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Dtctastd, County of CUlllb"r' I and In the Social Struril)' No, ..5 7 9-24 -7 32 2 Commonwealth of Pennsylvania The pelillon of the undersigned respeclfully represents thai: Your pelilioner(s), who islare 18 years of age or older an Ihe exeCUI \:I r in lhe lasl will of Ihe above decedent, dated ___~ 4 and codicil(s) daled t--t: . flAV MAI1'PTM named . 19..2L . (stilt felc....nl circlInl\lanCC), e.l. renunciation, dCllh or eUCUIDr, ttc,) Decendenl was domiciled al dealh in {'IlIll!>"r'l ;",n County. Pennsylvania, wilh II \/- last family or principal residence al -5..lq f11 9 hI;, QO ('nll_ t. ('" _1 l .1 Q l1i\1 Ilrtt'l, number and munclpahl)') Decendenl, then 81 years 01 age, died at-C,arll"l.. f1n"pH;,l. 1';,rll~.l14..PA Except as follows, decedenl did nOI marry, was nOI divorced and did nOI have a child born or adopted afler execution of the will offered for probate; was nOlthe victim of a killing and was never adjudicated Incompetenl: Decendenl at death owned properl)' wilh estimated value\ as follow~; (I f domiciled in Pa.) All personal properlY (If nOI domiciled In Pa.) Personal properlY in Pennsylvania (If nOI domiciled In Pa.) Personal properlY in ('ounly Value of real eSlale In Pennsylvania silualed as follows: _____ ,liHlu8ry fi .__,19 CJ4 unestlmated s s s s none WHEREFORE, pelilioner(s) respectfully requesl(s) Ihe probate of Ihe last will and codlell(s) prmnled herewilh and the granl of lellers testamentary UCHamenlary, admhllU1allon (,I.a.; adminhtrltion d,h.n.t.l.a.) lheron, t .,- .~ .:; ..~ l. -p ,- 11_ a c ~ .. Iii x ~~~ ~ ..t"~'__ -EAu1 1.. IHri"k1nr ....l'7 qt-I"'.:ty~r" nri ,,~ --CiI.~J.14. ~~. 1 7013 -- OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH m- PENNS\U'ANIA }' 88 COUNT\' m' CUMBI>RLflND - . The pClilioner(s) ahme.named swear(s) or affirmls) lhal Ihe slatements In the foregoing pelltlon are true and correcllo the hesl of the knowledge and helief of peulioner(s) and lhat as personal represen- latil'e(s) of Ihe ahovc decedenl pelilioner(sJ will ~~~drninisl.~~ Ihn~lal~.~ccording 10 law, Sworn 10 or affirmcd and suhscrihed. - ~~. --;- \(l before mc this _.___. _-19TI:L_ day. of { Pilll L.L~ 1;~ r I f'Ual: if mT"'1,'tt~-'"7.~-~-,--(}..J9SJ4t'~ ~$t,' , ~ itJF" Y-:f.-;--'i.1.M'5'2_p:.~~.~LU.(J> T!'-'i!' -. - ! Ol{ /1. HeR/Her -(/----. " .-1 ,l .- Thi... i!-o tll (('Ilif)' fh,1l till' iUIIJl'III,llilJlIIH'lt, )~i\'I'11 I~ llllll'lll)' ((111I1,\111f11l1 ,111IJl'l.:~ill,d (1'1111Il,II(' (Ii dl'.l'h dlli~' filed with II\(.' ii' l.oc.t1 HL'ui'ilfM Till' lI!i~:jll,d t'l'n ilil ill I' will he lorwardt'd 10 till' .~l.l\(' ViLiI l{('t(lld..; (llltll' Iw 1'l'111I,1I1~'11l ldlll,g WARNING: Ills II10gal 10 dupllcata this copy ['y photostal or photograph. 1','" ((II' Ihi, (('I'!ificIIl:. 51011 2132GllG No, )-'L ~. \-~c~Cw\'tAl"~.J 1,lll.ill H(~gIStlur JAN. 1 0 1994 [l,lll' HUll,.,,,,,,,,,,, COMMONWEALTH OP PENNSYLV~NI~' OEP~RTMENT OP NE~LTH . VIT~L RECORDS CERTIFICATE OF DEATH ..." . """ .... I. '" I. Female ," HP\lC ~fjll ,d-a:01 Alii \l"''''O(''9''C",,/,,1 HClSmAl Easton, PA .....,~f.l ~ " , ~'lllt'''V[ 1'" ,O/'v,,,, O'.t..,.., ~.I' "'1"1 81 " .~\ Cumbarland Carlisle .l'~tYl 6l~~~:O%of-:'4:~~ e.aeutive secretsry Tolephone Df(l I(l'SWA.U<<lAt~,,,[",o,",c..,'''''''''~t...l(lC(<101 OfelDu.Il 4ClU'l ~U'l'JI'<l ."1oM"""....."'" 'lI'_IOtI .., lill '!III'UIlVWl~ KC'~~IICVR'l'("utolaUl 579 - 24 7322 OAfIClt!toOHIU;nn,Clt'_J I, Jan. B 1994 ....,<</ e<1I-....."'~I<>'1m"""..,.1 0"." ~"'tO ::~,\[J e. ""cH~.~.b'.""".,r, ~"".,1 Whi to . ;I~~~~~.....U""l , ,,q-ttf"'lW<lI~UI.&.IoJlllf\"'l Charlas F. HUY .~"''"jl'a'u''1'" 1Or'lC!Uer If. s.".____.__.____~_ [)<1 .",,, "..... Cumborland "-"(11 l!_~ :':,,:-:~~ol UOlttlll~~An y.t1 A~h~II'''''~''''''''1 ~'m'rgy:,~'trr~'~\"Ea'iYf~r~, PA 17013 'Vol; 'II '~II'-.."C..",'Ot'T l~' N.e"...... !.ltl',l"c- ..r;:....'~ 519 Highland Court Carlisle, PA 17013 ,~ -, Corlislo _. Jan. 11, 1994 Eeston Cameter l:t" "V\.IU010343 l 11'>I"_0 ,""~NC"'HIt"'I"" lJI'.""'OI,......11'l lIel'" 'lV\letll ."'iI!f.~' -I '-- ,. ... .,., tV a~' , , I;, c.u.Vl.(, K ,II s:.'j7 _1 ~C;I' /~~;'Iq~ ...', ',~X ~ I..".....~ ..,.,...or~II"""_~et~ll'..df.,~ ll",",,'rf""4"'Cdt"""'II''(~UL''~or..~,tor,'"'''.lMCl'''''I<1'I#''' ~""II' IiA.lIT. 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COMMONWEALTII OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, Ivo V. Otto ill and Linda L. Stull, 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 AUNE HAY MARTIN, the Testatrix, sign and execute the Instrument as her Last WlII; that the Testatrix slgne{i wlllingly and that the Testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of us, In the hearing and sight of the Testatrix, signed the WlII as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue Influence, UJ~~ Address to East Hillh Street Carlisle. PA 17013 ~L ~sI~ . Add 'ss ~'~ 'it ~~::7 (719 - 09'1 'Sworn or afflnned to and subscribed before me this 5'ht 1994. ' daYOf~, (?:fr~or: ~J'~.A) Notary Public I, .. J Nolmi<ll Seal C'.onIno L MyOffi, No:>k'\IY NliIo Cnn<llll Ooro, CllmberlJrd COli LMY ~ :C\f11f11b!:lrm r:"'r~f(~!l May 2;1, ~5 oriiii,j;;poiiii;i"yf<aiia',GSCX;ilikin 01 No Ofj 'I I,,' " ' '1 \. HUIlr,I,t_Pltl\IIIUt'I"U" .H'- IN TIm COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PBNNSYLV ANIA ORPHANS' COURT DIVISION NO, 21-94.60 ESTATBOF ALlNE HAY MARTIN, Deceased Late ofCarllslo Burough, Cumberland County, Pennsylvania FIRST AND FINAl, ACCOUNT OF PAUL L. STRICKLER, EXECUTOR Date ofDeath: Date Letters Testamentary Issucd: Date of First Completo Advertlsomont uf Orant of Letters: Account Stated to: January 6, 1994 January 27, 1994 February 4, 1994 November 18, 1994 SUMMAR Y " PRINCI~AL: Receipts Net. Oalns on ConvClulons DlsburHcmcnts 134,681.16 1.963.95 136,645.11 (23.04234) , " 'i ' Principal Bahlnce Remaining . 113,602.77 ~: Recolpts Dlsburllemcnts 2,310,33 (O.OQ) .' . Incol11o Balance Remaining 2.3] 0.33 COMIUNIUl 8ALANCB REMAINI~G: 115,913.10 . PRINCIPAL RECEIPT~ . I: 4/1 sharos, COlllmon, Intcrstate Power Co, 2, Accnled Dlvldcnd on No, 1 J. "Uf! sharos cummon, Sprint Corporation 4, Accrued Dividend on No, 3 5, Cash on hand 6, Travelers checks 7, Dauphin Dcposlt Bank, checking account #5781666299 8. United Telephone Employees' Federal Credit Union, regular share account # 12614 9. Accrued interest on No.8 10. Hartis Savings Bank, savings account #01-14679 11. Accrued interest on No. 10 12. Harris Savings Bank, savings account #17-5577 13. Accrued interest on No, 12 14. Harris Savings Bank, Certiticate of Deposit #05-54-242255 15. Accrued interest on No. 14 16, Harris Savings Bank, Certificate of Deposit #05.54.235980 17, Accrued interest on No. 16 18, Erie Insurance: Premium refunds 19, U.S. Treasury: 1993 income tax refund 20, Miscellaneous refunds (TV Cable, Patriot News, United ofPA) 21, Sprint Group Insurance: Medical reimbursements 22, Gross proceeds of sale of household goods, jewelry and vehicle 23. Connecticut General Life Insurance Co,: life insurance proceeds 5,378,40 2.30 2,237,13 1.00 .11,002,66 4,83 26,000.00 11,65 35,000.00 15,34 142,00 264.00 27,09 " 122.80 10,599.50 10.058.36 TOTAL RECEIPTS OF PRINCIPAL: 134,681.16 GAINS OR (LOSSES) ON CONVERSIONS Sale of 46 shares, common, Interstate Power: 03/14/94 1,242.05 01/06/94 1.359.88 (117,83) Sale of 806 shares, common, Sprint Corporation: 03/21/94 28,579.03 01/06/94 26.497.25 2.081 78 NET GAIN ON CONVERSIONS: 1,963.95 :' Mountz Jeweler": Jewelry lI!1pmlsal Kufe Chlwmlet: Service on vehicle Bronstein & Jemie", P.A.: Acconnt p"yable, medical Stnnley Dye: Replllrs to apartment Frank 1"lltelger: Conlllllsslon and expenses of public sale I>arlene Moyer: Personallnx, 1994 (I, Robert Umberger: I'rcpDration of 1993 income tax returns Cllrllsle Cardiopulmonary Assn. Account payable, medical Blllvedero Medlcnl Cmporllllon: Account!lnyable, medical Phllllpsburg Memorial Co.: Monument MlIrtson, I>ellrdorfl: Wlllillms & Olto: Partilllaltorney fees Mllltson, I>cmlorll: Wllliallls & Olto: Disbursements: 1'lOhllte fee 226.00 Cumberland LIIW Journlll 40.00 Postllgc 3.44 Short CcrtlOcllte 21,00 Sentinel 65.48 Filing fcc, Inheritance Tax Return .l.illll ~eserved for future disbursement: Paul L, Strickler, Executor's Comlllission MARTSON, DEARDORFF, WILLIAMS & OTTO, allorney's fee MARTSON, DEARDORFF, WILLIAMS & OTTO, disbursements 02/2H/lJ4 O]/()7/lJ4 ()J/07/94 O]/()K/94 03/11194 0]/11194 ()J/II/lJ4 IU/2H/lJ4 O~/()9/lJ4 10/10/94 11/21194 11/21/94 TOTAL DISBURSEMENTS: INCOME RECEIPTS Ilarrls Savings Bank: Cel11f1cate ofOeposlt 115547.35980, Interest through closing SlIvln!ls1lOIOOOI4679, interest through closing Savin!!s 111700005577, interest through closing CertlOcale ofOeposltll554242255, Interest through closing United Telephone Employees Credit Union, Regular share account 1112614. Inlerestlhrough closing Interstate Power Co" dividend Sprint Corporation, dividend . Fnrmers Tmsl Company, estate checking 1111-99048, interest through 10/27/94 TOTAL INCOME RECEIPTS: INCOME D1SBlJRSEMENT~ TOTAL INCOME DISBURSEMENTS: 265,00 22,90 102,92 500,00 1,632,20 9,90 25.00 