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Home My WebLink About01-0827 - PETITION FOR PROBATE and GRANT OF LETIERS Estate of Wi 11 iam F. Keifer. ~ No. ~ I..::OJ - ~ ~ 'I also known as To: Register of Wills for the , Deceased. County of Cumberland in the Social Security No. 174-05-1813 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut or named in the last will of the above decedent, dated May 2, 2000 , 19_ and codicil(s) dated Robert Keifer and Betty MuLLen named Executors in paragraph Eight~oE~Ehe Last Will & Testament of William F. Keifer, Sr., have botb renounced, leavin William F. Keifer. Jr.. as Executor for tbe Estate. (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h is last family or principal residence at 190 Sunnyside Drive. Carlisle. Middlesex Twp. Fpnnsylv~ni~. 1701~ (list street, number and muncipality) 87 . August 29, 2001 Decendent, then . years of age, died M Carlisle. Cumberland County, Pa., Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 190 Sunnyside Drive, Carlisle, Middlesex Township, Cumberland County, PA , 19 $ 30.000 00 $ $ $ 40.000.00 WHEREFORE, petitioner(s) respectfully re~ues~ the probate of the last will and codicil(s) pre"ented herewith and the grant of letters t st entary (testamentary; administration c.La.; administration d.h.n.c.t.a.) theron. - ~ ... " c ... :2-:; "'- ..... Cl!:'" C 'tIO c': t':J ":: 3~ " ... :; 0 <U c 00 iii w^~~~. ~~M{ William F. Keifer, J ., 870 EaSY Road Carlisle. FA 17011 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I S" COUNTY OF cmmERLAND J ~ /7 -..!;J--7 The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. W~. ~~ ~ ..:J', ~. William F. Keifer r. ;J 870 Easy Road and CI:l QQ' ::s I:l - s:: ~ ~ - No. 21-2001-827 Estate of WILLIAM F. KEIFER, SR., , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW SeDtember 12th 2001 ~_, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED tQat the instrument(s) dated May 2, 2000 described therein be admitted to probate and filed of record as the last will of William F. Keifer, Sr. and Letters Testamentary are hereby granted to William F. Keifer, Jr. FEES ~ ~ $ $ $ $ TOTAL _ $ 5 . 00 Filed ?~P.~~!T!l?~.~. .~~t~!.~99.~. .~~.~~...OO Probate, Letters, Etc. ......... Short Certificates(6) . . . . . . . . . . Renunciation ................ X-Pages (2) JCP 115.00 18.00 5.00 6. 00- AITORNEY (Sup. Ct. I.D. No.) William A. Duncan ID I 22080 ADDRESS 1 Irvine Row, Carlisle, PA 17013 PHONE 717-249-7780 CALL ATTORNEY DUNCAN - h1U5.112 IFFC FOH C' E ~=r:-' ~ WARNING: IT IS ILLEGAL TO ALTER THIS COpy OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNS' '~!,' DEPARTMENT OF HEALTH VITI\L n ': C!'!l:; LOCAL REGISTRAR'S CERTIFtCJ\"IICHI OF : I .i CERT. NO. T 4 94 60 8 8 4<,~\..i~~'otp r.o:;;;;;> "\"~,\-l".'- <1(1'" ,l~~-" _ - '-'. ~(;.-: i/~~/ .~~,\ /!~i - :~ ',"?;1\ \~5t\ _ _ t.(.'.. ~,:~.~I ~ .. ';""'. ~. '>' ",,:/ \ ~, ,~''''~/ 'c--"~ . '~''''/ '., 711~ '" ,~:rl"-' "- 'I MP,T \:\\ \' " <~~:~~iL~~f'tl!' 8..30..2001 ~~h~; CertificatiO;---- Name of Decedent William 21-2001-827 F . ._..Keifer ~...L t)", '. \..<lSl Sex .__._,___.M ~.L~__ .,Social Security No. 17 4 -,Q~~Jl:lJ..3- _ Date of Death _8~.2 9.. 2001 Date of Birth.J1~.LG..l}__~J.._l~~- Birthplace __L,inglestown+---PA.-.--------.--. Twp. Place of Death GlJ.l!1.Q.e~.la nc:L Cro ss in 9 s _N urs i,n.9.1I0IT!JL-- C umb er la n d S. M idd let on Pennsylvania I' 11Y r,j;-1tlli' { CI1\'. 8NCE1QI' :H T.;,\I1';l'l;J Race._ White Occupation __ Lab 0 r e r Decedent's Mailing Address _~~1l _..'_' Armed Forces? (Yes or No)_'Le...S Mantal Status Widower _"________~____._a ______.__._._ .SUILo.y.s.i d ec-llr.i.\Le.-.~-,~--J: a r 1 i s 1 e P A 1 7 n 1 3 ,\.,"~ :~:I:. 1:,',\/ I Slate Informant !3~:tt.L.M.lJJ1.~_n__.__________._____ Funeral Dlrector__J1.a.r.k S. Fa or________ Name and Address of Funeral Establlsr,ment .EtQ.YE3J:'_EjJneraJ_--HomeJ-1Ql.w..LMain-,.s:t.