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HomeMy WebLinkAbout09-11-15 (2) � �so56�9�34 ��o�,<,�F�, REV-1500 OFFICIAL USE ONLV BureauollntlivitlualTaxes CanryCoae Vear FileNumber PO Box 28asoi INHERITANCE TAX RETURN 2 � � 5 0 7 6 6 Harrisbu PA t�128-o6m RESIDENT DECEDENT ENTER DECEDENT INFORMATION BEIOW Social Secu�i�y Numbe� Date o!De2th MMDOVYYY Ddt¢Of BiNh MMDDriVY 0 6 3 0 2 0 1 5 0 9 1 0 1 9 2 5 DecetlenPs Last Name Suffix DecetlenCs First Name MI L A I D I G A . J E A N (If Applicabl¢)EnterSurviving Spouse's Intormation Below Spouse's Last Name Suffx Spouse's Firs�Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1.Original Retum � 2.Supplemental Retum � 3. Remainder Re�um(Oate of death P�iorto 1243-82) � 4.Agncukure Exemplion � 5.Future Interesl Compmmise(tlale ot � 6. Federal Es[ate Taz Rehm Requiretl (Ga�eMaeallono�afle�]-0d012) deathafterl2-02$2) Q �. Decetlen��ied Teslate � 8. Decetlent Maintainetl a Living Tmsl � 9.To�al Number of Safe Oeposit Boxes (A�IachwpYawill.) (AlbchcopYolVust) � 10.Li�iga�ion Pmceeds Receivetl � 11.Non-Probate Transk�ee ReWrn � 12 De(erraVElection of Spousal Tmsts (Schetlule F and G Assets only) ❑ 13.Business Asse�s ❑ 14.Spouse is Sole Beneficiary (No tmst involvetl) CORRESPONOENT-THIS SECTION MUST BE COMPLETED.RLL GORRESPONDENCE AND CONFIDENTUL TAX INFORMATION SNOULD BE DIRECTED T0: Name Daytime Telephone Number J O E L R . Z U L L I N G E R 7 1 7 2 6 4 6 0 2 9 Firsl Line of Atltlress 7 4 N O R T H S E C O N D S T R E E T SeconE Line of Atldress Ci�yorPosi�ce S�a�e ZIPCotle C H A M B E R S B U R G P A 1 7 2 0 1 CorrespondenPs e-mail atltlress: 1�uI1i002f(lDzUllinqef-d3vI5.CAffl REGISTER OF WILLS OSE ONLV REGISTEROF WILL$USEONLY � DPTEFILEUMMDO� � ��� � � ��..I C O '_ C7 � � U> > � a ,i � - ;J �-i -.- .-; .. cJ .:' -_ . - N : r�:.� ��DATE FlCED$i#MP � � � PLEASE USE ORIGINAL FORM ONLV N '� n Sitle t _� �' o o ' L IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 1505619134 1505614139 J �� / lJ J 1505614239 REV-15W EX(FI) DecetlenCs Social5ecurRy NumGer o wem'sna,�: A. JEAN LAIDIG RECAPITULATION 1. Real Estate(Schedule A) .... .. .. ... .. . . . .. .. .. .. .. . .. .. .. .. .. . .. .. . 7. ' 2. Stocks antl Bonds(Schetlule B) .. .. ... .. .. .. . . . .. .. . . . . . .. .. .. . . . . . .. 2- � 3. Cbsely Held Corporation,Pahnershlp or Sole-Proprietorship(Schetlule C) . .. .- 3. ' 4. Mohgages antl Notes Receivable(Schedule D) . .. .. .. . .. .. . . . . . . . .. .. .. . 4. � � 7 � � � � , � � 5. Cash,Bank Deposits antl Miscellaneous Personal Property(Schedule E)... .. .. 5. 5 H 4 7 4 , 7 4 6. Jointry Ownetl Pmperty(Schetlule F) ❑ Separa�e eilling Requested . .. . .. . 6. 3 9 3 7 . 9 � ]. Nle�-Vivos Transfers 8 Miscellaneous N¢n--,ProEate Property (Schetlule G) u Separate Billing Requestetl .. .. .. . Z • B. To�al Gross Assels(lotal Lines 1 through�) . .. .. .. .. . _ . . .... . . _ .. 8. � 1 3 2 4 1 2 , 6 4 9. Funeral Expenses antl Htlministra[ive Costs(Schetlule H) . . .. .. . . .. .. . 9� 2 6 5 3 4 . 7 4 10. Debts of Decetlent,Mortgage Liabili�ies,antl Liens(Schetlule 1) .. .. .. .. ... .. 10. � 5 Q 9 . � 2 i i, ro�ai oea��ro�s(ro�ai u�es e and i o) . _ _ .. .. .. . . . _ _ . .. .. .. .. .. . . n. 2 8 0 4 3 . 7 6 iz. r+ecvameotes�a�lu�eem�ws���eii) . .. .. .. . . . .. .. ... .. . . .. _ _ . �z. 1 1 0 4 3 6 8 . S 8 13. Charitable and Govemmental Bequests/Sec 9113 Trusts Po�which an election�o�ac has not been matle(SCM1edule Jj .. .. ... .. .. . . . .... .. .. 13� • 14. Net Value Subjecl[o Taz(Line 12 minus Line 13) . . . . . .. _ ..._._. _ . 14. � 1 0 4 3 6 8 . 8 8 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amaunt of Line 14 taxa�le at the spousal tax rate,or �renshrs untle�Sec 9116 � . Q Q 15. � . � Q (a)(12)X.0 _ is. nmo���ot�meiaia=anie 4 9 6 9 6 . 6 0 atlinealrale X.OaS 1 1 0 4 3 6 8 . 