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'1',,1':' " " "\:' ,"', , ' ~.', ' 1.1,\ , '~,r:i'l' ( , . <-' I ~'.'. .\ .\' I, ",' " .I" I' , ! ; . J', ~ ' ",' '", "\. "'1. ," . \ l ~ :" ',',1 l~ 11',,'1\" ....1' '" '" '.;1' !'" , " I' ,'I. ..,,' " :~I .,\,,: ,,, . .' /.,', "r" , -,,' ", ,.' .1'..,",'1.,. I!. , ,', \, ',,'!" .1,'/, . .". ':: (: "I I, ,,' ,. ',., ,\'r I'.' 'i :t..i, Ii I !I' "I.. " , '. ',1'.'" " . , ' ~ " :); I"~ " ,', : I'~ , '.1.,,".' " ".: ,\,"1"'.\ \ :;j' ,,' ", \ ~ .1, . , , . ". ,I' " , ,,(; ",',\fl' ,. ...p-- - Ellala of Register of Wills of Ct.unl.xJrland County, Pennsylvania PETITION FOR GRANT OF LElTERS George fl. Caufman ~,~/-14 -1f laIaotlnDwocD( ,Decllued Soc:laJ Security ~'_ 179-09-900~ PtD......~.)._ 1&1111'1 'U'" 0119f OIoldo<.lPI>~r"'J lOr. (COMI'LETE 'II' OR '8' BELOW;) (Jg Au Probala and Grlnt of Len"l Tlltlm.ntary.nd a",r ,.., Pllilionllft) ~ III. ntalt ..QL.named In fit.., Wil of November 15, 1989 '" o-dtnl dlltd l1Il\I:66lIkllIlt~H !lae r.IMrt dta.mI~. .... ~,lJMl1I oI....lCIAof, IIIC. E...pl U 1010..1, OlCldonl dd no1 mlny, "'" not djyorced, Ind dd nol ha", a child born 0' lldoplld WI l.toUtion oltht docuntnll onllld 101 prnbale; "'" nolllll >ietim ola killing and "'" ntVII adjudClltod r,compeltn1; o B. G/lnl of L.ners of Admlnialllllon t1Ib.t\Ll...:~toet\4,"l,/fI/l1'~";d""""ml'lOl'tMl P.titiont~.) allar I prnptl 1..,<1\ huh,"", 1I000000ntd thol Decedonlllh ,.., Will tIld ","..",,;\'Od by 1ht following spoult r~ 111)') and hel...: Name Relationlhip Residenoa (COMPlETli IN AU CASES.) AUdlldcl'CNIu-u d ~..aiY. o-dtnl WII domlcHed at dtllll In Cumber la nd County, Ponnl'flvtnil. wi'" hlthl..1&t1 fatnll)I orprineipllrtsidlnolll 301 W. Pine st., Mt Hollv Sprinqs Borouqh, PA 17065 ("I ...... """'/>Of I/ld """opaJ"Yl o-dtnl, thtn _~ Y"atl of aga, did DGcember 31 . Ig~ II, Fores t Park Healbh IInrer (\..oca1JoIl) ;If E II Bor. Oecedenl II doa'" owntd prnporty wilt. astimated valu.. II lollowt: (II domla1ed In PAl AI pDftOnaJ property . 50 . 000 . 00 (II nOI domiciled In PA) Pe"oMI P~ny In Pennsylvania . In not domiciled In PA) P...onaJ property In County . Vllue olr",' ..talllln Ponn.ytv..,ia . 50.000.00 lltiJ1l1tdulolOWl: 301 W. Pine st., Mt.~~_~l_L.s-PJ:'J:!l_~!3orough L Wh.rtlort, PebbOnt~~ ,e.pecltun, requ..~s) lIle prnballl 01 It,. \all W,lIlil\1~~ presonled wlttllllls PltrtIon and thl gran! of 1In.1l1n /h. approprialll Iorm to ltl. undenigntd: 5, n Iu T ypod 01 pnnlod name and """'onoo ._" .-\~ _ -~~-iL~~~__~nn ~~~i~_~~-.~C.-'-Lin~ba-Ugh--- ___________.________.._ _ '_. ..lJ.}_5__~.~w i sbe r l:'~ad F""URW,' Ptgtlol2 York, PA 17404 P'tpl/R by .... PIM.,"'enilllII A"o,,"1on 1101 Oath of Personal Representative Commonwealth 01 Pennsylvania County 01 Cumberland The Pelhloner(1l! above.named swear(s) or affirm(s) thai the statements In the foregoing PetItIon aretNe and OOrTeelto the best of the knowledge and beflef 01 Pctitlonel{s) and that as personal reprllsentallve(s) 01 the Decedent, Petitioner($) will well and truly admltli51er the e51ale a rding to law, Swom to or affirmed and subscribed) (I t J- ( t J(~ ne , belore me this 25 day of January 'D 94 . / 0 (1 ' IIf.. ("'1/. ILj.. , , j, . '.1 bdl. .Ill.. .Uv rr,"F}f . For the Register --J!.-d ~ Y C. LEWIS - No. 21 - 94 - 98 Estote 01 George A. Caufman Deceased SocIal Security No: 179-09-9009 Date or Death: December 31, 1993 AND NOW, ___FEBRUARY 4. ,19 94 , In consideration 01 the Pelnlon on the reverse side hereon, satlsfaClory prool having been presenled belore me, lT IS DECREED that Let1ersO Testamentary Cl Of Administration --.:ii\.4L1.;~ 1\1; duI&/l\jl abMrt.I&; .11....... "*'*'* Wanda C. Linebaugh are hereby granted to In the above e51ate and that the Instrument(s) daled November 15, 1989 described In the Petlllon be admlt1ed to probate and filod 01 record as the last Will 01 Decedent. FEES , teners ..................... $ ?OO .00 3 $ 9.00 Short Certlficale(s) "" Renunciation """""" . AnornlY: AIIldavlts ( ).............. $ LD, No: Extra Pagos ( )......... . 6.00 Addr...: 119 East Market street Codicil...................... $ York, PA 17401 JCP Fee ................", . 5.00 Telephon.: (717 ) 843-8~{~ ':{~ _ :1') 11,-, Inventory .............,.... $ , ~l : " Other ....................... $ Id . no, 00 ,J, TOTAL ..........", $ ./ ., ~p : V' . F<<m 'AW-l P., oil .1'. '.' "'tpO/ocl III ". PIMIytvon\IIIIt Aloodllllln ,., .t." lil\ Thi.~ h III n'nil)' '11,11 till' illIIJI'III.Il1111l h('II' l',t\'t'll b lllll('\ dy 1'111"1',1 Ilorlllllllril~IlLd\I'IIi1il,l!l' III dr,llh tllI'l}' tiled widl Illl' ,IS LUCid HI.'ui'lIr.lr. lhl' oligtll,d ll'rlilit ,III' willI1/' fpI w,Hlkd III the Sldlt' Vit,d HI'! III d'. t Ifllll' Ii If pnlll,lll':1l1 Idlll,l: WARNING: It Is 1II0go1 10 dupllcAlo this copy by photoqlnl or phologrnph~ Ft,(! flit' 1I1i... tt,l'tl(k,III.', Sl.110 , ) ,), ., \ \0 :.;~.. .b-t'~' \ ~.J>rJ~ii 1.01,11 1l(!~i~lIl1r , \::A.\l . ", .__~L.l.':":\\. . 2132531 No. ) \'-\1.. ..J \ .' ..\...1 \).11(' III)1UlflftM1 OOMMONWtiALTN OF PENN&nVANIA . OEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH It>~, "~II'dO/\N'lU 'OC>AlUC\If\I"'-IJ\'un ~nn 'NO PllctOllWll".C''''''~'':'f' """""("~":-"""I.'" .iOtJlil~---~-'--'----- 1I'(I1....I[} IltwO'i'..IID ." I. lit 79 09 Vecembe~ 31,1993 ., . 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" ''1, " ,j; I ',I , ,,' ',11 '-I, I,' " ,. , 1',,"1 I', \' ,. , I' .;1 I' "\' ,l' 'i,\ , :1 I " " 1\" . 11.,td" .,' !I. .,'1,. " "-I' " " ,.. " i' " , ': I,' " .1 " "Ii ,,' " " " \ .11, " , , , I: U\ U\ N 'i ~H " llll ~ ~ ~ mIEB~ ~ ~ g ~ a Z i( Z Z 9" N iii . <t Go f2 II - lr I ~. 'I', ,. ,. ,. ,. 1/',' ":\, ,1'1.1." ", '" ,. p. d " I, " '" , " ",I ", "" d " .. 'L, ':' ",' ,ii',,; ,\ \. , " , ,,' " q' \' "I',"~ " .' 'i,. " " " "II" ,. ,. ,. ,. 