~. New 81 nnmf,i Pol rl,-E.A 17nR8 . Interval l3etween , Onset and Death Part I Immedlatl3 Cause (a) ._____r4_(3_:t:;_<!.~~~t i ~ ad e n 0 car fi-.n OJTLCl..o..f..P_J:'_Q~t..atj:3 ___J_Year (b) - ------._~----_.._. ~_.~-_._~-~..~---~-~.....- - ---.--_... ...-.- -------- --'- -..-.----.------- - - _..___. _____ _.___~__,__.~..___1.___, -~.-_.~-~-_.~--_._--_.~- .-- .-- Part II (d) ,__ -..--~,----------------'---------- Other Significant Conditions .. --- ...-----..--.. _ -_.._-~_.._-~._----. -..-----.--y-------- - .-----..- .._--_..~---~_."'----------_. --""--...)------.--. -.---... .._---_."--_.._------~----_..._~~-_.--_. ._- _...--- .. Manner of Deatr Describe hoVv injury occurred: Natural ACCident ',XlX Homicide ----_...------- ..--------.--- -.-..-'--'--'-- Suicide Pending Investiqation Could not be Determined - .____u_____.. ---..-------..---....------.. .--- Name and Title ot Certfter ,_.___.__________.________Q~y i(L_~J!>.~i9..bt M. D . (M.D.. D.O., Coroner, ME) Address. _~..? OJ'1_Cl_l n u ~~ t t ~_ITI._R 0 a.c:!--'___f~.!'JJs 1 (3.Lf~] 013___._ This is to certify that the information here given is correctly copied from an original certificate of death duly tiled with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filin._gl~. 1J!..~ !1 n.. 4!1!1 ~.ncv:b (llslncl No .lQ_l_Jif!J:'onL SL.. t New 8 1 n'~1 ~'!"~Jh~~'~ PAl 7 0 6 8 ..__.8...._3D - 200 1~.._ " ... f" -,' i'. ," --:1' " ,('. t'j >: ,~.ri;"'\i " - "" ./ 21-2001-827 LAST WILL & TESTAMENT OF WILLIAM F. KEIFER, of 190 Sunnyside Drive, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my estate as soon after my death as practically and conveniently may be done. SECOND. I direct that my remains be interred within my family's burial plot in Waggoner's Gap Church of God Cemetery, side by side my beloved wife Sara K. Keifer. THIRD. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I give, devise and bequeath any and all tangible personal property owned by me at the time of my death as follows: 1/3 unto my son, William F. Keifer, Jr.,; 1/3 unto my son Robert Keifer and the remaining 1/3 to be split equally between my daughter, Betty Mullen and my grandson, Paul C. Keifer, per stirpes. FIFTH. I give, devise and bequeath any and all real estate owned by me at the time of my death as follows: 1/3 unto my son, William F. Keifer, Jr.,; 1/3 unto my son Robert Keifer and the remaining 1/3 to be split equally between my daughter, Betty Mullen and my grandson, Paul C. Keifer, per stirpes. SIXTH. I give, devise and bequeath all the rest, residue and remainder of my estate as follows: 1/3 unto my son, William F. Keifer, Jr.,; 1/3 unto my son Robert Keifer and the remaining 1/3 to be split equally between my daughter, Betty Mullen and my grandson, Paul C. Keifer, per stirpes. SEVENTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. EIGHTH. I hereby nominate, constitute and appoint my children, William F. Keifer, Jr., Robert Keifer and Betty Mullen, as Co-Executors of this my Last Will and Testament. I hereby relieve my Executors from the necessity of posting security in connection with their duties, as such, in any jurisdiction in which they may be called upon to act insofar as I am able by law to do ~ so. In addition to the powers conferred by law, I authorize my Executors, in their absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at the time of my death. NINTH. I have made, or may from time to time make, a written memorandum expressing my desire to give certain items of personal property to specific persons. I urge my Executor and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of two typewritten pages this2 day of May, 2000. Iif'~ F ~ WILLIAM F. KEIFER Signed, sealed published and declared by the above named Testator William F. Keifer as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. \1 J\ ~~Clf)",\ . ..... COMMONWEALTH OF PENNSYL VANIA SS. COUNTY OF CUMBERLAND I, William F. Keifer, Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. /Jf/'4~ F ~ WILLIAM F. KEIFER Sworn or affirmed to and acknowledged before m~ William F. Keifer thi~ . day of May, 2000. ()~yYl~ Notary Public Notarial Seal Velda M. S.... ~ PlMc Shlppensburg Bora, CUlTlbtHlnd Cou"'" My Comml..,OI'l !xp/r" Apr. 