8 8 �s. 1]. Amounl of�ine 141axaDle � . Q Q 1]. � . 0 Q at sibling rate X.12 18. AmountofLinel4�axabk O . 0 O 'g O . Q � a[collateral ra�e X.15 19. TAXDUE . . _. . . .. ..... .. .. .. . .. .. 19. Q 9 6 9 6 . 6 Q .... . . . . . . .. .. .. . . . . ... .. . . ... 20. FILI IN THE OVAL IF YOU ARE REpUESTING A REFUNO OF AN OVERPAVMENT ❑ ❑ntlerDenal6esofpe�ury.lOeGarel�aveezaml NNisreWm,InGUEhgacwmDanyingsc�etlulesantlstatemen�s,antltoMebesto�myhnowleegeanJbelief. i�is Ime,mrtecl antl complete.OeGa2fon ol prepare�oNer I�an Ne person responsible fo�filing Me reNm Is base0 on all inbrmation INwTitl�prepare��as any knmvletlBe. �SIGNNTU 06PERSONR SPO SIBLEFO NGRETUR �A �-yrr.��� �""cY�� l 9 b, i5- nooaEss 7309 McCLAYS MILL ROAD NEWBURG PA 17240 REOFPREPAR HANPE ESPONSIBLEFORFILINGTHERETUkN �AT �� 7 ORTH SECO STREET CHAMBERSBURG PA 17201 IIIII�IIIIII IIIIIIIIII IIIII IIIII IIIII IIIIIIIIII IIIII IIII IIII Side 2 L 1505619239 1505614239 � REV-0500 E% (FI) Page 3 File Number DecedenYs Complete Address: 2i �s a�ss DECE�ENPSNPME A. JEAN LAIDIG _ _ .. . .__ . . . STREETADDRESS Green Ridge Village . _ __ _ . - — 210 Bi Sprinq Road . _ . _. - cin � � � sTare ziP Newville PA ��Z4� Tax Payments and Credits: 1. Taz�ue(Page 2,Line 19) (1) 49.696.60 2. CrMitslPayments A.Prior Payments 8.Discounl _ .z 484.83 (SeelnsWdions.) TotalCredlls�A+g) (p) 2,4$4.83 3. In�eresl (3) 4. If Line 2 is grea�er�han Line 1 +Line 3,en�er the difference.This is the OVERPAYMENT. Fill in oval on Page],Line YO[o request a refund. (4) 0.00 5. IfLineltLine3isgrea�erthanLine2,en�er�hediHerence.Thisis�heTAXDUE. (5) 47,211.77 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS 8Y PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. �itldecedenlmakeaVansferand: Yes No a. relainiheuseorincomeof�heProPetlYlransfenetl ....._..........._................_................._.........._. ❑ ❑ b. relainihengh�todesignalewhoshallusethepropetlytransferrcdoritsincome .._..._.........._...._... X c. retainareversiona7inlerest ........_......_ . .......... .. . ..... . ...... . . ..._. ❑ 0 a. receivethepmmiseforlifeofei�herpaymenls henefitsorcare'+ .... ...... ...... . _.._ ❑ ❑X 2. If death occuned afler Dec.12,1982,di0 tlecedent transfer pmperty wil�in one year of death withoutreceivingadeQuatewnsideralion? ..................._._..........................._.........................._._. . x 3. Diddeceden�ownan'inWstfoforpayable-upon-deathbankaccoun�orsecurityalhisorherdea�h? ._.._.. ❑ ❑X 4. Diddecetlentownanindivieualretiremen�aaount,annuityoro�hernon-pmbatepmpetly,which containsabeneficiarydesi9nationp_......................_..........._..._................_........_................._...._. ❑ ❑X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G ANO FILE IT AS PART OF THE RETURN. Por tlates ot tlea�h on or atterJuly 1,1994,antl before dan.1, 1995,Ihe�rate imposed on the netvalue of transfers to oriorme use o�the suniving sDouse is 3 percent[72 P.S.§9116(a)(1.1�(i)]. For dates of death on or aker Jan.i, 1995,the tax rate imposed on ihe net value of Vansfers to or for tl�e use of the surviving spouse is 0 percenl [72 P.S.§9116(a)(1.1)(iijJ.The statu�e does not exempt a iransferro a surviving spouse fmm tav,and�he stanrtory requirements for disclosure oi assets ana Sling a tax retum are sfill applicable even if the surviving spouse is the only beneficiary. For dates of tleath on or after July 1,2000: • The ta�c rate imposed on the net value of Uansfers 6om a deceased child 21 years of age or younger at death to or for the use of a nalural parent,an adoptive parent or a steµparent of the child is 0 percent[72 P.S.g9116(a)(12)J. • The taz rate imposetl an the netvalue ot[ransfers to or for ihe use ot[he OeceOenCs lineal 6eneficianes is 4.5 perceM,except as notetl in�72 P.S.§9116(a)(1)�. • The tax rate imposed on Me net value of transfers to orfor the use of Ihe decedenPs siblings is 12 percent[!2 P.S.