1.1, "11' ') " 'f f,! .'11 .' , " " " " I. ,,' I. ",' ' , ,-'I. "" " '1'" I.', ,. " ""t " " ','" ',I. , " 1 ,.,r " ' " , " "-",' " " ': ,1,' " . ' Testament in the presenoe of us who have hereunto subsoribed our namell at the Testator's request as witnesses. thereto, in the , , presence of the said Testator and of eaoh other, \ <\ \ .\ . ,\, I' I , '-.\ ('~)" (rS~ " , \'\ ".'-' \ " \;,\ \, i I .' /1"'; 'I / " ,1, 'i'-(':I . \ I .,., ,/ ,." " " ,. ,. 'I ", " , ,.'; Ii ,. " ,. , ' " ", I. " ., "'\ ,. ;\1\ , LAW o"ICO MANlfOlO, UNtBAUGtI , 8ANKtNS1tlN yQ"I<, PINHUL.VANIA , , "" " ,. -'3- " 21 - 94 . 90 REGISTER 01<' WILLS m' CUMBERLAND COUNT\' OATH OF SUBSCRIBING WITNESS Lx.)'(l':i\ly 0\'\'J~ -+ f/c.L~ IV .){;~)C_ I Kl(~KN (each) a subscribing wltncss 10 thc will presented hcrcwllh, (cach) beln8 duly qualified according to law, depose(s) and say(s) thai ____. THL'LWERE_______ presenl and saw _GEORGE A r.AUf~N---- the testal OR ., sign the slime IInd thllt ._.--II:lE Y ___ signed liS a witness at the request of testatJllL_ In h.Ji_ prcsencc and (In the presence of ellch other) (lo(~m~XJH~x illfit~ ~"~mt9<wlllll"'lCC>>. Sworn to or affirmed and subscribed bcfore ~l' {~} ,,('1 \:\~~h.u~ me this ?5TH day of ~Name). JANUAR~ ' IJI9~~+ f1t~\\' \kjj,. I' ~\fl'\\'(\}, \~I' t. .' 117L.lt2I'r(j J / yl 1 A~~~!ress) Rcglsler Lvci", ~_ (Name) J1pf j.J,C~((A;;;e~"" (,\~ no~ ~- 170(. :,'- REGISTER OF WILLS m' COUNT\' OATH OF NON.SUBSCRIBING WITNESS ~ ,. t (each) a subscriber ~~ (each) beln8 duly qualified according 10 law, depose(s) and say(s) that ~famlllar wllh the slgnalure of , codicil _.-------. . testat__ of (one of the subscr blQt witnesses to) the _)'IlII--"rrc~ented herewith and ""- _------. codicil that bellC\ tl\C.sl~iii\ture on the will Is in the handwriting of 10 the besl of k.!lowledge nnd belief. Sworn to or afflrn\cd-irid subscribed before me this dny of 19_ ( Addrcss) " Rcglsler (Name) (Adelress) \, " '" ,. " 'i,\- _' O':,~ ;\l} ~-:i.5 " Il.:n I.J ,', L _: Q fI"' allll a: 0::,' \ , ., ". ,i ",. " \ i ,I ;'j, I" , ~ , "I " ,1/. t_, '" ,..\ " ". <. \\, " \;, !-, " ,. " 1'4,1 (," " II p ,jll:' ", .~ \'I ''<1' ,fl. ", ,. " , ,,' ~.st: t~]O.', \'J (.1 " ,. I' '" 1",,1 ,. 11' , q ,t. ,'i " , ". " , ,',-'_1 " \: ,. !, I' 1.1 \li " (? '" ,~ ,. ',' ',. " " \' !q ,I} .. . ;:~ \':{i ~~.., ,. .... !!1j " '1' .11 'i,. , 'I" ,. ,. c. 'P\ " , , \, " Ii " ,I., " " " \. ,'; ,. " " " , , , " . , ,-I I'ot :-" "_,' ;.,' " '.' ,1/; , " ,. "j. " "'l ,. " , "'" , " ! '-, , I' ,. ,I' " , I", 1.'(", ". i-j " ,fl it " " 'I ,I'" \"J" k i., ;," Ii '. " ,., ,." 'I' !' Ii' '.'I'j... " I" ,. " 'I, " ,. , , ~ " ,}' ,1' ":Ii ,. \" ';',( " " </, Ii " ;; iI" I., ';, _Ii 'i lJ , , ,H' .' " ;1.' n j,t' I\L i\\ I, 'I " ii, ,. '!,] <t., ,.. ,It; ", " " , 'j j'" '" " I" I"', " i'i "~I, \, j' " ,. " I'" I", ,\- \1,' " 11 ,. " iI" 'i , " I", I.' ';, If .\, ,. ,. " ., '" " " ,. t& CERTIFICATION OF NOTICE. UNDER RULE 5.6 (a) IN REI ESTATE OF GEORGE A. CAUFMAN NO. 1994-00098 Date of Deathl Deoember 31, 1994 To the Registerl I oertify that notioe of benefioial interest required by Rule 5.6(a) of the orphans' Court Rules was served on or mailed to the following benefioiaries of the above oaptioned estate on February 24, 1994. Name Address Wanda C. Linebaugh 3775 Lewisberry Road York, PA 17404 318 West Allen Street Meohaniosburg'rf~ 17055 5 ii'" "0 301 A.N. Market Street Mechanicsburg, PA 1r.R55 to :1J :0 (l) ,,', '.J Vaughn D. Krout Mayberry Barbara Ann Krout Rider Terry Eugene Caufman P.O. Box 14328 r,J Buoh. TRL E Lot 27 1.\.1 Blue Ridge Summit, PA: 17214 -rl. ,'n (0 (,' P.O. Box 701 )" ... "" r,..' Blue Ridge Summit, PA 17214 Jerry Raymond Caufman Gerald M. Caufman P.O. Box 145 Blue Ridge Smmit, PA 17214 Arthur E. Caufman 1816 Tucker Boulevard Arlington, TX 76010 Notice has now been given to all persons Rule 5.6(a) exoept none. thereto under Date: February 24, 1994 ephen P. L gh, Esqu re 119 East Market Street York, PA 17401 (717) 843-8968 Counsel for personal representative )11 Rlnloo (X. 111"11 'OR OATIS 0' DIAIH AnU 12/31/91 CHICK HI" ..\,01;r.~ INH:~I~E~~E DTEi:~DRE~~RN ~~iU!tif~~II-'.~CV~t~~J;L--_....- COMMO"W[MlIIOI rftwmv^",. (TO BE FILED IN DUPLICATE 21 94 0098 OfMRIMENf 01 Rf.VnlUf . -1IARRllml'c\. ~~Ori:280601 .._ ._. ~I!.~.. REGISTER OF WILLS) COUNTY CODE YEAR NUMBER ==- - IHCiiiml'rnrnfjl7i\T.'III'lr.Al'IDMIDDIIINIIIAI['- . ....tfttfi!nFlfc,4.rFmrnmi~ 15 ClIUFMlIN, George A. 301 West Pine street ~ !5C;:~;~~~;~;~~i~R~_._'._-_-~_-~~~.r:~~:~I;;~j~J. 11'~I/; ;~~~ COO":u;~m;~~.~I;~):~_n~:~._p~:065 ,_._.._ l!! IXl1. Original Rolu,n i J 2. Supplomonlol Rolu,n II 3, Romolndor Ro'u,n X ~~ 1'0' dolo. of doolh prlo, 10 12.\3,82) u_o [J 4, lImltod E.lolo J 40. Fulu,olnloro.' Comp,oml.o ["15, Eodo,ol Ellolo To. a!i19 (fo, do'o. of doolh olto, 11.12.821 Rolo,n noquhod g;'" IXI 6. Oocodonl Olod To.lolu L'I 7, Oocodon' Moln'olnod 0 living T,u.' .L 8, Tolol Numbo, of Solo 0.pO.1t80KO' <( (Anoch copy of Willi (Alloeh copy a' TruIII ...... 'ALl CORRESPONDENCE AND CONPIDENTIAI. TAifiNPOriMATIONSHOiiLo.iiiDiiiECy-iDTOI. I.. N.u.ir---------------.-.-]C6MFill[M.\iirNii..\IiliR!~ ~ ili Stephen P. I,lnebc'lugh 119 East Market street ~ ~ HlfFIIOfIU'UMm-nnn.---n. ...... _no .. .-. York, PA 17401 uo ... - {~?_1..?"J_. i!,~}.::.~.9J2-~_=~=o~-"o_u.o..- ~. ... __ -c ~=~.=_ .._. I. Rool Ello'o (Sehodulo AI I I) 50,000. QO 2, Sloek. and 80nd. (Schodul. B) 12) .... .n......... 3, Clo.oly Hold S'oek/Por'no"hlp Inlo,o"ISchodulo C) I 31 . ....... ...._.. 4, Mo,'gogo. and Nolol Roeolvoblo ISehodulo 01 I 41 . ......u_......_. 5, COIh, 80nk Oopollt. & Mllcollon.ou. POIIonol P,opo,lyl 51. .. 60,438,18----.-- (Schodulo EI 6, Joln"y Ownod P,operly (Sehodulo F) 7, T ,0nl'OII (Sehodulo G) ISch.dulo LJ B. Tolol G,o" A"ol. (Io'olllno. 1.71 Q, Funorol EKponlOl, Adminl.liollvo Co.I., Mhcollonoou. I QI .._...__1~~~.4~.~.~3..