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HomeMy WebLinkAbout01-0768 ~' . '-. 11 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Erma M. Kenderdine, Deceased Social Security No. 153-09-0848 No. 02 , - 0\ - 110 8 To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: The Petitioner, who is 18 years of age or older and the Executor named in the last will of the above decedent, dated March 24, 1999. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at: Green Ridge Village, Newville, West Pennsboro Township, PA 17241 Decedent, then 84 years of age, died August 2,2001, at Carlisle Regional Medical Center, Carlisle, Cumberland County, Pennsylvania. Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decedent was married to William W. Kenderdine. He died on November 8, 1999. 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 $ $400.000.00 $ $ $ WHEREFORE, Petitioner respectfully request the probate of the last will presented herewith and the grant of letters Testamentary thereon. ~~~ David Allen Kenderdine 3560 Old Mill Road Slatington, PA 18080 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ) SS COUNTY OF CUMBERLAND ) The petitioner above-named swears or affirms that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner and that as personal representative of the above decedent petitioner will well and truly administer the estate according to law. ~ lIiILr ~~~f!J David Allen Kenderdine ~-\~-\-1 .: . - .. NO. 21 - 01 - 768 Estate of Erma M. Kenderdine, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW AUGUST 17, ,2001, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument dated March 24, 1999 described therein be admitted to probate and filed of record as the last will of Erma M. Kenderdine; $ 305.00 $ 9.00 $ $ 6. 00 f) 00 TOTAL $ 325.00 Filed.............. .~.Y.~.Y.~.T.. .1.? ~.. .?g,y.}................ FEES Probate, Letters, Etc. ........... Short Certificate(s) ............. Renunciation...................... . X-Pages JCP Richard L. Webber, Jr., Esquire Attorney I.D. No. 49634 19 Brookwood Avenue, Suite 106 Carlisle, PA 17103-9142 (717) 249-5373 F:\User Folder\Firm Docs\Estates\2360-1test.1.wpd Called attorney on 8-20-21 1 "" QF\, 1)'f:',\' (' ',:;,1':.. This is to certify that the information here given is correctly copied fron: an original certificate of death dul~ filed with 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, me as No. 2i.:-~. ~~~~ Local Registrar Fee for this certificate, $2.00 p 7578201 AUG II:. 4 2001 Date ~~3 S~\)~~ (~~ j.5S-()C\- o1lf ~ /1-0f.-01 Hl05.143 R..... 2187 COMMONWEALTH OF PENNSYL.VANIA- DEPARTMENT OF HEAL THe VITAL RECORDS CERTIFICATE OF DEATH "YPEII'R1NT IN =RMANENT :LACK INK ~) in!. idcIlo. Y. n." 2001 lINllER t o.o.y .. o.o.TE Of' 81lUH (MonUI. Doy. v.." Otn<< (SpocIIy) 0 . I. COUNTY Of' . I~. Cumberland . ClE~ USUAl OCCIJPA TIOtl Ie. Carlisle KI OF JUSIHES RACE-Mloricon 1_. 8_. WIll.. etc. ($poclIy) to. Whi te SURVIVING SPOV$E (II_.II"'-_oomo) Of~ft:"___.l . tt.. Homema ke r ltl. DEceDENT'S MAIUNO ADDRESS (Street. ClyIT...... Slolo. ZIp CoM) Widowed 210 Big Spring Road ~Newville, PA 17241 FATMER"S NI<ME (Fin!. M_.laSt) DECEDENTS ACTuAl. RESIDENCE (See /nItrudIOn1 "'_.Iclel 17.. SIlt. t1~. County Old - "'IrI. Cumberland township? 17d.O ~::':~'=ol MOTHER'S NAME (Fnt, _. M_ Sum....) l1c.~ v...__IrI West Pennsboro clylboto o w U) J U) $ <i 2001 m.3560 Old Mill Road, Slatin ton, PA 18080 PLACE DISPOSITION. _ Of Comttory. CrtmIl"'Y LOCA TIOtl . ClrfT...... SlOl.. ZIp CoM orOthOtPloco lJCv,,\\ ( pI'< /7.7 'i I ztc.Big ~. Dey. v..., "AIIT .: 0tIler SIgn ....-. COIlIItJuIIng 10 _. but not__III\1l1 lIIllIIttylng_ot-onlrl PART I. I: d. _AUT SY INOlNGS MANNER OF TJ.I AVAILAIl.E PRIOR TO ~ COMPLETION Of' CAUSE Not..... -. Of' DeA TW'I A_ D POftClIng InwatgOIIon NoIXI v.. D NolXl - 0 ~nalbl__ DE_teE HOW OCCURRED. 211. 21. on one 'CERTIFYING PHYSICIAN (PhyaicI8n ClIftIfylng _ of duII1 when anotIler physicilln hal ~ death end compleled Item 23) To the best of my ....owI..... cleath oc:cuir9d due'" the CIlUU\I) ami IMIlner el ltel!C( _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 'PRONOUNCING AND CERTIFYING PHYSICIAN (Phylict8n bolll ptOI'IOUI1Cing death and ClIftlfying 10 _ 01 death) To the best of my knowledge, deeth occuned el the lime. dele, end piece. end due 10 tile cauae(a) end manner ~ !Il!.t~ _ _ _ _ _ _ _ _ .MEDlCAL EXAMINERlCORONER On the bull of e..m1netlon andlo, Invnllgellon. In my opinion. death occurred .t the tI..... det.. .nd pl."e. and due to the "aulet.) and rnannere..teted_ __________..___0_ .0___.. _ _._ .0_____ _ __ ...____._0 . .." , / o IclJ 1 ,&.I I ,el 3Z. DATE FILl:D (Month. 0 :w. LAST WILL AND TESTAMENT OF ERMA M. KENDERDINE I, ERMA M. KENDERDINE, of 210 Big Spring Road, Newville, West Pennsboro Township, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all Wills, Codicils, or writings in the nature thereot: by me at any time heretofore made. FIRST: PAYMENT OF EXPENSES - I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. SECOND: RESIDUE OF ESTATE - I give, devise and bequeath all the rest, residue and remainder of my estate, be it real, personal, or mixed, of whatsoever kind and wheresoever situate, unto my husband, WILLIAM W. KENDERDINE, provided he shall survive me by thirty (30) days. In the event my husband fails to survive me by thirty (30) days, I then give, devise and bequeath all the rest, residue and remainder to my children, DAVID ALLEN KENDERDINE, BETH ANN KENDERDINE PORTER, and VIRGINIA MAY KENDERDlNE FRANK, equally, on a per capita distribution basis. THIRD: TAXES RESULTING FROM MY DEATH - All federal, estate and other death taxes that may be assessed as a consequence of my death, whether or not the assets pass under this Will, shall be paid from the residuary estate of my probate estate just as if they were my debts, PAGE ONE OF THREE and none of those taxes shall be charged against any beneficiary or joint owner. FOURTH: EXECUTOR - I appoint my son, DAVID ALLEN KENDERDINE, Executor of my Will. In the event that he predeceases me or is unwilling or unable to serve as Executor, I then appoint my daughter, BETH ANN KENDERDINE PORTER, Executrix of my Will. Neither my Executor nor any successor shall be required to give bond for the performance of their duties. I grant to my Executor and successors the power to compromise claims without court approval and without the consent of any beneficiary. Ifll4'l H: PROTECTIVE PROVISION - To the greatest extent permitted by law, before actual payment to a beneficiary or to his or her account, no interest in income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary. IN WITNESS WHEREOF, I hereunto have signed my name to this, my Last Will and Testament? consisting ofa total of THREE (3) typewritten pages, this )4f~ay of ~~,{.. l 1999. tr-tV 1.1~ ERMA M. KENDERDINE, Testatrix In our presence, the above-named Testatrix signed this and declared it to be her Will, and now, at her request and in her presence and in the presence of each other, we sign as witnesses: f3cJa40~,4i~ HLL4~ a ~~ PAGE TWO OF THREE ; STATE OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND I, ERMA M. KENDERDINE, having been duly qualified according to law, acknowledge that I signed the foregoing instrument as my Will and that I signed it as my free and voluntary act for the purposes therein expressed. ~v ~,1(pr-~ ERMA M. KENDERDINE, Testatrix We, having been duly qualified according to law, depose and say that we were present and saw ERMA M. KENDERDINE sign the foregoing instrument as her Will; that she signed it as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing and at her request signed the Will as witnesses; and that to the best of our knowledge she was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Subscribed, sworn to or affirmed, and acknowledged before me by the above-named Testatrix and by the witnesses whose ~ame~ appear opposite on this J-11 f day of MG.;z,~ , 1999. v--(\.J /l-. '-'L~lL1 Notary Public dO PAGE THREE OF THREE E F:\User Folder\Finn Docs\Estates\2360-1cert.not.wpd CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: ERMA M. KENDERDINE Date of Death: August 2, 2001 Will No. 2001-00768 To the Register: I certify that notice of beneficial interest 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 27, 2001. Name Address Beth Ann Kenderdine Porter 1893 Roundhill Road, Charleston, WV 25314 Virginia May Kenderdine Frank 218 Gordon Street, Bridgeport, WV 26330 David Allen Kenderdine 3560 Old Mill Road, Slatington, P A 18080 Notice has not been given to all persons entitled thereto under Rule 5.6(a) except - N/A Date: ~/)ry{o) ;~ Name - Richard L. Webber r. Address - 19 Brookwood venue, Suite 106 Carlisle, P A 17013-9142 Telephone (717 ) 249-5373 Capacity: Personal Representative X Counsel for personal representative COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION WILLIAM W. KENDERDINE & ERMA M. KENDERDINE TRUST UNDER AGREEMENT -----------------------~--------------------------------- --------------------------------------------------------- FIRST AND FINAL ACCOUNT OF Allfirst Trust Company of Pennsylvania, N.A., Trustee -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Date of Death of William W. Kenderdine: November 8, 1999 Date of Death of Erma M. Kenderdine: August 2, 2001 Date of Trustee's first receipt of funds: November 5, 1997 Accounting for the Period: November 5, 1997 to October 10, 2001 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Purpose of Account: Allfirst Trust Company of Pennsylvania, N.A., Trustee, offers this account to acquaint interested parties with the transactions that have occurred during this administration. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Allfirst Trust Company of Pennsylvania, N.A. 8 West High Street Carlisle, PA 17013-2923 (717) 240-6710 SUMMARY OF ACCOUNT William W. Kenderdine & Erma M. Kenderdine Trust under Agreement For Period of 11/05/1997 through 10/10/2001 Proposed Distributions to Beneficiaries PRINCIPAL Receipts: This Account Net Gain (or Loss) on Sales or Other Disposition Less Disbursements: General Disbursements Fees and Commissions Balance before Distributions Distributions to Beneficiaries Principal Balance on Hand For Information: Investments Made Changes in Investment Holdings INCOME Receipts: This Account Net Gain (or Loss) on Sales or Other Disposition Less Disbursements Balance Before Distribution Distributions to Beneficiaries Income Balance on Hand For Information: Investments Made Changes in Investment Holdings COMBINED BALANCE ON HAND Page Current Value Fiduciary Acquisition Value 43 388,574.59 388,574.59 3-5 6-7 8 4,688.05 0.00 9 10 11-12 13-15 16-22 23-40 41 42 2 391,955.43 (13,277.63) 378,677.80 4,688.05 373,989.75 30,000.00 343,989.75 168,827.13 0.00 168,827.13 120,442.29 48,384.84 3,800.00 44,584.84 388,574.59 RECEIPTS OF PRINCIPAL CASH: 12/26/97 $19,985.53 Dauphin Deposit CD #810027561-0 4.75% 10/26/98 12/26/97 $28,691.45 Dauphin Deposit CD #810036548-2 4.75% 01/30/99 12/26/97 $50,000.00 Farmers National Bank CD #10227 5.05% 2/26/98 12/26/97 $65,366.38 Meridian Bank CD #4000700734 4.64% 11/14/99 12/30/97 Received from William W. and Erma M. Kenderdine for addition 04/02/98 Received from William W. and Erma M. Kenderdine for addition 07/31/98 STIC Treasury Tax Advantage - Short Term Capital Gains Distribution 10/27/98 $50,233.66 Harris Savings Bank CD 4.930% 9/24/99 10/27/98 $66,754.65 Harris Savings Bank CD 4.930% 12/23/98 11/16/98 Ark Funds Value Equity Portfolio - Long Term Capital Gains Distribution 12/09/98 Ark Funds Blue Chip Equity Portfolio - Long Term Capital Gains Distribution 12/09/98 Ark Funds Blue Chip Equity Portfolio - Short Term Capital Gains Distribution 12/09/98 Ark Funds Value Equity Portfolio - Long Term Capital Gains Distribution 3 19,985.53 28,691.45 50,000.00 65,366.38 45,000.00 10,000.00 63.28 50,233.66 66,754.65 1,009.52 368.79 222.93 242.23 Fiduciary Acquisition Value 01/07/99 Received from William W. and Erma M. Kenderdine for addition 11/23/99 Social Security Benefit - William Kenderdine - one time only death benefit 12/10/99 Ark Funds Blue Chip Equity Portfolio - Long Term Capital Gains Distribution 12/10/99 Ark Funds Value Equity Portfolio - Long Term Capital Gains Distribution 12/10/99 Ark Funds Short Term Bond Portfolio - Long Term Capital Gains Distribution 01/10/00 Received from Erma Kenderdine as addition - proceeds of insurance on William Kenderdine 07/06/00 PA Department of Revenue - Refund 1999 Income Tax 12/08/00 Ark Funds Blue Chip Equity Portfolio - Long Term Capital Gains Distribution 12/08/00 Ark Funds Blue Chip Equity Portfolio - Short Term Capital Gains Distribution 12/08/00 Ark Funds Capital Growth Fund - Long Term Capital Gains Distribution 12/08/00 Ark Funds Capital Growth Fund - Short Term Capital Gains Distribution 12/08/00 Ark Funds Value Equity Portfolio - Short Term Capital Gains Distribution 12/08/00 Ark Funds Value Equity Portfolio - Long Term Capital Gains Distribution 08/07/01 Received from Erma Kenderdine as addition - proceeds of insurance on Margaretta B. Day 4 41,400.98 255.00 1,064.56 8,809.87 254.97 7,793.32 60.00 1,448.10 205.69 4,259.06 1,105.04 396.69 6,433.94 1,824.09 413,249.73 SUBSEQUENT PRINCIPAL RECEIPTS: 12/02/99 $65,366.38 Meridian Bank CD #4000700734 4.64% 11/14/99 - adjust book value 08/24/01 Ark Funds Blue Chip Equity Portfolio - adjust to date of death value - Erma Kenderdine 08/24/01 Ark Funds Capital Growth Fund - adjust to date of death value - Erma Kenderdine 08/24/01 Ark Funds Value Equity Portfolio - adjust to date of death value - Erma Kenderdine 08/24/01 Ark Funds Short Term Bond Portfolio - adjust to date of death value - Erma Kenderdine (323.25) 2,290.44 (13,463.21) (12,669.13) 2,870.85 TOTAL RECEIPTS OF PRINCIPAL.. ............. 5 (21,294.30) 391,955.43 02/16/98 10/26/98 01/05/99 02/02/99 09/29/99 12/03/99 06/20/00 09/07/01 GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS - PRINCIPAL $50,000.00 Farmers National Bank CD #10227 5.05% 2/26/98 - matured Net Proceeds Fid. Acq. Value 50,000.00 50,000.00 $19,985.53 Dauphin Deposit CD #810027561-0 4.75% 10/26/98 Net Proceeds Fid. Acq. Value 19,985.53 19,985.53 $66,754.65 Harris Savings Bank CD 4.930% 12/23/98 - matured Net Proceeds Fid. Acq. Value 66,754.65 66,754.65 $28,691.45 Dauphin Deposit CD #810036548-2 4.75% 01/30/99 Net Proceeds Fid. Acq. Value 28,691.45 28,691.45 $50,233.66 Harris Savings Bank CD 4.930% 9/24/99 - matured Net Proceeds Fid. Acq. Value 50,233.66 50,233.66 $65,366.38 Meridian Bank CD #4000700734 4.64% 11/14/99 - matured Net Proceeds Fid. Acq. Value 65,043.13 65,043.13 4,404.357 shares Ark Funds Equity Index Portfolio Net Proceeds Fid. Acq. Value 66,902.18 64,700.00 3,037.733 shares Ark Funds Blue Chip Equity Portfolio Net Proceeds Fid. Acq. Value 51,003.54 57,200.51 6 Gain Loss 0.00 0.00 0.00 0.00 0.00 0.00 2,202.18 6,196.97 09/07/01 09/07/01 3,099.72 shares Ark Funds Capital Growth Fund Net Proceeds Fid. Acq. Value 49,223.55 56,600.89 3,504.325 shares Ark Funds Value Equity Portfolio Net Proceeds Fid. Acq. Value 36,199.68 38,582.62 09/07/01 15,914.714 shares Ark Funds Short Term Bond Portfolio Net Proceeds Fid. Acq. Value 163,603.26 163,125.82 TOTAL GAINS AND LOSSES/PRINCIPAL........... LESS LOSS............................. NET GAIN OR LOSS.. . . . . . . . . . . . . . . . . . . . . . . . . . 7 477.44 2,679.62 15,957.25 (13,277.63) 7,377.34 2,382.94 15,957.25 01/15/98 01/15/98 01/15/98 01/15/98 02/19/98 10/10/01 DISBURSEMENTS OF PRINCIPAL GENERAL DISBURSEMENTS Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 12.02 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 67.55 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,079.50 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,079.50 Transfer to Income 2,049.48 Reserve for - Filing Fees 400.00 TOTAL GENERAL DISBURSEMENTS.... ...... .... ... ........ TOTAL DISBURSEMENTS OF PRINCIPAL.................... 8 4,688.05 4,688.05 Erma M. Kenderdine 07/12/01 DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Principal Distribution TOTAL DISTRIBUTIONS TO BENEFICIARIES...... 9 30,000.00 30,000.00 # Units Description PRINCIPAL BALANCE ON HAND Ark Money Market Portfolio Current Value or as Noted 343,989.75 Fiduciary Acquisition Value 343,989.75 343,989.75 343,989.75 10 OS/27/98 OS/27/98 11/16/98 12/09/98 12/09/98 01/12/99 01/12/99 02/18/99 12/10/99 12/10/99 12/23/99 12/23/99 12/23/99 12/08/00 INVESTMENTS MADE - PRINCIPAL # Units Cost 1,479.29 shares Ark Funds Blue Chip Equity Portfolio - shares purchased 25,000.00 1,730.104 shares Ark Funds Value Equity Portfolio - shares purchased 25,000.00 73.527 shares Ark Funds Value Equity Portfolio - shares purchased 1,009.52 17.192 shares Ark Funds Value Equity Portfolio - shares purchased 242.23 33.813 shares Ark Funds Blue Chip Equity Portfolio - shares purchased 591.72 1,683.502 shares Ark Funds Value Equity Portfolio - shares purchased 25,000.00 1,323.452 shares Ark Funds Blue Chip Equity Portfolio - shares purchased 25,000.00 14,910.537 shares Ark Funds Short Term Bond Portfolio - shares purchased 150,000.00 49.792 shares Ark Funds Blue Chip Equity Portfolio - shares purchased 1,064.56 25.703 shares Ark Funds Short Term Bond Portfolio - shares purchased 254.97 2,841.458 shares Ark Funds Capital Growth Fund - shares purchased 64,700.00 73.193 shares Ark Funds Blue Chip Equity Portfolio - shares purchased 1,600.00 4,404.357 shares Ark Funds Equity Index Portfolio - shares purchased 64,700.00 258.262 shares Ark Funds Capital Growth Fund - shares purchased 5,364.10 11 12/08/00 78.193 shares Ark Funds Blue Chip 1,653.79 Equity Portfolio - shares purchased 06/15/01 978.474 shares Ark Funds Short Term 10,000.00 Bond Portfolio - shares purchased 12 CHANGES IN INVESTMENT HOLDINGS - PRINCIPAL Cost $19,985.53 Dauphin Deposit CD #810027561-0 4.75% 10/26/98 12/26/97 10/26/98 received sold 19,985.53 (19,985.53) 0.00 $28,691.45 Dauphin Deposit CD #810036548-2 4.75% 01/30/99 12/26/97 02/02/99 received sold 28,691. 45 (28,691.45) 0.00 $50,000.00 Farmers National Bank CD #10227 5.05% 2/26/98 12/26/97 02/16/98 received matured 50,000.00 (50,000.00) 0.00 $50,233.66 Harris Savings Bank CD 4.930% 9/24/99 10/27/98 09/29/99 received matured 50,233.66 (50,233.66) 0.00 $65,366.38 Meridian Bank CD #4000700734 4.64% 11/14/99 12/26/97 12/02/99 12/03/99 received adjust book value matured 65,366.38 (323.25) (65,043.13) 0.00 13 $66,754.65 Harris Savings Bank CD 4.930% 12/23/98 10/27/98 01/05/99 received matured 66,754.65 (66,754.65) 0.00 Ark Funds Blue Chip Equity Portfolio 09/07/01 1,479.29 shares purchased 33.813 shares purchased 1,323.452 shares purchased 49.792 shares purchased 73.193 shares purchased 78.193 shares purchased adjust to date of death value - Erma Kenderdine (3,037.733)shares sold 25,000.00 591.72 25,000.00 1,064.56 1,600.00 1,653.79 2,290.44 OS/27/98 12/09/98 01/12/99 12/10/99 12/23/99 12/08/00 08/24/01 (57,200.51) o 0.00 Ark Funds Capital Growth Fund 12/23/99 12/08/00 08/24/01 2,841.458 shares purchased 258.262 shares purchased adjust to date of death value - Erma Kenderdine (3,099.72)shares sold 64,700.00 5,364.10 (13,463.21) 09/07/01 (56,600.89) o 0.00 -------------- -------------- Ark Funds Equity Index Portfolio 12/23/99 06/20/00 4,404.357 shares purchased (4,404.357)shares sold 64,700.00 (64,700.00) o 0.00 Ark Funds Value Equity Portfolio 09/07/01 1,730.104 shares purchased 73.527 shares purchased 17.192 shares purchased 1,683.502 shares purchased adjust to date of death value - Erma Kenderdine (3,504.325)shares sold 25,000.00 1,009.52 242.23 25,000.00 (12,669.13) OS/27/98 11/16/98 12/09/98 01/12/99 08/24/01 (38,582.62) o 0.00 14 Ark Funds Short Term Bond Portfolio 09/07/01 14,910.537 shares purchased 25.703 shares purchased 978.474 shares purchased adjust to date of death value - Erma Kenderdine (15,914.714)shares sold 150,000.00 254.97 10,000.00 2,870.85 02/18/99 12/10/99 06/15/01 08/24/01 (163,125.82) o 0.00 15 RECEIPTS OF INCOME DIVIDENDS Ark Funds Blue Chip Equity Portfolio 07/01/98 10/01/98 01/04/99 04/01/99 07/01/99 10/01/99 12/30/99 04/03/00 07/03/00 10/02/00 01/02/01 04/02/01 07/02/01 41.12 51.18 37.98 78.01 43.12 43.68 75.17 35.81 62.15 51. 