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HomeMy WebLinkAbout96-00213 PETITION .'OR PROIIATE unrl GnANT OF LETI'ERS Estate of Betty L. Cassidy No, ._.J..'-'_9to~~/;J a/so known as To: Rc~i\ICr of Will\ for tlrc lSj_-16--7007lJm'u,(''', COlllllyof Cumber and III Ihc Sorlal Serurlry No, COl1ll1lonwcnhh of PCI1l"ylvanin The PCllllon of Ihe undcrsigucd mpcctfully rClllC\cUI\ tlllll: Your pelltloner(s), who Is/urc I K ycars of Ilge or oldcr nn thc cxecul r i)( In Ihe lasl will of Ihe abovc dcccdcnt, dlllcd J u 1 V 21 and codlcll(s) dalcd namcd ,193L (itllC rC'h~\'ant ..ir(III1l\Um,"cs. C,It. frllundatlul1, LlC'alh uf C'\t1:ulUr, (Ie.) Deeendenl was domlcllcd at dcalh In Cumber land ~ er lasl familY or principal rcsidcnceat 1477 lIillcrest Camp IIi 11. Pa 17011 Hampden Township (I1\t Mfecl, number and 1TIt111dpalilY) County, Pcnnsylvanla, with Court. No. 801 Decendenl,lhcn 77 ycars of age, dicd Januarv 22 ,1996 ~ Holy Soirit Hospital ' Excepl as follows, decedenl did nOlmarry, was nOI dlvorccd and did not have a ehild born or adopted after execulion of Ihe will offcred for probale: WIlS nol the vicllm of a killing and WIlS ncver adjudicated Incompelent: Deccndenl at death owned properlY with estimated values as follows: (If domielled in Pa.) All personal property (If nol domiciled In Pa,) Personal properly in Pennsylvania (If not domiciled in Pa,) Personal properly in County Value of real eSlate in Pennsylvania situated as follows: S 95,000.00 S S S WHEREFORE, petltioner(X) respcclfully, request(X) the probate of Ihe lasl will and codicil(s) presented herewith and Ihe grant of ICllers Tes tamen tarv (lC'ilalllC'lltar)'; ndmini!llration c.l.a.i administration d.b.n.c.l.a.) Iheron, i '0_ ~f '00 if" ';;'~ ll'_ 1;0 a iii Deborah C. Weese A/l/lVn,-a~'1 /fs:;:- ,. ".J 1502 Westfield Ct. -charlotteSVllle, VA 22901 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH 01' PENNSYLVANIA } l:lS COUNTY OF The petitioner(s) above-named swear(s) or nffirm(s) that Ihe stalcmcnls in Ihe foregoing pelltion are true and correct to Ihe best of the knowledgc and belief of pelltioner(s) and that as personal represen- tatlve(s) of the above decedent petitioner(s) will wcllllnd Iruly administcr Ihe eSlate according 10 law. Sworn to or affirmcd and subscribed {/f1 ""1'/./-' C- ~~d ~ x:- " before me Ihls II"'" ~ 2...-/~' ~f,~~~ Ill' (la '~;'ltt~~.. I I ~ RC/:lStcr oi:!. 9o-L /s- No. 21-96-213 Estate of Betty L. Cassidy , Deceased DECREE OF PRODA TE AND GRANT OF LETIERS MBrch 11, 96 AND NOW 19_, In conslderallon of the petition on the reverse Ilde hereof, latlsfactory proof havlnB been presenled before me, IT IS DECREED thaI the Inslrument(s) dale<! Julv 21. 1994 described therein be admitted to probate and filed of record as the IMl will of Betty L. Cassidy and Letlers Testamentarv are hereby Branted to De barah Cassidy Weese ,; 'I1'h?.I! .Y'1IIr;' pn ~/.I . 'JI(;.,izu" D~/114 . Rq!.tcr or Wllb FEES Probate, Lelters, Etc. ..,..,.., S 200.00 Short Certlficales(l~ ..... ..... S 30.00 ,-wW1llIllf/M1tX ,iJW!Al;;ES... S Cj. nn JCP S 5.00 TOTAL _ $244.00 FIled ~fi:!I..H,. .1,9.~~. .....,..,.. ..,.., Patricia R. Brown 27474 4 E. tIboR'E~(sl'fv!'h\:& No,) Carlisle, PA 17013 ADDRESS (717) 243-7922 PHONE ~ ~M~ib-- ~ fCZuJ /(J-/6-9" ~ $5 Otl CALLED ATTORNEY. MARCH 11. 1996 21-96-213 Thili i!i In u.'nify dUB thl' illform,ltioll hell' ,,:in'lI ''I (111ft Illy t'npu'd 110m .In llri,cin.lI u'llifl(,lIl' IIf dC'.lIh lIuly fill'll wlIh me .Il l.fll',,1 Hl'giMfJf. The mi};ill.tl u'uHilllU' will ht, fnrw.ardnllll ,Ill' ~1.11t. \'11,11 Hnllr.l, (HI in" 1m I't'tlll.lllt'1I1 fding. WARNING: 1111 lIIog8110 dupllcato Ihls copy by pholostal or photograph. Fl'C (or thi, Il'r1ifir"",, Sl,IKI () J f"'<tc~~{. -ly.,.J.ijl~---__ c7 If l>,Ill' ~ lIAUI'ioOJU.LJ~cb fun.u41 1.0(,11 Ih1t'II,lr .-'1) ._~(}' 3363135 No. . . .,,"',.,....", CO....ONWEALTH Of PINNSYtvANIA. OEPARnl(Nf OF HEALTH. VITAL AICOAOS CERTIFICATE OF DEATH n,...., . -. IUCI_ u. r 'UlII'.'_1l "'-<UII.,U;......'.,_II _!'lIS -I" o.&~ .- "7'" .. .._,- C....uiJ\' 1. - ...,,--..-.......-- . C.....K&L~".. OIIctDlll'1 ",- ...... --.. -- ,~ .. ......0 c._fall ____....[J ......-,. 0 ... """ ..""" .~"-. C.."'.L~+C c."'""",..,01l ~.tICl.IDDN"OI 1I....~1........."'" uctNtl........ :.....". 0 J ~ IIMI.... .......... ...iJ ..--..............___........n..._... ____ .....--.~(711 ;[""~:o!J,;oM6..'f-!.jJ,~0tJ,.. 'f).."Z-A.o!~_t- j=-= 1.~-s...l!..<:;;Jdft.----_._-----. --.-----! ,-4;;~.'r.t1[1.iCM"'if!,~,,;, r- Cd# ''1--<;'1' ,d.... ''''---f- . n" _ .___._ d. _.. . .___ _.U __ .... _ _ .._.. _.. ._n " _IIOl'IllIMM 011I101'--.-' ''''0'''''"'''' ......".,.._, .........PMJAIO "''''_' aTIUI'IOICAUtol ....... ... . CIfW _"--'__'" ...........~-...."""'I ueKIWII~.."""OItCUNW.O ...[) -. 1'1 -. ..