22.02 \32,89 1,585.00 4,000.00 370.92 6,200,00 1,600.00 200.00 23,042.34 f4.44 4.18 20,55 370.36 11.85 19.67 188,06 1.631.22 2,310.33 0.00 COMMONWEALTH OF PENNSYLVANIA ) : SS, COUNTY OF CUMBERLAND ) Paul L. Strickler. being duly sworn according to law. deposes and says: That he is the . Executor of the Estate of Aline Hay Martin, deceased; that he is the Accountant herein; that the foregoing accounting is true and complete; that the all ached list or schedule [.] contains the names and addresses and amounts due unpaid creditors having given notice of their claims; that the all ached list or schedule [U] contains the names and addresses of all persons interested in the distribution of said Estate; and that the facts set forth in the within Account are true and correct to the best of his knowledge, information and belief, {_....:;6;l/~~ Paw L, Strickler (Executor and Accountant) Sworn to and subscrtbed before me this ~ day of ~~ , 199~. Notary Public Nol(1"~I! ~\ijal TrIda L. JamVi NOI1lr; PLllIIo Co,l"o [!:yo, CtJmoorbrd County MyComlllSSionE'I~rooNov.24, 1997 .UNPAID CREDITORS: None ..PERSONS INTERESTED IN DISTRIBUTION OF ESTATE: Lawrence Barth, Esquire Senior Deputy Allorney General Office of Allorney General Charitable Trusts and Organizations Section 21 South 12th Street, 3rd Floor Philadelphia. PA 19107.3603 Scoll Eckert Conservation Scholarship Memorial Fund P. O. Box 1201 Carlisle. PA 17013 Cumberland County Historical Society 21 North Pitt Street Carlisle, P A 17013 American Cancer Society Cumberland County Unit 117 North Hanover Street Carlisle, P A 17013 United Way Endowment Fund of Carlisle, PA 810 West High Street Carlisle, P A 17013 Cumberland County Coalition for Shelter (Safe Harbour) 102 West High Street Carlisle, PAl 70] 3 " IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO, 21-94-60 STATEMENT OF PROPOSED DISTRIBUTION BY PAUL L. STRICKLER, EXECUTOR Paul L, Strickler, Executor of the Last Will and Testament of Aline Hay Martin, deceased, proposes to distribute the balance in his hands, to wit: $115,913. J 0, in accordance with the said Last Will and Testament as heretofore filed in the Office of the Register of Wills of . Cumberland County, Pennsylvania, as follows: TO: Cumberland County Historical Society, per Item 2 of said WlI1: Cash $50,000,00 TO: United Way Endowment Fund of Carlisle, PA, per Item 2 of said Will: Cash . , 25,000,00 TO: Cumberland County Coalition for Shelter, Inc, (Safe Harbour), per Item 2 of said WlI1: Cash 20,000,00 TO: Scott Eckert Conservation Scholarship Memorial Fund, per Item 2 of . said WlI1: Cash .20,000.00 TO: American Cancer Society, Cumberland County \Jnit, per Item 2 of said WlI1: Residue, Cash 9]3.10 TOTAL DISTRIBUTION: 115,913.10 WHEREFORE, the said Paul L. Strickler, Executor as aforesaid, respectfully proposes to distribute the net balance of said Estate as stated above. ) " . . -r-:-~~~_ d:..____ Paul L. Strickler, Executor . , .. , . " , I ~\~~~~ ' , ~@~~x~:~~~ ~~~~~~,~~~~~. \. ~~~\~'2~~~~~h~ ~~~~)~\~.~~.:~, 4 ~ '\'.o.l6S't1~~ ~~~~~ ~ ~~, ;.. \2 ~~~,~::~~:~ ;:~;:t~ ~)2;:J1..~\.iQ,. ~~ .....~ ~~.\7.:~~ ~jk~ . ~, ~ ~ ~~ \~\-.~ ~ ~A.~o\ ~"'-~~~.~~~. ~~'A~\~~~4~ ~ ~ ~ \ ~ .\~",'-\. 'vs~.. " G&Y ~~ ~ ~\~~IT.~ q' ~~ JL I , . "" l~ . ,'N" ./ _1If'-V. IA__ ......._ 'b.*'If. f'Nd.. __ aN A PL_ r 1& ('11_ ""lAIr__ fAIl..... M .., 111"- ~ COMMONWBALTII OF PENNSYLVANIA ) 55. COUNTY OF CUMBERLAND ) We, Ivo V, Otto ill and Linda L, Stull, 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 AIlNR HAY MARTIN, tbe Testatrix, sign and execute the Instrument as ber Last Will; that the Testatrix signed wllllngly and that the Testatrix executed it as her free and voluntary act for the purposes therein expressed: that each of us, in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue Influence. .. ~l~ r- Address 10 East Hillh Street Carlisle. PA 17013 ~_.J__ t-sJ~ Ad~ss 'b:,'b :~. fiL /J.-~,e( IliJi71--:ll.4'f ~709 'I 1994, " Sworn or affinned to and subscribed before me this 5'ht day of ~~, (~a ~J~""() Notary Public 0 " l Nota.'1a1 Seal ConIm L f.lytrt, N.l\BIV P\AlIc ClII1l5ltecro, Cvmbel1aroC "t,"':~"''I''Jj~' e,,~lt9 Ma'l~ ~tMif",,,,(l.lIA1V'1:111N1 01 No&InII '. , i; " '. ~ ' r, E I'll":' " '.01 ,flll I j, "'/iIl8 CImIlflCATION OF NOTICE UNDER RULE 5.6(a) . '9/1 IID!'I ':6 . P 1 :36 Name of Decedent: AUNE HAY MARTIN Date of Death: January 6, 1994 21-94-60 Clw, . .;(lurl CUmlJ. I" L. I 1;1",' PA FileNo. To the Register: I certify that notice of beneficial intere&~ 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 April 6, 1994: . . . . ~Q Address . Cumberland County Historical Society 21 North Pitt Street Carlisle, PA 17013 United Way Endowment Fund . of Carlisle, Pennsylvania clo Fanners Trost Company P. O. Box 220 Carlisle, PA 17013 102 West High Street Carlisle, PA 17013 " Safe Harbour Scott Eckert Conservation . . Scholarship Memorial Fund 1201 Walnut Bottom Road P. O. Box 1201 Carlisle, PA 17013-0905 Notice has now been given to all persons entitled thereto under Rule 5,6(a) except: N/A Date: April 6, 1994 Signature \ ,'\ ~ Name Ivo~to ~ . MARTSON, DEARDORFF, WIWAMS & 011'0 Ten Bast High Street Carlisle, PA 17013 (717) 243-3341 Counsel for personal representative !' ( " ! S' I (. (, ( INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE fiLED IN DUPLICATE WITH REGISTER Of WILLS) REV.lloo !x. 111,911 ~ ~ES O~iil .. 0( ~ffi III C o Z VO .. z o j: ~ 5 a ~ a j: ~ ::l ~ o V ~ .. ffi ~ C POIDATUO'DUo,"APTII121~1/91 CHICKH.U IP AlPOU.AL 'OYII" CIIDIT .. CLAIMID 0 PILI HUM..I 21 94 COUNTY CODE YEAR I DfCfDENT'\ COMmu ADORUS 519 Highland Court 'l;iilr61D'fmj~DA~~ C il rl i fJ te, P ^ 17013 11/6/94 6/26/12 Ie Cumber! and o~nt., C 2. Suppl.m.nlal R.lurn D 3. D 40. Fulur. !nl.r.II Comp,oml.. D 5. Ilor dalll of d.alh ok.r 12.12.821 Gil 6. DIC.d.nl DI.d T..lal. D 7. D.c.d.nt Malnlaln.d a ll\'lng Trull IAttach copy of Willi IAllach copy of Trulll ALL COIIISPONDtHCI AND CON"DINTlAL TAX INI'OIM.t.nON SHOULD II DIIlCTftl TO. AM M MAIl! /Ii MAH'rSON, DE^RDORFF, WIf,LI^MS & OTTO Ten East High Street Carlisle, P^ 17013 1-' I ..:I~~ ~' eOMMoNwlAllN Of P!NNIYlVANIA O!PAR MEfH m REVENU! om. 280601 ItARRIUURO. PA 1712&.0601 , A . A, , AND MIODU INITIAL! M^RTIN, ^line Hay 60 NUMBER UM 579.'24-7322 [?] 1. Original R,'urn R.malndor R.lurn Ifor dolll of d.alh prior 10 12.13,821 F.doral E.lol. Tax R,'u,n R.qulred -18. Tolal Number of Safe D.poslt Bo," o 4. llmlt.d Ellall Ivo V. Otto III, Esquire L H m NUM l,)\ ...' . o 27,874.82 o 1. R.al ellat. (Sch.dul. Alii) 2, Slack. and 80nd. ISch.dul. BI ( 2) 3. Clallly H.ld SIock/Pann.rshlp Inl.rIlIISch.dul. q (3) 4. Mangagll and NoI.. Rmivabl. ISch.dul. 01 I 4) 5. Ca.h. Bank D.po.it. & MI".lIan.o" Personal Proporty( 51 ISch.dul. el 6, Jainlly Own.d P,op.rty (Schedul. FI 7, Tran.f." ISch.dul. G) (Schedul. LI 8, Tolal Grall AII.I'I'otallln.. 1.71 9, Funoral eXp.nll', Adminlslratlve Co,I., Mi".lIan.a" I 9) exp.nll' (Sch.dul. HI 10. D.bll, Mangag. llabllltl.., lien. (Sch.dul. II 11. ~ 0'01 D.ductian. IIolallln.. 9 1\ 101 12. N., Valu. 01 ellall (IIn. 8 min", line 111 13, Charitable and Governm.ntal 8.quOlI. (Sch.dul. JI 14. N., Valu. Subj.ct 10 Taxllln. 12 mlnu.lln. 131 15, Amaunl af Iln. 14 laxabl. 01 6% 'all Ilnclude valu.. fram Sch.dule K or Sch.dul. M.I 16, Amount af IIn. 14 la,abl. 01 15% loll (Include valu.. from Sch.dule K or Schedul. M.I 17. Principal la, due (Add la, from lin. 15 and from Iln. 16,) 18. Cr.dil. Spau.al Pov.ny Credit Prior Paym.nll + +. 19. If IIn. 18 I. greal.r Ihan IIn. 17, .nl.r ,h. dlHer.nce on IIn. 19. This i,'h. OVERPAYMENT. 110 20.1111;1117 i. gr.al.r Ihan IIn. 18. 'nllr th. diHer.nc. an lin. 20. This I. 'h. TAX DUE. A. Enter the interet' on the balance dl,l' on line 20A. n 96r949.48 ( 61 171 o o c, ( 81 124,824.30 23,292.57 (101 641.33 111) 112) 1131 1141 23,933.90 lilll....B-9 n 4 n 100,890.40 n o 115) . o ~ ,06" (161.__ o ~ .15 " o 117) o Discount Inlerel' 110) {l91 o o Ched< ht'fc ,f you cue 'NIUU\lmt, U H..fund 0' your ovcrpuymont o o o (201 120AI 120BI . B. enler th. 10lal allln. 20 and 20A an lin. 20B, Thi. i, rho BALANCe DUE, Mak. ChICk Payabl. tOI R.gl.ter of Will., Ag.nt ..81 SURI TO ANSWIR ALL QUESTIONS ON REVER5I SIDE AND TO RECHECK MATH.... Under nanQII!" 01 pequry, I dedar. Inoll hays 811lomln.d Ihit ,erur", In:ludlnq accompanvlng leneaulll and "Clemenll, and 10 Ihe bill at my knowl.dqe ana belie/. II II Ir1l8, correct and campl'll. I declare Ihal aU real ellal, hat bill" 'SCOfled 01 Iruo marke' valu.. Declaralion of prepare" olk" than Ih, personal rlloresenlah..... " bcu.ct on aU l"formaMn 0' whict\ prepar., hOl MV knowl.dql. ilOlW".R; 0' P'R~O. ~ 'l,IPO~~""'~-NO WURN .\aaml 127 S t ray e r Dr i ve. .- _t;;~....~c .: ~- " -=:.=___.. Cilr.JJsle..LRA 17013 II . .~ '... I UA....! I NlAT,Vf ,\oo'm~O E\I~t IIi h Street DAlE bAtE '.~ ,; Ii , ,~ , I. . ..,. ,. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK ( v') IN THE APPROPRIATE BLOC,KS. " ' ' " .',\' I' VBS I NO K I K K K K i I I K IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. " " , , I. . , ' , i',I' ,: '. ,\ ;, , " 1. Did decedent make a transfer and: a. retain the use or income of the property transferred, """,,,,,,,,,,.,,,,,,,,,,,,,,,,.,,... b. retain the right to designate who shall use the property transferred or its income, t. " t t c. re Oln a reversionary In eres or ....."