HomeMy WebLinkAbout96-00044
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PETITION I<'OR PROBATE and GRANT OF LETTERS
E.f/alr of
al.w kmlwn as
No,
To:
Rcgister of Wills for the
, Dr''l'asrd. County of in the
Sorlal Sr('urlty No. Commonwealth of Pennsylvania
Thc pctltion of thc undcrsigncd respectfully represcnls lhat:
Your pClltioncr(s), who is/are I R ycars of age or oldcr an thc cxecUI
in the laS! will of lhe above deccdenl, dated
and codicll(s) dated
named
. 19_
(~HIlC rdc\"ant drCllm\lanCC!i. c.~. renunciallon, dealh of C\cculor. etc.)
Decendcnl was domiciled al death in
h last family or principal rcsidence at
County. Pennsylvania, with
(Ii\1 metl. number and mundpalilY)
Decendent, then years of age, died . 19
at
Excepl as follows, decedenl did not marry. was nol c;livorced and did not have a child born or adopted
after execulion of the will offered for probale; was not the viclim of a killing and was never adjudicated
incompclcm:
Deccndenl at dealh owned properlY with estimaled values as follows:
(If domiciled in Pa.) All personal properly S
(If nOI domiciled in Pa.) Personal property in Pennsylvania S
(If nol domiciled in Pa.) Personal property in County 5
Value of real estate in Pennsylvania S
situated as follows:
WHEREFORE, petltioner(s) respectfully' request(s) the probate of the last will and codicil(s)
prcsemed herewilh and Ihe gram of lellers
lIC\lamrnlar)': admini~lralion c.I.a.; administration d.b.n.c.t...)
lhcrlln.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH 0... PENNSYLVANIA } I:lS
COUNTY m-
The pelltioner(s) above-named swearls) or affirm(s) thai the stalements in lhe foregoing petition Bre
Iruc ,lIld COIrCCI to thc hcst of Ihe knowledge and belief of petltioner(s) and lhat as personal represen-
lati\'elsl of the ahove deccdem petltioner(s) will well and truly administer lhe estate according to law,
Sworn 10 or uflirmed and subscrihed { III
beforc mc Ihis day of 00'
19_ ~
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Rl!):isll!r ""
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&w~fif Rodney M. Glass
111m known as
PETITION .-OR PRODA TE and GRANT OF LETTERS
,;)/-q(. -1-/'1
No.
To:
Register of Wills for the
DCfCascd. County of Cumber l..nd in lhe
Social SCfurUy No. 174-20- 224 7 Commonwealth of Pennsylvania
The petition of lhe undersigned respeclfully represents lhat:
Your petilioner(s), who is/arc 18 years of age or older an the e.,ecut ors
in lhe last will of lhe above decedent, daled IIIn""'mk9,""7
and codicil(sl dated ( none) .
~"~ Botty 7 ~lala, firQt nAmR~ RXP~tltri~ h~vinQ pr~~~~~AqPri
h~lCl".:l"nr
named
,192.L
tstale relrvant cirCllmilances. e.l. renunciation, dcalh of c_<<utor. cle.)
DCl:endent was domiciled at death in Cumberland
his lastfarnily or principal residence at 81 2 N. Pit t
PA 17013 (Carlisle Borouahl
(Use slrM, number and muncip&lily)
County, pennsrlvania, with
street. Car isle.
Occendent.then lill years of age, died ,r..nll""Y R t .I9111i
at bQ~Q .
Excepl as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will orrered for probate: was notlhe victim of a killing and was never adjudicated
incornpetent: ( nnn..)
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property In County
Value of real estale in Pennsylvania
sltualed as follows: 812 N. Pitt street. Carlld~.
5 89.000.00
$
5
$ lie; nnn nn
PA 1701l
WHEREFORE, petltioner(sl respectfully rcquest(s) the probale of the last will and codicil(s)
prcsented herewith and the grant of letters '".... ,"" m.. n ,"" '"Y
(lestamenllUY; 3dminillr.lIion C.I..1.; admirtiurltion d.b.n.c.t.a.)
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C'arlhlQ. PA
17013
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npnic::~ Rnrqnk
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280 Echo Ro"d
"'Arlic::'~. till 17011:
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLYANIA } as
COUNTY OF CUMRRRT,AND
The petitioner(s) above-named swear(s) or aflir~) thatlhe stalemenlS in the foregoing petition arc
lrue and correct to the best of ll&e knowledge and eUef 'lf petitioner(s) and that as personal reprcscn-
lalivc(s) of the above decedent pctilioner(s) will w II alJ:uly.adm~~~: estate according to law,
Sworn to or aflirmed and subscribed {" ~{['" (.b ~
before me this 1 R '" h day of tJ ~
"1Q0Il~ r~~".)~:."'I 19---9..6.... ::), P...." r) ~,,..,-,,,, // I
fL PB.\~1:.. Register .!::.
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21-96-44
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF SUBSCRIBING WITNESS
KAREN E. FAIRCLOTH
codicil
(each) a subscribina witness to the will presenled herewllh. (each) belna duly qualified 1CC0rdlnato
law, dcposc(a) and say(s) lhat SHE WAS present and saw
Df"'lI;I"AY M C:l J.....
the tesr.l n.. . sian the same and that she signed IS a witness at the
request or testal or in 11 i9 presence and (in the presence of each olher) (in the presence of the
other subscribina wllness(cs)).