- CI ......- ... rJ ~.....- u n LJ .e:ic.-~,--:-..-;';;-....!':.M;;;;;;...-" .... - --- ... .. rJ .. ... cun...llb.._.... .Cllltlf~..."IIaIIIl"",_'..."...,._~._.._..._..~.._....."'.........._ ....,.~__!ro "...-.....-......-__._.____H_ ,... . n " ---..&JIOCl'l,.,..""tcI&II'"..._'..'.......................".""... _".10'" ....._....,~..............._-._-...... --..-.-...--....- 'i1_u.._ . II. !'!.!!~~t~~ .uoc:.....wtlf..." tn mO 01. "WiDlCAllla....~. DI_.........................................IIO.,............Il..,'""........,_......._pl................._I.I_ -...........-............-.........,,-..-.. ,............. .............-...-.,-..-, ,.. , ..., ~...,,'I<l,t~uk~tf Lu/I.J'/.iLJ " I'.e\ LAST WILL AND TESTAMENT OF BETTY L. CASSIDY (WIDOW) COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, BETTY L. CASSIDY, hereby declare this my Last Will and Testament and revoke any and all wills and codicils heretofore made by me. I was previously married to Robert Joseph cassidy, now deceaeed. My maiden name was Lewis. PARAGRAPH 1 I reside in Lower Allen Township, Camp Hill, PA. I have four children, who arel Deborah Cassidy Weeee of Harrisburg, PA, Michael Allen Cassidy of Mt. Lebanon, PA, Patrick Vincent Cassidy of New Alexandria, PA and Carol Marie Cassidy of Laguna Riguel, CA. PARAGRAPH 2 In addition to the material possessions I bequeath to them, I leave to each of my children my abiding gratitude for the love they have shared with me during all of my years with them, for the joys we have shared together, and for the care and understanding they have always provided for me. My life continues in their lives and the lives of their children. PARAGRAPH 3 PaYment of Exoenseo and Taxes. As soon after my death as my executrix deems advisable, ehe shall pay from the residue of my estate the expenses of my last illness, funeral and burial (or other disposition of my remains,), debts duly allowed against my estate, expeneee of administration of my eetate, and all estate, inheritance, succession and other death taxes and duties occasioned by my death, whether incurred with respect to property passing by this will or otherwise. PARAGRAPH 4 soecific Gifts. A. I give, devise and bequeath to my daughter, Deborah Cassidy Weese, all of my furnishings and pereonal property not Page 1 of 4 #~~ . otherwi.e .pecific.lly di.po.ed of below. Thi. beque.t .hall include my grandfather John.ton'. gold pocket watch. I a.k that my daughter .hare with her .ieter and brother., nephew. and niece. any item. which any of them might reque.t becau.e of .entimental attachment. B. I give and bequeath the antique items listed below with the stipulation that, if at any time anyone of my heire no longer wi she. to keep a designated item, said item is to be given to another heir and kept in the family. C. To my son, Michael Allen Caseidy, my grandparents' French crystal regulator clock and the original acrylic painting "Humming Birds" by Martha Gimlin. D. To my son, Patrick Vincent Cassidy, my great-grandparente' desk, small, flat-topped truck, my dining room furniture _ table, six chairs, and 2 corner china cabinets, and my Ivy pattern dinnerware. E. To my daughter, Carol Marie Cassidy, my grandparente' carved wood upho1etered chair, two-drewer stand, marble top table and my pearl ring. PARAGRAPH 5 All the reet, reeidue and remainder of my property of whatever kind and wherever situated ehall be divided into ae many ehareB aB I have children then living and deceaBed children with deecendantB then liVing. One of Baid ehares .hall be dietributed to each of my children then living and one of said shared per .tirpe., among the deBcendants then living of each deceaBed child of mine. PARAGRAPH 6 ADcointment of Executore. I hereby nominate and appoint as the executrix of thi. will my daughter, Deborah CaBBidy WeeBe. In the event for any reason Deborah Cae.idy Weese should fail or ceaBe to serve ae executrix of this will, I nominate and appoint my Bon, Michael Allen CasBidy, to serve with the .ame Page 2 of 4 ~.tt!. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS We, BETTY L. CASSIDY, RUBY D. WEEKS, KARYLYN A. LAPATO, and SHIRLEY P. CLEVENGER, Teatatrix and the witneBeeB, reBpectively, whoee nameB are eigned to the attached or foregoing inetrument, being firet duly Bworn, do hereby declare to the undereigned authority that the TeBtatrix Bigned and executed the inBtrument ae her LaBt Will and TeBtament, and Bhe had Bigned willingly and that ehe executed it ae her free and voluntary act for the purpoBeB therein expreBBed, end that each of the witneBeeB, in the preDence and hearing of the TeBtatrix, eigned the Will aB witneBB and that to the beBt of their knowledge, the TeBtatrix wae at that time eighteen yeare of age or older, of eound mind, and under no conBtraint or undue influence. (SEAL) ~~ l~Vl Witne.. \I 'fdf1t/l/I /(l!lN/'fL W neBe I 9J:~~-? If vC;pitt- Witne B (I reeiding at (\oJS-~l<J 8 //U I 2, ,/)7. .. h,/ .J'i-{'JOt((~( ( .4 /7.Rl,L/ , /if!