...........1O........"..........."1O...................".. d. receive the promise for life of either payments, benefits or care? :"...".",,,..,,..... 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property withClut receiving adoquate consideration? If death occurred after December 12, 1982, did decedent transfer p,'operty within one year of death without receiving adequate consideration? "''''''''':."..."..,,,............,,,.,,...,.. 3. Old decedent own an 'in trust for' bank account at his or her death?.........."......... ,I " " /, , , '" I" " " " " , . '," I ' ,,' ", . , UV,IWUli (9111 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "B" STOCKS AND BONDS PILE NUMBER MARTIN, A1ine Hay (All property jolntlv.owned with Hight of 9urvlvouhlp mutt be dltololld on Schedul. IIP"I 21-94-60 ~ ITEM NUMBER DESCRIPTION L 46 shares., common, INTERSTATE POWER COMPANY r CUSIP 461074106 @ 29.5625 . VALUE AT DATE OF DEATH Acorued Dividend 1,359.88 4.25 2. 806 shares, common, SPk. , CUSIP 913025102 @ 32.875. Accrued 'Dividend 26,497.25 13.44 ". " TOTAL lAlla enter on line 2, Rocapltulatlonl $ 27 874.82 (If mort 'PIC' II "..did In..rt .ddlllonll thlott of 11m. 1111) 1 ", '~Of t I, 11 "I ESTATE OF ~2 SCHEDULE E I CASH, lANK DEPOSITS AND L MISCELLANEOUS _PERSONAL PROPERTY _ Pllall Print nr T YP~_ FILE NUMBER COMMONWfAlt" 01 'INNSVIVANIA INHIIIlANCI IU ..IUIN IISIDINI DICIDIN1 MARTIN, Aline Hay 21-94-60 JAU properly jOlntly,owned wIth the Rlphl 01 ~u'vjvor,htp mUll b, dlulol.d on S(h,dul, '1 ITEM DE9CRIPTION NUMBER VALUE AT DATE 0' PEATH 1. Cash on hand 2. Travelers checks 3. Checking Account 5781666299, Dauphin Deposit Bank 4. Regular Share Account 12614, United Telephone Employes' Federal Credit Union Accrued interest 5. Savings Account 01-14679, Harris Savings Bank Accrued interest 6. Savings Account 17-5577, Harris Savings Bank Accrued interest 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 462.10 40.00 5,437.18 5,378.40 2.30 2,237.13 1. 00 11,002.66 4.83 Certif icate of Deposit 05-54-242255, Har.ds Saving Bank Accrued interest Certificate of Deposit 05-54-235980, Harris Saving Bank Accrued interest 26,000.00 11.65 35,000.00 15.34 29.00 113.00 264.00 8.85 1. 92 16.32 324.30 Erie Insurance: Refund of premium, renter's Erie Insurance: Refund of premium, vehicle U. S. Treasury: 1993 income tax refund Patriot News: Refund United of PAl Refund TV Cable of Carlisle: Refund Sprint Group Insurance: Medical reimbursements Proceeds of public sale of personal property, household goods, jewelr~, vehicle 10,599.50 TOTAL (Allo onl.r on IIn. 5. R.caplluJalionl Is 96,949.48 D Dauphin Deposit Bank DATE 01-18-94 PAGE 1 1693 57816662 ALINE H HARTIN 519 HIGHLAND CT CARLISLE PA 17013 12 B CV 11 10 II II II II II II SUHHARY A C C 0 U N r . 57-81666-2 SENIOR CITIZEN CHECKING FOR !J.INE H HARTIN 519 HIGHLAND CT 'REVIOUS BALANCE 12-15-93 I DEPOSITS AND CREDITS 12 CHECKS AND DEBITS ,URRENT BALANCE HATEHENT END DATE 4,803,66 1,277.47 762.84 5,318.29 01-18-94 SOC SEC NUHBER 000-00-0000 CHECKS POSTED CHECK , DATE AHOUNT CHECK , DATE AMOUNT CHECK , DATE ANOUNT ,." ,,-,. 7'.00 j "3' 01-06 24.10 5135 01-03 30.29 512811 12-21 21.00 5132 01- 04 13.72 5136 01-06 ++0.00 5129 12-21 5.00 5133 01-04 11.26 5137 01-10 108.55 5130 12-21 16.50 5134 12-28 7.08 5138 01-11 10.34 DENOTES GAP IN C/lECK SEQUENC NUNBERS DEPOSITS P 0 S T E: D DATE AMOUNT DATE AHOUNT DATE AMOUNT 01-04 1,277,47 I o A I L Y BALANCE SUHHARY DATE BALANCE DATE BALANCE DATE BALANCE 12-16 4,728.66 o I-OJ 4,6~8.79 01-10 5,328,63 12-2 I 4,686.16 01-04 5,901.28 01-11 5,318,29 12-28 4,679,08 01-06 5,437.18 <:".C H. lIE" I-I 3 u _ ,"C.rn \ I ,T\-":: /{ffI,jMfJJ P.O. BOX 1181 CARLISLE, PA 17013 (717) 249.1881 . VOICE RESPONSE (717) 249.8000 TRANSACTION EXPLANATION UNmD TIIL1PHONB BMPLOYBBS' FBDBRAL CRBDIT UNION H Il:HllAY l:1eAN Oat II ~~/02/94 , M..b.r.... ~h.r'...... 1~614 - MAHl IN, 'ALINI:. H 01 - R~GULAH l:1HAH~ ACCOUNT -----------------------------------------------------------_._-----~----~------- rrH S.q POlt [)ah ~ff.e rran.aetlon Oat, D'lel"lptlon l:hlck POlt NUl br tlre. l:1hal"1I1 ~r.ln Loan lnt Chgl r-II l!:ndlng aalane. --~-;~;;~;;~-------~~~~~~~~-----------;--;;------~~~;~-----~;;---~;;--~;;;;~~iu 3 0~/0,:194 OIVIOE:NO 01"'1"4;:1t3. 00 .00 'l:iJ9C!. !! 4 02/0iUCJ4 CLOElI:-. ACCOUNT 4480a,~. .-;t.3~2. e,~ . .00 .00.00 ~ . .J . i'; . ,~'r, ,j!' ,., .~ :., ' ,-..,<J,-,\;<{;,:.:'.I\'I'fl;--..'..)j~!J-'.;nl\.i,/ " ",' .. '(" - ,-",ll',l',,: "~, \ 1;\; I ','.'. :,l 'I':' J 'I: ,'1' :l.,fttl~) . ,..";t';:-;' '.'.~'<~W,,~~l~Ht~WJ) '" ,/ ',j,:C'''; \.i\:~n;';,~;~ I' '::,},~ll'i' "'J'~' " i... " \-q. , 1," " 'I," "I' <', ,.. , I' " " ','-." " ,., , '" .'Il L ",1'" " ,'" " " , , " ,,. . d' .. ~ Ie.; "." ,I I'(i , , , " " , " ,. I'"~ , " " , I " , " " ,'., "," i' , ,,' " , " , " ,.,.,._,.'..._.~...!"._.'':'..I.I'f.'.'--~- _.........__..,~.__~,. ,". ,1 q . ~, ; , '. ' '". . .'--' 'I -_..~-...-~~_._.........._~....._.y~..._._;~..._-'-_. .~,.:..,.....--~f;t',~,-. "~"'" ,,' ,,' I" " , . ,I' , " p I. ., ' Ii" ,,' ,( , , " "'',' \, I' ",'.' ". 'I ul_~._._..., .!.~". (', .Ii i;: ..", '-'~."~"""''''''''''.'-'O--'''l-' ...; " ..,...."....]...<4...;,(;"--.:-;,....,:.".,,. ,. .:., i ...-- '-'.,-. ....-......--- ,~- ,,' ..._.....~....I' . '", ., ", I', " . 01' '" <JC I I\'E II \:..,) ,t-. T. -kIn' H , ,. January 28,1994 R~~~~~~ Second and Pine SIreNs 1',0, !lox 1711 Harrisburg, Pennsylvania 17105 7l7/2~6.4041 , ,.,; Martson, Deardorff, Willisms & otto Ten East High Street Carl~8le, PA 17013 Tho information whioh you requootod on the ^ccount(o) of Martin Estate (noeinl ZOllurity Humbllr. 579-24-7322 Account Numbsr(a) ClasR of Account 1r.Its Oponet! Principal Dalanco Accrued Intorollt llalance 11 t Date .of Death Account Ownertlhip lIame ,of Joint Owner, if IIn)" Dilts Ownnrship \olliS tstnblinhod Additionlll Infor- mation llel1\\notod 05-54-235980 17-00005577 6 Mths. Cert. Savings 2-8-93 Prior to 1971 $35,000.00 $11,002.66 15.34 4.83 35,015.34 11,007.49 Individual Individual 2-8-93 Prior to 1971 .s C /-./. 2., 1,~-<'nI.S 5 - 8 Alina H. ) is liS follown. 05-54-242255 6 Mths. Cert. 6-15-93 $26,000.00 11.65 26,011. 65 Indi vidual 6-15-93 Ii, I ~he' in!'or=.t:!.'Jn ,<<h:!.c~ you :~'1~'3e!~ ':~ ~~~ a:e.:n,:=.t.(s) 0;- Alina H. Martin Es,tate (~~:~a: S~:'.::i~:r.f!. 519-24-1322 ) is aJ ~oll:"":l: ",C':Q~"'~ ~Ju:::e:(.s) Cl~ss Q ~ A:::c'.::~ D4~\) C;:t:t~ O~4__~~~' ~!.'B"~I ..._.,,_~.._ *I __ Ac::uec! In.:e:-eD: llllla:lco D.~ Dlte of Du~l1 Account ll'.r.1er:lIlip Hallie of Joint Owner t 1: Ul'l Date Cwne:shijl was ZltabUshed Additional Intor- llIItion requestad " 01-00014679 - Savings Pr ior to 1971 $2,237.13 1. 00 2,238.13 . . Individual -- . . : Prior to 1911 . , - Sincerely, ~--" ~6~, ~ ~~ Cale . Customer Servioe Technioian . . , . . , ' , ,,_u ',', ""'"'~---H"'''-'',''~\l-;---,,,' ._"_,';"' ESTATE OF MARTIN, Aline Hay SCHEDULE H File No. 21-94-60 Page 2 ITEM NO. DESCRIPTION AMOUNT 500.00 25.00 9. Stanley Dye, Carlisle: Refinish ,damaged floors in apartment 10. G. Robert Umberger: Preparation of tax returns '11. Frank Potteiger: Co~mission and expenses for public sale 1,632.20 12. Register of Willsl filing fees 110.00 500.00 1~. Reserved for miscellaneous costs and fees " TOTAL lallo enter on line III 23,292.57 UV,UUf(tl108~1 \' J 'O""O"WI~~'"'''V''''' "ml_IIANCI 'AllIllUUI U\IDltl! OftIOIN' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABLlTIES AND LIENS I FiLl NUM81R 21-94-60 ESTATE 0' MARTIN, Aline Hay ITEM NUMBlR DESCRIPTION AMOUNT 1. Outstanding checks, Dauphin Deposit checking account on date of death 118.89 2. Conpharma Home Healthcare: Account payable 13.61 3. Carlisle Cardiopulmonary Associ8tion: Account payable 22.02 132.89 4. Belvedere Medical Corporation: Account payable 5. Cumberland County Office of Aging: Homemaker service 22.00 102.92 178.16 6.78 11.26 22.90 9.90 6. Bronstein and Jeffries, P.A.: Account payable 7. PP&L: Account payable 6. United of PAl Account payable 9. Borough of Carlisle: Account payable 10. Rufe Chevrolet: Account payable 11. Darlene Moyer, Tax Collector: 1994 personal tax [Reimbursements for medical expenses are included on ScheduleE]. ",' __-L TOTAL (06.1'0 en'or on IIn. 10. Recopllulationl (II mare 'po,. II n..d.d inll,t odditionol,h.." 01 ,am. ,i.., $ 641.33 ~lV,ISIJ'.tll"l . ~ * COMMONW"'I'~ O' ,Ir-mmVAfllJ. . IHHllnAHCI fAil InUIH 1"IDIN'D_eIDIN' _ ISTATI Of MARTIN, Aline Hay SCHEDULE J BENEFICIARIES PILI NUMin 21-94-60 ITEM NUMBER ~AME AND ADDRESS Of BENEfiCIARY RELATIONSHIP AMOUNT OR SHARE Of ISTATE A. Ta.ablo aoquo,", 1. ITlM NUMBER NAME AND ADDRESS Of BENEfiCIARY AMOUNT OR SHARE Of ESTATE a, Charltablo aod Gaveromonlal aoquo"1I 1. Cumberland County Historical Society 21 North pitt street, Carlisle, PA 17013 2. United Way Endowment Fund of Carlisle, PA 8 lOWest High Street, Carlisle, PA 17013 3. Cumberland County Coalition for Shelter, Inc. 102 West High Street, Carlisle, FA 17013 50,000.00 19,338.36 15,776.02 4. Scott Eckert Conservation Scholarship Memorial Fund P. O. Box 1201, Carlisle, PA 17013 15,776.02 TOTAL CHARITAaLE AND GOVERNMENTAL BFQUESTS (AI.a onlor on 1100 13, Ro,apltulallanl Ilf moro 'poco II noodod, Inur' addltlanallh.." of lamo 01.0' $ 100,890.40 '" ,- "'11"' ..