Sworn to or alflnned and aubscribed before
me this 18th day or
Januarv_ 19~
'-rqo^"6 f?]a,~ Rqlsler
""i~,~.." l \ fa'vt d ~:1
'( (Name)
,:.; s I1l1tJuJf.oC 57 ('ll~LlH.f- ;:>.4 1'70/3
.
(Address)
(Name)
(Address)
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
DOUGLAS GLASS ___
(each) a subscriber hereto, (each) being duly qualified according to law, dcposc(s) and say(s) that
each is famlllar with the signature or Rodnev M. Glass
codicil
wiD
testal 0 r
presented herewith and
codicil
believes the signature on the wiD is in the handwritina of
of (oaex.fcxlllKx-..llI",lIliIx_X1IO) the
that
each
Rodney M. Glass ~
to the best of I-h..i.. knowledge and bellef'''-A' ()r,
Sworn to or alfinned and subscribed before r ~~
me this I R th day of , \ (NrmeJ J
"""""'A.':anu~. 19~ IDt( . INr~ ~r,
~~.- - ~~~)
B- f>. Rqlsler
(Name)
Q('(,\~ PA-
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(Address)
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C!RTIFICATION OF NOTICE UNDER RULE 5.6(al
Name of Decedent I
Rodney M. Glass
Date of Death,
1/8/96
Will No. 21g6-0044
Admin. No.
To the Registerl
I certify that notice of beneficial interest required by
Rule 5.6(5) of the Orphans' Court ~ules was served on or mailed to
the following beneficiaries of the above-captioned estate on
I
!!!m!
Douglas Glass
Address
1011 North WEst street, Carlisle, PA 17013
280 Echo Road, Carlisle, PA 17013
Denise Borsuk
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except none
Date:
11111.:.l~U,
Signature
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Name Michelle R. Calvert. Esquire
Address 200 North Hanover Street
...
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Carlisle. PA 17013
Telephone (7171 243-<;551
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Capacity:
Personal Representative
Counsel for personal
representative
x
COMMONWIA!.TH Oil PINNSYLVANIA i.
COUNTY OF CUMIIIlLAND J
u:
Michelle R. Calvert
b.lng duly sworn ___ ICcordlng to I.w, do po... .nd ..ys thot she _ is
the att9.;:Qe:L________ ______ 01 the Ed.te 01 Rodney M. Glass
lit. 01 __l:.!l~lJ.sle Bor:ough_ ____, Cumb.rllnd County, Pl., d.e....d Ind thot the
within Is In Inv.ntory m.de by -Poug.!as W...!-_ Glass & I)e?is~ B. Bors,'%e ..id executors
01 the .ntir. ..tit. of ..Id d.e.d.nt, eonsi"ing 01 .11 tho p.rlon.1 pro".rty Ind ...1 ....to, a.e.pt ...1 o...to ouhld.
the Commonw..lth of Ponnsylv.nl., .nd th.t tho figuros opposll. each It.m 01 the Invontory ..prosont It's 1.lr v.lu.
II 01 the d.to 01 d.cedent's death,
.nd .ub.crlbed boloro mo,
19 9&
Michelle R. Calvert, Esquire
E..cutor . Admtnht,.tor
Notarlal Seal
Robin J. Goohom, Notary Public
Carllsla BolO, Cumberlan~ County
My Commission expire. AprIlt7, 1999
200 North Hanover street
Carlisle. PA 17013
Add,...
D.te 01 Death
8
DIY
January
Month
1996
Vu,
INSTRUCTIONS
I. An invontory mud bo filod wllhln throo months .ltor .ppolntmont 01 perlonel ropr.sent.tlvo.
2. A suppl.ment Inventory mud bo filed within thirty deys 01 discovory of edditlonel ..sots,
3. Addltlon.1 shoots m.y bo .tt.chod es to pOrlonelty or really
4, 500 Artiel. IV, Flducierios Act 01 1949,
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2. The partiee hereto hereby agree that in order to avoid
the expenee, delay and publicity involved in the filing of a
formal Account and Schedule of Distribution, no accounting to the
Court is necessary and we do hereby agree that we do consent to
distribution being made without the filing of an Account and
Schedule of Distribution, the same to be with the same force and
effect as if they had been filed and confirmed by the Orphan'_
Court Division of the Court of Common Pleas of Cumberland County,
Penneylvania.
3. The parties hereby remise, release, quitclaim and
forever discharge the Estate of RODNEY M. GLASS, and DOUGLAS W.
GLASS and DENISE B. BORSUK, Executors, their heirs, executors,
administrators and assigns, from all manner of acts, suits,
claims, accountings, debts and demands whatsoever which we or any
of us or our legal representatives or assigns may at any time
hereafter have against said executor, estate, or assets thereof,
touching or concerning the Estate of the Decedent.
4. The parties hereto hereby covenant and agree that they
will contribute their share of the Estate to satisfy all claims,
debts, demands, suits or causes of action which may be
successfully brought against the Estate or the Executors after
the execution of this Family Settlement and Final Releas~.
5. The parties hereto hereby agree that they will at all
times in the future and where ever necessary, appropriate or
convenient, make, execute and deliver to said Executors, and/or
to the other party or persons, any and all instruments,
documents, conveyances, deeds, releases or other instruments of
any kind necessary or convenient to carry out the intention of
this Family Settlement and Final Release.
6. This Family Settlement and Final Release constitutes the
entire understanding among the parties hereto, and each of them
acknowledges that no representations or statements of any kind,
written or oral, have been made to them or any of them prior
hereto by the Executors or any other person or party upon their
behalf.
