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HomeMy WebLinkAbout01-0442 PETITION FOR PROBATE and GRANT OF LETTERS Estate of. ~..,~ T t<<~~f?Q. (J No. ~/- 0 J - 'Ilf~ also known as To: Register of Wills for the -,> Deceased. County of in Social Security No. Jl.//-/8 -aB..::uo Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executr: x in the last will of the above decedent, dated ~ - . ~ and codicil(s) dated the named , 19~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in h . S last family or principal residence at ~ ,.." Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in P nsylvania situated as follows: : /"6~ooo $ $ $ $ WHEREFORE, petitioner(s) respectfully presented herewith and the grant of letters last will and codicil(s) inistration c.I.a.; administration d.b.n.c.La.) theron. ~ ~ v u C v ~3 v... o::g -00 c';:: ro'';: 3~ v"- :;0 :;; c 01) Vi 1E~~fr~:;t~'1 , ;If ~ ;;fl/U..L.-/ lJ1 iJl7~cfxJld OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND ) The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. '11(t!&~ ,;f( /l!VJw~M subscribed { day of ~2001 Register V:l ~. ;:s t:l - l:: ~ ~ Sworn to or affirmed and before me this 3rd. '<>10'''1 c.~ No. 21-01-442 Estate of GEORGE I. MANSFIELD , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW MAY 3,2001 19_, 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 jan. 28,1993 described therein be admitted to probate and filed of record as the last will of GEORGE I. MANSFIELD TESTAMENTARY MARIE M. MANSFIEID and Letters are hereby granted to 'n-Jn"'f ~ ~v:., 1'- P.B\l-ruT... _ Register of Wills '\ FEES $ 270.00 $ 24.00 $ $ 42. 00 5 00 TOTAL _ $ 341.00 Filed ....... .~Y. .3.,.4Q9.L.. .. ... .. . . . . .. scarr M. DINNER, ESQ. AITORNEY (Sup. Ct. I.D. No.) 3117 Chestnut st. Camp Hill,Fa. 17011 ADDRESS Probate, Letters, Etc. ......... Short Certificates(8 ) . . . . . . . . . . Renunciation ................ ~-pages '_, JCP PHONE HI05.80,) REV ')/86 This is to certifY that the information here given is correctly copied from an original certificate of death duly filed with me as Local R~~gistrar. The original certificate will be forwarded to the State Vital Records Office for permanent fIling. WARNING: It is illegal to duplicate this copy by photostat or photograph. 21-01-442 No. tu...~~ ~J... ~. n . Local Reg strar . Fee for this certificate, $2.00 p 7234723 fltJu..l 17 c1/HJ ( Date H105.i43R.",2187 COMMONWEALTH Of PENNSYLVANIA. DEPARTMENT Of HEALTH. VITAL RECORDS CERTIFICATE OF DEATH T'tPE.iPR.Nl IN PERMANENT BLACK INK AGE (la. Blrthdayl UNDER 1 YEAR ........ Da,. STAlE FilE ~UMBER George I. Mansfield Jr. ----~~~~~-"-:Ex~ale r:'~~;UR:"U".;R8_ UNDER 1 OAi~ATE-OF BIRTH r--BiRTHPt:Ace,CIY;U:d Pl.ACE~ DEAlH ICt>eck Of\lyQf'8-- 'Ae,f,!j,IIUCloOf.,OOl)ft>e1 ~I ttourIi : MINII.. I ,~D.1y 'earl I 3tateOffcreognCOllf'lIly) HOSPiTAl; -- : I Jan 29,1927 8::dford CC:":1ty. ,....."...0 <"""-"001 U '. 7 ..._ CITY. BOAO. TWPOfOEATH glVestree!~nombeI'l Lower Allen ::=i1JD DECEDENt'S USUAl OCCUPRJON (~~ oI::iodoneduf;zt:- ~wnei?t5"peralor 11a. 111t. DECEDENT'S MAtlING ADOAESS (StI.... ClfylTown. &.. Zip Codel 4201 Gettysburg Road Camp Hill, Pennsylvania 17011 Dry Cleaners DAlE OF DEAJH ,McnIh. Da~. "NIl April 15, 2001 NAME Of DECEDENT (fll"s;l Mlddle.l..olSl1 I. 74 'N. .. COUNTY OF DERH Cumberland RACE. Ama>ncan Indian. BaKk. WtMIe. lite ,_, ... ... ... KINO OF BU$INES$IINOUSTRY I.. White 17b. County "" - liwina Cumberland -' "..0 :::"'""=,,.:::'01 MOTHER'S NAME lFir$l. M.odIe, MiIlden Suln.ne) MARtTAl STATUS. "allied Ne'tel"Mvried, W~, l)M)n;:ed (Spec"VI Married Lower Allen SURVfVI\IG SPOUSE II'''. QI\4~namel Marie Jacobs DECEDENT'S ACTUAl RESIDENCE ISH II"ISkUCtlON on0lh8lSldel 11.. Slate _. II. fATHER'S NAME (Fils!.. Midch. La$l) ....- 0- ~ fil ~ o ~ o w ,; <( z II. _ORMANrsNAME fJ,-on<l .... METHOD OF OtSPOSITION O ...... 0< c,........ 0 00Mli0n OtMI(Speclfy 21.. .- SlGNAJU George I. Mansfield Marie Mansfield II. Emily Leasure INfORMANT'S WAtlING A.DORESStSb.... c.tylbwn. sa...lipCode) .... 4201 Gettysburg Road Camp Hill, Pa. 17011 PlACE OF ~SPOSfTION. N-.ne at Cem.ery, CfemalOfy lOCATION - CityITown. SlaM, rip Code Ot 0tMI PIKe twnow.1Jorn Slal. 0 21c. Slate Hill Cemetery 21d. Camp Hill, Pa. 17011 FD-012662-L NAME AND ADDRESS Of FIoCIUTY .... Myers Funeral Home, Inc. 37 East Main Street Mechanicsbur UCENSE NUM8ER DATE SIGNED (MonIh. Day. 'Mall , Pa 1705 . ~~~~Of). r~<- l : C .w-C.l'~ >>tA.. 23b. 21c. ~ CASE REFERRED TO MEOfCAl. EXAM.NEAlCOROHER? _ _ tuf ...0 ~ H. I AWrOllltMle PART H: ClUIet significanll condIioN conIJlbuIing 10 dealh. N : ~ bMwMn lIDI f'UUIing in 1M ~ c:auM given.. fMT l. r--- .~~ DUE 10 (OR AS ACONSEOUENCE Of): DUE 10 (OR AS Ii. CONSEOUENCE Of): WERE AUlOPSY FINOtNGS MANNER Of DeATH OATE OF INJURY A.\WL.A8LE PRtOR TO (MonIhDay. Yeal) COMPlETION OF CAUSE @ 0 OFOEATH? ........ Hem..::. Ac:CMMnI Pending Invesugallon 0 ,.. 0 No 0 ....... 0 Could not be determined 0 TIME OF INJURY INJURY 1J V\olORK? DESCRfSE HOW INJURY OCCURRED. .... 0 NoD .PRONOUNCING AND CERTIFYlNG PHYStC"IAN (Phvsac<an bolh flIOl'lOUflC'''9 tJedlh dnd cerl.lytnq 10 caLlse 01 aedlh\ To the tMtII of my Itno.I~., deilthoccultl.d allM u.n., dale. and p4ece, .nd due 10 the cause(s) end mann.,.. ...Ied Ii;, JI (JI 34. /1 ,2(JO ( ( 2... 21b. a. a:R1WIERI~OI'1i',OfltQ .CEATaFYlNG PHYSICIAN 1PhySoCoafl Cli'f1llyong ~$e oIlJe'alh wt'!er> ..lrlOlt1er phYSlCoatl hdS p1onounced dedIt'! an<,) cornlJl~ltl(] llem 2J) To 11M beat o. my knowledge, ....Ih occurred'" to ehe (:au..(s) and manner.e slaled. . . . . IDagt 11 ill nun Q[e~tam~nt N GEORGE I. MANSFIELD I, GEORGE I. MANSFIELD, of Lower Allen Township, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing under ITEM V of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this will. ITEM 11.: expenses of my last illness property passing under this administration of my estate. I direct the Executor to pay the and funeral expenses from the Will as an expense and cost of ITEM III: I give and bequeath the sum of TEN THOUSAND ($10,000) DOLLARS to each of GLENDA MANSFIELD and CONNIE SHOLLY, but only to the extent I have not made a lifetime gift of TEN THOUSAND ($10,000) DOLLARS to said child subsequent to the execution of this Will. If either of said children predecease me, the bequest to that child shall lapse. Page 1 ~ ITEM IV: If I predecease my wife, MARIE M. MANSFIELD, I give and bequeath to her absolutely and in fee simple all of my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment and all policies of insurance thereon. If I do not predecease my said wife, I make said bequest to my children, SHARON M. BARBARETTA, WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, and MICHAEL L. MANSFIELD, living at the time of my death, to be divided among them as they shall agree. Should there be no agreement, such property shall be divided among them by the Executor in as nearly equal portions as is deemed practical in the sole discretion of the Executor, having due regard to the personal preferences of such children. ITEM V: I give, devise and bequeath all the rest, residue and remainder of my estate, not disposed of in the preceding portions of this Will, to my wife, MARIE M. MANSFIELD, as Trustee (hereinafter referred to as "Trustee"), IN TRUST NEVERTHELESS, to be further divided into two parts, each of which shall be held in trust and constitute a separate Trust Fund to be known as "Trust A" and "Trust B". "Trust A": There shall be placed in "Trust A" that fraction of my residuary estate of which the numerator shall be a sum equal to the largest amount that can pass free of Federal estate tax under my Will by reason of the unified credit and the state death tax credit (provided that the use of this credit does not require an increase in state death taxes) allowable to my estate but no other credit and after taking account of dispositions under other items of this Will and property passing outside of this Will which do not qualify for the marital ~..~ '" - %/l 2 ..., ___ Page charitable deduction and after taking account of charges to principal that are not allowed as deductions in computing my Federal estate tax and of which the denominator shall be the value of my residuary estate. For purposes of establishing such fraction, the values finally fixed in the Federal estate tax proceeding relating to my estate shall be used. I recognize that the numerator of such fraction may be zero (0), in which case no property shall pass under "Trust A" and that said numerator may be affected by the action of the Executor in exercising certain tax elections. "Trust B": The balance of my residuary estate not placed in "Trust A" shall be placed into "Trust B" to be held, administered and distributed in accordance with ITEM VII of this Will. ITEM VI: apply to "Trust A": The following provisions shall (a) The Trustee shall pay the net income arising from the principal of this Trust in quarterly installments to my wife, MARIE M. MANSFIELD, during her lifetime. (b) During the lifetime of my said wife, the Trustee shall pay to or for the benefit of my said wife so much of the principal of this Trust as may be necessary, in the sole discretion of the Trustee, for the proper support, maintenance and medical care of my said wife. Page 3 Y>;ML'/l > r /...." './ /.{ il-L " .~" (c) Upon the death of wife, or upon my death if she predeceases me, the then remaining principal shall be divided into as many equal shares as there are then living children of my marriage to MARIE M. MANSFIELD, being specifically SHARON M. BARBARETTA, WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, and MICHAEL L. MANSFIELD, and then deceased children of mine and of MARIE M. MANSFIELD represented by then living issue. The Trustee shall pay one such share to each such living children and shall hold one such share as a separate Trust for the benefit of the issue of each such then deceased child, per stirpes. All of such children as are living at the time of distribution must agree on the division of assets among them. If they are unable to reach agreement, they shall refer the matter to a qualified arbitrator who shall make such determination. (d) In each Trust established for the benefit of the issue of a deceased child of mine, the Trustee shall quarterly pay the net income to or for the benefit of the issue of such deceased child, per stirpes, living at each time of quarterly distribution; as soon as anyone of said issue attains the age of twenty-one (21) years, and in no event later than twenty (20) years following the death of the survivor of my wife and me, the Trustee shall pay over all of the then assets in the Trust to the then living issue of my deceased child, per stirpes. (e) If at any time before final distribution of the assets of any of the Trusts established for issue of deceased children, there are no living beneficiaries of said Trust, the Trust shall ,/J)I;[ Page 4 terminate, and its assets shall be distributed to my then living children and issue of deceased children, per stirpes. The share payable to the issue of deceased children hereunder shall continue to be held in trust for the benefit of said issue in accordance with the provisions of subparagraph (d), provided, that if any of the Trusts herein created for the benefit of issue of deceased children have been terminated by the payment of its principal to its beneficiaries, the beneficiaries who received payment of the principal of that Trust shall collectively be considered an "existent Trust" for the purposes of this paragraph, and one equal share shall be paid directly to such beneficiaries in the same proportion by which they received the principal of the Trust, or, if any such beneficiary is deceased, the share of such deceased beneficiary shall be paid to the issue of such beneficiary, per stirpes. ITEM VII: apply to "Trust B": The following provisions shall (a) Trustee shall have, hold, manage, invest and reinvest the assets of this Trust, collect the income and beginning at my death pay over the net income in quarterly installments to my wife, MARIE M. MANSFIELD, during her lifetime. The Trustee shall also, from time to time, pay to my wife such amounts of principal of this Trust as the Trustee deems necessary for the proper support, maintenance and medical care of my wife. (b) Upon the death of my pay all accrued income and all Page 5 wife, the Trustee shall income accumulated b.U U~r!~.4/ .. :Q-Jl!i undistributed to the estate of my deceased wife and shall thereafter transfer the then remaining principal of this Trust to "Trust A" to be held, administered and distributed in accordance with the provisions of ITEM VI of this Will. (c) If my wife should not survive me, then the provisions of "Trust B" shall be void and the part of my estate which would have constituted "Tr1;.st B" shall be added to "Trust A" to be disposed of in accordance with ITEM VI of this Will. (d) The Executor shall be authorized in the Executor's sole, exclusive and unrestricted discretion to determine whether to elect (under Section 2056(b)(7) of the Internal Revenue Code of 1986 as amended, or any corresponding provision of the Federal estate law), to qualify all, none or a fraction of "Trust B" for the Federal estate tax marital deduction. The decision of the Executor with respect to the exercise of the election shall be final and conclusive upon all persons whose interests in my estate are directly or indirectly affected by the election. Only property which is fully eligible for the marital deduction under Federal estate tax law shall be assigned to this Trust. Notwithstanding anything to the contrary contained in this Will, the Trustee of this Trust shall not retain beyond a reasonable time any property which may at any time be or become unproductive, nor shall Trustee invest in unproductive property. Notwithstanding the provisions of subparagraph (b) of this Item, the Trustee shall pay to the Executor of my wife's estate, out of the principal of this Trust upon the death of my , wife, an.~..'/()' . ",( 7~' )1/1 ,L-~Y~-' Page 6 amount equal to the estate, inheritance, transfer, succession and other death taxes ("death taxes"), Federal, state and other, payable by reason of the inclusion of the value of Trust property in my wife's estate. Such paYment shall be equal to the amount by which (1) the total of such death taxes paid by my wife's estate exceeds (2) the total of such death taxes which would have been payable if the value of the Trust property had not been included in her estate. The determination by my wife's Executor of the amount payable hereunder shall be final. I direct the Trustee to pay such amount promptly upon written request of my wife's Executor. The final determination of the amount due hereunder shall be based upon the value as finally determined for Federal estate tax purposes in my wife's estate. After paYment of the amount finally determined to be due hereunder, the Trustee shall be discharged from any further liability with respect to such paYment. My wife may waive her estate's right to payment under this subparagraph by Will, executed after my death, in which she specifically refers to the right to paYment hereunder given to her estate. ITEM VIII: No part of the income or principal of the property held under any Trust created by this Will shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. The Trustee shall pay over the net income and the principal to the parties herein designated, as their interests may appear, without regard to any attempted anticipation, pledging or assignment by any beneficiary under a Trust, and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. it:M1, Page 7 ITEM IX: In the settlement of my estate and during the continuance of the foregoing Trusts, the Executor and the Trustee shall possess, among others, the following powers: (a) To retain any investments I may have at my death, including specifically those consisting of stock of any bank even if I have named such bank as the Executor or Trustee herein, so long as the Executor or Trustee may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by the Executor or Trustee, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other property, real or personal, as they shall deem wise, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. (c) In order to effect a division of the principal of a Trust or for any other purpose, including any final distribution of a Trust, the Executor or Trustee is authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind, and to allocate specific assets among beneficiaries and Trusts created hereunder so long as the total market value of any share is not affected by such division, distribution or allocation in kind. Should it appear desirable to partition any real estate, the Executor or Trustee is authorized to make, join in and consummate partitionS!; iM, Page 8 of lands, voluntarily or involuntarily, including giving of mutual deeds, recognizances or other obligations, with as wide powers as an individual owner in fee simple. (d) To sell either at public or private sale and upon such terms and conditions as the Executor or Trustee may deem advantageous to the estate or Trust, any or all real or personal estate or interest therein owned by the estate or Trust severally or in conjunction with other persons or acquired after my death by the Executor or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon the Executor or Trustee in this paragraph or elsewhere in my Will. (e) To mortgage real estate, and to make leases of real estate. (f) To borrow money from any party, including the Executor or Trustee, to pay indebtedness of mine or of my estate, expenses of administration or inheritance, legacy, estate and other taxes, and to assign and pledge assets of my estate therefor. Provided, however, that this paragraph shall not authorize borrowing from "Trust B". ,:, U.:.~/~ t y ...!\1/ Page 9 (g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or a Trust. If any estate or inheritance taxes are payable from assets received by the Trustee, such taxes shall be paid from the assets constituting "Trust A". (h) To make distributions of income and of principal to the proper beneficiaries thereof, during the administration of my estate, with or without court order, in such manner and in such amounts as my Executor deems prudent and appropriate. (i) To vote any shares of stock which form a part of the estate or Trust, and otherwise to exercise all the powers incident to the ownership of such stock. (j) In the discretion of the Executor or Trustee, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the estate. (k) To disclaim any interest in property which would devolve to me or my estate by whatever means, including but not limited to the following means: as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under a third-party beneficiary contract. Page 10 the similar Trust for the same beneficiaries created in the Will of my wife, and operating each of said merged Trusts as a single Trust. ITEM XII: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under such circumstances that the order of our deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. ITEM XIII: I hereby nominate, constitute and appoint my wife, MARIE M. MANSFIELD, to be the Executrix, herein referred to as "Executor". In the event of her death or her inability or refusal to serve, I nominate, constitute and appoint SHARON M. BARBARETTA and STEVEN R. MANSFIELD, to serve in her stead as Executor or Trustee, or both. In the event of the death, inability or refusal of all of the above-referenced individuals to serve, I nominate, constitute and appoint first my son, WAYNE A. MANSFIELD, to serve as Executor or Trustee, or both, and second my son, MICHAEL L. MANSFIELD, to serve as Executor or Trustee, or both. The Executor and Trustee are specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding eleven (11) pages, at the end of each page of which I have also set my initials for greater security and better identification this .~ Y day of ./YCf....?1-?r,z,/' , 191.:;. ~r~~{(fC;< .:~-I (SEAL) We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testator was of SO#aSing mind (:::em:::~ding at _22L c9E~ 4~ O...L /7;/ /~ NeJ CV/'1kr!~^~(~ /;D~O )~ .--- (SEAL) Residing at 35::2.... 'I=~-::~,~,. t., r::J (!;;--'<L.-b }/;/I rPtJ / -7C tf (SEAL) ReSidi'ng at IVr) I-J t21~d.5+p- if.: ' < " .,' f!- C Q""f} If-r..QC .' 0 /Ie)/ / - J 1-/ l- ( ( /;,'c[) 't ~/'? (-"cx:~,-) , - J-~_J ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF k 1i'{/CfA'~('1{./ ) ) ) SS: I, GEORGE I. MANSFIELD, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. i!:n-: ~C~f~ 6L(SEAL) Sworn to and subscribed ~~)1~t~:at~y ~~~fjay '" a:/ / /, .(tt.l_l..__ Notary Public 'My Commission Expires: (SEAL) Notarial Seal JanetM. Howel! Notary Pttic Harrisburg, Dauphin County My Commission Expires Nov. 29, 1993 Member, Pennsylvania Association of N'Jtaries AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF A'7t[ILf)CCt~ ) ) ) SS: f ,/1 f J L r ,/" We, /;1 fA: L if Ct\ ( jC': ') ,L_)(, (, I l,.'Cv'l- c.-"" and ~11 , the Witnesses whose names are signed t or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator, GEORGE I. MANSFIELD, sign and execute the instrument as his Last Will and Testament; that Testator signed willingly and that he executed said Will as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as Witnesses; and that to the best of our knowledge the Testator was at that time eighteen (18) or more years of age, of sound mind and under no nstraint or undue influence. (fj n (; fl,.- ,~j~ 5M!~ ..., - /"' ' {~1:; \~ w{tn~{s51< ~ ,.J", Sworn to and SUbsc~bed befC:lje_ me this c,-:<'f5 - day of ,jI{At~tlA"1 ' 19tjJ. ~lL~1..( Ynl ;.k{.[d1c ",J Notary Publ i c ;.-,/ My Commission Expires: (SEAL) NotanalSeal Janet M HowelL Notary Ptdc Harrisburg. Dauphin County My (',ommission Exoires Nov. 29, 1993 t>f.!~I1;be" Pennsyr/ania Association of Notarietl s ---- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: George 1. Mansfield Date of Death: April 15, 2001 Will No. Admin No.21-01-0442 To the Register: I certify that notice of beneficial interest required by Rule5.6(a) ofthe Orphans' Court Rules was served on or mailed to the following beneficiaries of the above- captioned estate on June 28, 2001. Name Address Marie Mansfield 4201 Gettysburg Road Camp Hill, PA 17011 Sharon Barbaretta 690 Lynes Road Dillsburg, P A 17019 W ayne A. Mansfield 1444 Brandton Road Mechanicsburg, P A 17055 Steven Mansfield 2 Bittersweet Lane Mechanicsburg, P A 17050 Michael L. Mansfield 1408 Raven Hill Road Mechanicsburg, P A 17055 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: June 28,2001 a~1XfL Name Marie Mansfield Address 4201 Gettysburg Road Camp Hill, P A 17011 Telephone(717)761-6176 Capacity:~Personal Representative Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } :5: Marie M. Mansfield being duly appointed according to law, deposes and says thatshe 1S Executrix of the Estate of Georqe I. Mans fie I d late of 47-01 Gettysburg Road, Lo.w.er Allen Twp ,Cumberland County, Pa., deceased and that the within is an inventory made by Marie M. Mansfield , the said Executrix of the entire estate of said decedent, consisting of all the personal propdrty and real estate, except real estate oubide the Commonwealth of Pennsylvania. and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. S ~'CIc' (\.. and subscribed before me, ~~~...