'e, 2Oli' COMMONWEALTH OF PENNSYLVANIA :SS. COUNTY OF CUMBERLAND : We,()Jil'\ A 0lA r1 <A 1\\ and C y iJ~ "-- L ~ k'/.2... the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw William F. Keifer sign and execute the instrument as his Last Will; that he signed willingly and that he executed as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; and that to the best of our knowledge, the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed b.efgre me by I tlJM. P'/ -l..J0/1( a/V CV~A.- [;j)aRL this znc{ day of May, 2000. and , witnesses, ~Je'4G Notary Yublic Notar181 Seal Vila M. Sease Notary Pt.Mc ShlppenabUrg 801'0, CUmberland County MV CommlllQi~plres Apr. 16, 2002 RENUNCIATION 21-2001-827 Ia Re Eitate of WILLIAM. F. KEIFER, SR. decusm. To tbe Jb:aista' of Wills of CUMBERLAND ComIty, PeaaQIvmia. The uadeniped Robert Keifer & Betty Mullen , children of the ahoft ~.. bercbJ reDOIIDCI(s) the Dptto Jtdndni~ the estate ..... ~ ut(s) tbat Lettas . Testamentary bgislacdto William F. Keifer, Jr., WlI'NESS band this day of September, ~qQl (Sipature) ~~~;:A~ Robert E. Keifer ~ 34 Donald Street, Shermansdale, PA 1709Q (Address) ~ . (Sipature) xf!!t l~ 300 Dellville Dam Road, Shermansdal-e, PA 17090 (~) ~ (SiaDature) (SIpuuJe) (Address) (AddnIs) E - -- CERTIFICATION OF NOTICE UNDER RULE 5.6(Al NAME OF DECEDENT: WILLIAM F. KEIFER DATE OF DEATH: AUGUST 29, 2001 . WILL NO. 21-01-0827 ADMIN. NO. TO THE REGISTER: I certify that notice of beneficial interest required by Rule 5.5(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on October 11, 2001 NAME ADDRESS William F. Keifer 870 Easy Road Carlisle, PA 17013 Robert E. Keifer 34 Donald Street Shermansdale, PA 17090 Betty J. Mullen 300 Dellville Dam Road Shermansdale, PA 17090 Paul C. Keifer 863 Burnthouse Road Carlisle, PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except NONE DATE: J6-/f-f!)/ I ~A~~ S re '--------~ Name William A. Duncan Address 1 Irvine Row Carlisle, PA 17013 Telephone 717-249-7780 Capacity: Personal Representative .J( Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: DUNCAN WILLIAM A 1 IRVINE ROW CARLISLE, PA 17013 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 174-05-1813 FILE NUMBER: 21-2001- 0827 DECEDENT NAME: KEIFER WILLIAM F DATE OF PAYMENT: 11/29/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/29/2001 REV-1162 EX(11-96) NO. CD 000569 ACN ASSESSMENT CONTROL NUMBER 101 TOTAL AMOUNT PAID: REMARKS: WILLIAM F FE/FER JR WILLIAM DUNCAN ESQUIRE CHECK#14 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS AMOUNT $3,200.00 $3,200.00 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: DUNCAN WILLIAM A 1 IRVINE ROW CARLISLE, PA 17013 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 174-05-1813 FILE NUMBER: 2101-0827 DECEDENT NAME: KEIFER WILLIAM F DA TE OF PAYMENT: 02/04/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/29/2001 REV-1162 EX(11-961 NO. CD 000828 ACN ASSESSMENT CONTROL NUMBER 101 TOTAL AMOUNT PAID: REMARKS: WILLIAM F KEIFER JR C/O WILLIAM A DUNCAN ESQUIRE CHECK# 0099 SEAL INITIALS: SL RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS AMOUNT $161.31 $161.31 /'7 -r6-=- ? 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 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN '02 APR-1 [)i'} -/1 n ; IL -"10 WILLIAM A DUNCAN 1 IRVINE ROW CARLISLE G{iA 17013 Climb 03-25-2002 KEIFER 08-29-2001 21 01-0827 CUMBERLAND 101 '* REY-1547 EX AFP eDl-O!