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HomeMy WebLinkAbout01-0738 PETITION FOR PROBATE and GRANT OF LETTERS Margaret Storch Eppley No 21-00- dl.1-O 1- 738 To: Register of Wills for the County of Cumberland in the 174-05-0101 Commonwealth of Pennsylvania Estate of also known as Social Security No. The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the eXI in the last will of the above decedent, dated October 30, 1998 and codicil( s) dated NI A cutrix named (state relevenat circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal resIdence at 442 Walnut Bottom Road, Borough of Carlisle (list street, number and municipality) Decedent, then 89 years of age, died at Thornwald Home, Borough of Carlisle, Carlisle, Pennsylvania Except as follows, decedent dId not marry, was not dIvorced and dId not have a chlld born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: No Exceptions Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property . (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: July 20, 2001 $ unestimated $ $ $ Total: 0.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary (testamentary; adirunIstratlon c.t.a.; adrrunIstratlon d.b.n.c.t.a.) thereon. ~ C~d~ Arlene Carns Wentzel 1345 Georgetown Circle' Carlisle PA 17013 UATH Ulf P~KSUNAL K~PKS~NTATl V ~ COMMONWEA TLH OF PENNSYLVANIA COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition 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. Sworn to or affirmed and subscribed ~ ~"~ u./~ before me this day of . August, :001. ~ ~ ~ {!v ;;;;:m",,~ A~ LA Mar~i eWlS .f ' /& --c:lf9 -6- Register Estate of No. 21-001-738 Margaret Storch Eppley , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW g-Aug-Ol the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated_ Oct. 30, 1998 described therein be admitted to probate and filed of record as the last will of Margaret Storch Eppley and Letters Testamentary are hereby granted to Arlene Carns Wentzel, Executrix FEES Probate, Letters, Etc. $ 235.00 Short Certificates( 1.) $ 6.00 Renunciation $ x-Pages (0) $ -0- JCP 00 Total $ 5. Filed.l\\lguat..9.th#.2QQ1..$246.00 Robert M. Frey 46397 ATTORNEY (Sup. Ct. LD. No.) 5 South Hanover Street Carlisle, Pennsylvania 17013 ADDRESS (717) 243-5838 PHONE CALL ATI'ORNEY WHEN LEI"I'ERS ARE FINISHED REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS Robert 1\1. Frev <XdXkx (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that he was present and saw Margaret Storch Eppley the testat rix , sign the same and that he signed as a witness at the reqUest of testatrix in h er presence and (in the presence of each otl}er) (in the presence of the other subscribing witness(es)). ~.-' ~..~ ~ Robert M. Frey (Name) 7 South Hanover Carlisle PA 17013 (Address) Sworn to or affirmed and subscribed before me this 7th day.. of (Name) (Address) REGISTER OF WILLS OF COUNTY OATH OF NON-SUBS(:RIBING WITNESS (each) a subscriber hereto, (each) being duly. qualified accor . g to law, depose(s) and say(s) that familiar with the signat e of \'/' codicil testat of (one of the subscribing witness~to) the will presented herewith and // codicil that bel~~es the signature on the will is in the handwriting of to the best of f knowledge/and belief. Sworn to or affirmed and subscrib~ before me this day of 19 (Name) (Address) / Register (Name) (Address) REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS / I ,/ codicil / (each) a subscribing witness to the will presented herewith, (each) bein~/duly qualified according to law, depose(s) and say(s) that / present and saw / 1/ the testat , sign the same and that / signed as a witness at the reqUest of testat . in h presence and (in the presence J each oth,.er) (in the presence of the / .. other subscribing witness(es)). Sworn to or affirmed and subscribed before me this Register (Name) it' J ! ( I / ./ / I / / I (Address) (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS Robert G. Frey and Mary C. Wert (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of KimberlyA. Mayberry ~K testatrix of (one of the subscribing witnesses to) the will presented herewith and ~l that they believefthe signature on the will is in the handwriting of to the best of their Kimberlv A. Mayberry knowledge and belief. Sworn to or affirmed and subscribed before me this da of t Mary G. (Name) 5 S. Hanover St.. Carlisle PA 17013 (Address) 1101.801 REV 9/86 This is to certifY that the information here given is correctly copied fro~ an original certificate of death dul~ filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 p 7618507 No. 21-01-738 //J ~"'"~ , ~ ; I ;,"'..".I,,,,;.!,. 