~~~ Marie M. Mansfield 4201 Gettysburg Road +~'\$ ,tr..... oLa...a o~ """'3"u..\C; )'t9..~OO\ ~~~ r---. "\ Camp Hill, PA 17011 Acldre.. Date of A ril Month 2001 Y.., INSTRUCTIONS I. An 1rlventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. - -..-I ..c:: ro 11l ~ r-I e -0 >- (l) ) ~ I- W ...-1 0 G .. ":t- >- c:: I- 4-1 ~ 1lI W < l1l G \ 0:: a.. l- e e u . 0 G 0 V\ co (l) C 0- >- W W C) J: ex: ::&: r-I 1lI . I- a.. a.. c \ ... -' u.. r-I 1lI .. Z 0 LL -' < 0 I<C a.. = ::..... W < W H \6 0 .;. < > Z ex: lo-I - Z 0 (l) (l) c C O'l ) ::s V\ Z 0 0 0:: lo-I 0 U Z w < 0 H .. a. (l) .,., c iW 'II - -.: 0 G ..a .,., oW G E 0 - ~ 'II ::s 0 ...J U it .. ~nventory of the real and personal estate of George I. Mansfield deceased 1. 1965 Greencastle Mobile Home $ 1 ,000 00 2. 1980 Duke Mobile Home 1,000 00 "3. 1971 Skyline Mobile Home 1,000 00 4. 1972 Villager Mobile Home 1,000 00 5. 1973 Homemaker Mobile Home 1,000 00 6. 1970 Highlander Mdbile Home 1 ,000 00 7. PNC Bank Checking Acct. No. 5070079765 55,849 57 8. 50% Ownership Single Family Dweiling, Clinton County, PA 14,475 00 9. 50% Ownership Single Family Dwelling, 1105 Primrose Ave, Lower Allen Twp., PA 20,000 00 $96,324 57 C- Register of Wills of Cumberland County, Pennsylvania SUPPLEMENTAL INVENTORY No. 21-01-0442 Estate of George I. Mansfield also known as Date of Death 04/15/01 Deceased Social Security 211-18-0320 No. Marie M. Mansfield Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unswom falsification to authorities. Name of Attomey: Elyse E. Rogers, Esquire I.D. No.: 41274 Address 415 Fallowfield Road, Suite 301, Camp Hill, PA 17011 717-612-5801 Telephone: DESCRIPTION 1. Real estate in Lower Allen Township, Cumberland County, PA 2. Real estate in Leidy Township, Clinton County, PA 3. Real estate in Lower Allen Township, Cumberland County, PA 4. Mortgage to WSMS Hattie Harris \" " \,.' C,-. {,. -7 t (.. t. ill : .' '. ..' ~ Total Personal Representative: Marie M. Mansfield Jn~ 1n. 1Jl (h1.4i~ Dated: I-~ -D.;t VALUE $430,730.00 $ 5,790.00 $ 34,765.00 $150,525.78 $621,810.78 (Attach Additional Sheets If Necessary) NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. Form RW.7 (Dauphin County). Rev. 9/92 REV-1500 EX + (&-OO) . . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 Jt,-;;):;,'t~ ~ REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I- Z W C W () W C w .... ~:$U) ,,"'''' w~o ::tct:9 "Q,1Il Q, " DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) GEORGE I. MANSFIELD DATE OF DEATH (MM-Do.Year) DATE OF BIRTH (MM-Do.Year) OFFICIAL USE ONLY FILE NUMBER 21-010442 ""'Cciij""NTYC56E --VEAR- -- 'NUtiBER-- SOCIAL SECURITY NUMBER 2 1-18-0320 THIS RETURN MUST BE FILED IN DUPLICATE WrrH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Return (date of death priorto 12-13-82) D 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (A\ta:;h5ch0] z o i= <( ..J ::::I l- ii: <( () w 0:: z o i= <( . I- ::::I c.. :!; o () >< ~ 04/15/2001 01/29/1927 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) MARIE M. MANSFIELD [Z] 1. Original Return o 4. limited Estate [K] 6. Decedent Died Testate (Attach copy of Will) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (date of death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy ofTrust) o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1.95) .... Z W C Z C Q, '" w '" '" C " CAMP HILL 3117 CHESTNUT STREET PA 17011 OFFICIAL USE ONLY 61,849.571 34,475.00 I 127,853,55 L_~_ (8) 224,178.12 14,217,66 (11) (12) (13) 14,217.66 209,960.46 NAME SCOTT M, DINNER, ESQ. FIRM NAME (If Ap~lcabl') SAME TELEPHONE NUMBER 717761-5800 COMPLETE MAILING ADDRESS 1, Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprtelorship (3) 4. Moltilages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointiy Owned Property (Schedule F) (6) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 209,960.46 X .0Q..... (15) X .0_ (16) X .12 (17) X .15 (18) (19) (14) 209,960.46 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete ress: STREET ADDRESS 4201 GETTYSBURG ROAD ~. . CITY CAMP HILL I STATE PA I ZIP 17011 Add Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. CreditsJPayments A. Spousai Poverty Credit 8. Pnor Payments C. Discount Total Credits (A + 8 + C) (2) 3. InteresUPenalty if applicable D. Interest E. Penalty TotallnteresUPenalty (0 + E) (3) 4. if Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) 8. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT ,II1II1111[.. _"111'"'1. ~.IIlIIIIIIiAIIIIIIR.lllm PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ........................................................................... 0 ~ b. retain the nght to designate who shall use the property transferred or its income; .....................~..........~....... 0 ~ c. retain a reversionary interest; or ...................................................................................................... 0 [2$J d. receive the promise for life of either payments, benefits or care? ............................................................. 0 ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................. ~ 0 3. Did decedent own an 'in trust fo~ or payable upOn death bank account or security at his or her death? ................. 0 ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ......................................... .............................................................. ~ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of p8~Ury, I declare thai I have examined this return, includinQ accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based Ofl all informatIOn of which preparer has any knowledge. SIGNATURE OF P RSON RESPONSIBLE FOR FILING RETURN DATE SIGNATURE PA ADDRESS ADDRESS PA 17011 _.r~ II - II L, - :_-Ei'ii!EFUii !Hi _ ~ i _^ 0 _ _ aWlt@"IMtl!WHHMLdlJL,,>, For dates of death on or after July 1, 1994. and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or forthe use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (li)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use olthe decedent's lineal beneficiaMes is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(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 adoption. R~',",".":".' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF GEORGE I MANSFIELD FILE NUMBER 21 01 0442 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Sct1edule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 1965 GREENCASTLE MOBILE HOME 1,000.00 2, 1980 DUKE MOBILE HOME 1,000.00 3. 1971 SKYLINE MOBILE HOME 1,000.00 4. 1972 VILLAGER MOBILE HOME 1,000.00 5. 1973 HOMEMAKER MOBILE HOME 1,000.00 6. 1970 HIGHLANDER MOBILE HOME 1,000.00 7. PNC BANK CHECKING ACCT. NO 5070079765 55,849.57 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 61,849.57 ,~;.~.\;t\r~,......., CERTI FICA TE COMMONWEALTH OF PENNSYlVANIA DEPARTMENT OF TRANSPORTATION Of." TITLE TO A MOTOR VEHICLE .;;, OR TRAiLER "'" g ~ . ;, ,. 11 - ; ;, ~: -'f: 1. the Secretary of Transportation certifY that an applicatio1J has been made to me, pursuant to the Act of April 29, 1959, P. L. 58 as amended, for a Certificate of Title to the motor 1-'ehicle or trailer described hereon. GEORGE MANSFIELD GETTYSBURG RD HI LL PA 17011 4201 CAMP CODE LEGEND A=ANT1QUE MOTOR VEHICLE F=VEHICLE BROUGHT INTO PENNA. FROM ANOTHER STATE OR FOREIGN COUNTRY X=VEHICLE WAS FORMERLY A TAXI R= RECONSTRUCTED VEHICLE VALID ONLY WITH SPECIAL PERMIT 822203435 71 SKn I NE MH OJ SP1605E TITLE NUMBER MAKE OF VEHICLE TYPE MANUFACTURERS SERIAL NUMBER 07-29-71 $12.00 ZERO 2-16-71 DATE OF'ISSUE REGISTRATION FEE GROSS WEIGHT AXLES SEATINGCAPACITYDUPLlCAT DATE ORIG. TITLED CODES And that the motor vehicle or trailer described hereon is subject to the following encumbrances. FIRST ENCUMBRANCE FAVOR OF, AMOUNT ENCUMBRANCE RELEASED DATE ENCUMBRANCE HOLDER BY AUTHORIZED REPRESENTATIVE SECOND ENCUMBRANCE FAVOR OF, AMOUNT ENCUMBRANCE RELEASED DATE ENCUMBRANCE HOLDER BY AUTHORIZED REPRESENTATIVE . have used reasonable diligence in ascertaining whether or not the facts stated in saId applic~tion for ~ this Certificate of Title are true. and that 1 am satisfied that the applicant is the lawful QW1Jer of ~ the motor vehicle or trailer described hereon, or is otherwise entitled to have the same registered g in his name. ~ Wherefore, 1 certify that the above named applicant has been duly registered in the office of the Pennsylvania Department of Transportation as the lawful owner of the motor vehicle or trailer described hereol1. /.../ Witness my hand and seal of office. ;?f.~-~;:;.t~~f>v~;>:",,-.t-. JUL-l1~2001 09:1~ PNCBRNV. elF I:EPRRTI.1EHi 412 70'S 0057 P. 01/82 QPNCBAN< Decedent Reporting Firstside Center P7-PFSC-4-F 500 First Avenue Pittsburgh, P A 15219-3128 /SCP July 10,2001 Charles F. Sullivan 1513 Cedar Cliff Drive Camp Hill, PA 17011 RE: Estate of George I. Mansfield, Deceased SSN: 211.18.0320 DaD: 4/15/2001 Dear Mr. Sullivan: Please find the date of death balances you nave requested listed below. CHECKL'iG ACCOUNTS #5070069938 Established 08/01/1991 GEORGE I MANSFIELD OR MARIE M MANSFIELD DOD Balance: $4,552.82 + $1.72 aocrued interest #5070079765 Established 07129/1994 GEORGE MANSFIELD TIAGEORGE'S CLEANERS RENTAL ACCOUNT DOD Balance: $55,836.70 + $ 12.87 accrued interest Page I of2 A member of Ttu~ PNe FinantiOl' Services GrouP One PNC P!<lZil 245J Fifth A"'~nuc rinsburgl1 Pt=nnsylvIHlI(l 152:':'2 '1707 JUL-11-2001 09:17 PNCBA,1K C I F DEPARTI1t:NT 412 785 8057 ".02/02 ~PNCBAN< SAVING ACCOUNT #5000948945 Established 08/25/1997 GEORGE I MANSFIELD MARIE M MANSFIELD DOD Balance: $57,262.86 + $1 ] 7.67 accrued interest Our offiee only provides date of death balances for IRA's. CD's, Checking and Savings accounts. We do ~ Financial Transactions or Statement Orders. For Further information please ea1l1-800-4-BANKER or your toea! PNC Branch and ask to speak with a FiDancial Services Representative. Sincerely. Gi~~ Rachelle Sciullo 1-800-762-1775 Page 2 Qf2 A member of rt.. PNC Fjnan~I.' Servi~J Group Ot'll! PNC Plaz.. 7.49 Fifth Avenue Pittsburgh P~nn~ylv<Jnill 15222 1707 TOTAL P.02 <~::".~"'.. . COMMONWEALTH OF PENNSYLVANIA lNHERlTANCE lAX. RETURN RESIDENT DECEDENT SCHEDULE F JOINTl Y.OWNED PROPERTY ESTATE OF GEORGE I MANSFIF'LD If an asset was made joint within one year of the decedenfs date of death, it must be reported on Schedule G. FILE NUMBER 21 01 0442 SURVIVING JOINT TENANT(S) NAME ADDRESS RELATlONSHIP TO DECEDENl A MARIE M. MANSFIELD 4201 GETTYSBURG ROAD CAMP HILL, PA 17011 SPOUSE 8 c JOINTLY.QWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deed forjoinUy-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTERESl 1. A. 1/28/93 SINGLE FAMILY DWELLING ON 1.63 ACRES 28,950.00 50. 14,475.00 LEIDY TOWNSHIP, CLINTON COUNTY TENANTS IN COMMON MARKET VALUE PROVIDED BY TAX ASSESSORS OFFICE - 2. A 1/28/93 SINGLE FAMILY DWELLING ON .25 ACRES 40,000.00 50. 20,000.00 1105 PRIMROSE AVE., RANA VILLA SPRING TERRACE, LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY. TENANTS IN COMMON .. .. TOTAl (Also enter on line 6, Recapitulation) $ 34,475.00 .. (If more space is needed, insert additional sheets of the same size) -t . ~~~K1ALWAA~oeo I THIS DEED Made the 28th day of January, 1993; BETWEEN GEORGE 1. MANSFIELD herein designated as the Grantor(s), AND in common GEORGE I. MANSFIELD and MARIE M. MANSFIELD, his wife, as tenants herein designated as the Grantee(s); WITNESSETH, that the Grantors, for and in consideration of---ONE DOLLAR ($1.00J---lawful money of the United States of America, to the Grantors in hand well and truly paid by the Grantees, at or before the sealing and delivery of these presents, the receipt whereof is hereby acknowledged and the Grantors being therewith fully satisfied, do by these presents grant, bargain, sell and convey unto the Grantees forever, ALL THAT CERTAIN piece or parcel of property in Spicewood Run, Leidy Township, Clinton County, Pennsylvania, bounded and described as follows, to wit: BEGINNING at a large pine tree being a corner of property of D. Shronk, et al and Shean, et aI, and being located on the east side of a dirt well road; thence South 32 degrees 00 minutes East along line of property of D. Shronk, et aI, a distance of two hundred ninety-two (292.0) feet to a post on line of land of the G. Cross Estate and C. Summerson lands; thence South 74 degrees 10 minutes West along line of lands of C. Summerson, a distance of two hundred (200) feet to a pipe; thence North 22 degrees 23 minutes West across other lands of Jesse A. Calhoun, a distance of four hundred twenty-two (422) feet to a double oak tree on east side of a dirt road; thence along east side of said road, South 57 degrees 20 minutes East, a distance of one hundred ninety-eight (198) feet to the place of BEGINNING. CONTAINING 1.63 acres. SUBJECT to certain oil, gas and mineral rights as set forth in prior deeds. BEING the same premises which Fred D. Fike, Jr. and Shirley Fike, his wife, Ronald B. Smith and Sandra L. Smith, his wife, Spencer R. Thornton and Eileen Thornton, his wife, and Floyd E. Rhoads and Gladys Rhoads, his wife, by Deed! dated December 1, 1971, and recorded in the Cumberland County Recorder's Office in Vol. 234, Page 643, granted and conveyed unto George I. Mansfield, Granto~ hereina TIllS TRANSFER IS EXEI'IPT FROM PENNSYLVANIA REALTY TRANSFER TAX AS A TRANSFER BETWEEN SPOUSES. BOOK I) 0 5 PIIGE 241 I -,-; L.EER8862-SPECIAL. WAAR.AN1Y DEED I'iMERT P. ZiEGLE"R ~ RE~Rl'JEI1l ~F llEEJ;S. e'UMEE R LA N r; C ~u~n ~eA THIS DEED :sa" 13' "'. 0.., '~--. .'. -', )',. -'- Clllt.~... ~tL~;;JJi;;i Made the 28th day of January, 1993; BETWEEN MARIE M. MANSFIELD herein designated as the Grantor( $}, AND in common GEORGE 1. MANSFIELD and MARIE M. MANSFIELD, his wit e, as tenan ts herein designated as the Grantee(s}; WITNESSETH, that the Grantors, for and in consideration of ---ONE DOLLAR ($1.00J---lawful money of the United States of America, to the Grantors in hand well and truly paid by the Grantees, at or before the sealing and delwery of these presents, the receipt whereof is hereby acknowledged and the Grantors being therewith fully satisfied, do by these presents grant, bargain, sell and convey unto the Grantees foreueT~ ALL THAT CERTAIN lot of ground situate in the Township of Lower Allen, County of Cumberland and State of Pennsylvania, being Lot No. 50 of a plan of lots known as Rana Villa Spring Terrace, said plan being recorded in the Recorder's Office at Carlisle, Pennsylvania, in Plan Book 2, Page 42, bounded and described as follows: BEGINNING at a point on the 'eastern line of Primrose Avenue, said point being 224.1 feet in a southerly direction from the southern line of Rosemont Avenue; thence in an easterly direction along the line of Lot No. 51 on said plan 166.75 feet to a point; thence in a southerly direction along the line of Lot No. 141 on said plan 65 feet to a point; thence in a westerly direction along the line of Lot No. 49 on said plan 166.75 feet to a point; thence in a northerly direction along the eastern line of Primrose Avenue 65 feet to the place of beginning. TOGETHER with the right and privilege of the free and uninterrupted use of the water of Rana Villa Spring, located on Lot No. 33 of said plan, for domestic purposes only, in common with other owners and occupiers of lots on said plan. UNDER AND SUBJECT to restrictions of record. BEING the same premises which Mabel Elicker, single woman, by Nora S. Bertolette, her attorney-in-fact under Power of Attorney dated September 26, 1970, by Deed dated February 9, 1972, and recorded in the Cumberland County Recorder's Office in Deed Book M, Vol. 24, Page 456, granted and conveyed unto Marie M. Mansfield, Grantor herein. THIS TllANSFER IS EXEMPT FRll!!! PENNSYLVANIA REALIT TllANSFER TAX AS A TRANSFEll. BEniEEN SPOUSES. 5cTOK 06 PAGE 555 '~~""'.":".. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAA RETURN RESIDENT DECEDENT SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF GEORGE I. MANSFIFLD FILE NUMBER 21 01 0442 This schedule must be completed and filed jf the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONst!IPTO DECEDENT AND THE DATE OF TRANSFER. DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE NUMBER ATTACHACOP'(Ol'l1'E DEED FORl<,EAl..ESTA1E. VALUE OF ASSET INTEREST (IFAPPUCABLE) 1. MERRILL LYNCH ACCT. NO 872-74055 127,853.55 100. 127,853.55 GEORGE I. MANSFIELD IRA ESTABLISHED 10/10/86. MARIE M. MANSFIELD SOLE BENEFICIARY 2. 66.7 % INTEREST IN TWO TRACTS OF LAND SITUATED 80,000.00 50. 40,000.00 0.00 IN THE BOROUGH OF MECHANC1SBURG, CUMBERLAND COUNTY, PENNSYLVANIA, DECEMBER 11, 2000 3. 33.3% INTEREST IN TWO TRACTS OF LAND SITUATED 40,000.00 50. 20,000.00 0.00 IN THE BOROUGH OF MECHANICSBURG, CUMBERLAND COUNTY, PENNSYLVANIA, JANUARY 3, 2001 - , TOTAL (Also enler on line 7, Recapitulation) $ 127,853.55 (It more space is needee, insert additional sheets ot the same size) Private Client Group ~Mell':rmLynCh 214 Senate Avenue, Suite 50]~ Po. Box 0810 Camp Hill, Pennsyivania 17001-0810 7179754600 800 937 0735 Merrill Lynch Account #872-74055 MLPF&S COST FPO George I. Mansfield IRA FBO George I. Mansfield Established 10/10/1986 as an IRA Account In addition to the securities held in the account as of April 15. 2001. we were also holding the following Money Market Funds: $4.761.15 $1.504.57 $16.090.02 Merrill Lynch Bank & Trust Merrill Lynch Bank USA Merrill Lynch Retirement Reserves Mrs. Marie M. Mansfield was the sole prilllary beneficiary. The account was closed on 5/10/2001 by journal entry of all assets into Mrs. Mansfield's IRA account. u. c).J " i~, I '-J L . J 5 j.; t- 1) :).) 4. :i (i- i':;, ) oJ) . .j ,'~ l- 1 J j, /t :.} (. d L "I I J _) ) _,j . .J::5 + '1'- The illforlllillionset forth herein was obtained from sources which we believe reliable, but we do Ilot ~uaranteeitsac<.:uracy.NeithertheillformatioTl. norilny opinion expressed,<:onstitutesasolicitation :'yusl!frhepurchaseorsaleoianysecuriliesor commodities. Printed in USA. t l - ::; o c() 'V' r rt' ~ ::r " >- f... .- :::s C" c: 011 c: .- u .- f... 0.. ~ " OJ ... ~ " o o ... .... 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N N N N N N N ~ 'C --- --- --- --- --- --- .e '" M N :::l '" M N ~ 0 " ~ ~ ~ 3=~ ~ ~ ~ .EO ~ ~ --- --- --- --- --- --- "'.,. .,. .,. ..,'" .,. .,. .,. " & :E 00 0 0 000 0 0 0 .c: ~ ,... .D . ,Jue? 9 .~ 1"7 - 0(.3-- .':) /i::l';>- " . . . :c]::.' i~ F:_i~,(';;-'~[i~: (':r.' ;}EEDS G U .~,') B ~-=. j'~ :;~GUtITY - FA '00 DEe 12 AM 8 21 THIS DEED MADE this 11 tl1 day of December, Two Thousand (2000) by and between: GEORGE 1. MANSFIELD and MARIE M. MANSFIELD, husband and wife, parties of the fIrst part, hereinafter called "Grantors", AND GEORGE 1. MANSFIELD and MARIE M. MANSFIELD, husband and wife, as to an undivided thirty-three and three-tenths per centum (33.3%) interest in the premises hereinafter described, as tenants in cornmon, between themselves and WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, MICHAEL 1. MANSFIELD and SHARON M. BARBARETT A as to an undivided sixty-six and seven-tenths per centum (66.7%) interest in said premises as tenants in common, parties of the second part, hereinafter called "Grantees": WITNESSETH: that in consideration of the sum of One and Noll 00 ($1.00) Dollar in hand paid by Grantees to Grantors, the receipt whereof is hereby acknowledged by said Grantors, the said Grantors do hereby grant and convey (a) unto themselves, GEORGE 1. MANSFIELD and MARIE MANSFIELD, husband and wife, as tenants in cornmon, an undivided 33.3% interest, and (b) untq their children, namely WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, MICHAEL 1. MANSFIELD and SHARON M. BARBARETTA, as tenants in cornmon, an undivided 66.7% interest, and their respective heirs and assigns, ALL those two certain adjoining tracts, pieces or parc.els ofland situated in the Borough of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania, more particularly bounded and described as follows: Tract No. 1: ALL THAT CERTAIN tract of land together with the improvements thereon erected situate on the South side of Simpson Street (Simpson Road), in the Borough of Mechanics burg (formerly Upper Allen Township), County of Cumberland, and State of Pennsylvania, bounded and described as follows: BEGINNING at a point in the center line of Simpson Street (also known as Simpson Road), at the comer ofland formerly of Monroe W. Farence and Ruth B. Parence, his wife, now or formerly of Sinclair Refining Company, said point being also one hundred forty-five (145) feet in an Easterly direction from the intersection of the center line of said Simpson Street, with the center line of Norway Street; thence along the center line of Simpson Street, North sixty-four (64) degrees thirty (30) minutes East, seventy (70) feet to a point; thence along the line of lands now or formerly of Wilbur H. Fought and Elizabeth M. Fought, his wife, South nineteen (19) degrees thirty (30) minutes East, one hundred fifty (150) feet to an iron pin; thence along lands formerly of the said Wilbur H. Fought and Elizabeth M. Fought, his wife, now Tract NO.2 hereinbelow, South sixty-four (64) degrees thirty (30) minutes West, seventy (70) feet to a point at comer of lands formerly ofMouroe W. Farence and Ruth B. Farence, his wife, nor or formerly of Sinclair Refilling Company, aforementioned; thence along the line of said lands now or . - ~. r, - __no l\.T~-+1-. ...~.....""t""o" (lQ\ rif>.Ol"e:es thirtY (30) minutes West, . 4c~ 5i?