> WILLIAM F Allount Rellitted ) CHANGED (1) (2) (3) (4) (5) (6) (7) 50.000.00 .00 .00 .00 37.589.27 .00 .00 (8) MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV ':iS4-j-E3fAFP--foY':02Y-NoYicE--oF-YNHEifiTAirCE-TAic-'ifPPRA-isEi"-ENT~--Ai.i-oWAirCE-(rR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KEIFER WILLIAM F FILE NO. 21 01-0827 ACN 101 DATE 03-25-2002 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (9) (10) 9.337.92 .00 NOTE: To insure proper credit to your account. subllit the upper portion of this forll with your tax paYllent. 87.589.27 9.337 9:i' 78.251.35 .00 78.251.35 NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (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 (11) (12) (13) (14) .00 X 00 = .00 78.251.35 X 045 = 3.521.31 .00 X 12 = .00 .00 X 15 = .00 (19)= 3.521.31 TAX CREDITS: ~'''~n' ----. . I+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-29-2001 CDOO0569 168.42 3.200.00 02-04-2002 CDOO0828 .00 161. 31 TOTAL TAX CREDIT 3.529.73 BALANCE OF TAX DUE 8.42CR INTEREST AND PEN. .00 TOTAL DUE 8.42CR · 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.) t v/ v STATUS REPORT UNDER RULE 6.12 Name of Decedent: WILLIAM F. KEIFER Date of Death: August 29, 2001 Will No. 21-01-0827 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 x No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No x b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes x No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attach to this report. ;-- Da te: (p (S--O~ William A. Duncan, Esquire Name (Please type or print) 1 Irvine Row, Carlisle, PA 17013 Address :"'-.j o ( 717 ) 249-7780 Te 1. No. Capacity: Personal Representative x Counsel for personal representative (MAH:rmf/AM3) OFFICIAL USE ONLY C!.- \*,E\vtEX+l8.00l COMMONWEALTH OF REV-1500 \~ PENNSYLVANIA DEPARTMENTOFREVEN EINHERITANCE TAX RET DEPT. 280601 HARRISBURG, PA 17128-0 01 RESIDENT DECEDEN I- Z W Q W o W Q I '7..~5-~ UMBER 2 1 -0 1 0 0 8 2 7 ""'COii"N1'Y'Cc5i5'e -YEAR- - - NuM8eR- - DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER KEIFER WILLIAM F. DATE OF BIRTH (MM-DD-Year) 1 74- 0 5 - 1 813 THIS RETURN MUST BE FILED IN DUPLICATE WI REGISTER OF WILLS DATE OF DEATH (MM-DD-Year) 08/29/2001 03/09/1914 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ~ 00 1. Original Return 0 2. Supplemental Retum D 3. Remainder Retuflllle of death prior 10 12-13.a2 G ~~ 0 4. Limited Estate 0 4a. Future Interest Compromise (dete ofdeeth efter 12-12-82) D 5. Federal Estate Tax Return Required wlLO G ~g 0 6. Decedent Died Testate (Anech copy ofWiliJ 7. Decedent Maintained a Living Trust (Altech copy ofTrual) _ 8. Total Number of Safe Deposit Boxes ~III 4( 0 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit (dete of deeth between 12-31-91 endgs.1. Election to tax under Sec. 9113(A) (Aile z o i= ~ ;:) l- ii: <C o W 0:: z o i= <C I- ;:) D. :IE o o >< <C I- NAME WILLIAM A. DUNCAN FIRM NAME (If Applicable) DUNCAN & HARTMAN, P.C. TELEPHONE NUMBER 717-249-7780 COMPLETE MAILING ADDRESS 1 IRVINE ROW CARLISLE PA 17013 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (1 ) (2) 50,000.00 OFFICIAL USE ONLY :H; :; (1.~ =~. o d N ::0 :IJ(1) :") r:: 3. Closely Held Corporation, Partnership or Sole-Propriet~8thip 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Prope(L'j) (Schedule E) 37;589.27 ...,..., ,., co I ..;:::.... 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Pr~~rrtv (Schedule G or L) (6) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H19) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schl:!tfijl.. I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 87,589.27 (8) 9,337.92 (11) (12) 9,337.92 78,251.35 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not(&S;n made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 78,251.35 (14) 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1 ?) x _ (15) 78,251.35 X .045 (16) X .12 (17) X .15 (18) (19) 3,521.31 16. Amount of Line 14 taxable at lineal rat.. 3,521.31 17. Amount of Line 14 taxable at sibling rat.. 18. Amount of Line 14 taxable at collateral r~t.. 19. Tax Due 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVE Decedent's omplete dress: STREET ADDREss11RVINE ROW QlY CARLISLE I STAn: T ZIP 17013 PA C Ad Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 3,521.31 3.200.00 160.00 Total Credits ( A + B + C) (2) 3,360.