7'?~~ . ({ Local Registrar (/ JUt 2 0 2001 Date I" COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VIT.\L RECORDS CERTIFICATE OF DEATH -. :3 Rev. 2117 NAME Of' DECEDENT Ifor". MtddIe. lM) t. 8lRTHPl.ACI: (C.ty- s.. OJ fcr"'9" Caunlry) lit. Cumbvd.a.nd DECEDENT'S USUAL 0CCUfWI0N laI....~:~':: ':::ci' ttL e.nW T e.c.hnic.ia.n tt.. Ve.nwt OECEIlENT'S MAlUNG AOORESStsw-l. Cily(Ibwn. s... Zip CoaeI DECEDENTS ACTUAL RESIDENCE ~ ""__I Tho~nwald N~4in .. DECEDENT EIlER IN u.s. ARMED FORCES? _0 NoIJ Ie. PA t7L St-. Did ..... .... .. . -.atoip7 17lt. Cumb~la.nd E Of' D1SPOSlTlON . Day. ...1 ... ~:NSENUM8ER ..ball 01 my knowladge. daaihciiiUrreil ......11lM. ...Md ~ SIlled . e...,TlIIal ,__...,...,... filii....... ..lime aI dNlIl ~~_al_. .:-..... 2+2I_be complelecI by ~="'--~.ca:'" . 24. D. r _~ L'l Au. ~ ~T Lc- L..<{ cJ 0 ,dlt9,t) L n ~u.1IMT l:e_"liieiSi.-.n:~Ot'~'",*"ca_ \he _ Do not__ihenicide 01 ~Sucn IS cardIaC orrHp.r.i6ry ."...siiOCilo."hiiait iduri UII anIy one_ on HCII_. ~TE CAUSE (ftnal _ or condiIion _'-*'11"-1- ~ E DUE 10 lOR AS A CONSEQUENCE Of): DUE 10 lOR AS A CONSEQUENCE Of): MANNER Of' DEATH DATE Of' INJURY (Man". o.v. 'lUll Xl o o HomicicIe 0 PerodinO~ilIft 0 Could _be ....emuned 0 ......... Aa:idenI Suic:Ide OF OERH? 1.D..ATE. OF. . DEAl. H,MonoIt.ea.,. ._, .. 7-20-2001_ ~IO ~ white. SUfMVlNG SPOUSE 'I...... OM..-........ MAAlTAl. swus........ __ MeIried. WIcIlMed. ~~ 14. Widowe.d 17c.O _._lMdilo ..... CtVtli..4le. ciIyjtlooa. PA 17109 PA ~~\l'i) TIME Of' INJURY INJUflY R WORK? OESCRlIlE HOW INJURY OCCURRED. _ 0 NoD 21. ~~ ... 0 NoIJ( _ 0 No ex ... 28b. aRT.... cCheck oAy one! "Cl!RTFYING I'HYSIClAH (PhJSlC*'~ _ <1_ "'- anoIher physo:_ has pronounced dealh ana compIeIell"em 23) To ... ..... of Illy -......... ..._ occ...... _ to ... c.......) _ ma_r a. all.. . . .. . . .. . . . .. . . . . . . . . . . . . . . . . .. .. . . . . . .. .. . .. . . . .. . . - "~ ::I 'PRONOUNCING AHO CERTIFYING I'ttYSlQAN (Physcoan -., ;l<(lIl(lUllC>Og _ and ce<1lIy.ng 10 cause 01 dealll\ :!I To !he"'" of "'Y Ilno~". de.1II occurrecl..!he -, <IlIle. and place. and due 10 ... ClUM(.' and manner a. .lated . . . . . . . . . . . . . . . . . . . . . . . . . .. "MEDICAL EXAMINER/CORONER On .... ...... of e"amlnatlon end/M Invesllgation. in my opinion. death occurred ..the tl..... dale. aMI place. and due 10 the cau..(s) and __ as alated.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 3'.. l>> REGIST~NATURE ~NUIotB~~ U~~./ /" 'C '7~~~ r1 ~,/~,/,/l 301. T1TLYf'C o 3111. \f" LICENSE NUMBER [DATE SIGHED iMonln. Day. _I o 3tc. ~ 01'- '2t..t Ii. --.J31d. .JQ~ ~ O,J ~J NAME AND ADDRESS Of' PERSON WHO COMPLETED CAUSE Of' DEATH (Item 27) Type 01 Pfinl a "" " be; o"J' Q. ~t"Q".s~ J. .... o 32. ~5o u..i!'--N;r ~ 4..'0 c..t'""C~ ~ DATE FILED (MonIh. OaY. lUll ~oO I 34. .. .. 4 ..~ " a..,. 21-01-738 LAST WILL AND TESTAMENT OF MARGARET STORCH EPPLEY I, MARGARET STORCH EPPLEY, widow, of 57 William Drive in the Borough of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all Wills by me at any time heretofore made. 1 . I direct my hereinafter named Executrix to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. I direct that my body be cremated in accordance with arrangements which I have made with The Cremation Society of Pennsylvania, 4100 Johnstown Road, Harrisburg, Penn,:ylv~nia 17109, and that m.)' a~hes be interred beside the body of my husband, S. Ralph Eppley, on our burial lot located in Westminster Cemetery in North Middleton Township near the Borough of Carlisle, Pennsylvania. I further direct that a suitable inscription be placed on the monument erected on our burial lot. 2. I give and bequeath, the sum of $1,000.00 to Middlesex United Methodist Church located in the village of Middlesex in Middlesex Township, Cumberland County, Pennsylvania, and that the same be used for whatever purpose or purposes that the official board of said church shall deemed best. 3 . All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares to such of the following four persons who shall survive me by a period of ninety (90) days, their heirs and assigns, but should any of them fail to so survive me then the share such deceased person would have received shall lapse and be added proportionately to the remaining shares: a. My niece, Karen Bynum, of 6571 Smith Road, Brook Park, Ohio 44142; b. My niece, Valerie Cardello, of 4615 Clairton Road, Pittsburgh, Pennsylvania 15236; c. My friend, Rena K. Grissinger, of 928 Rockledge Drive, Carlisle, Pennsylvania 17013; and d. My friend, Arlene Carns Wentzel, of 1345 Georgetown Circle, Carlisle, Pennsylvania 17013. 