~h residing at reBiding at Subecribed, Bworn to and acknowledged before me by BETTY L. CASSIDY, the TeBtatrix, and eubBcribed and eworn to before me ~~~~. WEEK~YLYN A. LAPATO, an~~HIRLEY P. CLEVENGER, witneeBeB, thie ~ay of ~I , 19!J!t... HiIlIIlIIIoII IllIreK llnIIIhI. ~ c.tsIo _ QII'6irlnI ..,c..........~..... 12, 1 1:?~ K. ~I ary PU lie Page 4 of 4 UV.1S00 U. (7.9'1 I!! lllC:s:: &lIE... "'f9 U:l!"' ~i :!" oX ...f * COMMONWEALTH Of 'ENNSYlVAN1A DEPAIlMENT Of REVENUE DEPT_ 110601 HAUISlUIG.,A 1712'-0601 DE lOIN' NAMlllAS. 'IU . AND MIODlllN.,....11 15.- qO -- II INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) m !!! 185-16-7007 1/22/96 6/25/18 III AthI(AIlII'UIYlVINQ vauut HA"'II'Au.'II" A"O ....'001. .HIlIAII SOCIAl U(Ulll" HUMIU DAn Of DIATH 'OR DATIS O' PlATH AfTlR 12/31/91 CHICK HUI .. A SPOUSAL POVIRlY CRlPIT .5 CLAIMIP 0 fILl NUMIU 21 COUNlY CODE 96 YEAR 0213 NUMBER Ot(tOlNn (Olol"t t ADOlln DAIl 0' 'laTH 147 Hillcrest Court, No. 801 Camp Hill PA 17011 Co." Cumberland AMOUN' 11((lYtD jUt INS1IU(1I0NSI 03. 05. 1 _8. R.maindar R.lurn (fo, dol.. 01 d.alh p,ior 10 12.13.821 F.d.ral ettal. Tax R.turn R.quir.d Talal Numbar a' 50" D'POllt BOkll o A, Liml"d E,'ol. o 2. Supplemental Rotu,n o .0. Fulur. Inle,.lt Compromite (10' do'.. 01 d.alh 01", 12,12.921 ~ 6. o.c.d.nl Di.d T.llOI. 0 7. o.c.dent Malnlain.d a living Trult (A"och copy 01 Willi (Allach copy of Tru"1 .COIlISPONDINCI AND CONflDENnAL TAX INfORMAnON SHOULD BE DIRECTED TO. COMmn MAilING olDDltn 1. R.al E.'a" (Schedul. Al 2, Slock. and Bond, (Sch.dul. 8) 3. Clo..ly H.ld S'ock/Partnmhlp Inl.,.., (Sch.dul. C) .. Mortgage! and Naill R.c.ivable (Sch.dul. 01 5. Calh. Bank Oeposin & Misc.llaneous Penonal Property (Sch.dul. E) 6. Jointly Own.d P,ap.rty (Sch.dul. f) 7, T,o..I... (Schedul. GI (Sch.dul. L) 8. Total Gran AUln (lotalUnes 1.7) 9. Funaral Expenses. Adminlstralive Costs, Miscellaneous Exp..... (Sch.dul. HI 10. D.bts, Mortgage liabllllies, li.ns (Schedul. I) 1" T 0101 D.du",a.. ('0'01 Un.. 9 & 1 01 12. N.I Volu. 0' estale (line B minus line 11) 13. Charilabl. and Governm.ntal B.quests (Schedule J) U. N.t Value Subled to Tall. (lin. 12 minus line 131 15, SpoUlol Tro..I... (10' do'.. 01 d.o,h ah., 6,30.9AI S.e Instrudions for Applicable Percentag. on Rev.ne (15) Side. (Includ. values ham Sch.dule K or Schedul. M,) 16, AmounlolUn. Ula.abl.a,6%ra'. (16) 138,871.03 (Includ. values from Sch.dule K or Schedule M.) 17, Amaun' 01 Un. U la.abl. a' 15% '01. (171 (Includ. values 'rom Schedul. K or Schedule M.) 18. Printlpallox due (Add tax 'rom lines 15, 16 and 17.) 19. Credits Spousal Pov.rty Credit Prior Payments Discount Inlerest 20. If lint 19 i. greatar Ihon lIn. 18, enler Ih. diU.rence on line 20. This is lhe OVERPAYMENT, II O."n:I"i.lLI."'I~'I'.'II".o,I'I'I~'"ilt.'..Llnr.r.II':'I.TI'1I1.....I.l,lJ.I,I....lloli.1 ~ 1. Original Ralurn Es uire 243-7922 X o ~ ~ &l 0: X o ~ ~ . '" ... ~ .... + i 0',: ,~;;.. f;~;~ 4 East L~berty Avenu~ Carlisle PA 17013 '~"', 11) -0- ( 21 66,900.00 131 -0- I A) -0- (5) 88.677 .07 ( 6) -0- ( 71 -0- (9) 6,965.32 (10) 9,740.72 " (8 ) 155,577 .07 16,706.04 (111 (12) (13) (IA) 138,871.03 )(._1Il )( .06 = 8,332.26 )( .15 III (18) 8,332.26 + (19) (20) (211 (21AI (218) 21. IIl1n. 181s great.r Ihan lIn. 19, .nter Ihe diU.rence on lint 21. This is the TAX DUE, A. Enlar the Intar"t on thl balance due on Un. 21A. 8, En,.r ,he '0101 01 Un. 21 and 21A an Un. 218. Thi. i.,he 8ALANCE DUE, Make Chick Payabl. tOl R.gllt" of Willi, Ag.nt . _ BllUn TO ANSWeR ALL QUESTIONS ON RIVERSE SIDE AND TO ReCHECK MATH ,,};{,;;:!''''';,,\ ".';;,j Under p.nalties 0' parlury, I d.c1ar. Iholl have uamin.d Ihlt return, including attomponring seh.dullS and statlments. and to Ihe best 0' my knowl.dgt and beli.f, It Is tru., corr.d and complel.. I d.dare that all real eslot. has b..n report.a allru. market value. Oadaration 01 p"parer other than ,h. p.nonal repres.ntativ. Is baaed on allln'ormation 0' which prepartr has any knowl.dge, $IGNA1Ulf 0' PUWN IUPONSIIU '011: filING U,UIN AOOIUS DATI 8,332.26 SIOHA'UIf Of PUPAIU OTHU THAN II:IPlUfNTAflVf Yih;'---"--.I\R~ , ADDIfSS ~1fN C. ~bu~T,/ A.~ ('A.