§9116(aj�13)�.A sibling is define4 under Section 9102,as an individual who has al leastone parent in common with ihe decedent,whether by blootl or adop6on. REV-050]E%*(CC-13) pennsylvania SCHEDULE D o=PaR�+E�roFaE�E��E MORTGAGES & NOTES '""ER1PN0ETA%RETORN RECEIVABLE REsioErvTOECEOErvT ESTATE OF FILE NUMBER A. JEAN LAIDIG 21 15 0766 All property pi^tly ownetl with right oi survivorship must be distlosetl on&hetlule F. ITEM VA W E AT DATE NUMBER DESCRIPTION OF DEATH 1. Installment Sale Contract belween A. Jean Laidig and S 8 J Farms, LLQ 1,070,000.00 Memorandum of Installlmen[Sale is recorded in Fraqnklin Couty, PA, to Instrument #201405721, with copy attached herero; balance due as of date of death$1,07Q000.00, with copy of amortization schedule attached TOTAL Alsoenteron Line4,RecapiWlation) S 1 070 000.00 (If more space is needeC,inserl aatlitional sheeh of Ne same sire) REV-1508 E%�(p842) pennsylvania SCHEDULE E oeanannenroraeveH�e CASH, BANK DEPOSITS & MISC. wneartnNCET�ReruaH pERSONAL PROPERTY aEsioErv.oECEOENr ESTATE OF: FILE NUMBER: A_ JEAN LAIDIG 21 �`' ��� Include the pmceeds of litigatian antl ine aate the proceetls vrere receivetl by the estate. All propertyjointly ow�tl with righ[of survivorship musl be tlisclosetl on Schetlule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF�FATH 1. Checking Account#2312743, ACNB Bank, including interest accmed to da[e of 26,009.30 death 2. Distribution from the Estate of Kermit M. Laidig 31,669.44 3. Refund, Highmark Blue Shield 796.00 TOTAL(Alsoen�eronLine5,Recaplulation) S 5847474 If more space is needeQ use atltldional shee[s ot paper of the same size. REV-1509 EY�(0140J pennsylvania SCHEDULE F oeauem�exroFr+eveNue JOINTLY•OWNEDPROPERTY INHERIiANCETAXRETIIRN aEsioErv.oECEOErv. ESTATE OF: FILE NUMBER: A. JEAN LAIDIG 21 15 0766 If an asset was made join0y owned wilhin one year of the dxeEenCs date ot deaN,it must be reported on Schedule G. SURVIVING JOINT TENANT(S7 NAME(SJ A�DRESS REIATIONSHIP TO DECE�ENT n. Reginald B. Laidig 7309 McClays MIII Road son Newburg, PA 17240 s. C. JOINfLY-OWNE�PROPERTY: IEiTER DATE �ESCRIPTIONOFPROPERtt %OF OATEOFDFAiH REM FORJOINi MADE INCWDENAMEOFFlNANCINLINSiROiIONAN�BANKACCO'JNiNUMBEROkSIMItAR �AiEOFOFAiH OECEOENPS VAWEOF NUMBER iENANi JqNT IDENiIFVINGNUMBER.AiTACHDEE�FORJ0INTLY-HELOREALESiATE VALUEOFASSEi INiERESi DWEOENTSIMERESi 1. A. N/1997 Checking Accoun[#98208012, M&T Bank, including 7,875.80 50. 3,937.90 interest accrued to date of death TOTAL(Also enter on line 6,Recaqtulation) S 3 937.90 If more space is neede0,use atldNonal shee6 of Daperol Ne same s¢e. REV4511 E%�(0&13) pennsylvania SCHEDULE H oeauein+Erv�ovaEVEHue FUNERALEXPENSESAND wnEairnHCErarRErurw ADMINISTRATIVECOSTS aEsioErv.oECEOENI ESTATE OF FILE NUMBER A. JEAN LAIDIG 21 15 0766 DeceEenYs OeEts musl be repotled on Schetlula 1. ITEM NUMBER DESCRIPTION AMOUNT q. FUNERALE%PENSES: � ��Z 2� t Kathy's Delli, meal after funeral 2. Fogelsanger-Bricker Funeral Home, funeral services 12,057.03 g, ADMINISTRATIVECOSTS'. 1. PersonalRepresentativeCommissions'. Name(s�olPersonalRepresentalbe(s) Stree�Addmss Ciry SUte ZIP Vear�s)Commission Paitl: p nnomeyFees: Jcel R. Zullinger 12,500.00 3. FamiyExempibn'.QftleadenCsatlOressisno��M1asameasdaimanCs,a�lacM1ex01ana0on) Claiman[ StreetAtlaress City S�ale ZIP Rela�iwship ol Claiman�N Decetlen� a. Pmea�e Fees: �CS fee 35.50; automation 5.00; letters 310.00; short certifcates 20.00; 665.50 will 15.00; inheritance return 15.00; inventory 15.00; additional probate 450.00 5. AcmunUniFees. 6. TarReNmPreparerFees'. 