3. I hereby nominate, constitute and appoint my friend, Arlene Carns Wentzel, as Executrix of this my Last Will and Testament, but should she predecease me or fail to qualify or cease serving as such, then in such event I nominate, constitute and appoint Financial Trust Services Company and its successors, One West High Street, Carlisle, Pennsylvania, as alternate or successor Executor, and I further direct that none of them shall be required to post any bond to secure the faithful performance of her or its duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on one (1) page, this 30th day of October, 1998. · (SEAL) Signed, sealed, published and declared by MARGARET STORCH EPPLEY, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~ -)..., - r-.{ ~~7 {J, /Jfr7 F - CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Margaret Storch Eppley Date of Death: July 20,2001 Will No. Admin.No. 21-01-0738 To the Register: I certify that notice of {beneficial Interest) estate administration required by Rule 5.6{a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on: August 14, 2001 Name Address Karen Bynum Valerie Cardello Rena K. Grissinger Arlene Carns Wentzel Middlesex UM Church 6571 Smith Road, Cleveland OH 44142-3716 94 Linnview, Pittsburgh PA 15210 928 Rockledge Drive, Carlisle P A 17013 1345 Georgetown Circle, Carlisle PA 17013 118 N. Middlesex Road, Carlisle PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6)a) except NO EXCEPTIONS Date: August 14, 2001 Y;J A _ --- {:' LI r-c.M ;h- ~~ Signature , Name: Robert M. Frey Address: 5 South Hanover Street Carlisle P A 17013 Capacity:_ Personal Representative -X Counsel for personal representative JUJY;ZDDZ IN RE: ESTATE OF MARGARET STORCH EPPLEY IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE NO. 21-2001-0738 ORDER OF COURT AND NOW, this 6th day of June, 2002, the within account is confIrmed and distribution directed in accordance with the schedule. BY THE COURT, '.l ;) ~} '.') 6D: L (.I L - ~Inr' ZOo FIRST AND FINAL ACCOUNT OF ARLENE CARNS WENTZEL, EXECUTRIX OF THE LAST WILL AND TESTAMENT OF MARGARET STORCH EPPLEY, LATE OF THE BOROUGH OF CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED. DATE OF DEATH: JULY 20, 2001 LETTERS TESTAMENTARY ADVERTISED: CLJ: Aug 17th,24th, and 31st,2001 Sentinel: Aug.1 Oth, 17th,and 24th,2001 ESTATE FILE NO.: 21-01-0738 PRINCIPAL RECEIVED ACCOUNTANT IS CHARGED WITH THE AMOUNTS OF PRINCIPAL AND INTEREST RECEIVED AND CLAIMS CREDIT FOR THE DISBURSEMENTS MADE AS STATED BELOW: 2001 July 20 July 20 July 20 July 20 July 20 July 20 July 20 July 20 July 20 Aug 15 M& T, Checking Account #45607 Accrued interest to July 20, 2001 M&T, Savings #15004200018180 Accrued interest to July 20,2001 First Union, Checking Account #1014188051429 First Union, C/O #247412051226597 Accrued interest to July 20, 2001 First Union, C/O #247412060991487 Accrued interest to July 20, 2001 First Union, C/O #247412066680706 Accrued interest to July 20, 2001 Refund, Thornwald/Patients Cash Account Jewelry, Appraisal Tax Relief Refund, Blue Cross and Blue Shield Premium TOTAL PRINCIPAL RECEIVED 1 $2,798.50 $45,968.07 $16.27 $1,122.06 $28,057.25 $12.06 $102,183.84 $4,170.52 $8,692.86 $332.52 $1,146.88 $1,125.00 $300.00 $1 06. 15 $195,731.98 INCOME RECEIVED 2001 Aug 14 Interest, M&T, Savings Account #15004200018180 $88.78 TOTAL INCOME $88.78 DISBURSEMENTS 2001 Aug 14 Register of Wills, Probate Will $246.00 Aug 14 Westminster Cemetery, Inc. $775.00 Aug 14 Cumberland Law Journal, Advertising $75.00 Aug 14 Thornwald Home, Nursing Home $3,392.46 Aug 14 Formprest Cleaners, Cleaning $4.75 Aug 14 Checks cleared after date of death $1,034.50 Aug 23 Bank Charge for Estate Checks $29.01 Sept 3 The Sentinel, Advertising $80.87 Sept 26 Carlisle Memorial Services, $120.00 Oct 22 Register of Wills, Agent, Estimated PA $24,271.49 Inheritance Tax Dec 19 James Line Jewelers, Appraisal of Jewelry $106.00 Dec 19 Middlesex United Methodist Church, Bequest $1,000.00 Dec 19 Arlene Carns Wentzel, Partial Distribution of $4,400.00 Executrix Fee Dec 19 Robert M. Frey, Partial Distribution of Attorney Fee $4,400.00 Dec 24 Register of Wills, Fee to File PA Inheritance Tax Return $15.00 Dec 24 Register of Wills, Agent, Balance due for $160.00 PA Inheritance Taxes 2 2002 Feb 20 Register of Will, Fee to file Final Account $107.00 Feb 20 PA Department of Revenue, PA-40 