20 46.78 56.50 26.43 Ark Funds Capital Growth Fund 01/02/01 Ark Funds Equity Index Portfolio 12/30/99 04/03/00 145.34 150.19 Ark Funds Value Equity Portfolio 07/01/98 10/01/98 01/04/99 04/01/99 07/01/99 10/01/99 12/30/99 04/03/00 07/03/00 10/02/00 01/02/01 04/02/01 07/02/01 51.90 42.21 37.14 48.36 40.30 29.44 14.02 7.01 10.51 0.35 38.90 16.82 32.24 TOTAL DIVIDEND INCOME..................... 16 649.13 50.22 295.53 369.20 1,364.08 INTEREST $19,985.53 Dauphin Deposit CD #810027561-0 4.75% 10/26/98 10/22/98 $28,691.45 Dauphin Deposit CD #810036548-2 4.75% 01/30/99 02/02/99 $50,233.66 Harris Savings Bank CD 4.930% 9/24/99 --------------------------------- 09/29/99 $65,366.38 Meridian Bank CD #4000700734 4.64% 11/14/99 --------------------------------------- OS/21/98 08/21/98 11/24/98 12/02/99 $66,754.65 Harris Savings Bank CD 4.930% 12/23/98 01/05/99 Ark Money Market Portfolio 07/02/01 08/01/01 09/04/01 10/01/01 Ark Funds Short Term Bond Portfolio 03/01/99 04/01/99 05/03/99 06/01/99 07/01/99 08/02/99 09/01/99 10/01/99 11/01/99 12/01/99 01/03/00 740.03 765.12 765.12 16.54 191. 93 302.80 264.53 852.16 188.21 580.72 562.37 571.00 550.17 565.62 562.77 546.58 565.71 551.50 581.68 17 1,183.61 1,729.80 3,056.78 2,286.81 1,514.60 1,611.42 02/01/00 03/01/00 04/03/00 05/01/00 06/01/00 07/03/00 08/01/00 09/01/00 10/02/00 11/01/00 12/01/00 01/02/01 02/01/01 03/01/01 04/01/01 05/01/01 06/01/01 07/02/01 08/01/01 09/04/01 10/01/01 585.21 557.88 596.78 579.25 608.74 594.05 622.36 618.49 605.82 630.06 613.12 645.67 633.84 571.74 628.77 599.27 604.13 592.76 631. 22 624.90 139.78 Capital Reserve Account 12/31/97 02/02/98 03/02/98 04/02/98 05/01/98 06/01/98 6.32 190.79 159.52 164.34 159.00 147.40 STIC Treasury Tax Advantage 03/02/98 04/01/98 05/01/98 06/01/98 07/01/98 08/03/98 09/01/98 10/01/98 11/02/98 12/01/98 01/04/99 02/01/99 03/01/99 04/01/99 05/03/99 06/01/99 07/01/99 08/02/99 09/01/99 10/01/99 24.76 231.38 262.97 256.53 226.44 242.91 239.91 234.73 239.67 287.92 298.31 505.71 368.65 90.82 92.21 99.06 99.78 120.07 130.69 138.55 18 18,110.17 827.37 11/01/99 12/01/99 01/03/00 02/01/00 03/01/00 04/03/00 05/01/00 06/01/00 07/03/00 08/01/00 09/01/00 10/02/00 11/01/00 12/01/00 01/02/01 02/01/01 03/01/01 04/02/01 05/01/01 06/01/01 07/02/01 357.95 361.06 502.69 133.94 156.37 176.32 178.25 179.10 301.68 541.77 605.05 587.91 613.17 603.32 645.98 618.98 530.37 552.17 489.35 453.70 190.04 TOTAL INTEREST INCOME..................... OTHER INCOME Civil Service Pension Benefit - William Kenderdine 03/11/98 04/02/98 05/04/98 06/02/98 07/01/98 08/03/98 09/01/98 10/01/98 11/02/98 12/01/98 01/05/99 02/01/99 03/01/99 04/01/99 05/03/99 06/01/99 07/01/99 08/02/99 09/01/99 10/01/99 11/01/99 2,982.41 2,982.41 2,982.41 2,982.41 2,982.41 2,982.41 2,982.41 2,982.41 2,982.41 2,982.41 3,026.41 3,013.97 3,013.97 3,013.97 3,013.97 3,013.97 3,013.97 3,013.97 3,013.97 3,013.97 3,013.97 19 12,970.24 43,290.80 62,990.21 Civil Service Pension - Erma Kenderdine --------------------------------------- 02/01/00 02/10/00 03/01/00 04/03/00 05/01/00 06/01/00 07/03/00 08/01/00 09/01/00 10/02/00 11/01/00 12/01/00 01/02/01 02/01/01 03/01/01 04/02/01 05/01/01 06/01/01 07/02/01 08/01/01 2,131.91 2,136.72 2,131.91 2,131.91 2,131.91 2,131.91 2,131.91 2,131.91 2,131.91 2,131.91 2,131.91 2,131.91 2,204.91 2,195.77 2,195.77 2,195.77 2,195.77 2,226.77 2,197.77 2,197.77 Internal Revenue Service 06/29/99 06/02/00 3,055.00 2,706.00 PA Blue Shield 02/04/00 reimbursement for durable medical equipment reimbursement for medical expenses 12.99 05/30/00 10.42 PA Department of Revenue 07/07/00 Reversal of Fee Credited 07/03/98 Social Security Benefit - William Kenderdine --------------------------------- 03/11/98 04/06/98 05/04/98 06/03/98 07/02/98 08/03/98 193.00 193.00 193.00 193.00 193.00 193.00 20 43,198.03 5,761.00 23.41 111.00 162.12 09/03/98 10/05/98 11/03/98 12/01/98 12/31/98 02/03/99 03/03/99 04/02/99 05/03/99 06/03/99 07/02/99 08/03/99 09/03/99 10/01/99 11/03/99 193.00 193.00 193.00 193.00 194.00 194.00 194.00 194.00 194.00 194.00 194.00 194.00 194.00 194.00 194.00 Social Security Benefit - Erma Kenderdine 03/11/98 04/06/98 05/04/98 06/03/98 07/02/98 08/03/98 09/03/98 10/05/98 11/03/98 12/01/98 12/31/98 02/03/99 03/03/99 04/02/99 05/03/99 06/03/99 07/02/99 08/03/99 09/03/99 10/01/99 11/03/99 12/07/99 01/03/00 02/03/00 03/03/00 04/03/00 05/01/00 06/02/00 07/03/00 08/03/00 09/01/00 10/03/00 11/03/00 12/01/00 01/03/01 02/02/01 03/02/01 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 202.00 208.00 208.00 208.00 208.00 208.00 208.00 208.00 208.00 208.00 208.00 208.00 208.00 212.00 212.00 212.00 21 4,064.00 04/03/01 05/03/01 06/01/01 07/03/01 07/19/01 212.00 212.00 212.00 212.00 12.00 one time benefit due to incorrect CPI calculation in 1999 08/03/01 212.00 Transfer from Principal 02/19/98 TOTAL OTHER INCOME........................ TOTAL RECEIPTS OF INCOME.................. 22 5,813.00 2,049.48 124,172.25 168,827.13 02/18/98 02/18/98 02/18/98 02/18/98 03/13/98 03/13/98 03/13/98 04/02/98 04/02/98 04/06/98 04/08/98 04/08/98 04/14/98 04/14/98 DISBURSEMENTS OF INCOME Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine Presbyterian Homes Inc. - nursing home expense - William Kenderdine Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine Presbyterian Homes Inc. - nursing home expense - William Kenderdine Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine Internal Revenue Service - Balance due on 1997 Personal Income Tax return PA Department of Revenue - Balance due on 1997 Personal Income Tax return Dauphin Deposit Bank & Trust Company - Trustee Fee Internal Revenue Service - 1st Qtr 1998 Est Income Tax PA Department of Revenue - 1st Qtr 1998 Est Income Tax Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 23 10.34 67.71 1,079.50 1,079.50 65.92 1,079.50 1,079.50 585.00 54.00 634.84 150.00 114.00 10.34 54.70 04/14/98 04/14/98 05/15/98 05/15/98 05/15/98 05/15/98 05/15/98 OS/26/98 06/02/98 06/09/98 06/09/98 06/15/98 06/15/98 06/15/98 06/15/98 07/01/98 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,079.50 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,079.50 Pharmerica - pharmaceutical expense - William 7.63 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 13.68 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 94.18 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,079.50 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,079.50 Tax Preparation Fee - 1997 125.00 Pharmerica - pharmaceutical expense - William 5.34 Internal Revenue Service - 2nd Qtr 1998 Est Income Tax 150.00 PA Department of Revenue - 2nd Qtr 1998 Est Income Tax 114.00 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 16.78 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 65.85 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,079.50 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,079.50 Pharmerica - pharmaceutical expense - William 13.36 24 07/06/98 07/17/98 07/17/98 07/17/98 07/20/98 07/20/98 08/17/98 08/17/98 08/17/98 08/17/98 08/17/98 08/17/98 09/04/98 09/04/98 09/15/98 Dauphin Deposit Bank & Trust Company - Trustee Fee 523.90 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 80.58 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,493.50 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,079.50 Continuing Care RX - miscellaneous expense - William Kenderdine 50.95 Continuing Care RX - miscellaneous expense - Erma Kenderdine 3.15 Continuing Care RX - miscellaneous expense - William Kenderdine 40.60 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.10 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 11.43 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 65.68 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,145.00 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,137.55 Internal Revenue Service - 3rd Qtr 1998 Est Income Tax 150.00 PA Department of Revenue - 3rd Qtr 1998 Est Income Tax 114.00 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 11.43 25 09/15/98 09/15/98 09/15/98 09/18/98 09/18/98 09/25/98 09/25/98 10/05/98 10/08/98 10/08/98 10/15/98 10/15/98 10/15/98 11/17/98 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 74.44 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,145.00 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,145.00 Continuing Care RX - miscellaneous expense - William Kenderdine 16.10 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.10 1998 Big Spring School District Personal Tax - William Kenderdine 9.80 1998 Big Spring School District Personal Tax - Erma Kenderdine 9.80 Dauphin Deposit Bank & Trust Company - Trustee Fee 525.32 Continuing Care RX - miscellaneous expense - William Kenderdine 5.95 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.10 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 62.80 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,145.00 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,145.00 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 27.42 26 11/17/98 11/17/98 11/17/98 11/19/98 11/19/98 12/17/98 12/17/98 12/17/98 12/22/98 12/22/98 12/28/98 12/28/98 12/31/98 01/07/99 01/21/99 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 79.42 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,145.00 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,145.00 Continuing Care RX - miscellaneous expense - William Kenderdine 22.35 Continuing Care RX - miscellaneous expense - Erma Kenderdine 1. 