7. TOTAL(Also enter on Line 9,RecapiNla�ion) S p6 53474 I!more space is needed,use atlallonal shee6 of paper olUe same size. REV-1512 EXt(�2-02) pennsylvania SCHEDULE I ocvu«mENroFAeveNUE DEBTSOFDECEDENT� iHHEa�rAHc�ra�REr�a� MORTGAGE LIABIUTIES&LIENS aEsioEt�roECEOErvr ESTATE OF FILE NUMBER A. JEAN LAIDIG 21 15 0766 Reporl debls incurted 6y the decedent pnor to death Nal remainetl unpaid atMe date oF death,inclutling unreimbuned medical expenses. ITEM VALUE AT�ATE NUMBEft DESCRIPTION OF DEATH 1. Cumberland Goodwill Fire&Rescue, ambulance transport 101.70 2 Millenium Pharmacy, balance due on account �66_32 3. Friendship Fire Company, ambulance transpod 980.00 4. Cadisle HMA Physician Management, medical services 261.00 TOTAL(Also enter on Line 10,Recapitulalion) S � 509.02 If more space is neeEeQ inseh atlEi�ional sheets of the same s¢e. REV-1513 E%��%-10) pennsylvania SCHEDULE J oeenR*mEur or aevEuuE BENEFICIARIES INHERIiANCETAXREiIIRN RESIDENi�ECEDENi ESTATE OF: FILE NUMBER: A. JEAN LAIDIG 21 15 0766 RELATIONSHIPTODECEDENT AMOUNTORSHARE NUMBER NAMEAND ADDRESS OF PERSON�S)RECEIVWG PROPERTY Oo NoLListTrus�ee�s) OF ESTATE � TAXABLEDISTRIBUTIONS p�lutleouVi9hlspousalGisbibWonsanOvairs�ersuntler Seu 9716(a)(12).1 1. Reginald B. Laidig, 7309 McClays Mill Road, Newburg, PA Lineal 552,184.44 17240-50%of residue 1,104,368.88= 552,184.44 2. Elizabeth A. Laidig, 515 Orchard Drive West, Twin Falls, Idaho lineal 552,184.44 8330b5590-50%of residue 1,104,368.88= 552,184.44 ENTER DOLIAR AMOUNTS FOR�ISTRIBUTIONS SHOWN ABOVE ON LINES 75 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. ❑. NON-TAXAeLE DISTRIBUTIONS: A.SFOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS'. 1. TOTALOFPARTII-ENTERTOTALNON-TAXABLEDISTRIBUTIONSONLWE130FREV-050000VERSHEEf. S If more sDace is neede0,use addl�ional shee�s of paper of Ne same size. . JRZ - 5 . 1 laidig. 2 Sune 19, 2013 � . n o � ; o " m ^t � � n m � �-- `� o ^' x c� '— v� A LAST WILL AND TfiSTAMENT � z r,'-'., � � m „ (q `i U O ' O O ` cJ �. �J '1 T �' � � TI I, A. Jean Laidig, of Green Ridge Village,lJ31;0��Bo S��q Road, Nevr�ille, Pennsylvania, being of sound and'dispos�tg ami�d. memory and nnderstanding, do hereby declare tfiis to be my will, hereby revoking any and all former wills and codicils thereto by me heretofore made. I. , q� I direct that all my just debts and funeral expenses, � ` (� including all expenses of my last illness, shall be paid from my �I� estate as soon as practicable after my decease as a part of the � expense of the administration of my estate. C�� II. v I give, devise and bequeath the residue of my estate of every nature and wherever situate to my son, Reginald B. Laidig, and my granddaughter, Elizabeth Laidig, in equal shares, provided that the share of any beneficiary who predeceases me or dies on or before the thirtieth day following my death shall be distributed to said beneficiary' s issue, per stirpes, living on the thirty-first day following my death, and in default of any such then-living issue, such share sha11 be added to the share or shares o£ my other then- living beneficiary. III' In the event that anyone entitled to a share of my estate shall be under the age of thirty years at the time for distribution to such beneficiary, I constitute and appoint Reginald B. Laidig as trustee oi any p-�operty which passes either under this will or otherwise to said 'neneiiciary. Sfiould Aeginald B. Laidig predecease me, fail to qualify or cease to act, I appoint the Orrstown Bank with offices in Shippensburg, Pennsylvania, as trustee of any property which passes either under this will or � otherwise to said beneficiary. Said trustee shall in the trustee' s � sole discretion and without order of court, use principal as well as income from time to time as may appear to be necessary for the � beneficiary' s welfare, comfort, medical care, recreation, support and education, without responsibility to the beneficiary or to any � person taking care of the beneficiary; and the remaining balance in the hands oE said trustee shall be distributed to said