{t."J<-'Z. PA/I"]OI,3 DAIf I 10 7 / en. I I Act '48 of 1994 provld.. for the r.ductlon of the tax rat.. Impo..d on the n.t valu. of transf'lI to or for the u.. of the .pou... Th. rat.. o. pre.crlb.d by the .tatut. will b.l · 3% (.03) will b. appllcabl. for ..tat.. of d.c.d.nll dying on or aft.r 7/1/94 and b.fore 1/1/96 · 2% (.02) will b. appllcabl. for ..tat.. of d.c.d.nt. dying on or aft., 111/96 and before 111/97 · 1% (.01) will b. appllcabl. for ..tat.. of d.c.d.nt. dying on or aft., 1/1/97 and b.fore 1/1/98 · Spou.al tran.f.r. occurring on or aft.r 1/1/98 will b. .x.mpt from Inh.rltanc. tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK k) IN THE APPROPRIATE BLOCKS. YES NO 1, Old 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, ............... x x c. retain a reversionary Interol'; or ..,.......,.,......,.....".............,.....,............,.............,......... 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 d.ath transfer properJY without receiving adequate consideration' If death occurred after D.c.mb.r 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration'.....,....... 1.0....".....,...... Of.... I.'... o.ot.....,........... ""0" II'.. ..0................. x x x 3. Old deced.nt own an 'In trust for'. bank account at his or her death'...................................... 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. "IlV.ISOlIX+ 1.0161 ~~ COMMONWEALT" OF PENNSYLVANIA IHHUlfANCI TAX .nuI... aUIDEH'DICEDENT SCHEDULE B STOCKS AND BONDS fiLE N MBIR TATE Of 21-96-0213 CASSIDY, BETTY L. (All property lolnlly-ownld with RighI 01 Survivorship mUll bl dl,clo,.d on Schldull f,) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Common Stock - 1500 shares @ $19.00 eBch (000) in First Commonwealth Financial Corporation Merrill Lynch stock in Minivest, PA (insured fund) 28,500.00 38,400.00 2. TOTAL Also .nt.r on IInl 2, R.co Itulotlon) (I'morl space is ""eI.eI, ins.rt additional ,h..f, of sam. sin., $66 900.00 I.V.llOIlhP.&7) ES A E OF "- *' SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PlIo," Print or T I FILE NUMBER COMMOHW,ALT" 0' "NNIYWANIA IHH..fTAMe. TAX lnulH ..SlDlNT Dle.DlMT CASSIDY, BETTY L. 21-96-0213 (All property 10lNtyoClw...d wUh eM RJghl 0' Su,.,I"onhlp MW" b. lIIulaNd 0" Schedlll. '1 PNC Bank Checking Account (account interest) Savings Account (account interest) Certificate (interest) 2. Dauphin Deposit Bank Certificate of Deposit ITEM NUMBER 1. 3. 4. DESCRIPTION VALUI AT DATI 01' DIATH 1,677.19 2.53 8,715.72 18.99 20,000.00. 65.98 1,679.72 8 , 734 . 71 20,065.98 ,. 21,124.49 10,579.61 10,657.56 10,485.00 , 4,350.00 1,000.00 Core States Bank Certificate of Deposit Certificate of Deposit 1995 Ford Taurus 5. An tiques 6. Gold Watch s 88,677.07 l"nodl oddllloooll"'" . \1" ","II U __ _I' Iloodod.} . CASSIDY, BETTY L. ITEM NUMBER A. Fun.ral Exp.n'.1l m.I,"I" ...... 1. 2. 3. 4. 5. 6. 7. B. C. . - . -----.....-.--.. ,- - ~~ COMMONWfALnt 0' peNNSYlVANIA IHHllnAHCI TAX InUIH I.SIDINT O(CIDINT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE com AND MISCELLANEOUS EXPENSES PI.a.. Print or T . FiLl HUMan 21-96-0213 DESCRIPTION AMQUNT Neill Funeral Home (cremation) Urn for ashes - picture frames Newspaper Notification Food and Drink for Wake (JDK Caterin~) Flowers (Wake and Reception) Rental - Hampton Inn (Wake and Reception) FBmily Dinner (after Wake for out-of- town family) 735.00 54.77 60.00 1,056.22 120.97 84.88 201.10 2,312.94 t. Admlnl.tratlv. Calta, P.rlOnol R.pr...nloti.. Commission. Sociol S.curity Number aI P.nanal Representati..: V.or Commi..ion. poid Attorn.y F... Patricia R. Brown, Esquire 4 E. Liberty Avenue, Carlisle PA 17013 3, Family Ex.mption none Clalmont Relationship Addre.. of Claimont ot decedent'. death 4,000.00 2. Street Addr... City Stole Zip Code 4, Probote Fee. Letters Testamentry & 10 Short Certificates 244.00 1. 2. 3. 4. 5. MlIC.llan.aul Exp.n.... FederBl Express Fees Misc. filing fees and closing costs The Sentinel - advertise Letters Testamentary Cumberland Law Journal - advertise estate notice Appraisal of Gold Watch (Reine's Jewelers Charlottesville, VA) 30.00 200.00 78.38 60.00 40.00 TOTAL (AIIO enter an line 9, Recopitulotion) (If mar. IpaC. II needed, In..rt addltiaftal .....h of oam. 11..1 s 6,965.32 .--~. .. .,-",~,,""""" ".,.,~., ;.':.....,~.,;.':'.. -,....... . LAST WILL AND TESTAMENT or BETTr L. CASSIDY (WIDOW) COMMONWEALTH or PENNsrLVANIA COUNTY OF CUMBERLAND I, BETTr L. CASSIDY, hereby declare this my Last Will and Testamsnt and revoke any and all will. and codicil. h.retofore made by me. I waG previously married to Rob.rt Joseph c~ssidy, now deceased. My maiden name was Lewi.. PARAGRAPH 1 I re.ide in Lower Allen Township, Camp Hill, PA. I have four children, who arel Deborah cassidy Weese of Harrisburg, PA, Michael Allen cassidy of Mt. Lebanon, PA, Patrick Vincent caseidy of New Alexandria, PA and carol Marie Ca..idy of Laguna Niguel, CA. PARAGRAPH 2 In addition to the material poeeeeeions I bequeath to them, I leave to each of my children my abiding gratitude for the love they have ehared with me during all of my years with them, for the joy. we have shared together, and for the care and under.tanding they have