___ EKponlo' ISchodulo H) 10, Oobl., Mo,'gogo lIobilltlo., lIonllSchodul. II 11. Tolol Ooduc'lon. I'ololllno. Q & 101 12, Nol Voluo of E.,o'o IlIno 8 mlnul IIno 111 13, Chorlloblo and Gov.rnmonl.1 80quoIII (Schodule J) ......_. ~ NO'_~.!'j.~~loc~~~_T_".><jI~~.!?_~I~!.ll.n.o.~!_ 15, Amoun' of IIno 14 10Koblo ., 6% '010 Ilncludo voluo. ',om Schodul. K 0' Schodule M.) 16, Amounl of IIno 1~ 10Koblo 01 15% '010 I'ncludo volunl f,om Schodulo K 0' Schodulo M,I 17, Prlnclpnl'o. duolAdd 'OK from IIno 15 and from lino 16,1 18, C,edll. Spou.ol Povo,'y Crodlt Prior Poymonll . _. . _. ....... t .. " ,- z o 3 E ~ '" z o 1= g ~ o u g ) C"/ t) (. J' I 61_......_... _...______. I 71....._...._.__ I 81 110,438.10 1101 ._._.JLI~.o~.~6._____._ 1111 ___12,,005.,88____. 1121 ,_~8,.432.2L-__ 1131 -..-...--..---.--- ___....._._...._.... ._.._1!.~1 .-=-J.8,;U2..2L _. liS) H_~.8,,432.22.....___...._~ ,06" u.--5.,.905..\l.l...___._. 1i61. ....x .15" ._..._ 117) ...... Dhcounl Inlorosl t. 1181 . _'_'___.uu.._... _____._ 11 QI .....nu____ ___. (201 5,905.93 +.---...... -----.-----+----- (20A) .__._. (20B) ....... 5,905.93 '_.n___ IQ. IIl1no 18 I. g'oo'o, IhOllllno 17, enlo, 11.0 dlffo,oneo on IIno IQ. Thl. lI,ho OVERPAYMENT, mLI 20. IIl1n. 17 I. groo'o, Ihon lino 18, onlor ,ho dllfo,onco on IIno 20. Thll IIlh. TAX DUE. A, Enlo, 'h. In'o,oll on Iho balonco duo on lino 20A. B, En'o, ,ho '0101 of IIno 20 and 20A on lino 20B, Thl. I. ,h. BALANCE DUE, .......~~.~.5.h...k Pava~l. tOI.R.~~'.!!.o~ WII!I, A9'"I_._..__..._._..___.___. --..--.-.---.-. -.; 81 SURI TO ANSWER All QUESTIONS ON'RiiVlRSESIDIANi'TORECillCi< MATH". U~;;~r- i;'en'oili"n'ol-p;'~~';y-:i d;~i~t;lholl hn;e examined lhh relurn, Including Clccompnnylng lC"fl'dul;;--a~d lIot;;n;;,i., nnd 10 the ~utll 01 my ~nowlldg' nnd belief, II h two, comlCl nnd cOmplfllft, I dltdnre Ihol 011 retll,utolll has bllen fllporllld al Irue mOl~al yalufI, OedaroHon of prflporer other than thll pllrtonol rtlprllfJnlallvl h baled on allln'ormntlon 0' which prflparflr ho. any knowledgll. ( !ldN,\jUI!o; "~i!Oii m~5ii!lilf Ilil mifiii NfiUiW----.\jjjjim -. .. ..... . 3775- j~wi~l~r~yR~l. m. m .. "'- o~/:;.../;;:m.__- l\illY.~' !Ill ~ r~~ I b'ri~i[l"I.\N~mmiil~~~;dtl c. l;I~~~~:.uughn- York, PfI 1740.4 om-'.....---- -<:.:: ~ c:.t)~ 119 F:. Market St., York, I'A 17401 _?E~ /~~___ Sl. .phon P. [,j neb.lugh Chock hero I you cire rNIUV\tiI1U n refund of your overfluyment. II 1 I , I PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK ( v') IN THE APPROPRIATE BLOCKS. . 1. Did decedent make a transfer and: a. retain the use or Income of the property transferred, ....................................... b, retain the right to designate who shall use the property transferred or its Income, , CI retain a reversionary interest or ....1..1.."......."1""01......."......11....................... 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 without receiving adequate conslderatlon~ If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate conslderation~ ..........................."..... ............... 3, Old decedent own an 'in trust for' bank account at his or her death?..................... x x x x x 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. -;. \ , , ,.-. , Fd ,., ',~ [I , l ,~ ..: ;,1 uC) . . " I.. I"" " ^. Slittlome11t statement U.I. IIfrlll"Ult nl "nlllln, and VI",n D,nloS-Int 01(1110, '1O,.DlU I,t,reofl.o,n I. I J'U J. I l,.ltA 1. I I Con" unl"I~Pii;M~~.r l;:-~III "ulobe. -[i~~t,.,;I;;;c;;;-i~ 4. I In" I I COn', I"" V..1101l1l.IU, J c. lIot..thl, 10'" 11 hl~i.h.d to ,lu JOIl . ,\;t...n,-;;;-~-;tu'l.-;;ttl;;ln~<<;:-~'~" b, thl -;;w;;;-;;t',lnt UI Ihoom. n... .nhd 'I'oc,' "II' pdd o\lhldl thl 01011..." 'hir In .IIlIV" hu. lor Inlllf"Uollll t'upau. ud UI rIOt Inollld.d In 'hi tat_h. J,O 'I-U IS/VAlJ<lIJt,lutl ~;;;d.Addu.. 01 'OUlI'll'" '0 1f.....1!<t t.ddu.. 01 ..Un ;:-"U11 and AM.... 01 t..ndu Ihlrlt, II, VIIl,hn .. CD\lnhr olub IOld cui hi., ... non ".IId, c. Lllltblll,h '..ouhh "t,h 01 o.or,.... Cllll.'n o.-;;or-rt, Loci! hUI 201 tl. ,lnt .tru' lit. loUr .,rln,., fA non I. hUh..nt A,'n' 1'0I1tol, Oltro, ,"~.ton"C' 'ht'lollttth.."' . "nlth "110'1'11 U..., hrlhlll ... nolt I. .",,,..tIIt DIl. "1111. It. ltU ", I~-"r 0' lonovu" lnn..oUoII In. Of 0.. MOIlnt OIl, ,,,* 10UO'lIn 101. contnot Ill.. 'flu In. hnonll 'foFutr IOJ. I.Hh_tIIt ohll'" ~o bou~n lOt, 101. I, 1__11' 01 l'Uu" lun..dlnll no. Oro.. bOllnt 011. 10 I,Un --,0;000':00 toi, COII'not h'.. ,du -- ~!7';uonll 'fOp.,t, tUn. uooj- ---.-;Ii4:"i'O cu. cot, tol. ..,toO... MI~;t;;;t;h;1il.' plld br ..Un III .d....nc. iOi:eitj'iierwn tilt;; ..-;. 4Of. COlIn', t.... O'~JJ." to 01-01-" "i~h~rT"" U.Jj:.. to OJ.OI-" COI, 410. tll. IU. MJIlI'.",t.lof 101. CU,IlowII tun lor. COIlnt, 'un iOI, lohool run 101, 110, Ill. IU. It,.. Fdd br uUn 11\ .dYI~~.!.._.__ to U~JI." to OI.OI.U 40,U Ot.J;." "0 OJ.O,-,t 1,!! -- ---- 4O,lI -- 1.If 110, cho.. Mount Due 'fee lauown 11,1".11 tU, IhoublNn' 0111 10 hll.. ",ou." 100. ""O\IIIt. raid I, Of In ',hll' 01 ICluown 101. D.poll' or IIIIIU' _Olllr ;;r.-;;tnolpA~' 01 nlll 100nl" !OJ. 1...\1n, lo'nl" '.kln ."bjlo'"""'i; JOC, In. 104. 101, JOI. 101. ~;;;t..nt.h, uo. Cltr/'own ,.... JII, co~n" 'u.. JU. lo~oollu.. JU, JIt, JU. JII, JU. UI, Ill. SlIO. ",dllo\lon. lit MOllnt OIl, Idlu '.000.00 UI. '~n'u d.po,1t I'" 1Il.'uoalou! 101, ..\ti~.'lIt ohll,n '0 ..Un I1ln. 14001 iOi;....-aII,i~i;;;;. hklll 'llbJ.o' '0 ,ot. '.,oir~ifi..t ~It,.,. lun ~! I. ,;;;;r;;-;;;;,;;r;~ I' ,;;;1;," 10.. tOl, 10'. ",. ','01.00 IU.OI It.., ollFdd br uUn to to to MJ\I,t.,"" fOf 110. Clt,iiown 'u.. '",CO\l~~~~. ,,,.lchlfOl11...I" 'u. ,tt. ,U, ,u. '11, '11. lit, It,., \IMFtld b, ..U.. '0 to to uo, 10\1' ,.14 "I'lIf lanow.. ',000,00 "0, 111'" R.dllatlon bOllnt DII. hUll' ,,'11.... 100. Cuh At ....U.."" r.