2001 (Individual) $297.00 Feb 20 Arlene Carns Wentzel, Balance due for Executrix Fee $4,441.00 Feb 20 Robert M. Frey, Balance due for Attorney Fee $4,441.00 Robert M. Frey, Preparation and filing of 2002 Taxes $300.00 F eb 20 TOTAL DISBURSEMENTS $49,696.08 RECAPITULA TION TOTAL INCOME RECEIVED $195,731.98 $88.78 TOTAL PRINCIPAL LESS TOTAL DISBURSEMENTS $195,820.76 $49.696.08 TOTAL RECEIPTS BALANCE FOR DISTRIBUTIONS $146,124.68 PROPOSED SCHEDULE OF DISTRIBUTION BALANCE FOR DISTRIBUTION $146.124.68 TO: Karen Bynum 6571 Smith Road Brook Park, Ohio 44142 250/0 of residue of estate: $36.531.17 Jewelry, in kind $ 281.25 Balance of residue of estate $36.249.92 TOTAL $36.531.17 3 TO: Valerie Cardello $36.531.17 4615 Clairton Road Pittsburgh, Pennsylvania 15236 250/0 of residue of estate: Jewelry, in kind $ 281.25 .. Balance of residue of estate $36.249.92 TOTAL $36.531.17 TO: Rena K. Grissinger $36.531.17 928 Rockledge Drive Carlisle, Pennsylvania 17013 250/0 of residue of estate: Jewelry, in kind $ 281.25 Balance of residue of estate $36.249.92 TOTAL $36.531.17 TO: Arlene Carns Wentzel 1345 Georgetown Circle Carlisle, Pennsylvania 17013 250/0 of residue of estate: $36.531.17 Jewelry, in kind Balance of residue of estate $ 281.25 $36.249.92 TOTAL $36.531.17 TOTAL DISTRIBUTION $146,124.68 4 COMMONWEAL TH OF PENN8YL VANIA) ):88.: COUNTY OF CUMBERLAND ) Before me, the undersigned officer, personally appeared Arlene Carns Wentzel, Executrix of the Last Will and Testament of Margaret Storch Eppley, deceased, who, being duly sworn according to law, deposes and says that the foregoing First and Final Account is true and correct to the best of her knowledge, information and belief. /:J fV ' / ----....., ~(~~U ~.d Arlene Carns Wentzel -- Sworn to a~ subscribed before me this .2 l> day of February, 2002 I NuT...... ROBERT G. FREY, NOTARY PUBUC CARUSLE, CUMBERLAND COUNTY PA j MY COMMISSION EXPRIRES JUNE 3,'20021 5 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 FREY ROBERT M 5 S HANOVER STREET CARLISLE, PA 17013 -------- fold ESTATE INFORMATION: SSN: 174-05-0101 FILE NUMBER: 2101-0738 DECEDENT NAME: EPPLEY MARGARET STORCH DA TE OF PAYMENT: 03/20/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/20/2001 NO. CD 000979 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $160.00 I I I I I I I I TOTAL AMOUNT PAID: $160.00 REMARKS: ROBERT G FREY ESQUIRE CHECK# 3368 SEAL INITIALS: DO RECEIVED BY: REGISTER OF WILLS 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 FREY ROBERT M 5 S HANOVER STREET CARLISLE, PA 17013 -------- fold ESTATE INFORMATION: SSN: 174-05-0101 FILE NUMBER: 21-2001- 0738 DECEDENT NAME: EPPLEY MARGARET STORCH DATE OF PAYMENT: 10/18/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/20/2001 NO. CD 000402 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $24,271 .49 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: ROBERT FRY ESQUIRE CHECK# 8143 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $24,271.49 MARY C. LEWIS REGISTER OF WILLS /~J'J-L/q-6 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG I PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT I ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-04-2002 EPPLEV 07-20-2001 21 01-0738 CUMBERLAND 101 ROBERT M FREV .02 FEB 13 FREV & TILEV 5 S HANOVER STC;t;'rr, CARLISLE CUt~G;~lOl,3, OJ 0 :48 ~* REY-1541 EX AFP (12-00> MARGARET S Allount Rellitted CHANGED (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 196~033.00 .00 .00 (8) MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLEI PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iEv:i54j-Ex-AFP--(i2-:0('-f-NoTicE--oF-'"ftiHEifi;:AiicE-~fAx-APPRJrisEMENT-;-iit-owANci-oi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF EPPLEV MARGARET S FILE NO. 21 01-0738 ACN 101 DATE 02-04-2002 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. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage 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 201162.00 3.503.00 (11) (12) (13) (14) (9) (10) NOTE: To insure proper credit to your accountl subllit the upper portion of this forll with your tax payment. 1961033.00 23.665 00 1721368.00 11000.00 1711368.00 NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. 