~ ,.. peG:. ~~^ '. Zi2>~LER REG00.C;_~ , 'uF DEEDS GUM8ERLAoHD COUNTY - PA '01 JAN 1 PA 12 18 TAX PARCEL NUMBER: 17-23-563-50 THIS DEED MADE this3/'d day of January, Two Thousand One (2001) by and between: GEORGE 1. MANSFIELD and MARIE M. MANSFIELD, husband and wife, parties of the fIrst part, hereinafter called "Grantors", AND WAYNE A. MAt'lSFIELD, STEVEN R. MANSFIELD, MlCHAEL 1. MANSFIELD and SHARON M. BARBARETT A as tenants in common, parties of the second part, hereinafter called "Grantees": WITNESSETH: that in consideration of the sum of One and Noll 00 ($1.00) Dollar in hand paid by Grantees to Grantors, the receipt whereof is hereby acknowledged by said Grantors, the said Grantors do hereby grant and convey unto their children, namely WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, MICHAEL 1. MAt'lSFIELD and SHARON M. BARB ARETTA, as tenants in common, all of Grantors' right, title and interest in and to the following described real estate, and their respective heirs and assigns, ALL those two certain adjoining tracts, pieces or parcels of land situated in the Borough of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania, more particularly bounded and described as follows: ' Tract No. 1: ALL THA T CERTAIN tract of land together with the improvements thereon erected \ situate on the South side of Simpson Street (Simpson Road), in the Borough of Mechanics burg (formerly Upper Allen Township), County of Cumberland, and State of Pennsylvania, bounded and described as follows: BEGINNING at a point in the center line of Simpson Street (also known as Simpson Road), at the comer ofland formerly of Monroe W. Farence and Rutb B. Farence, his wife, now, or formerly of Sinclair RefIning Company, said point being also one hundred forty-fIve (145) feet in an Easterly direction from the intersection of the center line of said Simpson Street, with the center line of Norway Street; thence along the center line of Simpson Street, North sixty-four (64) degrees thirty (30) minutes East, seventy (70) feet to a point; thence along the line oflands now or formerly of Wilbur H. Fought and Elizabetb M. Fought, his wife, Soutb nineteen (19) degrees thirty (30) minutes East, one hundred fIfty (150) feet to an iron pin; thence along lands formerly of the said Wilbur H. Fought and Elizabeth M. Fought, his wife, now Tract No.2 hereinbelow, South sixty-four (64) degrees thirty (30) minutes West, seventy (70) feet to a point at comer oflands formerly of Monroe W. Farence and Ruth B. Farence, his wife, nor or formerly BOOK 237 PAGE 252 REV''''''''.''.''.' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN R.ESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF GEORGE I MANSFIELD FILE NUMBER 21 01 0442 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. MYERS FUNERAL HOME 7,774.00 2. MECHANICSBURG AMERICAN LEGION - RECEPTION AFTER FUNERAL 1,186.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Sodal Securtty Numbe<(s) I EIN Number of POISonal Representative!s) Street Address City State Zip Year(s) Commission Paid: 2. AttorneyFees SCOTT M. DINNER ESQ. 500.00 3. Family Exemption: (If decedenfs address is not the same as claimant's, attach explanation) Claimant - Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 366.00 5. AccountanfsFees CHARLES F. SULLIVAN CPA - PREPARATION OF PA INHERITANCE 3,500.00 TAX RETURN 6. Tax Return Preparer's Fees 7. LEGAL ADVERTISING: CUMBERLAND LAW JOURNAL 75.00 THE PATRIOT-NEWS 66.66 , 141.66 , 8. RESERVE FOR TAXES & ADMINISTRATIVE COSTS 750.00 TOTAL (Also enter on line 9, Recapitulation) $ 14,217.66 .. (If more space IS needed, Insert addltlonal sheets of the same size) """""".,,.71., COMMONWEALTH OF PENNSYLVAN'A lNHER1TANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outnght spousal distnbutions) FILE NUMBER ?1 n1 RELATiONSHiP TO DECEDENT Do Not list Trusteels) n<l<l? AMOUNT OR SHARE OF ESTATE ESTATE OF :1....' r'\ 1. MARIE M. MANSFIELD 4201 GETlYSBURG ROAD CAMP HILL, PA 17011 SPOUSE 100.% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space IS needed, insert additlonai sheets of the same size) fuast 1li HI ann Ufe,Slam2ut OF GEORGE I. MANSFIELD I. GEORGE I. MANSFIELD, of Lower Allen Township, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing under ITEM V of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: expenses of my last illness property passing under this administration of my estate. I direct the Executor to pay the and funeral expenses from the will as an expense and cost of ITEM III: I give and bequeath the sum of TEN! THOUSAND ($10,000) DOLLARS to each of GLENDA MANSFIELD and CONNIE SHOLLY, but only to the extent I have not made a lifetime gift of TEN THOUSAND ($10,000) DOLLARS to said child subsequent to the execution of this Will. If either of said children predecease me, the bequest to that child shall lapse. Page 1 ~ V" ITEM IV: If I predecease my wife, MARIE M. MANSFIELD, I give and bequeath to her absolutely and in fee simple all of my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment and all policies of insurance thereon. If I do not predecease my said wife, I make said bequest to my children, SHARON M. BARBARETTA, WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, and MICHAEL L. MANSFIELD, living at the time of my death, to be divided among them as they shall agree. Should there be no agreement, such property shall be divided among them by the Executor in as nearly equal portions as is deemed practical in the sole discretion of the Executor, having due regard to the personal preferences of such children. ITEM V: I give, devise and bequeath all the rest, residue and remainder of my estate, not disposed of in the preceding portiQns of this Will, to my wife, MARIE M. MANSFIELD, as Trustee (hereinafter referred to as "Trustee"), IN TRUST NEVERTHELESS, to be further divided into two parts, each of which shall be held in trust and constitute a separate Trust Fund to be known as "Trust A" and "Trust B". "Trust A": There shall be placed in "Trust A" that fraction of my residuary estate of which the numerator shall be a sum equal to the largest amount that can pass free of Federal estate tax under my Will by reason of the unified credit and the state death tax credit (provided that the use of this credit does not require an increase in state death taxes) allowable to my estate but no other credit and after taking account of dispositions under other items of this Will and property passing outside of this Will which do not qualify for the marital orj/j-, f." 2 S/ft..f%l Page charitable deduction and after taking account of charges to principal that are not allowed as deductions in computing my Federal estate tax and of which the denominator shall be the value of my residuary estate. For purposes of establishing such fraction, the values finally fixed in the Federal estate tax proceeding relating to my estate shall be used. I recognize that the numerator of such fraction may be zero (0), in which case no property shall pass under "Trust A" and that said numerator may be affected by the action of the Executor in exercising certain tax elections. "Trust E": The balance of my residuary estate not placed in "Trust A" shall be placed into "Trust E" to be held, administered and distributed in accordance with ITEM VII of this Will. ITEM VI: apply to "Trust A": The following provisions shall (a) The Trustee shall pay the net income arising from the principal of this Trust in quarterly installments to my wife, MARIE M. MANSFIELD, during her lifetime. (b) During the lifetime of my said wife, the Trustee shall pay to or for the benefit of my said wife so much of the principal of this Trust as may be necessary, in the sole discretion of the Trustee, for the proper support, maintenance and medical care of my said wife. Page 3 /x" ~~.IJ '~..//. I",t.::"<... ~~'TJ / . , (c) Upon the death of wife, or upon my death if she predeceases me, the then remaining principal shall be divided into as many equal shares as there are then living children of my marriage to MARIE M. MANSFIELD, being specifically SHARON M. BARBARETTA, WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, and MICHAEL L. MANSFIELD, and then deceased children of mine and of MARIE M. MANSFIELD represented by then living issue. The Trustee shall pay one such share to each such living children and shall hold one such share as a separate Trust for the benefit of the issue of each such then deceased child, per stirpes. All of such children as are living at the time of distribution must agree on the division of assets among them. If they are unable to reach agreement, they shall refer the matter to a qualified arbitrator who shall make such determination. (d) In each Trust established for the benefit of the issue of a deceased child of mine, the Trustee shall quarterly pay the net income to or for the benefit of the issue of such deceased child, per stirpes, living at each time of quarterly distribution; as soon as anyone of said issue attains , the age of twenty-one (21) years, and in no event later than twenty (20) years following the death of the survivor of my wife and me, the Trustee shall pay over all of the then assets in the Trust to the then living issue of my deceased child, per stirpes. (e) If at any time before final distribution of the assets of any of the Trusts established for issue of deceased children, there are no living beneficiaries of said Trust, the Trust shall I~{ f ~ Page 4 terminate, and its assets shall be distributed to my then living children and issue of deceased children, per stirpes. The share payable to the issue of deceased children hereunder shall continue to be held in trust for the benefit of said issue in accordance with the provisions of subparagraph (d), provided, that if any of the Trusts herein created for the benefit of issue of deceased children have been terminated by the payment of its principal to its beneficiaries, the beneficiaries who received payment of the principal of that Trust shall collectively be considered an "existent Trust" for the purposes of this paragraph, and one equal share shall be paid directly to such beneficiaries in the same proportion by which they received the principal of the Trust, or, if any such beneficiary is deceased, the share of such deceased beneficiary shall be paid to the issue of such beneficiary, ~er stirpes. ITEM VII; The following provisions shall apply to "Trust B"; (a) Trustee shall have, hold, manage, invest and reinvest the assets of this Trust, collect the income I and beginning at my death pay over the net income in quarterly installments to my wife, MARIE M. MANSFIELD, during her lifetime. The Trustee shall also, from time to time, pay to my wife such amounts of principal of this Trust as the Trustee deems necessary for the proper support, maintenance and medical care of my wife. (b) Upon the death of my pay all accrued income and all wife, the Trustee shall income accumulated b.ur../'..I.!~A' )ZJ^' 1/ L ~ Page 5 undistributed to the estate of my deceased wife and shall thereafter transfer the then remaining principal of this Trust to "Trust A" to be held, administered and distributed in accordance with the provisions of ITEM VI of this will. (c) If my wife should not survive me, then the provisions of "Trust B" shall be void and the part of my estate which would have constituted "Tr'Gst B" shall be added to "Trust A" to be disposed of in accordance with ITEM VI of this Will. (d) The Executor shall be authorized in the Executor's sole, exclusive and unrestricted discretion to determine whether to elect (under Section 2056(b)(7) of the Internal Revenue Code of 1986 as amended, or any corresponding provision of the Federal estate law), to qualify all, none or a fraction of "Trust B" for the Federal estate tax marital deduction. The decision of the Executor with respect to the exercise of the election shall be final and conclusive upon all persons whose interests in my estate are directly or indirectly affected by the election. Only property which is fully eligible for the marital deduction under Federal estate tax law shall be assigned to this Trust. Notwithstanding anything to the contrary contained in this Will, the Trustee of this Trust shall not retain beyond a reasonable time any property which may at any time be or become unproductive, nor shall Trustee invest in unproductive property. Notwithstanding the provisions of subparagraph (b) of this Item, the Trustee shall pay to the Executor of my wife's estate, out of the principal of this Trust upon the death of my / wife';!fl>t( Page 6 amount equal to the estate, inheritance, transfer, succession and other death taxes ("death taxes"), Federal, state and other, payable by reason of the inclusion of the value of Trust property in my wife's estate. Such payment shall be equal to the amount by which (1) the total of such death taxes paid by my wife's estate exceeds (2) the total of such death taxes which would have been payable if the value of the Trust property had not been included in her estate. The determination by my wife's Executor of the amount payable hereunder shall be final. I direct the Trustee to pay such amount promptly upon written request of my wife's Executor. The final determination of the amount due hereunder shall be based upon the value as finally determined for Federal estate tax purposes in my wife's estate. After payment of the amount finally determined to be due hereunder, the Trustee shall be discharged from any further liability with respect to such payment. My wife may waive her estate's right to payment under this subparagraph by Will, executed after my death, in which she specifically refers to the right to payment hereunder given to her estate. ITEM VIII: No part of the income or principal of the property held under any Trust created by this will shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. The Trustee shall pay over the net income and the principal to the parties herein designated, as their interests may appear, without regard to any attempted anticipation, pledging or assignment by any beneficiary under a Trust, and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. Z" 0" ,_.i ,I ~ 1 ( Y__A__ Page 7 ITEM IX: In the settlement of my estate and during the continuance of the foregoing Trusts, the Executor and the Trustee shall possess, among others, the following powers: (a) To retain any investments I may have at my death, including specifically those consisting of stock of any bank even if I have named such bank as the Executor or Trustee herein, so long as the Executor or Trustee may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by the Executor or Trustee, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other property, real or personal, as they shall deem wise, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. (c) In order to effect a division of the principal of a Trust or for any other purpose, including any final distribution of a Trust, the Executor or Trustee is authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind, and to allocate specific assets among beneficiaries and Trusts created hereunder so long as the total market value of any share is not affected by such division, distribution or allocation in kind. Should it appear desirable to partition any real estate, the Executor or Trustee is authorized to make, join in and consummate parti tion~t! 'J .L1fjJ( ( Page 8 of lands, voluntarily or involuntarily, including giving of mutual deeds, recognizances or other obligations, with as wide powers as an individual owner in fee simple. (d) To sell either at public or private sale and upon such terms and conditions as the Executor or Trustee may deem advantageous to the estate or Trust, any or all real or personal estate or interest therein owned by the estate or Trust severally or in conjunction with other persons or acquired after my death by the Executor or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon the Executor or Trustee in this paragraph or elsewhere in my Will. (e) To mortgage real estate, and to make leases of real estate. (f) To borrow money from any party, including the Executor or Trustee, to pay indebtedness of mine or of my estate, expenses of administration or inheritance, legacy, estate and other taxes, and to assign and pledge assets of my estate therefor. Provided, however, that this paragraph shall not authorize borrowing from "Trust B". Page 9 \ /e/j/f { ./.-,j ~ 11/ (g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or a Trust. If any estate or inheritance taxes are payable from assets received by the Trustee, such taxes shall be paid from the assets constituting "Trust A". (h) To make distributions of income and of principal to the proper beneficiaries thereof, during the administration of my estate, with or without court order, in such manner and in such amounts as my Executor deems prudent and appropriate. (i) To vote any shares of stock which form a part of the estate or Trust, and otherwise to exercise all the powers incident to the ownership of such stock. (j) In the discretion of the Executor or Trustee, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the estate. (k) To disclaim any interest in property which > would devolve to me or my estate by whatever means, including but not limited to the following means: as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under a third-party beneficiary contract. Page 10 1,1(' n l //1 ~ , "J,/ yj,y,)1 I (1) To do all other acts in their judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate or Trust. ITEM X: Whenever and as often as any beneficiary hereunder, to whom payments of income or principal are herein directed to be made, shall be under legal disability, or, in the sole judgment of the Trustee, shall otherwise be unable to apply such payments to his own or her own best interests and advantages, the Trustee may make all or any portion of such payments in anyone or more of the following ways: (a) Directly to such beneficiary; (b) To the Legal Guardian or Conservator of such beneficiary; (c) To a relative of such beneficiary, to be expended by such relative for the benefit of such beneficiary; or (d) By itself said beneficiary. expending same for the benefit of . Provided, however, that this power shall not apply to "Trust B". ITEM XI: In the event that there should be established in the Last Will and Testament of my wife, MARIE M. MANSFIELD, Trusts similar to the Trusts herein established for the benefit of my issue, the Trustee of each of said Trusts created in this Will shall have the right of merging it with II ~ ilj V?, (Ih. , . Page 11 the similar Trust for the same beneficiaries created in the Will of my wife, and operating each of said merged Trusts as a single Trust. ITEM XII: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under such circumstances that the order of our deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. ITEM XIII: I hereby nominate, constitute and appoint my wife, MARIE M. MANSFIELD, to be the Executrix, herein referred to as "Executor". In the event of her death or her inability or refusal to serve, I nominate, constitute and appoint SHARON M. BARBARETTA and STEVEN R. MANSFIELD, to serve in her stead as Executor or Trustee, or both. In the event of the death, inability or refusal of all of the above-referenced individuals to serve, I nominate, constitute and appoint first my son, WAYNE A. MANSFIELD, to serve as Executor or Trustee, or both, and second my son, MICHAEL L. MANSFIELD, to serve as Executor or Trustee, or both. The Executor and Trustee are specifically relieved from the duty or obligation of filing any bond or other security. . IN WITNESS WHEREOF, I have set my hand and seal to this, my Last will and Testament, consisting of this and the preceding eleven (11) pages, at the end of each page of which I have also set my initials for greater security and better r; identification this ,;?Y day of Ya4"-?'''''!-7 ' 1913. d,// / ,A, C/'_--., /? . ~' '~-7.:)~"" ~~ )i/{2..;kJ-.'Jc';,t,-/J/'/ (SEAL) (jEORGV I. MANS FIELD,!"/ We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testator was of sound and disposing mind and memory. #d ~"" 1ft' (, /I. r-:. .,~,~jJ/-<) L .~f' . ;: "A" -,;;____ / / .~ r' / j ,7/' ~ <,., ,j /' .'" \. __L Y {l' ( <",/I--Y"'bL.~'" .> \ J (SEAL) Residing at _22./ c9~~ 4v:.e NeJ c.//'1kr-/".,,~ I~ //07'0 , (SEAL) Residing r ( t' 1,,-'~:;;?Y""~.i:J , , at ..,;:,"'::J /;;'r. t> rl., ? ( ~ ~ '-' J=<- ~~_. . ~, 41/i .:r:}! ) ,J,_ ( /N (70'/ at / '1/) (/ .;2:;:cd ~+- / n - i .. 11/ f/ /';j7l1 )'f./ t(r? / -'ICY I ~ (SEAL) Residing /"'"'\.. 1_/;'1 J -----' ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA " ;I, X', .c Q , iG (zJ-,L/,1A.A.~L, COUNTY OF ) ) ) SS: I, GEORGE I, MANSFIELD, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed, G~~~?C~Y:: e/ (SEAL) Sworn to and subscribed bef(r me this ;(':J/j day Of/{i'-'CU2Ai /' 191'3, ' f ,-I ~." (/...-, "'J 'I ' 'I J [1 '<.ILI/ p';fIJ, N?({LtL.C (~ Notary Public 'My Commission Expires: (SEAL) NalariaJ Seal JanetM. Howell, No1aJv Public Hamsburg. Dauphin County My CommISSIOn Expires Nov. 29, 1993 Member, Pennsylvania Assodation of Notal'!es AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF A_tULl-tcLvL ) ) ) SS: /""" }'1 J, , L ( "" We, /,- ;j-';.-' Vfl ,"r" (":/ :~~~ \!,c.~ ,L -....JI ',f j J l ;(1.../,,--" and >:;1',., 'P 5' -Pc,,')' ~ , the Witnesses whose names are signed tJthe attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator, GEORGE I. MANSFIELD, sign and execute the instrument as his Last Will and Testament; that Testator signed willingly and that he executed said Will as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as Witnesses; and that to the best of our knowledge the Testator was at that time eighteen (18) or more years of age, of sound mind and under no nstraint or undue influence. r- ( //J /---- I" ':;1-. 1'-., /--; C 'tness .'"" / .-./~// ) , . .. / ., }.. I..' !/ (.'v/' ..... \ 1 I .J ,/ . ) ....... ( ,( ,,(Jr":""1-i, ~ Wi tneflS '1 ....,J Sworn to and subscribed befor:,e me this;:<z;:l:'J day of "S[...H.(A,d.A"1t. , '19<1). ./ - I ~...A 4/>ut ':I-nJ AM.iJ.J!.LC '/ Notary Public L/ My Commission Expires: (SEAL) Nolana! Seal Janet M. Howell NoIaJy N:lIIc Hanisburg. Dauphin County My Commission ExDiIllS Nov. 29, 19913 Mm1'~ber, PennsylvarllaAssodation of Notanea - OFFICIAL USE ONLY REV-1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA REV-1500 \lo-~/~~ -~ DEPARTMENT OF REVENUE DEPT. 260601 INHERITANCE TAX RETURN FilE NUMBER HARRISBURG, PA 17126.0601 RESIDENT DECEDENT 21 2001 0442 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Mansfield, George I. 211-18-0320 DECE- DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 04/15/01 01/29/1927 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Mansfield, Marie M. 3. Remainder Return CHECK ~ 1. Original Return ~' Supplemental Return ~ (date of death prior to 12-13-82) APPRD- 4. Limited Estate 4a. Future Interest Compromise 5. Federal Estate Tax Return Required (date 01 death after 12-12-82) PRIATE 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach copy of Will) (Attach a copy of Trusl) BLOCKS 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death between 0 11. Election to tax under Sec. 9113(A) 12-31-91 and '.1-95) (Attach Sch 0) fijli\~ijMQwtil'Q_Uijjl!;Alki:;QQ!ljj~~Jji;qijFjqglltiNi!tAXII!!@!lMAjjQN$l<<l!!IJ:!~jjlijmt'iilllttQi NAME COMPLETE MAILING ADDRESS COR- Elvse E. Roqers, Esquire 415 Fallowfield Road, Suite 301 RE- FIRM NAME (If Applicable) Carrp Hill, PA 17011 SPON DENT Keefer Wcx:d Allen & Rahal , LLP TELEPHONE NUMBER 717-612-5801 471,285.0.9. OFFICIAL USE ONLY 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) None 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None 4. Mortgages & Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 150,525.78 -~ 6. Jointly Owned Property (Schedule F) , .