines Hi-$98.90; Lo-$93,34 - Valued @ $96.12/share 19,224.00 1,200 shares Pennsylvania Power & Light Capital Trust Hi-$25,47; Lo-$25.10 - Valued @ $25.285/share 30,342.00 800 shares Alabama Power Company Hi-$24.63; Lo-$24,22 - Valued @ $24.425/share 19,540.00 400 shares Public Service Enterprise Group Hi-$41.71; Lo-$40,98 - Valued @ $41.345/share 16,538.00 256 shares UGI Corporation New Hi-$24.74; Lo-$24.35 - Valued @ $24.545/share 6,283.52 (See Historical Pricing Inquiry provided by Merrill Lynch and statement attached.) TOTAL (Also enter on line 2, Recapitulation) ~ ; 1 3 0 , 1 3 2. 7 0 more space is needed, insert additional sheets of the same "IHY-23-200; 113E Historical Pricing Inquiry 37AE2•TEMPLETON GL08ALINCOME FD Cusip: 86019$70b Date High Price Law Price Close Price Volume 03/ia/200; 6.720 6.6D0 6.620 282ae0 31AL9 • GABELLI EQU17Y TR INC Cusip: 362397101 Date High Price Law Price Close Prce Volume 03/14(200: 10.800 ID.49tl 10.660 185100 31 BPO•SENN)R HIGH INCOME PTFL INC Cusip: 81721E107 Date High Price Low Price Close Price Volume 03!14/2001 6.620 5.x10 6.540 6tla0D 31458 - GABELLI UTIL TR Cuslpc 36240A1D1 Oate High Price Low Price Claw Prier Volume 03/24/2001 9.800 8.700 8.710 7800 39050-INTERNATIONAL BUSINESS MACHS Cusfp; 459200101 Date High Price Low Price Close Price Volume 03/14/2001 98.900 93.340 94.960 14235000 528H3 • PP&L CAP TR ll Cusip: 693498206 Date Hfgh Price Law Prke Close Price Volume 03/14/2D01 25.470 25.100 26.300 7000 5202D • ALABAMA PWR CO ~ Cusip: 070392587 Data High Price Low Prke Close Price Volume 03/2a72D01 24.630 24.220 24.630 22000 63133 • PUBLIC SVC ENTERPRISE GROUP Cusip: 744573106 Date H;gh Price Lew Wfce Close Price Volume 03/74/2001 41.710 4D.980 41.040 812300 75909 - UGl CORP NEW Cusip: 902687105 Date High Price LOw Price Close Price Volume 03/14/ZDOl 24.740 24.350 24.490 31500 The informati:!n has been obtained From sources we believe to be reliable but we do not guarantee its accurary. 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O O~ vn V\ w\ O IL ~r O O ?N~ ~ ~- ~ r m ~ N N m a O N x O . a p o 00 ~o r 7 e A ff 'O O~ O~ O . a r ~ ~"~ N o 0 0 0 ~ E e 4 9 e ~ u Q LL O W W ' O w z 0 o zii m c a c O ~ ~ ~ ~ E ~ > LL > LL a o J ~ t~ ~ ~ ~ IY LL Z2 O 6 y 2 ~ 7 ~ J „ ~' '2 O O ~ ~ JJJ ~ i _ J J ~ = 0 7 (9 C ( 7 N O O O w 0 O V 1 '"' ~ ~ ~ E 2 Z Z _ 000 C O J J J 6 1 6 9 W W W W m 7( N F F !- LL m V C ~ O O 000 O LL O O 000 O o O ~ w~ r v1 A r r r r ~J e ~ 2~ b Q~jQ N ~j A Q W 0 8N o/O~ Y r ~O O ~` O W a ~ ~ M ~ W N ~K ~ ~ a~ fu ~O N 6 u rev-+sarx.uen SCHEDULE E CAMNIONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, 8 MISC. INHERITANCE TAX RETURN DCDCAW Al DDADCDTV MARY L. ANSTETT 21-01-0316 Include the proceeds of lidgatlon and the da0a the proceeds were receNed by the estate. All property joirrdy~owned wXh the right of survivorship mwt be disclosed on Schedule F. NUMBER DESCRIPTION OE DEATH 1. Allfirst Bank Checking Acct. No. 0011038357 Principal - $1,623.47 Interest - $ .90 $ 1,624.37 (See bank letter attached) 2. Merrill Lynch Money Market Acct. No, 872-26317 21,708.00 3. Merrill Lynch C.D. Account No. 872-26317 57,173.00 (See Merrill Lynch letter attached) 4. 1986 Chevrolet Celebrity Sedan 500.00 5. Nasdaq Market-Makers Antitrust Litigation - settlemen 25.00 6. Verizon - refund 7.66 7. Miscellaneous Personal Effects NO VALUE TOTAL (Also enter on line 5, Recapitulation) $ 81 , 0 3 S . 0 3 (If more space is needed, insert additional sheets of the same size) O4i02!O1 12:35 $1 302 934 2955 CIS 0002/OOJ ailfirst Allflrst Fimncisl Ccnur N.A. PO Sax 900 Mi116o1a, DE 19'M6 Apri12, 2001 Placey & Wright Attorneys At Law 3631 North Pront Street Harrisburg, PA 17110.1533 Re: stare gfMarv L. Anstett Social Security: 189-03-6555 Date ofDeath: Nfarch !4. 