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 4. If Une 2 is greater than Une 1 + Une 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Une 20 to request a refund (4) 5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Une 5 + SA. This is the BAlANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUEsnONS BY PLACNG AN -XII IN THE APPROPRIATE BLOC 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferr.ed;............................................................ 0 00 b. retain the right to designate who shall use the property transferred.or..ilsJncome;............... 0 00 c. retain a reversionary intere5t;.oc............................................................................................ 0 00 d. receive the promise for life of either payments, benefits.oc.car:e.?......................................... 0 00 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideJation1................................................................................... 0 00 3. Did decedent own an "in trust for" or payable upon death bank account or security at.hisOJ:.her~th? 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a benefidary designation?.............................................................................................. 0 00 161.31 161.31 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PA Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and stlItemenls, and to the best of my knowledge and belief, it Is true, correct an Declaration of preparer other than the personal representative is based on all information of Which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR RUNG REl1JRN DATE // W~ :t.,\~ ~IV. El..E<:.. d' y..02 ADDRESS 1 IRVINE ROW CARLISLE PA 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 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 [72 P.S. ~9116 (a) (1.1) (i)l. 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% 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 ret 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 natu or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)). ~:~'~.:'~. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER KEIFER 21 01 00827 All real property owned solely or as a tenant in common must be reported at fair market value. Fair mart<et value is defined as the price at whi between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property whic survivorshiD must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION 190 SUNNYSIDE DRIVE, CARLISLE, CUMBERLAND COUNTY, MIDDLESEX TOWNSHIP, PENNSYLVANIA SEE ATTACHED VALUE AT DATE OF DEATH 50,000.00 TOTAL (Also enter on line 1, Recapi ~I.ion) (If more space is needed, insert additional sheets of the same size) 50,000.00 ~'~~:"~* COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETlJRN RESIDENT DECEDENT ESTATE OF FILE NUMBER KEIFER 21 01 00827 Indude the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship ml ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 1ST NATIONAL BANK OFNEWPORT 20,370.98 CHECKING ACCT # 15004200125232 SCHEDULE E CASH, BANK DEPOSITS, a. PERSONAL PROPERTY ISC. 2 M & T BANK 6,577.55 CHECKING ACCT # 8892274054 3. CAPITAL BLUE CROSS REFUND 83.40 4. SPRINT REFUND 13.36 5. BOYER FUNERAL HOME REFUND 628.00 6. CUMBERLAND COUNTY VA BURIAL FUND 150.00 7. PUBLIC SALE OF PERSONAL PROPERTY 4,746.75 SEE ATTACHED 8. 1996 CHEVROLET TRUCK 5,000.00 SEE ATTACHED 9. CAPITAL BLUE CROSS REFUND 19.23 TOTAL (Also enter on line 5, Recapitlla$ion) 37 589.27 ~:"n~~('~ '* COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE Of KEIFER Debts of dec:edent must be reported on Schedule L SCHEDULE H FUNERAL EXPENSES .. ADMINISTRATIVE COSTS fILE NUMBER 21 01 00827 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAl EXPENSES: 1. RICE MEMORIAL WORKS ENGRAVING 75.