80 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 60.59 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,145.00 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,145.00 Continuing Care RX - miscellaneous expense - William Kenderdine 3.95 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.10 Internal Revenue Service - 4th Qtr 1998 Est Income Tax 150.00 PA Department of Revenue - 4th Qtr 1998 Est Income Tax 114.00 Dauphin Deposit Bank & Trust Company - Trustee Fee - based on 5% commission on Income from 11/5/97 through 12/31/98 1,969.46 Dauphin Deposit Bank & Trust Company - Trustee Fee 827.31 Continuing Care RX - miscellaneous expense - William Kenderdine 16.85 27 01/21/99 01/25/99 01/25/99 01/25/99 02/16/99 02/16/99 02/19/99 02/19/99 02/19/99 02/19/99 03/22/99 03/22/99 03/24/99 03/24/99 Continuing Care RX - miscellaneous expense - Erma Kenderdine 5.90 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 103.65 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,145.00 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,145.00 Continuing Care RX - miscellaneous expense - William Kenderdine 3.95 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.10 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 4.43 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 64.40 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,145.00 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,145.00 Continuing Care RX - miscellaneous expense - William Kenderdine 3.95 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.10 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 78.22 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,145.00 28 03/24/99 04/05/99 04/12/99 04/13/99 04/14/99 04/14/99 04/15/99 04/22/99 04/22/99 04/22/99 04/22/99 05/05/99 OS/20/99 OS/20/99 OS/25/99 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,145.00 Dauphin Deposit Bank & Trust Company - Trustee Fee 266.00 PA Department of Revenue - Balance due on 1998 Personal Income Tax Return 145.00 PA Department of Revenue - 1st Qtr 1999 Est Income Tax 155.00 Continuing Care RX - miscellaneous expense - William Kenderdine 33.65 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.10 JC Penney Life Insurance Co - Quarterly premium for Erma Kenderdine 56.34 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 7.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 65.72 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,145.00 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,145.00 Dauphin Deposit Bank & Trust Company - Trustee Fee 267.99 Continuing Care RX - miscellaneous expense - William Kenderdine 5.75 Continuing Care RX - miscellaneous expense - Erma Kenderdine 4.10 Tax Preparation Fee - 1998 125.00 29 OS/26/99 OS/26/99 OS/26/99 OS/26/99 06/07/99 06/10/99 06/10/99 06/14/99 06/14/99 06/22/99 06/22/99 06/22/99 07/06/99 07/13/99 07/13/99 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 13.75 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 73.82 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,145.00 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,145.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 268.36 Internal Revenue Service - 2nd Qtr 1999 Est Income Tax 150.00 PA Department of Revenue - 2nd Qtr 1999 Est Income Tax 155.00 Continuing Care RX - miscellaneous expense - William Kenderdine 5.40 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 69.62 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,145.00 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,145.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 273.07 Continuing Care RX - miscellaneous expense - William Kenderdine 15.95 Continuing Care RX - miscellaneous expense - Erma Kenderdine 4.00 30 07/16/99 07/19/99 07/19/99 07/19/99 07/19/99 08/05/99 08/13/99 08/13/99 08/31/99 08/31/99 08/31/99 08/31/99 09/07/99 09/10/99 09/10/99 JC Penney Life Insurance Co - Quarterly premium for Erma Kenderdine 56.34 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 7.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 57.73 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,177.50 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,177.50 Allfirst Trust Company of PA, N.A. - Trustee Fee 272.65 Continuing Care RX - miscellaneous expense - William Kenderdine 3.75 Continuing Care RX - miscellaneous expense - Erma Kenderdine 23.60 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 76.25 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 178.86 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,177.50 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,177.50 Allfirst Trust Company of PA, N.A. - Trustee Fee 274.15 Internal Revenue Service - 3rd Qtr Est 1999 Income Tax 150.00 PA Department of Revenue - 3rd Qtr Est 1999 Income Tax 155.00 31 09/15/99 09/15/99 10/05/99 10/15/99 10/15/99 10/15/99 10/21/99 10/21/99 10/21/99 11/05/99 12/02/99 12/02/99 12/06/99 12/13/99 12/13/99 Continuing Care RX - miscellaneous expense - William Kenderdine 3.75 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 278.26 Continuing Care RX - miscellaneous expense - William Kenderdine 3.75 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 JC Penney Life Insurance Co - Quarterly premium for Erma Kenderdine 56.34 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 146.25 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,177.50 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,174.78 Allfirst Trust Company of PA, N.A. - Trustee Fee 280.14 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 35.55 Allfirst Trust Company of PA, N.A. - Trustee Fee 282.34 Brown Optical & Hearing Aid Service - miscellaneous expense - William Kenderdine 31.50 Continuing Care RX - miscellaneous expense - William Kenderdine 15.95 32 12/13/99 12/13/99 12/13/99 12/13/99 12/13/99 12/14/99 12/22/99 12/27/99 12/27/99 12/27/99 12/27/99 12/31/99 01/05/00 01/12/00 01/13/00 Egger Funeral Horne, Inc. - Funeral expense for William Kenderdine 5,165.10 Presbyterian Homes Inc. - miscellaneous expense - William Kenderdine 12.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 76.98 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,177.50 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,177.50 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Presbyterian Homes Inc. - nursing home expense - William Kenderdine 1,491.50 Internal Revenue Service - 4th Qtr Est 1999 Income Tax 150.00 PA Department of Revenue - 4th Qtr Est 1999 Income Tax 155.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 186.27 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,177.50 Allfirst Trust Company of PA, N.A. - Trustee Fee - based on 5% commission on income from 1/1/99 through 3/31/99 712.84 Allfirst Trust Company of PA, N.A. - Trustee Fee 201.55 JC Penney Life Insurance Co - Quarterly premium for Erma Kenderdine 56.34 Continuing Care RX - miscellaneous expense - Erma Kenderdine 3.45 33 02/07/00 02/16/00 02/23/00 02/23/00 03/06/00 03/10/00 03/23/00 03/23/00 04/05/00 04/07/00 04/07/00 04/11/00 04/19/00 04/21/00 04/21/00 Al1first Trust Company of PA, N.A. - Trustee Fee 213.58 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 150.06 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 3,010.00 A1lfirst Trust Company of PA, N.A. - Trustee Fee 217.52 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 75.74 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,505.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 220.11 Internal Revenue Service - 1st Qtr 2000 Est Income Tax 1,475.00 PA Department of Revenue - 1st Qtr 2000 Est Income Tax 63.00 Continuing Care RX - miscellaneous expense - Erma Kenderdine 4.00 JC Penney Life Insurance Co - Quarterly premium for Erma Kenderdine 56.34 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 68.88 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,505.00 34 05/05/00 05/12/00 05/19/00 05/19/00 OS/25/00 06/01/00 06/05/00 06/07/00 06/09/00 06/09/00 06/22/00 06/22/00 07/03/00 07/05/00 07/12/00 07/17/00 Allfirst Trust Company of PA, N.A. - Trustee Fee 216.77 Continuing Care RX - miscellaneous expense - Erma Kenderdine 4.50 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 67.23 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,505.00 Tax Preparation Fee - 1999 125.00 Bankcard Services - miscellaneous expense 33.08 Allfirst Trust Company of PA, N.A. - Trustee Fee 223.28 Continuing Care RX - miscellaneous expense - Erma Kenderdine 3.50 Internal Revenue Service - 2nd Qtr 2000 Est Income Tax 1,475.00 PA Department of Revenue - 2nd Qtr 2000 Est Income Tax 63.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 78.55 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,505.00 Bankcard Services - miscellaneous expense 149.70 Allfirst Trust Company of PA, N.A. - Trustee Fee 261.54 Continuing Care RX - miscellaneous expense - Erma Kenderdine 5.40 JC Penney Life Insurance Co - Quarterly premium for Erma Kenderdine 56.34 35 07/24/00 07/24/00 08/07/00 08/09/00 08/22/00 08/22/00 09/05/00 09/11/00 09/12/00 09/13/00 09/19/00 09/19/00 10/05/00 10/18/00 10/18/00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 59.14 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,550.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 262.67 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 60.32 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,550.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 266.84 PA Department of Revenue - 3rd Qtr 2000 Est Income Tax 63.00 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Internal Revenue Service - 3rd Qtr 2000 Est Income Tax 1,475.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 83.01 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,550.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 262.56 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 JC Penney Life Insurance Co - Quarterly premium for Erma Kenderdine 53.02 36 10/18/00 10/18/00 11/06/00 11/17/00 11/17/00 11/17/00 12/05/00 12/14/00 12/21/00 12/21/00 12/26/00 12/26/00 01/05/01 01/09/01 01/10/01 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 68.66 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,550.