7. This Family Settlement and Final Release shall endure to
the benefit and shall bind the parties hereto, and each of them,
their heirs, executors, administrators, successors and assigns.
8. This Family Settlement and Final Release shall be
governed by the laws of the Commonwealth of Pennsylvania.
FAMILY SETTLEMENT AGREEMENT IN THE
ESTATE OF RODNEY M. GLASS. DECEASED
AGREEMENT executed this ~ day of ~UL~t- , 1996,
by and between DOUGLAS W. GLASS and DENISE B.UBORSUK, Executors
of the Estate of RODNEY M. GLASS, deceased, and DOUGLAS W. GLASS
and DENISE B. BORSUK, individually, heirs and beneficiaries of
the Estate of RODNEY M. GLASS.
of Carlisle Borough,
January 8, 1996, having
WHEREAS, RODNEY M. GLASS, late
Cumberland County, Pennsylvania, died on
left a Last Will and Testament, and
WHEREAS, on January 19, 1996, the Register of wills in and
for the County of Cumberland, Commonwealth of Pennsylvania, did
constitute and appoint DOUGLAS W. GLASS and DENISE B. BORSUK, as
Executors of the Estate of RODNEY M. GLASS, in Estate Number
2196-0044, and
WHEREAS, the Executors has proceeded with the administration
of said Estate consisting of assets in the amount of $197,607.74
and disbursements in the amount of $197,425.65, leaving a
principal balance on hand of $182.09, plus interest, as set forth
in the First and Final Account, a true and correct copy of which
is attached hereto and made a part hereof as Exhibit A, and
WHEREAS, the only parties in interest in said Estate are the
above-named parties, and
WHEREAS, said parties in interest desire that the
Executors shall not be required to file an Account with the
Orphan's Court of Cumberland County, Pennsylvania, and that the
net estate of the decedent shall be distributed without the
necessity of filing a formal Account to avoid the expense, delay
and publicity of a formal accounting but should instead be
distributed in accordance with the Executors' Proposed Schedule
of Distribution, a true and correct copy of which is attached
hereto and made a part hereof as Exhibit B.
mutual promises,
above-named heirs
GLASS do hereby
NOW THEREFORE, in consideration of the
covenants and agreements recited herein, the
and beneficiaries of the estate of RODNEY M.
mutually agree as follows:
1. The parties hereto, and each of them, agree and
acknowledge that they have fully and carefully examined the First
and Final Account of DOUGLAS W. GLASS and DENISE B. BORSUK,
Executors for the Estate of RODNEY M. GLASS, deceased, and
Proposed Schedule of Distribution relating thereto, and find them
to be true and correct, and acceptable to the parties hereto and
each of them, and further that each of them has received a copy
of this Family Settlement and Final Release and of said Account
and Proposed Schedule of Distribution.
Flee:
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8tJMMARY 01' ~ccomrr
PRINCIPAL $197,607.74
LESS DISBURSEMENTS $ 35,653.32
LESS DISTRIBU'l'IONS $161,772.33
INTEREST AND INCOME $ 1,069.62
TOTAL $ 1,251.71
RECBIPTS O. PRINCIPAL
CASH
Members First Federal Credit Union
savings account
Members First Federal Credit Union
checking account
Members First Federal Credit Union
investment savings account
Members First Federal Credit Union
individual retirement account
$ 5,183.36
$ 3,803.70
$50,801.73
$19,665.88
Members First Federal Credit Union
Christmas Club account
Members First Federal Credit Union $ 1,000.00
certificate of deposit-account number
50198-41 (joint with Denise B. Borsuk)
$
401.71
Members First Federal Credit Union $ 1,000.00
certificate of deposit-account number
50198-42 (joint with Douglas W. Glass)
Members First Federal Credit Union $ 5,325.26
certificate of deposit-account number
50198-43
Members First Federal Credit Union $ 2,000.00
life insurance
Reimbursement for pre-paid medical
expenses
Insurance refund
Reimbursement at settlement for
county and school taxes paid by
seller in advance
Miscellaneous deposits
TOTAL
PBRSOHAL PROPBRTY
Miscellaneous property sold at auction
Miscellaneous personal property sold
privately
$
50.27
$
$
164.00
471.20
$
19.65
89.886.76
$ 3,008.25
$ 320.00
'.