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Sodal Security Number(s) / BN Number of Personal Representativels) Street Address City State Zip Year(s) Commission Paid: 2. Attorney FeesOUNCAN & HARTMAN, P.C. 4,378.50 3. Family Exemption: (If decedent's address is not the same as daimant's, attach explanation) Oaimant Street Address Oty State Zip Relationship of Oaimant to Decedent 4. Probate FeesREGISTEROFWILLS CUMBERLAND COUNTY 164.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. CUMBERLAND COUNTY LAW JOURNAL LEGAL AD 75.00 8. THE SENTINEL LEGAL AD 80.87 9. PP&L 129.73 10. YORK WASTE DISPOSAL 30.75 11. DIVERSIFIED APPRAISAL 250.00 12. CUMBERLAND CROSSING 3,279.04 13. 1 % REALTY TRANSFER TAX. (SEE ATTACHED) 500.00 14. SETTLEMENT FEE (SEE ATTACHED) 200.00 15. ALERT PHARMACY 65.80 16. PECK'S SEPTIC 90.00 17. RAYTEL CARDIAC 19.23 TOTAL (Also enter on line 9, RecapitlJ *n) 9337.92 . ,~:""~.". COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER 21 01 nnR?7 RELATIONSHIP TO DECEDI NT AMOUNT OR SHAR NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPEF TV Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1. WILLIAM F. KEIFER SON 1/3 870 EAST ROAD CARLISLE, PA 17013 2. ROBERT E. KEIFER SON 1/3 34 DONALD STREET SHERMANSDALE, PA 17090 3. BETTY J. MULLEN DAUGHTER 1/6 300 DELLVILLE DAM ROAD SHERMANSDALE, PA 17090 4. PAUL C. KEIFER GRAND SON 1/6 863 BURNTHOUSE RD. CARLISLE, PA 17013 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON R II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NO BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1~ D<:$COVER SHEET E E (If more space is needed, insert additional sheets of the same size) LAST WILL & TESTAMENT OF WILLIAM F. KEIFER, of 190 Sunnyside Drive, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all other wiUs and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my estate as soon after my death as practically and conveniently may be done. SECOND. I direct that my remains be interred within my family's burial plot in Waggoner's Gap Church of God Cemetery, side by side my beloved wife Sara K. Keifer. THIRD. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I give, devise and bequeath any and all tangible personal property owned by me at the time of my death as follows: 1/3 unto my son, William F. Keifer, Jr.,; 1/3 unto my son Robert Keifer and the remaining 1/3 to be split equally between my daughter, Betty Mullen and my grandson, Paul C. Keifer, per stirpes. .ll'D-.'H. I give, devise and bequeath any and all real estate owned by me at the time of my death as follows: 1/3 unto my son, William F. Keifer, Jr.,; 1/3 unto my son Robert Keifer and the remaining 1/3 to be split equally between my daughter, Betty Mullen and my grandson, Paul C. Keifer, per stirpes. SIXTH. I give, devise and bequeath all the rest, residue and remainder of my estate as follows: 1/3 unto my son, William F. Keifer, Jr.,; 1/3 unto my son Robert Keifer and the remaining 1/3 to be split equally between my daughter, Betty Mullen and my grandson, Paul C. Keifer, per stirpes. SEVENTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. EIGHTH. I hereby nominate, constitute and appoint my children, William F. Keifer, Jr., Robert Keifer and Betty Mullen, as Co-Executors ofthis my Last Will and Testament. I hereby relieve my Executors from the necessity of posting security in connection with their duties, as such, in any jurisdiction in which they may be called upon to act insofar as I am able by law to do , . so. In addition to the powers conferred by law, I authorize my Executors, in their absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at the time of my death. NINTH. I have made, or may from. time to time make, a written memorandum expressing ., my desire to give certain items of personal property to specific persons. I urge my Executor and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of two typewritten pages