2001 Dear Sir or Madam: Per your inquiry dated Mareh 26, 2001 please be advised that at the time of death, the above named decedem had on deposit with this batik the following: 1. TypeofAxvrml RelalionshipChgW/!nt AceotvBNumber 00170383J9 Ownership (Names of} Mary L Artstett Openi+vg Dole 08/28/64 Balance an Awe ofDeath $1, 623. A7 Accred/merest $ .9D Totes! ~1.6~4.~'TW__._-.-__.. 2. Type olAccount Safe DepasitDOx AccowuNumber tOW532/000DI284 Ownership (.'Names v, jJ Mary L A~tett Opening Date L/73N8 P1RY-23-20~i 11~3s b~Merrili Lynch May 23, 2001 Placey & Wright Attn.: Holly 3631 North Front Street Harrisburg, PA 17110 RE: ESTATE OF MARY I.ANSTETT Holly, 'the ECB Group F.r2~~3 Jap P. F_spcnlauh, CFP Vice f'resttlent Senior Financial Adviwr Gwyn Wertr. Client 0.ggnc.{ate Private Client Gruup 214 Senate A~-enue, Suite $G Camp Hill. Pennaylvea~a 171111 717 y75 4fiS'~ 717 975 46SR Gwyn . $UI) 9:i: [1735 FAX 717 975 9663 Jay_EspenlttuHdnd.c an ~(w'yn_IIl_Wtlrl>.~m l.epm As pEr your request, I am sending you the date of death value of the above referenced accounts as of March 14, 2D01 . The value of the 2 annuities vdas 525,363,19 and 512,544.84. The money market value was 821,708.00 and the Merrill Lynch CD was $57,173.00. The value of the securities is on the second page. Please contact me with any questions you may have. Sincerely, Gwyn Wertz Client Associate to The ECB Group REV-1510 EX a (2-87) 6 SCHEDULE G COMMONWEALT~N OF PENNSYLVANIA TRANSFERS PLEASE PRINT OR TYPE MARY L. ANSTETT 21-01-0316 THIS SCHEDULE MUST BE COMPLETED AND FILED IF TH E ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES. ITEM NUMBER DESCRIPTION Of PROPERTY Include nome of the/ransteree, their relafionship Mdetedenl, date of booster. EXCLUSION TOTAL VALUE OF ASSET DECD. DOLLAR VALUE % OF DECEDENT'S INT INTEREST 1. Merrill Lynch High Current Income and Quality Equity Annuity No. I M940591293. Beneficiary, Mary I Jean Stoner, Daughter. Transferred 3/14J01. 25,363.1 1001;1 $ 25,363.19 2. Merrill Lynch High Current Income and Quality Equity Annuity No. M940591439. Beneficiary, Mary Jean Stoner, Daughter. Transferred 3/14/01. 12,544.8 10081 12,544.84 ~ (See Merrill Lynch letter attache ) i ' I I i i ' --- TOTAL (Also enter on line 7 (If more space is needed, insert additional sheeh of same size.) P7RY'-23-20l~_ 11; 35 Merrill 6yncri Mav 23, 2001 Placey & Wright Attn.: Wally 3631 North Front Street Harrisburg, PA 17110 RE: ESTATE OF MARY I.ANSTETT Holly, The ECB Group F. 0~~3 Jas' P_ Espenlauh, f,FP Vice PresiAen[ Senior kmancinl Advisur G»yn Wertr. filent Associate Private Client Gruup Gt4 Senete Avenue, Suite SGl Camp Fiill. Pennsylvania 7711ll 717 975 463? 717 975 M1538 Gwyn NI/O 9:i7 U735 FAX 717 975 4663 Jay_Espr, nlttubF'nil.com ywyn_ni_wertr.~n+i.com As per your request, I am sending you the date of death value of the above referenced accounts as of March 14, 2D01 . The value of the 2 annuities v/as 525,363,19 and 512,544.84. The money market value was $21,708.00 and the Merrill lynch CD was $57,1 73.00. The value of the securities is on the second page. Please contact me with any questions you may have. Sincerely, Gwyn Wertz Client Associate to The ECB Group ..,y.,M~a~ ..-.,., . ~ -,n., ..., .... ~. , i!~L<tn~~.