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 (15) .00 X 00 = .00 (16) .00 X 045 = .00 (17) .00 X 12 = .00 (18) 1711368.00 X 15 = 251705.00 (19)= 251705.00 TAX CREDITS: PAYHeNT RECEIPT DISCOUNT (+) AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) 10-18-2001 CDOO0402 11277.45 241271.49 PAVMENT MUST BE MADE BV 04-20-2002*. TOTAL TAX CREDIT 251548.94 BALANCE OF TAX DUE 156.06 INTEREST AND PEN. .00 TOTAL DUE 156.06 . IF PAID AFTER DATE INDICATED I SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $11 NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT" (CR) I YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) /6-c;2~9-6-- ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REV-ln7 EX AFP (01-02) '02 t\PH 29 r 3 :19 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-22-2002 EPPLEY 07-20-2001 21 01-0738 CUMBERLAND 101 MARGARET S ROBERT M FREY FREY & TILEY,- . 5 S HANOVER ~t;. CARLISLE 1/l:mtpA17013 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 :i6'i.-j-ix-AFP--r(ff:02)-------..i'-iNHERi~..-ANCE-fAX-STATEHE-tif-'ifF'-Accouiff--iii.---------------- - - --- ESTATE OF EPPLEY MARGARET S FILE NO. 21 01-0738 ACN 101 DATE 04-22-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUHHARY 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: 02-04-2002 PR I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 25~705.00 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 10-18-2001 CDOO0402 1~277.45 24~271.49 03-20-2002 CDOO0979 .00 160.00 TOTAL TAX CREDIT 25,708.94 BALANCE OF TAX DUE 3.94CR INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE~ SEE REVERSE TOTAL DUE 3.94CR SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $l~ NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" {CRJ, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J ft STATUS REPORT UNDER RULE 6.12 Name of Decedent: MARGARET STORCH EPPLEY Date of Death: July 20, 2001 Will No. Admin. No. 21-01-0738 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 if complete: Yes (X ) No ( ) 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: (a) Did the personal representative file a final account with the Court? Yes (X ) No ( ). (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 ( ) 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. Date: June 27, 2002 --- ~ )n. -r~ Signature Robert M. Frey Name (Please type or print) 5 South Hanover Street Address ......-....~ ;-:' . C. ,-...) (717) 243-5838 Telephone No. Capacity: ( ) Personal Representative '. -: ( X) Counsel for personal representative r::; 1'.J ......j 217 / h OFFICIAL USE ONLY REV-150QEX{6-QO) COMMONWEALTH OF REV -1500 _ _ f__,-<~ f , PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN OEPT. 280601 FILE NUMBER HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 2 1- 0 1 0 7 3 8 COUNTY CODE "AR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER I- Maraaret Storch Eoolv 174-05-0101 z DATE OF DEATH (MM-DD- YEAR) rATE OF BIRTH (MM-OO-YEAR) OJ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE ill 7/20/2001 6/9/1912 REGISTER OF WillS &l (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND M1DDLE INITIAL) SOCIAL SECURITY NUMBER 0 w [8], Original Retum 02 Supplemental Return 03. Remainder Return (dale of death priorlO 12-13-82) ~ :.c~~ 04 Umitecl Estate 04, Future Interest Compromise (date of death after 12-12-82) 05 Federal estate Tax Return Required ~15g ,,~~ [8h 07 Decedent MClintained a Uving Trust (Attach copy of Trust) B. Tolal Number of Safe Deposit Boxes "~m Decedent Died Testate (Attach copy of Will) - ~ < 09 0,0 01\ Uligation Proceeds Received SpouulP<lvotrt'fC{adit{dat.<ltdea\.l\~ '2.31.9'.00 '-1-ge.\ Election \0 lax under See. 9113(A) (AUach Sth 0) I- THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTEO TO: ffi NAME COMPLETE MAILING ADDRESS 0 Rober! M. Frev 5 South Hanover Street z 0 FIRM NAME (If Applicable) Carlisle PA 17013 0- III OJ Frev & Tilev '" '" TELEPHONE NUMBER 0 717\243-5838 U OFFICIAL USE ONLY 1. Real Estate (Schedule A) (1) NONE Oc c::i :0 :<1:' ::o~ (2) NONE :::i -. - (j) \. 2. Stocks and Bonds (Schedule B) 0'" ,--:;" f,I,~ ~~, (3) NONE 0;' c::l \:1. 3. Closely Held Corporation, Partnership or Sole-Proprietorship C n 4. Mortgages & Notes Receivable (Schedule D) (4) NONE ~ 5. Cash, Bank. Deposits & Miscellaneous Personal Property (Schedule E) (5) 196,033 a - 6. Jointly Owned Property (Schedule F) (6) ~C ( ~ g, Z o Separate Billing Requested ),~ ~~~ I..l1 0 ;:: , " 7. InterNivos Transfer & Miscellaneous Non-~robate Property ...J (Schedule G or L) (7) NONE :> l- ii: B. TOTAL GROSS ASSETS (total Lines 1-7) (B) 196.033 " frl 20,162 '" 9. Funeral Expenses & Administrative Costs (SchedUle H) (9) 10. Debts of Decedent, Mortgage LiablJlties, & t..lens (Schedule I) 10) 3,503 11. TOTAL DEDUCTIONS (total Lines 9 & 10) (1\) 23,665 12. NET VALUE OF ESTATE (Line 8 minus Line 