this2. day of May, 2000. /II"~F~ WILLIAM F. KEIFER Signed, sealed published and declared by the above named Testator William F. Keifer as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. VlJ\~~ COMMONWEALTH OF PENNSYLVANIA : SS. COUNTY OF CUMBERLAND I, William F. Keifer, Testator whose name is signed to the attached or foregoing instrument, '. having been duly qualified according to law, do hereby acknowledge tbat I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~4~ F &A WILLIAM F. KEIFER Sworn or affirmed to and acknowledged before m~ William F. Keifer thiV day of May, 2000. Velda M.1y... PubIc Shlpl3lneburg 801'9. '~. My Com".',..,on Expll'H Apr. '8. ()~y)t~~ Notary Public COMMONWEALTH OF PENNSYLVANIA :S8. COUNTY OF CUMBERLAND : we,/p1)'t A J)lAr1C1~.. N and C~~"-- L~ tZR- the witnesses whose names are signed to the attacbed or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw William F. Keifer sign and execute the instrument as his Last Will; that he signed willingly and that he executed as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; and that to the best of our knowledge, the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. \ , Sworn or affirmed to and subscribed befpre me by / t<l/lt(. tI/ - ..!.Pt 11( a.A/ {!Y~k- L;j)-CJ<j?L this zntfday of May, 2000. and , witnesses, Notarla1 Seal VtkII M. Sease NotarY. Pt.tiIc Sl'Ilpp.en'butg BafO, cumbei1and County Mv Comml!:teiOll Exp\res Apr. 16. 2002 -, ~~44~ Notary ~tiblic A. H.U.D. SETTLEMENT STATEMENT a.LOAN TYPE: OUR FILE #: RE01-343 LENDER: Bank of Landisburg C.This form b furnished to give you a statement of actual settlement costs. Aaounts paid to and by ~he settlement agent are shown. Items marked P.o.c. were paid outside closing. D. NAME OF BORROWER: E. NAME OF SELLER: Robert E. Keifer, Jr. Estate of William F. Keifer G. PROPERlY LOCATION: H. SETILEMENT AGENT: I. SETTLEMENT DATE: 190 Sunnyside Drive, Carlisle, PA 17013 DUNCAN & HARTMAN, P.C. Friday 14-Dec-01 1 IRVINE ROW Middlesex Township, Cumberland County CARLISLE, PA. 17013 2:30 p.m. J. SUMMARY OF BORROWER'S mANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100 CROSS AMOVW'f DUB PROK aOMonR coo CROSS AIIOUII'f DUB 'f0 SELLBR 101 COlltraat Sale. Pric. $50,000.00 C01 Conuaat .al.. pria. $50,000.00 102 p.r.onal Property 0.00 CO2 P.r.onal Property 0.00 103 .ettl_nt Cbarge. (lin. leOO) 1603.00 C03 10C 0.00 COC 105 Aclju.taaat. it_. pr.paid by .ell.r: Adju.taellt. it_ pr.paid by ..ller: C05 Local taxe. to 31-0.0-01 0.00 106 Loaal t.ax.. to 3l-Dac-01 0.00 C06 b...._nt. 107 A....._nt. to C07 Scbool taxe. to 30-Jun-02 0.00 108 Scbool taxe. to 30-JIIIl-02 0.00 C08 109 C09 120 GROSS DUE FROM BORROWER 51603.00 420 GROSS DUE TO SELLER 50000.00 200 JUl0UIITS PAID BY OR POR BORROIIBR 500 RBDUC~rIO.S III AIIOUII'1' DUB 'f0 SELL8R 201 D.po.it or 8.rlle.t Konay 13000.00 501 Exoe.. depo.it 13000.00 202 lI.w Mortgage AaoUDt: 37000.00 502 Settl_nt charg.. 700.00 203 8xi.ting loall. taken .ubject to 503 Bxi.ting loan. tak.n 20C 50C Payoff 1.t lIort9ag. 0.00 205 505 206 506 207 507 Adju.t..ellts for 1t_.. ullpaid by .ell.r 508 210 Loc al Taxe. to 14-Dec-01 0.00 Acljll.t_ot. for it_. IInpaid by S.ller 211 A....._nt. to 510 Looal tax.. 14-Dec-01 0.00 212 School '1'ax.. to 1C-D.c-0l 0.00 511 b...._ot. to 215 512 School taxe. to 1C-Dec-0l 0.00 216 513 217 514 220 TOTAL PAID aY' aOMOWBR 50000.00 520 TOTAL REDUCTIONS SBLLBR 13700.00 300 CASH PROM/TO BORROWBR 600 CASH TO/PROM SBLLER JOl Gros. amount due fro. borro_r 51603.00 601 Gro.. aaollnt to ..ll.r 50000.00 302 Le.. a.ollnt. paid by/for borro_r 5??oo.00 602 Reduotion. to ..ller 13700.00 ~j)PA.$ft.:FAPMirrO)r~QWg{. $1,603.00 Ili&CA.a.HiXO-:{eflQM)$S.tii.a;:::: $36,300.00 I have carefully reviewed the HUD-l Settlement Statement and to the best of my know1edqe and belief, it is a true and accurate statement of all receipts and disbursements made on my account or on my be 1 and I have received a copy of this HUD-l for my records. :....g...)