~ou ,u . .....e.... , n.nun4u ~ ~ dm+rl .: CYt. atvs~,ex•rvsnm COMMINJWEALTH OF PENNSYLVANIA INHERITANCE TA% RETURN MARY L, ANSTETT Debts of decedent must be reported on Schedule I. 21-01-0316 NUMBER ~ DESCRIPTION ~ AMOUNT 1. Myers-Harner Funeral Home, Inc, $ 6,585.00 2. Wyoming Valley Country Club - funeral luncheon 656.82 3. St. Mary's Cemetery - grave openings 730.00 4. Frank Grontkowski Monuments, Inc. - engraving 60.00 B. ADMINISTRATIVE COSTS: t, Personal Representative s Cornmissbns Name of PersonalRepresentatlve(s) Mary Jean Stoner Sodas SecurityNumber(s)IEINNumberdPersonalRepreseMative(s) 186-38-6434 9, 335.00 Street Address 521 Colony Road _ ~;ry Camp PA np 17011 Yeags) Commission Paid: 2 0 01 p. AtlomeyFees Placey & Wright 7, 500.00 3. Family Exemption: Qt decedents address is not the same as daimam s. adadr explanation) Claimant Mary Jean Stoner Stieetnddress 521 Colony Road 3,500,00 C;y CamA Hill smte PA ~p 17011 Relationship of CWimam to Decedent Daughter q, PmbateFees Cumberland County Register of Wills 267.00 5. Aaounhants Fees g, Tax Relum Preparer s Fees 7. Verizon - debt of decedent 67.82 8, Premier Eye Care Group - debt of decedent 51.78 9. IRS - 2000 1040 2,294.00 10. PA Department of Revenue - 2000 PA40 300.00 11. Fulton Bank - check order fee 15.50 12. Dennis Panes, DMD - debt of decedent 50.00 13. Cumberland Law Journal - estate advertising 75.00 14. The Patriot-News Co. - estate advertising 82.95 15. Placey & Wright - reimb. reproduction 10.40 16. Reserve for future costs, taxes and expenses 2,000.00 3 3 , 5 81.2 7 TOTAL (Also enter on line 9, Recapitulation) § SCHEDULE H FUNERAL EXPENSES 8r ADMINISTRATIVE COSTS (If more space is needed, insert additional sheets of the sane size} RE0.~513IX•IY4n SCHEDULE) COMMONWEALTH OF PENNSYLVANIA BEIYEFIC IARIES INHERITANCE TAX RETURN ESTATE OF MARY L. ANSTETT 21-O1_D41F, NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS (indude outright spousal distdbutlons) 1. Leighton C. Anstett Son 10~ Residue 500 Ardmore Lane York, PA 17402 2. Karen Anstett Granddaughter 5`4 Residue 130 Crown Pointe Drive York, PA 17402 3. Gregory Anstett Grandson 58 Residue 1020 Woodbridge Blvd. Lancaster, PA 17601 4. Mary Patricia Anstett Granddaughter 5~ Residue 122 Crown Pointe Drive York, PA 17402 5. Jennifer M. Stoner Granddaughter 58 Residue 1085 Hearthridge Lane York, PA 17404 6. Eric S. Stoner Grandson 5~ Residue 927 Southgate Drive State College, PA 16801 (See Continuation Schedule) ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIAT E, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE 1. 8. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET S - O- tlr more space is needed, insert additional sheets of the same size) ATTACHMENT TO SCHEDULE J BENEFICIARIES ESTATE OF MARY L. ANSTETT 21-O1-0316 6. Kimberly A. Stoner 521 Colony Road Camp Hill, PA 17011 Mary Jean Stoner 521 Colony Road Camp Hill, PA 17011 Granddaughter Daughter 5% Residue 60% Residue LAST WILL AND TESTAMENT OF MARY L. ANSTETT I,MARYL.ANSTETT,nowofHampdenTownship, CumberlandCounty,Pennsylvania, declare this to be my Last Will and Testament and hereby revoke all prior Wills and Codicils made by me. ITEM I. I direct that all of my just debts and funeral expenses, including the cost of my gravemarker, if any, shall be paid from my residuary estate as soon as practical after my decease as an administrative expense of my estate. ITEM II. To the extent I have not done so in my lifetime, I give to my daughter, MARY JEAN STONER, my automobile, all of my personal effects, jewelry, clothing, furs, household goods and all of the contents of my residence. ITEM III. I gyve to myson, LEIGHTON C. ANSTETT,ten (]0%) percent ofthe residue of my estate. TI'EM IV. I give to each ofmy grandchildren, five (5%) percent of the residue of my estate. ITEM V. I give and devise all of the rest, residue and remainder of my estate of every nature and wherever situate to my daughter, MARY JEAN STONER, or her issue, per