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 263.59 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 56.48 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,550.00 A11first Trust Company of PA, N.A. - Trustee Fee 261.90 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 64.84 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,550.00 Internal Revenue Service - 4th Qtr 2000 Est Income Tax 1,475.00 PA Department of Revenue - 4th Qtr 2000 Est Income Tax 63.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 267.79 JC Penney Life Insurance Co - Quarterly premium for Erma Kenderdine 54.46 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 37 01/17/01 01/17/01 01/17/01 02/05/01 02/16/01 02/16/01 02/16/01 02/21/01 03/05/01 03/23/01 03/23/01 03/23/01 04/04/01 04/05/01 04/10/01 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 65.80 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,630.00 Presbyterian Homes Inc. - Pharmaceuticals for Erma Kenderdine 100.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 269.92 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 70.73 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,630.00 Presbyterian Homes Inc. - Pharmaceuticals for Erma Kenderdine 100.00 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 267.69 Continuing Care RX - miscellaneous expense - Erma Kenderdine 3.55 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 47.84 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,730.00 Boyer & Ritter, CPA - 2000 personal income tax preparation fees 225.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 263.12 Internal Revenue Service - Balance due on 2000 personal Income Tax return 2,099.00 38 . 04/10/01 04/10/01 04/10/01 04/11/01 04/18/01 04/18/01 04/18/01 05/07/01 05/18/01 05/18/01 05/18/01 06/05/01 06/07/01 06/07/01 06/12/01 06/12/01 Internal Revenue Service - 1st Qtr 2001 Est Income Tax 2,000.00 PA Department of Revenue - Balance due on 2000 Personal Income Tax return 212.00 PA Department of Revenue - 1st Qtr 2001 Est Income Tax 120.00 JC Penney Life Insurance Co - Quarterly premium for Erma Kenderdine 54.46 Continuing Care RX - miscellaneous expense - Erma Kenderdine 22.40 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 82.38 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,730.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 265. 67 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 59.74 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,730.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 267.01 Internal Revenue Service - 2nd Qtr 2001 Est Income Tax 2,000.00 PA Department of Revenue - 2nd Qtr 2001 Est Income Tax 120.00 Continuing Care RX - miscellaneous expense - Erma Kenderdine 3.55 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 87.00 39 06/12/01 07/02/01 07/05/01 07/13/01 07/18/01 07/18/01 07/18/01 08/06/01 09/05/01 10/05/01 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,730.00 Bankcard Services - miscellaneous expense 71.11 Allfirst Trust Company of PA, N.A. - Trustee Fee 257.75 JC Penney Life Insurance Co - Quarterly premium for Erma Kenderdine 54.46 Continuing Care RX - miscellaneous expense - Erma Kenderdine 2.00 Presbyterian Homes Inc. - miscellaneous expense - Erma Kenderdine 69.43 Presbyterian Homes Inc. - nursing home expense - Erma Kenderdine 1,730.00 Allfirst Trust Company of PA, N.A. - Trustee Fee 233.82 Allfirst Trust Company of PA, N.A. - Trustee Fee 233.30 Allfirst Trust Company of PA, N.A. - Trustee Fee 408.17 TOTAL DISBURSEMENTS OF INCOME.................. 40 120,442.29 DISTRIBUTIONS OF INCOME TO BENEFICIARIES Erma M. Kenderdine ------------------ 01/28/99 Income Distribution 07/14/99 Income Distribution 12/14/99 Income Distribution 04/10/00 Income Distribution 03/13/01 Income Distribution 06/11/01 Income Distribution 500.00 300.00 500.00 500.00 1,500.00 500.00 TOTAL DISTRIBUTIONS TO BENEFICIARIES...... 41 3,800.00 3,800.00 . # Units Description INCOME BALANCE ON HAND Current Value or as Noted Ark Money Market Portfolio 44,584.84 44,584.84 44,584.84 44,584.84 Fiduciary Acquisition Value --------------- --------------- --------------- --------------- 42 . # Units PROPOSED DISTRIBUTIONS TO BENEFICIARIES Current Value Estate of Erma M. Kenderdine Entire Balance of William W. Kenderdine and Erma M. Kenderdine Trust under Agreement -------------------------------------------- Principal - Ark Money Market Portfolio Income - Ark Money Market Portfolio Total 43 or as Noted 343,989.75 44,584.84 388,574.59 Fiduciary Acquisition Value 343,989.75 44,584.84 388,574.59 . AFFIDAVIT Allfirst Trust Company of Pennsylvania, N.A., Trustee under Agreement with William W. and Erma M. Kenderdine, deceased, hereby declares under oath that it has fully and faithfully discharged the duties of its office; that the foregoing account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Trust have been paid in full; that, to its knowledge, there are no claims now outstanding against the Trust; that all taxes presently due from the Trust have been paid. Subscribed and sworn to by before me this M!! day of Qr1~ ,2001. ~Jtov) zc. K~ Notary Public Notarial Seal Gwendolyn E. Killian, Notary Public Carlisle Boro, Cumberland County My Commission Expires Nov. 22,2004 Member, Pennsylvania Association of Notaries 44 ~: REVOCABLE TRUST AGREEMENT by and between Erma M. and William W. Kenderdine Settlors and- Dauphin Deposit Bank and Trust Company, Trustee 7/89 T" lJ....yt- 1/, ,.... ~ "."".J- .. We, Erma M. and William W. Kenerdine and (Settlors) of Newville, Pennsylvania hereby transfer to Dauphin Deposit Bank and Trust Company (hereinafter called the Trustee), a Pennsylvania bank and trust company, such property as may be delivered contemporaneously herewith, or at such time or times hereafter, to be held in Trust as follows: FIRST: Dispositive Provisions For Our Benefit - During our lifetime: A. All of the net income shall be paid to us at least quarterly or shall be paid or accumulated and added to principal, as we, or the survivor of us, may direct in writing; B. As much of the principal as we may from time to time request in writing shall be paid to us, or as we, or the survivor of us, may otherwise direct; c. If, in the Trustee's opinion, either of us at any time is unable to act or to apply the payments to our own best interest and advantage, the Trustee may apply directly for our benefit as much of the income and/or principal as the Trustee may, from time to time, deem appropriate for our welfare, comfort, support or emergency needs, directly and without the intervention of a guardian, and may add to principal as much of the income as the Trustee deems advisable. D. Trustee shall keep true and correct books of account, which books of account shall at all reasonable times be open to the inspection of Settlors or their duly appointed representative. Trustee shall also render quarterly to Settlors a detailed statement showing all receipts and disbursements on account ()f the trust estate and the manner and form in which the trust estate is invested at the time of the rendition of such statement. SECOND: Dispositive Provisions After Death - Upon the death of either Settlor, this trust shall continue in existence for the use of the surviving Settlor. Upon the death of the surviving Settlor, while the trust continues, the Trustee shall pay the then-remaining principal and income to the Executor or Administrator of the Estate of the surviving Settlor. THIRD: Right to Revoke and Amend: Settlors reserve the right to revoke or amend this trust, in whole or in part, at any time and from time to time by an instrument in VvTiting, delivered to the Trustee and intended to take effect during our lifetimes; except that the duties, powers and liabilities of the Trustee shall not be changed without its written consent. This right of revocation and amendment also is reserved for the survivor of us, and is exercisable by the survivor by himself or herself alone. The Trustee reserves the right, at any time upon thirty (30) days advance written notice to Settlors, to resign the trust and deliver the trust estate to us, or to the survivor of us, after deducting therefrom its fees and any expenses then due and payable. , . FOURTH: Additions to Trust: Subject to the approval of the Trustee, either of us, or any other entity, may add property, real and personal, to the principal of this trust. FIFTH: Trustee's Powers: In addition to the powers granted by law, our Trustee shall have the following discretionary powers, applicable to principal and income, which shall be exercisable without leave of court and shall continue until distribution is actually made: A. To accept and retain any or all property at any time hereafter delivered or in any other manner hereafter acquired, including stock or other securities of the Trustee, or of a holding company controlling the Trustee; B. To invest in all forms of property (including, but not by way of limitation, real estate, all types of stocks, bonds, options, and participations in common trust funds and money market funds); without being confined to investments prescribed by statute and without being required to diversify; C. To buy investments at a premium or discount; D. To hold property unregistered or in the name of a nominee; E. To give proxies, both ministerial and discretionary; F . To compromise claims; G. To join in any merger, consolidation, reorganization, voting trust plan, or other concerted action of security holders, and to delegate discretionary duties with respect thereto; H. To borrow from Dauphin Deposit Bank and Trust Company or from others, and to pledge real or personal property as security therefor; to loan cash or securities upon such terms and conditions as trustees deem appropriate. 