DISBURSEMENTS OW PRINCIPAL
DEBTS OW DICIDINT
PP&L - electric
united of PA - telephone
$
$
$
$
49.73
22.16
11.94
Borough of Carlisle - water/sewer
Pennsylvania Department of Revenue
1995 income taxes
73.00
Internal Revenue Service - 1995 income
taxes
$
797.00
Members First Visa
$
$
53.00
260.27
Checks written by decedent (#2138, #2139,
'2133, and #2141) cashed after death
TOTAL
S 1.267.10
PUNBRAL BXPBNSBS
Ewing Brothers Funeral Home
cumberland Valley Memorial Gardens
Valley Motel - funeral reception
$ 5,439.00
$ 600.00
$ 134.17
$ 95.40
Wayne Noss Flowers
TOTAL
S 6.268.57
ADMINISTRATIVE BXPBNSBS
Register of Wills - probate fee $ 255.00
Register of wills - additional Short $ 12.00
certificates
cumberland Law Journal - legal advertising $ 60.00
The sentinel - legal advertising $ 96.73
PP&L - electric service from 12/26/95 $ 148.93
through 4/30/96
united of PA - telephone service from $ 52.26
February 1996 through April 1996
Borough of Carlisle - water/sewer from
Dec. 19, 19965 through April 30, 1996
Darlene L. Moyer - tax collector (1996
county and township taxes)
Darlene L. Moyer - tax collector (1996
personal taxes)
Jeffrey S. Cohick' Associates - 1995
federal income tax preparation
Register of wills - filing fee for
inheritance tax return and inventory
Miscellaneous withdrawal from checking
account on 3/4/96
Dauphin oil company - installation of
oil tank
Elwood Shughart - oil tank removal
Dennis Albright - sidewalk repair
Kevin M. Wickard - auctioneer
Nell's Market
Doug Glass - reimbursement for public
sale food stand
Leaner Home Center
Kruger's Rental Center
Lowe's
Denise Borsuk - reimbursement
Realty Executives - real estate sales
commission
American Home Shield - home warranty
Notary fee at real estate settlement
PA Department of Revenue - 1% realty
transfer tax
Home Paramount - pest inspection
$
57.52
$ 457.45
$ 9.90
$ 94.00
$ 25.00
$ 25.791??
$ 559.95
$ 750.00
$ 300.00
$ 609.75
$ 65.10
$ 16.50
$ 6.03
$ 34.45
$ 45.09
$ 14.70
$5,994.00
$ 360.00
$ 6.00
$ 999.00
$ 25.44
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aooount olosed 3/1/96
IMTIRlBT OR ClaTIrICATI or DBPOSIT - aooount number 50111-43
1/31/96
2/29/96
3/14/96
$ 27.82
$ 26.16
$ 11.78
account closed 3/14/96
IIITBRBST OR ISTATE SAVIROS ACCOUIIT
1/31/96
2/29/96
3/31/96
4/30/96
5/31/96
6/30/96
IIITIRBST OK ISTATB CHBCKIKO ACCOUIIT
$ 29.69
$ 97.28
$126.11
$139.12
$208.79
$ .63
1/31/96
2/29/96
3/31/96
4/30/96
5/31/96
6/30/96
$ 9.86
$ 25.07
$ 21.99
$ 3.08
$ 68.05
$ 1.66
TOTAL
$ 1,069.62
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DISTRIBUTIONS TO BINB'ICIARIIS
Douala. w. Glllss
Certificate of Deposit $ 1,000.00
account '50198-42 (3/1/96)
1/2 value of individual retirement $ 9,885.22
account (2/27/96)
Cash distribution (5/17/96) $ 70,000.00 .
TOTAL $ 80,885,22
DenisA B.. Borsuk
Certificate of Deposit
. account '50198-41 (3/14/96
1/2 value of individual retirement
account (2/27/96)
Cash distribution (5/17/96)
TOTAL
$ 1,001.89
$ 9,885.22
$ 70,000.00
$ 80,887.11
GRAND TOTAL
$161,772.33
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812 North Pitt street
Carlisle, PA 17013
eM' Cumberland
o 3. R.malndor R.'urn
('a, do'.. of dlO,h prior 'a 12.13.82)
o 5. F.d.ral EI'al. To.
R.'urn R.qulrod
~ 8. Ta'al Numb.r a' Sa'. D.pa.I' Ba'.1
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COMMONW'AUH Of PfNNUIVANIA
DfPAltMIHf O. I(YINUl
of"- 110601
HAUISlUIO, PI. 111210601
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
c
'0IDATUO'DIATlIAmI12l~1191 CHICK Hili
.. A ll'OUIAL
I'OVII" ClIDIT II CLAIMID 0
PILI HUM.II
21
COUNTY COOl
96
YIAR
0044
NUM51R
I
a
Rodne
M
GLASS
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o Ao. Future Inl.r..t Compromis.
('or do'.. a' d.alh ahor 12.12.82)
o 6. DIC.d.n' DI.d T..'a'. 0 7. D.c.d.n' Mainlain.d a living Trull
(Attach cap 01 Will) (Anach copy of Tru.'1
AU. COUISPONDINa AND CONfiDENTIAL TAX INPORMATlON SHOULD BI DIRECTlD TO.
AM M l MAlLIN A
.~.!.;
Michelle R.
II UM
Calvert, Esquire
200 North Hanover Street
Carlisle, PA 17013
( 8)
186,638.02
I. P..al EI'a'. (Sch.dul. AI ( 1)
2. S'ack. and Band. (Sch.dul. 8) ( 2)
3. Cla..ly H.ld Slack/Pa~nonhip In'.r,"' (Sch.dule C) (3)
~. Ma~gag.. and No'.. RlCeivabl. (Sch.dule D) ( ~)
5. Ca.h. Bank D.pa.ill & Mi"ellaneau. Pe"anal Prape~y( 5)
(Scnedule E)
6. Jainlly Owned Prap.~y (Schedule F)
7. Tran.'e" (Schedule G) (Schedul. L)
8. Ta'al Grall Allel. (Ia'allin.. 1.7)
9. Funeral Expense., AdminhtrativI COlli, Miscellaneous ( 9)
E.p.n... (Schedul. H)
10. Debl., Ma~gag. liabilili.., lien. (Schedule I) (10)
11. Ta'al Dedudian. ('a'allin.. 9 & 10)
12. Ne' Valu. of E.'a'. (Iin. 8 minu.lin. 11)
13. Chari'able and Gavornm.n'al 8equ..II (Sch.dul. J)
1~. N., Value Subj.d 10 To. (Iin. 12 minu. lin. 13)
15. Amaun' a' lin. 1~ 'a.obl. 01 6% ,a'.
(Include valu.. from Sch.dule K a' Schedule M.)