stirpes. ITEM VI. If any income or principal shall be payable to any person who shall be under the age of twenty-one (21) or who shall be incapacitated for any reason, my personal representative, as trustee, shall hold such income and principal for such beneficiary until the age of twenty-one (21) M . Anstett or during incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person without the appointment of any guardian or committee or any authority of court, and shall be entitled to make direct application hereunder or to make application by payment thereof to the parent or other person in chazge of such person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be paid and distributed to such person upon attaining the age of twenty-one (21) or upon the termination of incapacity. ITEM VII. I appoint my daughter, MARY JEAN STONER, Executrix ofthis my Last Will and Testament. Should she fail to qualify or cease to act in such capacity, I then appoint my granddaughter, JENNIFER M. STONER, Contingent Executrix of this my Last Will and Testament. No bond shall be required by my personal representative in any jurisdiction. ITEM VIII. In addition to the powers given by law to my personal representative(s) and trustee(s) [hereinafter fiduciaries] in the administration of my estate and of any trust(s) created herein, they shall have the following discretionary powers applicable to all real and personal property held by them, including property held for minors, effective without court order until actual distribution. A. To retain any property owned by me at my death and to invest any funds held by them in any stocks, bonds, notes or other securities or property, real or personal, including common trust funds, mutual funds and money mazket deposit accounts operated or offered by my corporate trustee, if any, or any affiliate of it. B. To sell or otherwise dispose of any property, real or personal, at any time forming a part of my estate or the trust estate, for cash or upon credit, in such manner and on such terms as /~a~c~ aS . L2x-e.~G~l Ma L. Anstett they see fit, and no one dealing with the fiduciaries shall be bound to see to the application of any monies paid. C. To manage, operate, repair, improve, mortgage or lease for any term [even if beyond the duration of the tmst(s)] any real estate at any time held or owned by them as fiduciaries. D. To hold investments in the name of a nominee and exercise and dispose of warrants. E. To engage in litigation and compromise, arbitrate or abandon claims and property. F. To conduct any business in which I am engaged or in which I have an interest at the time of my death for such period as the fiduciaries deem advisable, with the power to borrow money and to pledge the assets of the business and to do all other acts which I, in my lifetime, could have done, or to delegate such powers to a partner, manager or employee without liability for any loss occurring therein. G. To allocate items of receipt or disbursement between principal and income as the fiduciaries deem equitable regazdless of the chazacter given such items by law; to distribute in cash or kind or partly in each at valuations fixed by the fiduciaries. H. To borrow money, including the right to borrow from any corporate trustee, if any, and to mortgage or pledge as security or to hold its own stock if a corporate trustee. I. To join in any merger, reorganization, voting trust plan or other concerted action of security holders, and to delegate discretionary duties with respect thereto. J. Should the principal ofany trust herein provided for be or become too small in trustee's opinion so as to make establishment