~, 0 Separate Billing Requested (6) None RECA- PITULA- 7. Inter-Vivos Transfers & Miscellaneous I'_A TION Non-Probate Property (Schedule G or L) (7) 37,463.00 8. Total Gross Assets (total Lines 1-7) (8) 659,273.78 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 11,350.00 10. Deots of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) None 11. Total Deductions (total Lines 9 & 10) (11) 11,350.00 12. Net Value of Estate (Line 8 minus Line 11) (12) 647,923.78 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax (13) 647,923.78 has not been made (Schedule J) 14. Net Value Subject to Tax (Une 12 minus Line 13) (14) 0.00 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of line 141axable at the spousal tax rate. ortransters under Sec. 9116 (a)(1.2) 0.00 X.O 0 (15) 0.00 TAX 16. Amount of Line 14 taxable at lineal rate 0.00 X.O 45 (16) 0.00 - COMPU- 17. Amount of Line 14 taxable al sibling rate 0.00 X .12 (17) 0.00 TATION 18. Amount of Line 141axatJleat collateral rate 0.00 X .15 (16) 0.00 19. Tax Due (19) 0.00 20. 0 Iqij~ilkjj~!iI~iFY$lMl~@Q!I!i.lllli\iQ~!l~ijp!W~NQ~!ilil!\~lItl ~ . . .. .. .. ............ ............................................................~".Jile$Vl'\eitQ.W!$Wi!$A~PQU!ii$!IP!l$QN..PAQTe..gAllp.RgGHgpKMIl!H!'*................... o PA15001 NTF 29755 Copyright 2000 GreatlandlNelco LP - Forms Sottware Only PA REV-1500 EX (6-00) Decedent's Com lete Address: STREET ADDRESS 415 Fallawfield Road, Suite 301 Page 2 CITY STATE PA ZIP 17011 Hill Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 Total Credits (A + B + C) (2) 0.00 3. InteresVPenalty if applicable D. Interest E. Penalty TotallnteresUPenalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT (3) 0.00 (4) (5) 0.00 (SA) 0.00 (5B) 0.00 '::I.':..:...:~tg'~g!~~!g~YAgt6tt6!i~~~Gg~+l6~~~~'~2i~ci.~~:.. "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred; ................................. b. retain the right to designate who shall use the property transferred or its income; c. retain a reversionary interest; or. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? . . . . . . . . . . . . . . . . . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................. 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . _ . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . _. IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perlury, I declare that I have examined this return including accompanying schedules and statements, and to the best of my knowledge and belief, It is true, correct and complete. Declaration ol preparer other than the personal representative is based on information of which preparer has any knowledge. SIGN URE OF PERSON RESPONSIBLE FOR FILING RETURN --pATE / - 6; -c ""2. Yes No ~ I B ~ ~ o ^-J D~ TE Hill, PA [72 P.S. Ii 9116 (a) (1.1) (i)]. For dates of deeth on or after January 1, 1995, the tax rate is imposed on the net value of transfe~ to or for the use of the surviving spouse is 0% [72 P .S, Ii 9116 (a) (1.1) (ii)J. The statute nnR!': not eXAmnt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. li9116(a)(1.2)] The tax rate imposed on the net value of transfers to orforthe use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72.P.S. . _ 13 9116(1.2) [72 P.S. %9116(a)(1)]. The tax rate Imposed on the net value of transfers to orforthe use of the decedent's siblings is 12% [72 P.S, Ii 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 adoption, o PA15002 NTF 29756 Copyright 2000 GreatiandfNelco lP - Forms SoftWare Only Estate of: George I. Mansfield 21-2001-0442 The following person(s) are signing the return as representative(s) of the estate: Marie M. Mansfield 4201 Gettysburg Road Carrp Hill, PA 17011 Estate of George 1. Mansfield SSN: 211-18-0320 REV-1500 Inheritance Tax Return - Supplemental File No. 21-2001-0442 Total Gross Assets on Supplemental Return $653,799.43 Assets Properly Reported on Original Return: Schedule E, 1-6 Schedule E, 7 6,000.00 15.128.15 Total Gross Assets $674,927.58 Less Deductions: Supplemental Return Original Return 11,350.00 14.217.66 Total Deductions $25,567.66 Mansfield Trust A $649,359.92 REV-1502 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF George I. Mansfield SCHEDULE A REAL ESTATE FILE NUMBER 21-2001-0442 All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which Is Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NO. DESCRIPTION VALUE AT DATE OF DEATH 1 Real estate located at 4201 Gettysburg Road, lDwer Allen Township, Cumberland County, Pennsylvania Per assessed value 430,730.00 2 Real Estate located in Leidy Township, Clinton County, Pennsylvania owned as tenants in ccmron with decedent's surviving spouse, Marie M. Mansfield (total assessed value of property = $11,580) 5,790.00 Asset was irrproperly reported on Schedule F on the prior return filed 3 Real estate located at H05 Primrose Avenue, Rana Villa Spring Te=ace, lDwer Allen Township, Cumberland County, Pennsylvania, owned as tenants in ccmron with decedent' s surviving spouse, Marie M. Mansfield (total assessed value of property = $69,530) 34,765.00 Asset was irrproperly reported on Schedule F on prior return filed 7 CPA21 NTF 10904 Copyright Forms Software Only. 1997 Nelco, Inc. TOTAL (Also enter on line 1, Recapitulation) $ (If more space IS needed, insert additional sheets of the same size) 471,285.00 e..; "LEmSMO-SPEOAl. WARRAHTY DEED THIS DEED Made the 28th day of January, 1993; BETWEEN GEORGE I. MANSFIELD herein designated as the Grantor(s), AND GEORGE I. MANSFIELD and MARIE M. MANSFIELD, his wife, as tenants in common herein designated as the Grantee(s); WITNESSETH, that the Grantors, for and in consideration of_nONE DOLLAR ($1.00)---lawful money of the United States of America, to the Grantors in hand well and truly paid by the Grantees, at or before the sealing and delivery of these presents, the receipt whereof is hereby acknowledged and the Grantors being therewith fully satisfied, do by these presents grant, bargain, sell and convey unto the Grantees forever, ALL THAT CERTAIN piece or parcel of property in Spicewood Run, Leidy Township, Clinton County, Pennsylvania, bounded and described as follows, to wit: BEGINNING at a large pine tree being a corner of property of D. Shronk, et al and Shean, et aI, and being located on the east side of a dirt well road; thence South 32 degrees 00 minutes East along line of property of D. Shronk, et aI, a distance of two hundred ninety-two (292.0) feet to a post on line of land of the G. Cross Estate and C. Summerson lands; thence South 74 degrees 10 minutes West along line of lands of C. Summerson, a distance of two hundred (200) feet to a pipe; thence North 22 degrees 23 minutes West across other lands of Jesse A. Calhoun, a distance of four hundred twenty-two (422) feet to a double oak tree on east side of a dirt road; thence along east side of said road, South 57 degrees 20 minutes East, a distance of one hundred ninety-eight (198) feet to the place of BEGINNING. CONTAINING 1.63 acres. SUBJECT to certain oil, gas and mineral rights as set forth in prior deeds. BEING the same premises which Fred D. Fike, Jr. and Shirley Fike, his wife, Ronald B. Smith and Sandra L. Smith, his wife, Spencer R. Thornton and Eileen Thornton, his wife, and Floyd E. Rhoads and Gladys Rhoads, his wife, by Deed dated December 1, 1971, and recorded in the Cumberland County Recorder's Office in Vol. 234, Page 643, granted and conveyed unto George I. Mansfield, Grantor herein. THIS TRANSFER IS EXEMPT FROM PENNSYLVANIA REALTY TRANSFER TAX A!3 A TRANSFER BETWEEN SPOUSES. BOOK 605 PAGE 241 '~>' '....'<C.-.. '''''''''':''''~'''_'\'.~.~.'~r';!\~",'tt,.,.__.._,.~;"C",_~-"~:-::;;.';,.:.-,,,,,,,-,"'...._""""'._-."..~,=.-..,__.,-"=".~-."...,."... --"~-,.-,. ~-.-,-_-. ~,-..... -_~,._'~, --~. .-' .. I hereby certify that the va.lue (30'S d'Jfined by the Keystone Centra.l School District. Re..l Estate TriLIlSf~ lax F.e:.olutiC::1) by this Deed 15 $ I and ti"1a.t the trarts:fer ta.:t in the amount of $"--~~~ ha5 b31td." ) 'H <)1\ Grantor or Agent I herebY~% ~ value (as defined by the Real Estate T raosler Tax diance) of the reod estate translerred by deed as described herein is $ l u-O . The amount of the transfer tax is $ ~. and that said. t~x h~ pilid hW~ >>-JJZ /C,Aj,tu, 01 Agent BOOK 605 PAGE 242 ..................,..:,"'" ,_. TOGETHER with all and singular the buildings, improvements, ways, woods, waters, watercourses, rights, liberties, privileges, hereditaments and appurtenances to the same belonging or in anywise appertaining: and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and of every part and parcel thereof; AND also all the estate, right, title, interest, use, possession, property, claim and demand whatsoever of the Grantors both in law and in equity, of, in and to t~remises herein described and every part and parcel thereof with the appurtenances. TO.HA VE AND TO HOLD all and singular the premises herein described together with the hereditaments and appurtenances unto the Grantees and to Grantees' proper use and benefit forever. AND the Grantors covenant that, except as may be herein set forth, they do and will FOREVER SPECIALLY WARRANT and DEFEND the lands and premises, hereditaments and appurtenances hereby conveyed, against the Grantors. In all references herein to any parties, persons, entities or corporations, the use of any particular gender or the plural or singular number is intended to include the appropriate gender or number as the text of the within. instrument may require. Wherever in this instrument any party shall be designated or referred to by name or general reference, such designation is intended to and shall have the same effect as if the words "heirs, executors, administrators, personal or legal representatives, successors and assigns" had been inserted after each and every such designation. IN WITNESS WHEREOF, the Grantors have hereunto set their hands and seals, or if a corporation, it has caused these presents to be signed by its proper corporate officers and its corporate seal to be affi:ced hereto, the day and year first above written. SIGNED, SEALED and DELIVERED in the presence of o ATTESTED "" ..~ Geor~ns ield . ~~-' ~ ~~~ COMMONWEALTH OF PENNSYLVANIA., COUNTY OF [)~: 55. ... BE IT REMEMBERED, that on ~...- ((~;<7, 19f.3, before me the subscriber personally appeared GEORGE I. MANSF LD knoufr{ to me (or satisfactorily proven) to be the person whose name is subscribed to within deed and acknowledged that he executed the same for the purposes therein contained. WITNESS my hand and seal the day and year aforesaid. 7t~~,~ NOTARY PUBLIC My Commission EXj 'res: Nota,aJ Seal (SEAL) f,,1a'1:'!ao-et M. Kenwo:try, Not,?r/ Public ~I-::.;~<~j'...:rr;_ C\::.um",:!l C:X!lty M1 C:J(,::7::.: :':':G~I Expires S-:pi:. 23, 1933 rv::::mt::.:r, P;::':-:~i:-:~f;';~i-,:" J'...:i::~j~t':on of l\:Cld:.es BOlJK 6 (I 5 PAGE 2 if 3 ,-'~~.----..........",-,.--- ,'" -.- ,.. COMMONWEALTH OF PENNSYLV AN.L1, COUNTY OF : ss. BE IT REMEMBERED. that on ,19 ,before me the subscriber personally appeared who acknowledged self to be the of , a Corporation, and that being authorized to do so as such corporate officer executed the foregoing instrument for the purposes therein contained on behalf of the corporation. WITNESS my hand and seal the day and year aforesaid. My Commission Expires: CIl '" " ..... oM :. ""' a, "" CIl "oM CO> "'.0: .... A A . ~ ,...J ,...JA W W,...J " 0 H HW 0 "" ,,"H S ~ en en,," S ~ Z 0 zen 0 ;ij <:z u ~ ... ::<:<: '" ::<: " .~ oM 0 H H ::<: CIl W W '-' '" "'W " '1:l 0< O<H '" .. 0 00< " - W t3;ij " <l '" '-' ~ Entered for Recoid and recorded in the Recorder's Offic2 oJ Clinton County, PA in Recoid Sna:i lO(h"- Page M t:{B/b:~:{D~'y of C\.f ^:~ A.D.19 q;:" ". <Witness my 'hand <:lfi ,. -, .ftf' I . ." CLU;z:l.--a./ . , Recorder " NOTARY PUBUC (SEAL) .,.. "" .. !S~~ .. 't~~~ ~.... c r::: ':.l ~.... e "tj~0)L.. ...."~ l:.,Q, ~.... ~ OJ .... CJ_";:: o,~Oo.l- L..L.._~ ~ Q,!:<" "t:., '::0<:" ., IoooJ-Col~ "'S'1:l'1:l ':::0<: l:'1:l" E-.l.... ~ e.: BOUK 605 PAGE 2.14 r<i S ~ ~ 0- <::> o ~ <h ~.:: ~ 1"J) .... o;:j- ... 1"J) l: .... ~ E ~<::> ~~ 10:, ~ .8 ":::1:' t-olt:l 1: ~ ;:s~ ,_; c c..,'" E:::2:;Il:l,""" ......oEt:e f:l~ -~~ ""...ll.,..,--. Instrument No, 0 \ 3'--l'? Fee: \ 3S0 "" '" o 0< co ... o .0 CIl :>, '-' '-' " '" ,...., .... en - - "" c... ....J ::c ,,, :l.: _. ,.... - ,.~ c. .. o N "'" .:~ ...,.-, ~D c:- -:. MAILING DATE: July 1, 2000 District: 13 - LOWER ALLEN TOWNSHIP School..: WEST SHORE SD CYill~- tD ~ '--f!L:.-'h1-{." J;zUTWtffiU) CUu-p-- I Yn LUV- I\J i/ / l~1i'J 02995 THIS IS NOT A TAX 811 Parcel Identifier: 13-24-0799-086. 2000 Assessed Value Old Assessed Value Market Value (2000 Market x 100%) (1974 Market x 25%) Land ~9,670 B,670 620 Buildings 49,860 49,860 3,340 TOTAL 69,530 69,530 3,960 2000 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Clean and Green values apply to some farm and forest land. Such values become effective only upon application and approval. All applications must be received by the Assessment Office by 4:30 p.m. on October 15, 2000. Those previously approved for Clean and Green do not need to re-apply. CUNDPUUQ Pennsylvania law requires Ihat all real estate be valued as of the most recent county-wide reassessment. The last reassessment, or tax base year, was 1974. Since the last reassessment in 1974, properties have been assessed at 25% of/he 1974 value (the "Pre-Determined Ratio'). The new tax base year will be the Year 2000, with the new assessed values becoming effective for the 2001 tax year. The Pre-Determined Ratio has been changed to 100%. Your new assessed value equals your Year 2000 market value. It is very important for you to know that when the new 2000 tax base is determined after this reassessment, all taxing districts are required by law to lower the millage rate by the same proportion that the tax base went up. The law provides that in the first year after reassessment (2001), the county and all townships and boroughs may not increase overall revenue by more than five percent (5%) and school districts may not increase overall revenue by more than ten percent (10%). The county and the other taxing bodies will make these decisions next year, and may choose not to increase overall revenue. Of course, some individual's taxes will go up or down by more than those percentages. The essential point is that an increase in market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2000 COUNTY tax figures. This estimate does not include any borough, township, or school district impact. ESTIMATED COUNTY TAX IMPACT, Current 2000 County mi~ls = 27.500 Adjusted 2000 County mills = ~.858 $ $ U9 129 2000 County Tax BEFORE Reassessment. 2000 County Tax AFTER Reassessment. \)Qi91&~) /;)~ 0 <~L.' ; f7 c !\ fJ;.> V,._(,['jl 5-1. '/ ---f ~~, j/)",' c:- L.EEnS862.SPEC1AL WARRANTY DeED ROSER]? ZI::GLER RECORDER OF DEEDS CUMBERLAND COUNTY- PA THIS DEED '93 APR 13 PPl12 59 Made the 28th day of January, 1993; BETWEEN MARIE M. MANSFIELD herein designated as the Grantor( s), AND in common GEORGE I. MANSFIELD and MARIE M. MANSFIELD, his wife, as tenants herein designated as the Grantee(s); WITNESSETH, that the Grantors, for and in consideration of ---ONE DOLLAR ($1.00)---lawful money of the United States of America, to the Grantors in hand well and truly paid by the Grantees, at or before the sealing and delivery of these presents, the receipt whereof is hereby acknowledged and the Grantors being therewith fully satisfied, do by these presents grant, bargain, sell and convey unto the Grantees forever, ALL THAT CERTAIN lot of ground situate in the Township of Lower Allen, County of Cumberland and State of Pennsylvania, being Lot No. 50 of a plan of lots known as Rana Villa Spring Terrace, said plan being recorded in the Recorder's Office at Carlisle, Pennsylvania, in Plan Book 2, Page 42, bounded and described as follows: BEGINNING at a point on the eastern line of Primrose Avenue, said point being 224.1 feet in a southerly direction from the southern line of Rosemont Avenue; thence in an easterly direction along the line of Lot No. 51 on said plan 166.75 feet to a point; thence in a southerly direction along the line of Lot No. 141 on said plan 65 feet to a point; thence in a westerly direction along the line of Lot No. 49 on said plan 166.75 feet to a point; thence in a northerly direction along the eastern line of Primrose Avenue 65 feet to the place of beginning. TOGETHER with the right and privilege of the free and uninterrupted use of the water of Rana Villa Spring, located on Lot No. 33 of said plan, for domestic purposes only, in common with other owners and occupiers of lots on said plan. UNDER AND SUBJECT to restrictions of record. BEING the same premises which Mabel Elicker, single woman, by Nora S. Bertolette, her attorney-in-fact under Power of Attorney dated September 26, 1970, by Deed dated February 9, 1972, and recorded in the Cumberland County Recorder's Office in Deed Book M, Vol. 24, Page 456, granted and conveyed unto Marie M. Mansfield, Grantor herein. THIS TRANSFER IS EXE1fi'T FROM PENNSYLVANIA REALTY TRANSFER TAX AS A TRANSFER BETWEEN SPOUSES. Bc:n~ G6 f'OO 555 ,J..'" rOi ."11.;:... TOGETHER with all and singular the buildings, improvements, ways, woods, waters, watercourses, rights, liberties, privileges, hereditaments and appurtenances to the same belonging or in anywise appertaining; and the reversion and reversions, remainder and remainders. rents. issues and profits thereof, and of every part and parcel thereof; AND also all the estate, right, title, interest, use, possession, property, claim and demand whatsoever of the Grantors both in law and in equity, of, in and to th9remises herein described and .every part and parcel thereof with the appurtenances. TO HAVE AND TO HOLD all and s'ngular the prem<ses herem described together with the hereditaments and appurtenances unto the Grantees and to Grantees' proper use and benefit forever. AND the Grantors covenant that, except as may be herein set forth, they do and will FOREVER SPECIALLY WARRANT and DEFEND the lands and premises. hereditaments and appurtenances hereby conveyed, against the Grantors. In all references herein to any parties, persons, entities or corporations, the use of any particular gender or the plural or singular number is intended to include the appropriate gender or number as the text of the within instrument may require. Wherever in this instrument any party shall be designated or referred to by name or general reference, such designation is intended to and shall have the same effect as if the words "heirs, executors, administrators, personal or legal representatives, successors and assigns" had been inserted after each and every such designation. IN WITNESS WHEREOF, the Grantors have hereunto set their hands and seals, or if a corporation, it has caused these presents to be signed by its proper corporate officers and its corporate seal to be affixed hereto, the day and year first above written. SIGNED, SEALED and DELIVERED in the presence of ?=~ /a.J// ,/,,, L) ) '. . ..// . ,- 'f:r /., ./ /3;1 ,/', ."1-"'...,0' f.> . Mansfield f ".~~) <7<;~~2 cr..- /~ ,,;~:~_/:i:l C:' " . '-,;J/fi,?"7u: Marie M. " '~(.-';:r'6'1 COMMONWEALTH OF PENNSYLVANIA, COUNTY OF Y+ : SS. BE IT REMEMBERED. that on ~.... D!.S' , 19~, before me the subscriber personally appeared MARIE M. MANSFtiiD kn~;j;tto me (or satisfactorily proven) to be the person whose name is subscribed to within deed and acknowledged that she executed the same for the purposes therein contained. WITNESS my hand and seal the day and year aforesaid, My Commission Expires: '7nu -",I- ~ iL,..~ f NOTARY PUBLIC (SEAL) Notar;al Seal Margaret ~.t Kernl'~orthv, Nate,ry Public H"f'"i'l!)iJ'T' D-'u~::n"~ C...., ':-'It; My CC~:;';~3iO~'E:>;~;;i:2S"SS:~~ :::e" 1933 rV.:?mC.2:', PCf:"-:~;:I:\':-" .,:;;. ;\':c:c,-,;,(,~~~ c: 1\'~'L:'~;;::3 COMMONWEALTH OF PENNSYLVAv!.-'L COrlNTYOF : ss. BE IT REMEMBERED, that on ,19 ,before me the subscriber personally appeared who acknowledged self to be the of , a Corporation, and that being authorized to do so as such corporate officer executed the foregoing instrument for the purposes therein contained on behalf of the corporation. NOTARY PUBLIC (SEAL) I I I! II II I I ! WITNESS my hand and seal the day and year aforesaid. My Commission Expires: :>: '" 0 .., e H e IX: 0 fo1 ;'i u S M '" '" U) Ql "0 .,..; ~ '" l:l '" Ol 0-.: Q ..... '" '" '" ~~ Q '" ...J '" ...~ .... 0 ...J .., '" ..., ~~ " .., H Cll ~ V .... H [.>.. ..... U)~ "" '" ~ ~ '" 0 z Ol .,., ~ e =:;c z ;'i '" "'- ~ 4; .... \~ ~ r.. g; .g :>: . .0:'" ~1O 0 .", ~ ::!. H...J .~~ "" :>: .., r.1 c "'.., "'H "l:l .... 2; i:q .""" .., ,,"" ....~cE;:::c H "'''' '" ~ IX: OZ t: ~<>:l .~~ ;'j ti;'i l:l ....Q., '-- /' .. '" ~) '" u '" tt::.~u", "0 t~~~ '" 0 OJ'... Q J:: IX: (,,)~-~ 0lJ "t1J..Cl'>J.. ",,,,cc .... ~.." " 'C,oOOoi OJ Q,l -'" .... ~_..::: Ol ~~Cl,O- :>, L.."--, ..... "'"l:l.,c ..... "l:l",!;.. Cll S":: Q II'J " :;;: -(,,)f H P. _."0 QlQ~"'t: 0 E .0:.0: ~"l:l" N '" ~ _ ~ e.~ -<r U IlfV-l..~ EX ~.l&t) RECORDER'S USE ON! Y ~ Stot, To~ Paid .... REALTY TRANSFER TAX look Numb.. COMMONWEALTH OF PENNSYlVANIA STATEMENT OF VALUE DEPARTMENT Of REVENUE Pag, Numb'r aUREAU OF INDlYIDUAL TAXES POST OFFICE lOX "10 See Rever.. for Instructions Do,. RftorcMd HARRISBURG, PA 17105.1910 Complete eacn section and file in duplicate witn Recorder of Deeds wnen (1) the full value/consideration is not set forth in tne deed, (2) when the deed is witnout consideration, or by gift, or (31 0 tax exemption is claimed. A Statement of Value is not required if the transfer is wnolly exempt from tax based on; (1) family relationship or (21 public utility easement. If more space is needed, attach additional sheetls). A CORRESPONDENT - All inquiries may be directed to the following person: Name 1801 N. Front St. Telephone Number; A'eo Code (717 232-5000 City State Zip Code HarriSburg PA 17 Dole of Acceptance of Document 1 / 2 8 / 9 3 Grant"(sl/len,,(sl George I. and Marie M. Mansfield Str..t Addre" 4201 Gettysburg Rd. Elyse E. Rogers, Esquire Str..' Addren B TRANSFER DATA Grantorlsl/lenorls) Marie M. Mansfield Street Addreu 4201 Gettysburg Rd. CiTy Camp Hill State PA Zip Code 17011 City Camp Hill State PA Zip Code 17011 $1. 00 A. County Anened Value $3,960 . 