1. To sell at public or private sale for cash or credit or partly for each to exchange, to improve or to lease for any period of time, any real or personal property; and to give options for sales, exchanges, or leases. 1. To allocate any property received or charge incurred to principal or income or partly to each, without being obliged to apply the usual rules of trust accounting; K. To distribute in cash or in kind or partly in each; ~' 4 . L. To retain any part or all of my business interests held in this Trust as long as the Trustee considers it advisable to do so; and to conduct, alone or with others, any such business in which either or both of us are engaged, with all the powers of an ovmer or with respect thereto, including the power to delegate discretionary duties to others and to pay adequate compensation to any such person; to invest other property in such business, and to incorporate it or change its fonn. This power includes the right to take all appropriate actions to prevent, identify, or respond to actual or threatened violations of any environmenta.llaw or regulation thereunder. M. To disclaim, in whole or in part, any interests in property for any reason, including but not limited to a concern that such property could cause potential liability under the ederal, state or local environmental law. SIXTH: Compensation: The trustee shall be compensated in accordance with its standard schedule of charges in effect from time to time during the period of its services, and this compensation shall be paid from principal or income or partly from each in the sole discretion of the Trustee. Settlors hereby acknowledge receipt of Trustee's current fee schedule, which is subject to revision from time to time. SEVENTH: Non-Assignment: No part of the income or principal of the property held under this Trust shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy prior to actual receipt thereof. The Trustee shall pay over the net income and the principal to the persons herein designated, as their interests may appear, without regard to any attempted anticipation (except as specifically provided in this agreement)~ pledging or assignment under the Trust~ and without regard to any claim thereto or attempted levy, attachment, seizure or other process against either or both of us. EIGHTH: Law Governing Trust: This trust is created and accepted in the Commonwealth of Pennsylvania and shall in all respects be governed by its laws and shall have its situs at Cumberland County, Pennsylvania. Executed on November s ,1997_ NOTE: Before executing this document you may want to consult with your Attorney to assure that your wishes are being set forth accurately and in proper legal form. WITNESS: I!IvLl~ , f~/~ ,r, " ~/h 'J~~~ WI1NESS: ~~~ilA ---- ?:V.. I , k . . . ;r~J ,./.~v " .. (, f ~r-- ./ ';jlL~v \'f. \ ((SEAL) ~ I-~. 7~~ -POA. .; .. .. . . The foregoing trust is hereby accepted. Executed on /l/ ~ S- ,19fZ- DauP7sit Bank and TruS0 By, A~... thc-toru ,-~ CO:MrvfONWEALTH OF PENNSYL VANIA ) COUNTY OF C.t>.'-~ be~\ ~t\ d ) On this, the I +\--. day of /D 0 \) e ('Y\ \:) ~ r , 19tj 7 , before me, a notary public in and for the said Commonwealth and County, personally appeared € C' /\I, c.. ~^^. K e () dE' (' d i f) €.. and W " ,\ \ Ci. YV\ W. ~ C no.. e \' ci', Y\ ~ known to me (or satisfactorily proven) to be the persons whose names are subscribed to the foregoing Revocable Trust Agreement and acknowledged that they executed the same for the purposes therein contained. WITNESS my hand and notarial seal. J/.. r ~ h-~,,~ /1.-'\. '''-''U~ Notary Public My Commission Expires: (SEAL) Notarial Seal . Kim M. Conner, Notary Public Shlp~nsburg Bore, c.umberland County My Commission ExpIres June 7, 1999 Mal'T1:l8r. "'n~ wwiF'n Gf Ng~ 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 KENDERDINE DAVID ALLEN 3560 OLD MILL ROAD SLATINGTON, PA 18080 nn____ fold ESTATE INFORMATION: SSN: 153-09-0848 FILE NUMBER: 21-2001- 0768 DECEDENT NAME: KENDERDINE ERMA M DA TE OF PAYMENT: 10/29/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/02/2001 NO. CD 000452 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $20,000.00 I I I I I I I I TOTAL AMOUNT PAID: $20,000.00 REMARKS: DAVID ALLEN KENDERDINE CHECK#153 SEAL INITIALS: SK RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS 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 WEBBER RICHARD L JR 126 EAST KING STREET SHIPPENSBURG, PA 17257 u______ fold ESTATE INFORMATION: SSN: 153-09-0848 FILE NUMBER: 2101-0768 DECEDENT NAME: KENDERDINE ERMA M DATE OF PAYMENT: 05/06/2002 POSTMARK DATE: 05/03/2002 COUNTY: CUMBERLAND DATE OF DEATH: 08/02/2001 NO. CD 001149 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,585.29 I I I I I I I I TOTAL AMOUNT PAID: $1,585.29 REMARKS: RICHARD L WEBBER JR CHECK#162 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS \, /~-I- / 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 RICHARD L WEltER JaR ESQ P:? :(}L~ WEIGLE & ASSOCIATES 126 EKING ST SHIPPENSBU~ ..; \,.t I DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-17-2002 KENDERDINE 08-02-2001 21 01-0768 CUMBERLAND 101 *' REV-1S47 EX AFP (01-02) ERMA M Allount Rellitted PA 17257 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 ~ REY=is4j-iX--AFP--for:ozi--NOYici--o,:-.rNHiiffTANCi-YAX-APPRA-fsEMENT~--AtioWAi"-ci-(fi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ERMA M FILE NO. 21 01-0768 ACN 101 ESTATE OF KENDERDINE TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED DATE 06-17-2002 If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. 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 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 512,934.31 .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 Bequests; Non-elected 9113 Trusts 14. Net Value of Estate Subject to Tax (9) (10) 9,604.53 264.91 (11) (12) (13) (14) (Schedule J) NOTE: NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 512,934.31 9.869 44 503,064.87 .00 503,064.87 .00 503,064.87 .00 .00 X 00 = .00 X 045 = 22,637.92 X 12 = .00 X 15 = .00 (19)= 22,637.92 TAX CREDITS: . ... ....... . R"~"'" . I (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 10-29-2001 CDOO0452 1,052.63 20,000.00 05-03-2002 CDOO1149 .00 1,585.29 TOTAL TAX CREDIT 22,637.92 BALANCE OF TAX DUE .00 INTEREST AND PEN. .26 TOTAL DUE .26 . 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 REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) () ~/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: August 2, 2001 Erma M. Kenderdine Will No. 21-01-0768 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes XX No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: N/A. 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No XX b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes XX No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. ~~ 8/27/02 ~/) Signature Richard L. Webber, Jr. Date: Name (P lease type ,. or pr int) 126 East King Street Address Shippensburg, PA 17257 ( 717) 532-7388 Tel. No. Capacity: Personal Representative XXX Counsel for personal representative (MAH:rmf/AM3) \;...,",., COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 .... Z W C W U W C REV-1500 OFF!Gito,L USE ONLY 1')- / 7 FILE NUMBER INHERITANCE TAX RETURN RESIDENT DECEDENT -L-L- 0 1 JLJLl~Jt COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 153 - 09 0848 DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Kenderdine, Erma M. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER w ~ ~::!;cn uCl::~ wl1.U :r:OO uCl::....I l1.aJ l1. <I: [i] 1. Original Return o 4. Limited Estate [iI.B. Decedent Died Testate (Attach copy 01 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 dealft between 12-31-91 and 1-1-95) o 3. Remainder Return (date of death prior to 12-13-82) D 5. Federal Estate Tax Return Required --.!! 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) z o ~ ...J ::> !:: a. <( u w 0::: z o ~ ~ ::> a. :E o u >< ~ :,->,. NAME Richard L. Webber Jr. Es uire FIRM NAME (II Applicable) TELEPH E NUMBER 717 532-7388 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) , 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 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) COMPLETE MAILING ADDRESS 126 East King Street Shippensburg, PA 17257 (1) (2) (3) (4) (5) 512,934.31 (6) (7) (8) (9) 9,604.53 (10) 264.91 OFFICIAL USE ONLY ...-.... .,...., ~ - , o t",_ ~ 512,934.31 (11) (12) (13) 9,869.44 503,064.87 503.064.87 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (14) 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20.0 x .0_ (15) 503,064.87 22,637.92 x .0_ (16) x .12 (17) x .15 (18) (19) 22,637.92 -,;&,,::" .",: ,,::-; . ~ ";:~f;:.;"~:' CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ",'., ',,;i'.r;. ,'" >:> Bi;: SUffl:TO'ANSwI;R'ALL QUESTIC;nIS OtifREVERSE SI[)E.AND. RECHECK MATH < <:- . ... Decedent's Complete Address: STREET ADDRESS 210 Bil!: Snrinl!: Road CITY Newville I STATE PA I ZIP 17241 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 22,637.g2 20,000.00 1,052.63 Total Credits ( A + B + C ) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty TotallnterestJPenalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 21,052.63 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) (5A) (5B) 1,585.29 A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. 1,585.29 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yp.s a. retain the use or income of the property transferred;.......................................................................................... L J b. r,,~jn the right to designate who shall use the property transferred or its income; ........................................... Ll:. c. r8t~in a reversionary interest; or........................................................................................................................ [] d. mceive the promise for life of either payments, benefits or care? ....................................................................., f.J 2. If death occurred aftp.r December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 3. Did decedent own an "in trust for" 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 No .K] U U .U KJ !] !J IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE GAND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this retum, including 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 on all information of which preparer has any knowledge. SIGNATURE OF PER~ON RESPONSIBLE FOR FILING ,RETURN i./ /) .,'" D~ f\~ ~ ADDRESS 2974 Highway 9, Vermiltion, KSS 66544 SIGNATURE OF PRE PARER OTH~R THA REP ENTA. riVE ~ /t--............