or continuance of the trust inadvisable, my trustee(s) may make immediate distribution of the then remaining principal and any accumulated or undistributed income Mary . Anstett outright to the person or persons and in the proportion they aze then entitled to income. Upon such termination, the rights of all beneficiary(ies) who might otherwise have an interest as succeeding income beneficiary(ies) or in remainder shall cease. K. ht general, to exercise all powers in the management of the assets of my estate or the trust estate which any individual could exercise in the management of similaz property owned in his own right, upon such terms and conditions as the fiduciaries may deem best, and to execute and deliver all instruments and to do all acts which the fiduciaries may deem necessary or proper to carry out the purposes of this will or any trust(s) created herein. L. To apply income or principal to which any beneficiary is entitled, directly for his or her comfort, maintenance and support, should the fiduciaries deem such beneficiary incapable of receiving the same by reason of age, illness, infimuty or incapacity, or to pay the same to such person or persons as the fiduciaries select to disburse it, whose receipt shall be a complete acquittance therefore without the intervention of any guazdian. M. To assume continuance of the status of any beneficiary with reference to death, marriage, divorce, illness, incapacity or other change in the absence of information deemed reliable without liability for disbursements made on such assumptions. N. All principal and income shall, until actual distribution to any beneficiary, be fi~ee. of the debts, contracts, alienations and anticipations of any beneficiary, and the same may not be liable for any levy, attachment, execution or sequestration while in the hands of any beneficiary, and the same may not be liable for any levy, attachment, execution or sequestration while in the hands of any fiduciaries. //L.~r.~~ -~`.~ ~ ems; Mary . Anstett 4 IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ d y ~, of ~ ,J ~ ^-~ (~ , 1997. Mary . Anstett The precedin instrument, consisting of this and four other typewritten pages, identified by the signature of the testat ' , as ay and date thereof signed, published and declared by Mary L. Anstett, the testatrix ed for her last Will, in the presence of us, who, at her request, in her presence pre c f each other, subscribed our names aswitne/sses/hereto. ~j v ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA: SS. COUNTY OF DAUPHIN I, MARY L. ANSTETT, 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, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. 9~~~ ~ ~~ Mary L. Anstett Sworn or affirmed to and acknowledged before me, by Mary L. Anstett, testatrix, this 1~ day of ~~ ,, n:~ , 1997. t-1-~-~.~a ~l ~,~.,y` ' Notary Public My Commission xpire : NOiRR1AL SEAL HOLLYS. KIRK, Notary Ptrbl(e AFFIDAVIT Harrisburg DauphlnC COMMONWEALTH OF PENNSYLVANIA: COUNTY OF DAUPHIN oun My Commission Expires Ftb, 76, t~ SS. We, ~ehQr~ Yl c'~ ~.n~ b 1-~i.I v 1Y( (~~ ~,~J h~l ~~~ ,the witnesses whose names aze signed to the atta hed or foregoing instrument, bei g duly qualified according to law, do depose and say that we were present and saw testatrix sign and execute the instrument as her last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the Will as witnesses; 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 cons4rai~or uence, ~~___ _ ~, ~; Sworn to and subscribed before me this / /~'' day of ~~ u+"-~_ , 1997. M Commission )~x i H04LYS. K{RK, Notary Public y p~£rrisburQ,DauphinCounty My Commission Expires Feb. 75, 7999