beneficiary when the beneficiary attains the age of thirty years . Sf such beneficiary dies prior to attaining trie age of thirty years, said trustee is authorized in the trustee' s discretion to pay part or all of the beneficiary' s funeral expenses and the remaining balance in the hands of said trustee sha11 be distributed to the beneficiary' s personal representative. In the event the funds held by the trustee for any beneficiary become in the opinion of the Page 2 trustee too small for proper and efficient administration, tha trustee, in the trustee' s sole discretion, may deposit such funds in a savings account in the name of the beneficiary. IV. Any fiduciary under this will shall have the following powers in addition to those vested in them by law and by other provisions of my will applicable to all property whether principal or income, including property ueld for minors, exercisable without Court approval, and effective until actual distribution of a11 property: A. To retain any and all of the assets of my estate, real or personal, without regard to any principle of � ^ diversification of risk. �U B. To invest in all forms of property including stock, common trust funds and mortgage investment funds without � restriction to investments authorized for Pennsylvania � fiduciaries as they deem proper, without regard to any principle of diversification of risk. C. To sell at public or private sale, to exchange oY to lease for any period of time any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. D. To allocate receipts and ezpenses to principal or income or partly to each as they from time to time think proper. Page 3 E. To compromise any claim or controversy. F. To distribute in cash or in kind or partly in each. G. To hold property in their names without designation of any fiduciary capacity or in the name of a nominee or nnregistered. V. I direct that all taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of � the administration of my estate. � VI. � I appoint Reginald B. Laidig, my son, as executor of this my � will . Should my son predecease me, fail to qualify or cease to � act, I appoint the Orrstown Sank with offices in Shippensburg, Pennsylvania, as executor of this my will . VII. No bond shall be reguired of any fiduciary hereunder in any jurisdiction. IN WITN&SS WHBRSOF, I hereunto set my hand and seal to this my Page 4 last wi11 and testament, mnsisting of six typewritten pages, the first four of which bear my si ature in the margin for the purpose of identification this � day of , 20/`�- /,j /� � p /�! lA �.r�n/ " ISEAL) Signed, sealed, published� and declared by the above-named testatrix as and for her last will and testament in our presence, who in her presence, at her request and in tnz presence of each other have hereunto set our hands as attesting witnesses . �I ������ �la,k.t,� �J��u,`� �'f91}c.KesQr�ue�(�;Iwntl��ltiurr� :�f� We, �. Jean Laidig, `������/'"`�� and � -�� � �j"�"� the testatrix and the w�itnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority tfiat the testatrix signed and executed the instrument as her last will and testament and that she executed it as her free and voluntary act for the purposes therein expressed and that each of the witnesses, in the presence and hearing of tfie said testatrix, signed the will as witnesses and to the best of their knowledge, said signer was at that time eighteen years of age Page 5 or older, of sound mind and under no constraint or undue influence. GF�� �"�..C� T statrix i � . witnessI ��, r ��I/ � AR�Lr v iv� Witness �. Subscribed, swarn to and acknowledged ` before me by the above-named signer and subscribed and sworn to before me by the above-name ' tnesses this day of �, ���3 � � No " ry° lic COMMONWEALTH OF PENNSYLVANIA Notarial Seal Carin L Walter, No[ary Public Chambersburg