-:;_ ADDRESS 126 East King Street, Shippensburg, PA 17257 DATE t.{ - 27 - en... DATE L-(!~~ !iJ~ 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 PS. ~9116 (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 for the use of the surviving spouse is 0% [72 P.S, 99116 (a) (1.1) (ii)]. The statute does not exempt a transfer 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, 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 of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99110(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)].Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. RfV-1508 EX... (2-87) ESTATE OF .~~~. ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or Type FILE NUMBER 21-01-00768 Kenderdine, Erma M. (All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F) ITEM NUMBER DESCRIPTION VALUE AT DATE Of DEATH 1 Allfirst Trust dated November 5, 1997 401,407.53 2 Allfirst Trust accrued income to date of death 57.45 3 Farmers National Bank Checking Account 122-120-1 1,619.36 4 Farmers National Bank Checking Account 122-120-1 Accrued Int 0.14 5 Inheritance from Kargaretta B. Day Estate 101,197.20 6 u.s. Savings Bond V241213 HH 5,000.00 7 u. S. Treasury - - Income Tax REbate 300.00 8 REfund of subscriptions 31. 34 Readers Digest 9 Refund 12:72 Readers Digest 10 J.e. Penney Life premium refund 46. 77 11 Pa. Department of Revenue - refund of year 2001 personal income tax 222.00 12 u.s. Treasury - 2001 personal income tax refund 3,040.00 TOTAL (Also enter on line 5, Recapitulation) S "1? Q,,:\6. ":\1 (Attach additional 8Y2" X 11" sheets if more space is needed.) R.EV-1511 EX... (7-B8) . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Please Print or Type FILE NUMBER 21-01-00768 ESTATE OF Kenderdine, Erma M. ITEM NUMBER A. B. 2_ 4. C. 1. 2. 3. 4. 5. 6. 7. 8. 9. DESCRIPTION Funeral Expenses: 1. Eby Granite, Co. Engraving 2. Egger Funeral Home 3. Flowers 4. Family Meal Administrative Costs: 1. Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid Attorney Fees Richard L. Webber, Jr., Esquire 3. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address City State Zip Code Probate Fees Cumberland County Register of Wills Miscellaneous Expenses: Postmaster - certified mailing to Fa. Dept. of Public Welfare Cumberland Law Journal - Legal Advertisement Valley Times Star - Legal Advertisement Cumberland County Register of Wills - Short Certificates Cumberland County Register of Wills - Filing fee for InheritancE Tax Return Estate Checking Account - Service cha~ge Rank Service Charge Trustee Fudiciary Fees Trustee Filing with Register of Wills TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of same size.) s AMOUNT 85.00 ~~5 ~ 185 .00 132.50 89.59 2,500.00 325.00 3.94 75.00 54.50 12.00 15.00 9.00 19.00 875.00 224.00 9,604.53 REV-1512 EX+ (1-93) . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Please Print or Type FILE NUMBER 21-01-00768 COMMONWEALTH Of PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Kenderdine, Erma M. ITEM NUMBER DESCRIPTION AMOUNT 1. Continuing Care RX - Medications 5.25 2. Presbyterian Homes, Inc. - Miscellaneous expenses 131.02 3. Myshin Prosthetics 55.00 4. Newville Ambulance 73 . 64 TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of same size.) $ 264.91 REV-1513 EX+ (2-87) .. .... , - . COMMONWEALTH OF P~NNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES Kenderdine, Erma M. FILE NUMBER 21-01-00768 ESTATE OF ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR NUMBER SHARE OF ESTATE A. Taxable Bequests: 1. Beth Ann Kenderdine Porter Daughter One-third 1893 Roundhill Road Charleston, WV 25314 2. Virginia May Kenderdine Frank Daughter One-third 218 Gordon Street Bridgeport, WV 26330 3. David Allen Kenderdine Son One-third 3560 Old Mill Road Slatington, PA 18080 " I ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Governmental Bequests: 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $ (If more space is needed, insert additional sheets of same size) iii allnrst September 4,2001 Allfirst Trust 8 West High Street Carlisle, PA17013-2922 7172406709 Richard L. Webber, Jr., Esquire 19 Brookwood Avenue, Suite 106 Carlisle, PA 17013 Re: Erma M. Kenderdine Date of Death: August 2, 2001 S.S. No.: 153-09-0848 Dear Mr. Webber: The revocable Trust under Agreement with William W. Kenderdine (deceased 11/8/99) and Erma M. Kenderdine (deceased 8/2/01), Sett1ors, and the former Dauphin Deposit Bank and Trust Company, now Allfirst Trust Company of Pennsylvania, N.A., Trustee, dated November 5, 1997, held the following institutional ARK funds valued as of the date of Mrs. Kenderdine's death: Shares Security Mean Value Accrual 15,914.714 ARK Funds Short Term Treasury Portfolio 10.25 163,125.82 40.48 3,037.733 ARK Funds Blue Chip Equity Portfolio 18.83 57,200.51 .00 3,099.720 ARK Funds Capital Growth Portfolio 18.26 56,600.89 .00 3,504.325 ARK Funds Value Equity Portfolio 11.01 38,582.62 .00 42,535.63 ARK Money Market Portfolio (principal) 42,535.63 8.56 43,362.06 ARK Money Market Portfolio (Income) 43,362.06 8.41 Total 401,407.53 57.45 Enclosed is a copy of "Estate Valuation" from which the above information has been obtained. If you have any questions, please do not hesitate to call us at 240-6710. Sincerely, ~!:ll Trust Officer cc: David Allen Kenderdine, Executor AFT-2009 ~ L~ FARMERS NATIONAL BANK OF NEWVILLE ADivisionofAdamsCoun/.yNationalBank August 22, 2001 Richard L. Webber Jr., Esquire 19 Brookwood Avenue, Suite 106 Carlisle, PA 17013 RE: Estate of Emma M. Kenderdine Dear Mr. Webber: Mrs. Kenderdine had an interest-b~aring checking account #22-120-1 with this bank in her name which was made joint with Beth Ann Porter on June 6, 2001. The balance as of August 2, 2001 was $1,619.36. Interest was added July 31 so there was just .14<;: accrued interest due August 2. This is the only account with Mrs. Kenderdine. Sincerely yours, /~ ~%~ ,,' CarOlY~OUgr;r ~ - po. Box 156, NeViTville, PA 17241 . 017) 776-5312 P1 CAUnUJ..O CR.EDIT UNION Administrative QUlce 10075 Carroll Canyon Road Suite 200 San Diego, CA 92131-1107 858.547-7400 No. 123115 RECEIVED BY IC'C U un \.: li!If.!lf)lZIl:~i11.)7;21 J DiY(. j'1f."ir<C/(H1ETlf:i n L (" f: C' C 1:; ~ i?l/./ 1/ h::l.!. r:' 0 S t ~ Ii)";:! 17 h~l.L T l-r~ ~ IZI1II.) 1 [) OUr:: Df.:lTE r.lHlhICIPnL. Ih!TEm:.:~::J"r FEET; HELl NiL.nl'-ICE: Trml\! rwmur-n UEf} ......._. . .~.._....., ......._... ..._.....,~....._..._._......_...H__.' ........_..._.....__..._................_......'......M..._._.,._.,......., ! i t h cI)"' i':H'hd f ["' 0 Ili LifV) II..!UE3 11(1 J.1i.H, :i. 97" ;:'::1,')" r:D. It)llt (i)" Il: III Ib" It) Ii) 101~ 19'7"20 #24053 :::h eek D :i. s I:) '-w s eel E:r~lii(.:l 1'~El\IDERD 1 hIE llZt:i., :I. 97.2111-- :'u,PO';I:? n r dIPck:~ 3h~H"e Hi_tl'ldi,-,,:~""'J.31 IZI 1 I;) 1i:!lZ!lj) 1. i:~.3 1 :I. 5 DETACH AND RETAIN UPPER PORTION BEFORE DEPOSITING y ,~..x.,* 7 I.. 1..880000 .,,1 f: '~':'Hf' To The Order Of: )f -,. .1'(/ ~lu~n\ '1[1OC~I~~~~!!h\~tm~~:!tIITmI@;~\ ^T THE MATURITY HEREOf:" WILL PAY '''t1.I{(')!f1! ~1~U:((;)lltT':~"'Yjll\\ IUtlIJilWRS'. <e-...._.'1.~~ ~_~~ _~.~~~::;.'~~--,,- 1~2-Dl-DOS4 S05GIO r0R S f"l/.\P GA P f.: 1 TAB CAY I ND [XC __ __JW'~_"__L982: 5204 KALM IA ST 0 'MON''":.----.ly".."': ". S A!\J DIE GO CAS 21 05 '---0 ' F R B ; L A\>1 Pe/ ~ G~ &;U~~~E~"~~r / \ :>A-rING STAMF .~: OR I\.1RS ERMA M KENCERDINE 2,253.68 i~ I.;' :;':;' p 516,507,432 ~ ;\i~':' Check No. , '-,"'-<;,:.::':';::::\;::":.::~'::;:'- 63 AUSTIN, TEXAS """'+';::"5':;, 4.~Q3,''''91934405 012002823KENDPHiLA' TAX>,>;'W~ci~'~153 - 09 - 0848 ,"- ::-. - . <:-1:.~ -:;-:;:. 1,1111 1...1..1. 1 .1111..,111,1 ,..I..II,I"I..,I,~~III1~",I,I.1 . "':0.;':Yi-';:c>~ ERMA M KENDERDINE . 12jO~ ~~SV~tEES~~I~~7~~1-9497" Oi~ $****300*00 . ;,. <~:)U\::::: (c.,::, -:-~:~:~\ VOID AFTER ONE YEAR wry TAX RELIEF FOR AMERICA'S WORKERS ;~lil$;;~&rl~' . '.' "~~'~~BOBSlit'DFR~ii. II- 2 :I 0 3 1."- .:0000005 ra-: 9 ~ 93......05 2"- 0...080. ( iJf '1 LAST WILL AND TESTAMENT OF ERMA M. KENDERDINE I, ERMA M. KENDERDINE, of 210 Big Spring Road, Newville, West Pennsboro Township, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all Wills, Codicils, or writings in the nature thereof, by me at any time heretofore made. FIRST: PAYMENT OF EXPENSES - I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. SECOND: RESIDUE OF ESTATE - I give, devise and bequeath all the rest, residue and remainder of my estate, be it real, personal, or mixed, of whatsoever kind and wheresoever situate, unto my husband, WILLIAM W. KENDERDINE, provided he shall survive me by thirty (30) days. In the event my husband fails to survive me by thirty (30) days, I then give, devise and bequeath all the rest, residue and remainder to my children., DAVID ALLEN KE~UERDIJ\rE, BETH ANN KENDERDINE PORTE~ and VIRGINIA MAY KENDERDINE FRANK, equally, on a per capita distribution basis. THIRD: TAXES RESULTING FROM MY DEATH - All federal, estate and other death taxes that may be assessed as a consequence of my death, whether or not the assets pass under this Wil~ shall be paid from the residuary estate of my probate estate just as if they were my debts, P AGE ONE OF THREE and none of those taxes shall be charged against any benefiCiary or joint owner. FOURTH: EXECUTOR - I appoint my son, DAVID ALLEN KENDERDINE, Executor of my Will. In the event that he predeceases me or is unwilling or unable to serve as Executor, I then appoint my daughter, BETH ANN KENDERDINE PORTER, Executrix of my Will. Neither my Executor nor any successor shall be required to give bond for the performance of their duties. I grant to my Executor and successors the power to compromise claims without court approval and without the consent of any beneficiary. FIFTH: PROTECTIVE PROVISION - To the greatest extent permitted by law, before actual payment to a beneficiary or to his or her account, no interest in income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary. IN WITNESS WHEREOF, I hereunto have signed my name to this, my Last Will and Testament, consisting ofa total of THREE (3) typewritten pages, this ).4t~ay of ,/V7~~L L 1999. t;v-O/ ~ .1~ ERMA M. KENDERDINE, Testatrix In our presence, the above-named Testatrix signed this and declared it to be her Will, and now, at her request and in her presence and in the presence of each other, we sign as witnesses: I3JM", d 4i'?f!le~/ .