1 r:f. Amounl of Exemp~O 8~imecl 2. Check Appropriate Box Below for Exemption Clalmecl o o o o o Will or intestate succession (Nome of O".o.nll (hla" Fil, Nl,lmb,r) Transfer to Industrial Development Agency. Transfer to agent or strow party. IAttach copy of agency/strow party agreement). Transfer between principal and agent. (Attach copy of agency/strow trust agreementl. Tal( paid prior d.ed S ___ Transfers to the Commonwealth, the United States, and Instrumentalities by gift, dedication, condemnation or in lieu of co"dem"ot,o" (Attach copy of resolution). o o o Cia Transfer from mortgagor to 0 holder of a mortgage in default. Mortgage Book Numb.r , Page Number _ Corrective d..d (AMOCn copy of the prior deed). Statutory corporate consolidation, me'ger or division. (Attach copy of articies). Other (Please explain .",emption claimed, if oth.r than listed above.) Transfer between spouses. n~_~so....!....-_ date of acknowledgment is more than 30 days prior to date of recording. Under penalties of law, I declare that I hove examined this Stotement, including accompanying information, and to the best af my !cnowledge and belief, it is true, correct and complete. Signature of Corre.pondent or Responsible Party Dote I (SEE REVERSE) I I .."" ."" ,"tV I 1-\ I JJ\A DILL. MAILING DATE: July 1, 200 Parcel Identifier: 13-24-0797-198. District: 13 - LOWER ALLEN TOWNSHIP School. .: WEST SHORE SD 4201 GETTYSBURG ROAD LAND APPROX. 2 ACRES 2000 Assessed Value Old Assessed Value Market Value (2000 Market x 100%) (1974 Market x 25%) Land ~~2, 200 ~~2,200 ~6,700 Buildings 3~8,530 3~8,530 ~0,990 TOTAL 430,730 430,730 27,690 2000 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Clean and Green values apply to some farm and forest land. Such values become effective only upon application and approval. All applications must be received by the Assessment Office by 4:30 p.m. on October 15, 2000. Those previously approved for Clean and Green do not need to re-apply. Location: TAXABLE Land Size....: 1.87 acres Property Type: cc Commercial - Combination Control No: 13002840 CUZMZRPE Pennsylvania law requires that all real estate be valued as of the most recent county-wide reassessment. The last reassessment, or tax base year, was 1974. Since the last reassessment in 1974, properties have been assessed at 25% of the 1974 value (the "Pre-Determined Ratio'). The new tax base year will be the Year 2000, with the new assessed values becoming effective for the 2001 tax year. The Pre-Determined Ratio has been changed to 100%. Your new assessed value equals your Year 2000 market value. It is very important for you to know that when the new 2000 tax base is determined after this reassessment, all taxing districts are required by law to lower the millage rate by the same proportion that the tax base went up. The law provides that in the first year after reassessment (2001), the county and all townships and boroughs may not increase overall revenue by more than five percent (5%) and school districts may not increase overall revenue by more than ten percent (10%). The county and the other taxing bodies will make these decisions next year, and may choose not to increase overall revenue. Of course, some individual's taxes will go up or down by more than those percentages. The essential point is that an increase in market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2000 COUNTY tax figures. This estimate does not include any borough, township, or school district impact. ESTIMATED COUNTY TAX IMPACT: Current 2000 County mi~ls = Adjusted 2000 County mi~~s = 27.500 1. 858 $ $ 76~ 800 2000 County Tax BEFORE Reassessment. 2000 County Tax AFTER Reassessment. ~ ~:' (\C~_ ~":;I,......fl r I ~ r~~ q7 /- "'''.,~(....( .--v'.... .-1")-70 i ~ -" THIS DEED MADE this 14th day of December, Two Thousand (2000) by and between: MARIE M. MANSFIELD Goined by her husband, GEORGE 1. MANSFIELD), party of the first part, hereinafter called "Grantor", AND GEORGE L MANSFIELD, party of the second part, hereinafter called "Grantee" : WITNESSETH: that in consideration of the sum of One and Noll 00 ($1.00) Dollar in hand paid by Grantee to Grantor, the receipt whereof is hereby acknowledged by said Grantor, the said Grantor does hereby grant and convey unto the Grantee, hIS heirs and assigns, ALL THA T CERTAIN lot of ground with the improvements thereon erected, situate in the Township of Lower Allen, County of Cumberland and State of Pennsylvania, bounded and described as follows, to wit: BEGINNING at the southwest comer of the Gettysburg Road and the road leading to Shiremanstown, sometimes called the Miller's Mill road; thence extending westwardly along the Gettysburg Road a distance of three hundred twenty-five (325) feet to a point; thence at right angles with said Gettysburg Road and extending southwardly a distance of two hundred fifty (250) feet to a point; thence eastwardly parallel to the Gettysburg Road a distance of three hundred twenty-five (325) feet to the aforesaid Shiremanstown or Miller's Mill Road; and thence northwardly along the western line of said road a distance of two hundred fifty (250) feet to the place of BEGINNING. HAVING frame Service Station Buildings thereon erected. The Premises herein described and conveyed to the grantees is subject to certain Rights- of-Way in favor of the Commonwealth of Pennsylvania for use as a State Road over a portion of said premis~s, on the eastern side of said premises for the purpose of relocating and widening the road hereinabove referred to as the Miller's Mill Road. BEING the same premises which George L Mansfield and Marie M. Mansfield, his wife, (the parties herein) by their deed dated January 28, 1993, and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania on April 13, 1993, in Deed Book "F", Volume 36, Page 538, granted and conveyed unto themselves as equal tenants in common. This deed is a transfer from wife as grantor Goined by her husband) to her husband individually of wife's' undivided one-half interest in said described real estate so as to vest full ownership of said real estate in the husband-grantee, and, therefore, said transfer is exempt from realty transfer tax. AND the said Grantor hereby covenants and agrees that she will warrant specially the property hereby conveyed. IN WITNESS WHEREOF, the Grantor has hereunto set her hand and seal the day and year above written. WITNESSED BY: 1JliJ~"!1 ~l~~/(SEAL) MARIE M. MANSFIE v~ib-' , ~~~l~~~.//.~/(SEAL) GORGE I. MANSFI COMMONWEALTH OF PENNSYLVANIA ) SS COUNTY OF CUMBERLAND ) On this, the 141h day of December, 2000, before me, a Notary Public in and for the Commonwealth and County aforesaid, the undersigned officer, personally appeared MARIE M. MANSFIELD, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes herein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. . C~4L___ ~ lJ1l, Notary Public \ N~nmS~ ~~ susan L Zych, Cum~ County ~eCh...csburgBo<o, 003 My Commission Expires Nov. 24, 2 "Member, Pennsylvania Association of Notaries Certificate of Residence I hereby certify that the precise and complete post office address of the within named Grantees is: 4201 Gettysburg Road, Camp Hill, P A 1701 1. Dated: December 14, 2000. orney/ Agent for Grantee REV.15G8 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF George I. Mansfield SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-2001-0442 Include proceeds of lIIigalion & date proceeds were received by the estate All prop. Jolntlv-owned with right of survivorship must be disclosed on Sch. F. ITEM VALUE AT NO. DESCRIPTION DATE OF DEATH 1 Mortgage to WSMS Hattie Harris 150,525.78 2 PNC Bank Account #5070079765 INFORMATION: The original preparer irrproperly reported this asset as having a value of $55,849.57. However, see attached; proper value is $15,128.15 0.00 3 1965 Greencastle Mobile Harre, Lot 10 0.00 4 1980 Duke Mobile Harre, Lot 12 0.00 5 1971 Skyline Mobile Harre, Lot 20 0.00 6 1972 Villager Mobile Home, Lot 17 0.00 7 1973 Horrerraker Mobile Home, Lot 19 0.00 8 1970 Highlander Mobile Home, lot 14 0.00 All items above are reported at assessed value. Items 3-8 were reported on Schedule E of original return filed 7 CPA81 NTF 10908 Copyright Forms Software Only, 1997 NeICQ, Inc. TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 150,525.78 ~b(20(2002 12:35 71 77375455 CHARLES F SULLIVAN C PAGE 02 ~ Charles F. Su1liVlUl Ceftlf:led l'abllc Accoun_ Certified Financial P_ 1513 Cedar Oiff Dr. Camp Hill, PA 17011 717-737.5466 June 20, 2002 Elyse E. Rogers. Keefer Wood Allen & Rahal, LLP 415 Fallowfield Road Suite 1.02 Camp Hill P A 17011-4906 . . Re: Estate of ~.lle 1. Mansfield Dear M.s. Rogers, Weare providing this'letter at your request to provide information on the PNC Bank checking account (A.ccount'Num,ber 5070079765) for the above decedent. Mr. Mansfield opened this account many years ago and used it to receive funds and payeltpenses for his rental properties. It was commoriIy referred to as the "rental" account. Several years ago, various. f~y members also became owners of rental properties and for conveniencesake,theincome and Cltpenses of these properties were also deposited into and paid from this bank account. We kept an ongoing record of the money which was in the "rental" account which was actually owned by the other fumily members and not Mr. Mansfield.' As ofM,r.Manlifield's date of death, Apri115, 2001, there was a balance owed to the other fumily members of $40,721.42. In other words., of the $55,849.57which was in this'bank account as of the date of death, only $15,128.15 belonged to Mr. Mansfield, the 'remainder belonged to other individuals, If you have any additional questions or need additional information, please let me know. Very sincerely, Mem.ber ^meriam Institute of Cerli/i<d Public Accountllnts . Pm".Ylwnia I_",ts at Certified Public Acc<nmtam. ~PNCBAN< Decedent Reporting Firstside Center P7.PFSC-4-F 500 First A venue Pittsburgh, PA 15219-3128 July 10, 200 I Charles F. Sullivan 1513 Cedar Cliff Drive Camp Hill. P A 17011 RE: Estate of George I. Mansfield, Deceased SSN: 211-18.0320 000: 4/1512001 Dear Mr. Sullivan: , ..-....-.....~ ISCP Please find the date of death balances you have requested listed below. CHECKING ACCOUNTS - #5070069938 GEORGE I MANSFIELD OR MARIE M MANSFIELD ODD Balance: $4,552.82 + $1.72 accrued interest #5070079765 GEORGE MA.NSFIELD Tf A GEORGE'S CLEANERS RENTAL ACCOUNT DOD Balance: $55,836.70 + $ [2.87 accrued interest Page I of2 A member of TtJe PNe Finan~i~t Services Group One PNC PlilZ;;l 249 Fifth A'oi~f1ut Pittsburgh Ptnnsylv:wlfj 152L1 ~1107 Established 08/01/1991 Established 07129/1994 08/08/00 Page 1 ~- -_.~-_._- -~._------_.__.._-. BORROWER: WSMS HATTIE HARRIS LENDER: GEORGE MANSFIELD IK 10\ Number Date Payment Principal _ IntereS~Old Balance New Balance 001 06/15/00 1,614.43 813.61V 600.8 159,703.29 158,889.68 002 07/15/00 1,614.43 817.69/ 796.74J 158,889.68 158,071.99 003 08/15/00 1,614.43 821.79; 792.64 / 158,071.99 157,250.20 / 004 09/15/00 1,614.43 825.91 788.52 v' 157,250.20 156,424.29 005 10/15/00 1,614.43 830.05~ 764.38/ 156,424.29 155,594.24 006 11/15/00 1,614.43 834.22 ./ 780.21/' 155,594.24 154,760.02 007 12/15/00 1,614.43 838.40 776.03'/ 154,760.02 153,921.62 SubwTotal 11,301.01 5,781.67 5.519.34 006 01/15/01 1,614.43 842.60 / 771.6~ 153,921.62 153,079.02 009 02/15/01 1,614.43 846.63j 767.60 / 153,079.02 152,232.19 010 03/15/01 1,614.43 851.07 763.36:/ 152,232.19 151,381.12 011 04/15/01 1,614.43 855 34 / 759.09 151,381.12 150,525.78 012 05/15101 1,614.43 859.63 754.80 150,525.78 149,666.15 013 06115/01 1,614.43 863.94 750.49 149,666.15 146,802.21 01' 07/15101 1,614.43 866.27 746.16 148,802.21 147,933.94 015 08/15/01 1,614.43 672.63 741.60 147,933.94 147,061.31 016 09/15101 1,614.43 677.00 737.43 147,061.31 146,164.31 017 10115/01 1,614.43 661.40 733.03 146,164.31 145,302.91 016 11/15101 1,614.43 665.62 728.61 145,302.91 144,417.09 019 12/15/01 1,614.43 690.26 724.17 144,417.09 143,526.63 Sub-Total 19,373.16 10,394.79 8,976.37 020 01/15102 1,614.43 894.73 719.70 143,526.83 142,632.10 021 02115/02 1,614.43 699.21 715.22 142,632.10 141,732.89 022 03/15/02 1,614.43 903.72 710.71 141,732.89 140,829.17 023 04/15/02 1,614.43 908.25 706.18 140,629.17 139,920.92 024 05/15102 1,614.43 912.81 701.62 139,920.92 139,008.11 025 06115/02 1,614.43 917.39 697.04 139,008.11 138,090.72 026 07/15102 1,614.43 921.99 692.44 138,090.72 137,168.73 027 0811 5/02 1,614.43 926.61 687.82 137,168.73 136,242.12 028 09/15/02 1,614.43 931.26 683.17 136,242.12 135,310.66 029 10/15/02 1,614.43 935.92 678.51 135,310.86 134,374.94 030 11/15102 1,614.43 940.62 673.81 134,374.94 133,434.32 031 12/15/02 1,614.43 945.33 669.10 133,434.32 132,488.99 Sub-Total 19,373.16 11,037.84 8,335.32 032 01/15103 1,614.43 950.08 664.35 132,488.99 131,538.91 033 02/15/03 1,614.43 954.84 659.59 131,538.91 130,584.07 034 03/15/03 1,614.43 959.63 654.80 130,584.07 129,624.44 035 04/15/03 1,614.43 964.44 649.99 129,624.44 128,660.00 036 05/15103 1,614.43 969.28 645.15 128,660.00 127,690.72 037 06115/03 1,614.43 974.14 640.29 127,690.72 126,716.56 036 07/15/03 1,614.43 979.02 635.41 126,716.56 125,737.56 039 08115/03 1,614.43 983.93 630.50 125,737.56 124,753.63 040 09/15/03 1,614.43 988.66 625.57 124,753,63 123,764.77 041 10115/03 1,614.43 993.62 620.61 123,764.77 122,770.95 042 11115/03 1,614.43 996.61 615.62 122,770.95 121,772.14 043 12/15103 1,614.43 1,003.61 610.62 121,772.14 120,768.33 Sub-Total 19,373.16 11,720.66 7,652.50 044 01/15/04 1,614.43 1,008.65 605.56 120,768.33 119,759.48 045 02/15/04 1,614.43 1,013.91 600.52 119,759.48 116,745.57 046 03/15104 1,614.43 1,016.99 595.44 116,745.57 117,726.58 047 04115/04 1,614.43 1,024.10 590.33 117,726.58 116,702.48 048 05/15104 1,614.43 1.029.24 585.19 116,702.48 115,673.24 049 06/15/04 1.614.43 1,034.40 580.03 115,673.24 114,638.84 050 0711 5/04 1,614.43 1,039.58 574.85 114,638.84 113,599.26 051 08/15/04 1,614.43 1,044.60 569.63 113,599.26 112,554.46 052 09115/04 1,614.43 1,050.04 564.39 112,554.46 111,504.42 053 10/15104 1,614.43 1,055.30 559.13 111,504.42 110,449.12 054 11/15/04 1,614.43 1,060.59 553.84 110,449.12 109,388.53 055 12/15104 1,614.43 1,065.91 548.52 109,388.53 108,322.62 Sub-Total 19,373.16 12,445.71 6,927.45 -- - ------_.------ -,-. i/' / G~ \ II MAILING DATE: July 1, 2", J District, 13 - LOWER ALL1r T WNSHIP School..: WEST SHORE snl THIS IS NOT A TAX BILL :r Parcel Identifier: 13-24-0797-198.-TR00749 , ~ 10 GEORGES MHP GEORGES MHP LOT 10 2000 Assessed Value Old Assessed Value Market Value (2000 Market x 100%) (1974 Market x 25%) Land 0 0 0 Buildings ~,430 ~,430 620 TOTAL 1,430 ~,430 620 2000 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Clean and Green values apply to some farm and forest land. Such values become effective only upon application and approval. All applications must be received by the Assessment Office by 4:30 p.m. on October 15, 2000. Those previously approved for Clean and Green do not need to re-apply. Location: TAXABLE UNIT/LOT ID..: TP-Q010 Land Size....~ .00 acres property Type: T Mobile gome - No Land Control No: 13002843 CUPUBRFL Pennsylvania law requires that all real estate be valued as of the most recent county-wide reassessment. The last reassessment, or tax base year, was 1974. Since the last reassessment in 1974, properties have been assessed at 25% of the 1974 value (the "Pre-Determined Ratio';. The new tax base year will be the Year 2000, with the new assessed values becoming effective for the 2001 tax year. The Pre-Determined Ratio has been changed to 100%. Your new assessed value equals your Year 2000 market vaiue. It is very important for you to know that when the new 2000 tax base is determined after this reassessment, all taxing districts are required by law to lower the millage rate by the same proportion that the tax base went up. The law provides that in the first year after reassessment (2001), the county and all townships and boroughs may not increase overall revenue by more than five percent (5%) and school districts may not increase overall revenue by more than ten percent (10%). The county and the other taxing bodies will make these decisions next year, and may choose not to increase overall revenue. Of course, some individual's taxes will go up or down by more than those percentages. The essential point is that an increase in market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2000 COUNTY tax figures. This estimate does not include any borough, township, or school district impact. ESTIMATED COUNTY TAX IMPACT: Current 2000 County mills = 27,500 Adjusted 2000 County mills = 1,858 $ $ D 3 2000 County Tax BEFORE Reassessment. 2000 County Tax AFTER Reassessment. '-. THIS IS NOT A TAX t...l...L '" >, \ .J. J NG DATE: July 1, 2000 Parcel Identifier: 13-24-0797-198.-TR00779 13 - LOWER ALLEN TOWNSHIP WEST SHORE SD Loc.ation: ~2 GEORGES MHP GEORGES MHP LOT 12 2000 Assessed Value Old Assessed Value Market Value (2000 Market x 100%) (1974 Market x 25%) L.and 0 0 0 Buildings ~,250 1,250 410 TOTAL 1,250 1,250 410 2000 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Clean and Green values apply to some farm and forest land. Such values become effective only upon application and approval. All applications must be received by the Assessment Office by 4:30 p.m. on October 15, 2000. Those previously approvetJ for Clean and Green do not need to re-apply. TAXABLE UNIT/LOT ID..: TP-Q012 Land Size....: .OC acres Property Type: T Mobile Home - No Land Control No: 13002851 CUTCIRKA ,,' Pennsylvania faw requires that all rea/estate be valued as of the most recent county-wide reassessment. The last reassessment. or tax base year, was 1974. Since the fast reassessmenUn 1974, properties have been assessed at 25% of the 1974 value (the "Pre-Determined Ratio';. The new tax base year will be the Year 2000, with the new assessed values becoming effective for the 2001 tax year. The Pre-Detennined Ratio has been changed to 100%. Your new assessed value equels your Year 2000 market value, .:, tt ts very important for you to know that when the new 2000 tax base Is determined after this reassessment, all taxing districts are required by law to lower the millage rate by the same proportion that the tax base went up. The law provides that In the first year alter reassessment (2001), the county and all townships and boroughs may not increase overall revenue by more than five percent (5%) and school districts may not increase overall revenue by more than ten percent (10%). The county and the other taXing bodies will make these deCisions next year, and may choose not to increase overall revenue. Of course, some individual's taxes will go up or down by more than those percentages. The essential point is that an increase in market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. ,--: . The ESTIMATED impact statement printed below is our best estimate of change, based on 2000 COUNTY tax figures. This estimate does not include any borough, township, or school district impact. ~ , '*' 't t: ESTIMATED COUNTY TAX IMPACT. Current 2000 County mills = 27.500 Adjusted 2000 County mills = ~,858 -t $ $ ~l 2 2000 County Tax BEFORE Reassessment. 2000 County Tax AFTER Reassessment. ,,.,~,s. '''..'' "'-"':" ,?;i;~~. ~,~'lr;'f.~l~-.\~':" ',:;??~~.~.~lr,I~~ ~.'i), 'I','Q, .\J'.O.'\liC;t>.V.<C.V.V.O.U.V.tI'. I , , \ , COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF TRANSPORT A TION CERTIFICATE OJ; TITlE 'TO A MOTOR VEHICLE OR TRAILER ~ J, III(' Sccrctarr 0/ TransportatioN ccruTr tlw/ aJI {lppli,;atio1! has heen /!Jade 10 me. pllrJ/fOJlt /0 tlu Act 0/ April :19, 1959, P. L. 58 OJ amCllded. for a CertI/icarc 0/ Title to tile mOlor ';.'du'c/c 0'- trader dcsCl'ibed hl'reoll. GEORGE MANSFIELD 4201 GETTYSBURG RD CAMP HILL PA 17011 A=ANTIQUE MOTOR VEHICLE F=VEHICLE BROUGHT INTO PENNA. FROM ANOTHER STATE OR FORElGN COUNTRY X=VEHICLE WAS FORMERLY A TAXI R = RECONSTRUCTED VEHICLE CODE LEGEND VALID ONLY WITH SPECIAL PERMIT B22203435 71 SKYL I NE MH ] SP1605E T1TLE NUMBER MAKE OF VEHICLE TYPE MANUFACTURERS SERIAL NUMBER 07-29-71 $12.00 ZERO 2-16-71 DATE 0"'" ISSUE REGISTRATION FEE GROSS WEIGHT AXLES SEATINGCAPACITYDUPlICAT DATE ORIG. TITLED CODES And that the motor vehicle or trailer described hereon is subject to th.e following encumbrances" FIRST ENCUMBRANCE FAVOR OF, AMOUNT ENCUMBRANCE RELEASED DATE ENCUMBRANCE HOLDER BY AL:THOR1ZED REPRESEj>.,'T A TJ\'E SECOND ENCUMBRANCE FAVOR OF, AMOUNT ENCUMBRANCE RELEASED DATE ENCUMBRANCE HOLDER BY AllTHORIZED REPRESENTATIVE ! have used reasonable dJ/igl'nce in ascertaining whether or flot the facts stated J-}} soid application for tI,is Cert~ficatc of Title arc true. and thaI J am salisfied thaI the applicant is the lawful owner of the motor vehicle or frailer descn'bcd llneon, or is otherwise clItit/ed to have the S011/C registered in his 110me. 'frher~fore, I cert~f.1' that till' oho'l't Hamed applicant has bee" du!l' l"egisfered in tlu office of thc PellllSI,lvallla Dcpal"t1fl(,lIt of Transportation as the law!,,/ oWller of Ihe motor z'ehide or " " " ,/ 11"oilel- described here01l. _,/ /VitllcSJ n~1' haNd Qnd St!ol of office. :; ;"~'" G :~-,~t' Jc~"--.:'- SecretarJ 0/ Transportation T1TLE j THIS IS NOT A TAX BILL District: 13 - LOWER ALLEN TOWNSHIP School..: WEST SHORE SD Parcel Identifier: l3-24-0797-l98.-TR00760 MAILING DATE: July 1, 20~ Location: 20 G:E:ORGES MHP GEORGES MHP LOT 20 2000 Assessed Value Old Assessed Value Market Value 12000 Market x , 00%) (1974 Market x 25%) Land 0 0 0 Buildings 1,560 1,560 1,010 TOTAL 1,560 1,560 1,010 2000 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Clean and Green values apply to some farm and forest land. Such values become effective only upon application and approval. All applications must be received by the Assessment Office by 4;30 p.m. on October 15, 2000. Those previously approved for Clean and Green do not need to re-apply. TAXABLE UNIT/LOT 10..: TP-0020 Land Size....: .00 acres Property Type: T Mobile Home -No Land Control No: 13002848 CUB EVLUV Pennsylvania law requires Ihat ali real estate be valued as of the most recent county-wide reassessment. The last reassessment, or tax base year, was 1974. Since the iast reassessment in 1974, properties have been assessed at 25% of the 1974 vaiue (the "Pre-Detenmined Ratio"). The new tax base year will be the Year 2000, with the new assessed values becoming effective for the 2001 tax year. The Pre-Detenmined Ratio has been changed to 100%. Your new assessed value equals your Year 2000 market value. It is very important for you to know that when the new 2000 tax base is determined after this reassessment, all taxing districts are required by law to lower the millage rate by the same proportion that the tax base went up. The law provides that in the first year alter reassessment (2001), the county and all townships and boroughs may not increase overall revenue by more than five percent (5%) and school districts may not increase overaii revenue by more than ten percent (10%). The county and the other taxing bodies wilt make these decisions next year, and may choose not to increase overaii revenue. Of course, some individual's taxes will go up or down by more than those percentages. The essential point is that an increase in market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2000 COUNTY tax figures. This estimate does not include any borough, township, or school district impact. ESTIMATED COUNTY TAX IMPACT: CUrrent 2000 County mills = Adjusted 2000 County mills = 27.500 1. 