eoro, Frenklin County My Commission Expires May 13,2017 Page 6 � M�D^N�, IUL 2 0 [015 DQ1111 4Y9 Mi¢hcll Koad,M111sWru.DE 19966 Rem�s Mm�egemenl � Phonc 888d024349 fs (3@)9342955 luly I6,2015 Law Otfices of Zullinger-Davis 20 East Burd Street P.O. Box 40 Shippeusburg, PA 17257 Re: Estate of: A.7ean Laidig Social Security: 483-32-6249 Date of Death: .lune 3Q 2015 Dear Sir or 1Vladam: Per your inquiry on July 13,2015 please be advised thal a[the time of death,the above-named decedent had oo deposit this bank the following: 1. TypeofAccowf Chcckingaccount Accow�tNumber 98208012 Ownership(Names o� A.lean Laidig Reginald B Laidig � Openingllate II/12/1997 Balance on Date of Ueath $ 7,R95.66 Accrued Intemst 0.14 To�al $ 7,875.80 For any additional information on the above accounts, including ownership and any changes,closures and/or reimbursemen[of funds, please call Walnut Bottom az 717-532-2414. We were unable ro locate any safe deposit box for tlie above-men[ioned decendent. Sincerely, Rianca Vega Records Management � AC� BANK ���iy is,zois Law Officcs of Zullinger-Davis Attn: Joel R Zullin�er 74 N Main St Ste 200 Chambcrsburg PA 17201 RE: Esta[e of A Jean Laidig, aka Avis]ean Laidig Dear Mr. Zullinger: lhe followin� inConnation is being provided as per your request AceG Type Accoun[No. Balance at Awrued Ownership Date D.O.D. Interest to Opened/7oint D.O.D. Lsteein 2312743 $26,009.13 $0.17 Individual 10/31/OS Checkino Acwunt I�quiries conceming ACNR Coryoration stock information should be direeted to[he Registrar and Transfer Company at 1-800-368-5948. If you need any addi[ional informatioq please conlact me at(717)339-5122. Sincerely, \//A�iti�� vi/ `���c_�_ � BarbaraJ W ACN6 Ba� Deposit S � es Representative 11 acnb.com • P.O. Box 3129, Gettysburg, PA 77325 • 717.334.3161 • Toll Free 1.888.334.ACN6 (2262) 04/01/20�4 9�.45�.31 AM Page � KiSKADDON & FORRESTER Compaund Period ...___ : Mon?nly Nominal Annual Rate __ : 4250 % CASH FLOW DATA Event Date Amount Numbzr Period End �ate _ . . _____ _ _ . . .. _. . . _ . ___ . 1 Loan 04/01/2014 1,�00,000.00 1 2 Payment 04/28I2014 interest Only 24 Monthly 03/28/2016 3 Payment C4I01/2016 1,100,512.33 � AMORTIZATION SCHEDULE - Normal Amortization Date Payment Interest Principal Balance — _ _ _ _. ___. Loan 04i0V2014QeL � � 1,100,000.00 1 04/28/2014 �Od- 3,45822 3,45822 0.00 1,100,000.00 2 OS/28/2014�r�- 3,895.83 3,895.83 0.00 1,100,000.00 3 06/28/20�4.�c�. 3,895.83 3,895.83 0.00 1,�00,000.00 4 07/28/2014P� 3,895.83 3,895.83 0.00 1,100,000.00 5 08/28/2014�.e� 3,895.83 3,895.83 0.00 1,100,000.00 6 09/28/2014P� 3,895.83 3,895.83 0.00 1,�00,000.00 7 10/28/2014�°� 3,895.83 3,895.83 0.00 1,100,000.00 8 11/28I2014�� 3,895.83 3,895.83 0.00 1,10QOOQ00 9 12/28/2014/'0�' 3,895.83 3,895.83 0.00 1,100,000.00 2014Totals 34,624.86 34,624.86 0.00 10 OV28/2015QaL 3,895.83 3,895.83 0.00 1,100,000.00 11 02/28/2015�d- 3,895.83 3,895.83 0.00 1,100,000.00 12 03/28/2015P�- 3,895.83 3,895.83 0.00 1,100,000.00-34� °�� 13 04l28l2015P°�' 3,895.83 3,895.83 0.00 1,100,000.00 � 14 OS(28/2015 f�. 3,895.83 3,895.83 0.00 1,100,000.00 15 06/28/2015�� 3,895.83 3,895.83 0.00 1,100,000.00 16 07/28/2015peL 3,895.83 3,895.83 0.00 1,100,000.00 17 OS/28/2015�„ 3,895.83 3,895.83 0.00 1,100,000.00 18 09/28/2015 3,895.83 3,895.83 0.00 1,100,000.00 19 10/28/2015 3,895.83 3,895.83 0.00 1,100,000.00 20 11/28/2015 3,895.83 3,895.83 0.00 1,10Q000.00 29 �2128/2015 3,895.83 3,895,83 0.00 �,100,000.00 20'ISTotals 46,749.96 46J49.96 0.00 22 01/28/2016 3,895.83 3,895.83 0.00 1,100,000.00 23 02/28/2016 3,895.83 3,895.83 0.00 1,100,000.00 24 03/28/2016 3,895.83 3,895.83 0.00 1,100,000.00 25 04/01/2016 1,10Q512.33 512.33 1,tOQ000.00 0.00 2016Totals 1,112,199.82 12,199.82 1,100,000.00 GrandTotals 1,193,574.64 93,574.64 1,100,000.00 4��LIN CO��� III IIIIIIIIIIIIIII II I I III III „� COUNTY OF FRANKLIN , � �- ' + RECORDER OF DEEDS Linda Miller,Recorder { . Courthouse 157 Lincoln Way East � .