11) (12) 172,368 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (13) 1,000 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 171,368 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) x .0 - (15) 0 Z 0 i= 16. Amount of Line 14 taxable at lineal rate x .0 (16) 0 " - I- :> 0- .12 0 :; 17. Amcun1 of Une 14 taxable at sibling rate x (17) 0 U X 18. Amount of Une14 taxable at collateral rate 171,368 x .00 (lB) 25,705 " I- 19. Tax Due (19) 25.705 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 217 Margaret Storch Epply 174-05-0101 Decedent's, Comolete Address: STREET ADDRESS Thomwald Home 442 Walnut Bottom Road CITY I~TATE IZIP Carlisle PA 17013 Tax Payments and Credits: ,. 2. Tax Due (Page 1 Line 19) Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C.DiSt;QI.m\ (1) 24.271 1,274 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D.lnterest E. Penalty 4. TotallnterestlPen-alty ( 0 + E } 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 (3) o 5. (4) (5) (SA) (58) Make Chllck Payable to: REGISTER OF WILLS, AGENT 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. 25.705 25.545 o 160 160 ,. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 2. Did decedent mak.e 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. receJve the promise for life of either payments, benefits or care? If death occurred after December 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration? Old decedent own an "in trust for" or payable upon death bank account or security at his or her death? Yes o o o o o o 3. 4. Old decedent own an Indi'Jidua\ Retirement Account, annuily or other non-probate property which contains a beneficiary designation? No o o o o o o o o 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 perjury, 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, and complete. Declaration of preparer othar than the personal repres9f1tative is base<! on all information of which preDarer has an\! knowtedoe. SIGNATURE OF PERSON RESPONSIBLE FO~ FILING RETURN DATE (/)/7,h,f ,p~. d kL. ?zJV;P ADDRESS 1345 GeorQetown Circle. Carlisle PA 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ~-ffl, ~ ( OATE ADDRESS 5 South Hanover Street. Carlisle PA 17013 For dates of death on or after July 1. 1994 and before January 1. 1995, the lax rate imposed on the net vall)e of transfers to or for the use of the surv'lv'lng spouse is 3% [72 P.S. Section 9116 (a){1.1)(i)]. For dates of death on or after January 1. 1995, the tax rate imposed on the (let value of transfers to or for the use of the surviving spouse is 0% [72 P.S. Section 9116 (a){1.1)(ii)]. The statute does not exempt a transfar to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1. 2.000' 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. Section 9116(a](1.2)]. The tax rate imposed on the net vaiue of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%. except as noted in 72 P.S. Section 9116(1.2) [72 P.S. Section 9116(a)(1)]. The t;ax rate imposed on the net value of transfers to or for the use afthe decedent's siblings is 12% [72 P.S. Section 9116(a)(1.3)1.A siblin9 is defined, under Section 9102, as an individual who has at least one parent in common w1\h the decedent whether 'oy '0\000 or adoption. AT REV-1508 EX + (1-97) (I) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MarQaret Storch Eppley FILE NUMBER 21-01-0738 Indude the prcc&eds of Irtjg8lilln and the dale lhe proceeds were rec:aived by the aSlate. ALL PROPERTY JOINTLY-OWNED WITH THE RIGHT OF SURVIVORSHIP MUST BE DISCLOSED ON SCHEDUlE F. ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. DESCRIPTION VALUE AT DATE OF DEATH M& T, Checkin9 Acct #45607 M&T, Savin9s Acct #15004200012180 Accrued interest to July 20, 2001 1st Union, Checkin9 Acct #1014188051429 1st Union, C/O #2247412051226597 Accrued interest to July 20, 2001 . 1st Union, C/D #247412060991487 Accrued interest to July 20, 2001 1st Union, C/D #247412066680706 Accrued interest to July 20, 2001 Refund, Blue Cross and Blue Shield, Premium Cash on Hand Jewelry U.S. Treasury, Tax Relief Check 2,799 45,968 16 1,122 28,057 12 102,184 4,171 8,693 333 106 1,147 1,125 300 TOTAL (Aiso enter on line 5, Recapitulation' $ (If more space is needed, insert additional sheets of the same size) 196,033 F_NO Reference ID: 191904 First Union National Bank Attn: Account Verifications POBox 40028 Roanoke VA 24022-7313 August 23, 2001 FREY & TILLEY A TIORNEYS AT LAW 5 SOUTH HANOVER STREET CARLISLE, P A 17103 SUBJECT: Verification / Confirmation of Account and Balance Information