~/lo '01101111 JOI. tI,o" "0\1"' due htlll bollCNn ll~~ .ii;i~' iOi:L... YeNII" ,lid b 1101 bonwtl,III1' iioj i-,;o;wi '00. cuh At ",U","' 10"'~ "Uu iiil. 0'011 UOUllt dill to "U.. IUIII UO, iOi:LU;-;~1;;;1i1l ut. dll., IIUlIlIlII. '''I ---!.!!!!!.:.!!... ',"I.UI 101,enh Il"ltIII II"~ hUn ul.tl... 1110 11Inwtf U,IU,It IIU. C.." 11110 ,~. lnd."I,".d "n.br .d.IICNltd,. IIctl", of . C_FI.hd Of1'J 0' p.,n III III t~h .\1''''11' . .nr .'\10....11'. IIhnH ,. h...hI "II..I.,~ [Y,~uA-~ ~'C,l.lIl'b'\I'~ V 1.lfn/loIIW.f ,.Ih, 1lt1D.1 (1-111 UIPA.., 4101.1 I,UIt"'n' Ita'.."'" h,., 1>, ..ute_u' Chu,.. 100:-i;W;~i-;;ihili;;e_;r.;i;;;'b;;;~i"-.---i..ooOD'; DI.l.loftlll c_I"ln~J.~""001 ....!~.!..!.--____. 101,' t~ 101,' to ;oj:t;;ihlon p.l~ti;;.n\ 101. .00. n... ..,.bi. 1ft l:onnllllt1o" IfHh to.n iOr;t;;;;O;i,~;;--__~- .ii"-k~i'IlD1l'" ,t; iDI. AJ'Prll..I r.. to !!I. C"di~ ~"olt \0 !!" L."dtl" 1",p.cHon ,.. to Ut, Hor\,.,. I"'. Atp. ,.. \0 ID'. AUII.,tlo" ,.. to 101, 10'. 110. Ill. tIIO, JOI. tOJ, J01, '04, JOS, ----;;td- 'r~ .dll'l_ ..Un" f"nd..t ..tU..IIl' Inn ow... ru~. It h"I,.,nt n... ".qlllnd I, IAndn '10 I. "ld In Ai'h.no. Int"'" hOll to iT--'d'., HOlt"I]' Innllno. ....1\1. Ior-;;';~h. \0 ...ud In'IIII"OI ...a1u.a 'or I ,UII to to ,.. d.,. 1000. ""un. Iltpodttd .!tll Ludu 1001. ....,d In'lIlIno. Konth. t t _!~~~___ 1001, "Olt",. 1"'llllnG' "onth. t t pu .~nth ioOi:cl"/tov;-t;;'-;----~~nth.it- F.r Ilonth ioo.;-~-,;;.. -~;;th",---;;;-;onth ioos. 'IIMo. tu.. ~;;th;""i ---p.;-;;';tt.- iool. "onth. t . P;;-;~Ilth iiiol, --~~~~~._!}=--=-p;;-Ilon~h. 1001. Kuntht t t I'u .on'h !!~!lthChU", !!!l. .,ttl""nt or.~~~?~~~O 1101. Ab.traot or tltll IIlIoh to iiOJ:!lU;-;;;;T~.~ti;n to iiOi:tiih In.llrlnOI bi;d;"r to - -- HOS, Ooc\,l.,nt '''PIl.Uon to ~Iot. Moilrl .." to 110J. Utoln.," h.. to thollldll abo" It.., nW'''1 lIot, tltl. In,,,uno. I i~dlldll abl''' It... "Wltll L.nd.r',c"'I'Ir,q. Ow""" tonu,. C..h '1011'0', Olho,. .0....ton,'O I,n toO.OO to Uot, U10. UII. 1111, uu. 1100. Oo'tll,.,nt It,coldl,,! end tun,ftr Chllq" Uol. ".coldlllq "u! ~..d t U,OO ,Holtq,q' UOI. CIt,/Clollllt, tu/.,u," Dlld'. SOO.OO IHortqlq. ~JO~.~i"UP'1 1l,;dT--sG'O.oo ,HOlt\lI" lIot. nos. IJOO. MdltlDntl 'Itth.,nt Chu,.. 1101. III"', to i'iO"i:'P;.t Il\Ip.otlan to il01. iiG4. li~i. '''d..... . 11.00 '00,00 Itoo, to\al ..\tl...nt chu,.. linter on 11,," 10J, hoHlln J .nd snl, hCltlon Itl 1,11t,U " .hlll", 1"" I or 'hie '''''''nt, th .I,n,torl.. lnknowhdq. ne.lrt 01 . Cl~rh"l1ocor, 01 1"'\0 I 01 thlt I pa,. .Ut..."t. IS/V~VO"H,.a'l nl' II CllIilTlrllP TO "" A tllUI AIlD COUIC1 eon. IrouJo" all", , lou.to", '0 100.00 too.oo rNI: 1I~"k, N,^, I',' I;' C :,11 "~ll' l'i~I' 1:""'I'"ill,I',Illllll PNClBANK February 8, 1994 Kain, Brown, & Roberts Stephen P Li nebaugh 119 East Market St York Pa 17401-1278 HE: George A Caufman DaLe of Death: December 31, 1993 Dear Mr, Linebaugh: As per your request for information 011 accounts the above referenced decedent held wfth us, the information is as follows: Checking Account No. 51401B1758 opened 4-1-63 in Lhe names of George A Caufman and Florence II Caufman. Balance at date of death: $2,580,41. Accrued Interest: $4,01. Accoun t closed 2-4-94. Savings Account No. 5130330377 opened 1-1-83 in the names of Florence II Caufman and George A Caufman. Balance at the date of death: $31,304.29, Accrued Interest: $61,40. Account closed 2-4-94, Certificate of Deposit No, 1713160013514 opened 9-12-83 in the names of George A Caufman and Florence It Caufman, Balance at the date of death: $12,913.15. Accrued Interest: $6.36. Certificate closed 2-4-94. Certificate of Deposit No, 1713270104581 opened 10-14-88 in the name of George A Caufman. Balance at the date of death: $2,070.00. Accrued Interest: $962.93. Certificate closed 2-4-94, 111-, Cauflllan had a Safe DeposiL Box 6286 in his name at our Mt Holly Springs Branch. If I can be of any further assistance, please do not hesitate to contact me at (717) 730-2313. Sincerely, . "" I 'J' ,L. >/;/ /' '_ ....;J.,.. ~-..~ "..,~ ~rj..., /' -..' ~ /' ( Drew J, Kishbaugh Assistant Vice President Oank Operations DJK/ds RlV-"III.'I1-UI L SCHEDULE H ~ FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPE~SES Pllall P,lnl 0' TYPI lfl.lUMIIIR 21-94-0096 ~J~;~ COMMONW!AIIII o. mUlIVlVANIA INII!AIWlC! ,^K ""UAN R!SIO!_NI O~C!O!tH !STAlE'OF CAUFWIN, George 11. ITEM NUMBER -.--- .------------. A. Funl/al EMplnltll DESCRIPTION AMOUNT I. FUneral: Gibson Hollinger F\meral lIome, Inc. 6,033.10 25.00 140.52 2. Flowers: Wal!f1e Noss Flowers 3. FUneral reception: Polly 'l'hanpson B. Admlnlstratlvl Cosl" 1. POrlonol Roprolonlollvo Commlnlonl ~ Soclol Socurlty Numbor 01 Porlonal Roprolonlallvo, Voar Commlnlonl paid 2. AlIornoy foel 3, family F.xempllon Clolmant Relallonlhlp Addroll 01 Clalmanl 01 decodont's doalh ., Slrool Addron I I Cl1y _51010 Zip Codo I I 4, Probate fees : Letters Testamentary, short certificates, JCP fee, I Inventory, Debts & Deductions 260.00 I C. Mllclllaneous hpenll" I I 1. Realy transfer tax 500.00 I ! 2, Advertising Estate: '!'he Sentinel 65.48 3, lIdvertising Estate: Cumberland Law Journal 40.00 4, Lawn care: Scott Shirely 50.00 5. Portable toilet rental: Port-O-Let 82.68 200.00 225.00 6. lIuction: Labor - '3ale day lIppraisal, real estate: Larry Slusser 7. . _~ R~irs: Starner Elect;.ric TOTAL IAllo enler on line 9, Recapllulallon) Scnl''l' 00 PlIGE 2 (IImo/l spac' II n"d,d, Inll,f addlllonal Ihetll ollaml .In.1 PlIGE 1 OF 2 SCHEDULE' . DEBTS OF DECEDENT, MORTGAGE L1ABLITIES AND LIENS rltalt rrlnl at t . ~I"ll NUMIIR ClIUFM/IN, George ^. ___ \ 21-94-0098 ---.---- ",'.1111'''1'"1 ~~ COMMotlW(AUIl 01 WltlttlVA.UlA IIIIU.lIMltl "..UlUUI IlllUltIlOICIOltll is!i'iiHip .---.--------. AMoUNT ---..-- - DESCRiPtiON I1lM NUMRER ------- 135.20 I. Medical: Carlisle lIospital 2. Medical: Belvidere Ml~lical Corp. 3. Medical: Walnut rottom Hadiology 4. Medical: RWC ml~rgency Physicians 5. Medication: Emerald Drug store 6. Nursing hane: Prestry terian llanes, Inc. 7. Real estate taxes: 1994 County & ~ownship' 8. Insurance: Nationwide - automobile 9. utility: Met-Ed - electric '10. Utility: United of P^ - tele~lone 11. Utility: Borough of Mt. Bolly - sewer & water 60.45 26.47 7.08 185.78 839.36 76.27 188.90 161.85 25.93 53.07 . . 