� Chambersburg, PA 17201 + ?� t�� .,.' Phone: (717)261-3872 AF`M'SYi,V A�A *RETURN DOCUMENT TO: JOEL R ZULLINGER 310 CHAMBERSBURG TRUST CO Instrumeot Number-201405721 BUILDING Recorded On 4/8/2014 At L•%:49 PM CHAMBERSBURG,PA 17201 *Instrument Type-MEMORANDiJM Invoice Number-96521 User ID- ENS *Total Pages-5 *Grantor-LAIDIG,A JEAN 'Gran[ee-S&J FARMS LLC *FEES STATE WI2IT mr,x go.so This is a certification page COUNTY RECORDING FEE $13.00 COUNTY IMPROVEMENT EEE $2.00 DO NOT DETACH ROD IMPROVEMENT FEE $3.00 xomu, PAID $ie.so This page is now part of this legal document. I hereby CERTIFY ihat this document is recorded io the Recorder of Deeds OfiSce of Franklin County,Pennsylvauia, .�o�`%E��OFti�y� Li�lle�� `'�G Rewrder of Deeds u i. n =� � o �V:. 1$ 'yd'• �� � A''......• �•e„�n mi:�pN\p •-Information dem[ed by an asterisk may chaoge during tM1e veri�cation procus and may not be re0ecled on this page. MEMORANDUM OF INSTALLMENT SALE AGREEMENT This Vlemoiandum madc this lst day of April, 2014, BETWEEN A. JEAN LAIDIG, by her Agent, REGINALD B. I.AIDIG, of Shippensburg, Pen�sylvania, hereinaftex whefhcx one ox moxe referced to as "Sellez," AND S & J FARMS� LLC, a limitcd Gabiliry company, having as membexs SCO'tT C. HISKADDON, of Oastown, Yennsylvania, and JASON J. FORRESTER, of Chanibersbuxg, Pcnnsylvania, hereinafrex whethex one oi moxe xcfeaed to as "Buyer," WITNESSETH, thaz in considerauon of the covenants and a�eements hexeinafter contained and intending to be legally Uound hereby, Sellex and Buyer agree as follows: 1. The paxties hexeto have entercd into an installment sale agreemen[of ieal estatc by agreement of even date wirh this memoxandum. 2. The xeal estate to be sold and conveyed to the Buyex under the tevns of sud installinent sale agxeetnent is moLe fully descriUcd in Exhibit A, which is attached hexeto and made a part hereof. 3. Undex the terms oF the afoxcmenrioned agxeement, no legal utle to thc aUove- described real estate shall pass from Sellei to Buyex until the purchase price is paid in full. Page 1 � Undex the terms of die afoxementioned a�eement, the puschase price is to be paid in fiill on or befoxe��pril 1, 2016. 5. Undex the tenns of the aforemcntioned installment sale agxeement, neither the Seller nox the Buyer shall create nor permit to e�st any liens ar encumbiances against the afotesaid xeal estatc from the date of the sja jpg of the installment sale agxeement. IN WITNESS WIIEREOF� the paxries hcicto have heseunto set their hands and scals the day, month and yeaz aforesaid. Witness: � ' ��/ � �'�"��SEAL) Reginald B. Laidig, :lgent fox r1.Jean Laidig S &J FARMS, LLC � Y ��'-� ( ) � s ( � C/� ' �� SFar Scott C.�skaddon, Membex � f.l.C- �O �7lYGGt�� By . � � s F1, (SEi1L) J on J. Foriestex, Vlember Page 2 STATE OF PENNSYLVANIA . COUNTY OF CUMBERLAND . On this the �Sf day of U � , 2014, Uefoic me a notary public, personally appeaxed REGIN D B. LAIDIG, Agent for A. Jean Laidig, known ro me oL sansEactorily proven to be the pexson whose name is subscribed to the within instnunent and acknowledged that he executed the same fox the purposes thexein contained as the act aod deed of his pxincipal. In Witness Wheceof, I heieunto set Qmy hand and/o'�fficial seal. NOTAftIAL SEAL � ����-l/1 �f�^" "—� . TflICIA�6AIlEV Notary Public sHivPEr�seuacaoaoucx,cus��;�R�;,iaocomm \otaxyPublic Idy Cammissioe Expires Sep 2A,?074 STATE OF PENNSYLVANIA . COUNTY OF CUMBERLAND . On this the �� day of QP�� , 2014, befoxe me a notary puUlic, pcxsonally appeazed SCOTT C. KISKADDON and JASON J. FORRESTER, members of S &J Ft1RMS, LLC, a Pennsylvania limited liabiliry company, kno�vn to me oi sarisfactorily proven to be the pexsons whose names axe subscabed to the within instrument and