~. . E. O. Determination Seotion P. O. Box 1.3.37 So~ton, Pa. 18501 IIDn@{lli'n@{l @nli'@@u@U' Internal Revenue Service 0"" I'" "I,I~ ,.,., tOI '---Str'-2+.-1973 AUI~~.:~ ...-. ~ Cumberland County HistorioalSooiety & Hamilton Library Assooiation 21 North Pitt Street Oarlisle, Pa. 1701) Gentlemen: Based on information supplied, and assuming your operations will be as stated in your applioation for reoognition of exemption, we have determined you are exempt from Federal inoome tax under seotion 501(0)(3) of the Internal Revenue Code. We have further determined you are not a private foundation within the mean- ing of seotion 509(a) of the Code, beoause you are un organization desoribed in section :l:l~*~(.A),(Vi) You are not liable for social security (FICA) taxes unloss you filo a waiver of exemption certificate as provided in the Federal Incurance Contributions Act. You are not liable for the taxes imposed undor tho Federul Unemployment Tax Aot (FUTA) . Sinoe you are not a private foundation, you are not subject to the excise taxes under Chapter 42 of the Code, Howeve r, you are not automatically exempt from other Federal excise taxes. Donors may deduot contributions to you as provided in section 170 of the Code. Bequests. legaoies, devises, transfers, or gifts to you or for your use are deduotible for Federal estate and gift tax purposes under seotions 2055, 2106, and 2522 of the Code, It your purposes, oharaoter, or method of operatiol\ is changed, you must let us know so we onn oonsider the effeot of the ohange 01\ your exempt status. Also, you must inform us of all ohanges in your name or address. If your gross receipts each year are normally more than $5,000, you are re- quired to file Form 990, Return of Organization Exempt From Income Tax, by the 15th day of the fifth month after the end of your annunl aocounting period, Tl\e law imposes a penalty of $10 a day, up to a maximum of $5,000, for failure to file a return on time, You are not required to file Federal income tnx roturns unless you are sub- j eat to the tax on unrelated business ,inoome under section 511 of the Code. If you are subjeot to this tax, you must file an inoome tax return on Form S90-T. In this letter we are not determining whether any of your present or proposed aotivi- tios are unrelated trade or business as defined in section 513 of the Code. You need an employer identifioation number even if you have no employees. If an employer identification number was not entered on your applioation, a number will be assigned to you and you will be advised of it, Please uoe that number on all returns you file and in all oorrespondenoe with the Internal Revenue Servioe, Please keep this determination letter in your permanent records. Sinoerely yours, /",'1/,1 ,.,./ if I' I- e "-f..rl"';". ,(, f(.-t-I', -Jo-.(,o' .~. -~red L. Wliinston DIstrict Direotor Form L-178 (Rev. 7-n) " Internll Revenue Service Dlltrlct Director D.plrtm.nt of the Tr.llury 31 HOPKIHS PLAZA BALTI"ORE, "0 Z1201 Datil JAN 03 1990 UHITED MAY EHDDM"EHT FUHD OF CARLISLE PEHNSYLVAHIA C/O IVO V OTTO III 10 E HIGH ST CARLISLE, PA 17013 ElploYlr Idlntltlcatlon HUlblr: 23-66B137B Contact Perlonl R REHMICKS Contact TII.phonl HUlb.r: (301l 962-9123 Accountln9 Plrlod Endln91 OIcllber 31 Fori 990 Rlqulrldl YII Addlndul Appll.11 Ho Dllr Applicant: Bllld on Intorlatlon lupplled, and Illullns your op.rltlonl will b. II Itatld In your Ippllcltlon tor r.cognition of ,xllptlon, w. hlv, dltlrllnld you are .X.lpt frol F.d.rll Incol. tax under !.ctlon 501(a) of thl Intlrnll R.vlnul Cod. al an orglni:ltlon delcrib.d in ~ectlon SOllc)(]), M. hay. further deterlln.d that you ar. not I privlt. foundation within the ..anlng of ,.ction 509(a) of the Code, because you are an organization described In 'Ictlon 509(1)(]). If your source; at support, or your purpoles, character, or .ethod at operation change, pleasl let us know so we can consider the effect of the ching. on your aX.lpt ,tltus and foundation status, In thl Clse of In II.nd- I.nt to your organizational docullnt or bylaws, please I.nd us I copy of the II.nd.d docullnt or oyllws, Also, you should inforl u, of III chanses In your nail or addrtsi, AI of Jlnuary I, 19B1, you ara Il,ble for tlxes under the Federal Insuranc. Contributions Act (social !ecur:ty tane,) on rllun.rltlon of .100 or lor. YOU pay to .Ich of your e.ploy.e! durlns I cllendlr Y.lr. You are not liable for the tax ilposed under the Feder,l UnelploYlent Tix Act IFUTA), Slnc. yOU Irf no, I private foundation, YOU Ira not subject to the axell. tlxes und.r Chapter 12 of the Code, Howey.r, vou are not autolatlclllv IX.lpt trol oth.r F,deral aXClle tax." It YOU have any qUilt ion! about eXCI!', elplovllnt, or other Federal tlnel' pleale let v, ~now, Oonors tav dlovct clntri~u\ionl '0 YOU II ?rovldeo In slctlon 170 of the Cooe, Bequestl' leglc:es, dlvlses, transferl' Dr ~lfts to vou or for vour VI' are ~iductlbl~ lor Federll ,stlta !nti 1111 Il: ~urpoael If they &eet In. appl:cable pro~lslonl of Cooe sectlonl 2D55, 2106, and :522, Contrlbullon deOUCI:ons !r~ !Il~wlol! !J 10norl onlv \0 the I~tent that Inelr contributlonl arl 31'ts, With no conlloeratlon reCllVIO, Ticket pur- :hlS.1 Ind llllllr 'Iv,ent3 In c~nJunctlon ~Ilh lundralsin~ ey.ntl llV not n.cestarllv qualilv II d.duct:ble contri~utlonl' dlPlndlng on the circul- ltances, Jee Rsvenul Rull~1 l~-1~61 puolilneo In CUlulatlYI 9ullst:n 1967-2, ". .,." c." 1'\(1 If"" \ -2- UNITED NAY ENDDNNENT FUND OF on plSI 104, which Iltl 10rth guid.linll rlSlrding thl dlductibillty, II chlrl- tlbll contributions, 01 plYllntl Ildl by tlxp'Ylrl 10r Idlilllon to or oth.r plrtlcipltlon In fundrllslng Ictlvltl'l for chlritv. In the hladlns 01 this I.ttlr w. hlVI Indic.ted whither you IUlt 111. Fori 990, R.turn 01 Drglni%ltion EX'lpt Frol Incol. Tlx. 11 Y'I is indlclt.d. yOU Ir. rlquired to 111. Fori 990 only i1 your gr09s rlcliptl Ilch yelr Ire norllllv lorl than '2~.000. Howlvlr, if you rlceiv. I Fori 990 packlSI in the Ilil. plllll 1ill thl r.turn IVln i1 you do not Ixcled thl gro'l rlcliptl t.lt. 11 you Ire not r.quirld to fll,. lilply lttlCh thl label providld, ch.ck the bOM in thl hllding to indiclte thlt your Innu.l sroll reclipt. Ire norlllly '2~.000 or 11... and .ign thl rlturn. 11 I return i. required, it lust be filed by the I~th dlv 01 thl 1i1th lonth 11tlr the .nd 01 your InnuII Iccountins plri~d. A p.nllty of '10 Idly il chlrg.d wh.n I rlturn i. filed lite, unless th.rl i. r'l.onlble CIUS. 10r the d.llY, Howlv,r. the IlxilUI p.n.lty chlrsod clnnot exceed '5,000 or 5 p.r- c.nt 01 your grosl receipts for the year, whichever is less, This p.nllty IIV 11.0 bl charg.d it e return is not co.plete, 50 plels, bl lurl your ~Iturn i. cOlplltl be10re vou 1ile it. Yuu Ire not req~ired to 1ile Federal incole tax returnf unlll' vou arl .ubject to the tlX on unrellted business incole under section 511 of thl Cod.. 11 you .re subJlct to this tlX, you lUst file an incol' tlX return on Fori 990-T. Exelpt Orglni%.tion BUlinels Incole Tlx Return. In this lettlr WI Irl not dltlrllnlng whither Iny of your preslnt or ~roposld activitlls arl unrl- latld trlde or bu.inesl as de1ined in slctlon 513 01 the Codl. You need an elploYlr identification nUlber even i1 y~u hive no 'Iploy.... If In elploYlr identificltion nUlblr WIS not entered on vour .pplicltion. I nUlblr will be assigned to you Ind you will be advised 01 it. Plel.1 U'I thlt nUlber on III rlturn. you file and in all correlpondlnce with the Internll R.venue Slrvice, Slction 509Ia)(2) of the Intlrnal Revenue Code statl' thlt In or3lnl:ltlon orglnl:ed aftlr Octoblr 9, 1969, sh.11 not be treated II .n orglni:ltion d..cribed In slction 501(c)(3) 10r anv reriod bltore ~iving noticl thlt it is .p~IYlng lor recognition 01 eX.lpt status, if such noticl i. giv.n 11tlr thl til' prescribed in the rogulltion.. Sectien 1,509-1Ial(21Ii) ~I the lnco.e TIe Re9ulalions states thai In orSlni:ltion s.e~ln9 eXllption undlr ~eclion 501(c)(3) IVlt file thl notice described in in slctlon 50B(0) within 1; ,0nthD Irol thl end 01 the ,onth in which thl orSlnl:otlon wos o'90nl:10, Such notlct IS !lled bv subllttln9 , ~r~plr!V co.plata~ ,nd a::9C'Jte~ For, 1~13, e::uption applicltion, ~ilh thf ~.v Oistrlct Oirlctor. ~ur recor~s indicate thot 10ur notice ~IS r~ltIDr~ed Haren 211 !