..........:..............:. .:~...II!.~...:.....If....:...:...........:.:... ..... ........I&~ ...... ........ ........... .....~et7....... :...WI~. ............<< ... ....:::. ........ /-t; ~(..<....:< Estate of William F. Iter PAGE #2 HUD DISClOSURE/SETTLEMENT STATEMENT PAID BY BORROWER PAID BY SELLER - 700 TOTAL REAL TOR'S COMMISSION 0.00 701 Listing Agency: 702 Selling Agency: 703 Transaction Fee: 0.00 800 ITEMS PAYABLE IN CONNECTION WITH lOAN 801 Origination Fee Bank of landisburg 0.00 802 Loan Discount Bank of landisburg 803 Appraisal Fee Bank of landisburg 804 Credit Report Bank of landisburg 805 Underwriting Fee 806 Document Preparation Fee Gerald K. Morrison, Esq. 1 50.00 807 Flood Certification 808 Tax Service Fee 809 Lender Administration fee: Bank of land is burg 400.00 810 Ovemight Mail Charges: Duncan & Hartman, P .C. 0.00 0.00 900 ITEMS LENDER REQUIRES TO BE PAID IN ADVANCE 901 Interest from 14-Dec-01 902 Mortgage insurance 903 Hazard insurance 904 1000 RESERVES DEPOSITED WITH LENDER Escrows collected: # mos. due: X $ per mo.: 1001 Hazard insurance 0 0.00 0.00 1002 Mortgage insurance 0 0.00 0.00 1003 County/local taxes 0 0.00 0.00 1004 School taxes 0 0.00 0.00 1005 Aggregate Adjustment 1100 nne CHARGES 1101 Settfement or Closing fee: 1102 Abstract or title search: 1103 TItle Review: 0.00 0.00 1104 TItle insurance binder: 1105 Document preparation: 1106 Notary fees: Notary 0.00 1107 Attomey's fees: Duncan & Hartman. P.C. 500.00 200.00 (includes above item numbers): 1108 Title Insu ranee: WILLIAM A. DUNCAN, AGENT FOR FIDELITY NATIONAL TITLE 0.00 (includes above item numbers): 1101 -1104 Endorsements 100 300 8.1 1109 Owner's coverage $50,000.00 1110 Lender's coverage $37,000.00 1111 Insured Closing letter Rdelity National Title 0.00 1200 GOVERNMENT RECORDING AND TRANSFER CHARGES 0.00 1201 Deed 27.50 Mortgage 25.50 53.00 1 202 Release/Satisfaction 0.00 Assignment/Stip 0.00 0.00 0.00 1202 County/local transfer tax (1 %) 500.00 0.00 1 203 Pa. State transfer tax (1 %) 500.00 1300 ADDITIONAL SETTLEMENT CHARGES 1301 Radon testing: 1302 Pest inspection: 0.00 0.00 1303 Water & Sewer Reading: 1304 Homeowners Association Fee 1...oo..:tOrAfsiS.lt.tEM@NtCHARGES:.... .... .. . ... . ..... .........d....... ...... 1603.00 700.00 (also entered on line 103 for Borrower: line 502 for Seller) . t-INAL SETTLEMENT SELLER NAME 0)/ II! Fkr1 r: Kel Pl82 [;'s:T">>7r ADDRESS 1r-~2 ~g )M, IJR.,~ .)__ lOCATION OF SALE --~W1,t::1 as ~I2UJ; MllJAl P4#NIZS/ t:rcJC DATE OF SALE /'-'7'-o( PHONE &Ry SF 2 - li'Ose) ZIP /7tJJ'3 AUCTIONEER PHONE 1.51?~-35"5 t:~ ~~~~:~[~~~~Eim ~i; ~;ii~~;]~~:~ii::~::t~ PROfESSIONAl FEES 1% $ t/50 ffl t/ ~~/:J, 7S- AUCTIONEER CASH $ CLERK $ '1J, SO CHECKS $ c:?6 ~o,:1 S- CASHIER $ h#. I s-o OTHER RECEIPTS OTHER EXPENSES $ I GU/bE $ !'1o,f4:) $ ?~-^ $ ~,ro $ ~lle/ $ S{), tHJ $ Au~rl4,.) ptaEp ,,~ '~ $ ~ r(JO $ Ac.:nl).,j iA4et2- JI/y $ (p tt ' ()-() $ $ $ $ $ $ $ $ TOTAL RECEIPTS $ S~3o"rlJ $ lESS TOTAL EXPENSES $ 93~'d-9 I (or wel, the seller, accept this settlement and acknowledge receipt of the above specified net proceeds from the auction of my goods and property sold on the above date. I occept all responsibility for providing merchanloble title to all goods, and property sold, and for delivery of title to the purchaser. ~~?{~k , Auctioneer or Cashier's Signature ! 1- ,-/-0/ Date //-Y--O( Date t- / SHERIFF'S AUTO SALES 135 BEECH STREET CARLISLE. PA. 17013 Phone 249-1183 NAME WI LLJ ADDRESSl ~ 0 .... " CHECK IIla.OW W_ICATB: ~ONLY ~ PARTS ItNGINIt OIL TRANSMISSION ACCESSORIES DIPFBRItNTJAL GAS, OIL AND GREASE WASH MISC. MERCHANDISE POLISH SUIILKT REPAIRS ~~:~~ASB · TOTAL . SERVICII: TAX AUTHORIZED TOTAL ACCESSORIES ~ TOTAL ~ ESTIMATES ARE FOR LABOR _for_oft.......i__...doIlwrt..myrl&k,"n...,.:::::;.~~u::"i::n=-:.:":t::=== PA Y THIS t ONL V, MATERIAL ADDITIONAL ====..::::::~~~~~=~~~._....nor__lltyforl_"'__bYtholtOrftrO AM 0 U NT