10TAL {Aha enier on IIn. 10, R.capllulailonl (II marl 'pOCI /I nllded, In.er' oddll/aool 11111'1 OlIO!'" IIlt,1 . 1 760.36 !Hy,IWI.'IU'1 ESTATE OF ITEM NUMBER ~It't. ,O(W CQMMOHW'A\ltI 0' "llflSYlVf,UIA INHIIIIAH(I 'AX IIIUIN IUIDIHIDICIOIN, SCHEDULE J BENEFICIARIES CIIUFMAN, George A. NAME AND ADDRESS OF BENEFICIARY A. TaMable BequlSll, l. Wanda C. Linebaugh 3775 Lewisberry Rd., York, PA 17404 2. Vaughn D. Krout Mayberry 318 W. Allen st., Mechanicsburg, PA 17055 3. Gerald M. Caufnan P.O. Box 14S, Slude Ridge Swnnit, PA 17214 4. Arthur E. Caufnan 1816 'fucker Blvd., ArLington, '1')( 76010 5. Barbara I\nn Krout Rider 301A N. Market st., Mechanicsburg, PA 17055 6. Terry Eugene Caufnan 14328 Buchanan 'l'rail East, Waynesboro, PA 1726 7. Jl;!rry Raymond Caufman P.O. Box 701,Slue Ridge Summit, FA 17214 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY l. NOOE B, Charitable and Gavernmental BequlSt" ~ J FILE NUMBER 21-94-0098 RELATIONSHIP AMoUNT OR SHARE OF ESTATE daughter 1 /4 residue daughter 1 /4 residue son 1 /4 residue son 1 /4 residue granddaughter $150.00 grandson $150.00 grandson $150.00 TOTAL CHARITABle AND GOVeRNMENTAL BEQUESTS IAllo entor an line 13, Recapllulallon) S III more 'poce I, needed, In,or' oddltionol,h.." o"ame ,Ill) AMOUNT OR SHARE OF ESTATE IJAS'l' Wn,L ANU 11'I~S'1'MmN'l' OF GEUltGI1: A. CAIlFMA" I, Oeor\lo A. Cnufmall, or. York Coun!:y, Penn!lY 1 vnnh, being or sound nnd disposing lIIin(l, momory nnd ullder!ltallding llnd consirlering Lhe ullcorLninLy or. liCe, 110 LhereCore malte, pub1i!lh anrl rleclare LhiR Lo uo my IlnsL ~1i11 nnrl 'l'esLamont, hereby rovoking and m1\ldn\l null allrl void any III1lI all Wills Bnd 'l'oslalllolllll or Hrl Un\lll in tho nnbll:o l:horeof by me nL allY Lime h01'ol:oCoro made, nltS'I': 1 rll.reol Lha pnymenL ouL of lilY esLnl:e of I:he oxpenses of my lasL illness J C any, my Cuneral expellses, and my just debts, Lhe saine 1:0 be paid oul: of my esl'.a~.e by my Exeoul:or hereinaCl'.er named, as soon as convenienl'.ly may be nfl:.er nil( demise, SECUNlJ: 1 givo, dovise and bequealh all of I:he resl, residue and remainder of my f;1S I:ale and properly, real, per!lonal or mixed, of Hhal:soever nature and characler and where!loever siluale, of which 1 may die seized or possessed, or \:0 which I am in any wny onUllerl al: Lhe Lime of my rleal:h, or over which I have nny power of lesl:nmQnLary disposiLion unl:o my spouse, if l1\y t"w nrneH spouse survives me by L1drly (30) dnys. 'l'IIIHlJ: In I:he evell!: my spouse predeceases l1\e or does nol sunive me by I:hirl:y (30) days, I give, devise and bequelllh all llle resl, residue and remainder of my es~a~e ll!l follows, ~o wH: ..wm(II", ItlIIM\I(ill ",,,^m,,mlt'~ A. Uno lIundreu F'iCly ($150.00) lJollars 1:0 I1\Y ,/, '?(:/Io/;'Y\ (SEAL) , 1(;-e'~f'?"n\.--call[,iillI n----- "nnll, f'fllllll,t,VAlllA ~ 1 - " \ , l",W nrrllat MMmlllll, IltIIMtI(;lI ~ MllkHHlIUt y(lnM, rUUI'I'I'lYAIIIA granuunughLer, narbnra linn Kroul:, n. One lIunureu FitLy ($150.00) bollars ~o my granuson, Terry Rugene CauCmnn, C. Olle lIundreu Fi fly ($150.00) Dollars ~o my granuson, Jerry Hnymullll Cauf:l1Inn, D. 1111 lhe residue Lo my chiluren, Adhur E. CauCman, Gerald H. Caufman, Vaughn D. Kroul, and Wanua C. l,inebaugh, in equal shar.es, share anu share alike I or lhei7: i.llsue per sUrpes. ['OUR'I'II: I 1l0l1linale, aonsliLule and appoint Wanda C. Linobilugh \:0 be the Exccular of lhis my LaoL Will anu 'l'es~nmenL FIF'I'II: 1 direcl and reques l lha l any fiduciary unuer lids my Lasl Will and '1'eolnmenl, shall. nol be requireu lc enler bond or secur! ly of any nalure whalsoever in any jurisdiaHon in which such fiduciary milY acl. IN WI'I'NESS WIIEHEOF, 1 have hereunlo sel my name and affixed my seal lo lhis my Lasl Will and 'l'eslamenl which consisls of lhree (3) pages lhis I'J day of )ll"/,.('I'.,.t(/,L', 1989. " . I (~JI - ""''hTr.8:t: -4-h,Il..J:.t"~40!t . \ '-f , \ -.I'~/fl(."t George 11. Caufman ssH /'/'( /"/- 'It(l~ (SEAL) SIGNED, sealed, publisheu and deolareu by ~he above- Ilamed 'l'eslnLor as and Cor Lhe said '1'eslnLor/ S Las\; Will and -2- '. 'l'estament in the ~resenoC!l of Us who have hereunto subsClribed oUr names at I:.he, Testator's request all witnesses thereto, in ~he presenoe of the said Tesl:.ator and of eaoh other. '\ L' " '\1~1.\(T,'\l~ I,' ~:~\." lH \ 1.1 \ \ ,\ \ ....l( " I'" " " I I ~, I (~. ;; ~'l. t I .. . ;' 1,1' , ' .' l.r~-"1.ti~ ".It ,.' r , ,. " ,. 1'-, " ,,! I' d ,. ,. ", , , . 'j, I I, " '; ,;, ," , " " ,I, '" , '\ ,. ,. .. I" I I, , , ! ,," " " l,AWnrrtau MAHIlIlIIl, IIHl"^'tGlI lM'I'INllil~ ,.on", ,.llltl'n.VAIlIA '.j-, , " " " ,. ,. ,.. -3- '. .' See Instrucllons on Cover Page INVENTORY ESTATE OF GEDRGE A. ClIUFMAN 21-94-0098 No, .u. , 19_ Lalo 01 ..J1t,.lIo11Y.SpdllIlS Dorollgh . DOGoasod, AFFIDAVIT OF PERSONAL REPRESENTATIVES ((olllll\OlllutlllllJ of t)tIl1\f51.'lull II ill , 1111, (0111111.' of !,lork, Porsonally appoarod boloro rno, a ._.... Not:ary PlIbHc .._.....u .... ... ",_ Wanda C. Lineoollgh ._. .._" _._.._...:.__, In and lor said Counly, .. ou._._._+__. _____.__..__. __________.__ who bolng duly ...._ .!l\\Iorn..u. accordlnolo law. say.s Ihallho wllhln Invonlory of Iho porsonal proporly and roal oslalo which woro of. George ^. Callfman. u .......__._. -.-.._____...__._,1010 of .._t:1t..~_~ollX"Spril~~ Dorough lloceasod, is Iruo a",' cOllocllo Iho bosl 01 .___ h6E._____ knowlodgo, Inlorrnallon and bollol. Sworn __no"''''__._.