~B~, which is lore thin 15 lonths !rol the end cl the lonth in which vou Wlrl Jr,lnl:ed, IlncD lhe prOVlllonl ot DlCllon 50B(1112) Ire lPplicable 10 you. ... . .... n.4'" 1"\ 1'1 .,..,. \ '. ". .3- UNITED ENDDHNENT FUND DF the efflctlYI dlte of your exe.ptlon 11 ",rch 21, 198'. Contrlbutlonl "de to you on Of Iftlr thll dltl Ire tlX d.ductlbl.. If we hlY. lndlclt.d In the h.,dln9 of thll lett.r thlt In Iddlndul Ippl1'1' the .nclolld Idd.nduI 11 In Intt9rll plrt of thll l,ttlr, SIC lUll thll lltt.r could hllp rl101YI Iny qU.ltlonl Ibout your IXllpt ItltUI Ind found.tlon Itatu~, you Ihould k..p It In your p.rlln.nt rlcordl. HI hlYI lint I copy of thll llttlr to your rlprlllntltlY. II lndlcltld In your pow.r of IttornlY, If you hlYI Iny qUlltlonl' plllll contlct thl plrlon whol' nl.1 Ind tlllphchl nUlblr Irl shown In the h.tdln9 of thll llttlr. Slnclrlly yours, r/J {i-~ " , Dlltrlct Dlrlctor " I. , , " , " I " " ' ,'j. ',. " " " ,. ".j, I', ' , " ", ,,' ". ,I;.; , " I' ,'" , . '" (/I ,', " , 'I! ,I' 1\, " " , 1\. + "''' 0.'" I\n It'I''' ,..',' "',;',: ~, ;;~;~ . .{;l ;'::1>' ,,\ ., ....'1i ..I " .~ ,I "1 " 1 .1 .J ,1 , ',~ ..' ',; "~l . .' '. ,- .... , ..." .".: Internal Revenue Service District Director Department of the Treasury Di'lto: JAN 25 1982 Employer IdenllRullon Numb." 23-2161848 Aeeounllng Period Ending: December 31 Form 990 Required: 8J Yes 0 No t> Scott Eckert Conservation Scholarship Memorial Fund 1924 North Second street Harrisbur~, Pa. 17102 . Person 10 Conleel: 11. DiSandro Contect Telephone Numb<lr: (215)597-2617 Dear Applicant: Based on information supplied, and assuming your operations will be as stated in your application for reoognition of exemption, we have determined you are exempt from Federal income tax under section 501(e) (3) of the Internal Revenue Code. We have further d~termined that you are not a private foundation within the meaning of seotion 509{a) of the Code. beoause you are an organization desoribed in ssction 509(a)(1) & 170(b)(I)(1I)(vi). If your sources of support, or your purposes, oharacter, or method of operation change, please let us know so w~ can consider the effect of the change on your exempt status and foundation status. Also, you should inform us of all changes in your name or address. Generally, you are not liable for socJ.al seourity (FICA) taxes unless you file a waiver of exemption oertifioate as provided in the Federal Insurance Contributions Act. If you have paid FICA taxes without filing the waiver, you should contact us. You are not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA), Since you are not a private foundation, you are not subject to the excise taxes under Chapter 42 of tho Code. However, you are not automatically axe';'i'l fi'cm other Federal excise taxes. If you have any questions about excise, employment, or other Federal taxes, please let us know, Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts te you or for your use are deduotible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code, The box checked in the heading of this letter shows whether you must file Form 990, Return of Organization Exempt from Incomo tax, If Yos is checked, you are required to filo Form 990 only if your gross receipts each yoar are normally more than 510,000. If a roturn is roquirod, it must be filod by tho 15th day of of the fifth month aftor the end of your annual accounting porlod. The law imposes n penalty of SlO R day, IIp to n maximum of 55,000, when a return 1S flled late, unless there is reasonalllo cause for tho dolay, (01/1'0 EO Dotermlnntion Snction, P. O. On> %~'SN'"'.w. _D^ _1001\1 Letter 1)47(00\ (5-77\ . . , ~\)J~~~_ ~~'~1.:'~~~"'~~~ \j. ""~~ ~\f-~~~~~. \. ~~~}~~~~~~h~ .J-~c$l-.~)~\~,~~ ~ \".;.~ ~,1bS'l)'-'I~ .b~~~~~ ~ ", () _ ~ \Xu~_J\ vo~' J.. ~~~~ ~~~~~~ ~:&2 u ~~ ~ ~ ,;!J:,,~~ ~~~A.I\Q... 4--~ ,....\{.. ~_;~,~S7-~ ().S4~ . ~, ~ ~ ~~ \~\..~ "'> eA.'~u\ ~ -\.~~\,j.~ ~ V~. . ~~~\~~~4~ ~ ~ ~ \ ~ \~","\. w'~.. .~_ .\)~ .s- ()/2;'.~ \~ ~. ~, , df ' ,~~,jL- . .1/11"'''' ." ---- IA..... .....,,_ rb.""" ,... . a.. A rut. r ~Al""" 1'IIl1AlT__ fl\lILa& M ... l!IlI_ /fi ~./ REV"1547 IX APP (01"94* c:otIlOHlI!ALTlt Ill' POIIIYLVAHIA DEPAIITlENT Ill' IlEWHlE IUll!AU Ill' IHDIVIIlIJAL Tml DEPT. '""01 ~IIIURO, PA ITI'"-OIOI HOTICE OF INHE~ITANCE TAX A~~~AISEHENT, Al.LOWANCE O~ DISALLOWANCE OF DEDUCTIONS AHD ASSESSltENT OF TAX ACN 101 DAn 11-14-94 PILE NO. DATI OF DIATH 01-06-94 COUNTY CUMBERLAND HOTEl TO INIU~E ~~PE~ C~EDIT TD YOU~ ACCOUNT, SuaNIT THE U~~E~ PO~TION OF THI$ FORM HITH VOU~ TAX ~AYNENT TO THE ~EGISTE~ OF HILLS, MAKE CHECK PAVABLE TO "~EGISTE~ OF HILLS, AGENT" REMIT PAVMENT TOI IVO V OTTO 111 ESQ MARTSON ETAL 10 E HIGH ST CARLISLE PA 17013 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 I ARunt ~..i Heel CUT ALONG THU LINIl ~ RIlTAIN LONER PORTION POR YOUR RECORDS ~ REY: !iW"iic""Apji"iiia-:m-' Niifi ci""op" Iliiliiiii'ANCi' TAX-'A"pjiiiiiiiHENr; -AL i."OiiANCi-iiJi-- -- - ------ - --""" nlSALLOIIANCE OP DEDUCTIONS AND ASSESSMENT OF TAX ESTAT! OF MARTIN ALINE H FILE NO. 21 94-0060 ACN 101 DAT! 11-14-94 TAX RET1JRN HAS. I X) ACCE~TED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE -- APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. ~..l E.t.t. IScheduI. Al 11) 2. Stock. end Bond. ISchedul. 81 (1.) S. Clo..l~ Hold Stook/P.rtner.hlp Int.r..t (Schedul. CI (51 4. IIort_./lIot.. Roo.lv...l. ISchedule DI (41 S, C.oh/8.nk Depo.lt./HI.o. P.r.onol Propert~ ISchedule EI (51 6. Jointl~ Owned Propert~ ISchedul. F) 161 7. Tron.f.r. (Schedul. G) ITI I. Totel AI..to I 1 CItAHClED .00 27 .S74. 82 .00 .00 96.949.48 .00 .00 (I) 124,824,30 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funor.l eKpen.../Ado. Co.to/Hho. Expen... (SGheclul. III 191 10. Debt./KortfIQI Liobilitl../Lion. ISchedul. II 1101 11. Tot.l Deduction. 12. Net V.l... of TI)( R.turn 15. Cherltobl./Gov.r~t.l Boque.t. ISchedul. J) 14. Net Vol... of e.t.t. Subjoot to TI)( 23,292.57 641.33 (11) 1121 _ (15) U41 n.9~J.9D 100,890.40 100,890.40 .00 If .n ........nt w.. t..u.d pr.viou.1Y, ltn.. 14, 15 .nd/or 16, 17 .nd 11 will rllfl.ct ftllur.. th.t tnclud. the tot.l of ill r.turn. .......d to d.tI. A8SESSMIlNT OF TAXI 1&. ARunt of Line 14 .t Spou..l r.t. 11&1 16. ARunt of Line 14 tl)(...l. .t LIne81/Cl... A r.t. (161 17. ARunt of Line 14 tl)(...l. .t Coll.t.r.l/Cl... 8 r.t. (17) 18. ~rinolp.1 TI)( Duo TAX CRIlDnSI PAYHENT DATE NOT II I ,00)( .00. ,00)( .06. ,00)(.1S. nl) .00 .00 .00 .00 RECEI~T NUN8E~ DISCOUNT It I INTEREST I-I AHOUNT PAID TOTAL TAX CREDIT BALANCIl OF TAX DUE INTIlREST TOTAL DUll .00 .00 .00 .00 . IF ~AID ArTE~ DATE INDICATED, SEE MEVERSE FO~ CALCULATION OF AD~ITIOHAL INTE~EST. I IF TOTAL DUE IS LESS THAN II, NO ~AYHENT IS ~EQUI~ED. IF TOTAL DUE IS ~EFLECTeD AS A "C~EDn" IC~I, VDU NAY 81 DUE A ~EFUND. SEE REVERSE SIDE OF THIS FORH FO~ INST~UCTIONS.I u ~1 1!' '1 . ':; . ;1 .' (')0 !-"; ",;' "..' ~(l :d;l, " " " :"'" , , f.'1 , "! ~.; 1,,1 ,..,' ." " Ii'" ." ('. " '" I '1 ~ L -~ ( .1: " " ",., :'t :,i- " ;'1, :.J, \},;) ,', {", , " ", i, . " I:' 1 III_ATlOIII E.t.t.. a' _to llYlIlI on a. bolt.. _. II, IHI n If ..V futu.. Int....t lri thO ..t.t. 10 t....'...1d " In po.....lon a. onjovoont to CI... I (ooll.t...ll bInI'lol..I.. a' tho dooIdInt .'t.. tho IOPI..tlon a' ..V ..t.t. fa. life or for ""rl, the CQ I ..Uh hlrebV IKPf.'lIlw r...rvII the right to ."rlIN Iftd ....... trln.f'f' InherltlnOl TIX'" It the l.wful Cl... . (oolt.tlr..) rlt. on InY IUOh futur~ Intere.t, ~Dl' HIlTlCl!. To fulllll tho ....I._t. a' BeaUan 11~0 of tho Inho.U_ ond Elt.t. TIl< A<lt. Aot II a' 1"1. 71 P,I, BeaUan 11~0. PAYII!lIT. Dotoch tho top po.Uan .of till. NoUo. ond _It .ltIl you. p.voont to tho Rltlot.. of Millo p.lntod an tho ....... .Ido, ..1lIIc. _ a. ....v o.do. p.\'IbI. tal aEGllTEIl OF MILLI, AllBIIT All povoont. ....1.... oholl lI..t bo "",1I1d to onv Int....t ""Ich IIV bo duo .Uh ..v ._Indo. "",,1111I to tho till. IU'UGJ CCR)I A rlft.rtd of . teM oredit, which Nil not r.....tect on the TIM R,turn, -.y be r.....ttd by OOIIPl.U", III "AppHoIUon fa. R._ a' P....rtlvonl. InhI.U.... ond Elt.t. Till" (1II'/-lSm, AppIl..Uon.... ...llobl. .t tho 01110. of the ~..t.t.r of Will" InV of thl ZJ RIVIftUI DI.trlot Offlc.., or bv 01111ng thl .,eo... Z4.hour "'...rlne HNlce ~rI for for.. order!ntl In PennIVlllW'llt 1"100"542-2050, out,lde PennIY1VWtI, Ind .Ithln 10011 HI..lobu.. .... (717) 717-1096, TOO' (717) T7I-IIJI 11~.lnt lopol.od onlYI, OIJ!CTlOHlI Anw party In lnt.r..t not "thflld with the ."rll""",t, aUownoe or dlnUownoa of deduction., ar ..HIlMnt of tllC <lnoludlnt dlooount or Int"..U .. _ an tIllo Notlo. ",.t obJ..t .ltIlln .I.tv IUI don a' ._Ipt of tIlII NoUo. bVI --..Ut.. p.ot..t to tho PA _.t...t of R......., laird a' Appooh, IVT, 11I011, HI..lobur., PA 1711'-1011, OR .....llOtlon ta have the ..ttlr dtt.r.IMd It 1lUd1t af thlllOoru\t of the pertonlll rlflr.HntIUv., 0" "_I to tho O.phon.' eo..t. ,. AIIltIH llTllATlII! CORIIICT1OH1I '.Ml .rror. dllOOVlrtd on thlt ..M....nt Ihould be etkfr...td In ..rIU", tal PA u.plrtMnt of R.v......., au.... a' Indl.ldYll TIIC.., ATTN' Po.t A........t R..I.. unit. DEPT. 210601. HI.rlobu... PA 17121'0601 PhonI (7171 717-6101. III pili I a' tho booOl.t "In.t.uotlon. fn. InhI.lt.... TIIC R.tu.n fa. . R..ldont heMlnt" (REV-liOn for In axpll1n1Uon of ..lnhtr.Uveb oarreattlll. .rror.. ' IIIt!llIIT. II any till duo It p.ld ..UMn tIl.oo m 011_' '""tIl. .It.. tho _t'. ....tIl, . II.. po.....t IIXl dl.......t of tho tllC pold It .11_. Int"..t It ......... ....1111111I .ltIl lI..t dov a' doll..