16. Amaun' of line 14 'a.abl. a' 15% ral.
(Include valu.. Irom Schedule K a, Sch.dule M.)
17. Principal 10. duo (Add 'a. from lin. 15 ond 'ram lin. 16.)
18. Cr,dil. Spousal Poverty Credil Prior Payments Discount
+ + 507.67
19. If line 18 I. groa'.r Ihan lin. 17, .n'or,h. diff.ronce an lin. 19. Thl. h ,h. OVERPAYMENT,
DID
20. If lin. 17 h gr.a'or'han lin. 18, en'or,h. diffor.nce an line 20. Thl. i. Ihe TAX DUE,
A. Enl.r the lnt.r'I' on ,he balance due on line 20A.
B. En'.r ,h. '0'01 a' lin. 20 and 20A an lin. 20B. Thi. iI,h. BALANCE DUE.
Moh ChICk Payabl. 10. R.gi..., 01 Will., Ag.n.
1/8/96
o 2.
174-20-2247
11/13/26
(11)
(12)
(13)
(14)
17.413.86
169,224.16
11!1 1. Original R.'urn
Supplemental Return
K .06 =
169,224.16
10.153.45
o ~. Umilld Ella'.
243-5551
92,405.00
1,892.73
( 61
(7)
91,339.09
1,001.20
)C .15 =
(17)
10,153.45
17.244.79
169.07
(15) 169,224.16
(16)
Check here if you atc requesting a refund 0' your ovcrpayment,
Intere,t
(18)
(19)
507.67
(20)
(20A)
(208)
9,645.78
9,645.78
.. BE SUO TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH..
Und.r nalti.. of perlury, I d.c1ar. Ihat I have uamined thl. return, Including accompanying schedule. and .tolemenll, and la Ihe be.t of my knowledge ond belief,
It rue, olred and complete. I declar. that 011 real e.tal. has been reported at true market ...alue. Oecloratian of preparer other than the penon r res I)1er.... i.
b ..d on IIlnfarmalion of w . h preporer has any knowledge. '-1
A U N SI IUN II: UII:N A.POJ! A
lU N. West st., Carlisle, PA 17013 ,',i.. Iq(o
DAn ~
1~
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK ("") IN THE
APPROPRIATE BLOCKS.
1. Did decedent make a tronsfer ond:
a. retain the use or income of the property transferred, .......................................
b, retain the right to designote who shall use the property tronsferred or its income,
c, retoin a reversionary interest or ....................,...............................................
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 consideration? If deoth
occurred ofter December 12, 1982, did decedent lronsfer property within one yeor of
death without receiving odequote consideration? .................................................
3. Did decedent own an 'in trust for' bank account ot his or her deoth?.....................
XU NO
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.
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SCHEDULE B
COMMONW'A1TH O. PrNNIYlVANIA STOCKS AND BONDS
IHHIl"'H~'IA' 1Il~'H
_"ID'N O.ClO'N
FlU NUMBER
Rodney M. Glass 21-96-0044
(All p..peoly 10InIIY-Gwn.d wllh Right of Survivorship mu.1 b. dl.c1oOld on Sch.dul. F,I
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
1. Ser~es E savings bond, issued 4/79, $50 face value $ 126.88
serial NL2162672903E
2. Series E savings bond, issued 4/79, $50 face value, $ 126.86
serial NL2162673134E
3. Series E savings bond, issued 3/79, $50 face value, $ 126.88
serial NL2162672670E
4. Series E savings bond, issued 3/79, $50 face value, $ 126.86
serial NL2162672426E
5. Series E savings bond, issued 12/78, $50 face value, $ 129.40
serial NL2141880711E
6'. Series E savings bond, issued 12/78, $50 face value, $ 129.40
serial NL2141880956E
7. Series E savings bond, issued 12/78, $50 face value, $ 129.40
serial NL2150005660E
8. Series E savings bond, issued 2/78, $50 face value, $ 139.32
serial NL2111398746E
9. Series E savings bond, issued 7/71, $50 face value, $ 192.64
serial NL793186968E
10. Series E savings bond, issued 6/71, $50 face value, $ 191.10
serial NL793186879E
11. Series E savings bond, issued 6/71, $50 face value, $ 191.10
serial NL793186920E
12. Series E savings bond, issued 5/71, $50 face value, $ 190.56
serial NL793186839E
13. Series E savings bond, issued 8/46, $JO face value, $ 48.10
seriel NX25261420E
14. Series E war savings bond, issued 3/45, $10 face $ 44.19
value, serial NX4388319E
S 1 892.73
TOTAL (AI.o .nlor on lin. 2, RICO lIulolion
(" more space ;s n..ded, ;nserf addifional she.Is 01 some size.'
.''IUOIllttH'I
'*
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
COMMQNWIAUH 01 P1HNITlVANIA
INHIIttAHCI tAX lnulN
.._HT OKIDINT
Rodney M. Glass
(AI "...., ...."~.... whh tho l"h. oIlurvl-.h1, ....1 !to 41....M4 .. Scho4... PI
ITEM DESCRIPTION
NUMBER
1. Members First Federal Credit Union, savings
account #50198-00
2. Members First Federal Credit Union, Christmas
club account #50198-02
3. Members First Federal Credit Union, investment
savings account #50198-05
4. Members First, IRA savings account #50198-10
5. Members First, checking account #50198-11
6. Members First Federal Credit Union, certificate
of deposit, certificate #50198-43
7. Personal and household effects
8. 1983 Chevrolet Blazer, VIN #lG8EK18H2DF149989
9. 1982 Buick Regal Station Wagon,
VIN H1G4AJ354XCH207933
10. Mail Handlers Benefit plan - reimbursement
for prescription drugs
(A"om odditionol 8~. x 11- ,hee',lf more 'poc.1I needed,)
'.