__'.h... and subscribod 10 boforo rno Ihl9 ;l~'~_ day of A%~t All, 19 94 '~~'h P' . NOT AnIAL SEAL !lTl!PHBN p, UNEBAUOH, Nolary Public CIIy 01 York, York County M COmmission E, ros Ma 5. I D96 01 Iho porsonal proporly and roal 051010 sllualo In 1110 Cornrnon",oallh, which wore of .. _9!391'9!Li1L.Q!l\ff!]iU1__ . 1 i CllmOOr1and , 1010 aiM!:. 1101 y Spr 119!3..!3<:JJ;'()ll911.. _,. In Ihe Counly of ~ lakon and modo In conforrnlly wllh 1110 abovo dnposltlon lI",lor Socllon 3301 and lollowlng ollho P,E.F Code, ~~ )trte~~hthJ~':<t~~--._- .. ....0 _... __.~~___.____'..._____._..__._____.___ INVENTORY PERSONAL PROPERTY DOLLARS CENTS 1. Clecking account:: PNC Bank Acct:. #5140181758 2,584 42 .__.____u.__ .__ __.__.. ____hO..________n.____. 2. Savings account:: PNC Bank ^ce!:. 1/5130330377 _.._~_.__._-------- --...-.-,.-..- --.--.-.---------.--.--.---. 31,365 69 3. C.D.: PNC Bank No. 1713160013514 12,919, 51 '4___ .-.._-- - ---. '-' ...-..---------..----------.---..---....----------.. .-----...--.. .._....-.... --- -.-----. -.-.. _.- ..--.---..-----.~---."---.--.--~-.---.---.--.---.-.--.---.--.--._____.___ 0- ____. +___ 4. C.D.: PNC Bank No. 1713270104581 3,032 93 _5. 1!'?~sel.101~~~s'__n~~E:isl!.!:::~~ and!l1!~c:.e_~la~~~!.son P!operty sold__ _nh___,i\~_P.u?~ ic ~Cl1e._~26~~L__ 9,456 93 6. Pr~~,!~io,l1_ of .t:axes_.!:J:'~ set:~_~~~nt: of 3-9~_w.0'ine St:.!.L.!:1.~.:...lIo11y_____ Spri!19sL!'.~. _n'__nh'_' . 47 69 7. cash 127 45 --.. -.. ...... - _._._____.... "_'_'_n _...__..._______. 8. Ref\!t~LQ\b~13. -'!.\I.._________.. ..___.. 22 95 .' l " at aE~'09 1V lOl 69 OS9 ul -sr t t.6~ s.:ratJl>'OauDll - 'lID!O I p.rnJ9N uonronJ9\U - 'OJ 'SUI 9n1 te.:rau~ =lron::>auuo;) IJ;XlnJElN stlqowo=lne - a~ue.:rnsuI SP1MuoT=leN IplnlJElN 'ld JO ~=lTUn ItX.lnJ8'!I iiiiiI III III II II i III" I II I Ii II II . ~ ... " " (') () ,-'J , ," : , '.\'1 (I' '. , , , ') .,. ...1 'D , .) , , .. , , , ,. ",'. <.1. , ,: ,... B~ I' m ~ .. r Q,O I 0 ~o~ CO ci oa:;c ~ Cl'I 0 )OQ,~ m 0 ~~ ..j. ~z~ ~ " Cl'I ~ tl I ~~a: o .~ N ~ z CI >0 C ci -Q, - ~ z' . ~ ~ c _ ~ 8 ~ ]J o III ~ \II I ! !!=a. ~ ii: nI C - _ ._ 0 'luaPUlIl5UI pUIIIII SJ nands 91allM p9~9SU' 9q ~nuI llaalll \8UOllfPPV '11 ,( q) lOCI: uOllaas 'flaSII1Jllclu IOU 11111 I'DI"pDlpS ,,1\ 1I1l11s 1IIIua^,uOIIIUIO:J alii 10 oPlslno 9lunll' 018113 18011 'to ,( n ) IOCe uOllaoS aas 'Ipunoq pUll 191aW ~q paqllJSOp oq lnu P,1aU InrI Im!l1ldclu .111 ISIlIU II1InaMUOUlIIlO:J a41 UI aIDII^'^UU 01111111' 018113 Iroll 'C '~~o(loJd pOJa^O,1S!(Halln In ^J11II1,MUI 1"IU,'IlI"llhlns llullIl Inl ^lISSDJDU DIll 01 su IOt'C UOIlJ.1S 90S 'Z 'opn::) ..J ':1'.1 DIll JII ~OCC'lOl:\: SIIIIIl.l.lS In SlUalllaJlllhaJ alii lDDIU 01 p91J1llp II Wlol II'lL '( SNOlJ.J01l.lSNI '7. / I / _" u/~"- (~ See Instructions on Cover Page INVENTORY ESTATE OF GEORGE A. CAUFMAN Late of JltLliollY.-Springs..llorough. Deceased, l 21-94-0098. . : \ No. _..m"_" .____...._______., 19_ AFFIDAVIT OF PERSONAL REPRESENTATIVES (ommonwralt~ of lltnnSI,'lbllnill, SS, (aunl)? of !lork. Personally appeared bafore me, a u ...m__ Notary Public - -~._-_... Wanda C. Lineb:lugh ...m._._._____._., In and for sold County, . .----. _._---~----. -_..~-_._-..__._-----_._------_..._- who being duly ...__. .~ClI:"_n_u according to law, sayS .. Ihat the within Invenlory of the personal properly and real estate which were of._ (',eo1:"g(3 A. Caufl1'al1. ....,..._... ,......._...._.._._._,Iale of ~~Cl~~y.Sl'r~l1g!3. Borough Deceased, Is Irue and correct 10 the besl of . __her ____ knowledge, Informalion and belief. SWorn c' ' Wf.Ll J-.~/ ... C-._,-,JJ.. ~~,.(ro..',,:<:..tL Wanaa C. Linebaugh () ___..... ... . and subscribed 10 before me ;;),4-11. ,L,.. ~ 94 this ...::. day of ./,~v.sl . A,D.. 19 -~.- NOTARIAL SEAL STEPHeN P. UNEBAUGH, Notary Publlo City 01 York. York Counly Commission e, 'r.s Ma 5, 1096 of the personal property and real eslate slluale In ttle Commonwealth, which were of . (;eorgEl..6.LQ!ufffi3,rL_... CUmber larx:1 , lale 01 Mt. Holly Springs Borough In Ihe County of~ taken and made In conformlly with the above deposition undnr Secllon 3301 and following of the P.E.F Code, INVENTORY PERSONAL PROPERTY DOLLARS 1. Clecking account: PNC funk Accto #5'140181758 2,584 42 ----_.._.--.---_._---~---_._--_._- --- 2. savings account: PNC Bank AC.<:~'-#5~3.0]3_03?!....._..__m__._...,__ __. 31~~ 69 3. C.D.: PNC Bank No. 1713160013514 51 --~-,-_.__._-~-------_._------_._- ----.-----. .--.---------------- -.- ..__._--.---_._-------~----_.-.._-_.._--_._._.-.----- -.", .-.---.---------- ----.-.-._--_.- 4. C.D.: PNC Bank No. 1713270104581 3,032 93 ----.-- .--- ._5. llous~ho19. 9~~' H ~IlEni.~~~ngs _a~_l1l.~sc~.l,~~~eou~ ,.per.son_.P~oP::tl..:"_~c!_H .. Hm__ .a~.nEll~~~~._s.~_le 3/2~L~~._. .____9,4~6_ 93 6. Pror~t_i~~_c:f_t?~~~.!~ set~~~!l~.of }.~2.. W. Pine ~t_~ Mt. ..!:Iolly.__... Springs, PA 47 69 8. Refurx:1!S@l9~IV _.__.. 127 45 22 95 7. Cash 8L 8E~'09 1V J.OJ. 69 059 ~ S.:!6U1'DallD4 - Vt~I;) : pun;l6M ' Z L uoqroH)6W - '0;) 'SUI an'! TU.:!611ElQ :jroqaauuOJ :pun;leu 'L L 6nqouo:flW - El.:lUl1.:!nSUI 6PTMUOquN : Pun;leu '0 L Vd ;10 p6:jTun :pun;l6M '6 ~b :;r 9. Refum: United of PA - . .- 25- ql -------~-,-----_.._.--- 10. Refund: Nationwide Insurance - atlliJIlQbJ.1e 135 11) , . 11. Refund: Connecticut General Life Ins. Co. - medication 650 8 , 12. Refurrl: CIGNA - homeowners 69 0 -- , I i - I - - - , ., I . - ,- \ TOTAL 60,436 18 REAL ESTATE SITUATED IN THE COMMONWEALTH 1. 301 W. Pine street, South Middleton 'fWp., CUmberland County, PA (sold at public sale 3/26/94) 50,000.00 REAL ESTATE OUTSIDE OF THE COMMONWEALTH OCNE ! ' " . i: I, / , ,,' " nc, , I"~ , " "'., :11 . , " (i, "LJ , ' ", . , ;, " " f o ~ en m~ .. , I Q ...o..w co .( 0 i 0\ Oa:!( 0 )oo..lil ~ 0 ~ciw J " !Ez~ M 0\ .( tl I ~~a: o ,rj N i 0 -o..Q ..0 w~ ~ ~ z 0_ :z: S ~ .. _Uo i o ell i "l:.a, if ~ ~ .. 0 ~ _ '.. 0 . ~ III $ u. i '11,1"PlIIIIlIIII'III111J SJ aJ~(li alall^' pall,HIII aq ~ntll SlJJ1lS 1~II0I1JPPV '\1 ,( q ltott 1I0nJJs 'I'J51~lddll 1011 IIllI l"'I"I',J\P' ,1<\ 11"11' 111l1l.1o\11I1lI1I1I10:J alii JO JpI'lno .11(fllIIS ,IIU1S:! IUJl! 