-Y, or nino (9l _tIl. ond ono (II liIv f... tho dlt. of IIMtIl, to tho dot. a' PI_t, Till" ""lell _ doll_t bofo.. Jonuory I, 1912 ..... Int....t .t tho ..t. a' .1. (IX) po....t PO' ..... ..Ioul.tld .t . dolh rot. a' .000164. All till.. ""leIl _ dol....""t on ond .It" Janutrv 1, 1"2 will ~r 'lnt.r..t It'l rlt. which ..111 vlrv frOl 0I1tnd1r ~..r ta calender ~elr with thet rlt. .......Id by tho PA Dopo.ttont a' R......, Tho ",llolbl. Int....t ..t.. 'or 19.1 th.ough 1994 ..., 011COUllT . V... tnt.r..t Rat. Dill>> Int.r..t Peatar I!!r tnt.r..t Rlt, Dally Inter..t 'IIOtar - IHI lOX ,000141 1... lOX ,00Dl7~ 1913 IIX ,000411 "'7 n ,000n7 19M IlX ,OIDSII 19"-1991 1U .000101 I'" 1SX ,OIDS" 1"1 n ,0ID1~7 1"1-1994 7X ,000191 ...tnt.r..t 11 olloul.tlel I' ',U.11 IMTIIBIT . IALANCE OF TAX UNPAID X NUKlEI OF DAYI D8LIHQUBKr X DAILY INTER8lT FACTOR ",ny MaU.. I....... .It.. tho tile _. doll_t .111 ..1I..t .. Int....t OIlouhtlan to flft... (III don LIYOnd tho dot. 0' tho ....._t. II p._t It _ .It.. tho Int....t _t.Uon dot. __ an tho IhUIlI, tddlUontl Int.nlt IUlt be a.louleted. 1. R.al Ellall ISch.dul. A) I 1)_ 2. Slack. and 8andl ISch.dul. 8) I 21 3. Claltly H.ld Slack/Partn."hlp Inl.,IIIISch.dul. q I 31 4. Martgagll and NulII R".lvabl. (Sch.dull 01 I .I) 5, C.,h. 8ank D.pallll & MhClllan.aul P",anal P'aperly( 51 . ISch.dul. E) 6, Jolnlly Owned P,ap.rty (Sch.dul. FI 7. Trand", (Sch.dul. G) lSch.dul. LI 8. Talal G,a.. A...II (Ialalllnll \.7) 9. Fun.,al Exp.nltl, Admlnl'l,allv. Ca,I" MI".lIan.aul l 91 Exp.nltl (Sch.dul. H) 10, D.b", Mortgag. Liabllltlll, lI.n. (Sch.dul. II (101 11. T 0101 D.ductlan. (Iolalllnll 9 & 101 12. Nil Valu. of Ellall IlIn. 9 mlnu.lln. 11) 13. Charllabl. and Gavernm.nlal 8.quIIII (Sch.dul. J) 14. N.I Valu. Subj.ct 10 Tax (IIn. 12 mlnu.lln. 13) 15. Amaunl 0' IIn. 14 laxabl. 016% '01' (Includ. valuII from Schedul. K a' Sch.dul. M.) 16. Amounl of IIn. 14 laxabl. 01 15% '01. (Includ. valulI f,am Sch.dul. K 0' Sch.dul. M.) 17. P,lnclpallax duo (Add lax from Iln. 15 and f,om Iln. 16.1 18, C"dlll Spoulal Pov.rty C"dlt Prio, Paymenll +---+ 19, If IIn. 18 II g"al., Ihan IIn. 17, Inl" Ih. dIH.,.nCl on IIn. 19. Thll II Ih. OVERPAYMENT, 110 20. If IIn. 17I'g"al" Ihan IIn. 18, .nt., Ihe dIH."n" on IIn. 20. Thl, II Ih. TAX DUE. I A. Enl" Ih. Inll'"1 an Ih. balan" due on Iln. 20A. I 8, Enll' Ihl 10101 of IIn. 20 and 20A on IIn. 208, Thll Illh. BALANCE DUE: ~ Makl Chlc~ Payabl. tal ..gl,'" of Will.. Ag.nl .. .."IUD TO ANSWU AU QUunONI ON RIVER" SIDE AND TO RlCHICK MATH.... Und.r pinelli" ot perlury, I deelaf' Inoll hove exumin.d Ihi. "Iurn, including accompanying Ith.dule. and Ilat.menll, and 10 th. bill at my knowl.dge and bell,f, it II Iru', correct and compl"I. I declar. that all 'lal.Uol. hat been r.ported allru. ~nark.1 valuft. Declaration of prepare' other Ihan th. personal r'pfI..n\;'liv. h ba..d on alllnformalion 01 which prepare' hat \1ny knowledge. II NA U E' N IE N IlL I ItiNO mUIN AnDlm 127 St. D . DAre /. I ' , .\"'l' . rayer nve / S ",.d ~~'l,cUU'",''L.1 Carlisle, PI' 17013 6( :3 YS II N A ," ._"AN N A IV A 0 10 l',lst lIiqh Street DAlf S ~. Uf-!v-UL l"wl.isle, i'A 17013 a !3/c;s .,.;-- ,c;)<I-':;- ( IWI/.1500 lllt II '.911 ffi ~ g I!! ~~~ O~il ~ ~i 8 g u 2 ( fOI DAnSO.DIA1HAnIl12131191 CHECK HIli . A SPOUIAL POVIln' CIED" II CLAIMID 0 PILI HUMIEI 21 COUN1Y CODE IO~~E;!:;:;~:~~~~;~:;t TDIDO~!I'" Carlisle, PA 17011 16/26/12 I ''''IV QJmber1imd Suppl.m.nlal R.lu,n 0 3. R.malnder R.lurn Ifo, datil of d.ath p,lar io 12.13.82) 05. F.deral Ellall Tax RllUrn R.qul"d _ 8. Tolal Number of Safe D.pa.1t 8axII MARTSON, DEAROORFF, WILLIAMS & arm Ten Fast High Street Car~is1e,?A 1701g>Q J0 c ., !!' ' . /4-/iN- /tl INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BF. FILED IN DUPLICATE WITH REGISTER OF WILLS) " _l' ~ '~J'~ ",,~,',~I\ . :fl'u-.. COMMONWfAllH OP 'fNN~nV"'NI" D!PA"M!NT or IIVENU! om 110601 HAARI5IURO. PA 171'1.0601 fCfD!N"~ HAM! IlAST. fiRST. AND MtDD~f INITIAll MARTIN, Aline Hay IAI urn NUMI!I 579-24-7322 o 1. Original R.lu,n o 4. llmllld E,lal. rA~~~;~~lH [~ 2. o 40. Fuluro Inlt.." Comp,oml.. 110, dOli' of d.al" akor 12.12.821 o 6, D.cld.nl DI.d h.lall 0 7, D".d"I Malnlalnld a living T,ull (AHach copy of Will) IAHach copy of T,ulll AU. coUllPONDlNCl AND CONPlDINTlAL TAX INPORMATlON IHOULD II DIRKTlD TO, AM! M MAlLIN Ivo V. otto III, Esquire [l'"ONE NUM 350.50 ". (: " I' lid , .. t1 ,. ~ :t..~ z o 3 ~ ~ I 6)_ I 7) ( 8) 111) (12) (13) (14) (15) o x ,06. (16) . o x .15. z o g .. :IE o u S DI"ounl Inllfllt (Ill'{ k 111'11' tl VOU fill' 1!'C1'UI.\llflq (I !l,lund (If your OV('IIHlY"H'1l1 (201 l20AI 1208) ) (17) (181 (19) 94 YEAR 60 NUMBER ~ :0 :Den , I~ (np ." GJ 1 l,J .' ~.I. ;.; I ~\ n. , 11 ,") t :~ I: ~~ ~U' WO .... .'0 ..> , , I,:"") \0 351.94 351. 94 351.94 g o o o o o o o o . .. I . I " . , , , PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOC.KS. . 1, Did decedent make 0 transfer and: a. retain the use or income of the properly transferred, ...,.......................,........... b. retain the right to designate who sholl use the property transferred or its Income, ..!!L NO .1 I I x I . x . , , c. retain a reversionary Interest or ........"",..............."................"............,....10' x d, receive the promise for life of either payments, benefits or core? ,....................., 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .....................................,........... 3, Did decedent own on 'In trust for' bonk account at his or her death?..................... x x I x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.' I, ,,' "'; , ,. ,I , , . !IV.1l03U+ {','61 '* COMMONWIAlTH 0' ,jNNIYLVANIA INHI!IIANCe TAll !I1U!N !lSIOINT DeCIDINT I TATI OP SCHEDULE B STOCKS AND BONDS ALINE HAY MARTIN (All pr.perty 1.lntIVoOwn." with RI,ht .f SUrYlv.nhlp mu.t b. ..,.el..... .n Seh,"ul. Po) ITEM NUMBER DESCRIPTION 1. 100 American Depositary Shares of BUrrM Mines Limited. Unable to deterrodne.exiDtence or value at date of death. Ultimately determined to be 90 shares Corpor.ate Services Group PLC ADR NEW. (CUSIP 220036305) '. . " .' , , '" t.,,' .1' , " I' " " ,." " _.. . TOTAL IAI.o .nto, on IIn. 2, RIC. lIul.".n) (/I m.,~ 'p.~. I. ntld.d, inlt" .ddilion./.h..,. 0/ I.m. "10,' ",.\~(,(("tl"',~t.k.:..!..;.." 4 I,'.,~,~j, ...' , " III 21-94-60 VALUE AT DATE OF DEATH 350.50 " I'; , , ' S 350.50 . 41'" 1~111(. lUll ~~ ..' COMMONWIAlth 0' mm'HVAtll4 INtUlIY"HC. 'AlC IIIUU4 ."101"1' Dle'OfNI I . SCHEDULE J L.BENEPlCIARIES ffiAii OP PILI NUMBIR 'ITIM NUMBIR NAMI AND ADDRISS OP BENEPICIARY RILATIONSHIP 21-94-60 AMOUNT OR SHARI OP ESTATE ALlNE HAY MT\RTIN A. TaMabl. B.qutltll l. ITIM NUMBER NAME AND ADDRESS OP BENEPICIARY , AMOUNT OR SHARI OP ESTATI B,' Cha,lIabl. and Guvornm.n,al B.qu..", l. American Cancer Society Pennsylvania Division, Inc. P. O. Box 897 Hershey, PA 1703~-0897 Residue TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAI.o .nll' on lin. 13, Rocopllulatlon) S (If mort Ipac. II n..d.d, In..,t addltlonallh..,. of .am. .1,,) EV"1547 EX AFP (12.94* COt1HOHWEAl HI or PENNSYLVAHIA DEPART"ENT OF REVENUE BUREAU OF IHDIVIDUAL r_XES D€PT. 110601 HARRIS.URO, Pol 1712a-0601 !STAT! OF MARTIN -- -. -'- FILE NO. OAT! OF DEATH 01-06-94 COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREDIT TO VDUR ACCOUNT, SUBNIT THE UPPER PORTION DF THIS FORN WITH YOUR TAK PAVHENT TD THE REGISTER OF WILLS. HAKE CHECK PAVABLE TD "REOISTER OF WILLS, AOENT" RF.MIT PAYMENT TOI /f ./ ~ II 1'1 Iy iI~l.., ACN 101 NOTICE OF INHERITANCE TAK APPRAISEHENT, ALLOWANCE OR DISALLOWANCE DF DEDUCTIONS AND ASSE3SHENT OF TAK IVO V OTTO III ESQ MARTSOtl ETAL 10 E HIGH ST CARLISLE PA 17013 DATE 03-20-95 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Anount Rlnittod 'j CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iI EV: is,,",. EX' AFP" i Ur:94"i -NoYicE"OF -"INH Eii i fANCE" i" Ait 'A"ppilA"i sEHENi'";"ALl"owANci-oli -. - - - -..... - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MARTIN ALINE H FILE NO. 21 94-0060 ACN 101 DATE 03-20-95 If an a....lm.nt was illued pr.vioully, lin.. 14, 15 and/or 16, 17 and 18 will r.fl.ct figur.. that includ. the total of ~ r.turnl al...I.d to dat.. ASSESS~ENT OF TAXI 15, Anaunt of L1nl 14 at Spouul rlto (15) 16. Anount of Llnl 14 to..bla at L1nul/Cla.. A rato (16) 17. Anount of L1nl 14 toxabla at CollotarallCIo.. B rato (17) 18. PrlnolPll Tlx DUI TAK RETU~N WAS, (X) ACCEPTED AS FILED RESERVATION CONCERNINO FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI SUPPLEMENTAL 01 1. Rill E.tlto ISohldula A) 2. Stook. .nd Bond. (Sohadula BI 5, Clo,"ly HIld Stook/Partnlr.hlp Intlrl.t (Sohldull CI 4, Hortg.gl./Nota. R,ollvabla (Sohldull D) 5, Ca.h/B.nk Dapo.lt./NI.o, Plr.on.l Froparty ISohldull E) 6. Jointly Ownad Proplrty (Sohadull ~J 7. Trln.flr. ISohldull 0) 8. Total A..lto APPROVED DEDUCTIONS AND EXEMPTIONSl 9. Funaral Expen.I./Adn. Co.t./NI.o, Expln.l. (Sohadule H) 10. Dabt./Hortgaga Lllbllltla./Llln. ISohldull II 11. Tot.l Daduotlonl 12, NIt Valua of Tax Raturn 15. Ch.rltabll/Oovlrnnantal B.quI.t. (Soh.dul. J) 14. N.t ValUI of E.hh Subjlot to Tax NOTEI TAX CREDITS I PAVHENT DATE RECEIPT NUHBER DISCOUNT I.) INTEREST I - I I CHANOED (1) 121 151 (41 (51_ (6) 171 00 c: ... . :j ~.) \n . . ,00 I.n 350,50 ,00 ~J ,00 --' ',1 1. 