Plaall Pllnl 01 T a
VALUE AT
DATE OF DEATH
$ 5,183.36
$ 401.71
$50,801.73
$19,665.88
$ 3,803.70
$ 5,332.44
$ 3,500.00
$ 2,000.00
$ 600.00
$ 50.27
S 91,339.09
..."..".. II.....
W
COMMONWIAIIH 0' P1NNIYLYANIA
INHUlTANCllAI mU.N
IUIDINT DICIDINI
ISTATI OP
Rodney M. Glass
Jolnl ..nonl(')'
NAMI
A. Douglas W. Glass
I. Denise B. Borsuk
F/K/A Denise B. Glass
C,
Jolnll,-owMd .......rt,.
SCHEDULE F
JOINTLY-OWNED PROPERTY
ADDRESS
1011 N. West street
Carlisle, PA 17013
280 Echo Road
Carlisle, PA 17013
PILI NUMIER
21-96-0044
RELAnONSHIP TO DECEDENT
son
daughter
ITEM LETTER DATI
POR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMlil JOINT MADE DESCRIPTION OF PROPERTY
TeNANT JOINT OF ASSET ,",INT, DECEDENT'S INTeREST
1. A 9/5/90 Members First Federal
Credit Union, certificate 1,001.19 50% 500.60
of deposit #50198-42
2. B 5/9/90 Members First Federal
Credit Union, certificate 1,001.19 50% 500.60
of deposit #50198-41
TOTAL (AI.a .ntor on lin. 6, R.capitulatian) 51,001.20
(If mar. spoc. is n..cl.d ins.rt additional sh..ts a( some sin)
1''11lm'hl'''1
Rodne
ITEM
NUMBER
A.
1.
2.
3.
B,
1.
2.
C,
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.a.. P,lnt 0' Typ.
NUMBIR
CQMMOHWIAlI" o. .tNH'YlVANIA
INHUIlANCl fAX IUUIN
IUIOINIOICIOIHI
M. Glass
21-96-0044
DESCRIPTION
AMOUNT
Fun.,al Exp.n...,
Ewing Brothers Funeral HOme
Cumberland Valley Memorial Gardens
(grave opening and closing)
$ 5,439.00
600.00
Valley Motel
(funeral reception)
134.17
Admlnl.t,atlv. co.t.,
Personol Represenlalive Commissions
Sociol Securily Number 01 Personal Represenlolive:
Veor Commissions poid
3.
Allarney Fees
Griffie & Associates
Family e.emplion
Claimonl
Address 01 Clalmonl al decedent's dealh
Slreet Address
City
Slale
Zip Code
7,171.28
Relalianshlp
4. Probale Fees
Register of Wills
MI.callan.oul Exp.n...,
255.00
1.
Leaner Home Center
material for repairs on real
estate
6.03
2,
44.54
95.40
96.73
36.97
60.00
11.82
35.50
PP&L
3.
Wayne NOss Flowers
4.
The Sentinel - legal advertising
United of PA
5.
6.
Cumberland Law Journal - legal advertising
Borough of Carlisle - water/sewer
7.
8.
PP&L
TOTAL (Also enler on line 9, Recapilulotlon)
(II more .po.. I. n..d.d, In..'' additional Ih..1a 01 .am. I".,)
S 17,244.79
C. MISCELLANEOUS EXPENSES (Con't)
9, Darlene L. Moyer, tax collector
1996 county real estate taxes
10. Darlene L. Moyer, tax collector
personal taxes
11. Elwood B. Shughart - removal of oil storage tank
from real estate
$ 457.45
$
9.90
$800.00
12. Dennis Albright - sidewalk repair
13. Dauphin Oil Co.
replacement of oil storage tank and transfer
of oil between tanks
$ 400.00
$ 700.00
14. Jeffrey S. Cohick & Associates
preparation of 1995 income tax return
15. Internal Revenue Service
1995 income taxes
$ 94.00
$ 797.00
, .
".lllll"~.'" *'
COMMONWIAUN Of "NH'''\llH.A
"'HI.'1AHC11l1 "IUIH
."HI DlCIOINI
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
P1.a.. P,lnl 0' T .
, . NUMB.I
21-96-0044
Rodne M. Glass
!TIM DISCIII'TION AMOUNT
NUMB..
1. United of PA $ 22.16
2. Borough of Carlisle - water/sewer $ 11.94
3. Members First Federal Credit Union $ 61.97
Visa Account 64121-4499-9850-1980
4. PA Department of Revenue $ 73.00
1995 income tax
TOTAL (AI.o onlor on lino 10, Rocopilulollon)
(limo,. 'poco i. nmod, insort oc/c/ifianol .hH" of ,omo ,i...)