858 $ $ 28 3 2000 County Tax BEFORE Reassessment. 2000 County Tax AFTER Reassessment. f \ r, ____ I.~.!_'J--~~_~Itlftr)-~r_~-~:~?f'~ ,; """"""'~"""""II'''''''''''''' ", ""if'"'' 11\''''''' ~"-"'''~I''~' ,,' ,--: " ,'~"~': """, -" - ""~:'~.I", ~I iI!' .i", (,U~ (,' J' iI\I~.I(i'I(l Li~"VI'!~,\ :1:'!~\1 '11' ,.1, I) 1'1 .r,', 1,IIJ'ik',,'! In'll' ';";,,'.\ ":',".'1''1'1 r 800 DEPARTMENT OF TRANSPORTATION 7'''8 ..,~ 05305311 55 CERTIFICATE OF TITLE TO A MOTOR VEHICLE OR TRAILE ';ll,the Secretary' of Transportation certify that an application has been made to me PllrSll t h R .. , an to t e Act f A P. L. 58 as amended, for a Certificate of Title to the motor vehicle or trailer described her 0 Pri129, 1959, eon. GEORGE J MANSFIELD GETTYSBURG RD HILL PA 17011 CODE LEGEND A = ANTIQUE MOTOR VEHICLE: F = VEHICLE ORIGINALLY TIll REGISTERED IN ANOTHER ED OR OR F STATE OREIGN COUNTRY X = VEHICLE WAS FORMERLY A TAXI R = REGISTRATION PROHIBITED , U MAILING DATE: July 1, 2000 THIS IS NOT A TAX BILL District: 13 - LOWER ALLEN TOWNSHIP School. .: WEST SHORE SD Parcel Identifier: 13-24-0797-198.-TR00761 Location: 1"7 GEORGES MHP GEORGES MHP LOT 17 2000 Assessed Value Old Assessed Value Market Value (2000 Market x 100%) (1974 Markel x 25%) Land 0 0 0 Buildings ~,260 ~,260 440 TOTAL ~,260 ~,260 440 2000 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Clean and Green values apply to some farm and forest land. Such values become effective only upon application and approval. All applications must be received by the Assessment Office by 4:30 p.m. on October 15, 2000. Those previously approved for Clean and Green do not need to re-apply. TAXABLE UNIT/LOT ID..: TP-0017 Land Size....: .00 acres Property Type: T Mobile Home-No Land Control No: 13002849 CUWEIPOQ Pennsylvania law requires that all real estate be valued as of the most recenl county-wide reassessment. The iast reassessment, or tax base year, was 1974. Since the last reassessment in 1974, properties have been assessed at 25% olthe 1974 value (the "Pre-Determined Ratio"). The new tax base year wlli be the Year 2000, with the new assessed vaiues becoming effective for the 2001 tax year. The Pre-Determined Ratio has been changed to 100%. Your new assessed value equais your Year 2000 market value. It is very important for you to know that when the new 2000 tax base is determined after this reassessment, all taxing districts are required by law to lower the millage rate by the same proportion that the tax base went up. The law provides that in the first year after reassessment (2001), the county and all townships and boroughs may not increase overall revenue by more than five percent (5%) and school districts may not increase overall revenue by more than ten percent (10%). The county and the other taxing bodies will make these decisions next year, and may choose not to increase overall revenue. Of course, some individual's taxes wlli go up or down by more than those percentages. The essential point is that an increase in market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2000 COUNTY tax figures. This estimate does not include any borough, township, or school district impact. ESTIMATED COUNTY TAX IMPACT: Current 2000 County mi~~s = Adjusted 2000 County mi~~s = 27.500 LBSS $ $ ~2 2 2000 County Tax BEFORE Reassessment. 2000 County Tax AFTER Reassessment. ~.i~ '-, _ .,,. 'I', II \, 1\ DEPARTMENT OF TRANSPORTATION 55-840 ** , )1 C-ERTlFICATE OF TITLE TO A MOTOR VEHICLE OR TRAILER 1, the Secrerar)' of Transportatio-n certi/)' that an application has been made to me, Pllrsuant to the Act of April 29, 1959, P. L. 58 as amended, for a Certificate of Title to the motor vehicle or trailer described hereon. GEORGE I MANSFIELD 4201 GETTYSBURG RD CAMP HILL PA 17011 h)'. ,.~-' ,-'l", ,i,"," '.1. '....::':''It\,~ I'.. '-;jf' ", . ,~'l\" ' ",' .' .,~,- . -' 9l~' ;,.;/' ..... . P:~~' "<...~I~;I;'rC-, A = ANTIQUE MOTOR VEHICLE F = VEHICLE ORIGINALLY TITLED OR REGISTERED IN ANOTHER STATE OR FOREIGN COUNTRY X = VEHICLE WAS FORMERLY A TAXI R = REGISTRATION PROHIBITED CODE LEGEND VALID WITH SPECIAL PERMIT 800.544786 cooes TlTL!;NUMB!;R 65101960 VEHICLE IDENTlflCATlDN NUMBER 09-'19-'73 DATE OF ISSUE DATE QRlG, TITLED The motor vehicle or trailer FIRST ENCUMBRANCE FAVOR OF: DATE ENCUMBRANCE HO~DER BY AUTHORIZED REPRESENTATIVE I do further certify that I have used reasonable diligence in ascertaining whether or not the facts stated in said application ~~ of TI!4NS fDr this Certificate of Title are true, and that I am satisfied that the applicant is the lawful ^'~<t) AO., owner of the motor vehicle 0,. trailer described hereon, or is otherwise enticIed to hat-'e the 4,..t ~~ same registered in his name. ~ '\ Wherefore, I certify that the above named applicant has been duly registered in the office of the Pennsylvania Department of Transportation as the lawful owner of the motor vehicle or tl'ailer described hereon. /' Witness my hand and seal of office. /i3;;.~1:f.1f:?J-" :"_" Secretar)' of Transportation KEEP IN '" SA'FE PLACE-ANY ALTERATION OR ERASURE VOIDS THIS TITL~ THIS IS NOT A TAX BILL MAILING DATE: July 1, 2000 Parcel Identifier: 13-24-0797-198.-TR00757 District: 13 - LOWER ALLEN TOWNSHIP School..: WEST SHORE SD 19" GEORGES MHP GEORGES MHP LOT 19 2000 Assessed Value Old Assessed Value Market Value (2000 Market x 100%) (1974 Market x 25%) Land 0 0 0 BuJldings ~,430 1,430 270 TOTAL ~,430 ~,430 270 2000 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Clean and Green values apply to some farm and forest land. Such values become effective only upon application and approval. All applications must be received by the Assessment Office by 4;30 p.m. on October 15, 2000. Those previously approved for Clean and Green do not need to re-apply. Location: TAXABLE UNIT/LOT ID..: TP-0019 Land Size....: .00 acres Property Type: T Mobile Home - No Land Control No: 13002846 CUYFSZVR Pennsylvania law requires that all real estate be valued as of the most recent county-wide reassessment. The iast reassessment, or tax base year, was 1974, Since the last reassessment in 1974, properties have been assessed at 25% of the 1974 value (the "Pre-Determined Ratio'). The new tax base year will be the Year 2000, with the new assessed vaiues becoming effective for the 2001 tax year. The Pre-Determined Ratio has been changed to 100%. Your new assessed value equals your Year 2000 market value. It is very important for you to know that when the new 2000 tax base is determined after this reassessment, all taxing districts are required by law to lower the millage rate by the same proportion that the tax base went up. The law provides that in the first year after reassessment (2001), the county and all townShips and boroughs may not increase overall revenue by more than five percent (5%) and school districts may not increase overall revenue by more than ten percent (10%). The county and the other taxing bodies will make these decisions next year, and may choose not to increase overall revenue. Of course, some individual's taxes will go up or down by more than those percentages. The essential point is that an increase in market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2000 COUNTY tax figures. This estimate does not include any borough, township, or school district impact. ESTIMATED COUNTY TAX IMPACT: Current 2000 County mills = 27.500 Adjusted 2000 County mills = ~.858 $ $ 7 3 2000 County Tax BEFORE Reassessment. 2000 County Tax AFTER Reassessment. "r~I,7(I}SUJ ..~~..~I \~.:s~~x~~~iz],!;. 'f, ~~ r');~~\I~. .-, ,', (, ; ,'-i', ~ ,'/1 'l 'f "I ""'" ,-it 'l'i DEPARTMENT OF TRANSPORTATION 55-824 ** CERTIFICATE OF TITLE TO A MOTOR VEHICLE OR TRAILER 1, the S~CTcraTY of TramJJortation cend-y that an application has been made to me, pmmant to the Act of April 29, 1959, P. L. 58 as amended, faT a Certificate of Title to the motor vehicle or trailer described hereon. GEORGE I MANSFIELD 4201 GETTYSBURG RD CAMP HILL PA 17011 A = ANTIQUE MOTOR VEHICLE F = VEHICLE ORIGINALLY TITLED OR REGISTERED IN ANOTHER STATE OR FOREIGN COUNTRY X = VEHICLE WAS FORMERLY A TAXI R;;:; REGISTRATION PRO H!BITEO CODE LEGEND VALID WITH SPECIAL PERMIT ONLY 822217883 HIGHLANDER TITLE NUMBER 4528 VEHIClE ,lPENT1F1CA11ON NlJMBER 10-18-73 04-28-71 DATE OF-ISSUE DATEOAIG TiTlED The motor vehicle OT.tTailer described FIRST ENCUMBRANCE FAVOR. OF: RELEASED DATE SECOND FAVOR OF: ENCllMBRANCE RELEASED AMOUNT DAlE ENCUMBRANCE HOLDER BY AUTHORIZED REPRESENTATIVE I do further certify that I have Hsed reasonable diligence in ascertaining whether or not the facts stated in said applica!ion for this Certificate of Title are true, and that 1 am satisfied that the applicant is the lawful owner of the motor vehicle or trailer described hereon, or is otherwise entitled to have the same registered in his name, Wherefore, 1 certify that the above named applicant has been duly registered in the office of the Pennsylvania Department of Transportation as the lawful owner of the mo tor vehicle or trailer described hereon. ~ Witness my hand and seal of office. ~-6~. J8CnbG.lI.as.ab) - Secretary of Transportation KEEP IN A SAFE PLACE-AN" ALTERATION OR ERASURE VOIDS THIS TITLE 1 In I" I;:) NUT A TAX BILL \ Parcel Identifier: \. 13-24-0797-198.-TR06404 2000 Assessed Value Old Assessed'Viilue Market Value (2000 Market x 100%) (1974 Market x 25%) Land 0 0 0 Buildings 1,230 1,230 860 TOTAL 1,230 1,230 860 2000 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Clean and Green values apply t~ some farm and fDrestland. Such values becDme effecllve Dnly upon appilcatlOn and apprDval. All applicatiDns must be received by the Assessment Office by 4:30 p.m. Dn OctDber 15 2000 Those previously approved for Clean and Green do not need to r~'apPly, MAILING PATE: July 1, 2 v~ .....\ District: 13 - LOWER AI..LEN TOWNSHIP /' School. " WEST SHDRE SD v Location: 14 Gli:ORGES MHP GEORGES MHP LOT :1-4 TAXABLE UNIT/LOT ID..: TP-0014 Land Size....: .00 acres Property Type: T Mobile Home - No Land Control No: 13002857 CUSBMEDE Pennsylvania law requires that a/l real estate be valued as Df the mDst recent county-wide reassessment. The last reassessment, Dr tax base year, was 1974. Since the last reassessment in 1974, properties have been assessed at 25% of the 1974 value (the "Pre-Determined Ratio"). The new tax base year wi/I be the Year 2000, with the new assessed values becoming effective for the 2001 tax year. The Pre-Determined Ratio has been changed to 100%. Your new assessed value equals your Year 2000 market value. It is very important for you to know that when the new 2000 tax base is determined after this reassessment, all taxing districts are required by Jaw to Jower the millage rate by the same proportion that the tax base went up, The law provides that in the first year after reassessment (2001), the county and all townships and boroughs may not increase overall revenue by more than five percent (5%) and school districts may not increase overall revenue by more than ten percent (10%). The county and the other taxing bodies will make these decisions next year, and may choose not to increase overall revenue, Of course, some individual's taxes will go up Dr down by more than those percentages. The essential point is that an increase in market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2000 COUNTY tax figures. This estimate does not include any borough, township, or school district impact. ESTIMATED COUNTY TAX IMPACT. Current 2000 County mills = 27.500 Adjusted 2000 County mills = 1.858 $ 24 , 2000 County Tax BEFORE Reassessment. $ 2 2000 County Tax AFTER Reassessment. .'1 ..c, '.'::"-.- .:"1' .,. :~ .~ t ..'" 'I'~ '....,..... ,~;,\~: 'YiJ REV-1510 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF George I. Mansfield SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET" is yes. 21-2001-0442 ITEM NO. DESCRIPTION OF PROPERTY INCLUDE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECO & DATE OF TRANSFER. ATTACH COpy OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF EXCLUSION DECD'S (IF INTEREST APPLICABLE) 1 Me=ill Lynch IRA Acccunt #872-74055 Beneficiary: Marie M. Mansfield 0.00 Asset was reported on original return filed 2 8.3375% tenants in common interest in real estate l=ated in the Borough of Mechanicsburg, Permsylvania - assessed value ~ $131,900 - value of transfer is $131,900 times 8.3375%, which equals $10,997.16, disccunted for fraction interest by 25%, for resulting value of $8,248 transfe=ed to decedent's daughter, Sharon M. Barbaretta on Decemter 11, 2000 8,248.00 100% 3 8.3375% tenants in comron interest in real estate l=ated in the Borough of Mechanicsburg, PA Assessed value of property at time of transfer ~ $131,900 Value of transfer is $131,900 times 8.3375%, Which equals $10,997.16, discounted for fraction interest by 25%, for resulting value of $8,248 to decedent's son, Wayne A. Mansfield on Decemter 11, 2000 8,248.00 100% 4 8.3375% tenants in cammon interest in real estate l=ated in the Borough of Mechanicsburg, Permsy 1 vania 8,248.00 100% Assessed value of property at time of transfer was $131,900 Value of transfer is $131,900 times Total from continuation paqe (s) 7 CPA01 NTF 10910 TOTAL (Also enter on line 7, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) Copyright Fonns Softwtlre Only, 1997 Nelco. inc. 3,000.00 3,000.00 3,000.00 TAXABLE VALUE 0.00 5,248.00 5,248.00 5,248.00 21,719.00 37,463.00 Page 2 Estate of: George I. Mansfield 21-2001-0442 SCHEDULE G -- Inter-Vivos Transfers and Non-Probate Property Item No. Description Date of Death Value of Asset % Of Decd's Interest Exclusion Taxable Value 4 8.3375%, which equals $10,997.16, discounted for fraction interest by 25%, for resulting value of $8,248 to decedent's son, Steven Mansfield on December 11, 2000 5 8.3375% tenants in ccmron interest in real estate located in the BoIDUgh of Mechanicsburg, Pennsylvania 8,248.00 100% 3,000.00 5,248.00 Assessed value of property at tirre of transfer was $131,900 value of transfer is $131,900 tirres 8.3375%, which equals $10,997.16, discounted for fraction interest by 25%, for resulting value of $8,248 to decedent's son, Michael L. Mansfield on December 11, 2000 6 4.1625% tenants in common interest 4,117.75 100% 4,117.75 in real estate located in the BoIDUgh of Mechanicsburg, Pennsylvania Assessed value of property at tirre of transfer is $131,900 Value of transfer is $131,900 tirres 4.1625%, which equals $5,490.33, dis=unted for fraction interest by 25%, for resulting value of $4,117.75 transferred to decedent's daughter, Sharon M. Barbaretta on January 3, 2001 7 4.1625% tenants in common interest 4,117.75 100% 4,117.75 in real estate located in the Borough of Mechanicsburg, Pennsylvania Assessed value of property at tirre of transfer was $131,900 TOtAL. (Carry forward to main schedule) 13,483.50 Estate of: George I. Mansfield Page 3 21-2001-0442 SaJEDULE G -- Inter-Vivos Transfers and Non-Probate Property Item No. Description 7 $131,900 times 4.1625%, which equals $5,490.33, discounted for fraction interest by 25%, for resulting value of $4, 11 7. 75 transferred to decedent's son, Wayne M. Mansfield on January 3, 201 8 4.1625% tenants in common interest in real estate located in the Borough of MechanicsbuIg, Pe:nnsy 1 vania Assessed value of property at time of transfer was $131,900 Value of transfer is $131,900 times 4.1625%, which equals $5,490.33, discounted for fraction interest by 25%, for resulting value of $4,117.75 transferred to decedent's son, Steven Mansfield on Janaury 3, 2001 9 4.1625% tenants in common interest in real estate located in the Borough of Mechanicsbuxg, Pe:nnsy 1 vania Assessed value of property at time of transfer was $131,900 Value of transfer is $131,900 times 4.1625%, which equals $5,490.33, discounted for fraction interest by 25%, for resulting value of $4,117.75 transferred to decedent's son, Michael Mansfield on January 3, 2001 Items 2-9 were reported on the initial return with an irrproper value of $0 TOTAL. (carry fo:rward to main schedule) Date of Death Value of Asset 4,117.75 4,117.75 % Of Deed's Interest Exclusion Taxable Value 100% 4,117.75 100% 4,117.75 8,235.50 /' ;/ ./ / j I Private Client Group ~<::, ~ Mer:riU Lynch 214 Senate Avenue, Suite 50 1~ P.O. Box 0810 Camp Hill, Pennsylvania 17001-0810 717 975 4600 800 937 0735 Me=ill Lynch Account #872-74055 MLPF&S COST FPO George L Mansfield IRA FRO George L Mansfield Established 10/10/1986 as an IRA Account In addition to the securities held in the account as of April 15, 2001, we were also holding the following Money Market Funds: $4,761.15 $1,504.57 $16,090.02 Merrill Lynch Bank & Trust Me=ill Lynch Bank USA Me=ill Lynch Retirement: Reserves Mrs. Marie M. Mansfield was the sole primary beneficiary. The account was closed on 5/10/2001 by journal entry of all assets into Mrs. Mansfield's IRA account. The in/ormation sellorth herein was obtained tram sources wl1ich we believe reUable. bul we do not guarantee ils accuracy. 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"< m r- = 0 =" =- "'0 ::z:l ..... o ::z:l ..... >-1 -< n I:""' ..... ~ Z >-1 !;l::j ~ >-1 ..... ::z:l ~ ~ ~ >-1 :> n n o c:: Z >-1 j!.J{) 7 9 ~ 1'- or-..;J-- --'''''''- . .::.::. -";.-= P, E~_CC'i.':D-. C:F D::EDS CU4i8~;~L~fiD C,CUr-iTY-PA '00 DEe 12 APl 8 21 THIS DEED MADE this 11th day of December, Two Thousand (2000) by and between: GEORGE 1. MANSFIELD and MARIE M. MANSFIELD, husband and wife, parties of the first part, hereinafter called "Grantors", AND GEORGE 1. MANSFIELD and MARIE M. MANSFIELD, husband and wife, as to an undivided thirty-three and three-tenths per centum (33.3%) interest in the premises hereinafter described, as tenants in common, between themselves and WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, MICHAEL L. MANSFIELD and SHARON M. BARBARETTA as to an undivided sixty-six and seven-tenths per centum (66.7%) interest in said premises as tenants in common, parties of the second part, hereinafter called "Grantees":. WITNESSETH: that in consideration of the sum of One and No/lOO ($1.00) Dollar in hand paid by Grantees to Grantors, the receipt whereof is hereby acknowledged by said Grantors, the said Grantors do hereby grant and convey (a) unto themselves, GEORGE 1. MANSFIELD and MARIE MANSFIELD, husband and wife, as tenants in common, an undivided 33.3% interest, and (b) unto their children, namely -WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, MICHAEL L. MANSFIELD and SHARON M. BARB ARETTA, as tenants in common, an undivided 66.7% interest, and their respective heirs and assigns, ALL t..'lose two certain adjoining tracts, pieces or parcels of land situated in the Borough of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania, more particularly bOWlded and described as follows: Tract No.1: ALL THAT CERTAIN tract ofland together with the improvements thereon erected situate on the South side of Simpson Street (Simpson Road), in the Borough of Mechanicsburg (formerly Upper Allen Township), County of Cumberland, and State of Pennsylvania, bounded and described as follows: BEGmNING at a point in the center line of Simpson Street (also known as Simpson Road), at the corner ofland formerly of Monroe W. Farence and Ruth B. Farence, his wife, now or formerly of Sinclair Refining Company, said point being also one hWldred forty-five (145) feet in an Easterly direction from the intersection of the center line of said Simpson Street, with the center line of Norway Street; thence along the center line of Simpson Street, North sixty-four (64) degrees thirty (30) minutes East, seventy (70) feet to a point; thence along the line of lands now or formerly of Wilbur H. Fought and Elizabeth M. Fought, his wife, South nineteen (19) degrees thLTty (30) minutes East, 'one hundred fifty (150) feet to an iron pin; thence along lands formerly of the said Wilbur H. Fought and Elizabeth M. Fought, his wife, now Tract No.2 hereinbelow, South sixty-four (64) degrees thirty (30) minutes West, seventy (70) feet to a point at corner of lands formerly of.Monroe W. Farence and Ruth B. Farence, his wife, nor or formerly of Sinclair Refining Company, aforementioned; thence along the line of said lands now or - ., . -..--- /11\\ ...l""'..........""C' -fh;mT no'\ mlnutes West, IV\!? ...:vwU( PCGE~-'- " Z.lt>;~E~ RECGF.C:,: 8-F DEEDS (jUh'iBt:RLAltD COUNTY - PA 'D1 jiJN 1 PfJ 12 18 TAX PARCEL NUMBER: 17-23-563-50 TIDS DEED MADE this3"'! day of January, Two Thousand One (2001) by and between: GEORGE L MANSFIELD and MARIE M. MANSFIELD, husband and wife, parties of the first part, hereinafter called "Grantors", AND WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, MICHAEL 1. MANSFIELD and SHARON M. BARBARETT A as tenants in co=on, parties of the second part, hereinafter called "Grantees": W1TNESSETH: that in consideration of the sum of One and No/lOO ($1.00) Dollar in hand paid by Grantees to Grantors, the receipt whereof is hereby acknowledged by said Grantors, the said Grantors do hereby grant and convey unto their children, namely WAYNE A. MANSFIELD, S-tEVEN R. MANSFIELD, MICHAEL 1. MANSFIELD and SHARON M. BARBARETTA, as tenants in common, all of Grantors' right, title and interest in and to the following described real estate, and their respective heirs and assigns, ALL those two certain adj oining tracts, pieces or parcels of land situated in the Borough of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania, more particularly bounded and described as follows: < Tract No. 1: ALL TRA T CERTAIN tract of land together with the improvements thereon erected . situate on the South side of Sinipson Street (Simpson Road), in the Borough of Mechanics burg (formerly Upper Allen Township), County of Cumberland, and State of Pennsylvania, bounded and. described as follows: BEGINNlNG at a point in the center line of Simpson Street (also known as Simpson , Road), at the comer ofland formerly of Monroe W. Farence and Ruth B. Farence, his wife, now, or formerly of Sinclair Refining Company, said point being also one hundred forty-five (145) . feet in an Easterly direction from the intersection of the center line of said Simpson Street, with the Genter line of Norway Street; thence along the center line of Simpson Street, North sixty-four (64) degrees thirty (30) minutes East, seventy (70) feet to a point; thence along the line oflands now or formerly of Wilbur H. Fought and Elizabeth M. Fought, his wife, South nineteen (19) degrees thirty (30) minutes East, one hundred fifty (J 50) feet to an iron pin; thence along lands fomlerly of the said Wilbur H. Fought and Elizabeth M. Fought, his wife, now Tract No.2 hereinbelow, South sixty-four (64) degrees thirty (30) minutes West, seventy (70) feet to a point at comer oflands formerly of Monroe W. Farence and Ruth B. Farence, his wife, nor or formerly BOOK 2:17 PAGE 252 I' , . 