alway. pr~iided for me. My life continues in their live. and the live. of their children. PARAGRAPH 3 ; PaYment of Exoenee. and Taxee. A. soon after my death as my executrix deema advi.able, she .hall pay from the residue of my estate the expenses of my la.t illne.., funeral and burial (or other disposition of my remains,), debts duly allowed against my eetate, expeneee of administration of my estate, and all estate, inheritance, succeesion and other death taxes and duties occasioned by my death, whether incurred with respect to property passing by this will or otherwise. PARAGRAPH 4 Soecific Gifts. A. I give, deviee and bequeath to my daughter, Deborah cassidy Weeee, all of my furniehings and personal property not Page 1 of 4 ;;~~ . otherwiee Ipecificelly dilpoled of below. Thil bequelt Ihall include my grandfather Johneton'l gold pocket watch. I a.k that my daughter ehere with her li.ter and brotherl, neph.w. and niece I any iteml which any of them might requelt becaule of .entimental ettachment. B. I give and bequeath the antique iteml li.ted below with the Itipulation that, if at any time anyone of my heir. no longer wilhel to keep a deeignated item, laid item i8 to be given to another heir and kept in the family. C. To my eon, Hicheel Allen Cuddy, my grandparent8' French crY8tal regulator clock and the original acrylic painting "Humming Birdl" by Hartha Gimlin. D. To my Ion, Patrick Vincent Cal8idy, my greet-grandparent8' delk, emall, flat-topped truck, my dining room furniture _ teble, lix chairl, end 2 corner china cabinetl' and my Ivy pattern dinnerware. E. To my daughter, Carol Harie Caleidy, my grandparentl' carved wood upho18tered chair, two-drawer 8tand, marble top table and ,- my pearl ring. PARAGRAPH 5 All the relt, re8idue and rdmainder of my property of whatever kind and wherever 8ituated 8hel1 be divided into as many 8hares a8 I have children then living and d8ceaaed children with descendant~ then living. One of said share8 Ihall b8 diltributed to each of my children then living and one of 8aid ehared per 8tirpe., among the deecendant8 then living of each decea8ed child of mine. PARAGRAPH 6 ADDOintment of Executore. I hereby nominate and appoint as the executrix of thi8 will my daughter, Deborah Caseidy Weese. In the event for any reaeon Deborah Cae8idy Weeee 8hould fail or cea8e to eerve as executrix of thi8 will, I nominate and appoint my son, Hichael Allen Cassidy, to serve with the 8ame Page 2 of 4 ~.ed. ". .'-.. .,~~....--'. .' '''. '''' COMMONWEALTH or PENNSYLVANIA I I SS COUNTY or CUMBERLAND I We, BETTY L. CASSIDY, RUBY D. WEEKS, KARYLYN A. LAPATO, and SHIRLEY P. CLEVENGER, Teetatrix and the witnesee8, re8pectively, wh08e name8 are eigned to the attached or foregoing in8trument, being fir8t duly 8worn, do hereby declare to the undersigned authority that the Te8tatrix signed and executed the in8trument a8 her La8t Will and Testament, and she had signed willingly and that 8he executed it a8 her free and voluntary act for the purpoee8 therein expressed, and that each of the witnesees, in the preeence and hearing of the Te8tatrix, 8igned the Will.. witneu and that to the beet of their knowledge, the Te8tatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. (SEAL) Wit~Vl wJf<::h1f!1 jLwr- residi~: ~ tf! r miiding R. /Ii) I '2. residing at ~t.u at tJl.et.n/,~M, ;;? /?;:?~/ , at & Sub8cribed, sworn to and acknowledged before me by BETTY L. CASSIDY, the Te8tatrix, and sub8cribed and sworn to before me ~~~~. WEEKS~LYN A. LAPATO, andL~HIRLEY P. CLEVENGER, witnesses, this ~ay of , 19!J!1;... NIllNI SelII 1llrNK.s.r-u.~ CIIIsIt Ibo, QIl'IiiIoWd Uyl:cmTllla., e"....... 12, 1 ~~ K. ~~~(&. . ary PU lic . I Page 4 of 4 \ ............--,.-.---- . - j i I . i . 1 -- -.--.;.- ~~--- --- --- -_ _ _ _,__ _ _ _ _ _ __ ---_-..1. li' "1 'I '.'1 d iI l ~ ! ., , , ., . , RECEIVED FROM, & ACN ASSESSMENT P:' CONTROL ~ NUMBER AMOUNT ., J, ~ , PATRJCJA R BROWN ESQUJRE 4 E LJBERTY AVENUE 101 .B.~~e.e6"'1 CARLJSLE. PA 17013 IOtDHfIf ESTATE INFORMATION, m I NUMIR IY 21-1996-0213 !I NAME Of DECEDENT (lAST) 1;1 CASSIDY BETTY L II ,E Of PAYMENT B POSTMARK illiTE COUNTY SSN IB~-J6-7007 (fiRST) (MI) CUMBERLAND illiTE Of DE H SEAL DEBORAH WEESE C/O PATRICIA R BROWN ESQUIRE CHECK" J2:S m TOTAL AMOUNT PAID REMARKS REGISTER OF WILLS RECEIVED BY I ,;1,'''' 1'fJ1J~ ( MARY C. LEWJ '//1/,(. /,/1!,/. REGISTER OF WILLS '. '8.332.26 DO :=.=.=...,..". ~ ----- - -~:- -- -'-' -.-:- --,- -- --- ----~-:-~--.;T,,;;;;;; , I .1 f" , , \. .., t, . ~. :- -f , , 'j---- . r='" _.;JJ ---~ ._,~ ~- 1-' .-. -~...