$ 169.07
v
/5' 7/i'-1/
RIV-1547 IX AFP (12-95*
CO..'ONWUUH or P(HNSYLVAHIA
MPAJlYtttN' or R(Y(tAJ(
IUMAU Of' INDIVIDUAL 'AXEl
D(Pf. 1I0Ul
HARRISIURO, PA 171ZI-0611
ACN 101
NOTICE 0' INHE~ITANCE TAX
A"~AISEHENT. ALLOWANCE O~ 015ALLOWANCE
0' OEOUCTIONS AND ASSES5HENT 0' TAX
DATI 07-01-96
FILl NO.
COUNTY
CUH8ERLAND
DATI OF DIATH 01-08-96
NOTE. TO IN8U~E '~O~E~ C~EDIT TO YOU~ ACCOUNT, SUBHIT THE U~PE~ ~D~TION OF TNIS fO~" WITH YOU~ TAX
~AYHENT TO THE ~E018TU 0' WILLS, HAKE CHECK ~AYABLE TO "~EOISTE~ 0' WILLS, AOENT"
REMIT PAYMENT TO:
HICHELLE R CALVERT ESQ
200 N HANOVER ST
CARLISLE PA 17013
REGISTER OF WILLS
CUH8ERLAND CO COURT HOUSE
CARLISLE, PA 17013
AlIOunt ~..ltt.d
CUT ALONG THIS LIN\! ~ R\!TAIN LOWER PORTION FOR YOUR RECORDS ~
ii"EIi:i:54-.niC"AFP"n'F9SrNOYic!"-OF-iNHEiiifANCi-Ylix-APPRAiSEif€Nj-;-,m:OWANCi-iii-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF GLASS RODNEY H FILE NO. 21 96-0044 ACN 101 DATE 07-01-96
TAX RETURN WAS. I X I ACCEPTED AS FILED
( I CHANGED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. ~..l E.tat. (Schedul. A) III
2. Stock. _ Bond. lSchadula B) 121
S. Clo..l, Held Stock/P.rtn.r.hlp Int.r..t (Sch.dul. CI IS)
4. Kortgag..lNot.. Receivable (Schedule DJ (4)
5. CaahlBank u.,o.lt.IHI.c. P.r.onol Prop.rt, (Sch.dul. E) IS)
6. Jolntl, Owned Prop.rt, (Sch.dul. FI (6)
7. Tron.f.r. lSchodul. Gl 17)
8. Tot.l A...t.
92.405.00
1 .892. 73
.00
.00
91,339.09
1,001.20
.00
lB)
186,638.02
APPROVED DEDUCTIONS AND EXEHPTIONS:
t 17.244,79
9. Funeral Expen.../Ad.. COI .'"llc. EKpan... (Schedule t1) I')
10, DobhlHorto.o. L1obIUU../LI.n. (Schodula 11 110) 169.07
11. Tot.l D.ductlon. (11)
12. Not Valu. of Tax R.turn (121
15, Chorltobl./Oo..rnaont.l B.qu..t. lSch.dul. JI liS I
14. Not V.lu. of E.tat. SubJoct to Ta. 1141
NOTE: If.n .......ent was issued previously, lines 14. IS and/or 16, 17 and 18 will
reflect figure. that include the total of ALL returns a.sessed to date.
ASSESSHENT OF TAX:
15, Aaount of Lln. 14 .t Spou..l rot. 1151
16, Aaount of Line 14 ta.obl. at Llne.l/Cl... A ..t. 1161
17, Aaount of Line 14 t..obl. .t Collat...l/Cla.. Brat. 1171
IS. Principal Tax Duo
17.413 96
169,224,16
,00
169,224,16
,00
169,224.16
.00
K'OO_
K.06_
K .15.
IlSI
,00
10,153,45
,00
10,153,45
TAX CREDITS:
PAYMENT
DATE
04-02-96
RECEIPT
NUII1lER
AA1l2692
OISCQUNT 1+1
INTE~EST I-I
507.67
AHOUNT PAID
9,645,78
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
10,153,45
,00
,00
,00
. If PAID AFTE~ OATE INDICATEO. SEE REVERSE
FOR CALCULATION 0' AODITIONAL INTEREST,
IF TOTAL QUE IS LESS THAN .1, NO PAYHENT IS REQUIREO,
IF TOTAL DUE IS ~EFLECTED AS A "CREOIT" ICRl, YOU HAY BE OIlE
A REFUND, SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS,)
,
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RESERVATIONI Eltat.. of decedent, dylno on or befor. Dec.-ber II, .," .- If In~ lutur. Jnt.r..t In the I,'et. I, tr,".f'rr~
In po.....lon or enJov-ent to el... . (coll,t,r,l' beneflcl,r... of the decedent .,t.r the IWPlr.tlon of ~v I,'st. for
11'. or for v..r., the C~.lth hereby ..pr..'I, rll.rv.. the right to 8PPr.... end ...... tr~".r tnherlt~. T....
It the l~'ul Cl... . (col1"",1) rat. on InY luch lutur. Int.r..t.
PIIIPClU lIIF
HallCEI To fulfill the requlr.-.nt. of S.olSon 2140 of the Inherlt~. end E,t'ts 'I. Act, Act Zt 0' ."1. 72 P.S.
leGt10n 2140.
PA'nENTI o.tKh the top portion of thl, Notice end ilUMlt with your peYMnt to the _.,ht,,. of WUh prlnt~ on the rrl'rs. ....
--"eke check or ~y order p'Vllbla tal REGISTER OF MILLS, AGENT
All ,.,....ts rKIlved ...11 flnt be -wllR to MY Int.r..t which ..y be M with "'v ,....lncH.. .,lIed to the tn.