44 . 00 ;~~ 10 -,.00 " ""Y'-,-' I,,' .,Y ,'~- (8k:n 351,94 'n :0 . 1.;) l'l (I f ',l (O"" (9) ,00 (10) .00 Cll) 00 112) 351,94 IU) 351.94 (141 ,00 .00 K .00. . 00 K' 06. .00K.15. (18) ,00 ,00 ,00 ,00 AHOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE .00 ,00 ,00 ,00 . If PAID AFT~R DATE INDICATED, SEE REVERSE FO~ CALCUL .nON OF ADDITIONAl. INTE~EST. IF TOTAL DUE IS LESS THAN fl, NO PAVHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREOn" (CR), VDU NAV BE DUE A REFUND, SEE REVERSE SIDE OF THIS FO~H FOR INSTRUCTIONS.) ',', j~; l ,1.'( " I.: , , i\ ,~ " ~" \' , , ',' " , ,'I, , , , ' ,. ". ,;- ',;' , , .( ,. 1 ,;', " 'I i. q L I,' , " /. , I' I ',n '\l ~' n ~; t, , , I' " ' " I ':, RESERVATJON1 E.t.tt. af'deotdtnt. dVlng on or blfar. Dlolabtr Il, 1911 .. If tnv ~utur. Int.r..t In thl .tt,tIS. tr,".f~rr.d In pOII...lan or .nJav..nt to CII'u . (oaU.ter,O btnef1cllrlll of thl dlold.nt .ft" thl ')lplrIUcn of anv ..t.t. fcr 11ft or for Vllr., the COMonWII1th h'.rlby .lCprlllly rtllrYII the right to IIppr.h. and ...... trendtr Jnherltlnol ,,~.. It thl lIwful Ch" I (coUttlrl!) r.t. on .nv .uch futur. Intlrllt, PURPOSE Of' HOTICEI To fulfill thl rlqulr...nt. of Slctlcn 21~O of th4 Inherltlnolllnd Elt.t. TI)I Aot, Aot 22 of 1991. 12 P,'. Soollon 2140, PAVHENTI D.tach th. top portion of thh Notlc. and sub,1t with YO\lr plVIl'lnt to the Reght.r of Nlll1 prlnt.d an thl rlVlrll 1101, --Hlk. 'hook" .oney ordor p...blt tOI REOISTER OF MILLS, AOENT 'All pay.an', r,cllvld .h,ll flrlt b. ,p~ll.d to any Int.r..t which "V bl due with tnv rl.llndtr applltd to thl tllC, REFUND (CR)1 A r.fund of I tl)l crldlt, which WI' not r.qu..tld on thl TI)I Rlturn, ..v be rlqul.tad bv cOlpl.tlng .n "Application for R.fund of Pann.vIYlnl. Inhlrltlne. and E.tlt. TaM" (REV-ISIS). Applloatlon. Ir' .Ylllabll It the OfficI cf the R.ghter ot Willi, anv of thl 2S R.Ylnu. Olltrlot OffiCII, or bv ollllng thl Iplol.1 2~"hour an.wtrlng ..rylc. nUlIblr. for for II ordlrlngl In Pennlyhanh l.lIOO.562-2050, outtJdt PIMIVly.nl. and wlth!n 10cll Herrllburg .rll 017> 187-I09lt, TDOI (117) 712-1252 (H..rlng I.p.lred Onh). ~IJECTIOHSI Any Plrty In Int.rl.t not .atllfled with the .ppraill..nt, allow.ncl or dl.alloH.nel of d.ductlon., or ........nt cf taM (lnclucl1ng dlaoount ~r InterCIIU II 'hown on thit NoUo. .u.t C1bJtct within .h:tv (60) day. of r.c.lpt of thlt Hottcl bYI ..wrltt.n prot..t to thl PA Dlpart'lnt of Rey.nu., BaIrd of App..1t, D.pt. Z11021, H"rllburg, PA 11111.1011, OR ...llotlun to tllVI thl 'Itter dtttlr.ln.d .t audit of thl aocount of thl p.rtanal rtprtllntIUv., OR ....pp..l to thl Orphln.' Court. ADIUH ISTRATlVE CDARECTlDHII Flctull trrOrl dllcov".d on thlt ........nt .hould bl nddr....d In WrJtlhg tal PA DIPart..nt of R.Ylnue, lurllu of IncUyldult TIX", ATTNI POlt A.......nt Rlvllw Unit, O.pt. 280601, tltrrltburg, PA 17111-0601 Phone (711) 111"6105. S'I plgl S of thl bookl.t "In.truotlan. for Inh.rlt.nol TIIC R.turn far a R.sldant Ololdlnt" (REY.II01) fcr an 'Mplln.tlon of ad.lnt,trltlvI1Y corrlotlbl. .rror.. INTEREST I If thY tlM dua II p.ld withIn thr'l (S) oa~lndlr tonth. aftar th. d.uld.nt'. dllth, a flvl Plrclnt (IX) dl,coUnt of the tlX paid I. allowld. Int.r..t It chart.d blglnnlng with flrat day of d.llnqulncy, or nlnl (9) lonth. and OM (1) dlY frol thl dlta of d."'th, to thl dlt.- of plvlant. TaMil which blO..1 dtllnqutnt blfor. JlnUtrV 1, 1982 btlr Inttrllt .t thl rete of alx (6U pero.nt par ,"nul c.lcul,ttc.l It a daUv rat. of ,000164. All tlM.. which bea..e dlUnqutnt on tnet Ift.r Janulry 1, 1911 will bllr Int.rl.t at I rat. which will yarv frol callndlr v..r to o.llndlr Ylar with that r.t. announo.d by thl PA Dlpart.lnt of RIVlnu., Th. appllcabll Int.rl,t rat.. for 1912 through 1995 Irll DISCOUNT' ~ Intlr..t Att. nllh Intarllt.!.!!!!!: :!!!! Intlrllt Rat. DIIlv Intlr..t Flctor \911 ZO~ ,OOOS~I 1917 9X .0002~7 1911 \6~ .000~3I 1911-1991 m ,000501 191~ m .000501 1992 9X ,000U7 1915 III ,000116 I99S-199~ n ,000191 \916 10~ ,OO027~ 1991 9X ,0002~7 -.thtlrllt 11 calculatld .. followlI INTEREST . SALANCE CF TAX UNPAID X NUNSER OF DAVS DELINQUENT X DAILV IMTEREST FACTOR ".Any Notlel I..u.d Iftlr thl tlM blco... d.llnquent will refllot an Int.,lIt c.laul.tlon to flft..n (11) day. b.vond thl dltl of the ......A.nt. If plv..nt It .ttcft Ifbr the tnterllt co.putltlon dlt. .hown on thl Notle., addltlon'l Int.re.t au.t bl cltculltld, ~ /' I: , REGISTER OF WILLS OF CUMBERLAND COUNTY STATUS REPORT UNDER RULE 6.12 (For Resident Decedents Dying Atter Jllly 1, 1992) Name of Decedent: ALlNE HAY MARTIN Date of Death: January 6, 1994 File No.: Social Security No,: 21.94.060 579.24.7322 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 x No b. The separate Orphans' Court No. (if any) for the personal representative 's account is: c. Did the personal representative state an account informally to the parties in interest? Yes x (Supplemental to First and Final) Date: d, Copies of receipts, releases, joindors and approvals offormal or Informal accounts may be filed with the Clerk of the Orphans' Court and may be at"",d "thi. ""''\ ~ ~.s March 20, 1995 Signature ~ Name Ivo V. Otto III Address MARTSON, DEARDORFF, WILLIAMS & O'M'O Ten East High Street ' . Carlisle, PA 17013 (717) 243.8841 Counsel for personal representative I""l r::g: ... N 0 .0. ?C1.. r- '.1 Ii.: i,~: ti; .) ci . , : ~ ".-' ) /I , " .'11 g;; ,., " ,_.;1 ii' " (j .,- 0' ijlCl ~ ,.~ .. 0: ili - a: G RELEASE KNOW ALL MEN BY THESE PRESENTS that AMERICAN CANCER SOCIETY. one of Ihe legatees selected by Paul L. Strickler. Executor. under the Last Will and Testament of ALlNE HAY MARTIN. late of Carlisle Borough, Cumberland County. Pennsylvania. dcceased. docs hereby acknowledge Ihat it has this da~' hod and rcccivcd of nnd from PAUL L. STRICKLER, Executor under the Last Will and Testamcnt of the said ALlNE HA Y MARTIN. the sum of One Thousand Six Hundred Forty-five and 58/100 Dollars ($1.645,58), in 1\111 satisfaction and payment of its Icgacy under thc terms of said Last Will and Testament. AND, THEREFORE, the snid AMERICAN CANCER SOCIETY docs by these presents rcmise. release. quit-claim, and forever discharge the said PAUL L. STRICKLER. Executor aforesaid. his heirs. executors and administrators, of and from the aloresaid legacy. and of and from nil actions, suits. pa~1nenls. accounts. rcckonings, claims and demands whntever. fmm the bcginning of the world to the day of the dote of these presents. AND. THEREFORE. thc said AMERICAN CANCER SOCIETY agrecs 10 relimd to PAUL L. STRICKLER. Executor aforesaid. any portion of the distribution to which it is not properly entitlcd. and to the cxtent of said distribution. to indcmnifY said Executor for clnims made against him as Executor. and to reimburse to said Executor 011 expenses and costs incurrcd in cOlll1ection with nny such claims, AND it hereby consents and agrces that the Orphnns' Court of Cumberland County Illay disehllfge the said PAUL L. STRICKLER upon applicmion, withoutlilrther nOlice to it. IN WITNESS WHEREOF. it has Cilllsed this instntmentto be signed in its name by its proper offieers this 'i day of ' ", ",., . 191)), Altest: AMERICAN CANCER SOCIETY. PENNSYLVANIA DIVISION. INC. ,.;. I.... " :i_. (( :'.(-, I '/ L / //., " , i. , ( . - I"., . COMMONWEALTH OF PENNSYLVANIA COUNTY OF /)1<-' ._' /,...- ) : SS, ) ..f-','( .' ., I:~ On this. the .' . qa~' of " , ,. " ',,( "" ", ,l. '.' '. , 1995, before me. a Notar)' Pub lie, personally appeared who acknowledged that he IS the of American Cancer Society. Pennsylvania Division. Ine,. and he executed the foregoing instnlment for thc purposes therein 1 that os such being llulhorizcd so to do. contained. IN WITNESS WHEREOF, I have hereunto selmy hand and official seal. (. . '" '~-,"r~" 1 , 'I1lUlIAurn':uT....n.tuflUl Nbtal)' Public W'':'':\\ r~1 ....:'\l'IPltM A ^,n\i:l,ll,' ..". . . " pll'l'dll"''''~'l''',l\\n",l''''' """ t:\.,~t;j,~l YwP,~ l.,:.',os &r.. ~Jl 'lJll'oI' MY:~~'~I~~~~_' . lfI'eyMlllll , 1,-'" RELEASE KNOW ALL MEN BY THESE PRESENTS thaI UNITED WAY ENDOWMENT FUND OF CARLISLE. PA. one of the legatees selected by Paul L. Strickler. Executor. under the Last Will and Testament of ALlNE HA Y MARTlN.lufe of Carlisle Borough. Cumberland County. Pennsylvania. deceased. docs hereby acknowledge that it has this day had and received of and from PAUL L. STRICKLER. EXCl:utor under the Last Will and Testament of the said ALlNE HA Y MARTIN. the sum of Twenty-live Thousand Dollars ($25.0()(),OO), in lilll satisfaction and payment of its legacy under the tenns of said Last Will and Testament. AND. THEREFORE, the said UNITEDW A Y ENDOWMENT FUND OF CARLISLE, PA. docs by these presents remise. release. qnit-elaim, and forever discharge the said PAUL l. STRICKLER. Executor aforesaid. his heirs, exccutors lInd adminiSlrnlors. of lInd from the nforesaid legacy. and of and from all actiulls. suils. payments, accounts. reckunings. cllIims und demands whulever. from the begl/lIIing of the world to the day of the dllle of these presents, AND. THEREFORE. the snid UNITED WA Y ENDOWMENT FUND OF CARLISLE. PA.ugrees to relimd to PAUL L. STRICKLER. Execlllor lIforesaid. nny portion of the distribution to which it is not propcrly cntitled, and to the extent of snid distribution, to indemnify said Exccutor for claims made against him as Exccutor, and to rcimburse to said Execlltor all expenses nnd costs incurred in connection with any such claims. AND it hereby consents nnd ngrces thai the Orphnns' Court of Cumberland County may discharge the said PAUL L. STRICKLER upon npplieotion, Without further nolice to it. .JCIN WITNESS WHEREOF, it has caused this instntmentto be sil,.'I1ed in its name by its proper officers this 'i'no.. day of lIeCMY"\..t."