't . ,( ~) IOCC 1I0n,las a,lS 'spulloq pUll s.lIJW ~q pJqp,15ap aq 1011 P,lo111 IIlCI 1"'IIUddll ,Ill 110111 1111~,',\\IIOIIIII"':) JIll 01 ,lJ,J\I,\\,(1I11 .'I"UIl5 JI~IS3 IUJl! 'C '~IlJdold pala~o,lsllJ.JilIJ" JO ,(lOIIl,MIII 1"11l.'III"llltlIlS ftll II IJ lOJ ~ll",',lall ,'11101 su IOL1: 1I01Fl,lS JJS '3 'apo:) ,nhl alII 10 Ullf.I;'lOlt 11I01l,1,'S JO 111I,'III,lll0h,ll JIll 1,',1111 01 l"'lJlllp 51 IIUO) 51lU " SNOI1JnnSNI I .. -, t ," .... .' ..,. '.~ . .~ ., I ' , 1(,; > . " ; .;---i. __ _' -1__ ~ ~ _ __ __ __ ___ -...... __. ..~... ---; _n_ ._._.. ~. ___ ___ _..~.. __ ._._ __~ ._. _... __ ___ _. _ _. ---l . RECEIVED fROM, I ACN ASSESSMENT I!I CONTROL W. NUMBER AMOUNT LINEBAUGH STEPHEN P 119 EAST MARKET ST 101 "0,..,.00...,.;:1 YORK PA 17401' lOION'" ESTATE INFORMATIO~ ... E NUMBER U f.!1-1lj/94;"009l'l EJ M OF DECEDENT (LAST) II 53 I,;SN 179-09~9009 (FIR 'i'4 -Ut3U9:l1 REMARKS WANDA C. LENSAUGH m TOTAL AMOUNT PAID SEAL $- 1t.-~ ./ REGISTER OF WILL'! . rn~-----~--~~~r~-~'----------------~-~7 I .' . . ",.'-'" . .-..,.. t T~""'- ..:4......---:"'"".~~.:-"1"..~~J:I ~_"u ,....:- II r-" " . I' j/j.. If?-- ~t c.... COfIHOHWEAl TH Of PENNSYlVANIA . DEPARTNfNT :If REVENOE BLllEAU Of INDIVI~UAl TAXES DEP!. Z80601 HARMlSIURO, PA 11120-0601 ESTATE OF CAUFFMAN GEORGI: - - ---=F'ILE NO. DATE OF DEATH 12-31-93 COUNTY HOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SU8HIT THE UPPER PORTION OF THIS FDRH WITH VOIlR TAK PAVHENT TD THE REGISTER OF WILLS, HAKE CHECK PAVA81.E TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TOl NOTICE OF INHERITANCE TAK APPRAISEHENT, ALLDWANCE OR DISALLOWANCE OF DEDUCTIDNS AND ASSESSHENT OF TAK ACN 101 DATE 12-26-94 STEPHEN P LINEBAUGH 119 E MARKET ST YORK PA 17401-9746 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 f AMount ROMlttod CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .. iiEV; is'(ii - iif -AF P --f 0'8-: 94T -NOTI Or -OF - i"NHiiiii' AN-liE - YAir A-ppilA"i ii iifENi'~ - -Ai. l"oiiANcE - iiR' - - - -- --- -- - - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CAUFFMAN GEORGE A FILE NO. 21 94-0098 ACN 101 DATE 12-26-94 TAK RETURN WAS I (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. Real E.toto (Sohodulo Al III 2, stook. ond Bond. (Schodulo 8) (21 3, Clo.oly Hold Stock/Portnor.hlp Int.ro.t (Schodulo CI (3) 4, Hortg.go./Noto. Rocolvoblo (Schodulo D) (4) 5, Co.h/8enk Dopu.lt./HI.o, Por.on.l Proporty (Sohodulu El (51 6. Jointly Dwnod Proporty ISchodul. FI (61 7, Tron.f.r. (Soh.dulo GI (7) 8. Tot.l A..ot. 50,000,00 ,00 ,00 .00 60,438,18 ,DO ,O~ (8) 110,438,10 APPROVED DEDUCTIONS AND EXEMPTIONS I 9, Funorol Expon.o./AdM, Co.t./HI.c, Expon.o. (Schodulo HI (91 10, Dobh/Hcrtgogo LlabUltlu/Llon. (Schodulo I) (10) U. Totol Doductlon. 12, Not Voluo of Tox Roturn 13. Chorltablo/GovornMontol Boou..t. (Sohodulo J) 14. Not Voluo of E.toto SUbjoot to Tox 10,245,52 1.760,36 (Ul (12) (13) (14) l?nnt; AA 98,432,22 _ ,00 98,4~ NOTE I If an a.....m.nt wa. i..UBd pr.viou.ly, lin.. 14, 15 and/or 1&, 17 and 18 will r.fl.ct figur.. that includ. the total of Ahb r.turn. a.....ed to date. ASSESSMENT OF TAXI IS. AMount of Line 14 ot Spou.ol r.to 16. Aoount of Llno 14 toxoblo ot Lln.ol/Clo.. A roto 17, Aoount cf Llno 14 tox.blo ot Collotorol/Cl... B r.t. 18, ~rln.lp.l To. Duo TAX CREDITS I PAVHENT DATE 09-15-94 1151_ (16) 1171 ,OOK'OO. 98,432,22 K .06, ,00 K .15. (18) ,00 5,905.93 ,00 5,905,93 RECEIPT NUHIER MM912966 DISCOUNT INTEREST (t) (-) ,00 AHOUNT PAID 5,905,93 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 5,905,93 ,00 ,00 ,00 o IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF AODITIONAL INTEREST, IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" lCR1, YOU HAV IE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) \ \ ~ElE~VATIO'h PURPOtl! OF NOlICE I PAYMENT. REFUNO (C~), OIJl!ClIllNSI AIllIIN IS1~AlIYE CIlR1IEClIllN1. OISCOUNT, IN1ERES1. '; " ,. I , , , , ", Ii " , " ," ,>> I.... " " , " , I I : E.tat.. of dtoldlnt. d~lnt on or blfor. Dlo.-b,r 12, 1912 ~. If,eny future Int.r..t In the ..tat. I. trln,flrr,d In pall...lon or .nJov..nt to Clb.. I (oo11,t,r,1) b~".flol'rl.. of thl dlCldlnt .ft.r thl IMplretlon of any ..tat. for llflor for v..r., thl Co..onwlalth hereby IKpr...lv r"'fVI. the right to appr,I.. and ...... tran.f.r Jnn.rltancl T'M'~ at the lewful CII.. a Coolhtlr.U rlt. on any .uoh future Intlr..t. To fulfill the r.qulr...nt. of Slot Ion Zl~O of the Inherlttnel and E.tat. Tlx Act, Act 22 of 1991. 72 P.S, Sectlon 2140. o.tlCh the top portion of tnll Notlcl and tubatt '11th your plly.'nt to the RIgllt,r of Willi prlntad em the rtvar.. ,td,. --Hike chick or IOntV order plyabl. tal REGISTER OF' HILLS, AGENT All PIY.lntl rlc.lved .h.ll 'ir.t b. appllld to .ny lnt.r..t which .ay b. due with anv r...lndtr appli.d to the tlX, A refund 0' a tlx credit, which WII not rlqu..ted on thl Tax Rlturn, .ay bl requllted by co.,l.Ung an "Applloatlon for R.fund 0' Pannlyivanla Inh.rltancl ftnd Eltat. Tax" (REY-1313), Application. are Iv.lllbll .t thl O"lc, of the R.gl.t,r 0' Will., any o( the 23 R.vlnUl Dlltrlct Off Ie.., or bv call1no th, ,plclal 24~hour . an.w.rln, ..rylc. nuabtr. for for.. ordlrlnGl In Plnn,vlvanla 1-800-]62~20S0, out.ld. Pennlylvanla end within locII Harrl.burg ar.a (117) 187-8094, TOOl (111) 772~22S2 (Hlarlng lapalrld OnIV). Any p.rtv In Int.r..t not ..tl.flld with thl .ppr.I....nt, allow~. or dl'allowanc. of d.duotlon., or ........nt of tlM (Including dl.count or Intlr..t) .. .hown on thl. Notlc. IU.t obj.ct within .Ixty (60) day I of r,cllpt of thlt Notlcl bY1 ~~wrltt'" prot.,t to thl PA D.part..nt of Rev.nut, loard of App..l., DEPT. 211021, Harrl.burg, PA 171l8-1021, OR .....I.otlon to hi"" thl litter deter.in.d .t audit of the account of the perlon.1 rtpr...ntIU",., OR ...."'