RUlJND Calli A nfW"d of . t.. credit, which .... not reque.ted on tt. Ta R.turn, ..y be r...st~ b)' c0IIIP1.tlng en "&PPUc.Uon
for R.fund of Penn.,lv~l. r~rlt~. ~ E.t.t. T.x" (AEV~ISIS). AppJlc.tlon. .r. av.II.bJ. .t ~ Dfflc.
0' the R..I.t.r of Will., MY of the ZS R.venue DI.trlct Dfflc.., or by c.lllna the .peel.l Z4.hour
InlMerlng ..rvlc. ~r. for for.. orderlngl In Penn.)'lvenl. 1~.OO-S6Z-Z050, out.lde Penn.ylvenl. end
..Ithln local Herrl~r. '1"''' (717) 7'7~'0t4, TOOl (717) 77Z~ZZ5Z (Hearing lep.lr~ Onlw).
OIJECTlClCSI AIrI p...tv In Int.....t not ..tI.fled ..Ith the IlPPr.......,t, .Uowenc. or d...llowenc. a' deduction., or .....Ment
0' tu (IncludinG dl.ccutt or Int.....U .. shown on this Notlc. ...t object ..Ithln IIxty (60) dI)'. of rec.lpt of
ttl" Notlc. bWI
_IN
IST1lATlYE
CORRECTIONS I
DISCDUHTI
PENAL TVI
....ritten prot..t to the PA u.p...t...,t 0' R.venue, Io...d 0' Appe..., Dept. Zl1021, Hlr....bur., Pi 171Z1~1021, OR
".Iectlon to hevtI the ..tt.r detl...lned .t .ucUt 0' the account of the pe.....l r.,...sentIU,,., OR
-~~.l to the Orphan.' Court.
F.ctull '1"'1"'01"" dlscov...ed on this ...........t should be edd.....ad In ....lUng tal Pi DIp.rt....t 0' Rev......,
lur..u of Indlvlduil T...., ATTNI Po.t A..........t R.vl... unit, Dept. Z10601, H.rrl.burg, PA 171Z'~0'Ol
Phone (717) 717~'505. ...,... S of the bookl.t -In.tructlon. 'or InherltlnC' ,.. R.tum 'or . R..ldent
Decedent- (REV-1501) 'or In .x,lenltlon 0' ~Inl.tr.tlv'l)' correct.bl. '1"'1"'01"".
If In)' tn due I. p.ld ..Ithln thr.. (S) c.lend.r .onth. .,t.r the decedent'. ds.th, . 'Iv. p.rcent (5%) dl.count of
the tn p.id I, 11IDWld.
The 151 tn --.It, non~plrt1clp.tlon ,.,.ltW II COllPUted on the totll a' the tlX end Int.r..t ......Id, end not
p.id be'or. JInuIr, II, 1996, the flr.t dey ,'t.r the end 0' tt. tlX .-ne.ty ,.rlod. Thl. non~p.rticl'.tlon
,.".1 ty I. .....I.bl. In tt. .... ...... end In the the ... tI.. period .. )IOU would .....1 the tu end Int.....t
tNt hi. bien ......ed .. Indlc.tlld on this notlc..
INTEREST I
Int.....t Is chlrged beglmlng ..Ith fI...t de, of dellnquency, or nine (9) Mnth. end OM (1) dlV' 'rOIl tt. det. of
dMttl, to the dlt. of ,"""to T.... which bee... delinquent befo... Jenullry 1, 1'12: bell'" lnt.....t .t the ntl of
.s. (6%) percent per ..... c.lcullt~ It . dllh ...t. 0' .GOOI64. All tlx.. which bee... delinquent on end .ft...
J~rr 1, I,'Z ..Ill bill'" Int.r..t .t . r.t. which will v.ry froe c.lend.r y..r to c.lend.r y..r with that r.t.
~ by the PA DIp.rt...,t of R.venue. The eppllc.bl. Int.r..t r.t.. for l'IZ through 1996 '1""1
!!!! Intl....t R.t. DillY Int.r..t Fector !!!! Int.....t Rite D.lly Int.r..t Feetor
"Il ZD% .000541 1917 9% .000Z47
"as 16% .OOUSI I,u-I,n 11% .000SOI
"" 11% .OOOSDI I"Z 9% .OOOZU
1915 11% .00DSS6 I"S.I994 n .OGOltz
".. 10% .00OZ74 I"S~l'" 9% .IUZU
ulnb....t I. c.lcul.ted .. followlI
IKTEREBT . BALANCE OF TAX UNPAID X HUnBER OF DAYB OELI"QUEHT X DAILY INTEREST FACTOR
--Anr NoUCI luued .ft.r the tlx bee... delinquent ..Ill reUeet en 1nt.....t cllcul.tlon to flft..., US) de)'.
beyond the d.t. of thl ........,.t. If ,.weent II .... .U.r the Inhr..t COllPUt.tlon d.t. shown on tt.
Notlu, adcUtlonel Int.r..t .u.t be c.lculltld.
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Rodnev M. Glass
Date of Death: January 8, 1996
will No.
Admin. No.
2196 - 0044
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 11 No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No X
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes X No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date: 2/11 /q7
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Signature
Michelle R. Calvert
Name (Please type or print)
200 North Hanover st., Carlisle, PA
Address 17013
( 717) 243-5551
Tel. No.
Capacity:
Personal Representative
x
Counsel for personal
rel?resentative
(MAH: rmf/ AM3)