-' . 199 . AUest: UNITED WAY ENDOWMENT FUND OF CARLISLE (I{ a /)((;Vl of;<1 tl Lcd: SeniDr Vice President/Trust Officer Farmers Trust Company COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ) ,55, ) On this. the 9th day of December , 1994, before me, n Notary Public. personally appeared Jsne F. Burke. Senior VP & TO who ocknowlcdged that he is the Trustee ofUniled Way Endo\\nlenl Fund of Carlisle. PA, nnd that as such being authorized so to do, he executed the foregoing instnl/nent for lhe purposes therein coutnined. IN WITNESS WHEREOF, I huve herennlo selmy hand nnd omeiol seal. - rllll.H'ATAlnl'I.U,l,nJIOIIUl Notnry Public r-- I ,'" I_~.__" , . .... .... ..~h '''~_...... "'_~. "~I', ,'1"/:,':,.'.,.: RELEAS~ KNOW ALL MEN BY THESE PRESENTS that CUMBERLAND COUNTY HISTORICAL SOCIETY. one of the legatees selected by Paul L. Strkkler. Excculor. under the Last Will nnd Tcstament of ALINE HAY MARTIN, late of Carlisle Borough. Cumberland County. Pennsylvania. deeeased. docs hereby ael:nowledge thai it has this day had and received of and from PAUL L. STRICKLER, Executor under the Lnst Will nnd Testamenl of the said ALINE itA Y MARTIN, the sum of Fitly Thonsand Dollars ($50.000.00). in full satisfaclion and paymcnt of its legacy nndcr the IcmlS of said Last Will and TeSIJmenL AND, THEREFORE. Ihe said CUMBERLAND COUNTY HISTORICAL SOCIETY docs by these presents remise. release. quit.claim. nnd forever discharge tho said PAUL L. STRICKLER. Executor aforesaid. his heirs, execulors and administrntors. of and from Ihe aforesaid legacy, and of and from nil nelions. suits. payments. accounls, reckonlllgs, claims and demands whatever. from the beginning of the world to tho day of the date of Ihese presents, AND. THEREFORE, the said CUMBERLAND COUNTY HISTORICAL SOCIETY agrees 10 refund to PAUL L. STRICKLER, Execulor aforesaid, any ponion of the dislribution to which il is nol properly entitled. and 10 the ex lent of said distribullon, 10 indemnili' said Exeeulor for claims made against him as Executor, and to reimburse to said Executor all expenses and cosls incurred in connection with any sllch claims. AND il hereby consents and agrees Ihat the Orphans' Court of Cumberlnnd County may discharge Ihe said PAUL L. STRICKLER upon apphcallon. withoutlilrther nOllce 10 il. IN WITNIiSS WHEREOF. it has caused this inslOlmenl 10 be signed in ils name by its proper officers this (, dol' of '/)('anJ:u.L .1991/ Allest: C~RLA~D COUWY HISTORICAL SOCIETY . " ...., ! ' //!;.:{': ;' (.~:,(.('. ,>ALa' /71 ~ 71,::n.../' .-------~ --~ ' 'j' I' 11.' ,,-J.-- .!{J\.} L : .:Ju)', .f J COMMONWEALTH OF PENNSYLVANIA ) : SS, COUNTY OF CUMBERLAND ) On this. the I> day of .J, elL'. \"k ( . 199'f: before me, a NOlal)' Public. personally appeared i7,:'",r :... ,-1I,'/V,'f,I.v.\, who ncknowlcdgcd that Jhe is the ,'!":'./d,:,... r of Cnmberlnnd County Historical Society nnd that as such being authorized so to do" he execnted the loregoing instnullent for the purposes therein contained. IN WITNESS WHEREOF, I huve hereunto selmy hand and oflicial senl. tll':;.l ;..M'l. I ',llut'..\T,U1U'UTAT W'Irl1 03.vId H w.1J',',~of.I".',t""l ?~b1lC Cutt~,:e eom, o.,:",.::tl!I;~\ (..; ;,11'{ f..iyCurflm:')!JionE.~IO,.,!l'Il:,'" 'l~ , ..........~ - -/. ../ .. '_ T--. '-- Notal)' Public RELEASE KNOW ALL MEN BY THESE PRESENTS that CUMBERLAND COUNTY COALITION FOR SHELTER. INC. (SAFE HARBOUR). one or tho logotees selected by Paul L. Strickler, Executor. under tho Lost Will and Testament or ALlNE HAY MARTIN. late or Carlisle Borough, Cumberlnnd County. Ponnsyll'ania. deceased. docs hereby acknowledge that it has this day hod and received of nnd from PAUL L. STRICKLER, Executor under the Lost Will and Testament of the said ALlNE HAY MARTIN, the sum of Twenty Thousand Dollars ($20.000.0{j), in lilll sutisroetion and payment or its logacy IOlder tho temlS of said Lost Will and Testament. AND. THEREFORE, the said CUMBERLAND COUNTY COALITION FOR SHELTER. INC. (SAFE HARBOUR). docs by these presents remise. release. quit-claim. and forever discharge the said PAUL L. STRICKLER. Executor aforesaid. his heirs, executors and odministrntors. of and from the aforesaid legacy, and of and from 011 actions, suits. payments. uceounts, reckonings, claims and demands whatever. from the beginnmg of the world to the day of the dote of these presents. AND. THEREFORE, the said CUMBERLAND COUNTY COALITION FOR SHELTER. INC. (SAFE HARBOUR) agrees 10 refund to PAUL L. STRICKLER. Exeoutor aforesaid, any portion of the distribution to which it is not properly entitled, and to the extent of said distribution, to indenmily said Executor for claims mode against him ns Executor, and to leimburse to said Executor ull expenses nnd costs incurred in connection with uny such claims, AND it hereby consents and agrees that the Orphons' Coun or Cumberland COllnty may discharge tho said PAUL L. STRICKLER upon application. without further notice to it, IN WITNESS WHEREOF. it has caused this instnlmentto be signed in its nome by its proper oflicers this :~ day of .' (. ' "'. . 199 I Allest: CUMBERLAND COUNTY COALlT N FOR SHELTEjR. INC. (SAFE HARBOU ~ j I ....AJ--:-.-- " ,nv/,/,(.., \, !' // ,,\<. Jtl.;(j n ~Q'Q'r . ~ . $Q"~''''' I COMMbNWEAL"t'tl 01' PENNSYLVANIA' ) : SS, ) COUNTY OF CUMBERLAND , 199 '/. before me. 0 Notary Public, personally appeared who acknowledged that he is the of C1,mberlond County Coalition ror Sheltor. Inc. (Safe HarbOur). and that os such being outhollZed so to do, he executed the foregoing inslnlment for tho plll'pO~C.s therein contained. On this, Ihe day or .. IN WITNESS WHEREOF, I hove horeunto sel my hand and orneiol sool. r, IQ1.tlIMAllll."U"mWIU1. ._--,>-,i. : (, \ Notnry Public -------.--. I ,J.: '[ L. I ::Mrl')['I. 1"'- ,:. , .. ""'. l\"" ' " ,':, , " "'-"-~"-'-'"-''''' ;Ii",,'..:.'- ,,,-,.., ,............. .,., .,,,,1,.. .;" 'u..,' RELEASE KNOW ALL MEN BY THESE PRESENTS that SCOTT ECKERT CONSERVATION SCHOLARSHIP MEMORIAL FUND, one or the legotees selectcd by Paul L, Strlcklcr. Exccutor. undcr thc Last Will and Tcstamcnt or ALlNE HAY MARTIN, latc of Carlislc Borough. Cumberland County. Pennsylvnlua. deceased, docs hereby ncknowledgc that it has this dllY hlld and received of IInd from PAUL L, STRICKLER. Executor under the Last \ViII and Tcstamcnt or the said ALlNE HA Y MARTIN. the sum or Twenty Thousllnd Dollllrs ($20,000,00). in l\ill slltisfaction and pa~'mcnt of its Icgacy undcr the tenTIS of said Last Will and Tcstament, AND. THEREFORE. the sllld SCOTT ECKERT CONSERVATION SCHOLARSHIP MEMORIAL FUND. docs b~' these prescnts remise, release. qUlt.claim. IInd rorel'cr dischargc thc said PAUL L. STRICKLER. Executor aforesaid, his heirs, e,xccutors and administrntors, or and rrom thc aforcsaid Icgacy. and or and from IIlIlIetions. suits, p"yments, IIcconnts, rcckonings, claims and dcmands whatcl'cr, from the beginning or the world to the dllY or the date or these presents, AND. THEREFORE, the said SCOTT ECKERT CONSERVATION SCHOLARSHIP MEMORIAL FUND O!,'TCCS to rclill1d to PAUL L. STRICKLER. Executor aforesaid. any portion or thc distribution 10 which it is not properly cntitlcd, and to the cxtent or smd distribntion, to indemnil~' said Executor ror claims madc against him as Executor, and to rcimbursc 10 said Execntor all cxpcnscs IInd costs meurrcd in connection with any such claims, AND il hercby conscnts IInd agrccs thlltthc Orphans' CO\ll1 of Cumbcrland County may discharge the said PAUL L. STRICKLER upon appliclltion. withoutl\irthcr noticc to it. IN WITNESS WHEREOF, it has causcd this instmmcntto be signed in ils namc by its proper omcers Ihis 1J'~layol~~E"'eml~~ .I~(ML AIlest: SCOTT ECKERT CONSERV A TION SCHOLARSHIP MEMORIAL FUND ~/ J';. , ~1f:Y1e>S'-.,i....~;~/~~L rJkpa~~ ~ I COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) On this. the ' ,r day or J~'("llf:~l-;;":>. I~~Y. belore me. a Notal)' Public, personally appearcd 'il11 hi"'" (., ,.. I,",,,((t" . who acknowledged thot he is the 7~',r:i'I , 'it)" ofScoll Eckert Conserl'ation Scholarship Mcmorial Fund. and that as such being authorizcd so 10 do. he exccuted the foregoing instmmcnt tor the purposes therein contained, IN WITNESS WHEREOF, I hlll'e h,'rGunto setm~' hand alld omcial scal. l'llU'l",.uurUHniWI'1l ._ ....,f .:'~~... c';' 'j"",: \ N(}t~~-~......._---..--.. . , ." .: i.. ~ ,:, . i. I 1",""" . ........- ,.