~ if . I " ~~Htt_L 0 vyz//' PAGE TWO OF THREE . STATE OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND I, ERMA M. KENDERDINE, having been duly qualified according to law, acknowledge that I signed the foregoing instrument as my Will and that I signed it as my free and voluntary act for the purposes therein expressed. C '1..,. ----f/ I ~ ~''LV .IYf, !\~~ ERMA M. KENDERDINE, Testatrix We, having been duly qualified according to law, depose and say that we were present and saw ERMA M. KENDERDINE sign the foregoing instrument as her Will; that she signed it as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing and at her request signed the Will as witnesses; and that to the best of our knowledge she was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Subscribed, sworn to or affirmed, and acknowledged before me by the above-named Testatrix and by the witnesses whose ~ame~ appear opposite on this ~4 r day of MG."l..-~ , 1999. v-;(\.!J /L. ~~lL1 Notary Public . NOTARIAl. SEAl. IDIMDl WEBBER. JR.. NOTARrPUllll: IIEWVIUE BORO.. QlII8ERI.ANO COUNIY I3dVl.~ J.1I-~~. /J 1/ f J J / /) / /1 -,", A,t 4-,e..L U. 1-fr'..L./ PAGE THREE OF THREE 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 KENDERDINE DAVID ALLEN 3560 OLD MILL ROAD SLATINGTON, PA 18080 u______ fold ESTATE INFORMATION: SSN: 153-09-0848 FILE NUMBER: 2101-0768 DECEDENT NAME: KENDERDINE ERMA M DATE OF PAYMENT: 04/09/2007 POSTMARK DATE: 04/05/2007 COUNTY: CUMBERLAND DATE OF DEATH: 08/02/2001 NO. CD 007996 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $84.58 I I I I I I I I TOTAL AMOUNT PAID: $84.58 REMARKS: CHECK# 1011 SEAL INITIALS: CJ RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS uJ <.':) := r...~ ~ (/) ~m Q..8~~ rr'''. a:':!:IJ")IJ")IJ")(") .o..UtO"'OO- ~ ~tOa::~~ ::J ~ &~- m !ZLO 50 ~ i:A- ~Ii ~~ '" ~ ~~ ~ -= ~.... 0. = ~~ == :> ~ :: ~ 0\ ~ { ~ ~ a V) ~ ).. .....J ~ - 3 ~ ~ .. ~ C A ~ ~ -.1 . . 1...... Ql ~ ~ ~ It) .f ~ J U " ~ ~ V\ ~ ~ ~ b l ~ ........ t , '(c\ ...:.. ~. f' , .:'t C( . "- \~ '.J \f\ " .~ ~ ~ \J ~ ~; {;;;r' · ~ ~ .~ \.,......":" "/ I .....J 15056051047 REV-1500 EX (06-05) PA Department of Revenue * Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280601 Ha . , PA 17128-0601 RESIDENT DECEDENT ENTER DeCEDENT INFORMATION BELOW Social Secu' Number Date of Death ~ Suffix OIl (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix OIl Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW c:::) 1. Original Retum _ c:::) 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 2. Supplemental Return c:::) c:::) 8. Total Number of Safe Deposit Boxes c:::) 4a. Future Interest Compromise (date of death after 12-12-82) c:::) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) c:::) 10. Spousal Poverty Credit (date of death c:::) 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONPENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Da 'me Telephone Number 4. Limited Estate c:::) 6. Decedent Died Testate (Attach Copy of Will) 9. litigation Proceeds Received c:::) MI B MI o -0 ,_. J \.0 \..J ,..., :;'1 ~.. ..'1.) =^.:, N State I!EI C., DATE FILED(.ri Correspondent's e-mail address: -1//1 V 1<6AJ1)t;;.R. @ A OL \ Co M 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, correct and oomplete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATUR ~S ON LE FOR FIL RETURN Il DATE ~'7 ADDRESS 'Vf ~ ~ r iJ ~ ~~ SIGNATURE OFPREPARER 'ZER THAN REPRESENTATIVE (;,.~ 1"'1'1 DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY , Side 1 L 15056051047 15056051047 .....J ~ --.J REV-1500 EX \ Decedent's Name: RECAPITULATION 15056052048 , 1. Real estate (Schedule A): ... . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3. 4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5. 6. Jointly Owned Property (Schedule F) . ~ Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous NOIl~Probate Property (Schedule G) ~ Separate Billing Requested. . . . . . .. 7. 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8. 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)................................ ... 11. 12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. 14. Net Value Subject to Tax (Line 12 minus Line 1~r . . . . ... . . . . . . . . . . . . . . . . . . 14. TAX COMPUTATION. SEE INSTRUCTIONS,FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 16. Amount of Line 14 taxable at lineal rate X.O.!:l.S 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 Decedent's Social Security Number 15. 16. 17. 19. TAX DUE.... .............. .. ...... ... ...... ...................... 19. 18. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15056052048 Side 2 ~ 15056052048 --.J REV-1500 EX Page 3 ... File Number Decedent's Complete Address: DECEDENTS NAME ~~mA /YI. Ke}J])1!f IGD/~ STREET ADDRESS 4/0 {3/G S" ~Jt.rAJ~ I!.'p CITY 11/ Cw \I (f-(. ! i,STATE I ZIP I'A 172. ~ I Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) t9b.7~ Total Credits (A + B + C ) (2) 3. InterestlPenalty if applicable D. Interest E. Penalty .J ifl.O""'L. Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 18'~ 07- B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5) (5A) (5B) ,. ~ 4 .S! 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. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X. IN THE APPROPRIATE BLOCKS 1. Did ~t make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... D ~ b. retain the right to designate who shall use the property transferred or its income; ............................................ D Ii] c. retain a reversionary interest; or...........................................A.:............................................................................ D ~ d. receive the promise for life of either payments, bene~ or care? ...................................................................... D ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. D ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. D ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ...................................:..................................................................................... D ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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 three (3) percent [72 P.S. ~9116 (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 for the use of the surviving spouse is zero (0) percent [72 P.S. ~9116 (a) (1.1) (ii)]. 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 return are still applicable even if the surviving spouse is the only be~eficiary. 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 zero (0) percen~ [72 P.S. ~9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use ofthe~cedent's siblings is twelve (12) percent [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. r " '.1503 EX+ (6-9S. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF ERMjlif FILE NUMBER /n. KI#JT?~/l.1>IA/e All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 50 5"Hlil<e~ Cp/f'tl'ttPIV ~rot::.k.- MdlLe1 p"t../'rAIU /-IFf$. /A.J$"JltZ19lUc~ CD. ( /'11ETJ../~iE) i /~7' ,'- '. . " TOTAL (Also enter on line 2, Recapitulation) $ (" more space is needed, insert adcIIionaI sheeIs of the same size) ;,-/1'1 BUREAU OF INDIVIDUAL TAXES: INHERITANCE TAX DIVISION PO lOX 280601 HARRIS8URG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX ~PPRAISEMENT, ALLOWANcE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX *' REV-1547 EX AFP (06-05) DATE 05-28-2007 ESTATE OF KENDERDINE ERMA M DATE OF DEATH 08-02-2001 FILE NUMBER 21 01- 0768 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 07-27-2007 ( See reverse side under Objections) A.ount Re.ittedl I 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 4-- ------------------------------------------------------------------------------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KENDERDINE ERMA M FILE NO. 21 01-0768 ACN 101 DATE 05-28-2007 r-1"I('1 I!'"J _ ~ r.;': l~): t..L~ {L'j ,,-:1 d , I l' 'L. . DAVID A KENDERQ'1iJtolE' .~~- 1..-, - . 2974 HWY 9 VERMILLION KS 66544 TAX RETURN WAS: (X) ACCEPTED AS F I LED 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 .00 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 1,479.00 .00 .00 .00 .00 .00 (8) 1.479.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) .00 .00 (11) (12) (13) (14) .00 1,479.00 .00 504,543.87 NOTE: If an assess.ent was issued previously. lines 14, 15 and/or 16, 17. 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Col~ateral/Class B rate 19. Principal Tax Due (15) .00 X 00 .. .00 <16> 504,543.87 X 045. 22,704.48 <17> .00 X 12 .. .00 (18) .00 X 15 .. .00 (19). 22,704.48 NUMBER CD000452 CDOO1l49 CD007996 SBADJUST AMOUNT PAID 20,000.00 1,585.29 84.58 .28 DATE 10-29-2001 05-03-2002 04-05-2007 05-21-2007, o INTEREST/PEN PAID (-) 1,052.63 .00 18.02 - .00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 22,704.48 .00 .00 .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 DU A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)