1..EEPI867-$PEOAL wAR.flN(rf oeo ., , j , -" . (:: ,.. 1"".-, =--'..~ i ~. "J i - R05ERT p, ZIEGLER RECORDER OF DEEDS CUMBERLAND COUNT'r'- PA THIS DEED '93 APR 13 / Prl 12 59 Made the 28th day of January, 1993; BETWEEN GEORGE I. MANSFIELD and MARIE M. MANSFIELD, his wife herein designated as the Grantor(s), AND in common GEORGE I. MANSFIELD and MARIE M. MANSFIELD, his wife, as tenants herein designated as the Grantee(s); WITNESSETH, that the Grantors, for and in consideration of---ONE DOLLAR ($1.00)---lawful money of the United States of America, to the Grantors in hand well and truly paid by the Grantees, at or before the sealing and delwery of these presents, the receipt whereof is hereby acknowledged and the Grantors being therewith fully satisfied, do by these presents grant, bargain, sell and conuey unto the Grantees forever, AI,L THAT CERTAIN tract of land, together with the improvements thereon erected situate on the South side of Simpson Street (Simpson Road), in the Borough of Mechanicsburg (formerly Upper Allen Township), County of Cumberland, and State of Pennsylvania, bounded and described as follows: TRACT NO.1: BEGINNING at a point in the center line of Simpson Street (also known as Simpson Road), at the corner of land formerly of Monroe W. Farence and Ruth B. Farence, his wife, now of Sinclair Refining Company, said point being also one hundred forty-five (145) feet in an Easterly direction from the intersection of the center line of said Simpson Street, with the center line of Norway Street; thence along the center line of Simpson Street, North sixty-four (64) degrees thirty (30) minutes East, seventy (70) feet to a point; thence along the line of lands now or formerly of Wilbur H. Fought and Elizabeth M. Fought, his wife, south nineteen (19) degrees thirty (30) minutes East, one hundred fifty (150) feet to an iron pin; thence continuing along the line of lands of the said Wilbur H. Fought and Elizabeth M. Fought, his wife, south sixty-four (64) degrees thirty (30) minutes West, seventy (70) feet to a point at corner of lands formerly of Monroe W. Farence and Ruth B. Farence, his wife, now of Sinclair Refining Company, aforementioned; thence along the line of said lands now of Sinclair Refining Company, North nineteen (19) degrees thirty (30) minutes West, one hundred fifty (150) feet to a point in the center line of Simpson Street, aforesaid, at the point and place of BEGINNING. BOORP6 PA::E 524 TOGETHER with all and singular the buildings, improvements, ways, woods, waters, watercourses, rights, liberties, privileges, hereditaments and appurtenances to the same belonging or in anywise appertaining; and the reversion and reversions, reT7UJ.inder and reT7UJ.inders, rents, issues and profits thereof, and of every part and parcel thereof,' AND also all the estate, right, title, interest, use, possession, property, claim and deT7UJ.nd whatsoever of the Grantors both in law and in equity, of, in and to the premises herein described and every part and parcel thereof with the appurtenances. TO HA v.E AND TO HOLD all and singular the premises herein described together with the hereditaments and appurtenances unto the Grantees and to Grantees' proper use and benefit forever. AND the Grantors covenant that, except as T7UJ.y be herein set forth, they do and will FOREVER SPECIALLY WARRANT and DEFEND the lands and premises, hereditaments and appurtenances hereby conveyed, against the Grantors. In all references herein to any parties, persons, entities or corporations, the use of any particular gender or the plural or singular number is intended to include the appropriate gender or number as the text of the within instrument may require. Wherever in this instrument any party shall be designated or referred to by name or general reference, such designation is intended to and shall have the same effect as if the words "heirs, eXEcutors, administrators, personal or legal representatives, successors and assigns" had been inserted after each and every such designation. IN WITNESS WHEREOF, the Grantors have hereunto set their hands and seals, or if a corporation, it has caused these presents to be signed by its proper corporate officers and its corporate seal to be affixed hereto, the day and year first above written. SIGNED, SEALED and DELIVERED in the presence of MTEJ7 (/J tj'- i , )f. . .,:~ '-. ,', / /I f VI"~ vl(..lA'.A-<//-<lYrt/ George !J. Mansfield (/ , h( ---" ~;.., ',",.., , /11./ /- '-- ')i! 'jIlt::,,",., Marie M. Mansfield COMMONWEALTH OF PENNSYLVANIA, COUNTY OF ~ : S5. BE IT REMEMBERED, that on ~ <2?, 19 '15, before me the subscriber personally appeared GEORGE I. MANS&~D a:~IE M. MANSFIELD known to me (or satisfactorily proven) to be the person whose name are su.bscribed to within deed and acknowledged that they executed the same for the pu.rposes therein contained. WITNESS my hand and seal the day and year aforesaid. .My Commission Expires: NC7dSoal . J MatD"mt !.,; V"-,'VJ"""--' ~J,c""",P:101iC M,' ~~~-.t<j"~:::,.'>~:""~,c,.,~. '7t~/~k. ~M/~ NOTARY PUBLIC (SEAL) COMMONWEALTH OF PENNSYLV ANlA, COUNTY OF : ss. BE IT RElIlEMBERED. that on ,19 ,before me the subscriber personally appeared who acknowledged self to be the of , a Corporation, and that being authorized to do so as such corporate officer executed the foregoing instrument for the purposes therein contained on behalf of the corporation. WITNESS my hand and seal the day and year aforesaid. My Commission Expires: NOTARY PUBLIC (SEAL) Cll Cll "-< "-< ~ oM oM '" :. :. '" S '" "0 tIl "0 tIl CI:l ... C:oM C:oM ~ .... ",.c: ",.c: c: 00; Q 0 . 0 . 0 ~~ oi, ,...lO ,...lO ~ Q lol,...l lol,...l .... 0 ""'lol ""'lol 0 ~~ .... "'..... "'..... u ~ .... "'''' "'''' CI:l ~ ~ ~ z'" Z"'C: :$Z O;1iZoM ~... ll,'"' ~ ~;1i Eo.. ;1i tIl \'j ;;.:r..~ .~ ~ ~.::.... ~'" 0 ..... ..... c: 1: ~ ::~ :>: :>: '" ~." C"''''' lol lol c: <:.:Jlol <:.:Jlol Cll ~Z~'i:~ O<H 0<"'" '-' ~ """" ...t:::' 00< 00< ~QOtl.... "'< t3~ tIl tl <:.:J:>: '" ~ ~~~I:l:t: .. '" ~ ~ Ql ~ :: " "0 H ..... ~e: ~ '" H t"tl ~ 0 0 OJ'... Q :: po: '" ~ ~- ~ H ~...O'l;'" "" E ",,,,"c:l H .Q ::..ll. " < b()....00l 'Q) .D P- ..... tJo;..-"::: tIl tl)Q.lcu.... ;>.. ......-, ~ ...; "'ll.ll." '-' ...; "tl",,,.. Cll ''';1 S.:: " .. 0 0:: ......CJ~ H 0. Qo~~~ 0 " ..::..::::~.. N '" E-l.... d ~.:: "" <:.:J .!....I.) ,EX fO..&!1 RECORDER'S USE ONt y ~ COMMONWEALTH Of II'ENNSYlV.N'A. DEPARTMENT Of REvENUE aUJEAU Oil INDIVIDUAL TAXIS POST OfFICE lOX "10 HAUISIURG. P. 1710>1910 5101" To. Paid REALTY TRANSFER TAX STATEMENT OF VALUE look Numb.r Pog" Numb.r . i S.e Reverse for Instructions 00" R.corcled Complete each section and file in duplicate with Recorder of D.eds when f 1) the full valueiconsideration is nol set forth in the dlted, (21 when the deed is without corniderotion, or by 9*', or {3} 0 'ox exemption is claimed. A Statement of Value is not required if the transfer is wholly exempt from tax based on: (1 J family relationship or (2) public utility easement. If more space is needed, attach additional sheet(s), A CORRESPONDENT - All inquiries may be directed to the following person: _ Nome Telephone Number: Elyse E. Rogers, Esquire Str"l Address City AreCl Code ( 7 1 7 Slale 232-5000 Zip Code B TRANSFER DATA 3401 North Front Street, P.O. Box 5950, Harrisbur PA 17110-0950 Dote of Acceplence of Document Grenlor(s)/lessor/sJ George I. & Marie M. Mansfield Slreet A,ddren 4201 Gettysburg Road Gront..(sJ/Lassee(sl George I. & Marie M. Mansfield Str.., Address City 4201 Gett Road Stole Zip Cod. City ~rot. Zip Cade Camp Hill, PA 17011 Camp Hill, PA 17011 C PROPERTY LOCATION . - - . - Cumberland Cil)', Township, Borough Borough of Mechanicsburg Tox. Porc.l NloHftOer Stre.! Address 604 East Simpson Etreet County . .. 1. Actuel Cosh Consideration $1.00 2. Other Consideration 3. Total Ccnsidercnion 4. County Assessed Volue $9,530 + S. Common level Rotio Fodor o = $1. 00 6. Foir Morlte' Value x 12.5 = $119,125.00 E EXEMPTION DATA - . - ". - : -"~1";:;P<\' 1 a'. A"'ount of E~emption Claimed 1 c. Percenloge of I"ter.st Conveyed 100% 100% 2, Ch.ck Appropricrte Box Below for Exemption Claimed o o o o o Will or inte\1ate ,u~~enlon INo_ 01 D,c"d.n'l (ElIO'. fjj. Numb.'} Transfer to Industrial Development Agency. Transfer to agent or straw party. IAttach copy of agencylstraw party agreement). Transfer between principel and agent. IAttcch copy of agencyistrow trust ogreement). Tax paid prior deed S Transfers to the Commonwealth, the United States, and Instrumentalities by gift, dedication, condemnoticn or in lieu of condemnation. lAl1oc.h copy of resolution). o o o IZJ Transfer hom mortgagor to 0 holde,. of 0 mortgcge in default. Mortgage QOOk: Number , Poge Number Corrective deed (Attach copy of the prior deed). Statutory corporate consolidation, merger or division. (Attach copy of articles). Transfer between spouses. Other (Pleale ex.plain exemption claimed, if ether than Jj,ted above.) acknowledge is more than 30 days prior to date of recording. Also, date of Under penoltie. of law. I dedor. that I have examined this Statement, including accompanying information, and to the best of my knowl.dge and beli.,f, it i. true, correct and complete. S\9"G'vr. Df Correspondent or R..ponlibl. Potty Dot. (SEE REVERSE) REV-1511EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Georqe I. Mansfield SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2001-0442 Debts of decedent must be reported on Schedule I. ITEM NO. DESCRIPTION A. FUNERAL EXPENSES: AMOUNT 1 Myers Funeral Holre 0.00 2 Mechanicsburg Arrerican Legion, funeral reception 0.00 Items 1 and 2 were rep:>rted on the previous return filed 3 Gingrich Merrorials 1,950.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Nama of Personal RepresentaUve(s} Social Security Number(s)/EIN No. of Personal Representallve(s) Street Address 0.00 City State Zip Year(s) Commission Paid: 2. 3. Attorney Fees Narre: Keefer Wood Allen & Rahal, LLP Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Marie M. Mansfield Street Address 4201 Gettysburg Road City Carrp Hill Relationship of Claimant to Decedent 5,900.00 3,500.00 State Survi vinq 8p:>use PA Zip 17011-6670 4. Probate Fees 0.00 5. Accountanfs Fees Narre: Charles F. Sullivan, CPA 0.00 6. Tax Return Preparer's Fees 0.00 7 Curmerland Law Journal, legal advertising 0.00 8 Patriot News, legal advertisirg 0.00 Items 4-8 were rep:>rted on original return filed TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 11,350.00 7 CPAl1 N1F 10911 CopyriCht Forms Software Only, 1997 Nelco, Inc. REV-1S13 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES Georae I. Mansfield No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) FILE NUMBER RELATIONSHIP TO DECEDENT Do Not List Trustee(s) 21-2001-0442 AMOUNT OR SHARE OF ESTATE ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 17. AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1 ~8nsfield Trust A c/o Marie Mansfield 4201 Gettysburg Road Carrp Hill, PA 17011 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS None 647,923.78 7 CPA13 NTF10913 TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 647,923_78 Copyright Forms Software Only, 1997 NeICQ, Inc. (If more space is needed, insert additional sheets of the same size} fuast lWIill a:M illrBtcrm!'nt m: GEORGE I. MANSFIELD I, GEORGE I. MANSFIELD, of Lower Allen Township, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing under ITEM V of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: expenses of my last illness property passing under this administration of my estate. I direct the Executor to pay the and funeral expenses from the Will as an expense and cost of ITEM III: I give and bequeath the sum of TEN THOUSAND ($10,000) DOLLARS to each of GLENDA MANSFIELD and CONNIE SHOLLY, but only to the extent I have not made a :Lifetime gift of TEN THOUSAND ($10,000) DOLLARS to said child subsequent to the execution of this Will. If either of said children predecease me, the bequest to that child shall lapse. F'age I ITEM IV: If I predecease my wife, MARIE M. MANSFIELD, I give and bequeath to her absolutely and in fee simple all of my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment and all policies of insurance thereon. If I do not predecease my said wife, I make said bequest to my children, SHARON M. BARBARETTA, WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, and MICHAEL L. MANSFIELD, living at the time of my death, to be divided among them as they shall agree. Should there be no agreement, such property shall be divided among them by the Executor in as nearly equal portion$ as is deemed practical in the sole discretion of the Executor, having due regard to the personal preferences of such children. ITEM V: I glve, devise and bequeath all the rest, residue and remainder of my estate, not disposed of in the preceding portions .of this Will, to my wife, MARIE M. MANSFIELD, as Trustee (hereinafter referred to as "Trustee"), IN TRUST NEVERTHELESS, to be further divided into two parts, each of which shall be held in trust and constitute a separate Trust Fund to be known as "Trust A" and "Trust B". "Trust A": There shall be placed in "Trust A" that fraction of my residuary estate of which the numerator shall be a sum equal to the largest amount that can pass free of Federal estate tax under my Will by reason of the unified credit and the state death tax credit (provided that the use of this credit does not require an increase in state death taxes) allowable to my estate but no other credit and after taking account of dispositions under other items of this Will and property passing outside of this Will which do not qualify for the marital or Page 2 charitable deduction and after taking account of charges to principal that are not allowed as deductions in computing my Federal estate tax and of which the denominator shall be the value of my residuary estate. For purposes of establishing such fraction, the values finally fixed in the Federal estate tax proceeding relating to my estate shall be used. I recognize that the numerator of such fraction may be zero (0), in which case no property shall pass under "Trust A" and that said numerator may be affected by the action of the Executor .in .exercising certain tax elections. "Trust B": The balance of my residuary estate not placed in "Trust A" shall be placed into "Trust B"to be held., administered and distributed in accordance with ITEM VII of this Mill. ITEM VI: The following provisions shall apply to "Trust A": (a) The Trustee shall pay the net income arising from the principal of this Trust in quarterly installments to my wife, MARIE M. MANSFIELD, during her lifetime. (b) During the lifetime of my said wife, the Trustee shall pay to or for the benefit of my said wife so much of the principal of this Trust as may be necessary, in the sole discretion of the Trustee, for the proper support, maintenance and medical care of my said wife. Page 3 (c) Upon the death of wife, or upon my death if she predeceases me, the then remaining principal shall be divided into as many equal shares as there are then living children of my marriage to MARIE M. MANSFIELD, being specifically SHARON M. BARBARETTA, WAYNE A. MANSFIELD, STEVEN R. MANSFIELD, and MICHAEL L. MANSFIELD, and then deceased children of mine and of MARIE M. MANSFIELD represented by then living issue. The Trustee shall pay one such share to each such living children and shall hold one such share as a separate Trust for the benefit of the issue of each such then deceased child, per stirpes. All of such children as are living at the time of distribution must agree on the division of assets among them. If they are unable to reach agreement, they shall refer the mattertoB qualified arbitrator who shall make such determination. (d) In each Trust established for the benefit of the issue of a deceased child of mine, the Trustee shall quarterly pay the net income to or for the benefit of the issue of such deceased child, per stirpes, living at each time of quarterly distribution; as soon as anyone of said issue attains the age of twenty-one (21) years, and in no event later than twenty (20) years following the death of the survivor of my wife and me, the Trustee shall pay over all of the then assets in the Trust to the then living issue of my deceased child, per stirpes. (e) If at any time before final distribution of the assets of any of the Trusts established for issue of deceased children, there are no living beneficiaries of said Trust, the Trust shall Page 4 terminate, and its assets shall be distributed to my then living children and issue of deceased children, per stirpes. The share payable to the issue of deceased children hereunder shall continue to be held in trust for the benefit of said issue in accordance with the provisions of subparagraph (d), provided, that if any of the Trusts herein created for the benefit of issue of deceased children have been terminated by the payment of its principal to its beneficiaries, the beneficiaries who received payment of the principal of that Trust shall collectively be considered an "existent Trust" for the purposes of this paragraph, and one equal share shall be paid directly to such beneficiaries in the same proportion by which they received the principal of the Trust, or, if any such beneficiary is deceased, the share of such deceased beneficiary shall be paid to the issue of such beneficiary, per stirpes. I TEM VI 1.: apply to "Trust B": The following provisions shall (a) Trustee shall have, hold, manage, invest and reinvest the assets of this Trust, collect the income and beginning at my death pay over the net income in quarterly installments to my wife, MARIE M. MANSFIELD, during her lifetime. The Trustee shall also, from time to time, pay to my wife such amounts of principal of this Trust as the Trustee deems necessary for the proper support, maintenance and medical care of my wife. (b) Upon the death of my wife, the Trustee shall pay all accrued income and all income accumulated but Page 5 undistributed to the estate of my deceased wife and shall thereafter transfer the then remaining principal of this Trust to "Trust A" to be held, administered and distributed in accordance with the provisions of ITEM VI of this Will. (c) If my wife should not survive me, then the provisions of "Trust B" shall be void and the part of my estate which would have constitut-ed "Trust B" shall be added to "Trust A" to be disposed of in accordance with ITEM VI of this wilL (d) The Executor shall be authorized in the Executor's sole, exclusive and unrestricted discretion to determine whether to elect (under Section 2056(b)(7) of the Internal Revenue Code of 1986 as amended, or any corresponding provision of the Federal estate law), to qualify all., none or a fraction of "Trust B" for the Federal estate tax marital deduction. The dec.ision of the Executor with respect to the exercise of the election shall be final and conclusive upon all persons whose interests in my estate are directly or indirectly affected by the election. Only property which is fully eligible for the marital deduction under Federal estate tax law shall be assigned to this Trust. Notwithstanding anything to the contrary contained in this Will, the Trustee of this Trust shall not retain beyond a reasonable time any property which may at any time be or become unproductive, nor shall Trustee invest in unproductive property. Notwithstanding the provisions of subparagraph (b) of this Item, the Trustee shall pay to the Executor of my wife's estate, out of the principal of this Trust upon the death of my wife, an Page 6 amount equal to the estate, inheritance, transfer, succession and other death taxes ("death taxes"), Federal, state and other, payable by reason of the inclusion of the value of Trust property in my wife's estate. Such payment shall be equal to the amount by which (1) the total of such death taxes paid by my wife's estate exceeds (2) the total of such death taxes which would have been payable if the value of the Trust property had not been included in her estate. The determination by my wife's Executor of the amount payable hereunder shall be final. I direct the Trustee to pay such amount promptly upon written request of my wife's Executor. The final determination of the amount due hereunder shall be based upon the value as finally determined for Federal estate tax purposes in my wife's estate. After payment of the amount finally determined to be due hereunder, the Trustee shall be discharged from any further liability with respect to such payment. My wife may waive her estate's right to payment under this subparagraph by Will, executed after my death, in which she specifically refers to the right to payment hereunder given to her estate. ITEM VIII: No part of the income or principal of the property held under any Trust created by this Will shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. The Trustee shall pay over the net income and the principal to the parties herein designated, as their interests may appear, without regard to any attempted anticipation, pledging or assignment by any beneficiary under a Trust, and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. Page 7 ITEM IX: In the settlement of my estate and during the continuance of the foregoing Trusts, the Executor and the Trustee shall possess, among others, the following powers: (a) To retain any investments I may have at my death, including specifically those consisting of stock of any bank even if I have named such bank as the Executor or Trustee herein, so long as the Executor or Trustee may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by the Executor or Trustee, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other property, real or personal, as they shall deem wise, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. (c) In order to effect a division of the principal of a Trust or for any other purpose, including any final distribution of a Trust, the Executor or Trustee is authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind, and to allocate specific assets among beneficiaries and Trusts created hereunder so long as the total market value of any share is not affected by such division, distribution or allocation in kind. Should it appear desirable to partition any real estate, the Executor or Trustee is authorized to make, join in and consummate partitions Page 8 of lands, voluntarily or involuntarily, including giving of mutual deeds, recognizances or other obligations, with as wide powers as an individual