- -- -- .._- /5-90-'1 BUREAU Of INDIVIDUAL TAXES INHERITAHC! TAX DIVIIION DEPT. Zl0601 HARRISIURG, PA 17121-0'01 COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE Of IHNERITANCE TAX APPRAISEHENT, ALLOWANCE DR DISALLOWANCE Of DEIlUCTlDIIS AND ASSESSllENT Of TAX PATRICIA R BROWN ESQ 4 E LIBERTY AVE CARLISLE PA 17013 DAT! ESTAT! OF DAT! OF DEATH FILE NUHBER COUNTY ACN 01"28"97 CASSIDY 01-22"96 21 96"0213 CUHBERLAND 101 Mount ft_ltted '. -/ .. II'f.LI4IOtn IU-NI BETTY L HIlKE CHECK PAYABLE AND REHIT PAYHENT TOI REGISTER OF WILLS CUHBERLAND CO COURT HDUSE CARLISLE, PA 17D13 CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ REv:isW"Ex""j:p"ii'F96TiiiificE"-ciFnftiHEii'iTANci"TAx"APPRAisEif€iii'";",U.t"ciiiAiici-iilinmn_.."mm DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF CASSIDY BETTY L FILE NO. 21 96-D213 ACN 101 DATE 01-28-97 TAX RETUIIH WAS I I X I ACCEPTED AS FILED I I CtwIllED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..1 E.t.t. ISch8du1. Al III 2, Stockl 8nd Bond. 1Sch8du1e 81 121 3. C10..1y Held Stock/P.rt..rohlp Int.r..t ISch8du1. CI 131 4. Kort0888.lHot.1 R..-IV8b1. 1Sch8du1. 01 141 5. C..hl8_ JI8podtoIHho. P.rIOM1 Property ISchedu1. EI 151 6. Jointly Dwn8d Property 1Sch8du1. FI 161 7. Tr...f.rl ISch8du1. 01 171 8. Tot.1 A...tl APPROVED DEDUCTIONS AND EXEHPTIONSI 9. F~r.l Expen.../A~. Co.t.I"lao. Expen... (Schedule H) (,) 1e. D8btl/Hort0888 LI8bl1Itl../L1... 1Sch8du1. II 1101 11. Tot.1 Deduction. 12. Het V.1... of T.,. R.tum 13. Chorlt8b1./Do..rn88nt.1 Bequolt. ISch8du1. JI 14. Het V.1... of E.t.t. Subj..t to T.,. .DO 66.900.0D .00 .00 88.677,07 ,OD ,00 181 6,965.32 9,740.72 IllI 1121 1131 1141 HOTE: To Inlura proper credit to your ItCCCKrtt, ouboolt the upper porUon of thl. fo.. with your t.,. p._t. 155,577.D7 16. 70~ 04 138.871.03 .00 13B,B71.D3 If an a.......nt was i..u.d pr.viou.ly, lin.. 14, IS andlor 16, 17 and 18 will refl.ct figur.. that include the total of abh r.turn. a......d to dat.. ASSESSHENT OF TAXI 15. Mount of Ll.. 14 .t Spou..1 r.t. 1151 16, Mount of Ll.. 14 t.,.8b1. .t L1...1/C1..1 A r.t. 1161 17. Aaount of Ll.. 14 t8K8b1. .t Co1..t.r.1/C1... 8 r.t. 1171 18. Prlnclp.1 T.,. Due NOTE I TAX CREDITSI PAYllENT DATE 10-07-96 RECEIPT HUHIIER AA146B22 DISCOUNT 1+) INTEREST 1-) .00 .OD x .DO. 138.871. 03 x .06. .00 x .1S. (18) AIlOUHT PAID B,332.26 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 8.332.26 .OD 8,332.26 8,332.26 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN n, NO PAYllENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YDU HAY 8E DUE A REFUND. SEE REVERSE SIDE OF THIS FOIIH FOR IHSTRUCTIDIIS,I Roc"'" c' ",.~ . Rt'L' -'., "" (' of '.' v'liils '97 J{\N 24 P 1 :08 CIl':I, Cum::)'; I.Jrl :, ..'0, PA RUDrYATtDHI Elt.t.. of ~h ctvtnt an or ..fo... o.o.ber 12, 1.1l ... If MY futu... lntereat In the ..t.t. h tnn,'.rr. In po.....lon or enJov-ent to CI... I (co11.t.r.l) beneflcl.rl.. of the decedent .,t.r the Ixplr.tlon of MY I.t.t. for 11'. or 'or YNn, the C........lth hereby 'JCPr...h r...rv.. the right to IIPPnl.. ... ...... tr."lf.r Irhtr1t-"CI T.... It the l...ful Cl... . (coll,tt,..1) r.t. on MY IUCh future Int.,...t. ~OI' NDna. To fulfUl the ,.....I,.__t. of SeclUon Zl4D of the JrhtrJt~ Md fatat. Tax Act, Act IZ of 1"1. 72 P.S. s.oUon 2141. PAntENTl DIItKh the top ItOrUon 0' thl, HoUc. ... .w.lt with your PIYMnt to the A-".".r of 'lUll prInted on the reve,... .Jde. n.... chec:k or ....y order p.nel. tol REGISTER OF MILLS, AGENT All papMh rec.lved "'11 Urst be 1Ipp1ltd to MY lnt.real which ..y be dull with MY ,._1,.,. ..Ued to U. tu. II[f1.IGI u:Jnl A Nt....... of . t.. credit, Mhtch .... not rllqUeated on the Tax R.tum, ..y be reque.ted by .,.1.Unt WI """'UoeUon for R.hnd 0' PMnaylnnJ. Jm.rltanca Ind fabtt Tax" (REV-ISU). Appllcatlon. .r. ..,.11~1. .t thII afft~ of ~ R..lat.r of Wtll., ~ of the lJ Rtv~ Ol.trlct OfflCla, or b, ~lllng the .,.01.1 Z4-hour .....rl"l ..rvlc. ......n for fo.... Orderlngl In P....lYlnnl. 1"IDD-HZ-ZOSO, autl1. P....lYlwnl. ... tdthln 10000l "'rrllbur, .r.. (717) 717-1094, TUDI (717) nZ-U5Z (....rlng IIp.lrlld Onh). OI-A:CTtONSI My p.rty In Int.r..t not ..thfllld ,dth tht ..r.lI..."t, ,UOWMC. Dr dls.UDIMI"M of cMd.IcUons, or ....a.....t of tu (Including dbcOU"It or Int.,.st) .s shown on this NoUu llUat object ..Ithln .bty (6DJ _. of rec.lpt of this NoUe. b'l -....rlUen prot.at to thII PI ~r.....t of Rtv~, Board of Appuh, Dept. 211021, "'rrlabur., PI 17111"1021, OR --.lecUon to hrIa ~ _U.r .t'M1lned .t audit of the ItCCCM1t of tht per~1 r.,...,t.U.,., OR --."..1 to the OrphM." Court. AllIUM IITRATlVE CORRECTIONSI FecMI .rron d!lcowred on thh .I........t Ihould be eddr..Md In ..rUing tal PA ~r.....t of A.v~, Bureau of Indlvldu81 Tu.., ATTN. Post AI........t A.vl... unit, Dept. Z10601, "'rrlabur., PA 17IZI-0'01 PhonII (717) 717-'505. See P'" 5 of the bookl.t "Inatructlona for InherltMC. Tax A.turn far . A..ldent Decedent.. (REV-ISOIJ for an explanation of ~Inl.tr.tlv.l, correctabl. .rror.. DISCQtICTI If an, tu dull I, paid ..Ithln thr.. (5) calW'ldlr ~th. .fhr the declldent". ..th, . flv. perc....t (5:0 d!lcOl..nt of the tu paId 11 .UowIId. PElW.1Y. TlM lSX tex ..