provided for: MARGARET S. EPPLEY (SSN# 174-05-0101) Date of Death: July 20, 2001 Deooslt Account Information Account Type Account Number Date of Death Balance Average Balance. Date Opened Maturity Interest Accrued YTD Date Date Rate Interest Interest Paid Closed CERTIFICATE OF DEPOSIT 247412051226597 LEGAL TITLE: MARGARET S. EPPLEY ARLENECARNSWENTZEL-POA $28,069.31 6/19/2000 8/19/2002 3.92 $12.06 $1,082.04 CERTIFICATE OF DEPOSIT 247412060991487 $106,354.36 12/7/1999 1/7/2002 6.16 $4,170.52 $0.00 LEGAL TITLE: MARGARET S. EPPLEY ARLENE CARNS WENTZEL - POA CERTIFICATE OF DEPOSIT 247412066680706 $9,025.38 9/12/1998 9/12/2002 4.21 $332.52 $0.00 LEGAL TITLE: MARGARET S. EPPLEY ARLENE CARNSWENTZEL - POA CHECKING 1014188051429 LEGAL TITLE: MARGARET S. EPPLEY ARLENE CARNSWENTZEL - POA $1,122.06 9/17/1997 N/A 8/15/2001 . Due to system limitations, we can only provide a twelve month average balance on depository accounts. 001032 .,-" ~M&fBank October 15, 2001 RE: Estate Search The Estate of: Date of Death (0.0.0.) MARGARET S EPPLEY 7/20/200 I To Whom It May Concern: Identified below is the account information requested. 1. M&T Bank accounts in whicll the decedent's name appears: SAY 456071 OPENED 9/67 15004200018180 OPENED 12/82 MARGARET S EPPLEY 4334 D.O.D. Accrued Interest Balances (Includes Accr. Int.) $2798.50 $.00 Account Type Account Number Account Title Opening Branch CHK MARGARET S EPPLEY 4334 $45,984.34 $\6.27 2. Loans, Mortgages, or other obligations titled in the decedent's name Account Number Amount Owed Account Description A Safe Deposit Box titled in the Decedent's name existed at our HIGH STREET CARLISLE OFFICE. The Safe Deposit Box Number is 0002504. If you have any questions about the information provided, please contact our Records Department at (716) 635-4010 or 1-800-724- 2440 outside of the Buffalo, NY calling area. Thank you. Sincerely, M&T BANK CORPORATION BY: ~~~ Authorized Signature (~ DATE: (0,- to::; - 0 \ Manufacturers and Traders Trust Company' 1100 Wehrle Drive, PO. Box 701, Buffalo. NY 14240-0767 Estate of Margaret Eppley Frey and Tiley Appraisal August 23, 2001 To whom it may concern, This is to certifY several pieces of jewelry property of the late Margaret Eppley, the following have a current retail value, as itemized below, of---------------$1125.00 One Elgin watch not in working order--------------------------------------$50.00 Fourteen pieces of assorted jewelry, that is sterling silver---------------$lOO.OO Ten pieces of assorted jewelry that is gold plated----------------------------$50.00 Eleven pins that are gold plated--------------------------------------------------$50.00 One Gamet and Pearl ring-----------------------------------------------________--$25.00 One old mine cut diamond ring, total weight .10 pts 18 karat white go ld-------------------------------------------------_______---------$150.00 One Opal ring gold plated-----------------------------------------------------------$30.00 One old mine cut diamond ring, total weight .15 carats 14 karat yellow gold---------------------------------------------------------------$200.00 One old mine cut diamond ring, total weight .50 carats 14 karat white gold----------------------------------------------------------------$250.00 One old mine cut diamond ring, total weight .05 pts 14 karat yellow gold----------------------------------------------------________-$50.00 One Aquamarine and Pearl ring 14 karat yellow gold--------------------$50.00 Three 14 karat yellow gold wedding bands----------------------------------$120.00 J~ Lm; JEWELERS ~.~. James Line AT REV-1511 EX + (1-97)(1) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Marqaret Storch Eppley 21-01-0738 Debts of decedent must be renorted on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A FUNERAL EXPENSES: 1. Westminster Cemetery, Inc. 775 2. Carlisle Memorial Services 120 B. ADMINISTRATIVE COSTS: 1. Personal Representative'S Commissions Name of Personal Representative (s) Arlene Carns Wentzel Social Security Number(s) I EIN Number of Personal Representative{s) Street Address 1345 Georqetown Circle City Carlisle State PA Zip 17013 Year(s) Commission Paid: 2001 8,841 2. Attorney Fees 8,841 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 0 4. Probate Fees 246 5. Accountant's Fees 0 6. Tax Return Preparer's Fees 0 7. Cumberland Law Journal, Advertising 75 8. The Sentinel, Advertising 81 9. Checks clearred after Date of Death 1,035 10. Bank Charge for Estate Checks 29 11. Filing Fee 15 12. File Final Account 104 