acknowledged that they execuud the same for the pucposes thesein conrained. In Witness Whereof, I hereunto set my hand and official seal. ������ � �voraNini seni Notary Publie rN�an i sa�ev @olxry Pi�blic �%9IPPENSAUflG 70q0U5H,LIIMAENLAIJD C001l7V � _My Gamm�sslon Expl�es Sep PQ 2014 Page 3 EXHIBIT A ALL the following described =eal estate ly-ing and being situate in I,urgan Township, Fianklin County, Pennsylvania, bounded and described as follows: BEGIN��ING at a chestnut oak at the comex of lands now ox £ormedy of Gary N. Sattexlee and John C. Negley; thence by lands now ox formeily of Gary N. Sattexlee and now ox formefly of R. E. Ko}u, South 3 degiees East 83.7 perches to a white oak; thence by lands now ox formeily of R. E. Kol�, South 5-1/2 degrees West 31.5 pexches to a stone; thence by the same, South 67 degiees 37 minutes East 67.5 peiches to a stone in a private road; thence by the same, North 81 degcees East 62.6 pexches to a posr, thence by lands now or formerly of John A. Ile, South 29-3/4 degrees East 59.7 pexches to a white oak; thence by thc same, Sourh 34-3/4 degxees �ast 395 perchcs to a white oak; thence by the same, South 29-3/4 dcgrees East 732 perches to a hickory uee on the side of a public ioad; thence by ]ands now ar formerly of Waltex B. Ile, North 86 degxees 10 minutes West 95.1 perches to a white oak; thence by the same, North 33.5 degxees West 2.1 pcxches to a white oak swmp; thence by the same, South 87-3/4 degrees West 42.8 pexches to a stone; thence Uy the same and lands now or formerly of Ezra Bert, Sourh 41 degxees West 44.8 perches to a post; thence by lands now ox formeily of Robert L. Wilkison,Noxrh 643/4 degzees West 107-3/4 pexches to a hickory; thence by the same, Narth 29-2/3 degrecs West 110-1/3 perches to a post; thence Uy the same, North 55 degrees West 46.7 pexches to a s•rone; thence by lands now ox fo:mexly of John C. Negley, North 9 degrees West 47 perches to a post; thence by the same, North 32-1/4 degxees L',ast 82.8 pexches to a stonc; dience by lands now ox formerly of Jolm C. Negley, North 76-1/4 de�ees F,ast 109 perches to rhe place of beginning, containing 342 acres 623 peiches inclusive of 663 perches comcyed by Samuel R Hoovex and Mary Hoovcx, his wife, by deed dated April 15, 1856, iecoxdcd in Franklin Counry, Pa., Deed Book 68, Page 504, to Abram Hoovex and John L. Rebuck, trustees of bury-ing mounds. By deducring the area of the �aveyaxd, there xemains in rhis t�act 341 acres 156 pesches. 'I`F[N: above-described xeal estate is the same which Kemvt UI. Laidig and �1. Jean Laidig, his wife, by deed dated December 27, 2002, rewided in Fxanklin Couoty, Pa., Deed Book 2035, Page 407, conveyed to �.Jean Laiclig. 7¢ Nuarn Sc.conu 6rxver � 20ldasr Ruxu 6rxeeiS PA.Bo�qo C�umurv.xsxuur., PrsNsv�v_awn i7zoi Smrrr�sxrxc. PeNnsrica�i� i ]-57 PxoNe: 7�7-26q-6oz9 PxorvF: 7t7-53�-57�3 F.ix: 7i7-z6q-tA8q Fnx: 7�7'S3o-5zzz _—_—_ .__ .—_ - ._ — . _ . . _ —. _—_.. . _. _. SUZANNE M.TRINH RACHEL C.SCHRECK JOEL R.7.UI.LINGER HAMILTON C. UAVIS . �inh ilh - I: -.rooi �� I I .: olli ,li I . .�r,in �„ Ili �r-J:ni..r n hd:ni ,. dhnArr�d:ni,.r�nn �tl i u. �L��rol l lrr 1,.� vnt� u�� ��� �� . . ,el �l/(1no�.rl SCpLev]be19, 2O]5 Rcgistc;r of Wills c� — _ a Cumbcdand County Courthouse � o � ':' o 1 Cuwtl�ouse Squacc ��' �� -n � _ Caclislc, PA ]7013 � � � Dcax Rcgistec: . � . � �,�' � �-. = c� N I'— T RE: Estate of A Jean Laidig . o °J � Endoscd is an otiginal and one copy of die P�� 1nlieripnce Tax Return for flling in yout officc. .�11oog with thc ta�n, the following cl�ecks are encloscci: • 12egistet of Wills, Agen[ - �47,21177 for uiliciitance tax due wi[h the filing; and • Regisrec of�ills - $450.00 Eoi adclitiooal probatr Ccc. If you hnve any quesrions,plcase conract my Chambersburg oCfice. 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