-.ty non",.rUol,.Uon ,.,..1 ty 11 ~tlld on tht tot.1 of thII tax and Inter..t .a......, MIl nat p.ld bIIfor. JtnuIry 11, 1"', the flnt da, .ft.r the end of the tex lWMIaty period. Thh non-partlcIPllt1on ~lty h ."..1_1. In the ... ......r and In the the ... U.. perIod .a ,au tIOUld ....1 the tax ... Inter.1t that h.. beitn .a...... .. IndlClltlld on thl. notice. IMTIREIT. Int.rest II cher.... bellmlng ..lth flnt _ of del1~Y, or nine (9) ~th. and one (1) dQ fr.- the dIIt. of ..tit, to u. dIIt. of ...,.....t. T.... Wllch He-. .s.l1nquent before .........ry I, I9IZ beer Inter.at .t the rat. of .s. (UJ percent per .... c.lcul.tlld .t . dell, rat. of .ODDIM. AU tu.. ..nlch ~ .11nquent on ... .n.r Jwuat', 1, 191Z ..Ill belr Inter..t It . ,..t. Mhlch ..111 very fr. ~l"r ,..r to ~I"'r ,..r wIth thtt ret. IMCMlCId by the PA o.p.rtMnt of Aevenue. The ..l1AbI. In"r..t r.t.. for 1912 through 1"7 er.1 '!!!r Int.r..t A.t. Oallv Intar..t Factor :!!!r In"r..t R." Dellv Int.r..t Factor 1912 lOX .000541 1'.' OX .000Z41 1.13 10 .000451 1'''-1''1 llX .000301 19M llX .000301 1"1 'X .000247 1..5 13X .000356 1"5"1"" 7X .0001.1 1916 lOX .000174 1"5-1"7 tX .000247 --lnt.r.1t I. ~lcul.ted .. followal INTEREST . IALANCE DF TAX UNPAID X HVKIER OF DAYB DELINQUENT X DAILY INTEREST FACTOR --My Notice luued .fter U. tu bIcoM. .U.........t ..111 r.flact an Intar..t ~lculltlon to fln..., US) day, beyond the date of ~ ..........t. If fl.~t 11 .... .ft.r the Int.r..t ~t.tlon date IhcM't on the Hotle., addItIonal lnt.r..t .u.t be ~lcul.tad. ~-.,'.---~-- ". ,. .. .. ( FAMILY SETTLEMENT AND FINAL RELEASE IN ESTATE OF BETTY L. CASSIDY KNOW ALL MEN BY THESE PRESENTS, that WHEREAS, Betty L. Qlssidy. late of 147 Hillcrest Court, No, 801, Camp Hill, Cumberland County, Pennsylvania, deceased, died testate on January 22, 1996, having first made her Last Will and Testament, which was duly executed on July 21, 1994, and is duly recorded in Cumberland County, Pennsylvania, under estate # 21-96-0213; WHEREAS, the said Betty L, Cassidy, by the aforesaid Last Will and Testament, named Debomh C. Weese, lIS Executrix of said Last Will and Te~1ament; WHEREAS, letters testamentary on the estate of the said decedent were duly issued by the Register of Wills of Cumberland County, Pennsylvania, to the said Executrix, hereinafter called personal representative; WHEREAS, the said personal representative has gathered the assets of the estate of the said decedent and the assets consist of both real property and personal property, to a total value of $155,577.07, as sel fonh in Exhibit A, which is a statement of account of the said personal representative, and which is attached hereto and made a part hereof, und marked Exhibit A; WHEREAS, the debts and deductions, including the payment of inheritance tax in the said e~1ate, amounl to $25,038.30, leaving a balance for distribution of $130,538.77, also as set fonh in the statement of the said personal representative, which is attached hereto und marked Exhibit A; WHEREAS, the balance for distribution as shown in the said statement marked Exhibit A has been distributed as herein indicated in accordance with the tenns of the La~1 Will and Testament of the said decedent; Puge I of 9 , , '\ .' NOW, THEREFORE. KNOW VE,that we, Carol Cassidy, Patrick Cussidy, Michacl Cassidy and Deborah C, Weese, the heirs under the Lust Will and Testament of the suid dccedcnt, and being those persons entitled 10 inhcrit under suid Lust WiIlund Testlllnent, do hereby each of us, ucknowlcdge thut we huve this day hud and received from thc uforesuid personal reprcsentative, in full Slltisfaction und payment of all sum or sums of money, legacies, bequcsts, and dcviscs as are given, deviscd and bequeathed to each of us respectively by thc suid Lust Will and Testament, the amonllls duc us under said Last Will and Testament, which amonnts we have received this day, and which amounts are in the amount set opposite our respective names in the lable and schedule of distribution in suid stutement attached hereto and marked Exhibit A; AND, each of us does hereby stipulate that in order to avoid the expense and time involved in the filing of a fonnal account and schedule of dbtribution, we each agree that no account is necessary lIIId we do hereby agree that we do consent to distribution being made without the filing of an account lIIId schedule of distribution, the same to be with the same force and effect as if they had been filed and confinned by the Orphans' Coun Division of the Coun of Common Pleas, Cumberland County, THEREFORE, we and each of us, do hereby remise, release, quitcluim