TOTAL (Also enter on line 9 Recanituiation\ $ 20,162 (If more space is needed, insert additional sheets ofthe same size) AT REV-1512 EX + (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MarQaret Storch Eppley SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS FILE NUMBER 21-01-0738 Include unreimbursed medical eXDenses. ITEM NUMBER 1. DESCRIPTION AMOUNT Thornwald Home, Nursing Home 3,392 2. Formprest Cleaners, Cleaning of Clothes 5 3. James Line Jewelers, Appraisal of Jewel 106 TOTAL (Also enter on line 10 Recaoltulation\1 $ (If more space is needed, insert additional sheets of the same size) 3503 217 REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESJD NT DeCEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER Mamaret Storch EDDlev 21-01-0738 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON'S' RECEIVING PROPERTY Do Not List Trusteels' OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions. and transfers under Sec. 9116 (a) (1.2)J 1. Karen Bynum 6571 Smsith Road Brook Park, Ohio 44142 Niece 25% 2. Valerie Cardello 4615 ClairtDn Road Pittsburgh, Pennsylvania 15236 Niece 25% 3. Rena K. Grissinger 928 Rockledge Drive Cariisie, Pennsylvania 17013 Friend 25% 4. Arlene Cams Wentzel 1435 Georgetown Circle Carlisie, Pennsylvania 17013 Friend 25% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 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. 1,000 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. Middlesex United Methodist Church 118 North Middlesex Road Carlisie, Pennsylvania 17013 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-150D COVER SHEET $ 1000 (If more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT OF MARGARET STORCH EPPLEY I, MARGARET STORCH EPPLEY, widow, of 57 William Drive in the Borough of Carlisle, Cumberland County. Pennsylvania, being of sound and disposing mind, memory and understanding. do hereby make, publish and declare this as and for my Last Will and Testament hereby revolcing and making void any and all Wills by me at any time heretofore made. . 1. I direct my hereinafter named Executrix to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. I direct that my body be cremated in accordance with arrangements which I have made with The Cremation Society of Pennsylvania, 4100 Johnstown Road, Harrisburg, Pe.nm:ylvania 17J09, an~ that my ashes be interred beside the body of my husband, S. Ralph Eppley, on our budallot located in Westminster Cemetery in North Middleton Township near the Borough of Carlisle, Pennsylvania. I further direct that a suitable inscription be placed on the monument erected on our burial lot. 2. I give nnd hequeath, the sum of $1,000.00 to Middlesex Uuited Methodist Church located in the village of Middlesex in Midd1esex Township, Cumberland County, Pennsylvania, and that the same be used for whatever purpose or purposes that the official board of said church shali deemed best. 3. All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares to such of the following four persons who shall survive me by a period of ninety (90) days, their heirs and assigns, but should any of them fail to so survive me then the share such deceased person would have received shall lapse and be added proportionately to the remaining shares: a. My niece, Karen Bynum, of 6571 Smith Road, Brook Park, Ohio 44142; b. My niece, Valede Cardello, of 4615 Clairton Road, Pittsburgh, Pennsylvania 15236; c. My friend, Rena K. Grissinger, of928 Rockledge Drive, Carlisle, Pennsylvania 17013; and d. My friend, Arlene Carns Wentzel, of 1345 Georgetown Circle, Carlisle, Peunsylvania 17013. 3. I hereby nominate, constitute and appoint my friend, Arlene Carns Wentzel, as Executrix of this my Last Will and Testament, but should she predecease me or fail to qualify or cease serving as such, then in such event I nominate, constitute and appoint Financial Trust Services Company and its successors, One West High Street, Carlisle, Pennsylvania, as alternate or successor Executor, and I further direct that none of (hem shall be required to post any bond to secure the faithful pelformance of her or its duties in the Conunonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, 1 have hereunto set my hand and seai to this my Last Wiil and Testament written on one (I) page, this 30th day of October, 1998. /)Ju~a-uJ-ztl;;iei "',Il:-f4;r (SEAL) Marg t Storch Eppley Sigued, senled, published and declared by MARGARET STORCH EPPLEY, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~-).,_ 1'>/ ~'f t) -lJ~j'~-;; "--,