owner in fee simple. (d) To sell either at public or private sale and upon such terms and conditions as the Executor or Trustee may deem advantageous to the estate or Trust, any or all real or personal estate or interest therein owned by the estate or Trust severally or in conjunction with other persons or acquired after my death by the Executor or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrYlng out any of the powers conferred upon the Executor or Trustee in this paragraph or elsewhere ln my Will. (e) To mortgage real estate, and to make leases of real estate. (f) To borrow money from any party, including the Executor or Trustee, to pay indebtedness of mine or of my estate, expenses of administration or inheritance, legacy, estate and other taxes, and to assign and pledge assets of my estate therefor. Provided, however, that this paragraph shall not authorize borrowing from "Trust E". Page 9 (g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or a Trust. If any estate or inheritance taxes are payable from assets received by the Trustee, such taxes shall be paid from the assets constituting "Trust A". (h) To make distributions of income and of principal to the proper beneficiaries thereof, during the administration of my estate, with or without court order, in such manner and in such amounts as my Executor deems prudent and appropriate. (i) To vote .anyshares of stock which form a part of the estate or Trust, and otherwise to exercise all the powers incident to the ownership of such stock. (j) In the discretion of the Executor or Trustee, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the estate. (k) To disclaim any interest in property which would devolve to me or my estate by whatever means, including but not limited to the following means: as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under a third-party beneficiary contract. Page 10 (1) To do all other acts in their judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate or Trust. ITEM X: Whenever and as often as any beneficiary hereunder, to whom payments of income or principal are herein directed to be made, shall be under legal disability, or, in the sole judgment of the Trustee, shall otherwise be unable to apply such payments to his own or her own best interests and advantages, the Trustee may make all or any portion of such payments in anyone or more of the following ways: (a) Directly to such beneficiary; (b) To the Legal Guardian or Conservator of such beneficiary; (c) To a relative of such beneficiary, to be expended by such relative for the benefit of such beneficiary; or Cd) By itself expending same for the benefit of said beneficiary. Provided, however, that this power shall not apply to "Trust B". ITEM XI: In the event that there should be established in the Last Will and Testament of my wife, MARIE M. MANSFIELD, Trusts similar to the Trusts herein established for the benefit of my issue, the Trustee of each of said Trusts created in this Will shall have the right of merging it with Page 11 the similar Trust for the same beneficiaries created in the Will of my wife, and operating each of said merged Trusts as a single Trust. ITEM XII: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under such circumstances that the order of our deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. ITEM XIII: I hereby nominate, constitute and appoint my wife, MARIE M. MANSFIELD, to be the Executrix, herein referred to as "Executor". In the event of her death or her inability or refusal to serve, I nominate, constitute and appoint SHARONM. BARBARETTAand STEVEN R. MANSFIELD, to serve in her stead as Executor or Trustee, or both. In the event of the death, inability or refusal of all of the above-referenced individuals to Serve, I nominate, constitute and appoint first my son, WAYNE A. MANSFIELD, to serve as Executor or Trustee, or both, and second my son, MICHAEL L. MANSFIELD, to serve as Executor or Trustee, or both. The Executor and Trustee are specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding eleven (11) pages, at the end of each page of which I have also set my initials for greater security and better identification this;)(J day of \'JQJUL~ ' 197]. ,II \j /y GEORGE I. MANSFIELD , (SEAL) We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testator was of sound and disposing mind and memory. f~~7l({J1 QiCJt5LIQ{)I(~AL) Residing at f// ~ Ii c:: .. /,Uf / , /. / i . YUt'L (SEAL) Residing at (SEAL) Residing at ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF ) I, GEORGE T. MANSFIELD, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. (SEAL) GEORGE I. . MANSFIELD Sworn to and subscribed before me this day of . 19 Notary Public My Commission Expires: (SEAL) AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) ) 55: COUNTY OF ) We, and , the Witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator, GEORGE I. MANSFIELD, sign and execute the instrument as his Last Will and Testament; that. Testator signed willingly and that he executed said Will as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as Witnesses; and that to ,the best of our knowledge the Testator was at that time eighteen (18) 0:: more years of age, of smmd mind and under no constraint or undue influence. Witness Witness Witness Sworn to and subscribed before me this day of , 19 Notary Public My Commission Expires: (SEAL) HEATH L. ALLEN N. DAVID RAHAL CHARLES W. RUBENDALL II ROBERT L. WELDON EUGENE E. PEPINSKY. ..JR. ..JOHN H. ENOS III GARY E. FRENCH DONNA S. WELDON BRADFORD DORRANCE ..JEFFREY S. STOKES ROBERT R. CHURCH STEPHEN L. GROSE R. SCOTT SHEARER WAYNE M. PECHT ELYSE E. ROGERS CRAIG A. LONGYEAR DONALD M. LEWIS III BRIDGET M. WHITLEY ..JOHN A. FEICHTEL ANN McGEE CARBON ELIZABETH ..J. GOLDSTEIN BARBARA A. GALL STEPHANIE KLEINFELTER L-- KEEFER WOOD ALLEN & RAHAL, LLP 415 F ALLOWFIELD ROAD, SUITE 301 CAMP HILL. PA 17011-4906 ESTABLISHED IN IB7B OF COUNSEL: SAMUEL C. HARRY PHONE 717-612-5800 FAX 717-612-5805 HARRISBURG OFFICE: 210 WALNUT STREET HARRISBURG. PA 17101 EIN NO. 23-0716135 www.keeferwood.com PHONE 717-255-8000 September 19, 2002 717-612-5808 cswindler@keeferwood.com Via: Certified Mail Cumberland County Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, P A 17013 Re: Estate of George 1. Mansfield File #21-01-0442 Dear Sir/Madam: Enclosed you will find a check in the amount of $1,685.83 in payment of additional tax due for the above estate per J. Paul Dibert's letter of September 5, 2002. I have enclosed a copy of that letter for your reference. If you have any questions, please call our office. Sincerely yours, c~~ ~\ ~t\J.Jtr. C\r?le D. Swindler, Legal Assistant to Elyse E. Rogers /cds 90710 Enclosure cc: J. Paul Dibert Marie Mansfield COMMONWEALTH OF PENNSYLVAI\lIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPARTMENT 280601 HARRISBURG, PA 17128-0601 SEP 0 P 2002 Telephone September 5, 2002 717 783-0972 PENNSYLVANIA DEPARTMENT OF REVENUE BOARD OF APPEALS DEPARTMENT 281061 HARRISBURG, PA 17128-1061 Dear Board of Appeals: Re: Estate of George I Mansfield File Number 2101-0442 County of Cumberland Date of Death04-15-2001 Pursuant to Section 9186(A)(1) of the Inheritance and Estate Tax Act of 1995, a protest is filed on behalf of the Commonwealth of Pennsylvania against the Notice of Appraisement of Assets, Allowance or Disallowance of Deductions and Assessment of Tax, dated 08-05-2002. The examiner erred when he allowed the estate to file a supplemental and show all of the taxable assets falling into the unified credit trust for the sole benefit of the surviving spouse. On Schedule G of the supplemental return, there was $ 37,463.00 in non- probate assets that passed directly to the decedent's issue. These assets should have been taxed at the lineal rate of 4.5%. We ask the Board to affirm that the non-probate assets passing to the decedent's issue should be taxed in full at the 4.5%. In order for the estate record to be corrected, the Department will void the original return and include on the supplemental return the correct assets, deductions and the net taxable estate. cc: Elyse E Rogers ,/ File Inheritance Tax Division Sincerely, ~2/Z.. ~"'W" '~'-."'.' " ). i ... c'" i f/ ' :7 . !. J Paul Dibert Inheritance Tax Division '....,/ \,; COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE /~-c{.2026- ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISE"ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESS"ENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-27-2001 MANSFIELD 04-15-2001 21 01-0442 CUMBERLAND 101 > ~. i SCOTT M DINNER ESQ 3117 CHESTNUT ST CAMP HILL PA 17011 * REV-1547 EX AFP (12-00> GEORGE I AlIOUnt Relli Hed CHANGED (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 61.849.57 34,475.00 127,853.55 (8) MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=is4j-EX-AFP-nZ-=iioY-NoYicE--OF-YtiHEififANCE-YAX-APPRAiiEMENT~--Ai:.i-oWAiicE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MANSFIELD GEORGE I FILE NO. 21 01-0442 ACN 101 DATE 08-27-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. "ortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/"isc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/"isc. Expenses (Schedule H) 10. Debts/"ortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governnental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. AlIOunt of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: (9) (10) 14,217.66 NOTE: To insure proper credit to your account, submit the upper portion of this forll with your tax paYllent. 224,178.12 14.217 66 209,960.46 .00 209,960.46 14, lS and/or 16, 17, 18 and 19 will returns assessed to date. 209,960.46 X 00 = .00 X 045= .00 X 12 = .00 X 15 = (19)= .00 .00 .00 .00 .00 PAY"ENT RECEIPT DISCOUNT (+) A"OUNT PAID DATE NU"BER INTEREST/PEN PAID (-) , TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN.. .00 TOTAL DUE .00 .00 (11) (12) (13) (14) . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A REFUND. SEE REVERSE STDE OF THTS FORM FOR TNSTRUCTTONS.l '\. /b --02,;2 :f' - ~ ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN '* REV-485 EX AFP <D1-D2) ELYSE E ROGERS ESQ 415 FALLOWFIELD ROAD SUITE 301 CAMP HILL 'O.~ 1 .'} i ,/ DATE ESTATE OF DATE OF DEATH FILE NUMBER ') COUNTY ACN 08-12-2002 MANSFIELD 04-15-2001 21 01-0442 CUMBERLAND 201 GEORGE I Allount Rellitted PAl7:0'11 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR FILES ..... RE-V:4i3--EX--AFP--[oi~-02)-----.-.-NCiffcE--OF--DETE-RMiN~Tio1i-AN-D-AS-SESS-MENT----------------------------- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN .. ESTATE OF MANSFIELD GEORGE I FILE NO.21 01-0442 ACN 201 DATE 08-12-2002 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified .00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) .00 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed .00 5. Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 -IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU MAY BE nlll: A Dl:l:'llWn ~c~ DI:"n:D~1:' r>Tn-= ....r ......... P__..... ___ _...____________ /~-02-2P-.? " BUREAU OF INDIVIDUAL TAXES ~ INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX 'O:~ f oj ~ .; ~ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-05-2002 MANSFIELD 04-15-2001 21 01-0442 CUMBERLAND 101 1/ ELYSE E ROGERS ESQ 415 FALLOWFIELD ROAD SUITE 301 CAMP HILL pA;\17011 '* REY-1547 EX AFP (Dl-021 GEORGE I Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=is'trj-E3f-AFP-foY:02Y-NcfficE--OF-YNHEifiTANCrTAX-AjipRAYSEifENT~--ALi..-OWANCE-'ifR------------ ----- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MANSFIELD GEORGE I FILE NO. 21 01-0442 ACN 101 DATE 08-05-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Mortgages/Notes Receivable (Schedule D) (4) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets NO. 01 471,285.00 .00 .00 .00 150.525.78 .00 37.463.00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 11,350.00 .00 (11) (12) (13) (14) NOTE: If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS. NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 659,273.78 11.350 00 647,923.78 647,923.78 209,960.46 14, 15 and/or 1&, 17, 18 and 19 will returns assessed to date. 209,960.46 X 00 = .00 X 045 = .00 X 12 = .00 X 15 = (19)= .00 .00 .00 .00 .00 . ""'.."'....-. (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE RFUFR5:.F 5:.Tnl' nl' TIiTC:: .,nDM .,nD T....,TD. "'TT"~'" , / ,/"'. 16 - ':';.::J~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REY-1U7 EX AFP (01-021 ELIZABETH J GOLDSTEIN ESQ KEEFER WOOD ALLEN ETAL 415 FALLOWFIELD 301 CAMP HILL PA 1701~\ DATE ESTATE OF DATE OF DEATH FILE NUMBER ~OUNTY ACN 10-21-2002 MANSFI ELD 04-15-2001 21 01-0442 CUMBERLAND 101 GEORGE I Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i60-j-EX-AFP-rOY:02Y------...--iNHERiYANCE-iAX--STATEMEtii-cfF'-AC-COUNT--...------------------ --- ESTATE OF MANSFIELD GEORGE I FILE NO.21 01-0442 ACN 101 DATE 10-21-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-10-2002 PR I NCI PAL TAX DUE: ........................................................................................................................................................................................................................... 1,685.84 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 09-19-2002 CDOO1639 .00 1,685.83 EREST IS CHARGED THROUGH 11-05-2002 TOTAL TAX CREDIT 1,685.83 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE .01 INTEREST AND PEN. 68.29 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 68.30 If SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A '"CREDIT'" (CRJ, vnll M.. v RJ: n11J: " REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J /6' -07 80 - / \.- BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT. AllOWANCE OR DISAllOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX EARL RICHARD ETZWEILER ETZWEILER & ASSOCS 105 N FRONT ST HBG PA 17101 DATE ESTATE OF DATE OF DEATH ~~hE NUMBER OOUNTY ACN 10-22-2002 ROBBINS 04-29-2001 21 01-0463 CUMBERLAND 101 '*' REV-1547 EX AFP IDl-021 ANNE P Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i5'4-j-E3f-AFP--foY':02Y-NO'TicE--OF-YNHEififANCE-i"-A')rAPPRA-isEiiENT~--AL1-owAN-CE-OR------------ -- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF ROBBINS ANNE P FILE NO. 21 01-0463 ACN 101 DATE 10-22-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets Cl) (2) (3) (4) (5) (6) (7) 4.500.00 625.68 .00 .00 66.632.44 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage liabilities/liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) nO) 7.972.09 3.405.82 (11) (2) Cl3) Cl4) NOTE: If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Allount of line 14 at Spousal rate (15) 16. Allount of line 14 taxable at lineal/Class A rate (16) 17. Allount of line 14 at Sibling rate (17) 18. Allount of line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS. NOTE: To insure proper credit to your account. subllit the upper portion of this forll with your tax paYllent. 71.758.12 11.377 91 60.380.21 60.380.21 .00 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .00 X 00 = .00 X 045= .00 X 12 = .00 X 15 = Cl9)= .00 .00 .00 .00 .00 . ,,"'.."'..... (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS lESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "'CREDIT"' (CR). YOU MAY BE DUE A RFF'IJND _ ~II=I= DI=UI:'Dc:.1: c::.Tnc nC' TLlT~ ~nD" enD T....roo...nll_............... .... ,~ /b-c2cQR-:P \., BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 ELIZABETH J GOLDSTEIN ESQ KEEFER WOOD ALLEN ETAL 415 FALLOWFIELD 301 CAMP HILL PA 17011 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN '* REY-73' EX AFP (Dl-02l 11-24-2003 MANSFIELD 04-15-2001 21 01-0442 CUMBERLAND 202 GEORGE I Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ..... RE-V=736--EX-~FP--(oi~-62)-----.-.-NCificE--oF--iETifRMIN-ATlo-N-Aiii-As-sESS-MENT----------------------------- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER .. ESTATE OF MANSFIELD GEORGE I FILE NO.21 01-0442 ACN 202 DATE 11-24-2003 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified .00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 1,685.84 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed 1, 685 . 84 5. Pennsylvania Estate Tax Due .00 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federal Estate Tax Return .00 7. Additional Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 -IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE nllF .& RFFIINn _ !:;FF RFUFR!:;F !:;TnF nF TIITc::. ~nDM ~nD T....TD"rTT....'" , / ~ - c:2~ ~ - ;p ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REY-I607 EX iFP 100-US> ELIZABETH J GOLDSTEIN ESQ KEEFER WOOD ALLEN ETAL 415 FALLOWFIELD 301 CAMP HILL PA 17011( DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-13-2003 MANSFIELD 04-15-2001 21 01-0442 CUMBERLAND 101 GEORGE I Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REY=ic,'ifj-EX-AFi.--('oY=03Y------...--fNHERiYAiici--fA3f-Si'jrfEMEtif-'ifF-AC-Couiff--.-..--------------------- ESTATE OF MANSFIELD GEORGE I FILE NO. 21 01-0442 ACN 101 DATE 01-13-2003 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-24-2002 P R I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 1,685.84 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 09-19-2002 CDOO1639 .00 1,685.83 11-27-2002 CDOO1899 68.29- 68.30 TOTAL TAX CREDIT 1,685.84 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 iii SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J / b- ;;t~ff- 7 'v BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 10-25-2002 MANSFIELD 04-15-2001 21 01-0442 CUMBERLAND 101 ELIZABETH J GOLDSTEIN ESQ KEEFER WOOD ALLEN ETAL 415 FALLOWFIELD 301 CAMP HILL PA i1011 Allount Rellitted '* REV-1595 EX AFP 112-001 GEORGE I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-Y=is9-j-Ex--AFFi-fi1f:ool------.-.-iiiHERI-fANc-i-T;ri-RifcORD--ADj-USTM-iNT-ii.----------------------------- ESTATE OF MANSFIELD GEORGE I FILE NO. 21 01-0442 ADJUST"ENT BASED ON: VALUE OF ESTATE: PROTEST BOARD DECISION 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. "ortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/"isc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adllinistrative Costs/ "iscellaneous Expenses (Schedule H) Debts/"ortgage Liabilities/Liens (Schedule I) Total Deductions Net Value of Tax Return Charitable/Governllental Bequests; Non-elected 9113 Trusts Net Value of Estate Subject to Tax 10. 11. 12. 13. 14. TAX: 15. Allount of Line 14 at Spousal rate 16. Allount of Line 14 taxable at Lineal/Class A rate 17. Allount of Line 14 at Sibling rate 18. Allount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: (9) (10) (15) (16) (1n (18) ACN 101 (1) (2) (3) (4) (5) (6) (7) 471.285.00 .00 .00 .00 212,375.35 34,475.00 165,316.55 (8) 25,567.66 .00 (11) (12) (13) (14) (Schedule J) 209,960.46X 00 = 37,463.00X 045= .OOX 12 = .OOX 15 = (19) DATE 10-25-2002 883,451.90 25,567.66 857,884.24 610,460.78 247,423.46 .00 1. 685.84 .00 .00 1. 685.84 ".. ,~n' n.......u I l+J A"OUNT PAID DATE NU"BER INTEREST/PEN PAID (-) 09-19-2002 CDOO1639 .00 1,685.83 EREST IS CHARGED THROUGH 11-09-2002 TOTAL TAX CREDIT 1,685.83 THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE .01 ERSE SIDE OF THIS FORM INTEREST AND PEN. 68.29 TOTAL DUE 68.30 INT AT REV . IF PAID AFTER DATE INDICATED, SEE REVERSE (IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) BOARD OF APPEALS DEPT. 281021 HARRISBURG, PA 17128-1021 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE .....: .mi; ~ _:.:::_::::: ~:~ I I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPARTMENT 280601 HARRISBURG PA 17128-0601 ELIZABETH J GOLDSTEIN ESQ KEEFER WOOD ALLEN ET AL 415 FALLOWFIELD RD STE 301 CAMP HILL PA 17011-4906 IN RE ESTATE OF: GEORGE I MANSFIELD DOCKET NO.: 0220348 TAX TYPE: INHERITANCE APPEAL TYPE PROTEST FILE NUMBER: 2101-0442 ACN: 101 APPRAISEMENT: 08-05-02 PETITION FILED: 09-06-02 EXAMINER: LISA GARLAND DIAZ Direct Dial: (717) 772-3736 Fax: (717) 787-7270 Email: Idiaz@state.pa.us MAILING DATE: DECISION AND ORDER SEP 3 0 2002 The Estate Representative agrees to the Commonwealth's Protest. Accordingly, it is hereby, Ordered that the Commonwealth's Protest is sustained. On the supplemental inheritance tax return, the Department is directed to reduce the amount falling into the unified credit trust to $610,460.78 and increase the amount taxable at the 4.5 percent rate to $37,463.00. Page 1 of 2 FOR THE BOARD OF APPEALS JOse~k~a~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DINNER SCOTT M ESQ 3117 CHESTNUT STREET CAMP HILL, PA 17011 -------- fold ESTATE INFORMATION: SSN: 211-18-0320 FILE NUMBER: 2101-0442 DECEDENT NAME: MANSFIELD GEORGE I DATE OF PAYMENT: 09/20/2002 POSTMARK DATE: 09/19/2002 COUNTY: CUMBERLAND DATE OF DEATH: 04/15/2001 NO. CD 001639 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,685.83 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 241 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $1,685.83 MARY C. LEWIS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 001899 DUPLICA TE DINNER SCOTT M ESQ 3117 CHESTNUT STREET CAMP HILL, PA 17011 _____h_ fold ESTATE INFORMATION: SSN: 211-18-0320 FILE NUMBER: 2101-0442 DECEDENT NAME: MANSFIELD GEORGE I DATE OF PAYMENT: 12/02/2002 POSTMARK DATE: 11/27/2002 COUNTY: CUMBERLAND DATE OF DEATH: 04/15/2001 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $68.30 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: MARIE M MANSFIELD CHECK# 261 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $68.30 MARY C. LEWIS REGISTER OF WILLS .J .~ v v(/~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: George 1. Mansfield Date of Death: April 15, 2001 Will No. Admin. No. 21-01-0442 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate. 1. State whether administration of the estate is complete: Yes -L No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No-L b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. .~ ) _ ct@ Date: c::) - /..J ,0 .~ __ .L.e (' ~ , Slgnatu e Elvse E. Rogers, Esquire Name (Please type or print) 415 Fallowfield Road, Suite 301 Address Camp Hill, PA 17011 (717) 612-5801 Telephone Capacity: _ Personal Representative X Counsel for Personal Representative 136187 1 1< i . , \ ., ("l$'~~ ~~~~ "C~~~ ~~ ~ t""~t~ t"" ~ <G e,... ~'P'<g t""~t"" 'a 11\ d ul~~ '"\)(:)t1\t1\ 'V~ ~~ ~ ~ ~ ...1 t1\ (:) ~ ~ 9, \. ~ ~ ~ -L ~ ~ ~ '1 ~ ~ ~\ \'1 ~ \~ VI \-0 \ \ .... ... \~ .... ~ ~ o \9 ,~\ ('l~ \0 \9 ("lc:.~ \~ ., ~ 'Sell " '0:;0 ~ ,A \'"' ~ ~t1\~ \9. .... 1./1.,0.... \.... ... t""t""'.;il ,,~ ~ {1\~ \\ ~ 0 ~ ~ ~ \~ ..-. '"\)..... \ ,. 'V,. ~ ,,~~ (:) ~ \~ ~ ~('l~ \... ...1 (:)' \\ 1; (:) c:. \fl \ .. ~~ \~~. ~ \ ~ c " ~ \ -L \'- \ ~ " ., \ <; \ "J. \ '0 \ ~ " " \ ~ \ . \ \ ~c:l"'~ ",f<l't~ ';l!~f<ltn 'e.. -e. ~ ~",....c::. ~ (~:~ 0 ~~",'"" .......~ l '!i-e ~ CO '2. .... ~~ ~ .... C'- \ 'C< c::. ~ ~~ ... 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