and forever discharge the said personal representative, Deborah C. Weese, heirs, executors, and administrators and assigns, of lIIId from the said estate and from all actions, suits, payments, accounts. reckonings, claims, and demands whatsoever for or by reason thereof, or for any other use, matter, cause or thing whatsoever, touching upon the estate of the suid decedent, and each of us do fun her hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this agreement, we and each of us do hereby covenant and agree with each other and the aforesaid personal representative, that we will contribute pro-rata, our share of the estate to sutisfy any and all claims, demands, suits, or causes Page 2 of 9 of action which may be sllccessfnlly prosecllted agllinst the Sltid estllle or the nforesaid personal representative after the signing, scaling nnd delivery of this PlIlnily Selllement Agreement nnd Pinnl Release. IN WITNESS WHEREOF, we hnve herennto set our hands nnd seals this 24th day of March ,1997, Witness: ('~m. ~ CAROL CASSIDY (SEAL) ~ :?; ~K (, (SEAL) ~~ ,'~ U~~(SEAL) MICHAEL CASSIDY (J- D{J::~~EE' /6- (SEAL) Page 3 of 9 ': :I~ _ .':'~( -:; ~,,\,:;>.,::,<."<'t".;i'.l:< ;>.' ",~;I'.: "\>'."'/"'. ': _ ..... ."/;''-,':; -:<~:" '.,~}:';~'~ltf~~tf:0~1tt~~fj~t~ '~~~~41iit!f':1i.:t~~.'I{f~~~;~!'<A~--1 '.'. :/1';;"'::;;.'.- ~:tt.t,:, : , . STATE OP (}(),,/'fo(~ COUNTY OP Oran1~ On Ihls,lhe .3/ ~ day of _rfta rc.J1 SS. , 1997, before me, a nOlary public, Iheunderslgned officer, personally appeared CAROL CASSIDY, (known 10 me or satisfactorily proven) 10 be the persons whose names are subscribed to the within instrument, and acknowledged that they executed Ihe same for Ihe purposes therein contained, IN WITNESS WHEREOP, I hereunto set my hand and offi 'a . al. I~~!!a i ,. ..:!is. r Page 4 of 9 < .. COMMONWEALTH OP PENNSYLVANIA COUNTY OP WESTMORELAND SS, On Ihls,lhe ,." ..1 day of Ap"" I , 1997. before me. a nolB1')' public, Ihe undersigned officer. personally appeared PATRICK CASSIDY, (known 10 me or satisfactorily proven) 10 be Ihe persons whose names are subscribed 10 Ihe wilhln instrumenl. and acknowledged lhal Ihey executed the same for the purposes Iherein contained, IN WITNESS WHEREOP. I hereunto sel my hand and official seal. ~if~ NotB1')' Public Notarial Seal . Samuel J, Smolclc, Notary PublIC Robinson Twp.. A\1~gheny coun~ My commiSSIon E.pues July 11, 1 8 jmTtlel',~~olNolPS Page 5 of 9 , . I' COMMONWEALTH OP PENNSYLVANIA COUNTY OF AJJljhll11 SS, On Ihls,lhe J ~ day of -.&Jtz l / ,1997, before me, a nolary public, / Ihe undersigned officer, personally appeared MICHAEL CASSIDY, (known 10 me or satisfactorily proven) to be Ihe persons whose names are subscribed 10 the wilhin instrument, and acknowledged Ihat they execuled Ihe same for the purposes therein contained. IN WITNESS WHEREOF, I hereullto set my hand and official seal. " ' ',' '. .1, , . , ~ . \ ',', \ . Notarial Seal I . Dawn K Sweeny, Note'Y PUntybl 0 .......;...... A1llOhtny COU P";rn;;1'~ Exjjlrel AplIII, 2000 MYCo I on 0 r I em I, S n Notary Public Page 6 of 9 " . COMMONWEALTH or VIRGINIA COUNTY or ~~ SS, On Ihis, Ihe \ C\'t,!:) day of rY'o..t...r , 1997, before me, a notary public, the undersigned officer, personally appeared DEBORAH C. WEESE, (known to me or satisfactorily proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained, IN WITNESS WHEREOF, I hereunto set my hand and official seal. ,"~IOO Nolary Public MY COMMI88ION EXPIRES MARCH 31,2001. Page 7 of 9 .' EXHIBIT "A" STATEMENT OF ACCOUNT Q.E DEBORAH C. WEESE. EXECUTRIX Assels: I) 1995 Ford Taurus $ 10,485.00 $ 4,350,00 $ 1,000.00 2) Miscellaneous Antiques 3) Gold Watch 5) Checking and Savings Accounts $ 62,427.64 $ 10,414.43 4) Certificates of Deposit 6) Common Stock 1500 Shares at $19.00 each First Commonwealth Financial Corp 7) Merrill Lynch Slock in Minivest $ 28,500.00 $ 38,400.00 TOTAL $155,577.07 Debls: I) Funeml Expenses $ 2,312.94 2) Administmtion Expenses $ 4,244.00 3) Miscellaneous Expenses $ 408,38 4) PA Inheritance Taxes $ 8,332.26 5) Miscellaneous Debts $ 9,740.72 TOTAL $ 25,038,30 Page 8 of 9 STATUS REPORT UNDER RULE 6.12 Name of Decedent: B~tty 1. r,RQQirll' Date of Death: January 22, lqqh Will No. 21-96-0213 Admin. No. Pursuant to Rule 6,12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate iB 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 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. Dste: Jftih e 2,<1997 ~~ N ....:.. ... .0 o. 0... , N I -~ :=J ., () ,.,1 0 0' wa.: r- .0 a: p, :tiC: -::> Uti ~~~~~J Signature Patricia R. Brown. E!lQldrt> Name (Please type or print) 4 E. Liberty Avenue. Carlisle. Address ( 717) 243-7922 Tel. No. Capacity: Personal Representative X Counsel for personal representative (MAH:rmflAH3)