..1 to the Orphan,' Court. Factu.1 error, dl.co",er.d on thl. ........nt .hould b. .ddr....d In writln, tal PA Oe~art''"t of RI"'lnu., Bur.au of Individual Tlxe., ATTNl po.t ,.......nt RIVllw Unit, DEPT. 280601, Harrl.burg, P' 17128-0601 Phone (717) 7.'-6S05, s.. PlAe ] of the bookl.t "In,tructlon. for Inh.rltanc. Tax R,turn for I R..idlnt Dectdtnt" (REY~1501) for 1M Ixplen.tlon of edllnl.tr.tly.1Y corrlctabl. .rror.. If Iny tIX.~ 1. pIJd within thr.. (l) olllndar lonth. .ft.r thl dleedlnt'. delth, I fl..,1 p.rclnt (SX) dl.count of thl t.x p.ld I. alloN,d. tnt.re.t I. ch.rgld bl,lnnlng with flr.t day 0' dlllnqulncy, or nlnl (9) lonth. and ant (I) day frol th. dlt. 0' death, to the dat. of Plv.ant. TlI(II NhJch blc... d.Unquwtt before January 1, 1982 bur Interott at thl rltl of , .lIe (6l0 p.rc.nt p" annut calculltld at a dailY rat. of .000164, All tlKII whleh biOi" d.lInquent on and 1ft" Januery 1, 198Z will bllr Int.r..t at . ratl which will yary frol clllndar Ylar to c.l.ndar yaar with thlt r.t. announced by the PA Dlp.rtJ.nt of RIVlnul, Th. applloabll Int.rl.t rlt.. for 1982 through 1995 ar'l '!!!.!: Interllt R.t, O.UV Intar..~ !!!! Int,,"t Rftt. Dallv Inter..t Flotor 1911 lOX ,0005U 1911 9X ,000241 1911 16X ,000~31 , 1911-1991 lIX ,000301 191~ IIX ,000301 1991 9X ,000241 191i 13X .000356 1993-199~ 1X ,000192 1916 lOX ,000l1~ 1995 9X , 000l~1 ....trlttr..t I. oalculatld I' follow. I INTEREST . BALANCE OF TAX UNPAID X NUHIER OF DAYS DELINQUENT K DAILY INTEREST FACTOR ....Anv HotlcI llIued Ifter thl t'l( beeOlIl delinquent will rtfllot an intlrllt cllculttlon to flftlen (IS) dau bevond thl det, of the ,.....eent, I' p.y..nt I. .Id. .ft.r thl Int.r..t oo~tatlon dati .hown on the Hotlo., addltlon.1 Int.rl.t .u.t bf c'lculftt.d, f,,- ,. ) r , , , ", , ~, .)~ JRD/Juae 30, 1992/17~S8 " ,,' REGISTER OF WILLS .. Cumberland County Courlhouse One Courthouse Square Carlisle, PA 17013 NonCE PURSUANT TO RULE 6.12 . PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Ponoaal Representative Counsel : RE: Estate of GEORGE. A. CAUFMAN I Del:wed, LIIte of MT HlT,Y.V RPRTNGR BOROUGH Esllte No.: 21.94.98 Date of Decedent's Death: DECEMBER 31. 1993 STEPHEN P. LINEBAUGH, ESQ., Pursuant to Rule 6.12, the above named personal representative or the above nal11ed attorney, If applicable, within two (2) years of the decedent's death, and annually thereafter until administration is completed, Is required to tlle with the Register of Wills a Slatus Report as required by Rille 6.12, In substantially the prescribed form, showing the date by which the personal representative, or attorney, as applicable, reasonably believes administration will be completed. The purpose of this NoUce Is to advise you that unless the requisite Status Report is flied with the Register of Wills or Clerk of the Orphans' . Coun, u appropriate, within ten (10) calendar days after the dale of this Notice that the Rellst~ of Wills Is required to DOtIfy the Orphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct I hearinlto determine whether sanctions should be Imposed upon the dellnquom persow represenlltlve and the delinquent personal representative'. counsel, If an)'.. AccordiDaly, If tberequlslte Status Report is not filed by 1.29 " 19..2,6)'ou are hereby advised that a request will be submitted to the Court in accordl1lCO wllh Rule 6.12. . Date: JAN. 17. 1996 l1'(CVLcJe'~U"I~nY/ (JlkiJUU . Deputy Register of Wills i/ fJ'Lyud~ DlstribuUoa to Estate File I. .. ",. ,. j', 'j JRD/June 30, 1992/17858 In Re: Estate of GEORGE A. C@EM!\N Late of M'r HOLLY SPRINGS Estate No,: 21.94.098 ORPHANS' COURT DIVISION, COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA . No, ___ 94.0gB NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE I, I I I I ! Personal Representative: Counsel for Personal Representative: STEPHEN P. LINEBAUGH, ESQ. Date of Decedent's DC<lth: DECEMBER 31, 1993 Date of Delinquency Notice: J ANUA RY 17, 1996 The undersigned, Mary C. Lewis, Register of Wills, in ilccordance with RlIle 6,12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' COllrl Division, COllrl of Common Pleas of Cumberland County, that neither the above named personal represcntativc nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or Its Status Report required by Rule 6, 12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6, 12, Supreme Court Orphans' Court Rules, was given by the Register of Wills on -.J.AlJIIAIlV 17 ,19.9.6 and that the ten (10) day notice to file the Status Repol1 has expired. Accordingly, In accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be Imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: JANUARY 30, 1996 '1)IiH1i{'Y~RUliJj\/),e\\nIlIJLlll(() Ma'ryCi:ewls, Register of Wills /01 !--'ul (I Distribution: Personal Representative Counsel for Personal Represenlat ive Estate File A HEARING IS SCHEDULED FOR IN COURTROOM NO, 1. 1 F TilE STATUS REPO DATE. THE HEARl,W WILL AUTOMATICALLY BE AT 1/,' dO A. hl.. 18 FILED PRIOR TO THE HEARING CANC:Jl.LLE.. '-jL 'LAf:.~~. . HAROLD E. SHEELY. P.J. .#' . , ' ,/ STATUS REPORT UNDER RULE 6.12 Name of Decedent I GEORGE A. CAUFMAN Date of Deathl DECEMBER 31, 1993 Will No. d i '.),1"</1/ - 1/1/ A m n. 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 eBtate I I. 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 followings a. Did the personal representative file a final account with the Court? Yes No_~. b. The separate Orphans' Court No. (if any) for the personal representative's account iSI 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 Cark of the Orphans' Court and may be attached to this report. i~W1 ':;igna ure Datel 1/25/96 STEPHEN P. LINEBAUGH Name (Please type or print) 119 EAST MARKET STREET Address 1717 ) 843-8968 Tel, No, Capacity' Personal Representative X Counsel for personal representative (MAHI rmt/AM3) \